Fonemed LLC

Fonemed LLC, doing business as Fonemed, operates as a small-business prime contractor delivering nurse triage and telephone healthcare advice services to the Indian Health Service and military medical commands, with 100% of recent awards issued as prime contracts under Total Small Business set-asides or unrestricted competitive designations. Fonemed is a for-profit corporate entity based in Ventura, California, competing predominantly under small-business set-asides (46 of 61 awards tracked since 2022 carry Total Small Business designations), with a customer footprint concentrated almost entirely within the Indian Health Service and a secondary presence in Air Force and Army medical operations.

The Indian Health Service dominates Fonemed's customer base. The IHS accounts for 46 awards (91% of tracked recent awards) worth $1.6 million combined potential value, far outpacing secondary customers — the Department of the Army Medical Command (6 awards, $771 thousand combined potential value), the Department of the Air Force Air Mobility Command (3 awards, $531 thousand), and the Air Force Global Strike Command and Air Education and Training Command (2 and 1 awards respectively, $349 thousand and $345 thousand). The IHS concentration reflects Fonemed's core capability: 24/7 nurse advice lines and telephone triage services staffed with registered nurses assessing patient symptoms and recommending care levels for American Indian and Alaska Native communities. Representative IHS work includes a $199.5 thousand Total Small Business purchase order awarded November 2024 for nurse triage at Whiteriver Indian Hospital, Arizona through November 2029; a $136.8 thousand Total Small Business purchase order from May 2023 for nurse advice line services in Albuquerque, New Mexico through March 2028; and a $63.3 thousand purchase order from August 2025 for 24/7 nurse triage at the Santa Fe Indian Health Center, New Mexico through August 2030. Fonemed also holds a single-award Indefinite Delivery Contract with the IHS (ceiling $190 thousand, awarded June 2024, set aside for small businesses, completion through June 2026) against which multiple delivery orders have been issued for nursing triage requirements across Oklahoma City and the Acoma-Canoncito-Laguna Service Unit. The most recent award, dated July 1, 2026, is a $26.9 thousand Total Small Business delivery order under that IDC for 24/7 nurse advice line services in Lawton, Oklahoma through June 2027.

Activity has been light and inconsistent over the past five years — five awards in 2022, one in 2023, three in 2024, three in 2025, and one in 2026 year-to-date. Five awards with combined potential value of $284 thousand complete within the next twenty-four months, creating recompete exposure. Fonemed's secondary Air Force work, captured under multiple Air Force IDIQs and BPAs (IDC FA251708D6002 with 4 task orders worth $21 thousand combined value, IDC 75H70719D00004 with 4 task orders worth $24 thousand, and BPA HHSI242201700038B with 4 task orders worth $19 thousand), involves support services and minor IT infrastructure work separate from its core nurse triage mission. Fonemed competes as a prime only; no subcontract activity appears in the source. The vendor's capability portfolio centers on healthcare communication and nurse advice operations, with 19 awards categorized under telephone answering services, 15 under home health care services, and 14 under offices of miscellaneous health practitioners, reflecting the narrow, specialized nature of its nursing triage and telephonic healthcare guidance service delivery.

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