Grace Registry Services, LLC

Grace Registry Services, LLC, a woman-owned small business based in Lake Tapps, Washington, operates as a pure prime contractor delivering certified tumor registry data management and cancer case abstraction services to the Department of Veterans Affairs and the Defense Health Agency. The company competes across both set-aside and full-and-open designations, with 157 prime awards totaling $16.7 million in combined potential value since 2006.

Grace Registry Services specializes in cancer registry operations supporting federal healthcare agencies. The core service portfolio encompasses certified tumor registry case abstraction, data entry, case identification, follow-up activities, and quality assurance functions in compliance with American College of Surgeons Commission on Cancer standards. Representative work includes a $811,250 definitive contract awarded July 1, 2026, by Veterans Integrated Service Network 10 for tumor registry data management in Cleveland, Ohio, extending through June 30, 2031; a $593,127.75 definitive contract from VISN 10 completed in October 2024 for similar registry services; and a $1.21 million firm fixed-price purchase order from Veterans Integrated Service Network 17 for cancer registry services in the Dallas region through September 30, 2027. The company also holds a $1.08 million single-award indefinite delivery contract with the Defense Health Agency set aside for total small business, supporting remote cancer registry services at military treatment facilities including Tripler Army Medical Center in Hawaii and Madigan Army Medical Center in Washington, with cumulative obligations of approximately $374,000 and individual delivery orders ranging from $15,556 to $156,169.

Customer concentration is heavily weighted toward VA regional networks. The top five customers account for 73% of combined potential value: Veterans Integrated Service Network 10 leads at $5.1 million across 29 awards, followed by Veterans Integrated Service Network 23 at $2.7 million across 30 awards, VISN 2 at $1.5 million across 18 awards, VISN 16 at $1.5 million across 14 awards, and the Defense Health Agency at $1.5 million across 8 awards. Award distribution by volume and dollars aligns closely — VISN 10 and VISN 23 anchor both metrics — reflecting Grace Registry's position as a specialized, recurring vendor within the VA cancer registry ecosystem.

The company holds positions on five VA and DoD indefinite delivery contracts. The Defense Health Agency IDC (W81K0221D0009) carries nine task orders valued at $550,000 combined; VA IDC VA263P0872 holds seven task orders at $479,000; VA IDC VA263P1350 holds seven task orders at $310,000; VA IDC VA52815D0070 carries six task orders at $174,000; and VA IDC VA25113D0102 holds five task orders at $356,000. Task orders are typically firm fixed-price annual releases aligned to fiscal-year funding cycles through September 30th.

Activity has contracted sharply in recent years. The company executed six awards in 2022 and four in 2023, declining to two in 2024 and three in 2025, with one award in 2026 year-to-date. Five awards with combined potential value of $2.3 million reach ultimate completion within the next twenty-four months, creating recompete exposure across multiple VISN contracts.

SCI-reported invoicing totaled $412,000 across FY2023–FY2024 (no FY2022 SCI activity captured). FY2023 showed $259,000 in invoiced revenue across 3.7 full-time equivalents; FY2024 declined to $153,000 across 2.0 FTEs. Government-paid hourly rates on federal services contracts captured in SCI ran median $34.58 per hour, with the 10th percentile at $32.97 per hour and the 90th percentile at $37.18 per hour — low-cost labor-hour positioning typical of registry abstraction and data-entry work. The vendor performs work entirely through its own staff with zero subcontractor hours reported across SCI prime records.

Grace Registry competes across both set-aside (total small business, total small business competitive 8(a)) and non-set-aside full-and-open procurements, though the majority of recent awards carry no set-aside designation. The company's category concentration clusters in data collection and management (52 PSC awards under Support—Management: Data Collection) and health program administration and specialized medical support services.

Grace Registry Services provides all aspects of Accredited Cancer Program Management and Cancer/Tumor Registry Coordination including data collection and analysis.