Health Level Seven International Inc.

Health Level Seven International Inc., doing business as HL7, is a non-profit, ANSI-accredited standards development organization based in Ann Arbor, Michigan, that serves as the federal government's custodian and developer of healthcare data interoperability standards, primarily Fast Healthcare Interoperability Resources (FHIR) and Consolidated Clinical Document Architecture (C-CDA), operating exclusively as a prime contractor across 161 federal awards with no subcontractor footprint. HL7 competes in full-and-open procurements without set-asides, but federal agencies routinely sole-source to HL7 under FAR 6.302-1, citing its monopoly position as the only capable source for consensus-based standards development, stewardship, and related implementation guidance.

HL7's federal capability portfolio centers on standards stewardship, membership at tiered levels (Benefactor, Sponsor, GOLD, Premier), standards testing and implementation guide development, training delivery, and event hosting including annual Connectathon programs. Recent definitive contracts illustrate the scope: a $4.498 million firm fixed price award from the Assistant Secretary for Financial Resources (September 2026) for FHIR standards stewardship and regulatory readiness support running through September 2029; a $3.299 million award (September 2026) for support of Federal United States Core Data for Interoperability (USCDI) Plus quality standards development through September 2030; and a $149 thousand purchase order from the Centers for Medicare and Medicaid Services (March 2025) for hosting a joint CMS & HL7 FHIR Connectathon and delivering FHIR training to federal employees. HL7 performs all work directly with no subcontractor involvement.

Customer concentration is heavily skewed toward the Department of Health and Human Services and its component agencies. The top five customers by combined potential value account for 92% of HL7's recent award dollars, anchored by the HHS Assistant Secretary for Financial Resources (4 awards, $8.4 million), the HHS Office of the Assistant Secretary for Administration (19 awards, $6.8 million), the HHS National Institutes of Health's National Institute of Environmental Health Sciences (5 awards, $1.9 million), the HHS Centers for Medicare and Medicaid Services (8 awards, $538 thousand), and the Department of Veterans Affairs Technology Acquisition Center (16 awards, $460 thousand). The award-count and dollar-value rankings diverge markedly: the Assistant Secretary for Financial Resources dominates dollars through two multi-year definitive contracts, while the Assistant Secretary for Administration leads award volume through numerous recurring membership purchase orders. Twenty-two distinct agencies have awarded to HL7 in recent years, including the Defense Health Agency, Food and Drug Administration, National Cancer Institute, and Centers for Disease Control and Prevention, but HHS offices represent approximately three-quarters of the recent footprint.

HL7 does not sit on government-wide vehicles such as GWACs or BPAs; all awards are direct procurements from individual federal agencies. The category concentration across the recent award portfolio reflects HL7's role: 40 awards fall under Professional Organizations (NAICS code not specified), 33 under All Other Professional, Scientific, and Technical Services, and 12 under Education/Training—General. The PSC distribution is similarly aligned: 67 awards are coded to Education/Training—Tuition/Registration/Membership Fees (a direct match to HL7's tiered membership offerings), 13 to Support—Professional: Other, and 12 to Education/Training—General. Activity has remained relatively flat year over year, with nine to ten awards per year in 2022, 2024, and 2026, and seven to eight in 2023 and 2025, for a combined potential value of $19.8 million across all 161 awards. Seven awards (combined potential value $407 thousand) reach ultimate completion within the next twenty-four months, presenting limited recompete exposure for the vendor.

Service Contract Inventory data captures a narrow slice of HL7's federal footprint: five SCI-reportable records (all prime, zero subs) across FY2022 through FY2025, yielding $1.8 million in invoiced revenue. SCI activity was concentrated in FY2022 ($880 thousand) and FY2024 ($918 thousand), with no FY2023 or FY2025 invoicing in the dataset. The FY2022 and FY2024 contracts deployed 0.2 and 0.1 FTEs respectively on a contract-level basis, indicating that most HL7 federal work is delivered through membership fees and purchase orders for standards services rather than labor-hour based contracts. Government-paid hourly rates on SCI-reportable service contracts ranged from a 10th percentile of $2,422 per hour to a median of $3,459 per hour and a 90th percentile of $4,496 per hour, positioning senior HL7 labor at rates comparable to specialized federal consulting. Across SCI-reportable prime contracts, HL7 performed zero percent of hours through named subcontractors, consistent with the vendor's direct-delivery model across the full award portfolio. HL7 maintains a named subsidiary, HL7 FHIR Foundation, structured as a non-profit foundation.