Arizona Department Of Health Services

Arizona Department of Health Services, doing business as HSA, is a U.S. state government entity that delivers public health services, laboratory testing, vital statistics data collection, and regulatory inspection services to federal agencies as a prime recipient of federal grants and as a prime contractor on federal service contracts. ADHS competes on an unrestricted basis—no set-asides apply—and operates through Phoenix, Arizona as the primary public health authority for the state under the parent organization State of Arizona.

ADHS's federal footprint centers on health surveillance, disease prevention, maternal and child health, nutrition assistance program administration, and specialized laboratory and inspection services. Representative prime contract work includes a $4.2 million single-award FDA Indefinite Delivery Indefinite Quantity contract for Arizona Compliance and Enforcement Tobacco Retail Inspection services awarded September 2024 with completion through May 2029; a $4.2 million CDC Indefinite Delivery contract for National Center for Health Statistics Vital Statistics Cooperative Program services; a $650 thousand FDA delivery order for tobacco retail inspections in Arizona awarded May 2026; a $447 thousand CDC delivery order for vital statistics cooperative program support; and a $3.25 million Social Security Administration purchase order for enumeration at birth and race and ethnicity records services. ADHS also holds a $1.9 million FDA sole-source definitive contract for mammography facility inspections in Arizona under the Mammography Quality Standards Act, and a $255 thousand FDA definitive contract for human food inspections awarded September 2023 through March 2027.

Federal grant work dominates the recent award portfolio by dollar volume and activity. ADHS is the prime recipient of approximately 59 formula and project grants from CDC, HHS agencies, USDA, EPA, and HRSA totaling multiple hundreds of millions of dollars across core public health domains: WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) administration and food benefits; maternal, infant, and early childhood home visiting services; newborn screening; immunization infrastructure and vaccine access; tuberculosis and HIV/AIDS prevention and surveillance; behavioral risk factor surveillance; hospital and public health emergency preparedness; lead poisoning prevention; chronic disease prevention including cardiovascular disease and diabetes; sexual violence and opioid overdose prevention; and environmental health tracking. Recent significant grants include $39.65 million for WIC administrative expenses (FY 2025–2026), $92.3 million for WIC food expenses (FY 2025–2026), $26.7 million for Maternal, Infant and Early Childhood Home Visiting services (award September 2025 through September 2027), $12.57 million for home visiting continuation (award September 2024 through September 2026), $11.2 million for Maternal and Child Health Services Block Grant (FY 2025–2027), and $7.25 million for High-Impact HIV Prevention and Surveillance Programs (cooperative agreement August 2024 through May 2029). ADHS also holds cooperative agreements from CDC for epidemic intelligence and laboratory capacity, behavioral risk factor surveillance, adolescent health surveillance, infectious disease epidemiology, hospital preparedness, public health emergency preparedness, tuberculosis elimination and laboratory work, immunization infrastructure, and violence epidemiology in real-time.

Customer concentration is broad across federal health agencies. The top five customers by award count—Department of Agriculture Food and Nutrition Service (114 awards), Department of Health and Human Services Centers for Disease Control and Prevention (101 awards), Department of Health and Human Services Centers for Medicare and Medicaid Services (59 awards), Department of Health and Human Services Health Resources and Services Administration (57 awards), and Department of Health and Human Services Substance Abuse and Mental Health Services Administration (48 awards)—account for 41% of total awards. By potential value, CDC Pittsburgh leads with 29 awards worth $16.5 million, followed by Social Security Administration with 26 awards valued at $14 million, CDC Office of Acquisition Services with 17 awards at $12.4 million, and FDA with 25 awards at $12.2 million combined potential value. ADHS operates under five named indefinite delivery parent vehicles, including Basic Ordering Agreement HHSD200201250799I (9 task orders, $2.5 million), Indefinite Delivery Contract SS000860019 (8 task orders, $1.4 million), and Indefinite Delivery Contract HHSD200201792567I (6 task orders, $2.2 million).

Activity has remained relatively flat in recent years (34 awards in 2022, 33 in 2023, 31 in 2024, 29 in 2025), with 52 awards carrying combined potential value of $3.5 million due for completion or recompete within the next twenty-four months. SCI-reportable service contract invoicing was $1.2 million in FY 2024 with 10.8 FTEs; hourly rate posture was flat at $51.80 per hour across the tenth, median, and ninetieth percentiles. ADHS operates predominantly as a prime contractor and grant recipient (96% of awards) with minimal subcontractor engagement (0% average sub-hours share on SCI-reportable contracts) and no named subcontractors across the recent contract footprint. The organization does not hold General Services Administration Schedules or government-wide acquisition contracts and relies on single-award or agency-specific vehicle agreements for federal work.