Helios Healthcare, LLC

Helios Healthcare, LLC, operating as Idylwood Care Center, is a Sacramento-based for-profit nursing home operator that delivers community nursing home services exclusively to the Department of Veterans Affairs as a prime contractor under a single-award indefinite delivery contract. The company holds a Department of Transportation-certified Disadvantaged Business Enterprise designation and competes on a full-and-open basis with no set-aside awards.

Helios Healthcare's entire federal footprint derives from a single $35 million indefinite delivery contract with the VA's Veterans Integrated Service Network 21 (VISN 21), awarded March 1, 2024 and running through February 28, 2029. Under this IDC, the company delivers community nursing home services—including long-term care, bed hold support, reduced physical function care, and clinically complex care for eligible veterans—at facilities in Sacramento and Stockton, California, with administrative and reporting functions performed in Palo Alto and Sunnyvale. The contract pricing model is based on current Medicaid reimbursement rates plus specified percentages across nine service categories. Recent representative delivery orders include a $4.15 million community nursing home care order (March 2024–February 2025) and quarterly express-report orders ranging from approximately $446,000 to $865,000, all priced firm fixed-price with no subcontractor involvement.

Customer concentration is absolute: the Department of Veterans Affairs Veterans Integrated Service Network 21 accounts for 61 of 63 total awards (97% coverage) and $94.7 million of the $95.1 million combined potential value. Activity shows significant decline in award velocity—nine delivery orders in 2022 declining to five in 2025 and two in 2026 to date—though this reflects the nature of the single-award IDC vehicle and does not indicate loss of relationship. The company has worked with VISN 21 continuously since at least 2021 and operates across four parent contracting vehicles: the primary $35 million indefinite delivery contract (40 task orders, $25 million combined value), two additional indefinite delivery contracts aggregating $14.1 million across 11 task orders, and two basic ordering agreements totaling approximately $5.8 million. The company's award footprint is heavily concentrated in NAICS 621610 (Nursing Care Facilities—Skilled Nursing Facilities), with 62 of 63 awards in that category.

Service Contract Inventory data shows limited visibility into Helios Healthcare's federal services revenue: SCI-reportable invoicing totaled $3.1 million in FY2025 across 21.4 FTEs, with no reported SCI activity in FY2022–FY2024 despite contemporaneous prime awards. The discrepancy reflects SCI's $150,000 reporting threshold and the fact that many quarterly express-report delivery orders fall below that floor. Median hourly rates derived from SCI invoiced dollars show zero reported rates across all percentiles, indicating that SCI-captured work consists primarily of fixed-price delivery orders where rate data does not translate meaningfully. The company operates exclusively as a prime with no subcontractor engagement on SCI records (0% sub-hours share). Helios Healthcare's total federal revenue—encompassing the $35 million IDC ceiling and all delivery orders across multiple vehicles—substantially exceeds the $3.1 million SCI subset captured above.