James Valley Imaging LIMITED

James Valley Imaging LIMITED, a veteran-owned small business headquartered in Mitchell, South Dakota, provides radiology interpretation and on-site clinical staffing services to federal healthcare facilities as a pure prime contractor (100% of recent awards), with near-total customer concentration in the Indian Health Service. The vendor operates as a Subchapter S corporation under primary NAICS 621210 (Offices of Physicians) and 561320 (Temporary Help Services), with secondary activity in diagnostic imaging centers. James Valley Imaging competes predominantly on full-and-open (non-set-aside) task orders, though recent work includes Total Small Business set-aside delivery orders and a Federal Supply Schedule contract offering.

Customer concentration is extreme. The Indian Health Service accounts for 221 of 234 total awards (97% of award count) and $28.1 million of $30.2 million combined potential value (93%). The Department of Veterans Affairs Veterans Health Administration (Veterans Integrated Service Network 12) holds 2 awards valued at $1.7 million, and the Public Health Service holds 5 small awards. From the recompete perspective, only one award ($320 thousand) completes in the next twenty-four months — the bulk of James Valley Imaging's IDV portfolio extends well past that horizon, with ultimate completion dates through 2028 and 2030.

James Valley Imaging's federal work concentrates on three primary IDVs. The largest is Indefinite Delivery Contract HHSI241201600024I, a $3.4 million single-award IHS contract established in August 2021 for radiology services at the Rosebud Comprehensive Health Care Facility in South Dakota, anchoring 60 task orders. Indefinite Delivery Contract HHSI241201100023I, a $3.1 million vehicle, supports 55 task orders for radiology interpretation at IHS facilities in North Dakota and South Dakota. Indefinite Delivery Contract 75H70621D00027, valued at $3.5 million, placed 43 task orders. The vendor also holds a Federal Supply Schedule position under the Professional and Allied Healthcare Staffing Services (FSS-621-I) schedule, most recently renewed on August 15, 2025, with a $1.058 million ceiling running through August 2030. Recent representative work includes monthly task orders for radiology interpretation and on-site staffing at Rosebud ($57,000 to $114,000 per order, monthly cadence through 2026), a $456,000 modification to add services at the Rosebud facility through June 2026, emergency radiology interpretation at Standing Rock Service Unit in Fort Yates, North Dakota ($25,300 purchase order, September 2026), and a $319,800 Wagner Health Center radiologist staffing contract (five-year option exercise, August 2023 through August 2028, set aside for Total Small Business).

Activity volume has been flat to declining. The vendor received thirteen awards in 2022, twelve in 2023, eleven in 2024, and nine in 2025, with only one award in 2026 (the September Standing Rock purchase order). From the Service Contract Inventory, James Valley Imaging reported $108 thousand in SCI-invoiced revenue in FY2022 (0.6 FTEs) and $109 thousand in FY2023 (1.3 FTEs), with zero FTE activity in FY2024 and FY2025. This SCI activity reflects only prime contracts above the $150,000 reporting threshold and excludes the substantial volume of sub-$150,000 purchase orders and delivery orders that form the bulk of the vendor's task-order pattern. On SCI-reportable work, median government-paid rates ran around $59.81/hour, with rates spanning roughly $43.67/hour at the tenth percentile to $75.95/hour at the ninety-fifth percentile. The vendor operates with zero subcontractor engagement on SCI-reportable prime contracts, building its own delivery teams internally.

James Valley Imaging operates exclusively as a prime contractor with no subcontract footprint. The vendor's narrowly focused capability portfolio — radiology interpretation, teleradiology, and on-site radiologist staffing — is tightly bound to a single customer (the Indian Health Service) and a small set of IHS service units in South Dakota and North Dakota (Rosebud, Standing Rock, Wagner, Sisseton). The vendor's trajectory and customer concentration create significant recompete risk if the IHS consolidates vendors or shifts ordering away from James Valley Imaging's core service locations.