Optumserve Health Services, Inc.

Optumserve Health Services, Inc., operating as LHI and a subsidiary of UnitedHealth Group Incorporated, is the federal government's dominant provider of medical disability examinations, military health readiness services, and emergency medical staffing, competing as a prime contractor across 625 federal awards totaling $163.8 billion in combined potential value and $11.79 billion in obligated dollars. The company operates exclusively as a prime (100% of awards) across full-and-open competition with no set-aside designations, drawing client concentration from three dominant federal customers whose combined awards represent 99% of the vendor's potential-value footprint.

Customer concentration is extreme and skewed toward civilian health agencies. The Department of Veterans Affairs Strategic Acquisition Center Frederick anchors the portfolio with 73 awards valued at $111.24 billion—68% of all potential value—driven by multiple regional medical disability examination IDIQs through which Optumserve conducts in-person and telehealth assessments for veterans applying for compensation and pension benefits. The Defense Health Agency holds 321 awards (51% of award count) valued at $49.88 billion, split across the Medical Q-Coded Support and Services - Next Generation IDIQ (a $43 billion multiple-award vehicle for healthcare staffing and medical services), pre-pandemic medical examination contracts, and COVID-19 response vaccination deployments. The Federal Emergency Management Agency drove 91 smaller awards (primarily 2021–2023 COVID-19 vaccine-administration task orders) valued at $41.8 million, followed by the Department of the Army with 29 awards valued at $444.1 million for military entrance processing support and medical referral services. The concentration imbalance is striking: VA and DHA account for 394 awards and $161.12 billion (98% of potential value), while FEMA's 91 awards represent less than 0.03% of dollars.

Optumserve's core capability is medical disability examination delivery at scale, with a secondary portfolio in military medical screening and emergency medical staffing. Representative work includes a $356.6 million delivery order from VA (issued January 1, 2026, under the MDE 2025 Regions 1-4 Recompete IDIQ) for fiscal 2026 medical disability examinations supporting veterans' benefit determinations; a $1.61 billion single-award indefinite-delivery contract from the Defense Health Agency (April 16, 2026, through April 15, 2036) for the Remote Health Readiness Program 4, delivering individual medical readiness, dental readiness, and deployment services to active-duty and reserve service members; a $162.5 million single-award IDIQ from the Department of Defense (June 28, 2024, through June 27, 2029) for medical referral services supporting military entrance processing stations nationwide; and a $2.7 billion multiple-award pre-discharge medical disability examination IDIQ from VA (April 1, 2022, through June 30, 2027) covering examinations for transitioning service members across all regions. Place of performance is primarily La Crosse, Wisconsin (primary operational headquarters), with secondary sites in Houston, Texas and North Chicago, Illinois.

Vehicle position is concentrated and foundational. Five parent vehicles account for 413 task orders and $2.4 billion in combined value: the Indefinite Delivery Contract W81XWH07D0061 (130 task orders, $915.4 million), HT001113D0001 (101 task orders, $906.5 million), 70FB8021D00000002 (89 task orders, $41.8 million), HT001119D0002 (66 task orders, $536.4 million), and W9124X08A0008 (27 task orders, $121 thousand). Optumserve also holds a $7 million GSA Multiple Award Schedule contract (awarded June 17, 2026, through June 16, 2031) with 29 labor categories spanning customer service support ($67.94/hr) through clinical management and nursing roles ($158.95–$168.13/hr), and a $281.2 million Department of Homeland Security Vaccine Support Services IDIQ (February 15, 2023, through February 14, 2027) for nationwide vaccination clinics across 45 states. No security-cleared positions appear in the GSA portfolio; education requirements range from high school through associate degrees.

Activity trajectory reflects growth through FY2024 followed by consolidation. Award volume peaked in 2022 (37 awards) and 2024 (12 awards), with intermediate decline in 2023 (13 awards) and modest recovery in 2025 (21 awards); 2026 shows only 8 awards to date. The recompete cliff is material: 12 awards with ultimate completion dates in the next twenty-four months carry $2 billion in combined potential value, concentrated in the VA pre-discharge MDE IDIQ (multiple FY2025 Q3 and Q4 delivery orders completing August 31 and December 31, 2025) and the DOD medical referral IDIQ vehicle. Service Contract Inventory activity from FY2022 through FY2025 documents $3.49 billion in invoiced revenue across 1,369 to 1,893 self-performed FTEs, rising from $509.5 million in FY2022 to $1.43 billion in FY2025. Government-paid hourly rates derived from SCI data range from $86.19/hr at the tenth percentile to a median of $112.13/hr and $199.56/hr at the ninetieth percentile, reflecting a workforce mix of entry-level clinical support, mid-level medical professionals, and senior physician and nursing roles. Subcontractor engagement is minimal: SCI data report zero subcontractor hours across all prime records, with only one named subcontractor recorded across the full dataset, positioning Optumserve as a vertically integrated delivery organization building and staffing its own examination and medical networks rather than a feeder subcontractor.

The vendor's NAICS footprint is dominated by medical services: Offices of Physicians (except Mental Health Specialists) accounts for 414 awards, followed by All Other Professional, Scientific, and Technical Services (95 awards), Offices of All Other Miscellaneous Health Practitioners (29 awards), and All Other Miscellaneous Ambulatory Health Care Services (28 awards). PSC coding aligns with medical evaluation and managed care: Medical-Evaluation/Screening leads with 236 awards, Medical-Other carries 192, Medical-Managed Healthcare holds 115, and Medical-Dentistry represents 26. Subsidiary structure is minimal: only one named subsidiary, Unitedhealthcare Global Medical (UK) Limited, appears in the source.