Performant Recovery, Inc.

Performant Recovery, Inc., a publicly traded for-profit company headquartered in Livermore, California, operates as a prime contractor delivering healthcare program integrity services—medical record reviews, recovery audits, compliance audits, and improper payment identification—to federal agencies on a full-and-open competitive basis with no set-aside participation. The vendor competes across healthcare-specific contracts under NAICS 541611 (Administrative and General Management Consulting Services) and PSC codes for professional support and management services.

Performant's federal footprint concentrates heavily in healthcare program oversight. The Department of Health and Human Services Office of the Inspector General dominates by award count (106 awards, $20.5 million combined potential value), driven by two single-award IDIQs worth $7.75 million each established in January 2022 for medical record review and consultative services supporting Medicare Fee-for-Service integrity. Recent task orders under these vehicles span nursing home compliance nationwide ($48.2 million delivery order in June 2026), hospice audits ($51,500 task orders recurring through 2025–2026), hospital compliance reviews at named facilities including Norwood and Hanover Regional ($40,525 each), emergency department audits ($35,000 to $50,000), and specialized medical reviews for dialysis, peripheral vascular procedures, and critical care ($23,500 to $74,700 per task order). A second major customer, the Centers for Medicare and Medicaid Services, anchors the dollar concentration: seven awards worth $261.2 million combined potential value include a $165.3 million Medicare Secondary Payer Commercial Repayment Center delivery order under the GSA Multiple Award Schedule (issued February 2023, running through February 2029) and a $33.7 million Recovery Audit Contractor Region 2 definitive contract (awarded March 2022, running through January 2033). The Department of Education Office of Federal Student Aid contributes five awards valued at $782.7 million, and the Department of the Treasury (IRS and Bureau of the Fiscal Service) rounds out the top five with six awards worth $74 million combined. Top customers by potential value reveal a different pattern: GSA Federal Acquisition Service ranks highest at $842.8 million across two awards, reflecting the vendor's seat on the Professional Services Schedule with $619.4 million in task orders and the Multiple Award Schedule vehicle noted above.

Performant holds position on three major vehicles: two HHS OIG single-award IDIQs ($7.75 million each, 74 and 30 task orders respectively), the GSA Professional Services Schedule ($619.4 million across nine task orders), and the GSA Multiple Award Schedule ($165.3 million single order). Recent activity grew from 14 awards in 2022 to 41 in 2023, remained elevated at 31 in 2024, then contracted to 10 in 2025 and 13 in 2026—a trajectory suggesting recompete exposure or customer consolidation. Within twenty-four months, 23 awards (combined potential value $901 thousand) reach ultimate completion, presenting moderate recompete risk for task-order-based vehicles but limited risk given the vendor's anchored IDIQ and GSA Schedule positions.

On Service Contract Inventory reporting, Performant invoiced $116.4 million across FY2022–FY2025 as a prime, scaling from $1.2 million in FY2022 to $44.7 million in FY2025 across 312 FTEs—a trajectory of sustained growth in federal services headcount. Government-paid median hourly rates ran $64/hr, with rates ranging $0/hr (sub-percentile floor, likely minimum-task or zero-value records) through $103/hr at the 90th percentile. Across prime SCI-reportable contracts, subcontractors performed 2 percent of contractor hours, with only three named subs reported. This posture indicates Performant builds delivery capacity organically rather than relying on subcontractor leverage—a self-perform model typical of large incumbent federal service providers in healthcare compliance and recovery operations. The vendor operates exclusively as a prime, with zero sub-awards in the award portfolio, confirming that federal customers engage Performant directly.

Performant's capability footprint centers on Medicare and Medicaid program integrity: medical record review across diverse healthcare settings (skilled nursing facilities, hospice, home health, emergency departments, hospitals), recovery audit and debt collection services, claims-processing support, and improper payment detection. The company's commercial presence extends to student loan debt collection and tax administration support (evidenced by Education and Treasury customer relationships), but health program integrity represents the dominant practice. The Medicare Secondary Payer Commercial Repayment Center and Recovery Audit Contractor Region 2 contracts represent the vendor's highest-value federal work and carry multi-year runways extending to 2029 and 2033 respectively, anchoring financial stability well beyond the current fiscal year.