Picis Clinical Solutions, Inc.

Picis Clinical Solutions, Inc., a foreign-owned subsidiary of UnitedHealth Group Incorporated, delivers proprietary clinical information systems and anesthesia record-keeping software exclusively to the Department of Veterans Affairs as a prime contractor, with 262 awards totaling $242.2 million in combined potential value and no subcontractor engagement across its federal footprint. The company operates on a non-set-aside basis across all awards and does not compete under any SBA designations.

Picis' federal capability portfolio centers on three proprietary software platforms: the PICIS computerized patient record system, the ARK (Anesthesia Record Keeping) system, and the ENVISION analytics platform. Service delivery encompasses software licensing, implementation, maintenance, technical support, training, and database administration. Representative awards include a $9.96 million BPA call from Veterans Integrated Service Network 8 for PICIS Software Service and Maintenance through November 2026; a $6.1 million BPA call from VISN 16 for ARK Systems hardware and software support through October 2026; and a $534.7 million BPA call from VISN 21 for Clinical Information System and ARK Analytics solutions through July 2026. The VA holds Picis under a single-award BPA (Contract ID 36C10G21A0007) valued at $32.9 million with a ceiling through July 31, 2026, which serves as the parent vehicle for task orders across multiple VISNs.

Customer concentration is extreme and singular. The Department of Veterans Affairs accounts for all 262 awards across 17 distinct VISN networks and headquarters. Within that footprint, the top five VISNs by award count (covering 53% of all awards) are VISN 6 with 43 awards valued at $14.7 million, VISN 8 with 26 awards valued at $31.2 million, VISN 10 with 24 awards valued at $18.3 million, VISN 21 with 23 awards valued at $15.5 million, and VISN 2 with 22 awards valued at $8.8 million. By potential value, however, VA Headquarters anchors the portfolio with just 2 awards carrying $56.7 million in combined potential value, likely representing parent-level IDCs or amendments. VISN 8 and VISN 4 (15 awards, $20.6 million) round out the dollar-dominant tier. This customer concentration reflects the proprietary nature of Picis' clinical systems — all task orders are awarded on a non-competitive, non-set-aside basis once incumbency is established.

Picis places nearly all task orders through three parent vehicles: the Blanket Purchase Agreement 36C10G21A0007 (41 task orders, $55.8 million combined potential value), which is the primary sole-source BPA; Blanket Purchase Agreement VA11916A0163 (49 task orders, $33.1 million); and the GSA Multiple Award Schedule (61 task orders, $16.5 million). The Federal Supply Schedule GS35F0503R (32 task orders, $19.7 million) and Indefinite Delivery Contract VA24612D0067 (14 task orders, $6.6 million) account for smaller shares. These vehicles are not portable to other agencies — they are VA-internal delivery mechanisms, not government-wide contracting tools.

Activity has contracted modestly in recent years: 12 awards in 2024, 7 in 2025, and 6 year-to-date in 2026. Ten awards carrying $21.2 million in combined potential value reach ultimate completion within the next twenty-four months and face recompete exposure. All awards are firm fixed price with no price adjustments; the vendor operates as a sole-source incumbent on each VISN account once initial selection occurs.

On federal service contracts captured in the Service Contract Inventory, Picis invoiced $19.1 million across FY2023–FY2025, with growth from $595 thousand in FY2023 to $10.5 million in FY2025. SCI-reported FTE delivery grew from 0.4 FTEs in FY2023 to 3.2 FTEs in FY2025, indicating minimal domestic staffing — work is predominantly delivered remotely or from the vendor's Peabody, Massachusetts and Durham, North Carolina offices. Government-paid hourly rates on SCI prime contracts median around $1,846.52 per hour, with senior labor pricing reaching $4,617.53 per hour at the 90th percentile and base technical rates running $691.32 per hour at the 10th percentile. Across SCI-reportable prime contracts, subcontractors account for 0% of total contractor hours — Picis performs all federal service delivery with internal staff.

Picis operates exclusively as a prime contractor: 100% of the 262 awards in the source are prime awards with zero sub-award engagement. The company does not sub to other federal contractors and does not bring subcontractors into its own prime delivery teams. This posture reflects both the proprietary nature of its software platforms and its status as a sole-source incumbent technology partner to the Veterans Health Administration. The vendor's federal footprint is functionally inseparable from the VA clinical IT environment — recompete opportunity exists only at renewal of the parent BPA or individual VISN task order cycles, both of which remain exclusively VA vehicles.