Sanford Medical Center

Sanford Medical Center, a non-profit hospital subsidiary of the Sanford Health system based in Sioux Falls, South Dakota, provides blood products, dialysis nursing services, and clinical laboratory and medical testing services to the Department of Veterans Affairs as a prime contractor and to federal grant recipients as a sub-awardee, competing full-and-open without set-aside designations.

Sanford Medical Center operates primarily as a healthcare service provider to the VA's Veterans Integrated Service Network 23 (Sioux Falls VA Healthcare System). The vendor holds two active single-award indefinite delivery contracts with VISN 23: one for blood, blood products, and necessary testing services with a ceiling of $888,828.65 through January 31, 2031, and one for on-site acute dialysis nursing services with a ceiling of $755,454.90 through December 31, 2028. Recent delivery orders under these IDIQs include a $111,918.98 firm fixed-price order (awarded February 1, 2026) for blood products and testing services to support the Sioux Falls VA Healthcare System through September 30, 2026, and a $94,096.36 order (awarded January 1, 2025) for acute dialysis nursing services renewal through December 31, 2025. The vendor also provided $58,890.91 in acute dialysis services in 2023 and $75,657.53 in blood products in 2023–2024 under the same vehicle family.

Customer concentration sits heavily with the Department of Veterans Affairs: VISN 23 accounts for 33 awards with $6.3 million in combined potential value, representing the dominant share of Sanford's federal footprint. The Department of Agriculture Food and Nutrition Service follows with 26 awards, though the source does not specify their dollar magnitude. The Department of Health and Human Services Administration for Community Living, Indian Health Service, and Administration for Families and Children account for 13 awards combined. Across all 122 awards tracked, Sanford serves 14 federal customer agencies.

Sanford's federal work splits 68% prime and 32% sub-awardee. As a sub-recipient, the vendor participates in federal grant programs managed by state-level prime grantees: the South Dakota Department of Education administers Child and Adult Care Food Program and National School Lunch Program sub-awards; the South Dakota Department of Human Services and South Dakota Department of Public Safety administer falls prevention, early childhood enrichment, and victim services sub-grants; and the National Children's Alliance administers child abuse and human trafficking victim support sub-grants. As a prime grant recipient, Sanford was awarded a $3.75 million cooperative agreement from the Administration on Aging (CFDA 93.761, Evidence-Based Falls Prevention Programs) effective September 1, 2025, through August 31, 2028, to implement and expand "Stand Strong: Empowered Connections," an initiative delivering A Matter of Balance, Bingocize, and Stay Active and Independent for Life fall prevention programs across South Dakota and southwest Minnesota to approximately 2,200 older adults aged 60 and above and adults with disabilities over three years, with strategic partnerships including Sanford Health, the City of Sioux Falls, and community organizations. Sanford also holds a prior Administration on Aging cooperative agreement, "Capable to Prevent Falls," running through December 31, 2025.

Award activity shows a spike in 2023 (26 awards), decline in 2024–2025 (10–11 awards annually), and two awards in early 2026 year-to-date. Combined potential value across all 122 awards totals $9.1 million against obligated dollars of $18.4 million, indicating significant prior invoicing relative to remaining ceiling. Only two awards face ultimate completion within the next twenty-four months, carrying $175 thousand in combined potential value and representing minimal near-term recompete exposure. The vendor's federal work concentrates in blood and organ banking (24 awards), general medical and surgical hospitals (15 awards), kidney dialysis centers (10 awards), medical laboratories (7 awards), and physician office services (6 awards), reflecting Sanford's positioning as a regional healthcare system providing specialized medical products and clinical services to veterans and federal grant programs in the upper Midwest.