Straub Clinic & Hospital

Straub Clinic & Hospital, a nonprofit hospital and subsidiary of Hawaii Pacific Health based in Honolulu, Hawaii, provides primary care and community-based outpatient clinic services to veterans in remote Hawaiian locations as a prime contractor on full-and-open federal awards, with no set-aside participation across its recent footprint. The organization competes and performs work without SBA certifications or set-aside designations.

Straub's customer concentration is extreme and narrow. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 (VISN 21) accounts for 83% of Straub's recent awards by count and 86% of combined potential value — 13 awards totaling $287 thousand across a portfolio of only 29 awards. The remaining named customers (Federal Emergency Management Agency, Department of Health and Human Services Health Resources and Services Administration, Department of Veterans Affairs, and Department of State) together account for the final 17 percent. This concentration reflects Straub's geographic and mission niche: the organization holds a recurring series of delivery orders from VISN 21 to operate primary care services for veterans on Lanai Island, Hawaii. Recent prime work includes a $35.5 thousand firm fixed-price definitive contract awarded February 1, 2026, for Community-Based Outpatient Clinic (CBOC) services on Lanai extending through January 31, 2036; a $2.9 thousand six-month bridge contract from May 2025 through January 2026; and a pattern of annual $3.7 thousand to $3.8 thousand delivery orders dating back to 2022, each funding primary care support for Lanai's veteran population. All VISN 21 awards carry no set-aside designation and are issued as definitive contracts or delivery orders under unspecified multiple-award vehicles.

Straub places task orders under three VA indefinite delivery contracts: 36C26120D0009 (6 task orders, $21 thousand combined potential value), V261P0619 (2 task orders), and DADA1600D0004 (1 task order). Capability framing tracks to PSC Medical-Managed Healthcare (14 awards) and Family & Internal Medicine Services (3 awards), with NAICS split between Offices of Physicians except Mental Health Specialists (9 awards) and General Medical and Surgical Hospitals (9 awards). Award activity has remained minimal and flat — one award in 2022, two in 2023, four in 2024, one in 2025, and one in early 2026 — across a portfolio spanning since 1998. Straub also receives subawards from the Hawaii Department of Defense (the prime grantee) for pandemic-related federal grant work in contract labor and personal protective equipment, with obligations exceeding $2 million across four sub-awards from 2023 through 2024. Combined obligated dollars across all awards ($3.1 million) exceed combined potential value ($349 thousand) by 890 percent, reflecting significant prior-year invoicing against small annual contract ceilings.