Tennessee Department Of Health

The Tennessee Department of Health, a U.S. state government entity headquartered in Nashville, operates as a prime recipient of federal grants and a prime contractor on federal service contracts supporting vital statistics, public health surveillance, nutrition assistance, and maternal and child health programs across Tennessee. TDH does not hold positions on federal IDIQs or GWACs and does not operate as a subcontractor to private firms; its 98% prime award footprint reflects its role as a state agency directly funded by federal grantor agencies.

TDH's federal mission centers on public health data infrastructure and services delivery. On the contract side, TDH holds a single-award indefinite delivery contract with the Centers for Disease Control and Prevention valued at $3.9 million through April 2027 to support the National Center for Health Statistics Vital Statistics Program, including annual delivery orders of $388 thousand each for vital statistics data collection and reporting in Nashville. Representative contract work includes a $2.9 million purchase order from the Social Security Administration for Enumeration at Birth and Race and Ethnicity records services (extended through June 2029), a $3.7 million Social Security contract for electronic death registration system support across 54 states and jurisdictions (through December 2028), and a $206 thousand National Cancer Institute delivery order for Surveillance, Epidemiology, and End Results Program research support registries and data management (through April 2028). On the grant side, TDH is the prime recipient of major federal health grants totaling $586.4 million in combined potential value. Recent examples include a $827.6 million cooperative agreement from the Centers for Medicare and Medicaid Services for the Rural Health Transformation Program through October 2030, a $120 million formula grant from the Department of Agriculture for WIC food expenses through September 2026, a $55.6 million formula grant for WIC administrative expenses (September 2026), and a $31.4 million Maternal and Child Health Services Block Grant through September 2027.

Customer concentration is heavily skewed toward federal health agencies. The Department of Agriculture Food and Nutrition Service leads by award count with 124 awards, followed by the Centers for Disease Control and Prevention with 99 awards and the Health Resources and Services Administration with 63 awards. By combined potential value, however, CDC Pittsburgh anchors the portfolio with 42 awards valued at $51.2 million, and the Social Security Administration follows with 29 awards at $13.5 million. The top five customers account for 47% of awards; concentration by dollar value is lower, at 12% for the same group, reflecting that TDH's grant portfolio is dominated by formula grants and block grants distributed across multiple programs rather than single large contracts.

SCI-reported federal service-contract activity is minimal. TDH invoiced $596 thousand across 10 reportable service contracts in FY2022 and has reported zero invoiced revenue in FY2023–FY2025 within the SCI dataset, indicating that TDH's federal work is predominantly grant-funded rather than service-contract-funded. No FTE workforce is attributed to the SCI records. TDH operates as 100% prime on SCI-reportable contracts with no subcontractor engagement recorded. The source data does not support SCI-based rate posture analysis.

TDH's federal grant activity spans public health infrastructure, maternal and child health, nutrition assistance, disease surveillance, and emergency preparedness. The state distributes sub-awards to local health departments, county governments, and nonprofit organizations across Tennessee's 95 counties. Named sub-recipients include Jackson Madison Health Department, Hamilton County Health Department, Shelby County Government, Nashville Metropolitan Government, Knox County Health Department, Sullivan County Regional Health Department, Second Harvest Food Bank of Middle Tennessee, and nonprofit organizations such as Positively Living Inc., Nashville Cares, and Frontier Health for HIV/AIDS housing and supportive services. TDH also manages sub-awards with state agencies including the Tennessee Department of Mental Health and Substance Abuse Services, Tennessee Department of Finance and Administration, and the Tennessee Bureau of Investigation for data system integration, forensic services, and overdose response coordination. Recompete activity is light; 50 awards with ultimate completion in the next 24 months carry combined potential value of $711 thousand, substantially below the dollar volume of active work.