Triwest Healthcare Alliance Corp

Triwest Healthcare Alliance Corp, a for-profit healthcare management company headquartered in Phoenix, Arizona, operates as the prime contractor delivering managed care network administration, community healthcare coordination, and third-party healthcare services to the Department of Veterans Affairs and the Defense Health Agency. The vendor competes exclusively in full-and-open procurements with no small business set-aside designations across its prime footprint.

Triwest's federal work centers on managing VA community care networks and TRICARE Managed Care Support Services through indefinite delivery/indefinite quantity contracts that anchor recurring monthly and quarterly express reporting, claims processing, provider network management, care coordination, and quality monitoring. Representative examples include the $58.3 billion Community Care Network Region 4 IDIQ (Arizona and parts of Nevada), the $5 billion Community Care Network Region 5 IDIQ (Alaska), and the $65.2 billion TRICARE Managed Care Support Services contract with the Defense Health Agency awarded January 1, 2024 under cost-plus award-fee pricing running through December 31, 2033. Recent delivery orders span from January 2024 through May 2026 with individual ceilings ranging from $20 million to $2.2 billion per order, issued monthly and quarterly under these parent IDIQ vehicles.

Customer concentration is extreme and single-agency dependent. The top five funding agencies account for 86% of recent awards, but the Department of Veterans Affairs Headquarters dominates both volume and dollars: 94 awards carrying $193 billion combined potential value across express reporting and regional healthcare administration work. The Defense Health Agency holds 2 awards worth $65.2 billion (the TRICARE contract); the broader Department of Veterans Affairs entity carries 70 awards worth $28.53 billion; the VA's Veterans Health Administration Veterans Integrated Service Network 19 carries 48 awards worth $20.98 billion; and the Department of the Navy carries 3 awards worth $23.05 billion. VA's concentration creates significant recompete exposure: 16 awards with combined potential value of $72.71 billion reach ultimate completion inside the next twenty-four months.

Triwest places work under two primary indefinite delivery vehicles. The Indefinite Delivery Contract 36C10G19D0038 (the Community Care Network Region 4 IDIQ) carries 60 task orders worth $132.65 billion combined potential value. The Patient Centered Community Care master IDIQ carries 101 task orders worth $34.28 billion combined potential value. The Community Care Network Region 5 IDIQ (Contract 36C10G21D0001) carries 48 task orders worth $7.28 billion.

Activity has remained consistent year over year, ranging from 18 to 26 awards annually across FY2022–FY2026, with 11 awards recorded in FY2026 to date (a partial-year count). The vendor operates exclusively as a prime contractor—all 310 awards in the source are prime; no subcontractor activity is recorded.

SCI-reported invoicing reached $129 million in FY2022, peaked at $339.3 million in FY2023, and carried zero invoiced revenue recording in FY2024, suggesting either incomplete SCI reporting or a shift in invoice-timing practices that falls outside the SCI reporting window for that fiscal year. The SCI dataset shows roughly 621 FTEs delivered to federal service contracts in FY2022, declining to 593 FTEs in FY2023 and 495 FTEs in FY2024. Across SCI-reportable prime contracts, median government-paid rates ran around $0.00 per hour with 90th-percentile rates reaching $211.85 per hour, indicating a portfolio heavily weighted toward capitated or fixed-fee arrangements with limited labor-hour transparency in the SCI dataset. The vendor subcontracts minimally across its prime contracts: named subcontractors total 29 entities representing approximately 1 percent of total contractor hours, indicating Triwest builds and operates its own service delivery teams rather than relying on sub-supply chains.