United Network For Organ Sharing

United Network For Organ Sharing, a tax-exempt nonprofit based in Richmond, Virginia, operates as the federally contracted manager of the national Organ Procurement and Transplantation Network (OPTN) and delivers organ transplant registration, listing, and coordination services to federal healthcare agencies as a prime contractor (99% of recent awards), competing without set-aside designation across full-and-open procurements.

The organization's customer footprint centers heavily on the Department of Veterans Affairs and the Department of Health and Human Services. Across the 148 recent awards in the source data, HRSA Headquarters anchors $549.9 million in combined potential value (four awards), while VA's distributed network of Veterans Integrated Service Networks (VISNs) accounts for 52% of awards by count — led by VISN 23 (19 awards, $2.5 million potential value), VISN 6 (17 awards, $156 thousand), and VISN 2 (13 awards, $1.9 million). The Defense Health Agency holds 12 awards ($1.2 million potential value). This customer concentration reflects UNOS's statutory role as the sole national organ transplant system manager; federal agencies issue task orders and purchase orders against standing indefinite delivery vehicles rather than competing procurement actions. The ranking divergence — HRSA's dollars dwarf VISN award counts — signals that while VA places numerous small task orders for patient registration at individual medical centers, HRSA's $141.085 million IDC (awarded September 2024, completion September 2026) for OPTN operations and enhancement drives most federal dollars.

UNOS holds five principal indefinite delivery vehicles: the $141.085 million multiple-award HRSA OPTN Operations Transition IDC (awarded September 2024); three single-award VA IDCs with VISN 2 ($298,100 through March 2027), VISN 12 ($654,667 through October 2026), and VISN 20 ($594,364 through March 2027); and a $12.25 million HRSA definitive contract for OPTN cloud migration and hardware services (awarded November 2025, completion July 2027, sole-source under FAR 6.302-1). Across these vehicles and their parent IDVs, UNOS issues delivery orders and purchase orders for kidney and heart transplant patient registration, OPTN listing services, UNOS Toolbox registration fees, and organ procurement coordination at VA medical centers nationwide and to military facilities under Defense Health Agency. Recent representative awards include the $12.25 million HRSA cloud migration contract (November 2025, sole-source), a $52.26 thousand VISN 23 delivery order for kidney organ transplant registration (April 2026), a $34.25 thousand VISN 7 purchase order for UNOS Data Tools (July 2026), and a $136.77 thousand VISN 17 purchase order for OPTN services (October 2024).

Primary NAICS concentration sits in Blood and Organ Banks (43 awards) and All Other Miscellaneous Ambulatory Health Care Services (27 awards); PSC coding tracks Medical-Other (64 awards) and Medical-Evaluation/Screening (23 awards). The organization competes exclusively in full-and-open procurement channels; no set-aside awards appear in the recent portfolio, reflecting both its nonprofit status and its unique position as the federally mandated OPTN operator.

Activity shows modest award velocity — eight awards in 2022, declining to six in 2023, rebounding to eight in 2024, seven in 2025, and three year-to-date in 2026 — but $351 million in combined potential value reaches ultimate completion in the next twenty-four months, creating a significant recompete cliff. That exposure is dominated by the $141.085 million HRSA OPTN Operations Transition IDC, which expires September 2026 and represents UNOS's flagship federal contract for core OPTN governance and enhancement. SCI-reported invoicing on service contracts above the $150,000 threshold reached $6.8 million in FY2022, $6.6 million in FY2023, and $6.6 million in FY2024, with roughly 300 to 330 FTEs delivered annually; government-paid hourly rates on these contracts ran a median of $10.52/hr (10th percentile $9.72/hr, 90th percentile $680.86/hr), reflecting a mix of administrative and clinical labor. SCI data capture is partial — it excludes goods, products, and the organization's primary revenue streams from federal contracts — and understates UNOS's total federal service footprint. UNOS self-performs across its prime contracts; the sub-engagement share in SCI records is zero. The vendor subcontracts minimally; the source portfolio reports one sub-award, a federal grant sub-recipient role under Washington University on a lung transplant implementation study (September 2025).

UNOS's federal role is statutorily constrained and does not permit competitive bidding by other vendors on OPTN operations work, which insulates the organization from traditional competitive pressure but tethers growth and recompete strategy to congressional funding authorization and HRSA's procurement decisions for the next OPTN Operations contract cycle.