University Of Texas Health Science Center Of San Antonio

University of Texas Health Science Center at San Antonio, a state government entity and Hispanic Serving Institution within the University of Texas System, operates as a prime contractor delivering specialized physician services and medical research support to the Department of Veterans Affairs, particularly Veterans Integrated Service Network 17 (VISN 17), on a full-and-open basis with no set-aside designations across its federal contract footprint.

The institution's customer concentration is extreme and poses recompete risk. Veterans Integrated Service Network 17 accounts for 216 of 225 total awards (99% by count) and $263.6 million of $263.7 million combined potential value (100% of dollars). Activity has remained flat year over year—ranging from seven to ten awards per fiscal year across 2022–2026—with only four awards (combined potential value $2.6 million) reaching completion inside the next twenty-four months, indicating limited near-term recompete exposure but also minimal pipeline growth. The institution's federal contract portfolio sits overwhelmingly at VISN 17: delivery orders for physician services across neurosurgery, urology, anesthesiology, gastroenterology, interventional cardiology, and medical physics/dosimetry; core research laboratory testing services; and administrative support to VA Health Administration facilities in San Antonio, Texas, with performance periods typically running one to three years under fixed-price contracts with economic price adjustments.

Representative recent awards include a $792,786.85 neurosurgery physician services delivery order awarded August 1, 2026, through July 31, 2027; an $896,674.55 urology physician services delivery order awarded July 1, 2026, through December 31, 2026; a $647,167.04 six-month extension for specialized physician services awarded September 1, 2026, through February 28, 2027; and a $138,000 core research laboratory services task order awarded September 25, 2025, running through September 24, 2029, under a single-award indefinite delivery contract with a $275,000 ceiling. Five parent indefinite delivery contracts with VISN 17 anchor the delivery-order stream, each carrying between six and seven task orders: IDC VA257P0507 (seven task orders, $8 million combined potential value), IDC 36C25721D0105 (six task orders, $11 million), IDC 36C25721D0004 (six task orders, $5.7 million), IDC 36C25721D0005 (six task orders, $2.7 million), and IDC 36C25721D0032 (six task orders, $1.7 million).

The institution operates as a primary contractor (97% of awards) and performs work internally without material subcontractor engagement. Service Contract Inventory data, covering federal service contracts above the $150,000 reporting threshold, shows SCI-reported invoiced revenue of $6.5 million in FY2023 and $2.1 million in FY2024, with roughly 8.8 FTEs in FY2023 and 7.8 FTEs in FY2024. Median government-paid rates on SCI-reportable federal services contracts ran around $293/hr, with rates spanning from roughly $130/hr (10th percentile) through $623/hr (90th percentile), reflecting a mix of clinical specialist and administrative labor. Across SCI-reportable prime contracts, the vendor reported zero subcontracted hours—work is delivered by the institution's own personnel.

The institution operates a secondary federal grant footprint as a sub-recipient. Named grant prime recipients include the Bexar County Hospital District (providing medical expertise to the Mama Bexar Program), Columbia University (supporting ferroptosis inhibitor evaluation in amyotrophic lateral sclerosis models and DNA damage repair research), the University of Florida (platinum-resistant ovarian cancer research), and Pennington Biomedical Research Center (collaboration on an NIH-funded Molecular Transducers of Physical Activity Consortium ancillary study on aging, mitochondrial response, and exercise training). These sub-awards represent laboratory research and clinical expertise support rather than primary grant leadership. The institution carries no notable federal contract vehicles, sits on no GWACs or government-wide IDIQs, and holds no agency-wide blanket purchase agreements outside VISN 17's direct indefinite delivery contracts.