Uptodate, Inc.

Uptodate, Inc., doing business as Wolters Kluwer Health Uptodate, is a foreign-owned, for-profit subsidiary of the Dutch professional information services conglomerate Wolters Kluwer Financial Services, Inc., delivering clinical decision support software, online medical reference databases, and pharmaceutical information tools to federal healthcare agencies as a prime contractor (100% of recent awards) on a full-and-open basis with no set-aside designations.

Uptodate's federal capability portfolio centers on point-of-care clinical resources, evidence-based medical reference subscriptions, and pharmacy workflow automation software. Representative work includes a $57.2 million firm fixed-price definitive contract from the VA Technology Acquisition Center awarded June 1, 2024, for enterprise-wide point-of-care clinical resources providing 24/7 online access to clinical content, drug interaction checking, clinical calculators, and patient education materials across the VA system through May 31, 2029; a $27.9 million Defense Health Agency definitive contract awarded May 23, 2025, for clinical decision support tool serving the Military Health System with evidence-based medical information accessible online, via mobile app, and through offline DVD for physicians, medics, and corpsmen through December 31, 2030; a $24.3 million Defense Health Agency definitive contract awarded March 22, 2024, for point-of-care resource tools through August 31, 2029; a $3.8 million Defense Health Agency firm fixed-price definitive contract awarded August 1, 2025, for comprehensive commercial-off-the-shelf clinical and dental drug and pharmacology database supporting military medical providers across Air Force, Army, Navy, and Coast Guard Medicine through July 31, 2030; and a $4.8 million Indian Health Service purchase order awarded September 30, 2026, for UpToDate subscription services providing 24/7 point-of-care clinical decision support access through September 29, 2031. Uptodate also supplies MediSpan pharmaceutical pricing data, Lexicomp drug reference resources, and SIMPLIFI 797 pharmacy compounding software to Veterans Affairs regional networks and other federal healthcare providers.

Customer concentration is stark and defense-dominated. The VA Technology Acquisition Center anchors 76% of combined potential value across the vendor's portfolio — nine awards carrying $147.3 million in combined potential value — with the Defense Health Agency placing twelve awards worth $78.1 million. The Navy Bureau of Medicine and Surgery contributes $11.2 million across 38 awards, and the Army Medical Command $6.7 million across ten awards. The Indian Health Service, despite placing the highest award count (92 awards), represents only $5.9 million in combined potential value due to small per-order magnitude. This asymmetry signals two customer archetypes: large-dollar enterprise contracts with VA and DoD (average ~$16 million per award) and high-volume, small-dollar recurring subscriptions through IHS and VA regional networks (average ~$64 thousand per award).

Uptodate holds three active vehicle positions. The largest is a $57.2 million VA Technology Acquisition Center definitive contract (awarded June 1, 2024, through May 31, 2029) functioning as an enterprise-wide IDV spawning numerous delivery orders across VA regional networks. The vendor also maintains the GSA Multiple Award Schedule with 37 task orders worth $4.8 million in combined potential value, primarily for SIMPLIFI 797 pharmacy compounding software and UpToDate subscription renewals placed by Veterans Integrated Service Networks and Indian Health Service facilities. Two additional IDVs—the Civil Aerospace Medical Institute's single-award IDIQ (awarded September 24, 2025, $120 thousand ceiling through September 30, 2030) and a Veterans Integrated Service Network 4 single-award Blanket Purchase Agreement (awarded April 14, 2025, $46 thousand ceiling through April 13, 2030)—carry minimal dollar value but provide procedural streamlining for recurring subscriptions and renewals.

Recent activity shows moderate volatility. Awards-per-year figures ran 19 (2022), 13 (2023), 19 (2024), 15 (2025), and 18 (2026 year-to-date), reflecting lumpy large-contract cycles overlaid on consistent small-order flow. Twenty-eight awards worth $14.2 million combined potential value face ultimate completion in the next twenty-four months, creating recompete exposure concentrated in VA regional SIMPLIFI 797 renewals and IHS clinical software subscriptions; this volume is modest against Uptodate's total portfolio and does not signal high recompete risk given the vendor's entrenched relationships.

Service Contract Inventory data reveals light federal services delivery. SCI-reportable invoicing totaled $28.4 million across FY2023–FY2025 ($12.4 million in FY2023, $8.1 million in FY2024, $7.8 million in FY2025), with minimal FTE trajectory — 2.7 FTEs reported in FY2024, otherwise zero across the dataset — indicating that the vendor's federal revenue is predominantly product licensing and subscription access rather than labor-intensive professional services. Across SCI-reportable prime contracts, the vendor performed 100% of hours in-house with zero subcontractor engagement, characterizing Uptodate as a self-performed delivery model that does not rely on subcontractors for federal work.

Uptodate competes in dense NAICS clusters: Software Publishers (255 awards), Internet Publishing and Broadcasting and Web Search Portals (227 awards), and Periodical Publishers (132 awards) dominate the portfolio, with PSC codes reflecting information technology software (119 awards) and web-based subscription services (119 awards). This categorization underscores the vendor's position as a software publisher selling subscription access rather than as a traditional systems integrator or IT services firm. The vendor holds one named sub-award — a June 12, 2025, sub task under Mantech Advanced Systems International for Lexicomp renewal as part of the Theater Medical Information Program Joint Sustainment and Sunsetting Initiative transition — representing minimal teaming activity and confirming the vendor's prime-focused posture.