Winner Regional Healthcare Center

Winner Regional Healthcare Center (WRHC), a tax-exempt nonprofit hospital in Winner, South Dakota, operates as a prime recipient of federal contracts and grants delivering nursing home services and healthcare facility support to veterans and rural populations, with 99% of recent awards as prime agreements. WRHC operates entirely in full-and-open competition with no set-aside designations across its federal footprint.

WRHC's federal work centers on two distinct healthcare delivery streams. Under the Department of Veterans Affairs Veterans Integrated Service Network 23, WRHC holds a single-award IDIQ with a $1.25 million ceiling running through July 2027 for community nursing home services in Winner, South Dakota. Delivery orders against this vehicle include a $186.3 thousand order for fiscal year 2023 express quarterly reporting (awarded October 2022), a $161.1 thousand order for fiscal year 2024 nursing home services with quarterly reporting (awarded October 2023), a $62.8 thousand order for fiscal year 2025 quarterly reporting (awarded October 2024), and a $10.1 thousand order for fiscal year 2026 Q1 reporting (awarded October 2025). Cumulative delivery order value through fiscal year 2025 exceeds $459 thousand. Under the Department of Health and Human Services Indian Health Service, WRHC places work on five active IDIQs supporting healthcare services in rural and tribal settings: 52 task orders totaling $133 thousand under HHSI241201200026I, 13 task orders totaling $283 thousand under V438P2125, 10 task orders totaling $66 thousand under V438P1944, 7 task orders totaling $15 thousand under HHSI241201800005I, and additional orders under subordinate vehicles. WRHC also holds a Basic Ordering Agreement with the VA (BOA VA26312A0125) carrying 9 task orders valued at $269 thousand.

Customer concentration is heavily weighted to the VA. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23 anchors 33 awards carrying $3.3 million in combined potential value (77% of WRHC's total portfolio), while the Department of Health and Human Services Indian Health Service accounts for 61 awards but only $379 thousand in combined potential value, reflecting higher task-order frequency and lower individual order magnitude in the IHS relationship. Together, these two customer streams cover 86% of combined potential-value dollars across WRHC's recent award history. WRHC's remaining activity includes a single $138 thousand American Rescue Plan rural health care facility improvement grant from the Department of Agriculture Rural Utilities Service (awarded September 2022, completed September 2024) and a WIC services sub-award agreement with the South Dakota Department of Health (awarded August 2024).

Activity has fluctuated modestly year over year (two awards in 2021, four in 2022, one in 2023, two in 2024, one in 2025) with only one award facing ultimate completion within the next twenty-four months, carrying $10 thousand in potential value. Award categories track consistently with healthcare delivery: 61 awards span NAICS Offices of Physicians, 55 span Nursing Care Facilities (Skilled Nursing Facilities), and category concentration by PSC reflects Medical-Other (62 awards) and Nursing Home, Long-Term & Adult Day Care Services (49 awards) designations. WRHC's total federal footprint since 1996 encompasses 122 awards with combined potential value of $4.3 million and combined obligations of $2.5 million.