| | GLOBAL NURSE ADVICE LINE (GNAL) SERVICES - 18 MONTH BRIDGE WITH 6-MONTH BASE PERIOD AND FOUR 3-MONTH OPTIONS | OPTUMHEALTH CARE SOLUTIONS, LLC | $75,238,874 | DEFENSE HEALTH AGENCY (DHA) | DEFENSE HEALTH AGENCY (DHA) | — | 541990All Other Professional, Scientific, and Technical Services | Q401MEDICAL- NURSING | Sep 15, 2025 | Sep 18, 2025 | Mar 17, 2027 |
| | GLOBAL NURSE ADVICE LINE SUPPORT SERVICES | OPTUMHEALTH CARE SOLUTIONS, LLC | $76,143,100 | DEFENSE HEALTH AGENCY (DHA) | DEFENSE HEALTH AGENCY (DHA) | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Mar 15, 2024 | Mar 17, 2024 | Sep 17, 2025 |
| | GLOBAL NURSE ADVICE LINE SUPPORT SERVICES | OPTUMHEALTH CARE SOLUTIONS, LLC | $60,175,824 | DEFENSE HEALTH AGENCY (DHA) | DEFENSE HEALTH AGENCY (DHA) | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Mar 17, 2023 | Mar 18, 2023 | Mar 17, 2024 |
| | THE PURPOSE OF THIS LETTER CONTRACT IS TO PROVIDE CONTRACT IN PLACE IN ORDER TO PROVIDE BACK UP SUPPORT FOR THE LATE | OPTUMHEALTH CARE SOLUTIONS, LLC | $38,852,640 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | May 15, 2020 | May 16, 2020 | Jun 28, 2023 |
| | IGF::OT::IGF GLOBAL NURSE ADVICE LINE SERVICES | OPTUMHEALTH CARE SOLUTIONS, LLC | $241,964,164 | DEFENSE HEALTH AGENCY (DHA) | DEFENSE HEALTH AGENCY (DHA) | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | May 26, 2017 | Jun 12, 2017 | Nov 9, 2023 |