What is the SBA size standard for NAICS 622110?

The SBA size standard for NAICS 622110 (General Medical and Surgical Hospitals) is $47 million in average annual receipts, per 13 C.F.R. § 121.201.

Which federal agencies buy under NAICS 622110?

For FY2024 reporting, the leading federal customers under NAICS 622110 were Department of Veterans Affairs, Department of Defense, Indian Health Service, Department of Health and Human Services, Bureau of Prisons. Live obligation data is available on USAspending.gov.

What FAR or DFARS clauses commonly apply to NAICS 622110 contracts?

Frequent clause flowdowns include FAR 52.224-1 (Privacy Act Notification); FAR 52.224-2 (Privacy Act); FAR 52.224-3 (Privacy Training); FAR 52.232-25 (Prompt Payment); FAR 52.212-4 (Contract Terms and Conditions — Commercial Products and Commercial Services). Each contract instrument will incorporate clauses by reference under FAR 52.252-2; this list reflects the high-frequency set for this NAICS, not an exhaustive flowdown.

Health Care & Social Assistance

NAICS 622110 — General Medical and Surgical Hospitals

General medical and surgical hospital services. Federal use includes VA community-care contracts, DHA TRICARE network arrangements, and Indian Health Service hospital services.

Quick facts

SBA size standard: $47 million; Average annual receipts · 13 C.F.R. § 121.201
FY2024 federal obligations: $2B–$5B; See live USAspending.gov data →

Top federal customers

Federal agencies that obligate the most spending under NAICS 622110 (FY2024 reporting period). Order tracks federal-obligation volume on USAspending.gov.

1.Department of Veterans Affairs
2.Department of Defense
3.Indian Health Service
4.Department of Health and Human Services
5.Bureau of Prisons

Set-aside fit

Whether NAICS 622110 commonly carries set-aside designations on federal awards. Eligibility for any specific solicitation is set by the contracting officer; this table reflects the FY2024 award pattern, not a guarantee of set-aside status.

SDVOSB (Service-Disabled Veteran-Owned Small Business)
8(a) Business Development Program
HUBZone Small Business
WOSB / EDWOSB
VOSB (Veteran-Owned Small Business)

Major health systems dominate. Small-business participation is limited at the hospital level but active in clinical staffing subcontracts.

Frequent prime contractors

Companies that most frequently appear as prime awardees under NAICS 622110 for FY2024. Drawn from USAspending.gov public award records — verify currency at the live link below.

HCA Healthcare
CommonSpirit Health
Ascension
Universal Health Services
Tenet Healthcare
Trinity Health
Banner Health
AdventHealth
Providence Health
Kaiser Permanente

See live award data on USAspending.gov →

Common FAR / DFARS clauses

Frequently flowed-down clauses on contracts in this NAICS. The clause text on acquisition.gov is authoritative; this list captures the practical pattern, not an exhaustive flowdown.

FAR 52.224-1Privacy Act Notification
Healthcare contracts always trigger Privacy Act flowdown.
FAR 52.224-2Privacy Act
Companion clause for Privacy Act systems of records.
FAR 52.224-3Privacy Training
PII handling training required for clinical staff.
FAR 52.232-25Prompt Payment
Healthcare services use commercial-item payment terms.
FAR 52.212-4Contract Terms and Conditions — Commercial Products and Commercial Services
Most VA community-care and TRICARE awards are FAR Part 12.

Indirect rate considerations

Hospital services run as commercial-item awards under FAR Part 12 in most cases. Cost-reimbursable research and clinical-trial work falls under FAR Part 31, with overhead pools by department.

See FieldLedger's Indirect Rate Engine for pool definition and rate tracking, or read the FieldLedger methodology for the underlying FAR Part 31 framework.

How FieldLedger fits NAICS 622110

Limited fit for hospital operations. Useful for clinical-trial contractors and federal community-care subcontractors with FAR Part 31 obligations.

DCAA compliance →Indirect Rate Engine →DCAA readiness check →

Frequently asked

What is the SBA size standard for NAICS 622110?: The SBA size standard for NAICS 622110 (General Medical and Surgical Hospitals) is $47 million in average annual receipts, per 13 C.F.R. § 121.201.
Is NAICS 622110 eligible for SDVOSB, 8(a), HUBZone, or WOSB set-asides?: Set-aside programs that commonly apply: SDVOSB, 8(a), HUBZone, WOSB, VOSB. Major health systems dominate. Small-business participation is limited at the hospital level but active in clinical staffing subcontracts.
Which federal agencies buy under NAICS 622110?: For FY2024 reporting, the leading federal customers under NAICS 622110 were Department of Veterans Affairs, Department of Defense, Indian Health Service, Department of Health and Human Services, Bureau of Prisons. Live obligation data is available on USAspending.gov.
What FAR or DFARS clauses commonly apply to NAICS 622110 contracts?: Frequent clause flowdowns include FAR 52.224-1 (Privacy Act Notification); FAR 52.224-2 (Privacy Act); FAR 52.224-3 (Privacy Training); FAR 52.232-25 (Prompt Payment); FAR 52.212-4 (Contract Terms and Conditions — Commercial Products and Commercial Services). Each contract instrument will incorporate clauses by reference under FAR 52.252-2; this list reflects the high-frequency set for this NAICS, not an exhaustive flowdown.
What indirect-rate structure works for a federal contractor in NAICS 622110?: Hospital services run as commercial-item awards under FAR Part 12 in most cases. Cost-reimbursable research and clinical-trial work falls under FAR Part 31, with overhead pools by department.
How does FieldLedger help small federal contractors in NAICS 622110?: Limited fit for hospital operations. Useful for clinical-trial contractors and federal community-care subcontractors with FAR Part 31 obligations.

Sources

U.S. Census NAICS manual — census.gov/naics
SBA size-standards table — 13 C.F.R. § 121.201 (eCFR)
Federal obligations + prime awardees — USAspending.gov NAICS 622110
FAR / DFARS clause text — acquisition.gov

Snapshot date: 2026-05-08 (FY2024 reporting period). Federal-obligation bands and prime-contractor lists reflect the data as of the snapshot — refresh against USAspending.gov for current figures.