North Carolina 4th District

NC-04 · Place of performance

Total Obligations

$33.69B

Total Awards

141K

Known Recipients

Last Updated

Jun 5, 2026

Yearly Spending Trend

$23.63B

$6.33B

$3.73B

Top 50 Awards in North Carolina 4th District

Largest individual obligations performed in NC-04.

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Top 50 Awards in North Carolina 4th District
Award	Recipient	Awarding Agency	Program	Place	FY	Obligation
ASST_NON_UM1AI068636_075 LEADERSHIP AND OPERATIONS CENTER (LOC), AIDS CLINICAL TRIALS GROUP - PROJECT SUMMARY THE AIDS CLINICAL TRIALS GROUP (ACTG) HAS BEEN AT THE FOREFRONT OF CLINICAL RESEARCH TO ADVANC…	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL North Carolina	Department of Health and Human Services National Institutes of Health	93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH	CHAPEL HILL, NC-04	2024	$973,507,476
ASST_NON_7200AA19CA00002_072 MEETING TARGETS AND MAINTAINING EPIDEMIC CONTROL IS A COOPERATIVE AGREEMENT TO ENABLE THE LOCAL PARTNER INITIATIVE.	FAMILY HEALTH INTERNATIONAL North Carolina	Agency for International Development Agency for International Development	98.001 USAID FOREIGN ASSISTANCE FOR PROGRAMS OVERSEAS	DURHAM, NC-04	2024	$925,559,642
ASST_NON_UM1AI068619_075 HIV PREVENTION TRIALS NETWORK LEADERSHIP AND OPERATIONS CENTER - PROJECT SUMMARY THE OVERARCHING GOAL OF THE HIV PREVENTION TRIALS NETWORK (HPTN) IS TO IDENTIFY ACCEPTABLE, FEASIB…	FAMILY HEALTH INTERNATIONAL North Carolina	Department of Health and Human Services National Institutes of Health	93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH	DURHAM, NC-04	2024	$719,372,575
CONT_AWD_47QFCA22F0018_4732_47QTCK18D0003_4732 MODIFICATION TO INCREMENTALLY FUND THE TASK ORDER.	GENERAL DYNAMICS INFORMATION TECHNOLOGY, INC. Virginia	General Services Administration Federal Acquisition Service	—	DURHAM, NC-04	2024	$359,816,042
CONT_AWD_HHSS283201700002C_7522_-NONE-_-NONE- REF. NO. 283-17-0491, "2018-2022 NATIONAL SURVEY ON DRUG USE AND HEALTH (NSDUH)"	RESEARCH TRIANGLE INSTITUTE North Carolina	Department of Health and Human Services Substance Abuse and Mental Health Services Administration	—	DURHAM, NC-04	2024	$302,222,932
CONT_AWD_GSQ0017AJ0036_4732_GS00Q09BGD0048_4735 MODIFICATION TO UPDATE DESIGNATED COR.	SCIENCE APPLICATIONS INTERNATIONAL CORPORATION Virginia	General Services Administration Federal Acquisition Service	—	DURHAM, NC-04	2024	$291,619,230
ASST_NON_7200AA18CA00040_072 TO ADDRESS CHALLENGES AND GAPS, RTI’S SUSTAIN TEAM HAS DESIGNED A CAPACITY STRENGTHENING FOR SUSTAINABILITY APPROACH FOR CEP-NTD ELEMENT 2. THROUGH SEVEN IMPLEMENTATION STRATEGI…	RESEARCH TRIANGLE INSTITUTE North Carolina	Agency for International Development Agency for International Development	98.001 USAID FOREIGN ASSISTANCE FOR PROGRAMS OVERSEAS	RESEARCH TRIANGLE PARK, NC-04	2024	$276,998,810
CONT_AWD_47QFCA22F0026_4732_47QTCK18D0060_4732 MODIFICATION TO INCREMENTALLY FUND THE TASK ORDER.	SALIENT CRGT, INC. Virginia	General Services Administration Federal Acquisition Service	—	DURHAM, NC-04	2024	$272,302,971
ASST_NON_7200AA18CA00011_072 TO ADDRESS CHALLENGES TO NTD CONTROL AND ELIMINATION, THE CONTROL AND ELIMINATION OF NEGLECTED TROPICAL DISEASES (CEP-NTD) WILL BUILD ON USAID’S PRIOR AND CURRENT NTD INVESTMENT…	FAMILY HEALTH INTERNATIONAL North Carolina	Agency for International Development Agency for International Development	98.001 USAID FOREIGN ASSISTANCE FOR PROGRAMS OVERSEAS	DURHAM, NC-04	2024	$265,800,000
ASST_AGG_7530-20262-04-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2026	$234,489,920
CONT_AWD_7200AA24C00092_7200_-NONE-_-NONE- STRENGTHENING INFECTIOUS DISEASE DETECTION SYSTEM (STRIDES) THE PURPOSE OF THIS MODIFICATION IS TO PROVIDE INCREMENTAL FUNDING	FAMILY HEALTH INTERNATIONAL North Carolina	Agency for International Development Agency for International Development	—	DURHAM, NC-04	2024	$233,471,965
ASST_AGG_7530-20253-08-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2025	$218,441,590
CONT_AWD_75A50122C00047_7505_-NONE-_-NONE- THE PURPOSE OF THIS MODIFICATION IS TO UPDATE THE UEI FROM JLLWGQX6LNA5 TO MUM1EGCDWZJ4.	EMERGENT BIODEFENSE OPERATIONS LANSING LLC Massachusetts	Department of Health and Human Services Office of Assistant Secretary for Preparedness and Response	—	DURHAM, NC-04	2024	$211,409,788
ASST_NON_UM2AI117870_075 RHO FEDERAL SYSTEMS DIVISION, INC. NIAID DAIT SACCC - THIS PROJECT IS A ONE-YEAR EXTENSION OF THE CONSOLIDATED DAIT STATISTICAL AND CLINICAL COORDINATING CENTER (DAIT SACCC). THE…	RHO FEDERAL SYSTEMS DIVISION INC North Carolina	Department of Health and Human Services National Institutes of Health	93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH	DURHAM, NC-04	2024	$200,221,259
ASST_AGG_7530-20261-01-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2026	$193,661,201
ASST_AGG_7530-20254-11-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2025	$192,420,988
ASST_NON_UM1AI144371_075 INDUCTION OF PROTECTIVE ANTIBODIES FOR HIV VACCINE DEVELOPMENT - THIS CONSORTIUM FOR HIV/AIDS VACCINE DEVELOPMENT (CHAVD) WILL APPLY STATE-OF-THE-ART TECHNOLOGIES AND IMMUNOLOGIC…	DUKE UNIVERSITY North Carolina	Department of Health and Human Services National Institutes of Health	93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH	DURHAM, NC-04	2024	$190,396,050
ASST_AGG_7530-20252-04-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2025	$188,015,674
ASST_NON_UM1AI104681_075 ANTIBACTERIAL RESISTANCE LEADERSHIP GROUP (ARLG) - OUR GOAL IS TO CONTINUE TO ADVANCE THE SUCCESSFUL, MULTIDISCIPLINARY RESEARCH AGENDA OF THE ANTIBACTERIAL RESISTANCE LEADERSHIP…	DUKE UNIVERSITY North Carolina	Department of Health and Human Services National Institutes of Health	93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH	DURHAM, NC-04	2024	$180,737,624
ASST_AGG_7530-20243-08-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2024	$173,183,198
ASST_NON_90RP0120_075 FY26 CWS PREFERRED COMMUNITIES PROGRAM - PC GAP SUPLEMMENTAL - THE PREFERRED COMMUNITIES (PC) PROGRAM, FUNDED BY THE OFFICE OF REFUGEE RESETTLEMENT (ORR), PROVIDES INTENSIVE CASE…	CHURCH WORLD SERVICE, INC. New York	Department of Health and Human Services Administration for Children and Families	93.676 UNACCOMPANIED CHILDREN PROGRAM	DURHAM, NC-04	2024	$161,685,930
CONT_AWD_75S20322C00001_7522_-NONE-_-NONE- REF. NO. 283-22-00568, "2023-2027 NATIONAL SURVEY ON DRUG USE AND HEALTH (NSDUH)"	RESEARCH TRIANGLE INSTITUTE North Carolina	Department of Health and Human Services Substance Abuse and Mental Health Services Administration	—	DURHAM, NC-04	2024	$157,883,854
ASST_NON_693JJ22230000Y001NC0404148_069 PROJECT TITLE: I-40/I-85 TO THE DURHAM COUNTY LINE :::: PROJECT DESCRIPTION: I-40/I-85 TO THE DURHAM COUNTY LINE; WIDEN TO 6 LANES & INSTALL ITS. THE OVERALL TOTAL PARTICIPATING P…	TRANSPORTATION NORTH CAROLINA DEPARTMENT North Carolina	Department of Transportation Federal Highway Administration	20.205 HIGHWAY PLANNING AND CONSTRUCTION	NC-04	2024	$153,561,767
ASST_AGG_7530-20262-04-06-93773-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE HOSPITAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.773 MEDICARE HOSPITAL INSURANCE	NC-04	2026	$148,780,637
ASST_AGG_7530-20244-11-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2024	$148,567,851
ASST_NON_P30CA016086_075 CANCER CENTER SUPPORT GRANT - OVER THE PAST 5 YEARS, THE CENTER SUSTAINED ITS UPWARD TRAJECTORY IN CANCER RESEARCH EXCELLENCE AND SERVICE TO ITS CATCHMENT AREA, THE STATE OF NORTH…	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL North Carolina	Department of Health and Human Services National Institutes of Health	93.397 CANCER CENTERS SUPPORT GRANTS	CHAPEL HILL, NC-04	2024	$146,492,149
ASST_AGG_7530-20251-02-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2025	$146,114,799
ASST_AGG_7530-20253-08-06-93773-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE HOSPITAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.773 MEDICARE HOSPITAL INSURANCE	NC-04	2025	$143,233,514
ASST_NON_U24TR001608_075 ACTIV-6 - ABSTRACT SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) IS A NOVEL BETACORONAVIRUS THAT FIRST EMERGED IN DECEMBER 2019 AND HAS SINCE CAUSED A GLOBAL PANDEM…	DUKE UNIVERSITY North Carolina	Department of Health and Human Services National Institutes of Health	93.350 NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES	DURHAM, NC-04	2024	$139,753,636
CONT_AWD_75FCMC19F0002_7530_HHSM500201400037I_7530 PATIENT CARE FIRST - PCF POM-Q	RESEARCH TRIANGLE INSTITUTE North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	—	DURHAM, NC-04	2024	$127,710,410
ASST_AGG_7530-20261-01-06-93773-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE HOSPITAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.773 MEDICARE HOSPITAL INSURANCE	NC-04	2026	$126,481,171
ASST_AGG_7530-20254-11-06-93773-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE HOSPITAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.773 MEDICARE HOSPITAL INSURANCE	NC-04	2025	$125,428,004
ASST_AGG_7530-20252-04-06-93773-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE HOSPITAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.773 MEDICARE HOSPITAL INSURANCE	NC-04	2025	$122,778,949
ASST_AGG_7530-20262-05-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2026	$118,580,767
ASST_AGG_7530-20254-10-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2025	$117,498,155
ASST_AGG_7530-20243-08-06-93773-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE HOSPITAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.773 MEDICARE HOSPITAL INSURANCE	NC-04	2024	$117,093,853
ASST_NON_P30CA014236_075 CANCER CENTER SUPPORT GRANT - PROJECT SUMMARY/ABSTRACT – OVERALL THE DUKE COMPREHENSIVE CANCER CENTER WAS FOUNDED AS A MATRIX CENTER WITHIN THE DUKE UNIVERSITY SCHOOL OF MEDICINE…	DUKE UNIVERSITY North Carolina	Department of Health and Human Services National Institutes of Health	93.397 CANCER CENTERS SUPPORT GRANTS	DURHAM, NC-04	2024	$113,341,002
ASST_AGG_7530-20263-07-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2026	$106,636,762
ASST_AGG_2800202503310000008775_028 AGGREGATE RETIREMENT INSURANCE (RI) BENEFITS	MULTIPLE RECIPIENTS North Carolina	Social Security Administration Social Security Administration	96.002 SOCIAL SECURITY RETIREMENT INSURANCE	NC-04	2025	$106,222,583
ASST_AGG_2800202604300000008733_028 AGGREGATE RETIREMENT INSURANCE (RI) BENEFITS	MULTIPLE RECIPIENTS North Carolina	Social Security Administration Social Security Administration	96.002 SOCIAL SECURITY RETIREMENT INSURANCE	NC-04	2026	$102,780,089
ASST_AGG_2800202603310000008770_028 AGGREGATE RETIREMENT INSURANCE (RI) BENEFITS	MULTIPLE RECIPIENTS North Carolina	Social Security Administration Social Security Administration	96.002 SOCIAL SECURITY RETIREMENT INSURANCE	NC-04	2026	$102,433,057
CONT_AWD_75A50121C00009_7505_-NONE-_-NONE- THE PURPOSE OF THIS MODIFICATION IS CLOSEOUT THIS CONTRACT	MERCK SHARP & DOHME LLC New Jersey	Department of Health and Human Services Office of Assistant Secretary for Preparedness and Response	—	DURHAM, NC-04	2024	$102,299,549
ASST_AGG_2800202602280000008761_028 AGGREGATE RETIREMENT INSURANCE (RI) BENEFITS	MULTIPLE RECIPIENTS North Carolina	Social Security Administration Social Security Administration	96.002 SOCIAL SECURITY RETIREMENT INSURANCE	NC-04	2026	$101,839,279
ASST_AGG_2800202601310000008767_028 AGGREGATE RETIREMENT INSURANCE (RI) BENEFITS	MULTIPLE RECIPIENTS North Carolina	Social Security Administration Social Security Administration	96.002 SOCIAL SECURITY RETIREMENT INSURANCE	NC-04	2026	$101,204,277
ASST_NON_DEMS0000118_089 INFRASTRUCTURE INVESTMENT AND JOBS ACT (IIJA) - FORGE BATTERY’S 3GWH COMMERCIAL DEPLOYMENT OF ADVANCED LITHIUM-ION BATTERY PRODUCTION FACILITY WITH DOMESTIC SUPPLY CHAIN THE OBJE…	FORGE BATTERY, INC. Colorado	Department of Energy Department of Energy	81.253 MANUFACTURING AND ENERGY SUPPLY CHAIN DEMONSTRATIONS AND COMMERCIAL APPLICATIONS	MORRISVILLE, NC-04	2026	$100,000,000
ASST_AGG_2800202511300000008769_028 AGGREGATE RETIREMENT INSURANCE (RI) BENEFITS	MULTIPLE RECIPIENTS North Carolina	Social Security Administration Social Security Administration	96.002 SOCIAL SECURITY RETIREMENT INSURANCE	NC-04	2026	$99,953,220
ASST_AGG_7530-20244-11-06-93773-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE HOSPITAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.773 MEDICARE HOSPITAL INSURANCE	NC-04	2024	$99,596,122
ASST_AGG_2800202506300000008751_028 AGGREGATE RETIREMENT INSURANCE (RI) BENEFITS	MULTIPLE RECIPIENTS North Carolina	Social Security Administration Social Security Administration	96.002 SOCIAL SECURITY RETIREMENT INSURANCE	NC-04	2025	$98,960,355
ASST_AGG_7530-20244-10-06-93774-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.774 MEDICARE SUPPLEMENTARY MEDICAL INSURANCE	NC-04	2024	$98,158,228
ASST_AGG_7530-20251-02-06-93773-NC-063-90-X-7530-75AGCF-7530-75AGCA-NON_075 MEDICARE HOSPITAL INSURANCE	MULTIPLE RECIPIENTS North Carolina	Department of Health and Human Services Centers for Medicare and Medicaid Services	93.773 MEDICARE HOSPITAL INSURANCE	NC-04	2025	$97,968,575

Top 50 awards shown, ranked by obligated amount. Dates reflect performance period; last-modified dates match USAspending.gov. Complete listings include all transaction history going back to FY2024.