Many may not realize but all this activity with 3rd party companies means the government entity is not required to report their activity and the information is exempted from FOIA requests.
Therefore, the explosion of 'outsourcing' to 3rd party companies has taken over.
Enter the money washing and handshaking deals with companies like EcoHealth Alliance, Rosemont Seneca and every other entity.
This is how they make money and excempt themselves from being discovered.
FOIA
https://foia.blogs.archives.gov/2012/01/27/striking-the-balance-with-third-party-requests/
https://www.foia.gov/faq.html