Federal contracting under NAICS 622110 is concentrated in hospital services, with the Defense Health Agency and the Federal Prison System/Bureau of Prisons accounting for the largest shares of obligation. Annual spending peaked in 2023 at $1.72 billion and remained above $1.27 billion in each of the last two years.
NAICS Industry
NAICS 622110 Federal Contract Obligations (Last 5 Years)
FPDS analysis of NAICS 622110 shows $7.28 billion obligated across 64,165 award actions to general medical and surgical hospitals over the last 5 years.
Totals reflect the last 5 years of readable FPDS obligations and award actions for General Medical and Surgical Hospitals.
NAICS Code
622110
Industry
GENERAL MEDICAL AND SURGICAL HOSPITALS
Total Obligated
7.28 billion
7,282,108,613.33
Award Actions
64,165
Average Action Value
113,490.35
About NAICS 622110 federal contract activity
FPDS Query records for NAICS 622110, General Medical and Surgical Hospitals, show $7.28 billion in obligated contract spending across 64,165 awards over the last 5 years, for an average award value of $113,490.35. This volume indicates a highly active procurement category with frequent, relatively modest awards alongside larger service contracts.
Agency demand and leading federal buyers
The Defense Health Agency led obligations at $2.38 billion across 8,361 awards, followed closely by the Federal Prison System / Bureau of Prisons at $2.30 billion across 38,116 awards. The Department of the Army, Department of the Air Force, and Department of the Navy also appear as major buyers, confirming that federal healthcare procurement is concentrated in defense and correctional health environments.
Vendor concentration and leading contractors
Enterprise Resource Planning International, LLC reported the highest obligated value at $435.32 million, while NaphCare, Inc. led in award volume among the top vendors with 7,901 awards and $395.07 million obligated. Luke & Associates, Inc., Seven Corners, Inc., and Distinctive Health Spectrum Care JV, LLC round out the leading vendor set, indicating a mix of healthcare staffing, services, and managed care-related providers.
Annual contract trend over the analysis window
Annual obligations peaked in 2023 at $1.72 billion, then declined to $1.31 billion in 2024 and $1.27 billion in 2025. Award counts remained consistently high throughout the period, ranging from 11,771 to 13,901, which suggests steady procurement activity even as obligated dollars fluctuated year to year.
How to interpret this page
This analysis uses FPDS Query obligation data associated with NAICS 622110 over the last 5 years. Totals, counts, averages, and rankings reflect the values provided for the selected analysis window and should be interpreted as contract obligation measures, not appropriations or outlays.
Top Agencies
SELECT
agency_id,
agency_name,
total_obligated,
award_count,
formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
SELECT
content__award__purchaserInformation__contractingOfficeAgencyID AS agency_id,
anyHeavy(content__award__purchaserInformation__contractingOfficeAgencyID__name) AS agency_name,
sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
count() AS award_count
FROM fpds.data
WHERE
contract_type = 1
AND content__award__productOrServiceInformation__principalNAICSCode = '622110'
AND content__award__purchaserInformation__contractingOfficeAgencyID IS NOT NULL
AND content__award__purchaserInformation__contractingOfficeAgencyID != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 5 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY agency_id
)
ORDER BY total_obligated DESC
LIMIT 10| Agency ID | Agency Name | Total Obligated | Readable | Award Actions |
|---|---|---|---|---|
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 2,376,174,329.79 | 2.38 billion | 8,361 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 2,298,838,093.56 | 2.30 billion | 38,116 |
| 2100 | DEPT OF THE ARMY | 919,775,798.75 | 919.78 million | 4,700 |
| 5700 | DEPT OF THE AIR FORCE | 885,353,443.70 | 885.35 million | 8,890 |
| 1700 | DEPT OF THE NAVY | 273,782,601.68 | 273.78 million | 2,005 |
| 7527 | INDIAN HEALTH SERVICE | 201,774,436.95 | 201.77 million | 604 |
| 1900 | STATE, DEPARTMENT OF | 127,942,463.10 | 127.94 million | 141 |
| 7523 | CENTERS FOR DISEASE CONTROL AND PREVENTION | 67,867,075.69 | 67.87 million | 123 |
| 7529 | NATIONAL INSTITUTES OF HEALTH | 48,065,663.44 | 48.07 million | 218 |
| 3600 | VETERANS AFFAIRS, DEPARTMENT OF | 46,078,497.25 | 46.08 million | 678 |
Insight
Obligations for NAICS 622110 totaled 7.28 billion across 64,165 awards over the last 5 years, with spending concentrated in a small number of agencies. The Defense Health Agency and the Federal Prison System/Bureau of Prisons account for the largest shares, at 2.38 billion and 2.30 billion respectively, together representing about two-thirds of total obligations. The next tier drops sharply to the Department of the Army (919.78 million) and the Department of the Air Force (885.35 million), indicating a pronounced concentration among a few defense and corrections customers. Non-defense agencies appear at lower levels, with Indian Health Service, State, CDC, NIH, and VA each accounting for materially smaller portions of total obligated dollars.
Top Vendors
SELECT
vendor_name,
cage_code,
total_obligated,
award_count,
formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
SELECT
content__award__vendor__vendorHeader__vendorName AS vendor_name,
anyHeavy(content__award__vendor__vendorSiteDetails__entityIdentifiers__cageCode) AS cage_code,
sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
count() AS award_count
FROM fpds.data
WHERE
contract_type = 1
AND content__award__productOrServiceInformation__principalNAICSCode = '622110'
AND content__award__vendor__vendorHeader__vendorName IS NOT NULL
AND content__award__vendor__vendorHeader__vendorName != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 5 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY vendor_name
)
ORDER BY total_obligated DESC
LIMIT 10| Vendor | CAGE Code | Total Obligated | Readable | Award Actions |
|---|---|---|---|---|
| ENTERPRISE RESOURCE PLANNING INTERNATIONAL, LLC | 4LQU6 | 435,317,574.51 | 435.32 million | 1,659 |
| NAPHCARE, INC. | 3PKZ3 | 395,065,211.38 | 395.07 million | 7,901 |
| LUKE & ASSOCIATES, INC. | 31ZE2 | 320,502,141.20 | 320.50 million | 2,049 |
| SEVEN CORNERS, INC | 1YRN8 | 308,621,321.23 | 308.62 million | 7,980 |
| DISTINCTIVE HEALTH SPECTRUM CARE JV, LLC | 7QTY2 | 299,018,579.89 | 299.02 million | 2,127 |
| NAPHCARE INC | 3PKZ3 | 276,298,262.41 | 276.30 million | 3,481 |
| ARORA GROUP, INC., THE | 0Y4G6 | 267,686,688.56 | 267.69 million | 1,094 |
| MAGNIFICUS CORPORATION | 1TPE6 | 260,445,452.00 | 260.45 million | 1,340 |
| DONALD L MOONEY ENTERPRISES, LLC | 1WGR6 | 247,732,971.25 | 247.73 million | 1,354 |
| MATRIX PROVIDERS INC. | 60YZ9 | 244,286,923.97 | 244.29 million | 1,190 |
Insight
Over the last 5 years, NAICS 622110 obligated $7.28 billion across 64,165 awards, with a relatively low average award value of $113,490.35, indicating a high-volume, fragmented procurement profile. Top vendor obligations are clustered in the $244.29 million to $435.32 million range, led by ENTERPRISE RESOURCE PLANNING INTERNATIONAL, LLC at $435.32 million, while NAPHCARE appears twice among the top entries under the same CAGE code, suggesting multiple reporting lines or entities associated with that vendor. The concentration among the leading vendors is material, but no single vendor accounts for a dominant share of total obligations.
Annual Trend
SELECT
year,
total_obligated,
award_count,
formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
SELECT
toYear(parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate)) AS year,
sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
count() AS award_count
FROM fpds.data
WHERE
contract_type = 1
AND content__award__productOrServiceInformation__principalNAICSCode = '622110'
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 5 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY year
)
ORDER BY year DESC| Year | Total Obligated | Readable | Award Actions |
|---|---|---|---|
| 2025 | 1,273,954,212.33 | 1.27 billion | 11,771 |
| 2024 | 1,314,238,867.34 | 1.31 billion | 13,901 |
| 2023 | 1,715,215,492.69 | 1.72 billion | 13,225 |
| 2022 | 1,590,635,618.06 | 1.59 billion | 12,795 |
| 2021 | 1,388,064,422.91 | 1.39 billion | 12,473 |
Insight
Over the last 5 years, NAICS 622110 obligated $7.28 billion across 64,165 awards, with an average award value of $113,490. Obligations were relatively steady from 2021 through 2022, rose to a high of $1.72 billion in 2023, and then declined to $1.31 billion in 2024 and $1.27 billion in 2025. Award counts remained clustered in a narrow range of 11,771 to 13,901 annually, indicating a broad and consistent distribution of activity rather than concentration in a small number of awards.
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