This NAICS page summarizes federal spending for skilled nursing facilities, with most obligations concentrated at the Department of Veterans Affairs. The data also shows a long tail of smaller awards across the Army, Bureau of Prisons, Navy, and Washington Headquarters Services, along with recurring vendors such as The Evangelical Lutheran Good Samaritan Society and CareMeridian, LLC.
NAICS Industry
NAICS 623110 Federal Contract Obligations (Last 10 Years)
Federal procurement activity for NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities), shows 7.50 billion in obligations across 42,341 award actions over the last 10 years.
Totals reflect readable obligations of 7.50 billion and exact obligations of 7,503,058,541.04 for the last 10 years.
NAICS Code
623110
Industry
NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Total Obligated
7.50 billion
7,503,058,541.04
Award Actions
42,341
Average Action Value
177,205.51
About NAICS 623110 federal contract activity
FPDS Query records under NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities), total $7.50 billion across 42,341 awards over the last 10 years, with an average award value of $177,205.51. Obligations are highly concentrated in a single customer base, indicating sustained federal demand for skilled nursing services rather than broad cross-agency usage.
Agency demand and leading federal buyers
The Department of Veterans Affairs dominates this NAICS with $7.48 billion and 41,968 awards, accounting for nearly all recorded obligations in the period. The next-largest agencies are far smaller by comparison: the Department of the Army, the Federal Prison System/Bureau of Prisons, the Department of the Navy, and Washington Headquarters Services each represent only a small share of total spending.
Vendor concentration and leading contractors
Vendor activity is led by THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, with $120.95 million across 565 awards, followed by CAREMERIDIAN, LLC at $61.53 million and BERKSHIRE MA SNF LLC at $44.47 million. The remaining top vendors—AUTUMN CORPORATION and SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE—show similarly recurring award patterns, consistent with ongoing facility-based service delivery.
Annual contract trend over the analysis window
Annual obligations in the available recent years remained in the high hundreds of millions, peaking in 2022 at $979.06 million before easing to $940.98 million in 2021, $800.61 million in 2023, $848.46 million in 2024, and $709.45 million in 2025. Award counts moved in the same general range, with 4,687 awards in 2021, 4,259 in 2022, 3,316 in 2023, 3,806 in 2024, and 2,893 in 2025.
How to interpret this page
This page summarizes FPDS obligations for NAICS 623110 over the last 10 years using reported award obligations and count data. Agency and vendor rankings reflect total obligated dollars within the selected period, and annual trend values reflect the same dataset without extrapolation or adjustment.
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 = '623110'
AND content__award__purchaserInformation__contractingOfficeAgencyID IS NOT NULL
AND content__award__purchaserInformation__contractingOfficeAgencyID != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 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 |
|---|---|---|---|---|
| 3600 | VETERANS AFFAIRS, DEPARTMENT OF | 7,478,556,051.48 | 7.48 billion | 41,968 |
| 2100 | DEPT OF THE ARMY | 9,189,256.08 | 9.19 million | 54 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 3,927,600.00 | 3.93 million | 156 |
| 1700 | DEPT OF THE NAVY | 3,549,963.71 | 3.55 million | 55 |
| 97F5 | WASHINGTON HEADQUARTERS SERVICES (WHS) | 2,588,132.98 | 2.59 million | 12 |
| 7526 | HEALTH RESOURCES AND SERVICES ADMINISTRATION | 2,148,290.46 | 2.15 million | 47 |
| 2036 | BUREAU OF THE FISCAL SERVICE | 1,655,552.48 | 1.66 million | 3 |
| 7013 | TRANSPORTATION SECURITY ADMINISTRATION | 804,519.87 | 804.52 thousand | 10 |
| 5700 | DEPT OF THE AIR FORCE | 301,633.48 | 301.63 thousand | 2 |
| 7527 | INDIAN HEALTH SERVICE | 245,748.24 | 245.75 thousand | 8 |
Insight
Obligations in NAICS 623110 are highly concentrated: the Department of Veterans Affairs accounts for $7.48 billion of the $7.50 billion obligated over the last 10 years, representing 41,968 of 42,341 awards. The remaining agencies each obligate relatively small amounts, with the Department of the Army the next largest at $9.19 million, followed by the Federal Prison System/Bureau of Prisons at $3.93 million and the Department of the Navy at $3.55 million. This indicates a predominantly VA-driven demand profile with limited cross-agency use of skilled nursing facility services.
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 = '623110'
AND content__award__vendor__vendorHeader__vendorName IS NOT NULL
AND content__award__vendor__vendorHeader__vendorName != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 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 |
|---|---|---|---|---|
| EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, THE | 34JU3 | 120,946,432.28 | 120.95 million | 565 |
| CAREMERIDIAN, LLC | 4W2E1 | 61,532,375.55 | 61.53 million | 365 |
| BERKSHIRE MA SNF LLC | 67HN8 | 44,467,493.15 | 44.47 million | 110 |
| AUTUMN CORPORATION | 72LG5 | 44,350,428.70 | 44.35 million | 97 |
| SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE | 3SRN4 | 42,896,706.15 | 42.90 million | 105 |
| ROSE LANE HEALTH & REHABILITAT | 75KU4 | 37,102,506.58 | 37.10 million | 32 |
| ADAMS COUNTY MEMORIAL HOSPITAL | 7RXV3 | 36,881,522.90 | 36.88 million | 83 |
| HANCOCK REGIONAL HOSPITAL | 3TDW6 | 35,490,781.97 | 35.49 million | 30 |
| MEDICALODGES, INC. | 5MLC2 | 34,704,538.42 | 34.70 million | 244 |
| CARE INITIATIVES | 3UAQ5 | 33,983,194.04 | 33.98 million | 285 |
Insight
Over the last 10 years, NAICS 623110 obligations totaled $7.50 billion across 42,341 awards, with an average award value of $177,205.51, indicating a high-volume, relatively low-dollar procurement pattern. Top vendor obligations are concentrated among a small set of providers, led by EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, THE at $120.95 million and 565 awards, followed by CAREMERIDIAN, LLC at $61.53 million and 365 awards. The remaining top vendors each received roughly $33.98 million to $44.47 million, suggesting a distributed vendor base after the leading provider rather than extreme concentration in a single firm.
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 = '623110'
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY year
)
ORDER BY year DESC| Year | Total Obligated | Readable | Award Actions |
|---|---|---|---|
| 2025 | 709,454,368.84 | 709.45 million | 2,893 |
| 2024 | 848,458,874.22 | 848.46 million | 3,806 |
| 2023 | 800,611,100.33 | 800.61 million | 3,316 |
| 2022 | 979,059,791.19 | 979.06 million | 4,259 |
| 2021 | 940,983,421.71 | 940.98 million | 4,687 |
| 2020 | 893,226,899.21 | 893.23 million | 5,256 |
| 2019 | 738,295,093.23 | 738.30 million | 4,264 |
| 2018 | 581,450,866.73 | 581.45 million | 4,224 |
| 2017 | 488,271,286.77 | 488.27 million | 4,294 |
| 2016 | 523,246,838.81 | 523.25 million | 5,342 |
Insight
NAICS 623110 recorded $7.50 billion in obligated spending across 42,341 awards over the last 10 years, with an average award value of $177,205.51. Annual obligations generally increased from $488.27 million in 2017 to a peak of $979.06 million in 2022, then remained elevated but declined to $709.45 million in 2025. Award volume was highest in 2020 at 5,256 and was more dispersed in the 2021–2025 period, indicating sustained but somewhat lower award frequency alongside higher annual obligation levels.
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