This NAICS page summarizes federal obligations to nursing care facilities (skilled nursing facilities) across the last 5 years. The Department of Veterans Affairs accounted for nearly all spending, while annual obligations ranged from $708.40 million in 2025 to $979.06 million in 2022.
NAICS Industry
NAICS 623110 Federal Contract Obligations (Last 5 Years)
Federal procurement activity for NAICS 623110 covers skilled nursing facilities and reflects 18,960 award actions totaling $4.28 billion over the last 5 years.
Figures reflect readable FPDS totals for the last 5 years and may differ slightly from exact totals due to rounding.
NAICS Code
623110
Industry
NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Total Obligated
4.28 billion
4,277,508,497.49
Award Actions
18,960
Average Action Value
225,606.98
About NAICS 623110 federal contract activity
NAICS 623110 covers nursing care facilities, including skilled nursing facilities, and generated 4.28 billion in obligations across 18,960 awards over the last 5 years. The average award value was 225,606.98, indicating a mix of large recurring service obligations and smaller individual awards.
Agency demand and leading federal buyers
The Department of Veterans Affairs dominated this NAICS, accounting for 4.26 billion of obligated value and 18,730 awards, which makes this market highly concentrated in a single civilian agency. The remaining federal demand was limited and fragmented, led by the Department of the Army, the Federal Prison System/Bureau of Prisons, the Department of the Navy, and TSA, each representing a small share of total obligations.
Vendor concentration and leading contractors
Vendor activity is also concentrated among established care providers and long-term care organizations. The top five vendors by obligated value were EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, THE; CAREMERIDIAN, LLC; AUTUMN CORPORATION; SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE; and CRESTWOOD BEHAVIORAL HEALTH, INC., with awards ranging from 46 to 253 and obligations from 25.37 million to 61.47 million.
Annual contract trend over the analysis window
Annual obligations were highest in 2022 at 979.06 million, then remained elevated in 2023 and 2024 before easing to 708.40 million in 2025. Award counts followed a similar pattern, peaking in 2021 and 2022 and then declining each year thereafter.
How to interpret this page
This page summarizes FPDS obligations for NAICS 623110 over the last 5 years using total obligated dollars, award counts, average award value, and year-by-year trend data. Agency and vendor rankings reflect the highest obligated amounts in the dataset, not necessarily the highest number of actions or contracts.
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 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 |
|---|---|---|---|---|
| 3600 | VETERANS AFFAIRS, DEPARTMENT OF | 4,264,923,396.13 | 4.26 billion | 18,730 |
| 2100 | DEPT OF THE ARMY | 6,809,035.05 | 6.81 million | 35 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 3,927,600.00 | 3.93 million | 156 |
| 1700 | DEPT OF THE NAVY | 1,613,913.66 | 1.61 million | 20 |
| 7013 | TRANSPORTATION SECURITY ADMINISTRATION | 804,519.87 | 804.52 thousand | 10 |
| 7526 | HEALTH RESOURCES AND SERVICES ADMINISTRATION | 96,440.99 | 96.44 thousand | 4 |
| 1900 | STATE, DEPARTMENT OF | 13,205.90 | 13.21 thousand | 1 |
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 0.00 | 0.00 | 2 |
| 2036 | BUREAU OF THE FISCAL SERVICE | -97,522.86 | -97.52 thousand | 1 |
| 7527 | INDIAN HEALTH SERVICE | -582,091.25 | -582.09 thousand | 1 |
Insight
Over the last 5 years, NAICS 623110 obligations are highly concentrated in the Department of Veterans Affairs, which accounts for 4.26 billion of 4.28 billion total obligated, or nearly all activity in this category, across 18,730 of 18,960 awards. All other agencies combined represent a very small share of obligations, with the next largest agencies—Army, Bureau of Prisons, and Navy—each contributing under 7 million. The remaining agencies have minimal activity, and two rows show non-positive obligations, indicating adjustments or deobligations within a generally VA-dominated spending profile.
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 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 |
|---|---|---|---|---|
| EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, THE | 3Y8H1 | 61,468,630.85 | 61.47 million | 195 |
| CAREMERIDIAN, LLC | 4W2E1 | 50,535,333.66 | 50.54 million | 253 |
| AUTUMN CORPORATION | 72LG5 | 30,736,869.85 | 30.74 million | 61 |
| SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE | 7ZAQ1 | 29,029,032.16 | 29.03 million | 46 |
| CRESTWOOD BEHAVIORAL HEALTH, INC. | 4TXG9 | 25,373,462.92 | 25.37 million | 138 |
| ADAMS COUNTY MEMORIAL HOSPITAL | 7RXV3 | 24,347,407.33 | 24.35 million | 49 |
| BERKSHIRE MA SNF LLC | 67HN8 | 22,692,378.33 | 22.69 million | 73 |
| HEALTH & HOSPITAL CORP OF MARION COUNTY, THE | 743L0 | 22,060,338.87 | 22.06 million | 57 |
| CARE INITIATIVES | 59D90 | 20,720,108.09 | 20.72 million | 120 |
| MAUNALANI NURSING & REHABILITATION CENTER | 59QG7 | 19,723,682.30 | 19.72 million | 28 |
Insight
Over the last 5 years, NAICS 623110 reflects a broad award base with 18,960 actions totaling $4.28 billion, for an average award value of $225,606.98. The top 10 vendors each received between $19.72 million and $61.47 million, indicating meaningful obligations but no single vendor dominating the category. EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, THE is the largest recipient at $61.47 million across 195 awards, followed by CAREMERIDIAN, LLC at $50.54 million across 253 awards, suggesting relatively high transaction volume among leading providers.
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 5 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY year
)
ORDER BY year DESC| Year | Total Obligated | Readable | Award Actions |
|---|---|---|---|
| 2025 | 708,395,310.04 | 708.40 million | 2,892 |
| 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 |
Insight
NAICS 623110 obligations totaled $4.28 billion across 18,960 awards over the last 5 years, with an average award value of $225,606.98. Annual obligations were highest in 2022 at $979.06 million and remained above $800 million in 2023 and 2024 before declining to $708.40 million in 2025. Award volume followed a similar pattern, peaking in 2021 at 4,687 awards and then trending downward to 2,892 awards in 2025, indicating a recent contraction in both spending and transaction count.
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