Veterans Affairs accounted for the largest share of Q999 obligations at $1.86 billion, while the Federal Prison System led in action volume with 5,028 awards. Top vendors included Fresenius Medical Care Holdings Inc., DaVita Inc., and TriWest Healthcare Alliance Corp.
PSC Code
PSC Q999 Federal Contract Obligations (Last Year)
PSC Q999 covers medical-other obligations in the last full year, totaling $2.79 billion across 8,648 award actions.
Annual trend data for 2025 shows $2.79 billion in obligations and 8,648 award actions for PSC Q999.
PSC Code
Q999
PSC Description
MEDICAL- OTHER
Total Obligated
2.79 billion
2,792,574,045.14
Award Actions
8,648
Average Action Value
322,915.59
About PSC Q999 federal contract activity
PSC Q999 (MEDICAL- OTHER) recorded $2.79 billion in obligations across 8,648 awards during the last full year, for an average award value of $322,915.59. The volume of awards is high relative to average dollar value, indicating a mix of large health-service contracts and many smaller procurements within the category.
Agency demand and leading federal buyers
The Department of Veterans Affairs dominated spending in this PSC with $1.86 billion across 627 awards, accounting for the clear majority of obligated dollars. The Federal Prison System/Bureau of Prisons followed with $255.36 million and 5,028 awards, while Indian Health Service added $166.02 million across 977 awards; USSOCOM and U.S. Marshals Service were also notable but materially smaller by obligation.
Vendor concentration and leading contractors
Fresenius Medical Care Holdings Inc led vendor obligations at $676.76 million across 10 awards, followed closely by DaVita Inc. at $576.81 million across 13 awards. TriWest Healthcare Alliance Corp., KBR Wyle Services, LLC, and Heritage Health Solutions, Inc. round out the top five, showing concentration among a small set of vendors with relatively few awards compared with the total award count.
Annual contract trend over the analysis window
Annual trend data is available only for 2025, which matches the full-year total of $2.79 billion and 8,648 awards. With no prior years provided in the analysis window, this page supports a single-year snapshot rather than a directional multi-year trend assessment.
How to interpret this page
This page summarizes FPDS obligations for PSC Q999 over the last full year using reported total obligated dollars, award counts, and average award value. Agency and vendor rankings are based on total obligated amounts within the PSC, and annual trend reflects the same FPDS reporting period without adjustment for inflation, scope changes, or outlier filtering.
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__productOrServiceCode = 'Q999'
AND content__award__purchaserInformation__contractingOfficeAgencyID IS NOT NULL
AND content__award__purchaserInformation__contractingOfficeAgencyID != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 1 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 | 1,856,755,999.28 | 1.86 billion | 627 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 255,357,371.36 | 255.36 million | 5,028 |
| 7527 | INDIAN HEALTH SERVICE | 166,024,972.56 | 166.02 million | 977 |
| 97ZS | U.S. SPECIAL OPERATIONS COMMAND (USSOCOM) | 125,195,087.76 | 125.20 million | 43 |
| 1544 | U.S. MARSHALS SERVICE | 124,911,240.03 | 124.91 million | 19 |
| 8000 | NATIONAL AERONAUTICS AND SPACE ADMINISTRATION | 55,081,063.53 | 55.08 million | 61 |
| 7523 | CENTERS FOR DISEASE CONTROL AND PREVENTION | 54,690,190.99 | 54.69 million | 11 |
| 2800 | SOCIAL SECURITY ADMINISTRATION | 52,081,498.19 | 52.08 million | 848 |
| 7570 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | 35,098,345.68 | 35.10 million | 24 |
| 7014 | U.S. CUSTOMS AND BORDER PROTECTION | 32,713,344.56 | 32.71 million | 24 |
Insight
Obligations for PSC Q999 totaled $2.79 billion across 8,648 awards in the last full year, indicating a broad but uneven spend pattern. VETERANS AFFAIRS, DEPARTMENT OF accounted for $1.86 billion, or roughly two-thirds of total obligations, making it the dominant buyer in this PSC. The next largest obligators were much smaller by value: FEDERAL PRISON SYSTEM / BUREAU OF PRISONS at $255.36 million across 5,028 awards and INDIAN HEALTH SERVICE at $166.02 million across 977 awards. Award volume is concentrated differently than dollars, with high-count activity at BUREAU OF PRISONS and SOCIAL SECURITY ADMINISTRATION, while several agencies obligated more than $100 million through relatively few awards.
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,
ifNull(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__productOrServiceCode = 'Q999'
AND content__award__vendor__vendorHeader__vendorName IS NOT NULL
AND content__award__vendor__vendorHeader__vendorName != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 1 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY
vendor_name,
content__award__vendor__vendorSiteDetails__entityIdentifiers__cageCode
)
ORDER BY total_obligated DESC
LIMIT 10| Vendor | CAGE Code | Total Obligated | Readable | Award Actions |
|---|---|---|---|---|
| FRESENIUS MEDICAL CARE HOLDINGS INC | 3MGP1 | 676,755,682.18 | 676.76 million | 10 |
| DAVITA INC. | 45JM2 | 576,812,842.84 | 576.81 million | 13 |
| TRIWEST HEALTHCARE ALLIANCE CORP. | 07TQ3 | 314,157,423.47 | 314.16 million | 17 |
| KBR WYLE SERVICES, LLC | 1DDX3 | 178,719,206.77 | 178.72 million | 72 |
| HERITAGE HEALTH SOLUTIONS, INC. | 48VT1 | 124,964,479.80 | 124.96 million | 7 |
| NAPHCARE INC | 3PKZ3 | 70,263,240.24 | 70.26 million | 626 |
| AMERICAN RENAL ASSOCIATES LLC | 6U4V6 | 63,097,675.78 | 63.10 million | 11 |
| DIALYSIS CLINIC, INC. | 383R4 | 55,236,040.57 | 55.24 million | 15 |
| US RENAL CARE INC | 608C2 | 43,833,351.46 | 43.83 million | 9 |
| KARNA LLC | 56V53 | 42,176,865.40 | 42.18 million | 3 |
Insight
For PSC Q999 (Medical- Other), obligations totaled $2.79 billion across 8,648 awards in the last full year, with an average award value of $322,915.59. The vendor profile is concentrated at the top: Fresenius Medical Care Holdings Inc., DaVita Inc., and TriWest Healthcare Alliance Corp. together accounted for $1.57 billion, or about 56% of total obligations, despite only 40 awards combined. Award volume is more diffuse among lower-ranked vendors, with NaphCare Inc. standing out for 626 awards but comparatively lower obligations of $70.26 million, indicating a mix of high-value, low-count obligations and higher-frequency, lower-value awards.
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__productOrServiceCode = 'Q999'
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 1 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY year
)
ORDER BY year DESC| Year | Total Obligated | Readable | Award Actions |
|---|---|---|---|
| 2025 | 2,792,574,045.14 | 2.79 billion | 8,648 |
Insight
For the last full year, PSC Q999 (Medical- Other) obligated $2.79 billion across 8,648 awards, with an average award value of $322,915.59. Because the available window contains only one year of data, year-over-year trend analysis is not possible; this section should be read as a single-period baseline rather than a directional trend. The volume of awards alongside the total obligated amount indicates a broad distribution of obligations across a relatively large number of actions.
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