This PSC page summarizes federal spending for Q999, Medical- Other, using the last 10 years of FPDS data. Veterans Affairs accounted for the largest share of obligations, while the Bureau of Prisons recorded the highest award volume among the top agencies.
PSC Code
PSC Q999 Federal Contract Obligations (Last 10 Years)
PSC Q999 covers medical-other obligations over the last 10 years, totaling $44.50 billion across 89,894 award actions.
Totals reflect obligated dollars and award action counts for the analysis window, with vendor names and agencies shown as reported in FPDS.
PSC Code
Q999
PSC Description
MEDICAL- OTHER
Total Obligated
44.50 billion
44,501,890,485.07
Award Actions
89,894
Average Action Value
495,048.50
About PSC Q999 federal contract activity
PSC Q999 (MEDICAL- OTHER) accounts for $44.50 billion in obligated spending across 89,894 awards over the last 10 years, with an average award value of $495,048.50. The category is heavily concentrated in a small number of large, recurring medical services and supply arrangements rather than a broad set of high-dollar single awards.
Agency demand and leading federal buyers
The Department of Veterans Affairs dominates this PSC, with $32.79 billion obligated across 10,695 awards, representing the clear center of demand. The next largest obligators are the Federal Prison System/Bureau of Prisons, Defense Health Agency, FEMA, and Indian Health Service, each contributing materially smaller but still significant volumes, with BOP notable for a very high award count relative to dollars.
Vendor concentration and leading contractors
TRIWEST HEALTHCARE ALLIANCE CORP. is the principal vendor in this PSC, with $20.48 billion obligated across 390 awards, indicating a dominant service relationship. Other major vendors include HEALTH NET FEDERAL SERVICES, LLC, DAVITA INC., and FRESENIUS MEDICAL CARE HOLDINGS, INC., while repeated TRIWEST entries suggest distinct reporting records or award groupings tied to the same vendor name.
Annual contract trend over the analysis window
Annual obligations were relatively stable around the $2.0 billion to $2.8 billion range in 2022 through 2025, with 2025 at $2.79 billion and 2024 at $2.06 billion. The series shows a pronounced spike in 2021 to $5.39 billion, followed by a return to a lower baseline in subsequent years, suggesting an exceptional year rather than a sustained step-up in spending.
How to interpret this page
This summary uses FPDS obligations for PSC Q999 over the last 10 years, aggregated by agency, vendor, and fiscal year. Totals reflect reported obligated dollars and award counts in the provided dataset; vendor names are presented as recorded, including duplicate-name entries where the source data lists separate records.
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 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 | 32,786,605,860.51 | 32.79 billion | 10,695 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1,877,212,728.80 | 1.88 billion | 44,916 |
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 1,730,576,651.98 | 1.73 billion | 1,738 |
| 7022 | FEDERAL EMERGENCY MANAGEMENT AGENCY | 1,384,051,270.92 | 1.38 billion | 705 |
| 7527 | INDIAN HEALTH SERVICE | 1,270,806,654.16 | 1.27 billion | 12,119 |
| 97ZS | U.S. SPECIAL OPERATIONS COMMAND (USSOCOM) | 819,063,018.81 | 819.06 million | 431 |
| 5700 | DEPT OF THE AIR FORCE | 748,905,275.60 | 748.91 million | 6,383 |
| 2100 | DEPT OF THE ARMY | 633,171,540.76 | 633.17 million | 3,283 |
| 1544 | U.S. MARSHALS SERVICE | 607,761,806.49 | 607.76 million | 432 |
| 7570 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | 570,085,256.97 | 570.09 million | 348 |
Insight
PSC Q999 (Medical- Other) accounts for $44.50 billion across 89,894 awards over the last 10 years, with spending highly concentrated in the Department of Veterans Affairs, which obligated $32.79 billion, or about 74% of the total shown. The next nine agencies each obligated less than $2.0 billion, indicating a steep drop-off after the top buyer and a broad but much smaller distribution of obligations across other agencies. Award volume is more dispersed than dollars, led by the Federal Bureau of Prisons with 44,916 awards despite comparatively lower obligations, which suggests many smaller-value actions in this PSC.
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 10 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 |
|---|---|---|---|---|
| TRIWEST HEALTHCARE ALLIANCE CORP. | 07TQ3 | 20,481,337,192.84 | 20.48 billion | 390 |
| HEALTH NET FEDERAL SERVICES, LLC | 3TJW0 | 2,050,668,524.91 | 2.05 billion | 79 |
| DAVITA INC. | 45JM2 | 1,997,604,152.35 | 2.00 billion | 54 |
| TRIWEST HEALTHCARE ALLIANCE CORP. | 1,682,097,624.70 | 1.68 billion | 27 | |
| FRESENIUS MEDICAL CARE HOLDINGS, INC. | 3MGP1 | 1,556,424,249.10 | 1.56 billion | 7 |
| AMERICAN MEDICAL RESPONSE, INC. | 1NLW5 | 1,358,797,909.50 | 1.36 billion | 650 |
| FRESENIUS MEDICAL CARE HOLDINGS INC | 3MGP1 | 1,235,134,181.86 | 1.24 billion | 23 |
| LOGISTICS HEALTH, INC. | 1RTW6 | 836,902,657.32 | 836.90 million | 556 |
| HEALTH NET FEDERAL SERVICES, LLC | 751,726,481.54 | 751.73 million | 25 | |
| DAVITA HEALTHCARE PARTNERS INC. | 45JM2 | 683,863,935.68 | 683.86 million | 17 |
Insight
PSC Q999 (MEDICAL- OTHER) is highly concentrated over the last 10 years, with the top listed vendor, TRIWEST HEALTHCARE ALLIANCE CORP. (CAGE 07TQ3), accounting for $20.48 billion across 390 awards, or about 46% of the $44.50 billion obligated in this PSC. The remaining top vendors are substantially smaller, ranging from $2.05 billion to $683.86 million, indicating a steep drop-off after the leading provider. Award volume is more dispersed than dollar value, with vendors such as AMERICAN MEDICAL RESPONSE, INC. and LOGISTICS HEALTH, INC. receiving many awards but at comparatively lower obligated amounts. Duplicate vendor name entries with different CAGE codes or missing CAGE data suggest vendor record variation that may affect concentration analysis.
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 10 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 |
| 2024 | 2,060,904,474.61 | 2.06 billion | 9,524 |
| 2023 | 2,041,894,965.71 | 2.04 billion | 8,390 |
| 2022 | 2,425,852,579.09 | 2.43 billion | 8,599 |
| 2021 | 5,391,946,408.31 | 5.39 billion | 7,944 |
| 2020 | 9,722,239,977.69 | 9.72 billion | 8,385 |
| 2019 | 5,314,807,289.55 | 5.31 billion | 8,256 |
| 2018 | 4,800,377,785.28 | 4.80 billion | 9,076 |
| 2017 | 5,904,190,891.19 | 5.90 billion | 10,467 |
| 2016 | 4,047,102,068.50 | 4.05 billion | 10,605 |
Insight
PSC Q999 (MEDICAL- OTHER) totals $44.50 billion across 89,894 awards over the last 10 years, with an average award value of about $495,049. Obligations are concentrated in 2020, which is the peak year at $9.72 billion, followed by a lower but still elevated level in 2021 at $5.39 billion. After 2021, annual obligations declined and stabilized in the $2.04 billion to $2.79 billion range in 2022 through 2025, indicating a materially lower obligation profile in the most recent years. Award counts are relatively distributed across the period, ranging from 7,944 to 10,605 annually, suggesting the decline in obligations is driven more by smaller annual dollar volume than by a sharp reduction in award volume.
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