This page summarizes federal procurement activity under PSC Q999, Medical- Other, for the last 5 years. Veterans Affairs accounts for the largest share of obligations, while the Federal Prison System and Indian Health Service lead the category by award volume.
PSC Code
PSC Q999 Federal Contract Obligations (Last 5 Years)
PSC Q999 covers Medical- Other obligations over the last 5 years, totaling $14.71 billion across 43,105 award actions.
Totals reflect readable obligation values and award counts from FPDS query results for the selected analysis window.
PSC Code
Q999
PSC Description
MEDICAL- OTHER
Total Obligated
14.71 billion
14,713,172,472.86
Award Actions
43,105
Average Action Value
341,333.31
About PSC Q999 federal contract activity
PSC Q999 (MEDICAL- OTHER) accounts for $14.71 billion in obligated spending across 43,105 awards over the last 5 years, with an average award value of $341,333.31. The category is heavily concentrated in a small number of large health-related contracts and recurring service arrangements.
Agency demand and leading federal buyers
The Department of Veterans Affairs is the dominant buyer in this PSC, accounting for $8.70 billion across 3,869 awards, or well over half of total obligations. The Federal Bureau of Prisons, Indian Health Service, FEMA, and USSOCOM follow at a materially lower scale, with the Bureau of Prisons showing unusually high award volume relative to dollars, indicating many smaller purchases or task orders.
Vendor concentration and leading contractors
TRIWEST HEALTHCARE ALLIANCE CORP. is the largest vendor in the category by a wide margin at $4.38 billion, followed by DAVITA INC. at $1.52 billion and FRESENIUS MEDICAL CARE HOLDINGS, INC. at $1.11 billion. The vendor list shows both concentrated enterprise-level providers and repeated awards to the same corporate family, as reflected by duplicate CAGE-linked entries for Fresenius.
Annual contract trend over the analysis window
Annual obligations peaked in 2021 at $5.39 billion, then declined in 2022 and 2023 before ticking up again in 2024 and 2025. Award counts remained relatively stable year to year, suggesting the post-2021 decline was driven more by lower dollar value per award than by a major reduction in procurement activity.
How to interpret this page
This page summarizes FPDS obligations for PSC Q999 over the last 5 years using reported award obligations and award counts. Totals reflect the analysis window only and may include multiple award types and ordering activity associated with this PSC; vendor names are presented as recorded in FPDS, including possible variations for the same entity. Amounts are shown as obligated dollars, not potential ceiling value or contract funding authority.
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 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 | 8,704,304,926.01 | 8.70 billion | 3,869 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1,057,534,836.23 | 1.06 billion | 24,113 |
| 7527 | INDIAN HEALTH SERVICE | 844,429,186.64 | 844.43 million | 5,671 |
| 7022 | FEDERAL EMERGENCY MANAGEMENT AGENCY | 708,707,667.09 | 708.71 million | 472 |
| 97ZS | U.S. SPECIAL OPERATIONS COMMAND (USSOCOM) | 553,055,908.41 | 553.06 million | 266 |
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 470,666,994.28 | 470.67 million | 771 |
| 1544 | U.S. MARSHALS SERVICE | 345,500,457.34 | 345.50 million | 175 |
| 7523 | CENTERS FOR DISEASE CONTROL AND PREVENTION | 336,687,116.55 | 336.69 million | 176 |
| 7570 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | 252,461,659.40 | 252.46 million | 178 |
| 5700 | DEPT OF THE AIR FORCE | 247,442,413.85 | 247.44 million | 1,760 |
Insight
Over the last 5 years, PSC Q999 (MEDICAL- OTHER) accounted for $14.71 billion across 43,105 awards, with a relatively low average award value of $341,333.31, indicating a mix of high-volume and high-dollar procurement activity. The Department of Veterans Affairs dominated obligations at $8.70 billion, representing nearly 59% of total obligations, while the Federal Prison System / Bureau of Prisons followed with $1.06 billion across 24,113 awards, showing a much more fragmented award profile. The next tier—Indian Health Service, FEMA, USSOCOM, and DHA—each obligated less than $900 million, with award counts and dollars that indicate obligations are concentrated in a small number of agencies, but not entirely dependent on a single award pattern.
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 5 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 | 4,376,782,240.86 | 4.38 billion | 221 |
| DAVITA INC. | 45JM2 | 1,519,874,729.34 | 1.52 billion | 44 |
| FRESENIUS MEDICAL CARE HOLDINGS, INC. | 3MGP1 | 1,106,032,658.12 | 1.11 billion | 5 |
| AMERICAN MEDICAL RESPONSE, INC. | 1NLW5 | 698,465,266.15 | 698.47 million | 459 |
| FRESENIUS MEDICAL CARE HOLDINGS INC | 3MGP1 | 676,755,682.18 | 676.76 million | 10 |
| KBR WYLE SERVICES, LLC | 1DDX3 | 467,812,203.38 | 467.81 million | 208 |
| HERITAGE HEALTH SOLUTIONS, INC. | 48VT1 | 338,657,714.95 | 338.66 million | 35 |
| LOGISTICS HEALTH, INC. | 1RTW6 | 284,109,993.13 | 284.11 million | 210 |
| NAPHCARE, INC. | 3PKZ3 | 198,020,231.60 | 198.02 million | 3,429 |
| DIALYSIS CLINIC, INC. | 383R4 | 158,705,010.01 | 158.71 million | 37 |
Insight
Over the last 5 years, PSC Q999 obligated $14.71 billion across 43,105 awards, with a mean award value of $341,333.31. Obligations are highly concentrated at the top, led by TRIWEST HEALTHCARE ALLIANCE CORP. at $4.38 billion, followed by DAVITA INC. and FRESENIUS MEDICAL CARE HOLDINGS, INC.; the top 10 vendors account for a substantial share of total obligations, while award counts are more diffuse. Several vendors show high dollar volume with relatively few awards, while others such as NAPHCARE, INC. and AMERICAN MEDICAL RESPONSE, INC. have many more awards at lower average values, indicating mixed contract structures within this PSC.
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 5 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 |
Insight
PSC Q999 (MEDICAL- OTHER) obligated $14.71 billion across 43,105 awards over the last 5 years, with an average award value of $341,333. Obligations are highly concentrated in 2021 at $5.39 billion, accounting for roughly 37% of the 5-year total, followed by a marked decline in 2022–2024 at about $2.04 billion to $2.43 billion annually. Obligations rebounded in 2025 to $2.79 billion, while award counts remained relatively stable between 7,944 and 9,524 per year, indicating that year-to-year variation is driven more by award value than by transaction volume.
Use FPDS Query for deeper PSC analysis
Explore federal procurement data with custom SQL, fast filtering, and deeper PSC analysis across agencies, vendors, and annual trends.
Continue from this last 5 years view into full FPDS Query workflows with deeper filtering, custom SQL, saved queries, and broader market comparison.