Federal Agency

Department of Veterans Affairs

VA · Code: 036

Total tracked spending: $337.2B

Spending Trend

$41.6B

FY2020

$47.7B

FY2021

$55.5B

FY2022

$52.9B

FY2023

$57.5B

FY2024

$67.1B

FY2025

$14.7B

FY2026

Company	Obligations	Contracts	Share
OPTUM PUBLIC SECTOR SOLUTIONS, INC.	$84.1B	146	24.9%
TRIWEST HEALTHCARE ALLIANCE CORP	$53.4B	162	15.8%
MCKESSON CORPORATION	$52.6B	332	15.6%
QTC MEDICAL SERVICES INC	$9.5B	79	2.8%
ORACLE HEALTH GOVERNMENT SERVICES, INC.	$7.7B	67	2.3%
OPTUMSERVE HEALTH SERVICES, INC.	$6.8B	66	2.0%
VETERANS EVALUATION SERVICES, INC	$6.3B	78	1.9%
BOOZ ALLEN HAMILTON INC	$3.9B	25	1.2%
DELL FEDERAL SYSTEMS L.P	$3.8B	7	1.1%
LOYAL SOURCE GOVERNMENT SERVICES LLC	$2.8B	139	0.8%
FEDEX SUPPLY CHAIN DISTRIBUTION SYSTEM, INC.	$2.7B	59	0.8%
LIBERTY IT SOLUTIONS LLC	$2.2B	38	0.7%
FRESENIUS MEDICAL CARE HOLDINGS INC	$2.1B	21	0.6%
V3GATE, LLC	$2.0B	451	0.6%
FOUR POINTS TECHNOLOGY, L.L.C.	$2.0B	2298	0.6%
MEDLINE INDUSTRIES, LP	$1.9B	271	0.6%
DAVITA INC.	$1.9B	60	0.5%
SONOVA USA INC	$1.5B	141	0.5%
IRON BOW TECHNOLOGIES, LLC	$1.5B	773	0.4%
GOVCIO, LLC	$1.5B	40	0.4%
MINBURN TECHNOLOGY GROUP, LLC	$1.3B	1210	0.4%
ACCENTURE FEDERAL SERVICES LLC	$1.2B	14	0.4%
SIEMENS MEDICAL SOLUTIONS USA, INC.	$1.2B	1708	0.4%
CONCORDANCE HEALTHCARE SOLUTIONS LLC	$1.1B	86	0.3%
INTERNATIONAL BUSINESS MACHINES CORPORATION	$1.1B	31	0.3%

Code	Description	Obligations	Contracts
524114	DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS	$122.3B	271
325412	PHARMACEUTICAL PREPARATION MANUFACTURING	$54.1B	11977
621111	OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)	$40.9B	1508
541512	COMPUTER SYSTEMS DESIGN SERVICES	$29.1B	1336
236220	COMMERCIAL AND INSTITUTIONAL BUILDING CONSTRUCTION	$19.1B	9902
541519	OTHER COMPUTER RELATED SERVICES	$16.4B	11023
339112	SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING	$8.7B	36184
339113	SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING	$5.6B	108163
541611	ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES	$5.4B	2533
623110	NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)	$5.1B	24901
621492	KIDNEY DIALYSIS CENTERS	$4.5B	369
334510	ELECTROMEDICAL AND ELECTROTHERAPEUTIC APPARATUS MANUFACTURING	$3.9B	8533
334517	IRRADIATION APPARATUS MANUFACTURING	$3.5B	6565
541330	ENGINEERING SERVICES	$2.9B	5052
561320	TEMPORARY HELP SERVICES	$2.8B	4204

Pricing Type	Obligations	Contracts	Share
FIRM FIXED PRICE	$362.4B	393591	107.5%
FIXED PRICE INCENTIVE	$16.0B	141	4.7%
TIME AND MATERIALS	$7.0B	121	2.1%
FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT	$4.3B	12184	1.3%
COST PLUS FIXED FEE	$876.7M	137	0.3%
LABOR HOURS	$854.5M	206	0.3%
FIXED PRICE LEVEL OF EFFORT	$105.6M	8	0.0%
FIXED PRICE AWARD FEE	$67.3M	203	0.0%
COST NO FEE	$47.2M	255	0.0%
COST SHARING	$11.0M	25	0.0%
FIXED PRICE REDETERMINATION	$2.6M	39	0.0%
ORDER DEPENDENT (IDV ALLOWS PRICING ARRANGEMENT TO BE DETERMINED SEPARATELY FOR EACH ORDER)	$1.2M	572	0.0%