Federal Capture Intelligence

All Other Miscellaneous Ambulatory Health Care Services contractors at the Department of Veterans Affairs

Latest 12 months
$49.2M
Net obligations · Up $41.7M vs. $7.6M preceding
Prime contractors
23
With positive obligations in the latest 12 months

Market snapshot for All Other Miscellaneous Ambulatory Health Care Services at the Department of Veterans Affairs

Federal records show $74.0M in net obligations across 324 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Veterans Affairs from Oct 1, 2021 through Jul 27, 2026. This market accounts for 0.023% of $316.4B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 549.6% from $7.6M to $49.2M. 2 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY26 is year-to-date through Jul 27, 2026; earlier years show complete fiscal-year totals.

FY26 year-to-date: $49.3M versus $6.3M through the same date in FY25 (+681.5%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$8.2M173Complete
FY2023$5.4M124Complete
FY2024$4.9M154Complete
FY2025$6.2M101Complete
FY2026$49.3M110YTD through Jul 27, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$74.0M
324 awards · 80 prime contractors
Latest 12-month movement
+549.6%
$49.2M vs. $7.6M
Leading eight prime share
97.0%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.023% of $316.4B in agency-wide net obligations.
Set-aside share when reported
39.7% of 136 awards with reported set-aside status.
Set-aside reporting
54 set aside · 82 no set-aside · 188 not reported

What changed in the last 12 months?

Jul 28, 2025Jul 27, 2026, compared with Jul 28, 2024Jul 27, 2025.

Competitive shifts

COGNOSANTE MVH LLC climbed the most in the contractor rankings
#19#2Up 17 places
The contractor accounts for 38.6% of positive obligations across 5 reported actions.

Market structure

Top-five contractor share increased
56.3%94.0%+37.7 percentage points
Contractors outside the top five now account for 6.0% of positive obligations.
This market grew faster than 99.0% of comparable agency NAICS markets
+549.6%Agency median +8.9%
The agency comparison covers 149 comparable NAICS markets.

Buyer demand

Reported obligations through COMMODITIES & SERVICES ACQUISITION SERVICE (36C791) increased
$400K$43.1M+$42.7M
Latest-period activity spans 10 awards across 2 prime contractors.

Award activity

View 1 additional material change

Market structure

Reported set-aside share increased
12.8%23.3%+10.5 percentage points
Of 30 latest-period awards with reported set-aside status, 7 were reported as set-asides.
How these findings are calculated

Findings are selected from matched-period changes in obligations, share, rank, funding offices, concentration, reported set-asides, material award actions, and agency-peer outliers. Related signals are combined, and only material evidence-backed changes are shown. Review the full methodology.

Funding pattern for All Other Miscellaneous Ambulatory Health Care Services at the Department of Veterans Affairs

See how positive obligations were attributed across funding offices in the 12 months ending Jul 27, 2026.

85.5% of positive obligations were attributed to COMMODITIES & SERVICES ACQUISITION SERVICE (36C791). That represents $43.1M, up $42.7M from the preceding 12 months.

Latest 12-month share of positive obligations; the gray segment represents all other reported offices.

  1. COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)85.5% · $43.1M · up $42.7M
  2. 626-NASHVILLE (00626)4.7% · $2.4M · up $131K
  3. 614-MEMPHIS(00614)3.4% · $1.7M · up $15K
  4. 541-BRECKSVILLE (00541)2.1% · $1.1M · up $954K
  5. 580-HOUSTON(00580)0.93% · $468K · down $520K
  6. All other reported offices3.3% of positive obligations
View reported office rankings, comparisons, and evidence

USAspending assigns each award to a funding office. That office may differ from the requiring activity, program office, contracting office, individual buyer, or actual customer.

  1. Reported funding office

    COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

    #1Up 4 from #5

    Latest 12 months

    $43.1M

    85.5% of positive obligations

    Versus preceding 12 months

    +$42.7M

    2 active prime contractors · 10 awards

    View office comparison and evidence

    Reported obligations increased 10680.2% from $400K to $43.1M. The office’s share of positive obligations moved from 4.9% to 85.5%, a change of +80.6 percentage points.

    The latest period contains 10 actions across 10 awards. The preceding period contained 4 active prime contractors and 4 awards.

  2. Reported funding office

    626-NASHVILLE (00626)

    #2Down 1 from #1

    Latest 12 months

    $2.4M

    4.7% of positive obligations

    Versus preceding 12 months

    +$131K

    3 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 5.8% from $2.3M to $2.4M. The office’s share of positive obligations moved from 27.5% to 4.7%, a change of −22.8 percentage points.

    The latest period contains 10 actions across 6 awards. The preceding period contained 3 active prime contractors and 6 awards.

  3. Reported funding office

    614-MEMPHIS(00614)

    #3Down 1 from #2

    Latest 12 months

    $1.7M

    3.4% of positive obligations

    Versus preceding 12 months

    +$15K

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations increased 0.9% from $1.7M to $1.7M. The office’s share of positive obligations moved from 20.9% to 3.4%, a change of −17.5 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 1 active prime contractor and 2 awards.

  4. Reported funding office

    541-BRECKSVILLE (00541)

    #4Up 9 from #13

    Latest 12 months

    $1.1M

    2.1% of positive obligations

    Versus preceding 12 months

    +$954K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 906.4% from $105K to $1.1M. The office’s share of positive obligations moved from 1.3% to 2.1%, a change of +0.8 percentage points.

    The latest period contains 3 actions across 3 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 3 awards.

  5. Reported funding office

    580-HOUSTON(00580)

    #5Down 2 from #3

    Latest 12 months

    $468K

    0.93% of positive obligations

    Versus preceding 12 months

    −$520K

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 52.6% from $989K to $468K. The office’s share of positive obligations moved from 12.1% to 0.93%, a change of −11.2 percentage points.

    The latest period contains 5 actions across 4 awards and 1 newly active prime contractor. The preceding period contained 3 active prime contractors and 4 awards.

  6. Reported funding office

    689-WEST HAVEN (00689)(36C689)

    #6New to the positive-obligation ranking

    Latest 12 months

    $444K

    0.88% of positive obligations

    Versus preceding 12 months

    +$451K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $7K in net deobligations to $444K in net obligations. The office’s share of positive obligations moved from 0% to 0.88%, a change of +0.9 percentage points.

    The latest period contains 3 actions across 1 award. The preceding period contained 2 active prime contractors and 2 awards.

  7. Reported funding office

    578-HINES(00578)(36C578)

    #7Up 2 from #9

    Latest 12 months

    $198K

    0.39% of positive obligations

    Versus preceding 12 months

    +$12K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations increased 6.2% from $186K to $198K. The office’s share of positive obligations moved from 2.3% to 0.39%, a change of −1.9 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 2 active prime contractors and 2 awards.

  8. Reported funding office

    621-MOUNTAIN HOME (00621)

    #8Down 1 from #7

    Latest 12 months

    $142K

    0.28% of positive obligations

    Versus preceding 12 months

    −$52K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 26.9% from $194K to $142K. The office’s share of positive obligations moved from 2.4% to 0.28%, a change of −2.1 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 1 active prime contractor and 2 awards.

  9. Reported funding office

    663-SEATTLE (00663)

    #9Up 15 from #24

    Latest 12 months

    $135K

    0.27% of positive obligations

    Versus preceding 12 months

    +$99K

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations increased 276.6% from $36K to $135K. The office’s share of positive obligations moved from 0.44% to 0.27%, a change of −0.2 percentage points.

    The latest period contains 10 actions across 5 awards. The preceding period contained 4 active prime contractors and 6 awards.

  10. Reported funding office

    534-CHARLESTON (00534)(36C534)

    #10Down 2 from #8

    Latest 12 months

    $133K

    0.26% of positive obligations

    Versus preceding 12 months

    −$54K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 28.8% from $187K to $133K. The office’s share of positive obligations moved from 2.3% to 0.26%, a change of −2.0 percentage points.

    The latest period contains 3 actions across 1 award. The preceding period contained 2 active prime contractors and 2 awards.

  11. Reported funding office

    241-NETWORK CONTRACT OFFICE 01 (36C241)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$475K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $475K to $0. The office’s share of positive obligations moved from 5.8% to 0%, a change of −5.8 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 1 award.

  12. Reported funding office

    250-NETWORK CONTRACT OFFICE 10 (36C250)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    +$331K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations moved from $331K in net deobligations to $0 in net obligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 2 awards.

  13. Reported funding office

    655-SAGINAW (00655)

    No positive-obligation rank

    Latest 12 months

    −$13K

    0% of positive obligations

    Versus preceding 12 months

    −$167K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $154K in net obligations to $13K in net deobligations. The office’s share of positive obligations moved from 1.9% to 0%, a change of −1.9 percentage points.

    The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 3 awards.

  14. Reported funding office

    598-NORTH LITTLE ROCK(00598)

    No positive-obligation rank

    Latest 12 months

    −$208K

    0% of positive obligations

    Versus preceding 12 months

    −$554K

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations moved from $345K in net obligations to $208K in net deobligations. The office’s share of positive obligations moved from 4.2% to 0%, a change of −4.2 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 1 active prime contractor and 1 award.

    Leading award-level changes

  15. Reported funding office

    695-MILWAUKEE(00695)(36C695)

    No positive-obligation rank

    Latest 12 months

    −$331K

    0% of positive obligations

    Versus preceding 12 months

    −$429K

    1 active prime contractor · 9 awards

    View office comparison and evidence

    Reported obligations moved from $98K in net obligations to $331K in net deobligations. The office’s share of positive obligations moved from 1.2% to 0%, a change of −1.2 percentage points.

    The latest period contains 9 actions across 9 awards. The preceding period contained 1 active prime contractor and 3 awards.

How this work is bought

Reported award structure, competition, pricing, work categories, and contracting channels for All Other Miscellaneous Ambulatory Health Care Services at the Department of Veterans Affairs.

During Jul 28, 2025Jul 27, 2026, this market recorded $53.1M in positive net award obligations across 45 awards. The leading reported procedure, Subject To Multiple Award Fair Opportunity, accounted for 81.2% of that positive-obligation base. Awards with a reported parent IDV accounted for 92.0%.

Leading award type
91.4%
Delivery Order
Leading reported procedure
81.2%
Subject To Multiple Award Fair Opportunity
Reported parent IDV
92.0%
of positive obligations had a reported parent IDV
Median reported offers
1
26 of 45 awards reported offers

Buying method changes

Compared with Jul 28, 2024Jul 27, 2025. Based on 45 current awards and 59 preceding awards with positive net obligations.

Multiple-award parent obligation share
81.2%
Up from 5.2% in the preceding period
Reported full-and-open obligation share
83.7%
Up from 14.3% in the preceding period
Median positive award obligations
$176K
Up from $88K in the preceding period
How to read these changes

Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.

Same-NAICS comparison

Compared with the NAICS 621999 peer median, parent-IDV obligation share is 41.5 percentage points higher, reported full-and-open obligation share is 70.3 percentage points higher, delivery-order obligation share is 54.8 percentage points higher, and median positive award obligations are 3.7% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share92.0%50.5%+41.5 pts
Reported full-and-open obligation share83.7%13.4%+70.3 pts
Delivery-order obligation share91.4%36.6%+54.8 pts
Median positive award obligations$176K$169K+3.7%
Peer cohort and comparison limits

The peer median gives each of the 4 eligible agency markets equal weight. The included agency markets are:

Agency mission, scale, and acquisition context can differ. Peer position does not establish market attractiveness or predict a future procurement method.

View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Delivery Order(C)30$48.6M91.4%
Purchase Order(B)13$4.2M7.9%
BPA Call(A)1$299K0.56%
Definitive Contract(D)1$56K0.11%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)30$48.6M91.4%
BPA(E)1$299K0.56%
Not reported14$4.3M8.0%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Multiple Award(M)11$43.1M81.2%
Single Award(S)20$5.8M10.8%
Not reported14$4.3M8.0%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Subject To Multiple Award Fair Opportunity(MAFO)11$43.1M81.2%
Simplified Acquisition(SP1)18$5.8M11.0%
Only One Source(SSS)8$2.8M5.3%
Negotiated Proposal/Quote(NP)8$1.3M2.5%

Extent competed

Reported valueAwardsPositive obligationsShare
Full And Open Competition(A)16$44.4M83.7%
Competed Under SAP(F)14$4.6M8.6%
Not Available For Competition(B)1$2.0M3.8%
Not Competed Under SAP(G)4$1.2M2.4%
Not Competed(C)7$833K1.6%
Full And Open Competition After Exclusion Of Sources(D)3$22K0.040%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Follow-On Action Following Competitive Initial Action(FOO)10$43.1M81.2%
Competitive Set Aside(CSA)1$4800%
Not reported34$10.0M18.8%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Authorized By Statute (FAR 6.302-5(A)(2)(I))(OTH)2$2.2M4.1%
SAP Non-Competition (FAR 13)(SP2)3$1.0M2.0%
Only One Source-Other (FAR 6.302-1 Other)(ONE)6$783K1.5%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$50K0.090%
Not reported33$49.0M92.3%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)45$53.1M100.0%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Managed Healthcare(Q201)10$43.1M81.2%
Medical- Nursing(Q401)3$2.8M5.2%
Reference Laboratory Testing(Q301)3$2.3M4.3%
Cardiology(Q502)4$1.3M2.4%
Medical- Neurology(Q510)6$1.2M2.3%
Blood And Blood Products(6506)1$949K1.8%
Other reported values18$1.5M2.9%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)45$53.1M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Commodities & Services Acquisition Service (36c791)(36C791)10$43.1M81.2%
249-Network Contract Office 9 (36c249)(36C249)9$6.0M11.4%
250-Network Contract Office 10 (36c250)(36C250)3$1.1M2.0%
256-Network Contract Office 16 (36c256)(36C256)3$998K1.9%
241-Network Contract Office 01 (36c241)(36C241)2$455K0.86%
260-Network Contract Office 20 (36c260)(36C260)5$448K0.84%
Other reported values13$1.0M1.9%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C79123D0001(3600)5$23.8M44.7%
36C79123D0002(3600)5$19.4M36.5%
36C24925D0053(3600)1$2.4M4.6%
36C25026D0064(3600)1$949K1.8%
36C25625D0032(3600)1$453K0.85%
36C25623D0042(3600)1$356K0.67%
36C24925D0004(3600)1$307K0.58%
36C24926A0039(3600)1$299K0.56%
Other reported values15$955K1.8%
Not reported14$4.3M8.0%

Offers, award size, and timing

Median reported offers
1 median
26 reported · 19 not reported
Positive award obligations
$176K median
$53K$2.0M middle 50%
Reported performance period
364 days (~12 months) median
45 reported · 0 not reported

Calculations group latest-period actions by award, retain awards with positive net obligations for share denominators, and use each award's latest reported USAspending procurement fields as of Jul 27, 2026. Blank competition, pricing, PSC, or parent-IDV values remain not reported; they are not inferred. Offer counts must be positive and below the FPDS 999 placeholder. Awarding organizations can differ from the funding agency that defines this page.

Prime contractors for All Other Miscellaneous Ambulatory Health Care Services at the Department of Veterans Affairs

Latest 12-month concentration and complete prime contractor rankings across the period shown.

Prime contractor concentration
2 of 23prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
47.3%of positive obligations in the last 12 months
Leading four prime contractors
92.1%of positive obligations in the last 12 months
Leading eight prime contractors
97.0%of positive obligations in the last 12 months

Based on $50.2M in positive obligations during the 12 months ending Jul 27, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Jul 28, 2024–Jul 27, 2025.

Last 12mo obligation volume: Highest positive obligations first; net deobligations follow by magnitude; contractors with no activity in the last 12 months follow by all-period obligations. Ranks use the complete contractor list and remain fixed when search narrows the results.

15 leading contractors
  1. #1

    Last 12mo obligations

    $23.8M

    47.3%

    Dollar movement

    +$23.7M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    5 actions

    Historical and award details for MEDTRONIC CARE MANAGEMENT SERVICES, LLC
    Obligations: prior → latest
    $100K → $23.8M
    +23659.3%
    Share: prior → latest
    1.2% → 47.3%
    +46.1 percentage points
    All-period obligations
    $23.9M
    31.4% of all-period positive obligations · 6 awards
    Recorded activity
    Since May 20, 2025
    through Mar 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported51
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $19.4M

    38.6%

    Dollar movement

    +$19.3M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    5 actions

    Historical and award details for COGNOSANTE MVH LLC
    Obligations: prior → latest
    $100K → $19.4M
    +19261.4%
    Share: prior → latest
    1.2% → 38.6%
    +37.4 percentage points
    All-period obligations
    $19.5M
    25.6% of all-period positive obligations · 6 awards
    Recorded activity
    Since May 20, 2025
    through Mar 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported51
    Reported small business00
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $1.7M

    3.4%

    Dollar movement

    +$15K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for ONE STOP RECRUITING LLC
    Obligations: prior → latest
    $1.7M → $1.7M
    +0.9%
    Share: prior → latest
    20.9% → 3.4%
    −17.4 percentage points
    All-period obligations
    $3.4M
    4.5% of all-period positive obligations · 3 awards
    Recorded activity
    Since Mar 4, 2025
    through Apr 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported21
    Reported small business32
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $1.4M

    2.8%

    Dollar movement

    +$406K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for NATIONAL MARROW DONOR PROGRAM
    Obligations: prior → latest
    $981K → $1.4M
    +41.4%
    Share: prior → latest
    12.0% → 2.8%
    −9.2 percentage points
    All-period obligations
    $6.1M
    8.0% of all-period positive obligations · 12 awards
    Recorded activity
    Since Dec 6, 2021
    through Jun 12, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside44
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $949K

    1.9%

    Dollar movement

    +$949K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for AMERICAN NATIONAL RED CROSS, THE
    Obligations: prior → latest
    $0 → $949K
    Not comparable
    Share: prior → latest
    0% → 1.9%
    +1.9 percentage points
    All-period obligations
    $949K
    1.3% of all-period positive obligations · 1 award
    Recorded activity
    Since Jun 29, 2026
    through Jun 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported10
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $709K

    1.4%

    Dollar movement

    −$340K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    7 actions

    Historical and award details for SPECIALTYCARE CARDIOVASCULAR RESOURCES, LLC
    Obligations: prior → latest
    $1.0M → $709K
    −32.4%
    Share: prior → latest
    12.8% → 1.4%
    −11.4 percentage points
    All-period obligations
    $2.4M
    3.2% of all-period positive obligations · 3 awards
    Recorded activity
    Since Nov 16, 2021
    through May 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside33
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $457K

    0.91%

    Dollar movement

    −$28K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    7 actions

    Historical and award details for BOSTON SCIENTIFIC CORP
    Obligations: prior → latest
    $485K → $457K
    −5.8%
    Share: prior → latest
    5.9% → 0.91%
    −5.0 percentage points
    All-period obligations
    $1.4M
    1.9% of all-period positive obligations · 2 awards
    Recorded activity
    Since Aug 30, 2023
    through Jul 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside22
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $309K

    0.62%

    Dollar movement

    −$28K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for INTRANERVE, LLC
    Obligations: prior → latest
    $337K → $309K
    −8.3%
    Share: prior → latest
    4.1% → 0.62%
    −3.5 percentage points
    All-period obligations
    $1.3M
    1.7% of all-period positive obligations · 15 awards
    Recorded activity
    Since Oct 15, 2021
    through May 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported34
    Reported small business02
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $283K

    0.56%

    Dollar movement

    −$38K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for LINE SCIENCE LLC
    Obligations: prior → latest
    $322K → $283K
    −11.9%
    Share: prior → latest
    3.9% → 0.56%
    −3.4 percentage points
    All-period obligations
    $1.7M
    2.2% of all-period positive obligations · 6 awards
    Recorded activity
    Since Oct 1, 2021
    through Jul 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported22
    Reported small business22
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $244K

    0.49%

    Dollar movement

    −$101K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for OZARK MEDICAL INC
    Obligations: prior → latest
    $345K → $244K
    −29.2%
    Share: prior → latest
    4.2% → 0.49%
    −3.7 percentage points
    All-period obligations
    $1.0M
    1.3% of all-period positive obligations · 5 awards
    Recorded activity
    Since Apr 4, 2023
    through Apr 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported41
    Reported small business41
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $202K

    0.40%

    Dollar movement

    +$15K

    vs. prior 12 months

    Last 12mo awards

    5 awards

    6 actions

    Historical and award details for AGILITI HEALTH INC
    Obligations: prior → latest
    $188K → $202K
    +7.8%
    Share: prior → latest
    2.3% → 0.40%
    −1.9 percentage points
    All-period obligations
    $810K
    1.1% of all-period positive obligations · 18 awards
    Recorded activity
    Since Feb 14, 2022
    through May 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside20
    Not reported37
    Reported small business00
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $189K

    0.38%

    Dollar movement

    −$189K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for ADVANCED MEDICAL RESOURCES, LLC
    Obligations: prior → latest
    $378K → $189K
    −50.0%
    Share: prior → latest
    4.6% → 0.38%
    −4.2 percentage points
    All-period obligations
    $567K
    0.75% of all-period positive obligations · 1 award
    Recorded activity
    Since Apr 1, 2025
    through Oct 1, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business11
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $133K

    0.27%

    Dollar movement

    −$103K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for SURGICAL NEUROMONITORING ASSOCIATES, INC.
    Obligations: prior → latest
    $236K → $133K
    −43.7%
    Share: prior → latest
    2.9% → 0.27%
    −2.6 percentage points
    All-period obligations
    $742K
    0.98% of all-period positive obligations · 1 award
    Recorded activity
    Since Oct 1, 2022
    through Jun 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business11
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $88K

    0.17%

    Dollar movement

    +$2K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for TRANSPLANT COORDINATORS OF AMERICA INC
    Obligations: prior → latest
    $86K → $88K
    +2.2%
    Share: prior → latest
    1.1% → 0.17%
    −0.9 percentage points
    All-period obligations
    $379K
    0.50% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through May 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $85K

    0.17%

    Dollar movement

    −$3K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for NATUS MEDICAL INCORPORATED
    Obligations: prior → latest
    $88K → $85K
    −3.0%
    Share: prior → latest
    1.1% → 0.17%
    −0.9 percentage points
    All-period obligations
    $173K
    0.23% of all-period positive obligations · 1 award
    Recorded activity
    Since Dec 6, 2024
    through May 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

Award activity for All Other Miscellaneous Ambulatory Health Care Services at the Department of Veterans Affairs

Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.

Base award

This action

+$7.8M

MEDTRONIC CARE MANAGEMENT SERVICES, LLC

COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

EXPRESS REPORT OCT & NOV 2025 (FY26)

Why it stands out

The contractor climbed 16 positions in this market.

It now ranks #1 by positive obligations over the latest 12 months.

Award net obligations
$7.8M
Share of 12-month positive obligations
15.4%
Supporting data
Prime contractor
#1 · 47.3% share
up 16 ranks · +46.1 percentage points · $23.7M net increase; action accounted for 32.8%
Funding office
#1 · 85.5% attributed share
up 4 ranks · +80.6 percentage points · $42.7M net increase; action accounted for 18.2%
PIID 36C79126K0024
Base award

This action

+$5.3M

COGNOSANTE MVH LLC

COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

EXPRESS REPORT DECEMBER 2025

Why it stands out

The contractor climbed 17 positions in this market.

It now ranks #2 by positive obligations over the latest 12 months.

Award net obligations
$5.3M
Share of 12-month positive obligations
10.7%
Supporting data
Prime contractor
#2 · 38.6% share
up 17 ranks · +37.4 percentage points · $19.3M net increase; action accounted for 27.7%
PIID 36C79126K0052
Base award

This action

+$4.9M

COGNOSANTE MVH LLC

COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

EXPRESS REPORT OCTOBER AND NOVEMBER 2025 (FY26)

Why it stands out

The contractor climbed 17 positions in this market.

It now ranks #2 by positive obligations over the latest 12 months.

Award net obligations
$4.9M
Share of 12-month positive obligations
9.7%
Base award

This action

+$949K

AMERICAN NATIONAL RED CROSS, THE

541-BRECKSVILLE (00541)

BLOOD AND BLOOD COMPONENTS

Why it stands out

No activity for this contractor was reported in this market during the preceding 12 months.

The base action placed the contractor #5 in this market by positive obligations over the latest 12 months.

Award net obligations
$949K
Share of 12-month positive obligations
1.9%
Supporting data
Prime contractor
#5 · 1.9% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#4 · 2.1% attributed share
up 9 ranks · +0.8 percentage points · $954K net increase; action accounted for 99.5%
PIID 36C25026N0624
Modification

This action

+$445K

BOSTON SCIENTIFIC CORP

689-WEST HAVEN (00689)(36C689)

CARDIAC HOLSTER MONITORING SERVICES. EXERCISE OY 1.

Why it stands out

The award grew alongside stronger office-attributed spending.

The modification added $445K while office-attributed obligations rose $451K overall.

Award net obligations
$1.4M
Share of 12-month positive obligations
0.89%
Supporting data
Prime contractor
#7 · 0.91% share
$28K net decline despite this positive action
Funding office
#6 · 0.88% attributed share
+0.9 percentage points · $451K net increase; action accounted for 98.7%
PIID 36C24123P1146 · Mod P00006
Deobligation

This action

−$676K

NATIONAL MARROW DONOR PROGRAM

626-NASHVILLE (00626)

MAINTAIN A REGISTRY OF POTENTIAL SOURCES OF HUMAN LEUKOCYTE ANTIGEN TYPED HEMATOPOIETIC STEM CELLS FOR TRANSPORTATION INTO UNRELATED PATIENTS.

Why it stands out

The award contracted while the contractor grew overall.

The action removed $676K while the contractor rose $406K.

Award net obligations
$1.3M
Share of 12-month positive obligations
1.4%
Supporting data
Prime contractor
#4 · 2.8% share
$406K net increase despite this negative action
Funding office
#2 · 4.7% attributed share
$131K net increase despite this negative action
PIID 36C24925P0275 · Mod P00001
View recent award activity by date (10)
  1. Action−$54K
    Award net obligations$52K
  2. Action−$4K
    Award net obligations$105K
  3. Action−$1K
    Award net obligations$257K
  4. Action+$30K
    Award net obligations$307K
  5. Action−$50K
    Award net obligations$25K
  6. Action−$30K
    Award net obligations$94K
  7. Action+$949K
    Award net obligations$949K
  8. Action−$49K
    Award net obligations$150K
  9. Action−$71K
    Award net obligations$10K
  10. Action−$60K
    Award net obligations$22K

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Reported obligations include contract actions from October 1, 2021 through July 27, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology