Federal Capture Intelligence

Top VA nursing care facilities (skilled nursing facilities) contractors (NAICS 623110)

Contract actions: October 1, 2021 – October 8, 2026 Updated October 9, 2026 Department of Veterans Affairs agency guide NAICS 623110 · Nursing Care Facilities (Skilled Nursing Facilities)
Latest 12 months
$228.3M
Net obligations · Down $573.8M vs. $802.1M preceding
Prime contractors
387
With positive obligations in the latest 12 months

Research the VA federal contracting market for nursing care facilities (skilled nursing facilities) under NAICS 623110. Compare top federal contractors and market share, reported contract obligations and spending trends, funding-office attribution, recent award activity, contract types, competition, and procurement methods, and observed contract vehicle usage.

Contract obligation trends for Nursing Care Facilities (Skilled Nursing Facilities) at the Department of Veterans Affairs

Federal records show $3.7B in net obligations across 13,947 awards in Nursing Care Facilities (Skilled Nursing Facilities) at the Department of Veterans Affairs from Oct 1, 2021 through Oct 8, 2026. This market accounts for 1.1% of $349.0B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 71.5% from $802.1M to $228.3M. 137 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 8, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $520K versus $17.2M through the same date in FY26 (−97.0%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$821.1M3,545Complete
FY2023$899.8M3,786Complete
FY2024$826.7M3,767Complete
FY2025$904.9M3,389Complete
FY2026$245.0M1,067Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$3.7B
13,947 awards · 1,876 prime contractors
Latest 12-month movement
−71.5%
$228.3M vs. $802.1M
Leading eight prime share
16.4%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
1.1% of $349.0B in agency-wide net obligations.
Set-aside share when reported
0.3% of 3,600 awards with reported set-aside status.
Set-aside reporting
9 set aside · 3,591 no set-aside · 10,347 not reported

What changed in the last 12 months?

Oct 9, 2025–Oct 8, 2026, compared with Oct 9, 2024–Oct 8, 2025.

Market structure

This market declined more steeply than 96.3% of comparable agency NAICS markets
−71.5%Agency median −5.6%
The agency comparison covers 150 comparable NAICS markets.
Top-five contractor share increased
4.62%→11.67%+7.0 percentage points
Contractors outside the top five now account for 88.3% of positive obligations.

Competitive shifts

PHOENIX AZ OPCO LLC climbed the most in the contractor rankings
#723→#5Up 718 places
The contractor accounts for 1.8% of positive obligations across 16 reported actions.
AMBLER HEALTHCARE GROUP LLC fell the most in the contractor rankings
#3→#45Down 42 places
The contractor accounts for 0.59% of positive obligations across 1 reported action.
12 contractors were first observed in this market during the latest 12 months
$11.8MLatest 12-month obligations
Contractor-level obligations and first-observed dates appear below. “First observed” applies only to this market and the period shown.
View 12 contractors
ContractorLatest 12 months

Buyer demand

Reported obligations through 642-PHILADELPHIA (00642)(36C642) decreased
$56.5M→$4.9M−$51.6M
Latest-period activity spans 6 awards across 6 prime contractors.
View 4 additional material changes

Buyer demand

Reported obligations through 257-NETWORK CONTRACT OFFICE 17 (36C257) increased
$1.4M→$9.0M+$7.6M
Latest-period activity spans 39 awards across 9 prime contractors.

Competitive shifts

FANNIN COUNTY HOSPITAL AUTHORITY had no reported activity in the latest 12 months
$9.2M→$0No latest-period activity
It previously ranked #1 by positive obligations, based on 4 reported actions.
WEST WHARTON COUNTY HOSPITAL DISTRICT was the largest newly observed contractor
$2.5MLatest 12-month obligations
First observed in this market on Apr 23, 2026, the contractor now ranks #19 by positive obligations across 5 reported actions.
RIDGECREST COMMUNITY HEALTHCARE, LLC gained the most market share
0.3%→2.6%+2.3 percentage points
The contractor now ranks #1 by positive obligations, based on 31 reported actions.
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.

Federal contract obligations by funding office

See how positive obligations were attributed across funding offices in the 12 months ending Oct 8, 2026.

12.8% of positive obligations were attributed to 261-NETWORK CONTRACT OFFICE 21 (36C261). That represents $31.8M, down $10.1M from the preceding 12 months.

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

  1. 261-NETWORK CONTRACT OFFICE 21 (36C261)12.8% · $31.8M · down $10.1M
  2. 438-SIOUX FALLS VA MED CTR (00438)11.2% · $27.9M · down $5.5M
  3. 644-PHOENIX (00644)7.1% · $17.6M · down $19.7M
  4. 618-MINNEAPOLIS VA MED CTR (00618)6.3% · $15.8M · down $4.4M
  5. 636-NEBRASKA WESTERN-IOWA (00636)4.8% · $11.8M · down $707K
  6. All other reported offices57.8% 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

    261-NETWORK CONTRACT OFFICE 21 (36C261)

    #1Up 1 from #2

    Latest 12 months

    $31.8M

    12.8% of positive obligations

    Versus preceding 12 months

    −$10.1M

    23 active prime contractors · 99 awards

    View office comparison and evidence

    Reported obligations decreased 24.2% from $41.9M to $31.8M. The office’s share of positive obligations moved from 5.1% to 12.8%, a change of +7.7 percentage points.

    The latest period contains 99 actions across 99 awards. The preceding period contained 39 active prime contractors and 177 awards.

  2. Reported funding office

    438-SIOUX FALLS VA MED CTR (00438)

    #2Up 2 from #4

    Latest 12 months

    $27.9M

    11.2% of positive obligations

    Versus preceding 12 months

    −$5.5M

    39 active prime contractors · 39 awards

    View office comparison and evidence

    Reported obligations decreased 16.4% from $33.3M to $27.9M. The office’s share of positive obligations moved from 4.1% to 11.2%, a change of +7.2 percentage points.

    The latest period contains 39 actions across 39 awards and 2 newly active prime contractors. The preceding period contained 55 active prime contractors and 55 awards.

  3. Reported funding office

    644-PHOENIX (00644)

    #3Rank unchanged

    Latest 12 months

    $17.6M

    7.1% of positive obligations

    Versus preceding 12 months

    −$19.7M

    8 active prime contractors · 77 awards

    View office comparison and evidence

    Reported obligations decreased 52.8% from $37.3M to $17.6M. The office’s share of positive obligations moved from 4.6% to 7.1%, a change of +2.5 percentage points.

    The latest period contains 77 actions across 77 awards and 2 newly active prime contractors. The preceding period contained 21 active prime contractors and 252 awards.

  4. Reported funding office

    618-MINNEAPOLIS VA MED CTR (00618)

    #4Up 8 from #12

    Latest 12 months

    $15.8M

    6.3% of positive obligations

    Versus preceding 12 months

    −$4.4M

    11 active prime contractors · 11 awards

    View office comparison and evidence

    Reported obligations decreased 21.8% from $20.2M to $15.8M. The office’s share of positive obligations moved from 2.5% to 6.3%, a change of +3.9 percentage points.

    The latest period contains 11 actions across 11 awards and 1 newly active prime contractor. The preceding period contained 25 active prime contractors and 25 awards.

  5. Reported funding office

    636-NEBRASKA WESTERN-IOWA (00636)

    #5Up 15 from #20

    Latest 12 months

    $11.8M

    4.8% of positive obligations

    Versus preceding 12 months

    −$707K

    13 active prime contractors · 13 awards

    View office comparison and evidence

    Reported obligations decreased 5.6% from $12.5M to $11.8M. The office’s share of positive obligations moved from 1.5% to 4.8%, a change of +3.2 percentage points.

    The latest period contains 13 actions across 13 awards and 1 newly active prime contractor. The preceding period contained 17 active prime contractors and 18 awards.

  6. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C595)

    #6Up 5 from #11

    Latest 12 months

    $11.3M

    4.5% of positive obligations

    Versus preceding 12 months

    −$9.1M

    17 active prime contractors · 19 awards

    View office comparison and evidence

    Reported obligations decreased 44.6% from $20.4M to $11.3M. The office’s share of positive obligations moved from 2.5% to 4.5%, a change of +2.1 percentage points.

    The latest period contains 19 actions across 19 awards. The preceding period contained 24 active prime contractors and 43 awards.

  7. Reported funding office

    460-WILMINGTON (00460)(36C460)

    #7Up 7 from #14

    Latest 12 months

    $9.5M

    3.8% of positive obligations

    Versus preceding 12 months

    −$6.0M

    12 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations decreased 38.9% from $15.5M to $9.5M. The office’s share of positive obligations moved from 1.9% to 3.8%, a change of +1.9 percentage points.

    The latest period contains 12 actions across 12 awards. The preceding period contained 13 active prime contractors and 14 awards.

  8. Reported funding office

    437-FARGO VA MEDICAL CENTER (00437)

    #8Down 2 from #6

    Latest 12 months

    $9.1M

    3.6% of positive obligations

    Versus preceding 12 months

    −$16.1M

    29 active prime contractors · 29 awards

    View office comparison and evidence

    Reported obligations decreased 63.9% from $25.2M to $9.1M. The office’s share of positive obligations moved from 3.1% to 3.6%, a change of +0.6 percentage points.

    The latest period contains 29 actions across 29 awards and 1 newly active prime contractor. The preceding period contained 29 active prime contractors and 29 awards.

  9. Reported funding office

    257-NETWORK CONTRACT OFFICE 17 (36C257)

    #9Up 70 from #79

    Latest 12 months

    $9.0M

    3.6% of positive obligations

    Versus preceding 12 months

    +$7.6M

    9 active prime contractors · 39 awards

    View office comparison and evidence

    Reported obligations increased 543.0% from $1.4M to $9.0M. The office’s share of positive obligations moved from 0.17% to 3.6%, a change of +3.5 percentage points.

    The latest period contains 39 actions across 39 awards and 6 newly active prime contractors. The preceding period contained 5 active prime contractors and 6 awards.

    Leading award-level changes

  10. Reported funding office

    631-LEEDS (00631)(36C631)

    #10Up 17 from #27

    Latest 12 months

    $8.5M

    3.4% of positive obligations

    Versus preceding 12 months

    −$420K

    10 active prime contractors · 11 awards

    View office comparison and evidence

    Reported obligations decreased 4.7% from $9.0M to $8.5M. The office’s share of positive obligations moved from 1.1% to 3.4%, a change of +2.4 percentage points.

    The latest period contains 31 actions across 11 awards. The preceding period contained 11 active prime contractors and 11 awards.

  11. Reported funding office

    691-VA GREATER LA HLTHCR SYS(00691)

    #12Down 7 from #5

    Latest 12 months

    $7.2M

    2.9% of positive obligations

    Versus preceding 12 months

    −$21.9M

    4 active prime contractors · 45 awards

    View office comparison and evidence

    Reported obligations decreased 75.4% from $29.1M to $7.2M. The office’s share of positive obligations moved from 3.5% to 2.9%, a change of −0.7 percentage points.

    The latest period contains 45 actions across 45 awards. The preceding period contained 27 active prime contractors and 243 awards.

  12. Reported funding office

    642-PHILADELPHIA (00642)(36C642)

    #16Down 15 from #1

    Latest 12 months

    $4.9M

    2.0% of positive obligations

    Versus preceding 12 months

    −$51.6M

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations decreased 91.3% from $56.5M to $4.9M. The office’s share of positive obligations moved from 6.9% to 2.0%, a change of −4.9 percentage points.

    The latest period contains 6 actions across 6 awards and 1 newly active prime contractor. The preceding period contained 18 active prime contractors and 41 awards.

    Leading award-level changes

  13. Reported funding office

    506-ANN ARBOR (00506)

    #19Up 72 from #91

    Latest 12 months

    $4.1M

    1.6% of positive obligations

    Versus preceding 12 months

    +$3.4M

    9 active prime contractors · 9 awards

    View office comparison and evidence

    Reported obligations increased 508.3% from $666K to $4.1M. The office’s share of positive obligations moved from 0.080% to 1.6%, a change of +1.6 percentage points.

    The latest period contains 9 actions across 9 awards and 6 newly active prime contractors. The preceding period contained 3 active prime contractors and 3 awards.

  14. Reported funding office

    HAMPTON 590 (36C590)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$21.7M

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $21.7M to $0. The office’s share of positive obligations moved from 2.6% to 0%, a change of −2.6 percentage points.

    The latest period contains 4 actions across 4 awards. The preceding period contained 15 active prime contractors and 27 awards.

  15. Reported funding office

    667-SHREVEPORT (00667)

    No positive-obligation rank

    Latest 12 months

    −$60K

    0% of positive obligations

    Versus preceding 12 months

    +$1.6M

    3 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations narrowed from $1.6M to $60K in net deobligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 7 active prime contractors and 9 awards.

  16. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C502)

    No positive-obligation rank

    Latest 12 months

    −$516K

    0% of positive obligations

    Versus preceding 12 months

    +$2.1M

    5 active prime contractors · 8 awards

    View office comparison and evidence

    Reported obligations narrowed from $2.6M to $516K in net deobligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 8 actions across 8 awards and 2 newly active prime contractors. The preceding period contained 8 active prime contractors and 18 awards.

  17. Reported funding office

    629-SOUTHEAST LA HLTHCR SYS (00629)

    No positive-obligation rank

    Latest 12 months

    −$4.1M

    0% of positive obligations

    Versus preceding 12 months

    +$4.5M

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations narrowed from $8.6M to $4.1M in net deobligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 6 actions across 6 awards and 1 newly active prime contractor. The preceding period contained 12 active prime contractors and 32 awards.

  18. Reported funding office

    598-NORTH LITTLE ROCK(00598)

    No positive-obligation rank

    Latest 12 months

    −$9.1M

    0% of positive obligations

    Versus preceding 12 months

    −$33.2M

    8 active prime contractors · 17 awards

    View office comparison and evidence

    Reported obligations moved from $24.1M in net obligations to $9.1M in net deobligations. The office’s share of positive obligations moved from 2.9% to 0%, a change of −2.9 percentage points.

    The latest period contains 17 actions across 17 awards and 4 newly active prime contractors. The preceding period contained 13 active prime contractors and 15 awards.

Contract types, competition, and procurement methods

From Oct 9, 2025 through Oct 8, 2026, 812 awards had positive obligations totaling $254.5M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 38.2% of positive obligations. Awards with a reported parent IDV accounted for 99.7%. Reported awards used contract vehicles such as VISN 23 Medicare Open and Continuous, Nursing Home Services, and North Texas/NCO 17.

Leading award type
99.7%
Delivery Order
Leading reported procedure
38.2%
Negotiated Proposal/Quote
Reported parent IDV
99.7%
of positive obligations had a reported parent IDV
Median reported offers
1
7 of 812 awards reported offers · Limited reporting

Observed contract vehicles

Only exact reported parent-PIID matches are shown; missing parent IDs are not inferred.

Buying method changes

Compared with Oct 9, 2024–Oct 8, 2025. Based on 812 current awards and 2,794 preceding awards with positive net obligations.

Leading reported procedure
Negotiated Proposal/Quote
Previously Only One Source · 38.8% preceding vs 38.2% current
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.

View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Delivery Order(C)808$253.6M99.7%
Purchase Order(B)3$523K0.21%
Definitive Contract(D)1$331K0.13%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)808$253.6M99.7%
Not reported4$854K0.34%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)805$253.5M99.6%
Multiple Award(M)3$171K0.070%
Not reported4$854K0.34%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)225$97.2M38.2%
Only One Source(SSS)327$88.2M34.6%
Simplified Acquisition(SP1)141$31.0M12.2%
Sss(ONLY ONE SOURCE)94$30.6M12.0%
Sp1(SIMPLIFIED ACQUISITION)9$4.6M1.8%
Np(NEGOTIATED PROPOSAL/QUOTE)9$2.6M1.0%
Other reported values7$289K0.11%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)226$97.3M38.2%
Not Competed(C)319$87.5M34.4%
C(NOT COMPETED)94$30.6M12.0%
Competed Under SAP(F)89$22.6M8.9%
Not Competed Under SAP(G)54$8.5M3.4%
F(COMPETED UNDER SAP)7$3.7M1.5%
Other reported values23$4.3M1.7%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)2$165K0.060%
Only One Source - Other(ONE)1$6K0%
Not reported809$254.3M99.9%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)383$112.4M44.2%
SAP Non-Competition (FAR 13)(SP2)51$8.6M3.4%
Follow-on Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)26$4.8M1.9%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)13$1.5M0.59%
Urgency (FAR 6.302-2)(URG)3$623K0.24%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$185K0.070%
Not reported335$126.4M49.7%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)556$178.4M70.1%
Fixed Price with Economic Price Adjustment(K)143$38.3M15.0%
J(FIRM FIXED PRICE)91$26.2M10.3%
K(FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT)21$11.6M4.6%
Cost Sharing(T)1$62K0.020%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Nursing Home, Long-Term & Adult Day Care Services(Q402)806$252.7M99.3%
Medical- Nursing(Q401)2$965K0.38%
Pharmacy Services(Q517)3$523K0.21%
Social- Social Rehabilitation(G004)1$321K0.13%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)812$254.5M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Network Contract Office 23 (36c263)(36C263)114$75.0M29.5%
244-Network Contract Office 4 (36c244)(36C244)60$39.4M15.5%
261-Network Contract Office 21 (36c261)(36C261)96$31.8M12.5%
262-Network Contract Office 22 (36c262)(36C262)151$28.3M11.1%
257-Network Contract Office 17 (36c257)(36C257)124$27.4M10.8%
241-Network Contract Office 01 (36c241)(36C241)59$16.7M6.6%
Other reported values208$35.9M14.1%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C26226D0040(3600)26$5.7M2.2%
36C26124D0027(3600)4$5.3M2.1%
36C26226D0037(3600)17$4.8M1.9%
36C25721D0038(3600)5$4.2M1.6%
36C26324D0017(3600)1$3.8M1.5%
36C26125D0021(3600)4$3.3M1.3%
36C26322D0152(3600)1$3.2M1.3%
36C26322D0080(3600)1$3.2M1.3%
Other reported values749$220.2M86.5%
Not reported4$854K0.34%

Exact vehicle-match evidence

Reported award data linked 144 awards to a specific catalog vehicle.

Offers, award size, and timing

Median reported offers
1 median
7 reported · 805 not reported · Limited reporting
Positive award obligations
$189K median
$64K–$323K middle 50%
Reported performance period
141 days (~5 months) median
812 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 Oct 8, 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.

Top federal contractors

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

Prime contractor concentration
137 of 387prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
2.6%of positive obligations in the last 12 months
Leading four prime contractors
9.8%of positive obligations in the last 12 months
Leading eight prime contractors
16.4%of positive obligations in the last 12 months

Based on $252.3M in positive obligations during the 12 months ending Oct 8, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 9, 2024–Oct 8, 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

    $6.7M

    2.6%

    Dollar movement

    +$3.9M

    vs. prior 12 months

    Last 12mo awards

    31 awards

    31 actions

    Historical and award details for RIDGECREST COMMUNITY HEALTHCARE, LLC
    Obligations: prior → latest
    $2.8M → $6.7M
    +139.7%
    Share: prior → latest
    0.34% → 2.6%
    +2.3 percentage points
    All-period obligations
    $9.4M
    0.25% of all-period positive obligations · 44 awards
    Recorded activity
    Since Mar 10, 2025
    through Jul 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported3113
    Reported small business3113
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $6.6M

    2.6%

    Dollar movement

    −$1.8M

    vs. prior 12 months

    Last 12mo awards

    25 awards

    25 actions

    Historical and award details for SCOTTSDALE AZ OPCO LLC
    Obligations: prior → latest
    $8.4M → $6.6M
    −21.7%
    Share: prior → latest
    1.0% → 2.6%
    +1.6 percentage points
    All-period obligations
    $15.0M
    0.41% of all-period positive obligations · 68 awards
    Recorded activity
    Since Sep 1, 2024
    through Sep 1, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside012
    Not reported2530
    Reported small business2542
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $6.3M

    2.5%

    Dollar movement

    +$873K

    vs. prior 12 months

    Last 12mo awards

    21 awards

    21 actions

    Historical and award details for CRESTWOOD BEHAVIORAL HEALTH, INC
    Obligations: prior → latest
    $5.5M → $6.3M
    +16.0%
    Share: prior → latest
    0.66% → 2.5%
    +1.9 percentage points
    All-period obligations
    $27.5M
    0.74% of all-period positive obligations · 129 awards
    Recorded activity
    Since Oct 1, 2021
    through Aug 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside02
    Not reported2127
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $5.3M

    2.1%

    Dollar movement

    −$131K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for MAUNALANI NURSING & REHABILITATION CENTER
    Obligations: prior → latest
    $5.4M → $5.3M
    −2.4%
    Share: prior → latest
    0.65% → 2.1%
    +1.4 percentage points
    All-period obligations
    $19.5M
    0.53% of all-period positive obligations · 26 awards
    Recorded activity
    Since Dec 20, 2021
    through Aug 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported45
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $4.6M

    1.8%

    Dollar movement

    +$4.4M

    vs. prior 12 months

    Last 12mo awards

    16 awards

    16 actions

    Historical and award details for PHOENIX AZ OPCO LLC
    Obligations: prior → latest
    $224K → $4.6M
    +1962.5%
    Share: prior → latest
    0.030% → 1.8%
    +1.8 percentage points
    All-period obligations
    $4.8M
    0.13% of all-period positive obligations · 17 awards
    Recorded activity
    Since Sep 30, 2025
    through Aug 27, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported161
    Reported small business161
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $4.2M

    1.6%

    Dollar movement

    +$4.2M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    5 actions

    Historical and award details for MEDINA COUNTY HOSPITAL DISTRICT
    Obligations: prior → latest
    $0 → $4.2M
    Not comparable
    Share: prior → latest
    0% → 1.6%
    +1.6 percentage points
    All-period obligations
    $4.4M
    0.12% of all-period positive obligations · 7 awards
    Recorded activity
    Since Mar 24, 2022
    through Feb 4, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported50
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $3.9M

    1.5%

    Dollar movement

    +$331K

    vs. prior 12 months

    Last 12mo awards

    13 awards

    13 actions

    Historical and award details for CARE MERIDIAN
    Obligations: prior → latest
    $3.5M → $3.9M
    +9.3%
    Share: prior → latest
    0.43% → 1.5%
    +1.1 percentage points
    All-period obligations
    $43.7M
    1.2% of all-period positive obligations · 201 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported1316
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $3.8M

    1.5%

    Dollar movement

    +$1.2M

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for ST. ANTHONY PARK HOME, INC.
    Obligations: prior → latest
    $2.6M → $3.8M
    +44.5%
    Share: prior → latest
    0.32% → 1.5%
    +1.2 percentage points
    All-period obligations
    $11.1M
    0.30% of all-period positive obligations · 6 awards
    Recorded activity
    Since Apr 12, 2022
    through May 1, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business11
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $3.3M

    1.3%

    Dollar movement

    +$181K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for HALE HO ALOHA INC
    Obligations: prior → latest
    $3.1M → $3.3M
    +5.8%
    Share: prior → latest
    0.38% → 1.3%
    +0.9 percentage points
    All-period obligations
    $13.8M
    0.37% of all-period positive obligations · 25 awards
    Recorded activity
    Since Oct 1, 2021
    through Aug 27, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported45
    Reported small business45
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $3.2M

    1.3%

    Dollar movement

    +$847K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for SENIOR CARE PROVIDENCE LLC
    Obligations: prior → latest
    $2.4M → $3.2M
    +35.8%
    Share: prior → latest
    0.29% → 1.3%
    +1.0 percentage points
    All-period obligations
    $9.8M
    0.27% of all-period positive obligations · 5 awards
    Recorded activity
    Since Apr 12, 2022
    through May 1, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $3.2M

    1.3%

    Dollar movement

    +$1.3M

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for FLORENCE HOME
    Obligations: prior → latest
    $1.9M → $3.2M
    +71.5%
    Share: prior → latest
    0.22% → 1.3%
    +1.0 percentage points
    All-period obligations
    $9.3M
    0.25% of all-period positive obligations · 6 awards
    Recorded activity
    Since Apr 20, 2022
    through Mar 2, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business00
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $3.2M

    1.3%

    Dollar movement

    +$395K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for DOUGLAS COUNTY HEALTH CENTER
    Obligations: prior → latest
    $2.8M → $3.2M
    +14.2%
    Share: prior → latest
    0.34% → 1.3%
    +0.9 percentage points
    All-period obligations
    $12.2M
    0.33% of all-period positive obligations · 6 awards
    Recorded activity
    Since Jul 21, 2022
    through Feb 27, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business00
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $2.8M

    1.1%

    Dollar movement

    +$2.8M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for FRIO HOSPITAL DISTRICT
    Obligations: prior → latest
    $0 → $2.8M
    Not comparable
    Share: prior → latest
    0% → 1.1%
    +1.1 percentage points
    All-period obligations
    $4.1M
    0.11% of all-period positive obligations · 5 awards
    Recorded activity
    Since Oct 29, 2021
    through Oct 15, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported40
    Reported small business00
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $2.8M

    1.1%

    Dollar movement

    −$2.0M

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for REGAL HEIGHTS HEALTHCARE & REHAB CENTER LLC
    Obligations: prior → latest
    $4.9M → $2.8M
    −41.3%
    Share: prior → latest
    0.59% → 1.1%
    +0.5 percentage points
    All-period obligations
    $12.8M
    0.35% of all-period positive obligations · 6 awards
    Recorded activity
    Since Oct 1, 2021
    through Nov 12, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business11
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $2.8M

    1.1%

    Dollar movement

    −$516K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    6 actions

    Historical and award details for BERKSHIRE MA SNF LLC
    Obligations: prior → latest
    $3.3M → $2.8M
    −15.5%
    Share: prior → latest
    0.40% → 1.1%
    +0.7 percentage points
    All-period obligations
    $20.7M
    0.56% of all-period positive obligations · 51 awards
    Recorded activity
    Since Apr 30, 2022
    through Aug 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported42
    Reported small business00
    All-period set-aside types

    None reported.

Recent federal contract award activity

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

Base award

This action

+$1.6M

FRIO HOSPITAL DISTRICT

740-HARLINGEN (00740)

EXPRESS REPORT: COR SPEND REPORT BASE

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 #13 in this market by positive obligations over the latest 12 months.

Award net obligations
$1.6M
Share of 12-month positive obligations
0.64%
Supporting data
Prime contractor
#13 · 1.1% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#24 · 1.1% attributed share
$686K net decline despite this positive action
PIID 36C25726K0011
Base award

This action

+$1.3M

MEDINA COUNTY HOSPITAL DISTRICT

257-NETWORK CONTRACT OFFICE 17 (36C257)

EXPRESS REPORT: NURSING HOME CARE OY2

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 #6 in this market by positive obligations over the latest 12 months.

Award net obligations
$1.3M
Share of 12-month positive obligations
0.50%
Supporting data
Prime contractor
#6 · 1.6% share
Newly active in this market; no actions were reported in the preceding 12 months
PIID 36C25726K0087
Base award

This action

+$3.8M

ST. ANTHONY PARK HOME, INC.

438-SIOUX FALLS VA MED CTR (00438)

EXPRESS REPORT: NURSING HOME SERVICES

Why it stands out

The contractor climbed 53 positions in this market.

It now ranks #8 by positive obligations over the latest 12 months.

Award net obligations
$3.8M
Share of 12-month positive obligations
1.5%
Supporting data
Funding office
#2 · 11.2% attributed share
$5.5M net decline despite this positive action
PIID 36C26326K0028
Base award

This action

+$3.2M

SENIOR CARE PROVIDENCE LLC

438-SIOUX FALLS VA MED CTR (00438)

EXPRESS REPORT: NURSING HOME SERVICES

Why it stands out

The contractor climbed 69 positions in this market.

It now ranks #10 by positive obligations over the latest 12 months.

Award net obligations
$3.2M
Share of 12-month positive obligations
1.3%
Supporting data
Funding office
#2 · 11.2% attributed share
$5.5M net decline despite this positive action
PIID 36C26326K0013
Base award

This action

+$3.2M

FLORENCE HOME

636-NEBRASKA WESTERN-IOWA (00636)

EXPRESS REPORT: NURSING HOME SERVICES - 1ST QUARTER EXPRESS REPORTS

Why it stands out

The contractor climbed 98 positions in this market.

It now ranks #11 by positive obligations over the latest 12 months.

Award net obligations
$3.2M
Share of 12-month positive obligations
1.3%
Supporting data
Funding office
#5 · 4.8% attributed share
$707K net decline despite this positive action
PIID 36C26326K0069
Base award

This action

+$3.2M

DOUGLAS COUNTY HEALTH CENTER

636-NEBRASKA WESTERN-IOWA (00636)

EXPRESS REPORT: NURSING HOME SERVICES

Why it stands out

The contractor climbed 39 positions in this market.

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

Award net obligations
$3.2M
Share of 12-month positive obligations
1.3%
Supporting data
Funding office
#5 · 4.8% attributed share
$707K net decline despite this positive action
PIID 36C26326K0067
View recent award activity by date (10)
  1. STRATFORD HOSPITAL DISTRICTBase award · PIID 36C25727K0006
    Action+$252K
    Award net obligations$252K
  2. STRATFORD HOSPITAL DISTRICTBase award · PIID 36C25727K0007
    Action+$250K
    Award net obligations$250K
  3. STRATFORD HOSPITAL DISTRICTBase award · PIID 36C25727K0005
    Action+$18K
    Award net obligations$18K
  4. KF COMMUNITY CARE, LLCBase award · PIID 36C26226K0158
    Action+$200K
    Award net obligations$200K
  5. THE REHABILITATION CENTER AT JUPITER GARDENS LLCBase award · PIID 36C24826K0043
    Action+$106K
    Award net obligations$106K
  6. RIM COUNTRY REHAB, INC.Base award · PIID 36C26226K0108
    Action+$88K
    Award net obligations$88K
  7. KF COMMUNITY CARE, LLCBase award · PIID 36C26226K0159
    Action+$11K
    Award net obligations$11K
  8. BEECHWOOD HOMEBase award · PIID 36C25026K0108
    Action+$675K
    Award net obligations$675K
  9. SHIPPENSBURG OPCO, LLCBase award · PIID 36C24426K0088
    Action+$610K
    Award net obligations$610K
  10. LUTHERAN SENIOR SERVICES EASTBase award · PIID 36C24426K0089
    Action+$522K
    Award net obligations$522K

VA nursing care facilities (skilled nursing facilities) market FAQs

Answers based on reported federal contract data.

Who are the top VA nursing care facilities (skilled nursing facilities) contractors?

In the 12 months through October 8, 2026, RIDGECREST COMMUNITY HEALTHCARE, LLC, SCOTTSDALE AZ OPCO LLC, and CRESTWOOD BEHAVIORAL HEALTH, INC were the leading VA nursing care facilities (skilled nursing facilities) prime contractors by positive obligations.

  1. #1

    RIDGECREST COMMUNITY HEALTHCARE, LLC

    $6,655,474 in positive obligations

  2. #2

    SCOTTSDALE AZ OPCO LLC

    $6,570,047 in positive obligations

  3. #3

    CRESTWOOD BEHAVIORAL HEALTH, INC

    $6,340,653 in positive obligations

Rankings use reported USAspending award data.

Did VA contract obligations decrease in the nursing care facilities (skilled nursing facilities) market?

Yes. Measured by net prime contract obligations, reported VA activity in the nursing care facilities (skilled nursing facilities) market decreased 71.5% from $802,141,471 in the preceding 12 months to $228,337,143 in the 12 months through October 8, 2026.

Latest 12 months
$228,337,143
Net prime contract obligations
Preceding 12 months
$802,141,471
Net prime contract obligations
Change
−71.5%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

What recent VA contract award activity was reported in the nursing care facilities (skilled nursing facilities) market?

Recent VA contract award activity reported in the nursing care facilities (skilled nursing facilities) market included actions for FRIO HOSPITAL DISTRICT, MEDINA COUNTY HOSPITAL DISTRICT, and ST. ANTHONY PARK HOME, INC. during the 12 months through October 8, 2026.

Action obligations are transaction-level amounts, not current award-level obligations.

Which procurement methods were reported for VA contracts under NAICS 623110?

From October 9, 2025 through October 8, 2026, VA reported 812 positive-obligation awards for nursing care facilities (skilled nursing facilities) under NAICS 623110. The leading award type was delivery order. The leading reported procedure was negotiated proposal/quote.

Positive-obligation awards
812
Leading reported procedure
Negotiated Proposal/Quote
38.2% of positive obligations
Leading award type
Delivery Order
99.7% of positive obligations
Full and open
38.2%
of positive obligations
Reported parent IDV
99.7%
of positive obligations
Observed vehicles
VISN 23 Medicare Open and Continuous, Nursing Home Services, and North Texas/NCO 17
Exact matches from reported parent PIIDs

Percentages use positive obligations as the denominator.

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Related market research

Complete market indexes:

Nearby NAICS at this agency:

Leading-prime vehicle memberships:

Company memberships do not establish award-channel use.

Reported obligations include contract actions from October 1, 2021 through October 8, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology