Federal Capture Intelligence

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

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Veterans Affairs agency guide NAICS 623110 · Nursing Care Facilities (Skilled Nursing Facilities)
Latest 12 months
$241.2M
Net obligations · Down $528.4M vs. $769.5M preceding
Prime contractors
382
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 14,034 awards in Nursing Care Facilities (Skilled Nursing Facilities) at the Department of Veterans Affairs from Oct 1, 2021 through Oct 23, 2026. This market accounts for 1.1% of $349.8B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 68.7% from $769.5M to $241.2M. 139 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 23, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $14.6M versus $29.1M through the same date in FY26 (−49.8%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$821.1M3,545Complete
FY2023$900.8M3,792Complete
FY2024$827.8M3,771Complete
FY2025$904.9M3,389Complete
FY2026$255.7M1,111Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$3.7B
14,034 awards · 1,880 prime contractors
Latest 12-month movement
−68.7%
$241.2M vs. $769.5M
Leading eight prime share
15.9%
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 $349.8B 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 · 10,434 not reported

What changed in the last 12 months?

Oct 24, 2025–Oct 23, 2026, compared with Oct 24, 2024–Oct 23, 2025.

Market structure

This market declined more steeply than 97.0% of comparable agency NAICS markets
−68.7%Agency median −7.0%
The agency comparison covers 149 comparable NAICS markets.
Top-five contractor share increased
4.44%→11.46%+7.0 percentage points
Contractors outside the top five now account for 88.5% of positive obligations.

Competitive shifts

PHOENIX AZ OPCO LLC climbed the most in the contractor rankings
#717→#5Up 712 places
The contractor accounts for 1.8% of positive obligations across 16 reported actions.
15 contractors were first observed in this market during the latest 12 months
$15.3MLatest 12-month obligations
Contractor-level obligations and first-observed dates appear below. “First observed” applies only to this market and the period shown.
View 15 contractors
ContractorLatest 12 months

Buyer demand

Reported obligations through 642-PHILADELPHIA (00642)(36C642) decreased
$36.3M→$6.4M−$29.9M
Latest-period activity spans 6 awards across 6 prime contractors.
Reported obligations through 257-NETWORK CONTRACT OFFICE 17 (36C257) increased
$2.1M→$12.6M+$10.5M
Latest-period activity spans 43 awards across 11 prime contractors.
View 3 additional material changes

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 #18 by positive obligations across 5 reported actions.
RIDGECREST COMMUNITY HEALTHCARE, LLC gained the most market share
0.3%→2.5%+2.2 percentage points
The contractor now ranks #2 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 23, 2026.

12.2% 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)12.2% · $31.8M · down $10.1M
  2. 438-SIOUX FALLS VA MED CTR (00438)10.7% · $27.9M · down $5.5M
  3. 644-PHOENIX (00644)7.1% · $18.4M · down $18.9M
  4. 618-MINNEAPOLIS VA MED CTR (00618)6.0% · $15.8M · down $4.4M
  5. 257-NETWORK CONTRACT OFFICE 17 (36C257)4.8% · $12.6M · up $10.5M
  6. All other reported offices59.2% 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)

    #1Rank unchanged

    Latest 12 months

    $31.8M

    12.2% of positive obligations

    Versus preceding 12 months

    −$10.1M

    23 active prime contractors · 96 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 5.3% to 12.2%, a change of +6.9 percentage points.

    The latest period contains 96 actions across 96 awards. The preceding period contained 39 active prime contractors and 178 awards.

  2. Reported funding office

    438-SIOUX FALLS VA MED CTR (00438)

    #2Up 2 from #4

    Latest 12 months

    $27.9M

    10.7% 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 4.2% to 10.7%, a change of +6.5 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)

    #3Down 1 from #2

    Latest 12 months

    $18.4M

    7.1% of positive obligations

    Versus preceding 12 months

    −$18.9M

    8 active prime contractors · 80 awards

    View office comparison and evidence

    Reported obligations decreased 50.7% from $37.3M to $18.4M. The office’s share of positive obligations moved from 4.7% to 7.1%, a change of +2.3 percentage points.

    The latest period contains 80 actions across 80 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 6 from #10

    Latest 12 months

    $15.8M

    6.0% 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 2.6% to 6.0%, a change of +3.5 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

    257-NETWORK CONTRACT OFFICE 17 (36C257)

    #5Up 71 from #76

    Latest 12 months

    $12.6M

    4.8% of positive obligations

    Versus preceding 12 months

    +$10.5M

    11 active prime contractors · 43 awards

    View office comparison and evidence

    Reported obligations increased 508.5% from $2.1M to $12.6M. The office’s share of positive obligations moved from 0.26% to 4.8%, a change of +4.6 percentage points.

    The latest period contains 43 actions across 43 awards and 9 newly active prime contractors. The preceding period contained 4 active prime contractors and 8 awards.

    Leading award-level changes

  6. Reported funding office

    636-NEBRASKA WESTERN-IOWA (00636)

    #6Up 14 from #20

    Latest 12 months

    $11.8M

    4.5% 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 1.6% to 4.5%, a change of +3.0 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.

  7. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C595)

    #7Up 4 from #11

    Latest 12 months

    $9.5M

    3.6% of positive obligations

    Versus preceding 12 months

    −$8.7M

    12 active prime contractors · 14 awards

    View office comparison and evidence

    Reported obligations decreased 47.7% from $18.2M to $9.5M. The office’s share of positive obligations moved from 2.3% to 3.6%, a change of +1.4 percentage points.

    The latest period contains 14 actions across 14 awards. The preceding period contained 24 active prime contractors and 37 awards.

  8. Reported funding office

    460-WILMINGTON (00460)(36C460)

    #8Up 6 from #14

    Latest 12 months

    $9.5M

    3.6% 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 2.0% to 3.6%, a change of +1.7 percentage points.

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

  9. Reported funding office

    437-FARGO VA MEDICAL CENTER (00437)

    #9Down 3 from #6

    Latest 12 months

    $9.1M

    3.5% 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 3.2% to 3.5%, a change of +0.3 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.

  10. Reported funding office

    631-LEEDS (00631)(36C631)

    #10Up 18 from #28

    Latest 12 months

    $8.5M

    3.3% 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 3.3%, a change of +2.1 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

    2.8% 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 3.7% to 2.8%, a change of −0.9 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)

    #14Down 11 from #3

    Latest 12 months

    $6.4M

    2.5% of positive obligations

    Versus preceding 12 months

    −$29.9M

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations decreased 82.3% from $36.3M to $6.4M. The office’s share of positive obligations moved from 4.6% to 2.5%, a change of −2.1 percentage points.

    The latest period contains 6 actions across 6 awards. The preceding period contained 19 active prime contractors and 23 awards.

  13. Reported funding office

    506-ANN ARBOR (00506)

    #20Up 70 from #90

    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 +1.5 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

    689-WEST HAVEN (00689)(36C689)

    #31Down 22 from #9

    Latest 12 months

    $1.7M

    0.65% of positive obligations

    Versus preceding 12 months

    −$19.2M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 91.9% from $20.9M to $1.7M. The office’s share of positive obligations moved from 2.6% to 0.65%, a change of −2.0 percentage points.

    The latest period contains 1 action across 1 award. The preceding period contained 14 active prime contractors and 25 awards.

  15. Reported funding office

    520-BILOXI (00520)

    #37New to the positive-obligation ranking

    Latest 12 months

    $922K

    0.35% of positive obligations

    Versus preceding 12 months

    +$4.8M

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations moved from $3.9M in net deobligations to $922K in net obligations. The office’s share of positive obligations moved from 0% to 0.35%, a change of +0.3 percentage points.

    The latest period contains 4 actions across 4 awards. The preceding period contained 5 active prime contractors and 13 awards.

  16. 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 2.8% to 0%, a change of −2.8 percentage points.

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

  17. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C502)

    No positive-obligation rank

    Latest 12 months

    −$504K

    0% of positive obligations

    Versus preceding 12 months

    +$2.1M

    5 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations narrowed from $2.6M to $504K 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 7 actions across 7 awards and 2 newly active prime contractors. The preceding period contained 8 active prime contractors and 19 awards.

  18. 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.

  19. 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 3.0% to 0%, a change of −3.0 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.

    Leading award-level changes

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 829 awards had positive obligations totaling $266.8M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 34.9% 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
34.9%
Negotiated Proposal/Quote
Reported parent IDV
99.7%
of positive obligations had a reported parent IDV
Median reported offers
1
8 of 829 awards reported offers · Limited reporting

Observed contract vehicles

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

View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Delivery Order(C)825$265.9M99.7%
Purchase Order(B)3$523K0.20%
Definitive Contract(D)1$331K0.12%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)825$265.9M99.7%
Not reported4$854K0.32%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)821$265.6M99.6%
Multiple Award(M)4$295K0.11%
Not reported4$854K0.32%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)208$93.0M34.9%
Only One Source(SSS)315$85.7M32.1%
Sss(ONLY ONE SOURCE)117$41.1M15.4%
Simplified Acquisition(SP1)132$28.8M10.8%
Np(NEGOTIATED PROPOSAL/QUOTE)30$8.7M3.3%
Sp1(SIMPLIFIED ACQUISITION)17$7.8M2.9%
Other reported values10$1.7M0.64%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)209$93.0M34.9%
Not Competed(C)307$84.9M31.8%
C(NOT COMPETED)116$41.1M15.4%
Competed Under SAP(F)82$20.7M7.8%
A(FULL AND OPEN COMPETITION)31$8.8M3.3%
Not Competed Under SAP(G)52$8.3M3.1%
Other reported values32$10.0M3.7%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)2$165K0.060%
Only One Source - Other(ONE)2$130K0.050%
Not reported825$266.5M99.9%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)392$119.8M44.9%
SAP Non-Competition (FAR 13)(SP2)49$8.3M3.1%
Follow-on Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)27$5.5M2.0%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)14$1.5M0.58%
Urgency (FAR 6.302-2)(URG)3$623K0.23%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$185K0.070%
Not reported343$130.8M49.0%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)534$171.3M64.2%
J(FIRM FIXED PRICE)125$41.1M15.4%
Fixed Price with Economic Price Adjustment(K)127$36.3M13.6%
K(FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT)42$17.9M6.7%
Cost Sharing(T)1$62K0.020%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Nursing Home, Long-Term & Adult Day Care Services(Q402)823$264.9M99.3%
Medical- Nursing(Q401)2$965K0.36%
Pharmacy Services(Q517)3$523K0.20%
Social- Social Rehabilitation(G004)1$321K0.12%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)829$266.8M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Network Contract Office 23 (36c263)(36C263)114$75.0M28.1%
244-Network Contract Office 4 (36c244)(36C244)55$38.8M14.6%
261-Network Contract Office 21 (36c261)(36C261)96$31.8M11.9%
257-Network Contract Office 17 (36c257)(36C257)133$31.5M11.8%
262-Network Contract Office 22 (36c262)(36C262)156$29.4M11.0%
241-Network Contract Office 01 (36c241)(36C241)69$23.7M8.9%
Other reported values206$36.7M13.7%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C26226D0040(3600)26$5.7M2.1%
36C26124D0027(3600)4$5.3M2.0%
36C26226D0037(3600)17$4.8M1.8%
36C25721D0038(3600)5$4.2M1.6%
36C26324D0017(3600)1$3.8M1.4%
36C26125D0021(3600)4$3.3M1.2%
36C26322D0152(3600)1$3.2M1.2%
36C26322D0080(3600)1$3.2M1.2%
Other reported values766$232.5M87.2%
Not reported4$854K0.32%

Exact vehicle-match evidence

Reported award data linked 140 awards to a specific catalog vehicle.

Offers, award size, and timing

Median reported offers
1 median
8 reported · 821 not reported · Limited reporting
Positive award obligations
$194K median
$65K–$331K middle 50%
Reported performance period
139 days (~5 months) median
829 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 23, 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
139 of 382prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
2.8%of positive obligations in the last 12 months
Leading four prime contractors
9.7%of positive obligations in the last 12 months
Leading eight prime contractors
15.9%of positive obligations in the last 12 months

Based on $263.9M in positive obligations during the 12 months ending Oct 23, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 24, 2024–Oct 23, 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

    $7.4M

    2.8%

    Dollar movement

    −$1.0M

    vs. prior 12 months

    Last 12mo awards

    28 awards

    28 actions

    Historical and award details for SCOTTSDALE AZ OPCO LLC
    Obligations: prior → latest
    $8.4M → $7.4M
    −12.3%
    Share: prior → latest
    1.1% → 2.8%
    +1.7 percentage points
    All-period obligations
    $15.8M
    0.42% of all-period positive obligations · 71 awards
    Recorded activity
    Since Sep 1, 2024
    through Sep 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside012
    Not reported2830
    Reported small business2842
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $6.7M

    2.5%

    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
    0.35% → 2.5%
    +2.2 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.

  3. #3

    Last 12mo obligations

    $6.3M

    2.4%

    Dollar movement

    +$873K

    vs. prior 12 months

    Last 12mo awards

    20 awards

    20 actions

    Historical and award details for CRESTWOOD BEHAVIORAL HEALTH, INC
    Obligations: prior → latest
    $5.5M → $6.3M
    +16.0%
    Share: prior → latest
    0.69% → 2.4%
    +1.7 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 reported2027
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $5.3M

    2.0%

    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
    0.68% → 2.0%
    +1.3 percentage points
    All-period obligations
    $19.5M
    0.52% 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%
    +1.7 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

    12 awards

    12 actions

    Historical and award details for CARE MERIDIAN
    Obligations: prior → latest
    $3.5M → $3.9M
    +9.3%
    Share: prior → latest
    0.44% → 1.5%
    +1.0 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 reported1216
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $3.8M

    1.4%

    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
    0.33% → 1.4%
    +1.1 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
    0.39% → 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

    1.2%

    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
    0.30% → 1.2%
    +0.9 percentage points
    All-period obligations
    $9.8M
    0.26% 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

    1.2%

    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
    0.23% → 1.2%
    +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

    1.2%

    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
    0.35% → 1.2%
    +0.8 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

    −$2.0M

    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
    0.61% → 1.1%
    +0.5 percentage points
    All-period obligations
    $12.8M
    0.34% 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.

  14. #14

    Last 12mo obligations

    $2.8M

    1.1%

    Dollar movement

    −$492K

    vs. prior 12 months

    Last 12mo awards

    5 awards

    8 actions

    Historical and award details for BERKSHIRE MA SNF LLC
    Obligations: prior → latest
    $3.3M → $2.8M
    −14.8%
    Share: prior → latest
    0.42% → 1.1%
    +0.7 percentage points
    All-period obligations
    $20.7M
    0.56% of all-period positive obligations · 52 awards
    Recorded activity
    Since Apr 30, 2022
    through Oct 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported52
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $2.8M

    1.1%

    Dollar movement

    +$312K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for HELIOS HEALTHCARE, LLC
    Obligations: prior → latest
    $2.5M → $2.8M
    +12.5%
    Share: prior → latest
    0.31% → 1.1%
    +0.8 percentage points
    All-period obligations
    $16.7M
    0.45% of all-period positive obligations · 34 awards
    Recorded activity
    Since Oct 7, 2021
    through Aug 14, 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.

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

+$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 45 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
1.4%
Supporting data
Funding office
#2 · 10.7% 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 63 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
1.2%
Supporting data
Funding office
#2 · 10.7% 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 91 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
1.2%
Supporting data
Funding office
#6 · 4.5% 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 33 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
1.2%
Supporting data
Funding office
#6 · 4.5% attributed share
$707K net decline despite this positive action
PIID 36C26326K0067
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
0.47%
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

+$2.8M

REGAL HEIGHTS HEALTHCARE & REHAB CENTER LLC

460-WILMINGTON (00460)(36C460)

EXPRESS REPORT: CNH - SERVICES 10/01/2024 TO 09/30/2025.

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 1.1% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $2.0M overall.

Award net obligations
$2.8M
Share of 12-month positive obligations
1.1%
Supporting data
Prime contractor
#13 · 1.1% share
$2.0M net decline despite this positive action
Funding office
#8 · 3.6% attributed share
$6.0M net decline despite this positive action
PIID 36C24426K0018
View recent award activity by date (10)
  1. BM REHAB & NURSING CENTER LLCBase award · PIID 36C24427K0004
    Action+$1.2M
    Award net obligations$1.2M
  2. CHELSEA JEWISH GREEN HOUSE, INC.Base award · PIID 36C24127K0007
    Action+$2.0M
    Award net obligations$2.0M
  3. ST JOSEPH MANOR HEALTH CARE INCBase award · PIID 36C24127K0004
    Action+$1.8M
    Award net obligations$1.8M
  4. BROCKTON REHABILITATION AND NURSING CENTER LLCBase award · PIID 36C24127K0006
    Action+$1.3M
    Award net obligations$1.3M
  5. EMANUEL DEVELOPMENT CORPORATIONBase award · PIID 36C24127K0003
    Action+$1.0M
    Award net obligations$1.0M
  6. LUTHERAN HOME OF JAMAICA PLAIN, INC.Base award · PIID 36C24127K0005
    Action+$233K
    Award net obligations$233K
  7. LOWN ACQUISITION LLCBase award · PIID 36C24127K0012
    Action+$113K
    Award net obligations$113K
  8. OCEANSIDE REHABILITATION AND NURSING CENTER LLCBase award · PIID 36C24127K0011
    Action+$65K
    Award net obligations$65K
  9. 50 PHEASANT ROAD OPERATIONS LLCBase award · PIID 36C24127K0008
    Action+$30K
    Award net obligations$30K
  10. BEAR HILL HEALTHCARE, LLCBase award · PIID 36C24127K0010
    Action+$20K
    Award net obligations$20K

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 23, 2026, SCOTTSDALE AZ OPCO LLC, RIDGECREST COMMUNITY HEALTHCARE, LLC, and CRESTWOOD BEHAVIORAL HEALTH, INC were the leading VA nursing care facilities (skilled nursing facilities) prime contractors by positive obligations.

  1. #1

    SCOTTSDALE AZ OPCO LLC

    $7,355,937 in positive obligations

  2. #2

    RIDGECREST COMMUNITY HEALTHCARE, LLC

    $6,655,474 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 68.7% from $769,531,084 in the preceding 12 months to $241,166,617 in the 12 months through October 23, 2026.

Latest 12 months
$241,166,617
Net prime contract obligations
Preceding 12 months
$769,531,084
Net prime contract obligations
Change
−68.7%
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 ST. ANTHONY PARK HOME, INC., SENIOR CARE PROVIDENCE LLC, and FLORENCE HOME during the 12 months through October 23, 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 24, 2025 through October 23, 2026, VA reported 829 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
829
Leading reported procedure
Negotiated Proposal/Quote
34.9% of positive obligations
Leading award type
Delivery Order
99.7% of positive obligations
Full and open
34.9%
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 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology