What the Department of Veterans Affairs buys
The Department of Veterans Affairs obligated $78.3 billion on contracts in fiscal year 2025. Its largest category was Direct Health and Medical Insurance Carriers ($32.0 billion).
What it buys
| Industry (NAICS) | FY2025 obligations | Share |
|---|---|---|
| Direct Health and Medical Insurance Carriers (524114) | $32.0 billion | 40.8% |
| Pharmaceutical Preparation Manufacturing (325412) | $11.7 billion | 14.9% |
| Offices of Physicians (except Mental Health Specialists) (621111) | $8.1 billion | 10.4% |
| Computer Systems Design Services (541512) | $3.9 billion | 5.0% |
| Commercial and Institutional Building Construction (236220) | $2.8 billion | 3.6% |
| Other Computer Related Services (541519) | $2.4 billion | 3.1% |
| Surgical and Medical Instrument Manufacturing (339112) | $1.4 billion | 1.8% |
| Kidney Dialysis Centers (621492) | $1.3 billion | 1.7% |
| Nursing Care Facilities (skilled Nursing Facilities) (623110) | $905.0 million | 1.2% |
| Surgical Appliance and Supplies Manufacturing (339113) | $839.6 million | 1.1% |
| Custom Computer Programming Services (541511) | $811.8 million | 1.0% |
| Software Publishers (511210) | $677.0 million | 0.9% |
| Electromedical and Electrotherapeutic Apparatus Manufacturing (334510) | $668.9 million | 0.9% |
| Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292) | $634.1 million | 0.8% |
| Wired Telecommunications Carriers (517110) | $503.7 million | 0.6% |
| Administrative Management and General Management Consulting Services (541611) | $471.2 million | 0.6% |
| Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers (423450) | $435.5 million | 0.6% |
| Irradiation Apparatus Manufacturing (334517) | $430.8 million | 0.6% |
| All Other Business Support Services (561499) | $388.3 million | 0.5% |
| Engineering Services (541330) | $366.7 million | 0.5% |
| Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518210) | $345.9 million | 0.4% |
| Analytical Laboratory Instrument Manufacturing (334516) | $322.6 million | 0.4% |
| All Other Outpatient Care Centers (621498) | $318.6 million | 0.4% |
| Medical Laboratories (621511) | $279.2 million | 0.4% |
| Couriers and Express Delivery Services (492110) | $274.5 million | 0.4% |
Who wins
| Contractor | FY2025 obligations | Share |
|---|---|---|
| Optum Public Sector Solutions, Inc. | $22.5 billion | 28.7% |
| Mckesson Corporation | $11.5 billion | 14.6% |
| Triwest Healthcare Alliance Corp | $9.8 billion | 12.6% |
| Qtc Medical Services INC | $2.8 billion | 3.5% |
| Optumserve Health Services, Inc. | $2.5 billion | 3.2% |
| Veterans Evaluation Services, INC | $2.0 billion | 2.6% |
| Oracle Health Government Services, Inc. | $1.0 billion | 1.3% |
| Loyal Source Government Services LLC | $759.5 million | 1.0% |
| Booz Allen Hamilton INC | $680.8 million | 0.9% |
| Fresenius Medical Care Holdings INC | $634.8 million | 0.8% |
| Dell Federal Systems L.p | $576.5 million | 0.7% |
| Davita Inc. | $533.6 million | 0.7% |
| Medline Industries, LP | $498.9 million | 0.6% |
| V3gate, LLC | $438.9 million | 0.6% |
| AT&T Enterprises, LLC | $414.2 million | 0.5% |
| Fedex Supply Chain Distribution System, Inc. | $381.3 million | 0.5% |
| Four Points Technology, L.l.c. | $276.1 million | 0.4% |
| Sonova USA INC | $273.4 million | 0.3% |
| Deloitte Consulting LLP | $261.4 million | 0.3% |
| Optumrx Administrative Services, LLC | $247.7 million | 0.3% |
| Soldierpoint Digital Health, LLC | $231.2 million | 0.3% |
| Liberty It Solutions LLC | $227.4 million | 0.3% |
| Sdv Office Systems LLC | $203.9 million | 0.3% |
| Hurley Jv, LLP | $200.7 million | 0.3% |
| Govcio, LLC | $200.5 million | 0.3% |
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Source and coverage
Source: USAspending.gov, the U.S. Treasury's public record of federal spending, retrieved 2026-11-01. Figures are contract obligations (award types A, B, C and D) for federal fiscal year 2025, October 2024 to September 2025. Amounts cover the whole agency. This is federal money only. State, city and town contracts are not included. Obligations can be negative when earlier amounts are withdrawn, some classified work is not reported, and contractors that may be individuals are left out of the name lists, so a list is not a complete ranking of everyone paid. Pushbuild is not affiliated with any agency or company listed.