| | T/O: CRNA SERVICES FOR PRSU, PINE RIDGE, SD | SOPOR, LLC | $219,969 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q501MEDICAL- ANESTHESIOLOGY | May 15, 2026 | May 17, 2026 | Jun 11, 2026 |
| | CARDIOTHORACIC ANESTHESIOLOGY PHYSICIAN SERVICES: OPTION TO EXTEND SERVICES | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER | $292,027 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q501MEDICAL- ANESTHESIOLOGY | Apr 24, 2026 | May 1, 2026 | Oct 31, 2026 |
| | T/O: CRNA SERVICES FOR PRSU, PINE RIDGE, SD | SOPOR, LLC | $446,553 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q501MEDICAL- ANESTHESIOLOGY | Apr 4, 2026 | Apr 5, 2026 | Jun 11, 2026 |
| | ANESTHESIOLOGY SERVICES 3 FTE | TITAN-AUXO, LLC | $17,661,960 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q501MEDICAL- ANESTHESIOLOGY | Apr 2, 2026 | May 1, 2026 | Apr 30, 2031 |
| | ANESTHESIOLOGY PHYSICIAN SERVICES | DUKE UNIVERSITY HEALTH SYSTEM, INC. | $2,304,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q501MEDICAL- ANESTHESIOLOGY | Mar 31, 2026 | Apr 2, 2026 | Sep 30, 2026 |
| | ANESTHESIOLOGY PHYSICIAN SERVICES ON-SITE AT THE VA MEDICAL CENTER | WANDER STAFFING LLC | $1,861,761 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621111Offices of Physicians (except Mental Health Specialists) | Q501MEDICAL- ANESTHESIOLOGY | Mar 31, 2026 | Apr 1, 2026 | Mar 31, 2027 |
| | ANESTHESIOLOGIST PHYSICIAN ON-CALL SERVICES | WANDER STAFFING LLC | $1,764,271 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621111Offices of Physicians (except Mental Health Specialists) | Q501MEDICAL- ANESTHESIOLOGY | Mar 19, 2026 | Apr 1, 2026 | Mar 31, 2027 |
| | ANESTHESIOLOGIST STAFFING | WANDER STAFFING LLC | $1,553,354 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q501MEDICAL- ANESTHESIOLOGY | Mar 4, 2026 | Mar 6, 2026 | Sep 5, 2026 |
| | T/O: CRNA SERVICES FOR PRSU, PINE RIDGE, SD | SOPOR, LLC | $322,015 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q501MEDICAL- ANESTHESIOLOGY | Feb 20, 2026 | Feb 20, 2026 | Jun 11, 2026 |
| | CRITICAL CARE ANESTHESIOLOGY PHYSICIAN SERVICES | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER | $881,103 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q501MEDICAL- ANESTHESIOLOGY | Jan 30, 2026 | Feb 1, 2026 | Jul 31, 2026 |
| | OPTION YEAR ONE - 671-C60143 | ASPIRE THERAPY SERVICES AND CONSULTANTS, INC. | $1,703,066 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q501MEDICAL- ANESTHESIOLOGY | Jan 27, 2026 | Feb 1, 2026 | Jan 31, 2027 |
| | TASK ORDER NO. 75H70626F03029 CRNA SERVICE FOR THE PINE RIDGE IHS HOSPITAL. | SOPOR, LLC | $254,576 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q501MEDICAL- ANESTHESIOLOGY | Jan 8, 2026 | Jan 8, 2026 | Feb 21, 2026 |
| | CERTIFIED REGISTERED NURSE ANESTHESIOLOGY (CRNA) SERVICES FOR PRSU, PINE RIDGE SOUTH DAKOTA | SOPOR, LLC | $254,356 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q501MEDICAL- ANESTHESIOLOGY | Nov 24, 2025 | Nov 24, 2025 | Jan 10, 2026 |
| | TASK ORDER FOR ANESTHESIOLOGY SERVICES FOR THE COLUMBIA VAMC | ASPIRE-LUKE JV LLC | $2,491,615 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q501MEDICAL- ANESTHESIOLOGY | Nov 17, 2025 | Dec 15, 2025 | Dec 14, 2027 |
| | CARDIOTHORACIC ANESTHESIOLOGY PHYSICIAN SERVICES | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER | $292,027 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q501MEDICAL- ANESTHESIOLOGY | Oct 30, 2025 | Nov 1, 2025 | Apr 30, 2026 |
| | CRNA SERVICES FOR PRSU, PINE RIDGE, SD | SOPOR, LLC | $254,367 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q501MEDICAL- ANESTHESIOLOGY | Oct 19, 2025 | Oct 19, 2025 | Nov 29, 2026 |
| | ANESTHESIOLOGIST SERVICES | MSI SYSTEMS CORP | $568,858 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q501MEDICAL- ANESTHESIOLOGY | Oct 8, 2025 | Oct 1, 2025 | Mar 31, 2026 |
| | ANESTHESIOLOGY SERVICES | UNIVERSITY OF LOUISVILLE | $2,193,196 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q501MEDICAL- ANESTHESIOLOGY | Oct 1, 2025 | Oct 1, 2025 | Sep 30, 2026 |
| | CRNA STAFFING SERVICES (ANESTHESIOLOGY), ONSITE AND ONCALL FOR SYRACUSE VAMC | WANDER STAFFING LLC | $3,117,261 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q501MEDICAL- ANESTHESIOLOGY | Oct 1, 2025 | Oct 1, 2025 | Sep 30, 2026 |
| | EVOKED POTENTIAL MONITORING SERVICES | UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES PA | $129,934 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 622110General Medical and Surgical Hospitals | Q501MEDICAL- ANESTHESIOLOGY | Oct 1, 2025 | Nov 1, 2025 | Apr 30, 2026 |
| | CARDIOTHORACIC ANESTHESIOLOGY PHYSICIAN SERVICES - OPTION TO EXTEND SERVICES 1 MONTH. | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER | $68,244 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q501MEDICAL- ANESTHESIOLOGY | Oct 1, 2025 | Oct 1, 2025 | Oct 31, 2025 |
| | CRNA'S BASE YEAR | TITAN-AUXO, LLC | $5,903,581 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q501MEDICAL- ANESTHESIOLOGY | Sep 25, 2025 | Sep 25, 2025 | Sep 24, 2029 |
| | THE CONTRACTOR SHALL PROVIDE ANESTHESIA OVERSIGHT SERVICES AND DIRECT PATIENT CARE SERVICES. | UNIVERSITY OF UTAH | $832,000 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 621111Offices of Physicians (except Mental Health Specialists) | Q501MEDICAL- ANESTHESIOLOGY | Sep 18, 2025 | Sep 18, 2025 | Jul 31, 2026 |
| | CERTIFIED REGISTERED NURSE ANESTHESIOLOGY (CRNA SERVICE) FOR PRSU, PINE RIDGE SOUTH DAKOTA PAA# GPA-25-PAA8-0128 | SOPOR, LLC | $261,070 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q501MEDICAL- ANESTHESIOLOGY | Sep 5, 2025 | Sep 5, 2025 | Dec 11, 2025 |
| | ON-CALL AND ONSITE ANESTHESIOLOGY STAFFING AT SYRACUSE VAMC | ASPIRE-LUKE JV LLC | $11,817,623 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q501MEDICAL- ANESTHESIOLOGY | Aug 25, 2025 | Sep 30, 2025 | Sep 29, 2030 |