| | SMALL BOWEL TRANSPLANT SERVICES | UPMC PRESBYTERIAN SHADYSIDE | $1,348,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Jun 1, 2026 | Jun 1, 2026 | May 31, 2027 |
| | LITHOTRIPSY MOBILE TRAILER AND SERVICE | PIEDMONT STONE CENTER PLLC | $223,282 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 622110General Medical and Surgical Hospitals | Q523MEDICAL- SURGERY | Jun 1, 2026 | Jun 17, 2026 | Jun 16, 2027 |
| | ORGAN PROCUREMENT & ACQUISITION SERVICES | GIFT OF HOPE ORGAN & TISSUE DONOR NETWORK | $6,310,495 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621991Blood and Organ Banks | Q523MEDICAL- SURGERY | May 29, 2026 | Jun 1, 2026 | May 31, 2027 |
| | LITHOTRIPSY MOBILE TRAILER | PIEDMONT STONE CENTER PLLC | $0 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 622110General Medical and Surgical Hospitals | Q523MEDICAL- SURGERY | May 28, 2026 | Jun 17, 2026 | Jun 16, 2031 |
| | AFFILIATE PLASTIC SURGERY PHYSICIAN SERVICES | UNIVERSITY OF PITTSBURGH PHYSICIANS | $41,433 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | May 27, 2026 | Jun 1, 2026 | May 31, 2027 |
| | MOBILE ULTRASOUND SERVICES. | EDGER ASSOCIATES, INC. | $70,200 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621512Diagnostic Imaging Centers | Q523MEDICAL- SURGERY | May 13, 2026 | Jul 3, 2026 | Jul 2, 2027 |
| | NEUROMONITORING SERVICES | INTRANERVE, LLC | $198,500 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621999All Other Miscellaneous Ambulatory Health Care Services | Q523MEDICAL- SURGERY | May 7, 2026 | May 15, 2026 | May 14, 2027 |
| | TASK ORDER ONE, NEUROMONITORING SERVICES | SPECIALTYCARE IOM SERVICES, LLC | $50,995 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Apr 29, 2026 | May 1, 2026 | Apr 30, 2027 |
| | EVOKED POTENTIAL MONITORING SERVICES | UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES PA | $265,848 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 27, 2026 | May 1, 2026 | Sep 30, 2026 |
| | COLON RECTAL SURGEON SERVICES - 6-MONTH EXTENSION. | UNIVERSITY OF MINNESOTA PHYSICIANS | $362,684 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Apr 21, 2026 | May 1, 2026 | Oct 31, 2026 |
| | ORTHOPEDIC SERVICES | UNIVERSITY OF MARYLAND ORTHOPAEDIC ASSOCIATES PA | $784,977 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 16, 2026 | May 1, 2026 | Sep 30, 2026 |
| | AFFILIATE SURGICAL ONCOLOGIST SERVICES | UNIVERSITY OF MINNESOTA PHYSICIANS | $78,674 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 15, 2026 | Jul 1, 2026 | Jun 30, 2027 |
| | NEUROSURGERY ON-CALL SERVICES - 3-MONTH EXTENSION. | UNIVERSITY OF MINNESOTA PHYSICIANS | $120,027 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Apr 14, 2026 | May 1, 2026 | Jul 31, 2026 |
| | FDA-APPROVED AUTOGRAFT SPARING DEVICE FOR NATIONAL PREPAREDNESS | AVITA MEDICAL AMERICAS, LLC | $25,500,730 | OFFICE OF ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE | OFFICE OF ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE | — | 339113Surgical Appliance and Supplies Manufacturing | Q523MEDICAL- SURGERY | Apr 9, 2026 | Apr 6, 2026 | Apr 5, 2036 |
| | LONG TERM LIVING DONOR (KIDNEY) SERVICES FOR HINES VAH | LOYOLA UNIVERSITY OF CHICAGO | $2,300 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 6, 2026 | Apr 6, 2026 | Apr 5, 2027 |
| | LONG TERM LIVING DONOR (KIDNEY) SERVICES FOR HINES VAH | LOYOLA UNIVERSITY OF CHICAGO | $2,300 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 6, 2026 | Apr 6, 2026 | Apr 5, 2027 |
| | LONG TERM LIVING DONOR (KIDNEY) SERVICES FOR HINES VAH | LOYOLA UNIVERSITY OF CHICAGO | $2,300 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 6, 2026 | Apr 6, 2026 | Apr 5, 2027 |
| | LONG TERM LIVING DONOR (KIDNEY) SERVICES FOR HINES VAH | LOYOLA UNIVERSITY OF CHICAGO | $2,300 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 6, 2026 | Apr 6, 2026 | Apr 5, 2027 |
| | LONG TERM LIVING DONOR (KIDNEY) SERVICES FOR HINES VAH | LOYOLA UNIVERSITY OF CHICAGO | $2,300 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 6, 2026 | Apr 6, 2026 | Apr 5, 2027 |
| | EXTEND 6 MONTHS - AUTOTRANSFUSION AND EQUIPMENT LEASING SERVICES. | PERFUSION.COM, INC. | $21,152 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q523MEDICAL- SURGERY | Apr 3, 2026 | May 1, 2026 | Oct 31, 2026 |
| | ANESTHESIOLOGIST SERVICES FOR VETERANS IN CLARKSBURG, WV SERVICES TO BE PROVIDED AT LOUIS A JOHNSON VA MEDICAL CENTER. | PROMETHEUS FEDERAL SERVICES LLC | $7,807,087 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 561320Temporary Help Services | Q523MEDICAL- SURGERY | Apr 1, 2026 | Apr 1, 2026 | Dec 31, 2028 |
| | PERFUSION SERVICES MILWAUKEE VAMC | THE MEDICAL COLLEGE OF WISCONSIN, INC. | $1,783,334 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Apr 1, 2026 | Apr 1, 2026 | Mar 31, 2031 |
| | ON-SITE LIVER AND KIDNEY TRANSPLANT SERVICES AT HOUSTON VA
EXERCISE OPTION YEAR 2 | BAYLOR COLLEGE OF MEDICINE | $1,826,134 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Mar 31, 2026 | Apr 1, 2026 | Mar 31, 2027 |
| | ORGAN PROCUREMENT ORGANIZATION - DECEASED DONOR PROCUREMENT (KIDNEY) | LIVEONNY, INC. | $724,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621991Blood and Organ Banks | Q523MEDICAL- SURGERY | Mar 31, 2026 | Apr 1, 2026 | Mar 31, 2027 |
| | EXERCISE OPTION 1 | FORTEC MEDICAL INC | $27,192 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621999All Other Miscellaneous Ambulatory Health Care Services | Q523MEDICAL- SURGERY | Mar 26, 2026 | Apr 1, 2026 | Mar 31, 2027 |