| | ANNUAL CREDENTIALING FEES | AMERICAN COLLEGE OF SURGEONS | $164,344 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | May 20, 2026 | Jun 1, 2026 | May 31, 2031 |
| | ANNUAL CANCER ACCREDITATION PROGRAM FOR STVHCS, VANTHCS, AND AVAHCS. | AMERICAN COLLEGE OF SURGEONS | $40,377 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | Apr 2, 2026 | Apr 2, 2026 | Feb 28, 2027 |
| | AMERICAN COLLEGE OF SURGEONS GERIATRIC SURGERY VERIFICATION ("GSV") ACCREDITATION FOR LOUIS STOKES CLEVELAND VAMC | AMERICAN COLLEGE OF SURGEONS | $5,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U005EDUCATION/TRAINING- TUITION/REGISTRATION/MEMBERSHIP FEES | Apr 1, 2026 | Apr 1, 2026 | Mar 31, 2027 |
| | COC ACCREDITATION FY26 | AMERICAN COLLEGE OF SURGEONS | $13,459 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | Apr 1, 2026 | Apr 1, 2026 | Mar 31, 2027 |
| | LICENSE TO USE THE CONTENT OF THE AMERICAN JOINT COMMITTEE ON CANCER (AJCC) CANCER STAGING SYSTEM, INCLUDING API ACCESS | AMERICAN COLLEGE OF SURGEONS | $144,703 | DEPARTMENTAL OFFICES | NATIONAL INSTITUTES OF HEALTH | — | 541511Custom Computer Programming Services | DA10IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICE | Mar 13, 2026 | Mar 13, 2026 | Mar 23, 2027 |
| | JOHN D. DINGELL VA MEDICAL CENTER CANCER ON COMMISSION ACCREDITATION FY26 | AMERICAN COLLEGE OF SURGEONS | $13,459 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U005EDUCATION/TRAINING- TUITION/REGISTRATION/MEMBERSHIP FEES | Feb 17, 2026 | Apr 1, 2026 | Mar 31, 2027 |
| | AMERICAN COLLEGE OF SURGEONS ACCREDITATION FEES | AMERICAN COLLEGE OF SURGEONS | $13,459 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | Jan 30, 2026 | Feb 1, 2026 | Jan 31, 2027 |
| | CANCER ACCREDITATION SURVEY | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611710Educational Support Services | R499SUPPORT- PROFESSIONAL: OTHER | Jan 12, 2026 | Jan 15, 2026 | Jan 14, 2027 |
| | AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER ACCREDITATION. | AMERICAN COLLEGE OF SURGEONS | $13,459 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | Jan 12, 2026 | Feb 28, 2026 | Feb 27, 2027 |
| | ADVANCED TRAUMA LIFE SUPPORT (ATLS) TRAINING. | AMERICAN COLLEGE OF SURGEONS | $236,688 | DEFENSE HEALTH AGENCY (DHA) | DEFENSE HEALTH AGENCY (DHA) | — | 611699All Other Miscellaneous Schools and Instruction | U099EDUCATION/TRAINING- OTHER | Jan 11, 2026 | Jan 21, 2026 | Jan 20, 2029 |
| | VETERANS INTEGRATED SERVICE NETWORK (VISN) 8, AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER ACCREDITATION FEE (ANNUAL) VISN 8. | AMERICAN COLLEGE OF SURGEONS | $27,364 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611710Educational Support Services | U010EDUCATION/TRAINING- CERTIFICATIONS/ACCREDITATIONS FOR EDUCATIONAL INSTITUTIONS | Dec 22, 2025 | Jan 1, 2026 | Dec 31, 2026 |
| | ANNUAL CANCER ACCREDITATION PROGRAM | AMERICAN COLLEGE OF SURGEONS | $5,419 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | Oct 29, 2025 | Oct 29, 2025 | Feb 28, 2026 |
| | ACS COC ANNUAL ACCREDITATION FEE ORDERING PERIOD 1 TO FOR MPLS | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U010EDUCATION/TRAINING- CERTIFICATIONS/ACCREDITATIONS FOR EDUCATIONAL INSTITUTIONS | Oct 23, 2025 | Nov 1, 2025 | Oct 31, 2026 |
| | ACS COC ANNUAL ACCREDITATION FEE ORDERING PERIOD 1 TO FOR NWI | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U010EDUCATION/TRAINING- CERTIFICATIONS/ACCREDITATIONS FOR EDUCATIONAL INSTITUTIONS | Oct 23, 2025 | Nov 1, 2025 | Oct 31, 2026 |
| | ANNUAL ACCREDITATION - 11/01/2025-10/31/2026 | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611710Educational Support Services | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Oct 20, 2025 | Aug 12, 2025 | Oct 31, 2026 |
| | 2026 ANNUAL MEMBERSHIP EXPENSES | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | Oct 16, 2025 | Nov 1, 2025 | Sep 30, 2026 |
| | COMMISSION ON CANCER ACCREDIATION FEE | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U005EDUCATION/TRAINING- TUITION/REGISTRATION/MEMBERSHIP FEES | Oct 1, 2025 | Oct 1, 2025 | Sep 30, 2026 |
| | COC ACCREDIATIONS FEE | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U005EDUCATION/TRAINING- TUITION/REGISTRATION/MEMBERSHIP FEES | Oct 1, 2025 | Oct 1, 2025 | Sep 30, 2026 |
| | COMMISSION OF CANCER ACCREDITATION FEE ONE (1) YEAR | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U005EDUCATION/TRAINING- TUITION/REGISTRATION/MEMBERSHIP FEES | Sep 12, 2025 | Sep 1, 2025 | Aug 31, 2026 |
| | AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER ACCREDITATION SERVICES - FEE RENEWAL | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U005EDUCATION/TRAINING- TUITION/REGISTRATION/MEMBERSHIP FEES | Aug 13, 2025 | Sep 1, 2025 | Aug 31, 2026 |
| | ANNUAL CERTIFICATION FEE | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | U005EDUCATION/TRAINING- TUITION/REGISTRATION/MEMBERSHIP FEES | Jun 26, 2025 | Jul 1, 2025 | Jun 30, 2026 |
| | NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM TRAINING AND MEMBERSHIP SERVICES | AMERICAN COLLEGE OF SURGEONS | $1,373,445 | DEFENSE HEALTH AGENCY (DHA) | DEFENSE HEALTH AGENCY (DHA) | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | Jun 3, 2025 | Jun 3, 2025 | Jun 1, 2026 |
| | FY 2025 COMMISSION ON CANCER CARE ACCREDITATION | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | May 16, 2025 | Jun 1, 2025 | May 31, 2026 |
| | CANCER PROGRAM ACCREDITATION | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R420SUPPORT- PROFESSIONAL: CERTIFICATIONS AND ACCREDITATIONS (OTHER THAN EDUC OR INFO TECH C&A) | May 14, 2025 | May 15, 2025 | Feb 27, 2026 |
| | COMMISSION ON CANCER (COC) ANNUAL ACCREDITATION FEE | AMERICAN COLLEGE OF SURGEONS | $13,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 813920Professional Organizations | R410SUPPORT- PROFESSIONAL: PROGRAM EVALUATION/REVIEW/DEVELOPMENT | May 13, 2025 | Jun 1, 2025 | May 31, 2026 |