| | IGF:CT:IGF:PARTNERSHIP MEMBERSHIP DUES | FORCES4QUALITY NORTHEAST OHIO | $37,950 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | B537SPECIAL STUDIES/ANALYSIS- MEDICAL/HEALTH | Nov 4, 2025 | Jan 1, 2026 | Dec 31, 2026 |
| | IGF:CT:IGF:ANNUAL HOSPITAL MEMBERSHIP | FORCES4QUALITY NORTHEAST OHIO | $37,950 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | U005EDUCATION/TRAINING- TUITION/REGISTRATION/MEMBERSHIP FEES | Dec 16, 2024 | Jan 1, 2025 | Dec 31, 2025 |
| | IGF:CT:IGF:BETTER HELP PARTNERSHIP | FORCES4QUALITY NORTHEAST OHIO | $37,950 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | B537SPECIAL STUDIES/ANALYSIS- MEDICAL/HEALTH | Nov 29, 2023 | Jan 1, 2024 | Dec 31, 2024 |
| | CLAIM FOR BETTER HEALTH SUBSCRIPTION | FORCES4QUALITY NORTHEAST OHIO | $37,950 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | B537SPECIAL STUDIES/ANALYSIS- MEDICAL/HEALTH | Jan 1, 2023 | Jan 1, 2023 | Dec 31, 2023 |
| | IGF:CT:IGF:MEMBERSHIP | FORCES4QUALITY NORTHEAST OHIO | $37,950 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | B537SPECIAL STUDIES/ANALYSIS- MEDICAL/HEALTH | Oct 4, 2021 | Oct 1, 2021 | Sep 30, 2022 |
| | IGF::OT::IGF ANALYTICAL STUDY | FORCES4QUALITY NORTHEAST OHIO | $269,500 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Jun 9, 2017 | Jul 1, 2017 | Sep 30, 2022 |
| | IGF::OT::IGF ANNUAL HOSPITAL/DOCTOR DUES | FORCES4QUALITY NORTHEAST OHIO | $38,500 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | May 24, 2016 | May 25, 2016 | May 25, 2017 |
| | IGF::OT::IGF BETTER HEALTH GREATER CLEVELAND MEMBERSHIP | FORCES4QUALITY NORTHEAST OHIO | $12,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Feb 4, 2015 | Feb 4, 2015 | Feb 4, 2016 |
| | IGF::OT::IGF HYPERTENSION AND HEART FAILURE STUDY | FORCES4QUALITY NORTHEAST OHIO | $12,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Apr 28, 2014 | Apr 28, 2014 | Sep 30, 2014 |