| | GIFT OF HOPE ORGAN & TISSUE DONOR NETWORK | ORGAN PROCUREMENT & ACQUISITION SERVICES | IDC | $33,883,391 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621991Blood and Organ Banks | Q523MEDICAL- SURGERY | May 29, 2026 | Jun 1, 2026 | May 31, 2031 |
| | PIEDMONT STONE CENTER PLLC | LITHOTRIPSY MOBILE TRAILER AND SERVICE | IDC | $1,116,412 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 622110General Medical and Surgical Hospitals | Q523MEDICAL- SURGERY | May 28, 2026 | Jun 17, 2026 | Jun 16, 2031 |
| | SPECIALTYCARE IOM SERVICES, LLC | IONM NEUROMONITORING SERVICES | IDC | $350,000 | 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, 2031 |
| | LOUISIANA STATE UNIVERSITY | — | IDC | $600,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Mar 24, 2026 | Apr 1, 2026 | Mar 31, 2027 |
| | WICHITA SURGICAL SPECIALISTS, P.A. | — | IDC | $1,999,332 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Mar 12, 2026 | Aug 1, 2026 | Jun 30, 2027 |
| | PERFUSION.COM, INC. | — | IDC | $382,050 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621991Blood and Organ Banks | Q523MEDICAL- SURGERY | Mar 9, 2026 | Apr 13, 2026 | Apr 12, 2027 |
| | RISEN VIDEO PRODUCTION, LLC | — | IDC | $582,938 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | SDVOSBC | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Feb 26, 2026 | Apr 1, 2026 | — |
| | NEUROMONITORING ASSOCIATES LLC | NEUROMONITORING FOR NEW ORLEANS BASE + 4 YEAR ORDERING PERIODS | IDC | $660,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q523MEDICAL- SURGERY | Dec 19, 2025 | Jan 1, 2026 | Dec 31, 2030 |
| | RISEN VIDEO PRODUCTION, LLC | — | IDC | $1,568,200 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | SDVOSBC | 622110General Medical and Surgical Hospitals | Q523MEDICAL- SURGERY | Nov 7, 2025 | Jan 1, 2026 | — |
| | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER | PLASTIC SURGERY PHYSICIAN SERVICES | IDC | $2,575,990 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Nov 1, 2025 | Dec 1, 2025 | Nov 30, 2027 |
| | WICHITA SURGICAL SPECIALISTS, P.A. | GENERAL SURGERY PHYSICIAN SERVICES FOR WICHITA, KS VAMC | IDC | $6,029,064 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Oct 20, 2025 | Nov 29, 2025 | Nov 28, 2026 |
| | UNIVERSITY OF MINNESOTA PHYSICIANS | — | IDC | $354,031 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Oct 1, 2025 | Oct 1, 2025 | — |
| | UT MEDICAL GROUP, INC. | PLASTIC SURGERY SERVICES WITH SUPPORT OF PHYSICIAN ASSISTANT | IDC | $6,151,401 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Oct 1, 2025 | Oct 1, 2025 | Sep 30, 2030 |
| | UNIVERSITY SURGICAL ASSOCIATES, LLP | GENERAL SURGERY | IDC | $333,505 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Sep 15, 2025 | Sep 15, 2025 | Sep 14, 2030 |
| | UNIVERSITY OF KENTUCKY | GENERAL SURGERY PHYSICIAN SERVICES | IDC | $2,390,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Jul 9, 2025 | Jul 9, 2025 | Jun 30, 2035 |
| | EDGER ASSOCIATES, INC. | — | IDC | $351,000 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621512Diagnostic Imaging Centers | Q523MEDICAL- SURGERY | Jun 30, 2025 | Jul 3, 2025 | Jul 2, 2027 |
| | PROCIRCA, INC. | — | IDC | $229,803 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621399Offices of All Other Miscellaneous Health Practitioners | Q523MEDICAL- SURGERY | Jun 30, 2025 | Jul 1, 2025 | — |
| | KEYSER & O'CONNOR SURGICAL ASSOCIATES, LTD | AFTERHOURS AND WEEKENDS VASCULAR SURGEON ON CALL SERVICES. | IDC | $1,273,900 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | SBA | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Jun 24, 2025 | Sep 28, 2025 | Sep 27, 2030 |
| | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES | AFFILIATE TO PROVIDE PHYSICIANS/SURGEONS FOR ON-SITE VASCULAR SURGERIES AND CLINIC | IDC | $3,052,878 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | May 27, 2025 | Jun 1, 2025 | Sep 30, 2029 |
| | FORTEC MEDICAL INC | — | IDC | $110,454 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 621999All Other Miscellaneous Ambulatory Health Care Services | Q523MEDICAL- SURGERY | Apr 11, 2025 | Apr 1, 2025 | — |
| | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES | — | IDC | $175,729 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Mar 3, 2025 | Mar 1, 2025 | — |
| | CIRCULATORY SERVICES INC | — | IDC | $5,832,320 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | VSA | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Feb 13, 2025 | Feb 16, 2025 | Feb 15, 2027 |
| | FORTEC MEDICAL INC | — | IDC | $1,372,776 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541990All Other Professional, Scientific, and Technical Services | Q523MEDICAL- SURGERY | Jan 13, 2025 | Jan 1, 2025 | — |
| | UNIVERSITY OF MISSOURI SYSTEM | NEUROSURGERY PHYSICIAN SERVICES WITH AN AFFILIATE | IDC | $2,076,551 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 611310Colleges, Universities, and Professional Schools | Q523MEDICAL- SURGERY | Jan 1, 2025 | Jan 1, 2025 | Dec 31, 2026 |
| | DANY HANNA DO, PLLC | GENDER REASSIGNMENT SURGERY SERVICES FOR FMC CARSWELL AND FMC FORT WORTH. | IDC | $6,765,966 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | — | 621111Offices of Physicians (except Mental Health Specialists) | Q523MEDICAL- SURGERY | Nov 26, 2024 | Dec 1, 2024 | — |