PSC Q4: Nursing, Nursing Home, Eval/Screen
Service group
Code facts
- Part of
-
- Q
- Codes under it
- 3
- Contract awards
- 660 In the last 12 months
- Contract obligations
- $9,720,055,935 In FY2025
PSC codes and definitions come from the GSA PSC Manual and contract spending from SAM.gov/FPDS.
Contract obligations by fiscal year
| Fiscal year | Obligated |
|---|---|
| FY2027 To date | $10,115,767 |
| FY2026 | $8,609,539,965 |
| FY2025 | $9,720,055,935 |
| FY2024 | $6,523,148,635 |
| FY2023 | $4,597,736,361 |
Top contractors by obligations
| Rank | Contractor | Obligated, FY2026–FY2027 | Share |
|---|---|---|---|
| 1 | QTC Medical Services Inc. | $2,296,047,324 | |
| 2 | Loyal Source Government Services LLC | $1,911,785,480 | |
| 3 | Optumserve Health Services, Inc. | $1,891,954,583 | |
| 4 | Veterans Evaluation Services, Inc. | $1,653,346,874 | |
| 5 | Optumhealth Care Solutions, LLC | $37,988,226 | |
| 6 | Noridian Healthcare Solutions, LLC | $36,915,124 | |
| 7 | Giacare & Medtrust JV LLC | $30,011,812 | |
| 8 | Enterprise Resource Planning International, LLC | $27,851,401 | |
| 9 | Cherokee Nation Integrated Health, L.L.C. | $24,624,201 | |
| 10 | Decypher Technologies LTD | $20,686,182 |
See the full FY2025 ranking of PSC Q4 contractors, by parent company.
Top funding agencies by obligations
| Rank | Agency | Obligated, FY2026–FY2027 | Share |
|---|---|---|---|
| 1 | Department of Veterans Affairs | $8,001,326,462 | |
| 2 | Defense Health Agency | $319,193,869 | |
| 3 | Department of Health and Human Services | $124,616,223 | |
| 4 | Department of Homeland Security | $88,058,544 | |
| 5 | Department of the Army | $66,303,296 | |
| 6 | Department of the Interior | $7,217,103 | |
| 7 | Department of Justice | $4,684,100 | |
| 8 | Armed Forces Retirement Home | $3,138,100 | |
| 9 | Environmental Protection Agency | $3,009,604 | |
| 10 | Social Security Administration | $2,566,016 |
Top NAICS codes by obligations
| Rank | NAICS code | Obligated, FY2026–FY2027 | Share |
|---|---|---|---|
| 1 | 621111 Offices of Physicians (except Mental Health Specialists) | $7,802,415,316 | |
| 2 | 623110 Nursing Care Facilities (Skilled Nursing Facilities) | $257,341,613 | |
| 3 | 561320 Temporary Help Services | $205,210,985 | |
| 4 | 622110 General Medical and Surgical Hospitals | $162,099,923 | |
| 5 | 541990 All Other Professional, Scientific, and Technical Services | $75,413,858 | |
| 6 | 621399 Offices of All Other Miscellaneous Health Practitioners | $50,210,156 | |
| 7 | 621999 All Other Miscellaneous Ambulatory Health Care Services | $22,593,908 | |
| 8 | 621498 All Other Outpatient Care Centers | $15,626,903 | |
| 9 | 541611 Administrative Management and General Management Consulting Services | $10,832,019 | |
| 10 | 621512 Diagnostic Imaging Centers | $3,038,489 |
Contract obligations by state
| Rank | Place of performance | Obligated, last 12 months | Share |
|---|---|---|---|
| 1 | Texas | $3,729,246,791 | |
| 2 | Wisconsin | $1,895,750,737 | |
| 3 | Florida | $1,865,431,305 | |
| 4 | California | $491,245,136 | |
| 5 | Minnesota | $81,739,334 | |
| 6 | Arizona | $62,194,950 | |
| 7 | New Mexico | $51,407,375 | |
| 8 | North Dakota | $48,415,003 | |
| 9 | Maryland | $41,840,781 | |
| 10 | Pennsylvania | $35,136,115 | |
| 11 | Virginia | $33,347,026 | |
| 12 | Illinois | $28,992,735 | |
| 13 | Hawaii | $20,292,333 | |
| 14 | South Dakota | $16,545,914 | |
| 15 | Massachusetts | $15,968,411 | |
| 16 | Oklahoma | $13,708,734 | |
| 17 | North Carolina | $13,684,846 | |
| 18 | Nebraska | $12,448,984 | |
| 19 | New Jersey | $11,429,802 | |
| 20 | Colorado | $11,408,314 | |
| 21 | Ohio | $10,704,184 | |
| 22 | District of Columbia | $9,585,689 | |
| 23 | New York | $9,516,751 | |
| 24 | Washington | $9,302,081 | |
| 25 | Iowa | $9,216,562 | |
| 26 | Alaska | $8,916,243 | |
| 27 | Nevada | $6,493,786 | |
| 28 | Guam | $6,365,829 | |
| 29 | Delaware | $5,911,110 | |
| 30 | Georgia | $5,296,316 | |
| 31 | South Carolina | $3,947,104 | |
| 32 | Oregon | $3,650,739 | |
| 33 | Kentucky | $3,323,190 | |
| 34 | Utah | $3,052,156 | |
| 35 | Michigan | $2,440,597 | |
| 36 | Vermont | $2,267,490 | |
| 37 | New Hampshire | $2,047,210 | |
| 38 | Tennessee | $2,021,767 | |
| 39 | Connecticut | $1,692,335 | |
| 40 | Kansas | $1,389,262 | |
| 41 | Alabama | $1,285,885 | |
| 42 | Idaho | $1,025,113 | |
| 43 | Missouri | $999,943 | |
| 44 | Indiana | $833,973 | |
| 45 | Mississippi | $503,394 | |
| 46 | Louisiana | $306,404 | |
| 47 | Puerto Rico | $40,261 | |
| 48 | Maine | $18,434 | |
| 49 | Rhode Island | $2,910 |
Show all 49
Shares are of everything obligated under PSC Q4 in the last 12 months before deobligations, including work performed abroad or with no place of performance on record.
Contract opportunities
Show 38 more
Latest 48 of 3,184 listed here. See the rest on GovTribe.
Codes under Q4
Quick answers
What is PSC Q4?
PSC Q4 is Nursing, Nursing Home, Eval/
What codes are under PSC Q4?
PSC Q4 has 3 codes under it with their own GovTribe pages: Q401 Nursing; Q402 Nursing Home, Long-Term & Adult Day Care Services; and Q403 Medical Evaluation and Screening Services.
How much do federal agencies spend under PSC Q4?
Federal contracts under PSC Q4 obligated $9,720,055,935 in fiscal year 2025 and $29,460,596,662 in fiscal years 2023 through 2027.
Who are the largest contractors under PSC Q4?
The contractors with the most obligated under PSC Q4 in fiscal years 2026 and 2027 are QTC Medical Services Inc. ($2,296,047,324); Loyal Source Government Services LLC ($1,911,785,480); and Optumserve Health Services, Inc. ($1,891,954,583).
Which agencies buy the most under PSC Q4?
The agencies that obligated the most under PSC Q4 in fiscal years 2026 and 2027 are Department of Veterans Affairs ($8,001,326,462), Defense Health Agency ($319,193,869) and Department of Health and Human Services ($124,616,223).
Which NAICS codes are used with PSC Q4?
The NAICS codes with the most obligated under PSC Q4 in fiscal years 2026 and 2027 are 621111 Offices of Physicians (except Mental Health Specialists), 623110 Nursing Care Facilities (Skilled Nursing Facilities) and 561320 Temporary Help Services.
Where is the work under PSC Q4 performed?
By place of performance, the states with the most contract obligations under PSC Q4 over the last 12 months are Texas ($3,729,246,791), Wisconsin ($1,895,750,737) and Florida ($1,865,431,305).
What is the latest contract opportunity under PSC Q4?
The latest contract opportunity under PSC Q4 is Q402--Care Meridian Community Nursing Home Services (Reno, NV), award notice from Veterans Integrated Service Network 21 (VHA), posted October 23, 2026.
On GovTribe
See everything under PSC Q4
- Federal contract opportunities, awards and IDVs under this code
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