Department of Veterans Affairs

VA ยท FY2017โ€“FY2026 budget trends

Provides healthcare, disability benefits, education assistance, and home loan guarantees to military veterans. Operates the nation's largest integrated healthcare system with over 1,200 facilities and spends $78 billion in contracts, much of it on healthcare services and IT modernization.

๐Ÿ’ฐ Taxpayer Accountability

The VA's electronic health records overhaul alone has cost billions more than projected, with persistent delays and functionality issues. While veterans deserve first-rate care, the VA's track record of bureaucratic dysfunction โ€” from appointment wait-time scandals to IT boondoggles โ€” suggests that simply spending more money isn't the answer.

Budget Authority (FY2026)

$517.8B

Total Contracts

$78.3B

Total Grants

$3.1B

Budget Growth (FY17โ†’25)

+41.7%

+$84.8B

Contracts vs Grants

Budget Trend

Year-over-Year Changes

FYBudgetYoYObligatedYoYOutlaysYoY
2017$213.7Bโ€”$191.7Bโ€”$188.5Bโ€”
2018$229.9B+7.6%$204.8B+6.8%$191.4B+1.5%
2019$237.8B+3.5%$216.8B+5.8%$215.1B+12.4%
2020$266.3B+12.0%$244.6B+12.8%$233.8B+8.7%
2021$306.3B+15.0%$256.9B+5.0%$250.6B+7.1%
2022$336.1B+9.7%$283.5B+10.3%$288.3B+15.1%
2023$377.4B+12.3%$324.4B+14.4%$317.6B+10.2%
2024$405.8B+7.5%$367.9B+13.4%$348.0B+9.6%
2025$458.8B+13.0%$412.4B+12.1%$404.9B+16.4%
2026$517.8B+12.9%$118.7B-71.2%$117.6B-71.0%

How This Agency's Growth Compares

Department of Veterans Affairs grew +41.7% from FY2017 to FY2025 โ€” #12 growing of 18 major agencies.

#AgencyGrowth %Growth $
1Department of Energy+154.4%+$49.4B
2Department of Homeland Security+153.1%+$44.4B
3General Services Administration+107.7%+$12.9B
4Department of Transportation+97.4%+$66.5B
5Department of the Interior+90.5%+$8.8B
6Department of State+84.0%+$16.2B
7Department of Health and Human Services+66.7%+$809.9B
8Social Security Administration+64.9%+$643.6B
9Department of Defense+52.8%+$173.1B
10Department of Agriculture+49.9%+$61.7B
11Department of Housing and Urban Development+43.8%+$23.7B
12โ†’ Department of Veterans Affairs+41.7%+$84.8B
13Department of Education+28.1%+$21.1B
14National Aeronautics and Space Administration+24.4%+$4.5B
15Railroad Retirement Board+15.1%+$1.9B
16Department of Labor+10.1%+$1.1B
17Department of Justice-2.5%-$292.0M
18Agency for International Development-26.6%-$4.4B

Top Contractors

#ContractorAmount
1Optum Public Sector Solutions, Inc.$22.5B
2Mckesson Corporation$11.5B
3Triwest Healthcare Alliance Corp.$9.8B
4Qtc Medical Services Inc.$2.8B
5Optumserve Health Services, Inc.$2.5B
6Veterans Evaluation Services, Inc.$2.0B
7Oracle Health Government Services, Inc.$1.0B
8Loyal Source Government Services LLC$759.5M
9Booz Allen Hamilton Inc.$680.8M
10Fresenius Medical Care Holdings Inc.$634.8M
11Dell Federal Systems L.p$576.5M
12Davita Inc.$533.6M
13Medline Industries, LP$498.9M
14V3gate, LLC$438.9M
15At&t Enterprises, LLC$414.2M
16Fedex Supply Chain Distribution System, Inc.$381.3M
17Four Points Technology, L.l.c.$276.1M
18Sonova USA Inc.$273.4M
19Deloitte Consulting LLP$261.4M
20Optumrx Administrative Services, LLC$247.7M

Related Pages

Source: USASpending.gov ยท U.S. Department of the Treasury