I'm talking about the broader funding of R&D as a whole - not just a subset of medical research funding.
In the past 12+ months I've been involved in the awarding of hundreds of millions in funding - and it's uncommon for the award to not go to a collaboration/group. Insitutions aren't even available for an award if they aren't a member of a consortium - but they can receive an individual award if their proposal is evaluated highest. None of it is in medical/health, though. But as I said, research funding has many categories and many recipients, although I get that HHS is the largest in the federal arena. But you have to remember there are many other types of instutions/organizations competing for money as higher education instutions perform only 10% of all R&D (but receives 30% of the federal funding).
R&D