Veterans Integrated Service Network 10

Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10 is a sub-agency within the Department of Veterans Affairs that procures medical equipment, facility services, and clinical supplies for the VA medical centers and clinics within VISN 10's footprint across Ohio, Michigan, and Indiana.

VISN 10 has issued 137,290 federal contract awards since 2001, with combined potential value of $15.83 billion and $13.2 billion obligated to date. Contract activity has declined in recent years: 4,028 awards in 2023, 4,215 in 2024, 3,517 in 2025, 1,981 in 2026, and 1 award recorded in 2027 year-to-date. The agency transacts with 9,794 distinct prime contractors across its portfolio.

The prime contractor base is highly fragmented. Over the last five years, the top five primes by award count — Sunrise Medical (US) LLC (622 awards), DME Services LLC (508 awards), Permobil Inc. (460 awards), Health Aid Of Ohio, Inc. (413 awards), and Edwards Lifesciences LLC (405 awards) — collectively account for 13 percent of recent awards. By potential value, competition is similarly dispersed: Olympus America Inc. leads with $57.6 million combined potential value across 217 awards, followed by SDV Office Systems LLC ($40.4 million, 159 awards), but the top five by value represent just 1 percent of combined potential value. Heavy transaction volume flows through non-reported vehicles such as Schedule task orders, BPA calls, and modifications, particularly among mid-tier vendors.

The set-aside mix is dominated by unrestricted awards: 90 percent of awards carry no set-aside designation. Small-business set-asides (including Total Small Business and Partial Small Business) account for 6 percent of awards; Service-Disabled Veteran-Owned Small Business set-asides, both competitive and sole source, represent 4 percent. All other socioeconomic designations — HUBZone, Women-Owned Small Business, Veteran-Owned Small Business — comprise less than 1 percent combined.

Recent contract opportunities span facility maintenance, medical equipment procurement, and clinical services. Active solicitations include reverse osmosis systems maintenance services at Ann Arbor VA Medical Center (RFQ due November 16, 2026, 100 percent set aside for Small Business), annual inspection and testing of fire-safety devices at Cleveland VA Medical Center (SDVOSB set-aside, due November 4, 2026), and water testing for the Northern Indiana Healthcare System sterile processing systems (SDVOSB set-aside, due November 20, 2026). Pre-solicitation notices seek sources for roofing and lighting protection replacement across Cincinnati VA Medical Center and the Fort Thomas campus (231,000 square feet, SDVOSB set-asides), elevator upgrade and replacement (21 elevators), and commissioning agent services. Additional opportunities include diagnostic and repair services for environmental management equipment at Detroit VA Medical Center, building automation system upgrades, and radioactive waste removal and disposal at Ann Arbor VA Medical Center. Several sole-source notices indicate intent to award specific vendors for specialized medical mapping systems and better-health membership services.