Veterans Integrated Service Network 19

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19 is a civilian sub-agency within the VA responsible for procuring medical equipment, supplies, facilities services, and professional services to support veteran healthcare delivery across its regional network. VISN 19 operates the Network Contracting Office (NCO 19), located in Greenwood Village, Colorado, which centralizes procurement for the Eastern Colorado Health Care System, Oklahoma VA Health Care System, and other affiliated medical centers across the Mountain West region.

VISN 19 maintains one of the largest and most active federal contract portfolios in civilian healthcare acquisition. The agency has issued 94,401 total federal contract awards since 2001, with combined potential value of $273 billion and $60.68 billion in obligated federal dollars. Recent activity has accelerated: the agency awarded 2,808 contracts in 2022, 3,237 in 2023, 3,667 in 2024, 2,959 in 2025, and 1,298 year-to-date in 2026. The most recently recorded award date is 2026-11-01, indicating ongoing transactional volume. VISN 19 has engaged 7,923 distinct prime contractors across its portfolio history.

Contract competition is highly fragmented by award count, with the top five primes holding only 10 percent of recent awards over the last five years. Permobil Inc. leads by award count with 431 recent awards, followed by Altamira LTD with 302 awards and Sunrise Medical (US) LLC with 270 awards; all three are mobility and assistive-equipment manufacturers serving recurring VA procurement needs. By potential value, concentration is extremely narrow—the top five primes hold only 1 percent of combined potential value over the last five years. Sonova USA Inc. dominates by value with $1 billion in combined potential across 82 awards, followed by Oticon, Inc. at $325.1 million and Starkey Laboratories Inc. at $288.4 million, reflecting heavy reliance on hearing-aid and audiology equipment manufacturers. Iron Bow Technologies, LLC appears in both rankings (169 awards, $148.4 million potential value), suggesting it transacts across both volume and value categories. The dollar-value disparity signals that VISN 19 executes a substantial portion of its transaction volume through Schedule task orders, BPA calls, and below-threshold purchase orders with unreported or capped ceiling values.

Set-asides are minimal. No Set-Aside designated awards account for 88 percent of total contract volume. Service-Disabled Veteran-Owned Small Business (SDVOSB) set-asides represent 5 percent of awards, while Total Small Business accounts for another 5 percent. Partial Small Business, SDVOSB Sole Source, and Veteran-Owned Small Business combined represent less than 2 percent of awards. 8(a), HUBZone, Woman-Owned Small Business, and other minority or disadvantage-focused set-asides are negligible.

Representative recent contract opportunities reflect VISN 19's recurring procurement drivers: medical equipment maintenance and supplies, facilities operations, and clinical services. Open solicitations include anesthesia machines for Cheyenne VA Medical Center (Total Small Business set-aside, due Oct 30, 2026), FCC Medical Cache Maintenance for Eastern Colorado Healthcare System (SDVOSB set-aside, due Nov 4, 2026), mail tracking service for Rocky Mountain Regional VA Medical Center (Total Small Business set-aside, due Oct 28, 2026), and hazardous waste disposal services (SDVOSB set-aside, due Nov 5, 2026). Sole-source procurements are also active, including Fujifilm Synapse Cardiology PACS maintenance and licenses for Salt Lake City VA Medical Center and Agilent mass spectrometry maintenance. Recent pre-solicitation activity covers customer service and professional skills training, Qgenda scheduling software, LOGICARE patient instructions software, and specialized medical laboratory equipment. VISN 19 also solicits facilities and infrastructure services, including HVAC systems maintenance, lightning protection updates, elevator testing and inspection, and radiant heating panel replacement, typically at SDVOSB or small-business set-asides for construction and repair work.