Veterans Integrated Service Network 20

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20 is a civilian sub-agency within the Veterans Health Administration that procures medical equipment, supplies, pharmaceuticals, facilities maintenance, construction, and healthcare services to operate and support VA medical facilities across the Northwest region. The Network Contracting Office 20 executes contracts on behalf of multiple VA medical centers and clinics in its service area.

VISN 20 has awarded 67,166 federal contracts with a combined potential value of $9.4 billion since 2003, with $7.6 billion obligated to date. Award volume has declined in recent years: 2,258 awards in 2023, 2,217 in 2024, 1,850 in 2025, 1,180 in 2026, and 1 year-to-date in 2027. The most-recent recorded award date is January 1, 2027.

The competitive base is highly fragmented. Edwards Lifesciences LLC leads by award count with 309 awards over the last five years, followed by Permobil Inc. with 265 and Avalon Contracting Inc. with 264; the top five by count account for 13 percent of recent awards. By potential value, Oregon Health & Science University ranks first at $88 million combined potential value across 107 awards, with Roche Diagnostics Corporation second at $32.2 million across 63 awards; the top five by value represent only 2 percent of combined potential value. The disparity reflects substantial ordering through Schedule task orders and BPA calls—recent awards with no reported potential value carry material volume but unknown dollar weight. Across the portfolio, 6,273 distinct prime contractors have been awarded, underscoring the highly fragmented supplier ecosystem.

Set-asides are minimal. No set-aside designations account for 88 percent of awards (58,957). Service-Disabled Veteran-Owned Small Business set-asides comprise 5 percent (3,339 awards); total small-business set-asides reach 6 percent (4,104 awards). All other set-aside categories—including 8(a), HUBZone, WOSB, and veteran-owned designations—total less than 1 percent of volume.

Recent contract opportunities reflect regional medical-center needs and include Sources Sought notices for Cefaly migraine-treatment devices at VA Puget Sound (due November 4, 2026), a Special Notice for nationwide air-ambulance broker services with ground transportation support via multiple-award IDIQ contracts (Industry Day December 10–11, 2026; due December 4, 2026), ConMed AirSeal insufflator maintenance and repair services at VA Puget Sound (due October 27, 2026), microbiology testing media for MRSA and VRE (due October 23, 2026), and kitchen-equipment maintenance at the Mann-Grandstaff VA Medical Center in Spokane (RFQ due November 5, 2026). Service-Disabled Veteran-Owned Small Business set-asides dominate the pre-solicitation and solicitation pipeline, including construction projects such as lighting efficiency improvements and bathroom remodels at VA Southern Oregon Rehabilitation Center, plumbing repairs at Mann-Grandstaff, and domestic water-system corrections (various due dates in late October and November 2026).