Veterans Integrated Service Network 21

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 (VHA VISN 21) is a sub-agency within the Veterans Health Administration that procures medical supplies, facilities maintenance, construction services, and clinical support for VA health care delivery across the network's regional footprint. VISN 21 has awarded 90,184 federal contracts since 2003, with combined potential value of $13.6 billion and combined dollars obligated of $10.38 billion, spanning 7,994 distinct prime contractors. Recent activity shows a declining trend: 3,219 awards in 2023, 2,990 in 2024, 2,426 in 2025, 1,603 in 2026, and 1 award year-to-date in 2027 as of the latest recorded award date in April 2027.

The contract portfolio is highly fragmented by award count, with the top five primes accounting for 12 percent of recent awards. DME Services LLC leads by count with 598 awards and $14 million combined potential value; Edwards Lifesciences LLC follows with 377 awards and $24.1 million. By potential value, concentration is minimal—the top five primes hold only 1 percent of combined potential value in recent activity, with Care Meridian, Crestwood Behavioral Health, Inc., and SDV Office Systems LLC each holding discrete regional or specialized contracts between $26 million and $61.9 million. This extreme fragmentation reflects VISN 21's reliance on small- to mid-sized vendors for medical equipment, facilities services, and clinical supplies across multiple geographic sub-networks.

Set-asides remain a secondary lever: 89 percent of awards carry no set-aside designation. Service-Disabled Veteran-Owned Small Business awards account for 5 percent of the portfolio (3,241 SDVOSB awards plus 950 SDVOSB Sole Source awards). Small Business set-asides comprise an additional 5 percent across multiple designations (Total Small Business, Partial Small Business, Veteran-Owned Small Business, HUBZone, 8(a) Competitive and Sole Source, and Woman-Owned Small Business combined).

Recent contract opportunities reflect VISN 21's operational footprint across Northern California, Nevada, and the broader West Coast region. Solicitation 36C26127Q0099 for VACCHCS Pharmacy Certification (due November 2, 2026) is unrestricted. Multiple facilities-maintenance and construction awards are set-aside for SDVOSB: roof replacement at Palo Alto VA Medical Center–Menlo Park (36C26127Q0082, due November 19, 2026), dental vacuum piping replacement at VA Las Vegas Medical Center (36C26127Q0072, due November 17, 2026), and flooring renovation at Sacramento VA Medical Center (36C26127Q0026, due November 12, 2026). A pre-solicitation notice for shuttle bus services at VA Central California Health Care System (36C26127Q0051, due November 16, 2026) signals upcoming demand for ground transportation. VISN 21 also issues sole-source notices when specialized services or authorized vendors apply—including Implementation Science Training at UCSF (intent deadline October 22, 2026) and chiller tower repair services through verified SDVOSB EWA Direction, Inc. (intent deadline October 20, 2026).