Veterans Integrated Service Network 22

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22 (VISN 22) is a sub-agency within the Veterans Health Administration that procures medical supplies, equipment, facility services, and clinical support for VA medical centers and healthcare systems across the Southern California and Arizona regions. VISN 22 transacts almost entirely through firm-fixed-price purchase orders and service contracts, with medical consumables, diagnostic reagents, sterilization equipment, and facility operations dominating its procurement portfolio.

VISN 22 has issued 142,324 federal contract awards cumulatively since July 1999, with a combined potential value of $20.8 billion and $17.47 billion obligated to date. Over the last five years, activity has averaged 4,227 awards annually: 4,930 awards in 2023, 5,270 in 2024, 4,436 in 2025, 2,608 in 2026, and 2 year-to-date in 2027. The most recent recorded award date is October 11, 2027. The agency transacts with 10,598 distinct prime contractors across its portfolio history. Recent awards indicate heavy volume through purchase orders and task orders with unreported or below-threshold dollar values; "Recent awards (last 5 years) with no reported potential value" are prevalent in the source data, reflecting Schedule and BPA activity.

Competitive concentration is highly fragmented by award count over the last five years. Among the top five primes by recent award count, Permobil Inc. leads with 504 awards ($10.8 million combined potential value), followed by Superior Optical Labs, Inc. with 471 awards ($46.5 million), American Access, Inc. with 241 awards ($5.3 million), Sunrise Medical (US) LLC with 226 awards ($4.3 million), and Mid-Cities Home Medical Delivery Service, L.L.C. with 224 awards ($16.1 million). These five account for 7 percent of recent awards. By potential value, the top five are more dispersed: Ansible Government Solutions LLC ($92.7 million across 126 awards), D Square Construction LLC ($85.8 million across 104 awards), Trillamed LLC ($61 million across 211 awards), IAW Construction, Inc. ($53.1 million across 193 awards), and Superior Optical Labs, Inc. ($46.5 million). Combined, the top five by value represent 2 percent of the agency's recent combined potential value, indicating highly fragmented concentration on both dimensions.

Set-aside awards comprise 12 percent of VISN 22's portfolio. Service-Disabled Veteran-Owned Small Business awards dominate the set-aside mix at 7,778 awards (5 percent of all awards), while Total Small Business accounts for 6,824 awards (5 percent). Service-Disabled Veteran-Owned Small Business Sole Source awards comprise 802 awards (1 percent). The remaining set-aside designations—including Veteran-Owned Small Business, 8(a), Woman-Owned Small Business, and HUBZone—each represent less than 1 percent of awards. No Set-Aside Used dominates at 125,798 awards (88 percent), reflecting VISN 22's primary procurement model of unrestricted competition for commercial medical supplies and services.

Representative recent opportunities reflect VISN 22's healthcare and facility operations remit. Solicitation 36C26227Q0059 for "Prescott Fresh Produce 27" is a Total Small Business set-aside RFQ for food service supplies at VA Prescott Healthcare System, due November 10, 2026. Pre-Solicitation 36C26227Q0063, "ALCON CONSTELLATION LXT PHACOEMULSIFICATION UNITS AND EMBEDDED LASERS PMI SERVICES," is a sources-sought notice for preventive maintenance and repair of ophthalmic equipment at Long Beach VA Medical Center, with a NAICS code of 811210 and an estimated contract value of $34 million. Pre-Solicitation 36C26227Q0040 solicits offsite surgical reprocessing and sterilization services for VA Loma Linda Healthcare System as a Total Small Business set-aside, due October 19, 2026. Additional opportunities include medical gas procurement (Pre-Solicitation 36C26226Q1475), hazardous waste disposal (Pre-Solicitation 36C26227Q0036 set-aside for Service-Disabled Veteran-Owned Small Businesses), diagnostic reagents and consumables, sterilization equipment maintenance, facility hood cleaning, and security staffing. Many opportunities are posted as sources-sought notices and RFIs for market research rather than formal solicitations, indicating active acquisition planning across multiple VA medical centers and healthcare systems within VISN 22's footprint.