Veterans Integrated Service Network 23

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23 (VISN 23), a civilian sub-agency that procures medical equipment, supplies, facility services, and healthcare provider services across its regional VA medical centers, awarded 84,757 contracts cumulatively since 1993, with combined potential value of $10.56 billion and $8.72 billion obligated to date. Recent activity shows 2,393 awards in 2022, 2,489 in 2023, 2,212 in 2024, 1,853 in 2025, and 981 year-to-date in 2026.

Competitive concentration among prime contractors is highly fragmented. Over the last five years, Edwards Lifesciences LLC leads by award count with 579 awards and $17.2 million combined potential value, followed by Northwest Respiratory Services LLC with 247 awards and $25 million potential value, and DME Services LLC with 240 awards and $4.4 million potential value. The top five primes by award count hold 14 percent of recent awards. By potential value, The University of Iowa, Northwest Respiratory Services LLC, and Edwards Lifesciences LLC rank highest, though together with the top five they represent only 1 percent of combined potential value, reflecting heavy transactional volume through Schedule task orders, BPA calls, and modifications with unreported dollar fields. Across the portfolio, 7,104 distinct prime contractors have been awarded.

Set-aside utilization is modest. No set-aside applies to 75,359 awards (89 percent). Service-Disabled Veteran-Owned Small Business set-asides account for 3,941 awards (4 percent, including sole-source awards), Total Small Business represents 3,864 awards (5 percent), and Partial Small Business comprises 1,124 awards (1 percent). Remaining set-aside categories are negligible, each under 1 percent.

Recent contract opportunities span medical equipment maintenance, facility services, construction, and supplies across Minneapolis, Omaha, Grand Island, and other VISN 23 medical centers. Representative active solicitations include VA Police Psychological Evaluations (Solicitation 36C26327Q0038, SDVOSB set-aside, due 11/6/2026), Karl Storz Video Integration System Support & Service IDIQ (36C26327Q0022, due 10/28/2026), and Duplex Strainer supply for Minneapolis (36C26327Q0054, Total Small Business set-aside, due 10/30/2026). Pre-solicitation notices signal near-term demand for chiller controls upgrade, temporary chillers design-build (SDVOSB 100 percent set-aside, estimated Phase I solicitation 11/9/2026), operating room flooring, anesthesia gas module services, pathology services, and facility maintenance work.