Veterans Integrated Service Network 5

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 5 is a civilian healthcare delivery sub-agency within VHA that procures medical equipment, facility services, and operational support across a network of VA medical centers in Maryland, West Virginia, and Washington DC. VISN 5 transacts primarily through equipment and supply contracts for prosthetics, orthotics, mobility devices, medical gases, facilities maintenance, and specialized healthcare services supporting veteran patients across eight regional facilities.

VISN 5 has awarded 69,343 contracts cumulatively since October 2000, with $9.92 billion in combined potential value and $7.13 billion obligated against awards (72 percent of potential). Recent activity shows 2,554 awards in 2023, 2,340 in 2024, 2,036 in 2025, 1,175 in 2026, and 1 award recorded as of the most recently recorded award date in January 2027. Across the portfolio, 6,877 distinct prime contractors have received awards.

Competition is fragmented by award count over the last five years—the top five primes by award volume account for 15 percent of recent awards. Hanger Prosthetics & Orthotics, Inc. leads with 401 awards and $7.3 million combined potential value; 101 Mobility LLC follows with 333 awards and $4.8 million; and Alliant Enterprises, LLC holds 325 awards and $15.4 million in combined potential value, the highest by dollar weight among top vendors. The remaining competitive universe is highly dispersed across 6,800-plus additional contractors, with many transacting through below-threshold purchase orders or modifications carrying unreported dollar values.

Set-asides remain minimal: 91 percent of awards carry no set-aside designation. Service-Disabled Veteran-Owned Small Business (SDVOSB) designations account for 4 percent of awards (2,657 total), and small-business set-asides overall represent roughly 5 percent. The remaining set-aside categories—8(a), woman-owned small business, HUBZone, and veteran-owned small business—collectively comprise 1 percent or less of the award portfolio.

Current contract opportunities span facility maintenance, medical equipment service, and specialized rehabilitation support. Representative recent solicitations include snow and ice removal management services at Beckley VA Medical Center (Service-Disabled Veteran-Owned Small Business set-aside, due October 27, 2026); triennial electrical inspection and testing services at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia (sources-sought pre-solicitation, due November 5, 2026); rehabilitative driving services via indefinite-delivery contract (pre-solicitation, due November 9, 2026); and semi-annual industrial wastewater discharge testing at Huntington VAMC (request for quote, due November 16, 2026). Multiple pre-solicitations remain open for medical gas cylinders, bulk oxygen supply, hazardous waste disposal services, and specialized clinical equipment maintenance including endoscopes and laser systems. Several sole-source notices reflect manufacturer-specific equipment support requirements for dialysis water systems, laser devices, and sterilization equipment.