MEDCOM Healthcare Facility Design, Repair, and Construction

The Department of the Army Medical Command established this Master IDIQ on March 1, 2021, with a shared ceiling of $230 million to provide design, repair, and new construction services for military medical treatment facilities and medical research laboratories. Ordering closed on February 29, 2024, and the vehicle is no longer accepting new task orders.

The portfolio shows strong execution momentum through the ordering deadline. Across 155 task orders awarded between March 2021 and September 2024, the vehicle has obligated $233.4 million against a combined potential value of $242.4 million—96% utilization. Orders per year accelerated from 37 in 2021 to a peak of 63 in 2023, though the final partial year (2024) captured only 21 orders before the cutoff. Recent task orders awarded in late August and September 2024 demonstrate continued activity through the last weeks of the ordering window, including the $10.997 million replacement of cooling towers and chillers at Blanchfield Army Community Hospital in Fort Campbell, Kentucky, and the $17.490 million Robertson Blood Center repair at Carl R. Darnall Army Medical Center in Fort Cavazos, Texas.

Scope spans repair, renovation, and maintenance across Army, Navy, and Air Force medical facilities. Awarded orders reflect emergency generator work, HVAC and chiller replacement, roof repairs, elevator overhauls, utility system upgrades, fire alarm and electrical system installations, and interior renovations of clinical spaces—all within occupied operational facilities subject to infection control and Joint Commission construction requirements.

Competition concentrates heavily among two firms. J & J Maintenance Inc. leads by potential value with 31 orders worth $90.7 million; Royce Construction Services, LLC holds the highest order count at 66 orders valued at $68.7 million combined. The next tier—Valiant Government Services LLC, Doyon Project Services LLC, and Herman Construction Group Inc.—account for significantly less volume. These top five firms collectively cover 83% of task order count and 88% of potential value by count. The remaining nine primes split a narrow share of remaining awards.

Customer demand remains concentrated within MEDCOM, which placed 116 of 155 orders (75% of task orders) valued at $183.7 million. The Defense Health Agency accounts for 17 orders totaling $13.1 million, and the Army Corps of Engineers Mobile District accounts for 8 orders worth $25.6 million. Navy and Air Force medical commands place far fewer orders.

The vehicle operates without set-asides: 154 orders carry no set-aside designation; one order is service-disabled veteran-owned small business. All task orders use firm fixed price contracting.

Task order values distribute widely. Recent individual orders range from $97,047 (carpet replacement in Hawaii) to $17.490 million (blood center repair in Texas). Most awards cluster between $500,000 and $5 million, though mega-projects at major Army medical centers periodically exceed $10 million. Place of performance spans the continental United States, Alaska, Hawaii, and U.S. territories, with notable concentration at Tripler Army Medical Center in Hawaii, Brooke Army Medical Center in Texas, Joint Base Lewis McChord in Washington, and Fort Cavazos in Texas.

With ordering authority exhausted as of February 2024, this vehicle is closed to new pursuit. Existing awardees with active task orders extending through 2026 may pursue modifications and contract extensions on in-flight work, but no new vehicle entry is possible.

Provides a full range of construction services to include design/build renovation, repair and new construction for MEDCOM medical treatment facilities (MTF) and medical research laboratory facilities to provide quick, cost effective responses to requirements for MEDCOM facilities, primarily at military installations.