VA NAC Radiation Therapy Next Gen Program

The Department of Veterans Affairs National Acquisition Center (VA NAC) awarded a Master IDIQ on September 7, 2019 for the acquisition and management of radiation therapy systems, linear accelerators, simulators, therapy information systems, therapy planning systems, after-loading systems, water phantoms, training, installation, maintenance services, and related incidentals to support the Veterans Health Administration. Ordering closed on August 31, 2024, ending the vehicle's active ordering period.

This vehicle is effectively exhausted. Combined task-order potential value of $124.1 million sits at 99 percent obligated ($123.5 million), and ordering activity has slowed dramatically—only two task orders awarded in 2025 as of May 16. The 100 task orders issued since September 2019 show a peak of 31 orders in 2022, declining to 18 in 2024 and 2 in 2025 year-to-date. With the ordering window closed nearly two years ago, no new task orders can be placed.

Varian Medical Systems dominates the vehicle across all concentration metrics. The firm holds 70 of 100 task orders (70 percent of all awards) with $100.8 million in combined potential value—representing roughly 81 percent of the vehicle's total obligated and potential value. The next four primes—Accuray Incorporated, Brainlab Inc., Elekta Inc., and Raysearch Americas Inc.—collectively account for only 26 orders and $15.3 million. Viewray Inc. appears in only 4 orders but captures $8.2 million, making it the second-largest by value. The vehicle operates on a competitive basis across all 100 orders with no set-asides.

Ordering is concentrated within VA: the VA NAC itself placed 62 orders worth $112.3 million, while 13 distinct customer agencies (mostly other VA Integrated Service Networks) share the remainder. Roughly 87 percent of orders fund VA NAC initiatives directly.

Task orders reflect the vehicle's clinical equipment focus. Recent awards include linear accelerator stations at multiple VA Medical Centers (San Antonio, Baltimore, Northport, Los Angeles, Kansas City, West Palm Beach, Palo Alto, and others), radiation therapy system upgrades, therapy planning software (Eclipse, RayStation, Brainlab), maintenance contracts, and ancillary equipment such as workstations and uninterruptible power supplies. Typical equipment orders range from $2.5 million to $7.3 million for turnkey linac installations; smaller software, upgrade, and service orders run under $1 million. Most recent obligated orders cluster in the $500,000 to $5.7 million range. Several recent task orders (dating to 2025 and late 2024) record zero dollars obligated, reflecting administrative corrections or contract modifications rather than funding increments.

Place of performance spans VA Medical Centers nationwide, including Puerto Rico and Hawaii.

The Department of Veterans Affairs National Acquisition Center (VA NAC) High Tech Medical Equipment Team (HTME) has awarded a Master IDIQ for the acquisition and management of Radiation Therapy Systems, upgrades and accessories, linear accelerators, simulators, therapy information systems, therapy planning systems, after loading systems, water phantoms, along with training, installation, maintenance services, and incidental services related to the supply of the equipment in order to meet the needs of their customer, the Veterans Health Administration (VHA).