1ST American Medical Distributors, Inc.

1ST American Medical Distributors, Inc., a Murfreesboro, Tennessee-based service-disabled veteran-owned small business (SDVOSB), distributes medical equipment and diagnostic imaging devices to federal healthcare organizations as a prime contractor, with 100 percent of recent awards issued to the company directly. The vendor is self-certified as a small disadvantaged business and veteran-owned business in addition to its SDVOSB designation. 1ST American Medical Distributors competes predominantly under SDVOSB set-aside vehicles, with a smaller volume placed under total small business and full-and-open competitions, and holds a cornerstone $62 million GSA Medical Equipment and Supplies Federal Supply Schedule contract (FSS-65-II-A) awarded in December 2021 through November 2026 that serves as the parent vehicle for the bulk of its task order activity.

The vendor's federal footprint centers on supplying examination chairs, tables, hemodynamic monitoring systems (Edwards HemoSphere and similar platforms), medical injectors (Medrad and Bayer contrast systems), sterilization equipment, ultrasound platforms, and related healthcare infrastructure to VA medical centers across multiple Veterans Integrated Service Networks and, to a lesser extent, the Defense Health Agency, Indian Health Service, and other federal health agencies. Representative work includes a $2.96 million order from VA VISN 17 for 41 HemoSphere Alta monitoring systems with trade-in credits (June 2026); a $17.3 million firm fixed-price definitive contract with the Defense Health Agency for enterprise dose monitoring maintenance through September 2030 (September 2025); a $1.67 million delivery order from VA VISN 21 for examination tables and chairs (May 2024); and a $1.12 million delivery order from VA VISN 8 for Midmark examination tables (March 2024). The vendor has delivered over $6.3 million in medical equipment to VA facilities since 2022 and maintains active indefinite delivery contracts with the Defense Health Agency for Bayer injector maintenance across Madigan Army Medical Center (ceiling $191 thousand, through April 2028) and with VA VISN 23 for Bayer contrast injector maintenance across five-state region (ceiling $827 thousand, through April 2029).

Customer concentration is heavily skewed to the VA system. The top five VA VISNs account for roughly 33 percent of recent awards by count—led by VISN 17 (223 awards, $20.8 million combined potential value), VISN 22 (164 awards, $19.9 million), and VISN 7 (155 awards, $18.9 million)—but by potential value, VISN 12 dominates with 88 awards and $68.6 million, reflecting larger-dollar delivery orders for examination chairs and hemodynamic monitoring equipment. The vendor has worked with 76 distinct federal agencies in total, but the VA system (across all VISNs) accounts for the vast majority of the award portfolio. Defense Health Agency, Indian Health Service, and minor defense and civilian health agencies round out the customer base. Recent activity shows declining award velocity: 113 awards in 2022, 132 in 2023, 62 in 2024, 38 in 2025, and 29 in 2026 year-to-date. Twenty-seven awards with combined potential value of $6.7 million reach ultimate completion within the next twenty-four months, representing recompete exposure.

1ST American Medical Distributors places 1,304 of its recent task orders under the GSA Medical Equipment and Supplies FSS-65-II-A vehicle, carrying $107.8 million in combined potential value. The vendor also holds a single-award blanket purchase agreement with the VA for medical and surgical products (BPA 36C25519A0013, three task orders, $16.5 million) and smaller blanket purchase agreements for medical imaging supplies. The Medical Equipment and Supplies FSS schedule is the dominant contracting mechanism, enabling streamlined procurement across VA facilities nationwide at pre-negotiated pricing. Most awards are purchase orders or delivery orders issued under these standing vehicles rather than new competitive solicitations.

Service Contract Inventory captures only $336 thousand in SCI-reportable invoiced revenue across FY2022–FY2024, with $336 thousand invoiced in FY2023 and minimal service-contract work reported in the other years covered. The SCI dataset reflects fewer than five service contracts above the $150 thousand reporting threshold and represents a negligible slice of the vendor's total federal revenue. The median government-paid hourly rate on SCI-reportable prime contracts ran around $175 per hour. The vendor operates as a pure prime on federal awards in the SCI dataset, with zero subcontractor hour share recorded. SCI is a strict subset of federal activity and does not capture the vendor's goods-procurement dominance or total enterprise scale.

The vendor competes as a direct prime on all recent awards and maintains no named subcontractor relationships in the award data. Its positioning as an authorized distributor for Edwards Lifesciences, Bayer/Medrad, Midmark, STERIS, and other original equipment manufacturers—combined with SDVOSB certification, the $62 million GSA schedule, and established relationships across multiple VA service networks—anchors a steady pipeline of orders for medical equipment and maintenance services to VA facilities, though recent-year award velocity is declining.

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