Accessibility Services Inc.

Accessibility Services Inc., a woman-owned small business manufacturer of environmental control units, augmentative and alternative communication devices, speech-generating systems, and related assistive technology equipment, operates exclusively as a prime contractor delivering purchase orders directly to Department of Veterans Affairs regional networks across all 23 Veterans Integrated Service Networks. The company, based in Homosassa, Florida, and incorporated as a Subchapter S Corporation, competes in the full-and-open market without set-aside designations on its recent prime footprint, though it holds woman-owned small business certification.

The company's concrete capability portfolio centers on assistive devices engineered for veterans with severe disabilities—particularly those with spinal cord injuries and amyotrophic lateral sclerosis—enabling environmental control, communication, and home automation through multiple input methods including voice commands, switch scanning, eye-gaze technology, head mice, and touch screens. Representative work includes a $927,000 purchase order from VISN 21 (July 2026) for removal, installation, and maintenance of 43 AutonoMe Hospital Environmental Control Units at VA Palo Alto Health Care System's Spinal Cord Injury Center, with integrated training and two-year warranty; a $1,006,250 contract from VISN 22 (March 2025) for provision, installation, and configuration of 50 AutonoMe environmental control units at VA San Diego Healthcare System; and a $632,346 award from VISN 19 (June 2025) for 30 AutonoMe portable environmental control unit hospital systems with installation services and eye-tracking accessories. The company manufactures proprietary AutonoMe systems, Tobii eye-tracking tablets, PROS communication devices, and related prosthetic and home automation equipment sold directly to VA medical centers.

Customer concentration is heavily skewed toward the Department of Veterans Affairs Veterans Health Administration. The top five VISNs by award count account for 62 percent of all awards: VISN 8 anchors the portfolio with 306 awards valued at $5.7 million; VISN 10 follows with 166 awards at $4.6 million; VISN 12 with 100 awards at $3.3 million; VISN 20 with 95 awards at $2.3 million; and VISN 17 with 78 awards at $3.7 million. However, the dollar rankings diverge significantly: the Department of Veterans Affairs Technology Acquisition Center Austin dominates potential value with just 3 awards totaling $24.5 million—indicating large, lumpy contracts anchoring total dollars while the VA's regional networks drive sustained order volume through numerous smaller purchase orders ranging typically from $11,700 to $40,000 per unit. Of 1,193 total awards, 91 percent of potential value ($59.8 million of $65.5 million) has been obligated, reflecting mature customer relationships and consistent cash conversion.

Activity shows year-to-year volatility rather than sustained growth: 82 awards in 2022, 102 in 2023, 82 in 2024, 87 in 2025, and 51 so far in 2026 (partial-year count through October 13). Recompete exposure in the next twenty-four months is minimal—only 19 awards with combined potential value of $1.3 million face ultimate completion, reflecting the transactional nature of purchase-order-based business with individual VISN procurement offices rather than consolidated contract vehicles or long-term IDIQs.

The vendor operates 100 percent as a prime contractor with no subcontract relationships reported. All awards are individual purchase orders issued directly by VA regional VISN procurement offices; the company holds no parent vehicles such as GWACs, BPAs, agency-wide IDIQs, or GSA Schedules. Work is performed across multiple locations including Homosassa and Port Orange, Florida; Fresno, California; Lexington, Kentucky; Dallas, Texas; Denver, Colorado; and other sites as required by individual veteran patient locations. NAICS coding reflects the medical device manufacturing profile: Surgical Appliance and Supplies Manufacturing (722 awards), Surgical and Medical Instrument Manufacturing (178 awards), and Electromedical and Electrotherapeutic Apparatus Manufacturing (70 awards), with nearly all work classified under PSC Medical And Surgical Instruments, Equipment, And Supplies (1,109 of 1,193 awards).