Affirmative Solutions LLC

Affirmative Solutions LLC, a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Cheyenne, Wyoming, supplies surgical implants, orthopedic devices, prosthetic systems, and advanced medical equipment to the Department of Veterans Affairs, the Defense Logistics Agency, and the Department of Defense as a prime contractor across multiple federal supply schedules and indefinite delivery contracts. The vendor is a child entity of parent Apiary Medical Inc., also a SDVOSB and self-certified small disadvantaged business. Affirmative Solutions operates predominantly in federal medical supply chain procurement without set-aside restrictions but maintains SDVOSB and Veteran-Owned Small Business certifications expiring October 15, 2026.

Affirmative Solutions' capability portfolio centers on biological and non-biological surgical implants, orthopedic plates and screws, bone graft materials, cervical spacers, connective tissue implants, and specialized prosthetic devices including CARBONHAND systems. Representative named products visible across the award record include Avance nerve grafts (ranging from 2–5mm across multiple length configurations), AXOGUARD peripheral nerve connectors and protectors, LAPIPLASTY surgical systems, connective tissue implants (CTM flow products), PECA 2 implants, NEXIS PECA implants, spinal screws and spacers, Bookwalter retractor systems, and specialized surgical instruments. Delivery orders ranged from under $2,000 for individual instruments to over $166,000 for high-value implant systems, with recent activity spanning February through July 2026 across multiple Veterans Integrated Service Networks (VISN 2, 6, 8, 10, 12, 17, 20, 21) and the Defense Logistics Agency Medical Supply Chain.

Customer concentration is dominated by Defense Logistics Agency Troop Support Medical, which accounts for 4,259 awards carrying $2.22 billion in combined potential value—55% of all awards and 49% of total dollars. The Department of Veterans Affairs medical network, particularly the Veterans Integrated Service Networks, places the second tier of volume: VISN 6, 10, and 8 together account for roughly 878 awards. The Department of the Army Medical Command and the Defense Health Agency round out the top tier by dollar value. The vendor has served 34 distinct federal agencies across the award record, but activity is heavily concentrated in VA and DoD medical supply procurement.

Affirmative Solutions holds a $49.5 million single-award Indefinite Delivery Contract (SPE2DE) with the Defense Logistics Agency Medical Supply Chain, awarded December 22, 2025, and running through January 1, 2031, under the Total Small Business set-aside designation. This represents the vendor's largest active parent vehicle. The Medical Equipment and Supplies Federal Supply Schedule (FSS-65-II-A), a General Services Administration schedule, is also a primary ordering mechanism; Affirmative Solutions has generated 535 task orders worth $12.6 million through this vehicle. Two additional predecessor indefinite delivery contracts (SPE2DE21D7011 and SPE2DE20D7004) account for 3,964 delivery orders totaling $50.1 million in potential value, indicating sustained reorder activity from the same customer across contract generations.

Activity has grown steadily. Awards per year climbed from 773 in 2022 to 1,090 in 2025; 2026 shows 238 awards through early July. Combined potential value across the entire award portfolio stands at $4.51 billion, with $114.3 million obligated (3% of potential). The recompete cliff for the next twenty-four months is minimal—only twelve awards totaling $248 thousand reach completion in that window—but the December 2025 award of the $49.5 million SPE2DE contract and the active Medical Equipment and Supplies schedule positions indicate strong pipeline security. The vendor is predominantly a prime contractor (100% of awards) with minimal subcontract footprint.

Affirmative Solutions sources products from established medical device manufacturers including Mariner, Shoreline, NanoBone, and others named in the product descriptions. The company's top NAICS codes are Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers (5,352 awards), Surgical Appliance and Supplies Manufacturing (1,030), and Surgical and Medical Instrument Manufacturing (863). This distribution reflects a hybrid model: the vendor acts as both a wholesaler of third-party medical devices and equipment and a direct supplier or assembler of certain surgical appliances and instruments. The company has operated as a federal contractor since 2008 and has maintained sustained growth and high reorder volume within the VA and DoD medical supply ecosystems.

Affirmative Solutions will market and resell manufactured products in the open market to commercial and government hospitals. Our goal is to make the acquisition process painless for our commercial and government contracting officers.