Affirmative Solutions LLC

Affirmative Solutions LLC, a Service-Disabled Veteran-Owned Small Business headquartered in Cheyenne, Wyoming, supplies surgical implants, orthopedic devices, prosthetic systems, and advanced medical equipment to the Department of Veterans Affairs and Department of Defense as a prime contractor on a $49.5 million single-award indefinite delivery contract running through January 1, 2031. Affirmative Solutions is a wholly owned child entity of parent Apiary Medical Inc., also an SDVOSB and self-certified small disadvantaged business. The vendor operates under primary NAICS codes spanning medical device wholesaling (Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers), surgical appliance manufacturing (Surgical Appliance and Supplies Manufacturing), and surgical instrument manufacturing (Surgical and Medical Instrument Manufacturing), with federal work concentrated in the Defense Logistics Agency Medical Supply Chain, the Veterans Health Administration across multiple Veterans Integrated Service Networks, and the Department of the Navy Bureau of Medicine and Surgery.

Affirmative Solutions' capability portfolio centers on procurement and distribution of specialized medical technologies — Avance nerve grafts in multiple configurations, AXOGUARD peripheral nerve connectors and protectors, connective tissue implants (CTM Flow and related biologics), spinal surgical components (STEM systems, LAPIPLASTY technology, SPEEDAKIN compression implants, ARCAD stapling systems), orthopedic plates and screws, bone graft materials, cervical spacers, prosthetic systems including CARBONHAND devices, and specialized surgical instruments (forceps, retractors, scalpels, scissors, clamps, elevators, dissectors, curettes, and related surgical hand instruments). Representative work includes a $52.5 million delivery order from Defense Logistics Agency Medical Supply Chain for 4.0 milliliter connective tissue implant supply awarded June 29, 2026 (Total Small Business set-aside), a $35.7 million delivery order from Veterans Integrated Service Network 17 for Orthocor Activ8 orthopedic devices on the GSA Medical Equipment and Supplies Federal Supply Schedule awarded July 6, 2026, and a $31.7 million delivery order from DLA Medical Supply Chain for RESTOR3D custom upper extremity prosthetic devices awarded June 26, 2026 (Total Small Business set-aside). Most work is issued as delivery orders under the parent $49.5 million SPE2DE indefinite delivery contract awarded December 22, 2025.

The vendor's customer concentration is extreme. The Defense Logistics Agency Troop Support Medical dominates both award volume and dollar value, accounting for 4,632 awards (73% of the portfolio's coverage sample) worth $2.22 billion in combined potential value. The top five funding agencies account for 73% of awards — DLA Medical Supply Chain leads, followed by the Department of the Navy Bureau of Medicine and Surgery (360 awards, $8.4 million), Veterans Integrated Service Networks 6, 10, and 8 (combined 878 awards, $13.4 million). The potential-value rankings reflect the same concentration: DLA Medical Supply Chain anchors the portfolio at $2.22 billion, with Army Medical Command ($34.3 million), Defense Health Agency ($14.4 million), Navy ($8.4 million), and VISN 10 ($5.9 million) rounding out the top tier. This concentration sits within a smaller overall value base than award volume suggests — combined obligated dollars total only $116.4 million (3% of the $4.51 billion potential-value ceiling), indicating that most delivery orders carry ceiling values substantially higher than invoiced amounts.

Affirmative Solutions holds three active primary vehicles: the $49.5 million SPE2DE indefinite delivery contract (3,549 task orders, $45.5 million combined potential value), the Medical Equipment and Supplies GSA schedule (536 task orders, $12.6 million), and two additional SPE2DE variants (SPE2DE20D7004 and SPE2DE26DA003, collectively 789 task orders and $6.3 million). All work is carried out as a prime contractor — sub-award activity totals two awards, both sub-position work as a reseller of equipment under larger prime contractors (Cardinal Health 200, LLC, on one medical/surgical equipment sub-award in November 2024). Place of performance concentrates in Cheyenne, Wyoming, with secondary performance sites at VA medical centers and DoD facilities in Palo Alto, California; Holly Springs, Georgia; Evans, Georgia; Harlingen, Texas; and other VISN locations.

Activity has grown year over year, rising from 773 awards in 2022 to 1,090 in 2025, with 615 awards already recorded through September 2026. The vendor faced no recompete cliff material in the source's sample — only ten awards (combined potential value $247 thousand) reach ultimate completion within the next twenty-four months. The vendor supplies ordering authority across the Medical Equipment and Supplies Federal Supply Schedule and maintains active positions on multiple DLA Medical Supply Chain indefinite delivery contracts, all under Total Small Business set-aside designation. Affirmative Solutions competes exclusively under the small business set-aside framework; no full-and-open competition appears in the award sample. The corporate structure — child entity of Apiary Medical Inc. — carries forward both the SDVOSB and self-certified small disadvantaged business certifications to the parent, suggesting a unified federal contracting identity across both entities operating from the same Cheyenne headquarters address.

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.