Carestream Health, Inc.

Carestream Health, Inc., a Rochester, New York-based for-profit manufacturer of medical imaging equipment and healthcare IT solutions, operates as a prime contractor selling digital radiography systems, computed radiography equipment, mobile x-ray units, medical imaging detectors, and preventive maintenance and repair services to federal healthcare and defense agencies on full-and-open competition without set-aside designations.

Carestream competes across multiple federal customer agencies in both equipment procurement and long-term maintenance contracts. The Department of Defense's Defense Logistics Agency Troop Support Medical is the largest funder by potential value—330 awards totaling $883.4 million, driven primarily by delivery orders under the DLA Medical Capital Equipment Program IDIQ—while the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12 accounts for 198 awards worth $176.5 million combined. The VA National Acquisition Center represents a third major customer with 162 awards worth $56.5 million. Indian Health Service places the most awards by count (406 awards) but carries substantially lower per-order value at $12.1 million combined. These five customer buckets account for 36% of all awards and 50% of total potential value, indicating moderate concentration anchored by the DLA's medical capital equipment program.

Carestream's capability footprint centers on original equipment manufacture and proprietary maintenance of its own systems. Recent representative prime work includes a $938.2 million definitive contract with VA Veterans Integrated Service Network 22 for preventive maintenance and repair services on DRX digital radiography systems (December 2024), a $974.1 million delivery order with VISN 7 for preventive maintenance on DRX systems at the Atlanta VA Medical Center (June 2024, extending through March 2028), and a $2.74 million delivery order under the DLA Medical Capital Equipment Program for digital radiology systems (August 2023). A single-award indefinite delivery contract with the Air Force Life Cycle Management Center at Robins Air Force Base, valued at $2.5 million through August 2026, supplies computed radiography systems for the Air Force's Non-Destructive Inspection program—a non-medical application demonstrating Carestream's technical reach beyond healthcare delivery. Smaller maintenance agreements and component orders (detectors, batteries, screen wipes, film) round out the portfolio.

Carestream holds two parent contract vehicles. The DLA Medical Capital Equipment Program, a multiple-award IDIQ, accounts for 417 task orders worth $108.9 million in combined potential value. An older "X-ray Equipment and Supplies" vehicle carries 1,203 task orders at $9.7 million combined value, likely representing maintenance renewal contracts issued repeatedly across VA facilities. The single-award Air Force IDC ($2.5 million through August 2026) secures computed radiography production.

Activity has remained steady across the past five years—37 to 55 awards per year from 2022 through 2024—with a decline to 42 in 2025 and 26 through September 2026, reflecting either a slowdown in federal healthcare imaging procurement or the source data's recency edge. Forty-two awards face ultimate completion within the next twenty-four months with combined potential value of $13.1 million, presenting moderate recompete exposure for a vendor operating at this scale.

Carestream operates almost exclusively as a prime contractor (3,441 of 3,442 awards are primes, 0% subcontractor split). The single named sub-award represents engineering services provided to a prime under EPSE III Robotics and Lasers—a negligible portion of its footprint. Service Contract Inventory data captures only $109 thousand in invoiced revenue across FY2022–FY2024 at a median rate of $1,080.10/hr, reflecting minimal service-contract reporting above the $150,000 threshold; this figure represents a strict subset of the company's actual federal services revenue and should not be conflated with total federal or enterprise revenue. The vendor delivers work almost entirely from its Rochester headquarters with no identified major subcontractors.

Carestream's federal presence is concentrated in goods procurement (equipment), not labor services. The top NAICS codes are Pharmaceutical Preparation Manufacturing (1,171 awards, likely a data miscoding), Medical Equipment and Supplies Merchant Wholesaler (637 awards), Equipment Repair and Maintenance (370 awards), and Irradiation Apparatus Manufacturing (245 awards). The top PSC is Imaging Equipment and Supplies: Medical, Dental, Veterinary (1,643 awards), followed by maintenance and repair (555 awards). All work operates under full competition without set-asides, positioning Carestream as an established incumbent in federal medical imaging infrastructure with minimal exposure to small business or socioeconomic reserve categories.