Commonwealth Home Health Care, Inc.

Commonwealth Home Health Care, Inc., doing business as Home Health Care Of Danville, is a veteran-owned small business that delivers home oxygen equipment and respiratory care services to the Department of Veterans Affairs as a prime contractor operating exclusively without subcontractors. The company holds SBA certification as a veteran-owned small business through August 5, 2028 and competes across both veteran-owned small business set-asides and full-and-open federal procurements, with the majority of recent awards carrying no set-aside designation.

Based in Danville, Virginia, Commonwealth Home Health Care operates as a Subchapter S Corporation focused narrowly on home oxygen delivery—the company supplies oxygen concentrators, regulators, portable oxygen systems, equipment setup, maintenance, patient education, and equipment recovery services to support approximately 5,000 oxygen-dependent veterans across multiple VA regional networks. Work is performed in Virginia, North Carolina, and Florida across Veterans Integrated Service Networks 5, 6, 7, and 8.

The company's customer base is heavily concentrated within the VA. The top five customers account for 52% of award count by volume and 81% of combined potential value. Veterans Integrated Service Network 6 dominates by both count and dollars—1,166 awards valued at $266.9 million combined potential value—followed by VISN 8 with 192 awards worth $124.4 million, VISN 5 with 152 awards totaling $23.3 million, VISN 7 with 30 awards valued at $5.3 million, and the Department of Veterans Affairs proper with 67 awards totaling $302 thousand. The concentration is stark: VISN 6 alone anchors roughly 51% of all potential value, making it the overwhelming customer anchor.

Commonwealth Home Health Care operates under five primary indefinite-delivery contracts. The largest is IDC VA24614D0005 with VISN 6, supporting 500 task orders valued at $49.3 million combined potential value. IDC V246P00002 (also VISN 6) carries 585 task orders worth $15.8 million. IDC VA246P0454 (VISN 6) comprises 399 task orders at $25 million. IDC VA248P0012 (VISN 8) holds 120 task orders valued at $54.2 million. IDC V246P01386 (VISN 6) includes 368 task orders totaling $583 thousand. These vehicles enable rapid procurement of oxygen services through monthly or periodic delivery orders—the recent award snapshot shows individual task-order values typically ranging from roughly $65,000 to $240,000, with many routine monthly oxygen deliveries in the $75,000 to $160,000 range per order.

Activity was historically robust but has contracted sharply. The vendor received 75 awards in 2022, 67 in 2023, then dropped to 16 in 2024 and 17 in 2025, with only 10 awards through August 2026. This decline reflects both the vendor's shift from discrete monthly purchase orders and delivery orders to larger IDC vehicles and potential market maturation. Two awards with combined potential value of $10.2 million reach completion within the next twenty-four months, presenting modest recompete exposure.

Service Contract Inventory data covering SCI-reportable federal service contracts above the $150,000 threshold shows $5.4 million in invoiced revenue in FY2023 across 28.3 full-time equivalents. SCI reports zero invoicing in FY2022, FY2024, and FY2025, though SCI records exist in those years, indicating the vendor's primary revenue flow is captured through equipment purchase orders and delivery orders rather than labor-intensive service contracts. Across SCI-reportable prime contracts, the government paid median rates around $92.63 per hour, and the vendor performed 100% of hours in-house with zero subcontractor engagement on SCI-reportable work. The 3,103-award portfolio shows 100% prime awards with no sub-awards, confirming the vendor's posture as a direct service provider with no meaningful sub-tier activity.

Commonwealth Home Health Care's federal footprint is specialized and stable but heavily dependent on VISN 6 procurement volume and the continuity of its three large IDC vehicles. The company has completed over 50 federal contracts totaling approximately $30 million in its historical record prior to the SCI reporting period, and the combined potential value of current IDCs exceeds $60 million. The narrowly focused business model—home oxygen delivery only, no diversification into other medical equipment or services—creates both a deep capability anchor and a concentration risk tied entirely to VA respiratory care procurement priorities.