Conexsys, LLC

Conexsys, LLC, a self-certified small disadvantaged business subsidiary of Custom Computer Specialists LLC, delivers healthcare information technology software—specifically the HI-IQ interventional radiology and imaging informatics platform—to the Department of Veterans Affairs as a prime contractor operating entirely in the full-and-open competitive space without set-aside designations. Based in Lincoln, Rhode Island, Conexsys competes on sole-source and competitive grounds across multiple VISN procurement offices, with an award footprint concentrated in NAICS 511210 (Software Publishers) and PSC code for IT software and medical instruments.

Conexsys's customer concentration is extreme and narrow: 54% of recent awards derive from just five VISN procurement offices, with the Department of Veterans Affairs accounting for the vast majority of activity. The top five customers by award count—VISN 4, VISN 23, Army Medical Command, VISN 10, and VISN 17—represent only fourteen to nine awards each but cluster around HI-IQ licensing and maintenance work. Across the full footprint, the combined potential value is $9.8 million with $6.8 million obligated; the top customers by dollar value tell a different story: VISN 8 anchors $2.7 million (four awards), VISN 7 holds $1.3 million (six awards), and VISN 10 carries $1.3 million (eight awards). Conexsys holds a single-award indefinite delivery contract with VISN 10 valued at $347,677 through July 31, 2027, with three delivery orders placed under it since award in August 2024; three task orders against that IDC have generated $201 thousand in combined potential value.

Conexsys's capability profile is focused and proprietary. The HI-IQ software suite provides quality assurance, inventory management, scheduling optimization, and data analytics for interventional radiology departments; the platform incorporates SIR Standards of Practice for documenting procedure-related complications—a specialized feature that has anchored sole-source awards. Recent representative work includes a $1.247 million sole-source definitive contract with VISN 8 (June 2025) for radiology software covering purchase and license rights across multiple locations, a $364,724 sole-source purchase order with VISN 1 (July 2024) for a one-year HI-IQ subscription at VA Boston Healthcare System, and a $300,839 purchase order with VISN 7 (September 2026) for HI-IQ software at Charleston, South Carolina, with performance extending through August 31, 2031. Additional activity includes $285,355 (VISN 16, January 2023 through January 2028) and $213,281 (VISN 17, May 2025 through April 2027), both sole-source awards exercising option-year structures.

Activity has remained modest but steady: three awards in 2022 and 2023, rising to six in 2024, then declining to four in 2025 and three in 2026. Four awards carrying $713 thousand in combined potential value reach ultimate completion within the next twenty-four months, presenting recompete exposure. Conexsys operates as a 100% prime contractor with no subcontract footprint in the source data. The vendor competes without set-aside designations across all recent awards, relying instead on sole-source justifications grounded in the proprietary nature of the HI-IQ platform and its entrenched position within existing VA medical facility deployments.