Cook Medical LLC

Cook Medical LLC, a family-owned for-profit limited liability company headquartered in Bloomington, Indiana, manufactures and supplies minimally invasive medical devices—stents, endovascular grafts, catheters, surgical implants, and specialized medical equipment—to the federal government as a large business prime contractor without set-aside eligibility. The company operates across 25,070 total awards spanning the past two decades, with $4.52 billion in combined potential value and $122.3 million in obligated dollars as of July 2026. Cook Medical competes full-and-open on federal medical procurement, placing all work through single-award and multiple-award indefinite delivery contracts, blanket purchase agreements, and delivery orders without reliance on socioeconomic set-asides.

Cook Medical's customer base concentrates heavily on the Department of Veterans Affairs healthcare system and the Defense Logistics Agency's Medical Supply Chain division. The top five customer organizations account for approximately 12% of award count; Veterans Integrated Service Networks 17, 10, 8, 2, and 21 (all VA regional healthcare networks) collectively hold 3,082 awards valued at $46.4 million. When ranking by combined potential value rather than award count, the Defense Logistics Agency Troop Support Medical leads with 264 awards valued at $25 million, followed by VA VISN 9 (143 awards, $23.1 million) and the Army Medical Command (193 awards, $15.7 million). The divergence between these rankings reflects Cook Medical's transactional model: VA networks generate high order count from frequent small-dollar purchase orders, while DLA's consolidated medical supply chain places larger delivery orders. Nearly all recent awards carry no set-aside designation, positioning Cook Medical as a mainstream commercial vendor rather than a targeted preference holder.

Cook Medical's active parent contract vehicles include a $45.6 million single-award indefinite delivery contract with the VA for surgical implants (ultimate completion September 2026), a $13.7 million DLA IDC for cardiovascular procedural packages (through February 2029), and a $4.9 million DLA IDC for electronic catalog medical supplies (through February 2025). The largest individual vehicles by task order volume are VA25914D0012 (87 task orders, $710 thousand combined value), SPE2DE24DA008 (84 task orders, $781 thousand), and 36C10G20D0004 (66 task orders, $1.1 million). This vehicle portfolio enables streamlined procurement: federal agencies issue delivery orders against pre-negotiated pricing for rapid fulfillment of cardiovascular stents (ZILVER PTX 35, ZILVER 518, ZILVER VENA lines), endovascular grafts (Zenith series with multiple configurations), catheters, drainage devices, and ancillary instrumentation. Representative recent awards include a $134.6 thousand stent inventory replacement delivery order from Veterans Integrated Service Network 8 (July 2026), a $238 thousand sole-source purchase of a Magneto 150 Holmium Laser from VISN 10 (May 2026), and a $71.2 thousand delivery order for ZILVER PTX 35 stents from DLA (April 2024).

Activity has remained consistent year over year, with 51–89 awards annually from 2022 through 2025, declining to 15 awards in the first half of 2026 as a partial-year artifact. Recompete exposure is minimal in the next twenty-four months: only 4 awards totaling $395 thousand face completion and recompete between July 2026 and July 2028. Cook Medical's small subcontract footprint reflects its positioning as a direct supplier to government healthcare agencies rather than a systems integrator; the vendor appears as a subcontractor to Cardinal Health 200, LLC in approximately 20 medical and surgical equipment sub-awards spanning 2023–2025, performing material supply roles rather than primary delivery obligations.

Categorically, Cook Medical's awards concentrate in surgical appliance and supplies manufacturing (3,251 awards), surgical and medical instrument manufacturing (3,173 awards), and medical equipment merchant wholesaling (1,487 awards), with procurement spanning the Medical and Surgical Instruments PSC (21,536 awards) and ancillary categories for imaging, hospital furniture, and laboratory supplies. The company's federal footprint reflects its core business: supplying consumable and durable medical devices to VA regional medical centers nationwide, Army medical treatment facilities, and the DoD medical supply chain through established indefinite delivery vehicles and consignment-based blanket purchase agreements. The corporate structure includes one named subsidiary, Medical Engineering & Development Institute Incorporated, though recent awards flow through the parent Cook Medical LLC entity. Cook Medical's ability to maintain $45.6 million and $13.7 million parent contracts across VA and DLA reflects established clinical credibility and manufacturing capacity in minimally invasive cardiovascular and surgical device markets serving federal healthcare missions.