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—including stents, endovascular grafts, catheters, surgical implants, thoracic drainage valves, and specialized surgical equipment—to federal healthcare agencies as a large business prime contractor competing full-and-open across medical device procurements with no set-aside eligibility.

Cook Medical operates as a prime contractor on a massive scale, holding 25,048 prime awards (100% of its federal footprint) across 42 distinct federal agencies, with combined potential value of $4.52 billion. The company's award activity over the past five years reflects high volume and stability—51 awards in 2022, scaling to 89 in 2024, then moderating to 66 in 2025 and 28 year-to-date in 2026. Dollars obligated to date total $122.4 million, representing 3% of potential value, a typical ratio for large IDIQs and BPAs where pre-negotiated pricing anchors delivery orders at smaller individual values. The vendor maintains just 35 sub-awards (0.1% of its footprint), all placed through Cardinal Health 200, LLC, where Cook Medical components flow as medical and surgical equipment supplies into broader healthcare procurement bundles. Cook Medical's recompete exposure in the next twenty-four months totals four awards with combined potential value of $255 thousand—minimal recompete cliff relative to the overall portfolio.

Customer concentration sits heavily with the Veterans Health Administration and Defense Logistics Agency. The top five customers by award count are all VA VISNs: VISN 17 (824 awards, $11.3 million combined potential value), VISN 10 (766 awards, $12.2 million), VISN 8 (568 awards, $8.3 million), VISN 2 (492 awards, $6.7 million), and VISN 21 (433 awards, $8 million). By dollar magnitude, the top five are Defense Logistics Agency Troop Support Medical ($25 million, 274 awards), VA VISN 9 ($23.1 million, 143 awards), Department of the Army Medical Command ($15.7 million, 193 awards), VA VISN 10, and VA VISN 17. This concentration spans healthcare delivery to veterans, active military personnel, and Defense beneficiaries through Indefinite Delivery Contracts and Blanket Purchase Agreements that streamline rapid procurement of cardiovascular devices, surgical implants, and consumable medical supplies.

Cook Medical's vehicle portfolio reflects this healthcare-centric positioning. The company holds five named parent IDIQs and BPAs carrying the highest task-order volume: an Indefinite Delivery Contract under the Defense Logistics Agency (91 task orders, $830 thousand combined potential value), a VA vehicle (87 task orders, $710 thousand), another DLA IDC (66 task orders, $1.1 million), a Navy BPA (56 task orders, $434 thousand), and a second VA contract (41 task orders, $443 thousand). These vehicles are complemented by three named single-award IDCs of significant scale: a $13.7 million Defense Logistics Agency contract for cardiovascular procedural packages through February 2029 (ECAT I Division-FSC 4610108342), a $45.6 million VA indefinite-delivery contract for surgical implants exercising options through September 2028, and a $4.9 million DLA contract for medical supplies and devices through February 2025. The VA and DLA vehicles form the backbone of Cook Medical's federal medical device distribution, with delivery orders flowing regularly for stents (ZILVER PTX 35 drug-eluting, ZILVER VENA venous self-expanding, ZILVER 518 vascular self-expanding), endovascular grafts (Zenith Flex AAA, Zenith ILIAC Branch, Zenith Alpha 2 thoracic), catheters, thoracic drain valves, endoscopic biopsy forceps, and specialized surgical instrumentation.

Concrete capability examples grounded in the award record demonstrate Cook Medical's positioning. Recent representative prime awards include a $238,160 May 2026 sole-source purchase order from VA Veterans Integrated Service Network 10 for a Magneto 150 Holmium Laser unit with six preventive maintenance service visits (VA determined Cook Medical was the only responsible source based on brand-name specifications under 10 U.S.C. 2304(C)(1) and FAR 6.302-1(a)(2)); a $141,000 February 2025 delivery order from Defense Logistics Agency Medical Supply Chain for a Quanta Litho 100 Watt Holmium Laser; a $44,775.56 August 2024 delivery order for ZILVER VENA venous self-expanding stents; a $71,241.61 April 2024 delivery order for ZILVER PTX 35 drug-eluting stents; and a $26,263 August 2024 sole-source purchase order from the NIH Clinical Center for Cook Medical branded catheters and accessories (NIH Clinical Center determined Cook Medical products were required for compatibility and continuity of care with existing Cook Medical equipment). Multiple Veterans Integrated Service Networks award routine orders for surgical implants, stents, and prosthetics in the $10,000–$35,000 range, with place of performance distributed across VA medical centers in Bay Pines Florida, Dallas Texas, Portland Oregon, and Bloomington Indiana.

Cook Medical's federal contracting posture is characterized by large-business, full-and-open competition without set-aside eligibility, positioning the company directly against other established medical device manufacturers (Medtronic, Boston Scientific, Abbott, Cardinal Health) in federal healthcare procurement. The company's award portfolio skews heavily toward two NAICS categories—Surgical Appliance and Supplies Manufacturing (3,254 awards) and Surgical and Medical Instrument Manufacturing (3,176 awards)—and clusters under a single PSC: Medical and Surgical Instruments, Equipment, and Supplies (21,542 awards). This concentration reflects Cook Medical's core identity as a minimally invasive medical technology vendor supplying the federal healthcare supply chain with brand-name devices where clinical compatibility and product-line continuity drive sole-source and competitive sole-source procurement justifications. The company's subsidiary Medical Engineering & Development Institute Incorporated is named in the corporate structure but carries no visible separate contracting footprint in the source data.