First Community Care, L.L.C.

First Community Care, L.L.C., a Michigan-based for-profit limited liability company headquartered in Midland, provides home oxygen equipment, durable medical equipment, and related healthcare supplies and services to the U.S. Department of Veterans Affairs as a prime contractor, operating exclusively on full-and-open, non-set-aside delivery orders and indefinite delivery contracts.

The vendor's federal footprint is heavily concentrated in home medical equipment distribution and oxygen therapy services to the VA. Recent representative work includes a $3.8 million purchase order (awarded November 2023) to provide continuity of care for home oxygen services for the Tennessee Valley Healthcare System, James H. Quillen VA Medical Center, and Memphis VA Medical Center while a new five-year contract was being established; a $5.99 million patient in-home home oxygen and ventilator services contract (awarded November 2022) for the same three facilities; and a $579.6 thousand delivery order (awarded October 2021) for durable medical equipment across VISN 10 Michigan and Indiana facilities. The vendor also holds single-award IDVs with ceiling values ranging from $303 thousand to $7.1 million for ongoing home oxygen and durable medical equipment procurement. Most recent activity includes two January 2026 awards — an indefinite delivery contract worth $7.1 million for IN/MI home oxygen through VISN 10 and a $500 delivery order against it.

Customer concentration is extreme. VISN 10 (covering Michigan and Indiana) accounts for 642 of 1,159 total awards and $271.3 million of the $483 million combined potential value, representing 56% of dollars. VISN 9 (covering the Midwest region centered on Midland, Michigan) holds 95 awards worth $140.3 million, or 29% of potential value. Together, VISN 9 and VISN 10 represent 85% of combined potential value across four distinct VA customer organizations; VISN 12 and VISN 15 hold the remaining 15%. The vendor competes on award count and dollar value within the same customer hierarchy, with no tension between rankings.

First Community Care places task orders under five primary parent IDVs: VA Indefinite Delivery Contract VA251P0257 (233 task orders, $19.5 million), VA25114D0114 (98 task orders, $87.1 million), VA24914D02281 (67 task orders, $21.1 million), VA25113D0059 (67 task orders, $3.5 million), and V583P00263 (111 task orders, $2.1 million). These vehicles are single-award VISN-specific contracts for recurring oxygen, durable medical equipment, and prosthetic supplies procurement.

Activity has declined sharply in recent years. The vendor received 16 awards in 2022, declining to five in 2023, three in 2024, two in 2025, and two through January 2026. Combined potential value across the entire 1,159-award portfolio stands at $483 million, with $108.1 million (22%) obligated as of the source date. No subcontract footprint is present; the vendor operates exclusively as a prime. The vendor's NAICS concentration reflects the home medical equipment rental business: 887 awards are classified under NAICS 421850 (Home Health Equipment Rental), with 159 awards under medical and hospital equipment wholesaling and 16 under home health care services. Primary PSC framing aligns with medical equipment supply and rental — 565 awards under Medical and Surgical Instruments, Equipment, and Supplies and 304 under Lease or Rental of Medical Equipment.