First Nation Group LLC

First Nation Group LLC, doing business as Jordan Reses Supply CO., is a service-disabled veteran-owned small business (SDVOSB) and veteran-owned small business (VOSB) based in Niceville, Florida, that supplies medical equipment, respiratory devices, and related consumables to the Department of Veterans Affairs and federal healthcare agencies as a prime contractor across full-and-open and set-aside delivery channels. The company operates almost entirely as a prime (7,767 of 7,775 awards, or 100%), competing under both SDVOSB sole-source and competitive set-asides and unrestricted full-and-open procurements, with combined potential value across its federal footprint of $9.81 billion.

Customer concentration is extreme and reflects near-total VA focus. The top customer by potential value—the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19 (VISN 19)—anchors 220 awards valued at $6.27 billion, representing 64% of the vendor's combined potential value. This concentration is driven by recurring monthly blanket purchase agreement calls for positive airway pressure devices and accessories under the GSA Medical Equipment and Supplies Schedule (FSS-65-II-A), with individual order ceilings routinely exceeding $1 million to $14 million. The second-ranked customer, VA VISN 12, carries 121 awards worth $1.7 billion (17% of potential value). Together, VISN 19 and VISN 12 account for 81% of total potential value. By award count, the Defense Logistics Agency Troop Support Medical leads with 3,782 orders valued at $1.07 billion, but these are predominantly small-dollar individual line-item deliveries (respiratory masks, CPAP supplies, pulse oximeters, miscellaneous consumables) averaging under $1,000 per order—transactional procurement rather than strategic volume. Five VISNs (22, 17, 6, 9, and 15) collectively represent 69% of award count but only 6% of potential value, reflecting a broad base of smaller purchase orders for medical equipment and supplies.

The vendor holds standing positions on the GSA Medical Equipment and Supplies Schedule (FSS-65-II-A) as a multiple-award vehicle and operates under two defense-side indefinite delivery contracts (IDCs) for medical supplies with the Defense Logistics Agency. The top parent vehicle by task-order count is the FSS-65-II-A schedule itself, with 2,608 task orders and $2.2 billion in combined potential value. A second-tier vehicle—Indefinite Delivery Contract SPE2DH20D0037—carries 2,405 task orders valued at $28.3 million, driven by the high-frequency small-order pattern from the Defense Logistics Agency. The vendor also operates under two IDIQ vehicles for positive airway pressure devices: one named "Positive Airway Pressure Devices And Accessories" with 49 task orders worth $472.6 million (established July 1, 2026, against VISN 19 as a multiple-award SDVOSB set-aside BPA ceiling of $900 million through May 31, 2027), and another titled "Positive Airway Pressure Devices and Accessories" with 464 task orders valued at $49.2 million.

Capability focus is narrow and recurring: positive airway pressure devices (CPAP, BiPAP, heated high-flow respiratory support), ventilators (ResMed Astral, mechanical), oxygen concentrators and portable units, respiratory consumables (masks, humidifier bases, tubing, filters), and selected surgical and diagnostic equipment (endoscopes, sterilizers, surgical tables, imaging systems). Recent representative awards include a $44.6 million delivery order from VISN 19 on February 14, 2026, for PAP devices with 90-day delivery; a $1.49 million delivery order from VISN 16 on September 15, 2026, for Olympus upgrade and integration services with 4K video systems and installation at four operating rooms; a $17.7 million BPA call from VISN 19 on June 17, 2026, for PAP devices and accessories; a $1.85 million purchase order from VISN 5 on September 25, 2026, for five replacement steam sterilizers at Baltimore VA Medical Center with installation, training, and two-year warranty; and a $1.69 million purchase order from VISN 23 on September 30, 2026, for endoscope systems for a VA Medical Center GI clinic. The vendor also supplies smaller medical items—pharmacy refrigerators, medical tables, surgical dressing, bone matrix, implant posts, screws—across multiple VISNs, positioned as a one-stop distributor rather than a specialist.

Activity has contracted materially. The vendor recorded 574 awards in 2022, 523 in 2023, 468 in 2024, 119 in 2025, and only 77 through late September 2026 year-to-date. This 87% year-over-year decline from 2024 to 2025–2026 signals either data lag, a shift in VA ordering patterns away from purchase-order-per-item to fewer, larger blanket calls, or loss of market share to competitors. Awards with ultimate completion dates inside the next twenty-four months total 28 and carry combined potential value of $8 million—a negligible recompete exposure given the vendor's $9.81 billion portfolio, but the shallow near-term pipeline underscores tightening cash flow if large standing IDIQs (particularly VISN 19's $900 million BPA ceiling) expire or are not exercised.

Set-aside posture is mixed. The vendor competes under SDVOSB sole-source, SDVOSB competitive, Service-Disabled Veteran-Owned Small Business (no specific designation), Total Small Business (TSB), and full-and-open unrestricted channels. Recent awards cluster in unrestricted (no set-aside) and SDVOSB set-asides; full-and-open unrestricted orders dominate the DLA Troop Support Medical transactional base. The vendor's SBA certifications (SDVOSB, VOSB) expired August 4, 2026, per multiple contract award summaries; recertification status and renewal timing are not stated in the source and present a material compliance and competitive risk for future set-aside eligibility.

The vendor subcontracts minimally. Only one subcontract award appears in the source: a sub to Cardinal Health 200, LLC on November 28, 2025, for medical/surgical supplies line items. The vendor operates almost entirely as a prime contractor, with no disclosed teaming relationships or significant subcontractor reliance.

NAICS and PSC footprint reflects product distribution and light manufacturing. The top NAICS codes are 424210 (Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers) with 3,784 awards, 339112 (Surgical Appliance and Supplies Manufacturing) with 2,288 awards, and 334510 (Surgical and Medical Instrument Manufacturing) with 1,599 awards. The top PSCs are 6515 (Medical and Surgical Instruments, Equipment, and Supplies) with 3,945 awards and 6520 (Hospital Furniture, Equipment, Utensils, and Supplies) with 3,753 awards. This mix signals the vendor is both a merchant wholesaler and a light integrator—purchasing medical equipment from OEMs (Fisher & Paykel, ResMed, Olympus, Mizuho, Belimed) and reselling, installing, and commissioning at VA facilities.

First Nation Group, the premier Service-Disabled Veteran-Owned Small Business, Veteran-Owned Small Business, and Small Business, is a nationwide, stocking distributor of medical-surgical equipment and supplies, generic pharmaceutical items, and remote setup solutions exclusively serving the U.S. Federal Government.

Since 1992, First Nation Group has led the medical equipment industry with superior products, service, and support, while giving back generously. Representing leading manufacturers, we deliver TAA-compliant, cost-effective solutions with a strong commitment to timely and accurate fulfillment.

Accredited by ACHC, First Nation Group also accepts credit cards and is fully HIPAA compliant. Our customized healthcare solutions span sleep therapy, respiratory therapy, home and hospital ventilation, oxygen therapy, wound care management, CPAP resupply, telehealth, remote patient monitoring, connected care, and education. Learn more at www.firstnationgroup.com.