Medicom Technologies Inc.

Medicom Technologies Inc., a Raleigh, North Carolina-based for-profit healthcare technology company, delivers medical imaging software and clinical data exchange services to the federal government exclusively as a prime contractor, with 100% of its recent award footprint concentrated at the Department of Veterans Affairs across regional Veterans Integrated Service Networks and the VA Technology Acquisition Center. The vendor competes predominantly under full-and-open (non-set-aside) procurement, though four awards carry total small business designations; Medicom's capability portfolio centers on its MEDICOM IMAGEX platform, a proprietary medical imaging interoperability solution that enables bi-directional electronic exchange of radiology images, diagnostic reports, and clinical data between VA facilities and external healthcare providers.

Customer concentration sits entirely within the VA enterprise and subordinate regional health networks. The top five funding components account for 52% of awards by count and include Veterans Integrated Service Network 22 (9 awards, $3.8 million), VA Technology Acquisition Center Austin (6 awards, $4.3 million), VISN 12 (6 awards, $2.4 million), VISN 2 (6 awards, $2.8 million), and VISN 21 (6 awards, $1.3 million). By potential value, VA Technology Acquisition Center Austin leads at $4.3 million across six awards, followed by VISN 7 (one award but $4 million in combined value), VISN 22 ($3.8 million across nine awards), VISN 2 ($2.8 million), and VISN 12 ($2.4 million). VISN 7's single large award—a $4.014 million definitive contract for MEDICOM IMAGEX services across Georgia, Alabama, and South Carolina awarded in July 2022 through June 2027—underscores Medicom's ability to capture large regional deployments.

Representative prime awards include the July 2026 VA Technology Acquisition Center definitive contract for $835,763 to renew MEDICOM IMAGEX with Assistant Edition software, maintenance, and training across Veterans Integrated Service Network 2 facilities (Albany Stratton, Bath, Bronx, Canandaigua, Northport, and Syracuse) through June 2029 under sole-source justification; the September 2025 $1.131 million definitive contract with VA Technology Acquisition Center for VISN 10 IMAGEX software subscriptions and support services, with optional tasks to expand to Cincinnati, Northeast Ohio, and Ann Arbor systems, also sole-source; and the September 2023 $1.179 million definitive contract with VISN 19 for IMAGEX software deployment across VISN 19 facilities in Colorado. Medicom also holds multiple indefinite delivery vehicles: a single-award IDIQ with VISN 8 (ceiling $1.147 million, total small business set-aside) for clinical data exchange of imaging services through June 2027, a single-award BPA with VISN 22 (ceiling $2.979 million, no set-aside) for image sharing software through September 2026, and a single-award IDIQ with the VA (ceiling $1.147 million, no set-aside) generating annual delivery orders to VISN 23 at $229,425 each.

Activity was concentrated in 2022–2023 (ten awards in 2022, fifteen in 2023) and has decelerated over the past two years to four awards in 2026 year-to-date. Eleven awards carrying combined potential value of $10.1 million face ultimate completion inside the next twenty-four months, creating a recompete cliff that represents both risk to Medicom's footprint and opportunity for competitors. Medicom operates no disclosed subcontractors across its prime work; all 63 awards are self-performed.

SCI-reported invoiced revenue on federal service contracts above the $150,000 threshold totaled $705 thousand in FY2024 (the only fiscal year with SCI activity in the source window), corresponding to approximately 4.3 FTEs across two prime contracts. Government-paid hourly rates on SCI-reportable contracts clustered tightly: median $79.98 per hour, with rates ranging from roughly $78.94 to $81.02 per hour. This narrow band suggests labor delivered is functionally equivalent across service contracts—likely implementation, training, and support services for the IMAGEX platform. SCI figures represent only a subset of Medicom's federal revenue, which is dominated by software licensing, maintenance, and subscription fees (the bulk of deal value) that do not trigger SCI reporting thresholds and thus do not appear in the SCI dataset.

The Indian Health Service represents Medicom's sole federal customer outside the VA ecosystem, with a September 2024 purchase order for area-wide MEDICOM IMAGEX software base plus four option years valued at $215,625 through September 2029, demonstrating limited but growing diversification beyond healthcare veterans' networks. Medicom's business model—proprietary software platform, sole-source renewals justified by switching costs and system integration depth, and long-duration option-laden contracts—locks in recurring revenue and presents a defensible moat against displacement, though the recompete cliff and declining award velocity warrant monitoring.