Medicom Technologies Inc.

Medicom Technologies Inc., based in Raleigh, North Carolina, provides medical imaging software and bi-directional clinical data exchange services to the Department of Veterans Affairs as a prime contractor, with 100 percent of its recent federal awards structured as prime work. The company operates primarily as a software vendor on a full-and-open basis, competing in both set-aside and unrestricted procurements; across its portfolio, roughly 30 percent of awards carry Total Small Business set-aside designations, while the majority are competed without set-asides.

Medicom's federal capability portfolio centers on its proprietary MEDICOM IMAGEX platform, a medical imaging interoperability system that enables secure, bi-directional electronic exchange of radiology images, diagnostic reports, and clinical data between VA medical centers and external healthcare providers. The IMAGEX software integrates with existing VA systems including VistA Imaging, the Computerized Patient Record System (CPRS), and GenISIS platforms, supporting automated patient record retrieval, DICOM image authentication, prior-image retrieval, and federated peer-to-peer communication. Representative prime contracts include a $4.01 million sole-source definitive contract with Veterans Integrated Service Network 7 (awarded July 2022, performance through June 2027) for deployment across eight VA medical centers in Georgia, Alabama, and South Carolina; a $1.835 million purchase order with VISN 16 (September 2022) for secure bi-directional DICOM image exchange software covering eight VA facilities in Louisiana, Mississippi, Arkansas, and Texas, with 150-day deployment requirement and performance targets of 95 percent image query response within 24 hours and 98 percent patient matching accuracy; and a $1.179 million sole-source definitive contract with VISN 19 (September 2023) for IMAGEX software interfacing with VISTA Imaging Importer, Agfa EL, and CPRS in Colorado facilities.

Customer concentration is extreme and VA-specific. The top five regional VA networks and the VA Technology Acquisition Center account for 53 percent of all awards by count and 53 percent of combined potential value. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22 leads by award volume (10 awards, $5 million combined potential value), while the VA Technology Acquisition Center (7 awards, $5.4 million) anchors the largest single-customer dollar concentration. VISN 7 ($4 million potential value on a single $4.01 million contract), VISN 16 ($3 million across two awards), and VISN 2 ($2.8 million across six awards) comprise the next tier. All 19 distinct customer agencies listed in the source are components of the VA or Indian Health Service; Medicom has no work outside the federal health services sector in the source data.

Medicom operates multiple indefinite-delivery vehicles with regional VA networks. The top parent vehicles are Indefinite Delivery Contracts 36C24221D0124 (5 task orders, $1.4 million combined potential value), 36C26322D0074 (5 task orders, $1.1 million), and 36C24823D0081 (4 task orders, $918 thousand), along with a Blanket Purchase Agreement with VISN 22 (36C26223A0074) carrying 4 task orders valued at $773 thousand. Medicom also holds single-award indefinite-delivery agreements with VISN 8, VISN 22, and VISN 23; the VISN 22 BPA, established September 2023 with a $3.97 million ceiling, runs through September 2027 under Total Small Business set-aside and has generated multiple calls for image sharing software, with places of performance centered on Long Beach, California and VISN 22 facilities.

Activity has fluctuated across the past five years, peaking in 2023 with 15 awards before declining to seven to eight awards annually in 2024–2026. Eighteen awards (combined potential value $14.7 million) face ultimate completion inside the next twenty-four months and therefore require recompete action. SCI-reported service contract invoicing totaled $1.2 million across fiscal years 2022–2025, with $705 thousand in FY2024 (4.3 FTEs across two prime contracts) and $475 thousand in FY2025 (0.5 FTEs across four prime contracts). Government-paid hourly rates on SCI-reportable prime contracts cluster tightly around $80 per hour (median $79.98/hr, 10th to 90th percentile range $78.94–$81.02/hr). Across SCI-reportable prime contracts, Medicom performed zero percent subcontractor hours, indicating all service delivery was self-performed by the company.

Medicom competes across both NAICS Software Publishers categories (55 awards) and PSC imaging equipment and medical device codes (18 awards), with additional minor exposure to custom programming and computer peripheral manufacturing. The vendor categories itself under PSC D810 (Business Application / SaaS) and PSC D813 (Perpetual License Software), with secondary presence in medical imaging equipment and supplies procurement. Medicom has no disclosed subcontractor relationships in the source data and does not hold positions on government-wide acquisition contracts; its federal footprint consists entirely of single-award indefinite-delivery vehicles, blanket purchase agreements, and purchase orders with individual VA regional networks and the VA Technology Acquisition Center.