Mizuho Orthopedic Systems, Inc.

Mizuho Orthopedic Systems, Inc., a self-certified small disadvantaged business and for-profit limited liability company headquartered in Union City, California, manufactures and sells surgical tables, orthopedic equipment, positioning systems, and related maintenance and repair services to federal health systems as a prime contractor on full-and-open procurements—the vendor holds no federal set-asides and competes in the open market despite its SDB designation.

The vendor's federal footprint centers on surgical equipment manufacturing and maintenance. Core product lines include the HANA orthopedic and fracture table, TRIOS modular surgical table system, ProAxis spinal surgery table, LEVO patient positioning systems, and associated accessories such as imaging tops, motion control boxes, and positioning pillows. Representative prime work includes a $152,741.24 delivery order from Veterans Integrated Service Network 21 for a brand-name-or-equal orthopedic surgery table system under the GSA Schedule Medical Equipment and Supplies (FSS-65-II-A) contract, a $252,320 firm fixed-price purchase order from the Defense Health Agency for HANA equipment service and maintenance (ultimate completion September 24, 2027), a $192,236.74 purchase order from Veterans Integrated Service Network 19 for TRIOS operating table service (July 31, 2029), and numerous smaller sole-source maintenance and repair contracts across VA networks valued between $8 thousand and $261 thousand. The vendor also fulfills high-volume small purchase orders from the Defense Logistics Agency Troop Support Medical and Medical Supply Chain for finger traps and orthopedic supports, typically at sub-$300 unit values.

Customer concentration is heavily weighted toward the Department of Veterans Affairs Veterans Health Administration, which anchors 73 percent of combined potential value across its field of awards. Veterans Integrated Service Network 12 alone accounts for 17 awards valued at $45.8 million combined potential value, driven by Mizuho's position on the VA's Federal Supply Schedule Medical Equipment and Supplies contract (FSS-65-II-A) valued at $17,310,563.80 through May 14, 2030. The Defense Health Agency places 15 awards ($7.6 million combined potential value), and the Department of the Army Medical Command places 71 awards ($5.1 million). The award count ranking, however, differs markedly: the Defense Logistics Agency Troop Support Medical leads with 89 awards, but these are predominantly low-dollar consumables ($244 thousand combined potential value). The Department of the Navy Bureau of Medicine and Surgery ranks second by count with 83 awards ($3.1 million combined potential value). Mizuho serves 37 distinct federal agencies across civilian and military health systems.

Mizuho's primary vehicle is the GSA Schedule Medical Equipment and Supplies (FSS-65-II-A) contract, from which 110 task orders have been issued, carrying $9.7 million in combined potential value. This multiple-award schedule vehicle enables the VA and other federal agencies to procure new equipment, maintenance, repairs, parts, and training. Additional parent vehicles include Federal Supply Schedules V797P3005K (6 task orders) and V797P3578J (2 task orders), and an Indefinite Delivery Contract V600PC205 (2 task orders), though these carry minimal transaction volume relative to FSS-65-II-A.

Activity has remained steady over the past five years, with 23 awards in both 2023 and 2024, 13 in 2022, 10 in 2025, and 7 through June 2026. Only 7 awards with combined potential value of $685 thousand face ultimate completion in the next twenty-four months, presenting limited recompete exposure near term. The vendor's award portfolio spans 1,517 prime contracts and deliveries with combined potential value of $86.8 million and $37.4 million in obligated dollars (43 percent realization). Mizuho manufactures its products domestically at Union City, California, with performance and repair services delivered at customer sites across the continental United States, Hawaii, and other VA facility locations. The vendor operates as a single-entity prime with no noted subcontractors and does not pursue set-aside work despite its SDB certification, competing instead in full-and-open procurements where proprietary equipment position and sole-source authority confer advantage.