Mizuho Orthopedic Systems, Inc.

Mizuho Orthopedic Systems, Inc., a self-certified small disadvantaged business based in Union City, California, manufactures and services specialized surgical tables, orthopedic equipment, and patient positioning systems for federal healthcare agencies as a prime contractor across 1,523 federal awards. The company competes on a full-and-open basis without set-aside protection, though it holds self-certified SDB status across its prime footprint.

Mizuho's core capability centers on surgical table systems and orthopedic devices. The company manufactures the HANA orthopedic and fracture table, TRIOS modular surgical table system, ProAxis spinal surgery table, and LEVO patient positioning systems, along with related accessories including imaging tops, motion control boxes, and positioning pillows. Work includes new equipment delivery, preventative maintenance, emergency repair, parts supply, and technical training at customer sites across the continental United States and Department of Veterans Affairs facility locations. Representative prime work includes a $261.2 million purchase order from VISN 8 for a spinal surgical table system with accessories (August 2022), a $210.9 million order from VISN 5 for TRIOS surgical tables (February 2024), a $252.3 million maintenance order from the Defense Health Agency for HANA equipment service (September 2024), a $192.2 million purchase order from VISN 19 for TRIOS operating table service (September 2024), and multiple sole-source maintenance agreements with Veterans Integrated Service Networks valued between $65,000 and $136,000 for annual preventative maintenance and repair extending three to five years.

Customer concentration is pronounced in the VA system. The top five funding agencies by combined potential value account for 77 percent of awards: Veterans Integrated Service Network 12 leads with 17 awards worth $63.2 million combined potential value, followed by the Defense Health Agency (15 awards, $7.6 million), the Department of the Army Medical Command (71 awards, $5.1 million), the Department of the Navy Bureau of Medicine and Surgery (83 awards, $3.1 million), and VISN 21 (22 awards, $1.9 million). By award count, the ranking differs: the Defense Logistics Agency Troop Support Medical places the most awards (93, primarily for low-value finger traps and positioning accessories totaling $246 thousand), followed by Navy Medicine (83 awards), Army Medical Command (71 awards), and regional VISN networks. Mizuho serves 37 distinct customer agencies, with the Veterans Health Administration and Defense Health Agency anchoring the majority of dollars.

Mizuho holds a multi-award GSA Federal Supply Schedule contract for Medical Equipment and Supplies (FSS-65-II-A) with a ceiling value of $34.6 million extending through May 14, 2030. This vehicle is the parent contract for 111 task orders under the schedule, generating $9.9 million in combined potential value. Recent delivery orders under the FSS-65-II-A include $179.6 million for spinal surgery tables with accessories to VISN 21 (August 2026), $152.7 million for orthopedic surgery table systems to VISN 21 (June 2026), $147.4 million for HANA tables to VISN 21 (July 2025), and $23.4 million for TRIOS radiolucent imaging tops to VISN 5 (July 2025). Mizuho also holds positions on smaller IDVs including Federal Supply Schedule V797P3005K (6 task orders) and Indefinite Delivery Contract V600PC205 (2 task orders).

Award activity has remained steady over the past five years at roughly 10 to 23 awards annually (2022: 13, 2023: 23, 2024: 23, 2025: 10, 2026: 13). Six awards totaling $586 thousand in combined potential value reach ultimate completion within the next twenty-four months, presenting limited recompete exposure. Mizuho operates exclusively as a prime contractor; the vendor carries no subcontract footprint in the source data. The company's award portfolio reflects its positioning as original equipment manufacturer and sole-source provider for proprietary surgical table systems, with recurring multi-year sole-source maintenance and repair orders across VISN networks justified under FAR 6.302-1 and FAR 13.106-3 simplified acquisition procedures.