MTX Medical Solutions Inc.

MTX Medical Solutions Inc., a for-profit company based in Billings, Montana, provides biomedical equipment maintenance, repair, and imaging system services to the Indian Health Service as a prime contractor, operating exclusively outside set-aside categories and competing on full-and-open basis. The vendor holds a long operational history dating to 2006 and maintains deep specialization in radiology equipment support and clinical biomedical maintenance across IHS service units in the Northern Plains region.

MTX Medical Solutions operates with complete customer and service concentration. The Indian Health Service accounts for 65 of 81 total awards (80% by count) and $5.7 million of $5.9 million combined potential value (97% by dollars), dwarfing secondary work with the National Institutes of Health's National Institute of Allergy and Infectious Diseases (6 awards, $41 thousand) and NIH NIAID DEA Acquisitions (6 awards, $45 thousand). Across the portfolio, 64 awards fall under NAICS 811213 (Other Electronic and Precision Equipment Repair and Maintenance), with secondary activity in analytical laboratory instrument manufacturing (5 awards) and electromedical apparatus manufacturing (3 awards). The top PSC categories reflect the same concentration: 20 awards code to medical, dental, and veterinary equipment maintenance and repair; 17 to instruments and laboratory equipment maintenance; and 8 each to medical and surgical instruments and imaging equipment.

Representative work centers on Fort Peck and Crow Service Units in Montana. A $923.6 thousand five-year firm fixed-price purchase order awarded October 31, 2025 covers preventive maintenance and unlimited repair services for six imaging devices at Crow-Northern Cheyenne Hospital, including a Hitachi Scenria 128 CT system and CoreLab and Konica radiology suites, with 24/7 coverage, one-hour callback, and 12-hour onsite response times. An August 1, 2026 purchase order extends $49.5 thousand through July 2031 for Fort Peck Service Unit biomedical and imaging equipment maintenance. A February 28, 2023 award supplied a Konica Minolta portable x-ray unit to Crow Agency for $131.6 thousand with an extension bringing cumulative value to $140.5 thousand. The $923.6 thousand Crow contract was designated Total Small Business set-aside under the Buy Indian Act, reserved for Indian Small Business Economic Enterprises and Indian Economic Enterprises.

Award activity has declined from two in 2021 to one per year in 2022, 2023, and 2025–2026. The vendor obligated $3.9 million across 81 awards against $5.9 million combined potential value (67% obligation ratio), indicating mature relationships with intermittent purchase orders rather than multi-year task orders. MTX Medical Solutions operates entirely as a prime contractor with no subcontract footprint and no parent vehicles (GWACs, IDIQs, or BPAs); all awards are direct purchase orders from IHS service units and NIH components.