Ziehm-Orthoscan Inc.

Ziehm-Orthoscan Inc., doing business as American Express Information Services Corp Health Systems Group-Cancelled, is a foreign-owned medical device manufacturer based in Scottsdale, Arizona that supplies mobile and mini C-arm X-ray imaging systems and maintenance services to the Department of Defense and Department of Veterans Affairs as a prime contractor exclusively, with all 343 recent awards issued without set-asides. The vendor competes full-and-open with no SBA designations, reflecting its status as a large business competitor in federal medical equipment procurement.

Ziehm-Orthoscan's federal footprint centers on portable radiographic imaging equipment and related field maintenance services delivered through firm fixed-price delivery orders and purchase orders. Representative work includes a $226,500 delivery order from the VA National Acquisition Center in May 2026 for an Xport mobile C-arm at Dallas VA, a $191,000 delivery order for XR Port C-arm equipment consolidation at Cleveland VA Medical Center in May 2026, and a $170,820 firm fixed-price purchase order from VA Southern Nevada Healthcare System (September 2024 through September 2029) for on-site C-arm maintenance and repair covering two Ziehm devices at the North Las Vegas facility. The vendor also performs sole-source repair and maintenance work recognized as original equipment manufacturer service — a $27,668 sole-source repair and maintenance contract from VA Hampton (July 2025) and a $28,515 orthoscan mini C-arm repair order from VA Long Beach (September 2025) illustrate the OEM lock-in on these systems.

Customer concentration is heavily skewed toward logistics and medical supply chains. The top five funding agencies account for 81% of recent awards by count and 98% by potential value, led by the Defense Logistics Agency Troop Support Medical (137 awards, $202.4 million combined potential value), which accounts for the vast majority of dollars. The VA National Acquisition Center (82 awards, $8.3 million) and VA Veterans Integrated Service Network 12 (29 awards, $3.4 million) follow at much smaller scales. This pattern reflects Ziehm-Orthoscan's position as the primary vendor for C-arm equipment procurement through the DLA-VA NAC Radiology and Imaging Systems Program, an indefinite delivery/indefinite quantity contract vehicle with a $60 million ceiling.

Ziehm-Orthoscan holds strong footing on the DLA-VA NAC Radiology and Imaging Systems Program (105 task orders, $14.5 million combined potential value) and serves as a prime on three additional indefinite delivery contracts: Indefinite Delivery Contract SPE2D119D7005 (62 task orders, $4.9 million) and Indefinite Delivery Contract V797P6080B (59 task orders, $4.8 million). The vendor operates as a sole or near-sole source on the primary VA and DLA medical imaging equipment vehicles, which limits competitive exposure on its core portfolio but creates recompete risk. Twenty-one awards (combined potential value $2.8 million) complete within the next twenty-four months, but the relatively small near-term recompete load reflects the long service contract tail on maintenance agreements running five years or more.

Activity has remained stable to modestly growing — 27 awards in 2022 to a peak of 39 in 2024, declining to 23 by mid-2026. The vendor's $220 million combined potential value across 343 awards masks a significant realization gap: only $31.2 million (14% of potential) has been obligated. This pattern is characteristic of large IDIQ vehicles where many task orders are issued but smaller completion rates translate realized revenue into a fraction of the ceiling. Recent work emphasizes equipment delivery ($92.5 thousand to $519 thousand per delivery order for mini and portable C-arm systems) and multi-year maintenance contracts ($12 thousand to $416 thousand across base plus option years), with no subcontractor involvement documented.

Ziehm-Orthoscan's federal positioning rests on product exclusivity — the Orthoscan TAU series mini C-arms and XR Port portable C-arm systems are the dominant imaging devices in VA and DoD surgical and emergency medicine settings, making the vendor a sole-source repair and maintenance provider for installed base. The foreign ownership and large-business status position the vendor outside SBA small-business competition, a posture consistent with capital equipment manufacturing and OEM service models. The company has maintained continuous federal registration since 2007, evidencing two decades of embedded relationships across military hospitals and VA medical centers nationwide.