Provation Software, Inc.

Provation Software, Inc., headquartered in Minneapolis, Minnesota, is a for-profit software vendor that delivers clinical documentation and enterprise endoscopy information systems to federal healthcare agencies as a prime contractor (100% of awards in the recent footprint), operating exclusively in full-and-open or sole-source competition with no set-aside designations.

Provation's federal work centers on proprietary software maintenance, support, and configuration for specialized clinical workflows in endoscopy, gastroenterology, pulmonary, and surgical procedure management. The company holds a single-award indefinite delivery contract with the Department of Veterans Affairs—contract 36C10G22D0015, valued at $33,881,168.99 and running through September 2026—which anchors the vast majority of its federal revenue. Representative delivery orders under that vehicle include a $26,559,436.05 order for comprehensive enterprise endoscopy system services across VA medical centers (October 2023 through June 2025), a $1,621,851.71 order for software maintenance and support (October-December 2025), and a $579,790.01 order for endoscopy information system services (September 2025). The VA vehicle spawns monthly or quarterly delivery orders that have ranged from approximately $107,661 to $26.6 million. Outside the VA IDIQ, Provation also performs direct purchase orders for software maintenance and support at military treatment facilities and other federal healthcare sites: the Defense Health Agency has issued purchase orders for EndoPro and ProVation MD software maintenance at Womack Army Medical Center ($153,438.95, January 2026 through December 2027) and Bethesda, Maryland ($155,435.59, December 2025 through December 2026); the Department of Defense awarded a purchase order for gastroenterology and pulmonary system maintenance at Fort Liberty, North Carolina; and the Department of Health and Human Services has issued orders for endoscopy procedure documentation software.

Customer concentration is extreme and VA-centric. The top five customer organizations account for 40% of all awards by count but 91% of combined potential value, with the Department of Veterans Affairs Headquarters (17 awards, $91.3 million combined potential value) dominating the portfolio. Within the VA structure, Veterans Integrated Service Network 10 ranks second by award count (24 awards, $4.1 million combined potential value), followed by VISN 22 (15 awards, $1.7 million), VISN 17 (11 awards, $2.3 million), and VISN 19 (10 awards, $1.8 million). The Defense Health Agency and Department of the Navy Bureau of Medicine and Surgery carry far smaller footprints (12 and 21 awards respectively, but only $1.4 million and $653 thousand combined potential value). The spread between the top customer by award count (VISN 10, 24 orders) and by dollar value (VA Headquarters, $91.3 million) reflects the structure of the VA IDIQ: Headquarters issues umbrella delivery orders spanning months or the entire network, while individual VISNs and medical centers place smaller targeted orders.

Activity has moderated in recent years—thirteen awards in 2022, declining to five in 2026 year-to-date—reflecting the maturity of the VA IDIQ vehicle and its scheduled expiration in September 2026. Thirteen awards (combined potential value $2.9 million) carry ultimate completion dates within the next twenty-four months and therefore face recompete. The company competes primarily through full-and-open competition or sole-source procurement justified by the proprietary nature of its clinical software; no set-aside categories appear across the footprint.

Provation operates exclusively as a prime contractor—zero subcontract awards appear in the footprint. NAICS concentration runs heavily toward Software Publishers (123 awards), with smaller volumes under Custom Computer Programming Services (16 awards). PSC coding similarly anchors on Information Technology Software (56 awards) and maintenance-and-repair PSCs for medical equipment and ADP systems (31 and 14 awards respectively).