Sierra7, Inc.

Sierra7, Inc., a minority-owned, service-disabled veteran-owned small business headquartered in McLean, Virginia, delivers medical equipment procurement, healthcare IT solutions, medical coding and auditing services, and enterprise IT modernization to federal agencies as a prime contractor on 96% of its federal awards. The company competes across multiple contract vehicles, mixing set-aside work (predominantly SDVOSB Sole Source and Total Small Business designations on VA delivery orders) with full-and-open competition on government-wide IT and professional services vehicles.

Sierra7's customer footprint concentrates heavily on the Department of Veterans Affairs. The VA Technology Acquisition Center Austin leads both volume and dollars, with 56 awards carrying a combined potential value of $83.63 billion—dominated by the company's seat on the $60.7 billion Transformation Twenty-One Total Technology Next Generation Two (T4NG2) IDIQ and the $1.45 billion Veterans Health Administration Integrated Healthcare Transformation (IHT) IDIQ, both administered by the VA's technology and strategic acquisition centers. The VA Strategic Acquisition Center Frederick anchors an additional $26.49 billion in potential value across 18 awards. Beyond the VA, Sierra7 serves the Centers for Medicare and Medicaid Services ($2.74 million delivered for EIS program management), the Department of Agriculture (NRCS Farm Production IT service desk and category management), the General Services Administration (CMS enterprise infrastructure support), the Department of Commerce (USPTO work), the Air National Guard, the Defense Health Agency, NASA, and the Missile Defense Agency. The top five customer agencies by potential value account for 50% of combined potential value, with VA concentration representing the characteristic posture of the company's federal footprint.

Sierra7 occupies seats on five major parent vehicles: the GSA Multiple Award Schedule (161 task orders, $478.6 million combined potential value), Solutions for Enterprise Wide Procurement V (65 task orders, $193.3 million), the GSA IT Schedule 70 (50 task orders, $71.3 million), the VA's T4NG IDIQ (41 task orders, $477.9 million), and the Medical Equipment and Supplies Federal Supply Schedule (25 task orders, $6.9 million). The company also holds a $20 billion ceiling on the newly awarded SEWP VI government-wide IT acquisition contract (November 2026) and a $999.999 billion seat on the OASIS+ Unrestricted government-wide services GWAC (December 2024), both unrestricted competitive vehicles positioning Sierra7 to pursue IT modernization work across civilian agencies beyond its current VA concentration. Additional vehicles include a $151 billion SHIELD IDIQ with the Missile Defense Agency (December 2025) and single-award or limited-award BPAs for medical coding and veteran data services with individual VISNs.

Recent capability work demonstrates the company's core three-part portfolio. Medical equipment procurement spans anesthesia machines (Draeger Perseus, Fabius, and Apollo models), ventilators (Draeger EVITA V500 and V800), and telesitter patient monitoring systems (AVASURE brand hardware and software licenses, including Guardian devices and AvaNET support agreements). Representative awards include a $1.26 billion purchase order to VISN 2 for anesthesia workstations (August 2026), a $901.4 million delivery order to VISN 7 for thirteen Draeger anesthesia machines (June 2026), and a $764.9 million order to VISN 8 for ventilators (April 2026). Medical coding and auditing services span inpatient and outpatient coding, surgical coding, medical coding audits, and coding staffing across multiple VISNs. SCI-reported invoicing for medical coding reached $120 thousand (1,537 contractor hours, 0.7 FTEs, $78.17/hr) against a $602.7 million ceiling for Cincinnati VAMC in FY2024, and $256 thousand (1.6 FTEs, all self-performed) for VISN 17 surgical coding in FY2025. Enterprise IT solutions include telesitter software licensing ($987.8 million for AVASURE software and support with VISN 9, October 2025), IT infrastructure modernization (Windows client application packaging for VA enterprise deployment, $2.35 million under T4NG, September 2025), privacy impact assessment services ($6.59 million under T4NG, December 2023), and IT service desk operations (NRCS Farm Production IT service desk, $13.1 million through June 2026, with FY2025 invoicing of $3.5 million across 29.4 FTEs at $56.90/hr). Subcontractors on medical equipment and IT work include Amber System Solutions Inc. (Windows client engineering on the application packaging order), Mobomo LLC (custom software development for the LEAF system, $5.78 million under T4NG), Gigatech LLC (VISTA blood establishment software support), and Norseman Consulting LLC (WiFi and wireless infrastructure at VA facilities).

SCI-reportable invoiced revenue across federal service contracts (above the $150,000 threshold) totaled $260.3 million across FY2022–FY2025, with peak invoicing of $77.7 million in FY2024 across 248 FTEs and a decline to $48.6 million in FY2025 across 222 FTEs. Median government-paid hourly rates on SCI-reportable prime contracts ran at $102.09 per hour, with the 90th percentile at $394.64 per hour, reflecting a mix of medical coding labor (low-cost billing codes) and senior IT consulting (high-rate engineering and program management). On SCI-reportable prime contracts, subcontractors performed an average of 17% of contractor hours, with 146 named subcontractors across the portfolio. The company's GSA Schedule labor portfolio spans 17 categories from Documentation Specialist at $78.33 per hour through Program Manager at $217.15 per hour, all requiring bachelor's degrees and ranging from two to seven years of experience, with no security-cleared positions offered.

Sierra7 competes as a prime contractor on 375 of 390 recent awards (96%). Awards per year have remained between 33 and 44 over the past five years, with 51 awards (combined potential value $169.8 million) reaching completion within the next twenty-four months, representing significant recompete exposure. The company's set-aside posture reflects its SDVOSB certification: the majority of VA delivery orders carry SDVOSB Sole Source or Total Small Business set-aside designations, while government-wide IT vehicle work (SEWP V, SEWP VI, OASIS+) and GSA Schedule task orders compete full-and-open. Across the non-VA customer base, awards split between set-aside (CIO-SP3 SB for USDA and NRCS work) and unrestricted competition (Defense Health Agency, Air Force, Interior Department). The company has demonstrated sustained market presence for over twenty years (first award in source data from September 2005), though recent activity concentrates heavily on post-2022 awards across the VA and civilian IT modernization space.

COMPREHENSIVE EXPERTISE

We draw upon our global footprint of businesses and service models to:

Deliver complex, critical services in an assured way by reengineering pathways and systems to break down silos and deliver integration among services

Bring specialist skills, knowledge and experience to design services that maximize outcomes for the end user-"The Patient"

Align system incentives to client objectives, guaranteeing service quality, performance and financial savings

OUR SPECIALIZED CALL CENTER EXPERTISE INCLUDES:

Vendor support services

Counseling services

Sierra7 delivers leading healthcare IT systems, services, and strategies to commercial customers and federal agencies.

From operations and maintenance of the world's largest healthcare delivery systems to the development of electronic health records, we provide innovations that help healthcare organizations address interoperability challenges and enhance the delivery of care.