Sierra7, Inc.

Sierra7, Inc., a McLean, Virginia-based minority-owned, service-disabled veteran-owned small business, supplies healthcare IT solutions, medical equipment procurement, medical coding services, and enterprise IT modernization to federal agencies as a prime contractor (96% of recent awards) and subcontractor. The company competes predominantly under SDVOSB set-asides and small business designations across a diversified federal customer base, with material presence on government-wide IT vehicles and VA-specific indefinite delivery contracts.

The Department of Veterans Affairs dominates Sierra7's customer concentration by potential dollar value. The VA Technology Acquisition Center Austin accounts for 55 awards worth $83.63 billion in combined potential value, anchored by Sierra7's seat on the $60.7 billion Transformation Twenty-One Total Technology Next Generation Two (T4NG2) IDIQ contract, a multiple-award vehicle providing enterprise IT solutions through October 2033. The VA Strategic Acquisition Center Frederick accounts for 17 awards worth $26.49 billion, largely via the $1.45 billion Veterans Health Administration Integrated Healthcare Transformation (IHT) IDIQ, a service-disabled veteran-owned small business set-aside for healthcare modernization services. The VA's Veterans Integrated Service Networks (VISN 6, 10, 17, 22, and others) collectively place 120 awards worth approximately $75 million, primarily for medical coding services, anesthesia equipment, telesitter patient monitoring systems, and healthcare IT support. Sixty distinct agencies appear across the portfolio, including the Centers for Medicare and Medicaid Services, Department of Homeland Security Customs and Border Protection, General Services Administration, Department of Agriculture, and the Missile Defense Agency, indicating geographic and mission diversification beyond VA concentration.

Sierra7's capability portfolio centers on four concrete service lines. Medical coding and auditing services span multiple VA networks through a $206.9 million blanket purchase agreement on the GSA Multiple Award Schedule and task orders under the IHT IDIQ; SCI invoicing for FY2024 shows $77.7 million in reportable labor at a median government-paid rate of $103.52 per hour, with 244 FTEs self-performed and 70 FTEs subcontracted (approximately 18% sub-hours share). Anesthesia and medical equipment procurement includes anesthesia machines, ventilators, monitoring systems, and related accessories sourced through GSA Medical Equipment and Supplies Schedule (FSS-65-II-A) delivery orders; representative awards include a $901 million delivery order to VISN 7 for Draeger anesthesia machines (June 2026) and a $483 million purchase order to VISN 22 for ventilators (May 2026). Telesitter and remote patient monitoring systems (AVASURE brand software and Guardian hardware) are delivered across multiple VISNs via MAS and SEWP V vehicles; examples include a $632 thousand five-year licensing agreement with VISN 10 (May 2026) and a $19.6 million optional hardware delivery order to the Air National Guard under SEWP V (September 2023). Enterprise IT modernization services include benefits portfolio independent verification and validation ($102.4 million ceiling, T4NG, awarded March 2023), blood establishment software development and operations ($12 million ceiling, T4NG, awarded May 2024), and Windows client engineering and SharePoint integration ($2.3 million ceiling, T4NG, awarded September 2025).

Sierra7 participates across five principal vehicle classes. The T4NG IDIQ (41 task orders, $477.9 million combined value) and T4NG2 IDIQ anchor IT modernization work for the VA. SEWP V (Solutions for Enterprise Wide Procurement V; 60 task orders, $191.3 million combined value) is Sierra7's primary government-wide IT acquisition contract and supports delivery orders across federal agencies including the Defense Health Agency, Air Force, and Interior Department. The Multiple Award Schedule (156 task orders, $475.5 million combined value) is the workhorse for medical coding services, telehealth equipment, medical equipment procurement, and category management support. IT Schedule 70 (50 task orders, $71.3 million combined value) and Medical Equipment and Supplies FSS-65-II-A (22 task orders, $6.4 million combined value) complete the core set. Additionally, Sierra7 holds a position on the $151 billion Scalable Homeland Innovative Enterprise Layered Defense (SHIELD) IDIQ awarded by the Missile Defense Agency (December 2025), though it carries a $500 initial delivery order and represents early-stage opportunity rather than current volume. The OASIS+ Unrestricted GWAC ($999.999 billion ceiling, December 2024) is a recent add that positions Sierra7 to compete for integrated IT and professional services across civilian agencies.

Sierra7's sub engagement pattern shows the company operates predominantly as a prime (96% of awards by count) but relies on subcontractors for material labor delivery on larger service contracts. Across SCI-reportable prime contracts in FY2024, 18% of contractor hours were subcontracted to 120 named subcontractors, with the most frequently cited subs being Accenture Federal Services LLC (LDM-BDN extension support, VBA DGIB services), Cognosante MVH LLC (enrollment resolution, cloud fax, supply chain management), and By Light Professional IT Services LLC (MHV portal support). Dynamic Government Resources LLC (Section 508 enablement sub, April 2022, $6.2 million parent task order), Mobomo LLC (LEAF system software development, December 2023, $5.8 million parent task order), and Norseman Consulting LLC (St. Cloud WiFi implementation, April 2022, $482 thousand parent task order) appear on named strategic subs for specialized technical delivery. This posture indicates Sierra7 builds its own medical coding and healthcare operations teams but partners with mid-market systems integrators and software development firms to extend IT modernization and custom development capacity.

Activity shows consistent but moderate award growth. Awards per year averaged 36 over 2022–2024 (42, 41, 44 respectively), declining to 33 in 2025 and 21 through August 2026, reflecting typical year-end seasonality and the forward-looking calendar bias of the source data (snapshot at July 2026). Forty-eight awards with ultimate completion in the next twenty-four months carry a combined potential value of $224.6 million, representing a significant recompete cliff. SCI-reported invoicing grew from $62 million (FY2022) to $77.7 million (FY2024) across 144–314 FTEs, driven by scale-up on large IT modernization and benefits portfolio IV&V contracts, though obligated dollars remain a tiny fraction of combined potential (0.4% across all awards), indicating that ceiling values far exceed execution. Median government-paid hourly rates on prime SCI contracts run $103.52/hr, with the 90th percentile at $479.11/hr, reflecting a mix of healthcare coding labor (lower-end, $48–$80/hr) and senior IT consultant billing ($150–$217/hr on GSA Schedule). The company's GSA labor portfolio lists 17 active categories from Documentation Specialist ($78.33/hr) through Program Manager ($217.15/hr), all requiring bachelor's degrees and no security clearances, anchoring commodity IT staffing and healthcare project management capacity.

Set-aside posture is mixed. Sierra7 competes under SDVOSB Sole Source and SDVOSB set-asides on specialized task orders (anesthesia equipment, telesitter maintenance, privacy assessment services) and on the IHT IDIQ (healthcare modernization). Small business set-asides (Total Small Business or 8(a) equivalent) dominate medical coding and equipment procurement awards, reflecting the $150K–$1M floor of most VA VISN requirements. Full-and-open (no set-aside) task orders appear on large IT modernization vehicles (T4NG, SEWP V, OASIS+) where Sierra7 competes unrestricted. The company does not cite 8(a) Business Development Program membership or HUBZone status; its competitive edge rests on SDVOSB and minority-owned (Hispanic American, subcontinent Asian heritage implied by early ownership disclosures in source material) designations and established relationships with VA procurement offices and IT enterprise customers.

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.