Strategic Medical Equipment Solutions, LLC

Strategic Medical Equipment Solutions, LLC, doing business as Smes, is a service-disabled veteran-owned small business (SDVOSB) and veteran-owned small business (VOSB) based in Monument, Colorado, that provides initial outfitting, transition, and activation (IOT&A) services for healthcare facility construction and modernization as a prime contractor exclusively—the source shows 49 prime awards and zero sub-awards. The company competes predominantly under SDVOSB set-asides across its Veterans Affairs portfolio, though it also holds multiple-award vehicles open to full-and-open competition.

Smes's capability footprint centers on healthcare facility planning, equipment procurement, transition coordination, and operational activation support. The vendor delivers comprehensive project management, interior design, furniture and fixture planning, space planning through virtual-reality visualization, equipment installation, staff training, and post-occupancy support for new or renovated VA medical centers and community-based outpatient clinics (CBOCs). Representative SDVOSB set-aside work includes a $671,396 IOT&A delivery order awarded September 1, 2026, by the VA Technology Acquisition Center for The Villages OPC in Florida (performance through December 31, 2029); a $558,837 purchase order awarded September 21, 2026, by VA's Veterans Integrated Service Network 1 for Burlington, Vermont clinic consolidation (performance through August 20, 2029); and a $1,439,208 firm-fixed-price purchase order awarded December 15, 2023, by VISN 17 for the Dallas VA Medical Center Long-Term Spinal Cord Injury unit and warehouse activation (completion December 14, 2027). Smes also holds a $7 million single-award SDVOSB indefinite-delivery contract with VISN 9 for pre-planning, activation, and transitioning services at the Louisville Medical Center, issued March 10, 2023, which has generated six task orders totaling $7.2 million in combined potential value through April 2027.

Customer concentration is heavily skewed toward the Department of Veterans Affairs. The top five VA sub-agencies account for 76% of awards by count and 97% of combined potential value. Within that concentration, the VA Technology Acquisition Center Austin and VISN 8 each hold 11 awards; VISN 9 holds 7 awards; VISN 23 holds 5 awards; and the VA Office of Information Service Center holds 3 awards. However, the portfolio is anchored by two vehicles that dwarf all other work: a $720 million multiple-award Indefinite Delivery Contract issued August 8, 2026, by the U.S. Army Corps of Engineers Engineering Support Center Huntsville for Initial Outfitting and Transition Facilities Support Services (IO&T FSS IV) across U.S. military healthcare projects worldwide, and a $75 million multiple-award Blanket Purchase Agreement awarded June 17, 2025, by GSA's National Capital Region for moving services across the District of Columbia, Maryland, and Virginia. Combined, these two vehicles represent 97% of Smes's total potential value ($795 million of $874.9 million) but only 2 of 49 awards, signaling a dramatic divergence between task-order volume (dominated by smaller VA clinic IOT&A work) and dollar exposure (dominated by the military healthcare and GSA moving services platforms).

Smes also holds a GSA Federal Supply Schedule contract (multiple-award) issued March 27, 2023, through March 26, 2028, with a $200,000 ceiling, offering 12 labor categories spanning $58.70 to $177.12 per hour—entry-level roles such as AutoCAD/Revit Operator at the low end and senior positions including Project Director (15 years' experience required) at $177.12/hr. All labor categories require associate or bachelor's degrees; no security-cleared roles are offered. The schedule supports facility planning, logistics, comprehensive furniture management, and office relocation services available to all federal agencies on a multiple-award basis.

Service Contract Inventory reporting shows SCI-reportable invoiced revenue (prime contracts above $150,000 threshold) of $6.8 million across FY2022–FY2025, with substantial volatility: FY2022 invoiced $1.7 million across 17.4 FTEs, FY2023 dropped to $43 thousand across 0.2 FTEs, FY2024 remained minimal at $156 thousand across 0.7 FTEs, then surged to $4.9 million across 27.5 FTEs in FY2025. Government-paid hourly rates on SCI-reportable contracts ranged from $0.00/hr (likely non-labor charges) at the 10th percentile to a median of $50.70/hr and $168.63/hr at the 90th percentile. Smes performs 100% of labor on its prime contracts, with zero sub-hours reported across SCI records; one named subcontractor appears in the dataset, indicating minimal reliance on subcontractor labor. Combined potential value obligated across all awards stands at $38 million (4% of $874.9 million total potential value), reflecting the early-stage nature of most IOT&A contract performance.

Activity accelerated in the past two years: two awards in 2022, five in 2023, four in 2024, four in 2025, and eight in 2026. Six awards carrying combined potential value of $6.8 million face ultimate completion within the next twenty-four months, presenting recompete exposure primarily within the VISN 9 Louisville Medical Center delivery-order sequence and smaller CBOC IOT&A awards from regional VA networks. The Army Corps of Engineers IO&T FSS IV vehicle, awarded August 8, 2026, extends through August 7, 2029, and represents the vendor's primary growth and competitive positioning platform for military healthcare facility activation work across CONUS, OCONUS, and overseas locations.

SME Solutions is focused on providing detailed hospital activation services to include equipment, IT, low voltage, interior design, transition, logistics planning, and warehousing services. We

incorporate operational planning, equipment specifications, procurement support, training, and activation services to ensure our customers will be able to provide a patient and staff centered

operational environment from the first patient day. SMEs can also partner with A/E Firms, Construction companies and Interior Design/furniture manufacturers to provide medical, non-medical and IT equipment design, Low Voltage planning and placement on all renovation and new clinic and hospital projects.