Surgical Neuromonitoring Associates, Inc.

Surgical Neuromonitoring Associates, Inc., a Pittsburgh-based for-profit subchapter S corporation, provides intraoperative neurophysiological monitoring (IONM) and neurologist oversight services to military and veteran healthcare facilities as a prime contractor exclusively, operating under Total Small Business set-asides on the majority of recent awards. The company holds no subcontracting footprint across federal work.

Surgical Neuromonitoring Associates competes primarily in two customer tiers: the Defense Health Agency and Army Medical Command dominate by dollar value (accounting for roughly 62% of combined potential value across nine and twenty-four awards respectively), while Veterans Integrated Service Network 4 and other VA regional networks round out active customers. The top five customer entities account for 98% of recent awards. The Defense Health Agency anchors $17.1 million in combined potential value across nine awards, while the Army Medical Command's twenty-four awards total $7.4 million and VISN 4's fourteen awards total $5.7 million. This concentration reflects the vendor's specialization: IONM services for spine and orthopedic surgeries, craniotomies, and complex intra-operative procedures at military treatment facilities and VA hospitals across the continental United States and overseas locations. Recent concrete work includes a $6.5 million Defense Health Agency purchase order (October 2025) for neuromonitoring services at Fort Sam Houston, Texas; a $487,977.74 Defense Health Agency delivery order (March 2026) for IONM services at Madigan Army Medical Center, Joint Base Lewis-McChord, Washington, under Total Small Business set-aside; and a $163,800 delivery order from Veterans Integrated Service Network 4 (September 2026) for neurophysiology services in Pittsburgh under Total Small Business set-aside.

Surgical Neuromonitoring Associates holds two substantive indefinite delivery vehicles: a $6 million single-award Blanket Purchase Agreement with the Defense Health Agency for neuromonitoring services through May 2030, and a $2.63 million single-award indefinite delivery contract with the Defense Health Agency supporting Madigan Army Medical Center through March 2027. Five additional smaller IDCs with Army Medical Command and VISN entities carry task-order traffic. Activity remains moderate — two to five awards annually over the past five years — with six awards totaling $1.9 million in combined potential value reaching completion inside the next twenty-four months, creating recompete exposure tied principally to VISN 4 and smaller regional VA networks. The vendor's capability footprint aligns tightly with NAICS All Other Miscellaneous Ambulatory Health Care Services (29 of 55 awards) and PSC Medical-Neurology (47 of 55 awards), reflecting singular specialization in federal neurophysiological monitoring and neurologist staffing rather than broad medical services provision.