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 under small-business set-asides and full-and-open competition. The company specializes in real-time neural monitoring during complex surgical procedures including craniotomies and spinal surgeries, with federal contracts dating to 2011 and recent activity concentrated in Defense Health Agency and Department of Veterans Affairs programs.

The vendor's customer concentration is heavily tilted toward defense and VA medical operations. The top five customer agencies account for 98% of recent awards, anchored by the Defense Health Agency (9 awards, $17.1 million combined potential value), the Department of the Army Medical Command (24 awards, $7.4 million), and the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4 (13 awards, $5.4 million). The two rankings diverge markedly — Army Medical Command dominates by order count but not dollars, while DHA's smaller award count masks higher per-award ceilings. Veterans Integrated Service Network 7 and Veterans Integrated Service Network 19 round out the active set. The vendor holds two anchor indefinite delivery contracts: a $2.63 million single-award IDC with DHA running through March 2027 for IONM services at Madigan Army Medical Center in Tacoma and Lewis-McChord, Washington, and a $6 million single-award blanket purchase agreement with DHA awarded June 1, 2025, extending through May 31, 2030, for neuromonitoring services in spine and orthopedic surgeries at military and veteran facilities nationwide. Recent representative work includes a $487,977.74 Total Small Business delivery order from DHA awarded March 16, 2026, for IONM services at Madigan Army Medical Center through March 2027; a $6.5 million Total Small Business purchase order from DHA awarded October 1, 2025, for interoperative neuromonitoring at Fort Sam Houston, Texas, with termination-for-convenience language; and a $252,700 competitive delivery order from Veterans Integrated Service Network 4 for neurophysiology services.

The vendor's parent-vehicle footprint is dominated by single-award indefinite delivery contracts issued by DHA and Army Medical Command. Five IDCs account for most recent ordering: Indefinite Delivery Contract W81K0216D0006 carries 11 task orders for $1.7 million combined value; IDC 36C24418D0155 carries 8 task orders for $2.1 million; IDC W91YU013D0008 carries 6 task orders for $763 thousand; IDC W81K0222D0004 carries 5 task orders for $2.4 million; and IDC 36C26018D0002 carries 4 task orders for $189 thousand. All vehicles are single-award arrangements with DHA or subordinate Army commands. Activity has remained relatively flat year over year — five awards in 2022, two in 2023, three in 2024, five in 2025, and one in 2026 — with only three awards (combined potential value $1.5 million) reaching ultimate completion in the next twenty-four months, signaling low recompete exposure in the near term. The vendor holds no subcontract positions in the source data and maintains 100% prime status across its federal portfolio, competing predominantly under Total Small Business set-asides on its DHA work and under full-and-open competition on VA delivery orders. Primary NAICS coding is All Other Miscellaneous Ambulatory Health Care Services, with PSC concentration in Medical-Neurology.