Transox Inc.

Transox Inc., a service-disabled veteran-owned small business based in West Columbia, South Carolina, operates as a prime contractor delivering home oxygen and ventilator equipment, supplies, and in-home healthcare services exclusively to the Department of Veterans Affairs across multiple regional networks. The company is SBA certified as both a veteran-owned small business and service-disabled veteran-owned small business (SDVOSB) through April 20, 2028, and competes predominantly under SDVOSB set-asides and full-and-open procurements, with set-asides characterizing roughly half its recent prime footprint.

Transox's capability portfolio centers entirely on home oxygen and ventilator services—supply, delivery, setup, maintenance, and resupply of oxygen equipment, tanks, canisters, nasal cannulas, and related expendable medical supplies to veterans receiving in-home healthcare. Recent representative work includes a $9.6 million firm fixed-price delivery order from Veterans Integrated Service Network 5 (VISN 5) awarded July 1, 2022, for home oxygen services through June 30, 2027; a $19 million single-award SDVOSB indefinite-delivery contract from VISN 7 awarded August 1, 2024, for home oxygen and ventilator services through July 31, 2031; a $25.4 million SDVOSB set-aside indefinite-delivery contract from VISN 4 awarded July 1, 2025, for home oxygen services through June 30, 2032; and a $52.8 million SDVOSB indefinite-delivery contract from VISN 9 awarded April 1, 2024, with an ultimate completion date of March 31, 2027. Monthly delivery orders under these parent vehicles typically range from $30,000 to $280,000 each.

Customer concentration is monolithic: the Department of Veterans Affairs accounts for 100% of awards across five regional VISNs. VISN 7 dominates activity—142 awards (79% of total) carrying $104.3 million combined potential value—followed by VISN 9 (4 awards, $78.5 million), VISN 8 (27 awards, $48.1 million), VISN 5 (6 awards, $27.7 million), and VISN 4 (1 award, $25.4 million). The concentration by customer and geography reflects Transox's specialized positioning in veteran home healthcare across the Southeast, Mid-Atlantic, and Puerto Rico.

Transox holds 20 named indefinite-delivery parent vehicles across the VA's regional networks, spanning single-award and multiple-award structures. The top five parent vehicles by task-order count include a $2.6 million IDIQ under contract 36C24722D0051 (25 task orders); an $8.5 million IDIQ under contract 36C24723D0025 (25 task orders); a $4.5 million IDIQ under contract 36C24724D0023 (18 task orders); a $5.5 million IDIQ under contract 36C24722D0048 (16 task orders); and a $5.3 million IDIQ under contract 36C24822D0074 (8 task orders). These vehicles enable the VA to issue recurring monthly task orders for ongoing oxygen delivery services across service areas.

Activity has accelerated significantly in recent years. Award counts grew from 14 in 2022 to 77 in 2025, with 15 awards in the first half of 2026. Combined potential value across all 180 awards totals $284.1 million, with $78.9 million obligated (28% of potential). Seven awards carrying combined potential value of $27.6 million have ultimate completion dates inside the next twenty-four months and therefore face recompete or renewal decisions in that window.

Transox operates exclusively as a prime contractor on federal home healthcare services; no subcontractors appear in the award portfolio, and the vendor does not serve in a subcontractor capacity to other federal primes. SCI-reported federal service-contract invoicing totaled $2.1 million in FY2023 and $18.3 million in FY2024, with workforce strength growing from 12.5 FTEs in FY2023 to 114 FTEs in FY2024. On federal services contracts captured in the SCI dataset, government-paid rates ran around $73/hr at the median, with rates spanning from $57/hr at the tenth percentile to $101/hr at the ninety-fifth percentile, reflecting a mix of clinical and logistics labor. Across SCI-reportable prime contracts, Transox performed 100% of contractor hours in-house with no named subcontractor involvement, indicating a fully self-performed delivery model for home healthcare services.

Work is performed at multiple locations. Place of performance for most awards centers on West Columbia, South Carolina (Transox's headquarters), with service delivery occurring across VISN service territories spanning Tennessee, Kentucky, Florida, Maryland, South Carolina, Alabama, Puerto Rico, Delaware, Pennsylvania, and West Virginia—reflecting the geographic scope of VA medical centers and healthcare systems the vendor serves. Recent awards also show performance in Nashville, Tennessee (VISN 9); Miami, Orlando, and Riviera Beach, Florida (VISN 8); Baltimore, Maryland (VISN 5); Birmingham, Tuscaloosa, Decatur, and Charleston, South Carolina (VISN 7); and other regional sites as dictated by individual VA facility locations. Transox's NAICS profile is dominated by Home Health Equipment Rental (532283)—157 of 180 awards—with the remainder split between Home Health Care Services (621610) and medical-managed healthcare categories.