Agiliti Health Inc.

Agiliti Health Inc., a for-profit medical equipment management and service solutions provider headquartered in Eden Prairie, Minnesota, competes as a prime contractor across federal healthcare agencies in full-and-open competition without reliance on small business set-asides, delivering surgical instrument maintenance and repair, equipment rental, biomedical repair, and technician support services predominantly to the Department of Defense and Veterans Affairs. The company operates subsidiaries including Sizewise Rentals, L.L.C., a branded equipment rental platform, and maintains a footprint of 2,218 prime federal awards (99.6% of recent activity) totaling $1.92 billion in combined potential value with $1.13 billion obligated across 42 customer agencies.

Agiliti's customer concentration reflects its entrenchment in federal healthcare logistics. The top five customers by award count—Defense Logistics Agency Troop Support Medical (968 awards, $31.2 million), Defense Health Agency (164 awards, $145.3 million), Department of the Army Medical Command (117 awards, $176.4 million), Veterans Integrated Service Network 22 (86 awards, $23.2 million), and Veterans Integrated Service Network 20 (43 awards, $59.7 million)—account for 62% of recent awards. By dollar value, the ranking shifts: Veterans Integrated Service Network 12 anchors the portfolio with 30 awards worth $271.4 million, followed by Army Medical Command ($176.4 million across 117 awards) and the Defense Health Agency ($145.3 million across 164 awards). This concentration divergence signals high-frequency, modest-value supply orders through DLA Troop Support Medical against recurring delivery orders to individual VISN facilities and Army installations.

Agiliti's vehicle portfolio spans federal supply schedules, indefinite delivery contracts, and blanket purchase agreements. The company holds a GSA Schedule 65 II A (Medical Equipment and Supplies) contract ceiling of $246.7 million effective through May 31, 2031, issued by Veterans Integrated Service Network 12. Major IDIQs include a $5 million indefinite delivery contract with Veterans Integrated Service Network 9 for biomedical infusion pump reprocessing and disinfection services (September 2026–September 2031, placed at Robley Rex VA Medical Center, Louisville, Kentucky); a $450,000 single-award IDIQ with Veterans Integrated Service Network 23 for surgical instrument maintenance and repair to Central Iowa VA Health Care System (September 2026–August 2031); a $1.84 million blanket purchase agreement with Veterans Integrated Service Network 9 for mobile lithotripsy and surgical laser services at James H. Quillen VA Medical Center, Mountain Home, Tennessee (May 2026–May 2031); and a $700,000 IDIQ with Veterans Integrated Service Network 23 for onsite microwave ablation and cryoablation services supporting VA Nebraska-Western Iowa Healthcare System (May 2026–April 2027). The top parent vehicles by task-order volume include an indefinite delivery contract (SPE2DH24D0005) carrying 967 task orders worth $4.2 million combined potential value, Federal Supply Schedule V797P4854A with 260 task orders ($6.7 million), and the Medical Equipment and Supplies schedule with 134 task orders ($131 million).

Activity has grown substantially over the past five years, rising from 86 awards in 2023 to 214 in 2024 to 592 in 2025, followed by 430 awards in 2026 and one award in 2027 (partial-year data). This trajectory signals strong federal healthcare demand for equipment management services. Recompete exposure is significant: 88 awards with ultimate completion dates in the next twenty-four months carry combined potential value of $505.6 million, representing material recompete-opportunity for competitors and recompete-risk for Agiliti.

Agiliti's product service scope centers on medical equipment supply, repair, and maintenance. Representative prime contracts include a $5.2 million fiscal year 2027 medical maintenance delivery order with the Defense Health Agency at JBSA Fort Sam Houston, Texas (October 2026–September 2027); a $1.4 million time-and-materials delivery order with the Defense Health Agency at Nellis Air Force Base, Nevada for medical maintenance services (May 2026–April 2027); a $1.036 million specialty bed and equipment rental delivery order from Veterans Integrated Service Network 16 under the GSA Schedule (November 2026–October 2031); a $800,000 time-and-materials delivery order with the Defense Health Agency for medical maintenance at Fort Hood, Texas (August 2026–July 2027); a $750,000 time-and-materials delivery order with the Defense Health Agency at Fort Benning, Georgia (May 2027–April 2028); and numerous surgical instrument, biomedical repair, and ultrasound servicing delivery orders issued monthly by the Defense Logistics Agency Medical Supply Chain, many in the $2,000 to $8,000 range, reflecting high-volume consumables and routine repair work. The company's top PSCs are Hospital Furniture, Equipment, Utensils, and Supplies (1,053 awards), Maintenance/Repair/Rebuild of Medical, Dental, and Veterinary Equipment and Supplies (372 awards), and Medical and Surgical Instruments, Equipment, and Supplies (326 awards). Top NAICS categories align: Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers (1,022 awards) and Surgical and Medical Instrument Manufacturing (321 awards) dominate the portfolio.

Agiliti operates predominantly as a direct-delivery prime with minimal subcontracting footprint. The award portfolio reflects 2,218 prime awards (99.6%) against nine sub-awards (0.4%), indicating a company that builds and staffs its own delivery teams rather than relying on subs for core capacity. The two named sub-awards date to 2023 and involved calibration services under Lockheed Martin. Service Contract Inventory data capture a partial federal footprint: SCI-reported invoicing of $181.5 million across FY2023–FY2025, with 173 FTEs in FY2023, 275 FTEs in FY2024, and 6.1 FTEs in FY2025 (the latter reflecting partial-year SCI capture). Across SCI-reportable prime contracts, median government-paid hourly rates ran around $191/hr, with the 10th percentile at $58.64/hr and the 90th percentile at $319.04/hr, consistent with a mix of technician delivery labor and specialized biomedical repair expertise. Agiliti reported zero sub-hours share across SCI-reportable prime contracts, corroborating direct-delivery posture. SCI figures represent federal service contracts above the $150,000 threshold and exclude goods, products, and non-federal revenue, so they reflect a strict subset of Agiliti's federal services activity and a smaller subset of total enterprise revenue.