Agiliti Health Inc.

Agiliti Health Inc., a for-profit medical equipment management and service solutions provider headquartered in Eden Prairie, Minnesota, delivers surgical instrument maintenance and repair, equipment rental, biomedical repair, and technician support services to federal healthcare agencies as a prime contractor across full-and-open procurements without reliance on small business set-asides. The company operates through a parent corporation and subsidiary (Sizewise Rentals, L.L.C.) and competes predominantly in open competition, with 2,017 prime awards (100% of award count) spanning delivery orders, blanket purchase agreements, indefinite delivery contracts, and a GSA Federal Supply Schedule covering medical equipment and supplies.

Agiliti's customer concentration is heavily weighted toward logistics and healthcare operations across the Department of Defense. The top five customer agencies by award count account for 59% of all awards: the Defense Logistics Agency Troop Support Medical leads with 799 awards valued at $30.3 million combined potential value; the Defense Health Agency follows with 150 awards worth $135.2 million; the Department of the Army Medical Command contributes 116 awards valued at $176.1 million; and Veterans Integrated Service Networks 22 and 8 add 86 and 43 awards respectively. By potential value, however, a different hierarchy emerges: Veterans Integrated Service Network 12 anchors the portfolio with 29 awards totaling $270.9 million (representing a $708.750 million MRI/Ultrasound fusion biopsy system purchase order awarded April 1, 2026, through March 31, 2031); the Army Medical Command contributes $176.1 million across 116 awards; and the Defense Health Agency holds $135.2 million across 150 awards. This split reflects Agiliti's operational model: high-volume, modest-value delivery orders flowing through the DLA supply chain alongside larger capital equipment and long-term service contracts with VA networks and military treatment facilities.

Agiliti's parent vehicle footprint centers on federal supply schedule and IDIQ authority. The Medical Equipment and Supplies GSA Schedule (FSS-65-II-A) is the dominant vehicle, supporting 132 task orders valued at $131.4 million combined potential value and enabling flexible procurement of bed rentals, surgical instruments, laser rental services with technician support, ultrasound and cryoablation services, and biomedical repair across federal healthcare. A newer Federal Supply Schedule contract (V797P4854A) carries 260 task orders worth $6.7 million. On the IDIQ side, an indefinite delivery contract with the Defense Logistics Agency (SPE2DH24D0005) anchors 798 task orders worth $3.3 million combined potential value—reflecting high-frequency, low-value consumables and instrument replenishment orders. Two Army Medical Command IDIQs (W81K0423D0006 and W81K0417D0012) carry 111 and 103 task orders respectively, worth $110.8 million and $86.5 million. Agiliti also holds single-award BPAs and IDIQs with individual Veterans Integrated Service Networks, including a $1.84 million BPA for mobile lithotripsy and surgical laser services with VISN 9 (May 2026–May 2031), a $3.5 million surgical sharpening services BPA with VISN 4 (January 2026–January 2027), a $1.027 billion surgical laser rental IDIQ with VISN 15 (March 2026–March 2031), and a $246.7 million Federal Supply Schedule position with VISN 12 (June 2026–May 2031). A GSA Schedule contract awarded June 1, 2026, carries a $246.7 million ceiling through May 2031.

Activity has grown significantly: awards per year increased from 57 in 2022 to 214 in 2024 and 592 in 2025, with 230 awards through September 2026. Combined potential value across all 2,026 awards totals $1.9 billion; combined obligated dollars stand at $1.12 billion (59% of potential value). The combined potential value of awards completing in the next twenty-four months—95 awards totaling $514.7 million—represents substantial recompete exposure and opportunity for competitors seeking to displace Agiliti on its largest vehicles.

On federal service contracts captured in the Service Contract Inventory (a partial view excluding goods, products, micro-purchases, and classified work), Agiliti reported $177.1 million in invoiced revenue across 23 records between FY2023 and FY2024, with no SCI-reportable activity in FY2022. SCI-reported invoicing totaled $38.5 million in FY2023 (173 full-time-equivalents) and $138.5 million in FY2024 (275 FTEs), reflecting growth in larger service-delivery contracts. On federal services contracts captured in SCI, government-paid rates median around $191/hour, with the 10th percentile at $58.64/hour and the 90th percentile at $319.04/hour—a spectrum consistent with medical equipment technician and administrative support labor. Agiliti builds its own delivery teams; across SCI-reportable prime contracts, no hours were subcontracted (0% sub-hours share), indicating direct staffing and minimal reliance on sub-labor.

Agiliti's sub-award footprint is minimal: only 9 sub-awards (0.4% of total award count) appear in the source, both dating to 2023 under Lockheed Martin Corporation for calibration and evaluation services. The vendor operates predominantly as a prime contractor in direct relationships with federal customers, not as a feeder to larger systems integrators.

Named NAICS categories reflect Agiliti's core business: Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers (853 awards), Surgical and Medical Instrument Manufacturing (320 awards), and Other Electronic and Precision Equipment Repair and Maintenance (220 awards) dominate. PSC coding aligns: Hospital Furniture, Equipment, Utensils, And Supplies (882 awards) and Maintenance/Repair/Rebuild Of Equipment—Medical, Dental, And Veterinary Equipment And Supplies (355 awards) are the leading codes, reflecting the vendor's positioning as a supplies wholesaler and maintenance services provider to federal healthcare.