Xtreme Prosthetics LLC

Xtreme Prosthetics LLC, doing business as Formotion Clinic, manufactures and supplies prosthetic limbs, sockets, and endoskeletal systems to the Department of Veterans Affairs as a prime contractor through purchase orders and blanket purchase agreements, with no subcontract activity and no small business set-aside designations across its federal footprint.

Xtreme Prosthetics is a foreign-owned, for-profit organization operating as a child entity of Bulow Holdings LLC and headquartered in Somerset, Kentucky, with place of performance in Murfreesboro, Tennessee and subordinate sites within VA Veterans Integrated Service Network 9's service network. The vendor operates under primary NAICS 334517 (Surgical Appliance and Supplies Manufacturing) and PSC Medical and Surgical Instruments, Equipment, and Supplies across all 66 federal awards in its portfolio.

The vendor exhibits extreme customer concentration — all 66 awards (100% of the portfolio) and the full $8.4 million in combined potential value flow from a single customer: the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9. This monolithic customer relationship spans purchase orders for individual prosthetic devices issued between 2021 and 2025, and a $7.5 million blanket purchase agreement established April 30, 2024, with an ultimate completion date of July 6, 2026. The BPA covers prosthetic limbs, sockets, below-the-knee and above-the-knee prostheses, and endoskeletal systems. Recent representative work includes a $49,676.99 BPA call awarded March 30, 2026, for a transfemoral-side right prosthetic limb (completion June 29, 2026), a $25,717.98 purchase order for an artificial limb (June 2023), and a $38,773.94 purchase order for a prosthetic socket (October 2022).

Activity has contracted significantly — the vendor received six awards in 2021, declining to three in 2022, two in 2023, one in 2024, and one in 2026. Combined dollars obligated total $869 thousand against $8.4 million in combined potential value (10% utilization), indicating modest revenue draw against available ceiling. The source indicates the BPA will be canceled at the vendor's request, with future prosthetic and orthotic procurement to follow standards outlined in a May 22, 2026 VA letter to community providers. The vendor holds two active BPAs: VA24913A0047 with 25 task orders ($271 thousand combined potential value) and 36C24924A0045 with one task order ($50 thousand).