Top VA medical, dental, and hospital equipment and supplies merchant wholesalers contractors (NAICS 423450)
- Latest 12 months
- $1.1B
- Net obligations · Up $739.5M vs. $355.9M preceding
- Prime contractors
- 22
- With positive obligations in the latest 12 months
Research the VA federal contracting market for medical, dental, and hospital equipment and supplies merchant wholesalers under NAICS 423450. Compare top federal contractors and market share, reported contract obligations and spending trends, funding-office attribution, recent award activity, contract types, competition, and procurement methods, and observed contract vehicle usage.
Contract obligation trends for Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers at the Department of Veterans Affairs
Federal records show $1.7B in net obligations across 1,410 awards in Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers at the Department of Veterans Affairs from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.50% of $339.1B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 207.8% from $355.9M to $1.1B. 1 prime contractor accounted for at least 80% of positive obligations in that latest period.
Fiscal-year activity
FY26 is year-to-date through Sep 10, 2026; earlier years show complete fiscal-year totals.
View fiscal-year data table
| Fiscal year | Net obligations | Contract actions | Coverage |
|---|---|---|---|
| FY2022 | $71.7M | 428 | Complete |
| FY2023 | $79.3M | 489 | Complete |
| FY2024 | $87.3M | 447 | Complete |
| FY2025 | $435.5M | 541 | Complete |
| FY2026 | $1.0B | 549 | YTD through Sep 10, 2026 |
Market at a glance
All reported prime contract awards- All-period net obligations
- $1.7B
- 1,410 awards · 76 prime contractors
- Latest 12-month movement
- +207.8%
- $1.1B vs. $355.9M
- Leading eight prime share
- 99.5%
- Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
- Agency context
- 0.50% of $339.1B in agency-wide net obligations.
- Set-aside share when reported
- 19.0% of 58 awards with reported set-aside status.
- Set-aside reporting
- 11 set aside · 47 no set-aside · 1,352 not reported
What changed in the last 12 months?
Sep 11, 2025–Sep 10, 2026, compared with Sep 11, 2024–Sep 10, 2025.
Buyer demand
Competitive shifts
MEDLINE INDUSTRIES, LP had the largest increase in reported obligations
CANON MEDICAL SYSTEMS USA, INC lost the most market share
Market structure
This market grew faster than 97.0% of comparable agency NAICS markets
How these findings are calculated
Findings are selected from matched-period changes in obligations, share, rank, funding offices, concentration, reported set-asides, material award actions, and agency-peer outliers. Related signals are combined, and only material evidence-backed changes are shown. Review the full methodology.
Federal contract obligations by funding office
See how positive obligations were attributed across funding offices in the 12 months ending Sep 10, 2026.
89.8% of positive obligations were attributed to SAC FREDERICK (36C10X). That represents $984.1M, up $733.9M from the preceding 12 months.
Latest 12-month share of positive obligations; the gray segment represents all other reported offices.
- SAC FREDERICK (36C10X)89.8% · $984.1M · up $733.9M
- NAC HIGH TECH ORDERS (36A797)6.0% · $65.5M · up $26.7M
- NAC LAUNDRY AND PACS0.83% · $9.1M · up $7.3M
- VHA CHIEF LOGISTICS OFFICE (36C240)0.55% · $6.1M · down $29.8M
- 671-SAN ANTONIO (00671)0.25% · $2.7M · up $49K
- All other reported offices2.6% of positive obligations
View reported office rankings, comparisons, and evidence
USAspending assigns each award to a funding office. That office may differ from the requiring activity, program office, contracting office, individual buyer, or actual customer.
Reported funding office
SAC FREDERICK (36C10X)
#1Rank unchangedLatest 12 months
$984.1M
89.8% of positive obligations
Versus preceding 12 months
+$733.9M
2 active prime contractors · 43 awards
View office comparison and evidence
Reported obligations increased 293.3% from $250.2M to $984.1M. The office’s share of positive obligations moved from 70.3% to 89.8%, a change of +19.5 percentage points.
The latest period contains 47 actions across 43 awards. The preceding period contained 2 active prime contractors and 32 awards.
Leading award-level changes
- MEDLINE INDUSTRIES, LP · PIID 36C10X26K0479+$87.0M: $0 → $87.0M
- MEDLINE INDUSTRIES, LP · PIID 36C10X26K0331+$83.8M: $0 → $83.8M
Reported funding office
NAC HIGH TECH ORDERS (36A797)
#2Rank unchangedLatest 12 months
$65.5M
6.0% of positive obligations
Versus preceding 12 months
+$26.7M
7 active prime contractors · 210 awards
View office comparison and evidence
Reported obligations increased 68.8% from $38.8M to $65.5M. The office’s share of positive obligations moved from 10.9% to 6.0%, a change of −4.9 percentage points.
The latest period contains 261 actions across 210 awards and 1 newly active prime contractor. The preceding period contained 6 active prime contractors and 152 awards.
Reported funding office
NAC LAUNDRY AND PACS
#3Up 2 from #5Latest 12 months
$9.1M
0.83% of positive obligations
Versus preceding 12 months
+$7.3M
1 active prime contractor · 28 awards
View office comparison and evidence
Reported obligations increased 422.2% from $1.7M to $9.1M. The office’s share of positive obligations moved from 0.49% to 0.83%, a change of +0.3 percentage points.
The latest period contains 34 actions across 28 awards. The preceding period contained 1 active prime contractor and 20 awards.
Reported funding office
VHA CHIEF LOGISTICS OFFICE (36C240)
#4Down 1 from #3Latest 12 months
$6.1M
0.55% of positive obligations
Versus preceding 12 months
−$29.8M
1 active prime contractor · 1 award
View office comparison and evidence
Reported obligations decreased 83.1% from $35.8M to $6.1M. The office’s share of positive obligations moved from 10.1% to 0.55%, a change of −9.5 percentage points.
The latest period contains 1 action across 1 award and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 2 awards.
Leading award-level changes
- MEDLINE INDUSTRIES, LP · PIID 36C10X25K0030−$19.6M: $19.6M → $0
- MEDLINE INDUSTRIES, LP · PIID 36C10X25K0022−$16.2M: $16.2M → $0
Reported funding office
671-SAN ANTONIO (00671)
#5Down 1 from #4Latest 12 months
$2.7M
0.25% of positive obligations
Versus preceding 12 months
+$49K
3 active prime contractors · 4 awards
View office comparison and evidence
Reported obligations increased 1.9% from $2.6M to $2.7M. The office’s share of positive obligations moved from 0.74% to 0.25%, a change of −0.5 percentage points.
The latest period contains 5 actions across 4 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 2 awards.
Reported funding office
618-MINNEAPOLIS VA MED CTR (00618)
#6Rank unchangedLatest 12 months
$2.0M
0.18% of positive obligations
Versus preceding 12 months
+$336K
2 active prime contractors · 2 awards
View office comparison and evidence
Reported obligations increased 20.0% from $1.7M to $2.0M. The office’s share of positive obligations moved from 0.47% to 0.18%, a change of −0.3 percentage points.
The latest period contains 3 actions across 2 awards. The preceding period contained 2 active prime contractors and 2 awards.
Reported funding office
523-BOSTON (00523)(36C523)
#7Rank unchangedLatest 12 months
$1.5M
0.14% of positive obligations
Versus preceding 12 months
−$60K
1 active prime contractor · 2 awards
View office comparison and evidence
Reported obligations decreased 3.8% from $1.6M to $1.5M. The office’s share of positive obligations moved from 0.44% to 0.14%, a change of −0.3 percentage points.
The latest period contains 3 actions across 2 awards. The preceding period contained 2 active prime contractors and 4 awards.
Reported funding office
DEPT OF VETERANS AFFAIRS
#8Up 1 from #9Latest 12 months
$1.2M
0.11% of positive obligations
Versus preceding 12 months
+$95K
2 active prime contractors · 2 awards
View office comparison and evidence
Reported obligations increased 8.7% from $1.1M to $1.2M. The office’s share of positive obligations moved from 0.31% to 0.11%, a change of −0.2 percentage points.
The latest period contains 2 actions across 2 awards. The preceding period contained 3 active prime contractors and 3 awards.
Reported funding office
695-MILWAUKEE(00695)(36C695)
#9Up 20 from #29Latest 12 months
$1.0M
0.090% of positive obligations
Versus preceding 12 months
+$638K
4 active prime contractors · 10 awards
View office comparison and evidence
Reported obligations increased 160.4% from $398K to $1.0M. The office’s share of positive obligations moved from 0.11% to 0.090%, a change of 0.0 percentage points.
The latest period contains 12 actions across 10 awards and 1 newly active prime contractor. The preceding period contained 3 active prime contractors and 6 awards.
Reported funding office
573-NF/SG VETS HOSP(00573)(36C573)
#10Up 1 from #11Latest 12 months
$1.0M
0.090% of positive obligations
Versus preceding 12 months
+$66K
2 active prime contractors · 2 awards
View office comparison and evidence
Reported obligations increased 6.9% from $960K to $1.0M. The office’s share of positive obligations moved from 0.27% to 0.090%, a change of −0.2 percentage points.
The latest period contains 6 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 1 award.
Reported funding office
261-NETWORK CONTRACT OFFICE 21 (36C261)
#15Down 7 from #8Latest 12 months
$649K
0.060% of positive obligations
Versus preceding 12 months
−$490K
4 active prime contractors · 5 awards
View office comparison and evidence
Reported obligations decreased 43.0% from $1.1M to $649K. The office’s share of positive obligations moved from 0.32% to 0.060%, a change of −0.3 percentage points.
The latest period contains 5 actions across 5 awards. The preceding period contained 7 active prime contractors and 8 awards.
Reported funding office
534-CHARLESTON (00534)(36C534)
#19New to the positive-obligation rankingLatest 12 months
$600K
0.050% of positive obligations
Versus preceding 12 months
+$600K
1 active prime contractor · 1 award
View office comparison and evidence
Reported obligations rose from $0 to $600K. The office’s share of positive obligations moved from 0% to 0.050%, a change of +0.1 percentage points.
The latest period contains 1 action across 1 award and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.
Reported funding office
626-NASHVILLE (00626)
#33Down 21 from #12Latest 12 months
$359K
0.030% of positive obligations
Versus preceding 12 months
−$441K
3 active prime contractors · 7 awards
View office comparison and evidence
Reported obligations decreased 55.1% from $800K to $359K. The office’s share of positive obligations moved from 0.22% to 0.030%, a change of −0.2 percentage points.
The latest period contains 9 actions across 7 awards. The preceding period contained 3 active prime contractors and 6 awards.
Reported funding office
548-WEST PALM (00548)(36C548)
#76Down 52 from #24Latest 12 months
$71K
0.010% of positive obligations
Versus preceding 12 months
−$404K
2 active prime contractors · 4 awards
View office comparison and evidence
Reported obligations decreased 85.1% from $475K to $71K. The office’s share of positive obligations moved from 0.13% to 0.010%, a change of −0.1 percentage points.
The latest period contains 5 actions across 4 awards. The preceding period contained 3 active prime contractors and 3 awards.
Reported funding office
652-RICHMOND(00652)(36C652)
No positive-obligation rankLatest 12 months
$0
0% of positive obligations
Versus preceding 12 months
−$423K
0 active prime contractors · 0 awards
View office comparison and evidence
Reported obligations decreased 100.0% from $423K to $0. The office’s share of positive obligations moved from 0.12% to 0%, a change of −0.1 percentage points.
The latest period contains 0 actions across 0 awards. The preceding period contained 2 active prime contractors and 2 awards.
Contract types, competition, and procurement methods
From Sep 11, 2025 through Sep 10, 2026, 390 awards had positive obligations totaling $1.1B. Subject to Multiple Award Fair Opportunity was the leading reported procedure, accounting for 90.0% of positive obligations. Awards with a reported parent IDV accounted for 100.0%. Reported awards used contract vehicles such as MSPV Gen-Z V1.
- Leading award type
- 100.0%
- Delivery Order
- Leading reported procedure
- 90.0%
- Subject to Multiple Award Fair Opportunity
- Reported parent IDV
- 100.0%
- of positive obligations had a reported parent IDV
- Median reported offers
- 1
- 368 of 390 awards reported offers
Observed contract vehicles
Only exact reported parent-PIID matches are shown; missing parent IDs are not inferred.
- MSPV Gen-Z V1
$990.2M
90.3% of positive obligations · 24 matched awards
Buying method changes
Compared with Sep 11, 2024–Sep 10, 2025. Based on 390 current awards and 315 preceding awards with positive net obligations.
- Exactly matched vehicle obligation share
- 90.3%
- Up from 80.1% in the preceding period
How to read these changes
Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.
Same-NAICS comparison
Compared with the NAICS 423450 peer median, parent-IDV obligation share is 27.0 percentage points higher, reported full-and-open obligation share is 39.8 percentage points higher, delivery-order obligation share is 31.4 percentage points higher, and median positive award obligations are 900.3% higher.
| Measure | This market | Peer median | Difference |
|---|---|---|---|
| Parent-IDV obligation share | 100.0% | 73.0% | +27.0 pts |
| Reported full-and-open obligation share | 90.3% | 50.6% | +39.8 pts |
| Delivery-order obligation share | 100.0% | 68.6% | +31.4 pts |
| Median positive award obligations | $151K | $15K | +900.3% |
Peer cohort and comparison limits
The peer median gives each of the 4 eligible agency markets equal weight. The included agency markets are:
- Department of Defense (DOD)
- Department of Homeland Security (DHS)
- Department of Justice (DOJ)
- Department of State (STATE)
Agency mission, scale, and acquisition context can differ. Peer position does not establish market attractiveness or predict a future procurement method.
View buying-method details and data coverage
Award types
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Delivery Order(C) | 382 | $1.1B | 100.0% |
| Definitive Contract(D) | 3 | $190K | 0.020% |
| Purchase Order(B) | 5 | $153K | 0.010% |
Reported parent-award types
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| IDC(B) | 382 | $1.1B | 100.0% |
| Not reported | 8 | $343K | 0.031% |
Single- or multiple-award parent structure
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Multiple Award(M) | 366 | $1.1B | 99.7% |
| Single Award(S) | 16 | $3.5M | 0.32% |
| Not reported | 8 | $343K | 0.031% |
Solicitation procedures
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Subject to Multiple Award Fair Opportunity(MAFO) | 323 | $987.4M | 90.0% |
| Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY) | 43 | $105.5M | 9.6% |
| Negotiated Proposal/Quote(NP) | 14 | $3.2M | 0.29% |
| Simplified Acquisition(SP1) | 4 | $424K | 0.040% |
| Only One Source(SSS) | 4 | $217K | 0.020% |
| Np(NEGOTIATED PROPOSAL/QUOTE) | 1 | $18K | 0% |
| Other reported values | 1 | $6K | 0.0006% |
Extent competed
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Full and Open Competition(A) | 337 | $990.6M | 90.3% |
| A(FULL AND OPEN COMPETITION) | 44 | $105.6M | 9.6% |
| Competed Under SAP(F) | 2 | $341K | 0.030% |
| Not Competed(C) | 4 | $217K | 0.020% |
| Not Competed Under SAP(G) | 2 | $83K | 0.010% |
| C(NOT COMPETED) | 1 | $6K | 0% |
Fair-opportunity and limited-source reporting
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Fair Opportunity Given(FAIR) | 191 | $1.0B | 95.4% |
| Only One Source - Other(ONE) | 132 | $36.8M | 3.4% |
| Follow-on Action Following Competitive Initial Action(FOO) | 25 | $6.8M | 0.62% |
| Other Statutory Authority(OSA) | 6 | $589K | 0.050% |
| Urgency(URG) | 5 | $516K | 0.050% |
| Minimum Guarantee(MG) | 1 | $110K | 0.010% |
| Not reported | 30 | $5.7M | 0.52% |
Other-than-full-and-open reasons
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Only One Source-Other (FAR 6.302-1 Other)(ONE) | 4 | $196K | 0.020% |
| SAP Non-Competition (FAR 13)(SP2) | 2 | $83K | 0.010% |
| Unique Source (FAR 6.302-1(B)(1))(UNQ) | 1 | $27K | 0% |
| Not reported | 383 | $1.1B | 100.0% |
Contract pricing types
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Firm Fixed Price(J) | 320 | $980.2M | 89.4% |
| J(FIRM FIXED PRICE) | 42 | $103.2M | 9.4% |
| Fixed Price with Economic Price Adjustment(K) | 25 | $11.0M | 1.0% |
| K(FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT) | 3 | $2.3M | 0.21% |
Product or Service Codes
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Medical and Surgical Instruments, Equipment, and Supplies(6515) | 62 | $1.0B | 91.2% |
| Imaging Equipment and Supplies: Medical, Dental, Veterinary(6525) | 197 | $66.5M | 6.1% |
| Maint/Repair/Rebuild of Equipment- Medical, Dental, and Veterinary Equipment and Supplies(J065) | 106 | $23.4M | 2.1% |
| Maint/Repair/Rebuild of Equipment- Instruments and Laboratory Equipment(J066) | 2 | $1.9M | 0.17% |
| Laboratory Equipment and Supplies(6640) | 7 | $1.9M | 0.17% |
| Support - Administrative: Electronic Records Management Services(R617) | 1 | $656K | 0.060% |
| Other reported values | 15 | $1.7M | 0.16% |
Awarding subagencies
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Department of Veterans Affairs(3600) | 390 | $1.1B | 100.0% |
Awarding offices
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Sac Frederick (36c10x)(36C10X) | 24 | $990.2M | 90.3% |
| Nac High Tech Orders (36a797)(36A797) | 185 | $65.7M | 6.0% |
| Nac Laundry and Pacs(36L797) | 24 | $9.4M | 0.85% |
| 257-Network Contract Office 17 (36c257)(36C257) | 9 | $3.8M | 0.35% |
| 249-Network Contract Office 9 (36c249)(36C249) | 15 | $3.2M | 0.29% |
| 245-Network Contract Office 5 (36c245)(36C245) | 12 | $2.5M | 0.23% |
| Other reported values | 121 | $22.0M | 2.0% |
Reported parent IDVs
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| 36C10X23D0032(3600) | 12 | $921.3M | 84.0% |
| 36C10X23D0030(3600) | 12 | $68.8M | 6.3% |
| SPE2D117D0022(9700) | 119 | $48.5M | 4.4% |
| SPE2D118D0006(9700) | 34 | $13.7M | 1.3% |
| SPE2D117D0019(9700) | 34 | $11.1M | 1.0% |
| SPE2D118D0014(9700) | 32 | $11.0M | 1.0% |
| SPE2D117D0002(9700) | 85 | $10.2M | 0.93% |
| SPE2D119D0018(9700) | 18 | $5.9M | 0.54% |
| Other reported values | 36 | $5.9M | 0.54% |
| Not reported | 8 | $343K | 0.031% |
Exact vehicle-match evidence
$990.2M · 90.3%
Reported award data linked 24 awards to a specific catalog vehicle.
Offers, award size, and timing
- Median reported offers
- 1 median
- 368 reported · 22 not reported
- Positive award obligations
- $151K median
- $68K–$426K middle 50%
- Reported performance period
- 295 days (~10 months) median
- 390 reported · 0 not reported
Calculations group latest-period actions by award, retain awards with positive net obligations for share denominators, and use each award's latest reported USAspending procurement fields as of Sep 10, 2026. Blank competition, pricing, PSC, or parent-IDV values remain not reported; they are not inferred. Offer counts must be positive and below the FPDS 999 placeholder. Awarding organizations can differ from the funding agency that defines this page.
Top federal contractors
Latest 12-month market share, concentration, and complete prime contractor rankings across the period shown.
- Prime contractor concentration
- 1 of 22prime contractors account for at least 80% of positive obligations in the last 12 months
- Largest prime contractor
- 84.1%of positive obligations in the last 12 months
- Leading four prime contractors
- 96.0%of positive obligations in the last 12 months
- Leading eight prime contractors
- 99.5%of positive obligations in the last 12 months
Based on $1.1B in positive obligations during the 12 months ending Sep 10, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Sep 11, 2024–Sep 10, 2025.
Last 12mo obligation volume: Highest positive obligations first; net deobligations follow by magnitude; contractors with no activity in the last 12 months follow by all-period obligations. Ranks use the complete contractor list and remain fixed when search narrows the results.
- #1
Last 12mo obligations
$921.3M
84.1%
Dollar movement
+$649.8M
vs. prior 12 months
Last 12mo awards
31 awards
35 actions
Historical and award details for MEDLINE INDUSTRIES, LP
- Obligations: prior → latest
- $271.5M → $921.3M
- +239.4%
- Share: prior → latest
- 76.3% → 84.1%
- +7.8 percentage points
- All-period obligations
- $1.2B
- 70.8% of all-period positive obligations · 42 awards
- Recorded activity
- Since May 10, 2024
- through Aug 20, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 31 30 Reported small business 0 0 All-period set-aside types
None reported.
- #2
Last 12mo obligations
$68.8M
6.3%
Dollar movement
+$54.3M
vs. prior 12 months
Last 12mo awards
13 awards
13 actions
Historical and award details for CONCORDANCE HEALTHCARE SOLUTIONS LLC
- Obligations: prior → latest
- $14.6M → $68.8M
- +372.8%
- Share: prior → latest
- 4.1% → 6.3%
- +2.2 percentage points
- All-period obligations
- $83.4M
- 5.0% of all-period positive obligations · 16 awards
- Recorded activity
- Since Nov 8, 2024
- through Aug 20, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 13 4 Reported small business 0 0 All-period set-aside types
None reported.
- #3
Last 12mo obligations
$48.0M
4.4%
Dollar movement
+$9.9M
vs. prior 12 months
Last 12mo awards
150 awards
203 actions
Historical and award details for CANON MEDICAL SYSTEMS USA, INC
- Obligations: prior → latest
- $38.1M → $48.0M
- +26.0%
- Share: prior → latest
- 10.7% → 4.4%
- −6.3 percentage points
- All-period obligations
- $218.1M
- 12.9% of all-period positive obligations · 412 awards
- Recorded activity
- Since Oct 1, 2021
- through Sep 1, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 150 141 Reported small business 0 0 All-period set-aside types
None reported.
- #4
Last 12mo obligations
$13.4M
1.2%
Dollar movement
+$7.9M
vs. prior 12 months
Last 12mo awards
39 awards
46 actions
Historical and award details for CHANGE HEALTHCARE TECHNOLOGIES LLC
- Obligations: prior → latest
- $5.5M → $13.4M
- +142.7%
- Share: prior → latest
- 1.6% → 1.2%
- −0.3 percentage points
- All-period obligations
- $41.1M
- 2.4% of all-period positive obligations · 93 awards
- Recorded activity
- Since Oct 14, 2021
- through Sep 9, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 39 28 Reported small business 0 0 All-period set-aside types
None reported.
- #5
Last 12mo obligations
$11.1M
1.0%
Dollar movement
+$5.8M
vs. prior 12 months
Last 12mo awards
37 awards
49 actions
Historical and award details for CARESTREAM HEALTH, INC
- Obligations: prior → latest
- $5.2M → $11.1M
- +111.3%
- Share: prior → latest
- 1.5% → 1.0%
- −0.5 percentage points
- All-period obligations
- $31.2M
- 1.9% of all-period positive obligations · 91 awards
- Recorded activity
- Since Oct 1, 2021
- through Sep 1, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 37 28 Reported small business 0 0 All-period set-aside types
None reported.
- #6
Last 12mo obligations
$11.0M
1.0%
Dollar movement
+$3.5M
vs. prior 12 months
Last 12mo awards
32 awards
41 actions
Historical and award details for SAMSUNG HME AMERICA, INC.
- Obligations: prior → latest
- $7.5M → $11.0M
- +46.0%
- Share: prior → latest
- 2.1% → 1.0%
- −1.1 percentage points
- All-period obligations
- $36.2M
- 2.1% of all-period positive obligations · 124 awards
- Recorded activity
- Since Oct 18, 2021
- through Sep 2, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 32 28 Reported small business 0 0 All-period set-aside types
None reported.
- #7
Last 12mo obligations
$10.2M
0.93%
Dollar movement
+$3.5M
vs. prior 12 months
Last 12mo awards
88 awards
96 actions
Historical and award details for FUJIFILM SONOSITE INC
- Obligations: prior → latest
- $6.7M → $10.2M
- +53.1%
- Share: prior → latest
- 1.9% → 0.93%
- −0.9 percentage points
- All-period obligations
- $36.4M
- 2.2% of all-period positive obligations · 374 awards
- Recorded activity
- Since Oct 21, 2021
- through Sep 4, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 88 74 Reported small business 0 0 All-period set-aside types
None reported.
- #8
Last 12mo obligations
$5.9M
0.54%
Dollar movement
+$4.2M
vs. prior 12 months
Last 12mo awards
19 awards
21 actions
Historical and award details for MEDTRONIC INC
- Obligations: prior → latest
- $1.8M → $5.9M
- +238.2%
- Share: prior → latest
- 0.49% → 0.54%
- +0.1 percentage points
- All-period obligations
- $22.4M
- 1.3% of all-period positive obligations · 52 awards
- Recorded activity
- Since Oct 1, 2021
- through Sep 9, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 19 10 Reported small business 0 0 All-period set-aside types
None reported.
- #9
Last 12mo obligations
$2.0M
0.18%
Dollar movement
+$1.5M
vs. prior 12 months
Last 12mo awards
12 awards
13 actions
Historical and award details for ZIEHM-ORTHOSCAN INC
- Obligations: prior → latest
- $436K → $2.0M
- +350.2%
- Share: prior → latest
- 0.12% → 0.18%
- +0.1 percentage points
- All-period obligations
- $5.6M
- 0.33% of all-period positive obligations · 44 awards
- Recorded activity
- Since Oct 14, 2021
- through Jul 21, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 12 4 Reported small business 0 0 All-period set-aside types
None reported.
- #10
Last 12mo obligations
$1.4M
0.12%
Dollar movement
−$600K
vs. prior 12 months
Last 12mo awards
15 awards
20 actions
Historical and award details for CEPHEID
- Obligations: prior → latest
- $2.0M → $1.4M
- −30.5%
- Share: prior → latest
- 0.55% → 0.12%
- −0.4 percentage points
- All-period obligations
- $3.3M
- 0.20% of all-period positive obligations · 19 awards
- Recorded activity
- Since Oct 29, 2024
- through Aug 17, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 15 12 Reported small business 15 12 All-period set-aside types
None reported.
- #11
Last 12mo obligations
$1.1M
0.10%
Dollar movement
+$446K
vs. prior 12 months
Last 12mo awards
6 awards
6 actions
Historical and award details for VETERANS HEALTHCARE SUPPLY SOLUTIONS, INC
- Obligations: prior → latest
- $664K → $1.1M
- +67.1%
- Share: prior → latest
- 0.19% → 0.10%
- −0.1 percentage points
- All-period obligations
- $2.1M
- 0.12% of all-period positive obligations · 13 awards
- Recorded activity
- Since Dec 9, 2021
- through Aug 21, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 6 3 Reported small business 6 3 All-period set-aside types
- 1 · Total small business
- #12
Last 12mo obligations
$458K
0.040%
Dollar movement
−$204K
vs. prior 12 months
Last 12mo awards
8 awards
10 actions
Historical and award details for CANON MEDICAL INFORMATICS INC
- Obligations: prior → latest
- $662K → $458K
- −30.8%
- Share: prior → latest
- 0.19% → 0.040%
- −0.1 percentage points
- All-period obligations
- $3.1M
- 0.19% of all-period positive obligations · 19 awards
- Recorded activity
- Since Oct 1, 2021
- through May 12, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 8 9 Reported small business 0 0 All-period set-aside types
None reported.
- #13
Last 12mo obligations
$304K
0.030%
Dollar movement
+$304K
vs. prior 12 months
Last 12mo awards
1 award
1 action
Historical and award details for CPAPNOW INC
- Obligations: prior → latest
- $0 → $304K
- Not comparable
- Share: prior → latest
- 0% → 0.030%
- 0.0 percentage points
- All-period obligations
- $304K
- 0.020% of all-period positive obligations · 1 award
- Recorded activity
- Since Mar 30, 2026
- through Mar 30, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 1 0 Reported small business 1 0 All-period set-aside types
None reported.
- #14
Last 12mo obligations
$183K
0.020%
Dollar movement
$0
no change vs. prior 12 months
Last 12mo awards
1 award
1 action
Historical and award details for AMERICAN SURGICAL INSTRUMENT REPAIR LLC
- Obligations: prior → latest
- $183K → $183K
- +0.0%
- Share: prior → latest
- 0.050% → 0.020%
- 0.0 percentage points
- All-period obligations
- $916K
- 0.050% of all-period positive obligations · 1 award
- Recorded activity
- Since Mar 22, 2022
- through Feb 11, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 1 1 Reported small business 1 1 All-period set-aside types
None reported.
- #15
Last 12mo obligations
$88K
0.010%
Dollar movement
+$88K
vs. prior 12 months
Last 12mo awards
1 award
2 actions
Historical and award details for GULDMANN, INC.
- Obligations: prior → latest
- $0 → $88K
- Not comparable
- Share: prior → latest
- 0% → 0.010%
- 0.0 percentage points
- All-period obligations
- $88K
- 0.010% of all-period positive obligations · 1 award
- Recorded activity
- Since Jan 30, 2026
- through Mar 13, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 1 0 Not reported 0 0 Reported small business 0 0 All-period set-aside types
None reported.
Recent federal contract award activity
Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.
This action
+$87.0M
MEDLINE INDUSTRIES, LP
SAC FREDERICK (36C10X)
EXPRESS REPORT: MEDICAL SURGICAL PRIME VENDOR EXPENDITURES FOR THE MONTH OF JULY 2026
Why it stands out
One action represented 7.9% of the market’s latest 12-month positive obligations.
At $87.0M, the action was large enough to materially affect the latest 12-month market picture.
- Award net obligations
- $87.0M
- Share of 12-month positive obligations
- 7.9%
Supporting data
- Prime contractor
- #1 · 84.1% share
- +7.8 percentage points · $649.8M net increase; action accounted for 13.4%
- Funding office
- #1 · 89.8% attributed share
- +19.5 percentage points · $733.9M net increase; action accounted for 11.9%
This action
+$83.8M
MEDLINE INDUSTRIES, LP
SAC FREDERICK (36C10X)
EXPRESS REPORT: MEDICAL SURGICAL PRIME VENDOR EXPENDITURES FOR THE MONTH OF MAY 2026
Why it stands out
One action represented 7.7% of the market’s latest 12-month positive obligations.
At $83.8M, the action was large enough to materially affect the latest 12-month market picture.
- Award net obligations
- $83.8M
- Share of 12-month positive obligations
- 7.7%
This action
+$82.5M
MEDLINE INDUSTRIES, LP
SAC FREDERICK (36C10X)
EXPRESS REPORT: MEDICAL SURGICAL PRIME VENDOR EXPENDITURES FOR THE MONTH OF APRIL 2026
Why it stands out
One action represented 7.5% of the market’s latest 12-month positive obligations.
At $82.5M, the action was large enough to materially affect the latest 12-month market picture.
- Award net obligations
- $82.5M
- Share of 12-month positive obligations
- 7.5%
This action
+$80.6M
MEDLINE INDUSTRIES, LP
SAC FREDERICK (36C10X)
EXPRESS REPORT: MEDICAL SURGICAL PRIME VENDOR EXPENDITURES FOR THE MONTH OF JUNE 2026
Why it stands out
One action represented 7.4% of the market’s latest 12-month positive obligations.
At $80.6M, the action was large enough to materially affect the latest 12-month market picture.
- Award net obligations
- $80.6M
- Share of 12-month positive obligations
- 7.4%
This action
+$1.8M
CHANGE HEALTHCARE TECHNOLOGIES LLC
671-SAN ANTONIO (00671)
PACS MAINTENANCE AND SUPPORT
Why it stands out
The contractor climbed 2 positions in this market.
It now ranks #4 by positive obligations over the latest 12 months.
- Award net obligations
- $1.8M
- Share of 12-month positive obligations
- 0.17%
Supporting data
- Prime contractor
- #4 · 1.2% share
- up 2 ranks · −0.3 percentage points · $7.9M net increase; action accounted for 23.1%
This action
+$1.6M
SAMSUNG HME AMERICA, INC.
618-MINNEAPOLIS VA MED CTR (00618)
MAINTENANCE SERVICE FOR NEUROLOGICA/SAMSUNG PORTABLE RADIOGRAPHIC UNITS FOR VISN 23
Why it stands out
The award grew alongside stronger contractor activity.
The modification added $1.6M while contractor obligations rose $3.5M overall.
- Award net obligations
- $4.9M
- Share of 12-month positive obligations
- 0.15%
Supporting data
- Prime contractor
- #6 · 1.0% share
- down 2 ranks · −1.1 percentage points · $3.5M net increase; action accounted for 46.4%
View recent award activity by date (10)
- Action+$30KAward net obligations$30K
- Action+$22KAward net obligations$22K
- Action+$348KAward net obligations$348K
- Action+$506KAward net obligations$506K
- Action+$499KAward net obligations$499K
- Action+$327KAward net obligations$4.9M
- Action+$78KAward net obligations$78K
- Action+$50KAward net obligations$50K
- Action+$36KAward net obligations$808K
- Action+$820KAward net obligations$820K
VA medical, dental, and hospital equipment and supplies merchant wholesalers market FAQs
Answers based on reported federal contract data.
Who are the top VA medical, dental, and hospital equipment and supplies merchant wholesalers contractors?
In the 12 months through September 10, 2026, MEDLINE INDUSTRIES, LP, CONCORDANCE HEALTHCARE SOLUTIONS LLC, and CANON MEDICAL SYSTEMS USA, INC were the leading VA medical, dental, and hospital equipment and supplies merchant wholesalers prime contractors by positive obligations.
- #1
$921,333,606 in positive obligations
- #2
CONCORDANCE HEALTHCARE SOLUTIONS LLC
$68,829,561 in positive obligations
- #3
CANON MEDICAL SYSTEMS USA, INC
$47,970,179 in positive obligations
Rankings use reported USAspending award data.
Did VA contract obligations increase under NAICS 423450?
Yes. Measured by net prime contract obligations, reported VA activity in the medical, dental, and hospital equipment and supplies merchant wholesalers market increased 207.8% from $355,897,258 in the preceding 12 months to $1,095,446,286 in the 12 months through September 10, 2026.
- Latest 12 months
- $1,095,446,286
- Net prime contract obligations
- Preceding 12 months
- $355,897,258
- Net prime contract obligations
- Change
- +207.8%
- Between matched 12-month periods
Reported contract actions, not outlays or a forecast.
What recent VA contract award activity was reported under NAICS 423450?
Recent VA contract award activity reported in the medical, dental, and hospital equipment and supplies merchant wholesalers market included actions for MEDLINE INDUSTRIES, LP, CHANGE HEALTHCARE TECHNOLOGIES LLC, and SAMSUNG HME AMERICA, INC. during the 12 months through September 10, 2026.
-
MEDLINE INDUSTRIES, LP · PIID 36C10X26K0479
Base award · August 20, 2026 · Action obligation: +$87,012,307
-
MEDLINE INDUSTRIES, LP · PIID 36C10X26K0331
Base award · June 26, 2026 · Action obligation: +$83,813,947
-
MEDLINE INDUSTRIES, LP · PIID 36C10X26K0246
Base award · May 26, 2026 · Action obligation: +$82,490,476
-
MEDLINE INDUSTRIES, LP · PIID 36C10X26K0383
Base award · July 20, 2026 · Action obligation: +$80,581,144
-
CHANGE HEALTHCARE TECHNOLOGIES LLC · PIID 36C25726F0055
Base award · March 31, 2026 · Action obligation: +$1,827,550
-
SAMSUNG HME AMERICA, INC. · PIID 36C26324F0060
Modification P00003 · June 1, 2026 · Action obligation: +$1,610,900
Action obligations are transaction-level amounts, not current award-level obligations.
Which procurement methods were reported for VA contracts under NAICS 423450?
From September 11, 2025 through September 10, 2026, VA reported 390 positive-obligation awards for medical, dental, and hospital equipment and supplies merchant wholesalers under NAICS 423450. The leading award type was delivery order. The leading reported procedure was subject to multiple award fair opportunity.
- Positive-obligation awards
- 390
- Leading reported procedure
- Subject to Multiple Award Fair Opportunity
- 90% of positive obligations
- Leading award type
- Delivery Order
- 100% of positive obligations
- Full and open
- 90.3%
- of positive obligations
- Reported parent IDV
- 100%
- of positive obligations
Percentages use positive obligations as the denominator.
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Related market research
Complete market indexes:
Same NAICS at other agencies:
Markets sharing leading prime records:
Leading-prime vehicle memberships:
Company memberships do not establish award-channel use.Reported obligations include contract actions from October 1, 2021 through September 10, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.
Review data methodology