Federal Capture Intelligence

Top VA medical, dental, and hospital equipment and supplies merchant wholesalers contractors (NAICS 423450)

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Veterans Affairs agency guide NAICS 423450 · Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
Latest 12 months
$1.1B
Net obligations · Up $655.7M vs. $441.3M preceding
Prime contractors
23
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 $1.8B in net obligations across 1,436 awards in Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers at the Department of Veterans Affairs from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.51% of $349.8B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 148.6% from $441.3M to $1.1B. 1 prime contractor accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 23, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $1.8M versus $14.5M through the same date in FY26 (−87.3%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$71.7M428Complete
FY2023$79.3M489Complete
FY2024$87.3M447Complete
FY2025$435.5M541Complete
FY2026$1.1B583Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$1.8B
1,436 awards · 77 prime contractors
Latest 12-month movement
+148.6%
$1.1B vs. $441.3M
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
0.51% of $349.8B in agency-wide net obligations.
Set-aside share when reported
18.6% of 59 awards with reported set-aside status.
Set-aside reporting
11 set aside · 48 no set-aside · 1,377 not reported

What changed in the last 12 months?

Oct 24, 2025–Oct 23, 2026, compared with Oct 24, 2024–Oct 23, 2025.

Buyer demand

Reported obligations through SAC FREDERICK (36C10X) increased
$329.0M→$993.5M+$664.4M
Latest-period activity spans 43 awards across 2 prime contractors.

Competitive shifts

MEDLINE INDUSTRIES, LP had the largest increase in reported obligations
$344.6M→$930.5M+$585.9M
The contractor now ranks #1 by positive obligations and accounts for 84.8% of positive obligations, based on 35 reported actions.
CARESTREAM HEALTH, INC climbed the most in the contractor rankings
#8→#4Up 4 places
The contractor accounts for 1.1% of positive obligations across 51 reported actions.

Market structure

This market grew faster than 96.3% of comparable agency NAICS markets
+148.6%Agency median −7.0%
The agency comparison covers 149 comparable 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 Oct 23, 2026.

90.5% of positive obligations were attributed to SAC FREDERICK (36C10X). That represents $993.5M, up $664.4M from the preceding 12 months.

Latest 12-month share of positive obligations; the gray segment represents all other reported offices.

  1. SAC FREDERICK (36C10X)90.5% · $993.5M · up $664.4M
  2. NAC HIGH TECH ORDERS (36A797)6.1% · $67.1M · up $24.2M
  3. NAC LAUNDRY AND PACS0.63% · $6.9M · up $4.3M
  4. VHA CHIEF LOGISTICS OFFICE (36C240)0.55% · $6.1M · down $29.8M
  5. 671-SAN ANTONIO (00671)0.25% · $2.7M · up $49K
  6. All other reported offices1.9% 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.

  1. Reported funding office

    SAC FREDERICK (36C10X)

    #1Rank unchanged

    Latest 12 months

    $993.5M

    90.5% of positive obligations

    Versus preceding 12 months

    +$664.4M

    2 active prime contractors · 43 awards

    View office comparison and evidence

    Reported obligations increased 202.0% from $329.0M to $993.5M. The office’s share of positive obligations moved from 74.5% to 90.5%, a change of +16.0 percentage points.

    The latest period contains 47 actions across 43 awards. The preceding period contained 2 active prime contractors and 34 awards.

    Leading award-level changes

  2. Reported funding office

    NAC HIGH TECH ORDERS (36A797)

    #2Rank unchanged

    Latest 12 months

    $67.1M

    6.1% of positive obligations

    Versus preceding 12 months

    +$24.2M

    7 active prime contractors · 207 awards

    View office comparison and evidence

    Reported obligations increased 56.3% from $42.9M to $67.1M. The office’s share of positive obligations moved from 9.7% to 6.1%, a change of −3.6 percentage points.

    The latest period contains 256 actions across 207 awards and 1 newly active prime contractor. The preceding period contained 6 active prime contractors and 147 awards.

  3. Reported funding office

    NAC LAUNDRY AND PACS

    #3Up 2 from #5

    Latest 12 months

    $6.9M

    0.63% of positive obligations

    Versus preceding 12 months

    +$4.3M

    1 active prime contractor · 27 awards

    View office comparison and evidence

    Reported obligations increased 160.7% from $2.6M to $6.9M. The office’s share of positive obligations moved from 0.60% to 0.63%, a change of 0.0 percentage points.

    The latest period contains 34 actions across 27 awards. The preceding period contained 1 active prime contractor and 22 awards.

  4. Reported funding office

    VHA CHIEF LOGISTICS OFFICE (36C240)

    #4Down 1 from #3

    Latest 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 8.1% to 0.55%, a change of −7.6 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

  5. Reported funding office

    671-SAN ANTONIO (00671)

    #5Down 1 from #4

    Latest 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 0.60% to 0.25%, a change of −0.3 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.

  6. Reported funding office

    618-MINNEAPOLIS VA MED CTR (00618)

    #6Rank unchanged

    Latest 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 0.38% to 0.18%, a change of −0.2 percentage points.

    The latest period contains 3 actions across 2 awards. The preceding period contained 2 active prime contractors and 2 awards.

  7. Reported funding office

    613-MARTINSBURG (00613)(36C613)

    #7Up 20 from #27

    Latest 12 months

    $1.2M

    0.11% of positive obligations

    Versus preceding 12 months

    +$745K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 163.5% from $456K to $1.2M. The office’s share of positive obligations moved from 0.10% to 0.11%, a change of 0.0 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 3 active prime contractors and 4 awards.

  8. Reported funding office

    DEPT OF VETERANS AFFAIRS

    #8Up 4 from #12

    Latest 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 0.25% to 0.11%, a change of −0.1 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 3 active prime contractors and 3 awards.

  9. Reported funding office

    695-MILWAUKEE(00695)(36C695)

    #9Up 20 from #29

    Latest 12 months

    $1.0M

    0.090% of positive obligations

    Versus preceding 12 months

    +$593K

    4 active prime contractors · 9 awards

    View office comparison and evidence

    Reported obligations increased 141.1% from $420K to $1.0M. The office’s share of positive obligations moved from 0.10% to 0.090%, a change of 0.0 percentage points.

    The latest period contains 11 actions across 9 awards and 1 newly active prime contractor. The preceding period contained 3 active prime contractors and 6 awards.

  10. Reported funding office

    523-BOSTON (00523)(36C523)

    #10Down 3 from #7

    Latest 12 months

    $775K

    0.070% of positive obligations

    Versus preceding 12 months

    −$742K

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 48.9% from $1.5M to $775K. The office’s share of positive obligations moved from 0.34% to 0.070%, a change of −0.3 percentage points.

    The latest period contains 4 actions across 4 awards. The preceding period contained 2 active prime contractors and 5 awards.

  11. Reported funding office

    534-CHARLESTON (00534)(36C534)

    #15New to the positive-obligation ranking

    Latest 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.

  12. Reported funding office

    VETERANS HEALTH ADMINISTRATION

    #41Down 31 from #10

    Latest 12 months

    $172K

    0.020% of positive obligations

    Versus preceding 12 months

    −$960K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 84.8% from $1.1M to $172K. The office’s share of positive obligations moved from 0.26% to 0.020%, 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 6 awards.

  13. Reported funding office

    573-NF/SG VETS HOSP(00573)(36C573)

    #55Down 44 from #11

    Latest 12 months

    $95K

    0.010% of positive obligations

    Versus preceding 12 months

    −$1.0M

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 91.6% from $1.1M to $95K. The office’s share of positive obligations moved from 0.26% to 0.010%, a change of −0.3 percentage points.

    The latest period contains 4 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 1 award.

  14. Reported funding office

    626-NASHVILLE (00626)

    No positive-obligation rank

    Latest 12 months

    −$78K

    0% of positive obligations

    Versus preceding 12 months

    −$1.2M

    2 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations moved from $1.1M in net obligations to $78K in net deobligations. The office’s share of positive obligations moved from 0.25% to 0%, a change of −0.3 percentage points.

    The latest period contains 5 actions across 5 awards. The preceding period contained 3 active prime contractors and 8 awards.

  15. Reported funding office

    621-MOUNTAIN HOME (00621)

    No positive-obligation rank

    Latest 12 months

    −$85K

    0% of positive obligations

    Versus preceding 12 months

    −$1.3M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations moved from $1.2M in net obligations to $85K in net deobligations. The office’s share of positive obligations moved from 0.28% to 0%, a change of −0.3 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 1 active prime contractor and 3 awards.

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 363 awards had positive obligations totaling $1.1B. Subject to Multiple Award Fair Opportunity was the leading reported procedure, accounting for 80.8% 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
80.8%
Subject to Multiple Award Fair Opportunity
Reported parent IDV
100.0%
of positive obligations had a reported parent IDV
Median reported offers
2
347 of 363 awards reported offers

Observed contract vehicles

Only exact reported parent-PIID matches are shown; missing parent IDs are not inferred.

  • MSPV Gen-Z V1

    $999.5M

    91.0% of positive obligations · 24 matched awards

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 363 current awards and 319 preceding awards with positive net obligations.

Reported full-and-open obligation share
80.9%
Down from 99.8% 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 23.1 percentage points higher, reported full-and-open obligation share is 35.5 percentage points higher, delivery-order obligation share is 27.2 percentage points higher, and median positive award obligations are 891.8% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share100.0%76.9%+23.1 pts
Reported full-and-open obligation share80.9%45.5%+35.5 pts
Delivery-order obligation share100.0%72.8%+27.2 pts
Median positive award obligations$156K$16K+891.8%
Peer cohort and comparison limits

The peer median gives each of the 4 eligible agency markets equal weight. The included agency markets are:

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 valueAwardsPositive obligationsShare
Delivery Order(C)354$1.1B100.0%
Purchase Order(B)6$243K0.020%
Definitive Contract(D)3$195K0.020%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)354$1.1B100.0%
Not reported9$438K0.040%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Multiple Award(M)342$1.1B99.8%
Single Award(S)12$2.0M0.18%
Not reported9$438K0.040%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Subject to Multiple Award Fair Opportunity(MAFO)254$887.2M80.8%
Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY)88$209.0M19.0%
Negotiated Proposal/Quote(NP)10$1.7M0.15%
Simplified Acquisition(SP1)2$310K0.030%
Sp1(SIMPLIFIED ACQUISITION)3$204K0.020%
Only One Source(SSS)3$133K0.010%
Other reported values3$113K0.010%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)264$888.9M80.9%
A(FULL AND OPEN COMPETITION)89$209.0M19.0%
Competed Under SAP(F)1$304K0.030%
G(NOT COMPETED UNDER SAP)2$166K0.020%
Not Competed(C)3$133K0.010%
C(NOT COMPETED)2$94K0.010%
Other reported values2$45K0.0041%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)196$1.1B96.3%
Only One Source - Other(ONE)109$29.7M2.7%
Follow-on Action Following Competitive Initial Action(FOO)23$6.0M0.55%
Urgency(URG)5$516K0.050%
Other Statutory Authority(OSA)4$282K0.030%
Minimum Guarantee(MG)1$110K0.010%
Not reported25$3.8M0.34%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)4$201K0.020%
SAP Non-Competition (FAR 13)(SP2)3$173K0.020%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$27K0%
Not reported355$1.1B100.0%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)246$883.0M80.4%
J(FIRM FIXED PRICE)83$201.5M18.3%
K(FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT)11$7.8M0.71%
Fixed Price with Economic Price Adjustment(K)23$6.3M0.57%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical and Surgical Instruments, Equipment, and Supplies(6515)54$1.0B91.7%
Imaging Equipment and Supplies: Medical, Dental, Veterinary(6525)202$68.8M6.3%
Maint/Repair/Rebuild of Equipment- Medical, Dental, and Veterinary Equipment and Supplies(J065)87$17.9M1.6%
Maint/Repair/Rebuild of Equipment- Instruments and Laboratory Equipment(J066)2$2.0M0.18%
Laboratory Equipment and Supplies(6640)5$661K0.060%
Maint/Repair/Rebuild of Equipment- Photographic Equipment(J067)2$542K0.050%
Other reported values11$1.1M0.10%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)363$1.1B100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Sac Frederick (36c10x)(36C10X)24$999.5M91.0%
Nac High Tech Orders (36a797)(36A797)187$67.3M6.1%
Nac Laundry and Pacs(36L797)21$7.4M0.68%
257-Network Contract Office 17 (36c257)(36C257)9$3.8M0.35%
245-Network Contract Office 5 (36c245)(36C245)12$2.4M0.22%
247-Network Contract Office 7 (36c247)(36C247)8$2.2M0.20%
Other reported values102$16.0M1.5%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C10X23D0032(3600)12$930.5M84.7%
36C10X23D0030(3600)12$69.0M6.3%
SPE2D117D0022(9700)107$45.0M4.1%
SPE2D117D0019(9700)36$12.5M1.1%
SPE2D118D0014(9700)32$10.9M0.99%
SPE2D118D0006(9700)29$10.4M0.94%
SPE2D117D0002(9700)81$9.8M0.89%
SPE2D119D0018(9700)14$5.2M0.47%
Other reported values31$5.1M0.46%
Not reported9$438K0.040%

Exact vehicle-match evidence

Reported award data linked 24 awards to a specific catalog vehicle.

Offers, award size, and timing

Median reported offers
2 median
347 reported · 16 not reported
Positive award obligations
$156K median
$70K–$427K middle 50%
Reported performance period
215 days (~7 months) median
363 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 Oct 23, 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 23prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
84.8%of positive obligations in the last 12 months
Leading four prime contractors
96.3%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 Oct 23, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 24, 2024–Oct 23, 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.

15 leading contractors
  1. #1

    Last 12mo obligations

    $930.5M

    84.8%

    Dollar movement

    +$585.9M

    vs. prior 12 months

    Last 12mo awards

    31 awards

    35 actions

    Historical and award details for MEDLINE INDUSTRIES, LP
    Obligations: prior → latest
    $344.6M → $930.5M
    +170.0%
    Share: prior → latest
    78.1% → 84.8%
    +6.7 percentage points
    All-period obligations
    $1.3B
    71.4% of all-period positive obligations · 43 awards
    Recorded activity
    Since May 10, 2024
    through Sep 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported3131
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $69.0M

    6.3%

    Dollar movement

    +$48.8M

    vs. prior 12 months

    Last 12mo awards

    13 awards

    13 actions

    Historical and award details for CONCORDANCE HEALTHCARE SOLUTIONS LLC
    Obligations: prior → latest
    $20.2M → $69.0M
    +241.5%
    Share: prior → latest
    4.6% → 6.3%
    +1.7 percentage points
    All-period obligations
    $89.2M
    5.0% of all-period positive obligations · 17 awards
    Recorded activity
    Since Nov 8, 2024
    through Sep 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported135
    Reported small business00
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $44.4M

    4.0%

    Dollar movement

    +$706K

    vs. prior 12 months

    Last 12mo awards

    140 awards

    181 actions

    Historical and award details for CANON MEDICAL SYSTEMS USA, INC
    Obligations: prior → latest
    $43.7M → $44.4M
    +1.6%
    Share: prior → latest
    9.9% → 4.0%
    −5.9 percentage points
    All-period obligations
    $225.9M
    12.7% of all-period positive obligations · 421 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported140139
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $12.4M

    1.1%

    Dollar movement

    +$9.3M

    vs. prior 12 months

    Last 12mo awards

    39 awards

    51 actions

    Historical and award details for CARESTREAM HEALTH, INC
    Obligations: prior → latest
    $3.1M → $12.4M
    +299.7%
    Share: prior → latest
    0.71% → 1.1%
    +0.4 percentage points
    All-period obligations
    $32.7M
    1.8% of all-period positive obligations · 94 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported3924
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $10.9M

    0.99%

    Dollar movement

    +$3.2M

    vs. prior 12 months

    Last 12mo awards

    32 awards

    42 actions

    Historical and award details for SAMSUNG HME AMERICA, INC.
    Obligations: prior → latest
    $7.7M → $10.9M
    +41.0%
    Share: prior → latest
    1.8% → 0.99%
    −0.8 percentage points
    All-period obligations
    $37.1M
    2.1% of all-period positive obligations · 127 awards
    Recorded activity
    Since Oct 18, 2021
    through Oct 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported3225
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $9.8M

    0.89%

    Dollar movement

    +$2.7M

    vs. prior 12 months

    Last 12mo awards

    37 awards

    45 actions

    Historical and award details for CHANGE HEALTHCARE TECHNOLOGIES LLC
    Obligations: prior → latest
    $7.1M → $9.8M
    +37.9%
    Share: prior → latest
    1.6% → 0.89%
    −0.7 percentage points
    All-period obligations
    $41.1M
    2.3% of all-period positive obligations · 93 awards
    Recorded activity
    Since Oct 14, 2021
    through Oct 2, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported3731
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $9.8M

    0.89%

    Dollar movement

    +$2.9M

    vs. prior 12 months

    Last 12mo awards

    82 awards

    91 actions

    Historical and award details for FUJIFILM SONOSITE INC
    Obligations: prior → latest
    $6.9M → $9.8M
    +42.1%
    Share: prior → latest
    1.6% → 0.89%
    −0.7 percentage points
    All-period obligations
    $36.8M
    2.1% of all-period positive obligations · 380 awards
    Recorded activity
    Since Oct 21, 2021
    through Oct 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported8277
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $5.2M

    0.47%

    Dollar movement

    +$3.4M

    vs. prior 12 months

    Last 12mo awards

    16 awards

    16 actions

    Historical and award details for MEDTRONIC INC
    Obligations: prior → latest
    $1.8M → $5.2M
    +189.6%
    Share: prior → latest
    0.40% → 0.47%
    +0.1 percentage points
    All-period obligations
    $22.7M
    1.3% of all-period positive obligations · 53 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported1610
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $2.0M

    0.18%

    Dollar movement

    +$1.6M

    vs. prior 12 months

    Last 12mo awards

    12 awards

    13 actions

    Historical and award details for ZIEHM-ORTHOSCAN INC
    Obligations: prior → latest
    $362K → $2.0M
    +442.3%
    Share: prior → latest
    0.080% → 0.18%
    +0.1 percentage points
    All-period obligations
    $5.6M
    0.31% 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 evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported123
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $1.1M

    0.10%

    Dollar movement

    +$494K

    vs. prior 12 months

    Last 12mo awards

    8 awards

    10 actions

    Historical and award details for CANON MEDICAL INFORMATICS INC
    Obligations: prior → latest
    $622K → $1.1M
    +79.5%
    Share: prior → latest
    0.14% → 0.10%
    0.0 percentage points
    All-period obligations
    $3.9M
    0.22% of all-period positive obligations · 20 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported89
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $809K

    0.070%

    Dollar movement

    −$157K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for VETERANS HEALTHCARE SUPPLY SOLUTIONS, INC
    Obligations: prior → latest
    $966K → $809K
    −16.3%
    Share: prior → latest
    0.22% → 0.070%
    −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 evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported45
    Reported small business45
    All-period set-aside types
    • 1 · Total small business
  12. #12

    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 evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported10
    Reported small business10
    All-period set-aside types

    None reported.

  13. #13

    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
    0.040% → 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 evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business11
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $150K

    0.010%

    Dollar movement

    −$3.0M

    vs. prior 12 months

    Last 12mo awards

    13 awards

    16 actions

    Historical and award details for CEPHEID
    Obligations: prior → latest
    $3.2M → $150K
    −95.3%
    Share: prior → latest
    0.72% → 0.010%
    −0.7 percentage points
    All-period obligations
    $3.3M
    0.19% 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 evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported1316
    Reported small business1316
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $107K

    0.010%

    Dollar movement

    +$31K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    3 actions

    Historical and award details for HILL-ROM, INC.
    Obligations: prior → latest
    $76K → $107K
    +40.4%
    Share: prior → latest
    0.020% → 0.010%
    0.0 percentage points
    All-period obligations
    $415K
    0.020% of all-period positive obligations · 2 awards
    Recorded activity
    Since Jun 29, 2023
    through Mar 10, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside22
    Not reported00
    Reported small business00
    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.

Base award

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 · 84.8% share
+6.7 percentage points · $585.9M net increase; action accounted for 14.9%
Funding office
#1 · 90.5% attributed share
+16.0 percentage points · $664.4M net increase; action accounted for 13.1%
Related:Funding office gainLargest contractor gain
PIID 36C10X26K0479
Base award

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 7.6% 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
7.6%
PIID 36C10X26K0331
Base award

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%
PIID 36C10X26K0246
Base award

This action

+$82.4M

MEDLINE INDUSTRIES, LP

SAC FREDERICK (36C10X)

EXPRESS REPORT: MEDICAL SURGICAL PRIME VENDOR EXPENDITURES FOR THE MONTH OF AUG 2026

Why it stands out

One action represented 7.5% of the market’s latest 12-month positive obligations.

At $82.4M, the action was large enough to materially affect the latest 12-month market picture.

Award net obligations
$82.4M
Share of 12-month positive obligations
7.5%
PIID 36C10X26K0559
Modification

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 $3.2M overall.

Award net obligations
$4.9M
Share of 12-month positive obligations
0.15%
Supporting data
Prime contractor
#5 · 0.99% share
down 1 rank · −0.8 percentage points · $3.2M net increase; action accounted for 50.8%
PIID 36C26324F0060 · Mod P00003
Base award

This action

+$1.5M

CHANGE HEALTHCARE TECHNOLOGIES LLC

NAC LAUNDRY AND PACS

PACS REFRESH

Why it stands out

The funding office climbed 2 positions in attributed spending.

It now ranks #3 in attributed spending.

Award net obligations
$1.5M
Share of 12-month positive obligations
0.14%
Supporting data
Funding office
#3 · 0.63% attributed share
up 2 ranks · $4.3M net increase; action accounted for 36.1%
PIID 36L79726F0007
View recent award activity by date (10)
  1. CANON MEDICAL SYSTEMS USA, INCModification · PIID 36C26125N0113
    Action+$86K
    Award net obligations$258K
  2. SAMSUNG HME AMERICA, INC.Base award · PIID 36A79727F0007
    Action+$270K
    Award net obligations$270K
  3. CANON MEDICAL INFORMATICS INCModification · PIID 36C25626F0012
    Action+$83K
    Award net obligations$165K
  4. FUJIFILM SONOSITE INCBase award · PIID 36A79727F0003
    Action+$48K
    Award net obligations$48K
  5. CANON MEDICAL SYSTEMS USA, INCDeobligation · PIID 36C25019F1160
    Action−$25K
    Award net obligations$47K
  6. CANON MEDICAL SYSTEMS USA, INCBase award · PIID 36C24527F0040
    Action+$604K
    Award net obligations$604K
  7. CANON MEDICAL SYSTEMS USA, INCModification · PIID 36C24726N0048
    Action+$297K
    Award net obligations$593K
  8. CANON MEDICAL SYSTEMS USA, INCModification · PIID 36C24525F0006
    Action+$76K
    Award net obligations$210K
  9. CHANGE HEALTHCARE TECHNOLOGIES LLCModification · PIID 36L79726F0011
    Action+$272K
    Award net obligations$1.5M
  10. GE PRECISION HEALTHCARE LLCBase award · PIID 36C26227P0013
    Action+$90K
    Award net obligations$90K

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 October 23, 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. #1

    MEDLINE INDUSTRIES, LP

    $930,529,393 in positive obligations

  2. #2

    CONCORDANCE HEALTHCARE SOLUTIONS LLC

    $68,984,640 in positive obligations

  3. #3

    CANON MEDICAL SYSTEMS USA, INC

    $44,449,990 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 148.6% from $441,308,385 in the preceding 12 months to $1,096,990,219 in the 12 months through October 23, 2026.

Latest 12 months
$1,096,990,219
Net prime contract obligations
Preceding 12 months
$441,308,385
Net prime contract obligations
Change
+148.6%
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, SAMSUNG HME AMERICA, INC., and CHANGE HEALTHCARE TECHNOLOGIES LLC during the 12 months through October 23, 2026.

Action obligations are transaction-level amounts, not current award-level obligations.

Which procurement methods were reported for VA contracts under NAICS 423450?

From October 24, 2025 through October 23, 2026, VA reported 363 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
363
Leading reported procedure
Subject to Multiple Award Fair Opportunity
80.8% of positive obligations
Leading award type
Delivery Order
100% of positive obligations
Full and open
80.9%
of positive obligations
Reported parent IDV
100%
of positive obligations
Observed vehicles
MSPV Gen-Z V1
Exact matches from reported parent PIIDs

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 October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology