Top VA medical, dental, and hospital equipment and supplies merchant wholesalers contractors
In the 12 months ending Oct 5, 2026, the Department of Veterans Affairs obligated $1.1B in net prime contract dollars under NAICS 423450, up 153.2% from $438.3M in the preceding 12 months. 22 prime contractors received positive obligations, and 1 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Veterans Affairs. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top VA contractors for NAICS 423450
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Medline Industries, LP | $930.5M | $344.7M | 83.8% | — |
| 2 | Concordance Healthcare Solutions LLC | $69.0M | $20.2M | 6.2% | ▲ 1 |
| 3 | Canon Medical Systems USA, Inc | $54.4M | $38.8M | 4.9% | ▼ 1 |
| 4 | Carestream Health, Inc | $14.1M | $4.4M | 1.3% | ▲ 3 |
| 5 | Samsung HME America, Inc. | $10.7M | $8.3M | 1.0% | ▼ 1 |
| 6 | Change Healthcare Technologies LLC | $10.5M | $7.1M | 0.9% | ▼ 1 |
| 7 | Fujifilm Sonosite Inc | $10.2M | $6.9M | 0.9% | ▼ 1 |
| 8 | Medtronic Inc | $5.6M | $1.7M | 0.5% | ▲ 1 |
| 9 | Ziehm-Orthoscan Inc | $2.0M | $362K | 0.2% | ▲ 3 |
| 10 | Canon Medical Informatics Inc | $1.1M | $678K | 0.1% | ▲ 1 |
| 11 | Veterans Healthcare Supply Solutions, Inc | $809K | $966K | 0.1% | ▼ 1 |
| 12 | Cpapnow Inc | $304K | $0 | 0.0% | New |
| 13 | American Surgical Instrument Repair LLC | $183K | $183K | 0.0% | ▲ 1 |
| 14 | Cepheid | $150K | $3.2M | 0.0% | ▼ 6 |
| 15 | Hill-ROM, Inc. | $107K | $76K | 0.0% | ▲ 2 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Medline Industries, LP$344.7M → $930.5M (+$585.8M) · now #1
- Concordance Healthcare Solutions LLC$20.2M → $69.0M (+$48.8M) · now #2
- Canon Medical Systems USA, Inc$38.8M → $54.4M (+$15.6M) · now #3
Largest declines
- Cepheid$3.2M → $150K (−$3.0M) · now #14
- Proaim Americas, LLC.$243K → −$19K (−$262K) · no latest-period obligations
- Veterans Healthcare Supply Solutions, Inc$966K → $809K (−$157K) · now #11
New to this market
3 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Cpapnow Inc | Mar 30, 2026 | $304K |
| Guldmann, Inc. | Jan 30, 2026 | $88K |
| Arthrex Inc | Jul 14, 2026 | $27K |
Where the money comes from
Funding sub-agencies within the Department of Veterans Affairs, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Department of Veterans Affairs | $1.1B | $438.3M | Up $671.4M (153.2%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| 36A79724F0095 | Canon Medical Systems USA, Inc MODALITY: XR MRI STATION: VAMC SAN JUAN, PR PURCHASE ORDER: 36A79724F0095, 672FC3009 REQUIREMENT: ADMINISTRATIVE CORRECTIONS | $3.1M | Oct 31, 2026 |
| 36A79726F0298 | Canon Medical Systems USA, Inc MODALITY: XR HYBRID PURCHASE ORDER: 593B60001 STATION: VAMC LAS VEGAS NV REQUIREMENT: MAR FY26 EQ CONSOLIDATION | $3.5M | Jan 21, 2027 |
| 36L79723F0030 | Change Healthcare Technologies LLC PACS UPGRADE | $3.1M | Mar 17, 2027 |
| 36C26324F0060 | Samsung HME America, Inc. MAINTENANCE SERVICE FOR NEUROLOGICA/SAMSUNG PORTABLE RADIOGRAPHIC UNITS FOR VISN 23 | $4.9M | May 31, 2027 |
| 36A79724F0258 | Canon Medical Systems USA, Inc MODALITY: XR CT PURCHASE ORDER: 603B44009 STATION: VAMC LOUISVILLE, KY REQUIREMENT: LOUISVILLE SPECIAL CONSOLIDATION | $4.3M | Jun 1, 2027 |
| 36C25622F0157 | Canon Medical Systems USA, Inc CANON CT AND ULTRASOUND SERVICE | $2.4M | Jun 30, 2027 |
| 36C24222F0328 | Canon Medical Systems USA, Inc CT SCANNERS MAINTENANCE AND REPAIR SERVICES - NY HARBOR HEALTHCARE SYSTEM, MANHATTAN AND BROOKLYN CAMPUSES | $3.1M | Jun 30, 2027 |
| 36A79724F0089 | Canon Medical Systems USA, Inc MODALITY: XR CT PURCHASE ORDER: EQP-663B32641/TKY-663B3264 FOR DO36A79724F0089 STATION: VAMC SEATTLE WA REQUIREMENT: MAY 2023 TURNKEY CONSOLIDATION | $2.6M | Sep 30, 2027 |
| 36A79724F0277 | Canon Medical Systems USA, Inc XR MRI 603B44021 VAMC LOUISVILLE, KY | $2.6M | Sep 30, 2027 |
| 36C24524F0013 | Change Healthcare Technologies LLC PACS RADIOLOGY | $2.8M | Sep 30, 2027 |
Common questions
Who are the top VA contractors for NAICS 423450?
In the latest 12 months, Medline Industries, LP ($930.5M), Concordance Healthcare Solutions LLC ($69.0M), Canon Medical Systems USA, Inc ($54.4M) received the most VA obligations for medical, dental, and hospital equipment and supplies merchant wholesalers.
How concentrated is this market?
The eight largest primes held 99.6% of positive obligations, and Medline Industries, LP alone held 83.8%. 3 contractors won their first obligations in this market during the latest 12 months.
Are any large VA NAICS 423450 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is 36A79724F0095 (Canon Medical Systems USA, Inc, $3.1M obligated), ending Oct 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 423450 across all agencies
DoD · NAICS 423450
$1.4BDOJ · NAICS 423450
$11.4MState Department · NAICS 423450
$6.8MFigures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.
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