Contracting office · Department of Veterans Affairs

NAC HIGH TECH ORDERS (36A797)

NAC HIGH TECH ORDERS (36A797) obligated $486.9M on federal contracts in FY2026 across 1,638 contract actions (+74% vs FY2025). Its largest recipient was SIEMENS MEDICAL SOLUTIONS USA, INC. ($126.4M).

Obligations · FY2026
$486.9M
Actions
1,638
New awards: 915
Sole-source
0.0%
Small business
—
Open in the contracts explorerFederal contracts

Spending by fiscal year

Obligations per federal fiscal year (October–September).

  1. 216.8MFY2017
  2. 539.6MFY2018
  3. 425MFY2019
  4. 282.9MFY2020
  5. 271MFY2021
  6. 373.3MFY2022
  7. 345.5MFY2023
  8. 418.4MFY2024
  9. 280.3MFY2025
  10. 486.9MFY2026

Top recipients

Obligations in FY2026.

  1. SIEMENS MEDICAL SOLUTIONS USA, INC.$126.4M26%
  2. PHILIPS NORTH AMERICA LLC$121.2M25%
  3. GE PRECISION HEALTHCARE LLC$101.1M21%
  4. CANON MEDICAL SYSTEMS USA, INC$36.5M7.5%
  5. VARIAN MEDICAL SYSTEMS, INC$14.5M3.0%
  6. OEC MEDICAL SYSTEMS, INC.$11.8M2.4%
  7. CARESTREAM HEALTH, INC$10.8M2.2%
  8. ELEKTA INC$10.7M2.2%
  9. FUJIFILM SONOSITE INC$9.6M2.0%
  10. HOLOGIC SALES AND SERVICE, LLC$9.4M1.9%

What was bought · Where the work was performed

Obligations in FY2026.

What was bought

  1. Health & medical$486.2M99.9%
  2. Professional services$651.7K0.1%

Where the work was performed

  1. Washington$130.7M27%
  2. Pennsylvania$123.4M25%
  3. Wisconsin$103.9M21%
  4. California$53.8M11%
  5. Massachusetts$26.7M5.5%
  6. Utah$11.8M2.4%
  7. New York$11.7M2.4%
  8. Georgia$10.8M2.2%
  9. Florida$6.1M1.3%
  10. Minnesota$4.7M1.0%

Integrity signals

Shares of the year's obligations, next to the country's.

  • Low competition18%
    US 39% · $89.5M
  • Sole-source awards0.0%
    US 30% · -$33.1K
  • Single-offer competitions18%
    US 8.8% · $89.6M
  • Urgency justifications2.0%
    US 5.1% · $9.7M
  • Year-end rush8.6%
    US 5.6% · $41.9M
  • Undefinitized contracts0.0%
    US 5.0% · $0
  • Time-and-materials pricing0.0%
    US 4.2% · $0

A signal is a reason to look closer, not evidence of wrongdoing: most sole-source awards are lawful and justified.

Contracts terminated for default: 1

Largest awards

  1. MODALITY: RT LINAC PURCHASE ORDER: 528B43006/528B43007 STATION: VAMC ALBANY, NY REQUIREMENT: ONLY ONE CAPABLE SOURCE$8.5M
    VARIAN MEDICAL SYSTEMS, INC· Santa Clara County, CA· Health & medical· Sep 19, 2024 – Jul 10, 2026· 36A79724N0554
  2. RT-LINAC FOR SAN JUAN PR$7.3M
    VARIAN MEDICAL SYSTEMS, INC· Santa Clara County, CA· Health & medical· Nov 21, 2022 – Jul 22, 2026· 36A79723N0021
  3. MODALITY: MRI-LINAC REQUISITION: 596B50086 STATION: LEXINGTON, KY REQUIREMENT: LINEAR ACCELERATOR$7.2M
    ELEKTA INC· DeKalb County, GA· Health & medical· Oct 29, 2025 – Oct 29, 2025· 36A79726N0013
  4. RT LINAC 580B50036 TKY 580B50037 MICHAEL E. DEBAKEY VA MEDICAL CENTER HOUSTON, TX$6.3M
    VARIAN MEDICAL SYSTEMS, INC· Santa Clara County, CA· Health & medical· Jun 24, 2026 – Jun 24, 2026· 36A79726N0410
  5. MODALITY: RT-LINAC PURCHASE ORDER: 691B20028 STATION: VAMC LOS ANGELES, CA REQUIREMENT: SEP FY22 CONSOLIDATION EDGE BASE SYSTEM HD120 MLC$5.6M
    VARIAN MEDICAL SYSTEMS, INC· Santa Clara County, CA· Health & medical· Sep 13, 2023 – Sep 10, 2026· 36A79723N0441
  6. MODALITY: RT-LINAC DELIVERY ORDER: 36A79725N0138 LOCATION: VAMC OKLAHOMA CITY, OK REQUIREMENT: ETHOS THERAPY FOCUS$5M
    VARIAN MEDICAL SYSTEMS, INC· Santa Clara County, CA· Health & medical· Jan 14, 2025 – Sep 10, 2026· 36A79725N0138
  7. 6515 RT-LINAC PO#589B20045 (KANSAS CITY VAMC)$4.9M
    VARIAN MEDICAL SYSTEMS, INC· Santa Clara County, CA· Health & medical· Sep 30, 2022 – Aug 20, 2026· 36A79722N0522
  8. RT-LINAC FOR WEST PALM BEACH, FL$4.8M
    VARIAN MEDICAL SYSTEMS, INC· Santa Clara County, CA· Health & medical· Jun 13, 2022 – Sep 10, 2026· 36A79722N0412

Committees that oversee and fund it

Congressional committees whose jurisdiction includes this agency, and the appropriations subcommittees that write its spending bill (Analisa's reading of the House and Senate rules; committees share jurisdiction). Leaders as currently published.

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Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 3, 2026, loaded Oct 3, 2026.