Q523--FY26: Inoperative Neuromonitoring (IONM) Services
Veterans Affairs · 248-NETWORK CONTRACT OFFICE 8 (36C248)
Capture briefs (a one-page, shareable copy of this page) are part of Pro. The CSV here holds the notice, its timeline and past awards.
Where this opportunity stands
Every notice posted under solicitation 36C24826Q0569 in this department, oldest first.
Next steps for this stage
Standard steps for the notice type; not advice about this buyer.
- Decide bid or no bid before the response deadline.
- Look at the past winners for likely competitors and teaming partners.
- Follow the opportunity to hear about amendments and the award.
What the notice says
CONTINUATION PAGE SOLICITATION NUMBER 36C24826Q0569 AMENDMENT 0001 The purpose of this amendment is to make the following changes to the RFQ: 1. Extend the due date and time for receipt of quotes until Monday, June 15, 2026, at 4:00 pm EST. 2. Revised Section B.3, Section 2.1.2, Board Certification, of the Performance Work Statement (PWS), page 13. All Contractor s Neurophysiologist physician(s) must be Board Certified by the American Board of Psychiatry and Neurology (ABPN) . Vendor Questions and Answers: Q1. 1.1 Description of Services says IONM providers must be able to support Spine surger… (show all)
y, Neurosurgery, Vascular Surgery, Otolaryngology, Cardiac Surgery, Thoracic Surgery, Orthopedics, and if necessary, Interventional Neuroradiology. Can you please break out the estimated volume of each case type? A1. The estimated case distribution is approximately 90 percent Vascular and 10 percent Spine. Reference: PWS Section 1.1, Description of Services, page 9. Q2. Do you anticipate any changes in surgeon staffing or case types that would increase or decrease these case volumes over the next few years? A2. No changes are anticipated at this time. Reference: PWS Section 4.4.2.8.2, Intraoperative Follow-up, page 27. Q3. 2.1.2 Board Certification says physician(s) must be Board Certified by the American Board of Neurological Surgery (ABNS) while page 69 requires certification by the American Board of Psychiatry & Neurology (ABPN) or American Osteopathic Board Neurology and Psychiatry (AOBNP). The latter, ABPN is the industry standard for IONM. Can you please revise 2.1.2 to be ABPN, not ABNS? A3. Refer to Answer #2. Q4. Page 69 requires Basic Life Support (BLS) for both the onsite IONM technologists and the remote neurologists. The Neurophysiologist Physician is a remote role. Because they will never physically be in a position to administer direct life support, please remove the requirement for the Neurophysiologist Physician to have Basic Life Support (BLS) and/or Advanced Cardiovascular Life Support (ACLS) certification. A4. The Neurophysiologist Physicians are not required to hold BLS or ACLS certification, as they perform their duties remotely. Reference: Contract Provision Section E, Subfactor A Qualifications of Candidates, page 69.
Who won similar work
22 award notices on SAM.gov in the last 24 months. Matched by: Same agency (Veterans Affairs), same product/service code (PSC) Q523.
Single-winner award sizes (22): middle half $140K to $687K, median $320K; range $5K to $6.2M.
| Winner | Awards | Value | Last |
|---|---|---|---|
| TRANSMEDICS, INC. · $TMDX · $668.5M | 8 | $1.3M | Jan 22, 2026 |
| NEUROMONITORING ASSOCIATES LLC | 2 | $1.3M | Jan 6, 2026 |
| AGILITI HEALTH INC | 2 | $1.1M | Oct 2, 2025 |
| UT MEDICAL GROUP, INC. | 1 | $6.2M | Oct 1, 2025 |
| Prime Physicians Tri Providers LLC | 1 | $3.6M | Dec 30, 2024 |
| FORTEC MEDICAL INC | 1 | $1.4M | Apr 24, 2025 |
| NUVASIVE CLINICAL SERVICES MONITORING, INC. · $GMED · $3.1B | 1 | $1.3M | Sep 18, 2025 |
| SANFORD CLINIC SIOUX FALLS 57105 SDN | 1 | $925K | May 13, 2025 |
| GOLDEN GATE PERFUSION, INC. | 1 | $475K | Oct 2, 2026 |
| PERFUSION.COM, INC. | 1 | $382K | Mar 10, 2026 |
Value counts single-winner awards. "Shared" awards are multiple-award contracts that list every winner with the same total ceiling; that ceiling is not one company's win, so it is not added in. Revenue next to a ticker is the company's last annual revenue from its 10-K.
- $TMDX reported $668.5M revenue (12 months to Jun 30, 2026). The median single-winner award in these 22 past awards, $320K, is under 0.1% of that. SEC filing
- $GMED reported $3.1B revenue (12 months to Jun 30, 2026). The median single-winner award in these 22 past awards, $320K, is under 0.1% of that. SEC filing
One award's total value against one year of revenue; many awards are paid over several years.
- Oct 2, 2026GOLDEN GATE PERFUSION, INC.$475KPerfusionist - Bridge ContractNo listed company matched (Materiality N/A)
- Mar 10, 2026PERFUSION.COM, INC.$382KQ523-- Autotransfusion Services - Kansas City VAMCNo listed company matched (Materiality N/A)
- Jan 22, 2026TRANSMEDICS, INC.$140KQ523--DECEASED DONOR ORGAN RECOVERY PERFUSION AND TRANSPORT VA PITTSBURGH HEALTHCARE SYSTEMMateriality: 0.02% of $TMDX revenue (Low) SEC
- Jan 15, 2026TRANSMEDICS, INC.$281KQ523--Deceased Donor Liver Recovery Perfusion and Transportation VA Pittsburgh Healthcare SystemMateriality: 0.04% of $TMDX revenue (Low) SEC
- Jan 13, 2026KEYSTONE PERFUSION SERVICES PC MOUNT PLEASANT 29466 SCG$5KQ523--Autologous Transfusion Cell Saver Services Period of Performance - POP: 03/26/2026 thru 03/25/2027No listed company matched (Materiality N/A)
- Jan 8, 2026AMERICAN NATIONAL RED CROSS, THE WASHINGTON 20006$60KQ523--Autologous Transfusion Cell Saver Service. Period of Performance: 05.01.26-04.30.27No listed company matched (Materiality N/A)
- Jan 6, 2026NEUROMONITORING ASSOCIATES LLC$660KQ523--Neuromonitoring Contract- Base plus 4 options- NEW NEW ORLEANS, LANo listed company matched (Materiality N/A)
- Jan 6, 2026NEUROMONITORING ASSOCIATES LLC$660KQ523-- NEUROMONITORING NEW ORLEANS, LANo listed company matched (Materiality N/A)
- Jan 5, 2026TRANSMEDICS, INC.$281KQ523--DECEASED DONOR ORGAN RECOVERY PERFUSION AND TRANSPORT VA PITTSBURGH HEALTHCARE SYSTEMMateriality: 0.04% of $TMDX revenue (Low) SEC
- Dec 19, 2025TRANSMEDICS, INC.$140KQ523--TransMedic Deceased Donor Liver Recovery Perfusion and Tranportation VA Pittsburgh Healthcare SystemMateriality: 0.02% of $TMDX revenue (Low) SEC
Materiality: one award's value as a share of the winner's revenue over the latest 12 months in its SEC filings (or its last fiscal year, as noted when you point at it). Low under 1%, Medium 1 to 5%, High 5% or more. Many awards are paid over several years, so this overstates a single year's share.
Competitive landscape
For the 8 most frequent past winners above. Lobbying is matched by the company's exact name or exact ticker; agencies are as named on the filings.
- 0 of these past winners lobbied Veterans Affairs, Dept of (VA) since 2024 (0 filings)
- 0 of their lobbyists list a past Veterans Affairs, Dept of (VA) job
- No corporate PAC money from them to the overseeing committees since 2024
- 0 foreign-agent (FARA) registrations
Policy around it
Bills the past winners named while lobbying this agency's issues, rules from the department, and executive orders that name the agency, last 12 months.
- 0 bills named on the past winners' lobbying filings
- 25 rules from the department in the last 12 months
- 0 executive orders naming the agency in the last 12 months
Market
For past winners matched exactly to a listed company. Insider trades are open-market buys and sells (Form 4) in the last 90 days, shown as facts; our own study found insiders do not reliably buy ahead of awards. A sale marked 10b5-1 was made under a trading plan set up in advance.
- 2 of the past winners are listed companies
- 0 insider buys and 0 insider sells at them in the last 90 days
Sources: SAM.gov notices and award notices; Senate LDA lobbying filings; FEC filings; FARA; Federal Register; congress.gov; SEC Form 4. Every row above links to its record.
Companies are matched to tickers by exact name only. A company we could not match shows no market rows; that is a miss, not a finding.