| | AVASURE SOFTWARE & GUARDIAN HARDWARE | Sierra7, Inc. | $258,724 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | 5836VIDEO RECORDING AND REPRODUCING EQUIPMENT | Jun 3, 2026 | Jun 9, 2026 | Jun 8, 2027 |
| | VENTILATORS | Sierra7, Inc. | $483,669 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 339112Surgical and Medical Instrument Manufacturing | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | May 19, 2026 | May 19, 2026 | Aug 19, 2026 |
| | AVASURE VIRTUAL PATIENT OBSERVATION SYSTEM | Sierra7, Inc. | $1,330,276 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541519Other Computer Related Services | DA01IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR) | Apr 29, 2026 | Jun 29, 2026 | Jun 29, 2031 |
| | VENTILATORS | Sierra7, Inc. | $500,788 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 339112Surgical and Medical Instrument Manufacturing | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Apr 27, 2026 | Apr 24, 2026 | Jun 30, 2026 |
| | AVASURE TELESITTER VIRTUAL PATIENT MONITORING EQUIPMENT FOR THE WICHITA VA MEDICAL CENTER | Sierra7, Inc. | $248,695 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 334290Other Communications Equipment Manufacturing | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Apr 22, 2026 | Apr 22, 2026 | Oct 31, 2026 |
| | ANESTHESIA VAPORIZERS | Sierra7, Inc. | $53,931 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 339112Surgical and Medical Instrument Manufacturing | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Apr 20, 2026 | Apr 27, 2026 | Apr 26, 2027 |
| | REMOTE MEDICAL CODING SERVICES FOR VISN2S | Sierra7, Inc. | $4,814,174 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | Q601MEDICAL CODING AND AUDITING | Apr 17, 2026 | May 1, 2026 | Apr 30, 2031 |
| | VENTILATORS | Sierra7, Inc. | $764,900 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 339112Surgical and Medical Instrument Manufacturing | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Apr 15, 2026 | Apr 15, 2026 | Jun 30, 2026 |
| | AVASURE TELESITTER LICENSING AGREEMENT FOR THE DAYTON VAMC. | Sierra7, Inc. | $632,783 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | J065MAINT/REPAIR/REBUILD OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES | Apr 9, 2026 | May 21, 2026 | May 20, 2031 |
| | VIRTUAL MONITORING ALL NECESSARY HARDWARE, SOFTWARE, INSTALLATION, AND TRAINING. | Sierra7, Inc. | $537,004 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | 6640LABORATORY EQUIPMENT AND SUPPLIES | Feb 27, 2026 | Mar 2, 2026 | Mar 1, 2031 |
| | MEDICAL CODING SERVICES | Sierra7, Inc. | $193,605 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | Q999MEDICAL- OTHER | Feb 12, 2026 | Feb 16, 2026 | Feb 15, 2027 |
| | AVASURE TELESITTER SOFTWARE SERVICE | Sierra7, Inc. | $52,138 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | DA10IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICE | Jan 13, 2026 | Jan 15, 2026 | Jul 15, 2026 |
| | AVASURE SUBSCRIPTION | Sierra7, Inc. | $69,835 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Dec 31, 2025 | Mar 12, 2026 | Mar 11, 2027 |
| | MEDICAL CODING SERVICES | Sierra7, Inc. | $39,256 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | R699SUPPORT- ADMINISTRATIVE: OTHER | Dec 22, 2025 | Jan 1, 2026 | Dec 31, 2030 |
| | SCALABLE HOMELAND INNOVATIVE ENTERPRISE LAYERED DEFENSE (SHIELD) INITIAL ORDER. | Sierra7, Inc. | $500 | MISSILE DEFENSE AGENCY (MDA) | MISSILE DEFENSE AGENCY (MDA) | — | 541715Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology) | AC13NATIONAL DEFENSE R&D SERVICES; DEPARTMENT OF DEFENSE - MILITARY; EXPERIMENTAL DEVELOPMENT | Dec 5, 2025 | Dec 29, 2025 | Dec 28, 2035 |
| | AVASURE TELESITTER SERVICE MAINTENANCE - BASE YEAR | Sierra7, Inc. | $470,261 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541519Other Computer Related Services | J065MAINT/REPAIR/REBUILD OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES | Nov 19, 2025 | Nov 19, 2025 | Oct 31, 2029 |
| | MEDICAL CODING TASK ORDER FOR THE VA NEBRASKA-WESTERN IOWA HEALTH CARE SYSTEM | Sierra7, Inc. | $375,737 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | R699SUPPORT- ADMINISTRATIVE: OTHER | Nov 12, 2025 | Dec 19, 2025 | Dec 18, 2029 |
| | AVASURE TELESITTER SOFTWARE LINCENSE AND SUPPORT | Sierra7, Inc. | $987,824 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | DA10IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICE | Oct 1, 2025 | Oct 1, 2025 | Sep 30, 2026 |
| | VETERAN DATA PURCHASE OPTION ONE CALL ORDER | Sierra7, Inc. | $1,183,260 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | R408SUPPORT- PROFESSIONAL: PROGRAM MANAGEMENT/SUPPORT | Sep 23, 2025 | Sep 27, 2025 | Sep 26, 2026 |
| | APPLICATION PACKAGING FOR WINDOWS CLIENT | Sierra7, Inc. | $2,349,051 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541512Computer Systems Design Services | DA01IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR) | Sep 11, 2025 | Sep 12, 2025 | Mar 11, 2028 |
| | ANESTHESIA MACHINE | Sierra7, Inc. | $104,762 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 339112Surgical and Medical Instrument Manufacturing | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Sep 11, 2025 | Sep 11, 2025 | Jan 31, 2026 |
| | PATIENT MONITORING SYSTEM | Sierra7, Inc. | $203,768 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Aug 27, 2025 | Aug 27, 2025 | Oct 27, 2025 |
| | MONITORING SYSTEM | Sierra7, Inc. | $203,768 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 339112Surgical and Medical Instrument Manufacturing | 6515MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | Aug 19, 2025 | Aug 20, 2025 | Feb 16, 2026 |
| | MEDICAL CODING SERVICES | Sierra7, Inc. | $184,881 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 541511Custom Computer Programming Services | Q601MEDICAL CODING AND AUDITING | Aug 1, 2025 | Aug 10, 2025 | Jun 30, 2026 |
| | AVASURE GUARDIAN (TELESITTER)- BASE ONLY | Sierra7, Inc. | $75,465 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 334290Other Communications Equipment Manufacturing | 7A21IT AND TELECOM - BUSINESS APPLICATION SOFTWARE (PERPETUAL LICENSE SOFTWARE) | Jul 31, 2025 | Aug 1, 2025 | Jul 31, 2026 |