Who Fills the Quota

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This issue is the companion to "The Blood Clock," Part 3 of the Mission Meets Tech series on DHA's FY27 campaign plan. The public piece follows Line of Effort 3, joint warfighting capabilities, through the blood supply and argues that the 90 percent forward-positioning promise turns on people and agreements. This brief reads the LOE 3 tasks as a buying schedule, then works the market underneath: what the $42.5 million blood line buys and from whom, the registry and planning tools the trauma system is re-competing, the $42.1 million going to the medical examiner, and the logistics chain that gets its own brief later. The Pacific medical materiel transfer from DLA to DHA is noted here and held for a later Capture Corner.

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1. The picture at a glance

Field	Detail
Line of effort	LOE 3, joint warfighting capabilities: by 2028, combat support functions delivered 90 percent of the time; 100 percent of surge materiel and 90 percent of blood requirements forward at overseas and Core 15 hospitals; prioritized theater trauma systems at initial operating capability; led by Brig. Gen. Yolonda Summons, deputy Col. Ryan Bible [CC1]
Scale	Seven supporting efforts, 54 lettered tasks, 70 numbered subtasks, about 120 dated deadlines, 33 due by December 31, 2026; "install" appears once [CC1]
Blood money	+$42.5 million FY27 for freeze-dried plasma, pre-deployment donor screening, and staffing and modernization at 20 donor centers; +$5 million Blood on Demand RDT&E [CC2]
Other LOE 3 money	+$42.1 million AFMES modernization; +$38.6 million trauma data and systems including the Joint Trauma Education and Training Directorate; +$51.0 million wartime readiness and partnerships; +$21.1 million federated data; +$46 million JTS RDT&E; program element baseline $630.5 million [CC2]
Blood tasks	Guam untested blood protocol and donor center manpower validation October 31; walking blood bank rosters November 30 through January 31; Yokota satellite donor center December 31; FASTRAK at 20 centers and Japan and Korea agreements June 30, 2027; Europe in-house testing September 30, 2027 [CC1]
Registry	DoD Trauma Registry cloud sources sought HT942726QJBS3, July 24, 2026; incumbent Cherokee Nation Operational Solutions on a bridge through March 31, 2027 [CC3]
Data platform	Maven Smart System ceiling above $1 billion; the plan names it for the SIPR interface, the common operating picture, public health dashboards, and a contingency support contract due April 30, 2027 [CC4][CC1]

Confidence: High on campaign plan tasks and dates, read from the LOE 3 task list. High on budget figures and solicitation records, read from the FY27 MHS justification, SAM.gov listings, and aggregator records where noted. Medium on vendor positions, which rest on public notices and trade reporting. Analytical on the market reads.

The lead finding for a capture team: LOE 3 is a requirements year with a handful of fielding events, and the fielding events are where the FY27 money is. Blood, the medical examiner, and the Role 1 care platform get delivered in FY27; the rest of the line produces plans, submissions, and agreements that become FY29 money at the earliest. The blood line is the clearest buy because the budget names its own bottleneck, people, and because the plan dates every step from a Guam protocol on October 31 to European donor testing in September 2027. The trauma registry and the planning toolkit are the two active re-competes. Everything that touches the common operating picture runs toward Maven.

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2. The buying schedule

Confidence: High on dates and lead offices, which come from the plan. Analytical on the capture column. The plan calls for quarterly updates that can adapt, refine, or add tasks, so dates can move. [CC1]

Due	Task	Lead office	Capture read
October 21, 2026	Response date, transfusion-transmitted disease testing systems notice for Landstuhl	DHA Contracting	The procurement step under the September 2027 in-house testing task; prior award to Agiliti per aggregator, verify on SAM.gov [CC5]
October 31, 2026	Naval Hospital Guam untested blood release protocol with LTOWB and rapid testing; donor center manpower validated against manning documents with shortfall plans; Pacific donor center infrastructure plans; Pacific bed expansion equipment requirements; Pacific ICD code lists; METC baseline report	NH Guam with ASBP; donor centers; MTFs; J4; J5; METC	Rapid test kits and cold chain at Guam; staffing demand signal from 20 centers; equipment requirements into PPBE
November 30, 2026	Walking blood bank rosters, Fort Bragg; Pacific 45 to 90 days of supply requirements; Defense Health Cooperation Strategy	ASBP; J4; J5	Roster and screening tools; supply modeling
December 18, 2026	Core casualty receiving facility supply and bed requirements; fragmented remains memo implemented; Role 4 planning tool MVP; contingency support base plan annexes; Pacific surge staffing requirements	J4; AFMES; J5 with PAE Medical Digital Solutions	Planning tool and staffing requirements in writing
December 31, 2026	Walking blood bank rosters, Eglin; Yokota satellite donor center; donor center infrastructure gap plans; SIPR interface joining MEDHUB, Maven, and the operational medicine platform; DHA forward element; Madigan mission assurance assessment	ASBP; Facilities Enterprise; J6; J5; J3	Cross-domain integration work; the first operating picture seam
January 31, 2027	Walking blood bank rosters, Southern California; Role 1 care delivery platform web stage one at 100 percent of Role 1 locations; readiness reporting training plan; Pacific surge staffing above manning	ASBP; RDA; J5; J1	Fielding event at Role 1
February 28, 2027	Monthly readiness reporting begins for the blood program and theater hospitals; contingency response cells validated in two exercises; flag officer summit on barriers to fielding the operational medicine software; European supply requirements	DHNs; J3; OWHA; J4	The summit is where fielding barriers get named
March 1, 2027	Senate-directed Military Health System readiness review including the blood program	DoW	Public scorecard [CC6]
March 30 and 31, 2027	Theater blood procedures from the 2026 J8 evaluation; walking blood bank policy update and equipment list; joint medical planning toolkit MVP; SIPR outage roadmap; central equipment catalog; DLA working capital fund agreement and LOGICOLE rollout plan; Japan sterile processing agreements; commercial patient movement visibility; METC seat mitigation plan	ASBP; JTS; PAE Medical Digital Solutions; J6; J4; J5; THP; METC	Equipment list signals kit buys; planning tool delivery; logistics IT
April 30, 2027	Pacific trauma system country and site agreements; contingency support contract for on-site common operating picture and theater reporting "(e.g., MAVEN)"; Core 15 surge staffing requirements	JTS; J3; J5	The one contract the plan names outright
May 30, 2027	Next-generation blood products into PPBE; casualty reception instruction; TCCC Tier III and IV training shortfalls	ASBP with PAE Medical Products; HQ OPS; MTFs	Product transition signal
June 27 and 30, 2027	FASTRAK initial capability at 20 donor centers; Japan and Korea blood agreements; Yokota blueprints; trauma registry interface at 100 percent capture; trauma system personnel trained; Guam Level III submission; AFMES operating system and CT scanners; allowance standard list	ASBP; OWHA; JTS; DHNs; PAE Medical Digital Solutions; AFMES; J4	The densest delivery date in LOE 3
July 31 to August 31, 2027	European trauma system agreements; Okinawa Level III submission; AFRSSIR digitization; process and authorities for host-nation blood agreements; Brooke assessment	JTS; DHNs; AFMES; ASBP	Authorities arrive after the agreements
September 30, 2027	European in-house donor testing; Alaska Level III submission; common operating picture across three networks at all overseas and Core 15 hospitals; TLAMM-Pacific concept of support; two Pacific genomic labs; METC learning system modernization	ASBP; DHNs; CDAO; J4; Public Health; METC	Equipment, lab, and training system buys

My read is that three dates decide this market. October 31 shows how short the donor centers are. March 31 delivers the equipment list, the planning toolkit, and the logistics agreements in one week. June 30 is when FASTRAK, the registry, the examiner's systems, and the first trauma verification submission all come due, and a slip there shows up in the FY28 request that lands around the same time.

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3. The blood market

Confidence: High on the budget language and the licensed product. Medium on vendor positions. Analytical on the reads.

The $42.5 million names three purposes: freeze-dried plasma, pre-deployment donor screening, and staffing and modernization across 20 donor centers, and the justification ties the increase to "understaffing in blood collection and insufficient funding." [CC2] Each purpose has a market.

Lane	Signal	Status	Read
Freeze-dried plasma procurement	"Fully fund" language in the budget; EZPLAZ licensed July 29, 2026; DHA's Warfighter Protection and Acute Care office manages procurement with ASBP	One licensed U.S. product, Teleflex	A sole-source market until a second license; the open questions are quantity, Role 1 and Role 2 positioning, and cold chain [CC7][CC8]
Donor screening automation	FASTRAK initial capability at 20 centers by June 30, 2027; DoDI 6480.04 requires pre-deployment screening within 120 days of deploying	Product and vendor unidentified; may be a government build or a process name	Questionnaire, disease screening, blood typing, and titer workflow integrated with readiness systems; do not assume a commercial product exists [CC1][CC9]
Next-generation products	PPBE submission by May 30, 2027; Blood on Demand $5 million; cold-stored and cryopreserved platelets through the OPMED program office; DARPA shelf-stable blood briefing to Congress by January 1, 2027	Research moving toward transition	Transition support and clinical evaluation; FY29 money at the earliest [CC2][CC10][CC6]
Donor center infrastructure	Gap plans December 31; Yokota satellite by December 31, blueprints by June 30, 2027; FY27 construction plan carries only the $30.5 million Akeroyd replacement at Fort Sam Houston	Yokota build not visible in the public budget	Facilities design and minor construction; watch the FY28 MILCON request [CC1][CC11]
European in-house testing	Landstuhl testing systems notice, responses October 21; in-house testing due September 30, 2027	Prior award to Agiliti per aggregator; verify	Multi-modality transfusion disease testing equipment and service [CC5][CC1]
Walking blood bank kit	JTS standardized equipment list by March 31, 2027; policy extended to hospitals without donor centers; rosters at three sites by January 31	Equipment list not yet public	Collection kits, rapid tests, titer cards, cold chain; sized to the roster sites first [CC1]
Donor center staffing	"Increase staffing across 20 DoW blood donor centers"; manpower validation October 31	Contract versus civil service mix unknown	Phlebotomy and lab staffing support; the Red Cross partnership signed July 2025 is the surge backstop [CC2][CC12]

Two reads follow. First, the demand side is public enough to size an offer. A 2026 Transfusion paper cites a planning estimate of about 10,080 low titer O whole blood units a month for a large-scale fight, against donor centers that collect in the hundreds a month, and whole blood keeps 21 to 35 days. [CC13][CC14] A capture team in this market is selling throughput: donors screened per day, units collected per hour, units tested per day, and days from collection to a forward shelf, and the Joint Base Charleston drive that collected about 40 units an hour is the kind of number DHA will want for every Core 15 hospital. [CC15] Second, the regulatory ceiling shapes the market. Walking blood bank whole blood is not FDA approved, federal rules limit release before testing to documented emergencies, and theater policy puts cold-stored tested blood first. [CC16][CC17][CC18] The money follows tested, licensed, shelf-stable products and the people who collect them.

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4. The trauma data spine

Confidence: High on the solicitation records and the plan's tasks. Medium on vendor positions. Analytical on the reads.

Component	Current position	What the plan asks	Date
DoD Trauma Registry	Cherokee Nation Operational Solutions, W81XWH20C0147 ($7.16 million, 2020 to March 2026) and bridge HT942726PE006 ($992,582, through March 31, 2027); sources sought for AWS cloud modernization and migration, July 24, 2026	Integrated registry interface capturing 100 percent of casualty and trauma log data	June 30, 2027 [CC3][CC1]
Joint medical planning	JMPT built by the Naval Health Research Center; RFI for a cloud-capable replacement with point-of-injury-to-return-to-duty modeling and stochastic blood and materiel consumption	Planning toolkit MVP for casualty estimation, materiel consumption, and resource modeling	March 31, 2027 [CC19][CC20][CC1]
Point of injury	BATDOK-J, selected by JOMIS in 2022, moved casualty data through a TAK server into Maven at JRTC in September 2025; MEDHUB developed by Sierra Nevada under a 2018 Army contract; USAMMDA, which developed point-of-injury tools, was discontinued in 2026	Care delivery platform web stage one at 100 percent of Role 1 locations	January 31, 2027 [CC21][CC22][CC23][CC1]
Classified interface	Med-COP and the Operational Medicine Data Service are on the Software Acquisition Pathway	SIPR interface joining MEDHUB, MEDIX/Maven, and the operational medicine platform; roadmap mitigating 100 percent of SIPR outages	December 31, 2026; March 31, 2027 [CC24][CC1]
Common operating picture	Maven Smart System ceiling raised to more than $1 billion in May 2025; a $1.3 billion figure through 2029 is trade-reported	Contingency support contract for on-site picture and theater reporting; picture across NIPR, SIPR, and JWICS at 100 percent of overseas and Core 15 hospitals	April 30, 2027; September 30, 2027 [CC4][CC1]
Fielding barriers	Mary's August 18 issue covered JOMIS at $29.4 million against a Marine Corps field medical equipment line of $227.8 million	Flag officer and SES summit on all barriers to rapid fielding of the operational medicine software	February 28, 2027 [CC25][CC1]

Three reads. First, the registry re-compete is the contract vehicle behind the plan's 100 percent capture task, and a bridge through March 2027 means the award window and the task deadline sit three months apart; watch for the solicitation this winter. [CC3] Second, the planning RFI asks for stochastic consumption and stockout modeling for blood and materiel, which is the same math the 45 to 90 days of supply requirements need, so one capability answers two efforts. [CC19] Third, the hardest part of the data spine is the cross-domain path from unclassified to secret to top secret, where accredited solutions are scarce and slow to approve, and the plan's SIPR outage roadmap is an admission that the path breaks today. A question for the summit is who owns MEDHUB sustainment now that its developing command is gone. [CC23]

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5. Fatality management

Confidence: High on the budget line and the plan's tasks. Analytical on the interface read.

The medical examiner system gets $42.1 million in FY27, which the justification ties to extending examiner reach through technology. [CC2] The plan sequences the work: implement the decision memorandum on fragmented remains by December 18, update large-scale combat fatality policy by March 30, deliver a new medical examiner operating system under PAE Medical Digital Solutions by June 27, finish a surge staffing plan and install upgraded CT scanners by June 30, and digitize the Armed Forces Repository of Specimen Samples for the Identification of Remains by August 30, 2027. [CC1] The Army fielded MARTS-V2 in July, which lets mortuary affairs specialists document remains so the examiner can process evidence remotely and establish identification in country. [CC26] The Army tool is the edge and the DHA operating system is the core, and the interface between them is undefined in public. It is the least covered effort in LOE 3, it has the only "install" verb in the line, and it is the one most likely to be bought on schedule.

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6. Logistics, in brief

Confidence: High on the records cited. Full treatment reserved for a later Capture Corner.

The plan moves the Theater Lead Agent for Medical Materiel Pacific from DLA to DHA by September 30, 2027, with a proposal by December 31, a DLA agreement extending the Defense Working Capital Fund and a LOGICOLE rollout plan by March 31, and an allowance standard list by June 30. [CC1] TLAMM-Pacific was established in 2009 and runs through the Air Force's 18th Medical Group at Kadena as DLA's extension into the theater, and in 2022 and 2023 Army Reserve units bypassed it, ordering supplies stateside and hand-carrying them to Pacific exercises. [CC27] The vehicles underneath include the $42 million LOGICOLE continuous service improvement award to Ellumen and partners, the DML-ES task order GS35F0441Y-HT001124F0053, ITC's $36 million medical logistics IT program office contract, DLA's Medical/Surgical Prime Vendor Generation VI solicitation SPE2DV25R0001, and ADS's October addition to the DLA medical surge contract at a $450 million ceiling. [CC28][CC29][CC30][CC31][CC32] RAND warns that forward stock carries storage, monitoring, expiration, and transport costs and that scaling current approaches "may not be sufficient." [CC33] That brief will work the redesignation, the catalog, and the surge contracts together.

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7. The counterargument, stated fairly

Confidence: This is the strongest case against the reads above, and parts of it are right.

Paper is the point of FY27. Requirements have to be codified before resources follow, and a PPBE submission made in FY27 is funded no earlier than FY29. On that reading, the North Star percentages describe intent, and the plan says so with its own "by 2028." Capture teams should not price FY27 as a delivery year outside blood, the examiner, and Role 1.

The people pool is shared. Donor center staff, trauma augmentation teams, the forward element, the joint operations center, surge staffing above manning, and METC faculty all draw on a uniformed medical force GAO found down about 16 percent from FY2015 to FY2023. [CC34] Every staffing-dependent task in LOE 3 competes with the Core 15 staffing problem in the LOE 2 brief.

The regulatory ceiling is real. Federal rules, Navy policy, and theater policy all make the walking blood bank a last resort. [CC17][CC35][CC18] A vendor pitching routine field collection is pitching against policy.

Maven concentration is a risk and a moat. One platform for the operating picture, public health dashboards, and theater reporting raises dependency questions, and it sends the integration work to firms already inside that environment. [CC4]

The civilian backstop is unproven. The Military-Civilian Medical Surge Program has no published findings, and the academic case says civilian hospitals are "not structured to absorb a sustained influx." [CC36][CC37]

Counter to the counter. The blood, trauma, and examiner money is already in the FY27 request, and freeze-dried plasma procurement, the Role 1 web stage, CT scanners, FASTRAK, and the Yokota satellite are all FY27 events. [CC2][CC1]

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8. What to do in the next ninety days

Confidence: Analytical.

1. Sell throughput to the donor centers, with the October 31 validations as the demand signal. Price phlebotomy staffing, screening workflow, and testing turnaround as units per day against the budget's own understaffing language, and treat the Red Cross partnership as the competitor for surge collection. [CC2][CC12]

2. Get ahead of the FASTRAK question. Ask DHA whether it is a product, a build, or a process, and bring a pre-deployment screening workflow that implements DoDI 6480.04 end to end, including titers. [CC1][CC9]

3. Position for the registry solicitation this winter. The incumbent's bridge ends March 31, 2027, and the capture task is due June 30. Cloud migration, data conformance, and the integrated interface are the three scoring areas to expect. [CC3][CC1]

4. Answer the planning RFI's math for two efforts at once. Stochastic blood and materiel consumption modeling serves the planning toolkit MVP in March and the days of supply requirements due from November through February. [CC19][CC1]

5. Bring the equipment list a quote. The JTS walking blood bank equipment list lands March 31; collection kits, rapid tests, and cold chain sized to the three roster sites are the first order. [CC1]

6. Map the examiner's three buys. The operating system, the CT scanners, and the repository digitization land between June and August 2027, and the Army edge tool needs an interface. [CC1][CC26]

7. Treat the Maven contingency contract as the entry point to the operating picture. The plan names it for April 30, and the common picture across three networks follows in September; integration and theater reporting support inside that environment is the lane. [CC1][CC4]

8. Hold the logistics chase for the next brief. The DLA agreement and LOGICOLE plan in March are the first dated signals, and they get their own Capture Corner.

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Mary

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Sources

[CC1] Defense Health Agency, FY27 campaign plan, including "Delivering Warfighter Readiness, Fiscal Year 2027," October 2026. Source for: the LOE 3 North Star, leads, supporting efforts, task counts, and every task, lead office, and date cited in this brief.

[CC2] Department of War, Office of the Under Secretary of War (Comptroller), "Military Health System, Fiscal Year 2027 Budget Estimates, Volume 1," April 2026. Source for: the $42.5 million blood program increase and the understaffing language (p. 65), the $42.1 million AFMES increase, the $38.6 million trauma systems increase, the $51.0 million wartime readiness and partnerships increase, the $21.1 million federated data increase, the $630.5 million program element baseline (p. 5), and the $51.0 million RDT&E increase for JTS and Blood on Demand (p. 7). https://comptroller.war.gov/Portals/45/Documents/defbudget/FY2027/budget_justification/pdfs/09_Military_Health_System/MHS_PB27_J-Book-Vol1-COMP_PSCP.pdf

[CC3] HigherGov listing of DHA sources sought HT942726QJBS3, July 24, 2026, for cloud modernization, migration, and support of the Department of Defense Trauma Registry; incumbent contract W81XWH20C0147 and bridge HT942726PE006. https://www.highergov.com/contract-opportunity/rfi-for-cloud-storage-support-services-for-dod-tra-ht942726qjbs3-r-45004/

[CC4] DefenseScoop, "DOD raises Palantir Maven Smart System contract ceiling," May 23, 2025. Source for: the ceiling above $1 billion; the $1.3 billion figure is trade-reported elsewhere. https://defensescoop.com/2025/05/23/dod-palantir-maven-smart-system-contract-increase/

[CC5] DHA notice for integrated multi-modality transfusion-transmitted disease testing systems at Landstuhl, response date October 21, 2026, and prior award to Agiliti Health, December 7, 2023, as listed by SweetSpot. Aggregator record; verify on SAM.gov. https://console.sweetspotgov.com/federal-contracts/93e49921-fe54-54b0-b8c5-2741f98b54d5

[CC6] Senate Armed Services Committee, FY2027 NDAA report language, committee filing version. Source for: the DARPA shelf-stable blood briefing by January 1, 2027 and the Military Health System readiness review including the blood program by March 1, 2027. https://www.armed-services.senate.gov/imo/media/doc/fy27_ndaa_report_language_committee_filing_version.pdf

[CC7] U.S. Food and Drug Administration, EZPLAZ approval letter, July 29, 2026, and press announcement. https://www.fda.gov/media/193931/download

[CC8] Defense Health Agency, "Shelf-stable plasma for battlefield care," September 10, 2026. Source for: WPAC's development role and procurement management with ASBP. https://dha.mil/News/2026/09/10/14/59/Shelf-stable-plasma-for-battlefield-care

[CC9] Department of Defense Instruction 6480.04, pre-deployment blood donor screening, January 7, 2022, change 1 June 29, 2023. https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/648004p.pdf

[CC10] Defense Health Agency, "DHA's OPMED Program Management Office advances blood products to support warfighters," May 12, 2025. https://dha.mil/News/2025/05/12/14/46/DHAs-OPMED-Program-Management-Office-advances-blood-products-to-support-warfighters

[CC11] Department of War, FY2027 Military Construction Future Years Defense Program. Source for: the $30.5 million Akeroyd Blood Donor Center replacement and the absence of a Yokota donor center project. https://comptroller.war.gov/Portals/45/Documents/defbudget/FY2027/budget_justification/pdfs/07_Military_Construction/15-FYDP.pdf

[CC12] Armed Services Blood Program, program page. Source for: the July 2025 American Red Cross partnership. https://dha.mil/Offices-and-Programs/ASBP

[CC13] Baines et al., Transfusion, 2026. Source for: the cited planning estimate of about 10,080 low titer O whole blood units a month. https://onlinelibrary.wiley.com/doi/full/10.1111/trf.70073

[CC14] 21 CFR 610.53. Source for: whole blood dating periods of 21 to 35 days. https://www.law.cornell.edu/cfr/text/21/610.53

[CC15] Military Medicine, advance article, 2026 (usag382). Source for: the Joint Base Charleston in-garrison walking blood drive and about 40 units an hour. https://academic.oup.com/milmed/advance-article/doi/10.1093/milmed/usag382/8763919

[CC16] Joint Trauma System, "Type A Specific Whole Blood Transfusion" clinical practice guideline, May 30, 2025. Source for: walking blood bank LTOWB as not FDA approved. https://jts.health.mil/assets/docs/cpgs/Type_A_Specific_WB_Transfusion_30_May_2025_ID96_v1.1.pdf

[CC17] 21 CFR 610.40(g). Source for: release before completion of testing only in documented medical emergencies. https://www.law.cornell.edu/cfr/text/21/610.40

[CC18] U.S. Central Command, CCOP01, Blood Administration Program, September 5, 2025. Source for: the order of preference and the walking blood bank as reserved for contingency situations. https://www.centcom.mil/Portals/6/MEDICAL/CCOP01CENTCOMBloodAdministrationProgram_%205SEP2025.pdf

[CC19] Govly listing of DHA RFI DHA_JOMIS_JMP_20260813, posted August 17, 2026, responses due September 13, 2026, for a cloud-capable replacement of the Joint Medical Planning Tool and the Medical Planners Toolkit. https://app.govly.com/public/opportunities/16972043

[CC20] Naval Health Research Center, Joint Medical Planning Tool program page. https://www.med.navy.mil/Naval-Medical-Research-Command/R-D-Commands/Naval-Health-Research-Center/Core-Research/Operational-Readiness/JOINT-MEDICAL-PLANNING-TOOL-JMPT/

[CC21] U.S. Army, "The Army medical enterprise: embracing decision advantage," 2025. Source for: BATDOK-J casualty data moving through a TAK server into Maven Smart System at JRTC in September 2025. https://www.army.mil/article/290043/the_army_medical_enterprise_embracing_decision_advantage

[CC22] Sierra Nevada Corporation, news release on the MEDHUB development contract for the U.S. Army, 2018. https://www.sncorp.com/news-archive/sierra-nevada-corporation-awarded-contract-to-develop-lifesaving-medhub-system-for-us-army/

[CC23] U.S. Army Medical Research and Development Command, USAMMDA discontinuation ceremony, 2026. https://mrdc.health.mil/index.cfm/media/articles/2026/USAMMDA_discontinuation_ceremony

[CC24] Defense Acquisition University, Software Acquisition Pathway programs list, including DHA Medical Common Operating Picture and Operational Medicine Data Service. https://aaf.dau.edu/aaf/software/swp-programs/

[CC25] Mission Meets Tech, "The Marine Corps Answered Him First," August 18, 2026. Author's prior work. https://missionmeetstech.com/newsletter/the-marine-corps-answered-him-first/

[CC26] U.S. Army, "Modernizing the sacred mission: how MARTS-V2 revolutionizes mortuary affairs," July 20, 2026. https://www.army.mil/article-amp/293948/modernizing_the_sacred_mission_how_marts_v2_revolutionizes_mortuary_affairs

[CC27] U.S. Army Reserve, "807th Theater Medical Command to fill medical logistics gap in the Pacific." Source for: TLAMM-Pacific's 2009 establishment, its operation through the 18th Medical Group at Kadena, its role as DLA's extension, and the 2022 to 2023 hand-carry practice. https://www.usar.army.mil/News/News-Display/Article/4135652/807th-theater-medical-command-to-fill-medical-logistics-gap-in-the-pacific/

[CC28] OrangeSlices AI, "Contract award: $42M DHA LogiCole continuous service improvement contracted services." https://orangeslices.ai/contract-award-42m-dha-logicole-continuous-service-improvement-contracted-services/

[CC29] HigherGov, task order GS35F0441Y-HT001124F0053, DML-ES information technology. https://www.highergov.com/contract/GS35F0441Y-HT001124F0053/

[CC30] OrangeSlices AI, "ITC wins first DoD DHA contract," medical logistics IT program office, $36 million. https://orangeslices.ai/itc-wins-first-dod-dha-contract/

[CC31] SAM.gov, DLA Medical/Surgical Prime Vendor Generation VI, solicitation SPE2DV25R0001. https://sam.gov/workspace/contract/opp/2dbcb9e7756847b3b4d0cbfacfee8ada/view

[CC32] Department of War contract announcements, October 2026, via GlobalSecurity. Source for: ADS added to the DLA medical/surgical surge contract at a $450 million ceiling. http://www.globalsecurity.org/military/library/news/2026/10/dod-contracts_4624853.htm

[CC33] RAND Corporation, research brief RBA713-1. Source for: the prepositioning trade-offs and the warning that scaling current approaches may not be sufficient. https://www.rand.org/content/dam/rand/pubs/research_briefs/RBA700/RBA713-1/RAND_RBA713-1.pdf

[CC34] U.S. Government Accountability Office, GAO-25-106988. Source for: the decline in assigned active component medical personnel from FY2015 to FY2023. https://www.gao.gov/assets/890/881106.pdf

[CC35] Bureau of Medicine and Surgery, BUMEDINST 6530.18, September 29, 2020. https://www.med.navy.mil/Portals/62/Documents/BUMED/Directives/Instructions/6530.18.pdf

[CC36] National Institute for Defense Health Cooperation, Military-Civilian Medical Surge Program page. https://nidhc.usuhs.edu/programs/ndms-mcmsp

[CC37] "From Surge to Sustainment," Military Medicine, advance article, 2026. https://academic.oup.com/milmed/advance-article/doi/10.1093/milmed/usag373/8760907

Sources verified as of October 17, 2026.