The Department of Veterans Affairs requires removal and replacement of 22 ICU ceiling-mounted boom systems at the VA Southern Nevada Healthcare System in North Las Vegas, Nevada. Work includes deinstalling current integrations, performing necessary renovations, installing new systems, and testing to ensure third-party configurations are correct. The existing infrastructure uses Stryker tandem mounting plates and support structures, which are engineered for Stryker replacements. Choosing an alternative manufacturer would require engineering evaluation, add validation requirements, increase installation complexity, and potentially raise costs.