Repair and maintenance services of medical and precision equipment market in Europe: size, suppliers and public contracts

Market size and key facts

In 2025, public buyers in 30 European countries awarded 1,143 supply contracts for repair and maintenance services of medical and precision equipment through award notices on TED; the 853 of them that state a value (74.6%) add up to €445 million.

  • Since November 2023, 1,144 companies have won 3,018 public supply contracts for repair and maintenance services of medical and precision equipment in 30 European countries, in 1,456 award notices from 478 public buyers.
  • 3.1% of these awards went to a company registered in a different country from the buyer; the most frequent foreign origin is United Kingdom.
  • The five companies that win most often hold 6.3% of all awards across Europe.
  • 60.5% of the awards whose notice states the number of tenders received a single bid.

In proportion

All public purchasing in the EU-27 — general government spending on goods, services and investment, the measure the OECD and the European Commission use for public procurement — came to €2.93 trillion in 2025, 15.5% of GDP (Eurostat). Award notices on TED cover only the contracts above the EU thresholds, so they show who wins, not the whole of that spending.

Source: Eurostat, government finance statistics (gov_10a_main, gov_10a_exp) and GDP (nama_10_gdp), retrieved 9 November 2026.

Updated · counted daily from contract award notices on TED and Eurostat international trade data · figures as JSON · free to quote with attribution (CC BY 4.0)

How to cite: Cresques, "Repair and maintenance services of medical and precision equipment market in Europe", https://cresques.com/markets/europe/504-repair-and-maintenance-services-of-medical-and-pre, from TED contract award notices (© European Union) and Eurostat Comext, updated 13 November 2026. Licence: CC BY 4.0.

CPV group 504 across the EU, Norway, Iceland and Liechtenstein: how much public buyers award, who wins, where from, and how the market splits by country.

The market in numbers

Public supply contracts in Europe: award notices published on TED from 2023-11 to 2026-11, by publication year.

Contracts awarded
3K
in 1.5K award notices
Awarded value
€1.5B
from 76% of awards with a published value
Winning companies
1.1K
with at least one award
Public buyers
478
hospitals, cities, agencies
Contracts awarded by year
Contracts awarded by yearNov–Dec 2023: 1717Nov–Dec 20232024: 77077020242025: 1,1431,14320252026: 1,0881,0882026
Table view
Contracts awarded by year
Nov–Dec 202317
2024770
20251,143
20261,088
Awarded value by year (EUR)
Awarded value by year (EUR)Nov–Dec 2023: €4.8M€4.8MNov–Dec 20232024: €355.2M€355.2M20242025: €445.1M€445.1M20252026: €669.1M€669.1M2026
Table view
Awarded value by year (EUR)
Nov–Dec 2023€4.8M
2024€355.2M
2025€445.1M
2026€669.1M
Who buys: contracts by buyer sector
  1. Hospitals and health services: 2,439
  2. Cities, regions and central administration: 358
  3. Universities, schools and research: 54
  4. Police, fire services and prisons: 37
  5. Economic affairs: 35
  6. Environment and waste: 30
  7. Housing and community amenities: 26
  8. Armed forces and defence agencies: 10
  9. Other29
    Other: 29
Table view
Who buys: contracts by buyer sector
Hospitals and health services2,439
Cities, regions and central administration358
Universities, schools and research54
Police, fire services and prisons37
Economic affairs35
Environment and waste30
Housing and community amenities26
Armed forces and defence agencies10
Other29
Contracts by buyer country
  1. 235 companies
    Czechia: 938
  2. 189 companies
    Romania: 730
  3. 189 companies
    France: 426
  4. 131 companies
    Spain: 260
  5. 68 companies
    Poland: 117
  6. 26 companies
    Slovakia: 67
  7. 38 companies
    Austria: 65
  8. 30 companies
    Germany: 63
  9. 44 companies
    Ireland: 54
  10. 29 companies
    Denmark: 53
Table view
Contracts by buyer country
Czechia938
Romania730
France426
Spain260
Poland117
Slovakia67
Austria65
Germany63
Ireland54
Denmark53
Who wins, by company size as declared in the notice
Who wins, by company size as declared in the notice: Large companies 19.8%, Medium-sized 14.5%, Small 11.8%, Micro 1.1%, SME (size not stated) 34.9%, Size not stated 17.9%Large companies: 599 (19.8%)20%Medium-sized: 438 (14.5%)15%Small: 355 (11.8%)12%Micro: 33 (1.1%)SME (size not stated): 1,052 (34.9%)35%Size not stated: 541 (17.9%)18%
  • Large companies
  • Medium-sized
  • Small
  • Micro
  • SME (size not stated)
  • Size not stated
Table view
Who wins, by company size as declared in the notice
Large companies599 · 19.8%
Medium-sized438 · 14.5%
Small355 · 11.8%
Micro33 · 1.1%
SME (size not stated)1,052 · 34.9%
Size not stated541 · 17.9%
Foreign winners: where they are registered
  1. United Kingdom20
    United Kingdom: 20
  2. Germany13
    Germany: 13
  3. Netherlands10
    Netherlands: 10
  4. Switzerland8
    Switzerland: 8
  5. Belgium6
    Belgium: 6
  6. Sweden6
    Sweden: 6
Table view
Foreign winners: where they are registered
United Kingdom20
Germany13
Netherlands10
Switzerland8
Belgium6
Sweden6

Awards to companies registered in the buyer's own country

96.9%

Awards to companies registered in the buyer's own country: 96.9%

94 awards went to companies registered elsewhere.

Share of the 5 biggest winners

6.3%

Share of the 5 biggest winners: 6.3%

Of all awards; a high share means a concentrated market.

Lots with a single bid

60.5%

Lots with a single bid: 60.5%

Among 2.9K awards whose notice states the number of tenders.

How we count: one award per procedure, lot and winning company, from live contract award notices; a joint procurement counts on every buyer's market. Values are the awarded amounts published in the notice (framework ceilings and estimates are never added), converted to euro at the ECB yearly average. Company size is the SME flag of the notice (eForms BT-165). Read the methodology.

Country pages

Countries with fewer than 25 winning companies in this group have no separate page; their awards are counted above.

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Questions

How big is the repair and maintenance services of medical and precision equipment market in Europe?
In 2025, public buyers in 30 European countries awarded 1,143 supply contracts for repair and maintenance services of medical and precision equipment through award notices on TED; the 853 of them that state a value (74.6%) add up to €445 million.
How many public contracts for repair and maintenance services of medical and precision equipment are awarded in Europe?
Since November 2023 public buyers in 30 European countries awarded 3,018 supply contracts for repair and maintenance services of medical and precision equipment in 1,456 TED award notices; the 2,280 awards with a published value add up to €1.5B.
Which countries buy the most repair and maintenance services of medical and precision equipment through public tenders?
Czechia (938 awards), Romania (730 awards), France (426 awards) lead; 1,144 companies won at least one award across Europe.
How often do foreign suppliers win repair and maintenance services of medical and precision equipment contracts?
3.1% of the awards went to a company registered in another country than the buyer; the most frequent foreign origin is United Kingdom.

Source: contract award notices on TED — Tenders Electronic Daily (ted.europa.eu), © European Union, published since November 2023; processed by Cresques. Numbers updated 2026-11-13.