Installation services of medical and surgical equipment market in Europe: size, suppliers and public contracts
Market size and key facts
In 2025, public buyers in 30 European countries awarded 907 supply contracts for installation services of medical and surgical equipment through award notices on TED; the 853 of them that state a value (94%) add up to €265 million.
- Since November 2023, 706 companies have won 2,706 public supply contracts for installation services of medical and surgical equipment in 30 European countries, in 861 award notices from 304 public buyers.
- 1.9% 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 10.2% of all awards across Europe.
- 64.7% 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, "Installation services of medical and surgical equipment market in Europe", https://cresques.com/markets/europe/514-installation-services-of-medical-and-surgical-equi, from TED contract award notices (© European Union) and Eurostat Comext, updated 13 November 2026. Licence: CC BY 4.0.
CPV group 514 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
- 2.7K
- in 861 award notices
- Awarded value
- €784.5M
- from 86% of awards with a published value
- Winning companies
- 706
- with at least one award
- Public buyers
- 304
- hospitals, cities, agencies
Table view
| Nov–Dec 2023 | 20 |
| 2024 | 743 |
| 2025 | 907 |
| 2026 | 1,036 |
Table view
| Nov–Dec 2023 | €4.7M |
| 2024 | €214.1M |
| 2025 | €265.4M |
| 2026 | €300.3M |
- Other2
Table view
| Hospitals and health services | 1,968 |
| Cities, regions and central administration | 538 |
| Universities, schools and research | 149 |
| Police, fire services and prisons | 32 |
| Environment and waste | 7 |
| Water utilities | 5 |
| Electricity utilities | 3 |
| Economic affairs | 2 |
| Other | 2 |
- Romania1,942318 companies
- Slovakia18258 companies
- Spain15173 companies
- Poland10171 companies
- Czechia8858 companies
- France5623 companies
- Greece534 companies
- Ireland3021 companies
- Austria2313 companies
- Germany2220 companies
Table view
| Romania | 1,942 |
| Slovakia | 182 |
| Spain | 151 |
| Poland | 101 |
| Czechia | 88 |
| France | 56 |
| Greece | 53 |
| Ireland | 30 |
| Austria | 23 |
| Germany | 22 |
- Large companies
- Medium-sized
- Small
- Micro
- SME (size not stated)
- Size not stated
Table view
| Large companies | 351 · 13% |
| Medium-sized | 916 · 33.9% |
| Small | 745 · 27.5% |
| Micro | 29 · 1.1% |
| SME (size not stated) | 253 · 9.3% |
| Size not stated | 412 · 15.2% |
- United Kingdom15
- Czechia8
- Germany7
- Italy3
- Sweden3
- Austria2
Table view
| United Kingdom | 15 |
| Czechia | 8 |
| Germany | 7 |
| Italy | 3 |
| Sweden | 3 |
| Austria | 2 |
Awards to companies registered in the buyer's own country
98.1%
51 awards went to companies registered elsewhere.
Share of the 5 biggest winners
10.2%
Of all awards; a high share means a concentrated market.
Lots with a single bid
64.7%
Among 2.6K 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 installation services of medical and surgical equipment market in Europe?
- In 2025, public buyers in 30 European countries awarded 907 supply contracts for installation services of medical and surgical equipment through award notices on TED; the 853 of them that state a value (94%) add up to €265 million.
- How many public contracts for installation services of medical and surgical equipment are awarded in Europe?
- Since November 2023 public buyers in 30 European countries awarded 2,706 supply contracts for installation services of medical and surgical equipment in 861 TED award notices; the 2,326 awards with a published value add up to €784.5M.
- Which countries buy the most installation services of medical and surgical equipment through public tenders?
- Romania (1,942 awards), Slovakia (182 awards), Spain (151 awards) lead; 706 companies won at least one award across Europe.
- How often do foreign suppliers win installation services of medical and surgical equipment contracts?
- 1.9% 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.