P03 HCA Signed NCO 4 CBOC Stafffing--_Redacted.pdf

This is a Sole Source Justification document from the Department of Veterans Affairs for maintaining continuity of healthcare services at three Community-Based Outpatient Clinics (CBOCs) in Armstrong County, Clarion County, and Cranberry Township, PA, under the Butler VA Healthcare System. The justification supports awarding a 12-month bridge contract to incumbent Valor Healthcare, Inc. for the period of 03/01/2025 to 02/28/2026.

The document cites "Only One Responsible Source" as the basis for restricting competition, noting that Valor Healthcare is the only firm capable of providing uninterrupted services while a competitive 10-year contract is being developed. The CBOCs provide critical primary care services including prevention, diagnosis, treatment, and referrals under 38 U.S.C. 8153. An Intent to Sole Source notice was posted on 01/15/2025 with responses due 01/27/2025; one vendor responded but only expressed interest in the future long-term contract. The VA conducted market research considering alternatives like leasing space, VA-staffed facilities, and other options, but determined sole-sourcing to the incumbent was the only viable solution given timing constraints and patient care requirements. Drive times to alternative VA facilities range from 31-98 minutes, making those options impractical for maintaining veteran access to care.