CUI_FSH JA_Redacted.pdf

CUI

ATTENTION

Use this space to indicate categories, limited dissemination controls, special instructions, points of contact, etc., if needed.

ATTENTION

All individuals handling this information are required to protect it from unauthorized disclosure.

Handling, storage, reproduction, and disposition of the attached document(s) must be in accordance with 32 CFR Part 2002 and applicable agency policy.

allowed as necessary and permissible to any individual(s), organization(s), or grouping(s) of users, provided such access or dissemination is consistent with or in furtherance of a Lawful Government Purpose and in a manner consistent with applicable law, regulations, and Government-wide policies.

Standard Form 901 (11-18) Prescribed by GSA/ISOO | 32 CFR 2002

CUI

FAR Part 12 Sole Source Justification

BAMC Nurse Call System

Controlled by:

Controlled by:

CUI Category:

Distribution/Limited Dissemination Controls:

POC:

CUI//SP-PROCURE//FEDCON

Control No: 2026-31

Justification Review Document FAR Part 12 Sole Source Justification and Approval

Program/Equipment: Brooke Army Medical Center (BAMC) Nurse Call Software and Hardware Maintenance Support

Authority: Simplified acquisition procedures for Commercial Products and Commercial Services, Title 41 U.S.C. 1901 as implemented by FAR 12.201-1.

Amount: $1.7 Million

Prepared by: PH:

Contract Specialist Date: 06 MAR 2026 Email: l

Contracting Officer: PH:

Contracting Officer Date: 09 MAR 2026 Email:

Technical: PH:

Chief, Low Voltage Services Branch Date: 09 MAR 2026

Requirements: PH:

Contracting Officer Representative Date: 09 MAR 2026 Email: t

CUI//SP-PROCURE//FEDCON

Reviews: I have reviewed this justification and find it adequate to support a sole source.

Program Manager:

Small Business Professional:

MICC Legal Counsel:

Contracting Office Division Chief:

Director, MICC-Fort Sam Houston:

Assistant Director, Small Business Program:

FAR Part 12 Sole Source Justification and Approval

1. Requiring Activity: Brooke Army Medical Center (BAMC), JBSA Fort Sam Houston, TX

2. Contracting Activity: U.S. Army Mission and Installation Contracting Command – JBSA Fort Sam Houston (MICC-FSH), 2205 Infantry Post Road, JBSA Fort Sam Houston, Texas 78234-1361.

3. Description of Action: Request approval for a follow-on, firm-fixed-price sole-source contract to continue existing support and maintenance of the Nurse Call System Software contract with Advanced Communications & Cabling, Inc. The current contract W9124J21C0029 is set to expire on 29 September 2026. The Government projects award for 28 September 2026 and fiscal year 2026 Operations and Maintenance funds will be used.

4. Description of Supplies/Services: BAMC requires a non-personal services contract to provide software, service, and support for the BAMC Nurse Call System. The Nurse Call system is comprised of two sub systems (Rauland Borg R5 and Connexall Middleware). Rauland Borg R5 is the inpatient nurse call system that supports urgent and emergent alerts and messages that route through the Connexall middleware platform, which routes calls to various communication systems alerting staff of many types of patient alerts ranging from Routine to Emergent. Both systems are interdependent on each other to support inpatient messaging to support staff. The contractor will be responsible for telephonic and/or onsite support in maintaining the two subsystems. The contractor will provide support for five (5) Nurse Call servers, eight (8) Connexall servers and associated software. Additionally, the R5 servers require a hardware upgrade, which will be included in the Base Year estimated value.

Table 1: Period of Performance

Contract Period Period of Performance Estimated Value Base Year 30 SEP 2026 – 29 SEP 2027 Option Year 1 30 SEP 2027 – 29 SEP 2028 Option Year 2 30 SEP 2028 – 29 SEP 2029 Option Year 3 30 SEP 2029 – 29 SEP 2030 Option Year 4 30 SEP 2030 – 29 SEP 2031

FAR 52.217-8 30 SEP 2031 – 29 MAR 2032

Total Value: $1.7 million

5. Authority Cited: Simplified acquisition procedures for Commercial Products and Commercial Services, Title 41 U.S.C. 1901 as implemented by FAR 12.201-1 – Only one responsible source.

6. Reason for Authority Cited: For this follow-on requirement, the Rauland-Borg Responder 5 Nurse Call System is available from only one responsible source. This is due to the proprietary nature of the data, the specific software architecture of the system, and manufacturer-controlled geographic distribution rights that are exclusive to the original provider. As such, no other supplies or services will satisfy the agency's requirements. This justification is prepared in accordance with the special documentation requirements of FAR 12.102, using the format specified in FAR 6.104.

a. Background. The BAMC Nurse Call System currently in use employs proprietary Rauland Borg R5 software and hardware that requires updating on a regular basis and the support services can only be provided by authorized distributors of Rauland-Borg Corporation. Advanced Communications & Cabling (dba Lone Star Communications) is the authorized Rauland-Borg distributor for the geographical area in which BAMC is located. Due to Rauland-Borg's policy of exclusive geographical distributorships, no other vendors would be able to provide the required manufacturer authorized maintenance and support.

b. Alternatives:

(1) System Cancellation. The system is integral to the safe execution of the medical center's mission. Its function is to provide an immediate and reliable method for patients to signal for assistance, making it an essential tool for patient support and emergency response. Removing this capability would severely degrade the standard of care and is inconsistent with fundamental patient safety protocols. For this reason, canceling the system is not a valid option.

(2) Procure a New Nurse Call System. Procuring a new nurse call system is not a viable alternative at this time. BAMC completed a comprehensive, $11 million modernization of the current Rauland Borg R5 nurse call system in April 2020. This system has an estimated lifecycle of 10 years and is therefore in the early stages of its operational life. To procure a different system at this juncture would negate the significant capital investment already made and incur substantial, unnecessary costs for a duplicative capability. The current requirement is solely for the continued software support and maintenance of the existing, fully functional system, not its replacement.

Therefore, replacing the system would introduce redundant costs and is not justified given the recent modernization and viability of the existing infrastructure.

(3) Alternative Contractor. This alternative is not considered feasible due to the proprietary nature of the Rauland Borg R5 Nurse Call system. Engaging a third-party contractor not authorized by the Original Equipment Manufacturer (OEM) would introduce significant technical and operational risks. An unauthorized vendor would lack the requisite factory training, proprietary diagnostic tools, and in-depth knowledge of the system's unique software architecture. Furthermore, any attempt by an unauthorized party to service or replace hardware components would create a high risk of interoperability failures and compatibility conflicts, which could compromise system function. These actions would likely void existing OEM warranties and support agreements, placing the full liability for system failure on the Government. The potential for rendering this mission-critical system unstable or completely unusable makes this an unacceptable risk to patient safety.

c. Justification: The only feasible course of action is to procure software support and hardware upgrade services from the OEM for the Rauland Borg Responder 5 (R5) Nurse Call System. This system is mission-critical to patient safety at BAMC.

Alternatives were rejected because canceling the system would endanger patients;

replacing the system would be fiscally irresponsible after a $11M modernization was completed in 2020; and using an unauthorized contractor would introduce unacceptable technical risk to the proprietary system, likely causing it to fail.

The R5 Nurse Call system provides urgent and emergent alerts for in-patient care, and its reliability is essential. Given that the system is proprietary and that other alternatives present clear risks to safety, finance, and mission-accomplishment, a sole-source procurement is the only viable approach to ensure the system remains fully operational and supported.

d. Impact if this justification is not approved. The Nurse Call System is a mission-critical component of in-patient care at BAMC, providing the primary communication link for urgent and emergent medical events. Not having this system would result in a critical capability gap, directly compromising the staff's ability to provide timely responses to patients in distress. Any disruption in this capability could lead to significant delays in critical care and potentially adverse patient outcomes.

7. Efforts to Obtain Competition: Due to the validated sole-source status of this requirement, direct competitive solicitations are not applicable. Furthermore, analysis indicates that the scope and unique characteristics of these system support services do not allow for effective subcontracting competition. Therefore, no subcontracting opportunities have been identified for this effort.

8. Actions to Increase Competition: In an effort to identify all potential sources, a Sources Sought Notice was published to SAM.gov, remaining open from 22 January 2026 to 6 February 2026. The notice solicited responses from vendors capable of providing the proprietary software, hardware support, and maintenance services required. Although two vendors responded to the notice, a subsequent review of their capabilities statements determined that neither possessed the necessary Rauland-Borg manufacturer authorizations nor the capabilities to perform the proprietary services sought. Rauland-Borg restricts distribution and service support by geography, and Advanced Communications & Cabling (dba Lone Star Communications) is the exclusive authorized distributor for the region in which BAMC is located. Due to these OEM-imposed authorized distributor restrictions, no other vendor can legally or technically perform the required services, and therefore further actions to increase competition would be unsuccessful.

To ensure the 2032 follow-on requirement obtains maximum competition, the government will take specific actions to address the incumbent's claim of exclusive distributorship for Rauland products. This process will begin in Fiscal Year 2030, when the requiring activity will formally re-evaluate the market to determine if alternative technologies can meet the government's needs or if other vendors have become authorized to service Rauland systems. Following this initial analysis, the contracting office plans to issue a Sources Sought Notice or Request for Information (RFI) in Fiscal Year 2031 to actively query industry and determine if multiple capable sources exist.

Ultimately, the results of these efforts will inform the final acquisition strategy in Fiscal Year 2032, which will definitively document whether a competitive solicitation is viable or if a sole-source justification is warranted based on the comprehensive research conducted.

9. Market Research: In accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 212.102-70(a), which refers to DFARS 206.104-71(a)(2) and DFARS Procedures, Guidance and Information (PGI) 206.104-71(1), a sources sought notice was posted to SAM.Gov on 22 January 2026 for 16 days, inviting industry to demonstrate the capability to service this proprietary system. While this effort yielded two responses, a thorough analysis of each respondents capabilities statement confirmed that neither respondent was an authorized distributor or otherwise capable of providing the required services. This market research validates the sole-source nature of this requirement, confirming that no other viable sources exist due to the manufacturer's restrictions.

10. Interested Sources: To date, no other sources have written to express interest in the acquisition other than those that responded to the sources sought notice.

11. Other Facts:

Procurement History: The proposed contractor, Advanced Communications & Cabling (dba Lone Star Communications), is the incumbent and has provided these proprietary maintenance and support services continuously since 2012. A review of the Contractor Performance Assessment Rating System (CPARS) confirms a consistent record of reliable support, with ratings ranging from “Satisfactory” to “Very Good”.

Table 2: Procurement History Contract Number

Contractor Competitive Status

Contract Type

Contract Amount

Period of Performance

W9124J-21-C-0029 Nations Advance Communications and Cabling Inc.

FAR 6.302-1(a)(2) Only one source

FFP 09/30/2021-

09/29/2026

W9124J-16-C-0083 Nations Advance Communications and Cabling Inc.

FAR 6.302-1(a)(2) Only one source

FFP 09/29/2016-

09/29/2021

W9124J-13-C-0038 Nations Advance Communications and Cabling Inc.

FAR 6.302-1(a)(2) Only one source

FFP 09/30/2015-

09/29/2016

W81K00-11-P-0163 Nations Advance Communications and Cabling Inc.

FAR 6.302-1(a)(2) Only one source

FFP 07/06/2015-

09/30/2015

W9124J-12-P-0070 Nations Advance Communications and Cabling Inc.

FAR 6.302-1(a)(2) Only one source

FFP 10/26/2012-

09/29/2013

12. Technical Certification: I certify that the supporting data under my cognizance which are included in the justification are accurate and complete to the best of my

Chief, Low Voltage Services Branch

13. Requirements Certification: I certify that the supporting data under my cognizance which are included in the justification are accurate and complete to the best of my knowledge and belief.

Contracting Officer Representative (COR)

14. Fair and Reasonable Cost Determination: I hereby determine that the anticipated cost or price to the Government for this contract action will be fair and reasonable. Per FAR 15.404-1(b)(2) and FAR 15.404-1(c) (2)(iii), the basis for this determination will be through cost and price analysis and use of an Independent Government Estimate.

Certified cost and pricing data will not be required per FAR 15.403-1(b)(3) because the service being acquired has been determined to be commercial in nature.

Contracting Officer

15. Contracting Officer Certification: I certify that this justification is accurate and complete to the best of my knowledge and belief.

Contracting Officer

Approval

Based on the foregoing justification, I hereby approve the procurement of the Software and Hardware Maintenance Support requirement for the Brooke Army Medical Center Nurse Call System on an other than full and open competition basis pursuant to the authority of Title 41 U.S.C. 1901, Only one responsible source and no other supplies or services will satisfy agency requirements. The estimated value of the sole source action is estimated at $1.7M for a Base with four options commencing 30 September 2026 and continuing through 29 September 2031 and will also include an additional six months under FAR Clause 52.217-8 if exercised. The approval is subject to the availability of funds, and provided that the services or property herein described have otherwise been authorized for acquisition.

Alternative Advocate for Competition U.S. Army Mission and Installation Contracting Command, JBSA Fort Sam Houston, TX