FAR 12 JA W81K0426RA023 CRNA CLEAN (003).pdf

CUI//SP-PROCURE//FEDCON

Control Number: 26-HRCO-45

CUI//SP-PROCURE//FEDCON

JUNE 2025

JUSTIFICATION REVIEW DOCUMENT

FAR Part 12 Justification and Approval for Other than Full and Open Competition

Program/Equipment: For 9.5 full-time equivalent (FTE) Certified Registered Nurse Anesthetist services in support of Womack Army Medical Center (WAMC).

Authority: Title 41 United States Code (U.S.C.) §1901 as implemented in Federal Acquisition Regulation (FAR) 6.103-1(c)(2)(ii) Unacceptable delays in fulfilling the agency’s requirements.

Amount: $2.75 million

Prepared by: Kelley Determeyer Phone: 910-643-1916 Contracting Officer Representative Date: 20 January 2026 E-mail: kelley.c.determeyer.civ@health.mil

Contracting Officer: David Robledo Phone: 210-295-4410 Contracting Officer Date: 20 January 2026 E-mail: David.robledo17.civ@army.mil

Technical: Michael Bartoszek Phone: 910-907-7245 Deputy Commander Date: 20 January 2026 E-mail: Michael.w.bartoszek.civ@health.mil

Requirements: Guy St. Louis Phone: 910-907-7245 Chief of Operative Anesthesia Date: 20 January 2026 E-mail:guy.g.stlouis.mil@health.mil

Reviews: I have reviewed this justification and find it adequate to support other than full and open competition.

Legal Counsel: Jessie T. Greene Phone: 813-373-0345 DHA Contract Law MTF Support E-mail: jesse.t.greene.civ@health.mil

SIGNATURE

FAR Part 12 Justification and Approval

JUNE 2025

for Other than Full and Open Competition

1. Requiring Activity: Department of Anesthesia Services (DOAS), Womack Army Medical Center (WAMC)

2. Contracting Activity: Bragg Services Branch (BSB), Health Readiness Contracting Office (HRCO), US Army Health Contracting Activity (USAHCA)

3. Description of Action: Request approval to award a new $2.75 million noncompetitive 6-month (3-month base and 3-month option period) firm fixed price contract to Decypher Technologies Ltd. Cage Code:3CGR6, 200 Concord Plaza Dr. Ste 780, San Antonio, Texas 78216-6972. The contract will be fully funded using appropriate Fiscal Year (FY) 2026 Defense Health Program (DHP) funds.

4. Description of Supplies/Services: This contract will provide non-personal services for 9.5 full-time equivalent (FTE) personal Certified Registered Nurse Anesthetist (CRNA) services in support of WAMC, Fort Bragg, NC. The proposed contract will not include FAR Clause 52.217-8, Option to Extend Services.

Period Period of Performance (POP) Estimated Value Base 1 April 2026 through 30 June 2026 $1,379,628.00

Option Period One 01 July 2026 through 30 September 2026 $1,379,628.00 Estimated Overall

Total Price $2,759,256.00

5. Authority Cited: Title 41 United States Code (U.S.C.) §1901 as implemented in Federal Acquisition Regulation (FAR) 6.103-1(c)(2)(ii) Unacceptable delays in fulfilling the agency’s requirements.

6. Reason for Authority Cited: An award to any source other than Decypher Technologies Ltd. would interrupt the continued provision of highly specialized services at Womack Army Medical Center (WAMC), resulting in unacceptable delays in fulfilling DHA’s requirements. The incumbent is the only source with the currently credentialed and site-specific trained personnel capable of performing these services without interruption on 1 April 2026.

a. Background: The current contract, W81K0024F0015, will be fully performed and expire on 31 March 2026, having exhausted its six-month extension period under FAR Clause 52.217-8. The Government is fully committed to competition and will solicit the follow-on requirement on the mandatory Medical Q-Coded Services 2 Next Generation (MQS2-NG) IDIQ.

JUNE 2025

Development of the requirement was concurrently impacted by: Dynamic operational changes at the Military Treatment Facility, driven by ongoing construction and renovation projects; the establishment of a new surgical residency program, which altered the baseline requirements for CRNA support. Alternatives: No other viable alternative exists. The standard competitive process on the MQS2-NG vehicle requires a minimum of 90 days to facilitate a fair opportunity competition, award, and the necessary transition period. This timeline cannot be compressed to meet the 01 April 2026 service start date. Awarding to any source other than the incumbent is not feasible, as a new vendor cannot recruit, vet, and complete the extensive credentialing process for 9.5 Full-Time Equivalent (FTE) personnel in the time available. Therefore, Decypher Technologies LTD is the only source capable of guaranteeing uninterrupted services during this interim period.

b. Impact: These CRNA services are highly specialized and mission critical. The failure to award this bridge contract will interrupt the continued provision of highly specialized CRNA services at the WAMC Department of Anesthesia Services (DOAS), resulting in unacceptable delays in fulfilling DHA’s requirements. This would force the immediate cancellation of patient surgical services, lead to the closure of operating rooms, and severely degrade WAMC's ability to provide timely and life-sustaining healthcare to military beneficiaries, thereby directly compromising medical readiness and mission sustainment.

7. Efforts to Obtain Competition: This bridge contract is constructed for the shortest period of performance possible to facilitate the transition to a long-term competitive Task Order under the MQS2-NG. The Contracting Officer has published a notice of intent to award a bridge contract from January 30, 2026, through February 9, 2026, and did not receive any responses.

8. Actions to Increase Competition: This short-term bridge is structured for the minimum time necessary to competitively solicit a long-term Task Order Proposal Request (TOPR) on the MQS2-NG portal and allow for a sufficient contractor transition period. The follow-on TO projected solicitation date is 10 April 2026 with a target award date of 01 June 2026 and an effective date of 01 July 2026 to allow for sufficient contractor transition time.

9. Market Research: MQS2-NG is mandatory for use for these services and has multiple-qualified small business contractors that can support the competitive follow-on requirement.

10. Interested Sources: To date, no other sources have written to express interest in response to the synopsis.

11. Other Facts: N/A

JUNE 2025

a. Procurement history:

(1) W81K0024F0115, Small Business, Competed (Decypher Technologies Ltd.)

PoP: 01 October 2024 – 31 March 2026

(2) W91YTZ20F0040, Small Business, Competed (Federal Staffing Resources, LLC), PoP: 15 January 2020 – 30 September 2024

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 knowledge and belief.

Michael Bartoszek Deputy Commander

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.

Guy St. Louis Chief of Operative Anesthesia

14. Fair and Reasonable Cost Determination: I hereby determine that the anticipated price will be fair and reasonable and will confirm my determination through the use of price analysis and comparison to the IGE.”

David Robledo Contracting Officer

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

David Robledo Contracting Officer

Approval

JUNE 2025

Based on the foregoing justification, I hereby approve the procurement of 9.5 full-time equivalent (FTE) non-personal Certified Registered Nurse Anesthetist services on an other than full and open competition basis pursuant to the authority of Title 41 U.S.C. § 1901 as implemented in Federal Acquisition Regulation (FAR) 6.103-1(c)(2)(ii) Unacceptable delays in fulfilling the agency’s requirements. The total estimated value of this action is $2,759,256.00 for a three-month period of performance from 1 April 2026 through 30 September 2026. This approval is subject to the availability of funds and provided that the services described herein have otherwise been authorized for this acquisition.

Cicely Simmons-Carroll Command Advocate for Competition