HCA Signed NCO 4 P03. Justification Wayne County_Redacted.pdf

This is a sole source justification document for restricting competition using simplified procedures for commercial items under FAR 12.102. The Department of Veterans Affairs, through Veterans Integrated Service Network 04 and the Wilkes Barre VA Medical Center, is establishing a one-year interim contract to maintain continuity of healthcare services at the Wayne County Outpatient Clinic in Pennsylvania, with an anticipated start date of August 1, 2026. The total estimated contract value is redacted in the document.

Wayne Memorial Community Healthcare Centers, the incumbent contractor and a large not-for-profit entity, is identified as the only responsible source capable of maintaining required healthcare service continuity within the performance period. The justification emphasizes that the incumbent contractor possesses unique qualifications, including existing systems and processes for veteran eligibility verification, electronic patient records, diagnostic requests, invoicing, telemedicine, and compliance with Joint Commission, OIG, and VA standards. The Wayne County Outreach Clinic currently provides primary care services including preventive care, diagnosis, treatment, and appropriate referrals to Wilkes Barre VAMC for specialty services. The contracting officer determined pricing to be fair and reasonable based on current contract pricing and an Independent Government Cost Estimate. A notice of intent to sole source was posted on SAM on May 22, 2026, requesting industry responses by May 28, 2026. Market research is ongoing to support procurement of a long-term contract to succeed this interim requirement. The justification was approved by the VHA RPO HCA for competitive procedures restricted up to $90 million.