P03 FAR6_JA_OVER_SAT 36C261-26-AP-1928 PRINT_Redacted.pdf

VHAPG Part 806.3 OFOC Page 1 of 5 Revision: 04 Effective Date: 12/15/25 Acquisition ID#: 36C261-26-AP-1928

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID: 36C261-26-AP-1928 JOFOC Tracker 26: FY26-NCO 21-697

1. Contracting Activity: Department of Veterans Affairs (VA), Veterans Health

Administration (VHA), Network Contracting Office (NCO) 21, on behalf of the Veterans Integrated Service Networks (VISN) 21, VA Northern California Health Care System (VANCHCS). 2237: 612-26-2-244-0003.

2. Nature and/or Description of the Action Being Approved: This commercial procurement will be conducted in accordance (IAW) with Revolutionary Federal Acquisition Regulation Overhaul (RFO) 12.201-1, simplified procedures, for acquisitions described at 12.001(c), and IAW RFO 12.102(b), restricting competition, with the justification prepared IAW RFO 6.104.

This new requirement that will be awarded on a firm-fixed-price contract basis to SupraVISTA Medical DSS, LLC, a small business located at 514 Maon Road, Farnham, VA 22460.

3. Description of Supplies/Services Required to Meet the Agency’s Needs:

The VANCHCS seeks to establish an annual licensing agreement for the Brillians Clinical Decision Support System (CDSS) Software. This software will be utilized across all VA Medical Centers, outpatient clinics, and community-based outpatient clinics (CBOCs) under the jurisdiction of VANCHCS. Brillians is a commercial off-the-shelf (COTS) cognitive support system specifically designed for use by CPRS users.

The estimated total value of the proposed action is $465,010.32 one-year base period with four (4) one-year option periods.

The procurement will also include RFO clause 52.217-8, option to extend services, as the Government may require continued performance of the services within the limits and at the rates specified in the contract. If exercised, performance shall not exceed 6 months.

The period of performance would be:

Base Year 04/01/2026 – 03/31/2027 $85,000.00 Option Year 1 04/01/2027 – 03/31/2028 $88,825.00 Option Year 2 04/01/2028 – 03/31/2029 $92,822.12

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Acquisition ID#: 36C261-26-AP-1928

Option Year 3 04/01/2029 – 03/31/2030 $96,999.12 Option Year 4 04/01/2030 – 03/31/2031 $101,364.08

Total Contract Value $465,010.32

4. Statutory Authority Permitting Other than Full and Open Competition:

( X ) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per 41 USC §3304(a)(1) as implemented by

RFO 6.103-1;

( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by RFO 6.103-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per 41 USC §3304(a)(3) as implemented by RFO 6.103-3;

( ) (4) International Agreement per 41 USC §3304(a)(4) as implemented by RFO 6.103-4

( ) (5) Authorized or Required by Statute per 41 USC §3304(a)(5) as implemented by RFO 6.103-5;

( ) (6) National Security per 41 USC §3304(a)(6) as implemented by RFO 6.103-6;

( ) (7) Public Interest per 41 USC §3304(a)(7) as implemented by RFO 6.103-7;

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

Brillians (SupraVISTA) is the only stand-alone “Clinical Cognitive Support System” compatible with the VHA’s electronic health record, designed to be used alongside CPRS without impacting its functionality. Brillians (SupraVISTA) uniquely offers “automated rule-based analysis of clinical data at the point of care” while integrating seamlessly with the VHA’s existing IT architecture. This is the only product providing “Automated Alerts” and “Problem-centric Reports” at the point of care, which are essential for patient safety, quality of care, and provider productivity.

The software includes several advanced features not found in any other product. For instance, the Letter Writer feature in Brillians (SupraVISTA) analyzes data and incorporates proper interpretation along with test results into the body of the letter. In contrast, some commercial EMRs merely mail-merge laboratory data, which are not compatible with the VHA’s database and thus cannot be used in the VHA environment. VHA policy mandates timely communication of test results to patients.

However, CPRS currently lacks a built-in facility to generate such letters.

Brillians (SupraVISTA) has been in use in the VHA, in live patient care settings since 2006. It is a proven solution noted for its reliability, safety, and effectiveness. The software includes numerous features and tools that clinicians require to perform their work efficiently.

Procuring the annual licensing for Brillians (SupraVISTA) prevents the duplication of costs that would arise from purchasing multiple software programs or an entirely

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Acquisition ID#: 36C261-26-AP-1928 new software system to replace CPRS and other nationally established VA healthcare programs. Additionally, it avoids the necessity of training government staff on new software. Such a transition would also result in delays in care due to the time required to procure and approve new software, ultimately having a negative impact on patient care.

Accordingly, SUPRAVISTA MEDICAL DSS, LLC is the only firm capable of providing the annual licensing described in Section III above without causing the Veteran’s Health Administration to incur substantial, unrecoverable duplication of costs or to experience unacceptable delays in fulfilling its requirements.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as possible (including whether a notice was or will be publicized as required by RFO Part 5 and, if not, which exception under RFO Part 5 applies):

No alternative sources are considered viable. A Notice of Intent to Sole Source was posted on Contracting Opportunities (36C26126Q0382) on 02/10/2026 and closed on 02/18/2026. No responses were received from any vendors.

SupraVISTA Medical DSS, LLC, a Virginia based company, is the original creator, owner, and the sole seller of SupraVISTA software products including Brillians and its modules. Contractor does not have any authorized resellers and do not plan to have any in the foreseeable future. Brillians is proprietary software developed by SupraVISTA Medical DSS, LLC, specifically to work with the VHA’s VistA system.

Brillians software is the ONLY software on the market that directly interfaces with the VHA’s VistA system and provides a large number of patients’ safety, quality of care and productivity features.

7. Determination by the CO that the Anticipated Cost to the Government will be

Fair and Reasonable: RFO 12.204(a), award, states "whenever possible, base price reasonableness on competitive quotations or offers." However, as this procurement will be solicited sole source, determination that quoted pricing is fair and reasonable will include quoted prices being compared to the IGCE and compared to previous procurements.

8. Description of the Market Research Conducted and the Results, or a

Statement of the Reasons Market Research Was Not Conducted:

A search of the Small Business Administration's (SBA) Small Business Search (SBS) database was conducted to identify certified, capable Service-Disabled Veteran-Owned Small Businesses (SDVOSB) and Veteran-Owned Small Businesses (VOSB). The database search, utilizing NAICS code 513210 for Software Publishers, yielded twelve (12) SDVOSB and VOSB matches.

The VA NAC catalog was queried using the vendor’s name "SupraVISTA," and no records were found. The same keyword was also queried on the GSA website, with no results found.

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Acquisition ID#: 36C261-26-AP-1928

A Notice of Intent to Sole Source was posted on Contracting Opportunities (36C26126Q0382) on 02/10/2026 and closed on 02/18/2026. No responses were received from any vendors.

Further market research revealed that NCO 22 awarded a contract (36C26224C0018) for their required SupraVISTA licensing in the amount of $3,091,467.08. Additional similar requirements were identified under contract 36C10B25C0005 for the VA Technology Acquisition Center in the amount of $2,774,272.03 for SupraVISTA licensing.

As of January 2024, the following VA Medical Centers have installed Brillians:

VISN-4: Altoona and Pittsburgh VISN-6: Asheville, Hampton and Salem VISN-7: Augusta, Birmingham, Central Alabama, Charleston, and Tuscaloosa VISN-8: All VAMCs (VISN Contract) VISN-9: All VAMCs (VISN Contract) VISN-16: Houston and Jackson VISN-17: All VAMCs (VISN Contract) VISN-19: All VAMCs (VISN Contract) VISN-21: Honolulu, 36C26124P0432 VISN-22: All VAMCs (VISN Contract) , 36C26224C0018

All contracts were sole source awards to SUPRAVISTA MEDICAL DSS, LLC, a Small Business.

Nonmanufacturer Rule does not apply. The SupraVISTA software products including Brillians and its modules is published and owned by SupraVISTA Medical DSS, LLC, a Small Business.

The software was published in the USA. The Buy American Statute and Trade Agreement Act does not apply.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition:

Specifications, statements of work, and purchase descriptions suitable for full and open competition are not available due to the proprietary nature of Brillians (SupraVISTA) being particular to supplement VHA’s electronic health record.

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: .

SupraVISTA Medical DSS, LLC

SAM UEI: JVBEK1PA22P1

514 Maon Road Farnham, VA 22460

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required: Government will track the life expectancy of the current VHA’s electronic health record, CPRS. When it is time to procure a nationwide, VHA’s electronic health record the procurement for the new software

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Acquisition ID#: 36C261-26-AP-1928 with Clinical Cognitive Support System features will be competed to the maximum extent practicable. In the future, if another vendor supplies a suitable alternative, their qualifications will be evaluated. The market will be continually assessed to determine if other vendors can provide the required supplies.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and 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.

13. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $900K): I certify the justification meets requirements for other than full and open competition.