Sonosite Jofoc - Signed.pdf

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Sole Source-Fujifilm Sonosite Portable Ultrasound Unit for White Earth Health Center
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This is a Justification and Approval (J&A) form for other than full and open competition submitted by the Indian Health Service (IHS) in FY2026 for the acquisition of a point-of-care portable ultrasound unit from Fujifilm/Sonosite at an estimated total value of $59,000.00. The acquisition is structured as a new requirement with firm-fixed pricing.

The justification cites FAR 6.302-1 (only one responsible source) and FAR 6.302-2 (unusual and compelling urgency) as the authorities for the non-competitive procurement. The document explains that Fujifilm/Sonosite is the sole vendor providing a portable ultrasound capable of operating as a stand-alone unit in exam rooms without requiring wireless network connectivity, which is critical because HHS IT systems prohibit cloud server storage of patient data. Other portable ultrasound providers require larger rooms, specific patient beds, and wireless networks, making them incompatible with IHS requirements. The justification also notes the unit's flexibility for use in varied clinic settings and its ability to accommodate additional probes. The contractor will provide on-site educational support, unboxing, installation, system setup, and a five-year warranty on the system and transducers, with software quality improvement updates provided throughout the system's life. Market research identified Delaware Nation Industries, Auxo Medical, and 360 Medical as alternative sources, but all offer only refurbished equipment rather than new systems. The document was signed by Program Manager Michael Mohs (Biomedical Equipment Support Specialist) and Program Manager Supervisor David Englund (Facility Manager) on February 2, 2026, with fair and reasonable price determination provided by Contracting Officer Jennifer Richardson.

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JUSTIFICATION AND APPROVAL

FOR OTHER THAN FULL AND OPEN COMPETITION

Completion Instructions: The Department of Health and Human Services (HHS) has established a standard template for the preparation of a J&A for Other Than Full and Open Competition. If this is an 8(a) set-aside, please note this form is not required unless the acquisition is valued (including all options) at greater than $22 million. This template is NOT applicable for actions using simplified acquisition procedures (FAR Part 13), Federal Supply Schedule orders (FAR 8.4) or task or delivery orders subject to fair opportunity (FAR 16.505).

Tailor all aspects of this template to the individual acquisition. Consult FAR Subpart 6.3 for guidance. An addendum may be added in case additional space is needed.

When this document is printed, the blue italic instructions are automatically deleted on the printed version.

Acquisition Title:

Agency:

Acquisition Year (FY):

Author and Title:

2. Description of Action:

Nature: New Requirement Follow-on Requirement

Modification to Existing Purchase Order/Contract Number:

Pricing: Firm-Fixed Price Time & Materials Cost

Other:

Funds: OMA Other Funds:

Name of Proposed Contractor(s):

Street Address:

City, State, Zip:

3. Description of Services or Supplies:

Basis for Approval (FAR 6.303-1(d)): Individual Basis Class Basis

The total estimated value of the proposed action, including all options is $

As applicable, briefly describe the services or supplies required to meet the agency's needs, including make & model number where appropriate. Include quantities of supplies or period of performance for services. Provide information for any options included. If the action is a modification to an existing contract, distinguish clearly between the work covered by the original contract and the work to be obtained by the proposed modification.

https://www.acquisition.gov/far/part-8#FAR_Subpart_8_4 https://www.acquisition.gov/far/part-13 https://www.acquisition.gov/far/part-16#FAR_16_505 https://www.acquisition.gov/far/part-6#FAR_Subpart_6_3 https://www.acquisition.gov/far/part-6#FAR_6_303_1

4. Authority and Rationale: Identify the statutory authority, FAR title and FAR citation permitting other than full and open competition. It may be one of the following most commonly used citations by the operating divisions of the Department of Health and Human Services (HHS), but other exceptions may apply per FAR Subpart 6.3.

Actions other than simplified acquisition procedures (select only one and provide an explanation):

FAR 6.302-1: Only one responsible source and no other supplies or services will satisfy agency requirements, 41 U.S.C.

3304(a)(1)

Explain why the intended contractor is the only responsible source who can provide the required supplies or s ervices.

Discuss the unique capabilities, expertise, etc. that support the lack of competition/why no other type of supplies or servic es will satisfy agency requirements. Explain factors/unique qualifications such as proprietary data or exclusive licensing rights, if applicable. When competition is limited to items particular to one manufacturer, this justification must explain why the particular brand name, product, or feature is essential to the Government's requirements, and that market research indicates other companies' similar products, or products lacking the particular feature, do not meet, or cannot be modified to meet the agency's needs in accordance with FAR 11.105. If in connection with a follow-on contract for continued development or production of highly specialized equipment, detail the substantial duplication of cost or unacceptable delays.

FAR 6.302-2: Unusual and compelling urgency, 41 U.S.C. 3304(a)(2)

If unusual and compelling urgency is the basis for the justification, explain the chronological events leading up to the requirement and explain why time constraints cannot permit even a limited competition. Describe the detrimental effects/ serious injury to the mission of the requiring activity or to the government, financial or otherwise, that will result if this justification is not approved. Describe impact of required delivery/performance date. Describe the detrimental effects/ serious injury to the mission of the requiring activity or to the government, financial or otherwise, that will result if this justification is not approved and the product or service cannot be provided by the intended sole source contractor. Failure to plan for expiring funds is not a valid reason for citing this exception. May not exceed one year, including all options, unless the head of the agency determines that exceptional circumstances apply.

FAR 6.302-5: Authorized or Required by Statute, 41 U.S.C. 3304(a)(5)

Provide a citation to the statutory authorization and a brief description of its content, or identify the specified source or other agency.

Other (See FAR Subpart 6.3 for additional authority)

Provide the authority and citation to the applicable section of FAR 6.3.

Provide a full explanation to justify use of the exception.

5. Agency Actions to Take or Remove Barriers That Led to Other Than Full and Open Competition (If applicable):

Describe the actions, if any, the agency may take to remove or overcome any barriers that led to the restricted consideration prior to any subsequent acquisition for the supplies of services is made. If no such actions have been taken, explain why.

https://www.acquisition.gov/far/part-6#FAR_6_302_1 https://www.acquisition.gov/far/part-6#FAR_Subpart_6_3 https://www.acquisition.gov/far/part-11#FAR_11_105 https://www.acquisition.gov/far/part-6#FAR_6_302_2 https://www.acquisition.gov/far/part-6#FAR_6_302_5

6. Bridge Contracts:

For contract extensions or bridge contracts when a competitive follow-on is in the process of being developed, summarize history of current contract and explain the reasons for any delays in the acquisition. Include discussion of the milestones f or the follow-on action; the milestones should be as efficient as possible. Discuss why it would be neither cost effective nor realistic to expect another contractor to perform during the brief interim period; include issues such as start -up costs, phase-in, transfer of GFP, recruitment and staffing, etc. If the action is because of a protest, provide a brief discussion of the protest including the date the protest was filed and the basis of the protest. Explain that the action will provide the minimum quant ity or performance period.

7. Actions to Increase Competition:

Describe efforts made to compete the action, including whether a notice was or will be publicized as required by FAR Subpart

5.2 or which exception under FAR 5.202 applies. If a notice was publicized, discuss the number of written responses to the synopsis and the results of the assessment of the written responses. List sources, if any, that expressed, in writing, an interest in the acquisition. Provide rationale if interested sources were rejected. If applicable, state that no other sources have expressed interest, but all offers received shall be considered. Describe what actions will be taken to increase competition before subsequent acquisition of the supplies or services is required. You may state that an action is a one-time requirement, but if a similar requirement arises, every effort will be made to compete it to the maximum extent possible. If action is sole source because of proprietary data or licensing rights and there will be a continuing need for the requirement, there must be evidence that advanced planning has been initiated to overcome the barriers to competition, or there should be documentation to support an analysis that replacement costs/licensing purchase costs outweigh the benefits of competition. If the action is a contract extension or bridge, explain actions to compete the follow-on. If action is an urgent new requirement and a competitive follow-on is anticipated, explain that efforts are underway to facilitate a full and open competition.

8. Market Research:

Describe the extent of the market research conducted to identify all qualified sources and the results thereof. “Market Research” is defined as those attempts you made to ascertain whether other qualified sources exist, and can include contact with knowledgeable experts regarding similar or duplicate requirements, contact with industry, results of a sources sought synopsis, or draft solicitations. Research of the marketplace may consist of written, electronic (i.e. email) telephonic, or world wide web inquiries. Lack of advanced planning is not an acceptable reason for the lack of market research, but true urgency may necessitate abbreviated market research that is limited to readily available historical and commercial information. If ac tion is a contract extension or bridge contract, describe the market research efforts underway or completed for the follow-on. See FAR 10.002(b)(2).

9. Procurement History:

Purchase order or contract number:

Was action competed? Yes No

If action was not competed, state the cited authority, summarize rationale, and describe the actions that were supposed to be taken to increase competition and the results thereof:

https://www.acquisition.gov/far/part-5#FAR_Subpart_5_2 https://www.acquisition.gov/far/part-5#FAR_Subpart_5_2 https://www.acquisition.gov/far/part-5#FAR_5_202 https://www.acquisition.gov/far/part-10#FAR_10_002

10.Additional Information to support the justification:

If applicable, explain why technical packages or specifications to facilitate competition were not developed or available;

describe actions taken to remedy the situation.

11. Technical / Requirements Certification: By my signature below, I certify that the supporting data included in this

J&A is accurate and complete.

Program Manager

Name:

Position Title:

Email address:

Phone:

Program Manager Supervisor (or one level above Program Manager)

Name:

Position Title:

Email address:

Signature:

Date:

12. Fair and Reasonable Price/Cost Determination: As Contracting Officer, by my signature below, I hereby determine that the anticipated price/cost to the Government for this contract action will be fair and reasonable.

Provide the basis for this determination, e.g., describe techniques to be used to determine fair and reasonable price (FAR Subpart 15.402), such as price analysis, cost analysis, cost realism. Per FAR Subpart 15.403-4(a)(1), the threshold for obtaining cost or pricing data is $750,000.

Name: Phone:

Signature: Date:

13. Contracting Officer's Approval (Required for proposed contract not to exceed $700,000 (value calculated including all options)): I hereby certify that this justification is accurate and complete to the best of my knowledge. I approve this justification subject to availability of funds, and provided that the services and supplies herein described have otherwise been authorized for acquisition.

Name: Phone:

Signature: Date:

https://www.acquisition.gov/far/part-15#FAR_15_402 https://www.acquisition.gov/far/part-15#FAR_15_402 https://www.acquisition.gov/far/part-15#FAR_15_403_4

14. Legal Review:

All J&As greater than $68 million must have a legal review from the General Law Division of the Office of the General Counsel prior to sending it to the Department.

15. OPDIV Competition Advocate Approval (Required for proposed contract over $700,000 but not exceeding $13.5 million (value calculated including all options)):

I have reviewed this justification and find that it adequately supports other than full and open competition.

Name:

Phone:

Signature:

Date:

All J&As greater than $68 million must have a review from the Office of Small & Disadvantaged Business Utilization (OSDBU) prior to sending it to the Department. The OSDBU at their discretion may review any J&A.

16. Office of Small and Disadvantaged Business Utilization Review: (Required for contracts exceeding $68 million (value calculated including all options)):

Concur:

Non-Concur:

17. OPDIV HCA Approval (Required for proposed contract over $13.5 million but not exceeding $68 million (value calculated including all options)):

18. Department Competition Advocate (Required for contracts exceeding $68 million (value calculated including all options)):

Concur:

Non-Concur:

(The below approval paragraph is required if the cumulative contract value, including all options, exceeds $68 million.)

19. HHS Senior Procurement Executive (SPE) Approval:

Based on the foregoing justification, I hereby approve other than full and open competition for the above stated procurement, subject to the availability of funds, and provided that the services herein described have otherwise been authorized for acquisition.

State supplies/services being procured:

State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304:

Modificationto Existing Purchase OrderContract Number:
Other:
Other Funds:
Name: Michael Mohs
Position Title: Biomeidal Equipment Support specialist
Email address: michael.mohs@ihs.gov
Phone: 218-983-6316
Name_2: David Englund
Position Title_2: Facility Manager
Email address_2: David.englund@ihs.gov
Date: 2/2/2026
Phone_2:
Date_2:
Phone_3:
Date_3:
Name_3:
Phone_4:
Date_4:
Name_4:
Phone_5:
Date_5:
Name_5:
Phone_6:
Date_6:
Name_6:
Phone_7:
Date_7:
Name_7:
Phone_8:
Date_8:
Text51: Point-of-Care Portable Ultrasound Unit
Text52: Michael Mohs Biomedical Equipment Support Specialist.
Text53: 2026
Dropdown54: [IHS]
Check Box55: Yes
Check Box56: Off
Check Box57: Off
Check Box58: Yes
Check Box59: Off
Check Box60: Off
Check Box61: Off
Check Box62: Off
Text63: Fujifilm/Sonosite
Text64: 21919 30th Drife SE
Text65: Bothell, WA 98021
Check Box66: Yes
Check Box67: Off
Text68: 59,000.00
Text69: The purpose of this contract is to provide our medical staff with a point-of-care portable ultrasound unit to provide patient care in one visit without requiring the patient to return or go to another provider to continue care. It will benefit the providers in determining stages of pregnancy and ultrasound-guided joint injections.
Text70:

Fujifilm/Sonosite is the only vender that provides a portable ultrasound that can be used in exam rooms as a stand-alone unit without having to be hooked to a wireless network and causing IT security issues with patient data. Other portable units require wireless networks and store patient data on a cloud server. Use of cloud server is not allowed in IHS IT system. This system also has the ability to add probes to aid in procedures without the need to update software to be compatible with the system. Also allowing pictures to be printed so patients may take it with them.

Text71:

IHS doesn't allow for use of devices that operate on a wireless network and save patient information to the cloud. This unit allows for more flexibility than a big unit that requires a larger room and specific patient bed and other special needs. This can be used in a normal exam room and still have room for the patient, Doctor and support staff. Along with moving about the clinic for what is needed.

Check Box72: Yes
Check Box73: Yes
Check Box74: Off
Check Box75: Off
Text76:

N/A Text77:

N/A

Text78:
Text79: N/A
Text80: N/A
Text81: N/A
Check Box82: Off
Check Box83: Off
Text84: FUJIFILM Sonosite, Inc.- inquire about authorized local distributors or purchase new systems directly from the manufacturer. (5 year standard warranty)

Delaware Nation Industries, 2000 N. Classen Blvd., Suite 1700, Oklahoma City, OK 73106 (100% tribally owned) Some companies found through research only offer refurbished equipment Auxo Medical – Offers refurbished FujiFilm Sonosite S II ultrasound systems 360 Medical – A U.S. ultrasound equipment dealer offering new and fully refurbished FUJIFILM SonoSite systems. They also provide installation support, training, and service contracts Soma Tech Intl – Provides refurbished Sonosite portable ultrasound machines

Text85:
Text86:
Text87: Fujifilm Sonosite will provide on-site educational support, as well as unboxing and installing and set-up of system. Will ensure staff understand how to make the most out of the unit. 5 year warranty on system and transducers. System software quality improvement updates provided for the life of the system.
2026-02-02T12:55:39-0600
David A. Englund -S
Text89: JENNIFER RICHARDSON
Text90:
2026-03-25T14:03:24-0500
Jennifer L. Richardson -S
Text93:
Check Box96: Off
Check Box97: Off
Check Box98: Off
Check Box99: Off
Text102:
Text103:
Text105:
Text1:

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