IHS1469763 Orthopedic Surgeon

DETERMINATION TO SOLICIT FROM A SINGLE SOURCE

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Pursuant to Federal Acquisition Regulation (FAR) 13.106-1(b)(1)(i), for purchases not exceeding the Simplified Acquisition Threshold (SAT) Contracting Officers may solicit from only one source if the circumstances of the contract action deem only one source is reasonably available (e.g., urgency, exclusive licensing agreements, brand name, or industrial mobilization).

Pursuant to FAR 13.106-1(b)(1)(ii), when a single source is identified to provide a portion of the purchase as a Brand-Name, the documentation in paragraph 3 must state that this determination is only for a portion of the requirement.

1. Agency and Contracting Activity.

U.S. Department of Health and Human Services, Indian Health Service, Division of Acquisition Management and Contracts

1.  Name and Address of Single Source.

Cashman Orthopedics LLC

130 Admiral Cochrane DR STE 303

Annapolis, Maryland 21404-7373

1. Description of Supplies/Services and Estimated Cost.

NNMC is requesting Orthopedic Surgeon services to be performed at outpatient and inpatient floors. The estimated cost for the services based upon the IGCE is at $101,416.77 for 520 hours over a 12-month period.

1. Description of Circumstances, including why only one source is reasonably available.

IAW FAR 13.106-1(b)(1)(i), only one source will be solicited because of the urgency of this requirement. The Orthopedic Surgeon services must be performed as soon as possible. This office became aware of the requirement on 3/7/2023. If the required /performance date is not met, it will interfere with direct patient care causing patients to travel elsewhere for care or for the department to divert care to private hospitals.

1. Determination of Fair and Reasonable Price.

IAW FAR 13.106-3(a)(v) and (vi), the only quote received was compared to current market trends as indexed against the IGCE. The IGCE was created by viewing the total cost of the previous three years’ worth of Orthopedic Surgeon services for the facility. Based on the trend analysis, the attached IGCE estimated that the facility would require $405,667.08 for FY’23, however only 520 hours are needed for the year. Due to the urgent nature of the requirement, any attempt to follow normal solicitation procedures may prove detrimental to the operation of the facility.

1. Description of Market Research.

Northern Navajo Medical Center has limited Orthopedic services. The market for Orthopedic Surgeons is hard to come by let alone qualified candidates who will be credentialed according to credential guidelines. Dr. Cashman is credentialed and cleared to provide services for Northern Navajo Medical Center. Due to the urgency of need, buyer will award to bring Dr. Cashman on as a contractor.