Off Site Medical Support Office Service

The VA Pacific Islands Health Care System (VAPIHCS) is seeking a contractor to provide off-site medical office services for Veterans residing on Lanai, Hawaii. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 requires comprehensive medical support services including two exam rooms for VA Primary Care and Mental Health Physicians, along with all necessary equipment, instruments, administrative support, and patient support services in a private hospital, office, or clinic environment. Contractors must maintain facility accreditation, meet health care and safety standards, provide appropriately credentialed staff, and comply with VA information security and privacy regulations. The contract will be evaluated using a Quality Assurance Surveillance Plan that includes quarterly performance evaluations with ratings ranging from Exceptional to Unsatisfactory, focusing on clinic space availability, staffing adequacy, and invoicing accuracy. The original proposal deadline of September 15, 2025, at 10:00 AM PDT has been extended to September 18, 2025, at 10:00 AM PDT, with contract performance scheduled to begin November 1, 2025.

This solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB) or Veteran-Owned Small Businesses (VOSB) under NAICS code 621498 (All Other Outpatient Care Centers). The contract structure is a fixed-price arrangement with economic price adjustment covering a base period of 10 years from November 1, 2025, through October 31, 2035, with nine additional one-year option periods available. The total estimated contract value is $25.5 million over the potential contract duration. Key service requirements include providing space for one primary care/mental health provider, maintaining two clinical exam rooms, and supplying one clerk/receptionist and one medical assistant for administrative and clinical support. All services will be performed on the island of Lanai, Hawaii, with performance monitoring conducted by VA traveling providers and the Contracting Officer's Representative through dashboards, direct observation, periodic inspections, and customer complaint validation.