Bexar County Hospital District

Bexar County Hospital District, doing business as University Health System, is a U.S. local government-owned hospital and healthcare provider serving a 28-county region in South Texas, including Bexar County. As a nationally recognized academic health system and Level 1 trauma center with more than two dozen primary care, specialty, preventive, and school-based health centers, University Health System has established itself as a significant recipient of federal contract and grant awards from the Department of Veterans Affairs, Centers for Medicare and Medicaid Services, and various Health and Human Services agencies. The organization's federal award portfolio reflects its core mission of providing integrated healthcare services, public health initiatives, and community outreach programs to underserved populations throughout the region.

University Health System has demonstrated substantial capabilities in delivering specialized healthcare services to the federal government through its federal contract awards. The organization has received multiple delivery order contracts from the Department of Veterans Affairs, Veterans Integrated Service Network 17, for reference laboratory testing services, with two consecutive annual delivery orders valued at $466,927.50 each awarded on November 15, 2024, and November 15, 2025, respectively, supporting the VA's diagnostic testing requirements through firm-fixed-price arrangements. Additionally, the organization provided COVID-19 testing services to the VA through a ratified purchase order valued at $237,100.00 awarded in May 2021. These contracts were not designated as set-asides and represent ongoing service relationships with the VA for Central Texas veteran healthcare support. The federal contract work performed by University Health System reflects its operational capacity to deliver rapid turnaround laboratory diagnostics, quality assurance protocols, and detailed reporting mechanisms essential to federal healthcare operations.

University Health System has received substantial federal grant funding through multiple prime award cooperative agreements and project grants focused on community health, disease prevention, maternal and child health, and substance use disorder treatment. The organization is currently implementing a five-year, $3,000,000 Cooperative Agreement from the Centers for Medicare and Medicaid Services under the Children's Health Insurance Program, with a period of performance from August 2025 through June 2030, designed to increase enrollment of eligible children and pregnant women in Medicaid or CHIP in Bexar County and surrounding counties through outreach, education, and application assistance partnerships with community organizations and schools. University Health System also holds several grants addressing maternal and infant health disparities, including a Project Grant from the Office of Minority Health for the Baby Bexar program (awarded September 2023, completion September 2027) focused on integrated perinatal care for expectant and postpartum mothers, and a Project Grant from the Maternal and Child Health Bureau for Integrated Maternal Health Services (awarded September 2023, completion September 2028). The organization manages multiple public health initiatives, including a Cooperative Agreement from the National Center for Injury Prevention and Control for the COSPLAY program (awarded September 2023, completion September 2027) implementing comprehensive suicide prevention strategies for youth ages 10-24, and a Cooperative Agreement from the same agency for youth-focused HIV intervention adaptation research. Additional grant funding supports substance abuse treatment and recovery services, including a Project Grant from SAMHSA's Center for Substance Abuse Treatment for the Opioid Treatment and Recovery Services program (awarded September 2022, completion September 2027) serving 400 adults with opioid use disorder across Texas Public Health Region 8, the HUSTLE program providing substance abuse treatment and behavioral health linkage services, and the South Texas Overdose Prevention program providing harm reduction services and naloxone distribution. University Health System also received grants from the HIV/AIDS Bureau for Special Projects of National Significance focused on minority HIV/AIDS populations and from SAMHSA's Center for Substance Abuse Prevention for the SMASH program addressing substance misuse and sexual health in at-risk minority men. Additional grants support language access services through the Building Bridges to Better Health program, women's health education through the Mujeres Con Confianza initiative, and COVID-19 vaccination workforce development. The organization receives multiple federal grant sub-awards from state entities including the Texas Health and Human Services Commission, Department of State Health Services, Department of Family and Protective Services, and the University of Texas at San Antonio, supporting home visiting programs, HIV care coordination, family planning services, and workforce development initiatives.

University Health System holds three active indefinite delivery contracts awarded by the Department of Veterans Affairs, Veterans Integrated Service Network 17. The organization maintains a single-award IDC for community nursing home services under NAICS code 623110, originally awarded March 15, 2020, with a ceiling value of $3,850,000 and ultimate completion date of March 14, 2025, providing long-term and adult day care services for veterans in the Central Texas region. A second community nursing home services IDC was awarded March 15, 2025, with an identical ceiling value of $3,850,000 and extended ultimate completion date of March 14, 2026, representing a continuation of this service line. Most significantly, University Health System holds a reference laboratory testing IDC awarded November 15, 2024, with a ceiling value of $2,650,000 and a five-year ordering period extending through November 14, 2029, providing specialized and backup reference laboratory testing services with rapid turnaround times and robust quality assurance protocols to support the VA's South Texas Veterans Health Care System. These indefinite delivery contracts represent flexible, ongoing service arrangements enabling the VA to issue firm-fixed-price delivery orders against established ceilings, leveraging University Health System's demonstrated capabilities in healthcare service delivery to veteran populations across the Central Texas region.