Botetourt Health Care, LLC

Botetourt Health Care, LLC, doing business as Carrington Place Of Botetourt Commons, operates as a for-profit limited liability company based in Daleville, Virginia, delivering community nursing home and skilled nursing facility services exclusively to the Department of Veterans Affairs on a full-and-open (non-set-aside) basis. The vendor competes 100% as a prime contractor with a single federal customer across 26 awards over the past several years, generating $36.3 million in combined potential value with $19.9 million obligated to date (55% draw-down).

Botetourt's customer base exhibits extreme concentration: the VA's Veterans Integrated Service Network 6 (VISN 6) accounts for all 26 awards and all $36.3 million in combined potential value. VISN 6 serves veterans in Virginia and surrounding regions, and Botetourt operates its skilled nursing and long-term care facility in Daleville to meet that network's demand. The vendor holds two primary indefinite delivery contracts with VISN 6: a $9.8 million single-award IDC (36C24619D0078, ultimate completion September 14, 2026) issued May 15, 2024, and a second IDC (36C24624D0044) valued at $7.9 million across four task orders. Against the first IDC, 19 delivery orders have been placed totaling $17.5 million; the second carries four delivery orders worth $7.9 million combined. Recent delivery orders include a $2.44 million base-year task order (May 15, 2024 through May 14, 2025) for community nursing home services, a $2.42 million fiscal-year 2025 delivery order (October 1, 2024 through September 30, 2025) with an express-reporting requirement for quarterly expenditures, and a $2.44 million option-year task order (May 15, 2025 through May 14, 2026) that underwent bilateral modification effective October 1, 2025, to transition reimbursement to the Patient Driven Payment Model (PDPM) for enhanced clinical-acuity alignment. All awards carry firm-fixed-price structure with economic price adjustment provisions.

Award activity has been variable year to year—five awards in 2021, two in 2022, five in 2023, three in 2024, and two in 2025—reflecting the episodic nature of delivery-order issuance under the standing IDCs rather than continuous growth or decline. The vendor competes entirely as a prime contractor with zero subcontract awards, and across SCI-reportable federal service contracts, invoiced $2.3 million in FY2024 against 10.4 FTEs, with median government-paid hourly rates around $100.90/hr, indicating direct-delivery skilled nursing labor. Botetourt operates exclusively within NAICS 621610 (Nursing Care Facilities—Skilled Nursing Facilities) and PSC code for nursing home and long-term adult day care, with no diversification into other service lines, agency relationships, or contract vehicles outside the VISN 6 IDCs. This concentration creates significant recompete exposure as the existing $9.8 million IDC approaches its September 2026 completion date; retention of VISN 6 business depends on competitive recompete of that vehicle or placement under a successor vehicle.