Constitution Nursing And Rehabilitation Center LLC

Constitution Nursing And Rehabilitation Center LLC Prestige Healthcare Mgmt Division, operating as a self-certified small disadvantaged business, provides community nursing home billing and payment reporting services to the Department of Veterans Affairs as a sole-source prime contractor on a single-award indefinite delivery contract through April 14, 2027.

The vendor operates exclusively within one customer relationship: Veterans Integrated Service Network 19 (VISN 19), which handles 100% of its 28 awards and $4.8 million in combined potential value. Constitution generates detailed EXPRESS reports documenting community nursing home billing and payment information for veterans receiving care in El Paso and Pueblo Counties, Colorado. Work is performed in Pueblo, Colorado. The company competes full-and-open (no set-aside designation) against VISN 19's IDIQ vehicle.

The parent vehicle is a $3.5 million single-award indefinite delivery contract awarded April 15, 2022, running through April 14, 2027. Constitution has issued 27 delivery orders under this IDIQ, generating $1.3 million in combined obligated value to date (28% of the ceiling). Monthly delivery orders became the established pattern starting in mid-2024, with individual order values ranging from approximately $1,474 to $111,537. Recent representative orders include a November 2025 delivery order for $75,045.37, a February 2026 order for $18,689.59, and a May 2026 order for $3,483.36, all for EXPRESS REPORT services. Cumulative delivery orders across the portfolio exceed $300,000 since the IDIQ's inception.

Activity has grown from two awards in 2022 to eleven awards in 2024, then contracted to nine awards in 2025 and two in 2026 (through the May snapshot date). Twenty-two awards with combined potential value of $1.1 million carry ultimate completion dates within the next twenty-four months, representing significant recompete exposure concentrated in the single VISN 19 relationship. The vendor holds no subcontract positions and operates solely as a prime on this dedicated VA reporting vehicle. Customer concentration is absolute — Constitution's entire footprint depends on sustaining monthly task orders from a single VA network across a single service line.