Knoxville Community Hospital Inc.

Knoxville Community Hospital Inc., doing business as Knoxville Hospital & Clinics, is a non-profit tax-exempt hospital in Knoxville, Iowa, that provides diagnostic imaging and X-ray services to the Department of Veterans Affairs as a prime contractor on firm fixed-price delivery orders and as a grant sub-recipient on rural healthcare development awards from the Department of Health and Human Services and the Department of Agriculture. The vendor competes full-and-open with no set-aside designations across all federal awards.

The hospital's federal footprint centers on radiology services. A single-award indefinite-delivery contract with Veterans Integrated Service Network 23, valued at $142,535.94 and running through July 31, 2028, anchors the prime work — X-ray and diagnostic imaging services at the Knoxville Iowa Community Based Outpatient Clinic for the Iowa City VA Health Care System. Delivery orders issued under this IDC include a $14,297.42 base-year order (completion July 31, 2024), a $16,673.86 order (completion July 31, 2025), a $28,892.85 order awarded August 1, 2025 (completion July 31, 2026), and a $25,179.18 order awarded August 1, 2026 (completion July 31, 2027). All are firm fixed-price with no set-aside. Customer concentration is extreme: the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23 accounts for 18 of 28 total awards and the full $624 thousand in combined potential value. The Federal Emergency Management Agency, the Department of Health and Human Services Centers for Medicare and Medicaid Services, and the Department of Agriculture Rural Utilities Service split the remainder.

In its grant recipient role, Knoxville Hospital received a $699,900 project grant from the USDA Rural Utilities Service under the Community Facilities Loans and Grants program (CFDA 10.766) awarded January 20, 2023 and completed January 20, 2025, to support economic development activities and capital improvements for rural healthcare infrastructure. The vendor also acts as a sub-recipient on six federal grant sub-awards: three from the Iowa Department of Health and Human Services (issued September 2026, September 2026, and March 2026) for medical equipment procurement, healthcare provider recruitment incentives, and Centers of Excellence rural health network hubs; and three from the Iowa Homeland Security and Emergency Management Department (issued February 2024 and January 2024) for state management costs and emergency protective measures under FEMA funding.

Activity has been modest and irregular — one award in 2022, four in 2023, four in 2024, one in 2025, and four in 2026. Only one award ($25 thousand) reaches ultimate completion within the next twenty-four months, presenting limited near-term recompete exposure. The vendor sits on two additional indefinite-delivery contracts with Veterans Integrated Service Network 23 (IDC 36C26318D0059 with six task orders totaling $120 thousand, and IDC 36C26323D0105 with four task orders totaling $88 thousand). The combined dollars obligated across all awards ($5.1 million) substantially exceed the combined potential-value ceiling ($624 thousand), reflecting invoiced performance under the long-running VA X-ray services arrangement and the USDA grant.