Medina County Hospital District

Medina County Hospital District, doing business as Medina Valley Health & Rehabilitation Center, is a local government-owned hospital entity providing nursing home care services to the federal government exclusively as a prime contractor delivering care to veterans through the Department of Veterans Affairs. The vendor operates as a child entity under parent Medina Regional Hospital (Medina Healthcare System), headquartered in Hondo, Texas, with service delivery in San Antonio.

Medina Valley's entire federal footprint concentrates on community nursing home services for VA beneficiaries under 38 U.S. Code Section 1720. All eight prime awards target a single customer — the Department of Veterans Affairs Veterans Integrated Service Network 17 — and all flow through a single indefinite delivery contract (36C25721D0038) with a $3.5 million ceiling established in April 2021 and running through March 2026. Individual delivery orders range from $209,816.69 to $1.25 million and fund nursing home-level care including physician visits, laboratory services, imaging, and other medical services. Representative awards include a $1.25 million delivery order issued April 1, 2023 (extending through March 31, 2026), a $704,328.38 delivery order awarded April 1, 2024, and a $209,816.69 delivery order awarded April 1, 2025 (extending through March 31, 2026). Combined potential value across all eight awards is $8.6 million, with $5.1 million obligated to date (59% utilization). The vendor competes full-and-open with no set-aside designation across its entire award portfolio.

Activity has been sporadic — two awards in the founding year (2021), three in 2022, one in 2023, one in 2024, and one in 2025 — reflecting episodic delivery-order releases against the standing IDV rather than continuous new procurements. Seven of the eight awards flow through the underlying indefinite delivery vehicle, representing the core parent vehicle for this vendor's federal work. Medina Valley operates as a 100% prime contractor with no subcontract footprint. Service Contract Inventory data captures $700 thousand in SCI-reportable invoiced revenue in FY2023 across 4.2 FTEs, with government-paid rates at a flat $79.91 per hour; FY2022 and FY2024 show zero SCI-reportable activity, reflecting the threshold-driven reporting boundary and the uneven distribution of delivery-order timing. SCI represents only a partial window into the vendor's nursing home operations and excludes non-SCI-reportable federal and all non-federal revenue.