Task order for RN services at Crow/Northern Cheyenne Hospital awarded to Robison Medical Resource Group LLC for an estimated $150,500

Contract Overview

Contract Amount: $6,216,364 ($6.2M)

Contractor: Robison Medical Resource Group LLC

Awarding Agency: Department of Health and Human Services

Start Date: 2021-04-14

End Date: 2022-08-31

Contract Duration: 504 days

Daily Burn Rate: $12.3K/day

Competition Type: COMPETED UNDER SAP

Pricing Type: FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT

Sector: Healthcare

Official Description: TASK-ORDER TO INITIATE RN SERVICES AT CROW/NORTHERN CHEYENNE HOSPITAL; ESTIMATED AMOUNT = $150,500.00

Place of Performance

Location: CROW AGENCY, BIG HORN County, MONTANA, 59022

State: Montana Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $6.2 million to ROBISON MEDICAL RESOURCE GROUP LLC for work described as: TASK-ORDER TO INITIATE RN SERVICES AT CROW/NORTHERN CHEYENNE HOSPITAL; ESTIMATED AMOUNT = $150,500.00 Key points: 1. Value for money appears fair given the estimated cost for specialized nursing services. 2. Competition dynamics indicate a competed award, suggesting potential for price discovery. 3. Risk indicators are moderate, with a fixed-price contract type potentially mitigating cost overruns. 4. Performance context involves essential healthcare services for a specific tribal community. 5. Sector positioning is within the healthcare services for federal agencies, specifically Indian Health Service.

Value Assessment

Rating: fair

The estimated amount of $150,500 for this task order is for specialized nursing services. Benchmarking against similar contracts for Registered Nurse (RN) services within the Indian Health Service (IHS) would be necessary for a precise value assessment. However, the fixed-price nature of the contract, even with economic price adjustment, provides some cost certainty. The duration of the contract (504 days) suggests a sustained need for these services.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

This contract was competed under Simplified Acquisition Procedures (SAP), suggesting it was open to a broad range of eligible contractors. While the specific number of bidders is not provided, the 'COMPETED UNDER SAP' designation implies that multiple offers were likely solicited and considered. This level of competition, even within SAP, generally contributes to fair market pricing.

Taxpayer Impact: The use of competitive procedures, even for smaller dollar amounts, helps ensure that taxpayer funds are used efficiently and that the government receives competitive pricing for essential services.

Public Impact

Beneficiaries include patients at the Crow/Northern Cheyenne Hospital, receiving essential nursing care. Services delivered are critical for maintaining operational capacity of the hospital's healthcare services. Geographic impact is concentrated in Montana, serving the Crow and Northern Cheyenne tribal communities. Workforce implications involve the provision of specialized nursing staff, potentially alleviating local shortages.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Potential for economic price adjustments to increase final cost beyond initial estimates.
Dependence on a single contractor for critical nursing services could pose a risk if performance issues arise.

Positive Signals

Contract was competed, indicating a selection process based on merit and price.
Fixed-price contract type offers some predictability in cost management.
Awarded to a specific company, suggesting established capabilities in providing medical resources.

Sector Analysis

This contract falls within the healthcare services sector, specifically focusing on providing nursing staff to federal healthcare facilities operated by the Indian Health Service. The market for healthcare staffing, particularly for specialized roles like Registered Nurses, is significant. This contract represents a small but vital component of the IHS's broader strategy to deliver healthcare to Native American populations. Comparable spending benchmarks would involve analyzing other IHS contracts for similar nursing services across different tribal facilities.

Small Business Impact

Information regarding small business set-asides or subcontracting plans is not explicitly detailed in the provided data. As the contract was competed under SAP, it is possible that small businesses were among the bidders. Further analysis would be needed to determine if any specific small business goals were incorporated into this task order or if subcontracting opportunities were mandated.

Oversight & Accountability

Oversight for this contract would typically fall under the Indian Health Service, a division of the Department of Health and Human Services. Accountability measures would include performance monitoring, adherence to contract terms, and quality of care standards. Transparency is facilitated through contract databases like FPDS. Inspector General jurisdiction would apply in cases of fraud, waste, or abuse.

Related Government Programs

Indian Health Service Contracts
Registered Nurse Staffing Services
Tribal Healthcare Facilities
Healthcare Services for Federal Agencies

Risk Flags

Potential for cost increases due to economic price adjustment.
Reliance on a single contractor for critical services.

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $6.2 million to ROBISON MEDICAL RESOURCE GROUP LLC. TASK-ORDER TO INITIATE RN SERVICES AT CROW/NORTHERN CHEYENNE HOSPITAL; ESTIMATED AMOUNT = $150,500.00

Who is the contractor on this award?

The obligated recipient is ROBISON MEDICAL RESOURCE GROUP LLC.

Which agency awarded this contract?

Awarding agency: Department of Health and Human Services (Indian Health Service).

What is the total obligated amount?

The obligated amount is $6.2 million.

What is the period of performance?

Start: 2021-04-14. End: 2022-08-31.

What is the historical spending pattern for Robison Medical Resource Group LLC with the federal government, particularly within the Indian Health Service?

Analyzing the historical spending of Robison Medical Resource Group LLC with the federal government requires accessing contract databases. Based on the provided data, this is a task order under a larger contract. To understand their track record, one would need to examine all awards to this contractor, noting the agencies, contract types, and services provided. A significant portion of their federal work might be concentrated within the IHS, given this award. If they have a history of successful performance on similar contracts, it suggests reliability. Conversely, a pattern of cost overruns, performance issues, or contract disputes would raise concerns about their suitability for future awards. Without access to their complete federal award history, a definitive assessment of their track record is limited.

How does the estimated cost of $150,500 for RN services compare to market rates for similar services in Montana?

To compare the estimated cost of $150,500 for RN services to market rates in Montana, one would need to consult salary surveys and contract data specific to the region and the type of healthcare facility. Factors such as the specific RN specialty, experience level required, and the remote location of the Crow/Northern Cheyenne Hospital can influence prevailing wages and contract costs. General salary data for RNs in Montana might range from $70,000 to $90,000 annually, depending on experience and location. A 504-day contract (approximately 17 months) at $150,500 would translate to roughly $88,500 per year. This figure appears to be within a reasonable range, especially considering potential overhead, administrative costs, and the specialized nature of providing contract nurses to a federal facility. However, a detailed market analysis incorporating specific contract terms and location-based adjustments would provide a more precise benchmark.

What are the primary risks associated with this contract, and what mitigation strategies are in place?

The primary risks associated with this contract include potential performance deficiencies by the contractor, leading to disruptions in essential nursing services at the hospital. Another risk is the economic price adjustment clause, which could allow for cost increases beyond the initial estimate if market conditions fluctuate significantly. Furthermore, reliance on a single contractor for critical staffing can create vulnerabilities if the contractor faces challenges such as staff turnover or inability to meet demand. Mitigation strategies likely include robust performance monitoring by the Indian Health Service, clear service level agreements, and the ability to exercise contract clauses for corrective actions or termination if performance is unsatisfactory. The fixed-price nature, despite the economic adjustment, provides a baseline cost control. The competitive award process also suggests a selection of a contractor deemed capable of meeting performance expectations.

How effective has the Indian Health Service been in managing similar healthcare staffing contracts in the past?

Assessing the overall effectiveness of the Indian Health Service (IHS) in managing similar healthcare staffing contracts requires a broad review of their contract performance data, audit reports, and Inspector General findings over several years. Historically, the IHS has faced challenges in healthcare delivery and resource management, which can extend to contract oversight. However, specific task orders like this one are managed at a more granular level. The effectiveness of this particular contract hinges on the diligence of the contracting officers and program managers within the IHS responsible for its administration. Factors such as timely payments, clear communication, performance evaluations, and proactive issue resolution contribute to effective contract management. Without specific data on the IHS's performance metrics for healthcare staffing contracts, a definitive judgment on their effectiveness remains speculative.

What is the typical duration and value range for task orders providing RN services to IHS facilities?

The typical duration and value range for task orders providing Registered Nurse (RN) services to Indian Health Service (IHS) facilities can vary significantly based on the specific needs of the facility, the geographic location, and the scope of services required. Task orders can range from short-term, emergency staffing needs lasting a few weeks to longer-term support contracts extending over a year or more. Values can range from tens of thousands to hundreds of thousands of dollars, or even millions for comprehensive staffing solutions across multiple disciplines or facilities. This particular task order, with an estimated $150,500 and a duration of 504 days (approximately 17 months), falls within a moderate range for specialized nursing support. Larger, more complex requirements or contracts covering a broader scope of medical professionals would naturally command higher values and potentially longer durations.

Industry Classification

NAICS: Health Care and Social Assistance › Offices of Other Health Practitioners › Offices of All Other Miscellaneous Health Practitioners

Product/Service Code: MEDICAL SERVICES › NURSING, NURSING HOME, EVAL/SCREEN

Competition & Pricing

Extent Competed: COMPETED UNDER SAP

Solicitation Procedures: SIMPLIFIED ACQUISITION

Pricing Type: FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT (K)

Evaluated Preference: NONE

Contractor Details

Address: 7103 B SOUTH YALE STREET, TULSA, OK, 74136

Business Categories: Category Business, Corporate Entity Not Tax Exempt, Limited Liability Corporation, Not Designated a Small Business, Small Business, Special Designations, U.S.-Owned Business, Woman Owned Business, Women Owned Small Business

Financial Breakdown

Contract Ceiling: $6,216,364

Exercised Options: $6,216,364

Current Obligation: $6,216,364

Actual Outlays: $5,906,944

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES

Cost or Pricing Data: NO

Parent Contract

Parent Award PIID: 75H70921D00005

IDV Type: IDC

Timeline