NYC Fire Dept. awarded $49.8M for World Trade Center Health Program clinical services
Contract Overview
Contract Amount: $49,782,960 ($49.8M)
Contractor: City of NEW York Fire Department
Awarding Agency: Department of Health and Human Services
Start Date: 2017-04-01
End Date: 2022-09-30
Contract Duration: 2,008 days
Daily Burn Rate: $24.8K/day
Competition Type: FULL AND OPEN COMPETITION
Number of Offers Received: 7
Pricing Type: COST PLUS FIXED FEE
Sector: Healthcare
Official Description: IGF::OT::IGF:: WORLD TRADE CENTER HEALTH PROGRAM CLINICAL CENTER OF EXCELLENCE SERVICES
Place of Performance
Location: BROOKLYN, KINGS County, NEW YORK, 11201
State: New York Government Spending
Plain-Language Summary
Department of Health and Human Services obligated $49.8 million to CITY OF NEW YORK FIRE DEPARTMENT for work described as: IGF::OT::IGF:: WORLD TRADE CENTER HEALTH PROGRAM CLINICAL CENTER OF EXCELLENCE SERVICES Key points: 1. Contract awarded to a municipal entity, suggesting a unique public service delivery model. 2. The contract duration of over 5 years indicates a long-term commitment to these critical health services. 3. The cost-plus-fixed-fee structure allows for flexibility but requires careful monitoring of costs. 4. Performance context is crucial given the sensitive nature of health services for WTC responders. 5. Sector positioning within healthcare services for a specific, high-need population. 6. The contract value is substantial, reflecting the ongoing need for specialized medical care.
Value Assessment
Rating: good
The contract value of approximately $49.8 million over five years for clinical services related to the World Trade Center Health Program appears reasonable given the specialized nature of the care provided. Benchmarking against similar contracts for public health services or specialized medical centers would provide a more precise value-for-money assessment. However, the award to a municipal entity like the City of New York Fire Department for these services suggests a potentially cost-effective approach compared to private sector providers, assuming efficient operations.
Cost Per Unit: N/A
Competition Analysis
Competition Level: full-and-open
This contract was awarded through full and open competition, indicating that multiple bidders had the opportunity to submit proposals. The presence of 7 bidders suggests a competitive environment, which typically drives better pricing and service offerings. The level of competition is a positive sign for price discovery and ensuring that taxpayer funds are used efficiently.
Taxpayer Impact: A competitive award process helps ensure that the government secures the best possible value for services, potentially leading to lower overall costs for taxpayers compared to a sole-source or limited competition scenario.
Public Impact
Direct beneficiaries are World Trade Center responders and survivors requiring specialized clinical care. Services delivered include medical evaluations, monitoring, and treatment for health conditions related to WTC exposure. Geographic impact is primarily focused on New York City and surrounding areas where many WTC responders reside. Workforce implications include the employment of healthcare professionals, administrative staff, and support personnel within the City of New York Fire Department's health services.
Waste & Efficiency Indicators
Waste Risk Score: 50 / 10
Warning Flags
- Potential for cost overruns in a cost-plus-fixed-fee contract if not rigorously managed.
- Ensuring consistent quality of care across all services provided under the contract.
- Maintaining adequate staffing levels to meet the ongoing demand for WTC-related health services.
Positive Signals
- Award to a public entity may indicate a strong commitment to public health and responder welfare.
- Full and open competition suggests a robust process for selecting the most capable provider.
- The long-term nature of the contract provides stability for service delivery to a vulnerable population.
Sector Analysis
This contract falls within the healthcare services sector, specifically focusing on specialized medical care for individuals affected by the September 11th terrorist attacks. The World Trade Center Health Program is a significant federal initiative aimed at providing lifelong healthcare. Comparable spending benchmarks would involve looking at other large-scale public health service contracts or contracts for specialized medical treatment centers, though the unique nature of WTC-related health issues makes direct comparisons challenging.
Small Business Impact
The provided data indicates that this contract was not set aside for small businesses, nor does it appear to have specific subcontracting requirements for small businesses mentioned. The award to a large municipal entity suggests that the primary focus was on the entity's capacity to deliver specialized health services rather than on promoting small business participation. Further analysis would be needed to determine if any subcontracting opportunities exist within the scope of this contract.
Oversight & Accountability
Oversight for this contract would likely be managed by the Centers for Disease Control and Prevention (CDC) within the Department of Health and Human Services. Accountability measures would include performance reviews, adherence to clinical protocols, and financial audits. Transparency is generally maintained through federal contract databases, though specific operational details may be subject to privacy regulations. Inspector General jurisdiction would apply to any potential fraud, waste, or abuse.
Related Government Programs
- World Trade Center Health Program
- National Institute for Occupational Safety and Health (NIOSH)
- Public Health Services
- Emergency Responder Health Services
Risk Flags
- Cost Control in CPFF Contracts
- Quality of Care Assurance
- Long-Term Health Condition Management
- Responder Population Access to Services
Tags
healthcare, public-health, world-trade-center-health-program, definitive-contract, cost-plus-fixed-fee, full-and-open-competition, new-york, department-of-health-and-human-services, centers-for-disease-control-and-prevention, city-of-new-york-fire-department, responder-health, clinical-services
Frequently Asked Questions
What is this federal contract paying for?
Department of Health and Human Services awarded $49.8 million to CITY OF NEW YORK FIRE DEPARTMENT. IGF::OT::IGF:: WORLD TRADE CENTER HEALTH PROGRAM CLINICAL CENTER OF EXCELLENCE SERVICES
Who is the contractor on this award?
The obligated recipient is CITY OF NEW YORK FIRE DEPARTMENT.
Which agency awarded this contract?
Awarding agency: Department of Health and Human Services (Centers for Disease Control and Prevention).
What is the total obligated amount?
The obligated amount is $49.8 million.
What is the period of performance?
Start: 2017-04-01. End: 2022-09-30.
What is the track record of the City of New York Fire Department in managing large-scale clinical service contracts?
The City of New York Fire Department (FDNY) has a long-standing history of providing emergency medical services and has established health programs for its own personnel. Their experience in managing complex health operations, particularly for first responders, is extensive. However, managing a federal contract of this magnitude, specifically for the World Trade Center Health Program, represents a significant undertaking that extends beyond their internal health services. While they possess relevant expertise in emergency response and occupational health, the specific administrative and clinical management requirements for a federal program like this would be a key area for oversight to ensure compliance with federal regulations and program objectives. Their established infrastructure and experience with responder health are strong foundational elements.
How does the cost-plus-fixed-fee (CPFF) structure impact value for money in this contract?
The Cost-Plus-Fixed-Fee (CPFF) contract structure means the contractor (FDNY) is reimbursed for allowable costs plus a fixed fee representing profit. This structure is often used when the scope of work is not precisely defined or involves a high degree of uncertainty, which can be the case in evolving healthcare needs. For value for money, this structure requires robust government oversight to ensure that costs incurred are reasonable, allocable, and allowable. The fixed fee provides some incentive for efficiency, as it does not increase with costs, but the primary driver for cost control rests on the government's ability to audit and validate expenses. If costs escalate significantly, the overall value may be diminished unless the quality and scope of services provided justify the expenditure.
What are the primary risks associated with providing clinical services to WTC responders?
The primary risks associated with providing clinical services to World Trade Center (WTC) responders are multifaceted. Medically, there is the risk of misdiagnosis or delayed treatment for complex, often chronic, conditions linked to WTC exposure, such as various cancers, respiratory illnesses, and mental health issues. Operationally, there are risks related to maintaining consistent service quality and accessibility across a large and geographically dispersed population of responders. Administratively, risks include ensuring compliance with stringent federal program requirements, managing patient data privacy, and controlling costs within the CPFF structure. There's also the risk of burnout among healthcare providers due to the demanding nature of the work and the emotional toll of treating this population.
How does this contract align with the broader goals of the World Trade Center Health Program?
This contract directly aligns with the core goals of the World Trade Center Health Program, which are to provide comprehensive health services, including medical monitoring and treatment, to eligible responders and survivors. By awarding this contract to the City of New York Fire Department's clinical center, the program ensures access to specialized care for a significant population in a key geographic area. The services funded are essential for managing the long-term health consequences of WTC exposure, thereby fulfilling the program's mandate to care for those affected by the attacks. The contract's duration and value reflect the ongoing commitment required to address these chronic health conditions.
What are the historical spending patterns for WTC Health Program clinical services in the New York region?
Historical spending patterns for the World Trade Center Health Program (WTC HWP) in the New York region have been substantial, reflecting the large number of responders and survivors residing there and the complex medical needs associated with WTC exposure. The program, administered by NIOSH, has seen consistent funding allocations to support clinical centers of excellence and outreach sites. While specific year-over-year spending for individual contracts can fluctuate based on service delivery, patient enrollment, and evolving medical protocols, the overall trend indicates a sustained and significant investment. This $49.8 million contract represents a major component of that regional spending, underscoring the ongoing need for these specialized services.
Industry Classification
NAICS: Health Care and Social Assistance › Outpatient Care Centers › All Other Outpatient Care Centers
Product/Service Code: MEDICAL SERVICES › GENERAL HEALTH CARE SERVICES
Competition & Pricing
Extent Competed: FULL AND OPEN COMPETITION
Solicitation Procedures: NEGOTIATED PROPOSAL/QUOTE
Solicitation ID: 2016N18001
Offers Received: 7
Pricing Type: COST PLUS FIXED FEE (U)
Evaluated Preference: NONE
Contractor Details
Address: 9 METROTECH CTR, BROOKLYN, NY, 11201
Business Categories: Category Business, Government, U.S. Local Government, U.S. National Government, Not Designated a Small Business
Financial Breakdown
Contract Ceiling: $49,782,960
Exercised Options: $49,782,960
Current Obligation: $49,782,960
Actual Outlays: $13,266,262
Contract Characteristics
Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED
Cost or Pricing Data: NO
Timeline
Start Date: 2017-04-01
Current End Date: 2022-09-30
Potential End Date: 2022-09-30 00:00:00
Last Modified: 2026-02-17
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