DoD's Defense Health Agency awards $30.7M contract for Certified Registered Nurse Anesthesia services to The Arora Group, Inc

Contract Overview

Contract Amount: $30,774,497 ($30.8M)

Contractor: THE Arora Group, Inc.

Awarding Agency: Department of Defense

Start Date: 2022-10-01

End Date: 2026-09-30

Contract Duration: 1,460 days

Daily Burn Rate: $21.1K/day

Competition Type: FULL AND OPEN COMPETITION AFTER EXCLUSION OF SOURCES

Number of Offers Received: 18

Pricing Type: FIRM FIXED PRICE

Sector: Healthcare

Official Description: CERTIFIED REGISTERED NURSE ANESTHESIA

Place of Performance

Location: BETHESDA, MONTGOMERY County, MARYLAND, 20814

State: Maryland Government Spending

Plain-Language Summary

Department of Defense obligated $30.8 million to THE ARORA GROUP, INC. for work described as: CERTIFIED REGISTERED NURSE ANESTHESIA Key points: 1. Contract value of $30.7M over 4 years. 2. The Arora Group, Inc. is the sole awardee. 3. Risk of limited competition and potential price inflation. 4. Spending falls within the General Medical and Surgical Hospitals sector.

Value Assessment

Rating: fair

The contract value of $30.7M for nurse anesthesia services appears reasonable given the 4-year duration. However, without specific benchmarks for nurse anesthetist services, a precise pricing assessment is difficult. Further analysis of the per-unit cost would be beneficial.

Cost Per Unit: N/A

Competition Analysis

Competition Level: limited

The contract was awarded under 'FULL AND OPEN COMPETITION AFTER EXCLUSION OF SOURCES,' indicating a limited competition approach. This method may restrict the pool of potential bidders, potentially impacting price discovery and leading to higher costs than a truly open competition.

Taxpayer Impact: The limited competition structure raises concerns about maximizing taxpayer value. Ensuring competitive pricing through robust evaluation or future open solicitations is crucial.

Public Impact

Ensures critical anesthesia services for military personnel and beneficiaries. Supports the operational readiness of military medical facilities. Potential for increased costs due to limited competition.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This contract falls under the General Medical and Surgical Hospitals sector (NAICS 622110). Spending in this sector is substantial, driven by the need for comprehensive healthcare services within the DoD. Benchmarks for similar anesthesia service contracts are essential for a thorough value assessment.

Small Business Impact

The contract was not awarded to a small business. There is an opportunity to increase small business participation in future solicitations for similar services.

Oversight & Accountability

The contract was awarded via a delivery order, suggesting it may be part of a larger indefinite-delivery/indefinite-quantity (IDIQ) contract. Oversight should focus on the justification for limited competition and the effectiveness of price negotiation.

Related Government Programs

Risk Flags

Tags

general-medical-and-surgical-hospitals, department-of-defense, md, delivery-order, 10m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Defense awarded $30.8 million to THE ARORA GROUP, INC.. CERTIFIED REGISTERED NURSE ANESTHESIA

Who is the contractor on this award?

The obligated recipient is THE ARORA GROUP, INC..

Which agency awarded this contract?

Awarding agency: Department of Defense (Defense Health Agency).

What is the total obligated amount?

The obligated amount is $30.8 million.

What is the period of performance?

Start: 2022-10-01. End: 2026-09-30.

What is the specific justification for excluding other sources in this 'full and open competition after exclusion of sources' award?

The justification for excluding other sources needs to be thoroughly reviewed. Typically, this designation implies that while the initial solicitation was open, only specific entities met the stringent requirements, or a previous exclusion was later deemed necessary. Understanding the technical or specialized nature of the services required by the Defense Health Agency is key to assessing if this limitation was truly warranted or if it inadvertently restricted competition.

How does the per-unit cost of these nurse anesthesia services compare to industry benchmarks for similar civilian healthcare contracts?

A detailed comparison of the per-unit cost against civilian benchmarks is crucial for assessing value. Factors like geographic location, complexity of procedures, and required qualifications can influence costs. If the DoD's costs are significantly higher, it may indicate suboptimal pricing or a lack of competitive pressure, necessitating a review of the contract's pricing structure and future procurement strategies.

What is the long-term strategy to ensure robust competition for essential anesthesia services to avoid sustained higher costs?

The long-term strategy should involve actively seeking to broaden the competitive landscape for anesthesia services. This could include breaking down large contracts into smaller, more accessible ones for small businesses, conducting market research to identify new potential providers, and ensuring solicitation requirements are not unnecessarily restrictive. Proactive measures can foster a more competitive environment, leading to better pricing and service delivery.

Industry Classification

NAICS: Health Care and Social AssistanceGeneral Medical and Surgical HospitalsGeneral Medical and Surgical Hospitals

Product/Service Code: MEDICAL SERVICESNURSING, NURSING HOME, EVAL/SCREEN

Competition & Pricing

Extent Competed: FULL AND OPEN COMPETITION AFTER EXCLUSION OF SOURCES

Solicitation Procedures: SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY

Solicitation ID: HT005016R0001

Offers Received: 18

Pricing Type: FIRM FIXED PRICE (J)

Evaluated Preference: NONE

Contractor Details

Address: 903 RUSSELL AVE 4TH FL, GAITHERSBURG, MD, 20879

Business Categories: Category Business, Corporate Entity Not Tax Exempt, Minority Owned Business, Not Designated a Small Business, Special Designations, Indian (Subcontinent) American Owned Business, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $51,179,205

Exercised Options: $32,541,509

Current Obligation: $30,774,497

Actual Outlays: $2,927,138

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES

Cost or Pricing Data: NO

Parent Contract

Parent Award PIID: HT005018D0035

IDV Type: IDC

Timeline

Start Date: 2022-10-01

Current End Date: 2026-09-30

Potential End Date: 2028-09-29 00:00:00

Last Modified: 2026-01-07

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