FQHC Sustainability Analysis and Impact Study

Multnomah County is seeking a vendor to conduct a comprehensive financial and operational analysis of the Federally Qualified Health Center (FQHC) within its governmental structure through Solicitation Number Multnomah-RIP-203-2026, posted on June 11, 2026, with proposals due by July 9, 2026. The primary objective is to assess the sustainability, governance, and compliance of the FQHC under the county's oversight, with a focus on board development, strategic planning, budgeting, and adherence to HRSA, The Joint Commission, and state regulatory standards. The contract has a base term of three years with potential annual extensions up to a maximum of five years, but total funding is strictly capped at $245,000 for the entire performance period, regardless of duration. Performance is localized within Multnomah County, primarily involving on-site engagement with the Community Health Center Board and services delivered at seven integrated clinics and student health centers. Proposals must be submitted exclusively through the Multco Marketplace Supplier Portal, with responses to programmatic questions entered directly into text boxes limited to 2,500 characters each and only one attachment permitted—the three-page Budget Plan Sheet. Evaluation is weighted heavily toward programmatic expertise at 75%, emphasizing experience with HRSA/HHS standards, training in financial and operational analysis for health facilities, and the quality of the budget plan, while 25% is allocated to responsible business practices including social equity, economic impact, and environmental considerations, though internal weighting within this category appears inconsistent. Special requirements include mandatory insurance coverage of $1 million per occurrence for professional and commercial general liability, legal registration in Oregon, certification of no organizational conflicts of interest, and completion of a pre-award risk assessment due to federal funding participation under a CFDA reference. Payment is net 30 days upon receipt of an invoice with full line-item detail, though no specific payment office or invoicing system is identified. The procurement follows a best-value trade-off approach, not a lowest-price technically acceptable model, and the county retains discretion to award based on overall advantage, balancing technical merit with responsible business conduct.