This is a modification to an existing contract for the continued operation and maintenance (O&M) of the Brooke Army Medical Center (BAMC) in San Antonio, Texas. The contractor will provide 24/7/365 O&M services, including emergency system testing, preventative maintenance, and medical gas certifications, to keep this major trauma center operational. The modification was awarded on January 27, 2026, and became effective on January 28, 2026. The justification for this non-competitive action cites the need for highly specialized services and the risk of unacceptable delays if the work were awarded to a different source.