Amedistaf, LLC

Amedistaf, LLC, doing business as TRS Healthcare, a woman-owned small business headquartered in Rogers, Arkansas, is a prime contractor delivering temporary clinical healthcare staffing—registered nurses, licensed practical nurses, surgical technicians, and allied health professionals—to the Indian Health Service and Department of Veterans Affairs, with 100 percent of recent awards issued as prime contracts (zero subcontractor involvement).

The vendor's federal footprint centers almost entirely on the Indian Health Service. Across 1,418 total awards with combined potential value of $350.4 million, the Indian Health Service accounts for 1,138 awards (80 percent by count) representing $178.6 million in combined potential value. The Department of Veterans Affairs Veterans Health Administration appears across six to five distinct network service areas with smaller aggregate exposure: Veterans Integrated Service Network 12 holds 6 awards valued at $42.5 million, and Veterans Integrated Service Network 6 holds 5 awards valued at $16.4 million. The two-tier customer concentration—IHS dominates both volume and dollars, while VA's VISN 12 carries the second-largest dollar magnitude—reflects Amedistaf's established role as a primary healthcare staffing provider to tribal healthcare operations. Across all seventeen customer agencies in the source, IHS and VA account for 68 percent of combined potential value.

Capability work is grounded in non-personal healthcare services contracts. Representative examples include a $5.25 million firm fixed-price delivery order (awarded October 15, 2024, completion March 1, 2028) for nursing services at the Zuni Service Unit in New Mexico under the GSA Federal Supply Schedule; a $1.51 million labor-hour delivery order (April 17, 2024, completion June 30, 2025) for urgent and compelling registered nurse staffing in Chinle, Arizona; a $1.01 million purchase order (June 9, 2025, completion June 30, 2027) for registered nurse staffing in the 3W Med/Surg Department at Gallup Indian Medical Center; a $783,000 labor-hour contract (September 3, 2025, completion December 31, 2027) for registered nurse emergency department staffing at Gallup Indian Medical Center; and multiple BPA calls ranging from $15,000 to $505,000 for licensed practical nurse services across Oklahoma facilities. Service Contract Inventory data shows SCI-reportable invoiced revenue of $63.7 million across fiscal years 2022–2024 ($21.1 million in FY2022, $28 million in FY2023, $14.6 million in FY2024), reflecting a declining FTE footprint from 88.1 FTEs in FY2023 to 48.3 FTEs in FY2024. On federal services contracts captured in SCI, median government-paid rates ran around $148.44 per hour, with senior labor pricing through $180 per hour.

Amedistaf holds multiple master contract vehicles. The primary vehicle is the Professional and Allied Healthcare Staffing Services Federal Supply Schedule contract (FSS-621-I) awarded by the Department of Veterans Affairs on September 1, 2023, with a $5 million ceiling and completion date of August 31, 2028; this schedule encompasses 43 labor categories and has generated 498 task orders valued at $87.5 million across the source period. A second significant vehicle is Federal Supply Schedule V797P4497A, which has generated 657 task orders valued at $29.8 million. Amedistaf also holds multiple single-award Blanket Purchase Agreements with the Indian Health Service for Licensed Practical Nurse services in the Oklahoma area (awarded August 27, 2024, $5 million ceiling through August 31, 2029) and Registered Nurse services across Oklahoma (awarded May 15, 2023, $2 million ceiling through November 17, 2023; awarded November 1, 2021, $2 million ceiling through May 17, 2023). These vehicles enable rapid deployment of clinical personnel across IHS and VA facilities in response to urgent and ongoing staffing fluctuations.

Recent activity shows volatility: forty-nine awards in 2022, declining to twenty-two in 2023, ten in 2024, then rebounding to twenty-five in 2025 (with one award dated July 1, 2026, indicating recent continued performance). Thirty-four awards with ultimate completion dates in the next twenty-four months carry combined potential value of $29.9 million and face recompete exposure. The vendor operates 100 percent as a prime contractor with no subcontractor engagement across the source period; across SCI-reportable prime contracts, the average sub-hours share is zero percent, indicating full self-performance of clinical staffing delivery. The vendor competes full-and-open without set-aside designations, though its woman-owned small business status is noted in source award descriptions. Primary NAICS concentration reflects the work: Temporary Help Services (NAICS 561320) accounts for 708 awards, with secondary concentration in Offices of Physicians and Offices of Other Health Practitioners (479 and 60 awards respectively). Medical-Nursing PSC codes dominate, representing 1,196 awards, supplemented by Medical-Other, Medical-Managed Healthcare, and Medical-Radiology work.