Amedistaf, LLC

Amedistaf, LLC, doing business as TRS Healthcare, is a woman-owned small business based in Rogers, Arkansas, that provides temporary clinical healthcare staffing—licensed practical nurses, registered nurses, surgical technologists, respiratory therapists, and allied health professionals—to federal healthcare agencies as a prime contractor, with no subcontractor footprint. The vendor operates almost exclusively under full-and-open procurement (no set-asides across its prime award portfolio) and competes across multiple federal contracting vehicles and customer agencies.

The vendor's customer concentration is extreme and narrow: the Indian Health Service accounts for 1,140 of 1,420 awards (80% by count) and $179.7 million of $351.4 million in combined potential value (51% by dollars). The Department of Veterans Affairs Veterans Health Administration operates six VISNs that collectively hold the second-tier position, with Veterans Integrated Service Network 12 anchoring $42.5 million across six awards, VISN 6 at $16.4 million across five awards, and smaller activity in VISNs 2, 8, 21, and 22. Across 17 distinct customer agencies, IHS and VA together represent approximately 88% of award count and 68% of combined potential value. This concentration reflects Amedistaf's positioning as a specialized, high-volume clinical staffing vendor to federal health systems serving Native American and veteran populations rather than a general IT, construction, or professional-services contractor.

Amedistaf holds four named parent vehicles: a $5 million single-award Blanket Purchase Agreement with the Indian Health Service for Licensed Practical Nurse services in Oklahoma (awarded August 27, 2024, through August 31, 2029); a $5 million Federal Supply Schedule contract (FSS-621-I, Professional and Allied Healthcare Staffing Services) with the Department of Veterans Affairs (awarded September 1, 2023, through August 31, 2028), under which the Indian Health Service issues substantial task orders; a $2 million single-award BPA with IHS for Registered Nurse services in Oklahoma (awarded November 1, 2021, expired November 17, 2023); and a $1 million single-award BPA with IHS for Licensed Practical Nurse services in Oklahoma (awarded November 30, 2021, expired June 15, 2023). The FSS-621-I vehicle carries 43 labor categories spanning multiple clinical specialties, with IHS task orders representing the majority of ordering activity. Across the top parent vehicles, Amedistaf has issued or received 657 task orders under Federal Supply Schedule V797P4497A, 498 task orders under Professional and Allied Healthcare Staffing Services, and 64 task orders under an earlier IHS nursing services vehicle. Recent notable awards include a $4.43 million firm fixed-price delivery order for nursing services at the Zuni Service Unit in New Mexico (January 3, 2024, through March 1, 2028), a $1.51 million labor-hour order for emergency department registered nurse staffing in Chinle, Arizona (April 17, 2024, through June 30, 2025), and a $999,000 labor-hour order for three emergency room registered nurses in Chinle (June 30, 2025, through June 30, 2026).

Activity volume has declined sharply: 49 awards in 2022, 22 in 2023, 10 in 2024, 25 in 2025, and only 3 as of late September 2026. The source covers 1,420 total awards with a first entry dated June 30, 2003, indicating long tenure in the federal healthcare staffing market. Thirty-four awards representing $30.9 million in combined potential value reach ultimate completion within the next twenty-four months, creating recompete exposure concentrated in IHS nursing services delivery orders and task orders against the two active BPAs. Service Contract Inventory reporting, which captures federal service contracts above the $150,000 threshold and excludes goods and non-federal revenue, shows SCI-invoiced activity of $21.1 million in FY2022 (70.5 FTEs), $28 million in FY2023 (88.1 FTEs), $14.6 million in FY2024 (48.3 FTEs), and $11.8 million in FY2025 (40.8 FTEs)—a 44% decline from FY2022 to FY2025. Government-paid hourly rates across SCI-reportable work span a median of $148.44/hr, with rates ranging from around $110/hr at the tenth percentile to $180/hr at the ninetieth percentile, reflecting variation by clinical specialty and seniority. Amedistaf self-performs all clinical delivery with zero subcontractor involvement; across prime contracts, sub-hours share averages 0%. The vendor operates as a direct staffing provider with no prime-contractor partnerships or sub-award subcontract footprint in the federal portfolio.

The award portfolio is heavily skewed toward nursing and medical labor categories: 1,198 awards fall under Medical-Nursing PSC codes, 87 under Medical-Other, and 33 under Medical-Managed Healthcare, with the balance split among medical radiology, support professional services, and miscellaneous ambulatory healthcare. By NAICS, Temporary Help Services accounts for 708 awards, Offices of Physicians 479, and other healthcare practitioners and services the remainder. This category concentration, combined with the 100% prime posture and zero sub-award share, underscores Amedistaf's role as a specialized, high-volume clinical staffing labor provider to federal healthcare systems, not as a systems integrator, prime contractor bringing teaming arrangements, or participant in broader healthcare program management vehicles. The vendor's decision-relevance to downstream B.D. professionals lies in its dominance of a narrow but substantial federal healthcare staffing market segment (primarily IHS nursing and allied health) rather than in cross-sector or multi-agency reach.