Ascent Medical Transport, LLC

Ascent Medical Transport, LLC, a Boise, Idaho-based small business, delivers ambulance procurement and Advanced Life Support and Basic Life Support ambulance services to federal civilian agencies as a prime contractor, competing predominantly under Total Small Business set-asides across USDA Forest Service regions and the Department of the Interior. The company is a for-profit limited liability partnership with no subcontract footprint; all 21 recent federal awards are prime contracts.

Ascent's federal work concentrates on fire suppression and emergency response support across two core capability areas: delivery orders for Type 2 and Type 4 ambulances under regional USDA and Interior procurement actions, and standing services for all-hazard incident response through indefinite delivery contracts. Representative prime work includes a $92,070 Total Small Business delivery order from the Forest Service's National Interagency Fire Center (July 2026) for medical transportation equipment supporting fire suppression operations in Fossil, Oregon; a $106,019.75 Total Small Business delivery order from USDA Region 6 (Pacific Northwest Region) (July 2026) for ambulance services in Pendleton, Oregon; and a $68,310 Total Small Business delivery order from USDA Region 4 (Intermountain Region) (August 2026) for medical transportation equipment and services in Boise, Idaho. Individual ambulance purchase orders range from roughly $24,500 to $63,800 per unit.

Customer concentration is heavily weighted toward USDA Forest Service regional offices and the National Interagency Fire Center. The top five customers account for 95% of recent award count, led by the Forest Service's Region 4 (Intermountain Region) with 10 awards totaling $569 thousand in combined potential value, and the National Interagency Fire Center with 2 awards totaling $1 million. Region 6 (Pacific Northwest Region) and the Department of the Interior's Bureau of Land Management Idaho Region round out the active set, with the dollars anchored by the two large IDCs rather than scattered across delivery orders.

Ascent holds two multiple-award indefinite delivery contracts issued under Total Small Business set-asides. The primary vehicle is a $750,000 VIPR I-BPA with the National Interagency Fire Center for Advanced Life Support and Basic Life Support ambulance services supporting Region 13 fire suppression and all-hazard incident response, running through May 8, 2030 and awarded February 6, 2026. A second $250,000 multiple-award VIPR I-BPA with the same contracting organization, also set-aside for small business, covers the same service scope and carries the same expiration date (awarded May 8, 2025). Against these two IDCs, Ascent has issued roughly 14 delivery orders since mid-2025, generating the bulk of recent volume. Additional work flows through open-market and set-aside purchase orders from regional USDA and Interior offices.

Award activity has grown from three awards in 2024 to nine in both 2025 and 2026, with combined potential value across all 21 recent awards totaling $2 million and $1 million obligated (51% of potential). Primary NAICS framing is ambulance services (19 of 21 awards), with support activities for forestry rounding out the category concentration. Performance locations span Idaho, Oregon, Utah, and Washington, with administrative oversight at Boise. Ascent competes exclusively under set-asides or open full-and-open designation; no GSA Schedules or government-wide contract vehicles appear in the recent award footprint.

Ascent Medical Transport is a leading provider of comprehensive medical transportation services, specializing in 24/7 basic life support (BLS), advanced life support (ALS), Critical Care Transport (CCT/SCT), wildfire coverage, and standby medical services. With a dedicated focus on delivering exceptional care to the most vulnerable patients, including those requiring bariatric assistance and ventilator support, our team is committed to ensuring the highest standards of quality, safety, and service. We take pride in our rigorous selection process, employing only the most qualified candidates, and fostering a culture that prioritizes excellence in every aspect of our operations. Ascent Medical Transport stands ready to meet the dynamic needs of government contracts with our unwavering dedication to excellence and compassionate patient care.