Butler County Ems LLC

Butler County EMS LLC, a for-profit limited liability company based in Poplar Bluff, Missouri, provides emergency ambulance transportation services exclusively to the Department of Veterans Affairs' Veterans Health Administration as a small-business prime contractor, operating under a single-award indefinite-delivery contract with a ceiling of $6.6 million through June 30, 2028.

The vendor's federal footprint is laser-focused: all 19 awards in the source data are delivery orders issued by Veterans Integrated Service Network 15, the VA regional network serving the Poplar Bluff area and surrounding multi-state region. Combined potential value across all awards stands at $29.3 million, with $11.2 million obligated to date (38% draw-down). The single-award IDC, valued at $6.6 million and designated Total Small Business, has generated four delivery orders over the past three fiscal years — ordering periods one through four awarded annually on July 1 (FY2023: $685,936.41; FY2024: $810,947.64; FY2025: $1,567,536.00; FY2026: $1,410,990.53). All delivery orders specify firm-fixed-price terms and Poplar Bluff as place of performance. The vendor also holds three additional IDCs under VISN 15, which together account for 16 task orders and $15 million in combined potential value, though those vehicles appear to predate the primary single-award contract shown above.

Activity has been sparse and regular — one award per year in 2022–2026 — reflecting the steady-state nature of annual delivery-order renewals against the standing IDC rather than competitive pipeline growth. Only two awards (combined potential value $2.1 million) complete within the next twenty-four months, signaling minimal near-term recompete exposure given the long-term IDC through 2028.

SCI-reported invoicing across federal service contracts above $150,000 totaled $3.1 million from FY2023 through FY2024 ($2.4 million in FY2023, $686 thousand in FY2024), with estimated delivery personnel averaging 1.8 FTEs in FY2023 and 0.3 FTEs in FY2024. Butler County EMS operates with zero subcontractor engagement — the vendor performs all delivery work directly. Government-paid hourly rates on SCI-reportable contracts ranged from $457/hr at the 10th percentile to $1,327/hr at the 90th percentile, with a median near $946/hr, consistent with emergency medical technician and paramedic labor markets. The vendor competes exclusively under small-business set-asides and holds no position on government-wide vehicles or multi-agency BPAs.