Emergency Medical Support LLC

Emergency Medical Support LLC, a for-profit limited liability partnership headquartered in Peshastin, Washington, provides emergency medical responder personnel (EMTs, AEMTs, and Paramedics) and Advanced Life Support and Basic Life Support ambulance services to the USDA Forest Service and Department of the Interior as a prime contractor, competing predominantly under Total Small Business set-asides on delivery orders and indefinite delivery contracts. The vendor operates 100% as a prime, with no subcontract footprint in the source data.

The vendor's customer base concentrates heavily on wildland fire support and all-hazard incident response across federal lands. The Department of Agriculture Forest Service dominates both award count and dollar value, accounting for roughly 91% of awards tracked in the source. Within Forest Service work, the Pacific Northwest Region (R6) leads substantially with 36 awards worth $1.9 million combined potential value, followed by the National Interagency Fire Center with 4 awards anchoring $1.8 million in combined potential value across two indefinite delivery contracts. The Department of the Interior Bureau of Land Management Idaho Region places 12 awards worth $312 thousand, with the Forest Service Northern Region (R1) and Rocky Mountain Region (R2) contributing smaller volumes. This concentration reflects the vendor's strategic positioning as a regional supplier of emergency medical services for fire suppression operations across the Pacific Northwest, Northern, Rocky Mountain, and Intermountain regions.

Emergency Medical Support LLC holds four parent indefinite delivery contracts with the National Interagency Fire Center, each set aside for small business: a $750,000 ALS/BLS ambulance services contract awarded February 6, 2026, through May 22, 2029; a $500,000 emergency medical responder contract awarded February 6, 2026, through May 28, 2029; and two earlier $250,000 contracts (one for emergency medical responders and one for ALS/BLS ambulance services) awarded May 22–28, 2024, and extending through May 2029. The two most active vehicles—IDC 12024B24T7081 (emergency medical responders) and IDC 12024B24T7066 (ALS/BLS ambulances)—have generated 25 and 11 task orders respectively, totaling $820 thousand and $580 thousand in combined potential value. Delivery orders flowing from these IDCs range from $3,075 to $153,522.56, with most orders carrying firm-fixed-price structures and completion windows of one to four weeks, typical of fire-season responsive procurement. A minority of awards ($254 thousand across seven purchase orders issued in May 2026 to the Idaho Region) procure supplementary equipment and services including side-by-side UTVs and porta potties alongside paramedic services, broadening the vendor's incident-support scope.

Recent activity shows strong year-over-year growth: 28 awards in 2024, 9 in 2025, and 30 awards through September 2026, indicating seasonal delivery-order clustering around wildfire response. The combined potential value across all 67 awards stands at $4.6 million, with $2.8 million (62%) obligated as of the source date. The vendor's award portfolio clusters in the Ambulance Services NAICS (54 awards) and Support Activities for Forestry NAICS (12 awards), with PSC concentration in Natural Resources/Conservation Forest-Range Fire Suppression/Presuppression (57 awards) and Fire Fighting Equipment (9 awards). All awards to the vendor are set aside for small business, with the exception of roughly 30 delivery orders issued without set-aside designation—a posture consistent with Forest Service practice of using small-business set-aside IDCs but issuing task orders full-and-open once the vehicle is in place.