Excelsior Ambulance Service Inc.

Excelsior Ambulance Service Inc., a service-disabled veteran-owned small business headquartered in Ludowici, Georgia, delivers nonemergent and emergency ambulance transportation, basic and advanced life support, critical care transport, and wheelchair and stretcher services to the Department of Veterans Affairs as a prime contractor (100% of awards), competing predominantly under service-disabled veteran-owned small business and total small business set-asides. Excelsior is a Subchapter S corporation self-certified as a small disadvantaged business and veteran-owned business, with recent federal award activity concentrated entirely within the VA's southeastern regional networks.

Excelsior's customer base is singular and highly concentrated. The Department of Veterans Affairs accounts for 100% of recent awards, split between Veterans Integrated Service Network 7 (38 awards, $268.7 million combined potential value) and Veterans Integrated Service Network 8 (18 awards, $48.5 million combined potential value), with minimal activity on a Department of Justice Bureau of Prisons micro-purchase ($17 thousand, two awards). VISN 7 dominates the portfolio—representing 85% of combined potential value—and serves Alabama, Florida, Georgia, Mississippi, South Carolina, and Tennessee. The concentration is characteristic of Excelsior's business model: all recent work flows through VA medical centers and healthcare systems within those two regional networks rather than across multiple agencies or customer segments.

Excelsior holds six active single-award indefinite delivery contracts with the VA totaling $139.3 million in combined ceiling value and running through 2031. The parent vehicles are region-specific: a $33.1 million service-disabled veteran-owned small business set-aside IDIQ with VISN 7 for nonemergent ambulance services in Birmingham (awarded April 2022, running through April 2027); a $25.8 million service-disabled veteran-owned small business set-aside IDIQ with VISN 7 for non-emergent ambulance transportation to Central Alabama Healthcare System (awarded February 2022, running through January 2027); a $22.2 million service-disabled veteran-owned small business set-aside IDIQ with VISN 7 for ambulance transportation services across the southeastern region (awarded December 2023, running through December 2028); a $12.3 million total small business set-aside IDIQ with VISN 7 for ambulance services in Dublin, Georgia (awarded March 2025, running through February 2030); a $6.2 million total small business set-aside IDIQ with VISN 7 for non-emergent ambulance services to Tuscaloosa VA Medical Center (awarded September 2023, running through August 2028); and a $39.3 million total small business set-aside IDIQ with VISN 7 for wheelchair transportation to Joseph Maxwell Cleland Atlanta VA Medical Center (awarded March 2026, running through February 2031). Recent representative delivery orders under these vehicles include a $10.6 million service-disabled veteran-owned small business set-aside delivery order for ambulance transportation services in Columbia, South Carolina (VISN 7, awarded December 2025, completing December 2026); a $9.3 million service-disabled veteran-owned small business set-aside delivery order for nonemergent ambulance services in Birmingham (VISN 7, awarded April 2025, completing April 2026); a $7.7 million service-disabled veteran-owned small business set-aside delivery order for ambulance transportation services in Charleston, South Carolina (VISN 7, awarded December 2024, completing December 2026); and a $12.8 million purchase order for ambulance transportation services to North Florida/South Georgia VA Healthcare System (VISN 8, awarded August 2025, completing July 2030).

Award activity has averaged 7 awards per year over the past five years, with recent trajectory declining—8 awards in 2022, 9 in 2023, 6 in 2024, 7 in 2025, and 5 year-to-date in 2026—reflecting task order issuance patterns under the stable base of parent IDIQs rather than new vehicle wins. Excelsior faces $46.2 million in combined potential value from awards completing within the next twenty-four months (10 awards), all issued against existing VISN 7 IDIQs, and therefore requiring recompete or renewal for continued revenue from those vehicles.

On SCI-reportable federal service contracts (those above the $150,000 threshold), Excelsior recorded $21.8 million in invoiced revenue in FY2023 and $38.1 million in FY2024 across a government-delivered workforce scaled to 214 FTEs in FY2023 and 321 FTEs in FY2024. Government-paid hourly rates on prime contracts ranged from a 10th percentile of $27.27/hr to a median of $54.02/hr to a 90th percentile of $102.44/hr, reflecting the labor-intensive nature of ambulance transportation service delivery. Excelsior delivers this work entirely with its own personnel; SCI records show zero sub-hours share across prime contracts, meaning the company builds and staffs its own ambulance transportation teams rather than relying on subcontractors.