First Care Ohio LLC

First Care Ohio LLC, a for-profit limited liability company based in Cincinnati, Ohio, operates as a medical transportation services prime contractor delivering non-emergency ambulance and wheelchair transportation exclusively to the Department of Veterans Affairs' Veterans Integrated Service Network 10 (VISN 10) across Ohio.

First Care Ohio LLC is a subsidiary of Ambulance Management Services LIMITED, a Subchapter S corporation. The vendor competes on a full-and-open basis; its recent prime awards include a mix of small-business set-aside and non-set-aside delivery orders and indefinite delivery contracts. Of 40 total federal awards in the source data, 4 carry a total small business set-aside designation, while the remainder compete unrestricted.

Customer concentration is absolute. All 40 awards and the full $74.3 million combined potential value flow from VISN 10, which operates VA Medical Centers and Ambulatory Care Centers in Cincinnati, Columbus, and Dayton. This single-customer footprint creates both revenue stability and recompete risk: the vendor holds five active indefinite delivery contracts ranging from $463.6 thousand to $10.1 million in ceiling value, with the bulk of deliveries executed through task orders issued against those parent vehicles. The largest single vehicle is a $10.1 million total small-business-set-aside indefinite delivery contract for ambulance services at Cincinnati VAMC, extending through January 31, 2027; it has generated three delivery orders ($2.2 million, $3.9 million, and $3.8 million) across fiscal years 2024–2026. A second major vehicle covers ambulance services at Columbus VAACC under a $5.4 million small-business-set-aside indefinite delivery contract running through June 30, 2026, with three task orders ($1 million, $2.2 million, and $2.2 million) issued as of the source data date. First Care Ohio LLC also holds two additional indefinite delivery contracts for wheelchair transportation in Cincinnati ($2.2 million, June 30, 2025 completion) and a bridge IDC ($463.6 thousand, August 31, 2025 completion). Smaller indefinite delivery vehicles support task orders under an Executive Order 14042 authority. Only one award—a $3.8 million delivery order for ambulance services at Cincinnati VAMC—faces ultimate completion within the next twenty-four months, representing minimal near-term recompete exposure relative to the portfolio size.

Activity has grown from a two-year flat period (2 awards in 2023) to 12 awards in 2024 and 5 in 2025, driven by multiple task orders against the standing indefinite delivery contracts. Recent representative work includes a $3.8 million firm fixed-price delivery order awarded February 1, 2026, for ambulance services at Cincinnati VAMC through January 31, 2027; a $2.2 million delivery order awarded July 1, 2025, for ambulance services at Columbus VAACC through June 30, 2026; and a $423.6 thousand bridge delivery order awarded July 1, 2025, for wheelchair transportation in Cincinnati through August 31, 2025. The vendor operates on firm fixed-price pricing across all task orders.

Service Contract Inventory reporting shows $5.7 million in SCI-reportable invoiced revenue for FY2024 across 18.7 FTEs in direct service delivery, representing the subset of federal service-contract activity above the SCI reporting threshold; SCI figures do not capture non-federal revenue or the full scope of First Care Ohio LLC's ambulance and wheelchair service delivery to VISN 10. Government-paid hourly rates on SCI-reportable prime contracts span from $84.14 per hour (10th percentile) through a median of $168.36 per hour to $243.86 per hour (90th percentile), reflecting the labor-intensive nature of medical transportation operations. The vendor self-performs 100% of reported contractor hours with zero subcontractor engagement across SCI-reportable prime contracts. First Care Ohio LLC operates entirely as a prime contractor; it holds no sub-award history in the source data.

The vendor's footprint is tightly concentrated in regional medical transportation for a single customer network, with expertise rooted in Ohio VA facility operations and no portfolio diversification across agencies, regions, or capability domains. Recompete opportunities appear annual or semi-annual as task orders roll off standing indefinite delivery vehicles, but the absence of multi-agency relationships or demonstrated capability outside VISN 10 restricts competitive positioning to VISN 10 procurement.