Front Line Ems LLC

Front Line EMS LLC, a woman-owned small disadvantaged business based in Boise, Idaho, delivers ground ambulance transportation, Advanced Life Support and Basic Life Support services, paramedic and EMT staffing, and rescue operations to federal agencies as a prime contractor (100% of recent awards) competing predominantly under total small business set-asides across the U.S. Forest Service and the Department of Veterans Affairs.

Front Line EMS LLC operates as a limited liability company self-performing all emergency medical services delivery with no subcontractor engagement across its federal footprint. The company's recent federal work concentrates on short-duration delivery orders—typically one to three weeks—ranging from under $2,000 to over $200,000 per order, all priced on a firm fixed price basis. Representative recent awards include a $500,000 delivery order from Veterans Integrated Service Network 20 (September 1, 2026) for ground ambulance transportation in the Boise area under a $3 million IDC running through August 31, 2029; a $106,216 delivery order from Forest Service Region 6 for emergency medical services in Wenatchee, Washington (September 29, 2025); a $202,644 task order from Forest Service Region 6 for emergency medical support in Wenatchee (September 15, 2025); and numerous smaller orders across Forest Service regions for field emergency medical services during wildland firefighting season.

Customer concentration is extreme. The top five agencies account for 88% of award count and 88% of combined potential value, led by the Forest Service Pacific Northwest Region (Region 6) with 282 awards totaling $10.7 million—nearly one-half of the company's entire federal award volume. Forest Service regions collectively represent approximately 95% of Front Line EMS LLC's federal award portfolio. The Department of Health and Human Services Indian Health Service, despite only five recorded awards, anchors $21 million in combined potential value (largely driven by a single large Indefinite Delivery Contract). The Department of Veterans Affairs (VISN 20) holds a $3 million ground ambulance transportation IDC through August 2029. The National Interagency Fire Center carries multiple IDVs totaling at least $1.5 million for emergency medical responder services and ALS/BLS ambulance services through 2028–2029.

Front Line EMS LLC holds position on five named parent IDCs: Indefinite Delivery Contract 12024B23T7113 with 279 task orders ($6.1 million combined value), Indefinite Delivery Contract 12024B23T7065 with 55 task orders ($3.9 million), Indefinite Delivery Contract 1204H119T7033 with 75 task orders ($1.8 million), Indefinite Delivery Contract 1204H119T7026 with 26 task orders ($1.2 million), and Indefinite Delivery Contract 12024B26T7291 with 31 task orders ($665 thousand). All are multiple-award vehicles set aside for total small businesses. The company self-performs all work under these vehicles—no subcontractors are named across the award footprint.

Activity has trended downward over the recent three-year window: from 136 awards in FY2024 to 130 in FY2025 to 93 through mid-September 2026, suggesting either seasonal variation or a potential capacity constraint. Two awards face ultimate completion within the next twenty-four months with combined potential value of $8 million, exposing the company to modest near-term recompete risk concentrated in its largest customer (Forest Service Region 6) and secondary vehicles.

On Service Contract Inventory reporting, Front Line EMS LLC reported $21.9 million in invoiced revenue across 16 prime service contracts spanning FY2022–FY2025, with SCI-reported government-paid rates ranging from a 10th percentile of $56.80/hr to a median of $121.60/hr to a 90th percentile of $250.17/hr. FTE trajectory shows volatility—35.9 FTEs in FY2022 declining to 12.0 in FY2024 before recovering to 17.9 in FY2025—reflecting the project-based, seasonal nature of wildland firefighting support work. SCI-reported invoicing peaked in FY2022 at $12.5 million, declined to $1.4 million in FY2024, and rebounded modestly to $2.1 million in FY2025. The company does not engage subcontractors on SCI-reportable contracts; all hours are self-performed. Front Line EMS LLC competes exclusively under total small business set-asides and does not pursue full-and-open federal procurements, positioning itself as a dedicated small business provider for emergency medical services to the Forest Service and allied federal agencies supporting wildland incident response.

Front Line EMS is a medical needs provider. Equipped with excellent personnel, many of whom are prior military, and excellent material assets, Front Line EMS provides badly needed medical care in a multitude of settings including wilderness rescue, tactical/combat medicine, national emergencies, wildland firefighting support, staffing public or private event medical stations, ALS and BLS ambulance transport, interfacility medical transport, and many others. Further, Front Line EMS can also provide medical training for many certifications for those who need to be certified. Front Line EMS can deploy rapidly to fulfill a client's needs and completes the mission with care, efficiency, and precision. Finally, Front Line EMS is a minority, woman owned small business. Daring to care, no matter where.