K & W Medical Services, Inc.

K & W Medical Services Inc., a for-profit subsidiary of First Aid & Safety Patrol Of Lebanon Inc., operates as a prime contractor delivering ambulance and wheelchair van transportation services exclusively to the federal government, with 100% of recent awards placed as primes and no subcontracting activity. The company is headquartered in Lebanon, Pennsylvania, and competes on federal contracts without set-aside designations, though its underlying indefinite delivery vehicles were originally solicited as total small business set-asides under NAICS 621910 (Ambulance Services).

K & W's customer concentration is extreme and deliberate. Veterans Integrated Service Network 4 (VA) accounts for 100% of award count (10 awards, $23.1 million combined potential value) and generates $23.1 million of the vendor's $23.4 million combined potential value across all awards — a single-customer dependency that dominates the portfolio. K & W holds the exclusive ambulance transportation provider contract for VISN 4 healthcare operations, a relationship running continuously since September 2020. Secondary activity includes four awards from Department of the Army Medical Command ($316 thousand) and one purchase order from the Pennsylvania Army National Guard ($5,951.88 for Advanced EMT course materials), but these represent marginal diversification. The VA contract is structured as a single-award indefinite delivery vehicle renewed in September 2025 with a five-year ceiling of $8.49 million running through September 2030; prior delivery orders under the predecessor IDV have ranged from approximately $792,000 to $1.25 million annually, and the current vehicle has issued a $1.87 million delivery order for FY2026 performance.

Recent activity is flat to declining. The vendor received two awards in 2022, one in 2023, one in 2024, two in 2025, and two in 2026, with an annual cadence that reflects the predictable rhythm of annual delivery orders under the single VISN 4 indefinite delivery contract. Two awards (combined potential value $4.7 million) reach ultimate completion within the next twenty-four months and face recompete exposure, though the September 2025 renewal of the underlying VISN 4 IDV suggests continuity of the core business line.

Service Contract Inventory data captures partial federal service-contract activity above the $150,000 reporting threshold. SCI-reportable invoiced revenue totaled $4.9 million across FY2023–FY2024, with $2.3 million invoiced in FY2023 across 32.6 government FTEs and $2.6 million in FY2024 across 22.0 government FTEs. On federal services contracts captured in SCI, median government-paid rates ran around $36.79 per hour, with senior labor pricing through $69.03 per hour. The vendor delivered zero subcontracted hours across prime contracts and operates with its own internal labor force, performing all work in-house without sub-engagement.