Keyser & O'connor Surgical Associates, LTD

Keyser & O'Connor Surgical Associates, LTD, a self-certified small disadvantaged business partnership or limited liability partnership headquartered in Lititz, Pennsylvania, provides vascular surgeon on-call services to the Department of Veterans Affairs as a prime contractor under Total Small Business set-asides. The vendor operates exclusively as a prime, with 100% of recent awards issued directly by the VA's Veterans Integrated Service Network 4 (VISN 4) Lebanon VA Medical Center in Pennsylvania.

The vendor holds a single-award IDIQ (ceiling $1.27 million, performance period September 2025 through September 2027) procuring afterhours, weekend, and weekday vascular surgeon on-call coverage — including after-hours coverage from 4:30 p.m. to 8:00 a.m. Monday through Friday, full weekend coverage, and up to 40 days of in-house weekday coverage per ordering period. The contract mandates a minimum of one board-certified, licensed vascular surgeon credentialed to American Board of Surgery standards, available by phone within 15 minutes and on-site within 60 minutes for emergency consultations. Performance evaluation centers on 100 percent compliance across provider quality, patient safety, licensing maintenance, and HIPAA compliance, assessed through direct observation, periodic inspections, and Contractor Performance Assessment Reporting System (CPARS) evaluation. Two delivery orders have been issued under the IDIQ: the first, dated September 28, 2025, with a ceiling of $241,380 through September 2026; and a second, dated September 28, 2026, with a ceiling of $292,168 through September 2027. The vendor has obligated $611 thousand against $1.9 million in combined potential value across all three awards (32% utilization rate). Two awards (combined potential value $611 thousand) face ultimate completion within the next twenty-four months, triggering recompete exposure in that window. Customer concentration is absolute: 100% of awards and dollars flow from VISN 4, the sole customer agency served in the source record.