Keystone Medical Staffing LLC

Keystone Medical Staffing LLC, a for-profit limited liability company based in Mountain Home, Idaho, supplies emergency medical personnel — Emergency Medical Technicians, Advanced EMTs, and Paramedics — to the U.S. Department of Agriculture Forest Service as a prime contractor on small-business-set-aside indefinite delivery contracts. The vendor competes exclusively under small business set-asides and works only with USDA Forest Service regions, concentrating on fire suppression and all-hazard incident response staffing.

Keystone holds two prime IDCs with the National Interagency Fire Center under the Forest Service. The first, awarded February 6, 2026, carries a $500 thousand ceiling and runs through May 28, 2029. The second, the original vehicle awarded May 28, 2024, holds a $250 thousand ceiling and also extends through May 28, 2029. Both are multiple-award, small-business set-aside contracts administered through the Virtual Incident Procurement (VIPR) system. Task orders issued against these vehicles range from roughly $1,200 to $37,700 in individual delivery order value, with firm fixed-price pricing. Representative recent work includes a $35,310 delivery order for emergency medical responder services in Pendleton, Oregon (Region 6, September 2026); a $28,550 delivery order in Springfield, Oregon (Region 6, August 2026); and a $24,080 delivery order in Hamilton, Montana (Region 1, July 2026).

Customer concentration is extreme and regional. The top five Forest Service regions account for 94 percent of awards by count and 94 percent of combined potential value. The Department of Agriculture Forest Service's Fire and Aviation Management National Interagency Fire Center anchors the largest dollar share at $750 thousand across two awards (the two IDC vehicles themselves). The Pacific Northwest Region (Region 6) leads by volume with 37 awards and $623 thousand combined potential value, followed distantly by the Intermountain Region (Region 4) with 11 awards and $177 thousand. The Southwestern Region (Region 3), Northern Region (Region 1), and other Forest Service units round out the active customer base. Keystone has received no awards from other federal agencies and maintains zero subcontract footprint.

The vendor's parent vehicles are the two IDCs noted above: the $500 thousand vehicle carries 22 task orders worth $355 thousand combined, and the $250 thousand vehicle carries 45 task orders worth $816 thousand combined. All work falls under NAICS 621911 (Ambulance Services) with two ancillary forestry support activities. All 71 awards are classified under PSC Natural Resources/Conservation — Forest-Range Fire Suppression/Presuppression.

Activity has been stable and consistent. The vendor received 24 awards in 2024, 24 in 2025, and 23 through September 2026. Combined potential value across the 71-award portfolio totals $1.9 million, of which $1.2 million (61 percent) has been obligated. Performance is dispersed across Pacific Northwest, Intermountain, Southwestern, and Northern Forest Service regions, with individual delivery order completion dates clustering around 8 to 30 days after award. No recompete cliff is apparent; the underlying IDC vehicles do not expire until May 2029, and task order work is short-duration and seasonal in nature, with no concentration of expiration dates in the near term.