Metro West Ambulance Service, Inc.

Metro West Ambulance Service, Inc., a for-profit medical transportation provider headquartered in Hillsboro, Oregon, operates exclusively as a prime contractor delivering non-emergent ground ambulance, wheelchair transportation, Basic Life Support, Advanced Life Support, and Critical Care Transport services to the Department of Veterans Affairs Veterans Integrated Service Network 20 across the Pacific Northwest. The vendor competes full-and-open; Metro West holds no SBA set-aside certifications and has won all 55 tracked awards without set-aside designation, reflecting direct competition on capability and pricing.

Metro West's customer concentration is extreme: 53 of 55 awards (96% by count, 99% by potential value) flow from a single customer — VA VISN 20, the regional VA healthcare network serving a 27-county catchment area in southwest Washington and northwest Oregon. The vendor has served this customer continuously since 2004 and now operates across four geographic service regions: Portland, Roseburg, Puget Sound, and Spokane. Combined potential value across the portfolio sits at $94.4 million, with $42.8 million obligated to date.

Metro West's vehicle position consists of six single-award Indefinite Delivery Contracts with VISN 20, each with five-year performance windows extending through 2029–2030. The largest vehicles are a $7.5 million Portland wheelchair transportation IDIQ (November 2025 – October 2030), a $7.5 million Portland non-emergent ground ambulance IDIQ (September 2025 – August 2030), and a $7.5 million Roseburg ground ambulance IDIQ (October 2025 – September 2030), plus smaller IDIQs for Puget Sound North ($5.7 million), Puget Sound ($2.2 million), and Spokane ($3.9 million) ground ambulance services. Recent delivery orders include a $1.66 million award for non-emergent ground ambulance services at Portland VA Medical Center (September 2026 – August 2027), a $779 thousand award for Puget Sound North ground ambulance services (August 2026 – July 2027), and a $2.14 million wheelchair transportation award for Portland (November 2025 – October 2026). Across the five largest parent vehicles, 25 task orders carry combined potential value of $19.3 million.

Award activity has grown substantially: two awards in both 2022 and 2023, nine in 2024, twelve in 2025, and two recorded through September 2026. Recompete exposure over the next twenty-four months includes eight awards valued at $9.3 million combined potential value, principally delivery orders against the Portland wheelchair and ground ambulance IDIQs and the Puget Sound North IDIQ nearing completion in 2026–2027.

Metro West operates as a fully integrated prime, with no subcontractors across its federal work — all labor and transportation services are self-performed. SCI-reported invoicing reached $1.5 million in FY2023 across 24.3 FTEs and $2.1 million in FY2024 across 31.5 FTEs, representing a partial snapshot of federal service-contract activity above the $150,000 threshold. Government-paid hourly rates on SCI-reportable contracts ranged from a low of $22.13/hr to a median of $33.75/hr, with senior positions pricing through $89.75/hr. The SCI dataset shows zero subcontractor engagement across prime records. Metro West's federal footprint is exceptionally concentrated: a sole-customer monopoly with a single VA regional network, single-award vehicles only, and full operational self-delivery across all tracked work since 2004.