Priority One Medical Transport Inc.

Priority One Medical Transport Inc., a woman-owned small disadvantaged business based in East McKeesport, Pennsylvania, provides Advanced Life Support (ALS) and Basic Life Support (BLS) ambulance transportation services to the Department of Veterans Affairs as a prime contractor exclusively, with all thirteen recent awards concentrated in a single customer relationship. The company operates as a Subchapter S corporation and competes predominantly under small business set-asides, holding a total small business set-aside designation on its primary five-year Indefinite Delivery Contract with Veterans Integrated Service Network 4 (VISN 4).

Priority One's entire federal footprint—13 awards totaling $43.9 million in combined potential value—derives from VISN 4, the VA's Pittsburgh region healthcare system. The company holds two active IDCs: a $16.628 million total small business set-aside five-year contract awarded July 1, 2024, running through June 30, 2029, and an older $161,539 non-set-aside contract expiring December 31, 2024. Under the larger IDIQ, Priority One has received four task orders totaling $10.8 million; under related IDIQs 36C24424D0067 and 36C24419D0060, it has placed three and one task orders respectively. Recent delivery orders include a $2.599 million firm fixed-price award (July 1, 2026, through June 30, 2027) under the total small business set-aside IDC, a $2.6 million order (July 1, 2025, through June 30, 2026), and a $2.405 million order (July 1, 2024, through June 30, 2025). All work is performed in the Pittsburgh region—East McKeesport, Pittsburgh, Sharpsburg, and Monroeville—with no subcontractor engagement across the portfolio.

The vendor's SCI-reported federal service-contract activity shows modest scale: $1.4 million invoiced in FY2023 across 2.5 FTEs and $2.5 million in FY2024 across 6.9 FTEs, reflecting the ramp-up in task-order delivery following the July 2024 IDIQ award. Government-paid rates on SCI-reportable work run a median of $266.55 per hour, ranging from $173 at the 10th percentile to $337.30 at the 90th percentile—a narrow spread typical of standardized ambulance-services labor. Priority One operates entirely as a prime contractor with no subcontractor relationships. One award—the $161,539 IDC—reaches completion within the next twenty-four months, representing minimal recompete exposure; the dominant $16.628 million IDC and its associated task orders extend through June 2029. The company's concentration in a single agency and service line, combined with its sole-source posture on VISN 4's ambulance needs, positions it as an incumbent provider with renewal risk tied exclusively to VA Pittsburgh region procurement strategy.

Advanced Life Support

Basic Life Support

Paramedic Response