Rampcousa, Inc.

Rampcousa, Inc., a Sacramento, California-based for-profit Subchapter S Corporation, manufactures and supplies ADA-compliant mobility equipment and prosthetics—stairlifts, vertical platform lifts, ceiling lifts, modular ramps, and patient handling devices—exclusively to the Department of Veterans Affairs as a 100 percent prime contractor with no subcontract footprint.

Rampcousa operates across two primary federal supply schedule vehicles with the VA's Veterans Health Administration. The first, a Patient Mobility Devices Federal Supply Schedule contract (FSS-65-II-F) valued at $22.3 million, runs through April 30, 2029; the second, a Medical Equipment and Supplies contract (FSS-65-II-A) valued at $37.25 million, serves as the primary procurement mechanisms through which VA Veterans Integrated Service Networks (VISNs) issue task orders and delivery orders for specialized mobility aids. Under these schedules, Rampcousa has delivered nearly 2,100 awards across 19 customer agencies since 2010, with combined potential value of $89 million and $26.4 million in obligated dollars to date. The company competes exclusively in full and open competition; none of its awards carry small-business set-asides, indicating strength in the mainstream federal market.

Customer concentration is extreme and single-threaded to the Veterans Health Administration. The top five VISNs account for 77 percent of award count. VISN 21 (Northern California) leads by volume at 854 awards worth $11 million combined potential value, followed distantly by VISN 8 (Texas region) with 336 awards and $3.4 million. However, a critical anomaly emerges in the potential-value ranking: VISN 12 anchors the portfolio with only 78 awards but commands $63.4 million in combined potential value—roughly 71 percent of the company's entire federal revenue stream. This concentration signal suggests either large standing orders or master agreements through VISN 12 that dwarf the transactional volume of other regions. The remaining dollar exposure ($26 million across 1,999 awards) represents frequent, smaller task orders averaging under $13 thousand per award—the operational pattern of routine regional procurement across the broader VA system.

Award activity has declined from a 2022 peak of 177 awards annually to 39 awards year-to-date in 2026 (through late September), suggesting either saturation of available delivery orders under the master schedules or potential recompete exposure. Within the next twenty-four months, thirteen awards totaling $279 thousand face completion, presenting minimal recompete cliff risk in dollar terms but possible operational disruption if large VISN orders cycle simultaneously. Rampcousa's NAICS footprint centers on Surgical Appliance and Supplies Manufacturing (1,146 awards) and Surgical and Medical Instrument Manufacturing (661 awards), with secondary exposure to Elevator and Moving Stairway Manufacturing (75 awards), reflecting the company's mix of prosthetics, stairlifts, and vertical platform lifts. The Medical and Surgical Instruments PSC code dominates at 1,876 awards.

Rampcousa holds no parent contract vehicles beyond the two VA Federal Supply Schedules and operates solely as a prime contractor on all awards in the source data. The company has no named subcontractors and maintains direct operational control over equipment procurement and delivery across all VA regional networks. This posture—a single-customer, single-region-dominant, high-volume transactional profile across two master schedules with no strategic diversity—positions Rampcousa as a specialized VA mobility equipment vendor with limited scope outside the VHA procurement ecosystem.

SDVOSB, Federal Supply Schedule. More than 10 years experience providing handicap access products. Design, sales, installation, service. Ramps, chairlifts, platform lifts, stairlifts, ceiling lifts and pool lifts.