Regional Emergency Medical Services Authority

Regional Emergency Medical Services Authority (doing business as Remsa), a tax-exempt nonprofit based in Reno, Nevada, provides emergency ambulance transportation, ground and air ambulance services, and Advanced Life Support and Basic Life Support operations to the Department of Justice Bureau of Prisons, the U.S. Department of Agriculture Forest Service, and the Department of Veterans Affairs as a prime contractor competing on a full-and-open basis with no set-aside designations. Remsa operates as Washoe County's exclusive ground ambulance provider and delivers air ambulance services regionally through its Care Flight program.

Remsa's federal footprint centers on two distinct customer concentrations. The Department of Justice Bureau of Prisons Federal Correctional Institution Herlong dominates the award count at 93 awards (48% of total awards tracked) valued at $2.7 million combined potential value, comprising recurring quarterly and monthly BPA calls and purchase orders for inmate emergency transport under a single-award BPA with a $250,000 ceiling running through September 30, 2026. The Department of Agriculture Forest Service Fire and Aviation Management National Interagency Fire Center accounts for 4 awards valued at $1.6 million, representing the second-largest dollar concentration despite lower award count. A third customer set — the Department of Veterans Affairs at 48 awards — ranks second in volume but carries minimal dollar value in the source snapshot. Remsa also holds work with the Department of Agriculture Forest Service R5-Pacific Southwest Region (9 awards, $608 thousand), including a $115,000 ambulance purchase order and regional emergency response contracts. Together these four customers represent 80% of recent awards.

Remsa's contract vehicle portfolio includes three firm fixed-price Indefinite Delivery Contracts awarded by the National Interagency Fire Center: a multiple-award IDC valued at $750,000 for Region 13 ALS and BLS ambulance services (awarded February 6, 2026, running through May 8, 2030); a Virtual Incident Procurement Incident BPA valued at $250,000 for the same services (awarded July 10, 2025, running through May 8, 2030); and a second $250,000 multiple-award IDC awarded July 15, 2026, running through July 15, 2028. Against these vehicles Remsa has placed four task orders generating $2.1 million in combined potential value. The primary workhorse vehicle is BPA DJB61903BPA08002 with the Federal Correctional Institution Herlong, supporting 57 quarterly and monthly task orders and purchase orders valued at $373 thousand combined potential value. A second BPA (15B61922A00000001) carries 12 task orders and $891 thousand combined potential value, also supporting Bureau of Prisons operations.

Activity has remained steady at four to six awards per year over the last five years, with only one award (valued at $300 thousand) reaching ultimate completion within the next twenty-four months — a moderate recompete risk concentrated in the Herlong single-award BPA, which expires September 30, 2026. Remsa's award portfolio spans 194 total federal transactions since 1992, concentrated in ambulance services across NAICS 621411 (Ambulance Services; 116 awards) and forest fire suppression support (NAICS 11531, Support Activities for Forestry; 13 awards). Combined obligated dollars across all awards total $14.9 million against a combined potential value of $7.3 million, indicating substantial invoicing against contract ceilings. Remsa acts as a sub-recipient on two grant sub-awards from the Nevada Department of Public Safety for occupant protection initiatives (awarded October 1, 2022 and October 1, 2023).