Reliance Medical Transport, LLC

Reliance Medical Transport, LLC, a veteran-owned small business based in Virginia Beach, Virginia, provides non-emergency and emergency ambulance transportation services to the Department of Veterans Affairs as a prime contractor on indefinite delivery contracts and delivery orders, with a single Defense Health Agency award for critical and non-critical ambulance services at Langley Air Force Base.

Reliance Medical Transport is a minority-owned, veteran-owned limited liability company holding SBA Certification as a Veteran-Owned Small Business (expiring September 20, 2028) and DOT Certified DBE status. The vendor operates exclusively as a prime contractor on full-and-open delivery orders and indefinite delivery contracts; 100% of its recent award footprint comprises prime contracts with no subcontracting activity. The company competes in NAICS 621910 (Ambulance Services) and PSC code for Transportation/Travel/Relocation, with all 39 awards spanning ambulance transportation.

Customer concentration is extreme. Veterans Integrated Service Network 6 (VISN 6), the civilian VA regional network covering North Carolina and Virginia, accounts for 38 of 39 awards and $157 million of $158.7 million in combined potential value (99% of the footprint). The single outlier is a $1.7 million Total Small Business set-aside purchase order from the Defense Health Agency awarded in September 2024 for ambulance services at the 633rd Medical Group at Langley Air Force Base, Virginia. The two agency rankings are identical — no divergence between award count and dollar concentration. Reliance Medical Transport's relationship with VISN 6 is a dominant, single-customer dependency.

Reliance Medical Transport holds nine active indefinite delivery contracts with VISN 6, each a single-award vehicle with firm fixed-price delivery-order structure. The largest is IDC 36C24625D0043 (ceiling $26.1 million, ultimate completion February 2026) for non-emergency Advanced Life Support and Basic Life Support ambulance services in Hampton, Virginia, which has generated three delivery orders ($4.1 million, $6.5 million, $13.2 million). IDC 36C24623D0045 (ceiling $14.4 million, ultimate completion through February 2027) covers non-emergency ambulance services in the Fayetteville, North Carolina VA Coastal Healthcare System and subordinate Community-Based Outpatient Clinics, with three delivery orders. Two newly awarded IDCs effective December 1, 2025, total $17.8 million in ceiling value: one for $16.2 million (non-emergent Fayetteville services through November 2030) and one for $1.6 million (non-emergent services through May 2026). A third December 2025 award — IDC 36C24623D0044 — establishes emergent ambulance services with a $1.6 million ceiling through September 2030, anchored by a $7.96 million delivery order for emergency room ambulance transportation through the same completion date. An October 2024 Veteran Sole Source IDC (ceiling $1.42 million, completed September 2025) covered sole-source ALS/BLS services for Fayetteville emergency department operations. Recompete exposure in the next twenty-four months is modest: three awards with combined potential value of $16.2 million reach ultimate completion inside that window. Activity has grown unevenly — six awards in 2022, five in 2023, eleven in 2024, seven in 2025, and three in the first six months of 2026 — reflecting the episodic nature of delivery-order issuance against standing IDVs rather than new vehicle procurement.

SCI-reported federal service-contract invoicing totaled $44 million across FY2023 and FY2024, with no FY2022 reportable activity. The vendor invoiced $23 million in FY2023 against an estimated 243 FTEs and $21 million in FY2024 against 186 FTEs — both figures derived from contract-level SCI records and reflecting ambulance transport personnel (drivers, paramedics, supervisory, dispatch, and support staff) deployed to VISN 6 facilities across the region. On government-paid hourly rates for SCI-reportable prime contracts, rates median around $50.73 per hour, with the tenth percentile at $26.69 per hour and the ninetieth percentile at $79.33 per hour — a wage-band typical of Basic Life Support drivers at the lower end and Advanced Life Support paramedics and supervisory labor at the upper end. SCI shows zero subcontracting hours across prime contracts; Reliance Medical Transport delivers ambulance services with its own personnel and operational infrastructure, with no named subcontractor engagement. The vendor's footprint is geographically concentrated in Hampton, Salisbury, Fayetteville, Asheville, and Durham, North Carolina, and Hampton and Virginia Beach, Virginia, all within VISN 6's service territory.

Scheduled and Unscheduled, emergency and non-emergency medical transportation from residents & care facilities to & from medical appointments. Hospital discharge transportation to nursing homes, extended care or residences. Long distance ground ambulance transports.