Ruralmed, LLC

Ruralmed, LLC, a woman-owned small business based in St Elmo, Illinois, provides ground medical transportation and ambulance services to the Federal Bureau of Prisons as a prime contractor operating on firm fixed-price purchase orders with no set-aside designation. The vendor is a for-profit Subchapter S corporation registered in SAM.gov and operates exclusively within the rural medical transportation space, serving a single federal customer across ten awards issued between July 2022 and October 2026.

Customer concentration is absolute: the Federal Correctional Institution Greenville, a Bureau of Prisons civilian facility, accounts for 100 percent of Ruralmed's federal award footprint — all ten awards and the full $220 thousand in combined potential value. Work performed includes non-emergency transport of inmates from FCI Greenville to local hospitals and subordinate medical facilities in Greenville, Illinois, covering quarterly ambulance service contracts and ground transportation logistics on a continuing basis. Representative awards include a $47,187.97 ambulance services purchase order issued October 1, 2024 for Q1/Q2 FY25 inmate transport (ultimate completion September 15, 2025), a $33,546.58 purchase order awarded April 1, 2024 for Q3/Q4 ambulance and medical transportation services (completion August 25, 2025), and a $20 thousand purchase order issued October 1, 2026 for ground transportation from FCI Greenville to local hospitals (completion September 30, 2027).

Award activity has remained flat to declining — one award in 2022, three in 2023, three in 2024, two in 2025, and one in 2026 — with a single award totaling $20 thousand reaching ultimate completion inside the next twenty-four months and therefore exposed to recompete. The vendor has no subcontract footprint and no presence on government-wide vehicles, IDIQs, BPAs, or GWACs. Ruralmed's federal business is characterized by low-dollar, high-frequency quarterly invoicing for a captive customer base; the $200 thousand in combined dollars obligated represents 91 percent of the $220 thousand combined potential value across ten small purchase orders, indicating stable, near-full execution across its limited award portfolio.