Kansas City/ Politics & Govt

Kansas City Firm StructSure Lands Big Air Force Medical Deal in South Dakota

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Published on October 01, 2026
Kansas City Firm StructSure Lands Big Air Force Medical Deal in South Dakota903 E 104 St #140 — StructSure Projects Headquarters
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A Kansas City general contractor has landed a $56 million contract to overhaul a military medical clinic in South Dakota, the latest sign that the firm's deep roster of federal healthcare contracts keeps paying off. StructSure Projects was awarded the medical clinic alteration project at Ellsworth Air Force Base, work tied to the installation's expanding B-21 bomber mission and the anticipated rise in clinic demand that comes with it.

According to the Kansas City Business Journal, the project was issued through the U.S. Army Corps of Engineers Little Rock Multiple Award Task Order Contract, one of three healthcare MATOC vehicles administered by the Little Rock, Huntsville and Mobile districts that together represent about $3.2 billion in contract capacity. Those vehicles support design-build and construction work at military healthcare facilities nationwide, and StructSure Projects is described as the only general contractor participating in all three major Defense Health Agency MATOC programs, with more than 25 years of involvement across them. The firm is headquartered in Kansas City, Missouri, according to aec+tech, which also notes StructSure has completed more than 1,000 public and private projects and holds membership in nine national MATOC programs overall.

What the MATOC System Actually Does

MATOC stands for Multiple Award Task Order Contract, a model that lets federal agencies prequalify a pool of contractors and then compete individual task orders among them rather than running a full solicitation for every job. The Kansas City Business Journal reports the Defense Health Agency's MATOC-based federal programs date back to 1994, and the agency relies on these healthcare MATOCs to keep military medical facilities current, operational and secure. The model limits competition to experienced healthcare contractors with a track record of high performance, and federal agencies reviewing candidates weigh past performance, technical capability, safety record, financial and bonding capacity, qualified personnel and nationwide work-management ability.

Per the same report, StructSure has been selected through each renewal cycle and can compete for work through 2032, having completed projects in 37 states and more than 200 cities. Still, holding a MATOC seat is not a guarantee of future work — contracts under the program don't guarantee the next job, and reentry to a MATOC pool is never automatic. StructSure will need to pre-qualify and bid again when the MATOCs come up for renewal, even though one program can generate multiple task orders over its term. The outlet frames the firm's repeated selection as evidence that StructSure meets federal requirements and can compete for complex government projects.

Inside the Ellsworth Clinic Overhaul

The project covers a 165,426-square-foot medical facility and will touch a wide swath of clinical operations: renovation of the aerospace medicine clinic, bioenvironmental engineering, the dental clinic and the mental health clinic, plus common areas, elevator replacements, hazardous material abatement, furniture, fixtures and equipment, transition services, and cybersecurity upgrades for low-voltage systems, according to the Kansas City Business Journal. The clinic will remain open throughout construction, with the work proceeding in phases so that completed areas reopen before the next phase begins.

That phased, stay-open approach echoes how StructSure has handled comparable federal healthcare work elsewhere. The firm's David Grant Medical Center modernization, a four-phase project spanning 331,981 square feet across four floors, required careful infection control and interim life-safety measures so construction could proceed without disrupting an operational hospital, according to StructSure Projects. A similar design-build renovation at Ellsworth's own 28th Medical Group clinic — an 81,000-square-foot project handled by Mill Creek — touched 20 departments including Public Health, Flight Medicine and Dental while the facility stayed fully operational, per Mill Creek's project summary, which also credits the firm with medical casework design, FF&E procurement and transition planning on that job.

A Growing Base Means a Growing Clinic

The new contract comes as Ellsworth Air Force Base scales up to support its B-21 bomber mission, which is expected to bring more airmen and their families to the base — and with them, more demand on the medical facility, the Kansas City Business Journal reports. StructSure's broader portfolio already includes federal and military healthcare work at the Mike O'Callaghan Military Medical Center and Keller Army Community Hospital, alongside renovations valued as high as $93 million, according to aec+tech. The firm is led by CEO Kevin Rogers alongside Vice Presidents Keith Schaller, Curtis Burgoon and Phillip Brandon.

Separately, a federal sources-sought notice posted in January proposed expanding the capacity of one of the MATOC vehicles from $480 million to $750 million, according to a filing on SAM.gov. The notice is low-confidence and does not establish whether that expansion has been finalized, but it points to continued federal appetite for the kind of large-scale healthcare construction work StructSure has built its business around.