Federal Capture Intelligence

Top DoD all other miscellaneous ambulatory health care services contractors (NAICS 621999)

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of Defense agency guide NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Latest 12 months
$107.9M
Net obligations · Down $38.2M vs. $146.1M preceding
Prime contractors
48
With positive obligations in the latest 12 months

Research the DoD federal contracting market for all other miscellaneous ambulatory health care services under NAICS 621999. Compare top federal contractors and market share, reported contract obligations and spending trends, funding-office attribution, recent award activity, contract types, competition, and procurement methods, observed contract vehicle usage, and potential recompete research leads.

Contract obligation trends for All Other Miscellaneous Ambulatory Health Care Services at the Department of Defense

Federal records show $772.0M in net obligations across 810 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Defense from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.034% of $2.3T in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 26.1% from $146.1M to $107.9M. 14 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY26 is year-to-date through Sep 10, 2026; earlier years show complete fiscal-year totals.

FY26 year-to-date: $68.8M versus $124.8M through the same date in FY25 (−44.9%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$153.3M1,065Complete
FY2023$206.5M898Complete
FY2024$179.5M956Complete
FY2025$163.9M796Complete
FY2026$68.8M337YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$772.0M
810 awards · 155 prime contractors
Latest 12-month movement
−26.1%
$107.9M vs. $146.1M
Leading eight prime share
65.9%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.034% of $2.3T in agency-wide net obligations.
Set-aside share when reported
73.1% of 372 awards with reported set-aside status.
Set-aside reporting
272 set aside · 100 no set-aside · 438 not reported

What changed in the last 12 months?

Sep 11, 2025–Sep 10, 2026, compared with Sep 11, 2024–Sep 10, 2025.

Competitive shifts

COGNITO SYSTEMS LLC gained the most market share
0.5%→14.9%+14.4 percentage points
The contractor now ranks #1 by positive obligations, based on 2 reported actions.
DEFENSE HEALTH PROFESSIONALS LLC fell the most in the contractor rankings
#16→#40Down 24 places
The contractor accounts for 0.13% of positive obligations across 3 reported actions.
DAWSON CMS, LLC lost the most market share
8.9%→3.2%−5.7 percentage points
The contractor now ranks #10 by positive obligations, based on 12 reported actions.

Buyer demand

Reported obligations through DIRECTOR, WRNMMC decreased
$22.3M→$7.5M−$14.7M
Latest-period activity spans 7 awards across 5 prime contractors.
Reported obligations through W6TP CENTER FOR IMT increased
$1.2M→$16.2M+$14.9M
Latest-period activity spans 1 award across 1 prime contractor.

Award activity

COGNITO SYSTEMS LLC received an unusually large obligation action
$16.2MSep 18, 2025 action
Reported under PIID W81K0421C0009 by W6TP CENTER FOR IMT. Award net obligations after the action: $68.1M.
View supporting award
View 3 additional material changes

Market structure

Top-five contractor share increased
42.9%→51.7%+8.8 percentage points
Contractors outside the top five now account for 48.3% of positive obligations.

Competitive shifts

SWORD HEALTH INC was the largest newly observed contractor
$2.6MLatest 12-month obligations
First observed in this market on Sep 29, 2025, the contractor now ranks #12 by positive obligations across 2 reported actions.
INTERAGENCY READINESS SOLUTIONS, LLC had no reported activity in the latest 12 months
$1.4M→$0No latest-period activity
It previously ranked #22 by positive obligations, based on 3 reported actions.
How these findings are calculated

Findings are selected from matched-period changes in obligations, share, rank, funding offices, concentration, reported set-asides, material award actions, and agency-peer outliers. Related signals are combined, and only material evidence-backed changes are shown. Review the full methodology.

Federal contract obligations by funding office

See how positive obligations were attributed across funding offices in the 12 months ending Sep 10, 2026.

14.7% of positive obligations were attributed to W6TP CENTER FOR IMT. That represents $16.2M, up $14.9M from the preceding 12 months.

Latest 12-month share of positive obligations; the gray segment represents all other reported offices.

  1. W6TP CENTER FOR IMT14.7% · $16.2M · up $14.9M
  2. DEFENSE HEALTH AGENCY (HT0074)14.6% · $16.1M · up $5.2M
  3. DIRECTOR, WRNMMC6.9% · $7.5M · down $14.7M
  4. HQ AFRS RSOA5.7% · $6.3M · down $3.5M
  5. DEFENSE HEALTH NETWORK PACIFIC RIM4.2% · $4.6M · up $1.8M
  6. All other reported offices53.8% of positive obligations
View reported office rankings, comparisons, and evidence

USAspending assigns each award to a funding office. That office may differ from the requiring activity, program office, contracting office, individual buyer, or actual customer.

  1. Reported funding office

    W6TP CENTER FOR IMT

    #1Up 29 from #30

    Latest 12 months

    $16.2M

    14.7% of positive obligations

    Versus preceding 12 months

    +$14.9M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 1204.3% from $1.2M to $16.2M. The office’s share of positive obligations moved from 0.75% to 14.7%, a change of +14.0 percentage points.

    The latest period contains 2 actions across 1 award. The preceding period contained 2 active prime contractors and 2 awards.

  2. Reported funding office

    DEFENSE HEALTH AGENCY (HT0074)

    #2Rank unchanged

    Latest 12 months

    $16.1M

    14.6% of positive obligations

    Versus preceding 12 months

    +$5.2M

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations increased 47.4% from $10.9M to $16.1M. The office’s share of positive obligations moved from 6.6% to 14.6%, a change of +8.1 percentage points.

    The latest period contains 11 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 1 award.

  3. Reported funding office

    DIRECTOR, WRNMMC

    #3Down 2 from #1

    Latest 12 months

    $7.5M

    6.9% of positive obligations

    Versus preceding 12 months

    −$14.7M

    5 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 66.1% from $22.3M to $7.5M. The office’s share of positive obligations moved from 13.4% to 6.9%, a change of −6.5 percentage points.

    The latest period contains 25 actions across 7 awards and 1 newly active prime contractor. The preceding period contained 6 active prime contractors and 9 awards.

    Leading award-level changes

  4. Reported funding office

    HQ AFRS RSOA

    #4Down 1 from #3

    Latest 12 months

    $6.3M

    5.7% of positive obligations

    Versus preceding 12 months

    −$3.5M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 36.0% from $9.8M to $6.3M. The office’s share of positive obligations moved from 5.9% to 5.7%, a change of −0.2 percentage points.

    The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  5. Reported funding office

    DEFENSE HEALTH NETWORK PACIFIC RIM

    #5Up 11 from #16

    Latest 12 months

    $4.6M

    4.2% of positive obligations

    Versus preceding 12 months

    +$1.8M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 61.9% from $2.9M to $4.6M. The office’s share of positive obligations moved from 1.7% to 4.2%, a change of +2.5 percentage points.

    The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  6. Reported funding office

    DEFENSE HEALTH AGENCY - CA

    #6Up 4 from #10

    Latest 12 months

    $4.3M

    3.9% of positive obligations

    Versus preceding 12 months

    −$566K

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 11.6% from $4.9M to $4.3M. The office’s share of positive obligations moved from 2.9% to 3.9%, a change of +1.0 percentage points.

    The latest period contains 12 actions across 4 awards. The preceding period contained 3 active prime contractors and 4 awards.

  7. Reported funding office

    F2QF04 HQ ACC AMIC DRR

    #7New to the positive-obligation ranking

    Latest 12 months

    $3.7M

    3.3% of positive obligations

    Versus preceding 12 months

    +$3.7M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $3.7M. The office’s share of positive obligations moved from 0% to 3.3%, a change of +3.3 percentage points.

    The latest period contains 2 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.

  8. Reported funding office

    W8AK FLARNG ELEMENT, JF HQ

    #8Rank unchanged

    Latest 12 months

    $3.5M

    3.2% of positive obligations

    Versus preceding 12 months

    −$2.3M

    2 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 40.0% from $5.8M to $3.5M. The office’s share of positive obligations moved from 3.5% to 3.2%, a change of −0.3 percentage points.

    The latest period contains 11 actions across 7 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 5 awards.

  9. Reported funding office

    DIRECTOR, FBCH - PAA

    #9Up 12 from #21

    Latest 12 months

    $3.4M

    3.1% of positive obligations

    Versus preceding 12 months

    +$1.5M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 77.4% from $1.9M to $3.4M. The office’s share of positive obligations moved from 1.2% to 3.1%, a change of +1.9 percentage points.

    The latest period contains 4 actions across 3 awards. The preceding period contained 3 active prime contractors and 8 awards.

  10. Reported funding office

    NAV HOSP JACKSON FL DMLS - MM

    #10Up 3 from #13

    Latest 12 months

    $3.3M

    3.0% of positive obligations

    Versus preceding 12 months

    −$7K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 0.2% from $3.3M to $3.3M. The office’s share of positive obligations moved from 2.0% to 3.0%, a change of +1.0 percentage points.

    The latest period contains 7 actions across 2 awards. The preceding period contained 2 active prime contractors and 3 awards.

  11. Reported funding office

    NAVAL HEALTH CLINIC QUANTICO - MM

    #14New to the positive-obligation ranking

    Latest 12 months

    $2.1M

    1.9% of positive obligations

    Versus preceding 12 months

    +$2.7M

    3 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations moved from $588K in net deobligations to $2.1M in net obligations. The office’s share of positive obligations moved from 0% to 1.9%, a change of +1.9 percentage points.

    The latest period contains 6 actions across 3 awards. The preceding period contained 5 active prime contractors and 5 awards.

  12. Reported funding office

    F2CFDN HQ PACAF A3 A3EB

    #17Down 12 from #5

    Latest 12 months

    $1.3M

    1.2% of positive obligations

    Versus preceding 12 months

    −$5.8M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 81.9% from $7.0M to $1.3M. The office’s share of positive obligations moved from 4.2% to 1.2%, a change of −3.1 percentage points.

    The latest period contains 2 actions across 1 award. The preceding period contained 2 active prime contractors and 2 awards.

  13. Reported funding office

    NAVMEDCEN CAMP LEJEUNE NC - MM

    #78Down 69 from #9

    Latest 12 months

    $101K

    0.090% of positive obligations

    Versus preceding 12 months

    −$5.4M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations decreased 98.2% from $5.5M to $101K. The office’s share of positive obligations moved from 3.3% to 0.090%, a change of −3.2 percentage points.

    The latest period contains 5 actions across 3 awards. The preceding period contained 5 active prime contractors and 6 awards.

  14. Reported funding office

    F3PH2A HQ 19AF

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$6.7M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 100.0% from $6.7M to $0. The office’s share of positive obligations moved from 4.0% to 0%, a change of −4.0 percentage points.

    The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  15. Reported funding office

    DEFENSE HEALTH AGENCY (HT0048)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    +$15.2M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations moved from $15.2M in net deobligations to $0 in net obligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 2 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 6 active prime contractors and 14 awards.

    Leading award-level changes

  16. Reported funding office

    W47A US ARMY RESERVE COMMAND

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$8.6M

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $8.6M to $0. The office’s share of positive obligations moved from 5.2% to 0%, a change of −5.2 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 1 award.

Contract types, competition, and procurement methods

From Sep 11, 2025 through Sep 10, 2026, 133 awards had positive obligations totaling $112.1M. Subject to Multiple Award Fair Opportunity was the leading reported procedure, accounting for 54.9% of positive obligations. Awards with a reported parent IDV accounted for 58.5%. Reported awards used contract vehicles such as MSS.

Leading award type
58.4%
Delivery Order
Leading reported procedure
54.9%
Subject to Multiple Award Fair Opportunity
Reported parent IDV
58.5%
of positive obligations had a reported parent IDV
Median reported offers
11
126 of 133 awards reported offers

Observed contract vehicles

Only exact reported parent-PIID matches are shown; missing parent IDs are not inferred.

  • MSS

    $55.1M

    49.2% of positive obligations · 92 matched awards

Buying method changes

Compared with Sep 11, 2024–Sep 10, 2025. Based on 133 current awards and 270 preceding awards with positive net obligations.

Multiple-award parent obligation share
55.0%
Down from 67.0% in the preceding period
Subject to Multiple Award Fair Opportunity obligation share
54.9%
Down from 66.9% in the preceding period
How to read these changes

Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.

Same-NAICS comparison

Compared with the NAICS 621999 peer median, parent-IDV obligation share is 15.8 percentage points higher, reported full-and-open obligation share is 2.1 percentage points lower, delivery-order obligation share is 16.5 percentage points higher, and median positive award obligations are 127.0% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share58.5%42.8%+15.8 pts
Reported full-and-open obligation share10.2%12.2%-2.1 pts
Delivery-order obligation share58.4%42.0%+16.5 pts
Median positive award obligations$264K$116K+127.0%
Peer cohort and comparison limits

The peer median gives each of the 4 eligible agency markets equal weight. The included agency markets are:

Agency mission, scale, and acquisition context can differ. Peer position does not establish market attractiveness or predict a future procurement method.

View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Delivery Order(C)105$65.5M58.4%
Definitive Contract(D)12$39.9M35.6%
Purchase Order(B)13$6.6M5.8%
BPA Call(A)3$80K0.070%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)105$65.5M58.4%
BPA(E)3$80K0.070%
Not reported25$46.5M41.5%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Multiple Award(M)99$61.6M55.0%
Single Award(S)9$4.0M3.5%
Not reported25$46.5M41.5%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Subject to Multiple Award Fair Opportunity(MAFO)98$61.5M54.9%
Negotiated Proposal/Quote(NP)4$36.1M32.2%
Simplified Acquisition(SP1)22$10.0M8.9%
Only One Source(SSS)8$4.1M3.6%
Sealed Bid(SB)1$456K0.41%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition After Exclusion of Sources(D)102$86.7M77.3%
Full and Open Competition(A)1$11.4M10.2%
Not Competed Under SAP(G)9$5.6M5.0%
Competed Under SAP(F)13$4.3M3.9%
Not Available for Competition(B)8$4.1M3.6%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)70$46.6M41.6%
Competitive Set Aside(CSA)27$14.9M13.3%
Follow-on Action Following Competitive Initial Action(FOO)1$40K0.040%
Not reported35$50.5M45.1%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)13$6.3M5.6%
SAP Non-Competition (FAR 13)(SP2)4$3.4M3.0%
Not reported116$102.4M91.4%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)127$105.6M94.2%
Fixed Price Level of Effort(B)6$6.4M5.8%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Clerical Medical Support(Q802)37$21.9M19.5%
Medical- Managed Healthcare(Q201)11$18.2M16.2%
Medical- Evaluation/Screening(Q403)8$16.3M14.6%
Medical- Other(Q999)16$11.5M10.3%
Medical Coding and Auditing(Q601)5$11.0M9.9%
Specialized Medical Support(Q701)19$11.0M9.8%
Other reported values37$22.1M19.8%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Defense Health Agency(97DH)85$60.4M53.9%
Department of the Army(2100)21$22.8M20.3%
Department of the Air Force(5700)25$17.5M15.6%
Federal Acquisition Service(4732)1$11.4M10.2%
Department of Defense Education Activity(97F2)1$38K0.030%

Awarding offices

Reported valueAwardsPositive obligationsShare
W40m Usa Hca(W81K04)2$16.4M14.7%
Defense Health Agency(HT0014)9$15.9M14.2%
Defense Health Agency Hcd West(HT9410)20$15.3M13.6%
GSA Fas Aas Region 7(47QFWA)1$11.4M10.2%
Defense Health Agency(HT9406)24$9.1M8.1%
Defense Health Agency(HT9408)14$8.2M7.4%
Other reported values63$35.7M31.9%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
HT001418D0018(9700)14$11.6M10.4%
HT001418D0012(9700)12$10.7M9.5%
HT001418D0006(9700)6$5.7M5.0%
HT001418D0029(9700)8$5.6M5.0%
HT001418D0027(9700)2$4.8M4.3%
FA489024D0005(9700)3$3.9M3.5%
W911YN25DA002(9700)6$3.4M3.1%
HT001418D0020(9700)1$2.9M2.6%
Other reported values56$17.0M15.1%
Not reported25$46.5M41.5%

Exact vehicle-match evidence

Reported award data linked 92 awards to a specific catalog vehicle.

Offers, award size, and timing

Median reported offers
11 median
126 reported · 7 not reported
Positive award obligations
$264K median
$112K–$586K middle 50%
Reported performance period
1,042 days (~2.9 years) median
133 reported · 0 not reported

Calculations group latest-period actions by award, retain awards with positive net obligations for share denominators, and use each award's latest reported USAspending procurement fields as of Sep 10, 2026. Blank competition, pricing, PSC, or parent-IDV values remain not reported; they are not inferred. Offer counts must be positive and below the FPDS 999 placeholder. Awarding organizations can differ from the funding agency that defines this page.

Top federal contractors

Latest 12-month market share, concentration, and complete prime contractor rankings across the period shown.

Prime contractor concentration
14 of 48prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
14.9%of positive obligations in the last 12 months
Leading four prime contractors
45.9%of positive obligations in the last 12 months
Leading eight prime contractors
65.9%of positive obligations in the last 12 months

Based on $108.4M in positive obligations during the 12 months ending Sep 10, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Sep 11, 2024–Sep 10, 2025.

Last 12mo obligation volume: Highest positive obligations first; net deobligations follow by magnitude; contractors with no activity in the last 12 months follow by all-period obligations. Ranks use the complete contractor list and remain fixed when search narrows the results.

15 leading contractors
  1. #1

    Last 12mo obligations

    $16.2M

    14.9%

    Dollar movement

    +$15.4M

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for COGNITO SYSTEMS LLC
    Obligations: prior → latest
    $781K → $16.2M
    +1970.6%
    Share: prior → latest
    0.48% → 14.9%
    +14.4 percentage points
    All-period obligations
    $58.6M
    7.6% of all-period positive obligations · 1 award
    Recorded activity
    Since Oct 25, 2021
    through Jan 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported00
    Reported small business11
    All-period set-aside types
    • 1 · Total small business
  2. #2

    Last 12mo obligations

    $11.6M

    10.7%

    Dollar movement

    −$464K

    vs. prior 12 months

    Last 12mo awards

    17 awards

    40 actions

    Historical and award details for HEALTH PARTNER'S MANAGEMENT GROUP, INCORPORATED
    Obligations: prior → latest
    $12.0M → $11.6M
    −3.9%
    Share: prior → latest
    7.4% → 10.7%
    +3.2 percentage points
    All-period obligations
    $55.2M
    7.1% of all-period positive obligations · 64 awards
    Recorded activity
    Since Oct 1, 2021
    through Apr 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside68
    Reported no set-aside00
    Not reported1129
    Reported small business1737
    All-period set-aside types
    • 13 · Total small business
    • 1 · WOSB set-aside
  3. #3

    Last 12mo obligations

    $11.4M

    10.5%

    Dollar movement

    +$452K

    vs. prior 12 months

    Last 12mo awards

    1 award

    10 actions

    Historical and award details for CG SERVICES LLC
    Obligations: prior → latest
    $10.9M → $11.4M
    +4.1%
    Share: prior → latest
    6.8% → 10.5%
    +3.8 percentage points
    All-period obligations
    $49.8M
    6.4% of all-period positive obligations · 3 awards
    Recorded activity
    Since Oct 20, 2021
    through May 4, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $10.7M

    9.8%

    Dollar movement

    −$3.0M

    vs. prior 12 months

    Last 12mo awards

    12 awards

    44 actions

    Historical and award details for DESTINY MANAGEMENT SERVICES, LLC
    Obligations: prior → latest
    $13.7M → $10.7M
    −22.2%
    Share: prior → latest
    8.5% → 9.8%
    +1.4 percentage points
    All-period obligations
    $59.2M
    7.6% of all-period positive obligations · 37 awards
    Recorded activity
    Since Oct 4, 2021
    through Apr 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside37
    Reported no set-aside01
    Not reported917
    Reported small business1225
    All-period set-aside types
    • 9 · Total small business
    • 3 · WOSB set-aside
  5. #5

    Last 12mo obligations

    $6.3M

    5.8%

    Dollar movement

    −$3.3M

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for T3I, INC.
    Obligations: prior → latest
    $9.6M → $6.3M
    −34.3%
    Share: prior → latest
    5.9% → 5.8%
    −0.1 percentage points
    All-period obligations
    $37.3M
    4.8% of all-period positive obligations · 3 awards
    Recorded activity
    Since Dec 30, 2021
    through Mar 5, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported00
    Reported small business11
    All-period set-aside types
    • 2 · Total small business
  6. #6

    Last 12mo obligations

    $5.6M

    5.2%

    Dollar movement

    −$5.0M

    vs. prior 12 months

    Last 12mo awards

    8 awards

    24 actions

    Historical and award details for ARAPAHO TECHNICAL SERVICES LLC
    Obligations: prior → latest
    $10.6M → $5.6M
    −47.0%
    Share: prior → latest
    6.6% → 5.2%
    −1.4 percentage points
    All-period obligations
    $29.4M
    3.8% of all-period positive obligations · 28 awards
    Recorded activity
    Since Oct 1, 2021
    through Apr 23, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside47
    Reported no set-aside01
    Not reported47
    Reported small business815
    All-period set-aside types
    • 10 · Total small business
  7. #7

    Last 12mo obligations

    $5.0M

    4.6%

    Dollar movement

    −$10.5M

    vs. prior 12 months

    Last 12mo awards

    14 awards

    38 actions

    Historical and award details for DILLIGAS CORP
    Obligations: prior → latest
    $15.5M → $5.0M
    −67.9%
    Share: prior → latest
    9.6% → 4.6%
    −5.0 percentage points
    All-period obligations
    $53.6M
    6.9% of all-period positive obligations · 28 awards
    Recorded activity
    Since Oct 2, 2021
    through Apr 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside25
    Reported no set-aside00
    Not reported1215
    Reported small business1420
    All-period set-aside types
    • 8 · Total small business
  8. #8

    Last 12mo obligations

    $4.8M

    4.4%

    Dollar movement

    +$53K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for STRATUS FEDERAL SOLUTIONS LLC
    Obligations: prior → latest
    $4.7M → $4.8M
    +1.1%
    Share: prior → latest
    2.9% → 4.4%
    +1.5 percentage points
    All-period obligations
    $20.5M
    2.6% of all-period positive obligations · 9 awards
    Recorded activity
    Since Nov 4, 2021
    through Mar 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported23
    Reported small business23
    All-period set-aside types
    • 2 · Total small business
  9. #9

    Last 12mo obligations

    $3.9M

    3.6%

    Dollar movement

    −$9.9M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    6 actions

    Historical and award details for LMR TECHNICAL GROUP LLC
    Obligations: prior → latest
    $13.8M → $3.9M
    −71.5%
    Share: prior → latest
    8.6% → 3.6%
    −4.9 percentage points
    All-period obligations
    $17.8M
    2.3% of all-period positive obligations · 5 awards
    Recorded activity
    Since Mar 11, 2024
    through Jan 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported44
    Reported small business44
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $3.4M

    3.2%

    Dollar movement

    −$11.0M

    vs. prior 12 months

    Last 12mo awards

    6 awards

    12 actions

    Historical and award details for DAWSON CMS, LLC
    Obligations: prior → latest
    $14.4M → $3.4M
    −76.1%
    Share: prior → latest
    8.9% → 3.2%
    −5.7 percentage points
    All-period obligations
    $26.4M
    3.4% of all-period positive obligations · 12 awards
    Recorded activity
    Since Sep 12, 2023
    through Mar 26, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside03
    Reported no set-aside00
    Not reported63
    Reported small business66
    All-period set-aside types
    • 5 · 8(a) sole source
  11. #11

    Last 12mo obligations

    $2.9M

    2.7%

    Dollar movement

    −$96K

    vs. prior 12 months

    Last 12mo awards

    1 award

    7 actions

    Historical and award details for MEDFORCE GOVERNMENT SOLUTIONS, INC.
    Obligations: prior → latest
    $3.0M → $2.9M
    −3.2%
    Share: prior → latest
    1.8% → 2.7%
    +0.8 percentage points
    All-period obligations
    $26.4M
    3.4% of all-period positive obligations · 6 awards
    Recorded activity
    Since Oct 21, 2021
    through Feb 23, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported13
    Reported small business13
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $2.6M

    2.4%

    Dollar movement

    +$2.6M

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for SWORD HEALTH INC
    Obligations: prior → latest
    $0 → $2.6M
    Not comparable
    Share: prior → latest
    0% → 2.4%
    +2.4 percentage points
    All-period obligations
    $2.6M
    0.34% of all-period positive obligations · 1 award
    Recorded activity
    Since Sep 29, 2025
    through Mar 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside10
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $2.3M

    2.1%

    Dollar movement

    −$2.7M

    vs. prior 12 months

    Last 12mo awards

    8 awards

    20 actions

    Historical and award details for CABAN RESOURCES LLC
    Obligations: prior → latest
    $5.0M → $2.3M
    −54.2%
    Share: prior → latest
    3.1% → 2.1%
    −1.0 percentage points
    All-period obligations
    $22.0M
    2.8% of all-period positive obligations · 26 awards
    Recorded activity
    Since Oct 1, 2021
    through Mar 4, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside35
    Reported no set-aside00
    Not reported512
    Reported small business817
    All-period set-aside types
    • 5 · Total small business
  14. #14

    Last 12mo obligations

    $2.2M

    2.0%

    Dollar movement

    −$396K

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for CSRS3 LLC
    Obligations: prior → latest
    $2.6M → $2.2M
    −15.3%
    Share: prior → latest
    1.6% → 2.0%
    +0.4 percentage points
    All-period obligations
    $5.8M
    0.75% of all-period positive obligations · 1 award
    Recorded activity
    Since Jul 3, 2024
    through Apr 8, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported00
    Reported small business11
    All-period set-aside types
    • 1 · 8(a) competed
  15. #15

    Last 12mo obligations

    $1.6M

    1.5%

    Dollar movement

    +$655K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for BESTICA, INC.
    Obligations: prior → latest
    $988K → $1.6M
    +66.3%
    Share: prior → latest
    0.61% → 1.5%
    +0.9 percentage points
    All-period obligations
    $4.1M
    0.53% of all-period positive obligations · 1 award
    Recorded activity
    Since Nov 17, 2023
    through Mar 19, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business11
    All-period set-aside types

    None reported.

Potential federal contract recompetes

Investigate potential recompetes surfaced by near-term end dates, award value, and recent contract changes.

CG SERVICES LLC

DODMERB MEDICAL SERVICES

The reported potential end date is Sep 30, 2026. Current award value is 99.7% of reported potential value ($47.2M of $47.3M).

Performance period

98.7%

As of Sep 10, 2026Potential end Sep 30, 2026

Current award value as a share of potential value

99.7%

$47.2M current$47.3M potential
Supporting data

Reported performance starts May 17, 2022.

No later potential end date is reported; current and potential end dates are both Sep 30, 2026.

$43.6M is obligated against $47.2M in current reported award value (92.4%).

Obligations are compared with current reported award value, not treated as a contract ceiling.

PIID 47QFWA22C0005

T3I, INC.

THE CONTRACTOR SHALL PROVIDE USAF CANDIDATE DEVELOPMENT SUPPORT SERVICES (CDSS) SPECIAL WARFARE/COMBAT SUPPORT DEVELOPMENT IN ACCORDANCE WITH PERFORMANCE WORK STATEMENT (PWS) DATED 27 DEC 2021 (REFERENCE SECTION J, ATTACHMENT 1 - PWS).

The reported potential end date is Nov 30, 2026. Current award value is 98.1% of reported potential value ($38.3M of $39.1M).

Performance period

95.5%

As of Sep 10, 2026Potential end Nov 30, 2026

Current award value as a share of potential value

98.1%

$38.3M current$39.1M potential
Supporting data

Reported performance starts Dec 30, 2021.

No later potential end date is reported; current and potential end dates are both Nov 30, 2026.

$38.3M is obligated against $38.3M in current reported award value (100.0%).

Obligations are compared with current reported award value, not treated as a contract ceiling.

PIID FA300222C0004

COGNITO SYSTEMS LLC

HOLISTIC HEALTH AND FITNESS SYSTEM ATHLETIC TRAINERS (H2F)

$68.1M is obligated on an award with a reported potential end date of September 18, 2027.

Performance period

83.3%

As of Sep 10, 2026Potential end Sep 18, 2027

Current award value as a share of potential value

68.0%

$68.2M current$100.4M potential
Supporting data

Reported performance starts Aug 13, 2021.

Current performance is reported through Sep 18, 2026.

$68.1M is obligated against $68.2M in current reported award value (99.8%).

Reported potential end dates: Oct 31, 2027 → Sep 18, 2027.

Obligations are compared with current reported award value, not treated as a contract ceiling.

PIID W81K0421C0009

These are research leads, not confirmed recompetes. USAspending records through Sep 10, 2026; reported dates and values can change through later modifications.

Recent federal contract award activity

Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.

Modification

This action

+$16.2M

COGNITO SYSTEMS LLC

W6TP CENTER FOR IMT

HOLISTIC HEALTH AND FITNESS SYSTEM ATHLETIC TRAINERS (H2F)

Why it stands out

The contractor climbed 29 positions in this market.

It now ranks #1 by positive obligations over the latest 12 months.

Award net obligations
$68.1M
Share of 12-month positive obligations
14.9%
Supporting data
Prime contractor
#1 · 14.9% share
up 29 ranks · +14.4 percentage points · $15.4M net increase; action exceeded it by $781K
Funding office
#1 · 14.7% attributed share
up 29 ranks · +14.0 percentage points · $14.9M net increase; action exceeded it by $1.2M
Related:Largest share gainUnusually large action
PIID W81K0421C0009 · Mod P00019
Modification

This action

+$12.2M

CG SERVICES LLC

DEFENSE HEALTH AGENCY

MODIFICATION P00028 - EXERCISE OPT 4

Why it stands out

The contractor climbed 3 positions in this market.

It now ranks #3 by positive obligations over the latest 12 months.

Award net obligations
$43.6M
Share of 12-month positive obligations
11.2%
Supporting data
Funding office
#2 · 14.6% attributed share
+8.1 percentage points · $5.2M net increase; action exceeded it by $7.0M
PIID 47QFWA22C0005 · Mod P00028
Modification

This action

+$3.6M

LMR TECHNICAL GROUP LLC

F2QF04 HQ ACC AMIC DRR

HUMAN PERFORMANCE OPTIMIZATION (HPO) SERVICES IN SUPPORT OF OPTIMIZING THE HUMAN WEAPON SYSTEM (OHWS) FOR ACC, AFMC, PACAF, USAFE, AND AFRC

Why it stands out

The award grew alongside stronger office-attributed spending.

The modification added $3.6M while office-attributed obligations rose $3.7M overall.

Award net obligations
$10.2M
Share of 12-month positive obligations
3.4%
Supporting data
Prime contractor
#9 · 3.6% share
$9.9M net decline despite this positive action
Funding office
#7 · 3.3% attributed share
+3.3 percentage points · $3.7M net increase; action accounted for 99.1%
PIID FA489025F0051 · Mod P00003
Modification

This action

+$6.3M

T3I, INC.

HQ AFRS RSOA

THE CONTRACTOR SHALL PROVIDE USAF CANDIDATE DEVELOPMENT SUPPORT SERVICES (CDSS) SPECIAL WARFARE/COMBAT SUPPORT DEVELOPMENT IN ACCORDANCE WITH PERFORMANCE WORK STATEMENT (PWS) DATED 27 DEC 2021 (REFERENCE SECTION J, ATTACHMENT 1 - PWS).

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $6.3M while office-attributed obligations fell $3.5M overall.

Award net obligations
$38.3M
Share of 12-month positive obligations
5.8%
Supporting data
Prime contractor
#5 · 5.8% share
$3.3M net decline despite this positive action
Funding office
#4 · 5.7% attributed share
$3.5M net decline despite this positive action
PIID FA300222C0004 · Mod P00016
Modification

This action

+$4.7M

STRATUS FEDERAL SOLUTIONS LLC

DEFENSE HEALTH AGENCY

SENIOR CREDENTIALING SPECIALIST SUPPORT SERVICES

Why it stands out

The contractor climbed 3 positions in this market.

It now ranks #8 by positive obligations over the latest 12 months.

Award net obligations
$18.8M
Share of 12-month positive obligations
4.4%
PIID HT001523F0037 · Mod P00005
Modification

This action

+$3.7M

ARAPAHO TECHNICAL SERVICES LLC

DIRECTOR, WRNMMC

MEDICAL SUPPORT SERVICES

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $3.7M while office-attributed obligations fell $14.7M overall.

Award net obligations
$16.6M
Share of 12-month positive obligations
3.4%
Supporting data
Prime contractor
#6 · 5.2% share
$5.0M net decline despite this positive action
Funding office
#3 · 6.9% attributed share
$14.7M net decline despite this positive action
PIID HT001424F0026 · Mod P00017
View recent award activity by date (10)
  1. CG SERVICES LLCDeobligation · PIID 47QFWA22C0005
    Action−$340K
    Award net obligations$43.6M
  2. HEALTH PARTNER'S MANAGEMENT GROUP, INCORPORATEDDeobligation · PIID FA500024F0007
    Action−$170K
    Award net obligations$1.7M
  3. MODERN HEALTHCARE SERVICES JV LLCModification · PIID HT940825F0014
    Action+$96K
    Award net obligations$1.9M
  4. ARAPAHO TECHNICAL SERVICES LLCModification · PIID HT940625F0009
    Action+$2K
    Award net obligations$133K
  5. DESTINY MANAGEMENT SERVICES, LLCModification · PIID HT001423F0173
    Action+$1.7M
    Award net obligations$9.0M
  6. FLORIDA DEPARTMENT OF HEALTHDeobligation · PIID FA282321P0021
    Action−$2K
    Award net obligations$36K
  7. EMPOWERED MANAGEMENT SOLUTIONS LLCDeobligation · PIID HT941022F0030
    Action−$487K
    Award net obligations$1.5M
  8. EMPOWERED MANAGEMENT SOLUTIONS LLCDeobligation · PIID HT940623F0036
    Action−$77K
    Award net obligations$462K
  9. FLORIDA DEPARTMENT OF HEALTHDeobligation · PIID FA282323P0002
    Action−$11K
    Award net obligations$12K
  10. DESTINY MANAGEMENT SERVICES, LLCDeobligation · PIID HT001424F0003
    Action−$99
    Award net obligations$7.0M

DoD all other miscellaneous ambulatory health care services market FAQs

Answers based on reported federal contract data.

Who are the top DoD all other miscellaneous ambulatory health care services contractors?

In the 12 months through September 10, 2026, COGNITO SYSTEMS LLC, HEALTH PARTNER'S MANAGEMENT GROUP, INCORPORATED, and CG SERVICES LLC were the leading DoD all other miscellaneous ambulatory health care services prime contractors by positive obligations.

  1. #1

    COGNITO SYSTEMS LLC

    $16,180,395 in positive obligations

  2. #2

    HEALTH PARTNER'S MANAGEMENT GROUP, INCORPORATED

    $11,559,819 in positive obligations

  3. #3

    CG SERVICES LLC

    $11,379,006 in positive obligations

Rankings use reported USAspending award data.

Did DoD contract obligations decrease in the all other miscellaneous ambulatory health care services market?

Yes. Measured by net prime contract obligations, reported DoD activity in the all other miscellaneous ambulatory health care services market decreased 26.1% from $146,073,708 in the preceding 12 months to $107,875,532 in the 12 months through September 10, 2026.

Latest 12 months
$107,875,532
Net prime contract obligations
Preceding 12 months
$146,073,708
Net prime contract obligations
Change
−26.1%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

What recent DoD contract award activity was reported under NAICS 621999?

Recent DoD contract award activity reported in the all other miscellaneous ambulatory health care services market included actions for COGNITO SYSTEMS LLC, CG SERVICES LLC, and LMR TECHNICAL GROUP LLC during the 12 months through September 10, 2026.

Action obligations are transaction-level amounts, not current award-level obligations.

Which procurement methods were reported for DoD contracts under NAICS 621999?

From September 11, 2025 through September 10, 2026, DoD reported 133 positive-obligation awards for all other miscellaneous ambulatory health care services under NAICS 621999. The leading award type was delivery order. The leading reported procedure was subject to multiple award fair opportunity.

Positive-obligation awards
133
Leading reported procedure
Subject to Multiple Award Fair Opportunity
54.9% of positive obligations
Leading award type
Delivery Order
58.4% of positive obligations
Full and open
10.2%
of positive obligations
Reported parent IDV
58.5%
of positive obligations
Observed vehicles
MSS
Exact matches from reported parent PIIDs

Percentages use positive obligations as the denominator.

Which DoD all other miscellaneous ambulatory health care services awards may warrant recompete research?

3 DoD all other miscellaneous ambulatory health care services awards may warrant recompete research based on reported potential-end dates, including awards held by CG SERVICES LLC, T3I, INC., and COGNITO SYSTEMS LLC.

Research leads, not confirmed recompetes. Dates may change through later modifications.

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Related market research

Complete market indexes:

Same NAICS at other agencies:

Nearby NAICS at this agency:

Markets sharing leading prime records:

Leading-prime vehicle memberships:

Company memberships do not establish award-channel use.

Reported obligations include contract actions from October 1, 2021 through September 10, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility. Public Department of Defense award records are generally delayed by 90 days.

Review data methodology