Federal Capture Intelligence

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

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Agriculture agency guide NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Latest 12 months
$10.1M
Net obligations · Down $1.0M vs. $11.1M preceding
Prime contractors
44
With positive obligations in the latest 12 months

Research the USDA 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, and contract types, competition, and procurement methods.

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

Federal records show $30.5M in net obligations across 308 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Agriculture from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.057% of $53.8B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 9.1% from $11.1M to $10.1M. 21 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 23, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $0 versus $213K through the same date in FY26 (−100.0%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022−$22K12Complete
FY2023$31K10Complete
FY2024$8.5M128Complete
FY2025$11.7M162Complete
FY2026$10.3M144Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$30.5M
308 awards · 71 prime contractors
Latest 12-month movement
−9.1%
$10.1M vs. $11.1M
Leading eight prime share
46.3%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.057% of $53.8B in agency-wide net obligations.
Set-aside share when reported
2.6% of 308 awards with reported set-aside status.
Set-aside reporting
8 set aside · 300 no set-aside · 0 not reported

What changed in the last 12 months?

Oct 24, 2025–Oct 23, 2026, compared with Oct 24, 2024–Oct 23, 2025.

Competitive shifts

7 contractors were first observed in this market during the latest 12 months
$1.2MLatest 12-month obligations
Contractor-level obligations and first-observed dates appear below. “First observed” applies only to this market and the period shown.
View 7 contractors
ContractorLatest 12 months
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 Oct 23, 2026.

16.2% of positive obligations were attributed to OKANOGAN-WENATCHEE NATIONAL FOREST. That represents $1.6M, up $540K from the preceding 12 months.

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

  1. OKANOGAN-WENATCHEE NATIONAL FOREST16.2% · $1.6M · up $540K
  2. WALLOWA WHITMAN NATIONAL FOREST11.6% · $1.2M · up $1.2M
  3. UMATILLA NATIONAL FOREST R69.1% · $921K · up $921K
  4. SUPERIOR NATIONAL FOREST8.4% · $852K · up $852K
  5. LINCOLN NATIONAL FOREST8.1% · $815K · up $815K
  6. All other reported offices46.6% 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

    OKANOGAN-WENATCHEE NATIONAL FOREST

    #1Up 2 from #3

    Latest 12 months

    $1.6M

    16.2% of positive obligations

    Versus preceding 12 months

    +$540K

    10 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations increased 49.3% from $1.1M to $1.6M. The office’s share of positive obligations moved from 9.8% to 16.2%, a change of +6.3 percentage points.

    The latest period contains 20 actions across 12 awards and 7 newly active prime contractors. The preceding period contained 7 active prime contractors and 8 awards.

  2. Reported funding office

    WALLOWA WHITMAN NATIONAL FOREST

    #2New to the positive-obligation ranking

    Latest 12 months

    $1.2M

    11.6% of positive obligations

    Versus preceding 12 months

    +$1.2M

    10 active prime contractors · 13 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $1.2M. The office’s share of positive obligations moved from 0% to 11.6%, a change of +11.6 percentage points.

    The latest period contains 15 actions across 13 awards and 10 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

    Leading award-level changes

  3. Reported funding office

    UMATILLA NATIONAL FOREST R6

    #3New to the positive-obligation ranking

    Latest 12 months

    $921K

    9.1% of positive obligations

    Versus preceding 12 months

    +$921K

    9 active prime contractors · 9 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $921K. The office’s share of positive obligations moved from 0% to 9.1%, a change of +9.1 percentage points.

    The latest period contains 16 actions across 9 awards and 9 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  4. Reported funding office

    SUPERIOR NATIONAL FOREST

    #4New to the positive-obligation ranking

    Latest 12 months

    $852K

    8.4% of positive obligations

    Versus preceding 12 months

    +$852K

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $852K. The office’s share of positive obligations moved from 0% to 8.4%, a change of +8.4 percentage points.

    The latest period contains 11 actions across 4 awards and 4 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  5. Reported funding office

    LINCOLN NATIONAL FOREST

    #5New to the positive-obligation ranking

    Latest 12 months

    $815K

    8.1% of positive obligations

    Versus preceding 12 months

    +$815K

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $815K. The office’s share of positive obligations moved from 0% to 8.1%, a change of +8.1 percentage points.

    The latest period contains 6 actions across 4 awards and 4 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  6. Reported funding office

    Los Padres National Forest

    #6Up 2 from #8

    Latest 12 months

    $670K

    6.6% of positive obligations

    Versus preceding 12 months

    +$224K

    5 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 50.1% from $447K to $670K. The office’s share of positive obligations moved from 4.0% to 6.6%, a change of +2.6 percentage points.

    The latest period contains 6 actions across 6 awards and 3 newly active prime contractors. The preceding period contained 3 active prime contractors and 4 awards.

  7. Reported funding office

    Grand Mesa, Uncompahgre & Gunnison National Forest

    #7New to the positive-obligation ranking

    Latest 12 months

    $657K

    6.5% of positive obligations

    Versus preceding 12 months

    +$657K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $657K. The office’s share of positive obligations moved from 0% to 6.5%, a change of +6.5 percentage points.

    The latest period contains 8 actions across 3 awards and 2 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  8. Reported funding office

    San Juan National Forest

    #8Up 8 from #16

    Latest 12 months

    $419K

    4.1% of positive obligations

    Versus preceding 12 months

    +$173K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations increased 70.1% from $247K to $419K. The office’s share of positive obligations moved from 2.2% to 4.1%, a change of +1.9 percentage points.

    The latest period contains 5 actions across 2 awards. The preceding period contained 2 active prime contractors and 2 awards.

  9. Reported funding office

    Fishlake National Forest

    #9Down 3 from #6

    Latest 12 months

    $393K

    3.9% of positive obligations

    Versus preceding 12 months

    −$369K

    5 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations decreased 48.4% from $762K to $393K. The office’s share of positive obligations moved from 6.8% to 3.9%, a change of −3.0 percentage points.

    The latest period contains 7 actions across 6 awards and 3 newly active prime contractors. The preceding period contained 5 active prime contractors and 5 awards.

  10. Reported funding office

    Manti-Lasal National Forest

    #10New to the positive-obligation ranking

    Latest 12 months

    $302K

    3.0% of positive obligations

    Versus preceding 12 months

    +$302K

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $302K. The office’s share of positive obligations moved from 0% to 3.0%, a change of +3.0 percentage points.

    The latest period contains 4 actions across 4 awards and 4 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  11. Reported funding office

    Tonto National Forest

    #11Down 10 from #1

    Latest 12 months

    $292K

    2.9% of positive obligations

    Versus preceding 12 months

    −$932K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 76.2% from $1.2M to $292K. The office’s share of positive obligations moved from 11.0% to 2.9%, a change of −8.1 percentage points.

    The latest period contains 3 actions across 2 awards and 2 newly active prime contractors. The preceding period contained 7 active prime contractors and 10 awards.

  12. Reported funding office

    Six Rivers National Forest

    #29Down 25 from #4

    Latest 12 months

    $21K

    0.21% of positive obligations

    Versus preceding 12 months

    −$898K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 97.7% from $919K to $21K. The office’s share of positive obligations moved from 8.3% to 0.21%, a change of −8.1 percentage points.

    The latest period contains 1 action across 1 award and 1 newly active prime contractor. The preceding period contained 5 active prime contractors and 6 awards.

  13. Reported funding office

    ROGUE RIVER-SISKIYOU NATL FOREST

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$1.1M

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $1.1M to $0. The office’s share of positive obligations moved from 10.3% to 0%, a change of −10.3 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 3 active prime contractors and 3 awards.

    Leading award-level changes

  14. Reported funding office

    WILLAMETTE NATIONAL FOREST

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$832K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $832K to $0. The office’s share of positive obligations moved from 7.5% to 0%, a change of −7.5 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 3 active prime contractors and 4 awards.

  15. Reported funding office

    Sierra National Forest

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$654K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $654K to $0. The office’s share of positive obligations moved from 5.9% to 0%, a change of −5.9 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 4 active prime contractors and 4 awards.

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 93 awards had positive obligations totaling $10.1M. Sp1 was the leading reported procedure, accounting for 96.2% of positive obligations. Awards with a reported parent IDV accounted for 0%.

Leading award type
99.9%
Purchase Order
Leading reported procedure
96.2%
Sp1
Reported parent IDV
0%
of positive obligations had a reported parent IDV
Median reported offers
1
93 of 93 awards reported offers

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 93 current awards and 103 preceding awards with positive net obligations.

Leading reported procedure
Sp1
Previously Simplified Acquisition · 99.8% preceding vs 96.2% current
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 71.7 percentage points lower, reported full-and-open obligation share is 9.2 percentage points lower, delivery-order obligation share is 71.3 percentage points lower, and median positive award obligations are 54.6% lower.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share0%71.7%-71.7 pts
Reported full-and-open obligation share0%9.2%-9.2 pts
Delivery-order obligation share0%71.3%-71.3 pts
Median positive award obligations$88K$194K-54.6%
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
Purchase Order(B)92$10.1M99.9%
Definitive Contract(D)1$11K0.11%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
Not reported93$10.1M100.0%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Not reported93$10.1M100.0%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Sp1(SIMPLIFIED ACQUISITION)86$9.7M96.2%
Simplified Acquisition(SP1)7$381K3.8%

Extent competed

Reported valueAwardsPositive obligationsShare
G(NOT COMPETED UNDER SAP)86$9.7M96.2%
Not Competed Under SAP(G)4$340K3.4%
Competed Under SAP(F)3$41K0.41%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Not reported93$10.1M100.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
SAP Non-Competition (FAR 13)(SP2)90$10.1M99.6%
Not reported3$41K0.41%

Contract pricing types

Reported valueAwardsPositive obligationsShare
J(FIRM FIXED PRICE)86$9.7M96.2%
Firm Fixed Price(J)7$381K3.8%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Other(Q999)91$10.1M99.8%
Medical and Surgical Instruments, Equipment, and Supplies(6515)1$11K0.11%
Medical- Evaluation/Screening(Q403)1$9K0.090%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Forest Service(12C2)93$10.1M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Usda-Fs, at-Incident Mgt Spt Branch(1202RZ)35$4.1M40.0%
Pacific Northwest Regional Office(1204H1)31$3.2M31.9%
Eastern Region Usda Forest Service(1256A1)4$852K8.4%
Intermountain Regional Office, Region 4(1284M8)10$834K8.2%
Southwestern Regional Office, Region 3(128371)3$421K4.2%
Rocky Mountain Regional Office(1282X9)3$360K3.5%
Other reported values7$373K3.7%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
Not reported93$10.1M100.0%

Offers, award size, and timing

Median reported offers
1 median
93 reported · 0 not reported
Positive award obligations
$88K median
$56K–$141K middle 50%
Reported performance period
15 days median
93 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 Oct 23, 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
21 of 44prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
8.1%of positive obligations in the last 12 months
Leading four prime contractors
27.4%of positive obligations in the last 12 months
Leading eight prime contractors
46.3%of positive obligations in the last 12 months

Based on $10.1M in positive obligations during the 12 months ending Oct 23, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 24, 2024–Oct 23, 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

    $818K

    8.1%

    Dollar movement

    +$145K

    vs. prior 12 months

    Last 12mo awards

    7 awards

    10 actions

    Historical and award details for BACKCOUNTRY RESPONSE, LLC
    Obligations: prior → latest
    $673K → $818K
    +21.6%
    Share: prior → latest
    6.0% → 8.1%
    +2.0 percentage points
    All-period obligations
    $1.7M
    5.6% of all-period positive obligations · 15 awards
    Recorded activity
    Since Jun 16, 2024
    through Aug 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside76
    Not reported00
    Reported small business76
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $762K

    7.5%

    Dollar movement

    −$57K

    vs. prior 12 months

    Last 12mo awards

    7 awards

    8 actions

    Historical and award details for EMERGENCY RESPONSE LOGISTICS, LLC
    Obligations: prior → latest
    $819K → $762K
    −6.9%
    Share: prior → latest
    7.4% → 7.5%
    +0.2 percentage points
    All-period obligations
    $2.0M
    6.5% of all-period positive obligations · 17 awards
    Recorded activity
    Since Jun 27, 2024
    through Aug 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside73
    Not reported00
    Reported small business73
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $677K

    6.7%

    Dollar movement

    +$566K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    8 actions

    Historical and award details for MINUTEMAN EMS LLC
    Obligations: prior → latest
    $111K → $677K
    +512.1%
    Share: prior → latest
    0.99% → 6.7%
    +5.7 percentage points
    All-period obligations
    $869K
    2.8% of all-period positive obligations · 6 awards
    Recorded activity
    Since Aug 1, 2024
    through Aug 26, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside32
    Not reported00
    Reported small business32
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $511K

    5.0%

    Dollar movement

    +$15K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for FRONTLINE MEDICAL LLC
    Obligations: prior → latest
    $496K → $511K
    +3.0%
    Share: prior → latest
    4.5% → 5.0%
    +0.6 percentage points
    All-period obligations
    $1.4M
    4.4% of all-period positive obligations · 10 awards
    Recorded activity
    Since Jun 30, 2024
    through Aug 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside33
    Not reported00
    Reported small business33
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $496K

    4.9%

    Dollar movement

    +$324K

    vs. prior 12 months

    Last 12mo awards

    5 awards

    7 actions

    Historical and award details for FOUR PEAKS MEDICS LLC
    Obligations: prior → latest
    $172K → $496K
    +187.6%
    Share: prior → latest
    1.6% → 4.9%
    +3.4 percentage points
    All-period obligations
    $764K
    2.5% of all-period positive obligations · 8 awards
    Recorded activity
    Since Sep 16, 2024
    through Aug 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside52
    Not reported00
    Reported small business52
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $485K

    4.8%

    Dollar movement

    +$409K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    4 actions

    Historical and award details for FRONT LINE EMS LLC
    Obligations: prior → latest
    $76K → $485K
    +540.3%
    Share: prior → latest
    0.68% → 4.8%
    +4.1 percentage points
    All-period obligations
    $739K
    2.4% of all-period positive obligations · 6 awards
    Recorded activity
    Since Sep 1, 2024
    through Aug 6, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside31
    Not reported00
    Reported small business31
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $483K

    4.8%

    Dollar movement

    +$232K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for SPEAR SPUR FIRE SUPPORT, LLC
    Obligations: prior → latest
    $251K → $483K
    +92.6%
    Share: prior → latest
    2.3% → 4.8%
    +2.5 percentage points
    All-period obligations
    $734K
    2.4% of all-period positive obligations · 6 awards
    Recorded activity
    Since Jun 23, 2025
    through Aug 2, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside33
    Not reported00
    Reported small business23
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $449K

    4.4%

    Dollar movement

    +$93K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    6 actions

    Historical and award details for CARDINAL MEDICAL SOLUTIONS INC.
    Obligations: prior → latest
    $356K → $449K
    +26.0%
    Share: prior → latest
    3.2% → 4.4%
    +1.2 percentage points
    All-period obligations
    $1.5M
    4.8% of all-period positive obligations · 11 awards
    Recorded activity
    Since Jul 8, 2024
    through Aug 11, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside33
    Not reported00
    Reported small business33
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $431K

    4.3%

    Dollar movement

    +$285K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    6 actions

    Historical and award details for YELLOW TARP EMS LLC
    Obligations: prior → latest
    $147K → $431K
    +193.9%
    Share: prior → latest
    1.3% → 4.3%
    +2.9 percentage points
    All-period obligations
    $1.1M
    3.5% of all-period positive obligations · 7 awards
    Recorded activity
    Since Jun 25, 2024
    through Jul 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside21
    Not reported00
    Reported small business21
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $353K

    3.5%

    Dollar movement

    +$295K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for TIMBERLINE MEDICAL SERVICES LLC
    Obligations: prior → latest
    $58K → $353K
    +505.2%
    Share: prior → latest
    0.52% → 3.5%
    +3.0 percentage points
    All-period obligations
    $571K
    1.9% of all-period positive obligations · 6 awards
    Recorded activity
    Since Aug 20, 2024
    through Aug 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside41
    Not reported00
    Reported small business41
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $344K

    3.4%

    Dollar movement

    −$322K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    6 actions

    Historical and award details for NOLEN INDEPENDENT MANAGEMENT LLC
    Obligations: prior → latest
    $666K → $344K
    −48.4%
    Share: prior → latest
    6.0% → 3.4%
    −2.6 percentage points
    All-period obligations
    $1.8M
    6.0% of all-period positive obligations · 18 awards
    Recorded activity
    Since Jul 3, 2024
    through Aug 27, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside46
    Not reported00
    Reported small business46
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $302K

    3.0%

    Dollar movement

    +$302K

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for EDUCATIONAL SERVICES, INC
    Obligations: prior → latest
    $0 → $302K
    Not comparable
    Share: prior → latest
    0% → 3.0%
    +3.0 percentage points
    All-period obligations
    $302K
    0.99% of all-period positive obligations · 1 award
    Recorded activity
    Since Jul 19, 2026
    through Jul 19, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside10
    Not reported00
    Reported small business10
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $286K

    2.8%

    Dollar movement

    −$341K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for PRECISION RESCUE, LLP
    Obligations: prior → latest
    $627K → $286K
    −54.4%
    Share: prior → latest
    5.6% → 2.8%
    −2.8 percentage points
    All-period obligations
    $913K
    3.0% of all-period positive obligations · 8 awards
    Recorded activity
    Since May 6, 2025
    through Aug 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside35
    Not reported00
    Reported small business35
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $260K

    2.6%

    Dollar movement

    −$3K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    6 actions

    Historical and award details for ADVENTURE MEDICS LLC
    Obligations: prior → latest
    $263K → $260K
    −1.3%
    Share: prior → latest
    2.4% → 2.6%
    +0.2 percentage points
    All-period obligations
    $1.5M
    4.9% of all-period positive obligations · 15 awards
    Recorded activity
    Since Jul 5, 2024
    through Aug 26, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside42
    Not reported00
    Reported small business42
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $250K

    2.5%

    Dollar movement

    +$211K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for EMERGENCY RESPONSE FIRE MEDICAL, LLC
    Obligations: prior → latest
    $38K → $250K
    +555.0%
    Share: prior → latest
    0.34% → 2.5%
    +2.1 percentage points
    All-period obligations
    $352K
    1.1% of all-period positive obligations · 4 awards
    Recorded activity
    Since Aug 5, 2024
    through Jul 18, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside21
    Not reported00
    Reported small business21
    All-period set-aside types

    None reported.

Recent federal contract award activity

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

Base award

This action

+$278K

SPEAR SPUR FIRE SUPPORT, LLC

WALLOWA WHITMAN NATIONAL FOREST

E208, *ANTHONY, ORWWF000227, MESU, MEDICAL SUPPORT UNIT;

Why it stands out

The contractor climbed 9 positions in this market.

It now ranks #7 by positive obligations over the latest 12 months.

Award net obligations
$278K
Share of 12-month positive obligations
2.8%
Supporting data
Funding office
#2 · 11.6% attributed share
+11.6 percentage points · $1.2M net increase; action accounted for 23.6%
PIID 1204H126K5034
Modification

This action

+$309K

FRONTLINE MEDICAL LLC

Los Padres National Forest

E566, *0587 SHINGLE, CALPF002271, MESU, MEDICAL SUPPORT UNIT;

Why it stands out

The contractor climbed 4 positions in this market.

It now ranks #4 by positive obligations over the latest 12 months.

Award net obligations
$361K
Share of 12-month positive obligations
3.0%
PIID 1202RZ26K5656 · Mod P00002
Modification

This action

+$236K

BACKCOUNTRY RESPONSE, LLC

LINCOLN NATIONAL FOREST

O67, SEVEN CABINS, NMLNF000335, MESU, MEDICAL SUPPORT UNIT; O72, SEVEN CABINS, NMLNF000335, VUTV, TRANSPORTATION, VEHICLE, UTILITY TERRAIN (UTV);

Why it stands out

The contractor climbed 3 positions in this market.

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

Award net obligations
$398K
Share of 12-month positive obligations
2.3%
Supporting data
Funding office
#5 · 8.1% attributed share
+8.1 percentage points · $815K net increase; action accounted for 29.0%
PIID 1202RZ26K5124 · Mod P00001
Base award

This action

+$209K

FRONT LINE EMS LLC

OKANOGAN-WENATCHEE NATIONAL FOREST

E42, LITTLE GIANT, WAOWF260406, MESU, MEDICAL SUPPORT UNIT;

Why it stands out

The contractor climbed 28 positions in this market.

It now ranks #6 by positive obligations over the latest 12 months.

Award net obligations
$209K
Share of 12-month positive obligations
2.1%
Supporting data
Prime contractor
#6 · 4.8% share
up 28 ranks · +4.1 percentage points · $409K net increase; action accounted for 51.2%
PIID 1202RZ26K5417
Modification

This action

+$174K

MINUTEMAN EMS LLC

Grand Mesa, Uncompahgre & Gunnison National Forest

O238, GOLD MOUNTAIN, COGMF000099, MESU, MEDICAL SUPPORT UNIT;

Why it stands out

The contractor climbed 24 positions in this market.

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

Award net obligations
$522K
Share of 12-month positive obligations
1.7%
Supporting data
Prime contractor
#3 · 6.7% share
up 24 ranks · +5.7 percentage points · $566K net increase; action accounted for 30.7%
Funding office
#7 · 6.5% attributed share
+6.5 percentage points · $657K net increase; action accounted for 26.4%
PIID 1202RZ26K5262 · Mod P00003
Base award

This action

+$179K

EDUCATIONAL SERVICES, INC

SUPERIOR NATIONAL FOREST

E110, CAMP, MNSUF002393, MESU, MEDICAL SUPPORT UNIT; E109, BEAR TRAP, MNSUF002394, MESU, MEDICAL SUPPORT UNIT; E110, BEAR TRAP, MNSUF002394, MESU, MEDICAL SUPPORT UNIT;

Why it stands out

No activity for this contractor was reported in this market during the preceding 12 months.

The base action placed the contractor #12 in this market by positive obligations over the latest 12 months.

Award net obligations
$302K
Share of 12-month positive obligations
1.8%
Supporting data
Prime contractor
#12 · 3.0% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#4 · 8.4% attributed share
+8.4 percentage points · $852K net increase; action accounted for 21.0%
Related:Newly observed contractor cohort
PIID 1256A126K5010
View recent award activity by date (10)
  1. FRONTLINE MEDICAL LLCBase award · PIID 1202RZ26K5675
    Action+$141K
    Award net obligations$141K
  2. FOUR PEAKS MEDICS LLCBase award · PIID 1202RZ26K5678
    Action+$88K
    Award net obligations$88K
  3. C.H.L. EMS, INC.Base award · PIID 1202RZ26K5669
    Action+$4K
    Award net obligations$4K
  4. MOUNTAIN MEDICS INCBase award · PIID 1202RZ26K5670
    Action+$4K
    Award net obligations$4K
  5. BACKCOUNTRY RESPONSE, LLCBase award · PIID 1204H126K5319
    Action+$68K
    Award net obligations$68K
  6. HIGH ANGLE RAPID EXTRICATION MODULE SUPPORT TEAM LLCBase award · PIID 1204H126K5314
    Action+$63K
    Award net obligations$63K
  7. TIMBERLINE MEDICAL SERVICES LLCBase award · PIID 1204H126K5318
    Action+$54K
    Award net obligations$54K
  8. WILDERNESS MEDICS, INC.Base award · PIID 12034326K5067
    Action+$49K
    Award net obligations$49K
  9. FRONTLINE MEDICAL LLCModification · PIID 1202RZ26K5656
    Action+$309K
    Award net obligations$361K
  10. NOLEN INDEPENDENT MANAGEMENT LLCBase award · PIID 12837126K5055
    Action+$70K
    Award net obligations$70K

USDA all other miscellaneous ambulatory health care services market FAQs

Answers based on reported federal contract data.

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

In the 12 months through October 23, 2026, BACKCOUNTRY RESPONSE, LLC, EMERGENCY RESPONSE LOGISTICS, LLC, and MINUTEMAN EMS LLC were the leading USDA all other miscellaneous ambulatory health care services prime contractors by positive obligations.

  1. #1

    BACKCOUNTRY RESPONSE, LLC

    $818,010 in positive obligations

  2. #2

    EMERGENCY RESPONSE LOGISTICS, LLC

    $762,181 in positive obligations

  3. #3

    MINUTEMAN EMS LLC

    $676,966 in positive obligations

Rankings use reported USAspending award data.

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

Yes. Measured by net prime contract obligations, reported USDA activity in the all other miscellaneous ambulatory health care services market decreased 9.1% from $11,128,188 in the preceding 12 months to $10,112,702 in the 12 months through October 23, 2026.

Latest 12 months
$10,112,702
Net prime contract obligations
Preceding 12 months
$11,128,188
Net prime contract obligations
Change
−9.1%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

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

Recent USDA contract award activity reported in the all other miscellaneous ambulatory health care services market included actions for SPEAR SPUR FIRE SUPPORT, LLC, FRONTLINE MEDICAL LLC, and BACKCOUNTRY RESPONSE, LLC during the 12 months through October 23, 2026.

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

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

From October 24, 2025 through October 23, 2026, USDA reported 93 positive-obligation awards for all other miscellaneous ambulatory health care services under NAICS 621999. The leading award type was purchase order. The leading reported procedure was sp1.

Positive-obligation awards
93
Leading reported procedure
Sp1
96.2% of positive obligations
Leading award type
Purchase Order
99.9% of positive obligations
Full and open
0%
of positive obligations
Reported parent IDV
0%
of positive obligations

Percentages use positive obligations as the denominator.

Apply this research to a live pursuit

Sweetspot connects opportunity qualification, competitive research, capture, and proposal work in one workspace.

See Sweetspot in action

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 October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology