Federal Capture Intelligence

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

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of Agriculture agency guide NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Latest 12 months
$7.4M
Net obligations · Down $4.3M vs. $11.8M preceding
Prime contractors
37
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 $26.4M in net obligations across 274 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Agriculture from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.051% of $52.2B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 36.7% from $11.8M to $7.4M. 18 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: $6.2M versus $10.5M through the same date in FY25 (−40.6%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022−$22K12Complete
FY2023$31K10Complete
FY2024$8.5M128Complete
FY2025$11.7M162Complete
FY2026$6.2M95YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$26.4M
274 awards · 66 prime contractors
Latest 12-month movement
−36.7%
$7.4M vs. $11.8M
Leading eight prime share
54.6%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.051% of $52.2B in agency-wide net obligations.
Set-aside share when reported
2.9% of 274 awards with reported set-aside status.
Set-aside reporting
8 set aside · 266 no set-aside · 0 not reported

What changed in the last 12 months?

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

Market structure

Top-five contractor share increased
32.84%→42.67%+9.8 percentage points
Contractors outside the top five now account for 57.3% of positive obligations.

Buyer demand

Reported obligations through Tonto National Forest decreased
$1.2M→$195K−$1.0M
Latest-period activity spans 2 awards across 2 prime contractors.
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.

15.2% of positive obligations were attributed to OKANOGAN-WENATCHEE NATIONAL FOREST. That represents $1.1M, up $659K from the preceding 12 months.

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

  1. OKANOGAN-WENATCHEE NATIONAL FOREST15.2% · $1.1M · up $659K
  2. LINCOLN NATIONAL FOREST10.9% · $815K · up $815K
  3. ROGUE RIVER-SISKIYOU NATL FOREST10.4% · $774K · up $402K
  4. SUPERIOR NATIONAL FOREST8.5% · $636K · up $636K
  5. Grand Mesa, Uncompahgre & Gunnison National Forest8.0% · $598K · up $598K
  6. All other reported offices46.9% 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 8 from #9

    Latest 12 months

    $1.1M

    15.2% of positive obligations

    Versus preceding 12 months

    +$659K

    10 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations increased 139.1% from $473K to $1.1M. The office’s share of positive obligations moved from 4.0% to 15.2%, a change of +11.2 percentage points.

    The latest period contains 18 actions across 12 awards and 8 newly active prime contractors. The preceding period contained 2 active prime contractors and 2 awards.

  2. Reported funding office

    LINCOLN NATIONAL FOREST

    #2New to the positive-obligation ranking

    Latest 12 months

    $815K

    10.9% 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 10.9%, a change of +10.9 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.

    Leading award-level changes

  3. Reported funding office

    ROGUE RIVER-SISKIYOU NATL FOREST

    #3Up 10 from #13

    Latest 12 months

    $774K

    10.4% of positive obligations

    Versus preceding 12 months

    +$402K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations increased 108.3% from $371K to $774K. The office’s share of positive obligations moved from 3.2% to 10.4%, a change of +7.2 percentage points.

    The latest period contains 7 actions across 2 awards and 2 newly active prime contractors. The preceding period contained 1 active prime contractor and 1 award.

  4. Reported funding office

    SUPERIOR NATIONAL FOREST

    #4New to the positive-obligation ranking

    Latest 12 months

    $636K

    8.5% of positive obligations

    Versus preceding 12 months

    +$636K

    4 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $636K. The office’s share of positive obligations moved from 0% to 8.5%, a change of +8.5 percentage points.

    The latest period contains 8 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

    Grand Mesa, Uncompahgre & Gunnison National Forest

    #5New to the positive-obligation ranking

    Latest 12 months

    $598K

    8.0% of positive obligations

    Versus preceding 12 months

    +$598K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $598K. The office’s share of positive obligations moved from 0% to 8.0%, a change of +8.0 percentage points.

    The latest period contains 7 actions across 2 awards and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.

  6. Reported funding office

    UMATILLA NATIONAL FOREST R6

    #6Up 19 from #25

    Latest 12 months

    $578K

    7.8% of positive obligations

    Versus preceding 12 months

    +$459K

    6 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 386.8% from $119K to $578K. The office’s share of positive obligations moved from 1.0% to 7.8%, a change of +6.7 percentage points.

    The latest period contains 10 actions across 6 awards and 6 newly active prime contractors. The preceding period contained 2 active prime contractors and 2 awards.

  7. Reported funding office

    WALLOWA WHITMAN NATIONAL FOREST

    #7New to the positive-obligation ranking

    Latest 12 months

    $422K

    5.7% of positive obligations

    Versus preceding 12 months

    +$422K

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $422K. The office’s share of positive obligations moved from 0% to 5.7%, a change of +5.7 percentage points.

    The latest period contains 7 actions across 5 awards and 4 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  8. Reported funding office

    Fishlake National Forest

    #8Down 4 from #4

    Latest 12 months

    $393K

    5.3% 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 6.5% to 5.3%, a change of −1.2 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.

  9. Reported funding office

    San Juan National Forest

    #9Up 9 from #18

    Latest 12 months

    $379K

    5.1% of positive obligations

    Versus preceding 12 months

    +$132K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations increased 53.6% from $247K to $379K. The office’s share of positive obligations moved from 2.1% to 5.1%, a change of +3.0 percentage points.

    The latest period contains 4 actions across 2 awards. The preceding period contained 2 active prime contractors and 2 awards.

  10. Reported funding office

    Manti-Lasal National Forest

    #10New to the positive-obligation ranking

    Latest 12 months

    $267K

    3.6% of positive obligations

    Versus preceding 12 months

    +$267K

    3 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $267K. The office’s share of positive obligations moved from 0% to 3.6%, a change of +3.6 percentage points.

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

  11. Reported funding office

    Tonto National Forest

    #12Down 11 from #1

    Latest 12 months

    $195K

    2.6% of positive obligations

    Versus preceding 12 months

    −$1.0M

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 84.1% from $1.2M to $195K. The office’s share of positive obligations moved from 10.4% to 2.6%, a change of −7.8 percentage points.

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

    Leading award-level changes

  12. Reported funding office

    Six Rivers National Forest

    #25Down 22 from #3

    Latest 12 months

    $21K

    0.28% 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 7.8% to 0.28%, a change of −7.5 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

    Boise National Forest

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$633K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $633K to $0. The office’s share of positive obligations moved from 5.4% to 0%, a change of −5.4 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 7 active prime contractors and 8 awards.

  14. Reported funding office

    WILLAMETTE NATIONAL FOREST

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$939K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $939K to $0. The office’s share of positive obligations moved from 8.0% to 0%, a change of −8.0 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 5 active prime contractors and 6 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 5.6% to 0%, a change of −5.6 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 Sep 11, 2025 through Sep 10, 2026, 70 awards had positive obligations totaling $7.5M. Sp1 was the leading reported procedure, accounting for 65.8% of positive obligations. Awards with a reported parent IDV accounted for 0%.

Leading award type
99.8%
Purchase Order
Leading reported procedure
65.8%
Sp1
Reported parent IDV
0%
of positive obligations had a reported parent IDV
Median reported offers
1
70 of 70 awards reported offers

Buying method changes

Compared with Sep 11, 2024–Sep 10, 2025. Based on 70 current awards and 114 preceding awards with positive net obligations.

Leading reported procedure
Sp1
Previously Simplified Acquisition · 99.9% preceding vs 65.8% 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 57.9 percentage points lower, reported full-and-open obligation share is 15.7 percentage points lower, delivery-order obligation share is 57.5 percentage points lower, and median positive award obligations are 56.5% lower.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share0%57.9%-57.9 pts
Reported full-and-open obligation share0%15.7%-15.7 pts
Delivery-order obligation share0%57.5%-57.5 pts
Median positive award obligations$89K$204K-56.5%
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)69$7.4M99.8%
Definitive Contract(D)1$11K0.15%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
Not reported70$7.5M100.0%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Not reported70$7.5M100.0%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Sp1(SIMPLIFIED ACQUISITION)44$4.9M65.8%
Simplified Acquisition(SP1)25$2.5M34.1%
Only One Source(SSS)1$5K0.060%

Extent competed

Reported valueAwardsPositive obligationsShare
G(NOT COMPETED UNDER SAP)44$4.9M65.8%
Not Competed Under SAP(G)21$2.5M33.4%
Competed Under SAP(F)4$53K0.71%
Not Competed(C)1$5K0.060%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Not reported70$7.5M100.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
SAP Non-Competition (FAR 13)(SP2)65$7.4M99.2%
Urgency (FAR 6.302-2)(URG)1$5K0.060%
Not reported4$53K0.71%

Contract pricing types

Reported valueAwardsPositive obligationsShare
J(FIRM FIXED PRICE)44$4.9M65.8%
Firm Fixed Price(J)26$2.5M34.2%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Other(Q999)68$7.4M99.7%
Medical and Surgical Instruments, Equipment, and Supplies(6515)1$11K0.15%
Medical- Evaluation/Screening(Q403)1$9K0.12%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Forest Service(12C2)70$7.5M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Usda-Fs, at-Incident Mgt Spt Branch(1202RZ)34$3.6M48.2%
Pacific Northwest Regional Office(1204H1)16$2.0M26.7%
Eastern Region Usda Forest Service(1256A1)4$636K8.5%
Intermountain Regional Office, Region 4(1284M8)7$578K7.8%
Rocky Mountain Regional Office(1282X9)2$259K3.5%
Southwestern Regional Office, Region 3(128371)1$191K2.6%
Other reported values6$203K2.7%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
Not reported70$7.5M100.0%

Offers, award size, and timing

Median reported offers
1 median
70 reported · 0 not reported
Positive award obligations
$89K median
$52K–$124K middle 50%
Reported performance period
15 days median
70 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
18 of 37prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
12.7%of positive obligations in the last 12 months
Leading four prime contractors
37.9%of positive obligations in the last 12 months
Leading eight prime contractors
54.6%of positive obligations in the last 12 months

Based on $7.4M 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

    $942K

    12.7%

    Dollar movement

    +$459K

    vs. prior 12 months

    Last 12mo awards

    7 awards

    13 actions

    Historical and award details for BACKCOUNTRY RESPONSE, LLC
    Obligations: prior → latest
    $483K → $942K
    +95.1%
    Share: prior → latest
    4.1% → 12.7%
    +8.6 percentage points
    All-period obligations
    $1.6M
    5.9% of all-period positive obligations · 13 awards
    Recorded activity
    Since Jun 16, 2024
    through Aug 11, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside75
    Not reported00
    Reported small business75
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $888K

    11.9%

    Dollar movement

    +$626K

    vs. prior 12 months

    Last 12mo awards

    5 awards

    10 actions

    Historical and award details for EMERGENCY RESPONSE LOGISTICS, LLC
    Obligations: prior → latest
    $263K → $888K
    +238.3%
    Share: prior → latest
    2.2% → 11.9%
    +9.7 percentage points
    All-period obligations
    $1.6M
    5.9% of all-period positive obligations · 14 awards
    Recorded activity
    Since Jun 27, 2024
    through Aug 20, 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.

  3. #3

    Last 12mo obligations

    $604K

    8.1%

    Dollar movement

    +$500K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    8 actions

    Historical and award details for MINUTEMAN EMS LLC
    Obligations: prior → latest
    $104K → $604K
    +478.5%
    Share: prior → latest
    0.89% → 8.1%
    +7.2 percentage points
    All-period obligations
    $790K
    3.0% of all-period positive obligations · 5 awards
    Recorded activity
    Since Aug 1, 2024
    through Jul 13, 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.

  4. #4

    Last 12mo obligations

    $385K

    5.2%

    Dollar movement

    −$61K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for CARDINAL MEDICAL SOLUTIONS INC.
    Obligations: prior → latest
    $445K → $385K
    −13.6%
    Share: prior → latest
    3.8% → 5.2%
    +1.4 percentage points
    All-period obligations
    $1.3M
    5.0% 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-aside44
    Not reported00
    Reported small business44
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $358K

    4.8%

    Dollar movement

    −$93K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    5 actions

    Historical and award details for YELLOW TARP EMS LLC
    Obligations: prior → latest
    $451K → $358K
    −20.6%
    Share: prior → latest
    3.8% → 4.8%
    +1.0 percentage points
    All-period obligations
    $1.0M
    3.8% 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-aside22
    Not reported00
    Reported small business22
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $336K

    4.5%

    Dollar movement

    +$67K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for FOUR PEAKS MEDICS LLC
    Obligations: prior → latest
    $268K → $336K
    +25.1%
    Share: prior → latest
    2.3% → 4.5%
    +2.2 percentage points
    All-period obligations
    $604K
    2.3% of all-period positive obligations · 6 awards
    Recorded activity
    Since Sep 16, 2024
    through Aug 13, 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.

  7. #7

    Last 12mo obligations

    $280K

    3.8%

    Dollar movement

    −$221K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for PRECISION RESCUE, LLP
    Obligations: prior → latest
    $501K → $280K
    −44.1%
    Share: prior → latest
    4.3% → 3.8%
    −0.5 percentage points
    All-period obligations
    $781K
    3.0% of all-period positive obligations · 7 awards
    Recorded activity
    Since May 6, 2025
    through Jul 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside34
    Not reported00
    Reported small business34
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $274K

    3.7%

    Dollar movement

    −$464K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for NOLEN INDEPENDENT MANAGEMENT LLC
    Obligations: prior → latest
    $737K → $274K
    −62.9%
    Share: prior → latest
    6.3% → 3.7%
    −2.6 percentage points
    All-period obligations
    $1.8M
    6.6% of all-period positive obligations · 17 awards
    Recorded activity
    Since Jul 3, 2024
    through Jul 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside37
    Not reported00
    Reported small business37
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $240K

    3.2%

    Dollar movement

    +$240K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for EDUCATIONAL SERVICES, INC
    Obligations: prior → latest
    $0 → $240K
    Not comparable
    Share: prior → latest
    0% → 3.2%
    +3.2 percentage points
    All-period obligations
    $240K
    0.91% 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.

  10. #10

    Last 12mo obligations

    $218K

    2.9%

    Dollar movement

    −$402K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for DECKER CONTRACTING & CONSULTING LLC
    Obligations: prior → latest
    $620K → $218K
    −64.9%
    Share: prior → latest
    5.3% → 2.9%
    −2.4 percentage points
    All-period obligations
    $838K
    3.2% of all-period positive obligations · 6 awards
    Recorded activity
    Since Oct 1, 2024
    through May 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside15
    Not reported00
    Reported small business15
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $218K

    2.9%

    Dollar movement

    +$23K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for MED TRANSPORT INC
    Obligations: prior → latest
    $194K → $218K
    +11.9%
    Share: prior → latest
    1.6% → 2.9%
    +1.3 percentage points
    All-period obligations
    $563K
    2.1% of all-period positive obligations · 5 awards
    Recorded activity
    Since Aug 19, 2024
    through Sep 18, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside13
    Not reported00
    Reported small business13
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $211K

    2.8%

    Dollar movement

    +$211K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for TIMBERLINE MEDICAL SERVICES LLC
    Obligations: prior → latest
    $0 → $211K
    Not comparable
    Share: prior → latest
    0% → 2.8%
    +2.8 percentage points
    All-period obligations
    $370K
    1.4% of all-period positive obligations · 4 awards
    Recorded activity
    Since Aug 20, 2024
    through Jul 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside30
    Not reported00
    Reported small business30
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $205K

    2.8%

    Dollar movement

    −$46K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for SPEAR SPUR FIRE SUPPORT, LLC
    Obligations: prior → latest
    $251K → $205K
    −18.3%
    Share: prior → latest
    2.1% → 2.8%
    +0.6 percentage points
    All-period obligations
    $456K
    1.7% of all-period positive obligations · 5 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-aside23
    Not reported00
    Reported small business23
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $205K

    2.8%

    Dollar movement

    −$200K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for ADVENTURE MEDICS LLC
    Obligations: prior → latest
    $405K → $205K
    −49.4%
    Share: prior → latest
    3.4% → 2.8%
    −0.7 percentage points
    All-period obligations
    $1.4M
    5.4% of all-period positive obligations · 14 awards
    Recorded activity
    Since Jul 5, 2024
    through Jul 29, 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.

  15. #15

    Last 12mo obligations

    $185K

    2.5%

    Dollar movement

    +$49K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for EVENT MEDICAL SOLUTIONS UNLIMITED, LLC
    Obligations: prior → latest
    $136K → $185K
    +35.9%
    Share: prior → latest
    1.2% → 2.5%
    +1.3 percentage points
    All-period obligations
    $435K
    1.6% of all-period positive obligations · 5 awards
    Recorded activity
    Since Aug 9, 2024
    through Jun 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside13
    Not reported00
    Reported small business13
    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.

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 8 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
3.2%
Supporting data
Prime contractor
#1 · 12.7% share
up 8 ranks · +8.6 percentage points · $459K net increase; action accounted for 51.5%
Funding office
#2 · 10.9% attributed share
+10.9 percentage points · $815K net increase; action accounted for 29.0%
PIID 1202RZ26K5124 · Mod P00001
Base award

This action

+$208K

EMERGENCY RESPONSE LOGISTICS, LLC

ROGUE RIVER-SISKIYOU NATL FOREST

O196, MOON COMPLEX, ORRSF000399, MESU, MEDICAL SUPPORT UNIT; O197, MOON COMPLEX, ORRSF000399, MESU, MEDICAL SUPPORT UNIT;

Why it stands out

The contractor climbed 15 positions in this market.

It now ranks #2 by positive obligations over the latest 12 months.

Award net obligations
$556K
Share of 12-month positive obligations
2.8%
Supporting data
Prime contractor
#2 · 11.9% share
up 15 ranks · +9.7 percentage points · $626K net increase; action accounted for 33.2%
PIID 1204H125K5202
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 26 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
2.3%
Supporting data
Prime contractor
#3 · 8.1% share
up 26 ranks · +7.2 percentage points · $500K net increase; action accounted for 34.8%
Funding office
#5 · 8.0% attributed share
+8.0 percentage points · $598K net increase; action accounted for 29.0%
PIID 1202RZ26K5262 · Mod P00003
Base award

This action

+$218K

DECKER CONTRACTING & CONSULTING LLC

LINCOLN NATIONAL FOREST

O66, SEVEN CABINS, NMLNF000335, MESU, MEDICAL SUPPORT UNIT; O74, SEVEN CABINS, NMLNF000335, MESU, MEDICAL SUPPORT UNIT;

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 2.9% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $402K overall.

Award net obligations
$218K
Share of 12-month positive obligations
2.9%
Supporting data
Prime contractor
#10 · 2.9% share
$402K net decline despite this positive action
PIID 1202RZ26K5125
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 #9 in this market by positive obligations over the latest 12 months.

Award net obligations
$240K
Share of 12-month positive obligations
2.4%
Supporting data
Prime contractor
#9 · 3.2% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#4 · 8.5% attributed share
+8.5 percentage points · $636K net increase; action accounted for 28.1%
PIID 1256A126K5010
Base award

This action

+$126K

PRECISION RESCUE, LLP

OKANOGAN-WENATCHEE NATIONAL FOREST

O597, LOWER SUGARLOAF, WAOWF000797, MESU, MEDICAL SUPPORT UNIT; O597, LOWER SUGARLOAF, WAOWF000797, REMS, MODULE, RAPID EXTRACTION SUPPORT;

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 1.7% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $221K overall.

Award net obligations
$126K
Share of 12-month positive obligations
1.7%
Supporting data
Prime contractor
#7 · 3.8% share
$221K net decline despite this positive action
Funding office
#1 · 15.2% attributed share
up 8 ranks · +11.2 percentage points · $659K net increase; action accounted for 19.2%
PIID 1202RZ25K5913
View recent award activity by date (10)
  1. EMERGENCY RESPONSE LOGISTICS, LLCBase award · PIID 1202RZ26K5637
    Action+$23K
    Award net obligations$23K
  2. FOUR PEAKS MEDICS LLCBase award · PIID 1204H126K5217
    Action+$57K
    Award net obligations$57K
  3. CARDINAL MEDICAL SOLUTIONS INC.Base award · PIID 1202RZ26K5590
    Action+$124K
    Award net obligations$124K
  4. BACKCOUNTRY RESPONSE, LLCBase award · PIID 1202RZ26K5576
    Action+$38K
    Award net obligations$38K
  5. CARDINAL MEDICAL SOLUTIONS INC.Base award · PIID 1204H126K5160
    Action+$61K
    Award net obligations$61K
  6. ACTION RESOURCES, LLCBase award · PIID 1204H126K5170
    Action+$15K
    Award net obligations$15K
  7. PINK PANDA FIRE SUPPORT LLCBase award · PIID 1202RZ26K5548
    Action+$46K
    Award net obligations$46K
  8. ROUGH COUNTRY RESPONSE LLCBase award · PIID 1202RZ26K5550
    Action+$37K
    Award net obligations$37K
  9. EMERGENCY RESPONSE LOGISTICS, LLCBase award · PIID 1202RZ26K5547
    Action+$30K
    Award net obligations$30K
  10. SPEAR SPUR FIRE SUPPORT, LLCBase award · PIID 1284M826K5040
    Action+$114K
    Award net obligations$114K

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 September 10, 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

    $941,856 in positive obligations

  2. #2

    EMERGENCY RESPONSE LOGISTICS, LLC

    $888,472 in positive obligations

  3. #3

    MINUTEMAN EMS LLC

    $603,966 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 36.7% from $11,768,891 in the preceding 12 months to $7,446,197 in the 12 months through September 10, 2026.

Latest 12 months
$7,446,197
Net prime contract obligations
Preceding 12 months
$11,768,891
Net prime contract obligations
Change
−36.7%
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 BACKCOUNTRY RESPONSE, LLC, EMERGENCY RESPONSE LOGISTICS, LLC, and MINUTEMAN EMS 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 USDA contracts under NAICS 621999?

From September 11, 2025 through September 10, 2026, USDA reported 70 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
70
Leading reported procedure
Sp1
65.8% 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.

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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.

Review data methodology