Federal Capture Intelligence

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

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Veterans Affairs agency guide NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Latest 12 months
$71.8M
Net obligations · Up $65.6M vs. $6.2M preceding
Prime contractors
21
With positive obligations in the latest 12 months

Research the VA 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 Veterans Affairs

Federal records show $98.0M in net obligations across 332 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Veterans Affairs from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.028% of $349.8B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 1051.0% from $6.2M to $71.8M. 2 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: $179K versus $1.5M through the same date in FY26 (−87.9%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$8.2M173Complete
FY2023$5.4M124Complete
FY2024$4.9M154Complete
FY2025$6.2M101Complete
FY2026$73.1M135Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$98.0M
332 awards · 80 prime contractors
Latest 12-month movement
+1051.0%
$71.8M vs. $6.2M
Leading eight prime share
98.9%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.028% of $349.8B in agency-wide net obligations.
Set-aside share when reported
39.4% of 137 awards with reported set-aside status.
Set-aside reporting
54 set aside · 83 no set-aside · 195 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

COGNOSANTE MVH LLC gained the most market share
1.5%→58.0%+56.5 percentage points
The contractor now ranks #1 by positive obligations, based on 6 reported actions.
ONE STOP RECRUITING LLC lost the most market share
17.9%→3.0%−14.9 percentage points
The contractor now ranks #3 by positive obligations, based on 2 reported actions.

Market structure

Top-five contractor share increased
59.8%→97.0%+37.2 percentage points
Contractors outside the top five now account for 3.0% of positive obligations.
This market grew faster than 99.7% of comparable agency NAICS markets
+1051.0%Agency median −7.0%
The agency comparison covers 149 comparable NAICS markets.
Reported set-aside share increased
13.9%→36.4%+22.5 percentage points
Of 33 latest-period awards with reported set-aside status, 12 were reported as set-asides.

Buyer demand

Reported obligations through COMMODITIES & SERVICES ACQUISITION SERVICE (36C791) increased
$400K→$66.1M+$65.7M
Latest-period activity spans 11 awards across 2 prime contractors.
View 2 additional material changes

Award activity

COGNOSANTE MVH LLC received an unusually large obligation action
$23.0MSep 30, 2026 action
Reported under PIID 36C79126K0134 by COMMODITIES & SERVICES ACQUISITION SERVICE (36C791). Award net obligations after the action: $23.0M.
View supporting award

Buyer demand

Reported obligations through 580-HOUSTON(00580) decreased
$1.3M→$197K−$1.1M
Latest-period activity spans 4 awards across 3 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 Oct 23, 2026.

89.9% of positive obligations were attributed to COMMODITIES & SERVICES ACQUISITION SERVICE (36C791). That represents $66.1M, up $65.7M from the preceding 12 months.

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

  1. COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)89.9% · $66.1M · up $65.7M
  2. 614-MEMPHIS(00614)3.0% · $2.2M · up $980K
  3. 626-NASHVILLE (00626)2.9% · $2.1M · up $92K
  4. 541-BRECKSVILLE (00541)1.4% · $1.1M · up $989K
  5. 689-WEST HAVEN (00689)(36C689)0.47% · $347K · down $62K
  6. All other reported offices2.2% 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

    COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

    #1Up 4 from #5

    Latest 12 months

    $66.1M

    89.9% of positive obligations

    Versus preceding 12 months

    +$65.7M

    2 active prime contractors · 11 awards

    View office comparison and evidence

    Reported obligations increased 16429.1% from $400K to $66.1M. The office’s share of positive obligations moved from 5.8% to 89.9%, a change of +84.2 percentage points.

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

    Leading award-level changes

  2. Reported funding office

    614-MEMPHIS(00614)

    #2Up 1 from #3

    Latest 12 months

    $2.2M

    3.0% of positive obligations

    Versus preceding 12 months

    +$980K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 79.9% from $1.2M to $2.2M. The office’s share of positive obligations moved from 17.8% to 3.0%, a change of −14.8 percentage points.

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

  3. Reported funding office

    626-NASHVILLE (00626)

    #3Down 2 from #1

    Latest 12 months

    $2.1M

    2.9% of positive obligations

    Versus preceding 12 months

    +$92K

    3 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations increased 4.5% from $2.0M to $2.1M. The office’s share of positive obligations moved from 29.6% to 2.9%, a change of −26.7 percentage points.

    The latest period contains 10 actions across 5 awards. The preceding period contained 3 active prime contractors and 7 awards.

  4. Reported funding office

    541-BRECKSVILLE (00541)

    #4Up 9 from #13

    Latest 12 months

    $1.1M

    1.4% of positive obligations

    Versus preceding 12 months

    +$989K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 1328.8% from $74K to $1.1M. The office’s share of positive obligations moved from 1.1% to 1.4%, a change of +0.4 percentage points.

    The latest period contains 4 actions across 3 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 3 awards.

  5. Reported funding office

    689-WEST HAVEN (00689)(36C689)

    #5Down 1 from #4

    Latest 12 months

    $347K

    0.47% of positive obligations

    Versus preceding 12 months

    −$62K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 15.2% from $409K to $347K. The office’s share of positive obligations moved from 5.9% to 0.47%, a change of −5.5 percentage points.

    The latest period contains 4 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  6. Reported funding office

    621-MOUNTAIN HOME (00621)

    #6Up 14 from #20

    Latest 12 months

    $299K

    0.41% of positive obligations

    Versus preceding 12 months

    +$262K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 704.7% from $37K to $299K. The office’s share of positive obligations moved from 0.54% to 0.41%, a change of −0.1 percentage points.

    The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 3 awards.

  7. Reported funding office

    663-SEATTLE (00663)

    #7Up 1 from #8

    Latest 12 months

    $260K

    0.35% of positive obligations

    Versus preceding 12 months

    +$111K

    4 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 74.9% from $149K to $260K. The office’s share of positive obligations moved from 2.1% to 0.35%, a change of −1.8 percentage points.

    The latest period contains 9 actions across 6 awards. The preceding period contained 4 active prime contractors and 6 awards.

  8. Reported funding office

    580-HOUSTON(00580)

    #8Down 6 from #2

    Latest 12 months

    $197K

    0.27% of positive obligations

    Versus preceding 12 months

    −$1.1M

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 84.3% from $1.3M to $197K. The office’s share of positive obligations moved from 18.2% to 0.27%, a change of −18.0 percentage points.

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

    Leading award-level changes

  9. Reported funding office

    257-NETWORK CONTRACT OFFICE 17 (36C257)

    #9Up 2 from #11

    Latest 12 months

    $165K

    0.22% of positive obligations

    Versus preceding 12 months

    +$77K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 88.2% from $88K to $165K. The office’s share of positive obligations moved from 1.3% to 0.22%, a change of −1.1 percentage points.

    The latest period contains 3 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  10. Reported funding office

    578-HINES(00578)(36C578)

    #10Down 3 from #7

    Latest 12 months

    $145K

    0.20% of positive obligations

    Versus preceding 12 months

    −$87K

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 37.6% from $232K to $145K. The office’s share of positive obligations moved from 3.4% to 0.20%, a change of −3.1 percentage points.

    The latest period contains 4 actions across 4 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 1 award.

  11. Reported funding office

    250-NETWORK CONTRACT OFFICE 10 (36C250)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    +$331K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations moved from $331K 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 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 2 awards.

  12. Reported funding office

    534-CHARLESTON (00534)(36C534)

    No positive-obligation rank

    Latest 12 months

    −$72K

    0% of positive obligations

    Versus preceding 12 months

    −$322K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $250K in net obligations to $72K in net deobligations. The office’s share of positive obligations moved from 3.6% to 0%, a change of −3.6 percentage points.

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

  13. Reported funding office

    668-SPOKANE (00668)

    No positive-obligation rank

    Latest 12 months

    −$158K

    0% of positive obligations

    Versus preceding 12 months

    −$175K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations moved from $17K in net obligations to $158K in net deobligations. The office’s share of positive obligations moved from 0.24% to 0%, a change of −0.2 percentage points.

    The latest period contains 4 actions across 2 awards. The preceding period contained 1 active prime contractor and 2 awards.

  14. Reported funding office

    598-NORTH LITTLE ROCK(00598)

    No positive-obligation rank

    Latest 12 months

    −$297K

    0% of positive obligations

    Versus preceding 12 months

    −$385K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $88K in net obligations to $297K in net deobligations. The office’s share of positive obligations moved from 1.3% to 0%, a change of −1.3 percentage points.

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

  15. Reported funding office

    695-MILWAUKEE(00695)(36C695)

    No positive-obligation rank

    Latest 12 months

    −$527K

    0% of positive obligations

    Versus preceding 12 months

    −$583K

    1 active prime contractor · 12 awards

    View office comparison and evidence

    Reported obligations moved from $56K in net obligations to $527K in net deobligations. The office’s share of positive obligations moved from 0.81% to 0%, a change of −0.8 percentage points.

    The latest period contains 12 actions across 12 awards. The preceding period contained 1 active prime contractor and 3 awards.

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 46 awards had positive obligations totaling $75.2M. Subject to Multiple Award Fair Opportunity was the leading reported procedure, accounting for 57.4% of positive obligations. Awards with a reported parent IDV accounted for 94.8%.

Leading award type
94.4%
Delivery Order
Leading reported procedure
57.4%
Subject to Multiple Award Fair Opportunity
Reported parent IDV
94.8%
of positive obligations had a reported parent IDV
Median reported offers
1
25 of 46 awards reported offers

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 46 current awards and 49 preceding awards with positive net obligations.

Multiple-award parent obligation share
88.0%
Up from 5.3% in the preceding period
Reported full-and-open obligation share
59.1%
Up from 13.8% in the preceding period
Median positive award obligations
$165K
Up from $91K 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 40.5 percentage points higher, reported full-and-open obligation share is 57.7 percentage points higher, delivery-order obligation share is 52.6 percentage points higher, and median positive award obligations are 6.0% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share94.8%54.3%+40.5 pts
Reported full-and-open obligation share59.1%1.4%+57.7 pts
Delivery-order obligation share94.4%41.8%+52.6 pts
Median positive award obligations$165K$156K+6.0%
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)33$70.9M94.4%
Purchase Order(B)11$3.9M5.2%
BPA Call(A)1$299K0.40%
Definitive Contract(D)1$28K0.040%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)33$70.9M94.4%
BPA(E)1$299K0.40%
Not reported12$3.9M5.2%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Multiple Award(M)12$66.1M88.0%
Single Award(S)22$5.1M6.8%
Not reported12$3.9M5.2%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Subject to Multiple Award Fair Opportunity(MAFO)10$43.1M57.4%
Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY)2$23.0M30.6%
Simplified Acquisition(SP1)10$4.1M5.5%
Sss(ONLY ONE SOURCE)6$2.7M3.6%
Negotiated Proposal/Quote(NP)7$1.3M1.7%
Sp1(SIMPLIFIED ACQUISITION)7$564K0.75%
Other reported values4$299K0.40%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)15$44.4M59.1%
A(FULL AND OPEN COMPETITION)3$23.2M30.9%
Competed Under SAP(F)9$3.3M4.5%
B(NOT AVAILABLE FOR COMPETITION)1$2.0M2.7%
Not Competed Under SAP(G)1$804K1.1%
C(NOT COMPETED)5$716K0.95%
Other reported values12$679K0.90%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Follow-on Action Following Competitive Initial Action(FOO)11$66.1M88.0%
Competitive Set Aside(CSA)1$27K0.040%
Not reported34$9.0M12.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)3$2.4M3.2%
SAP Non-Competition (FAR 13)(SP2)3$848K1.1%
Only One Source-Other (FAR 6.302-1 Other)(ONE)5$716K0.95%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$50K0.070%
Not reported34$71.2M94.7%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)28$48.6M64.7%
J(FIRM FIXED PRICE)18$26.6M35.3%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Managed Healthcare(Q201)12$66.1M88.0%
Reference Laboratory Testing(Q301)4$2.5M3.3%
Medical- Nursing(Q401)2$2.5M3.3%
Cardiology(Q502)4$1.2M1.6%
Blood and Blood Products(6506)1$949K1.3%
Medical- Urology(Q525)5$626K0.83%
Other reported values18$1.3M1.8%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)46$75.2M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Commodities & Services Acquisition Service (36c791)(36C791)11$66.1M88.0%
249-Network Contract Office 9 (36c249)(36C249)9$5.7M7.6%
250-Network Contract Office 10 (36c250)(36C250)4$1.2M1.6%
260-Network Contract Office 20 (36c260)(36C260)5$446K0.59%
256-Network Contract Office 16 (36c256)(36C256)3$408K0.54%
241-Network Contract Office 01 (36c241)(36C241)2$358K0.48%
Other reported values12$987K1.3%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C79123D0002(3600)6$42.4M56.4%
36C79123D0001(3600)5$23.8M31.6%
36C24925D0053(3600)1$2.4M3.2%
36C25026D0064(3600)1$949K1.3%
36C24926A0039(3600)1$299K0.40%
36C25223D0049(3600)1$199K0.26%
36C25625D0032(3600)1$189K0.25%
36C25624D0099(3600)1$182K0.24%
Other reported values17$866K1.2%
Not reported12$3.9M5.2%

Offers, award size, and timing

Median reported offers
1 median
25 reported · 21 not reported
Positive award obligations
$165K median
$33K–$2.4M middle 50%
Reported performance period
364 days (~12 months) median
46 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
2 of 21prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
58.0%of positive obligations in the last 12 months
Leading four prime contractors
95.7%of positive obligations in the last 12 months
Leading eight prime contractors
98.9%of positive obligations in the last 12 months

Based on $73.1M 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

    $42.4M

    58.0%

    Dollar movement

    +$42.3M

    vs. prior 12 months

    Last 12mo awards

    6 awards

    6 actions

    Historical and award details for COGNOSANTE MVH LLC
    Obligations: prior → latest
    $100K → $42.4M
    +42256.9%
    Share: prior → latest
    1.5% → 58.0%
    +56.5 percentage points
    All-period obligations
    $42.5M
    42.5% of all-period positive obligations · 7 awards
    Recorded activity
    Since May 20, 2025
    through Sep 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported61
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $23.8M

    32.5%

    Dollar movement

    +$23.7M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    5 actions

    Historical and award details for MEDTRONIC CARE MANAGEMENT SERVICES, LLC
    Obligations: prior → latest
    $100K → $23.8M
    +23659.3%
    Share: prior → latest
    1.5% → 32.5%
    +31.1 percentage points
    All-period obligations
    $23.9M
    23.9% of all-period positive obligations · 6 awards
    Recorded activity
    Since May 20, 2025
    through Mar 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported51
    Reported small business00
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $2.2M

    3.0%

    Dollar movement

    +$980K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for ONE STOP RECRUITING LLC
    Obligations: prior → latest
    $1.2M → $2.2M
    +79.9%
    Share: prior → latest
    17.9% → 3.0%
    −14.9 percentage points
    All-period obligations
    $3.4M
    3.4% of all-period positive obligations · 3 awards
    Recorded activity
    Since Mar 4, 2025
    through Apr 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside01
    Not reported21
    Reported small business22
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $1.6M

    2.2%

    Dollar movement

    +$606K

    vs. prior 12 months

    Last 12mo awards

    5 awards

    6 actions

    Historical and award details for NATIONAL MARROW DONOR PROGRAM
    Obligations: prior → latest
    $981K → $1.6M
    +61.8%
    Share: prior → latest
    14.3% → 2.2%
    −12.1 percentage points
    All-period obligations
    $6.5M
    6.5% of all-period positive obligations · 13 awards
    Recorded activity
    Since Dec 6, 2021
    through Oct 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside54
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $949K

    1.3%

    Dollar movement

    +$949K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for AMERICAN NATIONAL RED CROSS, THE
    Obligations: prior → latest
    $0 → $949K
    Not comparable
    Share: prior → latest
    0% → 1.3%
    +1.3 percentage points
    All-period obligations
    $949K
    0.95% of all-period positive obligations · 1 award
    Recorded activity
    Since Jun 29, 2026
    through Jun 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported10
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $750K

    1.0%

    Dollar movement

    −$74K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    5 actions

    Historical and award details for SPECIALTYCARE CARDIOVASCULAR RESOURCES, LLC
    Obligations: prior → latest
    $824K → $750K
    −9.0%
    Share: prior → latest
    12.0% → 1.0%
    −11.0 percentage points
    All-period obligations
    $2.4M
    2.4% of all-period positive obligations · 3 awards
    Recorded activity
    Since Nov 16, 2021
    through May 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside23
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $333K

    0.46%

    Dollar movement

    +$224K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for AGILITI HEALTH INC
    Obligations: prior → latest
    $109K → $333K
    +206.6%
    Share: prior → latest
    1.6% → 0.46%
    −1.1 percentage points
    All-period obligations
    $889K
    0.89% of all-period positive obligations · 19 awards
    Recorded activity
    Since Feb 14, 2022
    through Sep 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside21
    Not reported27
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $314K

    0.43%

    Dollar movement

    −$187K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    7 actions

    Historical and award details for BOSTON SCIENTIFIC CORP
    Obligations: prior → latest
    $500K → $314K
    −37.3%
    Share: prior → latest
    7.3% → 0.43%
    −6.9 percentage points
    All-period obligations
    $1.8M
    1.8% of all-period positive obligations · 2 awards
    Recorded activity
    Since Aug 30, 2023
    through Sep 8, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside22
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $280K

    0.38%

    Dollar movement

    −$26K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for INTRANERVE, LLC
    Obligations: prior → latest
    $306K → $280K
    −8.4%
    Share: prior → latest
    4.5% → 0.38%
    −4.1 percentage points
    All-period obligations
    $1.3M
    1.3% of all-period positive obligations · 15 awards
    Recorded activity
    Since Oct 15, 2021
    through Sep 2, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported44
    Reported small business02
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $165K

    0.23%

    Dollar movement

    +$77K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for NATUS MEDICAL INCORPORATED
    Obligations: prior → latest
    $88K → $165K
    +88.2%
    Share: prior → latest
    1.3% → 0.23%
    −1.1 percentage points
    All-period obligations
    $253K
    0.25% of all-period positive obligations · 1 award
    Recorded activity
    Since Dec 6, 2024
    through Oct 15, 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.

  11. #11

    Last 12mo obligations

    $88K

    0.12%

    Dollar movement

    +$2K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for TRANSPLANT COORDINATORS OF AMERICA INC
    Obligations: prior → latest
    $86K → $88K
    +2.2%
    Share: prior → latest
    1.3% → 0.12%
    −1.1 percentage points
    All-period obligations
    $467K
    0.47% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 1, 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.

  12. #12

    Last 12mo obligations

    $84K

    0.11%

    Dollar movement

    −$12K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for JOHNSON ASSOCIATES SYSTEMS, INC
    Obligations: prior → latest
    $95K → $84K
    −12.1%
    Share: prior → latest
    1.4% → 0.11%
    −1.3 percentage points
    All-period obligations
    $436K
    0.44% of all-period positive obligations · 5 awards
    Recorded activity
    Since Oct 1, 2021
    through May 5, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported22
    Reported small business22
    All-period set-aside types
    • 1 · Total small business
  13. #13

    Last 12mo obligations

    $50K

    0.070%

    Dollar movement

    $0

    no change vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for CIRCLES OF SUPPORT, INC.
    Obligations: prior → latest
    $50K → $50K
    +0.0%
    Share: prior → latest
    0.73% → 0.070%
    −0.7 percentage points
    All-period obligations
    $200K
    0.20% of all-period positive obligations · 1 award
    Recorded activity
    Since Jun 3, 2024
    through Jul 12, 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.

  14. #14

    Last 12mo obligations

    $47K

    0.060%

    Dollar movement

    +$146K

    vs. prior 12 months

    Last 12mo awards

    7 awards

    7 actions

    Historical and award details for FORTEC MEDICAL INC
    Obligations: prior → latest
    −$99K → $47K
    Not comparable
    Share: prior → latest
    0% → 0.060%
    +0.1 percentage points
    All-period obligations
    $314K
    0.31% of all-period positive obligations · 17 awards
    Recorded activity
    Since Oct 1, 2021
    through Mar 26, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported72
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $38K

    0.050%

    Dollar movement

    +$40K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for LOVELL GOVERNMENT SERVICES INC.
    Obligations: prior → latest
    −$2K → $38K
    Not comparable
    Share: prior → latest
    0% → 0.050%
    +0.1 percentage points
    All-period obligations
    $79K
    0.080% of all-period positive obligations · 5 awards
    Recorded activity
    Since Oct 19, 2022
    through Oct 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported31
    Reported small business31
    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

+$23.0M

COGNOSANTE MVH LLC

COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

EXPRESS REPORT MARCH THRU SEPTEMBER 2026 (FY26)

Why it stands out

One action equaled at least a quarter of the market’s latest 12-month positive obligations.

The $23.0M action represented 31.5% of the market’s positive obligations over the latest 12 months.

Award net obligations
$23.0M
Share of 12-month positive obligations
31.5%
Supporting data
Prime contractor
#1 · 58.0% share
up 15 ranks · +56.5 percentage points · $42.3M net increase; action accounted for 54.4%
Funding office
#1 · 89.9% attributed share
up 4 ranks · +84.2 percentage points · $65.7M net increase; action accounted for 35.0%
Related:Largest share gainFunding office gain
PIID 36C79126K0134
Base award

This action

+$7.8M

MEDTRONIC CARE MANAGEMENT SERVICES, LLC

COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

EXPRESS REPORT OCT & NOV 2025 (FY26)

Why it stands out

The contractor climbed 12 positions in this market.

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

Award net obligations
$7.8M
Share of 12-month positive obligations
10.6%
Supporting data
Prime contractor
#2 · 32.5% share
up 12 ranks · +31.1 percentage points · $23.7M net increase; action accounted for 32.8%
PIID 36C79126K0024
Base award

This action

+$949K

AMERICAN NATIONAL RED CROSS, THE

541-BRECKSVILLE (00541)

BLOOD AND BLOOD COMPONENTS

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 #5 in this market by positive obligations over the latest 12 months.

Award net obligations
$949K
Share of 12-month positive obligations
1.3%
Supporting data
Prime contractor
#5 · 1.3% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#4 · 1.4% attributed share
up 9 ranks · +0.4 percentage points · $989K net increase; action accounted for 95.9%
PIID 36C25026N0624
Deobligation

This action

−$676K

NATIONAL MARROW DONOR PROGRAM

626-NASHVILLE (00626)

MAINTAIN A REGISTRY OF POTENTIAL SOURCES OF HUMAN LEUKOCYTE ANTIGEN TYPED HEMATOPOIETIC STEM CELLS FOR TRANSPORTATION INTO UNRELATED PATIENTS.

Why it stands out

The award contracted while the contractor grew overall.

The action removed $676K while the contractor rose $606K.

Award net obligations
$1.3M
Share of 12-month positive obligations
0.92%
Supporting data
Prime contractor
#4 · 2.2% share
$606K net increase despite this negative action
Funding office
#3 · 2.9% attributed share
$92K net increase despite this negative action
PIID 36C24925P0275 · Mod P00001
Modification

This action

+$475K

BOSTON SCIENTIFIC CORP

689-WEST HAVEN (00689)(36C689)

CARDIAC HOLSTER MONITORING SERVICES.

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $475K while office-attributed obligations fell $62K overall.

Award net obligations
$1.6M
Share of 12-month positive obligations
0.65%
Supporting data
Prime contractor
#8 · 0.43% share
$187K net decline despite this positive action
Funding office
#5 · 0.47% attributed share
$62K net decline despite this positive action
PIID 36C24123P1146 · Mod P00011
Deobligation

This action

−$297K

OZARK MEDICAL INC

598-NORTH LITTLE ROCK(00598)

IONM SERVICES BASE IDC AWARD

Why it stands out

This award recorded a material contraction.

The action removed $297K. A deobligation does not by itself show lower requirement demand.

Award net obligations
$49K
Share of 12-month positive obligations
0.41%
Supporting data
Prime contractor
0% share
−5.1 percentage points · $459K net decline; action accounted for 64.6%
Funding office
0% attributed share
−1.3 percentage points · $385K net decline; action accounted for 77.1%
PIID 36C25625F0030 · Mod P00001
View recent award activity by date (10)
  1. AVMEDICAL LLCModification · PIID 36C24125P0044
    Action+$11K
    Award net obligations$183K
  2. NATUS MEDICAL INCORPORATEDModification · PIID 36C25725P0077
    Action+$80K
    Award net obligations$253K
  3. PICC US VASCULAR ACCESS SPECIALISTS LLCDeobligation · PIID 36C24426N0011
    Action−$16K
    Award net obligations$7K
  4. LOVELL GOVERNMENT SERVICES INC.Base award · PIID 36C24927N0164
    Action+$16K
    Award net obligations$16K
  5. TRANSPLANT COORDINATORS OF AMERICA INCModification · PIID 36C24624P0040
    Action+$88K
    Award net obligations$348K
  6. COGNOSANTE MVH LLCBase award · PIID 36C79126K0134
    Action+$23.0M
    Award net obligations$23.0M
  7. PRECISION MONITORING LLCDeobligation · PIID 36C25224N0442
    Action−$66K
    Award net obligations$39K
  8. PRECISION MONITORING LLCDeobligation · PIID 36C25224N0435
    Action−$94K
    Award net obligations$124K
  9. PRECISION MONITORING LLCModification · PIID 36C25224N0386
    Action+$27K
    Award net obligations$164K
  10. AGILITI HEALTH INCBase award · PIID 36C25226N0531
    Action+$52K
    Award net obligations$52K

VA all other miscellaneous ambulatory health care services market FAQs

Answers based on reported federal contract data.

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

In the 12 months through October 23, 2026, COGNOSANTE MVH LLC, MEDTRONIC CARE MANAGEMENT SERVICES, LLC, and ONE STOP RECRUITING LLC were the leading VA all other miscellaneous ambulatory health care services prime contractors by positive obligations.

  1. #1

    COGNOSANTE MVH LLC

    $42,356,925 in positive obligations

  2. #2

    MEDTRONIC CARE MANAGEMENT SERVICES, LLC

    $23,759,303 in positive obligations

  3. #3

    ONE STOP RECRUITING LLC

    $2,205,970 in positive obligations

Rankings use reported USAspending award data.

Did VA contract obligations increase in the all other miscellaneous ambulatory health care services market?

Yes. Measured by net prime contract obligations, reported VA activity in the all other miscellaneous ambulatory health care services market increased 1,051% from $6,239,949 in the preceding 12 months to $71,824,921 in the 12 months through October 23, 2026.

Latest 12 months
$71,824,921
Net prime contract obligations
Preceding 12 months
$6,239,949
Net prime contract obligations
Change
+1,051%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

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

Recent VA contract award activity reported in the all other miscellaneous ambulatory health care services market included actions for COGNOSANTE MVH LLC, MEDTRONIC CARE MANAGEMENT SERVICES, LLC, and AMERICAN NATIONAL RED CROSS, THE 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 VA contracts under NAICS 621999?

From October 24, 2025 through October 23, 2026, VA reported 46 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
46
Leading reported procedure
Subject to Multiple Award Fair Opportunity
57.4% of positive obligations
Leading award type
Delivery Order
94.4% of positive obligations
Full and open
59.1%
of positive obligations
Reported parent IDV
94.8%
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 October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology