Federal Capture Intelligence

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

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of Veterans Affairs agency guide NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Latest 12 months
$49.6M
Net obligations · Up $42.1M vs. $7.5M preceding
Prime contractors
26
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 $74.7M in net obligations across 328 awards in All Other Miscellaneous Ambulatory Health Care Services at the Department of Veterans Affairs from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.022% of $339.1B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 561.0% from $7.5M to $49.6M. 2 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: $50.0M versus $6.6M through the same date in FY25 (+656.4%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$8.2M173Complete
FY2023$5.4M124Complete
FY2024$4.9M154Complete
FY2025$6.2M101Complete
FY2026$50.0M128YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$74.7M
328 awards · 80 prime contractors
Latest 12-month movement
+561.0%
$49.6M vs. $7.5M
Leading eight prime share
96.6%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.022% of $339.1B in agency-wide net obligations.
Set-aside share when reported
39.7% of 136 awards with reported set-aside status.
Set-aside reporting
54 set aside · 82 no set-aside · 192 not reported

What changed in the last 12 months?

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

Competitive shifts

COGNOSANTE MVH LLC climbed the most in the contractor rankings
#19→#2Up 17 places
The contractor accounts for 38.4% of positive obligations across 5 reported actions.

Market structure

Top-five contractor share increased
59.7%→93.9%+34.2 percentage points
Contractors outside the top five now account for 6.1% of positive obligations.
This market grew faster than 99.0% of comparable agency NAICS markets
+561.0%Agency median +5.6%
The agency comparison covers 149 comparable NAICS markets.
Reported set-aside share increased
11.1%→30.3%+19.2 percentage points
Of 33 latest-period awards with reported set-aside status, 10 were reported as set-asides.

Buyer demand

Reported obligations through COMMODITIES & SERVICES ACQUISITION SERVICE (36C791) increased
$400K→$43.1M+$42.7M
Latest-period activity spans 10 awards across 2 prime contractors.
View 2 additional material changes

Award activity

Competitive shifts

NATIONAL MARROW DONOR PROGRAM lost the most market share
9.6%→3.1%−6.5 percentage points
The contractor now ranks #4 by positive obligations, based on 5 reported actions.
How these findings are calculated

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

Federal contract obligations by funding office

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

84.6% of positive obligations were attributed to COMMODITIES & SERVICES ACQUISITION SERVICE (36C791). That represents $43.1M, up $42.7M 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)84.6% · $43.1M · up $42.7M
  2. 626-NASHVILLE (00626)4.7% · $2.4M · up $131K
  3. 614-MEMPHIS(00614)3.4% · $1.7M · up $15K
  4. 541-BRECKSVILLE (00541)2.1% · $1.1M · up $958K
  5. 580-HOUSTON(00580)1.3% · $650K · down $339K
  6. All other reported offices3.9% 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

    COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

    #1Up 5 from #6

    Latest 12 months

    $43.1M

    84.6% of positive obligations

    Versus preceding 12 months

    +$42.7M

    2 active prime contractors · 10 awards

    View office comparison and evidence

    Reported obligations increased 10680.2% from $400K to $43.1M. The office’s share of positive obligations moved from 4.8% to 84.6%, a change of +79.8 percentage points.

    The latest period contains 10 actions across 10 awards. The preceding period contained 4 active prime contractors and 4 awards.

    Leading award-level changes

  2. Reported funding office

    626-NASHVILLE (00626)

    #2Down 1 from #1

    Latest 12 months

    $2.4M

    4.7% of positive obligations

    Versus preceding 12 months

    +$131K

    3 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations increased 5.8% from $2.3M to $2.4M. The office’s share of positive obligations moved from 27.2% to 4.7%, a change of −22.5 percentage points.

    The latest period contains 11 actions across 6 awards. The preceding period contained 3 active prime contractors and 6 awards.

  3. Reported funding office

    614-MEMPHIS(00614)

    #3Down 1 from #2

    Latest 12 months

    $1.7M

    3.4% of positive obligations

    Versus preceding 12 months

    +$15K

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations increased 0.9% from $1.7M to $1.7M. The office’s share of positive obligations moved from 20.6% to 3.4%, a change of −17.2 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 1 active prime contractor and 2 awards.

  4. Reported funding office

    541-BRECKSVILLE (00541)

    #4Up 8 from #12

    Latest 12 months

    $1.1M

    2.1% of positive obligations

    Versus preceding 12 months

    +$958K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 910.5% from $105K to $1.1M. The office’s share of positive obligations moved from 1.3% to 2.1%, a change of +0.8 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

    580-HOUSTON(00580)

    #5Down 2 from #3

    Latest 12 months

    $650K

    1.3% of positive obligations

    Versus preceding 12 months

    −$339K

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations decreased 34.3% from $989K to $650K. The office’s share of positive obligations moved from 11.9% to 1.3%, a change of −10.7 percentage points.

    The latest period contains 6 actions across 5 awards and 1 newly active prime contractor. The preceding period contained 3 active prime contractors and 4 awards.

  6. Reported funding office

    689-WEST HAVEN (00689)(36C689)

    #6Down 1 from #5

    Latest 12 months

    $347K

    0.68% of positive obligations

    Versus preceding 12 months

    −$91K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 20.8% from $438K to $347K. The office’s share of positive obligations moved from 5.3% to 0.68%, a change of −4.6 percentage points.

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

  7. Reported funding office

    621-MOUNTAIN HOME (00621)

    #7Up 16 from #23

    Latest 12 months

    $299K

    0.59% 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 0.45% to 0.59%, 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.

  8. Reported funding office

    663-SEATTLE (00663)

    #8New to the positive-obligation ranking

    Latest 12 months

    $288K

    0.57% of positive obligations

    Versus preceding 12 months

    +$378K

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations moved from $90K in net deobligations to $288K in net obligations. The office’s share of positive obligations moved from 0% to 0.57%, a change of +0.6 percentage points.

    The latest period contains 11 actions across 5 awards. The preceding period contained 4 active prime contractors and 6 awards.

  9. Reported funding office

    578-HINES(00578)(36C578)

    #9Down 1 from #8

    Latest 12 months

    $145K

    0.28% 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 2.8% to 0.28%, a change of −2.5 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.

  10. Reported funding office

    534-CHARLESTON (00534)(36C534)

    #10Down 1 from #9

    Latest 12 months

    $133K

    0.26% of positive obligations

    Versus preceding 12 months

    −$72K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 35.1% from $205K to $133K. The office’s share of positive obligations moved from 2.5% to 0.26%, a change of −2.2 percentage points.

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

  11. Reported funding office

    241-NETWORK CONTRACT OFFICE 01 (36C241)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$475K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $475K to $0. The office’s share of positive obligations moved from 5.7% to 0%, a change of −5.7 percentage points.

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

  12. 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.

  13. Reported funding office

    506-ANN ARBOR (00506)

    No positive-obligation rank

    Latest 12 months

    −$123K

    0% of positive obligations

    Versus preceding 12 months

    −$153K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $30K in net obligations to $123K in net deobligations. The office’s share of positive obligations moved from 0.36% to 0%, a change of −0.4 percentage points.

    The latest period contains 1 action across 1 award. 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

    −$208K

    0% of positive obligations

    Versus preceding 12 months

    −$554K

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations moved from $345K in net obligations to $208K in net deobligations. The office’s share of positive obligations moved from 4.2% to 0%, a change of −4.2 percentage points.

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

    Leading award-level changes

  15. Reported funding office

    695-MILWAUKEE(00695)(36C695)

    No positive-obligation rank

    Latest 12 months

    −$432K

    0% of positive obligations

    Versus preceding 12 months

    −$487K

    1 active prime contractor · 12 awards

    View office comparison and evidence

    Reported obligations moved from $55K in net obligations to $432K in net deobligations. The office’s share of positive obligations moved from 0.67% to 0%, a change of −0.7 percentage points.

    The latest period contains 12 actions across 12 awards. The preceding period contained 1 active prime contractor and 2 awards.

Contract types, competition, and procurement methods

From Sep 11, 2025 through Sep 10, 2026, 50 awards had positive obligations totaling $53.6M. Subject to Multiple Award Fair Opportunity was the leading reported procedure, accounting for 80.5% of positive obligations. Awards with a reported parent IDV accounted for 91.9%.

Leading award type
91.3%
Delivery Order
Leading reported procedure
80.5%
Subject to Multiple Award Fair Opportunity
Reported parent IDV
91.9%
of positive obligations had a reported parent IDV
Median reported offers
1
27 of 50 awards reported offers

Buying method changes

Compared with Sep 11, 2024–Sep 10, 2025. Based on 50 current awards and 53 preceding awards with positive net obligations.

Multiple-award parent obligation share
80.5%
Up from 4.8% in the preceding period
Reported full-and-open obligation share
83.0%
Up from 14.3% in the preceding period
Median positive award obligations
$144K
Up from $90K 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 49.1 percentage points higher, reported full-and-open obligation share is 76.3 percentage points higher, delivery-order obligation share is 49.4 percentage points higher, and median positive award obligations are 18.5% lower.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share91.9%42.8%+49.1 pts
Reported full-and-open obligation share83.0%6.6%+76.3 pts
Delivery-order obligation share91.3%42.0%+49.4 pts
Median positive award obligations$144K$176K-18.5%
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
Delivery Order(C)34$48.9M91.3%
Purchase Order(B)14$4.3M8.1%
BPA Call(A)1$299K0.56%
Definitive Contract(D)1$10K0.020%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)34$48.9M91.3%
BPA(E)1$299K0.56%
Not reported15$4.3M8.1%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Multiple Award(M)11$43.1M80.5%
Single Award(S)24$6.1M11.4%
Not reported15$4.3M8.1%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Subject to Multiple Award Fair Opportunity(MAFO)11$43.1M80.5%
Simplified Acquisition(SP1)13$5.1M9.4%
Only One Source(SSS)6$2.3M4.3%
Negotiated Proposal/Quote(NP)8$1.3M2.5%
Sp1(SIMPLIFIED ACQUISITION)8$1.0M1.9%
Sss(ONLY ONE SOURCE)3$540K1.0%
Other reported values1$182K0.34%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)16$44.4M83.0%
Competed Under SAP(F)11$4.1M7.6%
Not Available for Competition(B)1$2.0M3.7%
Not Competed Under SAP(G)2$993K1.9%
F(COMPETED UNDER SAP)5$586K1.1%
C(NOT COMPETED)3$540K1.0%
Other reported values12$932K1.7%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Follow-on Action Following Competitive Initial Action(FOO)10$43.1M80.5%
Competitive Set Aside(CSA)1$4800%
Not reported39$10.4M19.5%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)2$2.4M4.5%
SAP Non-Competition (FAR 13)(SP2)4$1.0M1.9%
Only One Source-Other (FAR 6.302-1 Other)(ONE)7$791K1.5%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$50K0.090%
Not reported36$49.3M92.0%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)38$51.8M96.8%
J(FIRM FIXED PRICE)12$1.7M3.2%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Managed Healthcare(Q201)11$43.1M80.5%
Medical- Nursing(Q401)3$2.8M5.2%
Reference Laboratory Testing(Q301)3$2.5M4.6%
Medical- Neurology(Q510)6$1.2M2.3%
Cardiology(Q502)4$1.2M2.2%
Blood and Blood Products(6506)1$949K1.8%
Other reported values22$1.8M3.4%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)50$53.6M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Commodities & Services Acquisition Service (36c791)(36C791)10$43.1M80.5%
249-Network Contract Office 9 (36c249)(36C249)9$6.0M11.3%
256-Network Contract Office 16 (36c256)(36C256)5$1.2M2.3%
250-Network Contract Office 10 (36c250)(36C250)4$1.2M2.2%
260-Network Contract Office 20 (36c260)(36C260)6$617K1.1%
241-Network Contract Office 01 (36c241)(36C241)2$358K0.67%
Other reported values14$1.0M1.9%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C79123D0001(3600)5$23.8M44.4%
36C79123D0002(3600)5$19.4M36.1%
36C24925D0053(3600)1$2.4M4.5%
36C25026D0064(3600)1$949K1.8%
36C25625D0032(3600)1$453K0.85%
36C25623D0042(3600)1$356K0.66%
36C24925D0004(3600)1$307K0.57%
36C24926A0039(3600)1$299K0.56%
Other reported values19$1.3M2.4%
Not reported15$4.3M8.1%

Offers, award size, and timing

Median reported offers
1 median
27 reported · 23 not reported
Positive award obligations
$144K median
$37K–$949K middle 50%
Reported performance period
364 days (~12 months) median
50 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
2 of 26prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
47.1%of positive obligations in the last 12 months
Leading four prime contractors
92.0%of positive obligations in the last 12 months
Leading eight prime contractors
96.6%of positive obligations in the last 12 months

Based on $50.5M 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

    $23.8M

    47.1%

    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
    1.2% → 47.1%
    +45.9 percentage points
    All-period obligations
    $23.9M
    31.2% 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.

  2. #2

    Last 12mo obligations

    $19.4M

    38.4%

    Dollar movement

    +$19.3M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    5 actions

    Historical and award details for COGNOSANTE MVH LLC
    Obligations: prior → latest
    $100K → $19.4M
    +19261.4%
    Share: prior → latest
    1.2% → 38.4%
    +37.1 percentage points
    All-period obligations
    $19.5M
    25.4% 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

    $1.7M

    3.4%

    Dollar movement

    +$15K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for ONE STOP RECRUITING LLC
    Obligations: prior → latest
    $1.7M → $1.7M
    +0.9%
    Share: prior → latest
    21.1% → 3.4%
    −17.6 percentage points
    All-period obligations
    $3.4M
    4.5% 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-aside11
    Not reported21
    Reported small business32
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $1.6M

    3.1%

    Dollar movement

    +$806K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for NATIONAL MARROW DONOR PROGRAM
    Obligations: prior → latest
    $781K → $1.6M
    +103.3%
    Share: prior → latest
    9.6% → 3.1%
    −6.5 percentage points
    All-period obligations
    $6.3M
    8.2% of all-period positive obligations · 12 awards
    Recorded activity
    Since Dec 6, 2021
    through Aug 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside43
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $949K

    1.9%

    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% → 1.9%
    +1.9 percentage points
    All-period obligations
    $949K
    1.2% 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

    $709K

    1.4%

    Dollar movement

    −$340K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    7 actions

    Historical and award details for SPECIALTYCARE CARDIOVASCULAR RESOURCES, LLC
    Obligations: prior → latest
    $1.0M → $709K
    −32.4%
    Share: prior → latest
    12.9% → 1.4%
    −11.5 percentage points
    All-period obligations
    $2.4M
    3.2% 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-aside33
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $360K

    0.71%

    Dollar movement

    −$570K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    8 actions

    Historical and award details for BOSTON SCIENTIFIC CORP
    Obligations: prior → latest
    $930K → $360K
    −61.3%
    Share: prior → latest
    11.4% → 0.71%
    −10.7 percentage points
    All-period obligations
    $1.8M
    2.3% 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.

  8. #8

    Last 12mo obligations

    $313K

    0.62%

    Dollar movement

    +$208K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for AGILITI HEALTH INC
    Obligations: prior → latest
    $105K → $313K
    +199.3%
    Share: prior → latest
    1.3% → 0.62%
    −0.7 percentage points
    All-period obligations
    $838K
    1.1% of all-period positive obligations · 18 awards
    Recorded activity
    Since Feb 14, 2022
    through Aug 10, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside21
    Not reported28
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $283K

    0.56%

    Dollar movement

    −$38K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    5 actions

    Historical and award details for LINE SCIENCE LLC
    Obligations: prior → latest
    $322K → $283K
    −11.9%
    Share: prior → latest
    4.0% → 0.56%
    −3.4 percentage points
    All-period obligations
    $1.7M
    2.2% of all-period positive obligations · 6 awards
    Recorded activity
    Since Oct 1, 2021
    through Aug 24, 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

    None reported.

  10. #10

    Last 12mo obligations

    $280K

    0.56%

    Dollar movement

    −$57K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for INTRANERVE, LLC
    Obligations: prior → latest
    $337K → $280K
    −16.8%
    Share: prior → latest
    4.2% → 0.56%
    −3.6 percentage points
    All-period obligations
    $1.3M
    1.7% 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.

  11. #11

    Last 12mo obligations

    $244K

    0.48%

    Dollar movement

    −$101K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for OZARK MEDICAL INC
    Obligations: prior → latest
    $345K → $244K
    −29.2%
    Share: prior → latest
    4.3% → 0.48%
    −3.8 percentage points
    All-period obligations
    $1.0M
    1.3% of all-period positive obligations · 5 awards
    Recorded activity
    Since Apr 4, 2023
    through Apr 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported41
    Reported small business41
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $189K

    0.37%

    Dollar movement

    −$189K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for ADVANCED MEDICAL RESOURCES, LLC
    Obligations: prior → latest
    $378K → $189K
    −50.0%
    Share: prior → latest
    4.7% → 0.37%
    −4.3 percentage points
    All-period obligations
    $567K
    0.74% of all-period positive obligations · 1 award
    Recorded activity
    Since Apr 1, 2025
    through Oct 1, 2025

    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.

  13. #13

    Last 12mo obligations

    $133K

    0.26%

    Dollar movement

    −$72K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for SURGICAL NEUROMONITORING ASSOCIATES, INC.
    Obligations: prior → latest
    $205K → $133K
    −35.1%
    Share: prior → latest
    2.5% → 0.26%
    −2.3 percentage points
    All-period obligations
    $742K
    0.97% of all-period positive obligations · 1 award
    Recorded activity
    Since Oct 1, 2022
    through Jun 29, 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

    $112K

    0.22%

    Dollar movement

    +$287K

    vs. prior 12 months

    Last 12mo awards

    5 awards

    8 actions

    Historical and award details for HEALTHTRONICS STONE SOLUTIONS, LLC
    Obligations: prior → latest
    −$176K → $112K
    Not comparable
    Share: prior → latest
    0% → 0.22%
    +0.2 percentage points
    All-period obligations
    $769K
    1.0% of all-period positive obligations · 11 awards
    Recorded activity
    Since Oct 1, 2021
    through Aug 18, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside21
    Not reported32
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $88K

    0.17%

    Dollar movement

    +$2K

    vs. prior 12 months

    Last 12mo awards

    1 award

    4 actions

    Historical and award details for TRANSPLANT COORDINATORS OF AMERICA INC
    Obligations: prior → latest
    $86K → $88K
    +2.2%
    Share: prior → latest
    1.1% → 0.17%
    −0.9 percentage points
    All-period obligations
    $379K
    0.50% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 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.

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

+$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 16 positions in this market.

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

Award net obligations
$7.8M
Share of 12-month positive obligations
15.4%
Supporting data
Prime contractor
#1 · 47.1% share
up 16 ranks · +45.9 percentage points · $23.7M net increase; action accounted for 32.8%
Funding office
#1 · 84.6% attributed share
up 5 ranks · +79.8 percentage points · $42.7M net increase; action accounted for 18.2%
Related:Largest share gainFunding office gain
PIID 36C79126K0024
Base award

This action

+$5.3M

COGNOSANTE MVH LLC

COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

EXPRESS REPORT DECEMBER 2025

Why it stands out

The contractor climbed 17 positions in this market.

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

Award net obligations
$5.3M
Share of 12-month positive obligations
10.6%
Supporting data
Prime contractor
#2 · 38.4% share
up 17 ranks · +37.1 percentage points · $19.3M net increase; action accounted for 27.7%
Related:Largest rank gain
PIID 36C79126K0052
Base award

This action

+$4.9M

COGNOSANTE MVH LLC

COMMODITIES & SERVICES ACQUISITION SERVICE (36C791)

EXPRESS REPORT OCTOBER AND NOVEMBER 2025 (FY26)

Why it stands out

The contractor climbed 17 positions in this market.

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

Award net obligations
$4.9M
Share of 12-month positive obligations
9.7%
PIID 36C79126K0023
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
1.9%
Supporting data
Prime contractor
#5 · 1.9% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#4 · 2.1% attributed share
up 8 ranks · +0.8 percentage points · $958K net increase; action accounted for 99.0%
PIID 36C25026N0624
Base award

This action

+$299K

AGILITI HEALTH INC

621-MOUNTAIN HOME (00621)

MOBILE LITHOTRIPSY - BASE ORDERING PERIOD

Why it stands out

The contractor climbed 6 positions in this market.

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

Award net obligations
$299K
Share of 12-month positive obligations
0.59%
Supporting data
Prime contractor
#8 · 0.62% share
up 6 ranks · −0.7 percentage points · $208K net increase; action exceeded it by $91K
Funding office
#7 · 0.59% attributed share
up 16 ranks · +0.1 percentage points · $262K net increase; action exceeded it by $37K
PIID 36C24926N0517
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 $806K.

Award net obligations
$1.3M
Share of 12-month positive obligations
1.3%
Supporting data
Prime contractor
#4 · 3.1% share
$806K net increase despite this negative action
Funding office
#2 · 4.7% attributed share
$131K net increase despite this negative action
PIID 36C24925P0275 · Mod P00001
View recent award activity by date (10)
  1. BOSTON SCIENTIFIC CORPDeobligation · PIID 36C24123P1146
    Action−$127K
    Award net obligations$1.6M
  2. PRECISION MONITORING LLCDeobligation · PIID 36C25224N0416
    Action−$37K
    Award net obligations$49K
  3. BOSTON SCIENTIFIC CORPModification · PIID 36C24123P1146
    Action+$475K
    Award net obligations$1.6M
  4. INTRANERVE, LLCModification · PIID 36C25025N0546
    Action+$4K
    Award net obligations$112K
  5. REGENTS OF THE UNIVERSITY OF MICHIGANBase award · PIID 36C25026N0802
    Action+$106K
    Award net obligations$106K
  6. NATIONAL MARROW DONOR PROGRAMModification · PIID 36C26025P1284
    Action+$200K
    Award net obligations$400K
  7. PRECISION MONITORING LLCDeobligation · PIID 36C25224N0383
    Action−$18K
    Award net obligations$95K
  8. OREGON HEALTH & SCIENCE UNIVERSITYBase award · PIID 36C26026N0365
    Action+$16K
    Award net obligations$16K
  9. HEALTHTRONICS STONE SOLUTIONS, LLCBase award · PIID 36C24426N1019
    Action+$33K
    Award net obligations$33K
  10. PRECISION MONITORING LLCDeobligation · PIID 36C25223N0534
    Action−$20K
    Award net obligations$269K

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 September 10, 2026, MEDTRONIC CARE MANAGEMENT SERVICES, LLC, COGNOSANTE MVH LLC, and ONE STOP RECRUITING LLC were the leading VA all other miscellaneous ambulatory health care services prime contractors by positive obligations.

  1. #1

    MEDTRONIC CARE MANAGEMENT SERVICES, LLC

    $23,759,303 in positive obligations

  2. #2

    COGNOSANTE MVH LLC

    $19,361,371 in positive obligations

  3. #3

    ONE STOP RECRUITING LLC

    $1,723,885 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 561% from $7,508,862 in the preceding 12 months to $49,633,245 in the 12 months through September 10, 2026.

Latest 12 months
$49,633,245
Net prime contract obligations
Preceding 12 months
$7,508,862
Net prime contract obligations
Change
+561%
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 MEDTRONIC CARE MANAGEMENT SERVICES, LLC, COGNOSANTE MVH LLC, and AMERICAN NATIONAL RED CROSS, THE 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 VA contracts under NAICS 621999?

From September 11, 2025 through September 10, 2026, VA reported 50 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
50
Leading reported procedure
Subject to Multiple Award Fair Opportunity
80.5% of positive obligations
Leading award type
Delivery Order
91.3% of positive obligations
Full and open
83%
of positive obligations
Reported parent IDV
91.9%
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