Federal Capture Intelligence

Top VA ambulance services contractors (NAICS 621910)

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Veterans Affairs agency guide NAICS 621910 · Ambulance Services
Latest 12 months
$186.9M
Net obligations · Down $63.5M vs. $250.4M preceding
Prime contractors
101
With positive obligations in the latest 12 months

Research the VA federal contracting market for ambulance services under NAICS 621910. 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 Ambulance Services at the Department of Veterans Affairs

Federal records show $998.1M in net obligations across 1,145 awards in Ambulance Services at the Department of Veterans Affairs from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.29% of $349.8B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 25.4% from $250.4M to $186.9M. 38 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: $16.1M versus $69.3M through the same date in FY26 (−76.8%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$146.2M470Complete
FY2023$172.6M502Complete
FY2024$184.3M523Complete
FY2025$238.9M528Complete
FY2026$240.1M510Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$998.1M
1,145 awards · 192 prime contractors
Latest 12-month movement
−25.4%
$186.9M vs. $250.4M
Leading eight prime share
38.0%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.29% of $349.8B in agency-wide net obligations.
Set-aside share when reported
13.2% of 174 awards with reported set-aside status.
Set-aside reporting
23 set aside · 151 no set-aside · 971 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

HEARTLAND AMBULANCE SERVICE LLC climbed the most in the contractor rankings
#71→#7Up 64 places
The contractor accounts for 2.6% of positive obligations across 3 reported actions.
AMBULANCE MANAGEMENT SERVICES LIMITED fell the most in the contractor rankings
#9→#93Down 84 places
The contractor accounts for 0.070% of positive obligations across 3 reported actions.
HAWAII LIFE FLIGHT LLC had no reported activity in the latest 12 months
$11.9M→$0No latest-period activity
It previously ranked #3 by positive obligations, based on 5 reported actions.
EXCELSIOR AMBULANCE SERVICE INC had the largest decline in reported obligations
$35.7M→$24.1M−$11.6M
The contractor now ranks #1 by positive obligations and accounts for 12.2% of positive obligations, based on 18 reported actions.
5 contractors were first observed in this market during the latest 12 months
$4.5MLatest 12-month obligations
Contractor-level obligations and first-observed dates appear below. “First observed” applies only to this market and the period shown.
View 5 contractors
ContractorLatest 12 months

Buyer demand

Reported obligations through 521-BIRMINGHAM(00521)(36C521) increased
$7.5M→$15.3M+$7.7M
Latest-period activity spans 3 awards across 2 prime contractors.
View 3 additional material changes

Buyer demand

Reported obligations through 459-HONOLULU (00459) decreased
$11.9M→$1.6M−$10.3M
Latest-period activity spans 2 awards across 1 prime contractor.

Competitive shifts

DALMOR LLC recorded the largest net deobligation
$5.5M→−$2.8M−$8.4M
The contractor now is unranked by positive obligations, based on 3 reported actions.
GUARDIAN FLIGHT LLC was the largest newly observed contractor
$1.6MLatest 12-month obligations
First observed in this market on Apr 13, 2026, the contractor now ranks #35 by positive obligations across 2 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 Oct 23, 2026.

7.9% of positive obligations were attributed to 521-BIRMINGHAM(00521)(36C521). That represents $15.3M, up $7.7M from the preceding 12 months.

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

  1. 521-BIRMINGHAM(00521)(36C521)7.9% · $15.3M · up $7.7M
  2. HAMPTON 590 (36C590)5.5% · $10.8M · down $1.8M
  3. 671-SAN ANTONIO (00671)5.0% · $9.6M · down $3.2M
  4. 261-NETWORK CONTRACT OFFICE 21 (36C261)3.9% · $7.6M · up $3.4M
  5. 523-BOSTON (00523)(36C523)3.1% · $6.1M · up $746K
  6. All other reported offices74.6% of positive obligations
View reported office rankings, comparisons, and evidence

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

  1. Reported funding office

    521-BIRMINGHAM(00521)(36C521)

    #1Up 8 from #9

    Latest 12 months

    $15.3M

    7.9% of positive obligations

    Versus preceding 12 months

    +$7.7M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 102.1% from $7.5M to $15.3M. The office’s share of positive obligations moved from 2.9% to 7.9%, a change of +4.9 percentage points.

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

    Leading award-level changes

  2. Reported funding office

    HAMPTON 590 (36C590)

    #2Up 1 from #3

    Latest 12 months

    $10.8M

    5.5% of positive obligations

    Versus preceding 12 months

    −$1.8M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 14.6% from $12.6M to $10.8M. The office’s share of positive obligations moved from 4.9% to 5.5%, a change of +0.6 percentage points.

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

  3. Reported funding office

    671-SAN ANTONIO (00671)

    #3Down 1 from #2

    Latest 12 months

    $9.6M

    5.0% of positive obligations

    Versus preceding 12 months

    −$3.2M

    2 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 24.8% from $12.8M to $9.6M. The office’s share of positive obligations moved from 5.0% to 5.0%, a change of 0.0 percentage points.

    The latest period contains 9 actions across 7 awards. The preceding period contained 2 active prime contractors and 7 awards.

  4. Reported funding office

    261-NETWORK CONTRACT OFFICE 21 (36C261)

    #4Up 16 from #20

    Latest 12 months

    $7.6M

    3.9% of positive obligations

    Versus preceding 12 months

    +$3.4M

    9 active prime contractors · 18 awards

    View office comparison and evidence

    Reported obligations increased 81.1% from $4.2M to $7.6M. The office’s share of positive obligations moved from 1.6% to 3.9%, a change of +2.3 percentage points.

    The latest period contains 23 actions across 18 awards and 1 newly active prime contractor. The preceding period contained 9 active prime contractors and 18 awards.

  5. Reported funding office

    523-BOSTON (00523)(36C523)

    #5Up 9 from #14

    Latest 12 months

    $6.1M

    3.1% of positive obligations

    Versus preceding 12 months

    +$746K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 14.0% from $5.3M to $6.1M. The office’s share of positive obligations moved from 2.1% to 3.1%, a change of +1.1 percentage points.

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

  6. Reported funding office

    544-COLUMBIA (00544)(36C544)

    #6Down 1 from #5

    Latest 12 months

    $5.9M

    3.0% of positive obligations

    Versus preceding 12 months

    −$5.7M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 49.2% from $11.5M to $5.9M. The office’s share of positive obligations moved from 4.5% to 3.0%, a change of −1.5 percentage points.

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

  7. Reported funding office

    583-INDIANAPOLIS(00583)

    #7Up 10 from #17

    Latest 12 months

    $5.1M

    2.6% of positive obligations

    Versus preceding 12 months

    +$848K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 19.8% from $4.3M to $5.1M. The office’s share of positive obligations moved from 1.7% to 2.6%, a change of +1.0 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 2 active prime contractors and 6 awards.

  8. Reported funding office

    534-CHARLESTON (00534)(36C534)

    #8Down 7 from #1

    Latest 12 months

    $4.7M

    2.4% of positive obligations

    Versus preceding 12 months

    −$9.2M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 66.0% from $13.9M to $4.7M. The office’s share of positive obligations moved from 5.4% to 2.4%, 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 4 awards.

  9. Reported funding office

    581 HUNTINGTON (00581)(36C581)

    #9Up 2 from #11

    Latest 12 months

    $4.5M

    2.3% of positive obligations

    Versus preceding 12 months

    −$2.1M

    7 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations decreased 32.4% from $6.6M to $4.5M. The office’s share of positive obligations moved from 2.6% to 2.3%, a change of −0.3 percentage points.

    The latest period contains 15 actions across 12 awards and 2 newly active prime contractors. The preceding period contained 6 active prime contractors and 14 awards.

  10. Reported funding office

    691-VA GREATER LA HLTHCR SYS(00691)

    #10Up 33 from #43

    Latest 12 months

    $4.3M

    2.2% of positive obligations

    Versus preceding 12 months

    +$2.5M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 137.9% from $1.8M to $4.3M. The office’s share of positive obligations moved from 0.71% to 2.2%, a change of +1.5 percentage points.

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

  11. Reported funding office

    552-DAYTON (00552)

    #14New to the positive-obligation ranking

    Latest 12 months

    $3.8M

    2.0% of positive obligations

    Versus preceding 12 months

    +$4.2M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations moved from $382K in net deobligations to $3.8M in net obligations. The office’s share of positive obligations moved from 0% to 2.0%, a change of +2.0 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 1 award.

  12. Reported funding office

    693-WILKES BARRE(00693)(36C693)

    #16Up 51 from #67

    Latest 12 months

    $3.8M

    1.9% of positive obligations

    Versus preceding 12 months

    +$3.0M

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations increased 392.5% from $768K to $3.8M. The office’s share of positive obligations moved from 0.30% to 1.9%, a change of +1.6 percentage points.

    The latest period contains 5 actions across 3 awards. The preceding period contained 1 active prime contractor and 2 awards.

  13. Reported funding office

    618-MINNEAPOLIS VA MED CTR (00618)

    #33New to the positive-obligation ranking

    Latest 12 months

    $2.0M

    1.0% of positive obligations

    Versus preceding 12 months

    +$3.6M

    3 active prime contractors · 13 awards

    View office comparison and evidence

    Reported obligations moved from $1.6M in net deobligations to $2.0M in net obligations. The office’s share of positive obligations moved from 0% to 1.0%, a change of +1.0 percentage points.

    The latest period contains 17 actions across 13 awards. The preceding period contained 5 active prime contractors and 19 awards.

  14. Reported funding office

    459-HONOLULU (00459)

    #41Down 37 from #4

    Latest 12 months

    $1.6M

    0.82% of positive obligations

    Versus preceding 12 months

    −$10.3M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 86.6% from $11.9M to $1.6M. The office’s share of positive obligations moved from 4.6% to 0.82%, a change of −3.8 percentage points.

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

    Leading award-level changes

  15. Reported funding office

    517-BECKLEY (00517)(36C517)

    #59Down 51 from #8

    Latest 12 months

    $927K

    0.48% of positive obligations

    Versus preceding 12 months

    −$6.7M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 87.8% from $7.6M to $927K. The office’s share of positive obligations moved from 3.0% to 0.48%, a change of −2.5 percentage points.

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

  16. Reported funding office

    554-DENVER (00554)

    No positive-obligation rank

    Latest 12 months

    −$711K

    0% of positive obligations

    Versus preceding 12 months

    −$6.3M

    3 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations moved from $5.6M in net obligations to $711K in net deobligations. The office’s share of positive obligations moved from 2.2% to 0%, a change of −2.2 percentage points.

    The latest period contains 6 actions across 6 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 3 awards.

  17. Reported funding office

    619-CENTERAL ALABAM (00619)(36C619)

    No positive-obligation rank

    Latest 12 months

    −$1.5M

    0% of positive obligations

    Versus preceding 12 months

    −$9.8M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $8.4M in net obligations to $1.5M in net deobligations. The office’s share of positive obligations moved from 3.3% to 0%, a change of −3.3 percentage points.

    The latest period contains 1 action across 1 award. 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, 217 awards had positive obligations totaling $226.1M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 35.9% of positive obligations. Awards with a reported parent IDV accounted for 95.2%.

Leading award type
94.8%
Delivery Order
Leading reported procedure
35.9%
Negotiated Proposal/Quote
Reported parent IDV
95.2%
of positive obligations had a reported parent IDV
Median reported offers
1
33 of 217 awards reported offers · Limited reporting

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 217 current awards and 259 preceding awards with positive net obligations.

Negotiated Proposal/Quote obligation share
35.9%
Down from 49.0% 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 621910 peer median, parent-IDV obligation share is 81.8 percentage points higher, reported full-and-open obligation share is 25.4 percentage points higher, delivery-order obligation share is 84.9 percentage points higher, and median positive award obligations are 1545.9% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share95.2%13.3%+81.8 pts
Reported full-and-open obligation share26.5%1.1%+25.4 pts
Delivery-order obligation share94.8%9.9%+84.9 pts
Median positive award obligations$590K$36K+1545.9%
Peer cohort and comparison limits

The peer median gives each of the 3 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)187$214.5M94.8%
Purchase Order(B)26$10.8M4.8%
BPA Call(A)2$719K0.32%
Definitive Contract(D)2$145K0.060%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)187$214.5M94.8%
BPA(E)2$719K0.32%
Not reported28$11.0M4.8%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)186$214.4M94.8%
Multiple Award(M)3$812K0.36%
Not reported28$11.0M4.8%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)44$81.2M35.9%
Simplified Acquisition(SP1)74$52.5M23.2%
Np(NEGOTIATED PROPOSAL/QUOTE)17$36.9M16.3%
Sp1(SIMPLIFIED ACQUISITION)35$25.6M11.3%
Only One Source(SSS)32$15.0M6.6%
Sss(ONLY ONE SOURCE)7$7.4M3.3%
Other reported values8$7.5M3.3%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)32$60.0M26.5%
Competed Under SAP(F)71$51.7M22.9%
Full and Open Competition After Exclusion of Sources(D)20$28.7M12.7%
F(COMPETED UNDER SAP)31$24.6M10.9%
D(FULL AND OPEN COMPETITION AFTER EXCLUSION OF SOURCES)6$23.5M10.4%
A(FULL AND OPEN COMPETITION)11$13.4M5.9%
Other reported values46$24.3M10.7%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)3$812K0.36%
Not reported214$225.3M99.6%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Urgency (FAR 6.302-2)(URG)25$12.6M5.6%
Only One Source-Other (FAR 6.302-1 Other)(ONE)8$6.7M3.0%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)6$3.7M1.6%
SAP Non-Competition (FAR 13)(SP2)5$1.2M0.55%
Follow-on Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)2$49K0.020%
Not reported171$201.9M89.3%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)157$156.0M69.0%
J(FIRM FIXED PRICE)59$70.0M30.9%
Fixed Price with Economic Price Adjustment(K)1$130K0.060%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Transportation/Travel/Relocation- Travel/Lodging/Recruitment: Ambulance(V225)197$190.3M84.2%
Transportation/Travel/Relocation- Transportation: Other(V119)5$17.8M7.9%
Transportation/Travel/Relocation- Transportation: Other(V129)5$7.3M3.2%
Transportation/Travel/Relocation- Travel/Lodging/Recruitment: Navigational Aid and Pilotage(V227)2$6.9M3.1%
Transportation/Travel/Relocation- Other: Other(V999)3$2.1M0.94%
Emergency Medicine Services(Q529)2$899K0.40%
Other reported values3$783K0.35%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)217$226.1M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
247-Network Contract Office 7 (36c247)(36C247)12$35.0M15.5%
246-Network Contracting Office 6 (36c246)(36C246)13$26.1M11.6%
244-Network Contract Office 4 (36c244)(36C244)16$20.6M9.1%
250-Network Contract Office 10 (36c250)(36C250)15$20.4M9.0%
257-Network Contract Office 17 (36c257)(36C257)15$16.7M7.4%
241-Network Contract Office 01 (36c241)(36C241)19$15.8M7.0%
Other reported values127$91.4M40.4%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C24722D0020(3600)2$15.5M6.8%
36C24625D0043(3600)1$13.2M5.8%
36C25723D0041(3600)2$6.9M3.1%
36C24124D0064(3600)1$6.3M2.8%
36C24723D0017(3600)1$5.9M2.6%
36C25025D0068(3600)2$4.9M2.2%
36C24724D0004(3600)2$4.7M2.1%
36C24625D0012(3600)3$4.2M1.9%
Other reported values175$153.6M67.9%
Not reported28$11.0M4.8%

Offers, award size, and timing

Median reported offers
1 median
33 reported · 184 not reported · Limited reporting
Positive award obligations
$590K median
$187K–$1.4M middle 50%
Reported performance period
364 days (~12 months) median
215 reported · 2 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
38 of 101prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
12.2%of positive obligations in the last 12 months
Leading four prime contractors
26.6%of positive obligations in the last 12 months
Leading eight prime contractors
38.0%of positive obligations in the last 12 months

Based on $196.6M 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

    $24.1M

    12.2%

    Dollar movement

    −$11.6M

    vs. prior 12 months

    Last 12mo awards

    11 awards

    18 actions

    Historical and award details for EXCELSIOR AMBULANCE SERVICE INC
    Obligations: prior → latest
    $35.7M → $24.1M
    −32.5%
    Share: prior → latest
    13.7% → 12.2%
    −1.4 percentage points
    All-period obligations
    $110.4M
    11.0% of all-period positive obligations · 31 awards
    Recorded activity
    Since Oct 20, 2021
    through Sep 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported1011
    Reported small business1113
    All-period set-aside types
    • 1 · Total small business
  2. #2

    Last 12mo obligations

    $13.7M

    7.0%

    Dollar movement

    −$1.7M

    vs. prior 12 months

    Last 12mo awards

    6 awards

    6 actions

    Historical and award details for RELIANCE MEDICAL TRANSPORT, LLC
    Obligations: prior → latest
    $15.4M → $13.7M
    −11.3%
    Share: prior → latest
    5.9% → 7.0%
    +1.0 percentage points
    All-period obligations
    $65.7M
    6.5% of all-period positive obligations · 24 awards
    Recorded activity
    Since Oct 1, 2021
    through May 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside01
    Not reported68
    Reported small business69
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $7.3M

    3.7%

    Dollar movement

    −$183K

    vs. prior 12 months

    Last 12mo awards

    13 awards

    19 actions

    Historical and award details for ALERT AMBULANCE SERVICE, INC.
    Obligations: prior → latest
    $7.5M → $7.3M
    −2.4%
    Share: prior → latest
    2.9% → 3.7%
    +0.8 percentage points
    All-period obligations
    $25.0M
    2.5% of all-period positive obligations · 19 awards
    Recorded activity
    Since Oct 13, 2021
    through Oct 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported137
    Reported small business137
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $7.3M

    3.7%

    Dollar movement

    +$20K

    vs. prior 12 months

    Last 12mo awards

    9 awards

    9 actions

    Historical and award details for MEDEX MEDICAL TRANSPORT SERVICE INC
    Obligations: prior → latest
    $7.2M → $7.3M
    +0.3%
    Share: prior → latest
    2.8% → 3.7%
    +0.9 percentage points
    All-period obligations
    $25.3M
    2.5% of all-period positive obligations · 21 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 19, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported95
    Reported small business95
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $6.9M

    3.5%

    Dollar movement

    −$1.4M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for ACADIAN AMBULANCE SERVICE OF TEXAS, LLC
    Obligations: prior → latest
    $8.3M → $6.9M
    −16.9%
    Share: prior → latest
    3.2% → 3.5%
    +0.3 percentage points
    All-period obligations
    $22.7M
    2.3% of all-period positive obligations · 5 awards
    Recorded activity
    Since Jun 30, 2023
    through Jul 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside01
    Not reported33
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $5.9M

    3.0%

    Dollar movement

    −$5.7M

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for MEDSHORE AMBULANCE SERVICE, INC.
    Obligations: prior → latest
    $11.5M → $5.9M
    −49.2%
    Share: prior → latest
    4.4% → 3.0%
    −1.4 percentage points
    All-period obligations
    $30.9M
    3.1% of all-period positive obligations · 6 awards
    Recorded activity
    Since Nov 3, 2021
    through May 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported12
    Reported small business12
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $5.1M

    2.6%

    Dollar movement

    +$4.5M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for HEARTLAND AMBULANCE SERVICE LLC
    Obligations: prior → latest
    $566K → $5.1M
    +792.0%
    Share: prior → latest
    0.22% → 2.6%
    +2.4 percentage points
    All-period obligations
    $5.6M
    0.56% of all-period positive obligations · 3 awards
    Recorded activity
    Since Jul 28, 2025
    through Jul 31, 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.

  8. #8

    Last 12mo obligations

    $4.6M

    2.4%

    Dollar movement

    +$268K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    6 actions

    Historical and award details for LIFELINE MEDICAL SERVICES, INC.
    Obligations: prior → latest
    $4.4M → $4.6M
    +6.1%
    Share: prior → latest
    1.7% → 2.4%
    +0.7 percentage points
    All-period obligations
    $18.9M
    1.9% of all-period positive obligations · 10 awards
    Recorded activity
    Since Oct 20, 2021
    through Apr 23, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported43
    Reported small business43
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $4.6M

    2.3%

    Dollar movement

    −$594K

    vs. prior 12 months

    Last 12mo awards

    8 awards

    8 actions

    Historical and award details for ACADIAN AMBULANCE SERVICE INC
    Obligations: prior → latest
    $5.1M → $4.6M
    −11.5%
    Share: prior → latest
    2.0% → 2.3%
    +0.3 percentage points
    All-period obligations
    $28.8M
    2.9% of all-period positive obligations · 32 awards
    Recorded activity
    Since Nov 8, 2021
    through Sep 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside10
    Not reported711
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $4.3M

    2.2%

    Dollar movement

    −$1.9M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    6 actions

    Historical and award details for FIRST CARE OHIO LLC
    Obligations: prior → latest
    $6.2M → $4.3M
    −30.7%
    Share: prior → latest
    2.4% → 2.2%
    −0.2 percentage points
    All-period obligations
    $24.5M
    2.4% of all-period positive obligations · 14 awards
    Recorded activity
    Since Jan 19, 2022
    through Aug 26, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported34
    Reported small business45
    All-period set-aside types
    • 1 · Total small business
  11. #11

    Last 12mo obligations

    $4.2M

    2.2%

    Dollar movement

    −$3.6M

    vs. prior 12 months

    Last 12mo awards

    9 awards

    16 actions

    Historical and award details for JOURNEY VIA GURNEY, LLC
    Obligations: prior → latest
    $7.8M → $4.2M
    −45.7%
    Share: prior → latest
    3.0% → 2.2%
    −0.8 percentage points
    All-period obligations
    $29.9M
    3.0% of all-period positive obligations · 23 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-aside11
    Reported no set-aside11
    Not reported711
    Reported small business913
    All-period set-aside types
    • 1 · Veteran set-aside
  12. #12

    Last 12mo obligations

    $4.1M

    2.1%

    Dollar movement

    +$1.2M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for BAY MEDIC TRANSPORTATION INC.
    Obligations: prior → latest
    $2.9M → $4.1M
    +41.8%
    Share: prior → latest
    1.1% → 2.1%
    +1.0 percentage points
    All-period obligations
    $11.3M
    1.1% of all-period positive obligations · 11 awards
    Recorded activity
    Since Mar 23, 2022
    through Apr 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported32
    Reported small business43
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $3.9M

    2.0%

    Dollar movement

    −$355K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    5 actions

    Historical and award details for PRO CARE EMERGENCY MEDICAL SERVICES, LLC
    Obligations: prior → latest
    $4.3M → $3.9M
    −8.4%
    Share: prior → latest
    1.6% → 2.0%
    +0.3 percentage points
    All-period obligations
    $17.8M
    1.8% of all-period positive obligations · 5 awards
    Recorded activity
    Since Jun 13, 2023
    through Oct 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported23
    Reported small business23
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $3.8M

    1.9%

    Dollar movement

    +$3.0M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for TRANS-MED AMBULANCE INC.
    Obligations: prior → latest
    $768K → $3.8M
    +392.5%
    Share: prior → latest
    0.29% → 1.9%
    +1.6 percentage points
    All-period obligations
    $7.2M
    0.71% of all-period positive obligations · 8 awards
    Recorded activity
    Since Dec 1, 2021
    through Oct 6, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported32
    Reported small business32
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $3.7M

    1.9%

    Dollar movement

    +$265K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for OHIO AMBULANCE SOLUTIONS, LLC
    Obligations: prior → latest
    $3.4M → $3.7M
    +7.8%
    Share: prior → latest
    1.3% → 1.9%
    +0.6 percentage points
    All-period obligations
    $17.3M
    1.7% of all-period positive obligations · 10 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 13, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside01
    Reported no set-aside00
    Not reported24
    Reported small business25
    All-period set-aside types
    • 1 · Total small business

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

+$13.2M

RELIANCE MEDICAL TRANSPORT, LLC

HAMPTON 590 (36C590)

NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 6.7% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $1.7M overall.

Award net obligations
$13.2M
Share of 12-month positive obligations
6.7%
Supporting data
Prime contractor
#2 · 7.0% share
$1.7M net decline despite this positive action
Funding office
#2 · 5.5% attributed share
$1.8M net decline despite this positive action
PIID 36C24626N0473
Modification

This action

+$6.3M

EXCELSIOR AMBULANCE SERVICE INC

521-BIRMINGHAM(00521)(36C521)

NONEMERGENT AMBULANCE SERVICES

Why it stands out

The award grew alongside stronger office-attributed spending.

The modification added $6.3M while office-attributed obligations rose $7.7M overall.

Award net obligations
$11.0M
Share of 12-month positive obligations
3.2%
Supporting data
Prime contractor
#1 · 12.2% share
$11.6M net decline despite this positive action
Funding office
#1 · 7.9% attributed share
up 8 ranks · +4.9 percentage points · $7.7M net increase; action accounted for 82.1%
Related:Funding office gain
PIID 36C24726N0186 · Mod P00001
Base award

This action

+$3.5M

HEARTLAND AMBULANCE SERVICE LLC

583-INDIANAPOLIS(00583)

INDIANAPOLIS AMBULANCE SERVICES - ORDERING PERIOD TWO

Why it stands out

The contractor climbed 64 positions in this market.

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

Award net obligations
$3.5M
Share of 12-month positive obligations
1.8%
Supporting data
Prime contractor
#7 · 2.6% share
up 64 ranks · +2.4 percentage points · $4.5M net increase; action accounted for 77.9%
Related:Largest rank gain
PIID 36C25026F0595
Deobligation

This action

−$2.5M

DALMOR LLC

554-DENVER (00554)

DE-OBLIGATION FY25 UNUSED FUNDS ON AMBULANCE SERVICE TASK ORDER

Why it stands out

This award recorded a material contraction.

The action removed $2.5M. A deobligation does not by itself show lower requirement demand.

Award net obligations
$2.2M
Share of 12-month positive obligations
1.3%
Supporting data
Prime contractor
0% share
−2.1 percentage points · $8.4M net decline; action accounted for 30.1%
Funding office
0% attributed share
−2.2 percentage points · $6.3M net decline; action accounted for 39.7%
Related:Largest net deobligation
PIID 36C25925N0325 · Mod P00001
Base award

This action

+$6.3M

ALERT AMBULANCE SERVICE, INC.

523-BOSTON (00523)(36C523)

AMBULANCE SERVICE

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 3.2% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $183K overall.

Award net obligations
$6.3M
Share of 12-month positive obligations
3.2%
Supporting data
Prime contractor
#3 · 3.7% share
$183K net decline despite this positive action
PIID 36C24126N0161
Base award

This action

+$5.9M

MEDSHORE AMBULANCE SERVICE, INC.

544-COLUMBIA (00544)(36C544)

NON-EMERGENT AMBULANCE SERVICE

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 3.0% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $5.7M overall.

Award net obligations
$5.9M
Share of 12-month positive obligations
3.0%
Supporting data
Prime contractor
#6 · 3.0% share
$5.7M net decline despite this positive action
Funding office
#6 · 3.0% attributed share
$5.7M net decline despite this positive action
PIID 36C24726N0209
View recent award activity by date (10)
  1. ROYAL AMBULANCE INCDeobligation · PIID 36C26125P0378
    Action−$113K
    Award net obligations$600K
  2. ALERT AMBULANCE SERVICE, INC.Modification · PIID 36C24122N0300
    Action+$5K
    Award net obligations$800K
  3. METRO WEST AMBULANCE SERVICE, INC.Modification · PIID 36C26025N0460
    Action+$100K
    Award net obligations$1.7M
  4. PAFFORD MEDICAL SERVICES, INC.Modification · PIID 36C25626N0130
    Action+$80K
    Award net obligations$3.1M
  5. MEDEX MEDICAL TRANSPORT SERVICE INCModification · PIID 36C24625N0063
    Action+$229K
    Award net obligations$2.4M
  6. PRO CARE EMERGENCY MEDICAL SERVICES, LLCBase award · PIID 36C24727N0018
    Action+$3.3M
    Award net obligations$3.3M
  7. OHIO AMBULANCE SOLUTIONS, LLCBase award · PIID 36C25027N5521
    Action+$2.1M
    Award net obligations$2.1M
  8. ALERT AMBULANCE SERVICE, INC.Deobligation · PIID 36C24122N0628
    Action−$841K
    Award net obligations$1K
  9. ABBOTT AMBULANCE, INC.Base award · PIID 36C25527N0040
    Action+$834K
    Award net obligations$834K
  10. ALERT AMBULANCE SERVICE, INC.Deobligation · PIID 36C24121N0037
    Action−$425K
    Award net obligations$430

VA ambulance services market FAQs

Answers based on reported federal contract data.

Who are the top VA ambulance services contractors?

In the 12 months through October 23, 2026, EXCELSIOR AMBULANCE SERVICE INC, RELIANCE MEDICAL TRANSPORT, LLC, and ALERT AMBULANCE SERVICE, INC. were the leading VA ambulance services prime contractors by positive obligations.

  1. #1

    EXCELSIOR AMBULANCE SERVICE INC

    $24,054,472 in positive obligations

  2. #2

    RELIANCE MEDICAL TRANSPORT, LLC

    $13,668,183 in positive obligations

  3. #3

    ALERT AMBULANCE SERVICE, INC.

    $7,310,801 in positive obligations

Rankings use reported USAspending award data.

Did VA contract obligations decrease in the ambulance services market?

Yes. Measured by net prime contract obligations, reported VA activity in the ambulance services market decreased 25.4% from $250,407,313 in the preceding 12 months to $186,890,032 in the 12 months through October 23, 2026.

Latest 12 months
$186,890,032
Net prime contract obligations
Preceding 12 months
$250,407,313
Net prime contract obligations
Change
−25.4%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

What recent VA contract award activity was reported in the ambulance services market?

Recent VA contract award activity reported in the ambulance services market included actions for RELIANCE MEDICAL TRANSPORT, LLC, EXCELSIOR AMBULANCE SERVICE INC, and HEARTLAND AMBULANCE SERVICE LLC during the 12 months through October 23, 2026.

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

Which procurement methods were reported for VA contracts under NAICS 621910?

From October 24, 2025 through October 23, 2026, VA reported 217 positive-obligation awards for ambulance services under NAICS 621910. The leading award type was delivery order. The leading reported procedure was negotiated proposal/quote.

Positive-obligation awards
217
Leading reported procedure
Negotiated Proposal/Quote
35.9% of positive obligations
Leading award type
Delivery Order
94.8% of positive obligations
Full and open
26.5%
of positive obligations
Reported parent IDV
95.2%
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