Federal Capture Intelligence

Top VA ambulance services contractors (NAICS 621910)

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of Veterans Affairs agency guide NAICS 621910 · Ambulance Services
Latest 12 months
$242.4M
Net obligations · Up $12.9M vs. $229.5M preceding
Prime contractors
111
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 $973.1M in net obligations across 1,128 awards in Ambulance Services at the Department of Veterans Affairs from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.29% of $339.1B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 5.6% from $229.5M to $242.4M. 41 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: $231.6M versus $227.6M through the same date in FY25 (+1.8%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$146.3M470Complete
FY2023$172.6M502Complete
FY2024$184.3M523Complete
FY2025$238.4M528Complete
FY2026$231.6M487YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$973.1M
1,128 awards · 190 prime contractors
Latest 12-month movement
+5.6%
$242.4M vs. $229.5M
Leading eight prime share
35.4%
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 $339.1B in agency-wide net obligations.
Set-aside share when reported
13.5% of 171 awards with reported set-aside status.
Set-aside reporting
23 set aside · 148 no set-aside · 957 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

PAFFORD MEDICAL SERVICES, INC. climbed the most in the contractor rankings
#93→#23Up 70 places
The contractor accounts for 1.5% of positive obligations across 9 reported actions.
PREMIER MEDICAL TRANSPORTATION, INC. fell the most in the contractor rankings
#37→#106Down 69 places
The contractor accounts for 0.060% of positive obligations across 3 reported actions.
5 contractors were first observed in this market during the latest 12 months
$9.0MLatest 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
EXCELSIOR AMBULANCE SERVICE INC had the largest increase in reported obligations
$23.0M→$31.5M+$8.5M
The contractor now ranks #1 by positive obligations and accounts for 12.7% of positive obligations, based on 20 reported actions.

Buyer demand

Reported obligations through 534-CHARLESTON (00534)(36C534) increased
$6.5M→$13.2M+$6.8M
Latest-period activity spans 2 awards across 1 prime contractor.
View 3 additional material changes

Buyer demand

Reported obligations through 671-SAN ANTONIO (00671) decreased
$13.2M→$9.2M−$4.0M
Latest-period activity spans 6 awards across 2 prime contractors.

Competitive shifts

FRONTLINE SUPPORT SOLUTIONS, LLC was the largest newly observed contractor
$4.8MLatest 12-month obligations
First observed in this market on Sep 19, 2025, the contractor now ranks #9 by positive obligations across 2 reported actions.
DALMOR LLC recorded the largest net deobligation
$6.7M→−$2.8M−$9.6M
The contractor now is unranked by positive obligations, based on 3 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.

5.4% of positive obligations were attributed to 534-CHARLESTON (00534)(36C534). That represents $13.2M, up $6.8M from the preceding 12 months.

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

  1. 534-CHARLESTON (00534)(36C534)5.4% · $13.2M · up $6.8M
  2. HAMPTON 590 (36C590)4.4% · $10.8M · down $1.8M
  3. 671-SAN ANTONIO (00671)3.8% · $9.2M · down $4.0M
  4. 521-BIRMINGHAM(00521)(36C521)3.6% · $8.9M · up $1.4M
  5. 261-NETWORK CONTRACT OFFICE 21 (36C261)3.2% · $7.8M · up $1.5M
  6. All other reported offices79.6% 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

    534-CHARLESTON (00534)(36C534)

    #1Up 8 from #9

    Latest 12 months

    $13.2M

    5.4% of positive obligations

    Versus preceding 12 months

    +$6.8M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 104.1% from $6.5M to $13.2M. The office’s share of positive obligations moved from 2.8% to 5.4%, a change of +2.6 percentage points.

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

    Leading award-level changes

  2. Reported funding office

    HAMPTON 590 (36C590)

    #2Rank unchanged

    Latest 12 months

    $10.8M

    4.4% 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 5.4% to 4.4%, a change of −1.0 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 2 from #1

    Latest 12 months

    $9.2M

    3.8% of positive obligations

    Versus preceding 12 months

    −$4.0M

    2 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations decreased 30.5% from $13.2M to $9.2M. The office’s share of positive obligations moved from 5.7% to 3.8%, a change of −1.9 percentage points.

    The latest period contains 9 actions across 6 awards. The preceding period contained 2 active prime contractors and 7 awards.

  4. Reported funding office

    521-BIRMINGHAM(00521)(36C521)

    #4Up 3 from #7

    Latest 12 months

    $8.9M

    3.6% of positive obligations

    Versus preceding 12 months

    +$1.4M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 18.3% from $7.5M to $8.9M. The office’s share of positive obligations moved from 3.2% to 3.6%, a change of +0.4 percentage points.

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

  5. Reported funding office

    261-NETWORK CONTRACT OFFICE 21 (36C261)

    #5Up 5 from #10

    Latest 12 months

    $7.8M

    3.2% of positive obligations

    Versus preceding 12 months

    +$1.5M

    10 active prime contractors · 19 awards

    View office comparison and evidence

    Reported obligations increased 23.1% from $6.4M to $7.8M. The office’s share of positive obligations moved from 2.7% to 3.2%, a change of +0.5 percentage points.

    The latest period contains 23 actions across 19 awards and 1 newly active prime contractor. The preceding period contained 9 active prime contractors and 19 awards.

  6. Reported funding office

    581 HUNTINGTON (00581)(36C581)

    #6Down 1 from #5

    Latest 12 months

    $7.0M

    2.9% of positive obligations

    Versus preceding 12 months

    −$623K

    7 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations decreased 8.1% from $7.7M to $7.0M. The office’s share of positive obligations moved from 3.3% to 2.9%, a change of −0.4 percentage points.

    The latest period contains 18 actions across 12 awards and 2 newly active prime contractors. The preceding period contained 6 active prime contractors and 9 awards.

  7. Reported funding office

    549-DALLAS (00549)

    #7Up 24 from #31

    Latest 12 months

    $6.6M

    2.7% of positive obligations

    Versus preceding 12 months

    +$3.7M

    3 active prime contractors · 13 awards

    View office comparison and evidence

    Reported obligations increased 124.9% from $2.9M to $6.6M. The office’s share of positive obligations moved from 1.3% to 2.7%, a change of +1.4 percentage points.

    The latest period contains 15 actions across 13 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 10 awards.

  8. Reported funding office

    583-INDIANAPOLIS(00583)

    #8Up 17 from #25

    Latest 12 months

    $6.5M

    2.7% of positive obligations

    Versus preceding 12 months

    +$3.3M

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations increased 99.6% from $3.3M to $6.5M. The office’s share of positive obligations moved from 1.4% to 2.7%, a change of +1.3 percentage points.

    The latest period contains 4 actions across 4 awards. The preceding period contained 2 active prime contractors and 5 awards.

  9. Reported funding office

    523-BOSTON (00523)(36C523)

    #9Up 2 from #11

    Latest 12 months

    $6.1M

    2.5% of positive obligations

    Versus preceding 12 months

    +$846K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 16.1% from $5.3M to $6.1M. The office’s share of positive obligations moved from 2.3% to 2.5%, a change of +0.3 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 2 awards.

  10. Reported funding office

    544-COLUMBIA (00544)(36C544)

    #10Down 7 from #3

    Latest 12 months

    $5.9M

    2.4% of positive obligations

    Versus preceding 12 months

    −$5.6M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 48.9% from $11.5M to $5.9M. The office’s share of positive obligations moved from 4.9% to 2.4%, a change of −2.5 percentage points.

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

  11. Reported funding office

    459-HONOLULU (00459)

    #12Down 8 from #4

    Latest 12 months

    $4.9M

    2.0% of positive obligations

    Versus preceding 12 months

    −$3.7M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations decreased 43.1% from $8.6M to $4.9M. The office’s share of positive obligations moved from 3.7% to 2.0%, a change of −1.7 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 3 awards.

  12. Reported funding office

    VETERANS HEALTH ADMINISTRATION

    #21New to the positive-obligation ranking

    Latest 12 months

    $4.2M

    1.7% of positive obligations

    Versus preceding 12 months

    +$4.3M

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations moved from $84K in net deobligations to $4.2M in net obligations. The office’s share of positive obligations moved from 0% to 1.7%, a change of +1.7 percentage points.

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

  13. Reported funding office

    564-FAYETTEVILLE (00564)

    #26Up 65 from #91

    Latest 12 months

    $3.6M

    1.5% of positive obligations

    Versus preceding 12 months

    +$3.5M

    1 active prime contractor · 4 awards

    View office comparison and evidence

    Reported obligations increased 2575.0% from $135K to $3.6M. The office’s share of positive obligations moved from 0.060% to 1.5%, a change of +1.4 percentage points.

    The latest period contains 9 actions across 4 awards. The preceding period contained 1 active prime contractor and 3 awards.

  14. Reported funding office

    540-CLARKSBURG (00540)(36C540)

    #56Down 41 from #15

    Latest 12 months

    $1.4M

    0.59% of positive obligations

    Versus preceding 12 months

    −$3.0M

    1 active prime contractor · 4 awards

    View office comparison and evidence

    Reported obligations decreased 67.2% from $4.4M to $1.4M. The office’s share of positive obligations moved from 1.9% to 0.59%, a change of −1.3 percentage points.

    The latest period contains 5 actions across 4 awards. The preceding period contained 1 active prime contractor and 2 awards.

  15. Reported funding office

    554-DENVER (00554)

    No positive-obligation rank

    Latest 12 months

    −$711K

    0% of positive obligations

    Versus preceding 12 months

    −$7.5M

    3 active prime contractors · 6 awards

    View office comparison and evidence

    Reported obligations moved from $6.8M in net obligations to $711K in net deobligations. The office’s share of positive obligations moved from 2.9% to 0%, a change of −2.9 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 4 awards.

    Leading award-level changes

Contract types, competition, and procurement methods

From Sep 11, 2025 through Sep 10, 2026, 245 awards had positive obligations totaling $276.4M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 43.8% of positive obligations. Awards with a reported parent IDV accounted for 95.5%.

Leading award type
94.3%
Delivery Order
Leading reported procedure
43.8%
Negotiated Proposal/Quote
Reported parent IDV
95.5%
of positive obligations had a reported parent IDV
Median reported offers
1
37 of 245 awards reported offers · Limited reporting

Same-NAICS comparison

Compared with the NAICS 621910 peer median, parent-IDV obligation share is 81.1 percentage points higher, reported full-and-open obligation share is 26.2 percentage points higher, delivery-order obligation share is 85.0 percentage points higher, and median positive award obligations are 1900.8% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share95.5%14.4%+81.1 pts
Reported full-and-open obligation share27.4%1.2%+26.2 pts
Delivery-order obligation share94.3%9.4%+85.0 pts
Median positive award obligations$616K$31K+1900.8%
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)213$260.7M94.3%
Purchase Order(B)25$11.1M4.0%
BPA Call(A)4$3.2M1.2%
Definitive Contract(D)3$1.3M0.48%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)213$260.7M94.3%
BPA(E)4$3.2M1.2%
Not reported28$12.4M4.5%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)212$260.7M94.3%
Multiple Award(M)5$3.2M1.1%
Not reported28$12.4M4.5%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)60$121.1M43.8%
Simplified Acquisition(SP1)104$83.4M30.2%
Only One Source(SSS)40$23.3M8.4%
Np(NEGOTIATED PROPOSAL/QUOTE)8$18.8M6.8%
Sp1(SIMPLIFIED ACQUISITION)19$14.8M5.3%
Sealed Bid(SB)3$5.5M2.0%
Other reported values11$9.4M3.4%

Extent competed

Reported valueAwardsPositive obligationsShare
Competed Under SAP(F)100$82.0M29.7%
Full and Open Competition(A)42$75.7M27.4%
Full and Open Competition After Exclusion of Sources(D)28$55.3M20.0%
Not Competed(C)36$19.6M7.1%
F(COMPETED UNDER SAP)17$14.5M5.3%
D(FULL AND OPEN COMPETITION AFTER EXCLUSION OF SOURCES)3$12.1M4.4%
Other reported values19$17.2M6.2%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)5$3.2M1.1%
Not reported240$273.2M98.8%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Urgency (FAR 6.302-2)(URG)29$16.0M5.8%
Only One Source-Other (FAR 6.302-1 Other)(ONE)9$8.6M3.1%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)5$3.7M1.4%
SAP Non-Competition (FAR 13)(SP2)5$1.7M0.61%
Follow-on Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)2$49K0.020%
Not reported195$246.3M89.1%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)213$237.6M86.0%
J(FIRM FIXED PRICE)31$38.6M14.0%
Fixed Price with Economic Price Adjustment(K)1$130K0.050%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Transportation/Travel/Relocation- Travel/Lodging/Recruitment: Ambulance(V225)223$246.3M89.1%
Transportation/Travel/Relocation- Transportation: Other(V119)7$13.1M4.8%
Transportation/Travel/Relocation- Travel/Lodging/Recruitment: Navigational Aid and Pilotage(V227)2$6.9M2.5%
Transportation/Travel/Relocation- Transportation: Other(V129)4$6.3M2.3%
Transportation/Travel/Relocation- Other: Other(V999)3$2.1M0.77%
Transportation/Travel/Relocation- Travel/Lodging/Recruitment: Passenger Motor Charter(V222)1$750K0.27%
Other reported values5$842K0.30%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)245$276.4M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
247-Network Contract Office 7 (36c247)(36C247)13$46.1M16.7%
246-Network Contracting Office 6 (36c246)(36C246)12$27.3M9.9%
250-Network Contract Office 10 (36c250)(36C250)18$23.6M8.5%
262-Network Contract Office 22 (36c262)(36C262)30$21.7M7.8%
257-Network Contract Office 17 (36c257)(36C257)15$20.6M7.4%
244-Network Contract Office 4 (36c244)(36C244)15$20.2M7.3%
Other reported values142$117.0M42.3%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C24724D0004(3600)2$13.2M4.8%
36C24625D0043(3600)1$13.2M4.8%
36C24722D0020(3600)2$9.2M3.3%
36C25723D0041(3600)2$6.9M2.5%
36C24124D0064(3600)1$6.3M2.3%
36C24723D0017(3600)1$5.9M2.1%
36C24722D0021(3600)1$5.3M1.9%
36C26124D0040(3600)2$5.0M1.8%
Other reported values205$199.0M72.0%
Not reported28$12.4M4.5%

Offers, award size, and timing

Median reported offers
1 median
37 reported · 208 not reported · Limited reporting
Positive award obligations
$616K median
$200K–$1.5M middle 50%
Reported performance period
364 days (~12 months) median
243 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 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
41 of 111prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
12.7%of positive obligations in the last 12 months
Leading four prime contractors
25.4%of positive obligations in the last 12 months
Leading eight prime contractors
35.4%of positive obligations in the last 12 months

Based on $248.0M 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

    $31.5M

    12.7%

    Dollar movement

    +$8.5M

    vs. prior 12 months

    Last 12mo awards

    12 awards

    20 actions

    Historical and award details for EXCELSIOR AMBULANCE SERVICE INC
    Obligations: prior → latest
    $23.0M → $31.5M
    +37.0%
    Share: prior → latest
    9.7% → 12.7%
    +3.0 percentage points
    All-period obligations
    $104.1M
    10.6% of all-period positive obligations · 31 awards
    Recorded activity
    Since Oct 20, 2021
    through Aug 18, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported119
    Reported small business1211
    All-period set-aside types
    • 1 · Total small business
  2. #2

    Last 12mo obligations

    $15.2M

    6.1%

    Dollar movement

    +$206K

    vs. prior 12 months

    Last 12mo awards

    8 awards

    8 actions

    Historical and award details for RELIANCE MEDICAL TRANSPORT, LLC
    Obligations: prior → latest
    $14.9M → $15.2M
    +1.4%
    Share: prior → latest
    6.3% → 6.1%
    −0.2 percentage points
    All-period obligations
    $65.7M
    6.7% 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 reported86
    Reported small business87
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $8.6M

    3.5%

    Dollar movement

    +$1.2M

    vs. prior 12 months

    Last 12mo awards

    13 awards

    16 actions

    Historical and award details for ALERT AMBULANCE SERVICE, INC.
    Obligations: prior → latest
    $7.4M → $8.6M
    +15.8%
    Share: prior → latest
    3.1% → 3.5%
    +0.3 percentage points
    All-period obligations
    $26.2M
    2.7% of all-period positive obligations · 19 awards
    Recorded activity
    Since Oct 13, 2021
    through Jul 13, 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

    $7.8M

    3.1%

    Dollar movement

    −$922K

    vs. prior 12 months

    Last 12mo awards

    8 awards

    10 actions

    Historical and award details for MEDEX MEDICAL TRANSPORT SERVICE INC
    Obligations: prior → latest
    $8.7M → $7.8M
    −10.6%
    Share: prior → latest
    3.7% → 3.1%
    −0.5 percentage points
    All-period obligations
    $25.1M
    2.6% of all-period positive obligations · 21 awards
    Recorded activity
    Since Oct 1, 2021
    through Jul 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported87
    Reported small business87
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $6.9M

    2.8%

    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
    3.5% → 2.8%
    −0.7 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

    $6.8M

    2.7%

    Dollar movement

    −$247K

    vs. prior 12 months

    Last 12mo awards

    10 awards

    17 actions

    Historical and award details for JOURNEY VIA GURNEY, LLC
    Obligations: prior → latest
    $7.0M → $6.8M
    −3.5%
    Share: prior → latest
    3.0% → 2.7%
    −0.2 percentage points
    All-period obligations
    $27.3M
    2.8% of all-period positive obligations · 22 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 8, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside11
    Not reported810
    Reported small business1012
    All-period set-aside types
    • 1 · Veteran set-aside
  7. #7

    Last 12mo obligations

    $5.9M

    2.4%

    Dollar movement

    −$5.6M

    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
    −48.9%
    Share: prior → latest
    4.8% → 2.4%
    −2.5 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 reported13
    Reported small business13
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $5.1M

    2.0%

    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
    0.24% → 2.0%
    +1.8 percentage points
    All-period obligations
    $5.6M
    0.57% 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.

  9. #9

    Last 12mo obligations

    $4.8M

    1.9%

    Dollar movement

    +$4.8M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for FRONTLINE SUPPORT SOLUTIONS, LLC
    Obligations: prior → latest
    $0 → $4.8M
    Not comparable
    Share: prior → latest
    0% → 1.9%
    +1.9 percentage points
    All-period obligations
    $4.8M
    0.49% of all-period positive obligations · 2 awards
    Recorded activity
    Since Sep 19, 2025
    through Aug 6, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported20
    Reported small business20
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $4.8M

    1.9%

    Dollar movement

    +$2.8M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for JAN-CARE AMBULANCE OF RALEIGH COUNTY, INC.
    Obligations: prior → latest
    $2.0M → $4.8M
    +141.7%
    Share: prior → latest
    0.84% → 1.9%
    +1.1 percentage points
    All-period obligations
    $6.8M
    0.69% of all-period positive obligations · 3 awards
    Recorded activity
    Since Apr 30, 2025
    through Sep 9, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported10
    Reported small business22
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $4.6M

    1.9%

    Dollar movement

    +$268K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    7 actions

    Historical and award details for LIFELINE MEDICAL SERVICES, INC.
    Obligations: prior → latest
    $4.4M → $4.6M
    +6.1%
    Share: prior → latest
    1.8% → 1.9%
    0.0 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.

  12. #12

    Last 12mo obligations

    $4.6M

    1.9%

    Dollar movement

    −$419K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for OHIO AMBULANCE SOLUTIONS, LLC
    Obligations: prior → latest
    $5.0M → $4.6M
    −8.4%
    Share: prior → latest
    2.1% → 1.9%
    −0.3 percentage points
    All-period obligations
    $15.2M
    1.6% of all-period positive obligations · 9 awards
    Recorded activity
    Since Oct 1, 2021
    through Feb 23, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside01
    Reported no set-aside00
    Not reported33
    Reported small business34
    All-period set-aside types
    • 1 · Total small business
  13. #13

    Last 12mo obligations

    $4.6M

    1.8%

    Dollar movement

    +$1.3M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    6 actions

    Historical and award details for PRO CARE EMERGENCY MEDICAL SERVICES, LLC
    Obligations: prior → latest
    $3.3M → $4.6M
    +38.8%
    Share: prior → latest
    1.4% → 1.8%
    +0.5 percentage points
    All-period obligations
    $14.4M
    1.5% of all-period positive obligations · 4 awards
    Recorded activity
    Since Jun 13, 2023
    through Jul 2, 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.

  14. #14

    Last 12mo obligations

    $4.5M

    1.8%

    Dollar movement

    −$1.5M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    6 actions

    Historical and award details for PROFESSIONAL HEALTHCARE ASSOCIATES, INC.
    Obligations: prior → latest
    $6.0M → $4.5M
    −25.3%
    Share: prior → latest
    2.5% → 1.8%
    −0.7 percentage points
    All-period obligations
    $15.0M
    1.5% of all-period positive obligations · 9 awards
    Recorded activity
    Since Jun 30, 2023
    through Aug 19, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside01
    Reported no set-aside00
    Not reported44
    Reported small business45
    All-period set-aside types
    • 1 · Total small business
  15. #15

    Last 12mo obligations

    $4.3M

    1.7%

    Dollar movement

    −$3.9M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    7 actions

    Historical and award details for FIRST CARE OHIO LLC
    Obligations: prior → latest
    $8.1M → $4.3M
    −47.6%
    Share: prior → latest
    3.4% → 1.7%
    −1.7 percentage points
    All-period obligations
    $24.5M
    2.5% 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

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

+$6.5M

EXCELSIOR AMBULANCE SERVICE INC

534-CHARLESTON (00534)(36C534)

AMBULANCE TRANSPORTATION SERVICES

Why it stands out

The funding office climbed 8 positions in attributed spending.

It now ranks #1 in attributed spending.

Award net obligations
$10.6M
Share of 12-month positive obligations
2.6%
Supporting data
Prime contractor
#1 · 12.7% share
+3.0 percentage points · $8.5M net increase; action accounted for 76.2%
Funding office
#1 · 5.4% attributed share
up 8 ranks · +2.6 percentage points · $6.8M net increase; action accounted for 96.0%
Related:Largest contractor gainFunding office gain
PIID 36C24726N0016
Base award

This action

+$3.9M

FRONTLINE SUPPORT SOLUTIONS, LLC

549-DALLAS (00549)

CTX NA AMBULANCE TRANSPORTATION BLS, CCT ALS

Why it stands out

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

The base action placed the contractor #9 in this market by positive obligations over the latest 12 months.

Award net obligations
$3.9M
Share of 12-month positive obligations
1.6%
Supporting data
Prime contractor
#9 · 1.9% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#7 · 2.7% attributed share
up 24 ranks · +1.4 percentage points · $3.7M net increase; action exceeded it by $214K
Related:Newly observed contractor cohortLargest newly observed contractor
PIID 36C25725N0516
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 60 positions in this market.

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

Award net obligations
$3.5M
Share of 12-month positive obligations
1.4%
Supporting data
Prime contractor
#8 · 2.0% share
up 60 ranks · +1.8 percentage points · $4.5M net increase; action accounted for 77.9%
Funding office
#8 · 2.7% attributed share
up 17 ranks · +1.3 percentage points · $3.3M net increase; action exceeded it by $233K
PIID 36C25026F0595
Base award

This action

+$13.2M

RELIANCE MEDICAL TRANSPORT, LLC

HAMPTON 590 (36C590)

NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES

Why it stands out

One action represented 5.3% of the market’s latest 12-month positive obligations.

At $13.2M, the action was large enough to materially affect the latest 12-month market picture.

Award net obligations
$13.2M
Share of 12-month positive obligations
5.3%
Supporting data
Funding office
#2 · 4.4% attributed share
$1.8M net decline despite this positive action
PIID 36C24626N0473
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
1.0%
Supporting data
Prime contractor
0% share
−2.8 percentage points · $9.6M net decline; action accounted for 26.3%
Funding office
0% attributed share
−2.9 percentage points · $7.5M net decline; action accounted for 33.4%
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

The contractor climbed 6 positions in this market.

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

Award net obligations
$6.3M
Share of 12-month positive obligations
2.5%
PIID 36C24126N0161
View recent award activity by date (10)
  1. JAN-CARE AMBULANCE OF RALEIGH COUNTY, INC.Modification · PIID 36C24526N0023
    Action+$1.0M
    Award net obligations$4.7M
  2. JOURNEY VIA GURNEY, LLCDeobligation · PIID 36C25726N0392
    Action−$6.8M
    Award net obligations$0
  3. INTEGRITY CARE EMS INCDeobligation · PIID 36C25226N0107
    Action−$106K
    Award net obligations$179K
  4. APREA GROUP LLCBase award · PIID 36C25626N0792
    Action+$3.5M
    Award net obligations$3.5M
  5. SUPERIOR AMBULANCE SERVICE, INC.Deobligation · PIID 36C26225N0047
    Action−$421K
    Award net obligations$318K
  6. M C T EXPRESS, INC.Modification · PIID 36C24824P1702
    Action+$293K
    Award net obligations$880K
  7. LIFEFLEET SOUTHEAST INCModification · PIID 36C24826P0190
    Action+$221K
    Award net obligations$2.0M
  8. PRIORITY PATIENT TRANSPORT INCBase award · PIID 36C24626N0987
    Action+$1.7M
    Award net obligations$1.7M
  9. TECHNICAL MEDICAL LLCModification · PIID 36C26125N0640
    Action+$150K
    Award net obligations$713K
  10. JAN-CARE AMBULANCE OF NORTH CENTRAL W.VA., INCDeobligation · PIID 36C24525N0085
    Action−$467K
    Award net obligations$2.1M

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 September 10, 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

    $31,521,412 in positive obligations

  2. #2

    RELIANCE MEDICAL TRANSPORT, LLC

    $15,155,162 in positive obligations

  3. #3

    ALERT AMBULANCE SERVICE, INC.

    $8,621,159 in positive obligations

Rankings use reported USAspending award data.

Did VA contract obligations increase in the ambulance services market?

Yes. Measured by net prime contract obligations, reported VA activity in the ambulance services market increased 5.6% from $229,487,999 in the preceding 12 months to $242,389,149 in the 12 months through September 10, 2026.

Latest 12 months
$242,389,149
Net prime contract obligations
Preceding 12 months
$229,487,999
Net prime contract obligations
Change
+5.6%
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 EXCELSIOR AMBULANCE SERVICE INC, FRONTLINE SUPPORT SOLUTIONS, LLC, and HEARTLAND AMBULANCE SERVICE LLC during the 12 months through September 10, 2026.

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

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

From September 11, 2025 through September 10, 2026, VA reported 245 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
245
Leading reported procedure
Negotiated Proposal/Quote
43.8% of positive obligations
Leading award type
Delivery Order
94.3% of positive obligations
Full and open
27.4%
of positive obligations
Reported parent IDV
95.5%
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