Federal Capture Intelligence

Ambulance Services contractors at the Department of Veterans Affairs

Contract actions: October 1, 2021 – July 27, 2026 Updated July 28, 2026 Department of Veterans Affairs agency guide NAICS 621910 · Ambulance Services
Latest 12 months
$251.6M
Net obligations · Up $42.9M vs. $208.8M preceding
Prime contractors
109
With positive obligations in the latest 12 months

Market snapshot for Ambulance Services at the Department of Veterans Affairs

Federal records show $949.4M in net obligations across 1,107 awards in Ambulance Services at the Department of Veterans Affairs from Oct 1, 2021 through Jul 27, 2026. This market accounts for 0.30% of $316.4B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 20.5% from $208.8M to $251.6M. 39 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY26 is year-to-date through Jul 27, 2026; earlier years show complete fiscal-year totals.

FY26 year-to-date: $207.8M versus $194.6M through the same date in FY25 (+6.8%).
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$207.8M424YTD through Jul 27, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$949.4M
1,107 awards · 187 prime contractors
Latest 12-month movement
+20.5%
$251.6M vs. $208.8M
Leading eight prime share
39.9%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.30% of $316.4B in agency-wide net obligations.
Set-aside share when reported
13.5% of 170 awards with reported set-aside status.
Set-aside reporting
23 set aside · 147 no set-aside · 937 not reported

What changed in the last 12 months?

Jul 28, 2025–Jul 27, 2026, compared with Jul 28, 2024–Jul 27, 2025.

Competitive shifts

PAFFORD MEDICAL SERVICES, INC. climbed the most in the contractor rankings
#62→#24Up 38 places
The contractor accounts for 1.4% of positive obligations across 8 reported actions.
CITYWIDE MOBILE RESPONSE CORP fell the most in the contractor rankings
#19→#76Down 57 places
The contractor accounts for 0.22% of positive obligations across 4 reported actions.
RELIANCE MEDICAL TRANSPORT, LLC gained the most market share
4.15%→8.14%+4.0 percentage points
The contractor now ranks #2 by positive obligations, based on 11 reported actions.

Buyer demand

Reported obligations through HAMPTON 590 (36C590) increased
$6.5M→$16.9M+$10.3M
Latest-period activity spans 4 awards across 2 prime contractors.
Reported obligations through 671-SAN ANTONIO (00671) decreased
$14.9M→$9.8M−$5.2M
Latest-period activity spans 7 awards across 2 prime contractors.
View 3 additional material changes

Competitive shifts

4 contractors were first observed in this market during the latest 12 months
$4.7MLatest 12-month obligations
Contractor-level obligations and first-observed dates appear below. “First observed” applies only to this market and the period shown.
View 4 contractors
ContractorLatest 12 months
DALMOR LLC recorded the largest net deobligation
$7.7M→−$2.9M−$10.5M
The contractor now is unranked by positive obligations, based on 4 reported actions.
HEARTLAND AMBULANCE SERVICE LLC was the largest newly observed contractor
$2.1MLatest 12-month obligations
First observed in this market on Jul 28, 2025, the contractor now ranks #35 by positive obligations across 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.

Funding pattern for Ambulance Services at the Department of Veterans Affairs

See how positive obligations were attributed across funding offices in the 12 months ending Jul 27, 2026.

6.6% of positive obligations were attributed to HAMPTON 590 (36C590). That represents $16.9M, up $10.3M from the preceding 12 months.

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

  1. HAMPTON 590 (36C590)6.6% · $16.9M · up $10.3M
  2. 534-CHARLESTON (00534)(36C534)5.2% · $13.2M · up $6.7M
  3. 544-COLUMBIA (00544)(36C544)3.9% · $9.8M · up $2.3M
  4. 671-SAN ANTONIO (00671)3.8% · $9.8M · down $5.2M
  5. 521-BIRMINGHAM(00521)(36C521)3.5% · $8.9M · up $1.4M
  6. All other reported offices77.0% 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

    HAMPTON 590 (36C590)

    #1Up 8 from #9

    Latest 12 months

    $16.9M

    6.6% of positive obligations

    Versus preceding 12 months

    +$10.3M

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations increased 158.1% from $6.5M to $16.9M. The office’s share of positive obligations moved from 3.0% to 6.6%, a change of +3.6 percentage points.

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

    Leading award-level changes

  2. Reported funding office

    534-CHARLESTON (00534)(36C534)

    #2Up 8 from #10

    Latest 12 months

    $13.2M

    5.2% of positive obligations

    Versus preceding 12 months

    +$6.7M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 103.7% from $6.5M to $13.2M. The office’s share of positive obligations moved from 3.0% to 5.2%, a change of +2.2 percentage points.

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

  3. Reported funding office

    544-COLUMBIA (00544)(36C544)

    #3Up 2 from #5

    Latest 12 months

    $9.8M

    3.9% of positive obligations

    Versus preceding 12 months

    +$2.3M

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations increased 30.9% from $7.5M to $9.8M. The office’s share of positive obligations moved from 3.5% to 3.9%, a change of +0.4 percentage points.

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

  4. Reported funding office

    671-SAN ANTONIO (00671)

    #4Down 3 from #1

    Latest 12 months

    $9.8M

    3.8% of positive obligations

    Versus preceding 12 months

    −$5.2M

    2 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 34.7% from $14.9M to $9.8M. The office’s share of positive obligations moved from 7.0% to 3.8%, a change of −3.1 percentage points.

    The latest period contains 8 actions across 7 awards. The preceding period contained 2 active prime contractors and 9 awards.

  5. Reported funding office

    521-BIRMINGHAM(00521)(36C521)

    #5Down 1 from #4

    Latest 12 months

    $8.9M

    3.5% of positive obligations

    Versus preceding 12 months

    +$1.4M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations increased 18.1% from $7.5M to $8.9M. The office’s share of positive obligations moved from 3.5% to 3.5%, a change of 0.0 percentage points.

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

  6. Reported funding office

    581 HUNTINGTON (00581)(36C581)

    #6Down 3 from #3

    Latest 12 months

    $7.7M

    3.0% of positive obligations

    Versus preceding 12 months

    +$173K

    6 active prime contractors · 13 awards

    View office comparison and evidence

    Reported obligations increased 2.3% from $7.6M to $7.7M. The office’s share of positive obligations moved from 3.5% to 3.0%, a change of −0.5 percentage points.

    The latest period contains 18 actions across 13 awards and 2 newly active prime contractors. The preceding period contained 6 active prime contractors and 7 awards.

  7. Reported funding office

    261-NETWORK CONTRACT OFFICE 21 (36C261)

    #7Up 1 from #8

    Latest 12 months

    $6.9M

    2.7% of positive obligations

    Versus preceding 12 months

    +$264K

    10 active prime contractors · 19 awards

    View office comparison and evidence

    Reported obligations increased 3.9% from $6.7M to $6.9M. The office’s share of positive obligations moved from 3.1% to 2.7%, a change of −0.4 percentage points.

    The latest period contains 21 actions across 19 awards and 1 newly active prime contractor. The preceding period contained 9 active prime contractors and 17 awards.

  8. Reported funding office

    740-HARLINGEN (00740)

    #8New to the positive-obligation ranking

    Latest 12 months

    $6.8M

    2.7% of positive obligations

    Versus preceding 12 months

    +$6.8M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations rose from $0 to $6.8M. The office’s share of positive obligations moved from 0% to 2.7%, a change of +2.7 percentage points.

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

  9. Reported funding office

    649 PRESCOTT (00649)

    #9Up 18 from #27

    Latest 12 months

    $6.7M

    2.6% of positive obligations

    Versus preceding 12 months

    +$4.1M

    4 active prime contractors · 12 awards

    View office comparison and evidence

    Reported obligations increased 154.9% from $2.6M to $6.7M. The office’s share of positive obligations moved from 1.2% to 2.6%, a change of +1.4 percentage points.

    The latest period contains 18 actions across 12 awards. The preceding period contained 4 active prime contractors and 12 awards.

  10. Reported funding office

    523-BOSTON (00523)(36C523)

    #10Up 1 from #11

    Latest 12 months

    $6.1M

    2.4% of positive obligations

    Versus preceding 12 months

    +$827K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 15.7% from $5.3M to $6.1M. The office’s share of positive obligations moved from 2.5% to 2.4%, a change of −0.1 percentage points.

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

  11. Reported funding office

    459-HONOLULU (00459)

    #13Down 11 from #2

    Latest 12 months

    $5.1M

    2.0% of positive obligations

    Versus preceding 12 months

    −$3.5M

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations decreased 40.9% from $8.6M to $5.1M. The office’s share of positive obligations moved from 4.0% to 2.0%, a change of −2.0 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

    #19New to the positive-obligation ranking

    Latest 12 months

    $4.2M

    1.6% 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 1.6%, a change of +1.6 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

    605-VA LOMA LINDA HLTHCR SYS(00605)

    #24Down 18 from #6

    Latest 12 months

    $4.0M

    1.6% of positive obligations

    Versus preceding 12 months

    −$3.5M

    2 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 46.5% from $7.4M to $4.0M. The office’s share of positive obligations moved from 3.5% to 1.6%, a change of −1.9 percentage points.

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

  14. Reported funding office

    663-SEATTLE (00663)

    No positive-obligation rank

    Latest 12 months

    −$172K

    0% of positive obligations

    Versus preceding 12 months

    −$3.1M

    2 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations moved from $3.0M in net obligations to $172K in net deobligations. The office’s share of positive obligations moved from 1.4% to 0%, a change of −1.4 percentage points.

    The latest period contains 4 actions across 4 awards. The preceding period contained 2 active prime contractors and 8 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 3.2% to 0%, a change of −3.2 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 4 awards.

    Leading award-level changes

How this work is bought

Reported award structure, competition, pricing, work categories, and contracting channels for Ambulance Services at the Department of Veterans Affairs.

During Jul 28, 2025–Jul 27, 2026, this market recorded $286.6M in positive net award obligations across 250 awards. The leading reported procedure, Negotiated Proposal/Quote, accounted for 54.3% of that positive-obligation base. Awards with a reported parent IDV accounted for 96.2%.

Leading award type
95.0%
Delivery Order
Leading reported procedure
54.3%
Negotiated Proposal/Quote
Reported parent IDV
96.2%
of positive obligations had a reported parent IDV
Median reported offers
1
42 of 250 awards reported offers · Limited reporting

Buying method changes

Compared with Jul 28, 2024–Jul 27, 2025. Based on 250 current awards and 248 preceding awards with positive net obligations.

Leading reported procedure
Negotiated Proposal/Quote
Previously Simplified Acquisition · 44.9% preceding vs 54.3% current
How to read these changes

Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.

Same-NAICS comparison

Compared with the NAICS 621910 peer median, parent-IDV obligation share is 82.5 percentage points higher, reported full-and-open obligation share is 28.4 percentage points higher, delivery-order obligation share is 86.6 percentage points higher, and median positive award obligations are 1368.7% higher.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share96.2%13.7%+82.5 pts
Reported full-and-open obligation share29.5%1.1%+28.4 pts
Delivery-order obligation share95.0%8.4%+86.6 pts
Median positive award obligations$621K$42K+1368.7%
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)214$272.3M95.0%
Purchase Order(B)28$9.3M3.2%
BPA Call(A)5$3.4M1.2%
Definitive Contract(D)3$1.6M0.57%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)214$272.3M95.0%
BPA(E)5$3.4M1.2%
Not reported31$10.9M3.8%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)213$272.9M95.2%
Multiple Award(M)6$2.8M0.97%
Not reported31$10.9M3.8%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)71$155.5M54.3%
Simplified Acquisition(SP1)124$96.9M33.8%
Only One Source(SSS)45$27.6M9.6%
Subject To Multiple Award Fair Opportunity(MAFO)6$2.8M0.97%
Sealed Bid(SB)2$2.5M0.89%
Alternative Sources(AS)2$1.2M0.41%

Extent competed

Reported valueAwardsPositive obligationsShare
Competed Under SAP(F)117$94.9M33.1%
Full And Open Competition(A)45$84.6M29.5%
Full And Open Competition After Exclusion Of Sources(D)36$77.5M27.0%
Not Competed(C)41$23.9M8.3%
Not Available For Competition(B)4$3.7M1.3%
Not Competed Under SAP(G)7$2.1M0.72%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)5$2.8M0.96%
Follow-On Action Following Competitive Initial Action(FOO)1$33K0.010%
Not reported244$283.8M99.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Urgency (FAR 6.302-2)(URG)29$15.9M5.5%
Only One Source-Other (FAR 6.302-1 Other)(ONE)10$8.0M2.8%
Authorized By Statute (FAR 6.302-5(A)(2)(I))(OTH)5$3.8M1.3%
SAP Non-Competition (FAR 13)(SP2)6$2.0M0.70%
Follow-On Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)2$49K0.020%
Not reported198$256.9M89.6%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)249$286.5M100.0%
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)230$258.4M90.2%
Transportation/Travel/Relocation- Transportation: Other(V119)6$13.0M4.5%
Transportation/Travel/Relocation- Travel/Lodging/Recruitment: Navigational Aid And Pilotage(V227)2$6.9M2.4%
Transportation/Travel/Relocation- Transportation: Other(V129)5$5.4M1.9%
Transportation/Travel/Relocation- Other: Other(V999)3$1.7M0.60%
Emergency Medicine Services(Q529)1$563K0.20%
Other reported values3$636K0.22%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)250$286.6M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
247-Network Contract Office 7 (36c247)(36C247)16$52.1M18.2%
246-Network Contracting Office 6 (36c246)(36C246)14$34.3M12.0%
257-Network Contract Office 17 (36c257)(36C257)14$25.2M8.8%
262-Network Contract Office 22 (36c262)(36C262)34$23.2M8.1%
250-Network Contract Office 10 (36c250)(36C250)19$21.1M7.4%
245-Network Contract Office 5 (36c245)(36C245)24$19.8M6.9%
Other reported values129$110.9M38.7%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C24625D0043(3600)2$19.7M6.9%
36C24724D0004(3600)2$13.2M4.6%
36C24723D0017(3600)3$9.8M3.4%
36C24722D0020(3600)2$9.2M3.2%
36C25723D0041(3600)2$6.9M2.4%
36C25726D0073(3600)1$6.8M2.4%
36C24124D0064(3600)1$6.3M2.2%
36C24722D0021(3600)1$5.3M1.8%
Other reported values205$198.5M69.3%
Not reported31$10.9M3.8%

Offers, award size, and timing

Median reported offers
1 median
42 reported · 208 not reported · Limited reporting
Positive award obligations
$621K median
$203K–$1.5M middle 50%
Reported performance period
364 days (~12 months) median
248 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 Jul 27, 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.

Prime contractors for Ambulance Services at the Department of Veterans Affairs

Latest 12-month concentration and complete prime contractor rankings across the period shown.

Prime contractor concentration
39 of 109prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
11.3%of positive obligations in the last 12 months
Leading four prime contractors
28.7%of positive obligations in the last 12 months
Leading eight prime contractors
39.9%of positive obligations in the last 12 months

Based on $258.9M in positive obligations during the 12 months ending Jul 27, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Jul 28, 2024–Jul 27, 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

    $29.3M

    11.3%

    Dollar movement

    +$6.6M

    vs. prior 12 months

    Last 12mo awards

    13 awards

    21 actions

    Historical and award details for EXCELSIOR AMBULANCE SERVICE INC
    Obligations: prior → latest
    $22.7M → $29.3M
    +29.3%
    Share: prior → latest
    10.4% → 11.3%
    +0.9 percentage points
    All-period obligations
    $101.5M
    10.6% of all-period positive obligations · 31 awards
    Recorded activity
    Since Oct 20, 2021
    through Jul 21, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported127
    Reported small business139
    All-period set-aside types
    • 1 · Total small business
  2. #2

    Last 12mo obligations

    $21.1M

    8.1%

    Dollar movement

    +$12.1M

    vs. prior 12 months

    Last 12mo awards

    9 awards

    11 actions

    Historical and award details for RELIANCE MEDICAL TRANSPORT, LLC
    Obligations: prior → latest
    $9.0M → $21.1M
    +133.9%
    Share: prior → latest
    4.2% → 8.1%
    +4.0 percentage points
    All-period obligations
    $65.7M
    6.9% 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 reported95
    Reported small business96
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $14.1M

    5.5%

    Dollar movement

    +$6.9M

    vs. prior 12 months

    Last 12mo awards

    10 awards

    17 actions

    Historical and award details for JOURNEY VIA GURNEY, LLC
    Obligations: prior → latest
    $7.2M → $14.1M
    +96.1%
    Share: prior → latest
    3.3% → 5.5%
    +2.1 percentage points
    All-period obligations
    $34.8M
    3.6% of all-period positive obligations · 22 awards
    Recorded activity
    Since Oct 1, 2021
    through Jun 10, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside11
    Not reported89
    Reported small business1011
    All-period set-aside types
    • 1 · Veteran set-aside
  4. #4

    Last 12mo obligations

    $9.8M

    3.8%

    Dollar movement

    +$2.3M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    4 actions

    Historical and award details for MEDSHORE AMBULANCE SERVICE, INC.
    Obligations: prior → latest
    $7.5M → $9.8M
    +30.9%
    Share: prior → latest
    3.5% → 3.8%
    +0.3 percentage points
    All-period obligations
    $30.9M
    3.2% 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 reported33
    Reported small business33
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $8.6M

    3.3%

    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
    3.4% → 3.3%
    −0.1 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.

  6. #6

    Last 12mo obligations

    $7.8M

    3.0%

    Dollar movement

    +$2.8M

    vs. prior 12 months

    Last 12mo awards

    8 awards

    11 actions

    Historical and award details for MEDEX MEDICAL TRANSPORT SERVICE INC
    Obligations: prior → latest
    $5.1M → $7.8M
    +54.8%
    Share: prior → latest
    2.3% → 3.0%
    +0.7 percentage points
    All-period obligations
    $22.4M
    2.3% of all-period positive obligations · 20 awards
    Recorded activity
    Since Oct 1, 2021
    through Jul 15, 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.

  7. #7

    Last 12mo obligations

    $6.9M

    2.7%

    Dollar movement

    −$2.4M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    4 actions

    Historical and award details for ACADIAN AMBULANCE SERVICE OF TEXAS, LLC
    Obligations: prior → latest
    $9.3M → $6.9M
    −25.7%
    Share: prior → latest
    4.3% → 2.7%
    −1.6 percentage points
    All-period obligations
    $22.7M
    2.4% of all-period positive obligations · 5 awards
    Recorded activity
    Since Jun 30, 2023
    through Jun 25, 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.

  8. #8

    Last 12mo obligations

    $5.7M

    2.2%

    Dollar movement

    +$3.5M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    8 actions

    Historical and award details for LIFE LINE AMBULANCE SERVICE, INC.
    Obligations: prior → latest
    $2.2M → $5.7M
    +156.1%
    Share: prior → latest
    1.0% → 2.2%
    +1.2 percentage points
    All-period obligations
    $15.8M
    1.6% of all-period positive obligations · 10 awards
    Recorded activity
    Since Oct 1, 2021
    through Jul 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported44
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $5.3M

    2.0%

    Dollar movement

    +$876K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    7 actions

    Historical and award details for PRO CARE EMERGENCY MEDICAL SERVICES, LLC
    Obligations: prior → latest
    $4.4M → $5.3M
    +20.0%
    Share: prior → latest
    2.0% → 2.0%
    0.0 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.

  10. #10

    Last 12mo obligations

    $5.2M

    2.0%

    Dollar movement

    +$2.1M

    vs. prior 12 months

    Last 12mo awards

    8 awards

    9 actions

    Historical and award details for METRO WEST AMBULANCE SERVICE, INC.
    Obligations: prior → latest
    $3.1M → $5.2M
    +67.5%
    Share: prior → latest
    1.4% → 2.0%
    +0.6 percentage points
    All-period obligations
    $9.5M
    0.99% of all-period positive obligations · 14 awards
    Recorded activity
    Since Feb 17, 2022
    through Jul 10, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported86
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $4.6M

    1.8%

    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
    2.0% → 1.8%
    −0.2 percentage points
    All-period obligations
    $18.9M
    2.0% 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

    1.8%

    Dollar movement

    +$314K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for OHIO AMBULANCE SOLUTIONS, LLC
    Obligations: prior → latest
    $4.3M → $4.6M
    +7.4%
    Share: prior → latest
    2.0% → 1.8%
    −0.2 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

    $4.5M

    1.7%

    Dollar movement

    +$3.3M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for JAN-CARE AMBULANCE OF RALEIGH COUNTY, INC.
    Obligations: prior → latest
    $1.3M → $4.5M
    +259.0%
    Share: prior → latest
    0.58% → 1.7%
    +1.2 percentage points
    All-period obligations
    $5.8M
    0.60% of all-period positive obligations · 3 awards
    Recorded activity
    Since Apr 30, 2025
    through Apr 29, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside21
    Not reported10
    Reported small business31
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $4.4M

    1.7%

    Dollar movement

    −$3.4M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    8 actions

    Historical and award details for FIRST CARE OHIO LLC
    Obligations: prior → latest
    $7.8M → $4.4M
    −43.3%
    Share: prior → latest
    3.6% → 1.7%
    −1.9 percentage points
    All-period obligations
    $24.5M
    2.6% of all-period positive obligations · 14 awards
    Recorded activity
    Since Jan 19, 2022
    through Jun 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported44
    Reported small business55
    All-period set-aside types
    • 1 · Total small business
  15. #15

    Last 12mo obligations

    $4.2M

    1.6%

    Dollar movement

    +$4.3M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    6 actions

    Historical and award details for K & W MEDICAL SERVICES INC
    Obligations: prior → latest
    −$84K → $4.2M
    Not comparable
    Share: prior → latest
    0% → 1.6%
    +1.6 percentage points
    All-period obligations
    $8.0M
    0.83% of all-period positive obligations · 8 awards
    Recorded activity
    Since Aug 30, 2022
    through Jun 25, 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.

Award activity for Ambulance Services at the Department of Veterans Affairs

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

The contractor climbed 2 positions in this market.

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

Award net obligations
$13.2M
Share of 12-month positive obligations
5.1%
Supporting data
Prime contractor
#2 · 8.1% share
up 2 ranks · +4.0 percentage points · $12.1M net increase; action exceeded it by $1.1M
Funding office
#1 · 6.6% attributed share
up 8 ranks · +3.6 percentage points · $10.3M net increase; action exceeded it by $2.9M
Related:Largest share gainFunding office gain
PIID 36C24626N0473
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 #2 in attributed spending.

Award net obligations
$10.6M
Share of 12-month positive obligations
2.5%
Supporting data
Prime contractor
#1 · 11.3% share
+0.9 percentage points · $6.6M net increase; action accounted for 97.6%
Funding office
#2 · 5.2% attributed share
up 8 ranks · +2.2 percentage points · $6.7M net increase; action accounted for 96.2%
PIID 36C24726N0016
Base award

This action

+$6.8M

JOURNEY VIA GURNEY, LLC

740-HARLINGEN (00740)

BLS AMBULANCE TRANSPORTATION SERVICES FOR VCB ORDERING PERIOD 1

Why it stands out

The contractor climbed 7 positions in this market.

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

Award net obligations
$6.8M
Share of 12-month positive obligations
2.6%
Supporting data
Prime contractor
#3 · 5.5% share
up 7 ranks · +2.1 percentage points · $6.9M net increase; action accounted for 98.6%
Funding office
#8 · 2.7% attributed share
+2.7 percentage points · $6.8M net increase; action accounted for 100.0%
PIID 36C25726N0392
Base award

This action

+$2.6M

LIFE LINE AMBULANCE SERVICE, INC.

649 PRESCOTT (00649)

GROUND AMBULANCE SERVICE - CON62

Why it stands out

The contractor climbed 19 positions in this market.

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

Award net obligations
$2.6M
Share of 12-month positive obligations
1.0%
Supporting data
Prime contractor
#8 · 2.2% share
up 19 ranks · +1.2 percentage points · $3.5M net increase; action accounted for 74.9%
Funding office
#9 · 2.6% attributed share
up 18 ranks · +1.4 percentage points · $4.1M net increase; action accounted for 64.2%
PIID 36C26226N0535
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 #19 in this market by positive obligations over the latest 12 months.

Award net obligations
$3.9M
Share of 12-month positive obligations
1.5%
Supporting data
Prime contractor
#19 · 1.5% share
Newly active in this market; no actions were reported in the preceding 12 months
PIID 36C25725N0516
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
0.97%
Supporting data
Prime contractor
0% share
−3.5 percentage points · $10.5M net decline; action accounted for 23.8%
Funding office
0% attributed share
−3.2 percentage points · $7.5M net decline; action accounted for 33.4%
Related:Largest net deobligation
PIID 36C25925N0325 · Mod P00001
View recent award activity by date (10)
  1. PROFESSIONAL HEALTHCARE ASSOCIATES, INC.Base award · PIID 36C26226N0751
    Action+$850K
    Award net obligations$850K
  2. MED-STAR PARAMEDIC AMBULANCE, INCDeobligation · PIID 36C26325N0376
    Action−$966
    Award net obligations$343K
  3. BREWSTER AMBULANCE SERVICE INCBase award · PIID 36C24126N0697
    Action+$1.6M
    Award net obligations$1.6M
  4. LIFECARE AMBULANCE LLCDeobligation · PIID 36C24926N0050
    Action−$258K
    Award net obligations$191K
  5. EXCELSIOR AMBULANCE SERVICE INCModification · PIID 36C24725N0827
    Action+$225K
    Award net obligations$1.5M
  6. L-J-L TRUCKING, INCModification · PIID 36C24426N0267
    Action+$173K
    Award net obligations$1.6M
  7. D.P. MURPHY AMBULANCE COMPANYDeobligation · PIID 36C25226N0255
    Action−$23K
    Award net obligations$137K
  8. AMBULNZ NY 2 LLCDeobligation · PIID 36C24225N0633
    Action−$238K
    Award net obligations$402K
  9. JAN-CARE AMBULANCE OF NORTH CENTRAL W.VA., INCBase award · PIID 36C24526N0746
    Action+$833K
    Award net obligations$833K
  10. AMERIPRO EMS OF KENTUCKY LLCModification · PIID 36C24926N0209
    Action+$300K
    Award net obligations$861K

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Reported obligations include contract actions from October 1, 2021 through July 27, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology