Government All Other Miscellaneous Ambulatory Health Care Services Contracts
NAICS 621999 · All Other Miscellaneous Ambulatory Health Care Services
Government all other miscellaneous ambulatory health care services contracts totaled $1.2B across 1,514 awards from FY2024 to FY2026. Obligations were up 57.8% in FY2026 vs FY2025, and the Department of Homeland Security was the largest buyer, accounting for $514M (44% of the total).
Key figures
In FY2026, contract obligations were $531,047,241 across 638 awards with activity that year, a change of +57.8% from $336,528,908 in FY2025. From FY2024 to FY2026, obligations totaled $1,164,580,762 across 1,514 awards.
- Obligated in FY2026
- $531M
- Awards in FY2026
- 638
- Change vs FY2025
- +57.8%
- Total, FY2024 to FY2026
- $1.2B
Note: FY2026 ended on Sep 30, 2026. The Department of Defense publishes contract data with a 90-day delay, so FY2026 totals may still rise as late reports arrive.
All Other Miscellaneous Ambulatory Health Care Services contract spending by year
Federal all other miscellaneous ambulatory health care services contracts per fiscal year (October to September), under NAICS 621999. The table below lists the same numbers.
| Fiscal year | Obligated | Awards | Change |
|---|---|---|---|
| FY2026 | $531,047,241 | 638 | +57.8% |
| FY2025 | $336,528,908 | 824 | +13.3% |
| FY2024 | $297,004,613 | 988 | n/a |
About government all other miscellaneous ambulatory health care services contracts
Federal spending on all other miscellaneous ambulatory health care services contracts rose 79% from FY2024 ($297M) to FY2026 ($531M). FY2026 closed recently, and Defense Department contracts are reported up to 90 days late, so its total may still rise.
Spending is spread widely: the top 3 contractors account for 29% of the total. No single company dominates, which leaves room for new and small contractors.
The Department of Homeland Security spends the most on all other miscellaneous ambulatory health care services contracts (44%), followed by the Department of Defense. The states with the most of this work are Maryland, Virginia and Florida.
NAICS 621999 (All Other Miscellaneous Ambulatory Health Care Services) is part of the Health Care and Social Assistance sector.
Top all other miscellaneous ambulatory health care services government contractors
Companies ranked by contract dollars under NAICS 621999 (All Other Miscellaneous Ambulatory Health Care Services).
| # | Contractor | Obligated | Share |
|---|---|---|---|
| 1 | STG International, Inc. | $154,252,203 | 13.2% |
| 2 | Amergis Healthcare Staffing, Inc. | $97,429,778 | 8.4% |
| 3 | The Arora Group, Inc. | $91,832,024 | 7.9% |
| 4 | Acuity-Chs, LLC | $89,935,327 | 7.7% |
| 5 | Servefed Inc. | $74,229,993 | 6.4% |
| 6 | Ingenesis Inc | $66,204,268 | 5.7% |
| 7 | Cognito Systems LLC | $62,005,816 | 5.3% |
| 8 | Cognosante MVH LLC | $42,456,925 | 3.6% |
| 9 | CG Services LLC | $39,859,863 | 3.4% |
| 10 | Destiny Management Services, LLC | $38,476,609 | 3.3% |
Agencies buying all other miscellaneous ambulatory health care services
Federal agencies ranked by contract dollars under NAICS 621999.
| # | Agency | Obligated | Share |
|---|---|---|---|
| 1 | Department of Homeland Security | $513,580,245 | 44.1% |
| 2 | Department of Defense | $448,735,500 | 38.5% |
| 3 | Department of Veterans Affairs | $84,164,708 | 7.2% |
| 4 | General Services Administration | $39,859,863 | 3.4% |
| 5 | Department of Agriculture | $32,817,168 | 2.8% |
| 6 | Department of Transportation | $23,796,783 | 2.0% |
| 7 | Department of Justice | $14,289,761 | 1.2% |
| 8 | Department of Energy | $10,857,480 | 0.9% |
| 9 | Department of the Interior | $8,649,123 | 0.7% |
| 10 | Social Security Administration | $8,627,031 | 0.7% |
Where all other miscellaneous ambulatory health care services contract work is performed
States ranked by contract dollars, using the place of performance on each award.
| # | State | Obligated | Share |
|---|---|---|---|
| 1 | Maryland | $251,329,462 | 21.6% |
| 2 | Virginia | $213,574,147 | 18.3% |
| 3 | Florida | $163,385,682 | 14.0% |
| 4 | Texas | $160,387,283 | 13.8% |
| 5 | Louisiana | $92,672,448 | 8.0% |
| 6 | Colorado | $75,683,816 | 6.5% |
| 7 | California | $56,261,945 | 4.8% |
| 8 | Pennsylvania | $35,947,984 | 3.1% |
| 9 | District of Columbia | $34,244,199 | 2.9% |
| 10 | Washington | $31,318,924 | 2.7% |
Recent all other miscellaneous ambulatory health care services contract awards
The latest all other miscellaneous ambulatory health care services contracts, newest first. Each award ID links to its record on USAspending.gov.
| Start date | Recipient | Agency and description | Amount | Record |
|---|---|---|---|---|
| Sep 30, 2026 | Cognosante MVH LLC | Department of Veterans AffairsEXPRESS REPORT MARCH THRU SEPTEMBER 2026 (FY26) | $22,995,554 | 36C79126K0134 |
| Sep 29, 2026 | Family Health Centers of San Diego Inc | Department of Health and Human ServicesEO 14389: ONLINE MEDICAL EDUCATION AND MENTORING PROGRAM FOR IACCI | $341,407 | 75D30126P21737 |
| Sep 29, 2026 | Metropolitan Medical LLC | Department of JusticeTITLE: ISSUE NEW CALL ORDER FOR OY2 - METROPOLITAN REQUESTOR: CAROL A MOUZON AFT#: 2026-HR-0029 REF AWARD/BPA: 15DDHQ24A00000018 POP DATES: 09/29/2026 TO 09/28/2027 | $1,534,967 | 15DDHQ26F00000693 |
| Sep 21, 2026 | Risen Video Production, LLC | Department of Health and Human ServicesNURSE CALL SYSTEM/NURSE TRIAGE SYSTEM - CRSU, ELKO, FYSU AND U&O SERVICE UNITS | $70,050 | 75H71226P00142 |
| Sep 17, 2026 | Apple Occupational Medical Services LLC | Department of Health and Human ServicesNIOSH MEDICAL SERVICES: EO 14398 | $94,094 | 75D30126P21108 |
| Sep 17, 2026 | Agiliti Health Inc | Department of Veterans AffairsSURGICAL LASER AND TECHNICIAN SERVICES | $51,590 | 36C25226N0531 |
| Sep 17, 2026 | George Washington University (The) | Department of the InteriorEO 14398 HEALTH AND HUMAN SERVICES (HHS) OFFICE OF THE INSPECTOR GENERAL (OIG) MEDICAL DIRECTION AND TRAINING SUPPORT | $117,700 | 140D0426P0342 |
| Sep 14, 2026 | Front Line Ems LLC | Department of AgricultureE1177, LITTLE GIANT, WAOWF260406, MESU, MEDICAL SUPPORT UNIT; | $74,549 | 1204H126K5404 |
| Sep 14, 2026 | National Marrow Donor Program | Department of Veterans AffairsUNRELATED DONOR SEARCH SERVICES FOR VETERAN BENEFICIARIES | $200,000 | 36C26026P0789 |
| Sep 11, 2026 | 5 Forty Consulting LLC | Department of AgricultureE321, *0587 SHINGLE, OR953S000587, MESU, MEDICAL SUPPORT UNIT; | $91,000 | 1202RZ26K5696 |
| Sep 10, 2026 | The American Firefighter Company, L.l.c. | Department of AgricultureE421, THREE QUEENS, WAOWF260420, MESU, MEDICAL SUPPORT UNIT; | $73,026 | 1204H126K5397 |
| Sep 4, 2026 | Mossbrae Medical Group PC | Department of AgricultureE892, PLASKETT, CALPF002475, MESU, MEDICAL SUPPORT UNIT; | $120,000 | 1291S826K5026 |
| Sep 1, 2026 | Regents of the University of Michigan | Department of Veterans AffairsAUTOPSY SERVICES FOR THE ANN ARBOR VA MEDICAL CENTER WITH UNIVERSITY OF MICHIGAN | $105,506 | 36C25026N0802 |
| Aug 31, 2026 | C.h.l.ems Inc. | Department of AgricultureE740, *TIMBER, CALPF002271, MESU, MEDICAL SUPPORT UNIT; | $4,400 | 1202RZ26K5669 |
| Aug 31, 2026 | C.h.l. Ems, Inc. | Department of AgricultureE857, PLASKETT, CALPF002475, MESU, MEDICAL SUPPORT UNIT; | $123,200 | 1202RZ26K5676 |
| Aug 31, 2026 | Four Peaks Medics LLC | Department of AgricultureE859, PLASKETT, CALPF002475, MESU, MEDICAL SUPPORT UNIT; E859, PLASKETT, CALPF002475, MESU, MEDICAL SUPPORT UNIT; | $88,000 | 1202RZ26K5678 |
| Aug 31, 2026 | Frontline Medical LLC | Department of AgricultureE861, PLASKETT, CALPF002475, MESU, MEDICAL SUPPORT UNIT; | $140,978 | 1202RZ26K5675 |
| Aug 30, 2026 | Mountain Medics Inc | Department of AgricultureE741, *TIMBER, CALPF002271, MESU, MEDICAL SUPPORT UNIT; | $4,200 | 1202RZ26K5670 |
| Aug 30, 2026 | Four Peaks Medics LLC | Department of AgricultureE742, *TIMBER, CALPF002271, MESU, MEDICAL SUPPORT UNIT; | $4,000 | 1202RZ26K5672 |
| Aug 29, 2026 | Backcountry Response, LLC | Department of AgricultureE319, MCCULLEY, ORWWF000531, MESU, MEDICAL SUPPORT UNIT; | $67,500 | 1204H126K5319 |
| Aug 29, 2026 | Timberline Medical Services LLC | Department of AgricultureE318, MCCULLEY, ORWWF000531, MESU, MEDICAL SUPPORT UNIT; | $53,592 | 1204H126K5318 |
| Aug 29, 2026 | High Angle Rapid Extrication Module Support Team LLC | Department of AgricultureE317, MCCULLEY, ORWWF000531, MESU, MEDICAL SUPPORT UNIT; | $63,000 | 1204H126K5314 |
| Aug 28, 2026 | Wilderness Medics, Inc. | Department of AgricultureE53, NATURE GROVE, MTBRF000340, MESU, MEDICAL SUPPORT UNIT; | $48,575 | 12034326K5067 |
| Aug 28, 2026 | Prime Diagnostics LLC | Department of Homeland SecurityTHE PURPOSE OF THIS PURCHASE ORDER IS TO PROCURE ONSITE DRUG TESTING SERVICES FOR THE SECRET SERVICE. PLEASE SEE THE ATTACHED TERMS AND CONDITIONS | $31,500 | 70US0926P70092968 |
| Aug 27, 2026 | Nolen Independent Management LLC | Department of Agriculture4, MOGOTE RIDGE, NMCAF000747, MESU, MEDICAL SUPPORT UNIT; | $69,858 | 12837126K5055 |
Open all other miscellaneous ambulatory health care services government bids
The newest open notices from SAM.gov. Bidding needs a free SAM.gov registration.
Veterans Affairs, Department of · Sources Sought · NAICS 621999 · NY
Posted Oct 30, 2026 · Responses due Nov 20, 2026
How to win government all other miscellaneous ambulatory health care services contracts
Federal all other miscellaneous ambulatory health care services contracts are posted on SAM.gov under NAICS 621999. Register your business free on SAM.gov with this code, watch for all other miscellaneous ambulatory health care services bids, and look for small business set-asides: many all other miscellaneous ambulatory health care services contracts for small business are reserved for small firms.
Explore government all other miscellaneous ambulatory health care services contracts by state, agency and contractor
- Department of Homeland Security contracts
- Department of Defense contracts
- Department of Veterans Affairs contracts
- General Services Administration contracts
- Department of Agriculture contracts
- Government contracts in Maryland
- Government contracts in Virginia
- Government contracts in Florida
- Government contracts in Texas
- Government contracts in Louisiana
Frequently asked questions
- What NAICS code is used for government all other miscellaneous ambulatory health care services contracts?
- Federal all other miscellaneous ambulatory health care services contracts use NAICS 621999 (All Other Miscellaneous Ambulatory Health Care Services). List this code in your free SAM.gov registration to be found for these contracts.
- Who are the largest all other miscellaneous ambulatory health care services government contractors?
- By contract dollars under NAICS 621999 from FY2024 to FY2026, the largest were STG International, Inc. ($154M), Amergis Healthcare Staffing, Inc. ($97.4M) and The Arora Group, Inc. ($91.8M).
- Which agencies buy the most all other miscellaneous ambulatory health care services?
- From FY2024 to FY2026, the biggest buyers were the Department of Homeland Security ($514M), the Department of Defense ($449M) and the Department of Veterans Affairs ($84.2M).
- Where are government all other miscellaneous ambulatory health care services contracts performed?
- By contract dollars, the most federal all other miscellaneous ambulatory health care services work is performed in Maryland ($251M), Virginia ($214M) and Florida ($163M).
- Is federal spending on all other miscellaneous ambulatory health care services contracts growing?
- Federal all other miscellaneous ambulatory health care services contract obligations rose 79% from FY2024 ($297M) to FY2026 ($531M). FY2026 closed recently, and Defense Department contracts are reported up to 90 days late, so its total may still rise.
- Do I qualify as a small business for all other miscellaneous ambulatory health care services contracts?
- It depends on the SBA size standard for NAICS 621999, which is set either by average annual revenue or by number of employees. Check the current table of size standards on sba.gov before you bid on small business set-asides.
- What do I need to bid on government all other miscellaneous ambulatory health care services contracts?
- An active SAM.gov registration (free) with NAICS 621999 listed, the licenses and insurance your state requires for all other miscellaneous ambulatory health care services work, and examples of similar past work. Some solicitations also ask for specific certifications or security clearances.