Government Ambulance Services Contracts
NAICS 621910 · Ambulance Services
Government ambulance services contracts totaled $1.2B across 4,742 awards from FY2024 to FY2026. The Department of Veterans Affairs was the largest buyer in this industry, accounting for $664M (56% of the total), while FY2026 obligations were down 16.5% from FY2025.
Key figures
In FY2026, contract obligations were $353,611,097 across 1,841 awards with activity that year, a change of -16.5% from $423,448,886 in FY2025. From FY2024 to FY2026, obligations totaled $1,191,127,905 across 4,742 awards.
- Obligated in FY2026
- $354M
- Awards in FY2026
- 1,841
- Change vs FY2025
- -16.5%
- 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.
Ambulance Services contract spending by year
Federal ambulance services contracts per fiscal year (October to September), under NAICS 621910. The table below lists the same numbers.
| Fiscal year | Obligated | Awards | Change |
|---|---|---|---|
| FY2026 | $353,611,097 | 1,841 | -16.5% |
| FY2025 | $423,448,886 | 1,740 | +2.3% |
| FY2024 | $414,067,922 | 1,954 | n/a |
About government ambulance services contracts
Federal spending on ambulance services contracts fell 15% from FY2024 ($414M) to FY2026 ($354M), peaking in FY2025. 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 28% of the total. No single company dominates, which leaves room for new and small contractors.
The Department of Veterans Affairs spends the most on ambulance services contracts (56%), followed by the Department of Homeland Security. The states with the most of this work are North Carolina, Texas and California.
NAICS 621910 (Ambulance Services) is part of the Health Care and Social Assistance sector.
Top ambulance services government contractors
Companies ranked by contract dollars under NAICS 621910 (Ambulance Services).
| # | Contractor | Obligated | Share |
|---|---|---|---|
| 1 | American Medical Response, Inc. | $215,056,273 | 18.1% |
| 2 | Excelsior Ambulance Service Inc | $77,747,116 | 6.5% |
| 3 | Reliance Medical Transport, LLC | $42,547,511 | 3.6% |
| 4 | Medshore Ambulance Service, Inc. | $23,592,491 | 2.0% |
| 5 | Alert Ambulance Service, Inc. | $23,563,430 | 2.0% |
| 6 | Medex Medical Transport Service Inc | $22,792,782 | 1.9% |
| 7 | Wander Staffing LLC | $21,111,548 | 1.8% |
| 8 | Acadian Ambulance Service of Texas, LLC | $20,873,403 | 1.8% |
| 9 | Journey Via Gurney, LLC | $20,110,656 | 1.7% |
| 10 | Jan-Care Ambulance of North Central W.va., Inc | $19,868,711 | 1.7% |
Agencies buying ambulance services
Federal agencies ranked by contract dollars under NAICS 621910.
| # | Agency | Obligated | Share |
|---|---|---|---|
| 1 | Department of Veterans Affairs | $664,421,795 | 55.8% |
| 2 | Department of Homeland Security | $214,590,083 | 18.0% |
| 3 | Department of Agriculture | $150,444,390 | 12.6% |
| 4 | Department of Defense | $110,923,042 | 9.3% |
| 5 | Department of Justice | $28,643,675 | 2.4% |
| 6 | Department of Health and Human Services | $13,333,608 | 1.1% |
| 7 | Department of State | $7,353,196 | 0.6% |
| 8 | National Aeronautics and Space Administration | $664,840 | <0.1% |
| 9 | Department of the Interior | $580,358 | <0.1% |
| 10 | Department of Energy | $164,464 | <0.1% |
Where ambulance services contract work is performed
States ranked by contract dollars, using the place of performance on each award.
| # | State | Obligated | Share |
|---|---|---|---|
| 1 | North Carolina | $125,224,386 | 10.5% |
| 2 | Texas | $103,151,675 | 8.7% |
| 3 | California | $90,976,270 | 7.6% |
| 4 | South Carolina | $90,075,331 | 7.6% |
| 5 | Georgia | $79,988,555 | 6.7% |
| 6 | Oregon | $58,917,016 | 4.9% |
| 7 | Florida | $58,841,562 | 4.9% |
| 8 | Colorado | $44,895,084 | 3.8% |
| 9 | West Virginia | $40,984,796 | 3.4% |
| 10 | Virginia | $36,300,750 | 3.0% |
Recent ambulance services contract awards
The latest ambulance services contracts, newest first. Each award ID links to its record on USAspending.gov.
| Start date | Recipient | Agency and description | Amount | Record |
|---|---|---|---|---|
| Sep 28, 2026 | Nolen Independent Management LLC | Department of AgricultureNOLEN INDEPENDENT MANAGEMENT LLC CALPF002271 O1397 | $85,865 | 12024B26M1898 |
| Sep 25, 2026 | Event Medical Solutions Unlimited, LLC | Department of AgricultureEVENT MEDICAL SOLUTIONS UNLIMITED,LLC WYBHF000369 O7 | $17,697 | 12024B26M1715 |
| Sep 24, 2026 | Black Flag Response LLC | Department of AgricultureBLACK FLAG RESPONSE LLC CALPF002271 O1294 | $166,189 | 12024B26M1897 |
| Sep 24, 2026 | Precision Rescue, LLP | Department of AgriculturePRECISION RESCUE, LLP CALPF002475 O501 | $71,388 | 12024B26M1878 |
| Sep 22, 2026 | Advanced Air Ambulance, Corp. | Department of Health and Human Services26-010337 PROTOCOL NUMBER 04-C-0165 | $85,000 | 75N98026P01787 |
| Sep 22, 2026 | Spirit Medical Transport LLC | Department of Veterans AffairsNEMT FOR COLUMBUS VAACC | $998,910 | 36C25026N0833 |
| Sep 21, 2026 | Royal Ambulance Inc | Department of Veterans AffairsEMERGENT ALS AMBULANCE SERVICES FOR SFVAHCS. | $16,022 | 36C26126P1198 |
| Sep 20, 2026 | Precision Rescue, LLP | Department of AgriculturePRECISION RESCUE, LLP WAOWF260664 O34 | $50,567 | 12024B26M1772 |
| Sep 19, 2026 | Emergency Response Logistics, LLC | Department of AgricultureEMERGENCY RESPONSE LOGISTICS, LLC ORMHF000688 E726 | $47,835 | 12024B26M1894 |
| Sep 19, 2026 | Spearhead Medics LLC | Department of AgricultureSPEARHEAD MEDICS LLC OROCF000500 O267 | $35,000 | 12024B26M1788 |
| Sep 19, 2026 | Backcountry Response, LLC | Department of AgricultureBACKCOUNTRY RESPONSE, LLC OROCF000500 O266 | $27,230 | 12024B26M1718 |
| Sep 19, 2026 | Front Line Ems LLC | Department of AgricultureFRONT LINE EMS LLC OR953S000587 O293 | $3,939 | 12024B26M1665 |
| Sep 18, 2026 | Best Practice Medicine LLC | Department of AgricultureBEST PRACTICE MEDICINE LLC ORMHF000863 O461 | $31,750 | 12024B26M1836 |
| Sep 18, 2026 | Best Practice Medicine LLC | Department of AgricultureBEST PRACTICE MEDICINE LLC ORUMF000324 O67 | $14,080 | 12024B26M1792 |
| Sep 18, 2026 | Acadian Ambulance Service of Texas, LLC | Department of JusticeAMBULANCE SERVICES FOR FY26 DECEMBER VIA 911 CALL (URGENT AND COMPELLING) | $9,200 | 15B51626P00000176 |
| Sep 18, 2026 | City of Bryan | Department of JusticeCITY OF BRYAN AMBULANCE FY 27 - FPC BRYAN INMATE EMERGENCY TRANSPORTATION | $0 | 15B50426P00000071 |
| Sep 18, 2026 | Rocky Mountain Holdings, L.l.c. | Department of JusticeROCKY MOUNTAIN EMERGENCY AIRLIFT FROM: COL-USP1 , WILDWOOD, FL TO: HCA, OCALA, FL | $72,794 | 15B30226P00000484 |
| Sep 18, 2026 | Granville Health System | Department of JusticePROVISION OF ADVANCED LIFE SUPPORT AMBULANCE SERVICES - EMERGENCY MEDICAL SERVICES (EMS) FOR FCC BUTNER IN ACCORDANCE WITH THE STATEMENT OF WORK. | $140,372 | 15B10626F00000210 |
| Sep 17, 2026 | Cascade Medical Transport of Oregon, LLC | Department of AgricultureCASCADE MEDICAL TRANSPORT OF OREGON, LLC ORMHF000863 O460 | $112,500 | 12024B26M1837 |
| Sep 17, 2026 | Acadian Ambulance Service Inc | Department of Veterans AffairsEO 14393 - HCA APPROVED RATIFICATION OF AN UAC FOR BLS AMBULANCE TRANSPORT | $5,957 | 36C25726P0653 |
| Sep 17, 2026 | Rocky Mountain Holdings, L.l.c. | Department of JusticeROCKY MOUNTAIN EMERGENCY AIRLIFTFCC COLEMAN USP-1 TO HCA OCALA ON 12/15/2025 RP#: 62-27 | $71,997 | 15B30226P00000483 |
| Sep 17, 2026 | Med-Trans Corporation | Department of JusticeMED-TRANS EMERGENCY AIRLIFT FCC COLEMAN USP-2 TO HCA OCALA FL ON 6/07/2026 RP#: 61-27 | $63,289 | 15B30226P00000482 |
| Sep 14, 2026 | Adventure Medics LLC | Department of AgricultureADVENTURE MEDICS LLC ORUMF000324 59 | $16,350 | 12024B26M1798 |
| Sep 14, 2026 | Adventure Medics LLC | Department of AgricultureADVENTURE MEDICS LLC WAOWF260420 O132 | $25,626 | 12024B26M1795 |
| Sep 14, 2026 | Rapid Emergency Management, LLC | Department of AgricultureRAPID EMERGENCY MANAGEMENT, LLC NMCIF000540 O60 | $60,377 | 12024B26M1694 |
Open ambulance services government bids
The newest open notices from SAM.gov. Bidding needs a free SAM.gov registration.
Dept of Defense · Combined Synopsis/Solicitation · NAICS 621910 · CO · Service-Disabled Veteran-Owned Small Business (SDVOSB) Set-Aside (FAR 19.14)
Posted Oct 29, 2026 · Responses due Nov 19, 2026
How to win government ambulance services contracts
Federal ambulance services contracts are posted on SAM.gov under NAICS 621910. Register your business free on SAM.gov with this code, watch for ambulance services bids, and look for small business set-asides: many ambulance services contracts for small business are reserved for small firms.
Explore government ambulance services contracts by state, agency and contractor
- Department of Veterans Affairs contracts
- Department of Homeland Security contracts
- Department of Agriculture contracts
- Department of Defense contracts
- Department of Justice contracts
- Government contracts in North Carolina
- Government contracts in Texas
- Government contracts in California
- Government contracts in South Carolina
- Government contracts in Georgia
Frequently asked questions
- What NAICS code is used for government ambulance services contracts?
- Federal ambulance services contracts use NAICS 621910 (Ambulance Services). List this code in your free SAM.gov registration to be found for these contracts.
- Who are the largest ambulance services government contractors?
- By contract dollars under NAICS 621910 from FY2024 to FY2026, the largest were American Medical Response, Inc. ($215M), Excelsior Ambulance Service Inc ($77.7M) and Reliance Medical Transport, LLC ($42.5M).
- Which agencies buy the most ambulance services?
- From FY2024 to FY2026, the biggest buyers were the Department of Veterans Affairs ($664M), the Department of Homeland Security ($215M) and the Department of Agriculture ($150M).
- Where are government ambulance services contracts performed?
- By contract dollars, the most federal ambulance services work is performed in North Carolina ($125M), Texas ($103M) and California ($91M).
- Is federal spending on ambulance services contracts growing?
- Federal ambulance services contract obligations fell 15% from FY2024 ($414M) to FY2026 ($354M), peaking in FY2025. 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 ambulance services contracts?
- It depends on the SBA size standard for NAICS 621910, 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 ambulance services contracts?
- An active SAM.gov registration (free) with NAICS 621910 listed, the licenses and insurance your state requires for ambulance services work, and examples of similar past work. Some solicitations also ask for specific certifications or security clearances.