Top DoD all other outpatient care centers contractors
In the 12 months ending Oct 5, 2026, the Department of Defense obligated $14.8M in net prime contract dollars under NAICS 621498, down 69.5% from $48.6M in the preceding 12 months. 14 prime contractors received positive obligations, and 2 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Defense. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
DoD publishes contract data to USAspending with a 90-day delay, so the most recent months understate DoD activity.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top DoD contractors for NAICS 621498
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Spectrum Healthcare Resources, Inc | $9.2M | $42.6M | 61.9% | — |
| 2 | Dawson CMS, LLC | $3.1M | $2.6M | 20.7% | — |
| 3 | Dentrust Dental Texas, P.C. | $592K | $607K | 4.0% | ▲ 2 |
| 4 | Maxmed Healthcare Inc | $507K | $0 | 3.4% | New |
| 5 | t47 International, Inc. | $440K | $867K | 3.0% | ▼ 2 |
| 6 | Advancia Aeronautics, LLC | $303K | $302K | 2.1% | ▲ 1 |
| 7 | Aspire Therapy Services and Consultants, Inc. | $272K | $382K | 1.8% | ▼ 1 |
| 8 | Flatwater Solutions Company | $134K | $0 | 0.9% | New |
| 9 | Nihon Kohden America, LLC | $104K | $61K | 0.7% | ▲ 3 |
| 10 | Apple Occupational Medical Services LLC | $63K | $61K | 0.4% | ▲ 1 |
| 11 | Melissa H Mcguffey | $62K | $46K | 0.4% | ▲ 2 |
| 12 | Occupational Health Centers of the Southwest, P.A. | $50K | $20K | 0.3% | ▲ 3 |
| 13 | Saint Alphonsus Regional Medical Center, Inc. | $40K | $90K | 0.3% | ▼ 4 |
| 14 | Kaiser Foundation Health Plan, Inc. | $14K | $0 | 0.1% | New |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Maxmed Healthcare Inc$0 → $507K (+$507K) · now #4
- Dawson CMS, LLC$2.6M → $3.1M (+$453K) · now #2
- Flatwater Solutions Company$0 → $134K (+$134K) · now #8
Largest declines
- Spectrum Healthcare Resources, Inc$42.6M → $9.2M (−$33.4M) · now #1
- The Glocoms Group Inc$684K → $0 (−$684K) · no latest-period obligations
- t47 International, Inc.$867K → $440K (−$428K) · now #5
Where the money comes from
Funding sub-agencies within the Department of Defense, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Defense Health Agency | $10.5M | $43.3M | Down $32.8M (75.7%) |
| Department of the Army | $4.3M | $4.6M | Down $277K (6.0%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| W912LA25FA044 | Dawson CMS, LLC CASE MANAGEMENT | $5.3M | Jun 30, 2027 |
Common questions
Who are the top DoD contractors for NAICS 621498?
In the latest 12 months, Spectrum Healthcare Resources, Inc ($9.2M), Dawson CMS, LLC ($3.1M), Dentrust Dental Texas, P.C. ($592K) received the most DoD obligations for all other outpatient care centers.
How concentrated is this market?
The eight largest primes held 97.8% of positive obligations, and Spectrum Healthcare Resources, Inc alone held 61.9%. 0 contractors won their first obligations in this market during the latest 12 months.
Are any large DoD NAICS 621498 contracts ending soon?
1 of the largest awards in this market reach their current end date in the next 18 months. The first is W912LA25FA044 (Dawson CMS, LLC, $5.3M obligated), ending Jun 30, 2027. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
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$5.4MFigures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.

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