Top DoD all other miscellaneous ambulatory health care services contractors
In the 12 months ending Oct 5, 2026, the Department of Defense obligated $143.3M in net prime contract dollars under NAICS 621999, down 11.2% from $161.3M in the preceding 12 months. 53 prime contractors received positive obligations, and 11 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 621999
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 | Cognito Systems LLC | $29.6M | $16.3M | 20.6% | ▲ 1 |
| 2 | LMR Technical Group LLC | $13.8M | $17.4M | 9.6% | ▼ 1 |
| 3 | Dawson CMS, LLC | $12.8M | $14.7M | 8.9% | — |
| 4 | Destiny Management Services, LLC | $12.0M | $11.5M | 8.4% | ▲ 3 |
| 5 | Health Partner's Management Group, Incorporated | $10.8M | $13.6M | 7.5% | — |
| 6 | Arapaho Technical Services LLC | $9.4M | $10.0M | 6.5% | ▲ 2 |
| 7 | Dilligas Corp | $6.6M | $13.6M | 4.6% | ▼ 3 |
| 8 | t3i, Inc. | $6.3M | $9.6M | 4.4% | ▲ 1 |
| 9 | CG Services LLC | $6.0M | $12.4M | 4.2% | ▼ 3 |
| 10 | Stratus Federal Solutions LLC | $4.8M | $4.7M | 3.3% | ▲ 1 |
| 11 | Caban Resources LLC | $4.0M | $4.5M | 2.8% | ▲ 2 |
| 12 | Medforce Government Solutions, Inc. | $3.7M | $3.0M | 2.6% | ▲ 3 |
| 13 | csrs3 LLC | $2.5M | $2.6M | 1.8% | ▲ 4 |
| 14 | Bestica, Inc. | $1.6M | $988K | 1.1% | ▲ 14 |
| 15 | Reef Systems Corp | $1.4M | $4.6M | 1.0% | ▼ 3 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Anthony & Associates, Inc.−$15.0M → $732K (+$15.7M) · now #26
- Cognito Systems LLC$16.3M → $29.6M (+$13.3M) · now #1
- Empowered Management Solutions LLC−$1.7M → $578K (+$2.3M) · now #29
Largest declines
- Dilligas Corp$13.6M → $6.6M (−$7.0M) · now #7
- CG Services LLC$12.4M → $6.0M (−$6.4M) · now #9
- Avosys Technology, Inc.$5.8M → $1.3M (−$4.5M) · now #18
New to this market
3 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Alltech Ventures LLC | Dec 17, 2025 | $911K |
| Pafford Medical Services, Inc. | Mar 31, 2026 | $311K |
| Summit Healthcare Solutions LLC | Feb 25, 2026 | $28K |
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 | $73.7M | $83.9M | Down $10.2M (12.1%) |
| Department of the Army | $46.3M | $40.4M | Up $5.8M (14.4%) |
| Department of the Air Force | $22.4M | $34.5M | Down $12.0M (34.9%) |
| Department of the Navy | $661K | $1.8M | Down $1.1M (63.2%) |
| Department of Defense Education Activity | $238K | $758K | Down $519K (68.6%) |
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 |
|---|---|---|---|
| FA300222C0004 | t3i, Inc. CANDIDATE DEVELOPMENT SUPPORT SERVICES FOR SPECIAL WARFARE/COMBAT SUPPORT | $38.3M | Nov 30, 2026 |
| HT940623F0006 | Destiny Management Services, LLC MEDICAL OFFICE CLERKS | $14.8M | Dec 9, 2026 |
| FA489025F0072 | LMR Technical Group LLC HUMAN PERFORMANCE OPTIMIZATION (HPO) SERVICES FOR AIR EDUCATION AND TRAINING COMMAND (AETC) COMPREHENSIVE READINESS FOR AIRCREW FLYING TRAINING (CRAFT) | $12.6M | Jan 31, 2027 |
| HT941025F0028 | Health Partner's Management Group, Incorporated PACIFIC RIM NETWORK REMOTE MEDICAL CODERS | $8.2M | Feb 28, 2027 |
| HT001523F0037 | Stratus Federal Solutions LLC CREDENTIALING SUPPORT SERVICES | $18.8M | Mar 8, 2027 |
| HT940823F0038 | Dilligas Corp VIRTUAL MEDICAL CENTER-SAN ANTONIO CLINICAL ADMINISTRATIVE SUPPORT SERVICES (MEDICAL SUPPORT SERVICES) | $9.0M | Mar 13, 2027 |
| FA489025F0051 | LMR Technical Group LLC HUMAN PERFORMANCE OPTIMIZATION (HPO) SERVICES IN SUPPORT OF OPTIMIZING THE HUMAN WEAPON SYSTEM (OHWS) FOR ACC, AFMC, PACAF, USAFE, AND AFRC | $17.9M | May 31, 2027 |
| W81K0424C0006 | Dawson CMS, LLC RN CASE MANAGER | $23.6M | May 31, 2027 |
| W81K0421C0009 | Cognito Systems LLC ATHLETIC TRAINERS AT MULTIPLE ARMY INSTALLATIONS. | $88.1M | Sep 18, 2027 |
| HT001424F0026 | Arapaho Technical Services LLC MEDICAL SUPPORT SERVICES | $16.6M | Sep 30, 2027 |
Common questions
Who are the top DoD contractors for NAICS 621999?
In the latest 12 months, Cognito Systems LLC ($29.6M), LMR Technical Group LLC ($13.8M), Dawson CMS, LLC ($12.8M) received the most DoD obligations for all other miscellaneous ambulatory health care services.
How concentrated is this market?
The eight largest primes held 70.4% of positive obligations, and Cognito Systems LLC alone held 20.6%. 3 contractors won their first obligations in this market during the latest 12 months.
Are any large DoD NAICS 621999 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is FA300222C0004 (t3i, Inc., $38.3M obligated), ending Nov 30, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 621999 across all agencies
DHS · NAICS 621999
$202.9MVA · NAICS 621999
$50.1MUSDA · NAICS 621999
$11.0MDOJ · NAICS 621999
$6.5MFigures 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.
Ready to connect your pursuit work?
GovEagle gives BD directors, capture managers, and proposal teams one AI workspace from pipeline through proposal, with CMMC/FedRAMP Certified compliance built in.