Top DOJ ambulance services contractors
In the 12 months ending Oct 5, 2026, the Department of Justice obligated $10.7M in net prime contract dollars under NAICS 621910, up 3.9% from $10.3M in the preceding 12 months. 62 prime contractors received positive obligations, and 19 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Justice. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top DOJ contractors for NAICS 621910
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 | MED-Trans Corporation | $1.1M | $784K | 9.7% | ▲ 2 |
| 2 | Desert Valley Medical Transport Inc | $1.0M | $838K | 9.3% | — |
| 3 | American Medical Response West | $910K | $30K | 8.4% | ▲ 38 |
| 4 | Air Evac EMS, Inc | $678K | $408K | 6.2% | ▲ 6 |
| 5 | Medstar Ambulance Inc | $623K | $541K | 5.7% | ▲ 2 |
| 6 | Acadian Ambulance Service Inc | $613K | $741K | 5.6% | ▼ 2 |
| 7 | Mercy Air Service Inc | $498K | $414K | 4.6% | ▲ 2 |
| 8 | Regional Emergency Medical Services Authority | $464K | $271K | 4.3% | ▲ 4 |
| 9 | Sierra Medical Services Alliance | $406K | $240K | 3.7% | ▲ 5 |
| 10 | Rocky Mountain Holdings, L.L.C. | $371K | $0 | 3.4% | New |
| 11 | Village Center Community Development District | $358K | $274K | 3.3% | — |
| 12 | Granville Health System | $333K | $1.4M | 3.0% | ▼ 11 |
| 13 | Peoria Hospitals Mobile Medical Services | $273K | $201K | 2.5% | ▲ 4 |
| 14 | Halo-Flight, Inc. | $238K | $0 | 2.2% | New |
| 15 | City of Terre Haute Indiana | $233K | $152K | 2.1% | ▲ 4 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- American Medical Response West$30K → $910K (+$880K) · now #3
- Rocky Mountain Holdings, L.L.C.$0 → $371K (+$371K) · now #10
- MED-Trans Corporation$784K → $1.1M (+$274K) · now #1
Largest declines
- Granville Health System$1.4M → $333K (−$1.1M) · now #12
- Reach Air Medical Services, LLC$689K → $10K (−$679K) · now #56
- Metropolitan Area EMS Authority$606K → −$53K (−$659K) · no latest-period obligations
New to this market
18 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Halo-Flight, Inc. | May 21, 2026 | $238K |
| City of EL Reno | Feb 27, 2026 | $156K |
| Plumas Hospital District | Jun 18, 2026 | $141K |
| Careflite | Jan 22, 2026 | $100K |
| AMR Holdco, Inc. | Aug 10, 2026 | $92K |
| Air Methods, LLC | Sep 10, 2026 | $90K |
| Viking Enterprises Inc | Jan 23, 2026 | $71K |
| City of Tucson | Sep 3, 2026 | $54K |
Where the money comes from
Funding sub-agencies within the Department of Justice, 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 |
|---|---|---|---|
| Federal Prison System / Bureau of Prisons | $10.6M | $10.2M | Up $404K (4.0%) |
| Bureau of Alcohol, Tobacco, Firearms and Explosives Acquisition and Property Management Division | $125K | $132K | Down $6K (4.9%) |
Common questions
Who are the top DOJ contractors for NAICS 621910?
In the latest 12 months, MED-Trans Corporation ($1.1M), Desert Valley Medical Transport Inc ($1.0M), American Medical Response West ($910K) received the most DOJ obligations for ambulance services.
How concentrated is this market?
The eight largest primes held 53.8% of positive obligations, and MED-Trans Corporation alone held 9.7%. 18 contractors won their first obligations in this market during the latest 12 months.
Related markets
NAICS 621910 across all agencies
VA · NAICS 621910
$249.1MUSDA · NAICS 621910
$50.9MDoD · NAICS 621910
$33.3MFigures 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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