Top USDA all other miscellaneous ambulatory health care services contractors
In the 12 months ending Oct 5, 2026, the Department of Agriculture obligated $11.0M in net prime contract dollars under NAICS 621999, down 4.3% from $11.5M in the preceding 12 months. 48 prime contractors received positive obligations, and 24 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Agriculture. 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 USDA 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 | Emergency Response Logistics, LLC | $839K | $819K | 7.6% | ▲ 1 |
| 2 | Backcountry Response, LLC | $818K | $673K | 7.4% | ▲ 2 |
| 3 | Minuteman EMS LLC | $677K | $111K | 6.1% | ▲ 24 |
| 4 | Yellow Tarp EMS LLC | $614K | $147K | 5.6% | ▲ 17 |
| 5 | Four Peaks Medics LLC | $534K | $172K | 4.9% | ▲ 14 |
| 6 | Cardinal Medical Solutions Inc. | $507K | $534K | 4.6% | ▲ 2 |
| 7 | Timberline Medical Services LLC | $455K | $58K | 4.1% | ▲ 29 |
| 8 | Front Line EMS LLC | $411K | $76K | 3.7% | ▲ 26 |
| 9 | Nolen Independent Management LLC | $344K | $666K | 3.1% | ▼ 4 |
| 10 | Mountain Medics Inc | $329K | $499K | 3.0% | ▼ 1 |
| 11 | Emergency Medical Support LLC | $305K | $0 | 2.8% | New |
| 12 | Smokey Mountain Medic and Environmental, LLC | $302K | $327K | 2.7% | ▲ 2 |
| 13 | Educational Services, Inc | $302K | $0 | 2.7% | New |
| 14 | Precision Rescue, LLP | $286K | $627K | 2.6% | ▼ 8 |
| 15 | Adventure Medics LLC | $260K | $263K | 2.4% | — |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Minuteman EMS LLC$111K → $677K (+$566K) · now #3
- Yellow Tarp EMS LLC$147K → $614K (+$467K) · now #4
- Timberline Medical Services LLC$58K → $455K (+$397K) · now #7
Largest declines
- Rough Country Response LLC$815K → $37K (−$778K) · now #44
- Blackwoods Emergency Resources LLC$948K → $192K (−$755K) · now #23
- High Angle Rapid Extrication Module Support Team LLC$439K → $63K (−$376K) · now #41
New to this market
14 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Emergency Medical Support LLC | Jul 26, 2026 | $305K |
| Educational Services, Inc | Jul 19, 2026 | $302K |
| Action Resources, LLC | Jul 22, 2026 | $208K |
| Elevation Medics, LLC | Aug 13, 2026 | $176K |
| C.H.L. EMS, Inc. | Aug 31, 2026 | $123K |
| Pink Panda Fire Support LLC | Jul 15, 2026 | $120K |
| 5 Forty Consulting LLC | Sep 11, 2026 | $91K |
| All-Terrain Rescue LLC | Aug 7, 2026 | $83K |
Where the money comes from
Funding sub-agencies within the Department of Agriculture, 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 |
|---|---|---|---|
| Forest Service | $11.0M | $11.5M | Down $489K (4.3%) |
Common questions
Who are the top USDA contractors for NAICS 621999?
In the latest 12 months, Emergency Response Logistics, LLC ($839K), Backcountry Response, LLC ($818K), Minuteman EMS LLC ($677K) received the most USDA obligations for all other miscellaneous ambulatory health care services.
How concentrated is this market?
The eight largest primes held 44.1% of positive obligations, and Emergency Response Logistics, LLC alone held 7.6%. 14 contractors won their first obligations in this market during the latest 12 months.
Related markets
NAICS 621999 across all agencies
DHS · NAICS 621999
$202.9MDoD · NAICS 621999
$143.3MVA · NAICS 621999
$50.1MDOJ · 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.
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