Top VA offices of all other miscellaneous health practitioners contractors
In the 12 months ending Oct 5, 2026, the Department of Veterans Affairs obligated $30.6M in net prime contract dollars under NAICS 621399, up 1.1% from $30.2M in the preceding 12 months. 43 prime contractors received positive obligations, and 14 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Veterans Affairs. 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 VA contractors for NAICS 621399
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 | Wander Staffing LLC | $4.1M | $3.9M | 13.1% | — |
| 2 | R Keith Enterprises Inc | $3.8M | $3.7M | 12.0% | — |
| 3 | Rosato Associates, Inc. | $3.2M | $3.0M | 10.2% | — |
| 4 | Bliss Pharmacy Services LLC | $2.5M | $2.5M | 7.9% | — |
| 5 | Palo Alto Perfusion Services Inc | $2.0M | $1.5M | 6.5% | ▲ 3 |
| 6 | One Stop Recruiting LLC | $1.7M | $2.0M | 5.4% | ▼ 1 |
| 7 | Loyal Source Government Services LLC | $1.4M | $1.9M | 4.4% | ▼ 1 |
| 8 | Suncoast Physics LLC | $1.2M | $1.2M | 3.8% | ▲ 2 |
| 9 | Transmedics, Inc. | $1.0M | $212K | 3.3% | ▲ 16 |
| 10 | Photon Physics Services | $953K | $1.5M | 3.0% | ▼ 1 |
| 11 | Golden Gate Perfusion, Inc. | $921K | $899K | 2.9% | ▲ 1 |
| 12 | Laredo Technical Services, Inc. | $886K | $564K | 2.8% | ▲ 5 |
| 13 | Emerge Solutions Group LLC | $881K | $710K | 2.8% | ▲ 2 |
| 14 | Circulatory Services Inc | $823K | $509K | 2.6% | ▲ 4 |
| 15 | Testudo Logistics LLC | $731K | $936K | 2.3% | ▼ 4 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Colonial Federal Healthcare, LLC−$1.0M → $0 (+$1.0M) · no latest-period obligations
- Transmedics, Inc.$212K → $1.0M (+$831K) · now #9
- Sanford Federal, Inc.−$598K → $0 (+$598K) · no latest-period obligations
Largest declines
- Palisade-Heritage JV LLC$872K → −$556K (−$1.4M) · no latest-period obligations
- Risen Video Production, LLC$1.7M → $566K (−$1.2M) · now #18
- Photon Physics Services$1.5M → $953K (−$512K) · now #10
New to this market
9 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Ozark Medical Inc | Sep 24, 2026 | $175K |
| Bremer Brace of Florida Inc | Jan 26, 2026 | $158K |
| Medical University of South Carolina | Feb 1, 2026 | $140K |
| Mcashan Inc | Jul 21, 2026 | $138K |
| Neuromonitoring Associates LLC | Dec 19, 2025 | $132K |
| Equation Orthotic Technologies LLC | Mar 23, 2026 | $74K |
| Northwest Orthotics & Prosthetics Inc | Jan 28, 2026 | $29K |
| South Beach Orthotics and Prosthetics, LLC | Nov 26, 2025 | $17K |
Where the money comes from
Funding sub-agencies within the Department of Veterans Affairs, 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 |
|---|---|---|---|
| Department of Veterans Affairs | $30.6M | $30.2M | Up $337K (1.1%) |
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 |
|---|---|---|---|
| 36C26126N0061 | Palo Alto Perfusion Services Inc UPDATE WAGE DETERMINATION FOR ORDERING PERIOD 4 PER FAR 52.222-43. | $1.5M | Oct 31, 2026 |
| 36C25925N0098 | Delta 22 Solutions LLC PERFUSIONIST SERVICES | $1.4M | Nov 30, 2026 |
| 36C24226N0264 | Rosato Associates, Inc. RADIATION THERAPY TECHNOLOGISTS | $1.6M | Nov 30, 2026 |
| 36C25726N0110 | Laredo Technical Services, Inc. OY2 TASK ORDER - MEDICAL LAB TECHNICIANS FOR THE TEMPLE, TX, VETERANS AFFAIRS. | $1.5M | Dec 31, 2026 |
| 36C24722P0008 | Bliss Pharmacy Services LLC VIRTUAL PHARMACY SERVICES | $6.3M | Jan 31, 2027 |
| 36C26223C0119 | Photon Physics Services BOARD CERTIFIED THERAPEUTIC MEDICAL PHYSICIST SERVICES | $3.5M | May 31, 2027 |
| 36C24426N0857 | One Stop Recruiting LLC EO14042 - MULTI-SPECIALTY NURSING & MEDICAL STAFFING VA PITTSBURGH HEALTHCARE SYSTEM | $1.7M | Jun 29, 2027 |
| 36C24426N0852 | Loyal Source Government Services LLC ORDER | $1.4M | Jun 29, 2027 |
| 36C24826N0619 | R Keith Enterprises Inc RESPIRATORY THERAPY SERVICES | $3.6M | Jul 31, 2027 |
| 36C26325C0002 | Wander Staffing LLC CRNA SERVICES - MINNEAPOLIS VA HEALTH CARE SYSTEM | $3.3M | Oct 16, 2027 |
Common questions
Who are the top VA contractors for NAICS 621399?
In the latest 12 months, Wander Staffing LLC ($4.1M), R Keith Enterprises Inc ($3.8M), Rosato Associates, Inc. ($3.2M) received the most VA obligations for offices of all other miscellaneous health practitioners.
How concentrated is this market?
The eight largest primes held 63.3% of positive obligations, and Wander Staffing LLC alone held 13.1%. 9 contractors won their first obligations in this market during the latest 12 months.
Are any large VA NAICS 621399 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is 36C26126N0061 (Palo Alto Perfusion Services Inc, $1.5M obligated), ending Oct 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 621399 across all agencies
HHS · NAICS 621399
$51.4MDoD · NAICS 621399
$47.3MFigures 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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