Top VA ambulance services contractors
In the 12 months ending Oct 5, 2026, the Department of Veterans Affairs obligated $249.1M in net prime contract dollars under NAICS 621910, up 2.5% from $243.0M in the preceding 12 months. 111 prime contractors received positive obligations, and 43 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 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 | Excelsior Ambulance Service Inc | $33.0M | $29.2M | 12.9% | — |
| 2 | Reliance Medical Transport, LLC | $17.2M | $15.4M | 6.7% | — |
| 3 | Alert Ambulance Service, Inc. | $8.6M | $7.5M | 3.3% | ▲ 6 |
| 4 | Medex Medical Transport Service Inc | $7.0M | $7.2M | 2.7% | ▲ 7 |
| 5 | Acadian Ambulance Service of Texas, LLC | $6.9M | $8.3M | 2.7% | ▲ 1 |
| 6 | Pro Care Emergency Medical Services, LLC | $6.0M | $249K | 2.3% | ▲ 81 |
| 7 | Medshore Ambulance Service, Inc. | $5.9M | $11.5M | 2.3% | ▼ 4 |
| 8 | Life Line Ambulance Service, Inc. | $5.8M | $2.8M | 2.3% | ▲ 20 |
| 9 | Lifefleet Southeast Inc | $5.7M | $1.6M | 2.2% | ▲ 31 |
| 10 | Journey VIA Gurney, LLC | $5.2M | $8.0M | 2.0% | ▼ 2 |
| 11 | Heartland Ambulance Service LLC | $5.1M | $566K | 2.0% | ▲ 60 |
| 12 | JAN-Care Ambulance of Raleigh County, Inc. | $4.8M | $5.8M | 1.9% | ▲ 1 |
| 13 | Lifeline Medical Services, Inc. | $4.6M | $4.4M | 1.8% | ▲ 5 |
| 14 | Ohio Ambulance Solutions, LLC | $4.6M | $5.0M | 1.8% | ▲ 2 |
| 15 | Acadian Ambulance Service Inc | $4.6M | $5.1M | 1.8% | — |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Pro Care Emergency Medical Services, LLC$249K → $6.0M (+$5.7M) · now #6
- Heartland Ambulance Service LLC$566K → $5.1M (+$4.5M) · now #11
- Rapid EMS LLC$0 → $4.3M (+$4.3M) · now #17
Largest declines
- Dalmor LLC$5.5M → −$2.8M (−$8.4M) · no latest-period obligations
- JAN-Care Ambulance of North Central W.VA., Inc$8.9M → $1.0M (−$7.9M) · now #62
- Medshore Ambulance Service, Inc.$11.5M → $5.9M (−$5.6M) · now #7
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 |
|---|---|---|
| Rapid EMS LLC | May 28, 2026 | $4.3M |
| Guardian Flight LLC | Apr 13, 2026 | $3.3M |
| Freedom-Elite II Joint Venture | Sep 10, 2026 | $2.8M |
| Mile High Ambulance, LLC | Jul 14, 2026 | $2.3M |
| JAN-Care Ambulance of the Kanawha & MID-Ohio Valleys Inc | Mar 18, 2026 | $2.2M |
| Priority Patient Transport Inc | Aug 31, 2026 | $1.7M |
| Around the Clock Transportation Corporation | Jan 9, 2026 | $1.6M |
| Spirit Medical Transport LLC | Sep 22, 2026 | $999K |
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 | $249.1M | $243.0M | Up $6.1M (2.5%) |
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 |
|---|---|---|---|
| 36C24726N0034 | Pro Care Emergency Medical Services, LLC ATLANTA VAMC AMBULANCE SERVICES | $4.9M | Oct 31, 2026 |
| 36C24726N0016 | Excelsior Ambulance Service Inc AMBULANCE TRANSPORTATION SERVICES | $10.6M | Dec 16, 2026 |
| 36C24126N0161 | Alert Ambulance Service, Inc. AMBULANCE SERVICE | $6.3M | Dec 31, 2026 |
| 36C24125N0282 | Alert Ambulance Service, Inc. AMBULANCE SERVICE | $5.2M | Dec 31, 2026 |
| 36C24726N0002 | Excelsior Ambulance Service Inc NON-EMERGENT AMBULANCE TRANSPORTATION SERVICES-CENTRAL ALABAMA HEALTHCARE SYSTEM | $5.3M | Jan 31, 2027 |
| 36C24626N0473 | Reliance Medical Transport, LLC NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES | $13.2M | Feb 28, 2027 |
| 36C24726N0186 | Excelsior Ambulance Service Inc NONEMERGENT AMBULANCE SERVICES | $11.0M | Apr 21, 2027 |
| 36C24726N0209 | Medshore Ambulance Service, Inc. NON-EMERGENT AMBULANCE SERVICE | $5.9M | Jun 21, 2027 |
| 36C25726N0339 | Acadian Ambulance Service of Texas, LLC STX WHEELCHAIR SERVICE - ORDERING PERIOD 4 | $5.6M | Jul 1, 2027 |
| 36C24825P1664 | Excelsior Ambulance Service Inc AMBULANCE TRANSPORTATION SERVICE | $5.0M | Jul 31, 2027 |
Common questions
Who are the top VA contractors for NAICS 621910?
In the latest 12 months, Excelsior Ambulance Service Inc ($33.0M), Reliance Medical Transport, LLC ($17.2M), Alert Ambulance Service, Inc. ($8.6M) received the most VA obligations for ambulance services.
How concentrated is this market?
The eight largest primes held 35.2% of positive obligations, and Excelsior Ambulance Service Inc alone held 12.9%. 14 contractors won their first obligations in this market during the latest 12 months.
Are any large VA NAICS 621910 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is 36C24726N0034 (Pro Care Emergency Medical Services, LLC, $4.9M obligated), ending Oct 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
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$10.7MFigures 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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