Top VA all other miscellaneous ambulatory health care services contractors
In the 12 months ending Oct 5, 2026, the Department of Veterans Affairs obligated $50.1M in net prime contract dollars under NAICS 621999, up 651.5% from $6.7M in the preceding 12 months. 26 prime contractors received positive obligations, and 2 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 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 | Medtronic Care Management Services, LLC | $23.8M | $100K | 46.6% | ▲ 13 |
| 2 | Cognosante MVH LLC | $19.4M | $100K | 38.0% | ▲ 13 |
| 3 | One Stop Recruiting LLC | $2.2M | $1.2M | 4.3% | ▼ 2 |
| 4 | National Marrow Donor Program | $1.6M | $981K | 3.1% | ▼ 2 |
| 5 | American National Red Cross, the | $949K | $0 | 1.9% | New |
| 6 | Specialtycare Cardiovascular Resources, LLC | $739K | $834K | 1.5% | ▼ 3 |
| 7 | Ozark Medical Inc | $444K | $619K | 0.9% | ▼ 2 |
| 8 | Agiliti Health Inc | $333K | $109K | 0.7% | ▲ 4 |
| 9 | Line Science LLC | $311K | $329K | 0.6% | ▼ 2 |
| 10 | Boston Scientific Corp | $285K | $455K | 0.6% | ▼ 4 |
| 11 | Intranerve, LLC | $280K | $306K | 0.5% | ▼ 3 |
| 12 | Healthtronics Stone Solutions, LLC | $112K | $36K | 0.2% | ▲ 11 |
| 13 | Surgical Neuromonitoring Associates, Inc. | $96K | $250K | 0.2% | ▼ 4 |
| 14 | Transplant Coordinators of America Inc | $88K | $86K | 0.2% | ▲ 5 |
| 15 | Natus Medical Incorporated | $85K | $88K | 0.2% | ▲ 3 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Medtronic Care Management Services, LLC$100K → $23.8M (+$23.7M) · now #1
- Cognosante MVH LLC$100K → $19.4M (+$19.3M) · now #2
- One Stop Recruiting LLC$1.2M → $2.2M (+$980K) · now #3
Largest declines
- Precision Monitoring LLC−$19K → −$853K (−$834K) · no latest-period obligations
- Advanced Medical Resources, LLC$814K → −$1K (−$815K) · no latest-period obligations
- Ozark Medical Inc$619K → $444K (−$175K) · now #7
New to this market
1 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| American National Red Cross, the | Jun 29, 2026 | $949K |
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 | $50.1M | $6.7M | Up $43.4M (651.5%) |
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 |
|---|---|---|---|
| 36C24925P0518 | Specialtycare Cardiovascular Resources, LLC SHORT-TERM PERFUSIONIST SERVICES | $1.2M | Nov 30, 2026 |
| 36C24926N0371 | One Stop Recruiting LLC CERTIFIED NURSING ASSISTANT SERVICES-TASK ORDER | $2.4M | Feb 28, 2027 |
| 36C24926P0132 | National Marrow Donor Program MAINTAIN A REGISTRY OF POTENTIAL SOURCES OF HUMAN LEUKOCYTE ANTIGEN TYPED HEMATOPOIETIC STEM CELLS FOR TRANSPORTATION INTO UNRELATED PATIENTS. | $2.0M | Apr 30, 2027 |
Common questions
Who are the top VA contractors for NAICS 621999?
In the latest 12 months, Medtronic Care Management Services, LLC ($23.8M), Cognosante MVH LLC ($19.4M), One Stop Recruiting LLC ($2.2M) received the most VA obligations for all other miscellaneous ambulatory health care services.
How concentrated is this market?
The eight largest primes held 96.9% of positive obligations, and Medtronic Care Management Services, LLC alone held 46.6%. 1 contractors won their first obligations in this market during the latest 12 months.
Are any large VA NAICS 621999 contracts ending soon?
3 of the largest awards in this market reach their current end date in the next 18 months. The first is 36C24925P0518 (Specialtycare Cardiovascular Resources, LLC, $1.2M 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
$202.9MDoD · NAICS 621999
$143.3MUSDA · 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.
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