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Data / Federal awards / NAICS 621910 / Department of Veterans Affairs

Department of Veterans Affairs contracts under NAICS 621910 Ambulance Services: $737.2 million to 162 recipients (FY2024 to FY2027)

Updated October 6, 2026. Source: USAspending.gov.

Department of Veterans Affairs obligated $737.2 million under NAICS 621910, Ambulance Services, across 1,078 contract awards to 162 named recipients in fiscal years 2024 to 2027. The largest recipients are EXCELSIOR AMBULANCE SERVICE INC ($80.2 million), RELIANCE MEDICAL TRANSPORT, LLC ($44.9 million), MEDSHORE AMBULANCE SERVICE, INC. ($23.6 million). 4 opportunities under this code are open on SAM.gov now.

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Agency
Department of Veterans Affairs
NAICS code
621910 Ambulance Services
Contract awards
1,078
Obligated
$737.2 million
Named recipients
162
Small business share of obligations
72%
Full and open competition share
49%
Set aside share
3%
Latest action
2026-10-02

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Incumbents at this agency

Ranked by dollars obligated in fiscal years 2024 to 2027.

RecipientBusiness sizeAwardsObligatedShare
EXCELSIOR AMBULANCE SERVICE INCSmall Business30$80.2 million10.9%
RELIANCE MEDICAL TRANSPORT, LLCSmall Business27$44.9 million6.1%
MEDSHORE AMBULANCE SERVICE, INC.Other Than Small Business6$23.6 million3.2%
ALERT AMBULANCE SERVICE, INC.Small Business22$23.6 million3.2%
JOURNEY VIA GURNEY, LLCSmall Business21$23.6 million3.2%
JAN-CARE AMBULANCE OF NORTH CENTRAL W.VA., INCOther Than Small Business19$22.3 million3.0%
ACADIAN AMBULANCE SERVICE OF TEXAS, LLCOther Than Small Business6$20.7 million2.8%
PROFESSIONAL HEALTHCARE ASSOCIATES, INC.Small Business12$19.9 million2.7%
FIRST CARE OHIO LLCSmall Business16$19.7 million2.7%
MEDEX MEDICAL TRANSPORT SERVICE INCSmall Business20$18.8 million2.6%
APPOINTED WORLDWIDE HOLDINGS LLCSmall Business5$15.5 million2.1%
ACADIAN AMBULANCE SERVICE INCOther Than Small Business31$15.2 million2.1%
AMBULANCE MANAGEMENT SERVICES LIMITEDSmall Business16$15.1 million2.1%
PRO CARE EMERGENCY MEDICAL SERVICES, LLCSmall Business5$14.3 million1.9%
LIFE LINE AMBULANCE SERVICE, INC.Other Than Small Business10$13.4 million1.8%
HAWAII LIFE FLIGHT LLCOther Than Small Business4$13.1 million1.8%
LIFELINE MEDICAL SERVICES, INC.Small Business8$12.3 million1.7%
NAVARRE CORPORATIONSmall Business6$11.2 million1.5%
JAN-CARE AMBULANCE OF RALEIGH COUNTY, INC.Small Business5$10.6 million1.4%
ACADIAN AMBULANCE SERVICE OF TENNESSEE, LLCOther Than Small Business12$10.2 million1.4%
METRO WEST AMBULANCE SERVICE, INC.Other Than Small Business21$9.9 million1.3%
BAY MEDIC TRANSPORTATION INC.Small Business10$9.3 million1.3%
OHIO AMBULANCE SOLUTIONS, LLCSmall Business10$9.2 million1.3%
FRONTLINE SUPPORT SOLUTIONS, LLCSmall Business3$8.7 million1.2%
LIFEFLEET SOUTHEAST INCOther Than Small Business10$8.4 million1.1%
APREA GROUP LLCSmall Business4$8.3 million1.1%
PRIORITY ONE MEDICAL TRANSPORT INCSmall Business7$8.1 million1.1%
CITYWIDE MOBILE RESPONSE CORPSmall Business11$8 million1.1%
EMERGYCARE INCOther Than Small Business7$8 million1.1%
ABLE AMBULANCE, INCSmall Business5$7.9 million1.1%
PAFFORD MEDICAL SERVICES, INC.Small Business8$7.9 million1.1%
ABBOTT AMBULANCE, INC.Other Than Small Business7$7.4 million1.0%
DALMOR LLCSmall Business6$6.8 million0.9%
L-J-L TRUCKING, INCSmall Business10$6.2 million0.8%
RG AMBULANCE SERVICE, INC.Small Business6$5.9 million0.8%
HEARTLAND AMBULANCE SERVICE LLCSmall Business5$5.6 million0.8%
K & W MEDICAL SERVICES INCSmall Business7$5.5 million0.8%
MIDWEST MEDICAL TRANSPORT COMPANY, LLCOther Than Small Business10$5.4 million0.7%
MUSKOGEE COUNTY EMSOther Than Small Business4$5.2 million0.7%
BREWSTER AMBULANCE SERVICE INCSmall Business18$4.7 million0.6%
MED-CARE TRANSPORTATION LLCSmall Business8$4.6 million0.6%
RAPID EMS LLCSmall Business3$4.3 million0.6%
AMERICAN MEDICAL RESPONSE OF CONNECTICUT, INCOther Than Small Business5$4.3 million0.6%
JAN-CARE AMBULANCE SERVICE TRI-STATE DIVISION INCSmall Business6$4.3 million0.6%
PREMIER MEDICAL TRANSPORTATION, INC.Small Business9$4.2 million0.6%
WASHINGTON COUNTY - JOHNSON CITY EMERGENCY MEDICAL SERVICES, INC.Other Than Small Business7$4.1 million0.6%
COORDINATED TRANSPORTATION SOLUTIONS, INCOther Than Small Business10$4.1 million0.6%
HVM ASSOCIATES LLCSmall Business6$4 million0.5%
HURON VALLEY AMBULANCE INCOther Than Small Business6$3.7 million0.5%
PORTSMOUTH EMERGENCY AMBULANCE SERVICE INCSmall Business11$3.6 million0.5%

Offices buying

Sub agencyAwardsObligated
Department of Veterans Affairs1,078$737.2 million

Obligations by fiscal year

Fiscal yearObligated
FY2024$187.4 million
FY2025$245.1 million
FY2026$244.5 million
FY2027$60.3 million

Products and services bought

CodeProduct or serviceAwardsObligated
V225Transportation/travel/relocation- Travel/lodging/recruitment: Ambulance992$661.8 million
V119Transportation/travel/relocation- Transportation: Other18$31.5 million
V227Transportation/travel/relocation- Travel/lodging/recruitment: Navigational Aid and Pilotage8$17.7 million
V999Transportation/travel/relocation- Other: Other17$10.2 million
V129Transportation/travel/relocation- Transportation: Other10$9.1 million
Q529Emergency Medicine Services4$2.4 million
Q201Medical- Managed Healthcare4$1.6 million
V212Transportation/travel/relocation- Travel/lodging/recruitment: Motor Passenger5$1.3 million

Largest contract awards

Award IDRecipientAgencyTypeNAICSWhat it buysObligated in windowAward valueStartsEndsPlace of performanceSource
36C24626N0473RELIANCE MEDICAL TRANSPORT, LLCDepartment of Veterans AffairsDelivery Order621910NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES$13,183,288$13,183,288March 1, 2026February 28, 2027Hampton, VAusaspending.gov
36C24726N0186EXCELSIOR AMBULANCE SERVICE INCDepartment of Veterans AffairsDelivery Order621910NONEMERGENT AMBULANCE SERVICES$10,978,707$10,978,707April 22, 2026April 21, 2027Ludowici, GAusaspending.gov
36C24726N0016EXCELSIOR AMBULANCE SERVICE INCDepartment of Veterans AffairsDelivery Order621910AMBULANCE TRANSPORTATION SERVICES$10,573,600$10,573,600December 17, 2025December 16, 2026Columbia, SCusaspending.gov
36C24725N0381EXCELSIOR AMBULANCE SERVICE INCDepartment of Veterans AffairsDelivery Order621910NONEMERGENT AMBULANCE SERVICES$9,298,151$9,298,151April 22, 2025April 21, 2026Birmingham, ALusaspending.gov
36C24725N0396MEDSHORE AMBULANCE SERVICE, INC.Department of Veterans AffairsDelivery Order621910NON-EMERGENT AMBULANCE SERVICE$9,109,051$9,109,051June 22, 2025June 21, 2026Columbia, SCusaspending.gov
36C24724N0349MEDSHORE AMBULANCE SERVICE, INC.Department of Veterans AffairsDelivery Order621910NON-EMERGENT AMBULANCE SERVICE$8,087,350$8,087,350June 22, 2024June 21, 2025Columbia, SCusaspending.gov
36C24725N0098EXCELSIOR AMBULANCE SERVICE INCDepartment of Veterans AffairsDelivery Order621910AMBULANCE TRANSPORTATION SERVICES$7,720,894$7,720,894December 17, 2024December 16, 2025Charleston, SCusaspending.gov
36C24724N0157EXCELSIOR AMBULANCE SERVICE INCDepartment of Veterans AffairsDelivery Order621910NONEMERGENT AMBULANCE SERVICES$7,403,757$7,403,757April 22, 2024April 21, 2025Birmingham, ALusaspending.gov
36C26125F0244HAWAII LIFE FLIGHT LLCDepartment of Veterans AffairsDelivery Order621910AIR AMBULANCE SERVICES FOR VAPIHCS 6 MONTH TASK ORDER. POP: 04/01/2025 TO 09/30/2025.$6,659,328$6,659,328April 1, 2025March 31, 2026Honolulu, HIusaspending.gov
36C24625N1038RELIANCE MEDICAL TRANSPORT, LLCDepartment of Veterans AffairsDelivery Order621910NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES$6,532,716$6,532,716September 1, 2025February 28, 2026Hampton, VAusaspending.gov
36C24126N0161ALERT AMBULANCE SERVICE, INC.Department of Veterans AffairsDelivery Order621910AMBULANCE SERVICE$6,267,000$6,267,000January 1, 2026December 31, 2026Jamaica Plain, MAusaspending.gov
36C25725N0381ACADIAN AMBULANCE SERVICE OF TEXAS, LLCDepartment of Veterans AffairsDelivery Order621910ORDERING PERIOD 3$6,155,280$6,155,280July 2, 2025July 1, 2026San Antonio, TXusaspending.gov
36C25724N0400ACADIAN AMBULANCE SERVICE OF TEXAS, LLCDepartment of Veterans AffairsDelivery Order621910EXERCISE & FUND ORDERING PERIOD 1 STX WHEELCHAIR TRANSPORTATION SERVICES$5,922,164$5,922,164July 2, 2024July 1, 2025San Antonio, TXusaspending.gov
36C24726N0209MEDSHORE AMBULANCE SERVICE, INC.Department of Veterans AffairsDelivery Order621910NON-EMERGENT AMBULANCE SERVICE$5,852,668$5,852,668June 22, 2026June 21, 2027Anderson, SCusaspending.gov
36C25726N0339ACADIAN AMBULANCE SERVICE OF TEXAS, LLCDepartment of Veterans AffairsDelivery Order621910STX WHEELCHAIR SERVICE - ORDERING PERIOD 4$5,567,500$5,567,500July 2, 2026July 1, 2027San Antonio, TXusaspending.gov
36C24624N0807RELIANCE MEDICAL TRANSPORT, LLCDepartment of Veterans AffairsDelivery Order621910NON-EMERGENCY AMBULANCE SVC$5,500,000$5,500,000May 31, 2024February 28, 2025Hampton, VAusaspending.gov
36C26223D0081PROFESSIONAL HEALTHCARE ASSOCIATES, INC.Department of Veterans AffairsIDC621910AMBULANCE SERVICES$5,417,650$7,191,600July 1, 2023usaspending.gov
36C24724N0113EXCELSIOR AMBULANCE SERVICE INCDepartment of Veterans AffairsDelivery Order621910AMBULANCE TRANSPORTATION SERVICES$5,342,434$5,342,434December 17, 2023December 16, 2024Charleston, SCusaspending.gov
36C24726N0002EXCELSIOR AMBULANCE SERVICE INCDepartment of Veterans AffairsDelivery Order621910NON-EMERGENT AMBULANCE TRANSPORTATION SERVICES-CENTRAL ALABAMA HEALTHCARE SYSTEM$5,266,525$5,266,525February 1, 2026January 31, 2027Montgomery, ALusaspending.gov
36C24124N0244ALERT AMBULANCE SERVICE, INC.Department of Veterans AffairsDelivery Order621910AMBULANCE SERVICE$5,258,430$10,791,000January 1, 2024December 31, 2024Jamaica Plain, MAusaspending.gov
36C24125N0282ALERT AMBULANCE SERVICE, INC.Department of Veterans AffairsDelivery Order621910AMBULANCE SERVICE$5,213,964$10,841,000January 1, 2025December 31, 2026Jamaica Plain, MAusaspending.gov
36C24825P1664EXCELSIOR AMBULANCE SERVICE INCDepartment of Veterans AffairsPurchase Order621910AMBULANCE TRANSPORTATION SERVICE$4,957,141$4,957,141August 1, 2025July 31, 2027Gainesville, FLusaspending.gov
36C24726N0034PRO CARE EMERGENCY MEDICAL SERVICES, LLCDepartment of Veterans AffairsDelivery Order621910ATLANTA VAMC AMBULANCE SERVICES$4,915,374$4,915,374November 1, 2025October 31, 2026Decatur, GAusaspending.gov
36C24725N0009PRO CARE EMERGENCY MEDICAL SERVICES, LLCDepartment of Veterans AffairsDelivery Order621910ATLANTA VAMC AMBULANCE SERVICES$4,794,715$4,794,715November 1, 2024October 31, 2025Decatur, GAusaspending.gov
36C24526N0023JAN-CARE AMBULANCE OF RALEIGH COUNTY, INC.Department of Veterans AffairsDelivery Order621910AMBULANCE SERVICES, PRICE PERIOD 1, BECKLEY VA MEDICAL CENTER$4,725,100$4,725,100October 1, 2025September 30, 2026Beckley, WVusaspending.gov

Public U.S. federal spending data (U.S. Department of the Treasury). Obligations are the contract actions dated in fiscal years 2024 to 2027 of the USAspending.gov award archive of 2026-10-06; a contract's total value is its current value as USAspending reports it, including earlier years. Recipients are matched on their SAM.gov UEI, never on the name, and are shown as the government prints them. Sole proprietorships and opted-out entities count in the totals and are not named. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.