Who buys NAICS 621910 (Ambulance Services) work, who wins it, and what's open right now — from FY2026 USAspending awards and live SAM.gov solicitations.
Contract data as of Oct 18, 2026 (USAspending) · recent coverage verified weekly
| Quarter | Awards | Obligated | Change |
|---|---|---|---|
| Q1 FY2026 | 170 | $93.6M | — |
| Q2 FY2026 | 238 | $60.8M | -35% |
| Q3 FY2026 | 240 | $57.8M | -5% |
| Q4 FY2026 | 972 | $104.7M | +81% |
Federal fiscal quarters (Q1 = Oct–Dec). Awards are counted in the quarter they start; obligations are the award's obligated amount.
| # | Contractor | Obligated | Share |
|---|---|---|---|
| 1 | EXCELSIOR AMBULANCE SERVICE INC | $30.5M | 9.6% |
| 2 | RELIANCE MEDICAL TRANSPORT, LLC | $17.7M | 5.6% |
| 3 | MEDEX MEDICAL TRANSPORT SERVICE INC | $7.3M | 2.3% |
| 4 | ALERT AMBULANCE SERVICE, INC. | $7.3M | 2.3% |
| 5 | MEDSHORE AMBULANCE SERVICE, INC. | $5.9M | 1.8% |
| 6 | BMC SOFTWARE, INC. | $5.9M | 1.8% |
| 7 | ACADIAN AMBULANCE SERVICE INC | $5.8M | 1.8% |
| 8 | HEARTLAND AMBULANCE SERVICE LLC | $5.6M | 1.8% |
| 9 | ACADIAN AMBULANCE SERVICE OF TEXAS LLC | $5.6M | 1.8% |
| 10 | JOURNEY VIA GURNEY, LLC | $5.4M | 1.7% |
Registrations are rolled up to their corporate parent (USAspending parent UEI), so a company with several SAM registrations ranks once.
| Agency | Obligated | Share |
|---|---|---|
| Department of Veterans Affairs | $246.1M | 77.7% |
| Department of Agriculture | $49.9M | 15.8% |
| Department of Justice | $9.8M | 3.1% |
| Department of Defense | $3.7M | 1.2% |
| Department of Homeland Security | $3.5M | 1.1% |
| Department of Health and Human Services | $3.0M | 0.9% |
| Department of State | $683K | 0.2% |
| Department of Energy | $71K | 0.0% |
| Department of the Interior | $17K | 0.0% |
| Set-aside type | Obligated | Share |
|---|---|---|
| Small business set-aside | $3.5M | 13.2% |
| 8(a) | $0 | 0.0% |
| SDVOSB | $0 | 0.0% |
| WOSB / EDWOSB | $0 | 0.0% |
| HUBZone | $0 | 0.0% |
| No set-aside (full & open) | $23.1M | 86.8% |
Share of obligations on awards whose set-aside type is recorded — 8% of this market's dollars. Most USAspending bulk-archive records leave the field blank, so blank awards are excluded rather than counted as full & open.
Links open the notice on SAM.gov.
Source: USAspending.gov contract awards (prime awards with a start date from Oct 1, 2025 through Sep 30, 2026), SAM.gov contract opportunities, and SBA size standards. Recompetes are contracts whose final end date — options included — falls in the next 12 months. Figures are recomputed when a new USAspending load lands. See our data sources.