Who buys NAICS 621999 (All Other Miscellaneous Ambulatory Health Care 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 | 46 | $44.9M | — |
| Q2 FY2026 | 27 | $44.3M | -1% |
| Q3 FY2026 | 42 | $30.2M | -32% |
| Q4 FY2026 | 109 | $20.4M | -32% |
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 | ACCENTURE PLC | $38.8M | 27.8% |
| 2 | MEDTRONIC PUBLIC LIMITED COMPANY | $19.2M | 13.7% |
| 3 | ACUITY-CHS, LLC | $15.0M | 10.7% |
| 4 | FORENSIC DRUG & ALCOHOL TESTING LLC | $8.6M | 6.2% |
| 5 | KONIAG, INC. | $6.7M | 4.8% |
| 6 | AVERA HEALTH PLANS INC | $5.2M | 3.7% |
| 7 | KATMAI COMMODITIES, LLC | $4.3M | 3.1% |
| 8 | ABBOTT LABORATORIES INC. | $2.7M | 1.9% |
| 9 | ONE STOP RECRUITING LLC | $2.4M | 1.7% |
| 10 | NATIONAL MARROW DONOR PROGRAM | $2.2M | 1.6% |
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 | $67.8M | 48.5% |
| Department of Homeland Security | $27.9M | 19.9% |
| Department of Health and Human Services | $10.7M | 7.6% |
| Department of Agriculture | $10.0M | 7.1% |
| Department of Transportation | $8.6M | 6.2% |
| Department of Justice | $5.0M | 3.6% |
| Department of Defense | $3.7M | 2.7% |
| Department of the Interior | $3.5M | 2.5% |
| Social Security Administration | $1.7M | 1.2% |
| National Aeronautics and Space Administration | $967K | 0.7% |
| Set-aside type | Obligated | Share |
|---|---|---|
| Small business set-aside | $653K | 1.7% |
| 8(a) | $13.8M | 35.2% |
| SDVOSB | $1.5M | 3.8% |
| WOSB / EDWOSB | $144K | 0.4% |
| HUBZone | $0 | 0.0% |
| Other (Indian economic enterprise, veteran, …) | $549K | 1.4% |
| No set-aside (full & open) | $22.6M | 57.6% |
Share of obligations on awards whose set-aside type is recorded — 28% 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.