Industries › NAICS 621910
Industry · NAICS 621910 · sector 62 Health care and social assistance
Ambulance Services
Federal contract obligations classified under NAICS 621910, the organisations that win them and the agencies that award them.
USAspending caveat. Figures are obligations reported by federal agencies to USAspending.gov, not payments. In USAspending's words: "An outlay occurs when federal money is actually paid out, not just promised to be paid ('obligated')." "Every agency has a Senior Accountable Official who must officially certify that the quarterly financial data submitted by their agency is accurate and complete." "If there are any discrepancies in procurement data, FPDS is the authoritative source." Contract data for the Department of Defense and the U.S. Army Corps of Engineers is published with a 90-day delay. Data loaded 30 Sep 2026.
Federal agencies obligated $347M in contracts classified under NAICS 621910, Ambulance Services, in FY2026, and $1.4B over the five fiscal years since FY2023; the industry ranks 161 of 526 on this site.
Obligations were down 19% on FY2025 ($429M), with $0 so far in FY2027.
The largest recipient organisations over FY2022–FY2025 were American Medical Response, Inc. ($327M), Excelsior Ambulance Service Inc ($75M) and Reliance Medical Transport, LLC ($52M).
By place of performance, the most money went to NC, FL and SC.
Contract obligations by fiscal year
Compared with the largest industry FY2026
| Measure | This industry | Aircraft Manufacturing | All contracts |
|---|---|---|---|
| Contract obligations, FY2026 | $347M | $45B | $716B |
| Five-year total | $1.4B | $211B | $3.0T |
| Share of all contract obligations, five years | 0% | 7.1% | 100% |
Top contractors obligations, FY2022–FY2025
| # | Organisation | Obligations |
|---|---|---|
| 1 | American Medical Response, Inc. | $327M |
| 2 | Excelsior Ambulance Service Inc | $75M |
| 3 | Reliance Medical Transport, LLC | $52M |
| 4 | United Medevac Solutions, Inc. | $37M |
| 5 | Jan-Care Ambulance of North Central W.va., Inc | $34M |
| 6 | Medex Medical Transport Service Inc | $28M |
| 7 | Acadian Ambulance Service Inc | $26M |
| 8 | Medshore Ambulance Service, Inc. | $25M |
| 9 | Journey Via Gurney, LLC | $21M |
| 10 | First Care Ohio LLC | $20M |
| 11 | Front Line Ems LLC | $18M |
| 12 | Alert Ambulance Service, Inc. | $18M |
| 13 | Ambulance Management Services Limited | $17M |
| 14 | Professional Healthcare Associates, Inc. | $16M |
| 15 | Acadian Ambulance Service of Texas, LLC | $16M |
| 16 | Lifeline Medical Services, Inc. | $14M |
| 17 | Wander Staffing LLC | $14M |
| 18 | Reach Air Medical Services, LLC | $12M |
| 19 | Life Line Ambulance Service, Inc. | $12M |
| 20 | Legacy Ems Inc | $11M |
| 21 | Air Methods, LLC | $11M |
| 22 | Western-Star Hospital Authority Inc | $11M |
| 23 | Ohio Ambulance Solutions, LLC | $11M |
| 24 | Navarre Corporation | $10M |
| 25 | Mercy Air Service Inc | $9.9M |
$14M among the top 40 went to recipients not shown.
Buying agencies $1.0M+ awards
Where the work is performed
Largest awards since FY2023
| Recipient | Awarding agency | Type | Award value | Begun | Place | Record |
|---|---|---|---|---|---|---|
| American Medical Response, Inc. | Department of Homeland SecurityFederal Emergency Management Agency | ContractDelivery Order | $29M | 8 Oct 2024 | NC | USAspending |
| American Medical Response, Inc. | Department of Homeland SecurityFederal Emergency Management Agency | ContractDelivery Order | $25M | 3 Oct 2024 | SC | USAspending |
| American Medical Response, Inc. | Department of Homeland SecurityFederal Emergency Management Agency | ContractDelivery Order | $25M | 26 Sep 2024 | NC | USAspending |
| American Medical Response, Inc. | Department of Homeland SecurityFederal Emergency Management Agency | ContractDelivery Order | $23M | 25 Sep 2024 | GA | USAspending |
| Wander Staffing LLC | Department of DefenseDepartment of the Army | ContractDefinitive Contract | $21M | 18 Mar 2024 | TX | USAspending |
| American Medical Response, Inc. | Department of Homeland SecurityFederal Emergency Management Agency | ContractDelivery Order | $20M | 7 Oct 2022 | FL | USAspending |
| American Medical Response, Inc. | Department of Homeland SecurityFederal Emergency Management Agency | ContractDelivery Order | $19M | 16 Oct 2024 | NC | USAspending |
| American Medical Response, Inc. | Department of Homeland SecurityFederal Emergency Management Agency | ContractDelivery Order | $17M | 1 Oct 2024 | SC | USAspending |
| American Medical Response, Inc. | Department of Homeland SecurityFederal Emergency Management Agency | ContractDelivery Order | $14M | 9 Oct 2024 | FL | USAspending |
| Reliance Medical Transport, LLC | Department of Veterans Affairs | ContractDelivery Order | $13M | 24 Feb 2026 | VA | USAspending |
Other industries in sector 62: Health care and social assistance
- 621111 Offices of Physicians (except Mental Health Specialists) $25B
- 622110 General Medical and Surgical Hospitals $6.0B
- 623110 Nursing Care Facilities (Skilled Nursing Facilities) $2.9B
- 624190 Other Individual and Family Services $2.8B
- 621492 Kidney Dialysis Centers $2.6B
- 621498 All Other Outpatient Care Centers $2.3B
- 621999 All Other Miscellaneous Ambulatory Health Care Services $1.8B
- 623990 Other Residential Care Facilities $1.8B
- 621511 Medical Laboratories $1.5B
- 621112 Offices of Physicians, Mental Health Specialists $795M
- 624230 Emergency and Other Relief Services $792M
- 624310 Vocational Rehabilitation Services $685M
- 621399 Offices of All Other Miscellaneous Health Practitioners $677M
- 621340 Offices of Physical, Occupational and Speech Therapists, and Audiologists $626M
- 621991 Blood and Organ Banks $430M
- 624110 Child and Youth Services $368M
- 621512 Diagnostic Imaging Centers $356M
- 624221 Temporary Shelters $268M
- 621610 Home Health Care Services $229M
- 624229 Other Community Housing Services $215M
- 621420 Outpatient Mental Health and Substance Abuse Centers $190M
- 621210 Offices of Dentists $171M
- 623220 Residential Mental Health and Substance Abuse Facilities $171M
- 621330 Offices of Mental Health Practitioners (except Physicians) $71M
Questions and answers
How much does the federal government spend on NAICS 621910?
$347M in contract obligations classified under Ambulance Services in FY2026, $1.4B over the five fiscal years since FY2023. Obligations are commitments, not payments.
Who are the top contractors in Ambulance Services?
American Medical Response, Inc. ($327M), Excelsior Ambulance Service Inc ($75M), Reliance Medical Transport, LLC ($52M), United Medevac Solutions, Inc. ($37M), Jan-Care Ambulance of North Central W.va., Inc ($34M), by contract obligations over FY2022–FY2025.
Which agencies buy in this industry?
By the value of $1.0M-plus contracts since FY2023: Department of Veterans Affairs ($693M), Department of Homeland Security ($257M), Department of Defense ($102M), Department of Health and Human Services ($3.6M), Department of State ($3.1M).
What is a NAICS code?
In USAspending's words: "NAICS stands for the North American Industrial Classification System. This 6-digit code tells you what industry the work falls into. Each contract record has a NAICS code." Assistance awards (grants, loans, direct payments) carry no NAICS code and are not counted here.
Provenance
Source: USAspending.gov API v2, spending by category (NAICS) by fiscal year, recipient cross-tabulation for FY2022–FY2025 and award search, loaded 30 Sep 2026. State figures come from each state's top-100 NAICS list, so small amounts in a state may be missing. See methodology.