Industries › NAICS 621999
Industry · NAICS 621999 · sector 62 Health care and social assistance
All Other Miscellaneous Ambulatory Health Care Services
Federal contract obligations classified under NAICS 621999, 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 $504M in contracts classified under NAICS 621999, All Other Miscellaneous Ambulatory Health Care Services, in FY2026, and $1.8B over the five fiscal years since FY2023; the industry ranks 140 of 526 on this site.
Obligations were up 49% on FY2025 ($338M), with $0 so far in FY2027.
The largest recipient organisations over FY2022–FY2025 were STG International, Inc. ($392M), Walgreen Co. ($306M) and CVS Pharmacy, Inc ($185M).
By place of performance, the most money went to VA, IL and TX.
Contract obligations by fiscal year
Compared with the largest industry FY2026
| Measure | This industry | Aircraft Manufacturing | All contracts |
|---|---|---|---|
| Contract obligations, FY2026 | $504M | $45B | $716B |
| Five-year total | $1.8B | $211B | $3.0T |
| Share of all contract obligations, five years | 0.1% | 7.1% | 100% |
Top contractors obligations, FY2022–FY2025
| # | Organisation | Obligations |
|---|---|---|
| 1 | STG International, Inc. | $392M |
| 2 | Walgreen Co. | $306M |
| 3 | CVS Pharmacy, Inc | $185M |
| 4 | Ami Expeditionary Healthcare (USA) LLC | $104M |
| 5 | Servefed Inc. | $95M |
| 6 | Acuity-CHS, LLC | $90M |
| 7 | Cognito Systems LLC | $59M |
| 8 | CG Services LLC | $51M |
| 9 | Destiny Management Services, LLC | $48M |
| 10 | Dilligas Corp | $48M |
| 11 | Health Partner's Management Group, Incorporated | $45M |
| 12 | The Arora Group, Inc. | $39M |
| 13 | Amergis Healthcare Staffing, Inc. | $38M |
| 14 | Avosys Technology, Inc. | $33M |
| 15 | Kadiak LLC | $33M |
| 16 | T3I, Inc. | $31M |
| 17 | Longview International Technology Solutions, Inc. | $27M |
| 18 | Ingenesis Inc | $26M |
| 19 | Forensic Drug & Alcohol Testing LLC | $26M |
| 20 | Anthony & Associates, Inc. | $25M |
| 21 | Arapaho Technical Services LLC | $24M |
| 22 | Medforce Government Solutions, Inc. | $24M |
| 23 | Dawson CMS, LLC | $23M |
| 24 | Seattle Indian Health Board | $22M |
| 25 | Caban Resources LLC | $20M |
Buying agencies $1.0M+ awards
Where the work is performed
Largest awards since FY2023
| Recipient | Awarding agency | Type | Award value | Begun | Place | Record |
|---|---|---|---|---|---|---|
| Amergis Healthcare Staffing, Inc. | Department of Homeland SecurityU.S. Immigration and Customs Enforcement | ContractDelivery Order | $97M | 12 Sep 2024 | MD | USAspending |
| The Arora Group, Inc. | Department of Homeland SecurityU.S. Immigration and Customs Enforcement | ContractDelivery Order | $91M | 22 Jul 2024 | LA | USAspending |
| Ingenesis Inc | Department of Homeland SecurityU.S. Immigration and Customs Enforcement | ContractDelivery Order | $66M | 20 Sep 2024 | TX | USAspending |
| Servefed Inc. | Department of Health and Human ServicesOffice of the Assistant Secretary for Administration | ContractDelivery Order | $63M | 24 Apr 2023 | MD | USAspending |
| Ami Expeditionary Healthcare (USA) LLC | Department of Homeland SecurityU.S. Customs and Border Protection | ContractDefinitive Contract | $55M | 27 Oct 2022 | TX | USAspending |
| STG International, Inc. | Department of Health and Human ServicesOffice of the Assistant Secretary for Administration | ContractDelivery Order | $27M | 28 Feb 2025 | VA | USAspending |
| Acuity-CHS, LLC | Department of Homeland SecurityU.S. Customs and Border Protection | ContractDelivery Order | $26M | 28 Aug 2025 | FL | USAspending |
| Dawson CMS, LLC | Department of DefenseDepartment of the Army | ContractDefinitive Contract | $24M | 23 May 2024 | FL | USAspending |
| Servefed Inc. | Department of Health and Human ServicesOffice of the Assistant Secretary for Administration | ContractDelivery Order | $23M | 20 Apr 2023 | MD | USAspending |
| Acuity-CHS, LLC | Department of Homeland SecurityU.S. Customs and Border Protection | ContractDelivery Order | $20M | 30 Sep 2023 | FL | 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
- 623990 Other Residential Care Facilities $1.8B
- 621511 Medical Laboratories $1.5B
- 621910 Ambulance Services $1.4B
- 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 621999?
$504M in contract obligations classified under All Other Miscellaneous Ambulatory Health Care Services in FY2026, $1.8B over the five fiscal years since FY2023. Obligations are commitments, not payments.
Who are the top contractors in All Other Miscellaneous Ambulatory Health Care Services?
STG International, Inc. ($392M), Walgreen Co. ($306M), CVS Pharmacy, Inc ($185M), Ami Expeditionary Healthcare (USA) LLC ($104M), Servefed Inc. ($95M), by contract obligations over FY2022–FY2025.
Which agencies buy in this industry?
By the value of $1.0M-plus contracts since FY2023: Department of Homeland Security ($455M), Department of Defense ($296M), Department of Health and Human Services ($246M), Department of Veterans Affairs ($55M), Department of Transportation ($29M).
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.