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Ambulance Services

NAICS 621910 · Federal Contracts & Awards

USAspending.gov tags $169,491,953.52 to Ambulance Services (NAICS 621910) in fiscal year 2026. About thirteen percent of a $1.28 billion ambulance extract sits on FY2026. Ambulance services are not general hospitals (622110) and not medical laboratories (621511). That pair is Ambulance Services (NAICS 621910) and federal fiscal year 2026 — not every federal dollar in FY2026, not Ambulance Services's $1,276,503,580.97 extract-wide book, and not cash already paid. The cell is 13.3% of this industry's published obligation total. 3,863 is the industry-extract award-record count, not a FY2026-only instrument tally. USAspending.gov is the source. Correlation is not causation.

Key figures

  • Ambulance Services in FY2026: $169,491,953.52 in USAspending obligations (NAICS 621910).
  • That cell is 13.3% of the industry's $1,276,503,580.97 extract-wide total.
  • 3,863 is the industry-extract award-record count, not a FY2026 census.
  • NAICS 621910 × FY2026 is an obligation join, not an outlay and not a named-recipient list.
  • Cite USAspending.gov; quote /industries/621910/ and /fiscal-years/2026/ if live tables moved.

How 621910 meets fiscal year 2026 in the award file

NAICS 621910 and fiscal year 2026 meet here. $169,491,953.52 is the USAspending.gov obligation sum on the yearlyTrend row that carries both tags. It is not Ambulance Services's nationwide all-year total of $1,276,503,580.97, not every federal dollar coded to FY2026, and not an outlay register. The packet does not split emergency from non-emergency ambulance lines, or contract from assistance. 3,863 is an industry-extract action count: modifications and repeat awards add rows across years. Unique recipients are unpublished. This cell is not a vehicle census, a named-operator roster, or a call-volume ledger.

Open /industries/621910/ (NAICS 621910) for the industry table without this FY2026 filter, /fiscal-years/2026/ (FY2026 federal spending) for the year table without this NAICS filter, /industries/ (All industries) for every industry, and /ties/ (All spending ties) for the rest of the join list. Quote those hubs as parents, not as addends to $169,491,953.52. Keep 621910 on FY2026. Residual outpatient centers (621498) are a different health key.

Keeping 621910 from collapsing into a nearby NAICS

USAspending labels NAICS 621910 as Ambulance Services. That code produced $169,491,953.52 when crossed with fiscal year 2026. The industry-wide 621910 hub does not require a FY2026 filter. The year hub does not require Ambulance Services. Only this tie applies both filters. The packet does not split emergency from non-emergency ambulance lines, or contract from assistance. FY2026 incompleteness applies. Emergency and non-emergency lines stay inside one NAICS; this page will not invent that split.

Correlation is not causation: FY2026 did not cause $169,491,953.52 by existing as a large or small budget year. The join is 621910 × FY2026 only. This cell is not a vehicle census, a named-operator roster, or a call-volume ledger. Do not invent contractors or award recipients to fill the gap. Campaign donations on FEC tables do not fund this USAspending cell; the datasets are separate. Three thousand eight hundred sixty-three industry-extract award records belong to 621910 across years, not to FY2026 as a vehicle census.

Full analysis: Ambulance Services federal obligations in FY2026 →

Questions

How much Ambulance Services spending is obligated in FY2026?
USAspending.gov lists $169,491,953.52 in Ambulance Services (NAICS 621910) obligations for FY2026. That yearlyTrend amount is 13.3% of the industry's $1,276,503,580.97 extract-wide total. It is an obligation join, not an outlay and not every federal dollar in FY2026. Unique recipients are unpublished.
Is $169,491,953.52 the entire Ambulance Services USAspending total?
No. NAICS 621910's extract-wide total is $1,276,503,580.97. FY2026 is 13.3% of that book. Other fiscal-year rows for the same industry are separate cells. Do not add /industries/621910/ into this join. 3,863 award records stay on the industry extract, not on this yearlyTrend row.
Is $169,491,953.52 cash already paid in FY2026?
No. Obligations are commitments recorded on USAspending.gov awards. Outlays — money that actually left the Treasury — are a different concept and are not this packet's headline. Treating $169,491,953.52 as checks already cleared in FY2026 confuses those terms. Prefer the live industry and year hubs if the tables moved.
Does 3,863 awards mean 3,863 unique companies in FY2026?
No. 3,863 is the industry-extract award-record count for Ambulance Services, not unique vendors and not a FY2026 headcount. Modifications add rows. This packet names no contractors. Keep the extract count off the yearlyTrend clock. USAspending.gov remains the source for NAICS 621910 in FY2026.

USAspending.gov NAICS yearlyTrend by fiscal year. Obligations are not outlays. FY figures can be incomplete for the current year.

Industry ties

All data ties →

Companies in the Ambulance Services industry (NAICS code 621910) have received $1.28B in federal contracts, grants, and other awards since FY2024, across 4K individual awards tracked through FY2026. The largest funding agency is Department of Veterans Affairs ($848.3M). Spending is concentrated in Texas, California, Georgia and 48 other states. All figures below come from USAspending.gov award records.

Total Obligations

$1.28B

Total Awards

4K

States

51

Last Updated

Apr 23, 2026

Yearly Spending Trend

Top 50 Awards in Ambulance Services

Largest individual obligations in NAICS 621910.

Download CSV
Top 50 Awards in Ambulance Services
AwardRecipientAwarding AgencyProgramPlaceFYObligation
CONT_AWD_70FB7024F00000116_7022_70FB7022D00000027_7022
EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF FLORIDA IN RESPONSE TO TROPICAL CYCLONE HELENE
AMERICAN MEDICAL RESPONSE, INC.
Colorado
Department of Homeland Security
Federal Emergency Management Agency
—FAYETTEVILLE, NC-072024$38,117,386
CONT_AWD_70FB7024F00000109_7022_70FB7022D00000027_7022
EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF FLORIDA IN RESPONSE TO TROPICAL CYCLONE HELENE
AMERICAN MEDICAL RESPONSE, INC.
Colorado
Department of Homeland Security
Federal Emergency Management Agency
—STONE MOUNTAIN, GA-042024$32,282,550
CONT_AWD_70FB7024F00000096_7022_70FB7022D00000027_7022
EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES - SPECIFICALLY TO SUPPORT HURRICANE FRANCINE, REGION 6 LA.
AMERICAN MEDICAL RESPONSE, INC.
Colorado
Department of Homeland Security
Federal Emergency Management Agency
—BATON ROUGE, LA-062024$15,871,013
CONT_AWD_70FB7024F00000080_7022_70FB7022D00000027_7022
EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES - SPECIFICALLY TO SUPPORT TROPICAL STORM DEBBY (FLORIDA).
AMERICAN MEDICAL RESPONSE, INC.
Colorado
Department of Homeland Security
Federal Emergency Management Agency
—JACKSONVILLE, FL-042024$15,655,000
CONT_AWD_70FB7025F00000020_7022_70FB7022D00000027_7022
DE-OBLIGATION OF EXCESS FUNDING.
AMERICAN MEDICAL RESPONSE, INC.
Colorado
Department of Homeland Security
Federal Emergency Management Agency
—HAVANA, FL-022026$14,259,765
CONT_AWD_36C24626N0473_3600_36C24625D0043_3600
NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES
RELIANCE MEDICAL TRANSPORT, LLC
Virginia
Department of Veterans Affairs
Department of Veterans Affairs
—HAMPTON, VA-032026$13,183,288
CONT_AWD_W81K0020C0010_9700_-NONE-_-NONE-
EMS STAFFING
UNITED MEDEVAC SOLUTIONS, INC.
Texas
Department of Defense
Department of the Army
—EL PASO, TX-162024$11,898,578
CONT_AWD_36C24725N0381_3600_36C24722D0020_3600
NONEMERGENT AMBULANCE SERVICES
EXCELSIOR AMBULANCE SERVICE INC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—BIRMINGHAM, AL-072025$9,284,407
CONT_AWD_19AQMM19F0709_1900_19AQMM19D0075_1900
FASTC EMS DE-OBLIGATION OF EXCESS FUNDS
CENTERRA GROUP, LLC
Florida
Department of State
Department of State
—PALM BEACH GARDENS, FL-212024$9,245,513
CONT_AWD_36C24725N0396_3600_36C24723D0017_3600
NON-EMERGENT AMBULANCE SERVICE
MEDSHORE AMBULANCE SERVICE, INC.
South Carolina
Department of Veterans Affairs
Department of Veterans Affairs
—COLUMBIA, SC-022025$9,109,051
CONT_AWD_70FB7024F00000081_7022_70FB7022D00000027_7022
EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES - SPECIFICALLY TO SUPPORT TROPICAL STORM DEBBY, REGION 4.
AMERICAN MEDICAL RESPONSE, INC.
Colorado
Department of Homeland Security
Federal Emergency Management Agency
—STONE MOUNTAIN, GA-042024$8,516,446
CONT_AWD_36C24725N0098_3600_36C24724D0004_3600
AMBULANCE TRANSPORTATION SERVICES
EXCELSIOR AMBULANCE SERVICE INC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—CHARLESTON, SC-062025$7,695,161
CONT_AWD_36C24623N0699_3600_36C24623D0045_3600
NON-EMERGENCY AMBULANCE SVC
RELIANCE MEDICAL TRANSPORT, LLC
Virginia
Department of Veterans Affairs
Department of Veterans Affairs
—HAMPTON, VA-032024$7,475,000
CONT_AWD_36C24724N0157_3600_36C24722D0020_3600
NONEMERGENT AMBULANCE SERVICES
EXCELSIOR AMBULANCE SERVICE INC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—BIRMINGHAM, AL-072024$7,403,757
CONT_AWD_36C24724N0349_3600_36C24723D0017_3600
NON-EMERGENT AMBULANCE SERVICE
MEDSHORE AMBULANCE SERVICE, INC.
South Carolina
Department of Veterans Affairs
Department of Veterans Affairs
—COLUMBIA, SC-022024$7,382,240
CONT_AWD_W81K0024C0002_9700_-NONE-_-NONE-
BASIC LIFE SUPPORT (BLS)
UNITED MEDEVAC SOLUTIONS, INC.
Texas
Department of Defense
Department of the Army
—SAN ANTONIO, TX-212024$7,306,980
CONT_AWD_70FB7024F00000107_7022_70FB7022D00000027_7022
EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES - SPECIFICALLY TO SUPPORT HURRICANE HELENE, FEMA REGION 4, FLORIDA.
AMERICAN MEDICAL RESPONSE, INC.
Colorado
Department of Homeland Security
Federal Emergency Management Agency
—AVONDALE ESTATES, GA-052024$7,272,510
CONT_AWD_W81K0024C0004_9700_-NONE-_-NONE-
EMS AMBULANCE SERVICES
WANDER STAFFING LLC
Texas
Department of Defense
Department of the Army
—EL PASO, TX-162024$6,824,472
CONT_AWD_70FB7024F00000083_7022_70FB7022D00000027_7022
EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES - SPECIFICALLY TO SUPPORT TROPICAL STORM DEBBY, REGION 4 GA.
AMERICAN MEDICAL RESPONSE, INC.
Colorado
Department of Homeland Security
Federal Emergency Management Agency
—LAGRANGE, GA-032024$6,730,000
CONT_AWD_36C26125F0244_3600_36C26124D0040_3600
AIR AMBULANCE SERVICES FOR VAPIHCS
HAWAII LIFE FLIGHT LLC
Utah
Department of Veterans Affairs
Department of Veterans Affairs
—HONOLULU, HI-012025$6,659,328
CONT_AWD_36C24723N0191_3600_36C24722D0020_3600
NONEMERGENT AMBULANCE SERVICES
EXCELSIOR AMBULANCE SERVICE INC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—BIRMINGHAM, AL-072024$6,598,373
CONT_AWD_36C24625N1038_3600_36C24625D0043_3600
NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES
RELIANCE MEDICAL TRANSPORT, LLC
Virginia
Department of Veterans Affairs
Department of Veterans Affairs
—HAMPTON, VA-032025$6,532,716
CONT_AWD_36C24723N0455_3600_36C24723D0017_3600
NON-EMERGENT AMBULANCE SERVICE
MEDSHORE AMBULANCE SERVICE, INC.
South Carolina
Department of Veterans Affairs
Department of Veterans Affairs
—COLUMBIA, SC-022024$6,496,704
CONT_AWD_36C24726N0016_3600_36C24724D0004_3600
AMBULANCE TRANSPORTATION SERVICES
EXCELSIOR AMBULANCE SERVICE INC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—COLUMBIA, SC-022026$6,481,500
CONT_AWD_36C25722P0147_3600_-NONE-_-NONE-
ADD FUNDING TO ALLOW FOR FINAL INVOICE PAYMENT.
ACADIAN AMBULANCE SERVICE INC
Louisiana
Department of Veterans Affairs
Department of Veterans Affairs
—SAN ANTONIO, TX-202024$6,349,851
CONT_AWD_36C24722C0129_3600_-NONE-_-NONE-
NON EMERGENT AMBULATORY SERVICES
MEDSHORE AMBULANCE SERVICE, INC.
South Carolina
Department of Veterans Affairs
Department of Veterans Affairs
—COLUMBIA, SC-022024$6,305,603
CONT_AWD_FA810119CA026_9700_-NONE-_-NONE-
CONTRACTOR SHALL PERFORM 24 HOUR ON-BASE STATE OF OKLAHOMA CERTIFIED PARAMEDIC LEVEL EMERGENCY RESPONSE AND PATIENT TRANSPORT SERVICES IN ACCORDANCE WITH THE PERFORMANCE WORK STAT…
CLV ENTERPRISES, INC.
Oklahoma
Department of Defense
Department of the Air Force
—OKLAHOMA CITY, OK-042024$6,299,765
CONT_AWD_36C24126N0161_3600_36C24124D0064_3600
AMBULANCE SERVICE
ALERT AMBULANCE SERVICE, INC.
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—JAMAICA PLAIN, MA-072026$6,267,000
CONT_AWD_36C25023C0026_3600_-NONE-_-NONE-
AMBULANCE SERVICE (DAYTON)
FIRST CARE OHIO LLC
Ohio
Department of Veterans Affairs
Department of Veterans Affairs
—DAYTON, OH-102024$5,988,513
CONT_AWD_36C25724N0400_3600_36C25723D0041_3600
STX WHEELCHAIR TRANSPORTATION SERVICES DECREASE PO 671C40296
ACADIAN AMBULANCE SERVICE OF TEXAS, LLC
Louisiana
Department of Veterans Affairs
Department of Veterans Affairs
—SAN ANTONIO, TX-202024$5,922,164
CONT_AWD_36C24624N0807_3600_36C24623D0045_3600
NON-EMERGENCY AMBULANCE SVC
RELIANCE MEDICAL TRANSPORT, LLC
Virginia
Department of Veterans Affairs
Department of Veterans Affairs
—HAMPTON, VA-032024$5,500,000
CONT_AWD_W81K0424C0003_9700_-NONE-_-NONE-
HEMS, FULL OPERATIONAL CONDITION (FOC)
REACH AIR MEDICAL SERVICES, LLC
California
Department of Defense
Department of the Army
—FORT BRAGG, NC-092024$5,477,765
CONT_IDV_36C26223D0081_3600
AMBULANCE SERVICES - EXERCISE FAR 52.217-8, OPTION TO EXTEND SERVICES FOR 4 MONTHS.
PROFESSIONAL HEALTHCARE ASSOCIATES, INC.
California
Department of Veterans Affairs
Department of Veterans Affairs
——2024$5,417,650
CONT_AWD_36C25618N0041_3600_VA25617D0203_3600
AMBULANCE SERVICES
MOBILE MEDIC AMBULANCE SERVICE INC
Mississippi
Department of Veterans Affairs
Department of Veterans Affairs
—BILOXI, MS-042025$5,406,408
CONT_AWD_36C24125N0282_3600_36C24124D0064_3600
AMBULANCE SERVICE
ALERT AMBULANCE SERVICE, INC.
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—JAMAICA PLAIN, MA-072025$5,395,500
CONT_AWD_36C24724N0113_3600_36C24724D0004_3600
AMBULANCE TRANSPORTATION SERVICES
EXCELSIOR AMBULANCE SERVICE INC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—CHARLESTON, SC-062024$5,366,750
CONT_AWD_36C24726N0002_3600_36C24722D0021_3600
NON-EMERGENT AMBULANCE TRANSPORTATION SERVICES-CENTRAL ALABAMA HEALTHCARE SYSTEM
EXCELSIOR AMBULANCE SERVICE INC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—MONTGOMERY, AL-022026$5,266,525
CONT_AWD_36C24124N0244_3600_36C24124D0064_3600
AMBULANCE SERVICE
ALERT AMBULANCE SERVICE, INC.
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—JAMAICA PLAIN, MA-072024$5,258,430
CONT_AWD_36C25723N0286_3600_36C25723D0041_3600
DE-OBLIGATE EXCESS FUNDING
ACADIAN AMBULANCE SERVICE OF TEXAS, LLC
Louisiana
Department of Veterans Affairs
Department of Veterans Affairs
—SAN ANTONIO, TX-202024$5,045,403
CONT_AWD_36C25725N0381_3600_36C25723D0041_3600
ORDERING PERIOD 3
ACADIAN AMBULANCE SERVICE OF TEXAS, LLC
Louisiana
Department of Veterans Affairs
Department of Veterans Affairs
—SAN ANTONIO, TX-202025$4,802,780
CONT_AWD_36C24722P0825_3600_-NONE-_-NONE-
CHARLESTON NON-EMERGENT AMBULATORY SERVICE, MODIFICATION TO ADD FUNDS FOR FINAL INVOICE.
EXCELSIOR AMBULANCE SERVICE INC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—CHARLESTON, SC-062024$4,802,150
CONT_AWD_36C25925N0325_3600_36C25924D0019_3600
OY1 AMBULANCE SERVICE TASK ORDER
DALMOR LLC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—AURORA, CO-062025$4,739,738
CONT_AWD_75H71222C00021_7527_-NONE-_-NONE-
AMBULATORY SERVICES AT HOPI HEALTH CARE CLINIC- MOD 05- ADMINISTRATIVE MODIFICATION IS TO CHANGE THE CONTRACT SPECIALIST FROM JEREMIAH MURRELL TO MARILYN DURAN
FRONT LINE EMS LLC
Idaho
Department of Health and Human Services
Indian Health Service
—POLACCA, AZ-022024$4,603,200
CONT_AWD_36C25025N5411_3600_36C25025D5411_3600
AMBULANCE SERVICE (CLE)
OHIO AMBULANCE SOLUTIONS, LLC
Ohio
Department of Veterans Affairs
Department of Veterans Affairs
—CLEVELAND, OH-112025$4,596,900
CONT_AWD_36C25719C0088_3600_-NONE-_-NONE-
6 MONTH EXTENSION POP (12/12/2023 - 05/11/2023)
RICO AVIATION, LLC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—AMARILLO, TX-132024$4,523,957
CONT_AWD_FA940121C0006_9700_-NONE-_-NONE-
KIRTLAND AIR FORCE BASE AMBULANCE SERVICE
BERNALILLO COUNTY HEALTH CARE CORP
New Mexico
Department of Defense
Department of the Air Force
—KIRTLAND AFB, NM-012024$4,418,214
CONT_AWD_36C25522N0009_3600_36C25518D0094_3600
CLOSE OUT
MEDICONE MEDICAL RESPONSE OF TENNESSEE, INC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—DALLAS, TX-242025$4,378,246
CONT_AWD_36C24724N0068_3600_36C24723D0021_3600
ATLANTA VAMC AMBULANCE SERVICES
PRO CARE EMERGENCY MEDICAL SERVICES, LLC
Georgia
Department of Veterans Affairs
Department of Veterans Affairs
—DECATUR, GA-052024$4,375,998
CONT_AWD_36C25721P0012_3600_-NONE-_-NONE-
DE-OBLIGATION OF EXCESS FUNDS FOR CONTRACT CLOSEOUT
ACADIAN AMBULANCE SERVICE INC
Louisiana
Department of Veterans Affairs
Department of Veterans Affairs
—SAN ANTONIO, TX-202024$4,364,596
CONT_AWD_FA251721P0002_9700_-NONE-_-NONE-
AMBULANCE SERVICES FOR PETERSON AFB AND SCHRIEVER AFB IN ACCORDANCE WITH (IAW) THE PERFORMANCE WORK STATEMENT (PWS) DATED 1 APRIL 2021.
LEGACY EMS INC
Louisiana
Department of Defense
Department of the Air Force
—COLORADO SPRINGS, CO-052024$4,300,728

Top 50 awards shown, ranked by obligated amount. Dates reflect performance period; last-modified dates match USAspending.gov. Complete listings include all transaction history going back to FY2024.

Spending by State

Federal spending in the Ambulance Services industry (NAICS 621910) broken down by state, with obligated amounts and award counts.
StateFundingAwards
Texas$117.0M167
California$99.7M370
Georgia$89.9M21
North Carolina$86.1M79
Florida$64.2M54
South Carolina$53.7M9
Alabama$51.5M57
Virginia$50.4M45
Ohio$46.8M30
West Virginia$44.4M65
Oregon$44.2M671
Arizona$42.7M123
Pennsylvania$41.8M59
Tennessee$40.2M36
Louisiana$35.0M37
Massachusetts$32.0M36
Colorado$29.0M92
Washington$18.8M238
Indiana$18.3M47
Maryland$17.4M27
Missouri$17.2M32
Oklahoma$16.3M22
New Jersey$15.7M11
Michigan$15.1M50
Hawaii$13.8M8
Idaho$13.5M288
New York$13.1M27
Illinois$12.7M40
South Dakota$11.0M40
Minnesota$10.4M51
Mississippi$10.2M6
New Mexico$9.9M62
Nevada$9.3M31
Kentucky$8.2M46
Wyoming$6.7M76
Maine$6.7M6
Connecticut$6.0M8
Vermont$5.9M7
Utah$5.5M154
District of Columbia$5.4M9
Rhode Island$5.0M6
Arkansas$4.5M9
Montana$4.1M115
Kansas$3.3M22
New Hampshire$3.1M10
Nebraska$2.9M8
Iowa$2.2M10
Puerto Rico$2.1M6
Alaska$737K3
Wisconsin$675K4
Delaware$226K1