Ambulance Services
NAICS 621910 · Federal Contracts & Awards
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
$740.0M24
$367.0M25
$169.5M26
Top 50 Awards in Ambulance Services
Largest individual obligations in NAICS 621910.
| Award | Recipient | Awarding Agency | Program | Place | FY | Obligation |
|---|---|---|---|---|---|---|
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-07 | 2024 | $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-04 | 2024 | $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-06 | 2024 | $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-04 | 2024 | $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-02 | 2026 | $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-03 | 2026 | $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-16 | 2024 | $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-07 | 2025 | $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-21 | 2024 | $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-02 | 2025 | $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-04 | 2024 | $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-06 | 2025 | $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-03 | 2024 | $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-07 | 2024 | $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-02 | 2024 | $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-21 | 2024 | $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-05 | 2024 | $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-16 | 2024 | $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-03 | 2024 | $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-01 | 2025 | $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-07 | 2024 | $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-03 | 2025 | $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-02 | 2024 | $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-02 | 2026 | $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-20 | 2024 | $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-02 | 2024 | $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-04 | 2024 | $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-07 | 2026 | $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-10 | 2024 | $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-20 | 2024 | $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-03 | 2024 | $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-09 | 2024 | $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-04 | 2025 | $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-07 | 2025 | $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-06 | 2024 | $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-02 | 2026 | $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-07 | 2024 | $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-20 | 2024 | $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-20 | 2025 | $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-06 | 2024 | $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-06 | 2025 | $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-02 | 2024 | $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-11 | 2025 | $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-13 | 2024 | $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-01 | 2024 | $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-24 | 2025 | $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-05 | 2024 | $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-20 | 2024 | $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-05 | 2024 | $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.
Top Funding Agencies
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Department of Veterans Affairs$848.3M
Department of Homeland Security$152.6M
Department of Defense$120.3M
Department of Agriculture$95.2M
Department of Justice$26.4M
Department of Health and Human Services$20.8M
Department of State$10.8M
Department of the Interior$1.0M
National Aeronautics and Space Administration$1.0M
Department of the Treasury$92K
Top Recipients
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AMERICAN MEDICAL RESPONSE, INC.$152.9M
EXCELSIOR AMBULANCE SERVICE INC$82.2M
RELIANCE MEDICAL TRANSPORT, LLC$52.9M
ACADIAN AMBULANCE SERVICE INC$34.3M
UNITED MEDEVAC SOLUTIONS, INC.$33.5M
MEDSHORE AMBULANCE SERVICE, INC.$29.3M
ALERT AMBULANCE SERVICE, INC.$27.1M
MEDEX MEDICAL TRANSPORT SERVICE INC$24.9M
FIRST CARE OHIO LLC$24.9M
JAN-CARE AMBULANCE OF NORTH CENTRAL W.VA., INC$22.8M
Spending by State
| State | Funding | Awards |
|---|---|---|
| Texas | $117.0M | 167 |
| California | $99.7M | 370 |
| Georgia | $89.9M | 21 |
| North Carolina | $86.1M | 79 |
| Florida | $64.2M | 54 |
| South Carolina | $53.7M | 9 |
| Alabama | $51.5M | 57 |
| Virginia | $50.4M | 45 |
| Ohio | $46.8M | 30 |
| West Virginia | $44.4M | 65 |
| Oregon | $44.2M | 671 |
| Arizona | $42.7M | 123 |
| Pennsylvania | $41.8M | 59 |
| Tennessee | $40.2M | 36 |
| Louisiana | $35.0M | 37 |
| Massachusetts | $32.0M | 36 |
| Colorado | $29.0M | 92 |
| Washington | $18.8M | 238 |
| Indiana | $18.3M | 47 |
| Maryland | $17.4M | 27 |
| Missouri | $17.2M | 32 |
| Oklahoma | $16.3M | 22 |
| New Jersey | $15.7M | 11 |
| Michigan | $15.1M | 50 |
| Hawaii | $13.8M | 8 |
| Idaho | $13.5M | 288 |
| New York | $13.1M | 27 |
| Illinois | $12.7M | 40 |
| South Dakota | $11.0M | 40 |
| Minnesota | $10.4M | 51 |
| Mississippi | $10.2M | 6 |
| New Mexico | $9.9M | 62 |
| Nevada | $9.3M | 31 |
| Kentucky | $8.2M | 46 |
| Wyoming | $6.7M | 76 |
| Maine | $6.7M | 6 |
| Connecticut | $6.0M | 8 |
| Vermont | $5.9M | 7 |
| Utah | $5.5M | 154 |
| District of Columbia | $5.4M | 9 |
| Rhode Island | $5.0M | 6 |
| Arkansas | $4.5M | 9 |
| Montana | $4.1M | 115 |
| Kansas | $3.3M | 22 |
| New Hampshire | $3.1M | 10 |
| Nebraska | $2.9M | 8 |
| Iowa | $2.2M | 10 |
| Puerto Rico | $2.1M | 6 |
| Alaska | $737K | 3 |
| Wisconsin | $675K | 4 |
| Delaware | $226K | 1 |
Source: USAspending.gov · All Industries