Ambulance government contracts
In fiscal year 2026, federal agencies obligated $353.21M on ambulance contracts so far (Defense contracts arrive about 90 days late, so the year's total is still rising). Department of Veterans Affairs bought the most, followed by Department of Agriculture. 3 ambulance contract opportunities are open now on SAM.gov, and 77 contracts worth $368.33M with options end in the next 12 months.
Ground and air ambulance and patient transport for VA medical centers, wildland fire incidents and federal sites.
Set-asides: at least 6% of FY2026's ambulance contract dollars ($22.13M) went through contracts set aside for small businesses, most through small business and 8(a) set-asides. Many orders under larger contracts carry no set-aside code, so this counts only what is reported. How set-asides work →
Open notices
- Ground Ambulance Services at Ft. Polk, LA · Solicitation · due 2026-10-21
- Paramedics & Ambulance Services · Solicitation · due 2026-10-23 · Small Business Set Aside - Total
- Non-Emergent Ambulance Transport Services for Fayetteville VAMC · Solicitation · due 2026-11-06 · No Set aside used
Agencies buying ambulance work, FY2026
- Department of Veterans Affairs $244.53M
- Department of Agriculture $53.37M
- Department of Defense $34.54M
- Department of Justice $10.69M
- Department of Homeland Security $3.55M
- Department of Health and Human Services $3.53M
- Department of State $2.87M
- National Aeronautics and Space Administration $142.5K
Companies winning it, FY2026
- Excelsior Ambulance Service Inc $35.80M
- Reliance Medical Transport, LLC $15.16M
- Alert Ambulance Service, Inc. $8.57M
- Medex Medical Transport Service Inc $7.55M
- Wander Staffing LLC $7.25M
- Journey Via Gurney, LLC $7.15M
- Acadian Ambulance Service of Texas, LLC $7.08M
- Heartland Ambulance Service LLC $6.99M
- BMC Software, Inc. $6.31M
- Pro Care Emergency Medical Services, LLC $5.99M
Where the work is, FY2026
- Texas $31.41M
- California $27.26M
- Oregon $23.39M
- Georgia $22.24M
- South Carolina $17.15M
- Pennsylvania $16.81M
- West Virginia $14.62M
- Virginia $13.94M
- North Carolina $12.49M
- Ohio $12.00M
Money by year
Obligations (money committed) in prime awards, from USAspending.gov.
Contracts ending in the next 12 months
77 contracts, $368.33M with options. The largest:
| Contract | Incumbent | Ends | Value with options |
|---|---|---|---|
| 75H71222C00021 HOPI AMBULATORY SERVICES | Front Line Ems LLC | 2026-10-25 | $7.54M |
| W81K0425CA004 AIR MEDICAL TRANSPORT AMBULANCE SERVICES (AMTAS) FOR FORT HUNTER LIGGETT (FHL), CA | Reach Air Medical Services, LLC | 2026-10-31 | $20.69M |
| 36C24726N0034 ATLANTA VAMC AMBULANCE SERVICES | Pro Care Emergency Medical Services, LLC | 2026-10-31 | $4.92M |
| 36C24726N0007 AUGUSTA VAMC NON EMERGENCY 5 YEAR IDIQ | Appointed Worldwide Holdings LLC | 2026-10-31 | $4.05M |
| FA850123P0008 AMBULANCE SERVICES | United Medevac Solutions, Inc. | 2026-10-31 | $3.85M |
| 36C26226N0629 GROUND AMBULANCE SERVICES -BLS, ALS AND CCT SERVICE | Journey Via Gurney, LLC | 2026-10-31 | $2.52M |
| 36C24426N0149 ALS/BLS AMBULANCE AND WHEELCHAIR VAN TRANSPORTATION SERVICES | Trans-Med Ambulance Inc. | 2026-10-31 | $1.96M |
| 70FB7026F00000032 THE PURPOSE OF THIS TASK ORDER IS TO EXERCISE OPTION PERIOD 4 WITH A PERIOD OF PERFORMANCE FROM 5/1/2026 TO 10/31/2026. | American Medical Response, Inc. | 2026-10-31 | $1.80M |
| 75H70626F03028 TASK ORDER 75H70626F03028 WITH (4) OPTION PERIODS TO PROVIDE PARAMEDIC SERVICES TO THE PINE RIDGE INDIAN HEALTH SERVICE UNIT. | Bay Area Anesthesia LLC | 2026-10-31 | $1.60M |
| 36C25026N5521 AMBULANCE SERVICE FOR DAYTON VAMC | Ohio Ambulance Solutions, LLC | 2026-10-31 | $1.58M |
How the government buys ambulance work
- Crews and vehicles need state EMS licenses and certifications; air ambulance providers need FAA authority.
- Service contracts over $2,500 fall under the Service Contract Act: the solicitation includes a Department of Labor wage determination, the minimum wages and fringe benefits you must pay on the contract. Price from it, not from your commercial rates.
Industry codes
Federal contracts are filed under NAICS industry codes. This page counts this one; each has its own page with every office that buys it and the newest awards.
- NAICS 621910 Ambulance Services · SBA small business size standard: Average annual receipts of $22.50 million or less
Getting started
- Register in SAM.gov, the step before any federal award.
- How small-business set-asides work and whether you count as small.
- How to read a SAM.gov notice and decide whether to bid.
- Get new ambulance notices by email when they are posted.
Related lines of work
From USAspending.gov prime awards (obligations: money committed) and SAM.gov notices, updated daily. Sources and limits