Transportation of patients by ground or air with health care treatment during transport. Find active federal and state ambulance services contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend on ambulance services under NAICS 621910 is estimated at $1.5–2 billion, driven primarily by DoD (military base emergency services), VA (veteran transport), and federal disaster response. Contracts are typically awarded as regional or base-level IDIQs and BPAs, with occasional one-off buys for surge capacity. Demand is steady due to regulatory requirements for emergency medical coverage on federal installations. Competition is moderate, with a mix of national operators and local small businesses. Set-asides are common, especially for SDVOSB and 8(a) firms, as many bases prioritize small business participation.
These agencies are the largest buyers of ambulance services services and products in the federal government. Each awards contracts under NAICS 621910 regularly — build relationships with their small business offices first.
Winning ambulance contracts requires proven capability in both emergency and non-emergency transport, plus relevant certifications (e.g., CAAS, AAA). Most buys are LPTA with strict technical compliance, so emphasize your response time, equipment standards, and staff qualifications. The highest-leverage move for a small business is to pursue SDVOSB or 8(a) set-aside contracts at military bases—these are frequent, often sole-source under $4 million, and less competitive than full-and-open. Register in SAM and DSBS, and target local VA medical centers and Army garrisons.
Ambulance services are primarily bought via agency-specific IDIQs and BPAs, not GSA Schedule (since 621910 is not on Schedule 621). LPTA is the typical evaluation method, with strict technical pass/fail on response times and staffing. Some use 8(a) STARS III for non-emergency transport. Best-value tradeoffs are rare but occur for complex air ambulance needs.
You need state-level ambulance service licensure, plus DOT-compliant vehicle certifications. Federal contracts also require National Registry of EMTs (NREMT) certification for staff, and often accreditation by the Commission on Accreditation of Ambulance Services (CAAS).
Yes, for contracts over $150,000, the Miller Act requires performance and payment bonds. Many agency IDIQs also require a bid bond. Small businesses can use the SBA Surety Bond Guarantee program to obtain bonds at lower cost.
SDVOSB (Veteran-owned) and 8(a) certifications are most valuable, as many DoD and VA ambulance buys are set aside for these groups. HUBZone can also help for rural bases. Ensure your NAICS code is listed in your SAM profile.
Moderately competitive. Full-and-open contracts attract national firms like AMR and Falck. However, set-asides for small businesses, especially SDVOSB, see fewer bidders (often 2–5). Local knowledge and existing base relationships are key differentiators.
Base-level IDIQs range from $500,000 to $5 million annually, with a 3–5 year period. Task orders vary from $50,000 for routine transport to $1 million+ for emergency standby at large events. The average task order is around $200,000.