GETWAB

02 / Market Size

How large is the NAICS 621399 federal market?

Net obligations$1.25B
Contract actions8,191
Vendors760
Federal customers39
Contracting offices218
Average action$152.9K
Largest action$35.36M
Data coverageFY 2020–FY 2026

03 / Spending Trend

NAICS 621399 contract spending by fiscal year

Annual obligations, activity, and participation across the same FY 2020–FY 2026 profile window.

Latest closed fiscal year$160.01M
FY 2026
Fiscal yearObligationsActionsVendorsCustomersChange
FY 2020$159.43M1,30942625—
FY 2021$164.44M1,25936726+3.1%
FY 2022$228.22M1,35034824+38.8%
FY 2023$178.77M1,20430826−21.7%
FY 2024$198.43M1,10227423+11.0%
FY 2025$162.72M1,08623223−18.0%
FY 2026$160.01M88119224−1.7%

04 / Top Federal Customers

Which federal agencies buy most in this industry?

Ranked by net obligations during FY 2020–FY 2026.

Federal customerCodeObligationsActionsVendorsMarket share
DEPT OF THE ARMY2100$485.06M1,71317738.7%
INDIAN HEALTH SERVICE7527$279.71M2,22912322.3%
VETERANS AFFAIRS, DEPARTMENT OF3600$202.10M1,72617916.1%
DEFENSE HEALTH AGENCY (DHA)97DH$88.55M219387.1%
DEPT OF THE AIR FORCE5700$62.27M585685.0%
CENTERS FOR DISEASE CONTROL AND PREVENTION7523$33.35M148122.7%
FEDERAL PRISON SYSTEM / BUREAU OF PRISONS1540$26.86M729532.1%
MARITIME ADMINISTRATION6938$25.83M5422.1%
U.S. CUSTOMS AND BORDER PROTECTION7014$22.99M421.8%
FOREST SERVICE12C2$6.22M71290.5%

05 / Contracting Offices

Which contracting offices buy in NAICS 621399?

Ranked by net obligations during FY 2020–FY 2026.

06 / Top Vendors

Which contractors lead the NAICS 621399 market?

VendorObligationsActionsCustomersMarket shareLatest activity
GIACARE AND MEDTRUST JV, LLC$214.12M83117.1%Jul 10, 2026
PRAIRIE QUEST, INC.$70.63M7425.6%Jan 26, 2026
WISESTAFF, LLC$60.00M5524.8%Feb 9, 2026
FOUR WINDS STAFFING LLC$31.69M7112.5%Sep 15, 2026
REEF SYSTEMS-FSR, LLC$31.21M2822.5%Dec 17, 2025
MAAT ENTERPRISES INC$27.70M3912.2%Sep 17, 2026
ROSATO ASSOCIATES, INC.$26.35M3312.1%Jan 28, 2026
NORTH SHORE UNIVERSITY HOSPITAL$25.82M4812.1%Jul 27, 2026
ACUITY INTERNATIONAL, LLC$22.99M211.8%Sep 29, 2026
AKIMA GLOBAL LOGISTICS, LLC$22.44M1811.8%May 18, 2026

07 / Product and Service Mix

What products and services are purchased under NAICS 621399?

PSCDescriptionObligationsActionsVendorsShare
Q401MEDICAL- NURSING$480.52M1,87622138.4%
Q701SPECIALIZED MEDICAL SUPPORT$129.67M2232110.4%
Q201MEDICAL- GENERAL HEALTH CARE$110.57M8011038.8%
Q999MEDICAL- OTHER$105.43M1,5621638.4%
Q517MEDICAL- PHARMACOLOGY$64.21M856765.1%
Q501MEDICAL- ANESTHESIOLOGY$61.25M377234.9%
Q522MEDICAL- RADIOLOGY$39.26M290413.1%
Q521MEDICAL- PULMONARY$32.84M8962.6%
Q527MEDICAL- NUCLEAR MEDICINE$22.73M3041.8%
Q502MEDICAL- CARDIO-VASCULAR$21.35M125211.7%

08 / Buying Pattern

How does the government buy in NAICS 621399?

Competed under SAP44.3%3,631 actions
Not competed under SAP18.8%1,538 actions
Other / unknown15.6%1,279 actions
Not available for competition8.6%706 actions
Not competed6.9%565 actions
Competed5.8%472 actions
Other than small business share57.5%$720.11M
Small business share42.5%$531.91M
Common action typeObligationsActions
PURCHASE ORDER$212.15M3,147
DELIVERY ORDER$670.47M2,831
DEFINITIVE CONTRACT$335.63M1,661
BPA CALL$33.77M552

09 / Recent Contract Awards

What was awarded most recently in NAICS 621399?

10 / Market Interpretation

How should contractors evaluate this market?

01

Start with the spending direction

Compare annual obligations with actions and vendor participation. Growth driven by only a few large actions represents a different opportunity from broad, recurring demand.

02

Follow the actual buyers

Move from federal customers to contracting offices. Offices reveal where acquisition responsibility and recurring purchasing activity are concentrated.

03

Measure accessible demand

Use competition, small-business participation, incumbent vendors, and PSC mix before treating the full $1.25B market as addressable.