Top 100 Contractors in NAICS 6214: Outpatient Care Centers, FY2023

Name: Top 100 Contractors in NAICS 6214: Outpatient Care Centers, FY2023
Creator: GovTribe

Parent companies by net contract obligations Oct 1, 2022 – Sep 30, 2023 Code page on GovTribe

The top 10 won 73% of FY2023 NAICS 6214 contract dollars

Contract obligations: $1,330,317,936 Net of deobligations, by contracts coded NAICS 6214 or a code under it
Contractors: 266 Parent companies with an obligation
Largest contractor: Fresenius Medical Care AG & Co. Kgaa $350 million, 25.4% of obligations
Data as of: Oct 14, 2026

Contract actions from FPDS (SAM.gov). How the rankings work · Download all 100 rows as CSV

Full ranking

Rank	Contractor	Net obligations	Share	Trend
1	Fresenius Medical Care AG & Co. Kgaa Through Fresenius Medical Care Holdings Inc. Top agencies VA (Department of Veterans Affairs)	$350,470,816	25.4%	Rank history: not on the FY2021–FY2022 lists and not on the FY2024–FY2025 lists; new.
2	Davita Inc. 6 awardees, including Renal Treatment Centers-West, Inc., Total Renal Care, Inc. and Renal Treatment Centers-California, Inc. Top agencies VA (Department of Veterans Affairs) USAF (Department of the Air Force)	$252,529,947	18.3%	Rank history: #1 in FY2021, #2 in FY2022, #53 in FY2024 and #2 in FY2025; unchanged since FY2022.
3	Tcfii Valor Buyer LLC Through Valor Healthcare Inc. Top agencies VA (Department of Veterans Affairs)	$114,553,752	8.3%	Rank history: #4 in FY2021, #7 in FY2022, #1 in FY2024 and not on the FY2025 list; up 4 since FY2022.
4	STG International, Inc. Top agencies VA (Department of Veterans Affairs)	$57,661,396	4.2%	Rank history: #7 in FY2021, #4 in FY2022, #3 in FY2024 and #4 in FY2025; unchanged since FY2022.
5	Team Health Inc. Through Spectrum Healthcare Resources, Inc. Top agencies DHA (Defense Health Agency)	$47,424,669	3.4%	Rank history: #5 in FY2021, #6 in FY2022, #14 in FY2024 and not on the FY2025 list; up 1 since FY2022.
6	Pact, Inc. Top agencies USAID (US Agency for International Development)	$43,882,030	3.2%	Rank history: not on the FY2021–FY2022 lists, #5 in FY2024 and #19 in FY2025; new.
7	Icahn School of Medicine at Mount Sinai Top agencies HHS (Department of Health and Human Services)	$36,850,556	2.7%	Rank history: #10 in FY2021, #13 in FY2022, #4 in FY2024 and not on the FY2025 list; up 6 since FY2022.
8	Sterling Medical Corporation Through Sterling Medical Associates, Inc. Top agencies VA (Department of Veterans Affairs) DOS (Department of State) USAF (Department of the Air Force)	$35,978,691	2.6%	Rank history: #6 in FY2021, #14 in FY2022, #10 in FY2024 and not on the FY2025 list; up 6 since FY2022.
9	Valor Healthcare Inc. 2 awardees, including Crassociates, Inc. Top agencies VA (Department of Veterans Affairs)	$35,149,373	2.5%	Rank history: #12 in FY2021, #3 in FY2022, #11 in FY2024 and #3 in FY2025; down 6 since FY2022.
10	Primary Care Solutions Inc. Top agencies VA (Department of Veterans Affairs)	$32,166,738	2.3%	Rank history: #16 in FY2021, #8 in FY2022, #8 in FY2024 and #10 in FY2025; down 2 since FY2022.
11	Dialysis Clinic, Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$32,099,774	2.3%	Rank history: #9 in FY2021, #9 in FY2022, #86 in FY2024 and not on the FY2025 list; down 2 since FY2022.
12	New York City Health and Hospitals Corporation Top agencies HHS (Department of Health and Human Services)	$27,745,241	2.0%	Rank history: #18 in FY2021, #18 in FY2022, #6 in FY2024 and #9 in FY2025; up 6 since FY2022.
13	US Renal Care Inc. 2 awardees, including Dialysis Newco, LLC Top agencies VA (Department of Veterans Affairs)	$25,985,393	1.9%	Rank history: #14 in FY2021, #10 in FY2022, not on the FY2024 list and #6 in FY2025; down 3 since FY2022.
14	American Renal Associates LLC 2 awardees, including University Kidney Center, LLC Top agencies VA (Department of Veterans Affairs)	$23,217,674	1.7%	Rank history: not on the FY2021 list, #12 in FY2022 and not on the FY2024–FY2025 lists; down 2 since FY2022.
15	Do Know Harm LLC Top agencies DOS (Department of State)	$17,270,540	1.3%	Rank history: #56 in FY2021, #11 in FY2022 and not on the FY2024–FY2025 lists; down 4 since FY2022.
16	The Research Foundation for the State University of New York Top agencies HHS (Department of Health and Human Services)	$16,190,124	1.2%	Rank history: #20 in FY2021, #21 in FY2022 and not on the FY2024–FY2025 lists; up 5 since FY2022.
17	New York City of Through City of New York Fire Department Top agencies HHS (Department of Health and Human Services)	$13,485,529	1.0%	Rank history: #22 in FY2021, #20 in FY2022 and not on the FY2024–FY2025 lists; up 3 since FY2022.
18	Vesa Health & Technology Inc. Top agencies DHS (Department of Homeland Security)	$13,201,333	1.0%	Rank history: #17 in FY2021, #15 in FY2022, #15 in FY2024 and not on the FY2025 list; down 3 since FY2022.
19	UnitedHealth Group Incorporated Through Optumserve Health Services, Inc. Top agencies HHS (Department of Health and Human Services)	$10,272,095	0.7%	Rank history: #77 in FY2021, #46 in FY2022, #13 in FY2024 and #14 in FY2025; up 27 since FY2022.
20	Potomac Valor Healthcare 2, LLC Top agencies VA (Department of Veterans Affairs)	$4,790,760	0.3%	Rank history: not on the FY2021 list, #19 in FY2022, #9 in FY2024 and #16 in FY2025; down 1 since FY2022.
21	Clinovators LLC Top agencies VA (Department of Veterans Affairs)	$4,499,986	0.3%	Rank history: not on the FY2021 list, #25 in FY2022, #23 in FY2024 and #25 in FY2025; up 4 since FY2022.
22	Youturn, LLC Top agencies DOJ (Department of Justice)	$4,197,500	0.3%	Rank history: not on the FY2021 list, #27 in FY2022 and not on the FY2024–FY2025 lists; up 5 since FY2022.
23	Eagle Health, LLC Top agencies HHS (Department of Health and Human Services) NRC (Nuclear Regulatory Commission) DHS (Department of Homeland Security)	$4,167,782	0.3%	Rank history: #28 in FY2021, #24 in FY2022 and not on the FY2024–FY2025 lists; up 1 since FY2022.
24	Leidos Holdings, Inc. Through QTC Medical Services Inc. Top agencies DOJ (Department of Justice)	$4,065,793	0.3%	Rank history: #25 in FY2021, not on the FY2022 list, #25 in FY2024 and #22 in FY2025; returned.
25	Inc. S.tacey Hoyt, Phd Top agencies DOJ (Department of Justice)	$3,904,061	0.3%	Rank history: #36 in FY2021, #61 in FY2022, #21 in FY2024 and #21 in FY2025; up 36 since FY2022.
26	Tribal Health, LLC Top agencies HHS (Department of Health and Human Services)	$3,809,000	0.3%	Rank history: not on the FY2021–FY2022 lists, #79 in FY2024 and not on the FY2025 list; new.
27	White Stone Spectrum Healthcare Resources LLC Top agencies VA (Department of Veterans Affairs)	$3,713,535	0.3%	Rank history: #23 in FY2021, not on the FY2022 list, #24 in FY2024 and #26 in FY2025; returned.
28	Banner Phoenix Surgery Center, LLC Top agencies VA (Department of Veterans Affairs)	$3,706,991	0.3%	Rank history: not on the FY2021 list, #29 in FY2022, #28 in FY2024 and #58 in FY2025; up 1 since FY2022.
29	CHS Middle East LLC Through Acuity-Chs, LLC Top agencies DOI (Department of the Interior)	$3,568,390	0.3%	Rank history: #30 in FY2021, #34 in FY2022, #96 in FY2024 and not on the FY2025 list; up 5 since FY2022.
30	Wesley Health System LLC Top agencies VA (Department of Veterans Affairs)	$3,562,656	0.3%	Rank history: #34 in FY2021, #26 in FY2022 and not on the FY2024–FY2025 lists; down 4 since FY2022.
31	First Nations Community Health Source Inc. Top agencies HHS (Department of Health and Human Services)	$3,496,579	0.3%	Rank history: #11 in FY2021, #30 in FY2022, #30 in FY2024 and #29 in FY2025; down 1 since FY2022.
32	Mclaren Health Care Corporation Through Mclaren Port Huron Top agencies VA (Department of Veterans Affairs)	$3,284,011	0.2%	Rank history: #39 in FY2021, #36 in FY2022, #31 in FY2024 and not on the FY2025 list; up 4 since FY2022.
33	Wellpath LLC Top agencies DOJ (Department of Justice)	$3,210,078	0.2%	Rank history: not on the FY2021–FY2022 lists, #19 in FY2024 and #20 in FY2025; new.
34	Dragon Army Apps LLC Top agencies HHS (Department of Health and Human Services)	$3,151,483	0.2%	Rank history: not on the FY2021–FY2022 lists and not on the FY2024–FY2025 lists; new.
35	South Florida Clinical Treatment Centers Inc. Top agencies DOJ (Department of Justice)	$3,100,686	0.2%	Rank history: #43 in FY2021, #43 in FY2022, #34 in FY2024 and #33 in FY2025; up 8 since FY2022.
36	Nebraska Urban Indian Health C Through Nebraska Urban Indian Health Coalition, Inc. Top agencies HHS (Department of Health and Human Services)	$3,088,224	0.2%	Rank history: #24 in FY2021, #55 in FY2022, #39 in FY2024 and not on the FY2025 list; up 19 since FY2022.
37	Ahora Wellness Centers, LLC Top agencies DOJ (Department of Justice)	$2,902,874	0.2%	Rank history: not on the FY2021 list, #63 in FY2022 and not on the FY2024–FY2025 lists; up 26 since FY2022.
38	New York University Top agencies HHS (Department of Health and Human Services)	$2,822,345	0.2%	Rank history: #38 in FY2021, #40 in FY2022 and not on the FY2024–FY2025 lists; up 2 since FY2022.
39	Correctional Dialysis Services LLC Top agencies DOJ (Department of Justice)	$2,818,561	0.2%	Rank history: #35 in FY2021, #33 in FY2022, #33 in FY2024 and #36 in FY2025; down 6 since FY2022.
40	Western Alternative Corrections, Inc. Top agencies DOJ (Department of Justice)	$2,762,657	0.2%	Rank history: not on the FY2021 list, #51 in FY2022, #27 in FY2024 and #23 in FY2025; up 11 since FY2022.
41	South Dakota Urban Indian Health, Inc. (Sduih) Top agencies HHS (Department of Health and Human Services)	$2,567,389	0.2%	Rank history: #21 in FY2021, #35 in FY2022, not on the FY2024 list and #49 in FY2025; down 6 since FY2022.
42	Potomac Valor Healthcare, LLC Top agencies VA (Department of Veterans Affairs)	$2,396,133	0.2%	Rank history: #46 in FY2021, #50 in FY2022, #37 in FY2024 and #64 in FY2025; up 8 since FY2022.
43	Nevada Urban Indians Inc. 2 awardees Top agencies HHS (Department of Health and Human Services)	$2,153,696	0.2%	Rank history: #67 in FY2021, #48 in FY2022, #32 in FY2024 and #59 in FY2025; up 5 since FY2022.
44	Northeast Missouri Health Council, Inc. Top agencies VA (Department of Veterans Affairs)	$2,030,496	0.1%	Rank history: #49 in FY2021, #56 in FY2022, #55 in FY2024 and #56 in FY2025; up 12 since FY2022.
45	Denver Indian Health and Family Services, Inc. Top agencies HHS (Department of Health and Human Services)	$1,898,431	0.1%	Rank history: #19 in FY2021, #49 in FY2022, #44 in FY2024 and #48 in FY2025; up 4 since FY2022.
46	Koniag Information Security Services LLC Top agencies Treasury (Department of the Treasury)	$1,848,320	0.1%	Rank history: not on the FY2021–FY2022 lists and not on the FY2024–FY2025 lists; new.
47	Lowcountry Surgery Center, LLC Top agencies VA (Department of Veterans Affairs)	$1,780,000	0.1%	Rank history: not on the FY2021–FY2022 lists, #48 in FY2024 and #50 in FY2025; new.
48	Native Directions, Inc. Top agencies HHS (Department of Health and Human Services)	$1,727,275	0.1%	Rank history: #26 in FY2021, #69 in FY2022, #51 in FY2024 and #62 in FY2025; up 21 since FY2022.
49	Indian Family Health Clinic of Great Falls Inc. Top agencies HHS (Department of Health and Human Services)	$1,709,849	0.1%	Rank history: not on the FY2021 list, #57 in FY2022, #46 in FY2024 and #52 in FY2025; up 8 since FY2022.
50	RSA - Guam LLC Top agencies VA (Department of Veterans Affairs)	$1,648,015	0.1%	Rank history: #48 in FY2021, #42 in FY2022 and not on the FY2024–FY2025 lists; down 8 since FY2022.
51	All Nations Health Center Inc. Top agencies HHS (Department of Health and Human Services)	$1,644,611	0.1%	Rank history: not on the FY2021 list, #59 in FY2022, #47 in FY2024 and #55 in FY2025; up 8 since FY2022.
52	American Indian Council On Alcoholism Inc. Top agencies HHS (Department of Health and Human Services)	$1,569,847	0.1%	Rank history: #69 in FY2021, #39 in FY2022, #57 in FY2024 and #65 in FY2025; down 13 since FY2022.
53	Family and Medical Counseling Service Inc. Top agencies CSOSA (Court Services and Offender Supervision Agency)	$1,542,090	0.1%	Rank history: #57 in FY2021, #53 in FY2022 and not on the FY2024–FY2025 lists; unchanged since FY2022.
54	Aim Counseling LLC Top agencies DOJ (Department of Justice)	$1,512,892	0.1%	Rank history: #42 in FY2021, #67 in FY2022, #54 in FY2024 and #35 in FY2025; up 13 since FY2022.
55	Butte Native Wellness Center, Inc. Top agencies HHS (Department of Health and Human Services)	$1,489,293	0.1%	Rank history: not on the FY2021 list, #65 in FY2022, #49 in FY2024 and #60 in FY2025; up 10 since FY2022.
56	Helena Indian Alliance Top agencies HHS (Department of Health and Human Services)	$1,482,906	0.1%	Rank history: not on the FY2021 list, #38 in FY2022, #50 in FY2024 and #61 in FY2025; down 18 since FY2022.
57	Fondren, Gloria Dean Top agencies DOJ (Department of Justice)	$1,432,494	0.1%	Rank history: #51 in FY2021, #71 in FY2022, #41 in FY2024 and #38 in FY2025; up 14 since FY2022.
58	Rutgers, the State University 2 awardees, including Rutgers the State University of New Jersey Top agencies HHS (Department of Health and Human Services)	$1,399,470	0.1%	Rank history: #33 in FY2021, #22 in FY2022 and not on the FY2024–FY2025 lists; down 36 since FY2022.
59	Atlantis Health Care Group (Puerto Rico) Inc. Through Atlantis Healthcare Group (Puerto Rico), Inc. Top agencies VA (Department of Veterans Affairs)	$1,381,249	0.1%	Rank history: #52 in FY2021, #66 in FY2022 and not on the FY2024–FY2025 lists; up 7 since FY2022.
60	Carilion Clinic Through Carilion Medical Center Top agencies VA (Department of Veterans Affairs)	$1,268,428	0.1%	Rank history: #55 in FY2021, #62 in FY2022, #62 in FY2024 and not on the FY2025 list; up 2 since FY2022.
61	Kolpacoff Stephen MD Top agencies VA (Department of Veterans Affairs)	$1,264,477	0.1%	Rank history: #63 in FY2021, #58 in FY2022, #61 in FY2024 and #44 in FY2025; down 3 since FY2022.
62	Dentrust Dental Texas, P.C. Top agencies Army (Department of the Army)	$1,195,927	0.1%	Rank history: #27 in FY2021, #64 in FY2022, #99 in FY2024 and not on the FY2025 list; up 2 since FY2022.
63	Juel Fairbanks Chemical Dependency Service Through Juel Fairbanks Chemical Dependency Services Top agencies HHS (Department of Health and Human Services)	$1,149,884	0.1%	Rank history: #78 in FY2021, #32 in FY2022, #60 in FY2024 and not on the FY2025 list; down 31 since FY2022.
64	Bestica, Inc. Top agencies USAF (Department of the Air Force)	$1,067,473	0.1%	Rank history: #41 in FY2021, #52 in FY2022 and not on the FY2024–FY2025 lists; down 12 since FY2022.
65	Corky Hull Medical Associates Inc. Top agencies DLA (Defense Logistics Agency)	$1,018,156	0.1%	Rank history: #80 in FY2021, not on the FY2022 list and not on the FY2024–FY2025 lists; up 102 since FY2022.
66	The Counseling and Psychotherapy Center of Greater Boston, Inc. Top agencies DOJ (Department of Justice)	$1,008,616	0.1%	Rank history: #50 in FY2021, #60 in FY2022, #66 in FY2024 and #71 in FY2025; down 6 since FY2022.
67	English Kathleen Top agencies DOJ (Department of Justice)	$978,571	0.1%	Rank history: #58 in FY2021, #68 in FY2022, #70 in FY2024 and #68 in FY2025; up 1 since FY2022.
68	Bruce W. Dennis, M.d., P.L.L.C. Top agencies VA (Department of Veterans Affairs)	$974,610	0.1%	Rank history: #88 in FY2021, #45 in FY2022, #45 in FY2024 and #51 in FY2025; down 23 since FY2022.
69	North Country Healthcare, Inc. Top agencies DOI (Department of the Interior)	$958,200	0.1%	Rank history: #59 in FY2021, #73 in FY2022, #64 in FY2024 and #72 in FY2025; up 4 since FY2022.
70	Northwell Health, Inc. 2 awardees Top agencies HHS (Department of Health and Human Services)	$890,398	0.1%	Rank history: not on the FY2021 list, #31 in FY2022, #16 in FY2024 and #28 in FY2025; down 39 since FY2022.
71	Central Florida Kidney Centers, Inc. Top agencies VA (Department of Veterans Affairs)	$859,872	0.1%	Rank history: #83 in FY2021, #81 in FY2022, not on the FY2024 list and #54 in FY2025; up 10 since FY2022.
72	Wayne Memorial Community Health Centers Top agencies VA (Department of Veterans Affairs)	$855,908	0.1%	Rank history: #53 in FY2021, #77 in FY2022, #68 in FY2024 and #74 in FY2025; up 5 since FY2022.
73	Ben Archer Health Center, Inc. Top agencies VA (Department of Veterans Affairs)	$807,240	0.1%	Rank history: #71 in FY2021, #84 in FY2022, #72 in FY2024 and not on the FY2025 list; up 11 since FY2022.
74	Libby Clinic Top agencies VA (Department of Veterans Affairs)	$734,630	0.1%	Rank history: #94 in FY2021, #94 in FY2022, #74 in FY2024 and #83 in FY2025; up 20 since FY2022.
75	Detection & Treatment Resources, LLC Top agencies DOJ (Department of Justice)	$732,274	0.1%	Rank history: not on the FY2021–FY2022 lists, #69 in FY2024 and #80 in FY2025; new.
76	Transitional Care Management LLP Top agencies DOJ (Department of Justice)	$703,938	0.1%	Rank history: #72 in FY2021, #82 in FY2022, #71 in FY2024 and #57 in FY2025; up 6 since FY2022.
77	Blackwell Family Medicine, LLC Top agencies VA (Department of Veterans Affairs)	$701,081	0.1%	Rank history: not on the FY2021 list, #87 in FY2022, #73 in FY2024 and #84 in FY2025; up 10 since FY2022.
78	Pathways to Housing DC Top agencies VA (Department of Veterans Affairs)	$699,400	0.1%	Rank history: not on the FY2021–FY2022 lists, #88 in FY2024 and not on the FY2025 list; new.
79	Lifehealth, LLC Top agencies Army (Department of the Army)	$673,213	<0.1%	Rank history: not on the FY2021 list, #90 in FY2022, #58 in FY2024 and not on the FY2025 list; up 11 since FY2022.
80	County of Lincoln Top agencies VA (Department of Veterans Affairs)	$662,567	<0.1%	Rank history: #81 in FY2021, #74 in FY2022 and not on the FY2024–FY2025 lists; down 6 since FY2022.
81	Alcoholism Services of Knoxville Inc Top agencies DOJ (Department of Justice)	$660,611	<0.1%	Rank history: #98 in FY2021, #88 in FY2022, #85 in FY2024 and not on the FY2025 list; up 7 since FY2022.
82	Dentrust Dental International, Inc. Top agencies DHS (Department of Homeland Security)	$653,011	<0.1%	Rank history: #62 in FY2021, #79 in FY2022, #26 in FY2024 and #45 in FY2025; down 3 since FY2022.
83	Aspire Therapy Services and Consultants, Inc. Top agencies USAF (Department of the Air Force)	$644,107	<0.1%	Rank history: #84 in FY2021, #86 in FY2022, #80 in FY2024 and #86 in FY2025; up 3 since FY2022.
84	Maxmed Healthcare Inc. Top agencies USAF (Department of the Air Force)	$629,966	<0.1%	Rank history: not on the FY2021–FY2022 lists, #77 in FY2024 and #82 in FY2025; up 18 since FY2022.
85	Pioneer Human Services Top agencies DOJ (Department of Justice)	$607,383	<0.1%	Rank history: #44 in FY2021, not on the FY2022 list, #75 in FY2024 and #77 in FY2025; returned.
86	Bouncing Back Counseling, Inc. Top agencies DOJ (Department of Justice)	$588,318	<0.1%	Rank history: not on the FY2021–FY2022 lists, #87 in FY2024 and #94 in FY2025; up 24 since FY2022.
87	Royal Minds Inc Top agencies DOJ (Department of Justice)	$561,071	<0.1%	Rank history: not on the FY2021–FY2022 lists, #59 in FY2024 and #73 in FY2025; new.
88	Lime Creek Associates Inc. Top agencies DOJ (Department of Justice)	$499,933	<0.1%	Rank history: #95 in FY2021, not on the FY2022 list, #83 in FY2024 and #78 in FY2025; up 19 since FY2022.
89	Tri Center Inc. Top agencies DOJ (Department of Justice)	$498,147	<0.1%	Rank history: #82 in FY2021, #85 in FY2022 and not on the FY2024–FY2025 lists; down 4 since FY2022.
90	Koniag Data Solutions LLC Top agencies DHS (Department of Homeland Security)	$496,885	<0.1%	Rank history: not on the FY2021 list, #93 in FY2022, #81 in FY2024 and #87 in FY2025; up 3 since FY2022.
91	Fresenius USA Inc. 5 awardees, including RCG Mercy DES Moines, LLC, Renal Care Group of the Southeast, Inc. and Bio-Medical Applications of Maryland, Inc. Top agencies VA (Department of Veterans Affairs) USAF (Department of the Air Force)	$463,651	<0.1%	Rank history: #2 in FY2021, #1 in FY2022 and not on the FY2024–FY2025 lists; down 90 since FY2022.
92	Triangle Health Interventions Top agencies DOJ (Department of Justice)	$399,813	<0.1%	Rank history: #75 in FY2021, #97 in FY2022 and not on the FY2024–FY2025 lists; up 5 since FY2022.
93	Vista Hill Foundation Top agencies HHS (Department of Health and Human Services)	$397,072	<0.1%	Rank history: not on the FY2021–FY2022 lists, #89 in FY2024 and not on the FY2025 list; up 10 since FY2022.
94	Alam Shamsul Top agencies VA (Department of Veterans Affairs)	$389,500	<0.1%	Rank history: not on the FY2021–FY2022 lists and not on the FY2024–FY2025 lists; up 7 since FY2022.
95	Comprehensive Treatment Services Inc. Top agencies CSOSA (Court Services and Offender Supervision Agency)	$383,758	<0.1%	Rank history: #92 in FY2021, #100 in FY2022, not on the FY2024 list and #99 in FY2025; up 5 since FY2022.
96	Transition House Inc the Top agencies DOJ (Department of Justice)	$368,323	<0.1%	Rank history: #86 in FY2021, not on the FY2022 list and not on the FY2024–FY2025 lists; up 23 since FY2022.
97	Minnesota Indian Primary Residential Treatment Center, Inc. Top agencies HHS (Department of Health and Human Services)	$352,553	<0.1%	Rank history: #74 in FY2021, #70 in FY2022, #97 in FY2024 and not on the FY2025 list; down 27 since FY2022.
98	Atlanta Psychological Associates & Employee Assistance Plans, Inc. Top agencies DOJ (Department of Justice)	$329,114	<0.1%	Rank history: not on the FY2021 list, #98 in FY2022, not on the FY2024 list and #100 in FY2025; unchanged since FY2022.
99	Liberty Dialysis - Nevada Acutes LLC Top agencies VA (Department of Veterans Affairs)	$322,729	<0.1%	Rank history: #70 in FY2021, #96 in FY2022 and not on the FY2024–FY2025 lists; down 3 since FY2022.
100	The Guidance Center, Inc. Top agencies DOJ (Department of Justice)	$322,157	<0.1%	Rank history: not on the FY2021–FY2022 lists and not on the FY2024–FY2025 lists; up 61 since FY2022.

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100 of 266 contractors listed here. See the rest on GovTribe.

Rankings for the codes under NAICS 6214

Code	Net obligations	Largest contractor
62149 Other Outpatient Care Centers	$1,282,352,672	Fresenius Medical Care AG & Co. Kgaa
62142 Outpatient Mental Health and Substance Abuse Centers	$47,378,507	Youturn, LLC
62141 Family Planning Centers	$586,757	SZY Holdings, LLC

How this ranking works

Source: every contract action FPDS records (as published on SAM.gov) in the period, as GovTribe received it.
Amounts are net obligations: what was obligated, less what was deobligated. Shares are of $1.38 billion obligated before deobligations, so they never pass 100%.
Parent companies: each action counts under the ultimate parent its award record names, or under the awardee when it names none, so no dollar counts twice. Parents of the same name (Inc., LLC and the like aside) count as one company, since FPDS records a company's parent under more than one UEI over time. GovTribe corrects a few parents and names by hand; see the corrections.
Fiscal year 2023 ran Oct 1, 2022 – Sep 30, 2023. The Department of Defense reports its contract actions to FPDS about 90 days late, so a fiscal year is ranked once they're in, in February, and the list doesn't change after.
Rank changes compare with FY2022. "New" marks a company outside that period's top 500, and "Returned" one of those that was on an earlier fiscal year's list.
Rank lines show each company's rank on every fiscal year's list since FY2021, #1 at the top, on a scale that gives the top of the list more room. A dashed stretch spans years it wasn't on the list. The step from FY2022 takes the color of the rank change beside it.
Placeholder recipients FPDS uses when it names no company ("Miscellaneous Foreign Contractors" and the like) aren't ranked.

Quick answers

Who were the top 10 NAICS 6214 contractors in FY2023?

1. Fresenius Medical Care AG & Co. Kgaa ($350M), 2. Davita Inc. ($253M), 3. Tcfii Valor Buyer LLC ($115M), 4. STG International, Inc. ($57.7M), 5. Team Health Inc. ($47.4M), 6. Pact, Inc. ($43.9M), 7. Icahn School of Medicine at Mount Sinai ($36.9M), 8. Sterling Medical Corporation ($36M), 9. Valor Healthcare Inc. ($35.1M), 10. Primary Care Solutions Inc. ($32.2M).

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