Top 100 Contractors in NAICS 6219: Other Ambulatory Health Care Services, Jul 2025–Jun 2026
Parent companies by net contract obligations Jul 1, 2025 – Jun 30, 2026 Code page on GovTribe
The top 10 won 30% of NAICS 6219 contract dollars from July 2025 through June 2026
Ranking facts
- Contract obligations
- $942,528,180 Net of deobligations, by contracts coded NAICS 6219 or a code under it
- Contractors
- 534 Parent companies with an obligation
- Largest contractor
- Acuity-Chs, LLC $50.6 million, 4.8% of obligations
- Data as of
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 |
Acuity-Chs, LLC
Top agencies
|
$50,626,295 | ||
| 2 | $46,209,399 | |||
| 3 |
Cognito Systems LLC
Top agencies
|
$45,756,229 | ||
| 4 |
Amergis Healthcare Staffing Inc.
Top agencies
|
$36,984,960 | ||
| 5 | $26,259,763 | |||
| 6 | $24,776,979 | |||
| 7 | $23,375,047 | |||
| 8 | $21,762,501 | |||
| 9 | $20,945,329 | |||
| 10 |
Ingenesis Inc.
Top agencies
|
$18,058,286 | ||
| 11 |
Accenture Federal Services LLC
Top agencies
|
$16,515,595 | ||
| 12 | $14,957,932 | |||
| 13 |
Medtronic Public Limited Company
Top agencies
|
$14,703,257 | ||
| 14 | $14,548,341 | |||
| 15 |
Dawson Cms, LLC
Top agencies
|
$14,089,845 | ||
| 16 | $12,849,858 | |||
| 17 | $11,966,173 | |||
| 18 |
CG Services LLC
Top agencies
|
$11,731,834 | ||
| 19 | $9,814,162 | |||
| 20 | $9,674,389 | |||
| 21 | $9,671,705 | |||
| 22 | $9,570,827 | |||
| 23 |
Koniag, Inc.
Top agencies
|
$9,536,832 | ||
| 24 |
Forensic Drug & Alcohol Testing LLC
|
$9,159,275 | ||
| 25 |
Dilligas Corp
Top agencies
|
$8,710,478 | ||
| 26 | $8,703,212 | |||
| 27 | $8,627,520 | |||
| 28 | $8,078,813 | |||
| 29 | $7,636,219 | |||
| 30 | $7,252,392 | |||
| 31 |
Allosource
Top agencies
|
$6,881,184 | ||
| 32 |
Oneblood, Inc.
Top agencies
|
$6,640,132 | ||
| 33 |
T3I, Inc.
Top agencies
|
$6,034,599 | ||
| 34 |
Front Line EMS LLC
|
$5,745,832 | ||
| 35 | $5,712,944 | |||
| 36 | $5,515,303 | |||
| 37 |
Reach Medical Holdings LLC
|
$5,296,385 | ||
| 38 | $5,247,183 | |||
| 39 | $5,146,443 | |||
| 40 |
Caban Resources LLC
Top agencies
|
$4,835,680 | ||
| 41 | $4,779,800 | |||
| 42 | $4,718,684 | |||
| 43 | $4,647,750 | |||
| 44 | $4,580,948 | |||
| 45 | $4,399,591 | |||
| 46 | $4,396,320 | |||
| 47 | $4,304,304 | |||
| 48 |
Bradsher, James E
Top agencies
|
$4,182,664 | ||
| 49 | $4,167,657 | |||
| 50 | $4,159,479 | |||
| 51 | $4,073,740 | |||
| 52 | $4,072,922 | |||
| 53 | $4,066,951 | |||
| 54 |
First Care Ohio LLC
Top agencies
|
$3,983,453 | ||
| 55 |
Avel Ecare LLC
|
$3,976,459 | ||
| 56 | $3,952,445 | |||
| 57 | $3,873,159 | |||
| 58 |
Frontline Support Solutions LLC
Top agencies
|
$3,872,752 | ||
| 59 | $3,717,561 | |||
| 60 | $3,714,694 | |||
| 61 | $3,698,372 | |||
| 62 |
Aprea Group LLC
Top agencies
|
$3,624,370 | ||
| 63 | $3,623,102 | |||
| 64 |
Legacy Ems Inc.
Top agencies
|
$3,592,709 | ||
| 65 | $3,481,468 | |||
| 66 | $3,366,856 | |||
| 67 | $3,357,379 | |||
| 68 |
Navarre Corporation
Top agencies
|
$3,353,188 | ||
| 69 |
Midwest Medical Transport Company LLC
|
$3,125,326 | ||
| 70 |
Able Ambulance Inc
Top agencies
|
$3,029,120 | ||
| 71 | $2,976,137 | |||
| 72 | $2,890,565 | |||
| 73 | $2,793,980 | |||
| 74 |
American Indian Health & Services Corporation
|
$2,769,490 | ||
| 75 | $2,688,820 | |||
| 76 | $2,659,497 | |||
| 77 |
Sword Health Inc.
Top agencies
|
$2,605,000 | ||
| 78 | $2,543,923 | |||
| 79 |
L-J-L Trucking, Inc.
Top agencies
|
$2,533,710 | ||
| 80 |
Adventure Medics LLC
Top agencies
|
$2,527,209 | ||
| 81 | $2,449,972 | |||
| 82 | $2,397,276 | |||
| 83 | $2,396,776 | |||
| 84 |
Reef Systems Corp
Top agencies
|
$2,337,609 | ||
| 85 | $2,334,166 | |||
| 86 | $2,275,153 | |||
| 87 | $2,270,699 | |||
| 88 | $2,256,635 | |||
| 89 | $2,199,861 | |||
| 90 |
Mayo Clinic Ambulance
Top agencies
|
$2,162,971 | ||
| 91 | $2,159,708 | |||
| 92 |
C.h.l. Ems, Inc.
Top agencies
|
$2,100,859 | ||
| 93 | $2,045,051 | |||
| 94 | $2,008,144 | |||
| 95 | $1,983,000 | |||
| 96 | $1,978,548 | |||
| 97 |
Metropolitan Medical LLC
|
$1,957,883 | ||
| 98 |
Miller E.m.s., L.L.C.
Top agencies
|
$1,946,184 | ||
| 99 | $1,942,421 | |||
| 100 |
Precision Rescue, LLP
Top agencies
|
$1,919,931 |
Show 75 more
100 of 534 contractors listed here. See the rest on GovTribe.
Rankings for the codes under NAICS 6219
| Code | Net obligations | Largest contractor |
|---|---|---|
| 62199 All Other Ambulatory Health Care Services | $609,268,510 | Acuity-Chs, LLC |
| 62191 Ambulance Services | $333,259,670 | Excelsior Ambulance Service Inc. |
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 $1.06 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.
- Period: the trailing 12 months end with the last month that ended at least 90 days ago, because the Department of Defense reports its contract actions to FPDS about 90 days late. The list is rebuilt each night.
- Rank changes compare with Jul 2024–Jun 2025. "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.
- 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 6219 contractors in Jul 2025–Jun 2026?
1. Acuity-Chs, LLC ($50.6M), 2. The Arora Group, Inc. ($46.2M), 3. Cognito Systems LLC ($45.8M), 4. Amergis Healthcare Staffing Inc. ($37M), 5. Excelsior Ambulance Service Inc. ($26.3M), 6. LMR Technical Group LLC ($24.8M), 7. The American National Red Cross ($23.4M), 8. Servefed Inc. ($21.8M), 9. Reliance Medical Transport, LLC ($20.9M), 10. Ingenesis Inc. ($18.1M).
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