Top 100 Contractors in NAICS 6219: Other Ambulatory Health Care Services, Aug 2025–Jul 2026
Parent companies by net contract obligations Aug 1, 2025 – Jul 31, 2026 Code page on GovTribe
The latest 12 months. See the newest fiscal year's list: Top Contractors in NAICS 6219: Other Ambulatory Health Care Services, FY2025.
The top 10 won 33% of NAICS 6219 contract dollars from August 2025 through July 2026
Ranking facts
- Contract obligations
- $1,031,008,965 Net of deobligations, by contracts coded NAICS 6219 or a code under it
- Contractors
- 511 Parent companies with an obligation
- Largest contractor
- Amergis Healthcare Staffing Inc. $80 million, 7.0% of obligations
- Data as of
Contract actions from FPDS (SAM.gov). How the rankings work · Download all 100 rows as CSV · Free to reuse with credit to GovTribe (CC BY 4.0)
Full ranking
| Rank | Contractor | Net obligations | Share | Trend |
|---|---|---|---|---|
| 1 |
Amergis Healthcare Staffing Inc.
Top agencies
|
$79,999,744 | ||
| 2 | $71,635,795 | |||
| 3 |
Cognito Systems LLC
Top agencies
|
$45,756,229 | ||
| 4 |
Acuity-Chs, LLC
Top agencies
|
$42,786,646 | ||
| 5 | $31,832,729 | |||
| 6 | $27,715,053 | |||
| 7 | $22,671,839 | |||
| 8 |
Ingenesis Inc.
Top agencies
|
$18,048,286 | ||
| 9 |
Accenture Federal Services LLC
Top agencies
|
$16,515,595 | ||
| 10 |
BMC Software Inc.
|
$15,500,705 | ||
| 11 | $15,056,124 | |||
| 12 |
Medtronic Inc.
Top agencies
|
$14,703,257 | ||
| 13 | $14,375,397 | |||
| 14 | $14,330,109 | |||
| 15 |
Dawson Cms, LLC
Top agencies
|
$13,963,297 | ||
| 16 | $13,252,613 | |||
| 17 | $12,849,858 | |||
| 18 | $12,196,782 | |||
| 19 | $11,985,877 | |||
| 20 |
CG Services LLC
Top agencies
|
$11,379,006 | ||
| 21 | $10,919,074 | |||
| 22 | $9,671,705 | |||
| 23 | $9,629,067 | |||
| 24 |
Forensic Drug & Alcohol Testing LLC
|
$9,381,775 | ||
| 25 | $8,941,191 | |||
| 26 | $8,753,182 | |||
| 27 | $8,621,159 | |||
| 28 | $8,594,848 | |||
| 29 | $8,078,813 | |||
| 30 | $7,599,896 | |||
| 31 | $7,454,439 | |||
| 32 | $7,252,392 | |||
| 33 |
Allosource
Top agencies
|
$6,881,184 | ||
| 34 | $6,422,458 | |||
| 35 |
Front Line EMS LLC
|
$6,402,660 | ||
| 36 |
Dilligas Corp
Top agencies
|
$6,089,718 | ||
| 37 |
T3I, Inc.
Top agencies
|
$6,034,599 | ||
| 38 |
Oneblood, Inc.
Top agencies
|
$5,786,437 | ||
| 39 | $5,687,387 | |||
| 40 | $5,515,303 | |||
| 41 |
Reach Air Medical Services, LLC
|
$5,285,635 | ||
| 42 |
Avel Ecare LLC
|
$5,277,446 | ||
| 43 | $5,274,160 | |||
| 44 | $5,252,304 | |||
| 45 | $5,208,346 | |||
| 46 |
Caban Resources LLC
Top agencies
|
$5,060,812 | ||
| 47 | $4,756,320 | |||
| 48 | $4,712,892 | |||
| 49 | $4,647,750 | |||
| 50 | $4,633,056 | |||
| 51 | $4,580,948 | |||
| 52 |
Midwest Medical Transport Company LLC
|
$4,540,926 | ||
| 53 | $4,518,189 | |||
| 54 | $4,200,000 | |||
| 55 | $4,167,657 | |||
| 56 | $4,159,479 | |||
| 57 | $4,072,922 | |||
| 58 | $4,066,951 | |||
| 59 | $3,987,437 | |||
| 60 | $3,909,889 | |||
| 61 |
Frontline Support Solutions LLC
Top agencies
|
$3,872,752 | ||
| 62 | $3,852,768 | |||
| 63 | $3,717,561 | |||
| 64 | $3,714,694 | |||
| 65 | $3,701,608 | |||
| 66 |
Aprea Group LLC
Top agencies
|
$3,624,370 | ||
| 67 | $3,589,632 | |||
| 68 | $3,393,351 | |||
| 69 | $3,357,379 | |||
| 70 |
Navarre Corporation
Top agencies
|
$3,353,188 | ||
| 71 |
Mayo Clinic Ambulance
Top agencies
|
$3,286,914 | ||
| 72 | $3,247,769 | |||
| 73 |
Able Ambulance Inc
Top agencies
|
$3,029,120 | ||
| 74 | $2,793,980 | |||
| 75 |
Adventure Medics LLC
Top agencies
|
$2,759,803 | ||
| 76 |
Minuteman Ems LLC
Top agencies
|
$2,716,568 | ||
| 77 |
L-J-L Trucking, Inc.
Top agencies
|
$2,706,550 | ||
| 78 |
Sword Health Inc.
Top agencies
|
$2,605,000 | ||
| 79 |
C.h.l. Ems, Inc.
Top agencies
|
$2,596,058 | ||
| 80 | $2,566,016 | |||
| 81 | $2,551,376 | |||
| 82 |
The Chenega Corporation
Top agencies
|
$2,551,321 | ||
| 83 | $2,543,923 | |||
| 84 | $2,517,735 | |||
| 85 | $2,404,908 | |||
| 86 | $2,361,501 | |||
| 87 | $2,298,606 | |||
| 88 | $2,285,950 | |||
| 89 | $2,275,153 | |||
| 90 | $2,272,322 | |||
| 91 | $2,270,699 | |||
| 92 |
Legacy Ems Inc.
Top agencies
|
$2,256,974 | ||
| 93 |
Reef Systems Corp
Top agencies
|
$2,233,027 | ||
| 94 | $2,159,708 | |||
| 95 | $2,148,700 | |||
| 96 | $2,063,742 | |||
| 97 |
Csrs3 LLC
Top agencies
|
$2,048,370 | ||
| 98 | $2,045,051 | |||
| 99 | $1,983,000 | |||
| 100 | $1,978,548 |
Show 75 more
100 of 511 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 | $680,004,385 | Amergis Healthcare Staffing Inc. |
| 62191 Ambulance Services | $351,004,579 | 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 $1.14 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. An awardee whose own actions mostly name no parent, and that no other company's actions name as their parent, rolls up its SAM.gov registration's chain of parent companies: it counts under the first company there that other companies' actions name as their parent, or under the parent most of a company's own actions name, whichever comes first; with neither, under the highest company in the chain with federal contracts of its own. Joint ventures stay companies of their own. 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 Aug 2024–Jul 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 Aug 2025–Jul 2026?
1. Amergis Healthcare Staffing Inc. ($80M), 2. The Arora Group, Inc. ($71.6M), 3. Cognito Systems LLC ($45.8M), 4. Acuity-Chs, LLC ($42.8M), 5. Excelsior Ambulance Service Inc. ($31.8M), 6. Servefed Inc. ($27.7M), 7. The American National Red Cross ($22.7M), 8. Ingenesis Inc. ($18M), 9. Accenture Federal Services LLC ($16.5M), 10. BMC Software Inc. ($15.5M).
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