Top 100 Contractors in NAICS 62191: Ambulance Services, FY2024

Name: Top 100 Contractors in NAICS 62191: Ambulance Services, FY2024
Creator: GovTribe

Parent companies by net contract obligations Oct 1, 2023 – Sep 30, 2024 Code page on GovTribe

The top 10 won 47% of FY2024 NAICS 62191 contract dollars

Contract obligations: $414,329,876 Net of deobligations, by contracts coded NAICS 62191 or a code under it
Contractors: 294 Parent companies with an obligation
Largest contractor: American Medical Response Inc. $139 million, 29.9% 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	American Medical Response Inc. 20 awardees, including Abbott Ambulance, Inc., Life Line Ambulance Service, Inc. and Lifefleet Southeast Inc. Top agencies DHS (Department of Homeland Security) VA (Department of Veterans Affairs) DOJ (Department of Justice)	$139,490,346	29.9%	Rank history: #1 in FY2021, #1 in FY2022, not on the FY2023 list and #1 in FY2025; returned.
2	Excelsior Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$18,031,529	3.9%	Rank history: #5 in FY2021, #2 in FY2022, #1 in FY2023 and #2 in FY2025; down 1 since FY2023.
3	Reliance Medical Transport, LLC Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency)	$11,781,053	2.5%	Rank history: #15 in FY2021, #6 in FY2022, #2 in FY2023 and #3 in FY2025; down 1 since FY2023.
4	Acadian Ambulance Service Inc. 2 awardees, including Acadian Ambulance Service of Tennessee, LLC Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$8,794,262	1.9%	Rank history: #4 in FY2021, #5 in FY2022, #4 in FY2023 and #14 in FY2025; unchanged since FY2023.
5	United Medevac Solutions, Inc. Top agencies DHA (Defense Health Agency) VA (Department of Veterans Affairs)	$8,477,006	1.8%	Rank history: #2 in FY2021, #3 in FY2022, #3 in FY2023 and #15 in FY2025; down 2 since FY2023.
6	Jan-Care Ambulance of North Central W.va., Inc. Top agencies VA (Department of Veterans Affairs)	$7,454,188	1.6%	Rank history: #6 in FY2021, #4 in FY2022, #8 in FY2023 and #5 in FY2025; up 2 since FY2023.
7	First Care Ohio LLC Top agencies VA (Department of Veterans Affairs)	$7,318,395	1.6%	Rank history: #25 in FY2021, #30 in FY2022, #18 in FY2023 and #9 in FY2025; up 11 since FY2023.
8	Wander Staffing LLC Top agencies DHA (Defense Health Agency)	$6,824,472	1.5%	Rank history: not on the FY2021–FY2023 lists and #11 in FY2025; new.
9	Paramedic Systems Inc Through Alert Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$6,470,606	1.4%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
10	Journey Via Gurney, LLC Top agencies VA (Department of Veterans Affairs)	$6,398,988	1.4%	Rank history: #13 in FY2021, #11 in FY2022, #14 in FY2023 and #13 in FY2025; up 4 since FY2023.
11	Medshore Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$6,278,558	1.3%	Rank history: not on the FY2021–FY2023 lists and #4 in FY2025; new.
12	Front Line EMS LLC Top agencies USDA (Department of Agriculture) HHS (Department of Health and Human Services) VA (Department of Veterans Affairs)	$6,050,184	1.3%	Rank history: not on the FY2021–FY2023 lists and #17 in FY2025; new.
13	Reach Medical Holdings Inc. Through Reach Air Medical Services, LLC Top agencies Army (Department of the Army) DOJ (Department of Justice)	$5,563,905	1.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 123 since FY2023.
14	Ambulance Management Services Limited Top agencies VA (Department of Veterans Affairs)	$5,489,482	1.2%	Rank history: #19 in FY2021, #18 in FY2022, #9 in FY2023 and #19 in FY2025; down 5 since FY2023.
15	Acadian Ambulance Service of Texas, LLC Top agencies VA (Department of Veterans Affairs)	$5,408,858	1.2%	Rank history: not on the FY2021–FY2023 lists and #8 in FY2025; new.
16	Pro Care Emergency Medical Services, LLC Top agencies VA (Department of Veterans Affairs)	$5,053,176	1.1%	Rank history: #45 in FY2021, not on the FY2022 list, #42 in FY2023 and #32 in FY2025; up 26 since FY2023.
17	Bradsher, James E Top agencies VA (Department of Veterans Affairs)	$4,655,578	1.0%	Rank history: #14 in FY2021, #13 in FY2022, #20 in FY2023 and #35 in FY2025; up 3 since FY2023.
18	Appointed Worldwide Holdings LLC Top agencies VA (Department of Veterans Affairs)	$4,080,774	0.9%	Rank history: not on the FY2021–FY2023 lists and #20 in FY2025; new.
19	Professional Healthcare Associates Inc. Top agencies VA (Department of Veterans Affairs)	$4,017,800	0.9%	Rank history: not on the FY2021–FY2022 lists, #92 in FY2023 and not on the FY2025 list; up 73 since FY2023.
20	Citywide Mobile Response Corp Top agencies VA (Department of Veterans Affairs)	$4,012,488	0.9%	Rank history: #20 in FY2021, not on the FY2022 list, #49 in FY2023 and #30 in FY2025; up 29 since FY2023.
21	Medex Medical Transport Service Inc. Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency)	$3,974,486	0.9%	Rank history: #22 in FY2021, #7 in FY2022, #7 in FY2023 and #6 in FY2025; down 14 since FY2023.
22	Navarre Corp 2 awardees Top agencies VA (Department of Veterans Affairs)	$3,626,855	0.8%	Rank history: not on the FY2021 list, #26 in FY2022, #28 in FY2023 and #33 in FY2025; up 6 since FY2023.
23	Lifeline Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$3,356,880	0.7%	Rank history: #16 in FY2021, #8 in FY2022, #34 in FY2023 and #22 in FY2025; up 11 since FY2023.
24	Bay Area Anesthesia LLC Top agencies HHS (Department of Health and Human Services)	$3,107,040	0.7%	Rank history: not on the FY2021–FY2022 lists, #47 in FY2023 and #25 in FY2025; up 23 since FY2023.
25	Priority One Medical Transport Inc. Top agencies VA (Department of Veterans Affairs)	$3,051,835	0.7%	Rank history: #35 in FY2021, #40 in FY2022, #53 in FY2023 and #36 in FY2025; up 28 since FY2023.
26	Dalmor LLC Top agencies VA (Department of Veterans Affairs)	$2,937,632	0.6%	Rank history: not on the FY2021–FY2023 lists and #12 in FY2025; new.
27	Wilderness Medics, Inc. Top agencies USDA (Department of Agriculture)	$2,923,882	0.6%	Rank history: #24 in FY2021, #45 in FY2022, #33 in FY2023 and #46 in FY2025; up 6 since FY2023.
28	Adventure Medics LLC Top agencies USDA (Department of Agriculture)	$2,835,948	0.6%	Rank history: #29 in FY2021, #81 in FY2022, #52 in FY2023 and #31 in FY2025; up 24 since FY2023.
29	Emergency Response Logistics, LLC Top agencies USDA (Department of Agriculture)	$2,778,952	0.6%	Rank history: not on the FY2021–FY2022 lists, #46 in FY2023 and #42 in FY2025; up 17 since FY2023.
30	Procare Ambulance of Maryland, Inc. Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency) USAF (Department of the Air Force)	$2,617,260	0.6%	Rank history: #28 in FY2021, #24 in FY2022, #30 in FY2023 and not on the FY2025 list; unchanged since FY2023.
31	Minuteman Ems LLC Top agencies USDA (Department of Agriculture) Army (Department of the Army)	$2,560,434	0.5%	Rank history: not on the FY2021 list, #34 in FY2022, #24 in FY2023 and #50 in FY2025; down 7 since FY2023.
32	Premier Medical Transportation, Inc. Top agencies VA (Department of Veterans Affairs)	$2,472,453	0.5%	Rank history: not on the FY2021–FY2022 lists, #62 in FY2023 and #70 in FY2025; up 30 since FY2023.
33	C.h.l. Ems, Inc. Top agencies USDA (Department of Agriculture)	$2,402,377	0.5%	Rank history: not on the FY2021–FY2022 lists, #79 in FY2023 and #40 in FY2025; up 46 since FY2023.
34	County of Muskogee Through Muskogee County Ems Top agencies VA (Department of Veterans Affairs)	$2,281,178	0.5%	Rank history: not on the FY2021–FY2022 lists, #26 in FY2023 and not on the FY2025 list; down 8 since FY2023.
35	ASP AMC Intermediate Holdings Inc. Through Air Methods, LLC Top agencies DHA (Defense Health Agency)	$2,149,611	0.5%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
36	High Angle Rapid Extrication Module Support Team LLC Top agencies USDA (Department of Agriculture)	$2,147,408	0.5%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 78 since FY2023.
37	Med-Care Transportation LLC Top agencies VA (Department of Veterans Affairs)	$2,024,047	0.4%	Rank history: #91 in FY2021, #67 in FY2022, #72 in FY2023 and not on the FY2025 list; up 35 since FY2023.
38	Emergency Physicians Medical Group P.C. Through Professional Medical Transport, Inc. Top agencies VA (Department of Veterans Affairs)	$2,000,000	0.4%	Rank history: #68 in FY2021, #90 in FY2022, #29 in FY2023 and not on the FY2025 list; down 9 since FY2023.
39	Miller E.m.s., L.L.C. Top agencies USAF (Department of the Air Force)	$1,949,614	0.4%	Rank history: not on the FY2021–FY2023 lists and #48 in FY2025; new.
40	Coordinated Transportation Solutions, Inc. Top agencies VA (Department of Veterans Affairs)	$1,849,101	0.4%	Rank history: #38 in FY2021, #28 in FY2022, not on the FY2023 list and #77 in FY2025; up 98 since FY2023.
41	Legacy Ems Inc. Top agencies USAF (Department of the Air Force) DOJ (Department of Justice)	$1,845,748	0.4%	Rank history: #79 in FY2021, #36 in FY2022, #15 in FY2023 and #23 in FY2025; down 26 since FY2023.
42	Northeast Mobile Health Services Top agencies VA (Department of Veterans Affairs)	$1,831,477	0.4%	Rank history: #44 in FY2021, #49 in FY2022, #57 in FY2023 and not on the FY2025 list; up 15 since FY2023.
43	Metro West Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$1,810,088	0.4%	Rank history: not on the FY2021 list, #62 in FY2022, #83 in FY2023 and #43 in FY2025; up 40 since FY2023.
44	Heartland Ambulance Service LLC Top agencies USDA (Department of Agriculture)	$1,760,612	0.4%	Rank history: not on the FY2021–FY2023 lists and #27 in FY2025; new.
45	Centerra Group, LLC Top agencies DOS (Department of State)	$1,742,000	0.4%	Rank history: not on the FY2021–FY2023 lists and #58 in FY2025; new.
46	Best Practice Medicine LLC Top agencies USDA (Department of Agriculture)	$1,714,721	0.4%	Rank history: #74 in FY2021, not on the FY2022 list, #61 in FY2023 and #53 in FY2025; up 15 since FY2023.
47	Bay Medic Transportation Inc. Top agencies VA (Department of Veterans Affairs)	$1,613,455	0.3%	Rank history: #17 in FY2021, #60 in FY2022, #51 in FY2023 and #28 in FY2025; up 4 since FY2023.
48	Able Ambulance Inc Top agencies VA (Department of Veterans Affairs)	$1,565,866	0.3%	Rank history: not on the FY2021–FY2023 lists and #34 in FY2025; new.
49	Cascade Medical Transport of Oregon, LLC Top agencies USDA (Department of Agriculture)	$1,536,647	0.3%	Rank history: not on the FY2021–FY2022 lists, #99 in FY2023 and not on the FY2025 list; up 50 since FY2023.
50	Emergycare Inc. Top agencies VA (Department of Veterans Affairs)	$1,481,999	0.3%	Rank history: #84 in FY2021, #27 in FY2022, #23 in FY2023 and #52 in FY2025; down 27 since FY2023.
51	K & W Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$1,448,366	0.3%	Rank history: #60 in FY2021, #55 in FY2022, #38 in FY2023 and #57 in FY2025; down 13 since FY2023.
52	Portsmouth Medic Transport LLC Top agencies VA (Department of Veterans Affairs)	$1,411,275	0.3%	Rank history: #34 in FY2021, #35 in FY2022, #45 in FY2023 and #76 in FY2025; down 7 since FY2023.
53	Rough Country Response LLC Top agencies USDA (Department of Agriculture)	$1,406,474	0.3%	Rank history: not on the FY2021–FY2022 lists, #85 in FY2023 and #86 in FY2025; up 32 since FY2023.
54	L-J-L Trucking, Inc. Top agencies VA (Department of Veterans Affairs)	$1,368,221	0.3%	Rank history: #51 in FY2021, #56 in FY2022, #39 in FY2023 and #82 in FY2025; down 15 since FY2023.
55	D.p. Murphy Ambulance Company Top agencies VA (Department of Veterans Affairs)	$1,344,178	0.3%	Rank history: #76 in FY2021, #59 in FY2022, #78 in FY2023 and not on the FY2025 list; up 23 since FY2023.
56	American Medical Response of Connecticut, Inc. Top agencies VA (Department of Veterans Affairs)	$1,334,611	0.3%	Rank history: not on the FY2021–FY2023 lists and #67 in FY2025; new.
57	Freestate Transportation LLC Top agencies VA (Department of Veterans Affairs)	$1,320,951	0.3%	Rank history: not on the FY2021 list, #96 in FY2022, not on the FY2023 list and not on the FY2025 list; up 165 since FY2023.
58	Chesapeake Medical Transport Services, L.L.C. Top agencies VA (Department of Veterans Affairs)	$1,289,129	0.3%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 50 since FY2023.
59	Blackwoods Emergency Resources LLC Top agencies USDA (Department of Agriculture)	$1,217,150	0.3%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 95 since FY2023.
60	Fireline Medics LLC Top agencies USDA (Department of Agriculture)	$1,183,244	0.3%	Rank history: #9 in FY2021, #52 in FY2022, #31 in FY2023 and not on the FY2025 list; down 29 since FY2023.
61	Hawaii Life Flight LLC Top agencies VA (Department of Veterans Affairs)	$1,170,000	0.3%	Rank history: not on the FY2021–FY2023 lists and #7 in FY2025; new.
62	Aprea Group LLC Top agencies VA (Department of Veterans Affairs)	$1,165,350	0.2%	Rank history: not on the FY2021–FY2023 lists and #29 in FY2025; new.
63	HVM Associates LLC Top agencies VA (Department of Veterans Affairs)	$1,164,838	0.2%	Rank history: #42 in FY2021, #21 in FY2022, #13 in FY2023 and #56 in FY2025; down 50 since FY2023.
64	Caribe Medical Supply Inc. Top agencies Army (Department of the Army) VA (Department of Veterans Affairs) DODEA (Department of Defense Education Activity)	$1,160,142	0.2%	Rank history: #46 in FY2021, #54 in FY2022, #81 in FY2023 and #80 in FY2025; up 17 since FY2023.
65	Lifestar Response Corporation 2 awardees, including RG Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$1,158,654	0.2%	Rank history: #65 in FY2021, #74 in FY2022, #70 in FY2023 and #60 in FY2025; up 5 since FY2023.
66	Acadian Ambulance Service of Tennessee, LLC Top agencies VA (Department of Veterans Affairs)	$1,155,447	0.2%	Rank history: not on the FY2021–FY2023 lists and #47 in FY2025; new.
67	Air Ems Inc. Top agencies VA (Department of Veterans Affairs)	$1,143,592	0.2%	Rank history: #75 in FY2021, not on the FY2022–FY2023 lists and #62 in FY2025; up 45 since FY2023.
68	North Memorial Health Care Top agencies VA (Department of Veterans Affairs)	$1,087,123	0.2%	Rank history: #82 in FY2021, #68 in FY2022, #60 in FY2023 and not on the FY2025 list; down 8 since FY2023.
69	Washington County - Johnson City Emergency Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$1,054,188	0.2%	Rank history: #32 in FY2021, #32 in FY2022, #17 in FY2023 and #63 in FY2025; down 52 since FY2023.
70	Certified Paramedic Response, LLC Top agencies USDA (Department of Agriculture)	$1,051,966	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 63 since FY2023.
71	Trans-Med Ambulance Inc. Top agencies VA (Department of Veterans Affairs)	$1,037,288	0.2%	Rank history: #53 in FY2021, #63 in FY2022, #75 in FY2023 and #92 in FY2025; up 4 since FY2023.
72	Alert Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$1,027,697	0.2%	Rank history: not on the FY2021–FY2023 lists and #10 in FY2025; new.
73	Integrity Care Ems Inc. Top agencies VA (Department of Veterans Affairs)	$1,020,642	0.2%	Rank history: #98 in FY2021, #84 in FY2022, #69 in FY2023 and not on the FY2025 list; down 4 since FY2023.
74	Sacred Mountain Medical Service, Inc. Top agencies HHS (Department of Health and Human Services)	$1,020,000	0.2%	Rank history: not on the FY2021 list, #57 in FY2022, #74 in FY2023 and not on the FY2025 list; unchanged since FY2023.
75	Bay Cities Ambulance Top agencies VA (Department of Veterans Affairs)	$999,997	0.2%	Rank history: #40 in FY2021, #42 in FY2022, #54 in FY2023 and not on the FY2025 list; down 21 since FY2023.
76	Nolen Independent Management LLC Top agencies USDA (Department of Agriculture)	$978,941	0.2%	Rank history: not on the FY2021–FY2023 lists and #79 in FY2025; up 31 since FY2023.
77	SW General Inc Top agencies VA (Department of Veterans Affairs)	$977,491	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
78	Mountain Medics Inc. Top agencies USDA (Department of Agriculture)	$961,747	0.2%	Rank history: not on the FY2021–FY2022 lists, #58 in FY2023 and #74 in FY2025; down 20 since FY2023.
79	Decker Contracting & Consulting LLC Top agencies USDA (Department of Agriculture)	$934,803	0.2%	Rank history: not on the FY2021–FY2023 lists and #99 in FY2025; new.
80	Tri County Ambulance Service Inc. Top agencies USDA (Department of Agriculture)	$931,543	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 40 since FY2023.
81	Jan-Care Ambulance Service Tri-State Division Inc. Top agencies VA (Department of Veterans Affairs)	$931,018	0.2%	Rank history: not on the FY2021–FY2022 lists, #48 in FY2023 and not on the FY2025 list; down 33 since FY2023.
82	Butler County Ems LLC Top agencies VA (Department of Veterans Affairs)	$918,475	0.2%	Rank history: #64 in FY2021, #65 in FY2022, #88 in FY2023 and #68 in FY2025; up 6 since FY2023.
83	Event Medical Solutions Unlimited, LLC Top agencies USDA (Department of Agriculture)	$901,619	0.2%	Rank history: not on the FY2021–FY2023 lists and #89 in FY2025; new.
84	Technical Medical LLC Top agencies VA (Department of Veterans Affairs)	$885,400	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
85	Bernalillo County Health Care Corp Top agencies USAF (Department of the Air Force)	$882,556	0.2%	Rank history: #62 in FY2021, #58 in FY2022, #76 in FY2023 and #87 in FY2025; down 9 since FY2023.
86	Emergency Ambulance Service Inc. Top agencies USDA (Department of Agriculture)	$856,093	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
87	Children's National Medical Center Top agencies DHA (Defense Health Agency)	$810,167	0.2%	Rank history: not on the FY2021 list, #79 in FY2022, not on the FY2023 list and not on the FY2025 list; up 17 since FY2023.
88	Medstar Ambulance, Inc. Top agencies USAF (Department of the Air Force)	$779,400	0.2%	Rank history: #58 in FY2021, #47 in FY2022, #77 in FY2023 and #91 in FY2025; down 11 since FY2023.
89	Asteri Consulting Services LLC Top agencies USAF (Department of the Air Force)	$769,222	0.2%	Rank history: #39 in FY2021, #38 in FY2022, #37 in FY2023 and not on the FY2025 list; down 52 since FY2023.
90	Black Flag Response LLC Top agencies USDA (Department of Agriculture)	$750,040	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
91	Action Ambulance Service Inc Top agencies DHA (Defense Health Agency)	$750,000	0.2%	Rank history: not on the FY2021–FY2023 lists and #94 in FY2025; new.
92	Vmsc Emergency Medical Services Top agencies Army (Department of the Army)	$744,600	0.2%	Rank history: not on the FY2021–FY2022 lists, #80 in FY2023 and #93 in FY2025; down 12 since FY2023.
93	Aegis Logistics LLC Top agencies USDA (Department of Agriculture)	$741,903	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 25 since FY2023.
94	Campbell County Hospital District Top agencies VA (Department of Veterans Affairs)	$727,127	0.2%	Rank history: not on the FY2021–FY2022 lists, #64 in FY2023 and #97 in FY2025; down 30 since FY2023.
95	Spearhead Medics LLC Top agencies USDA (Department of Agriculture)	$722,087	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
96	Paramedics Unlimited, LLC Top agencies USDA (Department of Agriculture)	$716,461	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 46 since FY2023.
97	Pioneer Ambulance Service LLC Top agencies VA (Department of Veterans Affairs)	$707,995	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
98	Mobile Medical Response, Inc. Top agencies VA (Department of Veterans Affairs)	$689,880	0.1%	Rank history: #90 in FY2021, #87 in FY2022, #91 in FY2023 and not on the FY2025 list; down 7 since FY2023.
99	Med Transport Inc. Top agencies USDA (Department of Agriculture)	$686,096	0.1%	Rank history: #85 in FY2021, #64 in FY2022, #89 in FY2023 and #98 in FY2025; down 10 since FY2023.
100	Medstar, Inc. Top agencies VA (Department of Veterans Affairs)	$686,013	0.1%	Rank history: #69 in FY2021, #69 in FY2022, #68 in FY2023 and #95 in FY2025; down 32 since FY2023.

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100 of 294 contractors listed here. See the rest on GovTribe.

Rankings for the codes under NAICS 62191

Code	Net obligations	Largest contractor
621910 Ambulance Services	$414,329,876	American Medical Response 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 $467 million 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 2024 ran Oct 1, 2023 – Sep 30, 2024. 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 FY2023. "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 FY2023 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 62191 contractors in FY2024?

1. American Medical Response Inc. ($139M), 2. Excelsior Ambulance Service Inc. ($18M), 3. Reliance Medical Transport, LLC ($11.8M), 4. Acadian Ambulance Service Inc. ($8.79M), 5. United Medevac Solutions, Inc. ($8.48M), 6. Jan-Care Ambulance of North Central W.va., Inc. ($7.45M), 7. First Care Ohio LLC ($7.32M), 8. Wander Staffing LLC ($6.82M), 9. Paramedic Systems Inc ($6.47M), 10. Journey Via Gurney, LLC ($6.4M).

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