Top 100 Contractors in NAICS 62191: Ambulance 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 62191: Ambulance Services, FY2025.

The top 10 won 32% of NAICS 62191 contract dollars from August 2025 through July 2026

Ranking facts

Contract obligations
$351,004,579 Net of deobligations, by contracts coded NAICS 62191 or a code under it
Contractors
269 Parent companies with an obligation
Largest contractor
Excelsior Ambulance Service Inc. $31.8 million, 8.0% 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
Excelsior Ambulance Service Inc.
Top agencies
$31,832,729
Rank history: #5 in FY2021, #2 in FY2022, #1 in FY2023, #2 in FY2024 and #2 in FY2025; up 1 since Aug 2024–Jul 2025.
2
BMC Software Inc. 13 awardees, including Life Line Ambulance Service, Inc., Abbott Ambulance, Inc. and American Medical Response, Inc.
Top agencies
$15,907,501
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
3
Reliance Medical Transport, LLC
Top agencies
$14,330,109
Rank history: #15 in FY2021, #6 in FY2022, #2 in FY2023, #3 in FY2024 and #4 in FY2025; unchanged since Aug 2024–Jul 2025.
4
Journey Via Gurney, LLC
Top agencies
$13,252,613
Rank history: #13 in FY2021, #11 in FY2022, #14 in FY2023, #10 in FY2024 and #13 in FY2025; up 10 since Aug 2024–Jul 2025.
5
Medex Medical Transport Service Inc.
Top agencies
$10,919,074
Rank history: #22 in FY2021, #7 in FY2022, #7 in FY2023, #21 in FY2024 and #8 in FY2025; up 3 since Aug 2024–Jul 2025.
6
Medshore Ambulance Service, Inc.
Top agencies
$8,753,182
Rank history: not on the FY2021–FY2023 lists, #11 in FY2024 and #6 in FY2025; unchanged since Aug 2024–Jul 2025.
7
Alert Ambulance Service, Inc.
Top agencies
$8,621,159
Rank history: not on the FY2021–FY2023 lists, #72 in FY2024 and #10 in FY2025; up 4 since Aug 2024–Jul 2025.
8
Heartland Ambulance Service LLC
Top agencies
$7,599,896
Rank history: not on the FY2021–FY2023 lists, #44 in FY2024 and #24 in FY2025; up 21 since Aug 2024–Jul 2025.
9
Ambulance Management Services Limited 2 awardees, including First Care Ohio LLC
Top agencies
$7,454,439
Rank history: #19 in FY2021, #18 in FY2022, #9 in FY2023, #14 in FY2024 and #5 in FY2025; up 10 since Aug 2024–Jul 2025.
10
Wander Staffing LLC
Top agencies
$7,252,392
Rank history: not on the FY2021–FY2023 lists, #8 in FY2024 and #11 in FY2025; up 2 since Aug 2024–Jul 2025.
11
Front Line EMS LLC
Top agencies
$5,990,971
Rank history: not on the FY2021–FY2023 lists, #12 in FY2024 and #16 in FY2025; up 4 since Aug 2024–Jul 2025.
12
Acadian Ambulance Service Inc. 3 awardees, including Acadian Ambulance Service of Texas, LLC and Acadian Ambulance Service of Tennessee, LLC
Top agencies
$5,687,387
Rank history: #4 in FY2021, #5 in FY2022, #4 in FY2023, #4 in FY2024 and #3 in FY2025; up 1 since Aug 2024–Jul 2025.
13
Reach Air Medical Services, LLC 2 awardees, including Cal-Ore Life Flight LLC
Top agencies
$5,285,635
Rank history: not on the FY2021–FY2024 lists and #15 in FY2025; up 4 since Aug 2024–Jul 2025.
14
Metro West Ambulance Service, Inc.
Top agencies
$5,274,160
Rank history: not on the FY2021 list, #62 in FY2022, #83 in FY2023, #43 in FY2024 and #39 in FY2025; up 16 since Aug 2024–Jul 2025.
15
Pro Care Emergency Medical Services, LLC
Top agencies
$5,252,304
Rank history: #45 in FY2021, not on the FY2022 list, #42 in FY2023, #16 in FY2024 and #29 in FY2025; up 5 since Aug 2024–Jul 2025.
16
United Medevac Solutions, Inc.
Top agencies
$4,712,892
Rank history: #2 in FY2021, #3 in FY2022, #3 in FY2023, #5 in FY2024 and #14 in FY2025; unchanged since Aug 2024–Jul 2025.
17
Ohio Ambulance Solutions, LLC
Top agencies
$4,580,948
Rank history: not on the FY2021 list, #14 in FY2022, #22 in FY2023, not on the FY2024 list and #17 in FY2025; up 8 since Aug 2024–Jul 2025.
18
Midwest Medical Transport Company LLC
Top agencies
$4,540,926
Rank history: not on the FY2021–FY2024 lists and #41 in FY2025; up 61 since Aug 2024–Jul 2025.
19
Jan-Care Ambulance of Raleigh County, Inc.
Top agencies
$4,518,189
Rank history: not on the FY2021–FY2024 lists and #40 in FY2025; up 46 since Aug 2024–Jul 2025.
20
K & W Medical Services, Inc.
Top agencies
$4,167,657
Rank history: #60 in FY2021, #55 in FY2022, #38 in FY2023, #51 in FY2024 and #51 in FY2025; new, not ranked in Aug 2024–Jul 2025.
21
Appointed Worldwide Holdings LLC
Top agencies
$4,159,479
Rank history: not on the FY2021–FY2023 lists, #18 in FY2024 and #18 in FY2025; up 3 since Aug 2024–Jul 2025.
22
Bay Medic Transportation Inc.
Top agencies
$4,072,922
Rank history: #17 in FY2021, #60 in FY2022, #51 in FY2023, #47 in FY2024 and #25 in FY2025; up 6 since Aug 2024–Jul 2025.
23
Lifeline Medical Services, Inc.
Top agencies
$4,066,951
Rank history: #16 in FY2021, #8 in FY2022, #34 in FY2023, #23 in FY2024 and #20 in FY2025; down 1 since Aug 2024–Jul 2025.
24
Frontline Support Solutions LLC
Top agencies
$3,872,752
Rank history: not on the FY2021–FY2024 lists and #22 in FY2025; new, not ranked in Aug 2024–Jul 2025.
25
Jan-Care Ambulance Service Tri-State Division Inc.
Top agencies
$3,714,694
Rank history: not on the FY2021–FY2022 lists, #48 in FY2023, #81 in FY2024 and not on the FY2025 list; new, not ranked in Aug 2024–Jul 2025.
26
Professional Healthcare Associates, Inc.
Top agencies
$3,701,608
Rank history: not on the FY2021–FY2024 lists and #19 in FY2025; down 5 since Aug 2024–Jul 2025.
27
Aprea Group LLC
Top agencies
$3,624,370
Rank history: not on the FY2021–FY2023 lists, #62 in FY2024 and #26 in FY2025; new, not ranked in Aug 2024–Jul 2025.
28
Pafford Medical Services, Inc.
Top agencies
$3,598,449
Rank history: not on the FY2021–FY2024 lists and #35 in FY2025; up 169 since Aug 2024–Jul 2025.
29
Brewster Ambulance Service Inc.
Top agencies
$3,589,632
Rank history: #7 in FY2021, #15 in FY2022, #21 in FY2023, not on the FY2024 list and #76 in FY2025; up 85 since Aug 2024–Jul 2025.
30
Hawaii Life Flight LLC
Top agencies
$3,357,379
Rank history: not on the FY2021–FY2023 lists, #61 in FY2024 and #9 in FY2025; down 23 since Aug 2024–Jul 2025.
31
Navarre Corporation
Top agencies
$3,353,188
Rank history: not on the FY2021 list, #26 in FY2022, #28 in FY2023, #22 in FY2024 and #30 in FY2025; unchanged since Aug 2024–Jul 2025.
32
Mayo Clinic Ambulance
Top agencies
$3,286,914
Rank history: not on the FY2021–FY2024 lists and #44 in FY2025; new, not ranked in Aug 2024–Jul 2025.
33
Bay Area Anesthesia LLC
Top agencies
$3,173,351
Rank history: not on the FY2021–FY2022 lists, #47 in FY2023, #24 in FY2024 and #23 in FY2025; down 7 since Aug 2024–Jul 2025.
34
Able Ambulance Inc
Top agencies
$3,029,120
Rank history: not on the FY2021–FY2023 lists, #48 in FY2024 and #31 in FY2025; up 16 since Aug 2024–Jul 2025.
35
Procare Ambulance of Maryland, Inc.
Top agencies
$2,793,980
Rank history: #28 in FY2021, #24 in FY2022, #30 in FY2023, #30 in FY2024 and #97 in FY2025; up 74 since Aug 2024–Jul 2025.
36
L-J-L Trucking, Inc.
Top agencies
$2,706,550
Rank history: #51 in FY2021, #56 in FY2022, #39 in FY2023, #54 in FY2024 and #75 in FY2025; up 40 since Aug 2024–Jul 2025.
37
C.h.l. Ems, Inc.
Top agencies
$2,596,058
Rank history: not on the FY2021–FY2022 lists, #79 in FY2023, #33 in FY2024 and #36 in FY2025; up 1 since Aug 2024–Jul 2025.
38
Adventure Medics LLC
Top agencies
$2,418,779
Rank history: #29 in FY2021, #81 in FY2022, #52 in FY2023, #28 in FY2024 and #28 in FY2025; down 15 since Aug 2024–Jul 2025.
39
Priority One Medical Transport Inc.
Top agencies
$2,404,908
Rank history: #35 in FY2021, #40 in FY2022, #53 in FY2023, #25 in FY2024 and #33 in FY2025; down 3 since Aug 2024–Jul 2025.
40
Lifefleet Southeast Inc.
Top agencies
$2,361,501
Rank history: not on the FY2021–FY2022 lists, #27 in FY2023, not on the FY2024 list and #53 in FY2025; up 13 since Aug 2024–Jul 2025.
41
Mile High Ambulance, LLC
Top agencies
$2,298,606
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
42
Western-Star Hospital Authority Inc.
Top agencies
$2,275,153
Rank history: #30 in FY2021, #19 in FY2022, #6 in FY2023, not on the FY2024 list and #37 in FY2025; up 5 since Aug 2024–Jul 2025.
43
Legacy Ems Inc.
Top agencies
$2,256,974
Rank history: #79 in FY2021, #36 in FY2022, #15 in FY2023, #41 in FY2024 and #21 in FY2025; down 25 since Aug 2024–Jul 2025.
44
Event Medical Solutions Unlimited, LLC
Top agencies
$2,194,108
Rank history: not on the FY2021–FY2023 lists, #83 in FY2024 and #81 in FY2025; up 28 since Aug 2024–Jul 2025.
45
Emergency Response Logistics, LLC
Top agencies
$2,149,720
Rank history: not on the FY2021–FY2022 lists, #46 in FY2023, #29 in FY2024 and #38 in FY2025; down 11 since Aug 2024–Jul 2025.
46
Jan-Care Ambulance of North Central W.va., Inc. 2 awardees, including Jan-Care Ambulance of the Kanawha & Mid-Ohio Valleys Inc.
Top agencies
$2,063,742
Rank history: #6 in FY2021, #4 in FY2022, #8 in FY2023, #6 in FY2024 and #7 in FY2025; down 42 since Aug 2024–Jul 2025.
47
Minuteman Ems LLC
Top agencies
$2,008,198
Rank history: not on the FY2021 list, #34 in FY2022, #24 in FY2023, #31 in FY2024 and #45 in FY2025; down 12 since Aug 2024–Jul 2025.
48
Miller E.m.s., L.L.C.
Top agencies
$1,946,184
Rank history: not on the FY2021–FY2023 lists, #39 in FY2024 and #43 in FY2025; down 6 since Aug 2024–Jul 2025.
49
Bradsher, James E
Top agencies
$1,903,280
Rank history: #14 in FY2021, #13 in FY2022, #20 in FY2023, #17 in FY2024 and #32 in FY2025; down 17 since Aug 2024–Jul 2025.
50
Wilderness Medics, Inc.
Top agencies
$1,853,394
Rank history: #24 in FY2021, #45 in FY2022, #33 in FY2023, #27 in FY2024 and #42 in FY2025; down 17 since Aug 2024–Jul 2025.
51
Emergency Physicians Medical Group P.C 2 awardees, including River Medical Incorporated and Medevac Midamerica, Inc.
Top agencies
$1,773,990
Rank history: not on the FY2021–FY2024 lists and #46 in FY2025; unchanged since Aug 2024–Jul 2025.
52
RG Ambulance Service, Inc.
Top agencies
$1,773,483
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
53
Emergycare Inc.
Top agencies
$1,753,408
Rank history: #84 in FY2021, #27 in FY2022, #23 in FY2023, #50 in FY2024 and #47 in FY2025; down 5 since Aug 2024–Jul 2025.
54
Best Practice Medicine LLC
Top agencies
$1,695,004
Rank history: #74 in FY2021, not on the FY2022 list, #61 in FY2023, #46 in FY2024 and #48 in FY2025; down 9 since Aug 2024–Jul 2025.
55
Washington County - Johnson City Emergency Medical Services, Inc.
Top agencies
$1,645,849
Rank history: #32 in FY2021, #32 in FY2022, #17 in FY2023, #69 in FY2024 and #57 in FY2025; up 4 since Aug 2024–Jul 2025.
56
Emergent Health Partners 2 awardees, including Huron Valley Ambulance Inc.
Top agencies
$1,641,448
Rank history: not on the FY2021–FY2024 lists and #54 in FY2025; up 193 since Aug 2024–Jul 2025.
57
Medicone Medical Response of Tennessee, Inc.
Top agencies
$1,598,623
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
58
Guardian Flight LLC
Top agencies
$1,597,868
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
59
Around the Clock Transportation Corporation
Top agencies
$1,578,810
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
60
Careflight Limited
Top agencies
$1,468,060
Rank history: #31 in FY2021, #51 in FY2022 and not on the FY2023–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
61
Med-Care Transportation LLC
Top agencies
$1,442,731
Rank history: #91 in FY2021, #67 in FY2022, #72 in FY2023, #37 in FY2024 and not on the FY2025 list; up 10 since Aug 2024–Jul 2025.
62
Bernalillo County Health Care Corp
Top agencies
$1,412,710
Rank history: #62 in FY2021, #58 in FY2022, #76 in FY2023, #85 in FY2024 and not on the FY2025 list; up 18 since Aug 2024–Jul 2025.
63
Trans-Med Ambulance Inc.
Top agencies
$1,400,079
Rank history: #53 in FY2021, #63 in FY2022, #75 in FY2023, #71 in FY2024 and #83 in FY2025; up 28 since Aug 2024–Jul 2025.
64
Guardian Elite Medical Services LLC.
Top agencies
$1,373,372
Rank history: not on the FY2021–FY2024 lists and #59 in FY2025; down 8 since Aug 2024–Jul 2025.
65
Precision Rescue, LLP
Top agencies
$1,362,709
Rank history: not on the FY2021–FY2024 lists and #60 in FY2025; up 51 since Aug 2024–Jul 2025.
66
American Medical Response West 2 awardees, including American Medical Response, Inc.
Top agencies
$1,315,024
Rank history: #1 in FY2021, #1 in FY2022, not on the FY2023 list, #1 in FY2024 and #1 in FY2025; down 65 since Aug 2024–Jul 2025.
67
Decker Contracting & Consulting LLC
Top agencies
$1,266,331
Rank history: not on the FY2021–FY2023 lists, #79 in FY2024 and #91 in FY2025; up 59 since Aug 2024–Jul 2025.
68
Physicians Ambulance Service of Indiana, LLC
Top agencies
$1,236,311
Rank history: not on the FY2021–FY2024 lists and #71 in FY2025; up 67 since Aug 2024–Jul 2025.
69
Asteri Consulting Services LLC
Top agencies
$1,226,840
Rank history: #39 in FY2021, #38 in FY2022, #37 in FY2023, #89 in FY2024 and not on the FY2025 list; up 132 since Aug 2024–Jul 2025.
70
Rough Country Response LLC
Top agencies
$1,224,297
Rank history: not on the FY2021–FY2022 lists, #85 in FY2023, #53 in FY2024 and #79 in FY2025; down 8 since Aug 2024–Jul 2025.
71
North Memorial Health Care
Top agencies
$1,215,489
Rank history: #82 in FY2021, #68 in FY2022, #60 in FY2023, #68 in FY2024 and not on the FY2025 list; new, not ranked in Aug 2024–Jul 2025.
72
Blackwoods Emergency Resources LLC
Top agencies
$1,132,463
Rank history: not on the FY2021–FY2023 lists, #59 in FY2024 and not on the FY2025 list; up 18 since Aug 2024–Jul 2025.
73
Portsmouth Emergency Ambulance Service Inc.
Top agencies
$1,117,115
Rank history: #61 in FY2021, #85 in FY2022, #73 in FY2023, not on the FY2024 list and #49 in FY2025; down 15 since Aug 2024–Jul 2025.
74
EMS Team LLC
Top agencies
$1,100,936
Rank history: not on the FY2021–FY2024 lists and #74 in FY2025; unchanged since Aug 2024–Jul 2025.
75
Coordinated Transportation Solutions, Inc.
Top agencies
$1,099,355
Rank history: #38 in FY2021, #28 in FY2022, not on the FY2023 list, #40 in FY2024 and #70 in FY2025; down 6 since Aug 2024–Jul 2025.
76
Rapid Ems LLC
Top agencies
$1,098,282
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
77
Med-Trans Corporation
Top agencies
$1,088,429
Rank history: not on the FY2021–FY2024 lists and #92 in FY2025; up 65 since Aug 2024–Jul 2025.
78
International Sos Government Services LLC
Top agencies
$1,088,140
Rank history: not on the FY2021–FY2025 lists; up 51 since Aug 2024–Jul 2025.
79
Constellis, LLC Through Centerra Group, LLC
Top agencies
$1,054,197
Rank history: not on the FY2021–FY2024 lists and #52 in FY2025; new, not ranked in Aug 2024–Jul 2025.
80
Rural / Metro Fire Dept., Inc. Through Desert Valley Medical Transport Inc.
Top agencies
$1,038,889
Rank history: not on the FY2021–FY2024 lists and #82 in FY2025; new, not ranked in Aug 2024–Jul 2025.
81
Portsmouth Medic Transport LLC
Top agencies
$1,027,158
Rank history: #34 in FY2021, #35 in FY2022, #45 in FY2023, #52 in FY2024 and #69 in FY2025; down 20 since Aug 2024–Jul 2025.
82
Backcountry Response, LLC
Top agencies
$999,394
Rank history: not on the FY2021–FY2024 lists and #67 in FY2025; down 7 since Aug 2024–Jul 2025.
83
Air Ems Inc.
Top agencies
$990,634
Rank history: #75 in FY2021, not on the FY2022–FY2023 lists, #67 in FY2024 and #56 in FY2025; down 2 since Aug 2024–Jul 2025.
84
Butler County Ems LLC
Top agencies
$989,531
Rank history: #64 in FY2021, #65 in FY2022, #88 in FY2023, #82 in FY2024 and #61 in FY2025; down 21 since Aug 2024–Jul 2025.
85
Caribe Medical Supply Inc.
Top agencies
$974,803
Rank history: #46 in FY2021, #54 in FY2022, #81 in FY2023, #64 in FY2024 and #73 in FY2025; down 12 since Aug 2024–Jul 2025.
86
Royal Ambulance Inc.
Top agencies
$974,632
Rank history: not on the FY2021–FY2025 lists; up 72 since Aug 2024–Jul 2025.
87
Nolen Independent Management LLC
Top agencies
$939,927
Rank history: not on the FY2021–FY2023 lists, #76 in FY2024 and #72 in FY2025; down 19 since Aug 2024–Jul 2025.
88
Wellspring LLC
Top agencies
$918,348
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
89
Med Transport Inc.
Top agencies
$915,870
Rank history: #85 in FY2021, #64 in FY2022, #89 in FY2023, #99 in FY2024 and #90 in FY2025; up 12 since Aug 2024–Jul 2025.
90
Symons Emergency Specialties, Inc.
Top agencies
$893,708
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
91
Mountain Medics Inc.
Top agencies
$868,564
Rank history: not on the FY2021–FY2022 lists, #58 in FY2023, #78 in FY2024 and #68 in FY2025; down 25 since Aug 2024–Jul 2025.
92
Tri County Ambulance Service Inc.
Top agencies
$863,966
Rank history: not on the FY2021–FY2023 lists, #80 in FY2024 and not on the FY2025 list; up 20 since Aug 2024–Jul 2025.
93
Medstar, Inc.
Top agencies
$848,821
Rank history: #69 in FY2021, #69 in FY2022, #68 in FY2023, #100 in FY2024 and #87 in FY2025; up 34 since Aug 2024–Jul 2025.
94
Action Resources, LLC
Top agencies
$845,237
Rank history: not on the FY2021–FY2024 lists and #78 in FY2025; up 31 since Aug 2024–Jul 2025.
95
K.w.p.h. Enterprises
Top agencies
$838,299
Rank history: #56 in FY2021, #80 in FY2022, #95 in FY2023, not on the FY2024 list and #96 in FY2025; up 33 since Aug 2024–Jul 2025.
96
Smokey Mountain Medic and Environmental, LLC
Top agencies
$798,414
Rank history: not on the FY2021–FY2025 lists; up 55 since Aug 2024–Jul 2025.
97
Medstar Ambulance, Inc.
Top agencies
$781,800
Rank history: #58 in FY2021, #47 in FY2022, #77 in FY2023, #88 in FY2024 and #64 in FY2025; down 8 since Aug 2024–Jul 2025.
98
Superior Ambulance Service, Inc.
Top agencies
$780,438
Rank history: #86 in FY2021, not on the FY2022–FY2024 lists and #88 in FY2025; down 3 since Aug 2024–Jul 2025.
99
All American Emergency Services
Top agencies
$777,130
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
100
Black Flag Response LLC
Top agencies
$760,790
Rank history: not on the FY2021–FY2023 lists, #90 in FY2024 and not on the FY2025 list; down 18 since Aug 2024–Jul 2025.
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100 of 269 contractors listed here. See the rest on GovTribe.

Rankings for the codes under NAICS 62191

Code Net obligations Largest contractor
621910 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 $399 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. 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 62191 contractors in Aug 2025–Jul 2026?

1. Excelsior Ambulance Service Inc. ($31.8M), 2. BMC Software Inc. ($15.9M), 3. Reliance Medical Transport, LLC ($14.3M), 4. Journey Via Gurney, LLC ($13.3M), 5. Medex Medical Transport Service Inc. ($10.9M), 6. Medshore Ambulance Service, Inc. ($8.75M), 7. Alert Ambulance Service, Inc. ($8.62M), 8. Heartland Ambulance Service LLC ($7.6M), 9. Ambulance Management Services Limited ($7.45M), 10. Wander Staffing LLC ($7.25M).

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