Top 100 Contractors in NAICS 62191: Ambulance Services, Jul 2025–Jun 2026

Name: Top 100 Contractors in NAICS 62191: Ambulance Services, Jul 2025–Jun 2026
Creator: GovTribe

Parent companies by net contract obligations Jul 1, 2025 – Jun 30, 2026 Code page on GovTribe

The top 10 won 30% of NAICS 62191 contract dollars from July 2025 through June 2026

Contract obligations: $333,259,670 Net of deobligations, by contracts coded NAICS 62191 or a code under it
Contractors: 277 Parent companies with an obligation
Largest contractor: Excelsior Ambulance Service Inc. $26.3 million, 6.8% 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	Excelsior Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$26,259,763	6.8%	Rank history: #5 in FY2021, #2 in FY2022, #1 in FY2023, #2 in FY2024 and #2 in FY2025; up 1 since Jul 2024–Jun 2025.
2	Reliance Medical Transport, LLC Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency)	$20,945,329	5.5%	Rank history: #15 in FY2021, #6 in FY2022, #2 in FY2023, #3 in FY2024 and #3 in FY2025; up 3 since Jul 2024–Jun 2025.
3	Journey Via Gurney, LLC Top agencies VA (Department of Veterans Affairs)	$14,548,341	3.8%	Rank history: #13 in FY2021, #11 in FY2022, #14 in FY2023, #10 in FY2024 and #13 in FY2025; up 12 since Jul 2024–Jun 2025.
4	Medshore Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$9,814,162	2.6%	Rank history: not on the FY2021–FY2023 lists, #11 in FY2024 and #4 in FY2025; up 5 since Jul 2024–Jun 2025.
5	Medex Medical Transport Service Inc. Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency)	$9,674,389	2.5%	Rank history: #22 in FY2021, #7 in FY2022, #7 in FY2023, #21 in FY2024 and #6 in FY2025; up 12 since Jul 2024–Jun 2025.
6	Alert Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$8,703,212	2.3%	Rank history: not on the FY2021–FY2023 lists, #72 in FY2024 and #10 in FY2025; up 4 since Jul 2024–Jun 2025.
7	Wander Staffing LLC Top agencies DHA (Defense Health Agency) Army (Department of the Army)	$7,252,392	1.9%	Rank history: not on the FY2021–FY2023 lists, #8 in FY2024 and #11 in FY2025; up 4 since Jul 2024–Jun 2025.
8	Life Line Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$5,712,944	1.5%	Rank history: not on the FY2021–FY2024 lists and #26 in FY2025; up 33 since Jul 2024–Jun 2025.
9	Front Line EMS LLC Top agencies USDA (Department of Agriculture) HHS (Department of Health and Human Services) VA (Department of Veterans Affairs)	$5,670,163	1.5%	Rank history: not on the FY2021–FY2023 lists, #12 in FY2024 and #17 in FY2025; up 4 since Jul 2024–Jun 2025.
10	Reach Medical Holdings LLC 2 awardees, including Reach Air Medical Services, LLC and Cal-Ore Life Flight LLC Top agencies Army (Department of the Army) DOJ (Department of Justice) USDA (Department of Agriculture)	$5,296,385	1.4%	Rank history: not on the FY2021–FY2024 lists and #16 in FY2025; up 6 since Jul 2024–Jun 2025.
11	Pro Care Emergency Medical Services, LLC Top agencies VA (Department of Veterans Affairs)	$5,247,183	1.4%	Rank history: #45 in FY2021, not on the FY2022 list, #42 in FY2023, #16 in FY2024 and #32 in FY2025; up 7 since Jul 2024–Jun 2025.
12	Jan-Care Ambulance of Raleigh County, Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$5,146,443	1.3%	Rank history: not on the FY2021–FY2024 lists and #44 in FY2025; up 95 since Jul 2024–Jun 2025.
13	Metro West Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$4,718,684	1.2%	Rank history: not on the FY2021 list, #62 in FY2022, #83 in FY2023, #43 in FY2024 and #43 in FY2025; up 34 since Jul 2024–Jun 2025.
14	Ohio Ambulance Solutions, LLC Top agencies VA (Department of Veterans Affairs)	$4,580,948	1.2%	Rank history: not on the FY2021 list, #14 in FY2022, #22 in FY2023, not on the FY2024 list and #18 in FY2025; up 8 since Jul 2024–Jun 2025.
15	Heartland Ambulance Service LLC Top agencies USDA (Department of Agriculture) VA (Department of Veterans Affairs) Army (Department of the Army)	$4,399,591	1.1%	Rank history: not on the FY2021–FY2023 lists, #44 in FY2024 and #27 in FY2025; up 16 since Jul 2024–Jun 2025.
16	United Medevac Solutions, Inc. Top agencies DHA (Defense Health Agency) VA (Department of Veterans Affairs)	$4,304,304	1.1%	Rank history: #2 in FY2021, #3 in FY2022, #3 in FY2023, #5 in FY2024 and #15 in FY2025; down 2 since Jul 2024–Jun 2025.
17	Bradsher, James E Top agencies VA (Department of Veterans Affairs)	$4,182,664	1.1%	Rank history: #14 in FY2021, #13 in FY2022, #20 in FY2023, #17 in FY2024 and #35 in FY2025; up 31 since Jul 2024–Jun 2025.
18	K & W Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$4,167,657	1.1%	Rank history: #60 in FY2021, #55 in FY2022, #38 in FY2023, #51 in FY2024 and #57 in FY2025; new, not ranked in Jul 2024–Jun 2025.
19	Appointed Worldwide Holdings LLC Top agencies VA (Department of Veterans Affairs)	$4,159,479	1.1%	Rank history: not on the FY2021–FY2023 lists, #18 in FY2024 and #20 in FY2025; up 5 since Jul 2024–Jun 2025.
20	Bay Medic Transportation Inc. Top agencies VA (Department of Veterans Affairs)	$4,072,922	1.1%	Rank history: #17 in FY2021, #60 in FY2022, #51 in FY2023, #47 in FY2024 and #28 in FY2025; up 8 since Jul 2024–Jun 2025.
21	Lifeline Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$4,066,951	1.1%	Rank history: #16 in FY2021, #8 in FY2022, #34 in FY2023, #23 in FY2024 and #22 in FY2025; unchanged since Jul 2024–Jun 2025.
22	First Care Ohio LLC Top agencies VA (Department of Veterans Affairs)	$3,983,453	1.0%	Rank history: #25 in FY2021, #30 in FY2022, #18 in FY2023, #7 in FY2024 and #9 in FY2025; down 15 since Jul 2024–Jun 2025.
23	Professional Healthcare Associates, Inc. Top agencies VA (Department of Veterans Affairs)	$3,952,445	1.0%	Rank history: not on the FY2021–FY2024 lists and #21 in FY2025; down 4 since Jul 2024–Jun 2025.
24	Frontline Support Solutions LLC Top agencies VA (Department of Veterans Affairs)	$3,872,752	1.0%	Rank history: not on the FY2021–FY2024 lists and #24 in FY2025; new, not ranked in Jul 2024–Jun 2025.
25	Jan-Care Ambulance Service Tri-State Division Inc. Top agencies VA (Department of Veterans Affairs)	$3,714,694	1.0%	Rank history: not on the FY2021–FY2022 lists, #48 in FY2023, #81 in FY2024 and not on the FY2025 list; up 203 since Jul 2024–Jun 2025.
26	Ambulance Management Services Limited Top agencies VA (Department of Veterans Affairs)	$3,698,372	1.0%	Rank history: #19 in FY2021, #18 in FY2022, #9 in FY2023, #14 in FY2024 and #19 in FY2025; down 6 since Jul 2024–Jun 2025.
27	Bay Area Anesthesia LLC Top agencies HHS (Department of Health and Human Services)	$3,653,159	1.0%	Rank history: not on the FY2021–FY2022 lists, #47 in FY2023, #24 in FY2024 and #25 in FY2025; down 4 since Jul 2024–Jun 2025.
28	Aprea Group LLC Top agencies VA (Department of Veterans Affairs)	$3,624,370	0.9%	Rank history: not on the FY2021–FY2023 lists, #62 in FY2024 and #29 in FY2025; up 41 since Jul 2024–Jun 2025.
29	Legacy Ems Inc. Top agencies DHA (Defense Health Agency)	$3,592,709	0.9%	Rank history: #79 in FY2021, #36 in FY2022, #15 in FY2023, #41 in FY2024 and #23 in FY2025; down 3 since Jul 2024–Jun 2025.
30	Hawaii Life Flight LLC Top agencies VA (Department of Veterans Affairs)	$3,357,379	0.9%	Rank history: not on the FY2021–FY2023 lists, #61 in FY2024 and #7 in FY2025; down 24 since Jul 2024–Jun 2025.
31	Navarre Corporation Top agencies VA (Department of Veterans Affairs)	$3,353,188	0.9%	Rank history: not on the FY2021 list, #26 in FY2022, #28 in FY2023, #22 in FY2024 and #33 in FY2025; up 1 since Jul 2024–Jun 2025.
32	Pafford Medical Services, Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$3,170,028	0.8%	Rank history: not on the FY2021–FY2024 lists and #38 in FY2025; up 47 since Jul 2024–Jun 2025.
33	Midwest Medical Transport Company LLC Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$3,125,326	0.8%	Rank history: not on the FY2021–FY2024 lists and #45 in FY2025; up 54 since Jul 2024–Jun 2025.
34	Able Ambulance Inc Top agencies VA (Department of Veterans Affairs)	$3,029,120	0.8%	Rank history: not on the FY2021–FY2023 lists, #48 in FY2024 and #34 in FY2025; up 19 since Jul 2024–Jun 2025.
35	Acadian Ambulance Service of Texas, LLC Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$2,976,137	0.8%	Rank history: not on the FY2021–FY2023 lists, #15 in FY2024 and #8 in FY2025; down 31 since Jul 2024–Jun 2025.
36	Lifefleet Southeast Inc. Top agencies VA (Department of Veterans Affairs)	$2,890,565	0.8%	Rank history: not on the FY2021–FY2022 lists, #27 in FY2023, not on the FY2024 list and #59 in FY2025; up 62 since Jul 2024–Jun 2025.
37	Procare Ambulance of Maryland, Inc. Top agencies DHA (Defense Health Agency) VA (Department of Veterans Affairs)	$2,793,980	0.7%	Rank history: #28 in FY2021, #24 in FY2022, #30 in FY2023, #30 in FY2024 and not on the FY2025 list; up 78 since Jul 2024–Jun 2025.
38	L-J-L Trucking, Inc. Top agencies VA (Department of Veterans Affairs)	$2,533,710	0.7%	Rank history: #51 in FY2021, #56 in FY2022, #39 in FY2023, #54 in FY2024 and #82 in FY2025; up 44 since Jul 2024–Jun 2025.
39	American Indian Health & Services Corporation 2 awardees, including American Medical Response, Inc. and American Medical Response West Top agencies DHS (Department of Homeland Security) DHA (Defense Health Agency)	$2,325,480	0.6%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Jul 2024–Jun 2025.
40	Western-Star Hospital Authority Inc. Top agencies VA (Department of Veterans Affairs) Army (Department of the Army)	$2,275,153	0.6%	Rank history: #30 in FY2021, #19 in FY2022, #6 in FY2023, not on the FY2024 list and #41 in FY2025; new, not ranked in Jul 2024–Jun 2025.
41	Abbott Ambulance, Inc. Top agencies VA (Department of Veterans Affairs)	$2,256,635	0.6%	Rank history: not on the FY2021 list, #22 in FY2022, not on the FY2023–FY2024 lists and #39 in FY2025; up 2 since Jul 2024–Jun 2025.
42	Adventure Medics LLC Top agencies USDA (Department of Agriculture)	$2,245,413	0.6%	Rank history: #29 in FY2021, #81 in FY2022, #52 in FY2023, #28 in FY2024 and #31 in FY2025; down 17 since Jul 2024–Jun 2025.
43	Acadian Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$2,199,861	0.6%	Rank history: #4 in FY2021, #5 in FY2022, #4 in FY2023, #4 in FY2024 and #14 in FY2025; down 31 since Jul 2024–Jun 2025.
44	Mayo Clinic Ambulance Top agencies VA (Department of Veterans Affairs)	$2,162,971	0.6%	Rank history: not on the FY2021–FY2024 lists and #49 in FY2025; new, not ranked in Jul 2024–Jun 2025.
45	C.h.l. Ems, Inc. Top agencies USDA (Department of Agriculture)	$2,100,859	0.5%	Rank history: not on the FY2021–FY2022 lists, #79 in FY2023, #33 in FY2024 and #40 in FY2025; down 12 since Jul 2024–Jun 2025.
46	Event Medical Solutions Unlimited, LLC Top agencies Army (Department of the Army) USDA (Department of Agriculture)	$2,035,649	0.5%	Rank history: not on the FY2021–FY2023 lists, #83 in FY2024 and #89 in FY2025; up 28 since Jul 2024–Jun 2025.
47	Brewster Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$2,008,144	0.5%	Rank history: #7 in FY2021, #15 in FY2022, #21 in FY2023, not on the FY2024 list and #83 in FY2025; up 23 since Jul 2024–Jun 2025.
48	Miller E.m.s., L.L.C. Top agencies DHA (Defense Health Agency)	$1,946,184	0.5%	Rank history: not on the FY2021–FY2023 lists, #39 in FY2024 and #48 in FY2025; down 3 since Jul 2024–Jun 2025.
49	Emergency Physicians Medical Group P.C 2 awardees, including River Medical Incorporated and Medevac Midamerica, Inc. Top agencies VA (Department of Veterans Affairs)	$1,773,990	0.5%	Rank history: not on the FY2021–FY2024 lists and #51 in FY2025; up 5 since Jul 2024–Jun 2025.
50	RG Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$1,773,483	0.5%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Jul 2024–Jun 2025.
51	Emergycare Inc. Top agencies VA (Department of Veterans Affairs)	$1,741,308	0.5%	Rank history: #84 in FY2021, #27 in FY2022, #23 in FY2023, #50 in FY2024 and #52 in FY2025; up 1 since Jul 2024–Jun 2025.
52	Centerra Group, LLC Top agencies DOS (Department of State)	$1,725,197	0.4%	Rank history: not on the FY2021–FY2023 lists, #45 in FY2024 and #58 in FY2025; down 1 since Jul 2024–Jun 2025.
53	Guardian Flight LLC Top agencies VA (Department of Veterans Affairs)	$1,700,000	0.4%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Jul 2024–Jun 2025.
54	American Medical Response of Connecticut, Inc. Top agencies VA (Department of Veterans Affairs)	$1,665,887	0.4%	Rank history: not on the FY2021–FY2023 lists, #56 in FY2024 and #67 in FY2025; up 5 since Jul 2024–Jun 2025.
55	Citywide Mobile Response Corp Top agencies VA (Department of Veterans Affairs)	$1,664,560	0.4%	Rank history: #20 in FY2021, not on the FY2022 list, #49 in FY2023, #20 in FY2024 and #30 in FY2025; down 18 since Jul 2024–Jun 2025.
56	Huron Valley Ambulance Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$1,641,325	0.4%	Rank history: #57 in FY2021, #48 in FY2022, #90 in FY2023, not on the FY2024 list and #61 in FY2025; unchanged since Jul 2024–Jun 2025.
57	Medicone Medical Response of Tennessee, Inc. Top agencies VA (Department of Veterans Affairs)	$1,598,623	0.4%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Jul 2024–Jun 2025.
58	Around the Clock Transportation Corporation Top agencies VA (Department of Veterans Affairs)	$1,578,810	0.4%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Jul 2024–Jun 2025.
59	Precision Rescue, LLP Top agencies USDA (Department of Agriculture)	$1,522,149	0.4%	Rank history: not on the FY2021–FY2024 lists and #66 in FY2025; up 78 since Jul 2024–Jun 2025.
60	Emergency Response Logistics, LLC Top agencies USDA (Department of Agriculture)	$1,515,417	0.4%	Rank history: not on the FY2021–FY2022 lists, #46 in FY2023, #29 in FY2024 and #42 in FY2025; down 33 since Jul 2024–Jun 2025.
61	American Medical Response Inc. 2 awardees, including American Medical Response West Top agencies VA (Department of Veterans Affairs) USAF (Department of the Air Force) DOJ (Department of Justice)	$1,498,361	0.4%	Rank history: #1 in FY2021, #1 in FY2022, not on the FY2023 list, #1 in FY2024 and #1 in FY2025; down 60 since Jul 2024–Jun 2025.
62	Wilderness Medics, Inc. Top agencies USDA (Department of Agriculture)	$1,478,756	0.4%	Rank history: #24 in FY2021, #45 in FY2022, #33 in FY2023, #27 in FY2024 and #46 in FY2025; down 33 since Jul 2024–Jun 2025.
63	Minuteman Ems LLC Top agencies USDA (Department of Agriculture)	$1,477,483	0.4%	Rank history: not on the FY2021 list, #34 in FY2022, #24 in FY2023, #31 in FY2024 and #50 in FY2025; down 33 since Jul 2024–Jun 2025.
64	Backcountry Response, LLC Top agencies USDA (Department of Agriculture)	$1,448,066	0.4%	Rank history: not on the FY2021–FY2024 lists and #73 in FY2025; up 45 since Jul 2024–Jun 2025.
65	Med-Care Transportation LLC Top agencies VA (Department of Veterans Affairs)	$1,442,731	0.4%	Rank history: #91 in FY2021, #67 in FY2022, #72 in FY2023, #37 in FY2024 and not on the FY2025 list; up 12 since Jul 2024–Jun 2025.
66	Bernalillo County Health Care Corp Top agencies DHA (Defense Health Agency)	$1,412,710	0.4%	Rank history: #62 in FY2021, #58 in FY2022, #76 in FY2023, #85 in FY2024 and #87 in FY2025; up 23 since Jul 2024–Jun 2025.
67	Careflight Limited Top agencies Navy (Department of the Navy)	$1,407,131	0.4%	Rank history: #31 in FY2021, #51 in FY2022 and not on the FY2023–FY2025 lists; new, not ranked in Jul 2024–Jun 2025.
68	Guardian Elite Medical Services LLC. Top agencies VA (Department of Veterans Affairs)	$1,373,372	0.4%	Rank history: not on the FY2021–FY2024 lists and #65 in FY2025; down 11 since Jul 2024–Jun 2025.
69	Jan-Care Ambulance of North Central W.va., Inc. 2 awardees, including Jan-Care Ambulance of the Kanawha & Mid-Ohio Valleys Inc. Top agencies VA (Department of Veterans Affairs)	$1,231,219	0.3%	Rank history: #6 in FY2021, #4 in FY2022, #8 in FY2023, #6 in FY2024 and #5 in FY2025; down 66 since Jul 2024–Jun 2025.
70	Asteri Consulting Services LLC Top agencies DHA (Defense Health Agency) USDA (Department of Agriculture)	$1,226,840	0.3%	Rank history: #39 in FY2021, #38 in FY2022, #37 in FY2023, #89 in FY2024 and not on the FY2025 list; up 130 since Jul 2024–Jun 2025.
71	North Memorial Health Care Top agencies VA (Department of Veterans Affairs)	$1,215,489	0.3%	Rank history: #82 in FY2021, #68 in FY2022, #60 in FY2023, #68 in FY2024 and not on the FY2025 list; new, not ranked in Jul 2024–Jun 2025.
72	Desert Valley Medical Transport Inc. Top agencies DOJ (Department of Justice)	$1,181,765	0.3%	Rank history: not on the FY2021–FY2024 lists and #90 in FY2025; up 42 since Jul 2024–Jun 2025.
73	Rough Country Response LLC Top agencies USDA (Department of Agriculture)	$1,180,591	0.3%	Rank history: not on the FY2021–FY2022 lists, #85 in FY2023, #53 in FY2024 and #86 in FY2025; down 24 since Jul 2024–Jun 2025.
74	Air Ems Inc. Top agencies VA (Department of Veterans Affairs)	$1,170,634	0.3%	Rank history: #75 in FY2021, not on the FY2022–FY2023 lists, #67 in FY2024 and #62 in FY2025; up 2 since Jul 2024–Jun 2025.
75	Mountain Medics Inc. Top agencies USDA (Department of Agriculture)	$1,153,926	0.3%	Rank history: not on the FY2021–FY2022 lists, #58 in FY2023, #78 in FY2024 and #74 in FY2025; up 3 since Jul 2024–Jun 2025.
76	Acadian Ambulance Service of Tennessee, LLC Top agencies VA (Department of Veterans Affairs)	$1,151,768	0.3%	Rank history: not on the FY2021–FY2023 lists, #66 in FY2024 and #47 in FY2025; down 36 since Jul 2024–Jun 2025.
77	Nolen Independent Management LLC Top agencies USDA (Department of Agriculture)	$1,151,527	0.3%	Rank history: not on the FY2021–FY2023 lists, #76 in FY2024 and #79 in FY2025; down 11 since Jul 2024–Jun 2025.
78	Physicians Ambulance Service of Indiana, LLC Top agencies USDA (Department of Agriculture)	$1,133,360	0.3%	Rank history: not on the FY2021–FY2024 lists and #78 in FY2025; up 108 since Jul 2024–Jun 2025.
79	Portsmouth Emergency Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$1,117,115	0.3%	Rank history: #61 in FY2021, #85 in FY2022, #73 in FY2023, not on the FY2024 list and #55 in FY2025; down 29 since Jul 2024–Jun 2025.
80	EMS Team LLC Top agencies VA (Department of Veterans Affairs)	$1,100,936	0.3%	Rank history: not on the FY2021–FY2024 lists and #81 in FY2025; up 1 since Jul 2024–Jun 2025.
81	D.p. Murphy Ambulance Company Top agencies VA (Department of Veterans Affairs)	$1,100,165	0.3%	Rank history: #76 in FY2021, #59 in FY2022, #78 in FY2023, #55 in FY2024 and not on the FY2025 list; up 66 since Jul 2024–Jun 2025.
82	Coordinated Transportation Solutions, Inc. Top agencies VA (Department of Veterans Affairs)	$1,099,355	0.3%	Rank history: #38 in FY2021, #28 in FY2022, not on the FY2023 list, #40 in FY2024 and #77 in FY2025; down 11 since Jul 2024–Jun 2025.
83	Rapid Ems LLC Top agencies VA (Department of Veterans Affairs)	$1,098,282	0.3%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Jul 2024–Jun 2025.
84	Med-Trans Corporation Top agencies DOJ (Department of Justice)	$1,076,919	0.3%	Rank history: not on the FY2021–FY2024 lists and #100 in FY2025; up 95 since Jul 2024–Jun 2025.
85	Best Practice Medicine LLC Top agencies USDA (Department of Agriculture)	$1,062,226	0.3%	Rank history: #74 in FY2021, not on the FY2022 list, #61 in FY2023, #46 in FY2024 and #53 in FY2025; down 49 since Jul 2024–Jun 2025.
86	Portsmouth Medic Transport LLC Top agencies VA (Department of Veterans Affairs)	$1,027,158	0.3%	Rank history: #34 in FY2021, #35 in FY2022, #45 in FY2023, #52 in FY2024 and #76 in FY2025; down 26 since Jul 2024–Jun 2025.
87	Action Resources, LLC Top agencies USDA (Department of Agriculture)	$996,106	0.3%	Rank history: not on the FY2021–FY2024 lists and #85 in FY2025; up 130 since Jul 2024–Jun 2025.
88	Butler County Ems LLC Top agencies VA (Department of Veterans Affairs)	$989,531	0.3%	Rank history: #64 in FY2021, #65 in FY2022, #88 in FY2023, #82 in FY2024 and #68 in FY2025; down 26 since Jul 2024–Jun 2025.
89	Trans-Med Ambulance Inc. Top agencies VA (Department of Veterans Affairs)	$988,783	0.3%	Rank history: #53 in FY2021, #63 in FY2022, #75 in FY2023, #71 in FY2024 and #92 in FY2025; down 14 since Jul 2024–Jun 2025.
90	Caribe Medical Supply Inc. Top agencies Army (Department of the Army) DODEA (Department of Defense Education Activity)	$974,803	0.3%	Rank history: #46 in FY2021, #54 in FY2022, #81 in FY2023, #64 in FY2024 and #80 in FY2025; down 10 since Jul 2024–Jun 2025.
91	Royal Ambulance Inc. Top agencies VA (Department of Veterans Affairs)	$974,632	0.3%	Rank history: not on the FY2021–FY2025 lists; up 68 since Jul 2024–Jun 2025.
92	Decker Contracting & Consulting LLC Top agencies USDA (Department of Agriculture)	$887,231	0.2%	Rank history: not on the FY2021–FY2023 lists, #79 in FY2024 and #99 in FY2025; down 27 since Jul 2024–Jun 2025.
93	Symons Emergency Specialties, Inc. Top agencies VA (Department of Veterans Affairs)	$881,907	0.2%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Jul 2024–Jun 2025.
94	Med Transport Inc. Top agencies USDA (Department of Agriculture)	$862,373	0.2%	Rank history: #85 in FY2021, #64 in FY2022, #89 in FY2023, #99 in FY2024 and #98 in FY2025; up 7 since Jul 2024–Jun 2025.
95	K.w.p.h. Enterprises Top agencies VA (Department of Veterans Affairs) USDA (Department of Agriculture)	$855,995	0.2%	Rank history: #56 in FY2021, #80 in FY2022, #95 in FY2023 and not on the FY2024–FY2025 lists; up 35 since Jul 2024–Jun 2025.
96	Medstar, Inc. Top agencies VA (Department of Veterans Affairs)	$848,821	0.2%	Rank history: #69 in FY2021, #69 in FY2022, #68 in FY2023, #100 in FY2024 and #95 in FY2025; up 24 since Jul 2024–Jun 2025.
97	Mercy Ambulance of Evansville, Inc. Top agencies VA (Department of Veterans Affairs)	$844,741	0.2%	Rank history: #59 in FY2021, #70 in FY2022, #35 in FY2023, not on the FY2024 list and #88 in FY2025; down 11 since Jul 2024–Jun 2025.
98	Premier Medical Transportation, Inc. Top agencies VA (Department of Veterans Affairs)	$843,478	0.2%	Rank history: not on the FY2021–FY2022 lists, #62 in FY2023, #32 in FY2024 and #70 in FY2025; down 7 since Jul 2024–Jun 2025.
99	Granville Health System Top agencies DOJ (Department of Justice)	$821,844	0.2%	Rank history: not on the FY2021–FY2024 lists and #64 in FY2025; up 5 since Jul 2024–Jun 2025.
100	All-Terrain Rescue LLC Top agencies USDA (Department of Agriculture)	$797,962	0.2%	Rank history: not on the FY2021–FY2024 lists and #84 in FY2025; down 17 since Jul 2024–Jun 2025.

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100 of 277 contractors listed here. See the rest on GovTribe.

Rankings for the codes under NAICS 62191

Code	Net obligations	Largest contractor
621910 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 $384 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.
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 62191 contractors in Jul 2025–Jun 2026?

1. Excelsior Ambulance Service Inc. ($26.3M), 2. Reliance Medical Transport, LLC ($20.9M), 3. Journey Via Gurney, LLC ($14.5M), 4. Medshore Ambulance Service, Inc. ($9.81M), 5. Medex Medical Transport Service Inc. ($9.67M), 6. Alert Ambulance Service, Inc. ($8.7M), 7. Wander Staffing LLC ($7.25M), 8. Life Line Ambulance Service, Inc. ($5.71M), 9. Front Line EMS LLC ($5.67M), 10. Reach Medical Holdings LLC ($5.3M).

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