Top 100 Contractors in NAICS 621910: Ambulance Services, FY2025

Parent companies by net contract obligations Oct 1, 2024 – Sep 30, 2025 Code page on GovTribe

The top 10 won 32% of FY2025 NAICS 621910 contract dollars

Ranking facts

Contract obligations
$422,860,314 Net of deobligations, by contracts coded NAICS 621910
Contractors
262 Parent companies with an obligation
Largest contractor
American Medical Response West $102 million, 15.0% 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 $102,208,595
Rank history: #1 in FY2021, #1 in FY2022, not on the FY2023 list and #1 in FY2024; unchanged since FY2024.
2 $23,913,089
Rank history: #5 in FY2021, #2 in FY2022, #1 in FY2023 and #2 in FY2024; unchanged since FY2024.
3 $16,213,517
Rank history: #4 in FY2021, #5 in FY2022, #4 in FY2023 and #4 in FY2024; up 1 since FY2024.
4 $15,611,296
Rank history: #15 in FY2021, #6 in FY2022, #2 in FY2023 and #3 in FY2024; down 1 since FY2024.
5 $12,627,529
Rank history: #19 in FY2021, #18 in FY2022, #9 in FY2023 and #14 in FY2024; up 9 since FY2024.
6 $11,461,265
Rank history: not on the FY2021–FY2023 lists and #11 in FY2024; up 5 since FY2024.
7 $11,443,449
Rank history: #6 in FY2021, #4 in FY2022, #8 in FY2023 and #6 in FY2024; down 1 since FY2024.
8 $11,263,494
Rank history: #22 in FY2021, #7 in FY2022, #7 in FY2023 and #21 in FY2024; up 13 since FY2024.
9 $8,614,952
Rank history: not on the FY2021–FY2023 lists and #61 in FY2024; up 52 since FY2024.
10 $7,493,968
Rank history: not on the FY2021–FY2023 lists and #72 in FY2024; up 62 since FY2024.
11 $7,034,684
Rank history: not on the FY2021–FY2023 lists and #8 in FY2024; down 3 since FY2024.
12 $6,720,652
Rank history: not on the FY2021–FY2023 lists and #26 in FY2024; up 14 since FY2024.
13 $6,561,863
Rank history: #13 in FY2021, #11 in FY2022, #14 in FY2023 and #10 in FY2024; down 3 since FY2024.
14 $5,847,600
Rank history: #2 in FY2021, #3 in FY2022, #3 in FY2023 and #5 in FY2024; down 9 since FY2024.
15 $5,571,442
Rank history: not on the FY2021–FY2024 lists; up 117 since FY2024.
16 $5,399,380
Rank history: not on the FY2021–FY2023 lists and #12 in FY2024; down 4 since FY2024.
17 $4,999,554
Rank history: not on the FY2021 list, #14 in FY2022, #22 in FY2023 and not on the FY2024 list; returned.
18 $4,370,645
Rank history: not on the FY2021–FY2023 lists and #18 in FY2024; unchanged since FY2024.
19 $4,367,020
Rank history: not on the FY2021–FY2024 lists; new.
20 $4,354,680
Rank history: #16 in FY2021, #8 in FY2022, #34 in FY2023 and #23 in FY2024; up 3 since FY2024.
21 $4,252,112
Rank history: #79 in FY2021, #36 in FY2022, #15 in FY2023 and #41 in FY2024; up 20 since FY2024.
22
Frontline Support Solutions LLC
$3,872,752
Rank history: not on the FY2021–FY2024 lists; new.
23 $3,811,626
Rank history: not on the FY2021–FY2022 lists, #47 in FY2023 and #24 in FY2024; up 1 since FY2024.
24 $3,709,367
Rank history: not on the FY2021–FY2023 lists and #44 in FY2024; up 20 since FY2024.
25 $3,605,171
Rank history: #17 in FY2021, #60 in FY2022, #51 in FY2023 and #47 in FY2024; up 22 since FY2024.
26
Aprea Group LLC
$3,588,265
Rank history: not on the FY2021–FY2023 lists and #62 in FY2024; up 36 since FY2024.
27 $3,410,118
Rank history: #20 in FY2021, not on the FY2022 list, #49 in FY2023 and #20 in FY2024; down 7 since FY2024.
28 $3,387,147
Rank history: #29 in FY2021, #81 in FY2022, #52 in FY2023 and #28 in FY2024; unchanged since FY2024.
29 $3,294,280
Rank history: #45 in FY2021, not on the FY2022 list, #42 in FY2023 and #16 in FY2024; down 13 since FY2024.
30 $3,207,613
Rank history: not on the FY2021 list, #26 in FY2022, #28 in FY2023 and #22 in FY2024; down 8 since FY2024.
31
Able Ambulance Inc
$3,067,389
Rank history: not on the FY2021–FY2023 lists and #48 in FY2024; up 17 since FY2024.
32 $2,840,582
Rank history: #14 in FY2021, #13 in FY2022, #20 in FY2023 and #17 in FY2024; down 15 since FY2024.
33 $2,600,000
Rank history: #35 in FY2021, #40 in FY2022, #53 in FY2023 and #25 in FY2024; down 8 since FY2024.
34 $2,423,364
Rank history: not on the FY2021–FY2024 lists; new.
35 $2,422,676
Rank history: not on the FY2021–FY2024 lists; up 82 since FY2024.
36 $2,376,953
Rank history: not on the FY2021–FY2022 lists, #79 in FY2023 and #33 in FY2024; down 3 since FY2024.
37 $2,339,089
Rank history: #30 in FY2021, #19 in FY2022, #6 in FY2023 and not on the FY2024 list; returned.
38 $2,281,017
Rank history: not on the FY2021–FY2022 lists, #46 in FY2023 and #29 in FY2024; down 9 since FY2024.
39 $2,127,955
Rank history: not on the FY2021 list, #62 in FY2022, #83 in FY2023 and #43 in FY2024; up 4 since FY2024.
40 $2,122,732
Rank history: not on the FY2021–FY2024 lists; new.
41
Midwest Medical Transport Company LLC
$2,051,255
Rank history: not on the FY2021–FY2024 lists; up 98 since FY2024.
42 $1,995,873
Rank history: #24 in FY2021, #45 in FY2022, #33 in FY2023 and #27 in FY2024; down 15 since FY2024.
43 $1,946,184
Rank history: not on the FY2021–FY2023 lists and #39 in FY2024; down 4 since FY2024.
44 $1,924,844
Rank history: not on the FY2021–FY2024 lists; up 64 since FY2024.
45 $1,817,629
Rank history: not on the FY2021 list, #34 in FY2022, #24 in FY2023 and #31 in FY2024; down 14 since FY2024.
46
Emergency Physicians Medical Group P.C 2 awardees, including Medevac Midamerica, Inc. and River Medical Incorporated
$1,795,741
Rank history: not on the FY2021–FY2024 lists; new.
47 $1,722,584
Rank history: #84 in FY2021, #27 in FY2022, #23 in FY2023 and #50 in FY2024; up 3 since FY2024.
48 $1,691,201
Rank history: #74 in FY2021, not on the FY2022 list, #61 in FY2023 and #46 in FY2024; down 2 since FY2024.
49 $1,630,972
Rank history: #61 in FY2021, #85 in FY2022, #73 in FY2023 and not on the FY2024 list; up 70 since FY2024.
50 $1,624,557
Rank history: #42 in FY2021, #21 in FY2022, #13 in FY2023 and #63 in FY2024; up 13 since FY2024.
51 $1,614,767
Rank history: #60 in FY2021, #55 in FY2022, #38 in FY2023 and #51 in FY2024; unchanged since FY2024.
52 $1,580,832
Rank history: not on the FY2021–FY2024 lists; new.
53 $1,579,993
Rank history: not on the FY2021–FY2022 lists, #27 in FY2023 and not on the FY2024 list; returned.
54 $1,508,545
Rank history: not on the FY2021–FY2024 lists; up 198 since FY2024.
55
RG Ambulance Service Inc.
$1,500,000
Rank history: #65 in FY2021, #74 in FY2022, #70 in FY2023 and #65 in FY2024; up 10 since FY2024.
56 $1,473,542
Rank history: #75 in FY2021, not on the FY2022–FY2023 lists and #67 in FY2024; up 11 since FY2024.
57 $1,422,008
Rank history: #32 in FY2021, #32 in FY2022, #17 in FY2023 and #69 in FY2024; up 12 since FY2024.
58 $1,421,758
Rank history: not on the FY2021–FY2024 lists; new.
59
Guardian Elite Medical Services LLC.
$1,419,687
Rank history: not on the FY2021–FY2024 lists; up 59 since FY2024.
60 $1,384,232
Rank history: not on the FY2021–FY2024 lists; up 101 since FY2024.
61 $1,355,287
Rank history: #64 in FY2021, #65 in FY2022, #88 in FY2023 and #82 in FY2024; up 21 since FY2024.
62 $1,352,325
Rank history: not on the FY2021–FY2024 lists; new.
63 $1,343,289
Rank history: not on the FY2021–FY2022 lists, #62 in FY2023 and #32 in FY2024; down 31 since FY2024.
64 $1,322,624
Rank history: #58 in FY2021, #47 in FY2022, #77 in FY2023 and #88 in FY2024; up 24 since FY2024.
65 $1,302,415
Rank history: not on the FY2021–FY2024 lists; up 37 since FY2024.
66 $1,270,665
Rank history: not on the FY2021–FY2024 lists; new.
67 $1,244,925
Rank history: not on the FY2021–FY2024 lists; up 69 since FY2024.
68 $1,180,914
Rank history: not on the FY2021–FY2022 lists, #58 in FY2023 and #78 in FY2024; up 10 since FY2024.
69 $1,155,265
Rank history: #34 in FY2021, #35 in FY2022, #45 in FY2023 and #52 in FY2024; down 17 since FY2024.
70 $1,140,144
Rank history: #38 in FY2021, #28 in FY2022, not on the FY2023 list and #40 in FY2024; down 30 since FY2024.
71 $1,094,254
Rank history: not on the FY2021–FY2024 lists; new.
72 $1,091,839
Rank history: not on the FY2021–FY2023 lists and #76 in FY2024; up 4 since FY2024.
73 $1,059,362
Rank history: #46 in FY2021, #54 in FY2022, #81 in FY2023 and #64 in FY2024; down 9 since FY2024.
74
EMS Team LLC
$1,047,140
Rank history: not on the FY2021–FY2024 lists; new.
75 $1,011,279
Rank history: #51 in FY2021, #56 in FY2022, #39 in FY2023 and #54 in FY2024; down 21 since FY2024.
76 $990,433
Rank history: #7 in FY2021, #15 in FY2022, #21 in FY2023 and not on the FY2024 list; up 37 since FY2024.
77 $975,174
Rank history: not on the FY2021–FY2024 lists; up 30 since FY2024.
78 $956,017
Rank history: not on the FY2021–FY2024 lists; new.
79 $924,490
Rank history: not on the FY2021–FY2022 lists, #85 in FY2023 and #53 in FY2024; down 26 since FY2024.
80 $921,276
Rank history: not on the FY2021–FY2024 lists; new.
81 $853,045
Rank history: not on the FY2021–FY2023 lists and #83 in FY2024; up 2 since FY2024.
82 $837,919
Rank history: not on the FY2021–FY2024 lists; new.
83 $768,288
Rank history: #53 in FY2021, #63 in FY2022, #75 in FY2023 and #71 in FY2024; down 12 since FY2024.
84 $765,604
Rank history: not on the FY2021 list, #98 in FY2022 and not on the FY2023–FY2024 lists; up 126 since FY2024.
85 $762,120
Rank history: not on the FY2021–FY2022 lists, #80 in FY2023 and #92 in FY2024; up 7 since FY2024.
86
Action Ambulance Service Inc
$750,000
Rank history: not on the FY2021–FY2023 lists and #91 in FY2024; up 5 since FY2024.
87 $745,242
Rank history: #69 in FY2021, #69 in FY2022, #68 in FY2023 and #100 in FY2024; up 13 since FY2024.
88 $739,132
Rank history: #86 in FY2021 and not on the FY2022–FY2024 lists; up 27 since FY2024.
89 $707,277
Rank history: not on the FY2021–FY2022 lists, #64 in FY2023 and #94 in FY2024; up 5 since FY2024.
90 $692,411
Rank history: #85 in FY2021, #64 in FY2022, #89 in FY2023 and #99 in FY2024; up 9 since FY2024.
91 $670,606
Rank history: not on the FY2021–FY2023 lists and #79 in FY2024; down 12 since FY2024.
92 $664,098
Rank history: not on the FY2021–FY2024 lists; new.
93
Stat EMS LLC
$663,188
Rank history: not on the FY2021–FY2024 lists; up 71 since FY2024.
94 $648,224
Rank history: not on the FY2021–FY2023 lists and #84 in FY2024; down 10 since FY2024.
95 $621,825
Rank history: #90 in FY2021, #87 in FY2022, #91 in FY2023 and #98 in FY2024; up 3 since FY2024.
96 $612,650
Rank history: #56 in FY2021, #80 in FY2022, #95 in FY2023 and not on the FY2024 list; up 13 since FY2024.
97 $611,866
Rank history: #28 in FY2021, #24 in FY2022, #30 in FY2023 and #30 in FY2024; down 67 since FY2024.
98 $607,396
Rank history: #47 in FY2021, #46 in FY2022, #100 in FY2023 and not on the FY2024 list; up 12 since FY2024.
99 $605,927
Rank history: not on the FY2021–FY2024 lists; new.
100 $605,865
Rank history: not on the FY2021–FY2024 lists; up 48 since FY2024.
Show 75 more

100 of 262 contractors listed here. See the rest on GovTribe.

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 $681 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.
  • Fiscal year 2025 ran Oct 1, 2024 – Sep 30, 2025. 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 FY2024. "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 FY2024 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 621910 contractors in FY2025?

1. American Medical Response West ($102M), 2. Excelsior Ambulance Service Inc. ($23.9M), 3. Acadian Ambulance Service Inc. ($16.2M), 4. Reliance Medical Transport, LLC ($15.6M), 5. Ambulance Management Services Limited ($12.6M), 6. Medshore Ambulance Service, Inc. ($11.5M), 7. Jan-Care Ambulance of North Central W.va., Inc. ($11.4M), 8. Medex Medical Transport Service Inc. ($11.3M), 9. Hawaii Life Flight LLC ($8.61M), 10. Alert Ambulance Service, Inc. ($7.49M).

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