Top 100 Contractors in NAICS 621999: All Other Miscellaneous 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 621999: All Other Miscellaneous Ambulatory Health Care Services, FY2025.
The top 10 won 56% of NAICS 621999 contract dollars from August 2025 through July 2026
Ranking facts
- Contract obligations
- $580,919,446 Net of deobligations, by contracts coded NAICS 621999
- Contractors
- 219 Parent companies with an obligation
- Largest contractor
- Amergis Healthcare Staffing Inc. $80 million, 12.9% 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 | $27,715,053 | |||
| 6 |
Ingenesis Inc.
Top agencies
|
$18,048,286 | ||
| 7 |
Accenture Federal Services LLC
Top agencies
|
$16,515,595 | ||
| 8 | $15,056,124 | |||
| 9 |
Medtronic Inc.
Top agencies
|
$14,703,257 | ||
| 10 | $14,375,397 | |||
| 11 |
Dawson Cms, LLC
Top agencies
|
$13,963,297 | ||
| 12 | $12,849,858 | |||
| 13 | $12,196,782 | |||
| 14 | $11,985,877 | |||
| 15 |
CG Services LLC
Top agencies
|
$11,379,006 | ||
| 16 | $9,629,067 | |||
| 17 |
Forensic Drug & Alcohol Testing LLC
|
$9,381,775 | ||
| 18 | $8,078,813 | |||
| 19 | $6,422,458 | |||
| 20 |
Dilligas Corp
Top agencies
|
$6,089,718 | ||
| 21 |
T3I, Inc.
Top agencies
|
$6,034,599 | ||
| 22 | $5,515,303 | |||
| 23 |
Avel Ecare LLC
|
$5,277,446 | ||
| 24 | $5,208,346 | |||
| 25 |
Caban Resources LLC
Top agencies
|
$5,060,812 | ||
| 26 | $4,200,000 | |||
| 27 | $3,987,437 | |||
| 28 | $3,852,768 | |||
| 29 | $3,717,561 | |||
| 30 |
Sword Health Inc.
Top agencies
|
$2,605,000 | ||
| 31 | $2,566,016 | |||
| 32 |
The Chenega Corporation
Top agencies
|
$2,551,321 | ||
| 33 | $2,543,923 | |||
| 34 | $2,270,699 | |||
| 35 |
Reef Systems Corp
Top agencies
|
$2,233,027 | ||
| 36 |
Csrs3 LLC
Top agencies
|
$2,048,370 | ||
| 37 | $2,045,051 | |||
| 38 | $1,978,548 | |||
| 39 |
Metropolitan Medical LLC
|
$1,957,883 | ||
| 40 | $1,948,256 | |||
| 41 | $1,942,421 | |||
| 42 | $1,896,091 | |||
| 43 | $1,854,956 | |||
| 44 |
Native American Development Corp
Top agencies
|
$1,824,429 | ||
| 45 | $1,735,976 | |||
| 46 | $1,719,963 | |||
| 47 | $1,616,455 | |||
| 48 | $1,501,312 | |||
| 49 | $1,499,958 | |||
| 50 | $1,415,218 | |||
| 51 |
National Associates, Inc.
Top agencies
|
$1,395,302 | ||
| 52 | $1,386,860 | |||
| 53 |
Vergence LLC
Top agencies
|
$1,353,869 | ||
| 54 | $1,302,960 | |||
| 55 | $1,286,556 | |||
| 56 | $1,277,682 | |||
| 57 |
Godwin Corp
Top agencies
|
$1,263,695 | ||
| 58 |
Capital MED Group LLC
Top agencies
|
$1,256,245 | ||
| 59 |
Avosys Technology, Inc.
Top agencies
|
$1,253,971 | ||
| 60 | $1,236,569 | |||
| 61 | $1,139,860 | |||
| 62 |
Distinctive Health Spectrum Care JV LLC
Top agencies
|
$1,138,096 | ||
| 63 | $1,098,049 | |||
| 64 | $1,078,605 | |||
| 65 |
Naphcare LLC
Top agencies
|
$1,056,360 | ||
| 66 | $1,032,425 | |||
| 67 |
2Srg Inc.
Top agencies
|
$980,679 | ||
| 68 | $948,509 | |||
| 69 |
Anthony & Associates, Inc.
Top agencies
|
$939,155 | ||
| 70 |
Alltech Ventures LLC
Top agencies
|
$910,650 | ||
| 71 | $877,093 | |||
| 72 |
Bfrench Consulting LLC
Top agencies
|
$859,423 | ||
| 73 | $820,774 | |||
| 74 | $820,096 | |||
| 75 | $816,183 | |||
| 76 |
Bgesh Incorporated
Top agencies
|
$775,396 | ||
| 77 |
Yellow Tarp Ems LLC
Top agencies
|
$760,682 | ||
| 78 |
Specialtycare, Inc.
Top agencies
|
$752,508 | ||
| 79 | $746,681 | |||
| 80 |
Minuteman Ems LLC
Top agencies
|
$708,370 | ||
| 81 |
Apogee Solutions, Inc.
Top agencies
|
$660,938 | ||
| 82 | $659,539 | |||
| 83 | $647,910 | |||
| 84 | $620,978 | |||
| 85 | $605,306 | |||
| 86 |
Black Flag Response LLC
Top agencies
|
$583,544 | ||
| 87 |
Frontline Medical LLC
Top agencies
|
$557,286 | ||
| 88 | $551,995 | |||
| 89 | $528,655 | |||
| 90 |
Appddictionstudio Limited Liability Company
Top agencies
|
$508,176 | ||
| 91 | $504,060 | |||
| 92 |
Precision Rescue, LLP
Top agencies
|
$488,410 | ||
| 93 |
Venesco LLC
Top agencies
|
$467,293 | ||
| 94 | $466,600 | |||
| 95 |
Today's Solutions, LLC
Top agencies
|
$452,036 | ||
| 96 |
Four Peaks Medics LLC
Top agencies
|
$451,259 | ||
| 97 | $441,356 | |||
| 98 | $438,648 | |||
| 99 | $437,556 | |||
| 100 | $423,725 |
Show 75 more
100 of 219 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 $620 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 621999 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. Servefed Inc. ($27.7M), 6. Ingenesis Inc. ($18M), 7. Accenture Federal Services LLC ($16.5M), 8. Destiny Management Services, LLC ($15.1M), 9. Medtronic Inc. ($14.7M), 10. Koniag, Inc. ($14.4M).
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