Top 100 Contractors in PSC Q999: Other Medical Services, FY2025

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

The top 10 won 65% of FY2025 PSC Q999 contract dollars

Ranking facts

Contract obligations
$2,894,572,927 Net of deobligations, by contracts coded PSC Q999
Contractors
933 Parent companies with an obligation
Largest contractor
NNA Inc. $692 million, 21.1% of obligations
Data as of

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 $692,246,614
Rank history: not on the FY2021–FY2024 lists; new.
2 $535,220,893
Rank history: #3 in FY2021, #3 in FY2022, #3 in FY2023 and not on the FY2024 list; up 197 since FY2024.
3 $343,945,986
Rank history: #1 in FY2021, #1 in FY2022, #2 in FY2023 and #1 in FY2024; down 2 since FY2024.
4 $153,672,536
Rank history: not on the FY2021–FY2023 lists and #3 in FY2024; down 1 since FY2024.
5 $114,988,728
Rank history: #6 in FY2021, not on the FY2022 list, #5 in FY2023 and not on the FY2024 list; returned.
6 $87,318,857
Rank history: #10 in FY2021, #7 in FY2022, #7 in FY2023 and #4 in FY2024; down 2 since FY2024.
7
American Medical Response Inc. 2 awardees, including American Medical Response West
$87,214,273
Rank history: not on the FY2021–FY2023 lists and #2 in FY2024; down 5 since FY2024.
8 $49,183,671
Rank history: #18 in FY2021 and not on the FY2022–FY2024 lists; returned.
9 $48,976,532
Rank history: #16 in FY2021, #18 in FY2022, #15 in FY2023 and not on the FY2024 list; returned.
10
Blue Cross and Blue Shield of South Carolina Through Karna LLC
$40,147,198
Rank history: not on the FY2021 list, #19 in FY2022, #10 in FY2023 and #8 in FY2024; down 2 since FY2024.
11 $39,063,557
Rank history: #11 in FY2021, #13 in FY2022, #13 in FY2023 and #6 in FY2024; down 5 since FY2024.
12 $37,305,216
Rank history: #53 in FY2021, #16 in FY2022, #17 in FY2023 and #15 in FY2024; up 3 since FY2024.
13 $32,274,797
Rank history: #56 in FY2021, #90 in FY2022, not on the FY2023 list and #35 in FY2024; up 22 since FY2024.
14 $26,599,494
Rank history: not on the FY2021–FY2023 lists and #13 in FY2024; down 1 since FY2024.
15 $25,736,531
Rank history: #34 in FY2021, #15 in FY2022, #16 in FY2023 and #12 in FY2024; down 3 since FY2024.
16 $25,436,849
Rank history: not on the FY2021–FY2023 lists and #7 in FY2024; down 9 since FY2024.
17 $18,912,469
Rank history: not on the FY2021–FY2023 lists and #21 in FY2024; up 4 since FY2024.
18 $17,830,866
Rank history: not on the FY2021 list, #25 in FY2022, #20 in FY2023 and #16 in FY2024; down 2 since FY2024.
19 $17,535,216
Rank history: #17 in FY2021, #17 in FY2022, #19 in FY2023 and #14 in FY2024; down 5 since FY2024.
20 $17,404,456
Rank history: not on the FY2021–FY2024 lists; up 412 since FY2024.
21 $15,912,157
Rank history: #15 in FY2021, #11 in FY2022, #12 in FY2023 and #5 in FY2024; down 16 since FY2024.
22 $13,443,774
Rank history: not on the FY2021–FY2024 lists; new.
23 $13,369,950
Rank history: not on the FY2021–FY2023 lists and #22 in FY2024; down 1 since FY2024.
24 $12,721,244
Rank history: #87 in FY2021, #31 in FY2022, #22 in FY2023 and #17 in FY2024; down 7 since FY2024.
25 $11,777,859
Rank history: #33 in FY2021, #36 in FY2022, not on the FY2023 list and #19 in FY2024; down 6 since FY2024.
26 $11,053,616
Rank history: not on the FY2021–FY2024 lists; new.
27 $9,489,609
Rank history: #21 in FY2021, #27 in FY2022, #25 in FY2023 and #33 in FY2024; up 6 since FY2024.
28 $9,469,474
Rank history: not on the FY2021–FY2023 lists and #58 in FY2024; up 30 since FY2024.
29 $9,469,300
Rank history: not on the FY2021 list, #73 in FY2022, #47 in FY2023 and #31 in FY2024; up 2 since FY2024.
30 $9,053,738
Rank history: #38 in FY2021, #41 in FY2022, #33 in FY2023 and #29 in FY2024; down 1 since FY2024.
31 $8,566,024
Rank history: not on the FY2021–FY2023 lists and #28 in FY2024; down 3 since FY2024.
32
Forensic Drug & Alcohol Testing LLC
$8,355,001
Rank history: not on the FY2021–FY2022 lists, #57 in FY2023 and not on the FY2024 list; returned.
33 $7,019,911
Rank history: not on the FY2021–FY2023 lists and #24 in FY2024; down 9 since FY2024.
34 $6,813,842
Rank history: #31 in FY2021, #44 in FY2022, #29 in FY2023 and #23 in FY2024; down 11 since FY2024.
35 $6,632,247
Rank history: #40 in FY2021, #45 in FY2022, #58 in FY2023 and #45 in FY2024; up 10 since FY2024.
36 $6,600,693
Rank history: not on the FY2021–FY2024 lists; up 414 since FY2024.
37 $6,546,028
Rank history: not on the FY2021–FY2024 lists; new.
38 $5,515,303
Rank history: #48 in FY2021, #51 in FY2022, #46 in FY2023 and #40 in FY2024; up 2 since FY2024.
39 $5,354,849
Rank history: not on the FY2021–FY2024 lists; new.
40 $5,282,972
Rank history: not on the FY2021 list, #34 in FY2022, #24 in FY2023 and #26 in FY2024; down 14 since FY2024.
41 $5,170,589
Rank history: not on the FY2021–FY2023 lists and #36 in FY2024; down 5 since FY2024.
42 $4,643,962
Rank history: #62 in FY2021, #65 in FY2022, #97 in FY2023 and #89 in FY2024; up 47 since FY2024.
43
Reef Systems Corp
$4,602,142
Rank history: not on the FY2021–FY2023 lists and #68 in FY2024; up 25 since FY2024.
44
West Virginia University Hospitals Inc.
$4,585,922
Rank history: not on the FY2021–FY2024 lists; up 89 since FY2024.
45 $4,473,081
Rank history: not on the FY2021–FY2024 lists; up 234 since FY2024.
46 $4,283,694
Rank history: not on the FY2021–FY2023 lists and #80 in FY2024; up 34 since FY2024.
47 $3,762,119
Rank history: not on the FY2021–FY2023 lists and #59 in FY2024; up 12 since FY2024.
48 $3,761,951
Rank history: not on the FY2021–FY2023 lists and #38 in FY2024; down 10 since FY2024.
49 $3,717,884
Rank history: #26 in FY2021, #26 in FY2022, #28 in FY2023 and #25 in FY2024; down 24 since FY2024.
50 $3,588,782
Rank history: not on the FY2021–FY2023 lists and #92 in FY2024; up 42 since FY2024.
51
Luke & Associates Inc.
$3,524,981
Rank history: #24 in FY2021, #37 in FY2022, #27 in FY2023 and #20 in FY2024; down 31 since FY2024.
52 $3,350,039
Rank history: #81 in FY2021, #96 in FY2022, #78 in FY2023 and #71 in FY2024; up 19 since FY2024.
53 $3,244,764
Rank history: not on the FY2021–FY2022 lists, #52 in FY2023 and #46 in FY2024; down 7 since FY2024.
54 $3,235,060
Rank history: not on the FY2021–FY2023 lists and #93 in FY2024; up 39 since FY2024.
55 $3,120,194
Rank history: #30 in FY2021, #32 in FY2022, #23 in FY2023 and #41 in FY2024; down 14 since FY2024.
56 $3,055,121
Rank history: not on the FY2021–FY2024 lists; up 105 since FY2024.
57 $3,021,762
Rank history: #55 in FY2021, #55 in FY2022, #50 in FY2023 and #53 in FY2024; down 4 since FY2024.
58 $2,902,390
Rank history: not on the FY2021–FY2023 lists and #98 in FY2024; up 40 since FY2024.
59 $2,889,430
Rank history: not on the FY2021–FY2022 lists, #35 in FY2023 and #48 in FY2024; down 11 since FY2024.
60 $2,835,896
Rank history: not on the FY2021–FY2023 lists and #66 in FY2024; up 6 since FY2024.
61 $2,812,848
Rank history: #95 in FY2021, #14 in FY2022, #67 in FY2023 and #62 in FY2024; up 1 since FY2024.
62
Cornerstone Programs Corp
$2,713,559
Rank history: not on the FY2021–FY2024 lists; new.
63 $2,655,194
Rank history: not on the FY2021–FY2024 lists; up 266 since FY2024.
64 $2,605,000
Rank history: not on the FY2021–FY2024 lists; new.
65 $2,573,746
Rank history: not on the FY2021–FY2023 lists and #74 in FY2024; up 9 since FY2024.
66 $2,549,808
Rank history: not on the FY2021–FY2024 lists; up 105 since FY2024.
67 $2,538,328
Rank history: not on the FY2021–FY2024 lists; up 72 since FY2024.
68 $2,469,916
Rank history: #69 in FY2021, #69 in FY2022, #30 in FY2023 and #43 in FY2024; down 25 since FY2024.
69 $2,389,320
Rank history: not on the FY2021–FY2024 lists; new.
70
Atlantis Healthcare Group (Puerto Rico) Inc.
$2,343,219
Rank history: not on the FY2021–FY2024 lists; new.
71 $2,287,519
Rank history: not on the FY2021–FY2024 lists; up 40 since FY2024.
72 $2,282,346
Rank history: not on the FY2021–FY2024 lists; new.
73 $2,276,251
Rank history: not on the FY2021–FY2024 lists; up 134 since FY2024.
74 $2,251,260
Rank history: not on the FY2021–FY2024 lists; up 86 since FY2024.
75 $2,228,887
Rank history: not on the FY2021–FY2022 lists, #79 in FY2023 and #65 in FY2024; down 10 since FY2024.
76 $2,226,741
Rank history: not on the FY2021–FY2022 lists, #92 in FY2023 and #77 in FY2024; up 1 since FY2024.
77 $2,226,149
Rank history: not on the FY2021–FY2024 lists; up 133 since FY2024.
78 $2,138,294
Rank history: not on the FY2021–FY2023 lists and #18 in FY2024; down 60 since FY2024.
79 $2,109,307
Rank history: not on the FY2021–FY2023 lists and #52 in FY2024; down 27 since FY2024.
80 $2,045,051
Rank history: not on the FY2021–FY2023 lists and #82 in FY2024; up 2 since FY2024.
81 $2,035,097
Rank history: not on the FY2021–FY2023 lists and #78 in FY2024; down 3 since FY2024.
82
Dilligas Corp
$1,999,961
Rank history: not on the FY2021–FY2023 lists and #44 in FY2024; down 38 since FY2024.
83 $1,979,833
Rank history: #23 in FY2021, #83 in FY2022, #74 in FY2023 and not on the FY2024 list; returned.
84 $1,965,136
Rank history: #75 in FY2021, #85 in FY2022, #94 in FY2023 and #79 in FY2024; down 5 since FY2024.
85 $1,942,421
Rank history: not on the FY2021–FY2022 lists, #91 in FY2023 and #88 in FY2024; up 3 since FY2024.
86 $1,929,938
Rank history: not on the FY2021 list, #22 in FY2022, not on the FY2023 list and #86 in FY2024; unchanged since FY2024.
87 $1,924,000
Rank history: not on the FY2021–FY2024 lists; new.
88 $1,872,269
Rank history: not on the FY2021–FY2022 lists, #73 in FY2023 and #61 in FY2024; down 27 since FY2024.
89
Guidehouse Digital LLC
$1,849,536
Rank history: not on the FY2021–FY2024 lists; new.
90
Native American Development Corp
$1,824,429
Rank history: not on the FY2021–FY2022 lists, #87 in FY2023 and #91 in FY2024; up 1 since FY2024.
91 $1,770,936
Rank history: not on the FY2021–FY2023 lists and #90 in FY2024; down 1 since FY2024.
92 $1,683,631
Rank history: not on the FY2021–FY2023 lists and #97 in FY2024; up 5 since FY2024.
93 $1,681,877
Rank history: not on the FY2021–FY2024 lists; up 72 since FY2024.
94 $1,668,384
Rank history: not on the FY2021–FY2024 lists; new.
95 $1,667,849
Rank history: not on the FY2021 list, #42 in FY2022 and not on the FY2023–FY2024 lists; up 14 since FY2024.
96 $1,651,587
Rank history: not on the FY2021–FY2024 lists; new.
97 $1,644,650
Rank history: not on the FY2021–FY2024 lists; up 380 since FY2024.
98 $1,619,762
Rank history: not on the FY2021–FY2024 lists; up 8 since FY2024.
99 $1,619,085
Rank history: not on the FY2021–FY2024 lists; up 16 since FY2024.
100 $1,607,103
Rank history: not on the FY2021 list, #30 in FY2022, not on the FY2023 list and #67 in FY2024; down 33 since FY2024.
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100 of 933 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 $3.29 billion 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 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 PSC Q999 contractors in FY2025?

1. NNA Inc. ($692M), 2. Davita Inc. ($535M), 3. Triwest Healthcare Alliance Corp ($344M), 4. KBR Wyle Services LLC ($154M), 5. Heritage Health Solutions, Inc. ($115M), 6. Naphcare LLC ($87.3M), 7. American Medical Response Inc. ($87.2M), 8. American Renal Associates LLC ($49.2M), 9. US Renal Care Inc. ($49M), 10. Blue Cross and Blue Shield of South Carolina ($40.1M).

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