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

The top 10 won 61% of PSC Q999 contract dollars from August 2025 through July 2026

Ranking facts

Contract obligations
$2,115,349,923 Net of deobligations, by contracts coded PSC Q999
Contractors
821 Parent companies with an obligation
Largest contractor
Fresenius Medical Care Holdings Inc. $353 million, 15.5% 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
Fresenius Medical Care Holdings Inc. 5 awardees, including Dialysis Clinic, Inc. and RSA - Guam LLC
$352,631,939
Rank history: not on the FY2021–FY2024 lists and #1 in FY2025; unchanged since Aug 2024–Jul 2025.
2 $299,652,464
Rank history: #1 in FY2021, #1 in FY2022, #2 in FY2023, #1 in FY2024 and #3 in FY2025; up 1 since Aug 2024–Jul 2025.
3 $234,620,151
Rank history: #3 in FY2021, #3 in FY2022, #3 in FY2023, not on the FY2024 list and #2 in FY2025; down 1 since Aug 2024–Jul 2025.
4 $163,893,663
Rank history: not on the FY2021–FY2023 lists, #3 in FY2024 and #4 in FY2025; up 1 since Aug 2024–Jul 2025.
5 $108,765,638
Rank history: #7 in FY2021, #6 in FY2022, #4 in FY2023, #10 in FY2024 and not on the FY2025 list; new, not ranked in Aug 2024–Jul 2025.
6 $65,523,961
Rank history: #6 in FY2021, not on the FY2022 list, #5 in FY2023, not on the FY2024 list and #5 in FY2025; unchanged since Aug 2024–Jul 2025.
7 $51,997,793
Rank history: #10 in FY2021, #7 in FY2022, #7 in FY2023, #4 in FY2024 and #7 in FY2025; unchanged since Aug 2024–Jul 2025.
8
Acuity International LLC 2 awardees, including Acuity-Chs, LLC
$39,911,649
Rank history: not on the FY2021–FY2025 lists; up 386 since Aug 2024–Jul 2025.
9 $39,287,141
Rank history: #16 in FY2021, #18 in FY2022, #15 in FY2023, not on the FY2024 list and #8 in FY2025; unchanged since Aug 2024–Jul 2025.
10 $38,092,389
Rank history: #18 in FY2021, not on the FY2022–FY2024 lists and #9 in FY2025; unchanged since Aug 2024–Jul 2025.
11 $34,298,248
Rank history: #53 in FY2021, #16 in FY2022, #17 in FY2023, #15 in FY2024 and #12 in FY2025; up 2 since Aug 2024–Jul 2025.
12
Boosted Commerce Inc. Through Wellpath LLC
$30,707,975
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
13 $28,468,070
Rank history: #56 in FY2021, #90 in FY2022, not on the FY2023 list, #35 in FY2024 and #13 in FY2025; down 1 since Aug 2024–Jul 2025.
14 $27,715,053
Rank history: #34 in FY2021, #15 in FY2022, #16 in FY2023, #12 in FY2024 and #15 in FY2025; up 1 since Aug 2024–Jul 2025.
15 $26,619,060
Rank history: not on the FY2021–FY2023 lists, #13 in FY2024 and #14 in FY2025; down 4 since Aug 2024–Jul 2025.
16 $22,346,675
Rank history: not on the FY2021 list, #25 in FY2022, #20 in FY2023, #16 in FY2024 and #18 in FY2025; up 6 since Aug 2024–Jul 2025.
17 $20,883,534
Rank history: #15 in FY2021, #11 in FY2022, #12 in FY2023, #5 in FY2024 and #21 in FY2025; up 4 since Aug 2024–Jul 2025.
18 $18,841,508
Rank history: #40 in FY2021, #45 in FY2022, #58 in FY2023, #45 in FY2024 and #34 in FY2025; up 20 since Aug 2024–Jul 2025.
19 $18,710,884
Rank history: #17 in FY2021, #17 in FY2022, #19 in FY2023, #14 in FY2024 and #19 in FY2025; up 1 since Aug 2024–Jul 2025.
20 $16,021,780
Rank history: not on the FY2021–FY2023 lists, #21 in FY2024 and #17 in FY2025; down 3 since Aug 2024–Jul 2025.
21
Blue Cross and Blue Shield of South Carolina Through Karna LLC
$15,802,595
Rank history: not on the FY2021 list, #19 in FY2022, #10 in FY2023, #8 in FY2024 and #10 in FY2025; down 7 since Aug 2024–Jul 2025.
22
University of Massachusetts 2 awardees, including University of Massachusetts Medical School
$15,367,821
Rank history: not on the FY2021–FY2023 lists, #22 in FY2024 and #23 in FY2025; up 1 since Aug 2024–Jul 2025.
23 $15,252,439
Rank history: #87 in FY2021, #31 in FY2022, #22 in FY2023, #17 in FY2024 and #24 in FY2025; up 1 since Aug 2024–Jul 2025.
24 $15,090,095
Rank history: not on the FY2021–FY2024 lists and #40 in FY2025; up 35 since Aug 2024–Jul 2025.
25 $14,783,190
Rank history: not on the FY2021–FY2023 lists, #24 in FY2024 and #32 in FY2025; up 2 since Aug 2024–Jul 2025.
26 $14,776,726
Rank history: #21 in FY2021, #27 in FY2022, #25 in FY2023, #33 in FY2024 and #27 in FY2025; up 9 since Aug 2024–Jul 2025.
27 $12,196,782
Rank history: not on the FY2021–FY2024 lists and #20 in FY2025; down 8 since Aug 2024–Jul 2025.
28 $11,769,916
Rank history: #11 in FY2021, #13 in FY2022, #13 in FY2023, #6 in FY2024 and #11 in FY2025; down 20 since Aug 2024–Jul 2025.
29 $11,300,000
Rank history: #5 in FY2021, #4 in FY2022, #6 in FY2023 and not on the FY2024–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
30
Luke & Associates Inc.
$10,713,658
Rank history: #24 in FY2021, #37 in FY2022, #27 in FY2023, #20 in FY2024 and #51 in FY2025; up 40 since Aug 2024–Jul 2025.
31 $9,053,738
Rank history: #38 in FY2021, #41 in FY2022, #33 in FY2023, #29 in FY2024 and #29 in FY2025; unchanged since Aug 2024–Jul 2025.
32 $8,886,061
Rank history: #63 in FY2021, not on the FY2022 list, #37 in FY2023, not on the FY2024 list and #37 in FY2025; new, not ranked in Aug 2024–Jul 2025.
33 $8,805,456
Rank history: not on the FY2021–FY2024 lists and #36 in FY2025; up 7 since Aug 2024–Jul 2025.
34 $8,763,873
Rank history: not on the FY2021–FY2024 lists and #26 in FY2025; up 131 since Aug 2024–Jul 2025.
35 $8,566,024
Rank history: not on the FY2021–FY2023 lists, #28 in FY2024 and #30 in FY2025; down 2 since Aug 2024–Jul 2025.
36 $7,074,222
Rank history: not on the FY2021–FY2024 lists and #22 in FY2025; down 7 since Aug 2024–Jul 2025.
37 $6,528,932
Rank history: #33 in FY2021, #36 in FY2022, not on the FY2023 list, #19 in FY2024 and #25 in FY2025; down 12 since Aug 2024–Jul 2025.
38 $6,409,000
Rank history: not on the FY2021–FY2025 lists; up 112 since Aug 2024–Jul 2025.
39
West Virginia University Hospitals Inc.
$6,072,231
Rank history: not on the FY2021–FY2024 lists and #44 in FY2025; up 8 since Aug 2024–Jul 2025.
40 $5,915,985
Rank history: not on the FY2021–FY2023 lists, #18 in FY2024 and #76 in FY2025; up 71 since Aug 2024–Jul 2025.
41 $5,868,887
Rank history: not on the FY2021–FY2023 lists, #52 in FY2024 and #77 in FY2025; up 39 since Aug 2024–Jul 2025.
42 $5,515,303
Rank history: #48 in FY2021, #51 in FY2022, #46 in FY2023, #40 in FY2024 and #39 in FY2025; unchanged since Aug 2024–Jul 2025.
43 $5,194,210
Rank history: not on the FY2021–FY2025 lists; up 66 since Aug 2024–Jul 2025.
44 $5,188,054
Rank history: not on the FY2021 list, #73 in FY2022, #47 in FY2023, #31 in FY2024 and #28 in FY2025; up 5 since Aug 2024–Jul 2025.
45 $5,167,368
Rank history: not on the FY2021–FY2022 lists, #52 in FY2023, #46 in FY2024 and #53 in FY2025; up 7 since Aug 2024–Jul 2025.
46 $4,834,842
Rank history: not on the FY2021–FY2023 lists, #59 in FY2024 and #47 in FY2025; up 11 since Aug 2024–Jul 2025.
47 $4,756,320
Rank history: #69 in FY2021, #69 in FY2022, #30 in FY2023, #43 in FY2024 and #66 in FY2025; up 3 since Aug 2024–Jul 2025.
48 $4,305,592
Rank history: not on the FY2021–FY2022 lists, #96 in FY2023, not on the FY2024 list and #99 in FY2025; up 66 since Aug 2024–Jul 2025.
49 $3,501,401
Rank history: #55 in FY2021, #55 in FY2022, #50 in FY2023, #53 in FY2024 and #57 in FY2025; up 4 since Aug 2024–Jul 2025.
50
Guidehouse Digital LLC
$3,429,057
Rank history: not on the FY2021–FY2024 lists and #86 in FY2025; new, not ranked in Aug 2024–Jul 2025.
51 $3,333,783
Rank history: not on the FY2021–FY2023 lists, #92 in FY2024 and #50 in FY2025; down 5 since Aug 2024–Jul 2025.
52 $3,221,678
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
53
Dilligas Corp
$3,162,651
Rank history: not on the FY2021–FY2023 lists, #44 in FY2024 and #80 in FY2025; up 44 since Aug 2024–Jul 2025.
54 $3,135,671
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
55 $3,040,228
Rank history: not on the FY2021 list, #34 in FY2022, #24 in FY2023, #26 in FY2024 and #41 in FY2025; down 16 since Aug 2024–Jul 2025.
56 $3,019,736
Rank history: #95 in FY2021, #14 in FY2022, #67 in FY2023, #62 in FY2024 and #60 in FY2025; up 12 since Aug 2024–Jul 2025.
57 $2,884,959
Rank history: not on the FY2021–FY2023 lists, #80 in FY2024 and #46 in FY2025; down 6 since Aug 2024–Jul 2025.
58 $2,847,481
Rank history: not on the FY2021–FY2023 lists, #93 in FY2024 and #54 in FY2025; up 36 since Aug 2024–Jul 2025.
59 $2,761,814
Rank history: not on the FY2021–FY2025 lists; up 42 since Aug 2024–Jul 2025.
60 $2,721,477
Rank history: not on the FY2021–FY2023 lists, #38 in FY2024 and #48 in FY2025; down 30 since Aug 2024–Jul 2025.
61 $2,650,846
Rank history: not on the FY2021–FY2024 lists and #63 in FY2025; new, not ranked in Aug 2024–Jul 2025.
62 $2,625,277
Rank history: not on the FY2021–FY2023 lists, #66 in FY2024 and #59 in FY2025; up 4 since Aug 2024–Jul 2025.
63 $2,614,527
Rank history: not on the FY2021–FY2024 lists and #35 in FY2025; down 22 since Aug 2024–Jul 2025.
64 $2,605,000
Rank history: not on the FY2021–FY2024 lists and #62 in FY2025; new, not ranked in Aug 2024–Jul 2025.
65 $2,525,590
Rank history: #81 in FY2021, #96 in FY2022, #78 in FY2023, #71 in FY2024 and #52 in FY2025; down 3 since Aug 2024–Jul 2025.
66 $2,429,101
Rank history: not on the FY2021–FY2024 lists and #90 in FY2025; up 49 since Aug 2024–Jul 2025.
67 $2,241,081
Rank history: not on the FY2021–FY2022 lists, #92 in FY2023, #77 in FY2024 and #74 in FY2025; up 14 since Aug 2024–Jul 2025.
68 $2,236,695
Rank history: not on the FY2021–FY2024 lists and #67 in FY2025; up 8 since Aug 2024–Jul 2025.
69
Reef Systems Corp
$2,233,027
Rank history: not on the FY2021–FY2023 lists, #68 in FY2024 and #43 in FY2025; down 24 since Aug 2024–Jul 2025.
70 $2,227,771
Rank history: #30 in FY2021, #32 in FY2022, #23 in FY2023, #41 in FY2024 and #55 in FY2025; down 27 since Aug 2024–Jul 2025.
71 $2,196,645
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
72 $2,169,020
Rank history: not on the FY2021–FY2023 lists, #60 in FY2024 and not on the FY2025 list; up 64 since Aug 2024–Jul 2025.
73 $2,146,627
Rank history: not on the FY2021–FY2023 lists, #78 in FY2024 and #79 in FY2025; up 11 since Aug 2024–Jul 2025.
74 $2,129,624
Rank history: not on the FY2021–FY2022 lists, #70 in FY2023 and not on the FY2024–FY2025 lists; up 53 since Aug 2024–Jul 2025.
75 $2,103,200
Rank history: not on the FY2021–FY2024 lists and #94 in FY2025; up 108 since Aug 2024–Jul 2025.
76 $2,064,168
Rank history: not on the FY2021–FY2022 lists, #73 in FY2023, #61 in FY2024 and #85 in FY2025; down 3 since Aug 2024–Jul 2025.
77 $2,045,051
Rank history: not on the FY2021–FY2023 lists, #82 in FY2024 and #78 in FY2025; up 6 since Aug 2024–Jul 2025.
78 $2,000,393
Rank history: #75 in FY2021, #85 in FY2022, #94 in FY2023, #79 in FY2024 and #82 in FY2025; up 9 since Aug 2024–Jul 2025.
79 $1,974,837
Rank history: not on the FY2021 list, #22 in FY2022, not on the FY2023 list, #86 in FY2024 and #84 in FY2025; up 12 since Aug 2024–Jul 2025.
80 $1,942,421
Rank history: not on the FY2021–FY2022 lists, #91 in FY2023, #88 in FY2024 and #83 in FY2025; up 10 since Aug 2024–Jul 2025.
81
Native American Development Corp
$1,824,429
Rank history: not on the FY2021–FY2022 lists, #87 in FY2023, #91 in FY2024 and #87 in FY2025; up 12 since Aug 2024–Jul 2025.
82 $1,796,607
Rank history: not on the FY2021–FY2023 lists, #95 in FY2024 and #100 in FY2025; up 51 since Aug 2024–Jul 2025.
83 $1,796,004
Rank history: not on the FY2021–FY2023 lists, #97 in FY2024 and #89 in FY2025; up 17 since Aug 2024–Jul 2025.
84 $1,735,976
Rank history: not on the FY2021 list, #42 in FY2022, not on the FY2023–FY2024 lists and #92 in FY2025; up 19 since Aug 2024–Jul 2025.
85 $1,732,449
Rank history: not on the FY2021–FY2024 lists and #95 in FY2025; up 25 since Aug 2024–Jul 2025.
86 $1,718,528
Rank history: not on the FY2021–FY2024 lists and #91 in FY2025; new, not ranked in Aug 2024–Jul 2025.
87
Nevada Urban Indians Inc.
$1,695,477
Rank history: not on the FY2021–FY2023 lists, #56 in FY2024 and not on the FY2025 list; up 37 since Aug 2024–Jul 2025.
88 $1,673,962
Rank history: not on the FY2021–FY2025 lists; up 75 since Aug 2024–Jul 2025.
89 $1,590,141
Rank history: not on the FY2021–FY2025 lists; up 90 since Aug 2024–Jul 2025.
90 $1,589,394
Rank history: not on the FY2021–FY2022 lists, #79 in FY2023, #65 in FY2024 and #73 in FY2025; up 2 since Aug 2024–Jul 2025.
91 $1,589,371
Rank history: not on the FY2021–FY2024 lists and #64 in FY2025; down 33 since Aug 2024–Jul 2025.
92 $1,585,963
Rank history: not on the FY2021–FY2025 lists; up 92 since Aug 2024–Jul 2025.
93 $1,531,388
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
94 $1,528,555
Rank history: not on the FY2021–FY2025 lists; up 146 since Aug 2024–Jul 2025.
95 $1,500,756
Rank history: not on the FY2021–FY2025 lists; up 35 since Aug 2024–Jul 2025.
96 $1,499,958
Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
97
JJR Solutions LLC
$1,499,841
Rank history: not on the FY2021–FY2022 lists, #69 in FY2023, #63 in FY2024 and not on the FY2025 list; new, not ranked in Aug 2024–Jul 2025.
98 $1,484,874
Rank history: #23 in FY2021, #83 in FY2022, #74 in FY2023, not on the FY2024 list and #81 in FY2025; down 12 since Aug 2024–Jul 2025.
99 $1,478,443
Rank history: #31 in FY2021, #44 in FY2022, #29 in FY2023, #23 in FY2024 and #33 in FY2025; down 55 since Aug 2024–Jul 2025.
100 $1,461,178
Rank history: not on the FY2021 list, #97 in FY2022, #60 in FY2023, #73 in FY2024 and not on the FY2025 list; up 47 since Aug 2024–Jul 2025.
Show 75 more

100 of 821 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 $2.27 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. 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 PSC Q999 contractors in Aug 2025–Jul 2026?

1. Fresenius Medical Care Holdings Inc. ($353M), 2. Triwest Healthcare Alliance Corp ($300M), 3. Davita Inc. ($235M), 4. KBR Wyle Services LLC ($164M), 5. Kbr, Inc. ($109M), 6. Heritage Health Solutions, Inc. ($65.5M), 7. Naphcare LLC ($52M), 8. Acuity International LLC ($39.9M), 9. US Renal Care Inc. ($39.3M), 10. American Renal Associates LLC ($38.1M).

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