Top 100 Contractors in PSC V225: Ambulance Service, FY2025

Full ranking

Rank	Contractor	Net obligations	Share	Trend
1	Excelsior Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$19,132,382	5.8%	Rank history: #4 in FY2021, #3 in FY2022, #2 in FY2023 and #1 in FY2024; unchanged since FY2024.
2	Reliance Medical Transport, LLC Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency)	$15,611,296	4.7%	Rank history: #14 in FY2021, #7 in FY2022, #1 in FY2023 and #3 in FY2024; up 1 since FY2024.
3	American Medical Response West 14 awardees, including Life Line Ambulance Service, Inc., Abbott Ambulance, Inc. and American Medical Response of Connecticut, Inc. Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency) DOJ (Department of Justice)	$13,869,218	4.2%	Rank history: #1 in FY2021, #1 in FY2022, #3 in FY2023 and #2 in FY2024; down 1 since FY2024.
4	Medshore Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$11,461,265	3.5%	Rank history: not on the FY2021–FY2023 lists and #10 in FY2024; up 6 since FY2024.
5	Jan-Care Ambulance of North Central W.va., Inc. Top agencies VA (Department of Veterans Affairs)	$11,443,449	3.5%	Rank history: #5 in FY2021, #5 in FY2022, #7 in FY2023 and #7 in FY2024; up 2 since FY2024.
6	Journey Via Gurney, LLC Top agencies VA (Department of Veterans Affairs)	$10,256,714	3.1%	Rank history: #2 in FY2021, #4 in FY2022, #4 in FY2023 and #4 in FY2024; down 2 since FY2024.
7	Ambulance Management Services Limited 2 awardees, including First Care Ohio LLC Top agencies VA (Department of Veterans Affairs)	$9,454,065	2.9%	Rank history: #20 in FY2021, #16 in FY2022, #12 in FY2023 and #21 in FY2024; up 14 since FY2024.
8	Acadian Ambulance Service Inc. 3 awardees, including Acadian Ambulance Service of Texas, LLC and Acadian Ambulance Service of Tennessee, LLC Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$9,232,979	2.8%	Rank history: #3 in FY2021, #6 in FY2022, #14 in FY2023 and #6 in FY2024; down 2 since FY2024.
9	Hawaii Life Flight LLC Top agencies VA (Department of Veterans Affairs)	$8,614,952	2.6%	Rank history: not on the FY2021–FY2023 lists and #48 in FY2024; up 39 since FY2024.
10	Bradsher, James E Top agencies VA (Department of Veterans Affairs)	$8,485,576	2.6%	Rank history: #13 in FY2021, #12 in FY2022, #20 in FY2023 and #46 in FY2024; up 36 since FY2024.
11	Medex Medical Transport Service Inc. Top agencies VA (Department of Veterans Affairs)	$7,980,187	2.4%	Rank history: #23 in FY2021, #8 in FY2022, #5 in FY2023 and #19 in FY2024; up 8 since FY2024.
12	Navarre Corporation Top agencies VA (Department of Veterans Affairs)	$7,737,577	2.3%	Rank history: #16 in FY2021, #2 in FY2022, #6 in FY2023 and #5 in FY2024; down 7 since FY2024.
13	Alert Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$7,493,968	2.3%	Rank history: not on the FY2021–FY2023 lists and #59 in FY2024; up 46 since FY2024.
14	Wander Staffing LLC Top agencies DHA (Defense Health Agency) Army (Department of the Army)	$7,034,684	2.1%	Rank history: not on the FY2021–FY2023 lists and #9 in FY2024; down 5 since FY2024.
15	Dalmor LLC Top agencies VA (Department of Veterans Affairs)	$6,720,652	2.0%	Rank history: not on the FY2021–FY2023 lists and #23 in FY2024; up 8 since FY2024.
16	Wheelchair Transport Service, Inc. Top agencies VA (Department of Veterans Affairs)	$6,383,277	1.9%	Rank history: not on the FY2021–FY2022 lists, #9 in FY2023 and #12 in FY2024; down 4 since FY2024.
17	Ohio Ambulance Solutions, LLC Top agencies VA (Department of Veterans Affairs)	$4,999,554	1.5%	Rank history: not on the FY2021 list, #13 in FY2022, #23 in FY2023 and not on the FY2024 list; returned.
18	Reach Air Medical Services, LLC 2 awardees, including Cal-Ore Life Flight LLC Top agencies Army (Department of the Army) USDA (Department of Agriculture)	$4,811,050	1.5%	Rank history: not on the FY2021–FY2024 lists; new.
19	Appointed Worldwide Holdings LLC Top agencies VA (Department of Veterans Affairs)	$4,370,645	1.3%	Rank history: not on the FY2021–FY2023 lists and #16 in FY2024; down 3 since FY2024.
20	Professional Healthcare Associates, Inc. Top agencies VA (Department of Veterans Affairs)	$4,367,020	1.3%	Rank history: not on the FY2021–FY2024 lists; new.
21	Lifeline Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$4,354,680	1.3%	Rank history: #17 in FY2021, #9 in FY2022, #32 in FY2023 and #20 in FY2024; down 1 since FY2024.
22	United Medevac Solutions, Inc. Top agencies DHA (Defense Health Agency)	$4,298,516	1.3%	Rank history: #11 in FY2021, #11 in FY2022, #11 in FY2023 and #15 in FY2024; down 7 since FY2024.
23	Legacy Ems Inc. Top agencies DHA (Defense Health Agency)	$4,252,112	1.3%	Rank history: #74 in FY2021, #44 in FY2022, #21 in FY2023 and #32 in FY2024; up 9 since FY2024.
24	Frontline Support Solutions LLC Top agencies VA (Department of Veterans Affairs)	$3,872,752	1.2%	Rank history: not on the FY2021–FY2024 lists; new.
25	Bay Medic Transportation Inc. Top agencies VA (Department of Veterans Affairs)	$3,605,171	1.1%	Rank history: #19 in FY2021, #53 in FY2022, #48 in FY2023 and #37 in FY2024; up 12 since FY2024.
26	Aprea Group LLC Top agencies VA (Department of Veterans Affairs)	$3,588,265	1.1%	Rank history: not on the FY2021–FY2023 lists and #49 in FY2024; up 23 since FY2024.
27	Citywide Mobile Response Corp Top agencies VA (Department of Veterans Affairs)	$3,410,118	1.0%	Rank history: #21 in FY2021, not on the FY2022 list, #46 in FY2023 and #18 in FY2024; down 9 since FY2024.
28	Pro Care Emergency Medical Services, LLC Top agencies VA (Department of Veterans Affairs)	$3,294,280	1.0%	Rank history: #42 in FY2021, not on the FY2022 list, #41 in FY2023 and #14 in FY2024; down 14 since FY2024.
29	Able Ambulance Inc Top agencies VA (Department of Veterans Affairs)	$3,067,389	0.9%	Rank history: not on the FY2021–FY2023 lists and #38 in FY2024; up 9 since FY2024.
30	Seven Corners Inc. Top agencies DOJ (Department of Justice)	$2,753,215	0.8%	Rank history: not on the FY2021–FY2024 lists; new.
31	Priority One Medical Transport Inc. Top agencies VA (Department of Veterans Affairs)	$2,600,000	0.8%	Rank history: #32 in FY2021, #35 in FY2022, #50 in FY2023 and #22 in FY2024; down 9 since FY2024.
32	Muskogee County Ems Top agencies VA (Department of Veterans Affairs)	$2,423,364	0.7%	Rank history: not on the FY2021–FY2024 lists; new.
33	Pafford Medical Services, Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$2,422,676	0.7%	Rank history: not on the FY2021–FY2023 lists and #93 in FY2024; up 60 since FY2024.
34	Metro West Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$2,127,955	0.6%	Rank history: not on the FY2021 list, #54 in FY2022, #73 in FY2023 and #34 in FY2024; unchanged since FY2024.
35	Jan-Care Ambulance of Raleigh County, Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$2,122,732	0.6%	Rank history: not on the FY2021–FY2024 lists; new.
36	Midwest Medical Transport Company LLC Top agencies VA (Department of Veterans Affairs)	$2,036,756	0.6%	Rank history: not on the FY2021–FY2024 lists; up 73 since FY2024.
37	Miller E.m.s., L.L.C. Top agencies DHA (Defense Health Agency)	$1,946,184	0.6%	Rank history: not on the FY2021–FY2023 lists and #31 in FY2024; down 6 since FY2024.
38	Mayo Clinic Ambulance Top agencies VA (Department of Veterans Affairs)	$1,924,844	0.6%	Rank history: not on the FY2021–FY2023 lists and #83 in FY2024; up 45 since FY2024.
39	Air Ems Inc. Top agencies VA (Department of Veterans Affairs) Army (Department of the Army)	$1,869,636	0.6%	Rank history: #70 in FY2021, #95 in FY2022, #96 in FY2023 and #54 in FY2024; up 15 since FY2024.
40	Emergency Physicians Medical Group P.C 2 awardees, including Medevac Midamerica, Inc. and River Medical Incorporated Top agencies VA (Department of Veterans Affairs)	$1,795,741	0.5%	Rank history: not on the FY2021–FY2024 lists; new.
41	Emergycare Inc. Top agencies VA (Department of Veterans Affairs)	$1,722,584	0.5%	Rank history: #78 in FY2021, #26 in FY2022, #24 in FY2023 and #39 in FY2024; down 2 since FY2024.
42	Portsmouth Emergency Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$1,630,972	0.5%	Rank history: #58 in FY2021, #78 in FY2022, #65 in FY2023 and #95 in FY2024; up 53 since FY2024.
43	Front Line EMS LLC Top agencies HHS (Department of Health and Human Services) VA (Department of Veterans Affairs)	$1,625,000	0.5%	Rank history: not on the FY2021–FY2023 lists and #25 in FY2024; down 18 since FY2024.
44	HVM Associates LLC Top agencies VA (Department of Veterans Affairs)	$1,624,557	0.5%	Rank history: #37 in FY2021, #19 in FY2022, #16 in FY2023 and #50 in FY2024; up 6 since FY2024.
45	K & W Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$1,614,767	0.5%	Rank history: #57 in FY2021, #49 in FY2022, #36 in FY2023 and #40 in FY2024; down 5 since FY2024.
46	Constellis, LLC Through Centerra Group, LLC Top agencies DOS (Department of State)	$1,580,832	0.5%	Rank history: not on the FY2021–FY2024 lists; new.
47	Lifefleet Southeast Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$1,579,993	0.5%	Rank history: not on the FY2021–FY2022 lists, #28 in FY2023 and not on the FY2024 list; returned.
48	RG Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$1,500,000	0.5%	Rank history: #53 in FY2021, #66 in FY2022, #61 in FY2023 and #52 in FY2024; up 4 since FY2024.
49	Emergent Health Partners 2 awardees, including Huron Valley Ambulance Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$1,490,745	0.5%	Rank history: not on the FY2021–FY2024 lists; up 146 since FY2024.
50	Washington County - Johnson City Emergency Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$1,422,008	0.4%	Rank history: #29 in FY2021, #30 in FY2022, #17 in FY2023 and #57 in FY2024; up 7 since FY2024.
51	Granville Health System Top agencies DOJ (Department of Justice)	$1,421,758	0.4%	Rank history: not on the FY2021–FY2024 lists; new.
52	Guardian Elite Medical Services LLC. Top agencies VA (Department of Veterans Affairs) USAF (Department of the Air Force)	$1,419,687	0.4%	Rank history: not on the FY2021–FY2023 lists and #94 in FY2024; up 42 since FY2024.
53	Butler County Ems LLC Top agencies VA (Department of Veterans Affairs)	$1,355,287	0.4%	Rank history: #61 in FY2021, #58 in FY2022, #74 in FY2023 and #68 in FY2024; up 15 since FY2024.
54	HMW Services Inc. Through Bay Cities Ambulance Top agencies VA (Department of Veterans Affairs)	$1,352,325	0.4%	Rank history: not on the FY2021–FY2024 lists; new.
55	Premier Medical Transportation, Inc. Top agencies VA (Department of Veterans Affairs)	$1,343,289	0.4%	Rank history: not on the FY2021–FY2022 lists, #54 in FY2023 and #26 in FY2024; down 29 since FY2024.
56	Medstar Ambulance, Inc. 2 awardees Top agencies DHA (Defense Health Agency) DOJ (Department of Justice)	$1,322,624	0.4%	Rank history: #45 in FY2021, #40 in FY2022, #56 in FY2023 and #47 in FY2024; down 9 since FY2024.
57	Ameripro Ems of Kentucky LLC Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$1,302,415	0.4%	Rank history: not on the FY2021–FY2023 lists and #81 in FY2024; up 24 since FY2024.
58	Xenturis LLC Top agencies VA (Department of Veterans Affairs)	$1,270,665	0.4%	Rank history: not on the FY2021–FY2024 lists; new.
59	Portsmouth Medic Transport LLC Top agencies VA (Department of Veterans Affairs)	$1,155,265	0.4%	Rank history: #31 in FY2021, #32 in FY2022, #43 in FY2023 and #42 in FY2024; down 17 since FY2024.
60	Caribe Medical Supply Inc. Top agencies Army (Department of the Army) VA (Department of Veterans Affairs) DODEA (Department of Defense Education Activity)	$1,059,362	0.3%	Rank history: #44 in FY2021, #47 in FY2022, #70 in FY2023 and #51 in FY2024; down 9 since FY2024.
61	EMS Team LLC Top agencies VA (Department of Veterans Affairs)	$1,047,140	0.3%	Rank history: not on the FY2021–FY2024 lists; new.
62	L-J-L Trucking, Inc. Top agencies VA (Department of Veterans Affairs)	$1,011,279	0.3%	Rank history: #50 in FY2021, #50 in FY2022, #38 in FY2023 and #43 in FY2024; down 19 since FY2024.
63	Brewster Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$990,433	0.3%	Rank history: #6 in FY2021, #14 in FY2022, #22 in FY2023 and #87 in FY2024; up 24 since FY2024.
64	Presbyterian Healthcare Services Through Bernalillo County Health Care Corp Top agencies DHA (Defense Health Agency)	$921,276	0.3%	Rank history: not on the FY2021–FY2024 lists; new.
65	Rural / Metro Fire Dept., Inc. Through Desert Valley Medical Transport Inc. Top agencies DOJ (Department of Justice)	$837,919	0.3%	Rank history: not on the FY2021–FY2024 lists; new.
66	Community Pastor Care LLC Top agencies VA (Department of Veterans Affairs)	$812,705	0.2%	Rank history: #93 in FY2021, #86 in FY2022, #100 in FY2023 and #70 in FY2024; up 4 since FY2024.
67	Trans-Med Ambulance Inc. Top agencies VA (Department of Veterans Affairs)	$768,288	0.2%	Rank history: #51 in FY2021, #55 in FY2022, #67 in FY2023 and #58 in FY2024; down 9 since FY2024.
68	Ambulnz Holdings, LLC 2 awardees, including Ambulnz NY 2 LLC Top agencies VA (Department of Veterans Affairs)	$765,604	0.2%	Rank history: not on the FY2021 list, #90 in FY2022 and not on the FY2023–FY2024 lists; up 97 since FY2024.
69	Action Ambulance Service Inc Top agencies DHA (Defense Health Agency)	$750,000	0.2%	Rank history: not on the FY2021–FY2023 lists and #75 in FY2024; up 6 since FY2024.
70	Medstar, Inc. Top agencies VA (Department of Veterans Affairs)	$745,242	0.2%	Rank history: #65 in FY2021, #63 in FY2022, #59 in FY2023 and #79 in FY2024; up 9 since FY2024.
71	Superior Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$739,132	0.2%	Rank history: #79 in FY2021, not on the FY2022 list, #95 in FY2023 and #91 in FY2024; up 20 since FY2024.
72	Campbell County Hospital District Top agencies VA (Department of Veterans Affairs)	$707,277	0.2%	Rank history: not on the FY2021–FY2022 lists, #55 in FY2023 and #76 in FY2024; up 4 since FY2024.
73	Med-Trans Corporation Top agencies DOJ (Department of Justice)	$664,098	0.2%	Rank history: not on the FY2021–FY2024 lists; new.
74	Stat EMS LLC Top agencies VA (Department of Veterans Affairs)	$663,188	0.2%	Rank history: not on the FY2021–FY2024 lists; up 53 since FY2024.
75	Mobile Medical Response, Inc. Top agencies VA (Department of Veterans Affairs)	$621,825	0.2%	Rank history: #84 in FY2021, #80 in FY2022, #76 in FY2023 and #78 in FY2024; up 3 since FY2024.
76	Procare Ambulance of Maryland, Inc. Top agencies DHA (Defense Health Agency) VA (Department of Veterans Affairs)	$611,866	0.2%	Rank history: #26 in FY2021, #23 in FY2022, #30 in FY2023 and #24 in FY2024; down 52 since FY2024.
77	City of Fort Worth Through Metropolitan Area Ems Authority Top agencies DOJ (Department of Justice)	$605,927	0.2%	Rank history: not on the FY2021–FY2024 lists; new.
78	Resource Management Systems Inc. Top agencies VA (Department of Veterans Affairs)	$605,865	0.2%	Rank history: not on the FY2021–FY2024 lists; up 34 since FY2024.
79	Grimm Investments LLC Top agencies VA (Department of Veterans Affairs)	$600,000	0.2%	Rank history: not on the FY2021–FY2024 lists; new.
80	All-Terrain Rescue LLC Top agencies USDA (Department of Agriculture)	$571,106	0.2%	Rank history: not on the FY2021–FY2023 lists and #82 in FY2024; up 2 since FY2024.
81	Lone Star Aviators, LLC Top agencies VA (Department of Veterans Affairs)	$550,000	0.2%	Rank history: not on the FY2021–FY2024 lists; new.
82	Children's National Medical Center Top agencies DHA (Defense Health Agency)	$517,109	0.2%	Rank history: not on the FY2021 list, #73 in FY2022, #90 in FY2023 and #73 in FY2024; down 9 since FY2024.
83	Precision Rescue, LLP Top agencies USDA (Department of Agriculture)	$514,153	0.2%	Rank history: not on the FY2021–FY2024 lists; up 40 since FY2024.
84	Minuteman Ems LLC Top agencies USDA (Department of Agriculture)	$511,100	0.2%	Rank history: not on the FY2021–FY2023 lists and #67 in FY2024; down 17 since FY2024.
85	Alliance Healthcare Systems LLC Top agencies VA (Department of Veterans Affairs)	$419,456	0.1%	Rank history: not on the FY2021–FY2024 lists; up 56 since FY2024.
86	TLCM LLC Top agencies VA (Department of Veterans Affairs)	$390,427	0.1%	Rank history: not on the FY2021–FY2023 lists and #65 in FY2024; down 21 since FY2024.
87	Lifecare Ambulance LLC Top agencies VA (Department of Veterans Affairs)	$389,866	0.1%	Rank history: not on the FY2021–FY2024 lists; new.
88	Zenith Ecom Acquisitions LLC Top agencies VA (Department of Veterans Affairs)	$381,750	0.1%	Rank history: not on the FY2021–FY2024 lists; up 57 since FY2024.
89	Heartland Ambulance Service LLC Top agencies USDA (Department of Agriculture)	$379,088	0.1%	Rank history: not on the FY2021–FY2024 lists; up 107 since FY2024.
90	K.w.p.h. Enterprises Top agencies VA (Department of Veterans Affairs)	$377,546	0.1%	Rank history: #55 in FY2021, #74 in FY2022, #82 in FY2023 and #84 in FY2024; down 6 since FY2024.
91	Smokey Mountain Medic and Environmental, LLC Top agencies USDA (Department of Agriculture)	$368,020	0.1%	Rank history: not on the FY2021–FY2024 lists; up 33 since FY2024.
92	Pioneer Ambulance Service LLC Top agencies VA (Department of Veterans Affairs)	$365,000	0.1%	Rank history: not on the FY2021–FY2023 lists and #77 in FY2024; down 15 since FY2024.
93	Washington Metropolitan Area Transit Authority Top agencies Peace Corps	$350,000	0.1%	Rank history: not on the FY2021–FY2024 lists; up 22 since FY2024.
94	Med-Star Paramedic Ambulance, Inc. Top agencies VA (Department of Veterans Affairs)	$344,000	0.1%	Rank history: not on the FY2021–FY2024 lists; new.
95	Proelite International Trading WLL Top agencies Navy (Department of the Navy)	$337,920	0.1%	Rank history: #94 in FY2021, #85 in FY2022, #93 in FY2023 and not on the FY2024 list; up 12 since FY2024.
96	Coastal Health Systems of Brevard, Inc. Top agencies VA (Department of Veterans Affairs)	$323,791	0.1%	Rank history: not on the FY2021–FY2023 lists and #98 in FY2024; up 2 since FY2024.
97	Childrens Hospital of the Kings Daughters, Incorporated Top agencies DHA (Defense Health Agency)	$322,247	0.1%	Rank history: not on the FY2021 list, #88 in FY2022 and not on the FY2023–FY2024 lists; up 13 since FY2024.
98	Mercy Flights, Inc. Top agencies VA (Department of Veterans Affairs)	$301,190	0.1%	Rank history: not on the FY2021 list, #72 in FY2022, #97 in FY2023 and not on the FY2024 list; up 90 since FY2024.
99	Emergency Response Logistics, LLC Top agencies USDA (Department of Agriculture)	$294,364	0.1%	Rank history: not on the FY2021–FY2023 lists and #62 in FY2024; down 37 since FY2024.
100	M C T Express, Inc. Top agencies VA (Department of Veterans Affairs)	$293,468	0.1%	Rank history: not on the FY2021–FY2024 lists; up 11 since FY2024.

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 $330 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