Top 100 Contractors in PSC V225: Ambulance Service, FY2024

Name: Top 100 Contractors in PSC V225: Ambulance Service, FY2024
Creator: GovTribe

Parent companies by net contract obligations Oct 1, 2023 – Sep 30, 2024 Code page on GovTribe

The top 10 won 35% of FY2024 PSC V225 contract dollars

Contract obligations: $244,148,772 Net of deobligations, by contracts coded PSC V225
Contractors: 229 Parent companies with an obligation
Largest contractor: Excelsior Ambulance Service Inc. $16.2 million, 5.6% of obligations
Data as of: Oct 14, 2026

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	Excelsior Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$16,213,863	5.6%	Rank history: #4 in FY2021, #3 in FY2022, #2 in FY2023 and #1 in FY2025; up 1 since FY2023.
2	American Medical Response Inc. 17 awardees, including Abbott Ambulance, Inc., Life Line Ambulance Service, Inc. and Lifefleet Southeast Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice) USAF (Department of the Air Force)	$14,511,612	5.0%	Rank history: #1 in FY2021, #1 in FY2022, #3 in FY2023 and #33 in FY2025; up 1 since FY2023.
3	Reliance Medical Transport, LLC Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency)	$11,781,053	4.1%	Rank history: #14 in FY2021, #7 in FY2022, #1 in FY2023 and #2 in FY2025; down 2 since FY2023.
4	Journey Via Gurney, LLC Top agencies VA (Department of Veterans Affairs)	$11,655,240	4.0%	Rank history: #2 in FY2021, #4 in FY2022, #4 in FY2023 and #5 in FY2025; unchanged since FY2023.
5	Navarre Corp 2 awardees Top agencies VA (Department of Veterans Affairs)	$10,474,204	3.6%	Rank history: #16 in FY2021, #2 in FY2022, #6 in FY2023 and #9 in FY2025; up 1 since FY2023.
6	Acadian Ambulance Service Inc. 2 awardees, including Acadian Ambulance Service of Tennessee, LLC Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$8,233,034	2.8%	Rank history: #3 in FY2021, #6 in FY2022, #14 in FY2023 and #27 in FY2025; up 8 since FY2023.
7	Jan-Care Ambulance of North Central W.va., Inc. Top agencies VA (Department of Veterans Affairs)	$7,454,188	2.6%	Rank history: #5 in FY2021, #5 in FY2022, #7 in FY2023 and #4 in FY2025; unchanged since FY2023.
8	First Care Ohio LLC Top agencies VA (Department of Veterans Affairs)	$7,318,395	2.5%	Rank history: #24 in FY2021, #28 in FY2022, #18 in FY2023 and #10 in FY2025; up 10 since FY2023.
9	Wander Staffing LLC Top agencies DHA (Defense Health Agency)	$6,824,472	2.4%	Rank history: not on the FY2021–FY2023 lists and #12 in FY2025; new.
10	Medshore Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$6,547,720	2.3%	Rank history: not on the FY2021–FY2023 lists and #3 in FY2025; new.
11	Paramedic Systems Inc Through Alert Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$6,470,606	2.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
12	Wheelchair Transport Service, Inc. Top agencies VA (Department of Veterans Affairs)	$5,578,826	1.9%	Rank history: not on the FY2021–FY2022 lists, #9 in FY2023 and #14 in FY2025; down 3 since FY2023.
13	Reach Medical Holdings Inc. Through Reach Air Medical Services, LLC Top agencies Army (Department of the Army)	$5,477,765	1.9%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
14	Pro Care Emergency Medical Services, LLC Top agencies VA (Department of Veterans Affairs)	$5,053,176	1.7%	Rank history: #42 in FY2021, not on the FY2022 list, #41 in FY2023 and #29 in FY2025; up 27 since FY2023.
15	United Medevac Solutions, Inc. Top agencies DHA (Defense Health Agency)	$4,647,380	1.6%	Rank history: #11 in FY2021, #11 in FY2022, #11 in FY2023 and #20 in FY2025; down 4 since FY2023.
16	Appointed Worldwide Holdings LLC Top agencies VA (Department of Veterans Affairs)	$4,080,774	1.4%	Rank history: not on the FY2021–FY2023 lists and #17 in FY2025; new.
17	Professional Healthcare Associates Inc. Top agencies VA (Department of Veterans Affairs)	$4,017,800	1.4%	Rank history: not on the FY2021–FY2022 lists, #78 in FY2023 and not on the FY2025 list; up 61 since FY2023.
18	Citywide Mobile Response Corp Top agencies VA (Department of Veterans Affairs)	$4,012,488	1.4%	Rank history: #21 in FY2021, not on the FY2022 list, #46 in FY2023 and #28 in FY2025; up 28 since FY2023.
19	Medex Medical Transport Service Inc. Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency)	$3,979,329	1.4%	Rank history: #23 in FY2021, #8 in FY2022, #5 in FY2023 and #8 in FY2025; down 14 since FY2023.
20	Lifeline Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$3,356,880	1.2%	Rank history: #17 in FY2021, #9 in FY2022, #32 in FY2023 and #19 in FY2025; up 12 since FY2023.
21	Ambulance Management Services Limited Top agencies VA (Department of Veterans Affairs)	$3,053,594	1.1%	Rank history: #20 in FY2021, #16 in FY2022, #12 in FY2023 and #45 in FY2025; down 9 since FY2023.
22	Priority One Medical Transport Inc. Top agencies VA (Department of Veterans Affairs)	$3,051,835	1.1%	Rank history: #32 in FY2021, #35 in FY2022, #50 in FY2023 and #32 in FY2025; up 28 since FY2023.
23	Dalmor LLC Top agencies VA (Department of Veterans Affairs)	$2,937,632	1.0%	Rank history: not on the FY2021–FY2023 lists and #13 in FY2025; new.
24	Procare Ambulance of Maryland, Inc. Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency) USAF (Department of the Air Force)	$2,617,260	0.9%	Rank history: #26 in FY2021, #23 in FY2022, #30 in FY2023 and #85 in FY2025; up 6 since FY2023.
25	Front Line EMS LLC Top agencies HHS (Department of Health and Human Services) USDA (Department of Agriculture) VA (Department of Veterans Affairs)	$2,599,128	0.9%	Rank history: not on the FY2021–FY2023 lists and #48 in FY2025; new.
26	Premier Medical Transportation, Inc. Top agencies VA (Department of Veterans Affairs)	$2,472,453	0.9%	Rank history: not on the FY2021–FY2022 lists, #54 in FY2023 and #61 in FY2025; up 28 since FY2023.
27	County of Muskogee Through Muskogee County Ems Top agencies VA (Department of Veterans Affairs)	$2,281,178	0.8%	Rank history: not on the FY2021–FY2022 lists, #26 in FY2023 and not on the FY2025 list; down 1 since FY2023.
28	Acadian Ambulance Service of Texas, LLC Top agencies VA (Department of Veterans Affairs)	$2,118,905	0.7%	Rank history: not on the FY2021–FY2023 lists and #24 in FY2025; new.
29	Med-Care Transportation LLC Top agencies VA (Department of Veterans Affairs)	$2,024,047	0.7%	Rank history: #85 in FY2021, #60 in FY2022, #64 in FY2023 and not on the FY2025 list; up 35 since FY2023.
30	Emergency Physicians Medical Group P.C. Through Professional Medical Transport, Inc. Top agencies VA (Department of Veterans Affairs)	$2,000,000	0.7%	Rank history: #64 in FY2021, #84 in FY2022, #29 in FY2023 and not on the FY2025 list; down 1 since FY2023.
31	Miller E.m.s., L.L.C. Top agencies USAF (Department of the Air Force)	$1,949,614	0.7%	Rank history: not on the FY2021–FY2023 lists and #41 in FY2025; new.
32	Legacy Ems Inc. Top agencies USAF (Department of the Air Force)	$1,842,698	0.6%	Rank history: #74 in FY2021, #44 in FY2022, #21 in FY2023 and #21 in FY2025; down 11 since FY2023.
33	Northeast Mobile Health Services Top agencies VA (Department of Veterans Affairs)	$1,831,477	0.6%	Rank history: #41 in FY2021, #42 in FY2022, #51 in FY2023 and not on the FY2025 list; up 18 since FY2023.
34	Metro West Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$1,810,088	0.6%	Rank history: not on the FY2021 list, #54 in FY2022, #73 in FY2023 and #37 in FY2025; up 39 since FY2023.
35	Centerra Group, LLC Top agencies DOS (Department of State)	$1,742,000	0.6%	Rank history: not on the FY2021–FY2023 lists and #51 in FY2025; new.
36	High Angle Rapid Extrication Module Support Team LLC Top agencies USDA (Department of Agriculture)	$1,680,844	0.6%	Rank history: not on the FY2021–FY2022 lists, #98 in FY2023 and not on the FY2025 list; up 62 since FY2023.
37	Bay Medic Transportation Inc. Top agencies VA (Department of Veterans Affairs)	$1,613,455	0.6%	Rank history: #19 in FY2021, #53 in FY2022, #48 in FY2023 and #25 in FY2025; up 11 since FY2023.
38	Able Ambulance Inc Top agencies VA (Department of Veterans Affairs)	$1,565,866	0.5%	Rank history: not on the FY2021–FY2023 lists and #30 in FY2025; new.
39	Emergycare Inc. Top agencies VA (Department of Veterans Affairs)	$1,481,999	0.5%	Rank history: #78 in FY2021, #26 in FY2022, #24 in FY2023 and #46 in FY2025; down 15 since FY2023.
40	K & W Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$1,448,366	0.5%	Rank history: #57 in FY2021, #49 in FY2022, #36 in FY2023 and #50 in FY2025; down 4 since FY2023.
41	Cascade Medical Transport of Oregon, LLC Top agencies USDA (Department of Agriculture)	$1,434,497	0.5%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
42	Portsmouth Medic Transport LLC Top agencies VA (Department of Veterans Affairs)	$1,411,275	0.5%	Rank history: #31 in FY2021, #32 in FY2022, #43 in FY2023 and #66 in FY2025; up 1 since FY2023.
43	L-J-L Trucking, Inc. Top agencies VA (Department of Veterans Affairs)	$1,368,221	0.5%	Rank history: #50 in FY2021, #50 in FY2022, #38 in FY2023 and #69 in FY2025; down 5 since FY2023.
44	American Medical Response of Connecticut, Inc. Top agencies VA (Department of Veterans Affairs)	$1,334,611	0.5%	Rank history: not on the FY2021–FY2023 lists and #58 in FY2025; new.
45	Freestate Transportation LLC Top agencies VA (Department of Veterans Affairs)	$1,320,951	0.5%	Rank history: not on the FY2021 list, #89 in FY2022, not on the FY2023 list and not on the FY2025 list; up 123 since FY2023.
46	Bradsher, James E Top agencies VA (Department of Veterans Affairs)	$1,237,727	0.4%	Rank history: #13 in FY2021, #12 in FY2022, #20 in FY2023 and #7 in FY2025; down 26 since FY2023.
47	Medstar Ambulance, Inc. 2 awardees Top agencies USAF (Department of the Air Force) DOJ (Department of Justice)	$1,177,455	0.4%	Rank history: #45 in FY2021, #40 in FY2022, #56 in FY2023 and #62 in FY2025; up 9 since FY2023.
48	Hawaii Life Flight LLC Top agencies VA (Department of Veterans Affairs)	$1,170,000	0.4%	Rank history: not on the FY2021–FY2023 lists and #6 in FY2025; new.
49	Aprea Group LLC Top agencies VA (Department of Veterans Affairs)	$1,165,350	0.4%	Rank history: not on the FY2021–FY2023 lists and #26 in FY2025; new.
50	HVM Associates LLC Top agencies VA (Department of Veterans Affairs)	$1,164,838	0.4%	Rank history: #37 in FY2021, #19 in FY2022, #16 in FY2023 and #49 in FY2025; down 34 since FY2023.
51	Caribe Medical Supply Inc. Top agencies Army (Department of the Army) VA (Department of Veterans Affairs) DODEA (Department of Defense Education Activity)	$1,160,142	0.4%	Rank history: #44 in FY2021, #47 in FY2022, #70 in FY2023 and #67 in FY2025; up 19 since FY2023.
52	Lifestar Response Corporation 2 awardees, including RG Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$1,158,654	0.4%	Rank history: #53 in FY2021, #66 in FY2022, #61 in FY2023 and #53 in FY2025; up 9 since FY2023.
53	Acadian Ambulance Service of Tennessee, LLC Top agencies VA (Department of Veterans Affairs)	$1,155,447	0.4%	Rank history: not on the FY2021–FY2023 lists and #40 in FY2025; new.
54	Air Ems Inc. Top agencies VA (Department of Veterans Affairs)	$1,143,592	0.4%	Rank history: #70 in FY2021, #95 in FY2022, #96 in FY2023 and #43 in FY2025; up 42 since FY2023.
55	Adventure Medics LLC Top agencies USDA (Department of Agriculture)	$1,106,928	0.4%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 78 since FY2023.
56	North Memorial Health Care Top agencies VA (Department of Veterans Affairs)	$1,087,123	0.4%	Rank history: #76 in FY2021, #61 in FY2022, #53 in FY2023 and not on the FY2025 list; down 3 since FY2023.
57	Washington County - Johnson City Emergency Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$1,054,188	0.4%	Rank history: #29 in FY2021, #30 in FY2022, #17 in FY2023 and #55 in FY2025; down 40 since FY2023.
58	Trans-Med Ambulance Inc. Top agencies VA (Department of Veterans Affairs)	$1,037,288	0.4%	Rank history: #51 in FY2021, #55 in FY2022, #67 in FY2023 and #76 in FY2025; up 9 since FY2023.
59	Alert Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$1,027,697	0.4%	Rank history: not on the FY2021–FY2023 lists and #11 in FY2025; new.
60	Integrity Care Ems Inc. Top agencies VA (Department of Veterans Affairs)	$1,020,642	0.4%	Rank history: #92 in FY2021, #77 in FY2022, #60 in FY2023 and not on the FY2025 list; unchanged since FY2023.
61	Sacred Mountain Medical Service, Inc. Top agencies HHS (Department of Health and Human Services)	$1,020,000	0.4%	Rank history: not on the FY2021 list, #51 in FY2022, #66 in FY2023 and not on the FY2025 list; up 5 since FY2023.
62	Emergency Response Logistics, LLC Top agencies USDA (Department of Agriculture)	$980,790	0.3%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 58 since FY2023.
63	SW General Inc Top agencies VA (Department of Veterans Affairs)	$977,491	0.3%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
64	Bay Cities Ambulance Top agencies VA (Department of Veterans Affairs)	$975,606	0.3%	Rank history: #46 in FY2021, #43 in FY2022, #49 in FY2023 and not on the FY2025 list; down 15 since FY2023.
65	TLCM LLC Top agencies VA (Department of Veterans Affairs)	$937,147	0.3%	Rank history: not on the FY2021–FY2023 lists and #96 in FY2025; up 47 since FY2023.
66	Jan-Care Ambulance Service Tri-State Division Inc. Top agencies VA (Department of Veterans Affairs)	$931,018	0.3%	Rank history: not on the FY2021–FY2022 lists, #44 in FY2023 and not on the FY2025 list; down 22 since FY2023.
67	Minuteman Ems LLC Top agencies USDA (Department of Agriculture)	$924,858	0.3%	Rank history: not on the FY2021–FY2023 lists and #93 in FY2025; new.
68	Butler County Ems LLC Top agencies VA (Department of Veterans Affairs)	$918,475	0.3%	Rank history: #61 in FY2021, #58 in FY2022, #74 in FY2023 and #59 in FY2025; up 6 since FY2023.
69	Bernalillo County Health Care Corp Top agencies USAF (Department of the Air Force)	$882,556	0.3%	Rank history: #59 in FY2021, #52 in FY2022, #68 in FY2023 and #71 in FY2025; down 1 since FY2023.
70	Community Pastor Care LLC Top agencies VA (Department of Veterans Affairs)	$876,438	0.3%	Rank history: #93 in FY2021, #86 in FY2022, #100 in FY2023 and #74 in FY2025; up 30 since FY2023.
71	Decker Contracting & Consulting LLC Top agencies USDA (Department of Agriculture)	$872,328	0.3%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
72	Owl Inc. Top agencies VA (Department of Veterans Affairs)	$852,912	0.3%	Rank history: #15 in FY2021, #17 in FY2022, #27 in FY2023 and not on the FY2025 list; down 45 since FY2023.
73	Children's National Medical Center Top agencies DHA (Defense Health Agency)	$810,167	0.3%	Rank history: not on the FY2021 list, #73 in FY2022, #90 in FY2023 and #91 in FY2025; up 17 since FY2023.
74	Asteri Consulting Services LLC Top agencies USAF (Department of the Air Force)	$769,222	0.3%	Rank history: #43 in FY2021, #34 in FY2022, #35 in FY2023 and not on the FY2025 list; down 39 since FY2023.
75	Action Ambulance Service Inc Top agencies DHA (Defense Health Agency)	$750,000	0.3%	Rank history: not on the FY2021–FY2023 lists and #77 in FY2025; new.
76	Campbell County Hospital District Top agencies VA (Department of Veterans Affairs)	$727,127	0.3%	Rank history: not on the FY2021–FY2022 lists, #55 in FY2023 and #80 in FY2025; down 21 since FY2023.
77	Pioneer Ambulance Service LLC Top agencies VA (Department of Veterans Affairs)	$707,995	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
78	Mobile Medical Response, Inc. Top agencies VA (Department of Veterans Affairs)	$689,880	0.2%	Rank history: #84 in FY2021, #80 in FY2022, #76 in FY2023 and #84 in FY2025; down 2 since FY2023.
79	Medstar, Inc. Top agencies VA (Department of Veterans Affairs)	$686,013	0.2%	Rank history: #65 in FY2021, #63 in FY2022, #59 in FY2023 and #78 in FY2025; down 20 since FY2023.
80	Huron Valley Ambulance Inc. Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$671,915	0.2%	Rank history: not on the FY2021 list, #48 in FY2022, #87 in FY2023 and #54 in FY2025; up 7 since FY2023.
81	Ameripro Ems of Kentucky LLC Top agencies VA (Department of Veterans Affairs) DOJ (Department of Justice)	$638,515	0.2%	Rank history: not on the FY2021–FY2023 lists and #63 in FY2025; up 67 since FY2023.
82	All-Terrain Rescue LLC Top agencies USDA (Department of Agriculture)	$612,272	0.2%	Rank history: not on the FY2021–FY2023 lists and #89 in FY2025; new.
83	Mayo Clinic Ambulance Top agencies VA (Department of Veterans Affairs)	$604,373	0.2%	Rank history: not on the FY2021–FY2023 lists and #42 in FY2025; new.
84	K.w.p.h. Enterprises Top agencies VA (Department of Veterans Affairs)	$596,964	0.2%	Rank history: #55 in FY2021, #74 in FY2022, #82 in FY2023 and #100 in FY2025; down 2 since FY2023.
85	Atlantic / Palm Beach Ambulance Inc. Top agencies VA (Department of Veterans Affairs)	$568,112	0.2%	Rank history: not on the FY2021–FY2023 lists and #94 in FY2025; new.
86	Cabell County Emergency Services Top agencies VA (Department of Veterans Affairs)	$563,520	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
87	Brewster Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$557,520	0.2%	Rank history: #6 in FY2021, #14 in FY2022, #22 in FY2023 and #70 in FY2025; down 65 since FY2023.
88	Nolen Independent Management LLC Top agencies USDA (Department of Agriculture)	$555,341	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
89	Spearhead Medics LLC Top agencies USDA (Department of Agriculture)	$551,326	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
90	CLV Enterprises, Inc. Top agencies USAF (Department of the Air Force)	$551,117	0.2%	Rank history: #40 in FY2021, #41 in FY2022, #45 in FY2023 and not on the FY2025 list; down 45 since FY2023.
91	Superior Ambulance Service, Inc. Top agencies VA (Department of Veterans Affairs)	$550,076	0.2%	Rank history: #79 in FY2021, not on the FY2022 list, #95 in FY2023 and #79 in FY2025; up 4 since FY2023.
92	AC Global Air Ambulance, LLC Top agencies VA (Department of Veterans Affairs)	$534,503	0.2%	Rank history: #83 in FY2021, #65 in FY2022, not on the FY2023 list and not on the FY2025 list; returned.
93	Pafford Medical Services, Inc. Top agencies VA (Department of Veterans Affairs)	$518,261	0.2%	Rank history: not on the FY2021–FY2023 lists and #35 in FY2025; up 31 since FY2023.
94	Guardian Elite Medical Services LLC. Top agencies VA (Department of Veterans Affairs)	$500,000	0.2%	Rank history: not on the FY2021–FY2023 lists and #57 in FY2025; up 78 since FY2023.
95	Portsmouth Emergency Ambulance Service Inc. Top agencies VA (Department of Veterans Affairs)	$496,415	0.2%	Rank history: #58 in FY2021, #78 in FY2022, #65 in FY2023 and #47 in FY2025; down 30 since FY2023.
96	American Medical Response of Cochise County LLC Top agencies VA (Department of Veterans Affairs)	$476,697	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 8 since FY2023.
97	Paramedics Unlimited, LLC Top agencies USDA (Department of Agriculture)	$472,615	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
98	Coastal Health Systems of Brevard, Inc. Top agencies VA (Department of Veterans Affairs)	$451,704	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; up 17 since FY2023.
99	Black Flag Response LLC Top agencies USDA (Department of Agriculture)	$444,652	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
100	Event Medical Solutions Unlimited, LLC Top agencies USDA (Department of Agriculture)	$442,158	0.2%	Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.

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100 of 229 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 $290 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. 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 2024 ran Oct 1, 2023 – Sep 30, 2024. 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 FY2023. "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 FY2023 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 V225 contractors in FY2024?

1. Excelsior Ambulance Service Inc. ($16.2M), 2. American Medical Response Inc. ($14.5M), 3. Reliance Medical Transport, LLC ($11.8M), 4. Journey Via Gurney, LLC ($11.7M), 5. Navarre Corp ($10.5M), 6. Acadian Ambulance Service Inc. ($8.23M), 7. Jan-Care Ambulance of North Central W.va., Inc. ($7.45M), 8. First Care Ohio LLC ($7.32M), 9. Wander Staffing LLC ($6.82M), 10. Medshore Ambulance Service, Inc. ($6.55M).

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