| 1 | AMERICAN MEDICAL RESPONSE, INC. | $200,472,947 | 15 | $13,364,863 | Nov 01, 2025 | Department of Homeland Se… |
| 2 | EXCELSIOR AMBULANCE SERVICE INC | $67,111,463 | 15 | $4,474,098 | Sep 01, 2026 | Department of Veterans Af… |
| 3 | RELIANCE MEDICAL TRANSPORT, LLC | $34,860,647 | 10 | $3,486,065 | Jun 01, 2026 | Department of Veterans Af… |
| 4 | JOURNEY VIA GURNEY, LLC | $26,472,740 | 12 | $2,206,062 | Jun 15, 2026 | Department of Veterans Af… |
| 5 | MEDSHORE AMBULANCE SERVICE, INC. | $23,049,069 | 3 | $7,683,023 | Jun 22, 2026 | Department of Veterans Af… |
| 6 | ACADIAN AMBULANCE SERVICE OF TEXAS, LLC | $22,690,346 | 4 | $5,672,587 | Jul 02, 2026 | Department of Veterans Af… |
| 7 | ALERT AMBULANCE SERVICE, INC. | $21,727,658 | 8 | $2,715,957 | Jul 01, 2026 | Department of Veterans Af… |
| 8 | WANDER STAFFING LLC | $21,044,583 | 1 | $21,044,583 | Apr 01, 2024 | Department of Defense |
| 9 | MEDEX MEDICAL TRANSPORT SERVICE INC | $17,314,490 | 7 | $2,473,499 | Aug 22, 2026 | Department of Veterans Af… |
| 10 | FIRST CARE OHIO LLC | $15,483,116 | 5 | $3,096,623 | Jul 01, 2026 | Department of Veterans Af… |
| 11 | JAN-CARE AMBULANCE OF NORTH CENTRAL W.VA., … | $14,033,389 | 7 | $2,004,770 | Oct 01, 2024 | Department of Veterans Af… |
| 12 | UNITED MEDEVAC SOLUTIONS, INC. | $14,029,273 | 4 | $3,507,318 | Sep 30, 2026 | Department of Veterans Af… |