| 1 | EXCELSIOR AMBULANCE SERVICE INC | $38,657,540 | 8 | $4,832,192 | Sep 01, 2026 | Department of Veterans Af… |
| 2 | WANDER STAFFING LLC | $21,044,583 | 1 | $21,044,583 | Apr 01, 2024 | Department of Defense |
| 3 | RELIANCE MEDICAL TRANSPORT, LLC | $18,575,321 | 3 | $6,191,774 | Jun 01, 2026 | Department of Veterans Af… |
| 4 | JOURNEY VIA GURNEY, LLC | $14,204,497 | 4 | $3,551,124 | Jun 15, 2026 | Department of Veterans Af… |
| 5 | ACADIAN AMBULANCE SERVICE OF TEXAS, LLC | $11,722,780 | 2 | $5,861,390 | Jul 02, 2026 | Department of Veterans Af… |
| 6 | LEGACY EMS INC | $11,514,611 | 2 | $5,757,306 | Jun 30, 2023 | Department of Defense |
| 7 | REACH AIR MEDICAL SERVICES, LLC | $9,914,262 | 1 | $9,914,262 | Dec 15, 2024 | Department of Defense |
| 8 | FIRST CARE OHIO LLC | $9,358,160 | 3 | $3,119,387 | Jul 01, 2026 | Department of Veterans Af… |
| 9 | CENTERRA GROUP, LLC | $9,195,710 | 1 | $9,195,710 | Mar 04, 2019 | Department of State |
| 10 | ALERT AMBULANCE SERVICE, INC. | $7,449,707 | 3 | $2,483,236 | Jul 01, 2026 | Department of Veterans Af… |
| 11 | MEDEX MEDICAL TRANSPORT SERVICE INC | $7,258,660 | 3 | $2,419,553 | Aug 22, 2026 | Department of Veterans Af… |
| 12 | MEDSHORE AMBULANCE SERVICE, INC. | $5,852,668 | 1 | $5,852,668 | Jun 22, 2026 | Department of Veterans Af… |
