| 1 | AMERICAN MEDICAL RESPONSE, INC. | $218,587,775 | 22 | $9,935,808 | Nov 01, 2025 | Department of Homeland Se… |
| 2 | EXCELSIOR AMBULANCE SERVICE INC | $98,310,712 | 22 | $4,468,669 | Mar 01, 2027 | Department of Veterans Af… |
| 3 | RELIANCE MEDICAL TRANSPORT, LLC | $51,717,538 | 16 | $3,232,346 | Oct 01, 2026 | Department of Veterans Af… |
| 4 | MEDSHORE AMBULANCE SERVICE, INC. | $35,851,376 | 5 | $7,170,275 | Jun 22, 2026 | Department of Veterans Af… |
| 5 | ACADIAN AMBULANCE SERVICE INC | $31,774,380 | 18 | $1,765,243 | Oct 15, 2026 | Department of Veterans Af… |
| 6 | JOURNEY VIA GURNEY, LLC | $30,287,981 | 13 | $2,329,845 | Oct 01, 2026 | Department of Veterans Af… |
| 7 | MEDEX MEDICAL TRANSPORT SERVICE INC | $25,820,252 | 11 | $2,347,296 | Aug 22, 2026 | Department of Veterans Af… |
| 8 | ACADIAN AMBULANCE SERVICE OF TEXAS, LLC | $22,690,346 | 4 | $5,672,587 | Jul 02, 2026 | Department of Veterans Af… |
| 9 | ALERT AMBULANCE SERVICE, INC. | $22,312,925 | 9 | $2,479,214 | Jul 01, 2026 | Department of Veterans Af… |
| 10 | WANDER STAFFING LLC | $21,044,583 | 1 | $21,044,583 | Apr 01, 2024 | Department of Defense |
| 11 | FIRST CARE OHIO LLC | $20,369,484 | 8 | $2,546,186 | Jul 01, 2026 | Department of Veterans Af… |
| 12 | UNITED MEDEVAC SOLUTIONS, INC. | $20,244,386 | 6 | $3,374,064 | Sep 30, 2026 | Department of Defense |
