| Ameripro Ems Of Kentucky LLC | Louisville | KY | $3.56M |
| Guardian Elite Medical Services LLC. | Las Vegas | NV | $3.53M |
| Medevac Midamerica, Inc. | Topeka | KS | $3.48M |
| Cascade Medical Transport Of Oregon, LLC | Redmond | OR | $3.47M |
| Mobile Medical Response, Inc. | Saginaw | MI | $3.28M |
| Techs Inc. | Holton | KS | $3.26M |
| Ozark Medics, LLC | Springdale | AR | $2.9M |
| Desert Valley Medical Transport Inc. | Victorville | CA | $2.89M |
| Butler Ambulance Service Co. | Butler | PA | $2.86M |
| Tri County Ambulance Service Inc. | Wakarusa | IN | $2.82M |
| Integrity Care Ems Inc. | Iron Mountain | MI | $2.77M |
| Mobile Medic Ambulance Service Inc. | Gulfport | MS | $2.75M |
| Medstar Ambulance Inc. | Leominster | MA | $2.63M |
| River Medical Incorporated | Lake Havasu City | AZ | $2.58M |
| Superior Ambulance Service, Inc. | Albuquerque | NM | $2.55M |
| Chesapeake Medical Transport Services, L.L.C. | Waldorf | MD | $2.44M |
| Technical Medical LLC | Reno | NV | $2.43M |
| American Medical Response Of Colorado, Inc. | Lewisville | TX | $2.39M |
| VMSC Emergency Medical Services | Lansdale | PA | $2.31M |
| Mile High Ambulance, LLC | Englewood | CO | $2.3M |
| Metropolitan Area Ems Authority | Fort Worth | TX | $2.29M |
| Regional Emergency Medical Services Authority | Reno | NV | $2.26M |
| Atlantic/palm Beach Ambulance Inc. | Lake Worth | FL | $2.23M |
| Freedom-elite Joint Venture | Shorewood | IL | $2.17M |
| Air Evac Ems, Inc. | O Fallon | MO | $2.17M |
| Yellow Tarp Ems LLC | Clermont | FL | $2.1M |
| International Life Support Inc. | Aiea | HI | $2.07M |
| Freestate Transportation LLC | Towson | MD | $2.06M |
| Emergency Medical Support LLC | Peshastin, | WA | $2.02M |
| Symons Emergency Specialties, Inc. | Redlands | CA | $2M |
| Rural/metro Corporation | Mesa | AZ | $1.97M |
| SW General Inc. | Mesa | AZ | $1.93M |
| Action Care Ambulance, Inc. | Centennial | CO | $1.93M |
| Emergency Ambulance Service Inc. | Brea | CA | $1.92M |
| Mercy Flights, Inc. | Medford | OR | $1.88M |
| Injury Care Emergency Medical Services PC | Boise | ID | $1.86M |
| Sacred Mountain Medical Service, Inc. | Tuba City | AZ | $1.84M |
| Ac Global Air Ambulance, LLC | Henderson | NV | $1.83M |
| American Medical Response Northwest, Inc. | Portland | OR | $1.76M |
| Stat Ems LLC | Pineville | WV | $1.73M |
| Physicians Ambulance Service Of Indiana, LLC | Anderson | IN | $1.71M |
| American Medical Response Mid-atlantic, Inc. | Washington | DC | $1.7M |
| Medway Air Ambulance, LLC | Lawrenceville | GA | $1.68M |
| Lifeguard Ambulance Service LLC | Birmingham | AL | $1.67M |
| Priority Patient Transport Inc. | Staunton | VA | $1.66M |
| Spear Spur Fire Support, LLC | Salt Lake City | UT | $1.59M |
| Wellspring LLC | Troy | ID | $1.58M |
| Around The Clock Transportation Corporation | Merrillville | IN | $1.58M |
| Royal Ambulance Inc. | San Leandro | CA | $1.51M |
| American Medical Response Of New York, LLC | Bay Shore | NY | $1.48M |
| Emergency Response Fire Medical, LLC | Inman | SC | $1.47M |
| Ambulance Services Of Forrest City LLC | Forrest City | AR | $1.47M |
| Rocky Mountain Holdings, L.L.C. | Greenwood Village | CO | $1.42M |
| Mercury Ambulance Service, Inc. | Louisville | KY | $1.28M |
| Coastal Health Systems Of Brevard, Inc. | Rockledge | FL | $1.24M |
| Manteca District Volunteer Ambulance Service | Manteca | CA | $1.2M |
| Freedom-elite II Joint Venture | Shorewood | IL | $1.16M |
| Mccreary, County Of | Whitley City | KY | $1.14M |
| Timberline Medical Services LLC | Bend | OR | $1.13M |
| American Medical Response Of Cochise County LLC | Sierra Vista | AZ | $1.12M |
| Curtis-universal, Inc. | Milwaukee | WI | $1.11M |
| Rapid Ems LLC | Muncie | IN | $1.1M |
| Jet Response LLC | Lemoyne | PA | $1.09M |
| M C T Express, Inc. | Miami | FL | $1.09M |
| Lasalle Ambulance Inc. | Buffalo | NY | $1.07M |
| Ambulnz Ny 2 LLC | Newburgh | NY | $1.07M |
| Pioneer Ambulance Service LLC | Omaha | NE | $1.06M |
| Airmed Response LLC | Birmingham | AL | $1.05M |
| Warrior Run Area Ambulance | Watsontown | PA | $1.02M |
| Keystone Medical Staffing LLC | Mountain Home | ID | $1M |
| Canandaigua Emergency Squad, Inc. | Canandaigua | NY | $991K |
| Ambulnz Holdings, LLC | New York | NY | $973K |
| Access Rescue Group LLC | Casper | WY | $973K |
| Rapid Emergency Management, LLC | Indianapolis | IN | $933K |
| American Medical Response Ambulance Service, Inc. | Alamogordo | NM | $917K |
| Lifeline Ambulance, Inc. | East Wenatchee | WA | $914K |
| Sierra Medical Services Alliance | Reno | NV | $913K |
| Ascent Medical Transport, LLC | Boise | ID | $890K |
| Lifecare Ambulance LLC | Memphis | TN | $839K |
| Rogue Rescue Services LLC | Central Point | OR | $787K |
| Firstmed Ambulance Services, Inc. | Panorama City | CA | $779K |
| Jan-care Ambulance Of The Kanawha & Mid-ohio Valleys Inc. | Beckley | WV | $725K |
| Wheres The Fire Medical Services LLC | Waddell | AZ | $710K |
| Med-star Paramedic Ambulance, Inc. | Brandon | SD | $703K |
| Minquas Fire Co. | Downingtown | PA | $633K |
| Vitalogy Ems LLC | Kalispell | MT | $596K |
| Medical Jets International, LLC | Forney | TX | $572K |
| Brevard County | Rockledge | FL | $548K |
| Optimumedicine LLC | Las Vegas | NV | $516K |
| Hh Health System - Emergency Medical Services LLC | Huntsville | AL | $491K |
| North Fork Medics LLC | Lewiston | ID | $474K |
| Peoria Hospitals Mobile Medical Services | West Peoria | IL | $474K |
| Best Care Ambulance, LLC | Windsor Mill | MD | $469K |
| Falck Mobile Health Corp. | Orange | CA | $443K |
| Frontier Wildland Resources LLC | Conroe | TX | $435K |
| Worldwide Aircraft Services Inc. | Tampa | FL | $411K |
| Reva, Inc. | Fort Lauderdale | FL | $396K |
| Red Desert Rescue Group LLC | Washington | UT | $385K |
| Jan-care Ambulance Of Mcdowell County, Inc. | Beckley | WV | $384K |
| Pafford Ems Of Oklahoma Inc. | Claremore | OK | $371K |