| 1 | OPTUM PUBLIC SECTOR SOLUTIONS, INC. | $2,010,648,858 | 3 | $670,216,286 | Dec 01, 2025 | Department of Veterans Af… |
| 2 | TRIWEST HEALTHCARE ALLIANCE CORP | $1,834,643,977 | 4 | $458,660,994 | May 01, 2026 | Department of Veterans Af… |
| 3 | NOVITAS SOLUTIONS, INC. | $1,466,641,191 | 3 | $488,880,397 | Jul 01, 2026 | Department of Health and … |
| 4 | NATIONAL GOVERNMENT SERVICES, INC. | $950,856,645 | 2 | $475,428,322 | Jan 01, 2022 | Department of Health and … |
| 5 | CGS ADMINISTRATORS, LLC | $867,803,464 | 4 | $216,950,866 | Jan 01, 2024 | Department of Health and … |
| 6 | PALMETTO GBA, LLC | $778,177,512 | 2 | $389,088,756 | Sep 01, 2024 | Department of Health and … |
| 7 | NORIDIAN HEALTHCARE SOLUTIONS, LLC | $749,780,349 | 4 | $187,445,087 | Sep 01, 2025 | Department of Health and … |
| 8 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. | $712,141,492 | 2 | $356,070,746 | Sep 30, 2019 | Department of Health and … |
| 9 | FIRST COAST SERVICE OPTIONS, INC. | $322,170,150 | 1 | $322,170,150 | May 01, 2022 | Department of Health and … |
| 10 | TORRENT TECHNOLOGIES, INC. | $135,063,467 | 2 | $67,531,733 | Sep 30, 2022 | Department of Homeland Se… |
| 11 | SIGNATURE CHOICE II, LLC | $121,773,042 | 1 | $121,773,042 | May 08, 2025 | Department of Veterans Af… |
| 12 | ALLIANT INSURANCE SERVICES, INC. | $98,990,841 | 4 | $24,747,710 | Jul 01, 2024 | Department of Homeland Se… |
