| 1 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | $703,807,104 | 10 | $70,380,710 | Apr 01, 2026 | Department of Veterans Af… |
| 2 | TRIWEST HEALTHCARE ALLIANCE CORP | $515,240,887 | 19 | $27,117,941 | Jul 01, 2026 | Department of Veterans Af… |
| 3 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. | $310,717,091 | 3 | $103,572,364 | Jun 30, 2021 | Department of Defense |
| 4 | SIGNATURE CHOICE II, LLC | $303,051,517 | 3 | $101,017,172 | Sep 30, 2025 | Department of Veterans Af… |
| 5 | INTERNATIONAL SOS GOVERNMENT SERVICES LLC | $211,812,481 | 2 | $105,906,241 | Sep 01, 2020 | Department of Defense |
| 6 | OPTUMSERVE TECHNOLOGY SERVICES, INC. | $200,777,405 | 2 | $100,388,703 | Apr 17, 2021 | Department of Health and … |
| 7 | TORRENT TECHNOLOGIES, INC. | $189,258,440 | 5 | $37,851,688 | Sep 30, 2022 | Department of Homeland Se… |
| 8 | OST INC | $162,693,622 | 2 | $81,346,811 | Jun 01, 2015 | Department of Homeland Se… |
| 9 | TAURUS, LLC | $53,936,600 | 3 | $17,978,867 | Apr 07, 2026 | Department of Homeland Se… |
| 10 | ARDENT GROUP, LLC | $44,883,561 | 2 | $22,441,780 | May 15, 2026 | Department of Homeland Se… |
| 11 | HEALTHEQUITY, INC. | $43,713,465 | 14 | $3,122,390 | Jan 01, 2026 | Department of Homeland Se… |
| 12 | INTERNATIONAL MEDICAL GROUP INC | $41,656,859 | 5 | $8,331,372 | Sep 30, 2025 | Department of the Treasury |
