| 1 | OHIO KEPRO, LLC | $650,572,503 | 3 | $216,857,501 | May 01, 2019 | Department of Health and … |
| 2 | LIVANTA LLC | $641,134,566 | 2 | $320,567,283 | Feb 12, 2021 | Department of Health and … |
| 3 | PAE GOVERNMENT SERVICES, INC. | $620,573,693 | 15 | $41,371,580 | Aug 26, 2024 | Department of State |
| 4 | THE MITRE CORPORATION | $309,004,507 | 98 | $3,153,107 | Sep 09, 2026 | Department of the Treasury |
| 5 | COMAGINE HEALTH | $210,257,548 | 17 | $12,368,091 | May 01, 2026 | Department of Health and … |
| 6 | HEALTH SERVICES ADVISORY GROUP, INC. | $135,365,349 | 10 | $13,536,535 | May 28, 2025 | Department of Health and … |
| 7 | HEALTH QUALITY INNOVATORS | $128,797,703 | 3 | $42,932,568 | May 01, 2025 | Department of Health and … |
| 8 | ISLAND PEER REVIEW ORGANIZATION INC | $119,278,324 | 9 | $13,253,147 | May 01, 2026 | Department of Health and … |
| 9 | SUPERIOR HEALTH QUALITY ALLIANCE INC | $106,770,188 | 3 | $35,590,063 | May 01, 2025 | Department of Health and … |
| 10 | ALLIANT HEALTH SOLUTIONS, INC. | $104,897,580 | 5 | $20,979,516 | Aug 03, 2026 | Department of Health and … |
| 11 | NATIONAL COLLEGIATE INVENTORS & INNOVATORS … | $93,969,923 | 12 | $7,830,827 | Aug 24, 2026 | Department of Health and … |
| 12 | CHEROKEE NATION MISSION SOLUTIONS, L.L.C. | $89,979,212 | 1 | $89,979,212 | Sep 30, 2016 | Department of State |