| 1 | THE REGENTS OF THE UNIVERSITY OF CALIFORNIA | $18,009,881,071 | 1 | $18,009,881,071 | Oct 27, 1999 | Department of Energy |
| 2 | THE TRUSTEES OF PRINCETON UNIVERSITY | $2,201,533,469 | 1 | $2,201,533,469 | Jan 31, 2009 | Department of Energy |
| 3 | CALIFORNIA INSTITUTE OF TECHNOLOGY | $139,386,816 | 1 | $139,386,816 | Feb 29, 2008 | National Aeronautics and … |
| 4 | MASSACHUSETTS INSTITUTE OF TECHNOLOGY | $128,169,162 | 7 | $18,309,880 | Mar 31, 2026 | National Aeronautics and … |
| 5 | VANDERBILT UNIVERSITY MEDICAL CENTER | $51,418,398 | 18 | $2,856,578 | Aug 19, 2026 | Department of Veterans Af… |
| 6 | OBSIDIAN SOLUTIONS GROUP LLC | $33,843,703 | 6 | $5,640,617 | Mar 24, 2021 | Department of Defense |
| 7 | UNIVERSITY OF MARYLAND EMERGENCY MEDICINE A… | $33,172,987 | 4 | $8,293,247 | Jun 01, 2025 | Department of Veterans Af… |
| 8 | UNIVERSITY OF MARYLAND, COLLEGE PARK | $32,620,343 | 13 | $2,509,257 | Jun 29, 2024 | Department of Defense |
| 9 | CUBRC, INC. | $32,322,525 | 5 | $6,464,505 | Sep 23, 2025 | Department of Defense |
| 10 | PRIVATE DIAGNOSTIC CLINIC, PLLC | $31,720,482 | 1 | $31,720,482 | Dec 01, 2020 | Department of Veterans Af… |
| 11 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, … | $29,566,130 | 4 | $7,391,532 | Jul 01, 2026 | Department of Veterans Af… |
| 12 | UNIVERSITY EMERGENCY MEDICAL SERVICES INC | $27,010,929 | 3 | $9,003,643 | Dec 01, 2025 | Department of Veterans Af… |
