| 1 | QUEST DIAGNOSTICS INCORPORATED | $251,152,627 | 144 | $1,744,115 | Jul 01, 2026 | Department of Veterans Af… |
| 2 | LABORATORY CORPORATION OF AMERICA | $217,707,528 | 133 | $1,636,899 | Sep 29, 2026 | Department of Veterans Af… |
| 3 | FOUNDATION MEDICINE, INC. | $67,956,137 | 3 | $22,652,046 | Sep 13, 2025 | Department of Veterans Af… |
| 4 | SNA INTERNATIONAL LLC | $63,448,103 | 1 | $63,448,103 | May 23, 2022 | Department of Defense |
| 5 | VETMED GROUP LLC | $48,851,674 | 36 | $1,356,991 | Sep 01, 2026 | Department of Veterans Af… |
| 6 | ANSIBLE GOVERNMENT SOLUTIONS LLC | $37,997,049 | 1 | $37,997,049 | Sep 15, 2023 | Department of Veterans Af… |
| 7 | THE HENRY M. JACKSON FOUNDATION FOR THE ADV… | $37,784,099 | 1 | $37,784,099 | Jun 08, 2018 | Department of Defense |
| 8 | PEMBROOKE OCCUPATIONAL HEALTH, INC. | $33,095,570 | 2 | $16,547,785 | May 15, 2025 | Department of Defense |
| 9 | VALOR NETWORK, INC. | $32,848,278 | 23 | $1,428,186 | Jan 31, 2026 | Department of Defense |
| 10 | CENTER FOR DISEASE DETECTION, LLC | $26,034,062 | 7 | $3,719,152 | Dec 18, 2025 | Department of Defense |
| 11 | ARUP LABORATORIES INC | $25,588,914 | 18 | $1,421,606 | May 15, 2026 | Department of Veterans Af… |
| 12 | MCI DIAGNOSTIC CENTER LLC | $22,735,589 | 2 | $11,367,795 | Sep 13, 2023 | Department of Labor |
