| 1 | QUEST DIAGNOSTICS INCORPORATED | $252,223,108 | 146 | $1,727,556 | Jul 01, 2026 | Department of Veterans Af… |
| 2 | LABORATORY CORPORATION OF AMERICA | $222,493,306 | 146 | $1,523,927 | Sep 30, 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 | THE HENRY M. JACKSON FOUNDATION FOR THE ADV… | $37,784,099 | 1 | $37,784,099 | Jun 08, 2018 | Department of Defense |
| 6 | PEMBROOKE OCCUPATIONAL HEALTH, INC. | $33,095,570 | 2 | $16,547,785 | May 15, 2025 | Department of Defense |
| 7 | CENTER FOR DISEASE DETECTION, LLC | $26,034,062 | 7 | $3,719,152 | Dec 18, 2025 | Department of Defense |
| 8 | ARUP LABORATORIES INC | $25,940,697 | 19 | $1,365,300 | May 15, 2026 | Department of Veterans Af… |
| 9 | MCI DIAGNOSTIC CENTER LLC | $22,735,589 | 2 | $11,367,795 | Sep 13, 2023 | Department of Labor |
| 10 | TEMPUS AI, INC | $19,232,833 | 3 | $6,410,944 | Jan 28, 2026 | Department of Veterans Af… |
| 11 | COLLEGE OF AMERICAN PATHOLOGISTS | $18,440,470 | 1 | $18,440,470 | Jan 03, 2025 | Department of Veterans Af… |
| 12 | OREGON HEALTH & SCIENCE UNIVERSITY | $17,518,054 | 8 | $2,189,757 | Jul 01, 2026 | Department of Veterans Af… |
