| 1 | PALMETTO GBA, LLC | $209,479,591 | 2 | $104,739,796 | Apr 01, 2023 | Railroad Retirement Board |
| 2 | PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF | $39,890,008 | 8 | $4,986,251 | Sep 30, 2026 | Department of Health and … |
| 3 | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI | $28,236,624 | 1 | $28,236,624 | Sep 29, 2022 | Department of Health and … |
| 4 | NEW YORK CITY HEALTH AND HOSPITALS CORPORAT… | $25,295,846 | 1 | $25,295,846 | Sep 29, 2022 | Department of Health and … |
| 5 | CITY OF NEW YORK FIRE DEPARTMENT | $22,250,641 | 1 | $22,250,641 | Sep 29, 2022 | Department of Health and … |
| 6 | ACCESS TO HEALTH ZAMBIA | $17,041,009 | 1 | $17,041,009 | Oct 01, 2022 | Agency For International … |
| 7 | TEXAS STATE UNIVERSITY | $14,864,837 | 4 | $3,716,209 | May 30, 2026 | Department of Health and … |
| 8 | GREEN LABEL SERVICES LIMITED | $12,604,419 | 1 | $12,604,419 | Oct 03, 2022 | Agency For International … |
| 9 | MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SER… | $10,660,400 | 3 | $3,553,467 | May 30, 2026 | Department of Health and … |
| 10 | NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN… | $10,220,033 | 6 | $1,703,339 | Sep 27, 2025 | Department of Health and … |
| 11 | COLORADO DEPARTMENT OF PUBLIC HEALTH & ENVI… | $9,416,484 | 6 | $1,569,414 | Jul 10, 2026 | Department of Health and … |
| 12 | ILLINOIS DEPARTMENT OF HUMAN SERVICE | $8,961,069 | 3 | $2,987,023 | May 30, 2026 | Department of Health and … |
