Who is the Department of Health and Human Services's biggest contractor in FY2021?

California Department of Health Care Services, with $80.6B obligated in FY2021. Second is NYS Department of Health at $46.4B.

Where does this ranking come from?

It is computed from USASpending.gov award records, which are U.S. government works and in the public domain. Each figure is the total the Department of Health and Human Services obligated to that recipient in FY2021. TheFiscalFinder does the ranking; the underlying figures are the government's own.

How many recipients are shown?

The top 100 for FY2021. Each row opens that recipient's own page, where the same money is broken out by year, by counterparty and by place.

Does a high position mean anything is wrong?

No. This is a description of where public money went in FY2021, computed from public records. It is not an allegation about anyone on it.

Rankings

Top contractors of the Department of Health and Human Services: FY2021

FY2021 · complete year · data as of 2026-07-12

≈ computed · agency obligations

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California Department of Health Care Services received more money from the Department of Health and Human Services than any other recipient in FY2021: $80.6B in obligations. Ranked by what the Department of Health and Human Services obligated to each recipient in FY2021, so the list is about this agency's money rather than a contractor's overall size. Combined corporate families count once. Computed

Ranked from USASpending records. FY2020 to FY2026 are loaded. Rank vs FY2020 is each name's change in position from FY2020; a dash means the name was not in FY2020's data.

Quick findings

Computed

The top 10 account for 46% of the $704.8B combined total of all 100 recipients listed.
Elementary & Secondary Education Missouri Department of rose the most, from #443 in FY2020 to #100 in FY2021.
Leidos, Inc. fell the most among those listed, from #56 in FY2020 to #85 in FY2021.

Rank	Name	FY2021	FY2020	Change	Rank vs FY2020
01	California Department of Health Care Services0 awards	$80.6B	$66.8B	+21%	▲ 1
02	NYS Department of Health0 awards	$46.4B	$51B	−9%	▲ 1
03	Health & Human SVC Commn TX0 awards	$37B	$30.9B	+20%	▲ 1
04	UnitedHealth Group0 awards	$30B	$101.4B	−70%	▼ 3
05	PA Department of Human Services0 awards	$29.2B	$26.6B	+10%	same
06	Ohio Department of Job & Family Services0 awards	$25.6B	$21.7B	+18%	same
07	Michigan Department of Health and Human Services0 awards	$19.8B	$17.1B	+16%	▲ 1
08	Florida Agency for Health Care Administration0 awards	$19.5B	$18.8B	+4%	▼ 1
09	North Carolina Department of Health & Human Services0 awards	$19.4B	$13.5B	+44%	▲ 1
10	Illinois Department of Healthcare & Family Services0 awards	$18.1B	$14.5B	+25%	▼ 1
11	Health Services Kentucky Cabinet for0 awards	$15.6B	$10.7B	+46%	▲ 4
12	New Jersey Department of Human Services0 awards	$15.4B	$12.4B	+24%	same
13	Arizona Health Care Cost Containment System0 awards	$14.9B	$12.5B	+19%	▼ 2
14	The Commonwealth of Massachusetts0 awards	$13.7B	$12.1B	+13%	same
15	Lousiana Department of Health0 awards	$12.6B	$9.5B	+32%	▲ 5
16	Indiana Family and Social Serv0 awards	$12.6B	$10.6B	+18%	same
17	Department of Social & Health Services0 awards	$12.3B	$10.1B	+22%	same
18	VA Department of Medical Assistance Service0 awards	$11.1B	$9.8B	+13%	▲ 1
19	Oregon Health Authority-Public Health0 awards	$10.9B	$8.6B	+27%	▲ 4
20	Minnesota Department of Human Services0 awards	$10.7B	$9.8B	+9%	▼ 2
21	Department of Social Services Misso0 awards	$10.1B	$9.3B	+9%	same
22	Maryland Department of Health0 awards	$9.9B	$8.6B	+16%	▲ 2
23	Georgia Department of Community Health0 awards	$9.5B	$9.1B	+5%	▼ 1
24	Finance & Administration Tennessee Depar0 awards	$9.4B	$8.1B	+16%	▲ 1
25	State of Wisconsin Department of Health Services0 awards	$8.4B	$6.9B	+21%	▲ 1
26	State of Colorado - Dept of Health Care Policy & Financing0 awards	$7.1B	$6.7B	+7%	▲ 1
27	Texas Workforce Commission0 awards	$6.6B	$1.2B	+452%	▲ 35
28	Department of Social Services California0 awards	$6.6B	$6.2B	+6%	same
29	Department of Social Services Connecticut0 awards	$6.4B	$6.1B	+5%	same
30	Arkansas Department of Human Services0 awards	$6.3B	$5.7B	+11%	▲ 2
31	New Mexico Health Care Authority0 awards	$6.3B	$5.7B	+10%	▼ 1
32	Department of Health Human Services0 awards	$5.9B	$5.5B	+7%	▲ 1
33	Alabama Medicaid Agency0 awards	$5.8B	$5.5B	+5%	▲ 1
34	Department of Education California0 awards	$5.6B	$1.2B	+362%	▲ 27
35	IA Department of Human Services0 awards	$5.2B	$4.6B	+14%	▲ 1
36	West Virginia Department of Health and Human Resources0 awards	$5.2B	$4.1B	+29%	▲ 1
37	Mississippi Division of Medicaid0 awards	$5B	$5B	−1%	▼ 2
38	Nevada Department of Health & Human Services0 awards	$4.8B	$3.8B	+27%	▲ 1
39	Oklahoma Health Care Authority0 awards	$4.8B	$4B	+18%	▼ 1
40	West Virginia Department of Health and Human Resources0 awards	$4.1B	$3.5B	+17%	▲ 1
41	New York State Office of Temporary & Disability Assistance0 awards	$4B	$3.3B	+24%	▲ 1
42	Florida Department of Education0 awards	$3.7B	$747.2M	+397%	▲ 41
43	Department of State Health Services0 awards	$3.6B	$1.1B	+245%	▲ 23
44	New York Office of Children & Family Services0 awards	$3.6B	$1.5B	+149%	▲ 14
45	Utah Department of Health and Human Services0 awards	$3.6B	$3B	+21%	▼ 1
46	Nevada Department of Human Services0 awards	$3.6B	$3.6B	+1%	▼ 6
47	Kansas Department of Health & Environment0 awards	$3.5B	$2.9B	+20%	▼ 2
48	Idaho Department of Health & Welfare0 awards	$3.3B	$2.5B	+33%	▼ 1
49	Government of District of Columbia0 awards	$3.2B	$2.3B	+41%	▼ 1
50	Maine Department of Health and Human Services0 awards	$3.2B	$2.8B	+14%	▼ 4
51	Nebraska Department of Health & Human Services0 awards	$3.1B	$1.9B	+61%	same
52	Illinois Department of Human Service0 awards	$3B	$1.3B	+143%	▲ 8
53	Florida Department of Health0 awards	$2.9B	$890.4M	+231%	▲ 22
54	Puerto Rico Department of Health0 awards	$2.9B	$3B	−2%	▼ 11
55	Public Health Foundation Enterprises, Inc.0 awards	$2.7B	$572.1M	+374%	▲ 48
56	Department of Human Services Hawaii0 awards	$2.5B	$1.9B	+33%	▼ 2
57	State of Montana Department of Health and Human Services0 awards	$2.4B	$2.1B	+19%	▼ 8
58	Arizona Department of Economic Security0 awards	$2.4B	$1B	+127%	▲ 9
59	Department of Early Care & Learning Georgia0 awards	$2.4B	$478.9M	+393%	▲ 59
60	State of Rhode Island Department of Administration0 awards	$2.2B	$2B	+13%	▼ 10
61	New Hampshire Department of Health & Human Services0 awards	$2.2B	$1.6B	+38%	▼ 6
62	State of Alaska Department of Health0 awards	$2B	$1.9B	+6%	▼ 10
63	Delaware Dept of Health and Social Services0 awards	$1.9B	$1.3B	+44%	▼ 4
64	State of Wisconsin Dept of Children & Families0 awards	$1.8B	$865.1M	+107%	▲ 13
65	Michigan Department of Education0 awards	$1.7B	$358M	+386%	▲ 87
66	Tennessee Department of Human Services0 awards	$1.7B	$539.8M	+212%	▲ 44
67	Human Services Vermont Agency of0 awards	$1.7B	$1.5B	+12%	▼ 10
68	Merck Sharp & Dohme LLC0 awards	$1.6B	$1.9B	−14%	▼ 15
69	Department of Child Services0 awards	$1.6B	$430.4M	+272%	▲ 62
70	Ohio Department of Health0 awards	$1.6B	$472.3M	+234%	▲ 51
71	Department of Human Services Colorado0 awards	$1.5B	$732.3M	+106%	▲ 13
72	Florida Department of Children and Families0 awards	$1.5B	$1.1B	+37%	▼ 7
73	Pennsylvania Department of Health0 awards	$1.5B	$534.8M	+181%	▲ 38
74	Mckesson Specialty Distribution LLC0 awards	$1.5B	$228.4M	+555%	▲ 134
75	State of Georgia Department of Public Health0 awards	$1.5B	$522.9M	+185%	▲ 39
76	California Department of Public Health0 awards	$1.5B	$618.2M	+135%	▲ 19
77	Oklahoma Dept of Human Services0 awards	$1.4B	$660.2M	+116%	▲ 12
78	Department of Human Resources Alabama0 awards	$1.4B	$478.5M	+188%	▲ 41
79	Department of Public Health Illinois0 awards	$1.4B	$513.1M	+168%	▲ 36
80	Rapid Deployment Inc0 awards	$1.3B	—	—	—
81	North Dakota Department of Human Services0 awards	$1.3B	$1.1B	+13%	▼ 17
82	Health Research, Inc.0 awards	$1.3B	$948.5M	+33%	▼ 10
83	Department of Children, Youth, and Families0 awards	$1.2B	$595.4M	+109%	▲ 18
84	New Jersey Department of Health0 awards	$1.2B	$820.6M	+48%	▼ 5
85	Leidos, Inc.0 awards	$1.2B	$1.5B	−19%	▼ 29
86	LA Dept. Of Admin0 awards	$1.2B	$230.4M	+404%	▲ 120
87	South Carolina Department of Social Services0 awards	$1.1B	$303.6M	+272%	▲ 84
88	City of New York0 awards	$1.1B	$1B	+9%	▼ 20
89	County of Los Angeles0 awards	$1.1B	$445.8M	+149%	▲ 37
90	County of Los Angeles0 awards	$1.1B	$445.8M	+149%	▲ 37
91	Mississippi Department of Human Services0 awards	$1.1B	$428.2M	+157%	▲ 41
92	Virginia Department of Social Services0 awards	$1.1B	$825.9M	+31%	▼ 14
93	Social Services South Dakota Department0 awards	$1.1B	$814.5M	+33%	▼ 13
94	Washington State Department of Health0 awards	$1B	$340.1M	+206%	▲ 69
95	Arizona Department of Health Services0 awards	$1B	$341.6M	+197%	▲ 64
96	Massachusetts Department of Public Health0 awards	$1B	$609M	+65%	▲ 2
97	Tennessee Department of Health0 awards	$996.2M	$340.3M	+193%	▲ 65
98	Commonwealth of Virginia State Board of Health0 awards	$974.3M	$262.7M	+271%	▲ 88
99	Indiana Department of Health0 awards	$951.8M	$334.3M	+185%	▲ 66
100	Elementary & Secondary Education Missouri Department of0 awards	$947.5M	$11.9M	—	▲ 343

Obligations are the dollars the agency committed, which is not the same as dollars paid out. A recipient can appear on several agencies' lists; each ranks only its own money.

Questions

Who is the Department of Health and Human Services's biggest contractor in FY2021?: California Department of Health Care Services, with $80.6B obligated in FY2021. Second is NYS Department of Health at $46.4B.
Where does this ranking come from?: It is computed from USASpending.gov award records, which are U.S. government works and in the public domain. Each figure is the total the Department of Health and Human Services obligated to that recipient in FY2021. TheFiscalFinder does the ranking; the underlying figures are the government's own.
How many recipients are shown?: The top 100 for FY2021. Each row opens that recipient's own page, where the same money is broken out by year, by counterparty and by place.
Does a high position mean anything is wrong?: No. This is a description of where public money went in FY2021, computed from public records. It is not an allegation about anyone on it.

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Why the labels? The graph is only worth anything if the links are trusted. Facts taken straight from a federal filing are Source; figures we calculate are Computed; links we infer (corporate parents, districts, similar contractors, connections between records) are Inferred, worded carefully, never asserted as fact and never a claim that one thing caused another. Spot an error? Tell us.