Who is the Department of Health and Human Services's biggest contractor in FY2024?

California Department of Health Care Services, with $100.9B obligated in FY2024. Second is NYS Department of Health at $71.1B.

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 FY2024. TheFiscalFinder does the ranking; the underlying figures are the government's own.

How many recipients are shown?

The top 100 for FY2024. 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 FY2024, computed from public records. It is not an allegation about anyone on it.

Rankings

Top contractors of the Department of Health and Human Services: FY2024

FY2024 · complete year · data as of 2026-07-03

≈ 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 FY2024: $100.9B in obligations. Ranked by what the Department of Health and Human Services obligated to each recipient in FY2024, 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 FY2023 is each name's change in position from FY2023; a dash means the name was not in FY2023's data.

Quick findings

Computed

The top 10 account for 51% of the $705B combined total of all 100 recipients listed.
Sanofi Vaccines US Inc. rose the most, from #96 in FY2023 to #56 in FY2024.
Virginia Department of Social Services fell the most among those listed, from #74 in FY2023 to #98 in FY2024.

Rank	Name	FY2024	FY2023	Change	Rank vs FY2023
01	California Department of Health Care Services0 awards	$100.9B	$85.1B	+19%	same
02	NYS Department of Health0 awards	$71.1B	$54.2B	+31%	same
03	Health & Human SVC Commn TX0 awards	$34B	$39.6B	−14%	same
04	PA Department of Human Services0 awards	$30B	$31.7B	−5%	same
05	Ohio Department of Medicaid0 awards	$24.6B	$24.6B	0%	same
06	North Carolina Department of Health & Human Services0 awards	$23.7B	$17.8B	+33%	▲ 4
07	Florida Agency for Health Care Administration0 awards	$21.6B	$22.7B	−5%	▼ 1
08	Michigan Department of Health and Human Services0 awards	$21.1B	$19.4B	+8%	same
09	Illinois Department of Healthcare & Family Services0 awards	$20.6B	$20.9B	−1%	▼ 2
10	Arizona Health Care Cost Containment System0 awards	$15.8B	$19.1B	−17%	▼ 1
11	Health Services Kentucky Cabinet for0 awards	$15.7B	$15.4B	+2%	▲ 3
12	New Jersey Department of Human Services0 awards	$15.7B	$16.8B	−7%	same
13	The Commonwealth of Massachusetts0 awards	$15.4B	$16.3B	−6%	same
14	Indiana Family and Social Serv0 awards	$15.1B	$14.3B	+5%	▲ 2
15	VA Department of Medical Assistance Service0 awards	$14.8B	$14.6B	+1%	same
16	Lousiana Department of Health0 awards	$13.5B	$14.1B	−4%	▲ 1
17	Department of Social Services Misso0 awards	$13.1B	$13.9B	−6%	▲ 1
18	Oregon Health Authority-Public Health0 awards	$12.2B	$11.8B	+4%	▲ 4
19	Department of Social & Health Services0 awards	$12.1B	$17.8B	−32%	▼ 8
20	Georgia Department of Community Health0 awards	$11.9B	$12.3B	−3%	▲ 1
21	Minnesota Department of Human Services0 awards	$11.7B	$13B	−10%	▼ 2
22	Finance & Administration Tennessee Depar0 awards	$10B	$9.4B	+6%	▲ 1
23	State of Colorado - Dept of Health Care Policy & Financing0 awards	$8.7B	$9B	−3%	▲ 2
24	State of Wisconsin Department of Health Services0 awards	$8.1B	$9B	−10%	same
25	Department of Health Human Services0 awards	$7.6B	$7B	+9%	▲ 7
26	New Mexico Health Care Authority0 awards	$7.5B	$7.4B	+1%	▲ 4
27	Department of Social Services California0 awards	$7.5B	$7.6B	−2%	▲ 2
28	Oklahoma Health Care Authority0 awards	$7.5B	—	—	—
29	IA Department of Human Services0 awards	$6.8B	$5.5B	+24%	▲ 5
30	Alabama Medicaid Agency0 awards	$6.4B	$7B	−8%	▲ 1
31	Arkansas Department of Human Services0 awards	$6.2B	$7.8B	−21%	▼ 4
32	Mississippi Division of Medicaid0 awards	$5.9B	$5.7B	+4%	▲ 1
33	Nevada Department of Health & Human Services0 awards	$5.2B	$4.4B	+17%	▲ 4
34	Nevada Department of Human Services0 awards	$5.1B	$4.3B	+18%	▲ 4
35	Utah Department of Health and Human Services0 awards	$4.7B	$3.6B	+29%	▲ 8
36	West Virginia Department of Health and Human Resources0 awards	$4.4B	$5.3B	−18%	▼ 1
37	Puerto Rico Department of Health0 awards	$4.2B	$4.2B	−1%	▲ 2
38	West Virginia Department of Health and Human Resources0 awards	$4.1B	$4.8B	−15%	▼ 2
39	Maine Department of Health and Human Services0 awards	$3.6B	$3.4B	+4%	▲ 5
40	Kansas Department of Health & Environment0 awards	$3.5B	$3.9B	−10%	same
41	Government of District of Columbia0 awards	$3.4B	$3.8B	−9%	same
42	New York State Office of Temporary & Disability Assistance0 awards	$3.4B	$3.7B	−9%	same
43	Nebraska Department of Health & Human Services0 awards	$3.1B	$3.2B	−1%	▲ 3
44	Idaho Department of Health & Welfare0 awards	$3.1B	$3.4B	−9%	▲ 1
45	Merck Sharp & Dohme LLC0 awards	$2.9B	$2.1B	+40%	▲ 8
46	Advanced Technology International0 awards	$2.6B	$1.8B	+45%	▲ 10
47	Department of Human Services Hawaii0 awards	$2.6B	$2.7B	−5%	same
48	State of Rhode Island Department of Administration0 awards	$2.5B	$2.6B	−2%	▲ 1
49	State of Alaska Department of Health0 awards	$2.3B	$2.2B	+6%	▲ 3
50	Delaware Dept of Health and Social Services0 awards	$2.3B	$2.6B	−12%	same
51	Florida Department of Children and Families0 awards	$2.1B	$2.7B	−21%	▼ 3
52	State of Montana Department of Health and Human Services0 awards	$2.1B	$2.4B	−12%	▼ 1
53	Ohio Department of Job & Family Services0 awards	$1.8B	$2B	−11%	▲ 1
54	New Hampshire Department of Health & Human Services0 awards	$1.7B	$1.9B	−10%	▲ 1
55	Human Services Vermont Agency of0 awards	$1.7B	$1.7B	0%	▲ 2
56	Sanofi Vaccines US Inc.0 awards	$1.6B	$560.3M	+190%	▲ 40
57	New York Office of Children & Family Services0 awards	$1.4B	—	—	—
58	Pfizer Inc0 awards	$1.4B	$1.3B	+5%	▲ 2
59	Social Services South Dakota Department0 awards	$1.3B	$1B	+30%	▲ 4
60	Illinois Department of Human Service0 awards	$1.3B	$1.4B	−6%	▼ 1
61	Texas Workforce Commission0 awards	$1.3B	$1.3B	−1%	same
62	Glaxosmithkline, LLC0 awards	$1.2B	$850.1M	+37%	▲ 7
63	Leidos, Inc.0 awards	$1.1B	$1.5B	−25%	▼ 5
64	North Dakota Department of Human Services0 awards	$1.1B	—	—	—
65	Southwest Key Programs Inc0 awards	$972.5M	$770.1M	+26%	▲ 7
66	The Johns Hopkins University0 awards	$927M	$911.2M	+2%	▼ 2
67	Regents of the University of California, San Francisco, the0 awards	$892.6M	$860M	+4%	same
68	The Trustees of Columbia University in the City of New York0 awards	$872M	$874.6M	0%	▼ 3
69	Regents of the University of Michigan0 awards	$785.8M	$745.2M	+5%	▲ 6
70	Maximus Federal Services, Inc.0 awards	$758.4M	$851.4M	−11%	▼ 2
71	Department of Insurance of the State of Georgia0 awards	$756.6M	$526.5M	+44%	▲ 30
72	Washington University, the0 awards	$750.9M	$651.7M	+15%	▲ 16
73	State of Wisconsin Dept of Children & Families0 awards	$737.4M	$863.3M	−15%	▼ 7
74	Arizona Department of Economic Security0 awards	$708.1M	$1.1B	−33%	▼ 12
75	Trustees of the University of Pennsylvania, the0 awards	$697.8M	$716.4M	−3%	▲ 2
76	Florida Department of Education0 awards	$685.4M	$681.2M	+1%	▲ 6
77	University of Washington0 awards	$684.5M	$660.8M	+4%	▲ 9
78	University of Pittsburgh - of the Commonwealth System of Higher Education0 awards	$674.3M	$692.4M	−3%	▲ 3
79	Oklahoma Dept of Human Services0 awards	$667M	$712.1M	−6%	▼ 1
80	Yale Univ0 awards	$663.3M	$635.8M	+4%	▲ 10
81	The General Hospital Corporation0 awards	$654M	$696.7M	−6%	▼ 2
82	Deloitte LLP0 awards	$646.4M	$655.9M	−1%	▲ 5
83	The Leland Stanford Junior University0 awards	$639M	$694.4M	−8%	▼ 3
84	Research Triangle Institute0 awards	$637.6M	$826M	−23%	▼ 14
85	Department of Human Services0 awards	$633.8M	$666.3M	−5%	same
86	Department of Human Services Colorado0 awards	$628.8M	$676.4M	−7%	▼ 3
87	Duke University0 awards	$613.9M	$741.6M	−17%	▼ 11
88	New Jersey Department of Banking and Insurance0 awards	$609.5M	$375.3M	+62%	▲ 38
89	Tennessee Department of Human Services0 awards	$595.7M	$618.3M	−4%	▲ 3
90	University of North Carolina at Chapel Hill0 awards	$588.1M	$613.4M	−4%	▲ 3
91	New York University0 awards	$584.3M	$531.2M	+10%	▲ 9
92	Maryland Department of Human Services0 awards	$581.1M	$671.1M	−13%	▼ 8
93	California Department of Public Health0 awards	$578.2M	$755.6M	−23%	▼ 20
94	University of California, San Diego0 awards	$572.3M	$592.8M	−3%	same
95	University of California, Los Angeles0 awards	$558.3M	$620.2M	−10%	▼ 4
96	Emory University0 awards	$555.1M	$647.2M	−14%	▼ 7
97	Icahn School of Medicine at Mount Sinai0 awards	$553.9M	$551.8M	0%	same
98	Virginia Department of Social Services0 awards	$550.5M	$749.2M	−27%	▼ 24
99	Department of Children, Youth, and Families0 awards	$548M	$515.2M	+6%	▲ 4
100	Vanderbilt University Medical Center0 awards	$545M	$517.3M	+5%	▲ 2

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 FY2024?: California Department of Health Care Services, with $100.9B obligated in FY2024. Second is NYS Department of Health at $71.1B.
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 FY2024. TheFiscalFinder does the ranking; the underlying figures are the government's own.
How many recipients are shown?: The top 100 for FY2024. 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 FY2024, 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.