| 01 | UnitedHealth Group0 awards | $24.9B | $25.2B | same |
| 02 | Mckesson Corporation0 awards | $14.6B | $11.5B | same |
| 03 | Triwest Healthcare Alliance Corp0 awards | $11.1B | $9.8B | same |
| 04 | QTC Medical Services Inc0 awards | $2.3B | $2.8B | same |
| 05 | Oracle Health Government Services, Inc.0 awards | $2.1B | $1B | ▲ 1 |
| 06 | Loyal Source Government Services LLC0 awards | $1.8B | $759.5M | ▲ 2 |
| 07 | Veterans Evaluation Services, Inc0 awards | $1.7B | $2B | ▼ 2 |
| 08 | Medline Industries, LP0 awards | $933.2M | $498.9M | ▲ 5 |
| 09 | Booz Allen Hamilton Inc0 awards | $779.5M | $830M | ▼ 2 |
| 10 | V3GATE, LLC0 awards | $610.1M | $438.9M | ▲ 4 |
| 11 | FedEx Corporation0 awards | $607.7M | $563.9M | same |
| 12 | Dell Technologies Inc.0 awards | $553.4M | $576.5M | ▼ 2 |
| 13 | Deloitte LLP0 awards | $478.3M | $311.8M | ▲ 2 |
| 14 | Thundercat Technology, LLC0 awards | $430.1M | $149.5M | ▲ 21 |
| 15 | Soldierpoint Digital Health, LLC0 awards | $370.9M | $231.2M | ▲ 3 |
| 16 | AT&T Enterprises, LLC0 awards | $357M | — | — |
| 17 | Elevated Technologies Services, LLC0 awards | $276.5M | — | — |
| 18 | Salient Crgt, Inc.0 awards | $273.8M | $164.8M | ▲ 12 |
| 19 | Fresenius Medical Care Holdings Inc0 awards | $268.7M | $634.8M | ▼ 10 |
| 20 | Four Points Technology, L.l.c.0 awards | $263M | $276.1M | ▼ 4 |
| 21 | SDV Office Systems LLC0 awards | $255.5M | $203.9M | same |
| 22 | Accenture Federal Services LLC0 awards | $253.9M | $155.2M | ▲ 10 |
| 23 | Sprezzatura Management Consulting, LLC0 awards | $251.1M | — | — |
| 24 | Sawtooth Construction JV II LLC0 awards | $234.4M | — | — |
| 25 | Ameresco Inc0 awards | $228.4M | $26.4M | ▲ 41 |
| 26 | International Business Machines Corporation0 awards | $226.5M | $227.9M | ▼ 7 |
| 27 | Siemens Medical Solutions USA, Inc.0 awards | $219.6M | $114.3M | ▲ 17 |
| 28 | Govcio, LLC0 awards | $213.4M | $200.5M | ▼ 5 |
| 29 | US Foods Inc0 awards | $205.5M | $200M | ▼ 5 |
| 30 | Hsgs-Ameresco, LLC0 awards | $201.6M | — | — |
| 31 | Veterans Ez Info Inc.0 awards | $199.5M | — | — |
| 32 | General Dynamics Corporation0 awards | $189.9M | $63.9M | ▲ 21 |
| 33 | GE Precision Healthcare LLC0 awards | $183.7M | $116.2M | ▲ 10 |
| 34 | Minburn Technology Group, LLC0 awards | $182.1M | $151.9M | same |
| 35 | Davita Inc.0 awards | $179.4M | $533.6M | ▼ 23 |
| 36 | Philips North America LLC0 awards | $175.5M | $121.5M | ▲ 6 |
| 37 | Texas General Land Office0 awards | $174M | $145.4M | ▲ 1 |
| 38 | IT Concepts, Inc.0 awards | $168.2M | $171.1M | ▼ 10 |
| 39 | First Nation Group LLC0 awards | $151.3M | $149.1M | ▼ 3 |
| 40 | Valor Healthcare Inc0 awards | $147.2M | $148M | ▼ 3 |
| 41 | Cognosante MVH LLC0 awards | $141M | $176.2M | ▼ 14 |
| 42 | Cgi Federal Inc.0 awards | $138.1M | $122.6M | ▼ 1 |
| 43 | Alvarez LLC0 awards | $136.8M | $125.1M | ▼ 3 |
| 44 | Olympus America Inc0 awards | $136.2M | — | — |
| 45 | Trillamed LLC0 awards | $134.3M | $104.5M | ▲ 1 |
| 46 | CACI International Inc0 awards | $130.9M | $54.7M | ▲ 9 |
| 47 | Florida Department of Veterans Affairs0 awards | $130.8M | — | — |
| 48 | Signature Choice II, LLC0 awards | $126.4M | — | — |
| 49 | Metgreen Solutions Inc0 awards | $119.5M | $182.6M | ▼ 24 |
| 50 | Cdeem CO0 awards | $111.9M | — | — |
| 51 | California Department of Veterans Affairs0 awards | $110.6M | — | — |
| 52 | Exelan Pharmaceuticals Inc0 awards | $96.1M | — | — |
| 53 | Pennsylvania Department of Military & Veterans Affairs0 awards | $96M | $83.7M | ▼ 4 |
| 54 | NYS Department of Health0 awards | $92.8M | $74.9M | ▼ 4 |
| 55 | TK Elevator Corporation0 awards | $92.1M | — | — |
| 56 | Guidehouse Inc.0 awards | $76.8M | — | — |
| 57 | Lumen Technologies Government Solutions, Inc.0 awards | $75.5M | $91.1M | ▼ 10 |
| 58 | Emergent, LLC0 awards | $70.8M | $46.1M | same |
| 59 | Energy Systems Group, LLC0 awards | $69.4M | — | — |
| 60 | United Parcel Service Co.0 awards | $61.7M | $63.4M | ▼ 6 |
| 61 | Palantir Technologies Inc.0 awards | $55.7M | $12.3M | ▲ 14 |
| 62 | The Mitre Corporation0 awards | $51.3M | $39.3M | ▼ 2 |
| 63 | Iron Bow Technologies, LLC0 awards | $49.2M | $137.5M | ▼ 24 |
| 64 | Swish Data Corporation0 awards | $48.2M | $48M | ▼ 7 |
| 65 | Department of Human Services Colorado0 awards | $45.5M | $45.6M | ▼ 6 |
| 66 | Cynergy Professional Systems LLC0 awards | $45.2M | — | — |
| 67 | Science Applications International Corporation0 awards | $43.3M | $70.2M | ▼ 16 |
| 68 | Redhawk IT Solutions, LLC0 awards | $35.5M | — | — |
| 69 | Nebraska Department of Health & Human Services0 awards | $34.9M | $30.1M | ▼ 6 |
| 70 | Vanderbilt University Medical Center0 awards | $33.1M | $34.7M | ▼ 9 |
| 71 | Noresco, LLC0 awards | $31.5M | — | — |
| 72 | World Wide Technology LLC0 awards | $29M | $28.5M | ▼ 7 |
| 73 | Colossal Contracting LLC0 awards | $27.7M | $9.3M | ▲ 6 |
| 74 | Softrams LLC0 awards | $25.9M | $20M | ▼ 6 |
| 75 | Axon Enterprise, Inc.0 awards | $25.8M | — | — |
| 76 | Lmi Consulting, LLC0 awards | $20.8M | $6.4M | ▲ 12 |
| 77 | State of Montana Department of Health and Human Services0 awards | $20.2M | $16.7M | ▼ 7 |
| 78 | Oregon Health & Science University0 awards | $19.3M | $14.7M | ▼ 6 |
| 79 | Microtechnologies LLC0 awards | $19M | $12.3M | ▼ 5 |
| 80 | Cellco Partnership0 awards | $18.4M | $20M | ▼ 13 |
| 81 | Fcn, Inc.0 awards | $17.3M | $7.9M | same |
| 82 | By Light Professional IT Services LLC0 awards | $16.7M | — | — |
| 83 | I3 Federal LLC0 awards | $16.3M | $14.6M | ▼ 10 |
| 84 | State of New Mexico0 awards | $15.7M | — | — |
| 85 | Peraton Corp.0 awards | $14.6M | $29.5M | ▼ 21 |
| 86 | Kpmg LLP0 awards | $13.8M | $9.7M | ▼ 9 |
| 87 | The Leland Stanford Junior University0 awards | $11.7M | $11.2M | ▼ 11 |
| 88 | Blue Tech Inc.0 awards | $11.3M | $17.5M | ▼ 19 |
| 89 | Department of Transportation California0 awards | $10.6M | — | — |
| 90 | The University of Texas Southwestern Medical Center0 awards | $9.4M | $2M | ▲ 15 |
| 91 | University of Louisville0 awards | $8.9M | — | — |
| 92 | Brigham & Womens Hospital Inc0 awards | $8.6M | $4M | ▲ 1 |
| 93 | Kearney & Company, P.c.0 awards | $8M | — | — |
| 94 | University of Utah0 awards | $7.5M | $9.4M | ▼ 16 |
| 95 | Yale Univ0 awards | $7.2M | $6.8M | ▼ 11 |
| 96 | Trustees of Boston University0 awards | $6.5M | $6.5M | ▼ 9 |
| 97 | New York University0 awards | $6M | $7M | ▼ 14 |
| 98 | University of Washington0 awards | $5.6M | $4.5M | ▼ 6 |
| 99 | Acentra Health LLC0 awards | $5.6M | — | — |
| 100 | The Mental Health Association of New York City, Inc.0 awards | $5.2M | $5.2M | ▼ 9 |
