| 01 | California Department of Health Care Services1 funding agency | $117.3B | $112.5B | same |
| 02 | NYS Department of Health6 funding agencies | $75.1B | $76.6B | same |
| 03 | Lockheed Martin Corporation9 funding agencies | $54.5B | $75B | same |
| 04 | Health & Human SVC Commn TX5 funding agencies | $46.6B | $40.8B | same |
| 05 | PA Department of Human Services4 funding agencies | $39.8B | $36.2B | same |
| 06 | RTX Corporation9 funding agencies | $32.5B | $30.5B | ▲ 2 |
| 07 | North Carolina Department of Health & Human Services9 funding agencies | $32.4B | $31.4B | same |
| 08 | Ohio Department of Medicaid1 funding agency | $29B | $27.7B | ▲ 1 |
| 09 | Florida Agency for Health Care Administration1 funding agency | $27.9B | $22.8B | ▲ 3 |
| 10 | The Boeing Company4 funding agencies | $27.8B | $21.8B | ▲ 4 |
| 11 | General Dynamics Corporation14 funding agencies | $27.8B | $35B | ▼ 5 |
| 12 | Michigan Department of Health and Human Services10 funding agencies | $27.7B | $24.5B | ▼ 1 |
| 13 | Illinois Department of Healthcare & Family Services1 funding agency | $25.5B | $21.9B | same |
| 14 | UnitedHealth Group5 funding agencies | $24.9B | $25.3B | ▼ 4 |
| 15 | Department of Social & Health Services4 funding agencies | $23B | $15.8B | ▲ 7 |
| 16 | Department of Social Services California4 funding agencies | $22.7B | $21.1B | ▼ 1 |
| 17 | New Jersey Department of Human Services3 funding agencies | $22.4B | $20.2B | ▼ 1 |
| 18 | Health Services Kentucky Cabinet for10 funding agencies | $20.5B | $18.2B | ▼ 1 |
| 19 | Arizona Health Care Cost Containment System1 funding agency | $18.9B | $16.4B | ▲ 2 |
| 20 | The Commonwealth of Massachusetts4 funding agencies | $17B | $16.8B | same |
| 21 | VA Department of Medical Assistance Service1 funding agency | $16.8B | $17.2B | ▼ 2 |
| 22 | Triwest Healthcare Alliance Corp2 funding agencies | $16.6B | $13.4B | ▲ 6 |
| 23 | Department of Social Services Misso4 funding agencies | $16.5B | $14.5B | ▲ 2 |
| 24 | Indiana Family and Social Serv3 funding agencies | $16B | $18B | ▼ 6 |
| 25 | Oregon Health Authority-Public Health7 funding agencies | $16B | $13.9B | ▲ 1 |
| 26 | Mckesson Corporation6 funding agencies | $14.9B | $11.9B | ▲ 6 |
| 27 | Georgia Department of Community Health1 funding agency | $14.9B | $13B | ▲ 2 |
| 28 | Lousiana Department of Health1 funding agency | $14.6B | $14.6B | ▼ 4 |
| 29 | Minnesota Department of Human Services2 funding agencies | $14B | $13.8B | ▼ 2 |
| 30 | Northrop Grumman Systems Corp11 funding agencies | $14B | — | — |
| 31 | Fisher Sand & Gravel CO1 funding agency | $13.4B | $928.5M | ▲ 239 |
| 32 | Maryland Department of Health2 funding agencies | $13.3B | — | — |
| 33 | State of Wisconsin Department of Health Services8 funding agencies | $12.2B | $11B | same |
| 34 | Finance & Administration Tennessee Depar1 funding agency | $12.2B | $11.9B | ▼ 3 |
| 35 | State of Colorado - Dept of Health Care Policy & Financing1 funding agency | $11.7B | $10B | ▲ 1 |
| 36 | New York State Office of Temporary & Disability Assistance3 funding agencies | $11.1B | $11B | ▼ 2 |
| 37 | New Mexico Health Care Authority2 funding agencies | $10.7B | $9.6B | ▲ 1 |
| 38 | Department of Health Human Services3 funding agencies | $9.4B | $8.9B | ▲ 1 |
| 39 | Leidos, Inc.19 funding agencies | $9.1B | $8.8B | ▲ 1 |
| 40 | Oklahoma Health Care Authority1 funding agency | $8.9B | $7.9B | ▲ 4 |
| 41 | Huntington Ingalls Industries, Inc.7 funding agencies | $8.9B | $10.4B | ▼ 6 |
| 42 | National Railroad Passenger Corporation1 funding agency | $8.6B | $15.2B | ▼ 19 |
| 43 | Department of Social Services Connecticut2 funding agencies | $8.5B | $8.6B | ▼ 2 |
| 44 | Department of Education California5 funding agencies | $7.6B | $7.5B | ▲ 2 |
| 45 | Texas Office of the Governor3 funding agencies | $7.6B | $331.5M | ▲ 595 |
| 46 | IA Department of Human Services2 funding agencies | $7.4B | $8B | ▼ 4 |
| 47 | Arkansas Department of Human Services1 funding agency | $7.1B | $7.2B | ▲ 2 |
| 48 | Alabama Medicaid Agency1 funding agency | $6.9B | $6.6B | ▲ 3 |
| 49 | Florida Department of Children and Families4 funding agencies | $6.8B | $7.6B | ▼ 4 |
| 50 | Booz Allen Hamilton Inc10 funding agencies | $6.6B | $7.4B | ▼ 2 |
| 51 | Amerisourcebergen Drug Corp3 funding agencies | $6.6B | $7.4B | ▼ 4 |
| 52 | Department of Transportation California3 funding agencies | $6.5B | $6.3B | ▲ 1 |
| 53 | Mississippi Division of Medicaid1 funding agency | $6.3B | $6B | ▲ 3 |
| 54 | Texas Department of Transportation2 funding agencies | $6.2B | $6B | ▲ 4 |
| 55 | Barnard Construction Company, Incorporated4 funding agencies | $6.1B | $191.8M | ▲ 929 |
| 56 | Nevada Department of Human Services2 funding agencies | $6B | $6.1B | ▼ 1 |
| 57 | L3Harris Technologies, Inc.10 funding agencies | $5.9B | $6.8B | ▼ 7 |
| 58 | Illinois Department of Human Service8 funding agencies | $5.7B | $5.9B | ▲ 1 |
| 59 | Humana Government Business Inc2 funding agencies | $5.6B | $6.5B | ▼ 7 |
| 60 | West Virginia Department of Health and Human Resources1 funding agency | $5.5B | $4.7B | ▲ 4 |
| 61 | Triad National Security, LLC2 funding agencies | $5.5B | $5.2B | ▲ 1 |
| 62 | National Technology & Engineering Solutions of Sandia, LLC2 funding agencies | $5.4B | $5.7B | ▼ 1 |
| 63 | Kansas Department of Health & Environment10 funding agencies | $5.3B | $4.6B | ▲ 5 |
| 64 | BAE Systems, Inc.10 funding agencies | $5.2B | $8B | ▼ 21 |
| 65 | Atlantic Diving Supply, Inc.10 funding agencies | $5.2B | $6B | ▼ 8 |
| 66 | New York State Education Department8 funding agencies | $5B | $4.6B | ▼ 1 |
| 67 | Maine Department of Health and Human Services7 funding agencies | $4.8B | $4.3B | ▲ 3 |
| 68 | Ohio Department of Job & Family Services4 funding agencies | $4.6B | $4.4B | ▲ 1 |
| 69 | Battelle Memorial Institute10 funding agencies | $4.5B | $4.2B | ▲ 4 |
| 70 | Nebraska Department of Health & Human Services8 funding agencies | $4.5B | $4.2B | ▲ 1 |
| 71 | Puerto Rico Department of Health6 funding agencies | $4.5B | $3.7B | ▲ 9 |
| 72 | Transportation North Carolina Department2 funding agencies | $4.5B | $2B | ▲ 66 |
| 73 | New York City Housing Authority2 funding agencies | $4.4B | $4.6B | ▼ 6 |
| 74 | CACI International Inc14 funding agencies | $4.3B | $4.8B | ▼ 11 |
| 75 | Fluor Marine Propulsion, LLC2 funding agencies | $4.3B | $3.6B | ▲ 10 |
| 76 | Science Applications International Corporation10 funding agencies | $4.2B | $4.6B | ▼ 10 |
| 77 | TX Education Agency3 funding agencies | $4B | $3.9B | ▼ 1 |
| 78 | Department of Human Services4 funding agencies | $4B | $4B | ▼ 4 |
| 79 | Bechtel Corporation4 funding agencies | $4B | $4.2B | ▼ 7 |
| 80 | Utah Department of Health and Human Services6 funding agencies | $3.9B | $3.8B | ▼ 1 |
| 81 | Government of District of Columbia9 funding agencies | $3.9B | $3.9B | ▼ 4 |
| 82 | Pennsylvania Department of Transportation1 funding agency | $3.8B | $2.9B | ▲ 19 |
| 83 | Deloitte LLP13 funding agencies | $3.8B | $3.6B | ▼ 2 |
| 84 | Idaho Department of Health & Welfare6 funding agencies | $3.8B | $4B | ▼ 9 |
| 85 | Lawrence Livermore National Security, LLC2 funding agencies | $3.7B | $3.6B | ▼ 3 |
| 86 | Texas Department of Agriculture3 funding agencies | $3.6B | $3.3B | ▲ 5 |
| 87 | State of Alaska Department of Health7 funding agencies | $3.6B | $2.9B | ▲ 15 |
| 88 | Space Exploration Technologies Corp.10 funding agencies | $3.6B | $3.8B | ▼ 10 |
| 89 | Davie Defense Inc.1 funding agency | $3.5B | — | — |
| 90 | Accenture Federal Services LLC10 funding agencies | $3.5B | $3.2B | ▲ 2 |
| 91 | Department of Human Services Hawaii4 funding agencies | $3.4B | $3B | ▲ 7 |
| 92 | Amentum Services, Inc.9 funding agencies | $3.4B | $3.6B | ▼ 8 |
| 93 | Savannah River Nuclear Solutions LLC1 funding agency | $3.4B | $2B | ▲ 48 |
| 94 | Peraton Corp.15 funding agencies | $3.4B | $3.6B | ▼ 11 |
| 95 | Consolidated Nuclear Security, LLC1 funding agency | $3.3B | $2.5B | ▲ 20 |
| 96 | State of Florida Department of Transportation1 funding agency | $3.3B | $2.8B | ▲ 10 |
| 97 | Dell Technologies Inc.14 funding agencies | $3.3B | $3.3B | ▼ 7 |
| 98 | Florida Department of Education5 funding agencies | $3.3B | $3.2B | ▼ 5 |
| 99 | United Nations Office for the Coordination of Humanitarian Affairs1 funding agency | $3.2B | — | — |
| 100 | Administracion DE Desarrollo Socioeconomico DE LA Familia2 funding agencies | $3.1B | $3.1B | ▼ 5 |