| 01 | California Department of Health Care Servicesof $100.9B total | $100.9B | $85.1B | +19% | same |
| 02 | NYS Department of Healthof $72.4B total | $72.4B | $55.2B | +31% | ▲ 1 |
| 03 | Lockheed Martin Corporationof $51B total | $51B | $69.1B | −26% | ▼ 1 |
| 04 | Health & Human SVC Commn TXof $42.3B total | $42.3B | $50.4B | −16% | same |
| 05 | PA Department of Human Servicesof $34.4B total | $34.4B | $37.5B | −8% | same |
| 06 | North Carolina Department of Health & Human Servicesof $27.1B total | $27.1B | $22.7B | +20% | ▲ 7 |
| 07 | Ohio Department of Medicaidof $24.6B total | $24.6B | $24.6B | 0% | ▲ 3 |
| 08 | Michigan Department of Health and Human Servicesof $24.4B total | $24.4B | $23.9B | +2% | ▲ 3 |
| 09 | The Boeing Companyof $23.7B total | $23.7B | $22.6B | +5% | ▲ 5 |
| 10 | RTX Corporationof $23.4B total | $23.4B | $26.8B | −13% | ▼ 3 |
| 11 | UnitedHealth Groupof $21.9B total | $21.9B | $17B | +29% | ▲ 9 |
| 12 | Florida Agency for Health Care Administrationof $21.6B total | $21.6B | $22.7B | −5% | same |
| 13 | Department of Social Services Californiaof $21B total | $21B | $26.5B | −21% | ▼ 5 |
| 14 | Illinois Department of Healthcare & Family Servicesof $20.6B total | $20.6B | $20.9B | −1% | ▲ 1 |
| 15 | General Dynamics Corporationof $19.2B total | $19.2B | $25.9B | −26% | ▼ 6 |
| 16 | New Jersey Department of Human Servicesof $17.7B total | $17.7B | $19.3B | −8% | ▲ 2 |
| 17 | The Commonwealth of Massachusettsof $17.4B total | $17.4B | $19.6B | −11% | same |
| 18 | Health Services Kentucky Cabinet forof $17.1B total | $17.1B | $16.7B | +3% | ▲ 3 |
| 19 | Northrop Grumman Systems Corpof $17B total | $17B | $15.2B | +12% | ▲ 6 |
| 20 | Indiana Family and Social Servof $16.7B total | $16.7B | $15.9B | +5% | ▲ 2 |
| 21 | Arizona Health Care Cost Containment Systemof $15.8B total | $15.8B | $19.1B | −17% | ▼ 2 |
| 22 | VA Department of Medical Assistance Serviceof $14.8B total | $14.8B | $14.6B | +1% | ▲ 4 |
| 23 | Department of Social Services Missoof $14.6B total | $14.6B | $15.6B | −6% | ▲ 1 |
| 24 | Department of Social & Health Servicesof $14.1B total | $14.1B | $20.3B | −30% | ▼ 8 |
| 25 | Lousiana Department of Healthof $13.5B total | $13.5B | $14.1B | −4% | ▲ 4 |
| 26 | Minnesota Department of Human Servicesof $12.7B total | $12.7B | $14.3B | −11% | ▲ 2 |
| 27 | Oregon Health Authority-Public Healthof $12.4B total | $12.4B | $11.9B | +4% | ▲ 5 |
| 28 | Georgia Department of Community Healthof $11.9B total | $11.9B | $12.3B | −3% | ▲ 3 |
| 29 | New York State Office of Temporary & Disability Assistanceof $10.4B total | $10.4B | $14.4B | −27% | ▼ 2 |
| 30 | Finance & Administration Tennessee Deparof $10B total | $10B | $9.4B | +6% | ▲ 8 |
| 31 | State of Wisconsin Department of Health Servicesof $9.6B total | $9.6B | $10.9B | −12% | ▲ 3 |
| 32 | Huntington Ingalls Industries, Inc.of $9.4B total | $9.4B | $11.1B | −15% | ▲ 1 |
| 33 | Mckesson Corporationof $9B total | $9B | $9.5B | −6% | ▲ 4 |
| 34 | Leidos, Inc.of $8.8B total | $8.8B | $8.5B | +4% | ▲ 8 |
| 35 | State of Colorado - Dept of Health Care Policy & Financingof $8.7B total | $8.7B | $9B | −3% | ▲ 5 |
| 36 | Department of Health Human Servicesof $8.6B total | $8.6B | $8.5B | +2% | ▲ 7 |
| 37 | New Mexico Health Care Authorityof $8.5B total | $8.5B | $8.9B | −4% | ▲ 4 |
| 38 | Triwest Healthcare Alliance Corpof $8.4B total | $8.4B | $8B | +5% | ▲ 6 |
| 39 | Florida Department of Children and Familiesof $8.3B total | $8.3B | $10.1B | −18% | ▼ 3 |
| 40 | Department of Social Services Connecticutof $8.3B total | $8.3B | $9B | −8% | ▼ 1 |
| 41 | Humana Government Business Incof $8B total | $8B | $7.8B | +3% | ▲ 7 |
| 42 | Booz Allen Hamilton Incof $8B total | $8B | $7.3B | +10% | ▲ 10 |
| 43 | BAE Systems, Inc.of $7.9B total | $7.9B | $7.4B | +7% | ▲ 7 |
| 44 | Oklahoma Health Care Authorityof $7.5B total | $7.5B | $7.7B | −3% | ▲ 5 |
| 45 | L3Harris Technologies, Inc.of $7.4B total | $7.4B | $6.3B | +17% | ▲ 10 |
| 46 | Department of Education Californiaof $7.4B total | $7.4B | $7.4B | 0% | ▲ 5 |
| 47 | IA Department of Human Servicesof $7.3B total | $7.3B | $6.2B | +19% | ▲ 9 |
| 48 | National Railroad Passenger Corporationof $7B total | $7B | $6.9B | +3% | ▲ 6 |
| 49 | Climate United Fundof $7B total | $7B | — | — | — |
| 50 | Alabama Medicaid Agencyof $6.4B total | $6.4B | $7B | −8% | ▲ 3 |
| 51 | Arkansas Department of Human Servicesof $6.2B total | $6.2B | $7.8B | −21% | ▼ 4 |
| 52 | Illinois Department of Human Serviceof $6.1B total | $6.1B | $7.8B | −22% | ▼ 6 |
| 53 | Amerisourcebergen Drug Corpof $6.1B total | $6.1B | $4.4B | +39% | ▲ 20 |
| 54 | Texas Department of Transportationof $6.1B total | $6.1B | $5.5B | +10% | ▲ 7 |
| 55 | Mississippi Division of Medicaidof $5.9B total | $5.9B | $5.7B | +4% | ▲ 5 |
| 56 | Government of the Virgin Islandsof $5.8B total | $5.8B | $1.9B | +202% | ▲ 97 |
| 57 | New England Teamsters Pension Planof $5.7B total | $5.7B | — | — | — |
| 58 | Department of Transportation Californiaof $5.5B total | $5.5B | $5.7B | −4% | ▲ 1 |
| 59 | Miscellaneous Foreign Awardeesof $5.4B total | $5.4B | $4.9B | +10% | ▲ 3 |
| 60 | Nevada Department of Health & Human Servicesof $5.2B total | $5.2B | $4.5B | +17% | ▲ 11 |
| 61 | Ohio Department of Job & Family Servicesof $5.2B total | $5.2B | $6.1B | −15% | ▼ 4 |
| 62 | Triad National Security, LLCof $5.2B total | $5.2B | $4.6B | +13% | ▲ 6 |
| 63 | Coalition for Green Capitalof $5.1B total | $5.1B | — | — | — |
| 64 | Nevada Department of Human Servicesof $5.1B total | $5.1B | $4.3B | +18% | ▲ 11 |
| 65 | National Technology & Engineering Solutions of Sandia, LLCof $5B total | $5B | $4.7B | +7% | ▲ 2 |
| 66 | West Virginia Department of Health and Human Resourcesof $4.9B total | $4.9B | $6.1B | −20% | ▼ 8 |
| 67 | Atlantic Diving Supply, Inc.of $4.8B total | $4.8B | $4.6B | +6% | ▲ 2 |
| 68 | Science Applications International Corporationof $4.8B total | $4.8B | $4.7B | +1% | ▼ 3 |
| 69 | Office of Emergency Servicesof $4.8B total | $4.8B | $2.7B | +75% | ▲ 50 |
| 70 | Utah Department of Health and Human Servicesof $4.8B total | $4.8B | $3.7B | +28% | ▲ 15 |
| 71 | Puerto Rico Department of Healthof $4.7B total | $4.7B | $4.4B | +5% | ▲ 1 |
| 72 | Science Applications International Corporationof $4.6B total | $4.6B | $4.5B | +2% | ▼ 2 |
| 73 | New York State Education Departmentof $4.6B total | $4.6B | $4.7B | −3% | ▼ 7 |
| 74 | Bechtel Corporationof $4.3B total | $4.3B | $3.2B | +33% | ▲ 27 |
| 75 | United Nations World Food Programmeof $4.3B total | $4.3B | $3.8B | +12% | ▲ 8 |
| 76 | International Bank for Reconstruction and Developmentof $4.2B total | $4.2B | $15.8B | −73% | ▼ 53 |
| 77 | CACI International Incof $4.1B total | $4.1B | $3.7B | +12% | ▲ 9 |
| 78 | West Virginia Department of Health and Human Resourcesof $4.1B total | $4.1B | $4.8B | −15% | ▼ 15 |
| 79 | Battelle Memorial Instituteof $4.1B total | $4.1B | $4.4B | −7% | ▼ 5 |
| 80 | New York City Housing Authorityof $4.1B total | $4.1B | $3.8B | +8% | ▲ 4 |
| 81 | Maine Department of Health and Human Servicesof $4B total | $4B | $4B | −1% | ▼ 3 |
| 82 | Deloitte LLPof $4B total | $4B | $3.6B | +9% | ▲ 7 |
| 83 | TX Education Agencyof $3.9B total | $3.9B | $3.9B | −1% | ▼ 3 |
| 84 | Governor's Authorized Representativeof $3.8B total | $3.8B | $3.7B | +5% | ▲ 4 |
| 85 | Space Exploration Technologies Corp.of $3.8B total | $3.8B | $3.1B | +23% | ▲ 18 |
| 86 | Amentum Services, Inc.of $3.8B total | $3.8B | $2.5B | +51% | ▲ 44 |
| 87 | Department of Human Servicesof $3.7B total | $3.7B | $4.8B | −23% | ▼ 23 |
| 88 | Kansas Department of Health & Environmentof $3.7B total | $3.7B | $4B | −8% | ▼ 9 |
| 89 | Nebraska Department of Health & Human Servicesof $3.7B total | $3.7B | $3.8B | −4% | ▼ 7 |
| 90 | Consolidated Nuclear Security, LLCof $3.6B total | $3.6B | $3.3B | +10% | ▲ 6 |
| 91 | Peraton Corp.of $3.6B total | $3.6B | $3.5B | +4% | ▲ 2 |
| 92 | Government of District of Columbiaof $3.6B total | $3.6B | $4.1B | −11% | ▼ 15 |
| 93 | Texas Department of Agricultureof $3.6B total | $3.6B | $3.5B | +4% | ▲ 2 |
| 94 | Health Net Federal Services, LLCof $3.5B total | $3.5B | $3.6B | −2% | ▼ 4 |
| 95 | Fluor Marine Propulsion, LLCof $3.5B total | $3.5B | $3.5B | −2% | ▼ 3 |
| 96 | Dell Technologies Inc.of $3.4B total | $3.4B | $3.1B | +11% | ▲ 9 |
| 97 | Metropolitan Transportation Authorityof $3.4B total | $3.4B | $2.4B | +39% | ▲ 34 |
| 98 | Idaho Department of Health & Welfareof $3.4B total | $3.4B | $3.7B | −8% | ▼ 11 |
| 99 | Bakery and Confectionery Union and Industry International Pension Fundof $3.4B total | $3.4B | — | — | — |
| 100 | Accenture Federal Services LLCof $3.4B total | $3.4B | $3B | +14% | ▲ 11 |