| #1 | Optum Public Sector Solutions, INC. UEI XMUZGJN98231 | 156 | $89B |
| #2 | Mckesson Corporation UEI S1RUKWWRYFL6 | 1,507 | $81B |
| #3 | Triwest Healthcare Alliance Corp UEI J7M9HPTGJ1S9 | 204 | $64B |
| #4 | Qtc Medical Services INC UEI GN8YP96TMPK6 | 106 | $12B |
| #5 | Optumserve Health Services, INC. UEI G5XXLHZSW8X3 | 79 | $8.7B |
| #6 | Oracle Health Government Services, INC. UEI DT2KS3HH5FP5 | 69 | $8.3B |
| #7 | Veterans Evaluation Services, INC UEI MT6ZNX9BMGB7 | 88 | $8.1B |
| #8 | Booz Allen Hamilton INC UEI KHK6E1JW9C15 | 237 | $6.0B |
| #9 | Dell Federal Systems L.P UEI N1C5QLNPJLS4 | 30 | $4.3B |
| #10 | Loyal Source Government Services LLC UEI Y54FQAPG4TN5 | 376 | $3.1B |
| #11 | Fresenius Medical Care Holdings INC UEI NVL9NNKL2617 | 51 | $3.0B |
| #12 | Davita INC. UEI PCJQZRE36Z73 | 91 | $2.9B |
| #13 | Health Net Federal Services, LLC UEI F7NGF6NJFB96 | 69 | $2.9B |
| #14 | Liberty It Solutions LLC UEI GLGMWJ8EVMR9 | 64 | $2.8B |
| #15 | Four Points Technology, L.L.C. UEI H1KHJPJH9R51 | 3,846 | $2.7B |
| #16 | Fedex Supply Chain Distribution System, INC. UEI Q9PFF5JU9TR4 | 60 | $2.7B |
| #17 | At&t Enterprises, LLC UEI MNALR8D818N7 | 683 | $2.7B |
| #18 | Medline Industries, LP UEI DMPAKJ9N9K66 | 459 | $2.5B |
| #19 | V3GATE, LLC UEI J4KHM5JY79E3 | 846 | $2.5B |
| #20 | Iron Bow Technologies, LLC UEI Q2M4FYALZJ89 | 1,352 | $1.8B |
| #21 | Sonova USA INC UEI N5VSMWF4G7K7 | 242 | $1.8B |
| #22 | Govcio, LLC UEI D84JK2RNL7V4 | 51 | $1.7B |
| #23 | General Dynamics Information Technology, INC. UEI SMNWM6HN79X5 | 98 | $1.6B |
| #24 | Cardinal Health 200, LLC UEI ZJEUBM5FYLQ2 | 818 | $1.6B |
| #25 | Siemens Medical Solutions USA, INC. UEI KFMJVLKNLZ75 | 3,277 | $1.5B |
| #26 | Minburn Technology Group, LLC UEI WN8JFVZTBCA5 | 1,779 | $1.5B |
| #27 | Accenture Federal Services LLC UEI C47BNA8GM833 | 17 | $1.5B |
| #28 | US Foods INC UEI HZYTJENLLM81 | 879 | $1.4B |
| #29 | Deloitte Consulting LLP UEI CKV2L9GZKJK3 | 98 | $1.4B |
| #30 | Thundercat Technology, LLC UEI UER4AJLUB8D5 | 1,093 | $1.3B |
| #31 | Cognosante Mvh LLC UEI XDDKMXTVJSN8 | 104 | $1.3B |
| #32 | Philips North America LLC UEI T41NB3MDAPZ6 | 4,108 | $1.3B |
| #33 | Concordance Healthcare Solutions LLC UEI P97LZ4HFWSA6 | 90 | $1.1B |
| #34 | Dlh Solutions INC UEI QK5UUF5AFSW8 | 265 | $1.1B |
| #35 | Leidos Sms INC UEI NPUZV84KPU17 | 60 | $1.1B |
| #36 | All Points Logistics, LLC UEI KNDAEKSMLLE4 | 124 | $1.1B |
| #37 | Valor Healthcare INC UEI TB2ELWL2QEB5 | 582 | $1.1B |
| #38 | Olympus America INC UEI FLWQVLFLMEL3 | 3,063 | $1.0B |
| #39 | First Nation Group LLC UEI Z3BPH2N9K1L9 | 3,874 | $1.0B |
| #40 | International Business Machines Corporation UEI VV9KH3L99VE3 | 77 | $969M |
| #41 | B 3 Group, LLC UEI SVSAKVZJN1S7 | 47 | $953M |
| #42 | General Electric Company UEI DJY8WLTGF577 | 3,404 | $932M |
| #43 | United Parcel Service CO. UEI YF8QFWJLNBV8 | 2,221 | $928M |
| #44 | Cgi Federal INC. UEI TRKEP1HEBNS5 | 9 | $925M |
| #45 | Alvarez LLC UEI Y928UVG75CT6 | 2,051 | $898M |
| #46 | Quest Diagnostics Incorporated UEI UC5SPMUJF8V3 | 1,325 | $880M |
| #47 | Tista Science And Technology Corporation UEI L73LKJ1JCVM7 | 22 | $879M |
| #48 | By Light Professional It Services LLC UEI NKKQE6FG4C28 | 80 | $871M |
| #49 | Metgreen Solutions INC UEI J4TDZHLCUGW3 | 253 | $813M |
| #50 | Trillamed LLC UEI GW9FLBWB5625 | 4,161 | $804M |