Top 100 Contractors in PSC Q201: Medical – Managed Healthcare, Aug 2025–Jul 2026

Full ranking

Rank	Contractor	Net obligations	Share	Trend
1	UnitedHealth Group Incorporated 3 awardees, including Optum Public Sector Solutions, Inc. and Optumserve Health Services, Inc. Top agencies VA (Department of Veterans Affairs) HHS (Department of Health and Human Services) Army (Department of the Army)	$23,483,496,731	57.9%	Rank history: #1 in FY2021, #17 in FY2022, not on the FY2023 list, #1 in FY2024 and #1 in FY2025; unchanged since Aug 2024–Jul 2025.
2	Humana Government Business Inc. Top agencies DHA (Defense Health Agency)	$6,644,677,289	16.4%	Rank history: #13 in FY2021, not on the FY2022–FY2023 lists, #2 in FY2024 and #2 in FY2025; unchanged since Aug 2024–Jul 2025.
3	Triwest Healthcare Alliance Corp Top agencies DHA (Defense Health Agency)	$5,703,592,973	14.1%	Rank history: not on the FY2021–FY2022 lists, #66 in FY2023, #16 in FY2024 and #3 in FY2025; unchanged since Aug 2024–Jul 2025.
4	Evernorth Federal Services Inc. Top agencies DHA (Defense Health Agency)	$692,373,965	1.7%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
5	Johns Hopkins University 2 awardees, including The Johns Hopkins Medical Services Corporation Top agencies DHA (Defense Health Agency)	$440,769,980	1.1%	Rank history: not on the FY2021–FY2023 lists, #9 in FY2024 and #6 in FY2025; up 1 since Aug 2024–Jul 2025.
6	Martins Point Health Care Inc. Top agencies DHA (Defense Health Agency)	$384,633,972	0.9%	Rank history: #6 in FY2021, #7 in FY2022, #6 in FY2023, #8 in FY2024 and #7 in FY2025; up 1 since Aug 2024–Jul 2025.
7	Valor Healthcare Inc. 3 awardees, including Potomac Valor Healthcare 2, LLC and Potomac Healthcare Solutions, LLC Top agencies VA (Department of Veterans Affairs) USAF (Department of the Air Force)	$157,900,702	0.4%	Rank history: #29 in FY2021, #13 in FY2022, #22 in FY2023, #46 in FY2024 and #10 in FY2025; up 5 since Aug 2024–Jul 2025.
8	Naphcare LLC Top agencies DOJ (Department of Justice)	$150,683,800	0.4%	Rank history: #14 in FY2021, #15 in FY2022, #15 in FY2023, #19 in FY2024 and #14 in FY2025; up 7 since Aug 2024–Jul 2025.
9	Christus Health Top agencies DHA (Defense Health Agency)	$146,678,653	0.4%	Rank history: #9 in FY2021, #11 in FY2022, #12 in FY2023, #15 in FY2024 and #12 in FY2025; up 9 since Aug 2024–Jul 2025.
10	Pacmed Clinics Top agencies DHA (Defense Health Agency)	$146,329,469	0.4%	Rank history: #7 in FY2021, #8 in FY2022, #8 in FY2023, #11 in FY2024 and #8 in FY2025; down 1 since Aug 2024–Jul 2025.
11	Brighton Marine, Inc. Top agencies DHA (Defense Health Agency)	$135,200,000	0.3%	Rank history: #8 in FY2021, #10 in FY2022, #10 in FY2023, #14 in FY2024 and #11 in FY2025; down 1 since Aug 2024–Jul 2025.
12	International Sos Government Services LLC Top agencies DHA (Defense Health Agency) Navy (Department of the Navy)	$134,598,248	0.3%	Rank history: #11 in FY2021, #12 in FY2022, #11 in FY2023, #13 in FY2024 and #9 in FY2025; down 4 since Aug 2024–Jul 2025.
13	Leidos Holdings, Inc. Through QTC Medical Services Inc. Top agencies DHA (Defense Health Agency) Army (Department of the Army)	$104,046,041	0.3%	Rank history: #38 in FY2021, not on the FY2022 list, #14 in FY2023, #18 in FY2024 and #20 in FY2025; up 23 since Aug 2024–Jul 2025.
14	Svcmc, Inc. Top agencies DHA (Defense Health Agency)	$95,498,315	0.2%	Rank history: #12 in FY2021, #14 in FY2022, #13 in FY2023, #17 in FY2024 and #13 in FY2025; down 3 since Aug 2024–Jul 2025.
15	Amergis Healthcare Staffing Inc. Top agencies DHS (Department of Homeland Security)	$79,999,744	0.2%	Rank history: not on the FY2021–FY2024 lists and #27 in FY2025; new, not ranked in Aug 2024–Jul 2025.
16	The Arora Group, Inc. Top agencies DHS (Department of Homeland Security) DHA (Defense Health Agency)	$76,704,794	0.2%	Rank history: #33 in FY2021, #30 in FY2022, #29 in FY2023, #52 in FY2024 and #19 in FY2025; up 19 since Aug 2024–Jul 2025.
17	Icahn School of Medicine At Mount Sinai Top agencies HHS (Department of Health and Human Services)	$72,559,456	0.2%	Rank history: not on the FY2021–FY2024 lists and #17 in FY2025; up 9 since Aug 2024–Jul 2025.
18	Seven Corners Inc. Top agencies DOJ (Department of Justice)	$53,772,167	0.1%	Rank history: #16 in FY2021, #21 in FY2022, #23 in FY2023, #26 in FY2024 and #23 in FY2025; up 4 since Aug 2024–Jul 2025.
19	University of Massachusetts Through University of Massachusetts Medical School Top agencies DOJ (Department of Justice)	$53,312,479	0.1%	Rank history: #23 in FY2021, #20 in FY2022, #18 in FY2023, #22 in FY2024 and #24 in FY2025; up 4 since Aug 2024–Jul 2025.
20	Wisconsin Physicians Service Insurance Corp. Top agencies DHA (Defense Health Agency)	$51,317,158	0.1%	Rank history: not on the FY2021 list, #29 in FY2022, #16 in FY2023, #21 in FY2024 and #16 in FY2025; down 4 since Aug 2024–Jul 2025.
21	Spectrum Healthcare Resources, Inc. Top agencies DHA (Defense Health Agency)	$51,169,843	0.1%	Rank history: not on the FY2021–FY2023 lists, #20 in FY2024 and #18 in FY2025; down 4 since Aug 2024–Jul 2025.
22	STG International, Inc. Top agencies VA (Department of Veterans Affairs)	$46,103,662	0.1%	Rank history: #10 in FY2021, #9 in FY2022, #9 in FY2023, #12 in FY2024 and #15 in FY2025; down 8 since Aug 2024–Jul 2025.
23	Cognito Systems LLC Top agencies Army (Department of the Army)	$45,756,229	0.1%	Rank history: #52 in FY2021, #48 in FY2022, #41 in FY2023, #39 in FY2024 and #45 in FY2025; up 20 since Aug 2024–Jul 2025.
24	Primary Care Solutions Inc. Top agencies VA (Department of Veterans Affairs)	$40,000,659	0.1%	Rank history: #34 in FY2021, #23 in FY2022, #25 in FY2023, #31 in FY2024 and #29 in FY2025; up 5 since Aug 2024–Jul 2025.
25	Luke & Associates Inc. Top agencies DHA (Defense Health Agency)	$35,472,841	0.1%	Rank history: #21 in FY2021, #19 in FY2022, #26 in FY2023, #28 in FY2024 and #28 in FY2025; up 15 since Aug 2024–Jul 2025.
26	Boosted Commerce Inc. Through Wellpath LLC Top agencies DOJ (Department of Justice)	$35,115,822	0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
27	Integrated Medical Solutions, LLC Top agencies DOJ (Department of Justice)	$31,433,003	0.1%	Rank history: #26 in FY2021, #34 in FY2022, #40 in FY2023, #30 in FY2024 and #38 in FY2025; up 7 since Aug 2024–Jul 2025.
28	The University of North Texas Health Science Center At Fort Worth Top agencies DOJ (Department of Justice)	$31,177,690	0.1%	Rank history: #28 in FY2021, not on the FY2022 list, #57 in FY2023, #43 in FY2024 and #30 in FY2025; unchanged since Aug 2024–Jul 2025.
29	WJM Professional Services LLC Top agencies DHS (Department of Homeland Security) HHS (Department of Health and Human Services)	$28,427,431	0.1%	Rank history: not on the FY2021–FY2024 lists and #33 in FY2025; up 4 since Aug 2024–Jul 2025.
30	University of Kentucky 2 awardees Top agencies DOJ (Department of Justice)	$26,564,503	0.1%	Rank history: #37 in FY2021, #41 in FY2022, #31 in FY2023, #33 in FY2024 and #39 in FY2025; up 58 since Aug 2024–Jul 2025.
31	The Research Foundation for the State University of New York Top agencies HHS (Department of Health and Human Services)	$24,820,373	0.1%	Rank history: #44 in FY2021, #57 in FY2022, #37 in FY2023, not on the FY2024 list and #40 in FY2025; new, not ranked in Aug 2024–Jul 2025.
32	Wellpath LLC Top agencies DOJ (Department of Justice)	$24,412,609	0.1%	Rank history: #80 in FY2021, #28 in FY2022, #24 in FY2023, #29 in FY2024 and #21 in FY2025; down 7 since Aug 2024–Jul 2025.
33	Sterling Medical Associates, Inc. Top agencies VA (Department of Veterans Affairs) HHS (Department of Health and Human Services) DHA (Defense Health Agency)	$24,136,191	0.1%	Rank history: not on the FY2021 list, #66 in FY2022, not on the FY2023 list, #69 in FY2024 and #37 in FY2025; down 9 since Aug 2024–Jul 2025.
34	Magnificus Corporation Top agencies DHA (Defense Health Agency)	$23,283,653	0.1%	Rank history: not on the FY2021–FY2022 lists, #47 in FY2023, #45 in FY2024 and #42 in FY2025; up 15 since Aug 2024–Jul 2025.
35	Mayo Clinic 3 awardees, including Mayo Clinic Health System-Southwest Minnesota Region and Mayo Clinic Health System-Southeast Minnesota Region Top agencies DOJ (Department of Justice)	$21,428,032	0.1%	Rank history: #49 in FY2021, #46 in FY2022, #38 in FY2023, #35 in FY2024 and #60 in FY2025; up 22 since Aug 2024–Jul 2025.
36	Enterprise Resource Planning International, LLC Top agencies DHA (Defense Health Agency)	$21,249,960	0.1%	Rank history: #27 in FY2021, #25 in FY2022, #21 in FY2023, #24 in FY2024 and #25 in FY2025; down 17 since Aug 2024–Jul 2025.
37	Health Net Federal Services, LLC Top agencies DHA (Defense Health Agency)	$21,068,787	0.1%	Rank history: #93 in FY2021, #5 in FY2022, #7 in FY2023, #5 in FY2024 and #4 in FY2025; down 33 since Aug 2024–Jul 2025.
38	Matrix Providers Inc. Top agencies DHA (Defense Health Agency)	$20,017,900	<0.1%	Rank history: not on the FY2021–FY2023 lists, #49 in FY2024 and #36 in FY2025; down 1 since Aug 2024–Jul 2025.
39	Goldbelt Incorporated Through Goldbelt Glacier Health Services, LLC Top agencies DHA (Defense Health Agency)	$19,009,007	<0.1%	Rank history: #56 in FY2021, #33 in FY2022, #39 in FY2023, #55 in FY2024 and #43 in FY2025; down 9 since Aug 2024–Jul 2025.
40	Magellan Federal Inc. Top agencies HHS (Department of Health and Human Services) Navy (Department of the Navy) DOI (Department of the Interior)	$18,915,373	<0.1%	Rank history: not on the FY2021–FY2023 lists, #38 in FY2024 and #22 in FY2025; down 19 since Aug 2024–Jul 2025.
41	Ingenesis Inc. Top agencies DHS (Department of Homeland Security) USDA (Department of Agriculture)	$18,182,486	<0.1%	Rank history: not on the FY2021–FY2023 lists, #98 in FY2024 and #34 in FY2025; up 1 since Aug 2024–Jul 2025.
42	Decypher Technologies Ltd 3 awardees, including Decypher Health Services, LLC Top agencies DHA (Defense Health Agency) USAF (Department of the Air Force)	$18,131,246	<0.1%	Rank history: #98 in FY2021, #69 in FY2022, #61 in FY2023, #51 in FY2024 and #51 in FY2025; up 26 since Aug 2024–Jul 2025.
43	J Allen and Associates of Texas, LLC Top agencies DOJ (Department of Justice)	$17,881,578	<0.1%	Rank history: #85 in FY2021, #87 in FY2022, #54 in FY2023, #40 in FY2024 and #53 in FY2025; up 3 since Aug 2024–Jul 2025.
44	American Correctional Healthcare, Inc. Top agencies DOJ (Department of Justice)	$17,819,912	<0.1%	Rank history: #73 in FY2021, not on the FY2022–FY2024 lists and #54 in FY2025; up 34 since Aug 2024–Jul 2025.
45	Accenture Federal Services LLC Through Cognosante MVH LLC Top agencies VA (Department of Veterans Affairs)	$16,515,595	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
46	Readiforce Government Solutions LLC Top agencies DHA (Defense Health Agency)	$15,953,515	<0.1%	Rank history: #65 in FY2021, #71 in FY2022, #50 in FY2023, #57 in FY2024 and #48 in FY2025; up 4 since Aug 2024–Jul 2025.
47	Cape Fox Corporation 3 awardees, including Concentric Methods, LLC, Eagle Health, LLC and Wolf Lake Services, LLC Top agencies DHA (Defense Health Agency) HHS (Department of Health and Human Services) NRC (Nuclear Regulatory Commission)	$15,830,249	<0.1%	Rank history: not on the FY2021–FY2023 lists, #73 in FY2024 and #35 in FY2025; down 9 since Aug 2024–Jul 2025.
48	Dilligas Corp Top agencies DHA (Defense Health Agency) USSOCOM (United States Special Operations Command)	$15,377,683	<0.1%	Rank history: not on the FY2021–FY2022 lists, #35 in FY2023, #32 in FY2024 and #41 in FY2025; down 17 since Aug 2024–Jul 2025.
49	Centene Corporation Through Magellan Federal, Inc. Top agencies HHS (Department of Health and Human Services) WHS (DOD Washington Headquarters Service) DSCA (Defense Security Cooperation Agency)	$15,121,707	<0.1%	Rank history: #3 in FY2021, #3 in FY2022, #3 in FY2023, #6 in FY2024 and not on the FY2025 list; new, not ranked in Aug 2024–Jul 2025.
50	Katmai Health Services LLC Top agencies DHA (Defense Health Agency)	$14,881,526	<0.1%	Rank history: #54 in FY2021, not on the FY2022 list, #44 in FY2023, #41 in FY2024 and #47 in FY2025; down 3 since Aug 2024–Jul 2025.
51	Medtronic Inc. Through Medtronic Care Management Services, LLC Top agencies VA (Department of Veterans Affairs)	$14,703,257	<0.1%	Rank history: not on the FY2021–FY2025 lists; up 262 since Aug 2024–Jul 2025.
52	City of New York Fire Department Top agencies HHS (Department of Health and Human Services)	$14,432,858	<0.1%	Rank history: not on the FY2021–FY2023 lists, #47 in FY2024 and not on the FY2025 list; unchanged since Aug 2024–Jul 2025.
53	Koniag, Inc. 2 awardees, including Kadiak LLC and Koniag Data Solutions LLC Top agencies DHS (Department of Homeland Security)	$14,140,408	<0.1%	Rank history: not on the FY2021 list, #72 in FY2022, #69 in FY2023, not on the FY2024 list and #66 in FY2025; up 16 since Aug 2024–Jul 2025.
54	Avel Ecare LLC 2 awardees Top agencies HHS (Department of Health and Human Services)	$13,393,752	<0.1%	Rank history: not on the FY2021–FY2022 lists, #59 in FY2023, #82 in FY2024 and #86 in FY2025; up 59 since Aug 2024–Jul 2025.
55	Mercy Hospital Springfield Top agencies DOJ (Department of Justice)	$12,360,677	<0.1%	Rank history: not on the FY2021–FY2024 lists and #78 in FY2025; up 32 since Aug 2024–Jul 2025.
56	Express Scripts Inc. Top agencies DHA (Defense Health Agency)	$11,819,779	<0.1%	Rank history: not on the FY2021–FY2022 lists, #4 in FY2023, #7 in FY2024 and #5 in FY2025; down 51 since Aug 2024–Jul 2025.
57	Caresource Military & Veterans Co. Top agencies DHA (Defense Health Agency)	$11,082,758	<0.1%	Rank history: not on the FY2021–FY2024 lists and #62 in FY2025; up 4 since Aug 2024–Jul 2025.
58	New York City Health and Hospitals Corporation Top agencies HHS (Department of Health and Human Services)	$10,416,548	<0.1%	Rank history: #40 in FY2021, #44 in FY2022, #27 in FY2023, #25 in FY2024 and #26 in FY2025; down 19 since Aug 2024–Jul 2025.
59	Prairie Band Health Services Inc. Top agencies HHS (Department of Health and Human Services)	$10,313,754	<0.1%	Rank history: not on the FY2021 list, #95 in FY2022, not on the FY2023 list, #58 in FY2024 and #68 in FY2025; up 4 since Aug 2024–Jul 2025.
60	Aims-Usgp JV LLC Top agencies DHA (Defense Health Agency)	$10,017,897	<0.1%	Rank history: not on the FY2021–FY2024 lists and #56 in FY2025; down 2 since Aug 2024–Jul 2025.
61	Crassociates, Inc. Top agencies VA (Department of Veterans Affairs)	$9,945,210	<0.1%	Rank history: #15 in FY2021, #43 in FY2022, not on the FY2023 list, #83 in FY2024 and #46 in FY2025; down 16 since Aug 2024–Jul 2025.
62	APC Ingenesis Healthcare Staffing, LLC Top agencies DHA (Defense Health Agency) USAF (Department of the Air Force)	$9,812,334	<0.1%	Rank history: not on the FY2021–FY2024 lists and #70 in FY2025; up 83 since Aug 2024–Jul 2025.
63	Advancia Aeronautics, LLC Top agencies DHA (Defense Health Agency)	$8,410,164	<0.1%	Rank history: not on the FY2021–FY2024 lists and #63 in FY2025; up 1 since Aug 2024–Jul 2025.
64	North American United Healthcare Services JV LLC Top agencies VA (Department of Veterans Affairs)	$8,298,182	<0.1%	Rank history: not on the FY2021–FY2025 lists; up 365 since Aug 2024–Jul 2025.
65	Acuity International LLC 2 awardees, including Acuity-Chs, LLC Top agencies Army (Department of the Army) DHRA (Defense Human Resources Activity)	$8,280,847	<0.1%	Rank history: not on the FY2021–FY2024 lists and #57 in FY2025; down 9 since Aug 2024–Jul 2025.
66	Northwell Health, Inc. 2 awardees, including North Shore University Hospital Top agencies DOT (Department of Transportation) HHS (Department of Health and Human Services)	$8,101,151	<0.1%	Rank history: #88 in FY2021, #64 in FY2022, #79 in FY2023, #60 in FY2024 and #59 in FY2025; up 11 since Aug 2024–Jul 2025.
67	Saratoga Medical Center, Inc. Top agencies DHA (Defense Health Agency)	$7,210,948	<0.1%	Rank history: #63 in FY2021, #54 in FY2022, #49 in FY2023, #48 in FY2024 and #72 in FY2025; down 2 since Aug 2024–Jul 2025.
68	Lompoc Valley Community Healthcare Organization, Inc. Top agencies DOJ (Department of Justice)	$7,172,839	<0.1%	Rank history: #78 in FY2021, not on the FY2022 list, #67 in FY2023, #74 in FY2024 and #69 in FY2025; up 15 since Aug 2024–Jul 2025.
69	KBR Wyle Services LLC Through KBR Services, LLC Top agencies DOS (Department of State)	$6,881,909	<0.1%	Rank history: not on the FY2021–FY2023 lists, #65 in FY2024 and #31 in FY2025; down 49 since Aug 2024–Jul 2025.
70	Venesco LLC Through Catalyst Professional Services, Inc. Top agencies DHA (Defense Health Agency) USAF (Department of the Air Force)	$6,813,206	<0.1%	Rank history: not on the FY2021–FY2024 lists and #71 in FY2025; new, not ranked in Aug 2024–Jul 2025.
71	The Chenega Corporation 6 awardees, including Chenega Pro Federal Solutions, LLC, Ajanta Consulting LLC and American Hospital Services Group LLC Top agencies DHA (Defense Health Agency) Commerce (Department of Commerce)	$6,720,593	<0.1%	Rank history: not on the FY2021–FY2024 lists and #65 in FY2025; new, not ranked in Aug 2024–Jul 2025.
72	Rutgers, the State University Through Rutgers the State University of New Jersey Top agencies HHS (Department of Health and Human Services)	$6,657,108	<0.1%	Rank history: #91 in FY2021, #62 in FY2022, not on the FY2023–FY2024 lists and #49 in FY2025; new, not ranked in Aug 2024–Jul 2025.
73	Spectrum Services Group Inc. Top agencies DHA (Defense Health Agency) DOJ (Department of Justice)	$6,340,877	<0.1%	Rank history: #75 in FY2021, #67 in FY2022, #46 in FY2023, #36 in FY2024 and #44 in FY2025; down 41 since Aug 2024–Jul 2025.
74	Rutgers the State University of New Jersey 2 awardees Top agencies HHS (Department of Health and Human Services)	$6,205,344	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
75	Distinctive Health Spectrum Care JV LLC Top agencies DHA (Defense Health Agency)	$6,061,539	<0.1%	Rank history: not on the FY2021–FY2024 lists and #61 in FY2025; down 15 since Aug 2024–Jul 2025.
76	New York University Top agencies HHS (Department of Health and Human Services)	$5,958,366	<0.1%	Rank history: not on the FY2021–FY2024 lists and #95 in FY2025; new, not ranked in Aug 2024–Jul 2025.
77	Giamed Alliance JV LLC Top agencies DHA (Defense Health Agency) USAF (Department of the Air Force)	$5,358,813	<0.1%	Rank history: #82 in FY2021, not on the FY2022 list, #90 in FY2023, #75 in FY2024 and #75 in FY2025; down 11 since Aug 2024–Jul 2025.
78	TLS Joint Venture LLC Top agencies DHA (Defense Health Agency)	$5,301,956	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
79	Frontline National LLC Top agencies DHA (Defense Health Agency) USDA (Department of Agriculture)	$5,214,332	<0.1%	Rank history: #87 in FY2021, not on the FY2022 list, #100 in FY2023, #67 in FY2024 and #77 in FY2025; down 7 since Aug 2024–Jul 2025.
80	EGA Associates LLC Top agencies VA (Department of Veterans Affairs)	$5,203,132	<0.1%	Rank history: not on the FY2021–FY2022 lists, #93 in FY2023, #79 in FY2024 and #55 in FY2025; down 26 since Aug 2024–Jul 2025.
81	Avosys Technology, Inc. Top agencies DHA (Defense Health Agency)	$4,885,458	<0.1%	Rank history: #61 in FY2021, #75 in FY2022, not on the FY2023 list, #96 in FY2024 and #76 in FY2025; down 7 since Aug 2024–Jul 2025.
82	AMG Healthcare Services Inc. Top agencies DHA (Defense Health Agency)	$4,578,927	<0.1%	Rank history: #86 in FY2021, not on the FY2022 list, #63 in FY2023, not on the FY2024 list and #90 in FY2025; up 9 since Aug 2024–Jul 2025.
83	Titan-Auxo, LLC Top agencies VA (Department of Veterans Affairs)	$4,507,001	<0.1%	Rank history: not on the FY2021–FY2025 lists; up 47 since Aug 2024–Jul 2025.
84	Quality Staffing Solutions, Inc. Top agencies DHA (Defense Health Agency) USAF (Department of the Air Force)	$4,381,075	<0.1%	Rank history: #97 in FY2021, not on the FY2022 list, #70 in FY2023, #80 in FY2024 and #87 in FY2025; down 9 since Aug 2024–Jul 2025.
85	Larkin Community Hospital Inc. Top agencies DOJ (Department of Justice)	$4,331,725	<0.1%	Rank history: not on the FY2021–FY2025 lists; up 107 since Aug 2024–Jul 2025.
86	Bay Area Anesthesia LLC Top agencies HHS (Department of Health and Human Services)	$4,255,252	<0.1%	Rank history: not on the FY2021 list, #82 in FY2022, #76 in FY2023, #62 in FY2024 and #50 in FY2025; down 35 since Aug 2024–Jul 2025.
87	Strategic Resources, Incorporated Through North East South West Healthcare Solutions, LLC Top agencies DHS (Department of Homeland Security)	$4,200,000	<0.1%	Rank history: not on the FY2021–FY2024 lists and #64 in FY2025; new, not ranked in Aug 2024–Jul 2025.
88	Clinovators LLC Top agencies VA (Department of Veterans Affairs)	$4,088,117	<0.1%	Rank history: not on the FY2021 list, #78 in FY2022, #80 in FY2023, #87 in FY2024 and #83 in FY2025; down 7 since Aug 2024–Jul 2025.
89	The Royster Group, Inc. Top agencies DHA (Defense Health Agency)	$4,072,621	<0.1%	Rank history: not on the FY2021–FY2022 lists, #73 in FY2023, #81 in FY2024 and not on the FY2025 list; up 65 since Aug 2024–Jul 2025.
90	LOS Angeles American Indian Health Centers Inc. Top agencies HHS (Department of Health and Human Services)	$3,987,437	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
91	Community Health Systems Inc. Through Wesley Health System LLC Top agencies VA (Department of Veterans Affairs)	$3,845,520	<0.1%	Rank history: not on the FY2021–FY2023 lists, #94 in FY2024 and not on the FY2025 list; up 33 since Aug 2024–Jul 2025.
92	Federal Staffing Resources, LLC Top agencies DHA (Defense Health Agency)	$3,834,469	<0.1%	Rank history: #64 in FY2021, #61 in FY2022, not on the FY2023–FY2024 lists and #88 in FY2025; up 8 since Aug 2024–Jul 2025.
93	Correctional Dialysis Services LLC Top agencies DOJ (Department of Justice)	$3,760,762	<0.1%	Rank history: #100 in FY2021, not on the FY2022–FY2024 lists and #89 in FY2025; down 7 since Aug 2024–Jul 2025.
94	Akahi Associates, LLC 2 awardees, including Akahi Ingenesis Partners LLC Top agencies DHA (Defense Health Agency) USAF (Department of the Air Force)	$3,694,076	<0.1%	Rank history: not on the FY2021–FY2024 lists and #91 in FY2025; up 79 since Aug 2024–Jul 2025.
95	Malath Cooperative Insurance and Reinsurance Company Top agencies DOS (Department of State)	$3,675,327	<0.1%	Rank history: not on the FY2021 list, #98 in FY2022, #82 in FY2023, #77 in FY2024 and #74 in FY2025; down 24 since Aug 2024–Jul 2025.
96	Watanabe Enterprises LLC Top agencies HHS (Department of Health and Human Services) VA (Department of Veterans Affairs)	$3,637,008	<0.1%	Rank history: not on the FY2021–FY2025 lists; up 15 since Aug 2024–Jul 2025.
97	Mclaren Port Huron Top agencies VA (Department of Veterans Affairs)	$3,576,521	<0.1%	Rank history: not on the FY2021–FY2025 lists; up 6 since Aug 2024–Jul 2025.
98	Bristol Bay Native Corporation Through Eagle Health Analytics, LLC Top agencies DHA (Defense Health Agency)	$3,528,510	<0.1%	Rank history: not on the FY2021–FY2024 lists and #100 in FY2025; new, not ranked in Aug 2024–Jul 2025.
99	Metlife, Inc. Through Metlife Life Insurance Company Top agencies DOS (Department of State)	$3,461,258	<0.1%	Rank history: not on the FY2021–FY2022 lists, #96 in FY2023, not on the FY2024 list and #99 in FY2025; down 2 since Aug 2024–Jul 2025.
100	Aspire-Luke JV LLC Top agencies DHA (Defense Health Agency)	$3,400,242	<0.1%	Rank history: not on the FY2021–FY2025 lists; up 65 since Aug 2024–Jul 2025.

How this ranking works

• Source: every contract action FPDS records (as published on SAM.gov) in the period, as GovTribe received it.
• Amounts are net obligations: what was obligated, less what was deobligated. Shares are of $40.6 billion obligated before deobligations, so they never pass 100%.
• Parent companies: each action counts under the ultimate parent its award record names, or under the awardee when it names none, so no dollar counts twice. An awardee whose own actions mostly name no parent, and that no other company's actions name as their parent, rolls up its SAM.gov registration's chain of parent companies: it counts under the first company there that other companies' actions name as their parent, or under the parent most of a company's own actions name, whichever comes first; with neither, under the highest company in the chain with federal contracts of its own. Joint ventures stay companies of their own. Parents of the same name (Inc., LLC and the like aside) count as one company, since FPDS records a company's parent under more than one UEI over time. GovTribe corrects a few parents and names by hand; see the corrections.
• Period: the trailing 12 months end with the last month that ended at least 90 days ago, because the Department of Defense reports its contract actions to FPDS about 90 days late. The list is rebuilt each night.
• Rank changes compare with Aug 2024–Jul 2025. "New" marks a company outside that period's top 500, and "Returned" one of those that was on an earlier fiscal year's list.
• Rank lines show each company's rank on every fiscal year's list since FY2021, #1 at the top, on a scale that gives the top of the list more room. A dashed stretch spans years it wasn't on the list.
• Placeholder recipients FPDS uses when it names no company ("Miscellaneous Foreign Contractors" and the like) aren't ranked.

Quick answers