| Naphcare LLC | Vestavia Hills | AL | $966M |
| Christus Health | Irving | TX | $870M |
| Enterprise Resource Planning International, LLC | Laurel | MD | $646M |
| Seven Corners Inc. | Carmel | IN | $506M |
| Wellpath LLC | Franklin | TN | $431M |
| Luke & Associates, Inc. | Rockledge | FL | $421M |
| The Arora Group, Inc. | Gaithersburg | MD | $399M |
| Dilligas Corp. | San Antonio | TX | $356M |
| Matrix Providers Inc. | Denver | CO | $336M |
| Magnificus Corporation | Lanham | MD | $308M |
| Donald L. Mooney Enterprises, LLC | San Antonio | TX | $276M |
| Kaiser Foundation Hospitals | Oakland | CA | $266M |
| Vanderbilt University Medical Center | Nashville | TN | $260M |
| Decypher Technologies Ltd. | San Antonio | TX | $246M |
| Integrated Medical Solutions, LLC | Mansfield | TX | $218M |
| Chenega Healthcare Services LLC | San Antonio | TX | $200M |
| Readiforce Government Solutions LLC | San Antonio | TX | $169M |
| Seattle Children's Hospital | Seattle | WA | $146M |
| Provizor Federal Inc. | Columbia | MD | $132M |
| Federal Staffing Resources, LLC | Annapolis | MD | $131M |
| University Of Kentucky | Lexington | KY | $116M |
| Giamed Alliance JV LLC | Fort Lauderdale | FL | $108M |
| Ega Associates, LLC | Jeannette | PA | $105M |
| Ami Expeditionary Healthcare (usa) LLC | Reston | VA | $104M |
| Centralcare, Incorporated | Alexandria | VA | $97.3M |
| Ingenesis Inc. | San Antonio | TX | $92.3M |
| American Correctional Healthcare, Inc. | Fort Worth | TX | $83.1M |
| Decypher Health Services, LLC | San Antonio | TX | $80.7M |
| Prime Physicians Tri Providers LLC | Sioux City | IA | $74.3M |
| J Allen And Associates Of Texas, LLC | Friendswood | TX | $65.4M |
| Vesa Health & Technology Inc. | San Antonio | TX | $64.4M |
| Mercy Hospital Springfield | Springfield | MO | $60.2M |
| Global Dynamics LLC | Columbia | MD | $59.4M |
| Quarterline Consulting Services, LLC | Columbia | MD | $58.8M |
| Muscogee Arora JV LLC | Okmulgee | OK | $50.6M |
| The General Hospital Corporation | Boston | MA | $48.2M |
| Brigham & Womens Hospital Inc. | Boston | MA | $48.1M |
| Aspire-luke JV LLC | San Antonio | TX | $42.6M |
| Cherokee Nation Mission Solutions, L.L.C. | Tulsa | OK | $39M |
| Aims-usgp JV LLC | Aldie | VA | $37.3M |
| Lompoc Valley Community Healthcare Organization, Inc. | Lompoc | CA | $36.5M |
| Catalyst Professional Services, Inc. | Chantilly | VA | $35.3M |
| Medstar-georgetown Medical Center, Inc. | Washington | DC | $34.4M |
| Nationwide Healthcare Solutions, LLC | Honolulu | HI | $33.6M |
| Duke University Health System, Inc. | Durham | NC | $33.4M |
| Christus Santa Rosa Health Care Corporation | San Antonio | TX | $32.5M |
| Henry Ford Health System | Detroit | MI | $28.4M |
| Distinctive Spectrum Healthcare Solutions JV LLC | Bowie | MD | $24.1M |
| Recovery Solutions Of South Carolina, LLC | Nashville | TN | $23.6M |
| West Virginia University Hospitals, Inc. | Morgantown | WV | $23.2M |
| North Shore University Hospital | Manhasset | NY | $23.2M |
| Upmc Presbyterian Shadyside | Pittsburgh | PA | $22.6M |
| Larkin Community Hospital Inc. | South Miami | FL | $21.7M |
| Distinctive Home Care, Inc. | Bowie | MD | $20M |
| Apc Ingenesis Healthcare Staffing, LLC | Mcallen | TX | $19.8M |
| Washington Hospital Center Corporation | Washington | DC | $19.8M |
| Northwell Health, Inc. | New Hyde Park | NY | $18.6M |
| Mclaren Port Huron | Port Huron | MI | $18.3M |
| Maxmed Saratoga JV LLC | San Antonio | TX | $17.5M |
| Maxmed Healthcare Inc. | San Antonio | TX | $15.4M |
| Denver Health And Hospital Authority | Denver | CO | $14.9M |
| Lisungi Sa | Kinshasa | | $14.2M |
| Avera Mckennan | Sioux Falls | SD | $12.9M |
| Shimadzu Precision Instruments, Inc. | Long Beach | CA | $12.9M |
| Mary Hitchcock Memorial Hospital | Lebanon | NH | $12.8M |
| Inova Health Care Services | Fairfax | VA | $12.2M |
| Fannin County Hospital Authority | Bonham | TX | $12.1M |
| Bradesco Saude S/a | Rio De Janeiro | RJ | $12.1M |
| Angel Staffing Incorporated | San Antonio | TX | $10.9M |
| University Of Wisconsin Hospitals And Clinics Authority | Madison | WI | $10.7M |
| Global Shield Health Consultants, LLC | San Antonio | TX | $10M |
| Prime Tri Providers LLC | Sioux City | IA | $9.94M |
| Sacred Heart Health Services | Yankton | SD | $9.92M |
| Circulatory Services Inc. | Gainesville | FL | $9.84M |
| PDQ Health Services, LLC | Fort Wayne | IN | $9.81M |
| Compass Arora JV LLC | Annapolis | MD | $9.13M |
| Rady Children's Hospital San Diego | San Diego | CA | $8.94M |
| Rush University Medical Center | Chicago | IL | $8.27M |
| Absolute Staffers LLC | Ellicott City | MD | $8.15M |
| Coryell County Memorial Hospital Authority | Gatesville | TX | $7.94M |
| Giacare Inc. | Coral Springs | FL | $7.5M |
| Carilion Medical Center | Roanoke | VA | $7.22M |
| Virginia Commonwealth University Health System Authority | Richmond | VA | $7.17M |
| University Of North Carolina Health Care System | Chapel Hill | NC | $7.17M |
| Ridgecrest Regional Hospital | Ridgecrest | CA | $6.76M |
| Cedars-sinai Medical Center | West Hollywood | CA | $6.66M |
| Indiana University Health, Inc. | Indianapolis | IN | $6.52M |
| Arise Staffing JV LLC | Silver Spring | MD | $6.07M |
| Boston Medical Center Corporation | Boston | MA | $6.06M |
| Bronze Star Industries, Inc. | Brea | CA | $5.98M |
| City Of Seward | Seward | AK | $5.2M |
| Bergen County Improvement Auth | Paramus | NJ | $5.12M |
| St Marys Regional Health Center | Detroit Lakes | MN | $5.04M |
| Starr County Hospital District | Rio Grande City | TX | $4.96M |
| Yale New Haven Hospital, Inc. | New Haven | CT | $4.78M |
| Medtrust, L.L.C. | Oklahoma City | OK | $4.65M |
| Loyola University Health System | Maywood | IL | $4.58M |
| The Children's Hospital Of Philadelphia | Philadelphia | PA | $4.58M |
| Riverview Hospital | Marion | IN | $4.57M |
| Perham Hospital District | Perham | MN | $4.5M |
