| 1 | Public Partnerships LLC | NY | $807.9M | $1.07B | +33% | $263.3M |
| 2 | City of Chicago | IL | $23.0M | $239.9M | +942% | $216.8M |
| 3 | Freedom Care LLC | NY | $169.2M | $379.7M | +125% | $210.5M |
| 4 | Consumer Direct Care Network Virginia | MT | $150.4M | $323.0M | +115% | $172.6M |
| 5 | County of Santa Clara | CA | $185.5M | $343.2M | +85% | $157.7M |
| 6 | Guardiantrac. LLC | MI | $218.4M | $371.6M | +70% | $153.3M |
| 7 | Tennessee Department of Children's Services | TN | $18.5M | $159.1M | +761% | $140.7M |
| 8 | Girling Health Care Inc. | TX | $52.7M | $174.1M | +230% | $121.4M |
| 9 | City Medical of Upper East Side PLLC | NY | $45.4M | $166.1M | +266% | $120.8M |
| 10 | Aoc TX LLC | TX | $1.6M | $121.1M | +7321% | $119.4M |
| 11 | Laboratory Corporation of America Holdings | NC | $170.9M | $282.1M | +65% | $111.2M |
| 12 | Acumen Fiscal Agent LLC | AZ | $64.0M | $166.5M | +160% | $102.4M |
| 13 | New Partners INC | NY | $85.7M | $176.9M | +106% | $91.1M |
| 14 | Marks Homecare Agency INC | NY | $35.1M | $126.1M | +260% | $91.0M |
| 15 | Tempus Unlimited, Inc. | MA | $450.9M | $534.0M | +18% | $83.1M |
| 16 | Advance Hi-tech Nursing Inc. | TX | $2.4M | $84.2M | +3404% | $81.8M |
| 17 | Ambercare Home Health Care Corporation | NM | $18.9M | $96.7M | +412% | $77.8M |
| 18 | Legacy Community Health Services, INC | TX | $4.3M | $81.0M | +1779% | $76.7M |
| 19 | Montefiore Medical Center | NY | $74.5M | $150.9M | +103% | $76.4M |
| 20 | Children's Health System of Texas | TX | $2.1M | $74.9M | +3400% | $72.7M |
| 21 | Consumer Directed Services in Texas Inc. | TX | $42.9M | $115.1M | +168% | $72.2M |
| 22 | Purfoods LLC | IA | $79.5M | $151.2M | +90% | $71.7M |
| 23 | County of San Bernardino | CA | $107.2M | $177.7M | +66% | $70.4M |
| 24 | Childrens Hospital of Philadelphia | PA | $13.3M | $83.3M | +527% | $70.0M |
| 25 | Access2care LLC | MO | $16.9M | $86.3M | +409% | $69.3M |
| 26 | Assistcarehome Healthcare Services | NY | $141.3M | $210.1M | +49% | $68.7M |
| 27 | Laboratory Corporation of America Holdings | NJ | $72.0M | $139.7M | +94% | $67.7M |
| 28 | Texas Department of State Health | TX | $10.1M | $77.1M | +665% | $67.0M |
| 29 | Youth Villages Inc. | TN | $24.4M | $91.2M | +273% | $66.7M |
| 30 | Arion Care Solutions LLC | AZ | $27.1M | $91.6M | +237% | $64.5M |
| 31 | Platinum Home Health Care Inc. | NY | $75.7M | $138.4M | +83% | $62.8M |
| 32 | Excel Copmanion Care INC | PA | $2.1M | $64.1M | +2928% | $61.9M |
| 33 | Quest Diagnostics Clinical Laboratories INC | TX | $12.0M | $73.3M | +513% | $61.3M |
| 34 | American Business Institute Corp | NY | $193.1M | $252.5M | +31% | $59.5M |
| 35 | C and T Homecare Services LLC | NY | $46.2M | $105.3M | +128% | $59.1M |
| 36 | Quest Diagnostics Incorporated | NJ | $66.0M | $124.7M | +89% | $58.6M |
| 37 | Sun River Health Inc. | NY | $77.1M | $134.6M | +75% | $57.5M |
| 38 | Mid Atlantic Pemanente Medical Group | MD | $8.1M | $64.6M | +693% | $56.4M |
| 39 | Coordinated Behavioral Care INC | NY | $19.7M | $73.8M | +275% | $54.1M |
| 40 | Natera Inc. | CA | $32.6M | $85.7M | +163% | $53.1M |
| 41 | Laboratory Corporation of America Holdings | OH | $66.2M | $119.2M | +80% | $52.9M |
| 42 | The New York and Presbyterian Hospital | NY | $32.6M | $85.1M | +161% | $52.5M |
| 43 | Texas Home Health of America L.p. | TX | $2.7M | $54.8M | +1955% | $52.1M |
| 44 | Long Island Jewish Medical Center | NY | $21.5M | $73.6M | +242% | $52.1M |
| 45 | Brightview LLC | OH | $31.2M | $83.2M | +167% | $52.0M |
| 46 | Palco, Inc. | AR | $3.7M | $54.6M | +1377% | $50.9M |
| 47 | New York Network Ipa INC | NY | $25.7M | $76.6M | +198% | $50.9M |
| 48 | Hamaspik of Kings County Inc. | NY | $147K | $48.7M | +32994% | $48.6M |
| 49 | Friends and Family Home Care Services | NY | $44.0M | $90.4M | +105% | $46.4M |
| 50 | Chhuny LLC | NY | $16.7M | $62.9M | +276% | $46.2M |
| 51 | Laboratory Corporation of America Holdings | NC | $19.9M | $65.7M | +230% | $45.8M |
| 52 | The Arc of Oakland County INC | MI | $369K | $45.0M | +12091% | $44.6M |
| 53 | Department of Developmental Services | MA | $205.6M | $249.5M | +21% | $43.9M |
| 54 | University of Rochester | NY | $23.4M | $67.0M | +187% | $43.6M |
| 55 | Home Family Care INC | NY | $83.6M | $127.2M | +52% | $43.6M |
| 56 | Five Star Home Health Care Agency | NY | $67.0M | $110.2M | +65% | $43.2M |
| 57 | New York Psychotherapy and Counseling Center | NY | $14.5M | $57.3M | +295% | $42.8M |
| 58 | The Collaborative for Children and Families | NY | $9.1M | $51.7M | +469% | $42.6M |
| 59 | Laboratory Corporation of America | AZ | $20.1M | $62.7M | +212% | $42.6M |
| 60 | Unilab Corporation | CA | $79.3M | $121.9M | +54% | $42.6M |
| 61 | Amazing Home Care Services, LLC | NY | $5.8M | $48.3M | +731% | $42.5M |
| 62 | Mount Sinai Hospital | NY | $17.0M | $58.9M | +247% | $41.9M |
| 63 | County of San Diego | CA | $58.1M | $99.0M | +70% | $40.9M |
| 64 | Temple University Hospital INC | PA | $598K | $40.8M | +6719% | $40.2M |
| 65 | Public Partnerships LLC | GA | $59.8M | $99.0M | +66% | $39.2M |
| 66 | Medco Respiratory Instruments, Inc. | TX | $3.9M | $42.2M | +993% | $38.3M |
| 67 | Physicians Group Laboratories, LLC | LA | $13.2M | $51.5M | +289% | $38.2M |
| 68 | Upmc Children's Hospital of Pittsburgh | PA | $1.5M | $39.6M | +2519% | $38.1M |
| 69 | Los Angeles County Department of Public Health | CA | $145.0M | $182.9M | +26% | $37.9M |
| 70 | Trustees of the University of Pennsylvania | PA | $151K | $38.1M | +25104% | $37.9M |
| 71 | Commonwealth of Massachusetts-dds | MA | $132.1M | $169.8M | +29% | $37.8M |
| 72 | S & a Unified Home Care Inc. | NY | $98.6M | $136.3M | +38% | $37.7M |
| 73 | In-home Attendant Services Ltd. | TX | $12.5M | $50.2M | +301% | $37.7M |
| 74 | Heart to Heart Home Care Inc. | NY | $114.9M | $152.5M | +33% | $37.6M |
| 75 | Dallas County Hospital District | TX | $611K | $38.0M | +6121% | $37.4M |
| 76 | Golden Touch Home Health LLC | NY | $21.8M | $58.7M | +170% | $36.9M |
| 77 | Texas Children's Physician Group | TX | $164K | $37.0M | +22523% | $36.9M |
| 78 | All American Homecare Agency Inc. | NY | $83.4M | $120.0M | +44% | $36.6M |
| 79 | Bioreference Health LLC | NJ | $80.2M | $116.7M | +46% | $36.5M |
| 80 | Premier Home Health Care Services INC | NY | $202.3M | $238.2M | +18% | $35.9M |
| 81 | The Milton S Hershey Medical Center | PA | $474K | $36.2M | +7535% | $35.7M |
| 82 | North Shore-lij Medical PC | NY | $33.5M | $68.9M | +106% | $35.5M |
| 83 | Upmc Presbyterian Shadyside | PA | $130K | $35.5M | +27246% | $35.4M |
| 84 | A & J Staffing INC | NY | $71.2M | $106.5M | +50% | $35.4M |
| 85 | Stavros Center for Independent Living Inc. | MA | $247.9M | $283.0M | +14% | $35.0M |
| 86 | Community Care Management Partners LLC (ccmp) | NY | $14.6M | $49.4M | +238% | $34.8M |
| 87 | New York City Health and Hospitals Corporation | NY | $12.0M | $46.4M | +287% | $34.4M |
| 88 | Sonora Quest Laboratories LLC | AZ | $34.9M | $69.3M | +99% | $34.4M |
| 89 | Aeroflow INC | NC | $30.7M | $65.0M | +112% | $34.4M |
| 90 | New York City Health and Hospitals Corporation | NY | $7.4M | $41.6M | +461% | $34.2M |
| 91 | Americare Inc. | NY | $74.2M | $108.2M | +46% | $34.0M |
| 92 | Compass Health Inc. | MO | $137.5M | $171.3M | +25% | $33.8M |
| 93 | We Care Daily Clinics LLC | WA | $1.9M | $35.5M | +1813% | $33.7M |
| 94 | Consumer Direct District of Columbia | MT | $57.9M | $90.9M | +57% | $33.0M |
| 95 | Nae Edison LLC | NY | $108.1M | $141.0M | +30% | $32.9M |
| 96 | Bhpn LLC | CA | $19.7M | $52.5M | +167% | $32.9M |
| 97 | Easter Seals Delaware & Marylands Eastern Shore INC | DE | $21.5M | $54.2M | +152% | $32.7M |
| 98 | Beth Israel Medical Center | NY | $21.4M | $53.7M | +151% | $32.3M |
| 99 | Laboratory Corporation of America Holdings | NC | $27.0M | $59.1M | +119% | $32.1M |
| 100 | Alamo Consumer Direct, LLC | TX | $2.6M | $34.6M | +1244% | $32.0M |