| 1 | Department of Developmental Services | MA | $1.35B | 1.7M | 0 |
| 2 | Commonwealth of Massachusets | MA | $1.14B | 1.6M | 0 |
| 3 | Commonwealth of Mass-dds | MA | $1.10B | 1.4M | 0 |
| 4 | Community Assistance Resources & Extended Services INC | NY | $1.04B | 2.8M | 0 |
| 5 | Stavros Center for Independent Living Inc. | MA | $1.04B | 11.2M | 0 |
| 6 | Commonwealth of Massachusetts-dds | MA | $881.9M | 781K | 0 |
| 7 | Caregiver Homes of Massachusetts INC | MA | $598.9M | 7.5M | 0 |
| 8 | White Glove Community Care, Inc. | NJ | $540.7M | 2.6M | 0 |
| 9 | Department of Developmental Services | MA | $465.4M | 751K | 0 |
| 10 | Commonwealth of Massachusetts-dds | MA | $447.5M | 579K | 0 |
| 11 | Commonwealth of Massachusetts | MA | $444.0M | 584K | 0 |
| 12 | Commonwealth of Mass-dds | MA | $435.8M | 658K | 0 |
| 13 | Coordinated Behavioral Care INC | NY | $407.2M | 1.2M | 0 |
| 14 | Department of Developmental Services | MA | $352.2M | 390K | 0 |
| 15 | Commonwealth of Mass-dds | MA | $350.1M | 342K | 0 |
| 16 | Bhpn LLC | CA | $350.1M | 2.4M | 0 |
| 17 | Commonwealth of Massachusetts | MA | $334.3M | 273K | 0 |
| 18 | Chhuny LLC | NY | $331.0M | 629K | 0 |
| 19 | Commonwealth of Massachusetts-dds | MA | $326.7M | 277K | 0 |
| 20 | Mississippi Department of Rehabilitaion Svs | MS | $317.2M | 782K | 0 |
| 21 | Commonwealth of Massachusetts-dds | MA | $316.6M | 324K | 0 |
| 22 | Commonwealth of Massachusetts-dds | MA | $309.7M | 401K | 0 |
| 23 | Commonwealth of Massachusetts | MA | $306.2M | 326K | 0 |
| 24 | Commonwealth of Mass-dds | MA | $298.4M | 334K | 0 |
| 25 | Hamaspik of Kings County Inc. | NY | $295.4M | 1.1M | 0 |
| 26 | Department of Developmental Services | MA | $282.1M | 304K | 0 |
| 27 | Commonwealth of Massachusetts | MA | $280.9M | 271K | 0 |
| 28 | Department of Developmental Services | MA | $275.0M | 341K | 0 |
| 29 | Mbi Health Services LLC | DC | $270.1M | 2.8M | 0 |
| 30 | Community Bridges | NH | $265.5M | 970K | 0 |
| 31 | Department of Developmental Services | MA | $249.6M | 408K | 0 |
| 32 | Community Care Management Partners LLC (ccmp) | NY | $247.2M | 824K | 0 |
| 33 | Srh Chn Lead Health Home LLC | NY | $239.0M | 756K | 0 |
| 34 | Commonwealth of Massachusetts-dds | MA | $226.0M | 377K | 0 |
| 35 | State of Oklahoma Dept of Human Services | OK | $224.5M | 493K | 0 |
| 36 | Habit Opco, LLC | MA | $224.1M | 9.6M | 0 |
| 37 | Mystic Valley Elder Services Inc. | MA | $222.9M | 999K | 0 |
| 38 | Commonwealth of Massachusetts-dds | MA | $218.1M | 216K | 0 |
| 39 | Nemo Home Care | NY | $217.1M | 1.6M | 0 |
| 40 | Department of Developmental Services | MA | $204.9M | 322K | 0 |
| 41 | The Whole Person, Inc. | MO | $202.3M | 2.8M | 0 |
| 42 | St Lukes Roosevelt Hospital Center | NY | $190.5M | 2.8M | 0 |
| 43 | State of Oklahoma Dept. of Human Services | OK | $187.3M | 815K | 0 |
| 44 | Central Boston Elder Services, Inc. | MA | $186.7M | 1.9M | 0 |
| 45 | Interborough Developmental and Consultation Center Inc. | NY | $184.4M | 1.5M | 0 |
| 46 | Monadnock Developmental Services | NH | $184.1M | 700K | 0 |
| 47 | Detroit Area Agency on Aging | MI | $177.6M | 2.6M | 0 |
| 48 | Integrated Home Care Services Inc. | FL | $175.7M | 4.7M | 0 |
| 49 | Eihab Human Services New Jersey, Inc. | NJ | $171.1M | 398K | 0 |
| 50 | Clark County Department of Family Services | NV | $166.6M | 325K | 0 |
| 51 | North Shore University Hospital | NY | $166.5M | 506K | 0 |
| 52 | Agespan Inc. | MA | $163.4M | 1.3M | 0 |
| 53 | Creative Networks, L.l.c. | AZ | $159.7M | 1.7M | 0 |
| 54 | Consumer Direct for Florida | FL | $156.5M | 3.7M | 0 |
| 55 | Springwell | MA | $153.8M | 512K | 0 |
| 56 | Stavros Center for Independent Living, Inc. | MA | $146.4M | 4.5M | 0 |
| 57 | Reliance Community Care Partners | MI | $145.2M | 2.4M | 0 |
| 58 | Area Agency on Aging 1-b | MI | $143.1M | 1.6M | 0 |
| 59 | Old Colony Elderly Services, Inc. | MA | $137.7M | 1.2M | 0 |
| 60 | National Mentor Services LLC | MO | $134.9M | 583K | 0 |
| 61 | Acumen of North Carolina, LLC | NC | $134.3M | 1.5M | 0 |
| 62 | Berry Family Services | TX | $128.7M | 1.0M | 0 |
| 63 | Community Health Care | WA | $128.5M | 1.4M | 0 |
| 64 | A Caring Heart Case Management, Inc. | NC | $127.6M | 834K | 0 |
| 65 | Mississippi Department of Rehabilitaion Services | MS | $127.0M | 240K | 0 |
| 66 | Alpha One | ME | $121.6M | 1.1M | 0 |
| 67 | Icl Act Team Central Brooklyn | NY | $121.0M | 40K | 0 |
| 68 | Independent Living Resource Center | KS | $119.6M | 1.3M | 0 |
| 69 | Department of Disability and Aging Tennessee Early Intervention System (teis) | TN | $117.9M | 201K | 0 |
| 70 | Southwest Brooklyn Health Home LLC | NY | $113.0M | 380K | 0 |
| 71 | Waypoint Maine Inc. | ME | $110.5M | 192K | 0 |
| 72 | Camden County Partnership for Children | NJ | $102.6M | 115K | 0 |
| 73 | Bergen's Promise Inc. | NJ | $91.3M | 97K | 0 |
| 74 | Hudson Valley Care Coalition | NY | $90.7M | 284K | 0 |
| 75 | Hamaspik of Rockland, Inc. | NY | $84.5M | 273K | 0 |
| 76 | Partnership for Children of Essex | NJ | $81.2M | 92K | 0 |
| 77 | Easter Seals Blake Foundation | AZ | $80.8M | 399K | 0 |
| 78 | Lifetime Living Inc. | TX | $79.4M | 960K | 0 |
| 79 | State of Missouri | MO | $78.4M | 923K | 0 |
| 80 | Therapy Management Services, Llc. | TX | $76.1M | 804K | 0 |
| 81 | Community Healthcare Network INC | NY | $75.8M | 290K | 0 |
| 82 | Huther Doyle Memorial Institute | NY | $73.4M | 234K | 0 |
| 83 | Montefiore Medical Center | NY | $72.9M | 237K | 0 |
| 84 | Coordinated Family Care | NJ | $70.5M | 79K | 0 |
| 85 | Columbus Medical Services | GA | $68.5M | 351K | 0 |
| 86 | Quality Touch, Inc. | NY | $67.6M | 582K | 0 |
| 87 | Cape Atlantic Integrated Network for Kids | NJ | $66.3M | 72K | 0 |
| 88 | Onondaga Case Management Services Inc. | NY | $63.7M | 193K | 0 |
| 89 | Southern Ms Planning and Development District | MS | $63.2M | 388K | 0 |
| 90 | Bridgeway Behavioral Health Services | NJ | $62.4M | 41K | 0 |
| 91 | Monmouth Cares Inc. | NJ | $61.1M | 66K | 0 |
| 92 | Circle of Care for Families & Children Inc. | NJ | $60.3M | 67K | 0 |
| 93 | County of Anoka | MN | $59.3M | 692K | 0 |
| 94 | Partners for Kids and Families Inc. | NJ | $58.9M | 65K | 0 |
| 95 | Greater Buffalo United Ipa | NY | $58.3M | 259K | 0 |
| 96 | Ian Mark Gewin | MO | $48.3M | 828K | 0 |
| 97 | Life Enrichment Advancing People, Inc. | ME | $46.0M | 9,268 | 0 |
| 98 | New York City Health and Hospital Corporation | NY | $45.8M | 153K | 0 |
| 99 | Residential Resources of Maine | NH | $40.1M | 43K | 0 |
| 100 | Southwest Mississippi Planning and Development District | MS | $37.9M | 234K | 0 |