| 1 | Oklahoma Health Care AuthorityGov | $4,280,262,922 | 15,539 | 24 | +10.4% |
| 2 | Oklahoma Lottery CommissionGov | $574,617,909 | 3,800 | 3 | −24.4% |
| 3 | DXC Technology Services LLC | $245,462,482 | 374 | 1 | – |
| 4 | Medical Center Hospitals | $240,728,519 | 423 | 1 | – |
| 5 | Saint Francis Hospital | $215,612,414 | 581 | 15 | – |
| 6 | Communities Foundation of Oklahoma Inc | $193,113,991 | 131 | 8 | – |
| 7 | Oklahoma State University Medical CenterGov | $170,252,347 | 649 | 10 | – |
| 8 | Hillcrest Medical Center | $124,268,737 | 903 | 14 | – |
| 9 | Lindsay Municipal Hospital | $121,176,110 | 424 | 10 | – |
| 10 | Dept of Human ServicesGov | $109,400,298 | 153 | 3 | – |
| 11 | Scientific Games International Inc | $105,445,562 | 777 | 1 | – |
| 12 | State General Revenue FundGov | $102,771,281 | 210 | 3 | – |
| 13 | Electronic Data Systems Corporations | $87,628,367 | 65 | 1 | – |
| 14 | University Hospital Author | $85,305,282 | 5 | 1 | – |
| 15 | Computer Sciences Corporation | $76,370,228 | 141 | 6 | – |
| 16 | St John Med Ctr | $74,536,366 | 428 | 2 | – |
| 17 | Integris Baptist Medical C | $68,566,323 | 329 | 1 | – |
| 18 | OU College of Medicine-Gme | $67,901,311 | 42 | 1 | – |
| 19 | Norman Regional Hospital | $67,509,709 | 1,879 | 18 | – |
| 20 | Mercy Health Center | $65,924,420 | 470 | 8 | – |
| 21 | Shadow Mountain Behavioral Health System | $63,628,339 | 877 | 4 | – |
| 22 | Southern Oklahoma Resource Center of Pau | $57,613,619 | 42 | 1 | – |
| 23 | St Anthony Hospital | $56,369,158 | 300 | 8 | – |
| 24 | St Anthony HSP | $50,623,517 | 406 | 1 | – |
| 25 | Northern Oklahoma Resource Center of Eni | $48,572,428 | 58 | 1 | – |
| 26 | Comanche County Memorial Hospital | $46,880,567 | 604 | 9 | – |
| 27 | Logisticare Solutions LLC | $46,369,479 | 58 | 1 | – |
| 28 | Okla Gas & Electric Services | $43,269,134 | 111 | 1 | – |
| 29 | Healthcare Innovations | $43,018,554 | 367 | 1 | – |
| 30 | Hope Community Services Inc | $41,664,793 | 1,469 | 5 | – |
| 31 | Integris Southwest Medical | $39,675,674 | 318 | 1 | – |
| 32 | Restore Hope Ministries Inc | $37,521,948 | 13 | 1 | – |
| 33 | Dept of Mental Health - ObhGov | $36,073,218 | 7 | 1 | – |
| 34 | The Childrens Center Inc | $34,031,783 | 330 | 8 | – |
| 35 | Bios Inc | $32,621,762 | 737 | 1 | – |
| 36 | Municipal Gas Acquisition | $32,076,514 | 23 | 1 | – |
| 37 | Girling Health Care Inc | $30,140,925 | 573 | 1 | – |
| 38 | Accredo Health Group Inc | $29,865,429 | 622 | 1 | – |
| 39 | Creoks Mental Health Services Inc | $29,558,001 | 1,695 | 6 | – |
| 40 | Muskogee Regional Medical Center | $28,155,819 | 383 | 8 | – |
| 41 | Southwestern Medical Center | $27,563,998 | 372 | 8 | – |
| 42 | Sequoyah Enterprises Inc | $27,210,403 | 1,129 | 3 | – |
| 43 | Ocean Dental | $26,200,746 | 1,916 | 5 | – |
| 44 | Midwest City Regional Hospital | $26,057,612 | 337 | 3 | – |
| 45 | Country Style Healthe Care | $25,974,038 | 181 | 1 | – |
| 46 | Osu-College of Osteopathic Medicine-Gme | $25,593,996 | 16 | 1 | – |
| 47 | Southcrest Hospital | $25,520,180 | 419 | 6 | – |
| 48 | Mays Plus Inc | $24,784,814 | 587 | 1 | – |
| 49 | Communityworks LLC | $24,100,230 | 562 | 3 | – |
| 50 | Medical Center of Southeastern Oklahoma | $23,815,369 | 335 | 5 | – |
| 51 | Independent Opportunities | $23,280,661 | 423 | 1 | – |
| 52 | Cherokee Nation - WW Hastings | $21,823,240 | 549 | 1 | – |
| 53 | Deaconess HSP | $21,643,898 | 318 | 1 | – |
| 54 | Mercy Hospital Ardmore | $21,282,447 | 307 | 1 | – |
| 55 | Healthcare Innovations Private Services | $20,997,966 | 360 | 1 | – |
| 56 | Oklahoma Child Care Resource and Referra | $20,201,733 | 205 | 3 | – |
| 57 | Clinton Public SchoolsGov | $19,479,114 | 295 | 13 | – |
| 58 | Oklahoma Oncology Hematology PC | $19,308,815 | 315 | 1 | – |
| 59 | J D Mccarty C P Ctr | $19,129,615 | 137 | 1 | – |
| 60 | Southwest Power Pool Inc. | $18,821,197 | 49 | 1 | – |
| 61 | St Anthony Hospital RTC | $18,655,825 | 117 | 1 | – |
| 62 | Med-Corp Home Health Inc | $18,338,929 | 335 | 1 | – |
| 63 | Oklahoma Family Counseling Services | $18,121,896 | 418 | 3 | – |
| 64 | Walgreen Co | $17,942,075 | 4,690 | 10 | – |
| 65 | Robert M Greer Center | $16,715,477 | 31 | 1 | – |
| 66 | Westar Energy | $16,174,785 | 23 | 1 | – |
| 67 | Integris Bass Mem Bap | $16,098,384 | 280 | 1 | – |
| 68 | Res-Care Oklahoma Inc | $15,725,339 | 585 | 2 | – |
| 69 | Guidewire Software Inc | $15,690,450 | 28 | 1 | – |
| 70 | Willow View Hosp RTC | $15,439,780 | 136 | 1 | – |
| 71 | Woodward Public SchoolsGov | $15,414,281 | 340 | 13 | – |
| 72 | Volunteers of America-Ok | $15,285,220 | 374 | 1 | – |
| 73 | St. Anthony Shawnee Hospital | $15,085,562 | 365 | 1 | – |
| 74 | Chickasaw Nation Medical Center | $14,553,216 | 591 | 2 | – |
| 75 | Emsa Emergency Medical Services Authorit | $14,506,322 | 254 | 1 | – |
| 76 | City of KingfisherGov | $14,433,156 | 295 | 18 | – |
| 77 | Stillwater Medical Center | $14,368,472 | 1,174 | 16 | – |
| 78 | Counseling & Recovery Services of Oklaho | $14,283,438 | 1,118 | 3 | – |
| 79 | Parkside Inc | $14,269,312 | 566 | 6 | – |
| 80 | Mcalester Regional | $14,005,550 | 292 | 1 | – |
| 81 | Integris Grove Hospital | $13,770,882 | 470 | 7 | – |
| 82 | Jane Phillips Ep HSP | $13,727,369 | 297 | 1 | – |
| 83 | Valley View Reg Hosp | $13,635,150 | 302 | 1 | – |
| 84 | Tahlequah City HSP | $13,604,769 | 285 | 1 | – |
| 85 | CL Boyd Company Inc | $13,391,366 | 218 | 5 | – |
| 86 | Cedar Ridge Adolescent RTC | $13,346,677 | 135 | 1 | – |
| 87 | Oseegib | $13,205,913 | 620 | 5 | – |
| 88 | Wagoner Community Hospital | $13,030,564 | 718 | 8 | – |
| 89 | Morton Comprehensive Health Services Inc | $13,001,664 | 605 | 7 | – |
| 90 | Grady Memorial Hospital | $12,803,016 | 761 | 13 | – |
| 91 | Checotah Public SchoolsGov | $12,534,278 | 241 | 10 | – |
| 92 | Oklahoma Families First Inc | $12,414,356 | 1,667 | 6 | – |
| 93 | Choctaw Nation - Talihina | $12,360,195 | 246 | 1 | – |
| 94 | Duncan Regional Hospital | $12,196,120 | 435 | 8 | – |
| 95 | Locust Grove Public School | $11,675,667 | 206 | 8 | – |
| 96 | Ponca City Medical Center | $11,565,844 | 502 | 6 | – |
| 97 | Capital One Public Funding LLC | $11,542,457 | 120 | 5 | – |
| 98 | Ok State Dept of HLTH Public HLTH Lab | $11,411,706 | 246 | 1 | – |
| 99 | Res Care Oklahoma | $11,397,709 | 95 | 1 | – |
| 100 | Comanche County Hospital AuthorityGov | $11,302,128 | 1,148 | 17 | – |