| 1 | OKLAHOMA HEALTH CARE AUTHORITY | $4,280,262,922 | 15,539 | 24 |
| 2 | OKLAHOMA LOTTERY COMMISSION | $574,617,909 | 3,800 | 3 |
| 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 CENTER | $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 SERVICES | $109,400,298 | 153 | 3 |
| 11 | SCIENTIFIC GAMES INTERNATIONAL INC | $105,445,562 | 777 | 1 |
| 12 | STATE GENERAL REVENUE FUND | $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 - OBH | $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 |