| 1 | West Virginia Department of Health and Human Resources · Charleston | State and local governments | 24 | $22 billion |
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| 2 | Wvdot Division of Highways · Charleston | State and local governments | 4,819 | $4.1 billion |
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| 3 | West Virginia Department of Education · Charleston | State and local governments | 143 | $3.3 billion |
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| 4 | West Virginia Department of Health and Human Resources · Charleston | State and local governments | 98 | $1.8 billion |
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| 5 | WV Division of Economic Development · Charleston | State and local governments | 118 | $1.6 billion |
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| 6 | West Virginia Department of Environmental Protection · Charleston | State and local governments | 132 | $1.3 billion |
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| 7 | West Virginia Department of Health and Human Resources · Charleston | State and local governments | 181 | $860 million |
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| 8 | West Virginia Dept of Human Services · Charleston | State and local governments | 74 | $579 million |
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| 9 | West Virginia University Research Corporation · Morgantown | Nonprofits | 613 | $491 million |
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| 10 | Division of Emergency Management · Charleston | State and local governments | 72 | $411 million |
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| 11 | West Virginia Department of Health and Human Resources · Charleston | State and local governments | 23 | $308 million |
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| 12 | West Virginia Adjutant General · Charleston | State and local governments | 110 | $283 million |
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| 13 | Workforce West Virginia · Charleston | State and local governments | 90 | $254 million |
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| 14 | West Virginia University · Morgantown | Colleges and universities | 155 | $235 million |
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| 15 | West Virginia Office of Energy · Charleston | State and local governments | 13 | $226 million |
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| 16 | Executive Office State of West Virginia · Charleston | State and local governments | 9 | $204 million |
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| 17 | West Virginia Division of Rehabilitation Services · Nitro | State and local governments | 21 | $181 million |
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| 18 | West Virginia State Health Department · Charleston | State and local governments | 64 | $162 million |
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| 19 | Marshall University Research Corporation · Huntington | Colleges and universities | 140 | $141 million |
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| 20 | West Virginia Divison of Public Transit · Charleston | State and local governments | 19 | $83.7 million |
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| 21 | West Virginia-Division of Natural Resources · South Charleston | State and local governments | 93 | $80.3 million |
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| 22 | West Virginia Bureau of Senior Services · Charleston | State and local governments | 76 | $79.1 million |
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| 23 | Constellium Rolled Products Ravenswood, LLC · Ravenswood | Businesses | 1 | $75.0 million |
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| 24 | West Virginia State University Research and Development Corporation · Dunbar | Colleges and universities | 70 | $74.1 million |
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| 25 | GO33 Justice & Community Services · Charleston | State and local governments | 65 | $71.8 million |
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| 26 | West Virginia Housing Development Fund · Charleston | Other | 12 | $60.9 million |
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| 27 | Central West Virginia Regional Airport Authority · Charleston | State and local governments | 28 | $59.3 million |
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| 28 | Valley Health Systems Inc · Huntington | Other | 8 | $54.1 million |
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| 29 | State of West Virginia Department of Agriculture · Charleston | State and local governments | 182 | $49.8 million |
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| 30 | Civil-Military Innovation Institute Inc · Morgantown | Nonprofits | 2 | $49.8 million |
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| 31 | Northern Panhandle Head Start, Inc · Wheeling | Nonprofits | 5 | $45.4 million |
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| 32 | Housing Authority of the City of Charleston · Charleston | State and local governments | 117 | $44.2 million |
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| 33 | North-Central West Virginia Community Action Association, Inc · Fairmont | Nonprofits | 15 | $44.0 million |
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| 34 | Southwestern Community Action Council Inc · Huntington | Nonprofits | 8 | $42.8 million |
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| 35 | Marshall University · Huntington | Colleges and universities | 3 | $42.3 million |
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| 36 | Benedum Airport Authority · Bridgeport | State and local governments | 18 | $40.9 million |
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| 37 | Concord University · Athens | State and local governments | 25 | $40.8 million |
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| 38 | AFL-CIO Appalachian Council, Inc. · Charleston | Nonprofits | 3 | $40.1 million |
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| 39 | Bluefield State Unversity · Bluefield | Colleges and universities | 8 | $39.8 million |
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| 40 | West Virginia Higher Education Policy Commission · Charleston | Colleges and universities | 14 | $38.8 million |
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| 41 | City of Huntington · Huntington | State and local governments | 41 | $37.8 million |
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| 42 | Community Care of West Virginia, Inc. · Rock Cave | Nonprofits | 14 | $37.0 million |
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| 43 | Department of Motor Vehicles West Virginia · Charleston | State and local governments | 70 | $36.7 million |
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| 44 | Huntington West Virginia Housing Authority · Huntington | State and local governments | 75 | $36.1 million |
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| 45 | City of Morgantown · Morgantown | State and local governments | 15 | $35.0 million |
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| 46 | Community Health Systems Inc · Beckley | Other | 7 | $34.8 million |
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| 47 | Shepherd University · Shepherdstown | Colleges and universities | 25 | $32.8 million |
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| 48 | Eastern Panhandle Transit Authority Inc · Martinsburg | State and local governments | 13 | $32.6 million |
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| 49 | West Virginia University Hospitals, Inc. · Morgantown | Other | 10 | $31.7 million |
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| 50 | West Virginia State University · Institute | Colleges and universities | 10 | $30.9 million |
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| 51 | Fairmont State University · Fairmont | Colleges and universities | 16 | $30.8 million |
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| 52 | Shenandoah Valley Medical System Inc · Martinsburg | Other | 7 | $30.6 million |
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| 53 | Eastern Panhandle Instructional Cooperative · Martinsburg | Nonprofits | 3 | $29.1 million |
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| 54 | Coalfield Community Action Partnership, Inc. · Williamson | Nonprofits | 3 | $28.6 million |
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| 55 | West Virginia Commission for National & Community Service · Charleston | State and local governments | 7 | $28.5 million |
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| 56 | West Virgina Conservation Agency · Charleston | State and local governments | 6 | $27.7 million |
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| 57 | Greenbrier Valley Airport Authority · Lewisburg | State and local governments | 12 | $27.6 million |
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| 58 | Community Action South Eastern West Virginia Inc · Bluefield | Nonprofits | 6 | $27.4 million |
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| 59 | Williamson Health & Wellness Center, Inc · Williamson | Nonprofits | 18 | $26.0 million |
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| 60 | Womencare, Inc · Scott Depot | Other | 7 | $24.9 million |
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| 61 | West Virginia Department of Health and Human Resources · Charleston | State and local governments | 15 | $24.7 million |
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| 62 | Raleigh County Community Action Association Inc · Beckley | Nonprofits | 23 | $24.7 million |
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| 63 | Minnie Hamilton Health Care Center, Inc. · Grantsville | Nonprofits | 13 | $24.1 million |
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| 64 | Logan County Commission · Logan | State and local governments | 20 | $24.0 million |
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| 65 | Kanawha Valley Regional Transportation a · Charleston | State and local governments | 9 | $23.4 million |
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| 66 | Weirton Area Water Board · Weirton | State and local governments | 1 | $22.5 million |
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| 67 | City of Charleston · Charleston | State and local governments | 33 | $22.4 million |
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| 68 | New River Health Association Inc · Scarbro | Other | 8 | $22.3 million |
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| 69 | Prestera Center for Mental Health Services, Inc · Huntington | Nonprofits | 17 | $22.3 million |
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| 70 | Camden-On-Gauley Medical Center, Inc. · Camden On Gauley | Nonprofits | 13 | $21.9 million |
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| 71 | Cabin Creek Health Systems, Inc. · Dawes | Other | 7 | $21.6 million |
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| 72 | Mountainheart Community Services, Inc · Matheny | Nonprofits | 3 | $21.6 million |
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| 73 | Camc Health Education and Research Institute, Inc. · Charleston | Other | 9 | $21.0 million |
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| 74 | Appalachian Trail Conservancy · Harpers Ferry | Nonprofits | 47 | $20.7 million |
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| 75 | Kanawha County Board of Education · Charleston | State and local governments | 3 | $20.4 million |
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| 76 | Monongalia County Urban Mass Trans Authority · Morgantown | State and local governments | 10 | $19.6 million |
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| 77 | Coalfield Development Corporation · Huntington | Nonprofits | 11 | $19.5 million |
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| 78 | West Virginia University at Parkersburg · Parkersburg | Colleges and universities | 7 | $19.3 million |
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| 79 | Wheeling Housing Authority · Wheeling | Tribal governments and organizations | 66 | $18.9 million |
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| 80 | Wirt County Health Service Association, Inc · Elizabeth | Other | 10 | $18.8 million |
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| 81 | Rainelle Medical Center · Rainelle | Other | 10 | $18.7 million |
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| 82 | Greenpower of WV, LLC · Parkersburg | Other | 1 | $18.6 million |
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| 83 | Potomac Highlands Airport Authority · Wiley Ford | State and local governments | 9 | $18.3 million |
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| 84 | Bridgevalley Community and Technical College · South Charleston | State and local governments | 12 | $18.1 million |
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| 85 | Bluestone Health Association Inc · Princeton | Other | 7 | $18.0 million |
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| 86 | Westbrook Health Services, Inc · Parkersburg | Nonprofits | 11 | $17.7 million |
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| 87 | Central West Virginia Community Action Association, Inc. · Clarksburg | Nonprofits | 4 | $17.5 million |
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| 88 | The Tri-State Transit Authority · Huntington | State and local governments | 19 | $17.1 million |
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| 89 | Southern Highlands Community Mental Health Center, Inc · Princeton | Nonprofits | 9 | $17.1 million |
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| 90 | Lincoln County Primary Care Center Inc · Hamlin | Other | 7 | $16.9 million |
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| 91 | Public Service Commission of West Virginia · Charleston | State and local governments | 9 | $16.8 million |
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| 92 | Monongahela Valley Association of Health Centers, Inc · Fairmont | Other | 7 | $15.7 million |
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| 93 | Change Inc · Weirton | State and local governments | 5 | $15.7 million |
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| 94 | Nicholas County Commission · Summersville | State and local governments | 12 | $15.4 million |
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| 95 | West Virginia Coalition to End Homelessness, Inc. · Bridgeport | State and local governments | 47 | $15.4 million |
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| 96 | Monroe County Health Department · Union | Other | 5 | $15.3 million |
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| 97 | Fayette County Child Development Center · Oak Hill | Nonprofits | 3 | $15.3 million |
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| 98 | City of Wheeling · Wheeling | State and local governments | 28 | $15.3 million |
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| 99 | The University of Charleston, Inc. · Charleston | Colleges and universities | 11 | $15.2 million |
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| 100 | Charleston Area Medical Center Inc · Charleston | Other | 1 | $15.0 million |
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