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Ranked by Arkansas state government expenditures in the fiscal year that ended June 30, 2022
| Rank | Name | Expenditures |
|---|---|---|
| 1 | Arkansas Blue Cross & Blue Shield | 1,067,280,177 |
| 2 | HMO Partners Inc. (Health Advantage) | 761,375,318 |
| 3 | QualChoice Holdings Inc. | 677,191,117 |
| 4 | APC Passe LLC | 504,457,553 |
