Year	Employer	Vendor Name	Amount	Source
2022	Iowa State Checkbook	Wellmark Inc	$6,744,381.27	Iowa State Checkbook
2020	Administrative Services, Dept	Wellmark Inc	$6,744,058.06	Administrative Services, Dept
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,735,591.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,735,591.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,735,591.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,735,591.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,733,100.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,733,100.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,733,100.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,733,100.00	Education, Dept Of
2021	Iowa State Checkbook	Dept Human Services-Disproportionate Share	$6,721,944.19	Iowa State Checkbook
2021	Iowa State Checkbook	Wellmark Inc	$6,719,986.35	Iowa State Checkbook
2017	Human Services Assistance Pymt	Dept Human Services-Providers	$6,709,166.03	Human Services Assistance Pymt
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,702,199.00	Education, Dept Of
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,702,199.00	Education, Dept Of
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,702,199.00	Education, Dept Of
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,702,199.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,697,604.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,697,604.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,697,604.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,697,604.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,697,604.00	Education, Dept Of
2019	Education, Dept Of	Council Bluffs Comm Schl	$6,697,602.00	Education, Dept Of
2020	Administrative Services, Dept	Wellmark Inc	$6,695,459.90	Administrative Services, Dept
2022	Iowa State Checkbook	Linn County Treasurer	$6,693,532.46	Iowa State Checkbook
2022	Iowa State Checkbook	Linn County Treasurer	$6,693,532.46	Iowa State Checkbook
2021	Iowa State Checkbook	Dept Human Services-Providers	$6,691,984.07	Iowa State Checkbook
2019	Administrative Services, Dept	Wellmark Inc	$6,691,525.56	Administrative Services, Dept
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,690,874.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,690,873.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,690,873.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,690,873.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,690,873.00	Education, Dept Of
2020	Education, Dept Of	Dubuque Comm Sch Dist	$6,690,873.00	Education, Dept Of
2022	Iowa State Checkbook	Wellmark Inc	$6,688,982.48	Iowa State Checkbook
2019	Administrative Services, Dept	Wellmark Inc	$6,683,491.76	Administrative Services, Dept
2020	Administrative Services, Dept	Wellmark Inc	$6,678,141.42	Administrative Services, Dept
2019	Human Services Assistance Pymt	Dept Human Services-Providers	$6,671,482.34	Human Services Assistance Pymt
2019	Human Services Assistance Pymt	Dept Human Services-Providers	$6,671,361.25	Human Services Assistance Pymt
2020	Administrative Services, Dept	Wellmark Inc	$6,667,039.04	Administrative Services, Dept
2019	Human Services Assistance Pymt	Dept Human Services-Providers	$6,666,110.94	Human Services Assistance Pymt
2020	Administrative Services, Dept	Wellmark Inc	$6,660,178.67	Administrative Services, Dept
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,058.00	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,660,051.00	Iowa State Checkbook
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,654,120.00	Education, Dept Of
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,654,120.00	Education, Dept Of
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,654,120.00	Education, Dept Of
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,654,120.00	Education, Dept Of
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,654,120.00	Education, Dept Of
2019	Education, Dept Of	Ankeny Comm Sch Dist	$6,654,118.00	Education, Dept Of
2020	Human Services Assistance Pymt	Dept Human Services-Providers	$6,652,861.96	Human Services Assistance Pymt
2017	Human Services Assistance Pymt	Dept Human Services-Providers	$6,650,465.11	Human Services Assistance Pymt
2021	Iowa State Checkbook	Linn County Treasurer	$6,647,071.04	Iowa State Checkbook
2021	Iowa State Checkbook	Linn County Treasurer	$6,647,071.04	Iowa State Checkbook
2022	Iowa State Checkbook	Wellmark Inc	$6,646,269.75	Iowa State Checkbook
2019	Human Services Assistance Pymt	Amerigroup Iowa Inc	$6,645,597.38	Human Services Assistance Pymt
2019	Human Services Assistance Pymt	Dept Human Services-Modernization-Reg Fmap	$6,641,565.80	Human Services Assistance Pymt
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,636,765.00	Education, Dept Of
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,636,765.00	Education, Dept Of
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,636,765.00	Education, Dept Of
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,636,765.00	Education, Dept Of
2020	Administrative Services, Dept	Wellmark Inc	$6,626,779.22	Administrative Services, Dept
2019	Human Services Assistance Pymt	Dept Human Services-Providers	$6,626,765.93	Human Services Assistance Pymt
2021	Iowa State Checkbook	Iowa State University-Isu - Student Innovation Center	$6,625,000.00	Iowa State Checkbook
2022	Iowa State Checkbook	Wellmark Inc	$6,621,588.13	Iowa State Checkbook
2022	Iowa State Checkbook	Wellmark Inc	$6,621,168.98	Iowa State Checkbook
2019	Education, Dept Of	Dubuque Comm Sch Dist	$6,607,464.00	Education, Dept Of
2019	Education, Dept Of	Dubuque Comm Sch Dist	$6,607,464.00	Education, Dept Of
2019	Education, Dept Of	Dubuque Comm Sch Dist	$6,607,464.00	Education, Dept Of
2019	Education, Dept Of	Dubuque Comm Sch Dist	$6,607,464.00	Education, Dept Of
2017	Human Services Assistance Pymt	Dept Human Services-Providers	$6,607,046.76	Human Services Assistance Pymt
2022	Iowa State Checkbook	Wellmark Inc	$6,604,553.60	Iowa State Checkbook
2017	Education, Dept Of	Area Education Agency 11	$6,600,000.00	Education, Dept Of
2022	Iowa State Checkbook	Heartland Area Education Agency	$6,600,000.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waukee Comm Sch Dist	$6,597,250.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waukee Comm Sch Dist	$6,597,250.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waukee Comm Sch Dist	$6,597,250.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waukee Comm Sch Dist	$6,597,250.00	Iowa State Checkbook
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,593,173.00	Education, Dept Of
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,593,173.00	Education, Dept Of
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,593,173.00	Education, Dept Of
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,593,173.00	Education, Dept Of
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,593,173.00	Education, Dept Of
2017	Education, Dept Of	Dubuque Comm Sch Dist	$6,593,171.00	Education, Dept Of
2022	Iowa State Checkbook	Wellmark Inc	$6,585,531.40	Iowa State Checkbook
2020	Administrative Services, Dept	Wellmark Inc	$6,582,333.86	Administrative Services, Dept
2019	Human Services Assistance Pymt	Dept Human Services-Providers-Providers	$6,581,108.49	Human Services Assistance Pymt
2020	Human Services Assistance Pymt	Dept Human Services-Providers	$6,579,075.43	Human Services Assistance Pymt
2019	Administrative Services, Dept	Wellmark Inc	$6,578,125.08	Administrative Services, Dept
2020	Revenue	Linn County Treasurer	$6,574,764.62	Revenue
2020	Revenue	Linn County Treasurer	$6,574,764.62	Revenue
2019	Revenue	Linn County Treasurer	$6,573,422.70	Revenue