Year	Employer	Vendor Name	Amount	Source
2020	Department Of Public Health And Human Services	Marcus Daly Memorial Hosp	$7,156,722.10	Montana State Checkbook
2020	Department Of Public Health And Human Services	St Luke Community Hospital	$7,150,395.11	Montana State Checkbook
2018	Department Of Public Health And Human Services	St Johns Lutheran Hospital	$7,140,496.46	Montana State Checkbook
2018	Department Of Transportation	Helena Sand And Gravel Inc	$7,136,422.75	Montana State Checkbook
2019	Department Of Public Health And Human Services	Livingston Healthcare	$7,128,605.96	Montana State Checkbook
2022	Department Of Public Health And Human Services	Community Health Care Center	$7,128,317.90	Montana State Checkbook
2022	Department Of Administration	Asi Flex	$7,127,724.30	Montana State Checkbook
2018	Department Of Transportation	Geostabilization Inc	$7,120,613.30	Montana State Checkbook
2017	Department Of Public Health And Human Services	A W A R E Inc	$7,118,931.07	Montana State Checkbook
2022	Office Of Public Instruction	Butte-Silver Bow Consolidated Govts	$7,116,515.42	Montana State Checkbook
2022	Department Of Transportation	International Registration Plan Inc	$7,100,648.12	Montana State Checkbook
2018	Department Of Administration	State Of Montana	$7,075,263.66	Montana State Checkbook
2022	Department Of Administration	Multi State Lottery Association	$7,070,074.77	Montana State Checkbook
2017	Department Of Public Health And Human Services	Youth Dynamics Inc	$7,050,054.87	Montana State Checkbook
2017	Office Of Public Instruction	Gallatin County Treasurer	$7,029,246.09	Montana State Checkbook
2019	Department Of Public Health And Human Services	Accredo Health Group Inc	$7,027,760.47	Montana State Checkbook
2017	Public Health & Human Services	Wal-mart Stores Inc	$7,012,399.05	Montana State Checkbook
2017	Department Of Transportation	United Materials Of Great Falls Inc	$7,000,938.05	Montana State Checkbook
2022	Department Of Public Health And Human Services	Mako Medical Laboratories Llc	$6,958,100.00	Montana State Checkbook
2017	Public Health & Human Services	A W A R E Inc	$6,949,271.55	Montana State Checkbook
2018	Department Of Public Health And Human Services	Quality Life Concepts	$6,948,227.43	Montana State Checkbook
2019	Department Of Transportation	Frontier West Llc	$6,938,508.46	Montana State Checkbook
2022	Department Of Public Health And Human Services	Community Medical Services M	$6,930,079.73	Montana State Checkbook
2020	Department Of Revenue	Butte Silver Bow County Treasurer	$6,895,959.39	Montana State Checkbook
2021		St Johns Lutheran Hospital	$6,893,973.06	Montana State Checkbook
2020	Department Of Public Health And Human Services	Center For Mental Health	$6,885,815.05	Montana State Checkbook
2020	Department Of Public Health And Human Services	Scl Health Med Grp-Billings	$6,875,370.93	Montana State Checkbook
2018	Department Of Public Health And Human Services	Missouri River Center	$6,860,815.71	Montana State Checkbook
2020	Department Of Administration	Delta Dental Insurance Company	$6,855,502.72	Montana State Checkbook
2019	Department Of Commerce	Confidential - Mboh Servicing	$6,845,951.08	Montana State Checkbook
2022	Department Of Transportation	Martin Construction Inc	$6,822,470.20	Montana State Checkbook
2018	Department Of Public Health And Human Services	Scl Health Med Grp-Billings	$6,821,299.57	Montana State Checkbook
2021		Butte Silver Bow County Treasurer	$6,813,780.93	Montana State Checkbook
2021		Bighorn Valley Health Center	$6,811,732.63	Montana State Checkbook
2017	Department Of Commerce	Confidential - Mboh Servicing	$6,800,647.49	Montana State Checkbook
2021		Residential Support Services	$6,783,508.11	Montana State Checkbook
2019	Department Of Natural Resource And Conservation	United States Dept Of The Interior Blm	$6,778,129.54	Montana State Checkbook
2020	Office Of Public Instruction	Lewis & Clark County Treasurer	$6,761,553.07	Montana State Checkbook
2020	Department Of Public Health And Human Services	Missouri River Center	$6,758,924.58	Montana State Checkbook
2020	Department Of Public Health And Human Services	Consumer Direct Personalcare	$6,752,056.97	Montana State Checkbook
2020	Department Of Administration	Asi Flex	$6,750,045.93	Montana State Checkbook
2019	Department Of Public Health And Human Services	Partnership Health Center	$6,744,537.05	Montana State Checkbook
2022	Department Of Transportation	City Of Billings Treasurer	$6,741,618.89	Montana State Checkbook
2021		Lame Deer Phs Indian Hlth	$6,730,020.15	Montana State Checkbook
2022	Department Of Public Health And Human Services	Adlera Laboratory Llc	$6,726,700.00	Montana State Checkbook
2021		Cmsc Llc	$6,725,359.72	Montana State Checkbook
2022	Department Of Public Health And Human Services	Big Sky Managed Care	$6,710,822.44	Montana State Checkbook
2021		Alliant Insurance Services Inc - 8377	$6,710,336.22	Montana State Checkbook
2018	Department Of Public Health And Human Services	Acadia Montana	$6,708,942.37	Montana State Checkbook
2018	Department Of Revenue	Butte Silver Bow County Treasurer	$6,706,181.44	Montana State Checkbook
2021		County Of Big Horn-Big Horn County Schl	$6,702,716.34	Montana State Checkbook
2021		County Of Hill	$6,693,020.53	Montana State Checkbook
2017	Public Health & Human Services	Youth Dynamics Inc	$6,690,765.66	Montana State Checkbook
2020	Department Of Public Health And Human Services	Human Resource Dev Dist 7	$6,660,889.30	Montana State Checkbook
2020	Department Of Transportation	Noble Excavating Inc	$6,655,023.29	Montana State Checkbook
2018	Department Of Transportation	Frontier West Llc	$6,652,327.31	Montana State Checkbook
2021		Missoula Develop Svc Corp	$6,621,407.19	Montana State Checkbook
2022	Department Of Public Health And Human Services	Blackfeet Tribe	$6,603,771.16	Montana State Checkbook
2018	Department Of Commerce	Confidential - Mboh Servicing	$6,602,925.33	Montana State Checkbook
2019	Department Of Revenue	Confidential - Dor Confidential Payments	$6,590,390.24	Montana State Checkbook
2022	Department Of Public Health And Human Services	Ivy At Great Falls Llc	$6,590,178.05	Montana State Checkbook
2022	Department Of Public Health And Human Services	Kalispell Reg Med Center Inc	$6,567,635.94	Montana State Checkbook
2017	Department Of Public Health And Human Services	Benefis Hospitals Inc Benefis	$6,555,625.96	Montana State Checkbook
2019	Department Of Public Health And Human Services	Community Nursing Inc	$6,540,855.05	Montana State Checkbook
2019	Department Of Transportation	Helena Sand And Gravel Inc	$6,516,548.73	Montana State Checkbook
2017	Department Of Transportation	Cdm Constructors Inc	$6,513,637.28	Montana State Checkbook
2017	Dept Of Military Affairs	Swank Enterprises	$6,512,599.05	Montana State Checkbook
2021		St Luke Community Hospital	$6,509,443.34	Montana State Checkbook
2017	Department Of Administration	Multi State Lottery Association	$6,507,262.12	Montana State Checkbook
2021		West Mont	$6,498,828.38	Montana State Checkbook
2021		Community Nursing Inc	$6,497,871.03	Montana State Checkbook
2019	Department Of Public Health And Human Services	Flathead Industries	$6,497,224.26	Montana State Checkbook
2019	Department Of Public Health And Human Services	Scl Health Med Grp-Billings	$6,480,222.05	Montana State Checkbook
2020	Department Of Public Health And Human Services	Livingston Healthcare	$6,466,390.56	Montana State Checkbook
2021		L&J Construction Group Llc	$6,459,694.29	Montana State Checkbook
2022	Department Of Commerce	Montana Homeownership Network Inc	$6,458,850.43	Montana State Checkbook
2022	Department Of Public Health And Human Services	Aware Hcbs	$6,457,267.02	Montana State Checkbook
2018	Department Of Public Health And Human Services	Partnership Health Center	$6,454,905.53	Montana State Checkbook
2022	Department Of Public Health And Human Services	Scl Health - Franklin Pharma	$6,451,347.81	Montana State Checkbook
2022	Office Of Public Instruction	Rosebud County Treasurer	$6,444,330.42	Montana State Checkbook
2020	Department Of Public Health And Human Services	Community Hospital Of Anacon	$6,440,687.22	Montana State Checkbook
2018	Department Of Public Health And Human Services	Consumer Direct Personalcare	$6,410,382.96	Montana State Checkbook
2021		Wolf Point Phs Indian Hlth	$6,405,097.84	Montana State Checkbook
2022	Department Of Administration	Bozeman City Of Treasurer	$6,402,682.26	Montana State Checkbook
2019	Department Of Public Health And Human Services	West Mont Independent Support Services	$6,392,404.34	Montana State Checkbook
2019	Department Of Public Health And Human Services	Sidney Health Center	$6,381,188.73	Montana State Checkbook
2017	Public Health & Human Services	Montana Cvs Pharmacy Llc	$6,378,181.46	Montana State Checkbook
2018	Department Of Public Health And Human Services	Human Resource Dev Dist 7	$6,376,760.31	Montana State Checkbook
2019	Department Of Administration	Shi International Corp	$6,374,090.42	Montana State Checkbook
2021		Providence St Joseph	$6,360,854.29	Montana State Checkbook
2019	Department Of Public Health And Human Services	Consumer Direct Personalcare	$6,348,349.09	Montana State Checkbook
2022	Department Of Public Health And Human Services	Bozeman Health Deaconess Hospt	$6,326,547.93	Montana State Checkbook
2019	Department Of Public Health And Human Services	Seattle Childrens Hospital	$6,298,329.22	Montana State Checkbook
2019	Department Of Transportation	International Registration Plan Inc	$6,292,834.46	Montana State Checkbook
2020	Department Of Public Health And Human Services	West Mont	$6,278,579.28	Montana State Checkbook
2022	Department Of Public Health And Human Services	Community Physician Group	$6,259,315.13	Montana State Checkbook
2021		Blackfeet Tribe	$6,258,408.28	Montana State Checkbook
2021		Community Physician Group	$6,244,829.47	Montana State Checkbook
2022	Department Of Public Health And Human Services	Caremark Llc Dba Cvsspecialt	$6,243,194.29	Montana State Checkbook
2021		County Of Carbon Montana	$6,233,719.84	Montana State Checkbook