Year	Employer	Vendor Name	Amount	Source
2019	Department Of Public Health And Human Services	Human Resource Dev Dist 7	$7,416,750.88	Montana State Checkbook
2023	Department Of Public Health And Human Services	Scl Health - Franklin Pharma	$7,414,061.28	Montana State Checkbook
2021		Browning Public Schools	$7,409,082.60	Montana State Checkbook
2018	Department Of Public Health And Human Services	A Plus Health Care	$7,389,499.16	Montana State Checkbook
2018	Montana State Fund	Confidential Payee	$7,384,969.69	Montana State Checkbook
2021		Carehere Llc	$7,374,729.98	Montana State Checkbook
2019	Department Of Public Health And Human Services	Opportunity Resources	$7,370,786.30	Montana State Checkbook
2017	Department Of Public Health And Human Services	Browning Phs Indian Hospital	$7,369,329.15	Montana State Checkbook
2023	Department Of Corrections	Diamond Drugs Inc	$7,367,572.24	Montana State Checkbook
2022	Department Of Administration	Delta Dental Insurance Company	$7,360,806.29	Montana State Checkbook
2018	Department Of Public Health And Human Services	Confed Salish & Kootenai Tr	$7,356,334.14	Montana State Checkbook
2019	Office Of Public Instruction	Gallatin County Treasurer	$7,344,870.39	Montana State Checkbook
2022	Department Of Public Health And Human Services	Logan Health Whitefish	$7,326,433.92	Montana State Checkbook
2017	Public Health & Human Services	Bozeman Health Deaconess Hos	$7,326,231.72	Montana State Checkbook
2022	Office Of Public Instruction	Great Falls School District 1 & A	$7,323,774.04	Montana State Checkbook
2020	Department Of Public Health And Human Services	Accredo Health Group Inc	$7,321,334.19	Montana State Checkbook
2020	Department Of Public Health And Human Services	Flathead Industries	$7,318,779.23	Montana State Checkbook
2023	Department Of Administration	Asi Flex	$7,316,783.21	Montana State Checkbook
2021		Intralot Inc	$7,301,801.67	Montana State Checkbook
2021		Asi Flex	$7,292,702.70	Montana State Checkbook
2018	Department Of Administration	Carehere Llc	$7,289,268.24	Montana State Checkbook
2017	Department Of Administration	State Of Montana	$7,282,549.04	Montana State Checkbook
2022	Department Of Public Health And Human Services	St Luke Community Hospital	$7,272,232.80	Montana State Checkbook
2021		Consumer Direct Personalcare	$7,268,700.00	Montana State Checkbook
2021		Flathead Industries	$7,254,456.21	Montana State Checkbook
2022	Department Of Transportation	M K Weeden Construction Inc	$7,232,408.86	Montana State Checkbook
2018	Department Of Administration	Shi International Corp	$7,228,500.28	Montana State Checkbook
2023	Department Of Public Health And Human Services	West Mont	$7,213,382.02	Montana State Checkbook
2019	Department Of Public Health And Human Services	Confed Salish & Kootenai Tr	$7,196,686.85	Montana State Checkbook
2022	Department Of Public Health And Human Services	West Mont	$7,188,859.27	Montana State Checkbook
2020	Department Of Public Health And Human Services	Community Nursing Inc	$7,177,125.03	Montana State Checkbook
2022	Office Of Public Instruction	County Of Big Horn-Big Horn County Schl	$7,173,715.25	Montana State Checkbook
2023	Department Of Administration	Delta Dental Insurance Company	$7,166,108.73	Montana State Checkbook
2018	Department Of Public Health And Human Services	Opportunity Resources	$7,157,728.70	Montana State Checkbook
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
2023	Department Of Public Health And Human Services	Community Health Care Center	$7,073,257.86	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
2023	Department Of Environmental Quality	Missouri River Contractors Llc	$7,019,378.68	Montana State Checkbook
2017	Public Health & Human Services	Wal-mart Stores Inc	$7,012,399.05	Montana State Checkbook
2023	Department Of Revenue	Missoula County Treasurer	$7,002,040.03	Montana State Checkbook
2017	Department Of Transportation	United Materials Of Great Falls Inc	$7,000,938.05	Montana State Checkbook
2023	Department Of Public Health And Human Services	Holy Rosary Healthcare	$6,990,562.06	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
2023	Department Of Public Health And Human Services	Hueneme Family Pharmacy	$6,934,222.10	Montana State Checkbook
2022	Department Of Public Health And Human Services	Community Medical Services M	$6,930,079.73	Montana State Checkbook
2023	Department Of Public Health And Human Services	Peraton Inc	$6,907,460.09	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
2023	Department Of Public Health And Human Services	Yellowstone Boys Girls Ranch	$6,877,116.94	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
2023	Department Of Transportation	Frontier West Llc	$6,791,094.85	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
2023	Department Of Administration	Carahsoft	$6,732,240.68	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
2023	Department Of Revenue	Yellowstone County Treasurer	$6,721,858.10	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