Year	Employer	Vendor Name	Amount	Source
2021		Missoula Develop Svc Corp	$6,621,407.19	Montana State Checkbook
2023	Department Of Natural Resource And Conservation	City Of Billings Treasurer	$6,619,407.93	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
2023	Department Of Public Health And Human Services	Ivy At Great Falls Llc	$6,527,086.85	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
2023	Department Of Transportation	Gilman Construction	$6,453,325.89	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
2023	Department Of Public Health And Human Services	Big Sky Care Connect	$6,428,310.41	Montana State Checkbook
2023	Department Of Commerce	Gallatin Development Corporation	$6,427,184.57	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
2023	Department Of Public Health And Human Services	Home Care Services Llc	$6,378,056.24	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
2023	Department Of Justice	Gallatin County Treasurer	$6,361,243.43	Montana State Checkbook
2021		Providence St Joseph	$6,360,854.29	Montana State Checkbook
2023	Department Of Public Health And Human Services	Greater Valley Health Center	$6,351,207.45	Montana State Checkbook
2019	Department Of Public Health And Human Services	Consumer Direct Personalcare	$6,348,349.09	Montana State Checkbook
2023	Montana State Fund	Confidential Payee	$6,336,773.61	Montana State Checkbook
2023	Department Of Natural Resource And Conservation	Missoula City Of Treasurer	$6,329,665.97	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
2023	Office Of Public Instruction	Ronan School District No 30	$6,273,878.21	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
2023	Department Of Public Health And Human Services	Glendive Medical Center	$6,232,649.48	Montana State Checkbook
2023	Department Of Public Health And Human Services	Northern Montana Hospital	$6,227,932.14	Montana State Checkbook
2021		Community Medical Services M	$6,221,798.26	Montana State Checkbook
2023	Department Of Public Health And Human Services	Frances Mahon Deaconess Hosp	$6,221,328.22	Montana State Checkbook
2017	Department Of Administration	Carehere Llc	$6,215,168.60	Montana State Checkbook
2021		Glendive Medical Center	$6,193,959.31	Montana State Checkbook
2020	Department Of Public Health And Human Services	Sidney Health Center	$6,193,632.14	Montana State Checkbook
2022	Department Of Public Health And Human Services	Yellowstone Boys Girls Ranch	$6,189,344.92	Montana State Checkbook
2023	Department Of Public Health And Human Services	Community Physician Group	$6,188,636.73	Montana State Checkbook
2023	Department Of Transportation	Hdr Inc	$6,179,683.38	Montana State Checkbook
2022	Department Of Public Health And Human Services	Senderra Rx Partners Llc	$6,178,618.50	Montana State Checkbook
2020	Department Of Public Health And Human Services	Northwestern Energy	$6,175,510.25	Montana State Checkbook
2022	Department Of Public Health And Human Services	Holy Rosary Healthcare	$6,164,517.76	Montana State Checkbook
2018	Department Of Public Health And Human Services	Cmsc Llc	$6,163,349.72	Montana State Checkbook
2020	Department Of Public Health And Human Services	Mtn Pacific Quality Hlth Fndtn	$6,162,722.51	Montana State Checkbook
2021		Sanders County Treasurer	$6,160,076.16	Montana State Checkbook
2022	Department Of Public Health And Human Services	Northeast Montana Health	$6,159,757.52	Montana State Checkbook
2019	Department Of Public Health And Human Services	Holy Rosary Healthcare	$6,151,853.26	Montana State Checkbook
2018	Department Of Public Health And Human Services	Community Nursing Inc	$6,142,527.61	Montana State Checkbook
2021		Us Department Of Agriculture	$6,129,519.77	Montana State Checkbook
2023	Department Of Public Health And Human Services	Acumen Fiscal Agent Llc	$6,124,161.97	Montana State Checkbook
2023	Department Of Transportation	International Registration Plan Inc	$6,119,142.89	Montana State Checkbook
2022	Department Of Revenue	Missoula County Treasurer	$6,117,342.24	Montana State Checkbook
2020	Department Of Transportation	Frontier West Llc	$6,115,928.20	Montana State Checkbook
2022	Department Of Public Health And Human Services	Missoula Develop Svc Corp	$6,115,072.91	Montana State Checkbook
2018	Department Of Public Health And Human Services	Flathead Industries	$6,114,283.84	Montana State Checkbook
2023	Department Of Transportation	Coral Construction Company	$6,113,637.08	Montana State Checkbook
2017	Department Of Revenue	Butte Silver Bow County Treasurer	$6,113,250.30	Montana State Checkbook
2018	Department Of Revenue	Confidential - Dor Confidential Payments	$6,111,104.10	Montana State Checkbook
2021		Richland County	$6,080,602.11	Montana State Checkbook
2021		Custer County Treasurer	$6,071,461.72	Montana State Checkbook
2020	Department Of Corrections	Missoula County Treasurer	$6,067,294.04	Montana State Checkbook
2023	Department Of Public Health And Human Services	Alvarez & Marsal Holdings Llc	$6,067,095.00	Montana State Checkbook
2020	Department Of Public Health And Human Services	Yellowstone Boys Girls Ranch	$6,054,698.53	Montana State Checkbook
2022	Department Of Public Health And Human Services	Optuminsight Inc	$6,053,456.21	Montana State Checkbook
2022	Office Of Public Instruction	County Of Hill	$6,045,675.58	Montana State Checkbook
2021		County Of Blaine	$6,038,242.67	Montana State Checkbook
2019	Office Of Public Instruction	Glacier County Treasurer	$6,034,816.69	Montana State Checkbook
2021		Quality Life Concepts Inc	$6,031,863.03	Montana State Checkbook
2021		Big Horn County Treasurer	$6,031,842.59	Montana State Checkbook
2022	Department Of Public Health And Human Services	Summit Ilc	$6,026,065.07	Montana State Checkbook
2018	Department Of Public Health And Human Services	Deloitte Consulting Llp	$6,023,515.42	Montana State Checkbook
2018	Office Of Public Instruction	Flathead County Sheriff	$6,014,549.00	Montana State Checkbook
2021		Ivy At Great Falls Llc	$6,006,492.91	Montana State Checkbook
2020	Department Of Transportation	Gilman Construction	$6,003,126.15	Montana State Checkbook