Year	Employer	Vendor Name	Amount	Source
2017	Alabama State Checkbook	Medicaid Agency	$229,688,166.62	Alabama State Checkbook
2019	Alabama State Checkbook	Department Of Health And Human	$229,289,522.33	Alabama State Checkbook
2019	Alabama State Checkbook	Medicaid Agency	$228,595,879.87	Alabama State Checkbook
2019	Alabama State Checkbook	Centers For Medicare & Medicai	$227,586,646.09	Alabama State Checkbook
2023	Alabama State Checkbook	Csfo Huntsville City Sch Funds	$227,313,146.59	Alabama State Checkbook
2022	Alabama State Checkbook	Csfo Huntsville City Sch Funds	$223,857,798.89	Alabama State Checkbook
2022	Alabama State Checkbook	Birmingham Board Of Education	$222,414,478.76	Alabama State Checkbook
2021	Alabama State Checkbook	The Board Of Trustees Of The U	$221,521,409.49	Alabama State Checkbook
2018	Alabama State Checkbook	Medimpact Healthcare Systems	$217,369,591.91	Alabama State Checkbook
2018	Alabama State Checkbook	Unitedhealthcare Insurance Com	$217,081,253.65	Alabama State Checkbook
2017	Alabama State Checkbook	Csfo Montgomery Co School Fund	$215,169,737.49	Alabama State Checkbook
2018	Alabama State Checkbook	Csfo Montgomery Co School Fund	$215,017,916.79	Alabama State Checkbook
2020	Alabama State Checkbook	Csfo Baldwin County Board Of E	$212,754,859.10	Alabama State Checkbook
2022	Alabama State Checkbook	Medicaid Agency	$211,961,227.93	Alabama State Checkbook
2022	Alabama State Checkbook	The Board Of Trustees Of The U	$208,077,967.92	Alabama State Checkbook
2021	Alabama State Checkbook	Medicaid Agency	$207,959,230.71	Alabama State Checkbook
2019	Alabama State Checkbook	Unitedhealthcare Insurance Com	$207,161,711.39	Alabama State Checkbook
2021	Alabama State Checkbook	Birmingham Board Of Education	$203,676,867.94	Alabama State Checkbook
2023	Alabama State Checkbook	Birmingham Board Of Education	$203,460,772.09	Alabama State Checkbook
2019	Alabama State Checkbook	Csfo Baldwin County Board Of E	$200,512,557.11	Alabama State Checkbook
2020	Alabama State Checkbook	The Board Of Trustees Of The U	$199,917,267.11	Alabama State Checkbook
2023	Alabama State Checkbook	University Of South Alabama	$198,864,391.20	Alabama State Checkbook
2020	Alabama State Checkbook	Birmingham Board Of Education	$198,756,335.04	Alabama State Checkbook
2021	Alabama State Checkbook	Wexford Health Sources, Inc.	$197,738,380.83	Alabama State Checkbook
2019	Alabama State Checkbook	Conduent State & Local Solutio	$194,218,500.88	Alabama State Checkbook
2019	Alabama State Checkbook	The Board Of Trustees Of The U	$191,417,035.64	Alabama State Checkbook
2023	Alabama State Checkbook	Ala Ind Dev Training Inst	$186,599,988.54	Alabama State Checkbook
2021	Alabama State Checkbook	Csfo Huntsville City Sch Funds	$185,338,430.54	Alabama State Checkbook
2023	Alabama State Checkbook	Shelby County Board Of Educati	$185,094,454.82	Alabama State Checkbook
2023	Alabama State Checkbook	Csfo Madison County School Fun	$184,909,811.51	Alabama State Checkbook
2018	Alabama State Checkbook	Renda-Jbro Joint Venture	$183,994,906.30	Alabama State Checkbook
2019	Alabama State Checkbook	Birmingham Board Of Education	$181,320,688.43	Alabama State Checkbook
2023	Alabama State Checkbook	Csfo Tuscaloosa County School	$181,042,537.97	Alabama State Checkbook
2018	Alabama State Checkbook	Csfo Baldwin County Board Of E	$180,636,782.47	Alabama State Checkbook
2023	Alabama State Checkbook	Medicaid Agency	$178,725,478.74	Alabama State Checkbook
2017	Alabama State Checkbook	Csfo Baldwin County Board Of E	$177,644,709.80	Alabama State Checkbook
2022	Alabama State Checkbook	Csfo Tuscaloosa County School	$177,398,825.33	Alabama State Checkbook
2017	Alabama State Checkbook	The Board Of Trustees Of The U	$173,498,505.06	Alabama State Checkbook
2022	Alabama State Checkbook	Shelby County Board Of Educati	$171,569,773.01	Alabama State Checkbook
2018	Alabama State Checkbook	The Board Of Trustees Of The U	$168,905,985.71	Alabama State Checkbook
2022	Alabama State Checkbook	Talladega Clay Randolph Child	$168,621,578.00	Alabama State Checkbook
2020	Alabama State Checkbook	Csfo Huntsville City Sch Funds	$167,608,632.15	Alabama State Checkbook
2022	Alabama State Checkbook	Wexford Health Sources, Inc.	$167,204,556.57	Alabama State Checkbook
2021	Alabama State Checkbook	Csfo Madison County School Fun	$166,997,762.63	Alabama State Checkbook
2021	Alabama State Checkbook	Shelby County Board Of Educati	$166,152,755.21	Alabama State Checkbook
2018	Alabama State Checkbook	Birmingham Board Of Education	$164,864,400.84	Alabama State Checkbook
2022	Alabama State Checkbook	Csfo Madison County School Fun	$164,291,079.77	Alabama State Checkbook
2021	Alabama State Checkbook	Csfo Tuscaloosa County School	$163,617,957.51	Alabama State Checkbook
2017	Alabama State Checkbook	Birmingham Board Of Education	$161,926,235.02	Alabama State Checkbook
2020	Alabama State Checkbook	Alabama Dept Of Transportation	$161,241,135.22	Alabama State Checkbook
2022	Alabama State Checkbook	University Of South Alabama	$158,819,618.00	Alabama State Checkbook
2021	Alabama State Checkbook	University Of South Alabama	$158,652,714.64	Alabama State Checkbook
2019	Alabama State Checkbook	Csfo Jefferson County School F	$156,048,490.12	Alabama State Checkbook
2019	Alabama State Checkbook	Renda-Jbro Joint Venture	$155,089,104.76	Alabama State Checkbook
2020	Alabama State Checkbook	Wexford Health Sources, Inc.	$153,873,703.59	Alabama State Checkbook
2019	Alabama State Checkbook	Csfo Huntsville City Sch Funds	$150,866,565.82	Alabama State Checkbook
2020	Alabama State Checkbook	Csfo Tuscaloosa County School	$150,334,227.44	Alabama State Checkbook
2020	Alabama State Checkbook	Csfo Madison County School Fun	$148,350,192.03	Alabama State Checkbook
2020	Alabama State Checkbook	University Of South Alabama	$146,881,335.20	Alabama State Checkbook
2018	Alabama State Checkbook	Csfo Huntsville City Sch Funds	$145,482,678.62	Alabama State Checkbook
2017	Alabama State Checkbook	Unitedhealthcare Insurance Com	$141,363,618.04	Alabama State Checkbook
2017	Alabama State Checkbook	Dept Of Finance	$139,283,167.91	Alabama State Checkbook
2017	Alabama State Checkbook	Csfo Huntsville City Sch Funds	$138,048,715.35	Alabama State Checkbook
2019	Alabama State Checkbook	Csfo Montgomery County School	$137,382,218.84	Alabama State Checkbook
2019	Alabama State Checkbook	Csfo Shelby Co School Funds	$136,979,432.44	Alabama State Checkbook
2023	Alabama State Checkbook	Csfo Limestone County School F	$132,518,346.73	Alabama State Checkbook
2019	Alabama State Checkbook	University Of South Alabama	$132,432,852.08	Alabama State Checkbook
2022	Alabama State Checkbook	Humana Insurance Company	$130,607,037.42	Alabama State Checkbook
2021	Alabama State Checkbook	Csfo Elmore Co School Funds	$130,564,046.15	Alabama State Checkbook
2019	Alabama State Checkbook	Wexford Health Sources, Inc.	$129,781,741.98	Alabama State Checkbook
2021	Alabama State Checkbook	Humana Insurance Company	$128,068,663.36	Alabama State Checkbook
2017	Alabama State Checkbook	Csfo Shelby Co School Funds	$126,453,332.87	Alabama State Checkbook
2018	Alabama State Checkbook	University Of South Alabama	$126,451,089.93	Alabama State Checkbook
2020	Alabama State Checkbook	Renda-Jbro Joint Venture	$126,133,844.11	Alabama State Checkbook
2018	Alabama State Checkbook	Csfo Shelby Co School Funds	$125,761,591.75	Alabama State Checkbook
2018	Alabama State Checkbook	Csfo Madison Co School Funds	$125,343,606.67	Alabama State Checkbook
2017	Alabama State Checkbook	Csfo Madison Co School Funds	$124,825,469.82	Alabama State Checkbook
2017	Alabama State Checkbook	University Of South Alabama	$124,335,512.82	Alabama State Checkbook
2018	Alabama State Checkbook	Csfo Tuscaloosa Co Sch Funds	$123,836,534.74	Alabama State Checkbook
2017	Alabama State Checkbook	Csfo Tuscaloosa Co Sch Funds	$119,719,926.57	Alabama State Checkbook
2022	Alabama State Checkbook	Wiregrass Construction Co Inc	$117,409,192.90	Alabama State Checkbook
2022	Alabama State Checkbook	Ala Housing Finance Authority	$116,827,657.66	Alabama State Checkbook
2020	Alabama State Checkbook	Csfo Shelby Co School Funds	$116,558,524.03	Alabama State Checkbook
2023	Alabama State Checkbook	Allied Community Resources Inc	$114,995,955.40	Alabama State Checkbook
2020	Alabama State Checkbook	Dept Of Finance	$114,249,175.02	Alabama State Checkbook
2023	Alabama State Checkbook	Troy State University	$113,781,297.40	Alabama State Checkbook
2023	Alabama State Checkbook	Csfo Elmore Co School Funds	$113,510,380.91	Alabama State Checkbook
2022	Alabama State Checkbook	The Bank Of New York Mellon	$111,334,645.34	Alabama State Checkbook
2023	Alabama State Checkbook	Csfo Tuscaloosa City Sch Funds	$110,854,297.67	Alabama State Checkbook
2021	Alabama State Checkbook	Dept Of Finance	$110,809,443.17	Alabama State Checkbook
2020	Alabama State Checkbook	Unitedhealthcare Insurance Com	$109,173,135.21	Alabama State Checkbook
2022	Alabama State Checkbook	Csfo Elmore Co School Funds	$108,416,488.75	Alabama State Checkbook
2022	Alabama State Checkbook	Optumrx, Inc	$107,814,001.62	Alabama State Checkbook
2019	Alabama State Checkbook	Csfo Jefferson Co School Funds	$107,607,066.97	Alabama State Checkbook
2023	Alabama State Checkbook	Yescare Corp	$107,261,180.59	Alabama State Checkbook
2023	Alabama State Checkbook	Csfo Hoover City Schools	$106,542,628.52	Alabama State Checkbook
2023	Alabama State Checkbook	The University Of Alabama In H	$106,535,417.02	Alabama State Checkbook
2021	Alabama State Checkbook	Csfo Hoover City Schools	$106,021,574.80	Alabama State Checkbook
2023	Alabama State Checkbook	Wexford Health Sources, Inc.	$105,178,880.96	Alabama State Checkbook
2023	Alabama State Checkbook	Dept Of Finance	$104,592,175.46	Alabama State Checkbook