Year	Employer	Vendor Name	Amount	Source
2021		Holy Rosary Healthcare	$5,992,793.63	Montana State Checkbook
2023	Department Of Public Health And Human Services	Kalispell Reg Med Center Inc	$5,989,467.57	Montana State Checkbook
2021		Northern Montana Hospital	$5,987,284.73	Montana State Checkbook
2017	Department Of Public Health And Human Services	Crow Phs Indian Hospital	$5,982,738.42	Montana State Checkbook
2022	Department Of Public Health And Human Services	Acumen Fiscal Agent Llc	$5,963,046.23	Montana State Checkbook
2018	Department Of Public Health And Human Services	Livingston Healthcare	$5,961,434.39	Montana State Checkbook
2022	Department Of Public Health And Human Services	Providence St Joseph	$5,961,405.06	Montana State Checkbook
2020	Department Of Public Health And Human Services	Phc Creamery	$5,953,618.53	Montana State Checkbook
2021		Millennium Health Llc	$5,952,123.27	Montana State Checkbook
2019	Department Of Public Health And Human Services	Cmsc Llc	$5,934,858.01	Montana State Checkbook
2021		Yellowstone Boys Girls Ranch	$5,932,373.32	Montana State Checkbook
2022	Department Of Public Health And Human Services	Procare Pharmacy Llc	$5,930,050.25	Montana State Checkbook
2023	Department Of Public Health And Human Services	Missoula Develop Svc Corp	$5,925,423.46	Montana State Checkbook
2018	Department Of Public Health And Human Services	The Childrens Hosp Assoc	$5,924,898.79	Montana State Checkbook
2019	Department Of Public Health And Human Services	Billings Skilled Nursing Fac	$5,920,843.63	Montana State Checkbook
2022	Department Of Transportation	Hdr Inc	$5,917,971.04	Montana State Checkbook
2017	Department Of Transportation	Prince Inc	$5,893,962.98	Montana State Checkbook
2020	Department Of Justice	Butte Silver Bow County Treasurer	$5,891,749.57	Montana State Checkbook
2019	Department Of Public Health And Human Services	Quality Life Concepts	$5,890,048.03	Montana State Checkbook
2019	Department Of Public Health And Human Services	Northeast Montana Health	$5,882,276.51	Montana State Checkbook
2017	Department Of Transportation	M K Weeden Construction Inc	$5,881,763.56	Montana State Checkbook
2023	Department Of Public Health And Human Services	Bozeman Health Deaconess Hospt	$5,874,203.17	Montana State Checkbook
2023	Department Of Public Health And Human Services	University Of Utah	$5,865,060.57	Montana State Checkbook
2021		Great Falls School District 1 & A	$5,855,351.68	Montana State Checkbook
2023	Department Of Natural Resource And Conservation	Central Montana Regional Water System	$5,855,014.85	Montana State Checkbook
2021		Us Bank National Association	$5,852,954.73	Montana State Checkbook
2022	Office Of Public Instruction	Ronan School District No 30	$5,843,251.95	Montana State Checkbook
2022	Department Of Public Health And Human Services	Northern Montana Hospital	$5,842,633.98	Montana State Checkbook
2023	Department Of Public Health And Human Services	Summit Ilc	$5,826,993.37	Montana State Checkbook
2018	Department Of Public Health And Human Services	Mtn Pacific Quality Hlth Fndtn	$5,821,632.53	Montana State Checkbook
2018	Department Of Public Health And Human Services	West Mont Independent Support Services	$5,817,374.99	Montana State Checkbook
2023	Department Of Public Health And Human Services	Family Connections Inc	$5,816,664.50	Montana State Checkbook
2019	Department Of Administration	Lincoln County Treasurer	$5,811,566.54	Montana State Checkbook
2019	Department Of Public Health And Human Services	Mtn Pacific Quality Hlth Fndtn	$5,811,403.08	Montana State Checkbook
2022	Department Of Revenue	Fast Enterprises Llc	$5,810,328.75	Montana State Checkbook
2019	Office Of Public Instruction	Butte Silver Bow County Treasurer	$5,802,570.98	Montana State Checkbook
2019	Department Of Public Health And Human Services	Yellowstone Boys Girls Ranch	$5,800,021.83	Montana State Checkbook
2021		Miles City Treasurer	$5,791,204.22	Montana State Checkbook
2021		University Of Washington	$5,790,054.31	Montana State Checkbook
2017	Department Of Administration	Shi International Corp	$5,774,610.06	Montana State Checkbook
2022	Department Of Public Health And Human Services	Glendive Medical Center	$5,773,377.62	Montana State Checkbook
2021		Northeast Montana Health	$5,756,482.85	Montana State Checkbook
2023	Office Of Public Instruction	County Of Hill	$5,748,333.12	Montana State Checkbook
2019	Department Of Transportation	Northwestern Energy	$5,748,111.61	Montana State Checkbook
2021		Mtn Pacific Quality Hlth Fndtn	$5,747,819.50	Montana State Checkbook
2023	Department Of Public Health And Human Services	Residential Support Services	$5,743,588.80	Montana State Checkbook
2020	Department Of Public Health And Human Services	Northeast Montana Health	$5,743,337.87	Montana State Checkbook
2019	Department Of Public Health And Human Services	Msla Dev Serv Corp	$5,739,419.27	Montana State Checkbook
2019	Department Of Public Health And Human Services	Northern Montana Hospital	$5,722,176.06	Montana State Checkbook
2018	Department Of Public Health And Human Services	Msla Dev Serv Corp	$5,719,148.94	Montana State Checkbook
2021		Worden Thane Pc	$5,712,005.90	Montana State Checkbook
2019	Department Of Public Health And Human Services	Rimrock Foundation	$5,711,059.04	Montana State Checkbook
2018	Department Of Transportation	Sk Construction Inc	$5,705,909.12	Montana State Checkbook
2017	Office Of Public Instruction	Ravalli County Treasurer	$5,700,973.20	Montana State Checkbook
2023	Department Of Public Health And Human Services	Montana Independent Living Pro	$5,690,985.68	Montana State Checkbook
2021		Procare Pharmacy Llc	$5,683,458.80	Montana State Checkbook
2020	Office Of Public Instruction	Gallatin County Treasurer	$5,679,546.29	Montana State Checkbook
2017	Montana State Fund	Confidential Payee	$5,677,383.15	Montana State Checkbook
2021		Livingston Healthcare	$5,676,593.61	Montana State Checkbook
2019	Office Of Public Instruction	Ravalli County Treasurer	$5,676,490.26	Montana State Checkbook
2018	Department Of Transportation	Cdm Constructors Inc	$5,674,137.97	Montana State Checkbook
2019	Department Of Public Health And Human Services	Acadia Montana	$5,655,805.46	Montana State Checkbook
2022	Department Of Public Health And Human Services	Montana Independent Living Pro	$5,652,488.02	Montana State Checkbook
2018	Department Of Corrections	Missoula County Treasurer	$5,649,333.97	Montana State Checkbook
2023	Department Of Public Health And Human Services	Walgreen Co	$5,641,683.41	Montana State Checkbook
2019	Department Of Public Health And Human Services	Northrop Grumman Systems Corporation	$5,636,838.33	Montana State Checkbook
2020	Department Of Transportation	Northwestern Energy	$5,633,481.22	Montana State Checkbook
2023	Department Of Public Health And Human Services	Rubicon Dental Associates	$5,631,225.46	Montana State Checkbook
2020	Department Of Public Health And Human Services	Residential Support Services	$5,629,457.73	Montana State Checkbook
2022	Department Of Revenue	Butte Silver Bow County Treasurer	$5,627,251.67	Montana State Checkbook
2021		Cdw Government Inc	$5,625,579.11	Montana State Checkbook
2021		Northwestern Corporation	$5,621,816.17	Montana State Checkbook
2022	Department Of Transportation	Dick Anderson Construction Inc	$5,621,221.97	Montana State Checkbook
2020	Department Of Revenue	Missoula County Treasurer	$5,618,612.94	Montana State Checkbook
2022	Department Of Public Health And Human Services	Bighorn Valley Health Center	$5,617,549.12	Montana State Checkbook
2023	Department Of Revenue	Flathead County	$5,617,419.39	Montana State Checkbook
2020	Department Of Public Health And Human Services	Bighorn Valley Health Center	$5,607,941.00	Montana State Checkbook
2022	Department Of Public Health And Human Services	Residential Support Services	$5,603,893.25	Montana State Checkbook
2019	Department Of Corrections	Missoula County Treasurer	$5,603,641.21	Montana State Checkbook
2018	Department Of Transportation	Century Companies Inc	$5,595,850.16	Montana State Checkbook
2019	Department Of Public Health And Human Services	Healthcenter Northwest	$5,594,818.87	Montana State Checkbook
2022	Department Of Public Health And Human Services	Livingston Healthcare	$5,584,619.30	Montana State Checkbook
2023	Department Of Public Health And Human Services	Blackfeet Tribe	$5,583,169.63	Montana State Checkbook
2018	Department Of Public Health And Human Services	Sidney Health Center	$5,579,001.80	Montana State Checkbook
2017	Department Of Public Health And Human Services	Confidential - Montana State Hospital	$5,564,639.72	Montana State Checkbook
2019	Department Of Public Health And Human Services	Residential Support Services	$5,561,382.17	Montana State Checkbook
2020	Department Of Transportation	Interstate Improvement Inc	$5,557,699.99	Montana State Checkbook
2018	Department Of Public Health And Human Services	Yellowstone Boys Girls Ranch	$5,537,937.03	Montana State Checkbook
2023	Commissioner Of Higher Education	Delta Dental Insurance Company	$5,533,296.83	Montana State Checkbook
2021		County Of Fergus	$5,526,395.09	Montana State Checkbook
2018	Department Of Revenue	Missoula County Treasurer	$5,520,387.16	Montana State Checkbook
2020	Department Of Public Health And Human Services	Cmsc Llc	$5,509,609.83	Montana State Checkbook
2021		Big Sky Managed Care	$5,491,664.79	Montana State Checkbook
2017	Department Of Revenue	Missoula County Treasurer	$5,491,460.22	Montana State Checkbook
2022	Department Of Revenue	Yellowstone County Treasurer	$5,485,321.23	Montana State Checkbook
2019	Department Of Public Health And Human Services	Community Physician Group	$5,476,503.92	Montana State Checkbook
2022	Department Of Justice	Gallatin County Treasurer	$5,473,725.46	Montana State Checkbook
2023	Department Of Public Health And Human Services	Prime Time Healthcare Llc	$5,471,041.44	Montana State Checkbook
2019	Department Of Revenue	Missoula County Treasurer	$5,456,815.14	Montana State Checkbook
2021		Summit Ilc	$5,456,504.76	Montana State Checkbook