Year	Employer	Vendor Name	Amount	Source
2022	Department Of Public Health And Human Services	Hueneme Family Pharmacy	$2,367,297.55	Montana State Checkbook
2022	Department Of Public Health And Human Services	Riverside Health Care Center	$2,365,755.71	Montana State Checkbook
2021		Evergreen At Livingston Llc	$2,364,956.28	Montana State Checkbook
2017	Department Of Transportation	Morrison Maierle Inc	$2,363,719.64	Montana State Checkbook
2020	Department Of Public Health And Human Services	Lake View Care Center	$2,360,341.10	Montana State Checkbook
2018	Department Of Public Health And Human Services	Prov Scred Hrt Med Ctr Chld Ho	$2,359,917.60	Montana State Checkbook
2020	Office Of Public Instruction	Ronan School District No 30	$2,359,661.00	Montana State Checkbook
2019	Department Of Administration	Lake County Treasurer	$2,359,296.94	Montana State Checkbook
2021		Shodair Hospital	$2,358,397.16	Montana State Checkbook
2021		The Childrens Hosp Assoc	$2,358,396.52	Montana State Checkbook
2022	Department Of Public Health And Human Services	Smiths Pharmacy 172	$2,358,332.37	Montana State Checkbook
2020	Department Of Transportation	Butte Silver Bow County Treasurer	$2,357,344.25	Montana State Checkbook
2021		Walgreens Specialty Pharm 1231	$2,356,770.76	Montana State Checkbook
2018	Montana Public Employee Retirement	Sagitec Solutions Llc	$2,356,189.10	Montana State Checkbook
2020	Department Of Public Health And Human Services	Uhs Of Provo Canyon Inc	$2,356,185.00	Montana State Checkbook
2021		Streamline Markings Inc	$2,355,674.56	Montana State Checkbook
2021		B & B Builders Inc	$2,355,152.44	Montana State Checkbook
2017	Department Of Public Health And Human Services	New Western Manor Company	$2,353,785.91	Montana State Checkbook
2022	Department Of Public Health And Human Services	Walgreens 10084	$2,353,050.30	Montana State Checkbook
2020	Department Of Natural Resource And Conservation	Quantum Spatial Inc	$2,352,400.26	Montana State Checkbook
2023	Department Of Public Health And Human Services	Thip Northern Cheyenne Tribe	$2,351,700.00	Montana State Checkbook
2019	Department Of Administration	Charter Communications Inc	$2,351,126.57	Montana State Checkbook
2017	Public Health & Human Services	University Of Utah	$2,350,866.67	Montana State Checkbook
2017	Public Health & Human Services	Aware Inc Ygh	$2,350,333.86	Montana State Checkbook
2021		Dawson Community College	$2,349,771.13	Montana State Checkbook
2018	Department Of Public Health And Human Services	Missoula Pediatric Dentistry	$2,349,281.00	Montana State Checkbook
2019	Department Of Corrections	Us Bank Trust National Association	$2,348,723.75	Montana State Checkbook
2024	Department Of Transportation	Sanderson Stewart	$2,348,316.76	Montana State Checkbook
2018	Office Of Public Instruction	Hill County Treasurer	$2,346,092.38	Montana State Checkbook
2019	Department Of Administration	Miles City Treasurer	$2,346,075.52	Montana State Checkbook
2021		Walgreens 09351	$2,345,788.59	Montana State Checkbook
2024	Department Of Public Health And Human Services	Copper Hills Youth Center	$2,345,256.12	Montana State Checkbook
2021		Gary And Leos Inc	$2,344,983.15	Montana State Checkbook
2019	Department Of Administration	Stillwater County Treasurer	$2,344,608.66	Montana State Checkbook
2021		Lakeland Hospital Acquisitio	$2,343,933.86	Montana State Checkbook
2023	Department Of Transportation	Td & H Engineering	$2,343,481.39	Montana State Checkbook
2023	Department Of Public Health And Human Services	Billings Ob-Gyn Assocs Pc	$2,342,867.87	Montana State Checkbook
2021		Capital Group Holdings Llc	$2,341,510.14	Montana State Checkbook
2021		Centurylink	$2,341,338.38	Montana State Checkbook
2021		Fallon County Treasurer	$2,341,332.55	Montana State Checkbook
2018	Department Of Public Health And Human Services	Aware Inc Case Mgmt	$2,339,925.94	Montana State Checkbook
2020	Department Of Public Health And Human Services	Greatfallspediatricdentistry	$2,339,188.31	Montana State Checkbook
2023	Department Of Military Affairs	Lower Yellowstone Rural Electric Assn	$2,338,856.30	Montana State Checkbook
2022	Office Of Public Instruction	Cambium Assessment, Inc	$2,337,038.68	Montana State Checkbook
2020	Department Of Public Health And Human Services	Evergreen At Missoula Llc	$2,336,239.03	Montana State Checkbook
2020	Department Of Public Health And Human Services	Express Employment Professiona	$2,335,410.83	Montana State Checkbook
2019	Department Of Transportation	Federal Highway Administration	$2,334,000.60	Montana State Checkbook
2023	Department Of Public Health And Human Services	Walgreens 10859	$2,333,865.91	Montana State Checkbook
2024	Department Of Transportation	Ifta Inc	$2,333,598.78	Montana State Checkbook
2020	Department Of Public Health And Human Services	Lincare Inc	$2,332,240.31	Montana State Checkbook
2022	Office Of Public Instruction	County Of Fergus	$2,331,219.08	Montana State Checkbook
2019	Department Of Administration	Roosevelt County Treasurer	$2,329,906.56	Montana State Checkbook
2023	Department Of Public Health And Human Services	Advanced Care Hospital Of Mt	$2,329,862.66	Montana State Checkbook
2024	Department Of Public Health And Human Services	Chippewa Cree Tribe	$2,329,851.46	Montana State Checkbook
2024	Department Of Public Health And Human Services	Sapphire Community Health	$2,328,731.94	Montana State Checkbook
2021		Smiths Pharmacy 172	$2,328,658.94	Montana State Checkbook
2023	Montana Public Employee Retirement	Confidential - Mt Public Employee Retire	$2,326,582.17	Montana State Checkbook
2024	Department Of Public Health And Human Services	Billings Ob-Gyn Assocs Pc	$2,326,197.48	Montana State Checkbook
2024	Department Of Public Health And Human Services	Ab Staffing Solutions Llc	$2,325,806.51	Montana State Checkbook
2021		3 Rivers Mental Hlth Solutions	$2,325,639.34	Montana State Checkbook
2019	Department Of Administration	Pondera County Treasurer	$2,325,552.03	Montana State Checkbook
2021		Elkhorn Health Care Inc	$2,324,749.51	Montana State Checkbook
2018	Department Of Public Health And Human Services	Meadowlark Home Care Llc	$2,324,437.76	Montana State Checkbook
2022	Department Of Transportation	Robert Peccia And Associates Inc	$2,324,416.74	Montana State Checkbook
2022	Department Of Commerce	Yellowstone Country Montana, Inc	$2,323,721.00	Montana State Checkbook
2018	Department Of Public Health And Human Services	Bullhook Comm Hlth Cntr Inc	$2,323,162.60	Montana State Checkbook
2021		Sheridan County Treasurer	$2,322,260.22	Montana State Checkbook
2022	Department Of Public Health And Human Services	Missoula Aging Services	$2,321,571.37	Montana State Checkbook
2023	Department Of Transportation	Jag Grading And Paving Llc	$2,321,240.34	Montana State Checkbook
2023	Department Of Public Health And Human Services	Meadowlark Home Care Llc	$2,319,677.20	Montana State Checkbook
2019	Department Of Public Health And Human Services	Cystic Fibrosis Services Llc	$2,318,999.27	Montana State Checkbook
2023	Department Of Public Health And Human Services	Northern Mt Specialty Med Cntr	$2,317,730.91	Montana State Checkbook
2024	Department Of Administration	Century Link Communications Llc	$2,317,327.89	Montana State Checkbook
2022	Department Of Public Health And Human Services	Walgreens Specialty Pharm 1628	$2,316,492.26	Montana State Checkbook
2024	Office Of Public Instruction	Beaverhead County	$2,314,286.17	Montana State Checkbook
2022	Department Of Public Health And Human Services	Thip Northern Cheyenne Tribe	$2,313,900.00	Montana State Checkbook
2018	Commissioner Of Higher Education	Western Interstate Commission For	$2,313,833.00	Montana State Checkbook
2021		Ivy At Deer Lodge Llc	$2,313,504.87	Montana State Checkbook
2017	Department Of Public Health And Human Services	Aware Inc Ygh	$2,311,747.85	Montana State Checkbook
2018	Department Of Environmental Quality	Mungas Company Inc	$2,311,421.61	Montana State Checkbook
2020	Department Of Transportation	Mountain West Holding Company	$2,310,514.58	Montana State Checkbook
2024	Department Of Public Health And Human Services	Meadowlark Home Care Llc	$2,309,729.61	Montana State Checkbook
2023	Department Of Transportation	Bridger Fence	$2,309,457.74	Montana State Checkbook
2023	Department Of Public Health And Human Services	Pediatric Dentistry Pc	$2,309,258.12	Montana State Checkbook
2019	Department Of Transportation	Creative Bus Sales Inc	$2,308,825.42	Montana State Checkbook
2024	Commissioner Of Higher Education	Dawson Community College	$2,307,670.71	Montana State Checkbook
2022	Office Of Public Instruction	Toole County	$2,306,416.09	Montana State Checkbook
2020	Department Of Public Health And Human Services	Yellowstone City-County Health Dept	$2,305,950.12	Montana State Checkbook
2020	Department Of Public Health And Human Services	Rubicon Dental Associates	$2,305,662.06	Montana State Checkbook
2019	Commissioner Of Higher Education	Confidential - Commissioner Of Higher Ed	$2,303,886.99	Montana State Checkbook
2018	Department Of Public Health And Human Services	Express Employment Professiona	$2,300,012.03	Montana State Checkbook
2023	Department Of Transportation	Sanderson Stewart	$2,298,234.12	Montana State Checkbook
2019	Department Of Public Health And Human Services	Cor Enterprises Inc	$2,296,755.58	Montana State Checkbook
2023	Department Of Military Affairs	Tetra Tech Inc	$2,296,669.53	Montana State Checkbook
2023	Department Of Public Health And Human Services	Crest Nursing Home	$2,296,590.47	Montana State Checkbook
2019	Commissioner Of Higher Education	Western Interstate Commission For	$2,296,440.00	Montana State Checkbook
2021		Faith Lutheran Home	$2,294,643.85	Montana State Checkbook
2017	Department Of Public Health And Human Services	Mt Independent Livng Project	$2,294,398.26	Montana State Checkbook
2022	Department Of Public Health And Human Services	Ivy At Deer Lodge Llc	$2,294,224.82	Montana State Checkbook
2024	Department Of Public Health And Human Services	Partners In Home Care Inc	$2,293,820.34	Montana State Checkbook