Year	Employer	Vendor Name	Amount	Source
2019	Department Of Public Health And Human Services	St Johns Lutheran Hospital	$8,386,464.63	Montana State Checkbook
2018	Department Of Public Health And Human Services	Wolf Point Phs Indian Hlth	$8,375,870.76	Montana State Checkbook
2019	Department Of Public Health And Human Services	Wolf Point Phs Indian Hlth	$8,355,698.08	Montana State Checkbook
2021		Rimrock Foundation	$8,353,962.32	Montana State Checkbook
2018	Department Of Revenue	Great Falls City Treasurer	$8,349,718.84	Montana State Checkbook
2023	Department Of Public Health And Human Services	St Johns Lutheran Hospital	$8,349,009.23	Montana State Checkbook
2022	Department Of Transportation	Helena Sand And Gravel Inc	$8,332,308.94	Montana State Checkbook
2021		Rosebud County Treasurer	$8,324,104.24	Montana State Checkbook
2017	Department Of Revenue	Great Falls City Treasurer	$8,308,874.78	Montana State Checkbook
2018	Department Of Public Health And Human Services	Center For Mental Health	$8,303,100.94	Montana State Checkbook
2022	Department Of Public Health And Human Services	Accredo Health Group Inc	$8,296,180.62	Montana State Checkbook
2021		Ft Belknap Phs Indian Hth	$8,295,313.83	Montana State Checkbook
2019	Montana State Fund	Confidential Payee	$8,284,618.29	Montana State Checkbook
2021		Community Hospital Of Anacon	$8,282,188.14	Montana State Checkbook
2018	Office Of Public Instruction	Great Falls Public Schools	$8,279,682.27	Montana State Checkbook
2023	Office Of Public Instruction	County Of Lincoln	$8,233,312.95	Montana State Checkbook
2021		Anaconda-Deer Lodge County	$8,233,188.82	Montana State Checkbook
2019	Department Of Public Health And Human Services	Providence St Joseph	$8,228,298.70	Montana State Checkbook
2021		Thip Fort Peck Tribal Health	$8,225,400.00	Montana State Checkbook
2022	Department Of Public Health And Human Services	Millennium Health Llc	$8,223,965.12	Montana State Checkbook
2019	Office Of Public Instruction	Great Falls Public Schools	$8,220,549.00	Montana State Checkbook
2021		Montana Primary Care Assoc	$8,216,362.38	Montana State Checkbook
2021		Dick Anderson Construction Inc	$8,209,965.58	Montana State Checkbook
2017	Public Health & Human Services	St Peters Hospital	$8,205,740.54	Montana State Checkbook
2018	Department Of Public Health And Human Services	Community Hospital Of Anacon	$8,204,101.93	Montana State Checkbook
2018	Office Of Public Instruction	Flathead County Treasurer	$8,204,094.66	Montana State Checkbook
2017	Department Of Commerce	Hoffman York, Inc.	$8,200,773.59	Montana State Checkbook
2020	Department Of Public Health And Human Services	Partnership Health Center	$8,190,254.67	Montana State Checkbook
2022	Department Of Public Health And Human Services	Flathead Industries	$8,182,563.78	Montana State Checkbook
2023	Department Of Labor And Industry	Fast Enterprises Llc	$8,177,500.00	Montana State Checkbook
2021		Hdr Inc	$8,175,093.22	Montana State Checkbook
2022	Department Of Corrections	Alternatives Inc	$8,174,279.83	Montana State Checkbook
2020	Department Of Public Health And Human Services	Community Health Care Center	$8,161,953.02	Montana State Checkbook
2021		Scl Health Med Grp-Billings	$8,153,208.22	Montana State Checkbook
2017	Long Range Building	Jackson Contractor Group Inc	$8,102,034.36	Montana State Checkbook
2020	Department Of Commerce	Confidential - Mboh Servicing	$8,088,624.35	Montana State Checkbook
2020	Department Of Administration	Markovich Construction	$8,087,094.47	Montana State Checkbook
2021		Kiewit Infrastructure West Co	$8,086,974.57	Montana State Checkbook
2021		Lake County Treasurer	$8,071,326.42	Montana State Checkbook
2017	Public Health & Human Services	Xerox Corporation	$8,067,461.63	Montana State Checkbook
2017	Department Of Public Health And Human Services	St Peters Hospital	$8,049,896.35	Montana State Checkbook
2021		Phc Creamery	$8,041,304.88	Montana State Checkbook
2023	Department Of Public Health And Human Services	Senderra Rx Partners Llc	$8,033,265.51	Montana State Checkbook
2017	Department Of Administration	Delta Dental Insurance Company	$8,016,223.46	Montana State Checkbook
2020	Department Of Public Health And Human Services	Ft Belknap Phs Indian Hth	$8,015,568.12	Montana State Checkbook
2017	Office Of Public Instruction	Lewis & Clark County Treasurer	$8,010,544.07	Montana State Checkbook
2017	Department Of Public Health And Human Services	Wal-mart Stores Inc	$8,010,178.98	Montana State Checkbook
2020	Department Of Administration	Carehere Llc	$8,007,090.11	Montana State Checkbook
2018	Department Of Public Health And Human Services	Accredo Health Group Inc	$7,984,183.82	Montana State Checkbook
2018	Department Of Administration	Delta Dental Insurance Company	$7,977,806.37	Montana State Checkbook
2021		Jefferson County	$7,968,333.07	Montana State Checkbook
2023	Department Of Public Health And Human Services	Big Horn Hospital	$7,966,542.67	Montana State Checkbook
2017	Dept Of Corrections	Corrections Corp Of America	$7,954,933.02	Montana State Checkbook
2017	Department Of Corrections	Corrections Corp Of America	$7,941,987.53	Montana State Checkbook
2022	Department Of Public Health And Human Services	Sidney Health Center	$7,941,343.57	Montana State Checkbook
2022	Department Of Administration	Intralot Inc	$7,921,608.45	Montana State Checkbook
2018	Office Of Public Instruction	Gallatin County Treasurer	$7,915,847.23	Montana State Checkbook
2019	Department Of Administration	Carehere Llc	$7,914,736.99	Montana State Checkbook
2017	Office Of Public Instruction	Great Falls Public Schools	$7,893,330.13	Montana State Checkbook
2019	Department Of Public Health And Human Services	A Plus Health Care	$7,875,816.00	Montana State Checkbook
2018	Department Of Public Health And Human Services	Ft Belknap Phs Indian Hth	$7,834,213.00	Montana State Checkbook
2023	Department Of Public Health And Human Services	Flathead Industries	$7,815,214.70	Montana State Checkbook
2020	Department Of Public Health And Human Services	Thip Fort Peck Tribal Health	$7,801,200.00	Montana State Checkbook
2022	Department Of Public Health And Human Services	Rimrock Foundation	$7,791,793.54	Montana State Checkbook
2020	Department Of Public Health And Human Services	Rimrock Foundation	$7,774,723.74	Montana State Checkbook
2023	Department Of Public Health And Human Services	St Luke Community Hospital	$7,774,660.53	Montana State Checkbook
2021		Motorola Solutions Inc	$7,765,145.66	Montana State Checkbook
2023	Department Of Public Health And Human Services	Caremark Llc Dba Cvsspecialt	$7,698,861.51	Montana State Checkbook
2019	Department Of Public Health And Human Services	Missouri River Center	$7,692,599.49	Montana State Checkbook
2018	Department Of Public Health And Human Services	Marcus Daly Memorial Hosp	$7,674,236.11	Montana State Checkbook
2021		University Of Utah	$7,670,025.40	Montana State Checkbook
2017	Department Of Transportation	Frontier West Llc	$7,660,276.80	Montana State Checkbook
2018	Department Of Administration	Multi State Lottery Association	$7,656,480.25	Montana State Checkbook
2021		Community Health Care Center	$7,656,219.69	Montana State Checkbook
2020	Office Of Public Instruction	Great Falls Public Schools	$7,651,708.50	Montana State Checkbook
2017	Department Of Public Health And Human Services	Bozeman Health Deaconess Hos	$7,651,511.70	Montana State Checkbook
2017	Department Of Transportation	M A Deatley Construction Inc	$7,621,298.78	Montana State Checkbook
2023	Department Of Public Health And Human Services	Livingston Healthcare	$7,614,851.81	Montana State Checkbook
2019	Department Of Public Health And Human Services	Center For Mental Health	$7,604,551.72	Montana State Checkbook
2020	Department Of Transportation	International Registration Plan Inc	$7,602,280.67	Montana State Checkbook
2023	Department Of Public Health And Human Services	Big Sky Managed Care	$7,599,148.31	Montana State Checkbook
2018	Department Of Public Health And Human Services	Providence St Joseph	$7,593,765.34	Montana State Checkbook
2022	Department Of Public Health And Human Services	St Johns Lutheran Hospital	$7,587,642.16	Montana State Checkbook
2023	Department Of Public Health And Human Services	Community Medical Services M	$7,582,094.83	Montana State Checkbook
2019	Department Of Public Health And Human Services	St Luke Community Hospital	$7,579,932.31	Montana State Checkbook
2023	Department Of Public Health And Human Services	Shodair Childrens Hospital	$7,578,687.94	Montana State Checkbook
2023	Department Of Public Health And Human Services	Northeast Montana Health	$7,574,184.56	Montana State Checkbook
2022	Department Of Environmental Quality	Missouri River Contractors Llc	$7,573,833.53	Montana State Checkbook
2023	Department Of Public Health And Human Services	Recovery Centers Of Montana	$7,569,698.06	Montana State Checkbook
2021		Multi State Lottery Association	$7,568,505.11	Montana State Checkbook
2017	Department Of Public Health And Human Services	Montana Cvs Pharmacy Llc	$7,567,196.09	Montana State Checkbook
2021		Sidney Health Center	$7,558,494.76	Montana State Checkbook
2021		Northwestern Energy	$7,533,325.65	Montana State Checkbook
2020	Department Of Public Health And Human Services	Northrop Grumman Systems Corporation	$7,530,658.77	Montana State Checkbook
2020	Department Of Public Health And Human Services	St Johns Lutheran Hospital	$7,528,959.82	Montana State Checkbook
2019	Department Of Revenue	Butte Silver Bow County Treasurer	$7,498,826.29	Montana State Checkbook
2021		Accredo Health Group Inc	$7,481,955.32	Montana State Checkbook
2021		Knife River - Nd Division	$7,480,485.65	Montana State Checkbook
2019	Department Of Administration	Delta Dental Insurance Company	$7,472,444.92	Montana State Checkbook
2020	Montana State Fund	Confidential Payee	$7,470,004.90	Montana State Checkbook