Year	Employer	Vendor Name	Amount	Source
2021	Nevada State Checkbook	Southern Nevada Health	$49,995,134.03	Nevada State Checkbook
2019	Legislative Branch	Lcb Payroll Account	$49,800,678.29	Nevada State Checkbook
2021	Nevada State Checkbook	Pinecrest Academy Of Nevada	$49,706,911.93	Nevada State Checkbook
2020	Department Of Education	Elko County School District	$49,651,753.54	Nevada State Checkbook
2017	Department Of Education	Elko County School District	$49,588,889.89	Nevada State Checkbook
2021	Nevada State Checkbook	Elko County School District	$49,239,974.92	Nevada State Checkbook
2023	Nevada State Checkbook	Humboldt County School	$48,773,819.35	Nevada State Checkbook
2017	Department Of Health And Human Services	Washoe, County Of	$48,624,462.73	Nevada State Checkbook
2023	Nevada State Checkbook	Southern Nevada Health	$48,461,550.83	Nevada State Checkbook
2017	Department Of Transportation	Fisher Sand & Gravel Co	$48,380,965.78	Nevada State Checkbook
2019	Department Of Administration	Core Construction Services Of	$48,361,811.58	Nevada State Checkbook
2023	Nevada State Checkbook	Fidelity Information Services	$48,170,486.71	Nevada State Checkbook
2023	Nevada State Checkbook	Dps - Division Of Parole And Probation	$48,148,702.95	Nevada State Checkbook
2021	Nevada State Checkbook	Road & Highway Builders Llc	$48,100,000.00	Nevada State Checkbook
2017	Department Of Business And Industry	B&i - Nevada Home Retention Program	$48,000,000.00	Nevada State Checkbook
2018	Treasurer's Office	Treasurer - Treasurer's Office	$47,738,221.23	Nevada State Checkbook
2023	Nevada State Checkbook	Mater Academy Of Nevada	$47,557,216.67	Nevada State Checkbook
2017	Department Of Health And Human Services	Hhs-hcf&p - Nevada Check-up Program	$47,192,879.80	Nevada State Checkbook
2018	Colorado River Commission	Us Department Of Energy	$47,103,462.84	Nevada State Checkbook
2023	Nevada State Checkbook	Board Of Regents-Unlv	$46,955,341.87	Nevada State Checkbook
2018	Department Of Education	Douglas County School District	$46,766,872.19	Nevada State Checkbook
2017	Department Of Health And Human Services	Fidelity Information Services	$46,645,262.40	Nevada State Checkbook
2017	Legislative Counsel Bureau	Leg - Interim Finance Committee	$46,564,235.57	Nevada State Checkbook
2019	Department Of Transportation	Regional Transportation	$46,211,477.37	Nevada State Checkbook
2017	Legislative Counsel Bureau	Lcb Payroll Account	$46,139,551.63	Nevada State Checkbook
2021	Nevada State Checkbook	Las Vegas Clark Co Urban	$45,893,515.60	Nevada State Checkbook
2020	Department Of Education	Pinecrest Academy Of Nevada	$45,893,027.84	Nevada State Checkbook
2022	Nevada State Checkbook	Henderson City Of	$45,781,895.46	Nevada State Checkbook
2018	Department Of Health And Human Services	Chrysalis Nevada Inc	$45,774,877.98	Nevada State Checkbook
2018	Department Of Education	Nevada Connections Academy	$45,682,477.58	Nevada State Checkbook
2021	Nevada State Checkbook	Fisher Sand & Gravel Co	$45,500,000.00	Nevada State Checkbook
2023	Nevada State Checkbook	Hhs-Hcf&P - Increased Quality Of Nursing Care	$45,181,240.29	Nevada State Checkbook
2017	Department Of Education	Carson City School District	$44,998,249.25	Nevada State Checkbook
2023	Nevada State Checkbook	Hhs-Hcf&P - Nevada Check Up Program	$44,966,861.70	Nevada State Checkbook
2019	Department Of Transportation	Granite Construction Co	$44,783,427.46	Nevada State Checkbook
2021	Nevada State Checkbook	Regional Transportation	$44,579,707.18	Nevada State Checkbook
2023	Nevada State Checkbook	Coral Academy Of Science	$44,532,113.77	Nevada State Checkbook
2017	Nevada System Of Higher Education (nshe)	Nshe - College Of Southern Nevada	$44,488,092.00	Nevada State Checkbook
2023	Nevada State Checkbook	Gainwell Technologies Llc	$44,474,520.79	Nevada State Checkbook
2023	Nevada State Checkbook	Churchill County School	$44,459,318.53	Nevada State Checkbook
2022	Nevada State Checkbook	Fidelity Information Services	$44,361,677.24	Nevada State Checkbook
2023	Nevada State Checkbook	Dmv - Field Services	$44,173,870.38	Nevada State Checkbook
2021	Nevada State Checkbook	Doral Academy Of Nevada	$44,150,615.19	Nevada State Checkbook
2023	Nevada State Checkbook	Nshe - College Of Southern Nevada	$44,031,697.68	Nevada State Checkbook
2020	Department Of Education	Carson City School District	$43,978,000.31	Nevada State Checkbook
2020	Department Of Education	Doral Academy Of Nevada	$43,707,311.86	Nevada State Checkbook
2018	Department Of Education	Churchill County School	$43,472,610.90	Nevada State Checkbook
2017	Department Of Education	Somerset Academy Of Las Vegas	$43,444,997.56	Nevada State Checkbook
2017	Department Of Employment, Training & Rehab	Detr - Employment Security	$43,390,434.88	Nevada State Checkbook
2022	Nevada State Checkbook	Health Plan Of Nevada Inc	$43,222,504.56	Nevada State Checkbook
2022	Nevada State Checkbook	Humboldt County School	$43,161,581.62	Nevada State Checkbook
2023	Nevada State Checkbook	Las Vegas City Of	$43,115,537.67	Nevada State Checkbook
2019	Department Of Education	Carson City School District	$43,047,667.57	Nevada State Checkbook
2023	Nevada State Checkbook	Ndot - Transportation Administration	$42,944,913.77	Nevada State Checkbook
2022	Nevada State Checkbook	Gainwell Technologies Llc	$42,863,618.97	Nevada State Checkbook
2017	Department Of Transportation	Las Vegas Paving Corporation	$42,718,507.69	Nevada State Checkbook
2017	Department Of Public Safety	Dps - Parole And Probation	$42,665,554.55	Nevada State Checkbook
2023	Nevada State Checkbook	Ndoc - Prison Medical Care	$42,499,903.68	Nevada State Checkbook
2020	Department Of Health And Human Services	Fidelity Information Services	$41,953,925.10	Nevada State Checkbook
2018	Department Of Employment, Training & Rehab	Detr - Rehabilitation Division	$41,857,528.28	Nevada State Checkbook
2023	Nevada State Checkbook	Health Plan Of Nevada Inc	$41,829,025.15	Nevada State Checkbook
2020	Department Of Transportation	Granite Construction Co	$41,497,831.22	Nevada State Checkbook
2019	Department Of Health And Human Services	Las Vegas Clark Co Urban	$41,413,241.24	Nevada State Checkbook
2017	Department Of Corrections	Ndoc - High Desert State Prison	$41,309,238.06	Nevada State Checkbook
2019	Department Of Education	Nye County School District	$41,125,787.89	Nevada State Checkbook
2018	Department Of Education	Humboldt County School	$41,113,853.65	Nevada State Checkbook
2023	Nevada State Checkbook	Pebp - Retired Employee Group Insurance	$41,107,373.83	Nevada State Checkbook
2022	Nevada State Checkbook	Churchill County School	$41,027,342.99	Nevada State Checkbook
2023	Nevada State Checkbook	Granite Construction Co	$40,967,405.82	Nevada State Checkbook
2022	Nevada State Checkbook	Mater Academy Of Nevada	$40,950,206.46	Nevada State Checkbook
2018	Department Of Employment, Training & Rehab	Workforce Connections	$40,621,427.28	Nevada State Checkbook
2019	Department Of Health And Human Services	Fidelity Information Services	$40,607,993.60	Nevada State Checkbook
2023	Nevada State Checkbook	Hhs-Do - Indigent Hospital Care	$40,546,318.72	Nevada State Checkbook
2017	Department Of Motor Vehicles	Dmv - Field Services	$40,439,289.50	Nevada State Checkbook
2020	Department Of Transportation	Q&D Construction Inc	$40,388,869.44	Nevada State Checkbook
2021	Nevada State Checkbook	Board Of Regents-Unr	$40,381,240.56	Nevada State Checkbook
2022	Nevada State Checkbook	Lcb Payroll Account	$40,335,675.36	Nevada State Checkbook
2022	Nevada State Checkbook	Las Vegas Clark Co Urban	$40,314,554.75	Nevada State Checkbook
2019	Department Of Transportation	Aggregate Industries Swr Inc	$40,048,102.86	Nevada State Checkbook
2020	Department Of Education	Nye County School District	$39,962,173.94	Nevada State Checkbook
2019	Department Of Education	Doral Academy Of Nevada	$39,937,782.46	Nevada State Checkbook
2022	Nevada State Checkbook	Road & Highway Builders Llc	$39,865,042.66	Nevada State Checkbook
2018	Department Of Administration	Admin - Enterprise It Services	$39,828,575.96	Nevada State Checkbook
2017	Department Of Health And Human Services	Hhs-welfare - Tanf	$39,714,082.30	Nevada State Checkbook
2023	Nevada State Checkbook	Nde - Covid-19 Funding	$39,314,404.53	Nevada State Checkbook
2017	Department Of Health And Human Services	Enterprise Services Llc	$39,145,499.25	Nevada State Checkbook
2017	Department Of Transportation	Road & Highway Builders Llc	$39,042,346.77	Nevada State Checkbook
2017	Department Of Corrections	Ndoc - Prison Medical Care	$38,795,903.82	Nevada State Checkbook
2019	Treasurer's Office	Board Of Regents-Sa	$38,757,676.46	Nevada State Checkbook
2019	Department Of Transportation	Ames Construction Inc	$38,691,344.49	Nevada State Checkbook
2018	Employees' Benefits Division	Healthscope Benefits Inc	$38,538,124.74	Nevada State Checkbook
2020	Department Of Education	Coral Academy Of Science	$38,527,537.92	Nevada State Checkbook
2020	Department Of Health And Human Services	Dxc Technology Services Llc	$38,457,642.37	Nevada State Checkbook
2021	Nevada State Checkbook	Coral Academy Of Science	$38,385,477.78	Nevada State Checkbook
2017	Public Employees' Benefits Program	Pebp - Retired Employee Group Insurance	$38,070,795.47	Nevada State Checkbook
2023	Nevada State Checkbook	Gcb - Gaming Control Board	$38,033,047.69	Nevada State Checkbook
2021	Nevada State Checkbook	Carson City School District	$37,955,333.29	Nevada State Checkbook
2023	Nevada State Checkbook	Legacy Traditional School	$37,829,716.98	Nevada State Checkbook
2023	Nevada State Checkbook	Jerritt Canyon Gold Llc	$37,668,285.00	Nevada State Checkbook
2023	Nevada State Checkbook	Core Construction Services Of	$37,629,322.92	Nevada State Checkbook