Year	Employer	Vendor Name	Amount	Source
2023	Health And Human Services Commission	Baylor University Medical Center	$49,829,210.63	Texas State Checkbook
2017	Health And Human Services Commission	Scott & White Memorial Hospital	$49,816,581.47	Texas State Checkbook
2020	Health And Human Services Commission	Houston Northwest Operations Company Llc	$49,802,184.72	Texas State Checkbook
2022	Texas State Checkbook	Harris Co Esd 9	$49,765,213.24	Texas State Checkbook
2018	Texas A&M University - Corpus Christi	Confidential	$49,726,827.11	Texas State Checkbook
2018	University Of Texas Health Science Center At Tyler	Ut Health Center At Tyler	$49,721,505.53	Texas State Checkbook
2018	Texas A&M University - Kingsville	Confidential	$49,704,138.74	Texas State Checkbook
2024	Stephen F. Austin State University	Confidential	$49,701,573.01	Texas State Checkbook
2017	Cancer Prevention And Research Institute Of Texas	University Of Texas Southwestern Medical Center At	$49,690,548.19	Texas State Checkbook
2024	Comptroller-State Fiscal	City Of Carrollton	$49,686,343.52	Texas State Checkbook
2023	Comptroller-State Fiscal	City Of Georgetown	$49,682,144.58	Texas State Checkbook
2023	Governor-Fiscal	Circuit Events Local Organizing Committee	$49,619,228.91	Texas State Checkbook
2023	Public Community/Junior Colleges	Austin Community College	$49,611,140.00	Texas State Checkbook
2020	Texas Education Agency	Waxahachie Isd	$49,569,286.95	Texas State Checkbook
2024	Texas Department Of Transportation	Vulcan Construction Materials Llc	$49,520,377.36	Texas State Checkbook
2018	Texas Education Agency	Kipp Austin Public Schools Inc	$49,515,201.01	Texas State Checkbook
2024	Texas Higher Education Coordinating Board	University Of Texas Rio Grande Valley	$49,499,070.50	Texas State Checkbook
2022	Texas State Checkbook	Hdr Engineering Inc	$49,472,181.99	Texas State Checkbook
2024	Department Of State Health Services	Internal Revenue Service	$49,472,161.34	Texas State Checkbook
2024	Texas Commission On Environmental Quality	Internal Revenue Service	$49,432,256.20	Texas State Checkbook
2022	Texas State Checkbook	Royse City Isd	$49,371,294.45	Texas State Checkbook
2021	Texas State Checkbook	City Of Allen	$49,339,917.84	Texas State Checkbook
2017	Health And Human Services Commission	North Texas Behavioral Health Authority	$49,319,638.38	Texas State Checkbook
2024	Texas Department Of Transportation	Kiewit Infrastructure South Co	$49,313,623.69	Texas State Checkbook
2020	Texas Education Agency	East Central Isd	$49,312,933.52	Texas State Checkbook
2020	Texas Education Agency	Southside Independent School Dist	$49,262,566.47	Texas State Checkbook
2018	Texas Department Of Transportation	Hntb Corporation	$49,246,802.28	Texas State Checkbook
2019	Health And Human Services Commission	Girling Health Care Inc	$49,237,103.07	Texas State Checkbook
2017	Health And Human Services Commission	Bluebonnet Trails Community Mhmr Center	$49,234,523.34	Texas State Checkbook
2023	Texas Education Agency	Waxahachie Isd	$49,215,416.83	Texas State Checkbook
2018	Health And Human Services Commission	Covenant Health System	$49,179,521.41	Texas State Checkbook
2020	Health And Human Services Commission	University Of Texas Health Science Center Sa	$49,174,521.67	Texas State Checkbook
2024	General Land Office	Stewart Title Company C/O State Comptroller	$49,165,000.00	Texas State Checkbook
2018	Texas Education Agency	Northwest Isd	$49,156,258.63	Texas State Checkbook
2022	Texas State Checkbook	City Of San Marcos	$49,149,786.14	Texas State Checkbook
2024	Health And Human Services Commission	Girling Health Care Inc	$49,094,079.40	Texas State Checkbook
2023	Department Of State Health Services	Internal Revenue Service	$49,087,511.91	Texas State Checkbook
2022	Texas State Checkbook	White Settlement Isd	$49,087,136.42	Texas State Checkbook
2022	Texas State Checkbook	Unthsc@Fw	$49,061,693.58	Texas State Checkbook
2020	Texas Department Of Transportation	Hdr Engineering Inc	$48,995,179.86	Texas State Checkbook
2023	Texas Department Of Criminal Justice	Employee	$48,984,821.42	Texas State Checkbook
2017	Texas A&m University System Health Science Center	Tamus Health Science Center	$48,945,814.14	Texas State Checkbook
2024	University Of Texas At Tyler	Confidential	$48,917,976.68	Texas State Checkbook
2024	Teacher Retirement System Of Texas	Internal Revenue Service	$48,917,086.51	Texas State Checkbook
2022	Texas State Checkbook	City Of Carrollton	$48,888,282.88	Texas State Checkbook
2017	Department Of Aging And Disability Services	Employees Retirement System State Contr	$48,886,185.70	Texas State Checkbook
2017	Texas Education Agency	Bastrop Isd	$48,875,992.10	Texas State Checkbook
2023	Comptroller-State Fiscal	City Of The Colony	$48,871,896.41	Texas State Checkbook
2017	Department Of Aging And Disability Services	Employees Retirement System	$48,870,722.34	Texas State Checkbook
2021	Texas State Checkbook	Jacobs Engineering Group Inc	$48,867,269.85	Texas State Checkbook
2021	Texas State Checkbook	Us Bank National Association	$48,842,065.75	Texas State Checkbook
2021	Texas State Checkbook	Mcallen Hospitals Llp	$48,788,128.45	Texas State Checkbook
2022	Texas State Checkbook	City Of Wichita Falls	$48,786,761.42	Texas State Checkbook
2019	Texas Department Of Insurance	Confidential	$48,767,171.79	Texas State Checkbook
2018	Public Community/Junior Colleges (Administered By 781)	Austin Community College	$48,757,509.00	Texas State Checkbook
2019	Health And Human Services Commission	St Davids Healthcare Partnership Lp Llp	$48,753,712.91	Texas State Checkbook
2020	Texas Workforce Commission	Upper Rio Grande Wdb Inc	$48,722,586.33	Texas State Checkbook
2018	Health And Human Services Commission	Medical Transportation Management Inc	$48,669,935.93	Texas State Checkbook
2019	Health And Human Services Commission	Daybreak Community Services Texas Llc	$48,663,131.12	Texas State Checkbook
2019	Texas Education Agency	Carrollton-Farmers Branch Isd	$48,657,936.21	Texas State Checkbook
2022	Texas State Checkbook	City Of The Colony	$48,651,176.27	Texas State Checkbook
2019	Texas Education Agency	Tdcj Windham School District Tea	$48,647,078.73	Texas State Checkbook
2019	Texas Department Of Transportation	Hntb Corporation	$48,596,208.12	Texas State Checkbook
2023	Texas Education Agency	Btx Schools Inc	$48,587,024.86	Texas State Checkbook
2021	Texas State Checkbook	Southside Independent School Dist	$48,563,753.74	Texas State Checkbook
2018	Health And Human Services Commission	Deloitte Consulting Llp	$48,556,288.08	Texas State Checkbook
2024	Comptroller-State Fiscal	City Of Garland	$48,527,157.70	Texas State Checkbook
2022	Texas State Checkbook	International Fuel Tax Assocation Inc	$48,510,683.45	Texas State Checkbook
2023	Texas Department Of Transportation	Berry Contracting	$48,497,015.19	Texas State Checkbook
2017	Public Community/junior Colleges (administered By 781)	Austin Community College	$48,456,286.00	Texas State Checkbook
2024	Health And Human Services Commission	Kph Consolidation Inc	$48,446,420.46	Texas State Checkbook
2021	Texas State Checkbook	Midlothian Isd	$48,437,107.32	Texas State Checkbook
2024	Health And Human Services Commission	University Of Texas Health Science Center San	$48,435,798.12	Texas State Checkbook
2019	Comptroller - State Fiscal	Confidential	$48,422,268.79	Texas State Checkbook
2017	Health And Human Services Commission	University Of Texas At Galveston	$48,418,527.71	Texas State Checkbook
2020	Comptroller-State Fiscal	City Of Abilene	$48,410,004.03	Texas State Checkbook
2023	Texas Education Agency	Sherman Isd	$48,396,381.98	Texas State Checkbook
2021	Texas State Checkbook	Trinity Basin Preparatory Inc	$48,349,127.68	Texas State Checkbook
2021	Texas State Checkbook	Medical Transportation Management Inc	$48,336,155.69	Texas State Checkbook
2018	Texas Education Agency	Lufkin Isd	$48,308,162.83	Texas State Checkbook
2019	Texas Education Agency	Roma Isd	$48,279,096.06	Texas State Checkbook
2023	Texas Education Agency	Seguin Isd	$48,274,204.43	Texas State Checkbook
2021	Texas State Checkbook	Manor Isd	$48,246,815.20	Texas State Checkbook
2020	Texas Education Agency	Lockhart Isd	$48,241,137.05	Texas State Checkbook
2017	Texas Education Agency	Copperas Cove Isd	$48,181,789.96	Texas State Checkbook
2021	Texas State Checkbook	Unitedhealthcare Insurance Company	$48,170,250.04	Texas State Checkbook
2022	Texas State Checkbook	City Of Georgetown	$48,160,925.96	Texas State Checkbook
2024	Texas Education Agency	Splendora Isd	$48,156,530.95	Texas State Checkbook
2022	Texas State Checkbook	Roy Jorgensen Associate Inc	$48,151,494.68	Texas State Checkbook
2017	Health And Human Services Commission	Disability Services Of The Southwest Inc	$48,124,880.99	Texas State Checkbook
2023	Employees Retirement System Of Texas	Sierra Health And Life Insurance Company Inc	$48,114,800.00	Texas State Checkbook
2018	Comptroller - State Fiscal	City Of Conroe	$48,099,021.18	Texas State Checkbook
2024	Health And Human Services Commission	Mother Frances Hospital	$48,082,565.56	Texas State Checkbook
2017	Texas Education Agency	Channelview Isd	$48,077,782.32	Texas State Checkbook
2024	Health And Human Services Commission	Community Health Choice	$48,073,124.83	Texas State Checkbook
2018	Texas Education Agency	Valley View Isd	$48,069,109.92	Texas State Checkbook
2022	Texas State Checkbook	Texas City Independent School District	$48,066,268.20	Texas State Checkbook
2019	Texas Education Agency	Confidential	$48,063,969.93	Texas State Checkbook
2024	Texas Department Of Transportation	Halff Associates Inc	$48,019,443.72	Texas State Checkbook
2019	Health And Human Services Commission	Parkland Community Health Plan Inc	$48,008,984.03	Texas State Checkbook