Year	Employer	Vendor Name	Amount	Source
2022	Colorado State Checkbook	Saint Joseph Hospital	$55,564,304.21	Colorado State Checkbook
2024	Dept Of Regulatory Agencies (S)	Rocky Mountain Hmo Inc	$55,549,405.41	Colorado State Checkbook
2023		Metropolitan State Univ Of Denver	$55,540,329.77	Colorado State Checkbook
2023		Mapleton 1 0010	$55,497,839.17	Colorado State Checkbook
2023	Department Of Health Care Policy And Financing (U)	Saint Joseph Hospital	$55,342,935.00	Colorado State Checkbook
2022	Department Of Health Care Policy And Financing (U)	Saint Joseph Hospital	$55,062,769.21	Colorado State Checkbook
2020	Doe - Department Of Education (Daaa)	Adams County 14 0030 (Vc00000000014298)	$55,044,511.20	Colorado State Checkbook
2025	Department Of Education (D)	Colorado Early Colleges	$54,849,952.05	Colorado State Checkbook
2022	Colorado State Checkbook	Arapahoe County	$54,599,335.55	Colorado State Checkbook
2020	Colorado State Checkbook	Signal Behavioral Health Network (Vc00000000066705)	$54,516,976.81	Colorado State Checkbook
2021	Colorado State Checkbook	Adams County 14 0030 (Vc00000000014298)	$54,503,218.12	Colorado State Checkbook
2022	Department Of Higher Education (G)	Gjba Wages & Benefits	$54,493,568.85	Colorado State Checkbook
2022	Colorado State Checkbook	Gjba Wages & Benefits	$54,493,568.85	Colorado State Checkbook
2021	Community College Of Denver (Gjda)	Not Entered	$54,488,038.19	Colorado State Checkbook
2025	Department Of Education (D)	Mapleton 1 0010	$54,331,919.62	Colorado State Checkbook
2022	Colorado State Checkbook	Montrose County Re1j 2180	$54,251,589.01	Colorado State Checkbook
2024		Cardinal Health Inc	$54,162,255.24	Colorado State Checkbook
2025	Legislature (M)	Wages & Benefits	$53,817,978.84	Colorado State Checkbook
2021	Cdphe - Department Of Public Health And Environment (Faaa)	Not Entered	$53,810,211.18	Colorado State Checkbook
2020	Colorado State Checkbook	Larimer County (Vc00000000014269)	$53,591,521.45	Colorado State Checkbook
2021	Department Of Higher Education (Gaaa)	Colorado State University (Vc00000000014118)	$53,479,360.45	Colorado State Checkbook
2021	Colorado State Checkbook	Douglas County (Vc00000000014252)	$53,285,218.16	Colorado State Checkbook
2018	Department Of Public Health And Environment	Faaa Misc Vcust Record	$53,250,472.71	Colorado State Checkbook
2024		Scl Health Front Range Inc	$53,181,381.00	Colorado State Checkbook
2024	Department Of Health Care Policy And Financing (U)	Scl Health Front Range Inc	$53,180,381.00	Colorado State Checkbook
2018	Dept Of Hlth Care Policy & Fin	Saint Joseph Hospital	$53,176,829.03	Colorado State Checkbook
2023	Department Of Higher Education (G)	Metropolitan State Univ Of Denver	$53,132,171.48	Colorado State Checkbook
2023	Department Of Education (D)	Mapleton 1 0010	$53,114,640.39	Colorado State Checkbook
2020	Colorado State Checkbook	El Paso County (Vc00000000014255)	$53,061,748.38	Colorado State Checkbook
2025	Department Of Education (D)	Montrose County Re1j 2180	$52,837,811.83	Colorado State Checkbook
2019	Doe - Department Of Education	Adams County 14 0030	$52,774,741.78	Colorado State Checkbook
2018	Department Of Education	Adams County 14 0030	$52,745,877.14	Colorado State Checkbook
2018	Dept Of Hlth Care Policy & Fin	Parkview Medical Center Inc	$52,601,136.98	Colorado State Checkbook
2022	Department Of Education (D)	Montrose County Re1j 2180	$52,541,363.47	Colorado State Checkbook
2021	Colorado State Checkbook	Montrose County Re1j 2180 (Vc00000000013000)	$52,527,957.47	Colorado State Checkbook
2020	Colorado State Checkbook	Adams County 14 0030 (Vc00000000014298)	$52,401,305.01	Colorado State Checkbook
2022	Colorado State Checkbook	Gsaa Wages & Benefits	$52,010,389.15	Colorado State Checkbook
2022	Department Of Higher Education (G)	Gsaa Wages & Benefits	$52,010,389.15	Colorado State Checkbook
2025	Office Of The Governor (E)	Wages & Benefits	$51,990,495.52	Colorado State Checkbook
2017	Department Of Agriculture	State Of Colorado	$51,963,438.74	Colorado State Checkbook
2023		Montrose County Re1j 2180	$51,703,622.78	Colorado State Checkbook
2024	Legislature (M)	Wages & Benefits	$51,564,567.97	Colorado State Checkbook
2021	Pueblo Community College (Gjka)	Not Entered	$51,546,138.10	Colorado State Checkbook
2022	Colorado State Checkbook	Impact Development Fund	$51,384,500.00	Colorado State Checkbook
2024	Dept Of Regulatory Agencies (S)	Cigna Health And Life Insurance Company	$51,340,455.07	Colorado State Checkbook
2021	Colorado State Checkbook	Arapahoe County (Vc00000000014238)	$51,302,264.91	Colorado State Checkbook
2021	Doe - Department Of Education (Daaa)	Durango Sd 9R 1520 (Vc00000000014412)	$51,252,121.49	Colorado State Checkbook
2024	Department Of Education (D)	Adams County 14 0030	$51,090,066.47	Colorado State Checkbook
2024	Department Of Treasury (W)	Adams County	$51,009,596.90	Colorado State Checkbook
2023		Gjla Wages & Benefits	$50,982,981.25	Colorado State Checkbook
2023	Department Of Higher Education (G)	Gjla Wages & Benefits	$50,982,981.25	Colorado State Checkbook
2021	Colorado State Checkbook	Faaa Misc Vcust Record (Faaa100000)	$50,848,586.21	Colorado State Checkbook
2022	Office Of The Governor (E)	Impact Development Fund	$50,732,000.00	Colorado State Checkbook
2019	Department Of Treasury - Administration	City & County Of Denver	$50,721,649.41	Colorado State Checkbook
2022	Colorado State Checkbook	Correctional Health Partners Llc	$50,711,080.74	Colorado State Checkbook
2024	Dept Of Regulatory Agencies (S)	Kaiser Foundation Health Plan Co	$50,683,707.18	Colorado State Checkbook
2022	Colorado State Checkbook	Gyaa Departmental Vendor	$50,673,219.56	Colorado State Checkbook
2022	Department Of Higher Education (G)	Gyaa Departmental Vendor	$50,673,219.56	Colorado State Checkbook
2024		Caaa Dept. Vendor	$50,563,448.87	Colorado State Checkbook
2024	Department Of Corrections (C)	Caaa Dept. Vendor	$50,563,448.87	Colorado State Checkbook
2020	College Assist (Gdaa)	Colorado State University (Vc00000000014118)	$50,417,641.00	Colorado State Checkbook
2020	Doe - Department Of Education (Daaa)	Montrose County Re1j 2180 (Vc00000000013000)	$50,317,590.60	Colorado State Checkbook
2023	Department Of Education (D)	Montrose County Re1j 2180	$50,266,755.96	Colorado State Checkbook
2024		Durango Sd 9R 1520	$50,220,601.32	Colorado State Checkbook
2019	Doe - Department Of Education	Montrose County Re1j 2180	$50,095,748.74	Colorado State Checkbook
2022	Department Of Public Health And Environment (F)	Abbott Laboratories And Us Subsidiaries	$50,074,257.51	Colorado State Checkbook
2022	Colorado State Checkbook	Abbott Laboratories And Us Subsidiaries	$50,074,257.51	Colorado State Checkbook
2023		Correctional Health Partners Llc	$49,866,678.78	Colorado State Checkbook
2023		Adams County 14 0030	$49,850,307.42	Colorado State Checkbook
2018	Dept Of Hlth Care Policy & Fin	Portercare Adventist Health System	$49,772,798.00	Colorado State Checkbook
2022	Colorado State Checkbook	Nhba Wages & Benefits	$49,735,134.56	Colorado State Checkbook
2022	Department Of Local Affairs (N)	Nhba Wages & Benefits	$49,735,134.56	Colorado State Checkbook
2022	Legislature (M)	Wages & Benefits	$49,480,329.21	Colorado State Checkbook
2022	Colorado State Checkbook	Metropolitan State Univ Of Denver	$49,470,853.96	Colorado State Checkbook
2022	Department Of Public Safety (R)	City & County Of Denver	$49,296,599.79	Colorado State Checkbook
2021	Colorado State Checkbook	Regents Of The University Of Colorado (Vc00000000014124)	$49,270,028.66	Colorado State Checkbook
2024	Department Of Education (D)	Durango Sd 9R 1520	$49,149,995.27	Colorado State Checkbook
2023		Scl Health Front Range Inc	$49,030,312.00	Colorado State Checkbook
2023	Department Of Health Care Policy And Financing (U)	Scl Health Front Range Inc	$49,030,312.00	Colorado State Checkbook
2025	Department Of Treasury (W)	City & County Of Denver	$48,920,699.57	Colorado State Checkbook
2021	Colorado State Checkbook	Correctional Health Partners Llc (Vc00000000028471)	$48,284,231.03	Colorado State Checkbook
2021	Cdphe - Department Of Public Health And Environment (Faaa)	Fisher Scientific Company Llc (Vc00000000010665)	$47,994,886.71	Colorado State Checkbook
2019	Cdphe - Department Of Public Health And Environment	Faaa Misc Vcust Record	$47,943,982.31	Colorado State Checkbook
2024		Garfield Re2 1195	$47,930,083.35	Colorado State Checkbook
2024		Douglas County	$47,841,178.14	Colorado State Checkbook
2022	Colorado State Checkbook	Community Firm	$47,795,440.46	Colorado State Checkbook
2022	Department Of Local Affairs (N)	Community Firm	$47,795,440.46	Colorado State Checkbook
2023		Adams County	$47,750,967.24	Colorado State Checkbook
2024		University Of Northern Colorado	$47,727,442.25	Colorado State Checkbook
2020	Department Of Treasury - Administration (Waaa)	City & County Of Denver (Vc00000000014143)	$47,625,755.85	Colorado State Checkbook
2018	Office Of The Governor	Deloitte Consulting Llp	$47,606,368.69	Colorado State Checkbook
2020	Colorado State Checkbook	Arapahoe County (Vc00000000014238)	$47,595,711.32	Colorado State Checkbook
2021	Cdhs - Office Of Administrative Solutions (Ihha)	Not Entered	$47,575,473.04	Colorado State Checkbook
2018	Department Of Education	Montrose County Re1j 2180	$47,565,874.51	Colorado State Checkbook
2023		Regents Of University Of Colorado	$47,414,904.70	Colorado State Checkbook
2025	Department Of Health Care Policy And Financing (U)	Saint Joseph Hospital	$47,337,506.00	Colorado State Checkbook
2024	Office Of The Governor (E)	Wages & Benefits	$47,252,941.46	Colorado State Checkbook
2021	Adams State University (Gyaa)	Not Entered	$47,212,081.51	Colorado State Checkbook
2024	Department Of Health Care Policy And Financing (U)	Gainwell Technologies Llc	$47,087,975.42	Colorado State Checkbook
2024		Gainwell Technologies Llc	$47,087,975.42	Colorado State Checkbook