Year	Employer	Vendor Name	Amount	Source
2017	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,846,657.68	Human Services Assistance Pymt
2020	Human Services Assistance Pymt	Dept Human Services-Providers	$8,831,145.62	Human Services Assistance Pymt
2020	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,825,897.64	Human Services Assistance Pymt
2020	Human Services Assistance Pymt	Dept Human Services-Modernization-Reg Fmap	$8,819,338.57	Human Services Assistance Pymt
2017	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,774,797.62	Human Services Assistance Pymt
2022	Iowa State Checkbook	Dept Human Services-Providers	$8,773,726.54	Iowa State Checkbook
2017	Human Services Assistance Pymt	Dept Human Services-Providers	$8,749,115.23	Human Services Assistance Pymt
2017	Human Services Assistance Pymt	Ebt Food Stamps-ebt Statewide	$8,734,719.28	Human Services Assistance Pymt
2020	Human Services Assistance Pymt	Dept Human Services-Providers	$8,733,373.00	Human Services Assistance Pymt
2021	Iowa State Checkbook	Polk Co Treasurer	$8,692,435.67	Iowa State Checkbook
2021	Iowa State Checkbook	Polk Co Treasurer	$8,692,425.81	Iowa State Checkbook
2021	Iowa State Checkbook	Dept Human Services-Providers	$8,685,884.08	Iowa State Checkbook
2021	Iowa State Checkbook	Dept Human Services-Providers	$8,677,070.86	Iowa State Checkbook
2017	Human Services Assistance Pymt	Dept Human Services-Providers	$8,668,536.42	Human Services Assistance Pymt
2022	Iowa State Checkbook	Iowa Workforce Dev-Clearing Account	$8,657,846.00	Iowa State Checkbook
2022	Iowa State Checkbook	Dept Human Services-Modernization-Reg Fmap	$8,626,402.46	Iowa State Checkbook
2017	State Accounting Trust Accts	Wellmark Inc	$8,610,197.64	State Accounting Trust Accts
2022	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,606,792.48	Iowa State Checkbook
2022	Iowa State Checkbook	Polk Co Treasurer	$8,597,290.89	Iowa State Checkbook
2022	Iowa State Checkbook	Polk Co Treasurer	$8,589,761.50	Iowa State Checkbook
2020	Human Services Assistance Pymt	Dept Human Services-Premium Payment-Mco	$8,578,927.78	Human Services Assistance Pymt
2022	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only-Buy-In - State Only	$8,567,039.70	Iowa State Checkbook
2019	Human Services Assistance Pymt	Dept Human Services-Providers	$8,557,054.37	Human Services Assistance Pymt
2020	Human Services Assistance Pymt	Dept Human Services-Modernization-Reg Fmap	$8,554,835.93	Human Services Assistance Pymt
2021	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,542,607.45	Iowa State Checkbook
2022	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,542,148.39	Iowa State Checkbook
2022	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,528,003.58	Iowa State Checkbook
2021	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,521,799.82	Iowa State Checkbook
2022	Iowa State Checkbook	Dept Human Services-Modernization-Reg Fmap	$8,521,781.08	Iowa State Checkbook
2017	Human Services Assistance Pymt	Dept Human Services-Providers	$8,516,438.34	Human Services Assistance Pymt
2017	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,515,238.64	Human Services Assistance Pymt
2022	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,500,713.20	Iowa State Checkbook
2017	Workforce Development	Iowa Workforce Dev-Clearing Account	$8,500,000.00	Workforce Development
2022	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,499,612.34	Iowa State Checkbook
2017	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,488,852.02	Human Services Assistance Pymt
2017	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,488,832.32	Human Services Assistance Pymt
2021	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,479,081.64	Iowa State Checkbook
2022	Iowa State Checkbook	Cedar Rapids City Of	$8,471,375.56	Iowa State Checkbook
2021	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,418,163.99	Iowa State Checkbook
2017	Human Services Assistance Pymt	Dept Human Services-Providers	$8,416,440.95	Human Services Assistance Pymt
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,413,413.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,413,413.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,413,413.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,413,413.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,376,836.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,376,836.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,376,836.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,376,836.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,371,344.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,371,344.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,371,344.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,371,344.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,371,344.00	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,371,343.00	Iowa State Checkbook
2021	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,364,333.45	Iowa State Checkbook
2021	Iowa State Checkbook	Dept Human Services-Modernization-Reg Fmap	$8,359,548.74	Iowa State Checkbook
2021	Iowa State Checkbook	International Registration Plan Inc	$8,352,804.53	Iowa State Checkbook
2017	State Accounting Trust Accts	Wellmark Inc	$8,337,471.90	State Accounting Trust Accts
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,331,386.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,331,386.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,331,386.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,331,386.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,331,386.00	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$8,331,384.00	Iowa State Checkbook
2017	Human Services Assistance Pymt	Dept Human Services-Providers	$8,328,439.39	Human Services Assistance Pymt
2022	Iowa State Checkbook	Dept Human Services-Disproportionate Share	$8,311,505.67	Iowa State Checkbook
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,369.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$8,309,363.00	Regents, Board Of
2021	Iowa State Checkbook	Dept Human Services-Providers	$8,301,655.71	Iowa State Checkbook
2021	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,288,812.88	Iowa State Checkbook
2017	State Accounting Trust Accts	Wellmark Inc	$8,286,502.59	State Accounting Trust Accts
2021	Iowa State Checkbook	Dept Human Services-Providers	$8,263,762.49	Iowa State Checkbook
2017	Regents, Board Of	University Of Iowa	$8,263,691.63	Regents, Board Of
2017	State Accounting Trust Accts	Wellmark Inc	$8,232,385.35	State Accounting Trust Accts
2021	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$8,192,122.78	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2022	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2022	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2022	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2022	Iowa State Checkbook	University Of Northern Iowa-Uni - General University-Uni - General University	$8,191,385.00	Iowa State Checkbook
2022	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook
2022	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$8,191,385.00	Iowa State Checkbook