Year	Employer	Vendor Name	Amount	Source
2020	Health And Human Services Commission	Tarrant County Hospital District	$525,633,461.90	Texas State Checkbook
2021	Texas State Checkbook	Employees Retirement System	$525,079,006.65	Texas State Checkbook
2022	Texas State Checkbook	Employees Retirement System	$524,182,606.53	Texas State Checkbook
2022	Texas State Checkbook	Cypress-Fairbanks Isd	$523,669,816.22	Texas State Checkbook
2017	Health And Human Services Commission	Evercare Of Texas Llc	$523,582,876.29	Texas State Checkbook
2018	Texas Department Of Criminal Justice	University Of Tx Med Branch At Galveston	$523,556,183.57	Texas State Checkbook
2017	Health And Human Services Commission	Confidential	$523,399,351.97	Texas State Checkbook
2020	Health And Human Services Commission	Mcna Insurance Company	$522,173,105.86	Texas State Checkbook
2020	Texas A&M University (Main University)	Confidential	$521,586,924.41	Texas State Checkbook
2017	Health And Human Services Commission	Parkland Community Health Plan Inc A Prog Dallas C	$521,276,540.86	Texas State Checkbook
2024	Health And Human Services Commission	Tarrant County Hospital District	$520,511,132.04	Texas State Checkbook
2024	Health And Human Services Commission	University Health System	$520,249,961.80	Texas State Checkbook
2022	Texas State Checkbook	Texas Dept Of Information Resources	$519,752,579.76	Texas State Checkbook
2023	Texas Education Agency	Harmony Public Schools	$519,017,020.32	Texas State Checkbook
2019	Comptroller - State Fiscal	Dallas Area Rapid Transit	$518,807,804.72	Texas State Checkbook
2024	Health And Human Services Commission	Federal Hospital Insurance Trust Fund - Part D	$518,148,555.96	Texas State Checkbook
2021	Texas State Checkbook	Houston Isd	$517,627,311.41	Texas State Checkbook
2019	Health And Human Services Commission	Cook Children's Health Plan	$517,388,985.58	Texas State Checkbook
2019	Health And Human Services Commission	Dallas County Hospital District	$514,783,999.55	Texas State Checkbook
2025	Texas Education Agency	Aldine Independent School District	$514,243,481.46	Texas State Checkbook
2023	Texas Education Agency	Fort Worth I S D	$514,155,979.63	Texas State Checkbook
2021	Texas State Checkbook	Aldine Independent School District	$512,963,946.93	Texas State Checkbook
2023	Texas Education Agency	Brownsville Isd	$512,911,020.65	Texas State Checkbook
2022	Texas State Checkbook	City Of San Antonio	$512,370,102.48	Texas State Checkbook
2018	Health And Human Services Commission	Parkland Community Health Plan Inc A Prog Dallas C	$512,223,446.40	Texas State Checkbook
2019	Health And Human Services Commission	Unitedhealthcare Community Plan Of Texas Llc	$511,407,754.56	Texas State Checkbook
2019	Teacher Retirement System Of Texas	Caremark	$511,367,838.64	Texas State Checkbook
2025	Comptroller-State Fiscal	City Of San Antonio	$510,684,860.56	Texas State Checkbook
2017	University Of Texas At Austin	Confidential	$509,917,544.97	Texas State Checkbook
2017	Health And Human Services Commission	Community First Health Plans Inc	$508,409,137.27	Texas State Checkbook
2017	Health And Human Services Commission	Cook Children's Health Plan	$506,854,136.43	Texas State Checkbook
2024	Health And Human Services Commission	Internal Revenue Service	$506,512,686.10	Texas State Checkbook
2022	Texas State Checkbook	Dallas Isd	$506,339,567.48	Texas State Checkbook
2019	Health And Human Services Commission	Community First Health Plans Inc	$506,012,630.02	Texas State Checkbook
2017	Attorney General	Confidential	$505,167,295.87	Texas State Checkbook
2018	Health And Human Services Commission	Community First Health Plans Inc	$502,863,140.91	Texas State Checkbook
2022	Texas State Checkbook	Gateway First Bank	$502,431,209.13	Texas State Checkbook
2022	Texas State Checkbook	Sha Llc	$501,144,843.55	Texas State Checkbook
2025	Texas Department Of Criminal Justice	Internal Revenue Service	$500,131,838.68	Texas State Checkbook
2017	Department Of Public Safety	Confidential	$497,946,225.43	Texas State Checkbook
2024	Texas Education Agency	Harmony Public Schools	$497,937,444.44	Texas State Checkbook
2024	Comptroller-State Fiscal	City Of San Antonio	$497,247,076.22	Texas State Checkbook
2021	Texas State Checkbook	Aetna Us Healthcare	$495,684,836.99	Texas State Checkbook
2019	Health And Human Services Commission	Mcna Insurance Company	$495,602,954.34	Texas State Checkbook
2023	Health And Human Services Commission	Federal Hospital Insurance Trust Fund - Part D	$494,996,593.52	Texas State Checkbook
2018	Attorney General	Confidential	$494,668,377.26	Texas State Checkbook
2020	Texas Department Of Transportation	Confidential	$494,597,571.36	Texas State Checkbook
2017	Texas A&m University (main University)	Confidential	$494,192,698.69	Texas State Checkbook
2019	University Of Texas At Austin	Confidential	$493,393,745.76	Texas State Checkbook
2017	Health And Human Services Commission	United Healthcare Insurance Company	$492,920,185.70	Texas State Checkbook
2018	University Of Texas At Austin	Confidential	$492,133,886.18	Texas State Checkbook
2018	Health And Human Services Commission	Federal Hospital Insurance Trust Fund - Part D	$490,340,010.72	Texas State Checkbook
2023	Comptroller-State Fiscal	City Of San Antonio	$490,027,738.42	Texas State Checkbook
2020	Texas Department Of Public Safety	Confidential	$489,835,506.25	Texas State Checkbook
2020	University Of Texas At Austin	University Of Texas At Austin	$488,796,687.67	Texas State Checkbook
2024	General Land Office	Cede & Company	$488,541,404.71	Texas State Checkbook
2022	Texas State Checkbook	Katy Isd	$488,483,478.24	Texas State Checkbook
2024	Texas Military Department	Confidential	$487,125,866.03	Texas State Checkbook
2024	Texas Education Agency	Fort Bend Isd	$487,074,153.43	Texas State Checkbook
2022	Texas State Checkbook	University Health System	$486,886,537.36	Texas State Checkbook
2025	Texas Department Of Transportation	Austin Bridge & Road Lp	$486,710,344.39	Texas State Checkbook
2018	Texas Education Agency	Fort Worth I S D	$485,563,295.69	Texas State Checkbook
2023	Texas Education Agency	Katy Isd	$481,351,777.88	Texas State Checkbook
2017	Texas Lottery Commission	Texas Treasury Safekeeping Trust Company	$481,122,611.57	Texas State Checkbook
2021	Texas State Checkbook	University Of Texas At Austin	$479,651,500.64	Texas State Checkbook
2019	Health And Human Services Commission	Parkland Community Health Plan Inc A Prog Dallas C	$474,819,333.47	Texas State Checkbook
2023	Health And Human Services Commission	Tarrant County Hospital District	$474,022,478.02	Texas State Checkbook
2019	Texas A&M University (Main University)	Confidential	$472,151,873.60	Texas State Checkbook
2021	Texas State Checkbook	City Of San Antonio	$471,874,393.11	Texas State Checkbook
2025	Texas Education Agency	Brownsville Isd	$471,033,314.11	Texas State Checkbook
2025	Health And Human Services Commission	Health Care Services Corporation	$469,891,806.94	Texas State Checkbook
2025	Texas Education Agency	Fort Worth I S D	$468,389,603.17	Texas State Checkbook
2020	Texas Education Agency	Aldine Independent School District	$468,137,983.50	Texas State Checkbook
2024	Texas Education Agency	Fort Worth I S D	$467,783,780.59	Texas State Checkbook
2024	Texas Education Agency	El Paso Public Schools	$467,467,250.65	Texas State Checkbook
2020	Texas Education Agency	Cypress-Fairbanks Isd	$467,380,864.41	Texas State Checkbook
2018	Department Of Public Safety	Confidential	$467,318,735.34	Texas State Checkbook
2024	Texas Lottery Commission	Texas Treasury Safekeeping Trust Company	$466,390,809.39	Texas State Checkbook
2024	Texas Workforce Commission	Houston-Galveston Area Council	$466,139,919.90	Texas State Checkbook
2023	Texas Military Department	Confidential	$466,123,156.28	Texas State Checkbook
2024	Teacher Retirement System Of Texas	Silverscript Insurance Company	$465,923,371.74	Texas State Checkbook
2023	Texas Education Agency	Ysleta I S D	$465,692,842.06	Texas State Checkbook
2020	Department Of State Health Services	Bcfs Health And Human Services	$465,130,750.20	Texas State Checkbook
2022	Texas State Checkbook	Brownsville Isd	$464,515,154.49	Texas State Checkbook
2022	Texas State Checkbook	Northside Isd	$462,732,479.92	Texas State Checkbook
2018	Health And Human Services Commission	Community Health Choice Texas Inc	$462,551,660.16	Texas State Checkbook
2024	Texas Department Of Criminal Justice	Internal Revenue Service	$461,075,002.87	Texas State Checkbook
2022	Texas State Checkbook	City Of Dallas	$460,634,651.34	Texas State Checkbook
2022	Texas State Checkbook	Angel Staffing Incorporated	$460,543,520.87	Texas State Checkbook
2017	Health And Human Services Commission	Federal Hospital Insurance Trust Fund - Part D	$460,122,770.94	Texas State Checkbook
2025	Texas Workforce Commission	Houston-Galveston Area Council	$460,062,781.87	Texas State Checkbook
2021	Texas State Checkbook	Texas Dept Of Information Resources	$458,730,140.78	Texas State Checkbook
2023	Texas Education Agency	Kipp Texas Public Schools	$458,461,989.93	Texas State Checkbook
2023	Texas Education Agency	Pasadena Isd	$458,455,702.28	Texas State Checkbook
2018	Texas A&M University (Main University)	Confidential	$458,190,589.43	Texas State Checkbook
2018	Texas Department Of Transportation	Confidential	$456,905,589.61	Texas State Checkbook
2023	University Of Texas System	University Of Texas System	$456,469,161.50	Texas State Checkbook
2019	Attorney General	Confidential	$455,916,609.22	Texas State Checkbook
2024	Comptroller-State Fiscal	City Of Dallas	$455,577,573.03	Texas State Checkbook
2018	Health And Human Services Commission	Community Health Choice	$454,180,853.33	Texas State Checkbook