| MIDMICHIGAN MEDICAL CENTER MIDLAND | $519,314,137 | $477,901,846 |
| WOLVERINE POWER SUPPLY COOPERATIVE INC | $476,602,350 | $475,561,367 |
| MCLAREN FLINT | $467,908,131 | $445,208,527 |
| MCLAREN GREATER LANSING | $397,374,331 | $437,832,743 |
| PRIORITY HEALTH CHOICE INC | $475,831,169 | $437,692,208 |
| SINAI HOSPITAL OF GREATER DETROIT DBA SINAI GRACE HOSPITAL | $438,028,940 | $435,046,380 |
| LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC | $458,865,983 | $412,598,169 |
| DETROIT REC HOSP AND UNIV HLTH CTR | $402,400,035 | $395,181,951 |
| SPECTRUM HEALTH PRIMARY CARE PARTNERS | $391,652,508 | $389,126,360 |
| BOTSFORD GENERAL HOSPITAL | $424,758,067 | $388,459,450 |
| BRONSON HEALTHCARE GROUP | $338,804,241 | $377,912,869 |
| MCLAREN MACOMB | $410,338,656 | $363,751,423 |
| IHA HEALTH SERVICES CORPORATION | $332,704,711 | $338,616,013 |
| MCLAREN BAY REGION | $351,927,105 | $329,929,007 |
| HENRY FORD WYANDOTTE HOSPITAL | $291,878,622 | $307,134,045 |
| MICHIGAN CONFERENCE OF TEAMSTERS WELFARE FUND | $300,801,824 | $304,029,748 |
| MCLAREN HEALTH CARE CORPORATION | $315,511,172 | $297,498,304 |
| BARBARA ANN KARMANOS CANCER HOSPITAL | $304,637,537 | $288,041,032 |
| ASCENSION ST MARYS HOSPITAL | $255,447,685 | $283,246,205 |
| DELTA DENTAL PLAN OF OHIO INC | $297,294,697 | $280,506,956 |
| BRONSON BATTLE CREEK HOSPITAL | $333,951,755 | $275,530,778 |
| MEIJER EMPLOYEE BENEFITS PLAN AND TRUST | $273,464,386 | $274,389,687 |
| HOLLAND COMMUNITY HOSPITAL | $275,605,391 | $269,842,683 |
| MCLAREN NORTHERN MICHIGAN | $288,546,915 | $266,321,492 |
| MCLAREN PORT HURON | $252,453,503 | $229,529,127 |