| MCLAREN OAKLAND | $234,778,971 | $227,169,777 |
| GREAT LAKES ENERGY COOPERATIVE | $217,615,824 | $217,615,824 |
| PECKHAM VOCATIONAL INDUSTRIES INC | $212,462,138 | $208,534,374 |
| MEMORIAL HOSPITAL | $217,789,484 | $202,026,538 |
| TOTAL HEALTH CARE INC | $191,443,767 | $196,896,679 |
| MCLAREN HEALTH PLAN | $191,424,713 | $188,334,410 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN 48 LAKE MICH CU | $267,512,162 | $182,548,373 |
| PHYSICIANS HEALTH PLAN | $180,918,782 | $182,077,032 |
| TOTAL HEALTH CARE USA INC | $182,950,323 | $179,703,255 |
| HURON VALLEY HOSPITAL INC | $178,334,085 | $176,383,431 |
| CALVIN COLLEGE | $185,893,983 | $176,102,407 |
| ST JOSEPH MERCY CHELSEA INC | $178,190,484 | $175,617,201 |
| HILLSDALE COLLEGE | $287,422,849 | $172,808,580 |
| HACKLEY HOSPITAL | $177,839,168 | $172,195,321 |
| UNIVERSITY OF DETROIT MERCY | $175,014,094 | $164,397,853 |
| INTERNATIONAL UNION - UAW | $219,844,342 | $164,320,305 |
| ELLA E M BROWN CHARITABLE CIRCLE | $166,268,996 | $162,977,742 |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES | $161,288,000 | $161,544,248 |
| INDIANAKENTUCKYOHIO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND | $183,289,160 | $159,721,237 |
| TRINITY CONTINUING CARE SERVICES | $143,415,584 | $156,693,036 |
| HOPE COLLEGE | $161,551,169 | $154,963,019 |
| MIDMICHIGAN PHYSICIANS GROUP | $125,985,086 | $149,906,371 |
| PHYSICIANS HEALTH NETWORK | $157,070,877 | $148,871,392 |
| GARDEN CITY HOSPITAL | $150,582,908 | $147,478,464 |
| NATIONAL ADVANCED MOBILITY CONSORTIUM | $147,433,521 | $145,751,003 |