| HOPE NETWORK | $156,117,363 | $145,017,489 |
| MIDMICHIGAN MEDICAL CENTER GRATIOT | $146,706,709 | $141,129,865 |
| MCLAREN HEALTH PLAN COMMUNITY | $144,476,801 | $139,898,777 |
| MARY FREE BED REHABILITATION HOSPITAL | $146,470,167 | $134,370,258 |
| UNIVERSITY PHYSICIAN GROUP | $131,006,032 | $133,272,686 |
| MIDMICHIGAN MEDICAL CENTER ALPENA | $148,652,111 | $133,155,700 |
| WEST MICHIGAN CANCER CENTER | $132,860,423 | $128,803,259 |
| ADVANTAGE HEALTHSAINT MARYS MEDICAL GROUP | $112,091,545 | $128,163,608 |
| TRINITY HOME HEALTH SERVICES | $130,187,489 | $127,624,625 |
| BETHANY CHRISTIAN SERVICES | $128,942,882 | $127,186,059 |
| OPERATING ENGINEERS LOCAL 324 HEALTH CARE PLAN | $130,258,640 | $126,717,120 |
| BEAUMONT MEDICAL GROUP HOSPITAL-BASED SERVICES | $74,129,377 | $126,406,191 |
| DAVENPORT UNIVERSITY | $124,297,291 | $125,977,060 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | $179,907,993 | $125,126,049 |
| MCLAREN LAPEER REGION | $137,459,389 | $124,761,479 |
| MCLAREN MEDICAL GROUP | $121,596,059 | $123,649,310 |
| BAKER COLLEGE GROUP RETURN | $89,721,780 | $123,075,920 |
| NATIONAL CENTER FOR MANUFACTURING SCIENCES | $129,642,861 | $122,093,730 |
| BEAUMONT MEDICAL GROUP SPECIALTY SERVICES | $110,896,044 | $115,005,105 |
| NSF INTERNATIONAL | $124,578,999 | $114,951,255 |
| ALBION COLLEGE | $106,439,083 | $113,852,013 |
| GORDON FOOD SERVICE INC EMPLOYEE BENEFITS PLAN | $90,886,574 | $111,804,505 |
| SPARROW HEALTH SYSTEM | $146,980,116 | $111,672,689 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | $166,438,700 | $111,605,322 |
| CHIPPEWA CNTY WAR MEMORIAL HOSPITAL INC | $113,199,603 | $107,903,312 |