| SPECTRUM HEALTH UNITED | $74,126,303 | $67,442,281 |
| HILLSDALE COMMUNITY HEALTH CENTER | $70,159,707 | $67,287,537 |
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | $62,071,116 | $66,603,289 |
| HOLLAND HOME | $65,823,642 | $65,914,896 |
| DETROIT AREA AGENCY ON AGING | $67,833,215 | $65,695,788 |
| MICHIGAN HEALTH ENDOWMENT FUND | $92,923,976 | $64,705,030 |
| SPFPA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE TRUST FUND | $62,231,853 | $64,665,457 |
| SPRING ARBOR UNIVERSITY | $67,985,552 | $64,588,391 |
| REVERENCE HOME HEALTH AND HOSPICE | $61,960,722 | $64,022,882 |
| UPPER PENINSULA HEALTH PLAN INC | $64,417,930 | $63,997,527 |
| INTERLOCHEN CENTER FOR THE ARTS | $74,834,815 | $63,866,508 |
| HOSPICE OF MICHIGAN INC | $62,535,234 | $62,771,814 |
| ORGAN PROCUREMENT AGENCY OF MICHIGAN | $65,253,181 | $62,164,555 |
| MECOSTA COUNTY MEDICAL CENTER | $59,170,081 | $61,825,426 |
| AQUINAS COLLEGE | $57,861,871 | $61,599,079 |
| MICHIGAN EDUCATION ASSOCIATION | $61,202,535 | $60,431,750 |
| MUNSON HEALTHCARE CHARLEVOIX HOSPITAL | $66,072,448 | $60,190,356 |
| THOMAS M COOLEY LAW SCHOOL | $61,498,536 | $59,586,535 |
| SIENA HEIGHTS UNIVERSITY | $58,898,740 | $59,537,369 |
| HELPING HAND FOR RELIEF AND DEVELOPMENT INC | $62,787,413 | $59,353,455 |
| AREA AGENCY ON AGING 1 B | $60,199,320 | $59,282,304 |
| BRONSON LAKEVIEW HOSPITAL | $63,573,193 | $58,701,743 |
| GREAT LAKES BAY HEALTH CENTERS | $58,466,879 | $58,457,024 |
| HAYES GREEN BEACH MEMORIAL HOSPITAL | $62,024,404 | $58,308,704 |
| MICHIGAN UFCW HEALTH AND WELFARE FUND | $41,545,926 | $58,156,643 |