| COMPDRUG INC | $14,400,764 | $12,722,049 |
| ALTA CARE GROUP INC | $12,773,826 | $12,719,624 |
| WOOD LANE RESIDENTIAL SERVICES | $12,203,180 | $12,613,418 |
| FORUM HEALTH REHABILITATIVE SERVICES CO | $15,946,541 | $12,575,764 |
| ST ALOYSIUS ORPHANAGE | $14,183,405 | $12,554,104 |
| CONSTELLATION SCHOOLS PARMA COMMUNITY | $12,251,945 | $12,519,364 |
| CATHOLIC CHARITIES HEALTH AND HUMAN SERVICES | $14,235,823 | $12,443,196 |
| ADAMS AND BROWN COUNTIES ECONOMIC OPPORTUNITIES | $12,757,958 | $12,394,727 |
| PORTAGE PATH BEHAVIORAL HEALTH | $12,128,969 | $12,391,739 |
| GOOD SHEPHERD HOME FOR THE AGED INC | $13,162,946 | $12,372,739 |
| BOUNDLESS BEHAVIORAL HEALTH INC | $13,983,836 | $12,353,155 |
| EDUCATION ALTERNATIVES | $13,729,816 | $12,339,489 |
| LORAIN COUNTY COMMUNITY ACTION AGENCY INC | $12,330,599 | $12,330,107 |
| OTTERBEIN ST MARYS | $13,367,423 | $12,329,668 |
| PROVENA HEALTH - SELF INSURANCE TRUST | $8,661,549 | $12,322,570 |
| WEST VIEW MANOR INC | $12,049,015 | $12,313,301 |
| PIKE COUNTY RECOVERY COUNCIL INC | $11,585,674 | $12,310,755 |
| SEM HAVEN INC | $12,800,541 | $12,264,949 |
| SPRING GROVE CEMETERY AND ARBORETUM | $17,323,144 | $12,249,027 |
| COMPASS FAMILY AND COMMUNITY SERVICES | $14,030,050 | $12,240,450 |
| CUYAHOGA VALLEY CHRISTIAN ACADEMY | $13,344,960 | $12,211,067 |
| OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN AND TRUST | $12,339,552 | $12,206,275 |
| FIRST FINANCIAL BANCORP HEALTH CARE PLAN AND TRUST | $11,705,024 | $12,192,008 |
| OHIOCARE HEALTH SYSTEMS INC | $9,922,629 | $12,155,772 |
| FAIRHOPE HOSPICE AND PALLIATIVE CARE INC | $13,370,436 | $12,111,041 |