| COREWELL HEALTH | GRAND RAPIDS | $11,491,275,449 |
| PRIORITY HEALTH | GRAND RAPIDS | $5,934,612,352 |
| HENRY FORD HEALTH SYSTEM | DETROIT | $5,284,200,687 |
| BLUE CARE NETWORK OF MICHIGAN | DETROIT | $4,804,963,335 |
| TRINITY HEALTH-MICHIGAN | GRAND RAPIDS | $3,554,925,366 |
| TRINITY HEALTH CORPORATION | LIVONIA | $3,292,589,454 |
| COREWELL HEALTH | GRAND RAPIDS | $1,957,749,115 |
| HEALTH ALLIANCE PLAN OF MICHIGAN | DETROIT | $1,636,128,583 |
| MICHIGAN CATASTROPHIC CLAIMS ASSOCIATION U S | LIVONIA | $1,599,542,481 |
| BRONSON METHODIST HOSPITAL | KALAMAZOO | $1,468,226,412 |
| MICHIGAN EDUCATION SPECIAL SERVICES ASSOCIATION | EAST LANSING | $1,374,690,598 |
| MCLAREN HEALTH PLAN INC | FLINT | $1,333,555,792 |
| EDWARD W SPARROW HOSPITAL ASSOCIATION | LANSING | $1,329,025,421 |
| DELTA DENTAL PLAN OF MICHIGAN | OKEMOS | $1,248,229,791 |
| PRIORITY HEALTH CHOICE INC | GRAND RAPIDS | $1,235,403,457 |
| HENRY FORD HEALTH ST JOHN HOSPITAL | DETROIT | $1,135,239,182 |
| HENRY FORD HEALTH PROVIDENCE HOSPITAL | DETROIT | $1,013,288,101 |
| MERCY HEALTH PARTNERS | MUSKEGON | $923,177,132 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | GRAND RAPIDS | $918,222,007 |
| COVENANT MEDICAL CENTER INC | SAGINAW | $915,996,052 |
| WA FOOTE MEMORIAL HOSPITAL | DETROIT | $907,585,199 |
| MUNSON MEDICAL CENTER | TRAVERSE CITY | $861,757,535 |
| MYMICHIGAN MEDICAL CENTER MIDLAND | MIDLAND | $808,795,603 |
| METROPOLITAN HOSPITAL | WYOMING | $669,759,062 |
| HENRY FORD MACOMB HOSPITAL CORPORATION | DETROIT | $651,632,688 |
| IHA HEALTH SERVICES CORPORATION | ANN ARBOR | $647,188,702 |
| BARBARA ANN KARMANOS CANCER HOSPITAL | DETROIT | $606,826,459 |
| MCLAREN FLINT | FLINT | $606,613,375 |
| NATIONAL CENTER FOR MANUFACTURING SCIENCES | ANN ARBOR | $568,204,237 |
| WOLVERINE POWER SUPPLY COOPERATIVE INC | CADILLAC | $544,868,259 |
| MCLAREN GREATER LANSING | LANSING | $531,291,801 |
| HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL | DETROIT | $496,217,205 |
| HENRY FORD WYANDOTTE HOSPITAL CORPORATION | DETROIT | $470,255,911 |
| MCLAREN MACOMB | MOUNT CLEMENS | $444,628,890 |
| BRONSON HEALTHCARE GROUP INC | KALAMAZOO | $443,191,845 |
| DELTA DENTAL PLAN OF OHIO | LANSING | $426,220,564 |
| HILLSDALE COLLEGE | HILLSDALE | $423,688,130 |
| MCLAREN HEALTH CARE CORPORATION | GRAND BLANC | $403,239,629 |
| W K KELLOGG FOUNDATION TRUST-T/A 5315 | BATTLE CREEK | $396,754,982 |
| HENRY FORD HEALTH GENESYS HOSPITAL | DETROIT | $388,243,218 |
| W K KELLOGG FOUNDATION | BATTLE CREEK | $383,208,005 |
| BRONSON BATTLE CREEK HOSPITAL | KALAMAZOO | $372,843,386 |
| MYMICHIGAN MEDICAL CENTER ALPENA | MIDLAND | $369,863,753 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | AUBURN HILLS | $368,946,988 |
| MICHIGAN CONFERENCE OF TEAMSTERS WELFARE FUND | DETROIT | $367,748,029 |
| MEMORIAL HOSPITAL | OWOSSO | $352,399,300 |
| HOLLAND COMMUNITY HOSPITAL | HOLLAND | $339,692,070 |
| MCLAREN BAY REGION | BAY CITY | $334,903,329 |
| MCLAREN OAKLAND | PONTIAC | $326,897,302 |
| MCLAREN NORTHERN MICHIGAN | PETOSKEY | $316,314,167 |
| MYMICHIGAN MEDICAL CENTER SAGINAW | MIDLAND | $314,892,309 |
| PECKHAM VOCATIONAL INDUSTRIES INC | LANSING | $310,240,247 |
| HENRY FORD HEALTH ROCHESTER HOSPITAL | DETROIT | $298,242,396 |
| MCLAREN PORT HURON | PORT HURON | $292,191,942 |
| MYMICHIGAN HEALTH | MIDLAND | $280,365,993 |
| KRESGE FOUNDATION | TROY | $279,706,042 |
| GREAT LAKES ENERGY COOPERATIVE | BOYNE CITY | $278,373,109 |
| MUNSON HEALTHCARE | TRAVERSE CITY | $275,446,921 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | DEARBORN | $270,939,748 |
| COMMUNITY FOUNDATION FOR SOUTHEAST MICHIGAN | DETROIT | $246,111,003 |
| ADVIA CREDIT UNION | KALAMAZOO | $216,111,117 |
| NSF INTERNATIONAL | ANN ARBOR | $203,119,566 |
| HOPE COLLEGE | HOLLAND | $202,053,889 |
| CALVIN UNIVERSITY | GRAND RAPIDS | $193,018,897 |
| UNIVERSITY OF DETROIT MERCY | DETROIT | $191,402,646 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | GRAND BLANC | $168,769,942 |
| MIDWEST ENERGY COOPERATIVE | CASSOPOLIS | $168,084,071 |
| SPARROW HEALTH SYSTEM | LANSING | $166,529,589 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | KALAMAZOO | $160,612,923 |
| VAN ANDEL INSTITUTE | GRAND RAPIDS | $139,332,774 |
| CHARLES STEWART MOTT FOUNDATION | FLINT | $136,688,464 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | LATHRUP VLG | $136,429,900 |
| WESTERN MICHIGAN UNIVERSITY HOMER STRYKER M D SCHOOL OF MEDICINE | KALAMAZOO | $133,629,473 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | BERRIEN SPRGS | $127,936,925 |
| CREDIT UNIONS CHARTERED BY THE STATE OF MICHIGAN | FARMINGTON HILLS | $124,802,335 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | GRAND BLANC | $123,097,040 |
| KALAMAZOO COLLEGE | KALAMAZOO | $122,047,535 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | MIDLAND | $117,116,968 |
| MICHIGAN HEALTH ENDOWMENT FUND | BRIGHTON | $116,075,631 |
| VAN ANDEL RESEARCH INSTITUTE | GRAND RAPIDS | $112,738,485 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | PLYMOUTH | $106,672,065 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | FRANKENMUTH | $103,161,140 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | FLINT | $90,271,577 |
| THE RALPH C WILSON JR FOUNDATION | DETROIT | $89,392,039 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | NOVI | $87,417,868 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | ANN ARBOR | $84,989,667 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | TRAVERSE CITY | $76,251,267 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | FERNDALE | $70,267,649 |
| GLEANER LIFE INSURANCE SOCIETY | ADRIAN | $45,019,132 |