| 1 | Corewell Health Grand Rapids, MI | $11.5B | $6.8B |
| 2 | Priority Health Grand Rapids, MI | $5.9B | $2.4B |
| 3 | Henry Ford Health System Detroit, MI | $5.3B | $5.0B |
| 4 | Blue Care Network of Michigan Detroit, MI | $4.8B | $2.4B |
| 5 | Uaw Retiree Medical Benefits TR Detroit, MI | $3.5B | $62.9B |
| 6 | Trinity Health-michigan Grand Rapids, MI | $3.3B | $5.2B |
| 7 | Trinity Health Corporation Livonia, MI | $2.9B | $16.2B |
| 8 | Corewell Health Grand Rapids, MI | $2.0B | $7.1B |
| 9 | Michigan Catastrophic Claims Association U S Livonia, MI | $1.8B | $22.4B |
| 10 | Health Alliance Plan of Michigan Detroit, MI | $1.6B | $703.3M |
| 11 | Bronson Methodist Hospital Kalamazoo, MI | $1.5B | $1.5B |
| 12 | Michigan Education Special Services Association East Lansing, MI | $1.4B | $757.3M |
| 13 | Delta Dental Plan of Michigan Okemos, MI | $1.2B | $986.5M |
| 14 | Priority Health Choice INC Grand Rapids, MI | $1.2B | $404.0M |
| 15 | Edward W Sparrow Hospital Association Lansing, MI | $1.2B | $1.3B |
| 16 | McLaren Health Plan INC Flint, MI | $1.2B | $461.2M |
| 17 | Henry Ford Health St. John Hospital Detroit, MI | $1.1B | $532.9M |
| 18 | Allegiance Health Jackson, MI | $907.6M | $945.2M |
| 19 | Henry Ford Health Providence Hospital Detroit, MI | $896.9M | $490.9M |
| 20 | Mercy Health Partners Muskegon, MI | $858.5M | $919.3M |
| 21 | Munson Medical Center Traverse City, MI | $851.7M | $445.4M |
| 22 | Covenant Medical Center INC Saginaw, MI | $830.6M | $867.3M |
| 23 | Credit Unions Chartered in the State of Michigan Grand Rapids, MI | $829.4M | $14.5B |
| 24 | Mymichigan Medical Center Midland Midland, MI | $694.9M | $1.2B |
| 25 | Henry Ford Macomb Hospital Corporation Detroit, MI | $651.6M | $728.8M |
| 26 | Metropolitan Hospital Wyoming, MI | $602.7M | $459.3M |
| 27 | Barbara Ann Karmanos Cancer Hospital Detroit, MI | $572.6M | $237.1M |
| 28 | National Center for Manufacturing Sciences Ann Arbor, MI | $568.2M | $323.8M |
| 29 | McLaren Flint Flint, MI | $566.7M | $604.5M |
| 30 | Iha Health Services Corporation Ann Arbor, MI | $563.9M | $354.6M |
| 31 | Wolverine Power Supply Cooperative INC Cadillac, MI | $544.9M | $1.2B |
| 32 | McLaren Greater Lansing Lansing, MI | $516.9M | $827.1M |
| 33 | Henry Ford Wyandotte Hospital Corporation Detroit, MI | $470.3M | $299.8M |
| 34 | Henry Ford Health Macomb Oakland Hospital Detroit, MI | $453.2M | $182.7M |
| 35 | Bronson Healthcare Group INC Kalamazoo, MI | $443.2M | $429.2M |
| 36 | Delta Dental Plan of Ohio Lansing, MI | $426.2M | $371.2M |
| 37 | McLaren Macomb Mount Clemens, MI | $415.9M | $689.3M |
| 38 | Hillsdale College Hillsdale, MI | $394.2M | $2.0B |
| 39 | Henry Ford Health Genesys Hospital Detroit, MI | $377.9M | $225.7M |
| 40 | Bronson Battle Creek Hospital Kalamazoo, MI | $372.8M | $158.3M |
| 41 | Michigan Conference of Teamsters Welfare Fund Detroit, MI | $367.7M | $716.9M |
| 42 | McLaren Health Care Corporation Grand Blanc, MI | $365.5M | $862.5M |
| 43 | Memorial Hospital Owosso, MI | $352.4M | $215.1M |
| 44 | Holland Community Hospital Holland, MI | $339.7M | $616.6M |
| 45 | McLaren Bay Region Bay City, MI | $333.7M | $408.9M |
| 46 | Meijer INC Employee Benefits Plan and Trust Grand Rapids, MI | $329.4M | $25.7M |
| 47 | Credit Unions Chartered in the State of Michigan Auburn Hills, MI | $323.5M | $5.3B |
| 48 | Peckham Vocational Industries INC Lansing, MI | $310.2M | $338.5M |
| 49 | McLaren Oakland Pontiac, MI | $307.2M | $204.9M |
| 50 | McLaren Northern Michigan Petoskey, MI | $298.4M | $363.4M |