| COREWELL HEALTH GROUP RETURN | Grand Rapids | E21 Health Care | $10.4B | 62 |
| PRIORITY HEALTH | Grand Rapids | — | $5.9B | 12 |
| HENRY FORD HEALTH SYSTEM | Detroit | E210 Health Care | $5.3B | 34 |
| Blue Care Network of Michigan | Detroit | E80 Health Care | $4.8B | 28 |
| UAW RETIREE MEDICAL BENEFITS TRUST | Detroit | Y43 Mutual & Membership Benefit | $3.5B | 18 |
| TRINITY HEALTH - MICHIGAN | Livonia | E210 Health Care | $3.3B | 27 |
| TRINITY HEALTH CORPORATION | Livonia | E210 Health Care | $2.9B | 27 |
| COREWELL HEALTH | Grand Rapids | E21 Health Care | $2B | 35 |
| MICHIGAN CATASTROPHIC CLAIMS ASSOCIATION | Livonia | — | $1.8B | 7 |
| HEALTH ALLIANCE PLAN OF MICHIGAN | Detroit | E310 Health Care | $1.6B | 18 |
| MICHIGAN EDUCATION SPECIAL SERVICES ASSN | East Lansing | — | $1.4B | 6 |
| BRONSON METHODIST HOSPITAL | Kalamazoo | E220 Health Care | $1.3B | 16 |
| DELTA DENTAL PLAN OF MICHIGAN INC | Okemos | E30 Health Care | $1.2B | 31 |
| PRIORITY HEALTH CHOICE INC | Grand Rapids | E310 Health Care | $1.2B | 12 |
| EDWARD W SPARROW HOSPITAL | Lansing | E220 Health Care | $1.2B | 22 |
| MCLAREN HEALTH PLAN INC | Flint | E31 Health Care | $1.2B | 11 |
| WA FOOTE MEMORIAL HOSPITAL | Jackson | E220 Health Care | $907.6M | 17 |
| MERCY HEALTH PARTNERS | Muskegon | — | $858.5M | 15 |
| MUNSON MEDICAL CENTER | Traverse City | E22 Health Care | $851.7M | 16 |
| COVENANT MEDICAL CENTER INC | Saginaw | E220 Health Care | $830.6M | 17 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN 48 LAKE MICHIGAN CREDIT UNION | Grand Rapids | — | $829.4M | 20 |
| MYMICHIGAN MEDICAL CENTER MIDLAND | Midland | E220 Health Care | $694.9M | 13 |
| HENRY FORD MACOMB HOSPITAL CORPORATION | Detroit | E200 Health Care | $645.4M | 18 |
| METROPOLITAN HOSPITAL | Wyoming | E220 Health Care | $602.7M | 32 |
| BARBARA ANN KARMANOS CANCER HOSPITAL | Detroit | G30 Diseases, Disorders & Medical Disciplines | $572.6M | 14 |
| MCLAREN FLINT | Flint | E220 Health Care | $566.7M | 10 |
| IHA HEALTH SERVICES CORPORATION | Ann Arbor | E300 Health Care | $563.9M | 27 |
| Wolverine Power Supply Cooperative Inc | Cadillac | — | $544.9M | 22 |
| WK Kellogg Foundation Trust - No 5315 | Battle Creek | T21 Philanthropy, Voluntarism & Grantmaking Foundations | $540.1M | 5 |
| MCLAREN GREATER LANSING | Lansing | E210 Health Care | $516.9M | 14 |
| HENRY FORD WYANDOTTE HOSPITAL | Wyandotte | E220 Health Care | $470.3M | 15 |
| INDIANAKENTUCKYOHIO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND | Troy | — | $447.2M | 0 |
| Bronson Healthcare Group | Kalamazoo | E210 Health Care | $443.2M | 26 |
| NATIONAL CENTER FOR MANUFACTURING SCIENCES | Ann Arbor | S400 Community Improvement & Capacity Building | $427.6M | 15 |
| MCLAREN MACOMB | Mount Clemens | E220 Health Care | $415.9M | 15 |
| HILLSDALE COLLEGE | Hillsdale | B420 Education | $394.2M | 12 |
| DELTA DENTAL PLAN OF OHIO INC | Lansing | — | $381.7M | 14 |
| WK Kellogg Foundation | Battle Creek | T21 Philanthropy, Voluntarism & Grantmaking Foundations | $375.9M | 14 |
| Bronson Battle Creek Hospital | Kalamazoo | E220 Health Care | $372.8M | 16 |
| Michigan Conference of Teamsters Welfare Fund | Detroit | — | $371.5M | 9 |
| MCLAREN HEALTH CARE CORPORATION | Grand Blanc | E210 Health Care | $365.5M | 29 |
| PECKHAM VOCATIONAL INDUSTRIES INC DBA PECKHAM INC | Lansing | J33Z Employment | $359.9M | 8 |
| HOLLAND COMMUNITY HOSPITAL | Holland | E220 Health Care | $358.8M | 11 |
| MCLAREN BAY REGION | Bay City | E220 Health Care | $333.7M | 12 |
| MEIJER EMPLOYEE BENEFITS PLAN & TRUST | Grand Rapids | — | $329.4M | 0 |
| CREDIT UNIONS CHARTERED IN THE STATE OF MICHIGAN | Auburn Hills | — | $323.5M | 15 |
| MCLAREN OAKLAND | Pontiac | E240 Health Care | $307.2M | 10 |
| MEMORIAL HOSPITAL | Owosso | E220 Health Care | $298.6M | 16 |
| MCLAREN NORTHERN MICHIGAN | Petoskey | E220 Health Care | $298.4M | 18 |
| MYMICHIGAN HEALTH | Midland | E210 Health Care | $296M | 20 |
