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Article published October 27, 2008
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| Rank | Employer | City | Employees | Category | Web site |
| 41 | Norman Regional Health System | Norman, Okla. | 2,294 | Providers | normanregional.com |
| 42 | Othello Community Hospital | Othello, Wash. | 170 | Providers | othellocommunityhospital.org |
| 43 | JSA Healthcare Corp. | St. Petersburg, Fla. | 408 | Providers | jsahealthcare.com |
| 44 | Southwest General Health Center | Middleburg Heights, Ohio | 2,585 | Providers | swgeneral.com |
| 45 | MDdatacor | Alpharetta, Ga. | 28 | Suppliers | mddatacor.com |
| 46 | University of Michigan Health System | Ann Arbor | 16,400 | Providers | med.umich.edu |
| 47 | Sharp HealthCare | San Diego | 11,693 | Providers | sharp.com |
| 48 | Amerigroup | Virginia Beach, Va. | 4,352 | Payers | amerigroupcorp.com |
| 49 | Harbor Beach Community Hospital | Harbor Beach, Mich. | 126 | Providers | hbch.org |
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| 50 | Beacon Partners | Weymouth, Mass. | 146 | Suppliers | beaconpartners.com |
| 51 | Michigan Medical, P.C. (mmpc) | Grand Rapids | 1,298 | Providers | mmpc.com |
| 52 | RiverBend Medical Group (Physician Practice Partners) | Agawam, Mass. | 422 | Providers | riverbendmedical.com |
| 53 | Lodi Memorial Hospital | Lodi, Calif. | 1,300 | Providers | lodihealth.org |
| 54 | Lovelace Westside Hospital | Albuquerque | 235 | Providers | ardenthealth.com |
| 55 | UMC Health System | Lubbock, Texas | 2,445 | Providers | umchealthsystem.com |
| 56 | Baptist Health | Jacksonville, Fla. | 6,735 | Providers | e-baptisthealth.com |
| 57 | Lakewood Ranch Medical Center | Bradenton, Fla. | 292 | Providers | uhsinc.com |
| 58 | Sauk Prairie Memorial Hospital and Clinics | Prairie du Sac, Wis. | 352 | Providers | spmh.org |
| 59 | EMP Management Group | Canton, Ohio | 690 | Providers | emp.com |
| 60 | EMHS | Brewer, Maine | 410 | Providers | emh.org |
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