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Article published October 27, 2008
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| Rank | Employer | City | Employees | Category | Web site |
| 21 | Covenant Health System | Lubbock, Texas | 4,824 | Providers | covenanthealth.org |
| 22 | St. Luke's Hospital | Chesterfield, Mo. | 3,040 | Providers | stlukes-stl.com |
| 23 | Memorial Health Center | Medford, Wis. | 433 | Providers | memhc.com |
| 24 | Rolling Plains Memorial Hospital | Sweetwater, Texas | 233 | Providers | rpmh.net |
| 25 | Duke Raleigh Hospital | Raleigh, N.C. | 836 | Providers | dukeraleighhospital.org |
| 26 | Advanced ICU Care | St. Louis | 25 | Providers | icumedicine.com |
| 27 | Floyd | Rome, Ga. | 1,940 | Providers | floyd.org |
| 28 | RiverBend Medical Group (MWA, PC) | Agawam, Mass. | 94 | Providers | riverbendmedical.com |
| 29 | Children's Memorial Hospital | Chicago | 4,082 | Providers | childrensmemorial.org |
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| 30 | Tanner Health System | Carrollton, Ga. | 1,901 | Providers | tanner.org |
| 31 | Garden City Hospital | Garden City, Mich. | 1,460 | Providers | gchosp.org |
| 32 | Summa Health System | Akron, Ohio | 5,429 | Providers | summahealth.org |
| 33 | Intermountain Healthcare | Salt Lake City | 29,074 | Providers | intermountainhealthcare.org |
| 34 | Valley Medical Center | Renton, Wash. | 2,137 | Providers | valleymed.org |
| 35 | Cincinnati Children's Hospital Medical Center | Cincinnati | 10,213 | Providers | cincinnatichildrens.org |
| 36 | Northwest Community Hospital | Arlington Heights, Ill. | 3,372 | Providers | |
| 37 | HealthEast Care System | St. Paul, Minn. | 6,180 | Providers | healtheast.org |
| 38 | Deckerville Community Hospital | Deckerville, Mich. | 78 | Providers | deckervillehosp.org |
| 39 | Palomar Pomerado Health | San Diego | 2,978 | Providers | pph.org |
| 40 | Littleton Regional Hospital | Littleton, N.H. | 347 | Providers | littletonhospital.org |
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