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Article published October 26, 2009
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| 2009 rank | Employer (2008 rank) | Location | Category | Employees | Web site |
| 21 | MEDecision | Wayne, Pa. | Suppliers | 274 | medecision.com |
| 22 | Iatric Systems | Boxford, Mass. | Suppliers | 200 | iatric.com |
| 23 | Geonetric (10) | Cedar Rapids, Iowa | Suppliers | 63 | geonetric.com |
| 24 | Lovelace Women's Hospital | Albuquerque | Providers | 555 | ardenthealthcare.com |
| 25 | The Comprehensive Group | Glenview, Ill. | Providers | 234 | comprehensiveonline.com |
| 26 | Hays Medical Center (78) | Hays, Kan. | Providers | 1,011 | haysmed.com |
| 27 | Rex Healthcare (15) | Raleigh, N.C. | Providers | 3,724 | rexhealth.com |
| 28 | Methodist Health System | Dallas | Providers | 4,114 | methodisthealthsystem.org |
| 29 | Chelsea Community Hospital | Chelsea, Mich. | Providers | 774 | cch.org |
| 30 | Rush-Copley Medical Center | Aurora, Ill. | Providers | 1,381 | rushcopley.com |
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| 31 | Sutter Davis Hospital | Davis, Calif. | Providers | 339 | sutterhealth.org |
| 32 | IPC-The Hospitalist Co. | North Hollywood, Calif. | Providers | 1,039 | hospitalist.com |
| 33 | Poudre Valley Health System (94) | Fort Collins, Colo. | Providers | 3,776 | pvhs.org |
| 34 | Kessler Rehabilitation Center | Lyndhurst, N.J. | Providers | 383 | kessler-rehab.com/outpatient |
| 35 | Pikeville Medical Center | Pikeville, Ky. | Providers | 1,595 | pikevillehospital.org |
| 36 | Longview Regional Medical Center | Longview, Texas | Providers | 624 | chs.net |
| 37 | MBK Senior Living | Irvine, Calif. | Providers | 657 | mbkseniorliving.com |
| 38 | Firelands Regional Medical Center | Sandusky, Ohio | Providers | 1,543 | firelands.com |
| 39 | St. Francis Hospital: The Heart Center | Roslyn, N.Y. | Providers | 2,601 | stfrancisheartcenter.com |
| 40 | The Beryl Cos. (69) | Bedford, Texas | Suppliers | 311 | beryl.net |
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