| 2009 rank | Employer (2008 rank) | Location | Category | Employees | Web site |
| 41 | Woman's Hospital (100) | Baton Rouge, La. | Providers | 1,701 | womans.org |
| 42 | Valley Health System | Ridgewood, N.J. | Providers | 3,765 | valleyhealth.com |
| 43 | Pharmacy OneSource (12) | Bellevue, Wash. | Suppliers | 67 | pharmacyonesource.com |
| 44 | Mercy Gilbert Medical Center | Gilbert, Ariz. | Providers | 938 | chwhealth.org |
| 45 | Columbus Regional Hospital | Columbus, Ind. | Providers | 1,579 | crh.org |
| 46 | Logical Images | Rochester, N.Y. | Suppliers | 39 | logicalimages.com |
| 47 | UAB Health System | Birmingham, Ala. | Providers | 104 | health.uab.edu |
| 48 | Centegra Health System | Crystal Lake, Ill. | Providers | 2,878 | centegra.org |
| 49 | PinnacleHealth System | Harrisburg, Pa. | Providers | 4,246 | pinnaclehealth.org |
| 50 | St. Elizabeth Community Hospital | Red Bluff, Calif. | Providers | 388 | chwhealth.org |
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| 51 | Baptist Health South Florida (9) | Coral Gables | Providers | 11,423 | baptisthealth.net |
| 52 | JSA Healthcare Corp. (43) | St. Petersburg, Fla. | Providers | 428 | jsahealthcare.com |
| 53 | GE Capital, Healthcare Financial Services | Bethesda, Md. | Suppliers | 188 | gehealthcarefinance.com |
| 54 | EMP Management Group (59) | Canton, Ohio | Providers | 728 | emp.com |
| 55 | Fisher-Titus Medical Center (97) | Norwalk, Ohio | Providers | 820 | ftmc.com |
| 56 | The University of Kansas Hospital | Kansas City | Providers | 4,133 | kumed.com |
| 57 | Saint Barnabas Health Care System | West Orange, N.J. | Providers | 15,962 | saintbarnabas.com |
| 58 | Del Sol Medical Center | El Paso, Texas | Providers | 988 | delsolmedicalcenter.com |
| 59 | Schneck Medical Center | Seymour, Ind. | Providers | 781 | schneckmed.org |
| 60 | Bon Secours Richmond Health System | Richmond, Va. | Providers | 5,900 | bonsecours.com |
