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Article published October 26, 2009
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| 2009 rank | Employer (2008 rank) | Location | Category | Employees | Web site |
| 61 | Centene Corp. | St. Louis | Payers | 3,775 | centene.com |
| 62 | Memorial Health Center (23) | Medford, Wis. | Providers | 455 | memhc.com |
| 63 | Northwest Community Hospital (36) | Arlington Heights, Ill. | Providers | 3,336 | nch.org |
| 64 | IMA Consulting | Chadds Ford, Pa. | Suppliers | 69 | ima-consulting.com |
| 65 | Main Line Health (11) | Bryn Mawr, Pa. | Providers | 9,105 | mainlinehealth.org |
| 66 | The Advisory Board Co. | Washington | Suppliers | 976 | advisoryboardcompany.com |
| 67 | Community Health Systems | Franklin, Tenn. | Providers | 1,012 | chs.net |
| 68 | St. John's Mercy Health Care (98) | St. Louis | Providers | 8,661 | stjohnsmercy.org |
| 69 | Preferred Care Partners | Miami | Payers | 248 | mypreferredcare.com |
| 70 | Jackson Purchase Medical Center | Mayfield, Ky. | Providers | 405 | jacksonpurchase.com |
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| 71 | Yale-New Haven Hospital | New Haven, Conn. | Providers | 6,523 | ynhh.org |
| 72 | Langlade Hospital | Antigo, Wis. | Providers | 433 | langhosp.org |
| 73 | Stuart Cardiology Group | Stuart, Fla. | Providers | 58 | stuartcardiology.com |
| 74 | Signature HealthCARE | Palm Beach Gardens, Fla. | Providers | 10,496 | signaturehealthcarellc.com |
| 75 | Palmetto Health (85) | Columbia, S.C. | Providers | 9,463 | palmettohealth.org |
| 76 | Baylor Health Care System (99) | Dallas | Providers | 17,014 | baylorhealth.com |
| 77 | CGH Medical Center (13) | Sterling, Ill. | Providers | 786 | cghmc.com |
| 78 | Central Baptist Hospital (14) | Lexington, Ky. | Providers | 2,324 | bhsi.com |
| 79 | St. Joseph's Hospital and Medical Center | Phoenix | Providers | 4,846 | stjosephs-phx.org |
| 80 | Children's Specialized Hospital (79) | Mountainside, N.J. | Providers | 819 | childrens-specialized.org |
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