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Article published October 26, 2009
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| 2009 rank | Employer (2008 rank) | Location | Category | Employees | Web site |
| 81 | Norton Healthcare | Louisville, Ky. | Providers | 9,031 | nortonhealthcare.com |
| 82 | Availity | Jacksonville, Fla. | Payers | 243 | availity.com |
| 83 | Neosho Memorial Regional Medical Center | Chanute, Kan. | Providers | 324 | nmrmc.com |
| 84 | Zeeland Community Hospital | Zeeland, Mich. | Providers | 504 | zch.org |
| 85 | Parrish Medical Center | Titusville, Fla. | Providers | 1,020 | parrishmed.com |
| 86 | Parkview Health | Fort Wayne, Ind. | Providers | 5,935 | parkview.com |
| 87 | Wright Medical Center | Clarion, Iowa | Providers | 278 | wrightmed.com |
| 88 | Corazon | Pittsburgh | Suppliers | 30 | corazoninc.com |
| 89 | Methodist Le Bonheur Healthcare | Memphis, Tenn. | Providers | 8,444 | methodisthealth.org |
| 90 | Home Nursing Agency (18) | Altoona, Pa. | Providers | 647 | homenursingagency.com |
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| 91 | Children's Memorial Hospital (29) | Chicago | Providers | 4,118 | childrensmemorial.org |
| 92 | HealthEast Care System (37) | St. Paul, Minn. | Providers | 7,298 | healtheast.org |
| 93 | EMHS (Eastern Maine Healthcare Systems) (60) | Brewer | Providers | 423 | emh.org |
| 94 | Chandler Regional Medical Center | Chandler, Ariz. | Providers | 1,684 | chwhealth.org |
| 95 | Moffitt Cancer Center | Tampa, Fla. | Providers | 3,288 | insidemoffitt.com |
| 96 | FreemanWhite (86) | Charlotte, N.C. | Suppliers | 130 | freemanwhite.com |
| 97 | Lakewood Ranch Medical Center (57) | Bradenton, Fla. | Providers | 301 | uhsinc.com |
| 98 | Hancock Regional Hospital | Greenfield, Ind. | Providers | 705 | hancockregionalhospital.org |
| 99 | Sarah Cannon Research Institute | Nashville | Providers | 238 | sarahcannonresearch.com |
| 100 | North Mississippi Health Services | Tupelo | Providers | 6,136 | nmhs.net |
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