| 1 | Uaw Retiree Medical Benefits TR Detroit | Y | $96.1B | $3.5B | $62.9B |
| 2 | Blue Care Network of Michigan Detroit | E | $16.9B | $4.8B | $2.4B |
| 3 | Corewell Health Grand Rapids | E | $13.1B | $11.5B | $6.8B |
| 4 | Priority Health Grand Rapids | Z | $12.7B | $5.9B | $2.4B |
| 5 | Michigan Catastrophic Claims Association U S Livonia | Z | $6.2B | $1.8B | $22.4B |
| 6 | Henry Ford Health System Detroit | E | $5.6B | $5.3B | $5.0B |
| 7 | Dte Energy Company Veba TR Detroit | Y | $5.5B | $39.2M | $1.3B |
| 8 | Trinity Health-michigan Grand Rapids | E | $3.3B | $3.3B | $5.2B |
| 9 | Corewell Health Grand Rapids | E | $3.3B | $2.0B | $7.1B |
| 10 | Priority Health Choice INC Grand Rapids | E | $3.2B | $1.2B | $404.0M |
| 11 | Trinity Health Corporation Livonia | E | $2.9B | $2.9B | $16.2B |
| 12 | W K Kellogg Foundation Trust-t/a 5315 Battle Creek | T | $1.7B | $0 | $9.0B |
| 13 | Health Alliance Plan of Michigan Detroit | E | $1.7B | $1.6B | $703.3M |
| 14 | Michigan Education Special Services Association East Lansing | Z | $1.5B | $1.4B | $757.3M |
| 15 | Bronson Methodist Hospital Kalamazoo | E | $1.5B | $1.5B | $1.5B |
| 16 | Van Andel Institute Grand Rapids | T | $1.4B | $139.3M | $2.2B |
| 17 | Delta Dental Plan of Michigan Okemos | E | $1.4B | $1.2B | $986.5M |
| 18 | International Union United Auto Aerospace & Agricultural Workers Detroit | Z | $1.3B | $273.0M | $973.0M |
| 19 | Edward W Sparrow Hospital Association Lansing | E | $1.2B | $1.2B | $1.3B |
| 20 | McLaren Health Plan INC Flint | E | $1.2B | $1.2B | $461.2M |
| 21 | Henry Ford Health St. John Hospital Detroit | E | $1.1B | $1.1B | $532.9M |
| 22 | Allegiance Health Jackson | E | $961.5M | $907.6M | $945.2M |
| 23 | Henry Ford Health Providence Hospital Detroit | E | $898.8M | $896.9M | $490.9M |
| 24 | Charles Stewart Mott Foundation Flint | T | $862.0M | $0 | $3.8B |
| 25 | Mercy Health Partners Muskegon | Z | $862.0M | $858.5M | $919.3M |
| 26 | Munson Medical Center Traverse City | E | $852.0M | $851.7M | $445.4M |
| 27 | Covenant Medical Center INC Saginaw | E | $834.5M | $830.6M | $867.3M |
| 28 | Credit Unions Chartered in the State of Michigan Grand Rapids | Z | $829.5M | $829.4M | $14.5B |
| 29 | Mymichigan Medical Center Midland Midland | E | $828.7M | $694.9M | $1.2B |
| 30 | Skillman Foundation Detroit | B | $697.2M | $0 | $418.5M |
| 31 | Henry Ford Macomb Hospital Corporation Detroit | E | $670.5M | $651.6M | $728.8M |
| 32 | Michigan Conference of Teamsters Welfare Fund Detroit | Z | $665.0M | $367.7M | $716.9M |
| 33 | Munson Healthcare Traverse City | Z | $636.0M | $245.0M | $1.0B |
| 34 | Kellogg Company Retiree Welfare Benefit Trust Battle Creek | Z | $615.5M | $12.5M | $251.5M |
| 35 | Metropolitan Hospital Wyoming | E | $602.7M | $602.7M | $459.3M |
| 36 | Barbara Ann Karmanos Cancer Hospital Detroit | G | $574.7M | $572.6M | $237.1M |
| 37 | National Center for Manufacturing Sciences Ann Arbor | S | $568.5M | $568.2M | $323.8M |
| 38 | McLaren Flint Flint | E | $567.0M | $566.7M | $604.5M |
| 39 | Iha Health Services Corporation Ann Arbor | E | $563.9M | $563.9M | $354.6M |
| 40 | The Ralph C Wilson Jr Foundation Detroit | T | $547.7M | $0 | $896.5M |
| 41 | Wolverine Power Supply Cooperative INC Cadillac | Z | $546.5M | $544.9M | $1.2B |
| 42 | Kalamazoo Community Foundation Kalamazoo | T | $527.5M | $71.4M | $698.6M |
| 43 | McLaren Greater Lansing Lansing | E | $516.9M | $516.9M | $827.1M |
| 44 | Delta Dental Plan of Ohio Lansing | Z | $515.9M | $426.2M | $371.2M |
| 45 | Blue Cross Blue Shield of Michigan Bargaining Unit Internal Health Detroit | Y | $483.1M | -$10.6M | $409.1M |
| 46 | Henry Ford Wyandotte Hospital Corporation Detroit | E | $479.0M | $470.3M | $299.8M |
| 47 | Henry Ford Health Macomb Oakland Hospital Detroit | E | $453.2M | $453.2M | $182.7M |
| 48 | W K Kellogg Foundation Battle Creek | T | $444.0M | $0 | $454.4M |
| 49 | Bronson Healthcare Group INC Kalamazoo | E | $443.2M | $443.2M | $429.2M |
| 50 | McLaren Macomb Mount Clemens | E | $415.9M | $415.9M | $689.3M |