| 1 | Sistema D'emergencies Mediques SA | Spain | Hospitalet de Llobregat | Calle Pablo Iglesias (pol. Industrial Pedrosa), 101 -115 | Barcelona | 08908 | sem.***** | 1993 | $430,506,655 | 878 | N/A | N/A | A60252137 |
| 2 | Ipswich Renal Unit | Unitedkingdom | Ipswich | Wing Finance Dept | Suffolk | IP4 5PD | global.***** | 1995 | $398,844,425 | 3,000 | N/A | N/A | N/A |
| 3 | Bg Prevent GMBH | Germany | Bonn | Herbert-rabius-str. 1 | Bonn, Stadt | 53225 | bad-gmbh.***** | 2019 | $365,677,805 | 3,621 | N/A | N/A | 53111B6426 |
| 4 | Spamedica LTD | Unitedkingdom | Bolton | Spamedica House | Manchester, Greater Manchester | BL1 1HU | spamedica.***** | 2008 | $350,385,343 | 1,667 | N/A | N/A | 06644293 |
| 5 | Hcrg Care Services LTD | Unitedkingdom | Runcorn | The Heath School | Halton | WA7 4QX | icaregroup.***** | 2011 | $337,291,630 | 2,953 | N/A | N/A | 07557877 |
| 6 | Grn Gesundheitszentren Rhein-Neckar Ggmbh | Germany | Schwetzingen | Bodelschwinghstr. 10 | Rhein-neckar-kreis | 68723 | grn.***** | 2005 | $307,945,490 | 2,114 | N/A | N/A | 68159B700109 |
| 7 | Alliance Medical LIMITED | Unitedkingdom | Warwick | Opus 40 Bus. | Warwickshire | CV34 5AH | alliancemedical.***** | 1989 | $266,108,591 | 1,021 | N/A | N/A | 02128897 |
| 8 | North Glasgow Universities N H S Trust | Unitedkingdom | Glasgow | Payments Department Trust Headquarter Building | Glasgow City | G21 3UW | adhom.***** | 2009 | $260,897,038 | 12,500 | N/A | N/A | N/A |
| 9 | Dr C Urgent - South Tyneside Urgent Care Hub Wic | Unitedkingdom | Boldon Colliery | South Tyneside District Hospital | South Tyneside, Tyne and Wear | NE34 0PL | nhs.***** | 2010 | $250,107,273 | 3,587 | N/A | N/A | N/A |
| 10 | Inhealth LIMITED | Unitedkingdom | George Green | Burnham Yard | Buckinghamshire | HP9 2JH | inhealthgroup.***** | 2004 | $244,741,832 | 1,798 | N/A | N/A | 05190234 |
| 11 | Dhu Health Care C.I.C. | Unitedkingdom | Pride Park | No 2 Roundhouse Road | Derby | DE24 8JE | dhuhealthcare.***** | 2006 | $187,232,372 | 2,805 | N/A | N/A | 05834163 |
| 12 | Medical Research Council | Unitedkingdom | Kembrey Park | Polaris House | Swindon | SN2 1FL | mrc.***** | 1919 | $179,839,326 | 2,165 | N/A | N/A | RC000346 |
| 13 | Medizinische Einrichtungen Des Bezirks Oberpfalz - Ku, Anstalt Des Öffentlichen Rechts | Germany | Regensburg | Universitätsstr. 84 | Regensburg | 93053 | medbo.***** | 2005 | $179,644,183 | 2,025 | N/A | N/A | 93049A8855 |
| 14 | Kingsbridge Healthcare Group LIMITED | Unitedkingdom | Malone Upper | Danesfort | Belfast | BT9 5UB | kingsbridgehealthcaregroup.***** | 2015 | $174,334,287 | 931 | N/A | N/A | NI629490 |
| 15 | Synlab Italia SRL | Italy | Castenedolo | Via Beato Lodovico Pavoni 18 | Brescia | 25014 | synlab.***** | 1976 | $170,052,049 | 987 | N/A | N/A | IT00577680176 |
| 16 | Turning Point (services) LIMITED | Unitedkingdom | Moorgate | America House | London | EC3N 2LU | turning-point.***** | 1987 | $161,220,247 | 343 | N/A | N/A | 02166697 |
| 17 | Specsavers Eye Care Services LIMITED | Unitedkingdom | Anthill Common | Forum 6 | Hampshire | PO15 7PA | N/A | 2016 | $160,929,079 | 1,066 | N/A | N/A | 10487945 |
| 18 | Centro Di Medicina SPA | Italy | Villorba | Viale della Repubblica 10/b | Treviso | 31020 | treviso-villorba.***** | 1999 | $148,230,552 | 478 | N/A | N/A | IT03438220265 |
| 19 | Inflexion Private Equity Partners Llp | Unitedkingdom | Marylebone | 47 Queen Anne Street | London | W1G 9JG | inflexion.***** | 2005 | $147,022,702 | 156 | N/A | N/A | OC316601 |
| 20 | Rkh Kliniken Des Landkreises Karlsruhe Gemeinnutzige GMBH | Germany | Bruchsal | Gutleutstr. 1-14 | Karlsruhe | 76646 | fuerst-stirum-klinik.***** | 2024 | $145,317,667 | 1,346 | N/A | N/A | 68159B705991 |
| 21 | Sana Kliniken Leipziger Land GMBH | Germany | Borna | Rudolf-virchow-str. 2 | Leipzig | 04552 | helios-kliniken.***** | 1998 | $145,107,082 | 1,346 | N/A | N/A | 04275B14980 |
| 22 | North East Ambulance Service Nhs Foundation Trust | Unitedkingdom | Walbottle | Bernicia House the Waterfront | Newcastle Upon Tyne, Tyne and Wear | NE15 8NY | neas.***** | 2006 | $143,667,106 | 2,346 | N/A | N/A | 997295 |
| 23 | Marienborn Gemeinnutzige Gesellschaft Mit Beschränkter Haftung | Germany | Zülpich | Luxemburger Str. 1 | Euskirchen | 53909 | marienborn-psychiatrie.***** | 2014 | $135,046,264 | 1,912 | N/A | N/A | 50670B34979 |
| 24 | Christophsbad GMBH & CO. Fachkrankenhaus KG | Germany | Göppingen | Faurndauer Str. 6-28 | Göppingen | 73035 | christophsbad.***** | 2009 | $131,687,008 | 1,550 | N/A | N/A | 89073A531418 |
| 25 | Ias AG | Germany | Berlin | Askanischer Platz 1 | Berlin, Stadt | 10963 | ias-gruppe.***** | 2011 | $127,276,826 | 1,251 | N/A | N/A | 10623B140490B |
| 26 | Med 360° Rheinland GMBH | Germany | Leverkusen | Marie-curie-str. 12 | Leverkusen, Stadt | 51377 | med360grad.***** | 2019 | $126,928,165 | 948 | N/A | N/A | 50670B66572 |
| 27 | C.D.I. Centro Diagnostico Italiano SPA | Italy | Milano | Via Simone Saint Bon 20 | Milano | 20147 | cdi.***** | 1971 | $124,996,111 | 1,346 | N/A | N/A | IT01721030151 |
| 28 | Loc Partnership Llp | Unitedkingdom | Marylebone | 2 Cavendish Square | London | W1G 0PU | N/A | 1998 | $124,011,557 | 147 | N/A | N/A | OC355641 |
| 29 | International Medical Corps (UK) | Unitedkingdom | Saint Johns Wood | Workspace 4 | London | NW1 7EP | imcworldwide.***** | 2002 | $123,269,954 | 33 | N/A | N/A | 04474904 |
| 30 | Amedes Mvz Trägergesellschaft Göttingen Mbh | Germany | Göttingen | Anna-vandenhoeck-ring 4-8 | Niedersachsen | 37081 | biomcheck.***** | 2015 | $121,322,333 | 424 | N/A | N/A | 37073B200480 |
| 31 | Bg Unfallklinik Frankfurt Am Main Ggmbh | Germany | Frankfurt am Main | Friedberger Landstr. 430 | Frankfurt am Main, Stadt | 60389 | bgu-frankfurt.***** | 2016 | $121,315,765 | 912 | N/A | N/A | 60313B103476 |
| 32 | Vitos Haina Gemeinnutzige GMBH | Germany | Haina (kloster) | Landgraf-philipp-platz 3 | Waldeck-frankenberg | 35114 | vitos-haina.***** | 2009 | $119,434,326 | 1,273 | N/A | N/A | 35037B5303 |
| 33 | Zentrum Fur Psychiatrie Emmendingen | Germany | Emmendingen | Neubronnstr. 25 | Emmendingen | 79312 | zfp-emmendingen.***** | 2010 | $118,943,104 | 1,400 | N/A | N/A | DE141936507 |
| 34 | At Medics LIMITED | Unitedkingdom | Great Missenden | Prospect House | Buckinghamshire | HP16 0BG | trowbridgesurgery.***** | 2004 | $118,288,760 | 935 | N/A | N/A | 05057581 |
| 35 | Medipath | France | Fréjus | Pole D'Excellence Jean Louis | Var | 83600 | medipath.***** | 1999 | $115,996,594 | 568 | N/A | N/A | 42280957400086 |
| 36 | Asklepios Psychiatrie Niedersachsen GMBH | Germany | Göttingen | Rosdorfer Weg 70 | Niedersachsen | 37081 | asklepios.***** | 2018 | $109,445,683 | 1,120 | N/A | N/A | 37073B200408 |
| 37 | Banc De Sang I Teixits | Spain | Barcelona | Paseo Taulat ((edf Dr Frederic Duran I Jorda)) 116 | Barcelona | 08005 | bancsang.***** | 1995 | $108,065,687 | 900 | N/A | N/A | Q5856387E |
| 38 | Mll Mvz GMBH | Germany | München | Max-lebsche-platz 31 | München | 81377 | mll-mvz.***** | 2009 | $106,670,497 | 315 | N/A | N/A | 80333B267020 |
| 39 | Gesundheitseinrichtungen Hameln-Pyrmont GMBH | Germany | Hameln | Saint-maur-platz 1 | Hameln-pyrmont | 31785 | klinikbewertungen.***** | 2011 | $104,206,185 | 960 | N/A | N/A | 30175B102621 |
| 40 | Vinzenz Von Paul Hospital Ggmbh | Germany | Rottweil | Schwenninger Str. 55 | Rottweil | 78628 | vvph.***** | 2015 | $103,550,850 | 1,385 | N/A | N/A | 70190B470723 |
| 41 | Caisse Autonome Nationale Securite Sociale Mines | France | Paris | 77 Av de Segur | Paris | 75015 | filieris.***** | 1948 | $102,738,000 | 2,000 | N/A | N/A | 77568531600017 |
| 42 | Medizinisches Zentrum Fur Gesundheit Bad Lippspringe GMBH -Mzg- Westfalen | Germany | Bad Lippspringe | Peter-hartmann-allee 1 | Paderborn | 33175 | medizinisches-zentrum.***** | 2009 | $101,715,109 | 1,355 | N/A | N/A | 33098B17 |
| 43 | Integrated Care 24 | Unitedkingdom | Willesborough | Kingston House | Kent | TN24 0GP | ic24.***** | 1996 | $95,339,919 | 1,147 | N/A | N/A | 03193182 |
| 44 | Vitos Gießen-Marburg Ggmbh | Germany | Gießen | Licher Str. 106 | Gießen | 35394 | vitos-giessen-marburg.***** | 2009 | $94,246,010 | 1,166 | N/A | N/A | 35390B6706 |
| 45 | Okumenisches Hainich Klinikum Gemeinnutzige GMBH | Germany | Mühlhausen/thüringen | Pfafferode 102 | Unstrut-hainich-kreis | 99974 | oehk.***** | 2009 | $93,691,469 | 1,346 | N/A | N/A | 07745B405473 |
| 46 | Societa' E Salute SPA | Italy | Milano | Via Temperanza 6 | Milano | 20127 | N/A | 2006 | $93,581,323 | 336 | N/A | N/A | IT05128650966 |
| 47 | Ambulatory Surgery International LTD | Unitedkingdom | Marylebone | 33 Wigmore Street | London | W1U 1QX | N/A | 2015 | $88,943,511 | 332 | N/A | N/A | 09873002 |
| 48 | 18 Week Support LIMITED | Unitedkingdom | Marylebone | 1st Floor | London | W2 6LG | N/A | 2019 | $84,421,351 | 904 | N/A | N/A | 11880370 |
| 49 | Dr W Gateshead - Gateshead Walk In Centre | Unitedkingdom | Gateshead | Queen Elizabeth Hospital | Gateshead, Tyne and Wear | NE9 6SX | qegateshead.***** | 1998 | $83,487,052 | 4,000 | N/A | N/A | N/A |
| 50 | Northampton General Hospital Nhs Trust | Unitedkingdom | Northampton | Cliftonville | Northamptonshire | NN1 5BD | northamptongeneral.***** | 2009 | $83,487,052 | 4,000 | N/A | N/A | 937086 |