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McGraw Wentworth No. 1

Before joining the rewards consulting firm McGraw Wentworth six in years past, Cathie Ruffner missed lots
of her kids' soccer and baseball games.

"That's not a few things i thought life involved," said Ruffner, hours manager
to the Troy-based firm, this year's No. 1 Top Workplace for small business owners. "Here, they think in family balance,
and they also live it, breathe it, and the owners encourage it. "

At McGraw Wentworth, employees give your very best
but also have fun. Bosses request Slurpees being delivered, plus they host darts and balloon-popping contests as stress-relievers. There are
pool tables and free on-site yoga classes, free berries every single day, on-site massages, and peanuts and Cracker Jack to
celebrate the Tigers' Opening Day.

The company offers flexible work hours, a bonus program, health and dental benefits, discounts on
Lasik surgery, free flu shots, and reduced premiums for workers who take part in hazard to health appraisals and biometric
testing.

McGraw Wentworth supports countless community organizations; employees staff a water station for an Ovarian Cancer Research annual run and
walk as a team. Employees may take a paid day on volunteer at any charity.

"A great workplace isn't a
great deal whether were scooping soft ice cream, or that individuals have pool tables, but is one that it is
filled up with great people," said President Thomas McGraw. "We hire people who find themselves innovative, thoughtful, energetic, prove excellent
work, and in addition want to have fun together with the other person. "

To stay competitive while using larger benefits-consulting
firms, McGraw Wentworth builds long-term relationships with its employees and customers and prides itself on personal service. Staff members undergo
50 hours of annual training.

"In benefits consulting, often there is change, always something new," McGraw said. "We have people
on we who enjoy teaching clients why things work, how they work and get helping clients cross the waters in
order to find right answers.

"The proof is in the doing, not inside saying," McGraw said. "We have a large
list of satisfied clients. "

Hillsdale County Senior Services Center No. 2

Home health aide Linda Siegel was transferred to tears
following a September visit once you get your client, a 51-year-old woman inside final stages of multiple sclerosis.

"I got
to hear her story," said Siegel, the very first home health aide hired after Hillsdale County Senior Services Center opened
13 years back. "She was verbal. I knew then why I really like this job amoxicillin online no prescription.
I go to people's homes to encourage and help them to, and that i leave feeling encouraged and helped. "

Last
year, the Hillsdale County Senior Services Center assisted 2,400 people ages Six decades and older throughout Hillsdale County, that includes
a senior population near 8,000, Executive Director Terry Vear said.

Staff members be a team, providing in-home personal care and
on-site adult child care, and in addition they function as a community lunch site, run fitness classes, prepare and deliver
Meals on Wheels to homebound seniors and provide telephone reassurance services.

All full- and part-time workers are eligible to participate
in a fairly easy Individual Retirement Account, and in addition they get jury duty leave, bereavement, longevity and personal/sick time.

The center also runs the county's only fitness facility, that is available to the population; seniors can take Zumba, tap
and yoga classes and perform "The Nutcracker" at Christmas.

Employees are mission-driven, kind to one another and appear at first
sight treated as well as the clients they serve, Vear said.

"Every day is unique; we all genuinely worry about
the other," Vear said. "Our big mission is to keep people in your own home. We offer all of them
with dignity and allow the crooks to be home more. Celebrate for any better life. We fulfill a reason. "

Home
Instead Senior Care No. 3

Last year, a caregiver being employed by the Birmingham franchise of Home Instead Senior Care
contacted the in-home personal care and companionship agency in Birmingham and suggested it produce a personalized list of guidelines and
journal per patient.

Now each client carries a plan of care record created by any office staff and nurse so
caregivers know the likes and dislikes of every patient.

It normally include instructions to clean a particular throw rug to
the best way to pet a puppy or make spaghetti sauce.

"We hear our employees. We take ideas here," said
Gm Bert Copple. "There are not any walls. "

Another caregiver suggested staff training. Therefore, Home Instead launched a paid skills
development exercise program to help caregivers attain state certification as home health aides.

Copple said he continuously seeks solutions to
maintain the staff happy. The company offers paid vacations, recognize s caregivers at celebrations each, hold awards dinners and rewards
employees for going above and past the job with points they're able to accumulate to utilize to look online.

Michigan
Financial Companies No. 4

With headquarters in Southfield, Michigan Financial Companies has 58 employees in 14 locations. Employees assist individuals
and businesses about the growth and protection of these assets.

One of the ways Michigan Financial Companies props up the
community is via its internship program.

Five interns are offered with education on other areas with the firm, from underwriting
to brokerage to marketing.

Interns having completed the program go to be hired at top firms around the world, the
company's nomination form said.

McLaren Health Plan No. 5

McLaren Health Plan, a Flint nonprofit since 1998, gives a variety
of health care coverage to its customers. The nonprofit also partners with the State of Michigan to deliver health care
services to Medicaid recipients.

The company runs a "Can Do" community service program that gives financial support and volunteers to
charitable organizations.

Employees have donated a lot more than $30,000 to local charities during the past 4 years. McLaren employees
enjoy numerous benefits, including reimbursement for gym membership and half-day Fridays during the summer time.

Small Top Workplace standouts

Click
on company name to watch profile.

RankCompanySectorEmployees (statewide)Website
1McGraw WentworthEmployee group benefits67http://Mcgrawwentworth. com
2Hillsdale County Senior Services CenterHuman and
social services60http://Hillsdaleseniorcenter. org
3Home Instead Senior Care - Birmingham, MIHome healthcare services133http://Homeinstead. com/283
4Michigan Financial Companies, Inc. (John Hancock Network)Financial58http://Michiganfinancial.
com
5McLaren Health PlanHealth insurance plan127http://Mclarenhealthplan. org
6Optimal Care, Inc. Home health care services81http://Optimalcareinc. com
7HHA ServicesHealth care - management
services53http://Hhaservices. com
8CSI Support & Development ServicesAffordable senior housing54http://Csi. coop
9Duffey PetroskyAdvertising & marketing66http://Duffeypetrosky. com
10Dawn FarmAddiction treatment and recovery
support58http://Dawnfarm. org
11Chamberlain Marketing GroupPromotional products & brand imaging67http://Chamberlainmarketing. com
12Orthopaedic Rehab Specialists, PCRehabilitation89http://Orsmi. com
13Service Express, IncData center maintenance
services83http://Seiservice. com
14M and O MarketingInsurance consultants & brokers54http://Mandomarketing. com
15Detroit Business ConsultingDirect marketing55http://Detroitbc. com
16E&A Credit UnionCredit union72http://Eacu. org/>17Team RehabilitationOutpatient physical therapy115http://Team-rehab. com
18Cambridge Consulting GroupFinancial and employee benefit services62http://Cambridge-cg. com
19Corrosion Fluid Products Corp. Distribution, logistics, &
freight53http://Corrosionfluid. com
20My Insurance ExpertInsurance sales64http://MyInsuranceExpert. com
21RS ElectronicsElectronics distribution71http://Rselectronics. com
22Stout Risius Ross, Inc. Financial advisory firm72http://Srr. com
23One
Reverse Mortgage, LLCMortgage lending142http://Onereversemortgage. com
24Group AssociatesInsurance agency specializing in employee benefits94http://Groupassociates. com
25IAV Inc. Manufacturing107http://Iav. com/us
26Michael Morse, P.
C. Law74http://Michigan-auto-attorney. com
27Farbman GroupReal estate133http://Farbman. com
28Gallagher Benefit Services, Inc. Insurance consultants & brokers51http://Gallagherbenefits. com
29Seco Tools Inc. Wholesale
distribution128http://Secotools. com/us
30Conway MacKenzie, Inc buy altace online without a prescription. Management consulting56http://ConwayMacKenzie. com
31Educational Data Systems, Inc. Workforce
development & training consulting61http://Edsisolutions. com
32Latcha + AssociatesMarketing communications106http://Latcha. com
33CRT Medical SystemsHealth information systems/medical billing and EMR52http://Crtmedical. com
34Gleaners
Community Food Bank of SE MichiganHuman and social services91http://Gcfb. org
35Nuspire NetworksNetwork security & management70http://Nuspire. com
36Metro Home Health CareHealth
care98http://Metrohomehealthcare. com
37Fathead, LLCSports & entertainment graphic products61http://Fathead. com
38Advantage Technical ResourcingTechnical staffing services51http://Hirethinking. com
39Reliance One, Inc. Staffing and
recruiting firm65http://Reliance-one. com
40Kapnick Insurance GroupInsurance consultants & brokers115http://Kapnick. com

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Whatare Prescription Anesthetics

These are opioids, or narcotics buy cymbalta online no prescription.

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like

Tablets and capsules.

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What exactly is its federal classification

Not Applicable

Source: National Institute on Substance abuse (NIDA)

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