West Virginia labor officials say the state's 100 largest private employers are led by WVU Medicine, this year replacing Wal-Mart, which slipped to second place.
Based on March 2016 data, WorkForce West Virginia says the former West Virginia United Health System was No. 2 last year.
Wal-Mart held the top spot from 1998 through 2015.
The others in the top 10, in descending order are Charleston Area Medical Center, Kroger, Mylan Pharmaceuticals, Lowe's Home Centers, St. Mary's Medical Center, Cabell Huntington Hospital, Wheeling Hospital and Res-Care Inc.
According to WorkForce West Virginia, those 10 had 4,395 more employees than the top 10 employers last year.