| PHYSICIAN ENTERPRISE LLC | $178,945,425 | $199,642,368 |
| HARBOR HOSPITAL INC | $191,587,141 | $190,269,599 |
| STATE EMPLOYEES CREDIT UNION OF MARYLAND INC | $207,778,944 | $188,108,459 |
| CHESAPEAKE EMPLOYERS INSURANCE COMPANY | $343,725,559 | $187,727,999 |
| KENNEDY KRIEGER CHILDRENS HOSPITAL INC | $188,742,659 | $185,205,282 |
| NFL PLAYER DISABILITY AND NEUROCOGNITIVE BENEFIT PLAN TRUST | $182,681,069 | $174,824,499 |
| EVERGREEN HEALTH COOPERATIVE INC | $166,982,669 | $174,631,986 |
| MONTGOMERY GENERAL HOSPITAL INC | $175,793,430 | $171,673,747 |
| TRANSIT EMPLOYEES HEALTH AND WELFARE PLAN | $175,271,841 | $168,141,970 |
| UNION HOSPITAL OF CECIL COUNTY INC | $158,424,151 | $162,995,693 |
| ST MARYS HOSPITAL OF ST MARYS COUNTY INC | $180,743,350 | $162,116,991 |
| ASBURY ATLANTIC INC | $174,395,209 | $159,243,785 |
| UNIVERSITIES SPACE RESEARCH ASSOCIATION | $160,875,605 | $158,039,086 |
| INTERNATIONAL BACCALAUREATE ORGANIZATION | $211,288,723 | $158,028,472 |
| CHOPTANK ELECTRIC COOPERATIVE INC | $149,707,367 | $148,797,799 |
| MARYLAND ECONOMIC DEVELOPMENT CORPORATION | $117,023,377 | $148,539,548 |
| ANCIENT FREE AND ACCEPTED MASONS OF MD MASONIC HOMES AND OF GRAND LODGE | $15,895,715 | $146,495,376 |
| FOOD EMPLOYERS LABOR RELATIONS ASSOC AND UNITED FOOD AND COMMERCIAL WRKS VEBA FUND | $145,427,220 | $143,274,533 |
| STEVENSON UNIVERSITY | $146,450,457 | $140,443,532 |
| CALVERTHEALTH MEDICAL CENTER INC | $124,534,319 | $135,516,354 |
| ATLANTIC GENERAL HOSPITAL | $135,409,639 | $134,938,000 |
| GRAND LODGE INTERNATIONAL ASSOCIATION OF MACHINISTS AND AEROSPACE WORKERS | $154,921,427 | $133,160,322 |
| CIVISTA MEDICAL CENTER INC | $142,456,097 | $129,387,582 |
| RIDERWOOD VILLAGE INC | $123,888,055 | $128,052,407 |
| MARYLAND INSTITUTE | $126,448,964 | $122,669,587 |