| AMERICAN NURSES CREDENTIALING CENTER | $57,411,925 | $49,984,827 |
| US NAVAL ACADEMY FOUNDATION INC | $66,993,780 | $48,811,477 |
| HJF MEDICAL RESEARCH INTERNATIONAL INC | $48,658,820 | $48,369,042 |
| ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC | $52,564,434 | $47,485,180 |
| ARC BALTIMORE INC | $49,593,062 | $47,413,900 |
| BEHAVORIAL HEALTH SYSTEMS BALTIMORE | $46,462,588 | $46,615,363 |
| MERCY HEALTH SERVICES INC | $46,462,970 | $46,389,362 |
| CHIMES INC | $46,082,494 | $46,290,598 |
| MOSAIC COMMUNITY SERVICES INC | $46,510,059 | $46,051,956 |
| TOTAL HEALTH CARE INC | $48,560,983 | $45,699,626 |
| CHESTER RIVER HOSPITAL CENTER INC | $44,166,460 | $45,685,346 |
| GILMAN SCHOOL INCORPORATED | $38,036,593 | $45,351,514 |
| AMERICAN YOUTH HOSTELS INC | $39,109,677 | $45,223,837 |
| UNIVERSITY OF MARYLAND PHYSICIANS PA | $48,469,521 | $44,439,337 |
| INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES | $45,097,897 | $43,517,483 |
| MEBA MEDICAL AND BENEFITS PLAN | $40,311,813 | $43,421,252 |
| CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS INC | $43,601,525 | $43,068,200 |
| WASHINGTON ADVENTIST UNIVERSITY | $37,642,795 | $42,955,065 |
| BRIGHTFOCUS FOUNDATION | $37,396,826 | $42,851,514 |
| SHOCK TRAUMA ASSOCIATES PA | $42,256,238 | $42,762,328 |
| BULLIS SCHOOL INC | $40,855,307 | $42,703,956 |
| MEXICAN HASS AVOCADO IMPORTERS ASSOCIATION | $43,324,989 | $42,480,317 |
| TRANSPLANT RESOURCE CENTER OF MARYLAND INC | $43,357,154 | $42,333,126 |
| NATIONAL CENTER FOR CHILDREN AND FAMILIES | $44,540,785 | $41,556,380 |
| NATIONAL 4-H COUNCIL | $50,096,926 | $41,220,274 |