| EAST CAROLINA HEALTH INC | $419,855,992 | $413,894,993 |
| HIGH POINT REGIONAL HEALTH | $393,125,771 | $366,414,634 |
| SANDHILLS CENTER FOR MENTAL HEALTH DEVELOPMENTAL DISABILITIES AND SUBSTANCE | $352,651,053 | $357,388,988 |
| FOUNDATION FOR THE CAROLINAS | $289,696,942 | $351,759,763 |
| VIDANT MEDICAL GROUP LLC | $242,937,006 | $322,895,540 |
| ELON UNIVERSITY | $333,468,210 | $310,790,295 |
| SOUTHEASTERN REGIONAL MEDICAL CENTER | $285,755,027 | $287,481,138 |
| ALAMANCE REGIONAL MEDICAL CENTER INC | $318,053,457 | $285,983,000 |
| ENERGYUNITED ELECTRIC MEMBERSHIP CO | $288,594,485 | $281,936,984 |
| WAYNE MEMORIAL HOSPITAL INC | $285,622,816 | $281,418,304 |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC | $250,594,781 | $271,030,980 |
| PRINCE WILLIAM HOSPITAL | $266,620,024 | $265,579,416 |
| CAROLINAEAST MEDICAL CENTER | $276,155,110 | $248,709,243 |
| HIGH POINT UNIVERSITY | $294,774,165 | $247,732,082 |
| CAMPBELL UNIVERSITY INC | $261,461,317 | $241,570,163 |
| ROWAN REGIONAL MEDICAL CENTER INC | $237,958,002 | $239,550,436 |
| LEIDOS HEALTH AND WELFARE BENEFITS TRUST | $230,578,257 | $230,149,847 |
| PRESBYTERIAN MEDICAL CARE CORP | $279,928,581 | $215,695,158 |
| CAROLINA HEALTHCARE ASSOCIATES INC | $208,050,404 | $210,181,357 |
| BLUE RIDGE HEALTHCARE HOSPITALS INC | $253,053,871 | $205,945,336 |
| NORTH CAROLINA INSURANCE UNDERWRITING ASSOCIATION | $279,001,377 | $202,513,546 |
| FLETCHER HOSPITAL INC | $222,805,056 | $195,371,718 |
| BRUNSWICK ELECTRIC MEMBERSHIP CORPORATION | $197,760,441 | $191,158,838 |
| SCOTLAND MEMORIAL HOSPITAL INC | $192,198,424 | $181,859,470 |
| DELTA DENTAL OF NORTH CAROLINA | $176,052,373 | $172,647,368 |