| OUTER BANKS HOSPITAL INC | $98,572,551 | $84,711,325 |
| MEDASSIST OF MECKLENBURG | $83,036,652 | $81,579,374 |
| COTTON INCORPORATED | $79,988,476 | $80,582,821 |
| VIZO FINANCIAL CORPORATE CREDIT UNION | $92,590,786 | $79,994,064 |
| GOLDEN LEAF INC | $85,126,149 | $79,357,817 |
| MOSES CONE MEDICAL SERVICES INC | $77,078,951 | $77,053,471 |
| UNC ROCKINGHAM HEALTH CARE INC | $75,980,788 | $75,340,702 |
| TELAMON CORPORATION | $75,143,122 | $75,095,553 |
| FOUNDATION HEALTH SYSTEMS CORP | $82,005,842 | $74,865,029 |
| HENDRICK AUTOMOTIVE GROUP EMPLOYEE BENEFIT TRUST | $77,156,000 | $73,812,988 |
| CARTERET-CRAVEN ELECTRIC COOPERATIVE | $78,765,884 | $73,724,323 |
| METHODIST UNIVERSITY INC | $72,153,689 | $73,608,027 |
| SECOND HARVEST FOOD BANK OF NORTHWEST NC INC | $83,074,876 | $73,595,720 |
| GOODWILL INDUSTRIES OF NORTHWEST NORTH CAROLINA INC | $71,498,911 | $72,208,279 |
| MURPHY MEDICAL CENTER INC | $71,858,665 | $71,188,613 |
| UNITED METHODIST RETIREMENT HOMES INC | $80,861,521 | $70,594,091 |
| MOUNTAIN AREA HEALTH EDUCATION CENTER INC | $76,523,129 | $68,689,968 |
| YOUNG MENS CHRISTIAN ASSOCIATION OF THE TRIANGLE AREA INC 4598 | $73,439,927 | $67,905,653 |
| DAVIE MEDICAL CENTER | $83,666,061 | $67,725,726 |
| IPAS | $44,922,385 | $67,361,608 |
| FRENCH BROAD ELECTRIC MEMBERSHIP CORPORATION | $67,081,045 | $66,181,817 |
| MEDICAL PARK HOSPITAL INC | $85,030,560 | $65,992,029 |
| PRINCE WILLIAM HEALTH SYSTEM | $52,026,246 | $65,624,827 |
| CITY OF RALEIGH NC MEDICAL AND DENTAL BENFIT | $71,457,979 | $65,383,747 |
| PIEDMONT HEALTH SERVICES INC | $64,085,808 | $65,381,338 |