| ALTRU HEALTH SYSTEM | $585,596,685 | $586,156,708 |
| INNOVIS HEALTH LLC | $391,671,007 | $395,366,568 |
| MINNKOTA POWER COOPERATIVE INC | $402,196,354 | $390,482,354 |
| MOUNTRAIL-WILLIAMS ELECTRIC COOPERATIVE | $318,238,351 | $317,688,827 |
| MCKENZIE ELECTRIC COOPERATIVE INC | $309,175,400 | $309,175,400 |
| MEDCENTER ONE INC | $327,468,636 | $308,414,906 |
| TRINITY HEALTH AND AFFILIATES | $370,250,445 | $304,760,827 |
| ST ALEXIUS MEDICAL CENTER | $270,899,366 | $304,100,967 |
| CENTRAL POWER ELECTRIC COOPERATIVE INC | $178,336,721 | $170,053,338 |
| TRINITY HEALTH | $123,822,134 | $153,549,917 |
| CASS COUNTY ELECTRIC COOPERATIVE INC | $140,494,536 | $137,505,057 |
| NODAK ELECTRIC COOPERATIVE INC | $104,223,078 | $101,294,173 |
| UNIVERSITY OF MARY | $89,040,620 | $88,450,615 |
| MERCY MEDICAL CENTER | $93,524,652 | $87,483,667 |
| ROUGHRIDER ELECTRIC COOPERATIVE INC | $84,278,261 | $84,278,261 |
| ST JOSEPHS HOSPITAL AND HEALTH CENTER | $70,267,362 | $62,849,278 |
| SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE | $59,965,439 | $59,946,771 |
| DAKOTA VALLEY ELECTRIC COOPERATIVE INC | $56,133,367 | $56,133,367 |
| LUTHERAN CHARITY ASSOCIATION | $55,914,224 | $54,123,749 |
| DAKOTAS AND WESTERN MN ELECTRICAL INDUSTRY HEALTH AND WELFARE FUND | $45,923,989 | $48,008,635 |
| NORTHERN PLAINS ELECTRIC COOPERATIVE INC | $45,672,181 | $45,663,124 |
| ANNE CARLSEN CENTER | $42,302,569 | $41,351,311 |
| CAPITAL ELECTRIC COOPERATIVE INC | $40,140,299 | $39,373,096 |
| FIRST COMMUNITY CREDIT UNION | $47,098,566 | $38,838,200 |
| FARGO-MOORHEAD HOME BUILDERS HEALTH PLAN AND TRUST | $38,823,412 | $38,447,286 |