| PMHCC INC | $59,228,319 | $59,612,501 |
| GOODWILL OF SOUTHWESTERN PENNSYLVANIA | $59,004,387 | $59,587,867 |
| PHILADELPHIA FEDERATION OF TEACHERS HEALTH AND WELFARE FUND | $52,024,497 | $59,530,073 |
| ELK REGIONAL HEALTH CENTER | $63,853,442 | $59,352,990 |
| NORTHWESTERN REGION EMPLOYEE BENEFIT TRUST | $61,132,176 | $59,223,479 |
| SKILLS OF CENTRAL PENNSYLVANIA INC | $61,876,173 | $58,881,000 |
| UNIQUESOURCE PRODUCTS AND SERVICES | $60,247,250 | $58,544,755 |
| BRYN MAWR REHABILITATION HOSPITAL | $71,120,562 | $58,367,487 |
| TURNING POINTS FOR CHILDREN | $60,538,499 | $58,254,497 |
| MAGEE-WOMENS RESEARCH INSTITUTE AND FOUNDATION | $80,690,649 | $57,473,228 |
| CHAMBERSBURG HEALTH SERVICES | $42,448,313 | $57,355,619 |
| WESLEY FAMILY SERVICES | $58,345,322 | $57,155,787 |
| ALLEGHENY MEDICAL PRACTICE NETWORK | $40,900,609 | $56,810,846 |
| COLLEGIUM CHARTER SCHOOL | $56,409,808 | $55,934,802 |
| KENDAL-CROSSLANDS COMMUNITIES | $60,239,273 | $55,860,227 |
| BAPTIST HOMES SOCIETY | $50,330,063 | $55,692,507 |
| LUTHERCARE | $51,782,237 | $55,631,036 |
| CEDAR CREST COLLEGE | $56,312,117 | $55,499,399 |
| GEISINGER-BLOOMSBURG HOSPITAL | $55,290,205 | $55,447,031 |
| WAYNESBURG UNIVERSITY | $52,759,639 | $55,383,486 |
| AMERICAN BOARD OF INTERNAL MEDICINE | $64,967,917 | $55,209,565 |
| COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE | $50,146,789 | $55,191,373 |
| ACTS RETIREMENT SERVICES INC GRP EXEMP | $58,530,055 | $54,948,359 |
| CHESTNUT HILL COLLEGE | $54,912,865 | $54,922,271 |
| CENTRAL SUSQUEHANNA REGION SCHOOL EMPLOYEES HEALTH AND WELFARE TRUST | $59,331,331 | $54,739,217 |