| CANONSBURG GENERAL HOSPITAL | $51,586,522 | $51,009,235 |
| SALUS UNIVERSITY | $52,169,129 | $50,823,126 |
| MENNONITE HOME | $47,135,739 | $50,159,849 |
| CENTER FOR ORGAN RECOVERY AND EDUCATION | $55,972,404 | $50,032,667 |
| BRETHREN VILLAGE | $53,429,612 | $49,623,901 |
| KIMMEL CENTER INC | $41,081,924 | $49,416,412 |
| IMMACULATA UNIVERSITY | $49,758,915 | $49,083,243 |
| SPRINGSIDE CHESTNUT HILL ACADEMY | $44,588,176 | $48,812,871 |
| INSTITUTE FOR SENIOR LIVING OF FLORIDA INC | $47,258,043 | $48,737,632 |
| BRETHREN HOME COMMUNITY | $49,950,549 | $48,630,317 |
| CONCORDIA LUTHERAN HEALTH AND HUMAN CARE | $56,276,977 | $48,246,868 |
| GENEVA COLLEGE | $56,403,559 | $47,906,691 |
| YMCA OF GREATER BRANDYWINE | $48,412,643 | $47,734,781 |
| FAYETTE RESOURCES INC | $52,253,274 | $47,539,954 |
| INVISION CUSTOMIZED SERVICES | $51,102,575 | $47,474,209 |
| HEAVY AND HIGHWAY CONSTRUCTION HEALTH AND WELFARE FUND | $42,624,524 | $47,094,253 |
| NORTHEAST PENNSYLVANIA SCHOOL DISTRICTS HEALTH TRUST | $52,276,198 | $46,848,703 |
| CENTRAL PENNSYLVANIA BEHAVIORAL HEALTH COLLABORATIVE INC | $47,145,388 | $46,786,376 |
| TRUSTEES OF THE PUBLIC SCHOOL OF GERMANTOWN | $47,218,283 | $46,650,666 |
| WINDBER HOSPITAL INC CHAN SOON-SHIONG MEDICAL CENTER WINDBER | $43,752,861 | $46,546,433 |
| DELTA DENTAL OF DELAWARE INC | $47,053,639 | $46,486,639 |
| PACIFIC GAS AND ELECTRIC POST RET MED PL TR MGT AND NON-BARG UNIT | $46,397,302 | $46,417,664 |
| HORIZON HOUSE REHABILITATION SERVICES INC | $45,685,757 | $46,371,933 |
| UFCW LOCAL 1776KS WESTERN DIVISION AND EMPLOYERS HEALTH FUND | $44,240,818 | $45,911,544 |
| GROVE CITY MEDICAL CENTER | $45,733,089 | $45,864,528 |