| ALLEGHENY COUNTY SCHOOLS HEALTH INSURANCE CONSORTIUM | $335,088,068 | $321,789,286 |
| KPMG LLP HEALTH PLANS TRUST | $325,234,261 | $318,454,188 |
| TEMPLE FACULTY PRACTICE PLAN INC | $320,908,145 | $317,893,751 |
| HOLY REDEEMER HEALTH SYSTEM | $327,741,870 | $315,809,005 |
| GCU | $341,905,191 | $315,236,135 |
| HIGHMARK HEALTH | $331,096,827 | $313,498,195 |
| MAIN LINE HEALTHCARE | $310,535,023 | $311,298,770 |
| SAINT JOSEPHS UNIVERSITY | $320,741,348 | $309,629,653 |
| MILTON HERSHEY SCHOOL AND SCHOOL TRUST | $1,441,237,383 | $305,866,789 |
| PROJECT MANAGEMENT INSTITUTE | $285,469,192 | $301,871,603 |
| DOYLESTOWN HOSPITAL | $320,415,607 | $301,775,897 |
| BUCKNELL UNIVERSITY | $330,771,712 | $298,948,333 |
| HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY | $326,188,059 | $296,060,776 |
| CARING PEOPLE ALLIANCE | $291,102,431 | $291,697,417 |
| PINNACLE HEALTH MEDICAL SERVICES | $284,322,151 | $291,560,435 |
| ST JOSEPH REGIONAL HEALTH NETWORK | $261,470,847 | $287,935,558 |
| BUTLER HEALTHCARE PROVIDERS | $278,241,497 | $283,737,158 |
| CAPITAL AREA BEHAVIORAL HEALTH COLLABORATIVE | $307,383,299 | $283,402,228 |
| PRUDENTIAL WELFARE BENEFITS TRUST | $280,443,207 | $282,678,284 |
| SOUTHWEST BEHAVIORAL HEALTH MANAGEMENT INC | $281,088,743 | $274,707,940 |
| UNITED STATES STEEL CORPORATION ACTIVE EMPLOYEE INSURANCE BENEFITS TRUST | $274,514,359 | $274,679,372 |
| RESOURCES FOR HUMAN DEVELOPMENT INC | $274,023,560 | $274,393,286 |
| BLUE CROSS COMPLETE OF MICHIGAN | $259,648,178 | $273,512,782 |
| JEFFERSON REGIONAL MEDICAL CENTER | $261,706,088 | $269,436,000 |
| SAINT VINCENT HEALTH CENTER | $291,352,484 | $266,287,898 |