| LANCASTER GENERAL MEDICAL GROUP | $121,615,307 | $209,043,207 |
| MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA | $227,284,673 | $207,643,375 |
| CHILDRENS HOSPITAL OF PHILADELPHIA FOUNDATION | $189,062,346 | $206,015,422 |
| UNITED STATES STEEL CORPORATION RETIREE INSURANCE BENEFITS TRUST | $207,159,700 | $205,133,330 |
| GETTYSBURG COLLEGE | $196,773,554 | $203,180,305 |
| BELL ATLANTIC RETIREE LIFE INSURANCE PLAN TRUST | $3,579,317 | $202,611,842 |
| NATIONAL SLOVAK SOCIETY OF THE USA | $206,639,531 | $199,505,421 |
| AMALGAMATED NATIONAL HEALTH FUND | $206,174,998 | $199,380,091 |
| DELAWARE COUNTY PUBLIC SCHOOLS HEALTHCARE TRUST | $231,127,127 | $198,656,874 |
| MEADVILLE MEDICAL CENTER | $200,885,969 | $195,940,767 |
| FRANKLIN AND MARSHALL COLLEGE | $176,394,107 | $193,956,044 |
| KRAFT HEINZ COMPANY GROUP BENEFIT TRUST I | $192,450,339 | $192,058,875 |
| DICKINSON COLLEGE | $198,527,205 | $191,702,515 |
| CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM | $192,279,199 | $190,199,261 |
| MAIN LINE SERVICES | $177,994,756 | $181,358,098 |
| GUTHRIE CLINIC | $116,249,086 | $179,841,694 |
| EVANGELICAL COMMUNITY HOSPITAL | $229,174,109 | $177,975,310 |
| NATIONAL BOARD OF MEDICAL EXAMINERS | $180,705,162 | $177,615,287 |
| DISTRICT COUNCIL 33 HEALTH -WELFARE FUND | $184,310,593 | $175,419,407 |
| ST LUKES HOSPITAL MONROE CAMPUS | $172,166,685 | $173,614,053 |
| BRYN MAWR COLLEGE | $204,085,223 | $172,384,837 |
| NAZARETH HOSPITAL | $172,334,427 | $170,889,963 |
| ROBERT MORRIS UNIVERSITY | $177,880,391 | $169,056,500 |
| UPMC PINNACLE HANOVER | $174,222,904 | $168,505,083 |
| DEERE AND COMPANY WELFARE BENEFIT TRUST 1 | $316,492,702 | $168,406,937 |