| CONFLUENCE HEALTH | $222,550,508 | $220,724,753 |
| BLOODWORKS | $209,722,936 | $213,177,157 |
| SEIU HEALTHCARE NW HEALTH BENEFITS TRUST | $258,351,358 | $211,267,262 |
| PROVIDENCE MEDICAL INSTITUTE | $114,389,825 | $208,265,323 |
| HIGHLINE MEDICAL CENTER | $187,895,615 | $207,293,573 |
| ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS | $207,865,078 | $207,134,231 |
| SWEDISH EDMONDS | $238,931,655 | $198,392,256 |
| CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON | $196,880,056 | $186,182,866 |
| COMMUNITY HEALTH NETWORK OF WASHINGTON | $183,672,798 | $178,870,666 |
| EDUCATIONAL CORPORATION MUKOGAWA GAKUIN | $177,918,726 | $178,699,259 |
| UNIVERSITY OF WASHINGTON FOUNDATION | $180,828,557 | $175,968,854 |
| UNIVERSITY OF PUGET SOUND | $176,238,423 | $174,393,417 |
| PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION | $114,975,780 | $173,575,034 |
| SEATTLE PACIFIC UNIVERSITY | $172,890,708 | $170,987,482 |
| CARPENTERS HEALTH AND SECURITY PLAN OF WESTERN WASHINGTON | $165,632,564 | $168,499,811 |
| COVENANT MEDICAL GROUP | $166,924,359 | $166,783,351 |
| SKOOKUM EDUCATIONAL PROGRAMS | $173,177,097 | $164,740,804 |
| WASHINGTON STATE EMPLOYEES CREDIT UNION | $192,328,707 | $160,546,308 |
| SEATTLE CHILDRENS HOSPITAL FOUNDATION | $159,932,225 | $159,932,225 |
| PACIFIC LUTHERAN UNIVERSITY | $157,900,838 | $157,020,697 |
| SAN FRANCISCO CULINARY BARTENDERS AND SERVICE EMPLOYEES WELFARE FUND | $176,922,910 | $155,644,886 |
| WHITWORTH UNIVERSITY | $142,477,497 | $148,129,279 |
| LOCALS 302 AND 612 INTL UNION OF OP ENG CONST IND HEALTH AND SECURITY PLAN | $164,477,646 | $146,554,916 |
| SEATTLE FOUNDATION | $223,919,187 | $143,052,797 |
| ASEAAFSCME LOCAL 52 HEALTH BENEFITS TRUST | $151,553,886 | $140,068,684 |