| KAISER FOUNDATION HEALTH PLAN INC | OAKLAND | $82,490,440,881 |
| KAISER FOUNDATION HOSPITALS | OAKLAND | $38,196,336,924 |
| MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES GROUP RTN | SOMERVILLE | $24,908,354,094 |
| CLEVELAND CLINIC FOUNDATION | INDEPENDENCE | $17,206,708,633 |
| MAYO CLINIC GROUP RETURN | ROCHESTER | $14,891,458,272 |
| HEALTHFIRST PHSP INC | NEW YORK | $12,172,591,281 |
| DIGNITY HEALTH | SAN FRANCISCO | $11,619,907,844 |
| BON SECOURS MERCY HEALTH INC | BLUE ASH | $11,537,795,267 |
| COREWELL HEALTH | GRAND RAPIDS | $11,491,275,449 |
| BJC HEALTH SYSTEM | SAINT LOUIS | $11,251,316,536 |
| NORTHWESTERN MEMORIAL HEALTHCARE | CHICAGO | $11,241,795,455 |
| BANNER HEALTH | PHOENIX | $10,839,690,022 |
| THE NEW YORK AND PRESBYTERIAN HOSPITAL | NEW YORK | $10,662,065,094 |
| IHC HEALTH SERVICES INC | SALT LAKE CTY | $10,650,854,026 |
| NYU LANGONE HOSPITALS | NEW YORK | $10,489,477,025 |
| PROVIDENCE HEALTH & SERVICES WASHINGTON | RENTON | $9,728,808,188 |
| THE CLEVELAND CLINIC FOUNDATION | INDEPENDENCE | $9,680,031,802 |
| HACKENSACK MERIDIAN HEALTH INC | EDISON | $8,846,442,863 |
| STANFORD HEALTH CARE 227 | STANFORD | $8,679,438,173 |
| VANDERBILT UNIVERSITY MEDICAL CENTER | NASHVILLE | $8,674,383,028 |
| MEMORIAL HERMANN HEALTH SYSTEM | HOUSTON | $8,563,610,095 |
| CARESOURCE OHIO INC | DAYTON | $8,559,845,484 |
| MEMORIAL SLOAN-KETTERING CANCER CENTER | NEW YORK | $8,499,234,483 |
| NORTHSIDE HOSPITAL INC | SANDY SPRINGS | $8,363,035,234 |
| ADVENTIST HEALTH SYSTEM SUNBELT INC | ALTAMONTE SPG | $8,312,865,593 |
| MAYO CLINIC | ROCHESTER | $7,929,118,794 |
| ADVOCATE HEALTH AND HOSPITALS CORPORATION | DOWNERS GROVE | $7,808,910,070 |
| RWJ BARNABAS HEALTH INC | OCEANPORT | $7,777,256,607 |
| ORLANDO HEALTH INC | ORLANDO | $7,296,589,884 |
| UCARE MINNESOTA | MINNEAPOLIS | $7,081,906,710 |
| NOVANT HEALTH INC | WINSTON SALEM | $6,542,888,138 |
| SENTARA HEALTH PLANS | VIRGINIA BCH | $6,496,481,283 |
| INOVA HEALTH CARE SERVICES | FAIRFAX | $6,423,097,177 |
| DELTA DENTAL OF CALIFORNIA | SAN FRANCISCO | $6,256,981,163 |
| DUKE UNIVERSITY HEALTH SYSTEM INC | DURHAM | $6,165,109,566 |
| INDIANA UNIVERSITY HEALTH INC | INDIANAPOLIS | $6,079,560,656 |
| OCHSNER CLINIC FOUNDATION | NEW ORLEANS | $6,038,885,387 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC | OAKLAND | $6,001,990,257 |
| UNIVERSITY HOSPITALS HEALTH SYSTEM INC | SHAKER HTS | $5,946,385,392 |
| ALLINA HEALTH SYSTEM | MINNEAPOLIS | $5,929,260,387 |
| MONTEFIORE MEDICAL CENTER | BRONX | $5,908,041,192 |
| PROVIDENCE HEALTH & SERVICES OREGON | SEATTLE | $5,906,975,155 |
| CEDARS-SINAI MEDICAL CENTER | W HOLLYWOOD | $5,868,996,069 |
| BOSTON MEDICAL CENTER HEALTH PLAN INC | CHARLESTOWN | $5,805,074,727 |
| OHIOHEALTH CORPORATION | COLUMBUS | $5,723,845,185 |
| SUTTER BAY HOSPITALS | SACRAMENTO | $5,641,585,101 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | PORTLAND | $5,396,203,286 |
| FAIRVIEW HEALTH SERVICES | MINNEAPOLIS | $5,326,063,577 |
| HENRY FORD HEALTH SYSTEM | DETROIT | $5,284,200,687 |
| SUTTER VALLEY HOSPITALS | SACRAMENTO | $5,141,193,321 |