| JOHNS HOPKINS UNIVERSITY | BALTIMORE | $10,623,431,000 |
| THE JOHNS HOPKINS HOSPITAL | BALTIMORE | $3,757,011,681 |
| A D F COMMUNITY OUTREACH FOUNDATION INC | MECHANICSVLLE | $2,878,868,000 |
| FINANCIAL INDUSTRY REGULATORY AUTHORITY INC | ROCKVILLE | $2,607,503,080 |
| UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION | LINTHICUM HEIGHTS | $2,527,227,702 |
| HH MEDSTAR HEALTH INC | COLUMBIA | $2,399,792,762 |
| HOWARD HUGHES MEDICAL INSTITUTE | CHEVY CHASE | $2,004,784,057 |
| WASHINGTON HOSPITAL CENTER CORPORATION | COLUMBIA | $1,907,162,276 |
| MEDSTAR-GEORGETOWN MEDICAL CENTER INC | COLUMBIA | $1,902,689,707 |
| FINRA REGULATION INC | ROCKVILLE | $1,354,035,278 |
| AMERICAN POSTAL WORKERS UNION | ELKRIDGE | $1,312,607,122 |
| SINAI HOSPITAL OF BALTIMORE INC | BALTIMORE | $1,063,163,867 |
| JOHNS HOPKINS ALL CHILDRENS HOSPITAL INC | BALTIMORE | $948,805,768 |
| HEALTHWELL FOUNDATION | GERMANTOWN | $911,501,566 |
| ADVENTIST HEALTHCARE INC | GAITHERSBURG | $909,767,420 |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC | BALTIMORE | $899,082,164 |
| NECA IBEW FAMILY MEDICAL CARE TR FUND | ROCKVILLE | $850,166,160 |
| THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION | BALTIMORE | $783,774,051 |
| HOLY CROSS HEALTH INC | SILVER SPRING | $779,660,303 |
| LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER INC | ANNAPOLIS | $759,645,663 |
| LUCY WEBB HAYNES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSION | BALTIMORE | $750,057,588 |
| MERITUS MEDICAL CENTER INC | HAGERSTOWN | $721,344,610 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | BALTIMORE | $696,103,792 |
| MERCY MEDICAL CENTER INC | BALTIMORE | $685,010,875 |
| IMPACTASSETS INC | BETHESDA | $680,266,004 |
| GREATER BALTIMORE MEDICAL CENTER | TOWSON | $674,638,318 |
| FRANKLIN SQUARE HOSPITAL CENTER INC | BALTIMORE | $655,250,368 |
| TIDALHEALTH PENINSULA REGIONAL INC | SALISBURY | $643,626,175 |
| HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE | BETHESDA | $616,261,455 |
| UMSJ HEALTH SYSTEM LLC | TOWSON | $605,586,313 |
| SOUTHERN MARYLAND ELECTRIC COOPERATIVE INC | HUGHESVILLE | $542,483,099 |
| DIMENSIONS HEALTH CORPORATION | LINTHICUM HEIGHTS | $522,450,363 |
| BALTIMORE WASHINGTON MEDICAL CENTER INC | LINTHICUM HEIGHTS | $519,708,485 |
| UPPER CHESAPEAKE MEDICAL CENTER INC | LINTHICUM HEIGHTS | $487,858,407 |
| UNION MEMORIAL HOSPITAL | BALTIMORE | $472,689,210 |
| FREDERICK HEALTH HOSPITAL INC | FREDERICK | $455,241,558 |
| SUBURBAN HOSPITAL INCORPORATED | BALTIMORE | $427,696,589 |
| MEDSTAR HEALTH INC | COLUMBIA | $423,331,709 |
| NATIONAL AUTOMATIC SPRINKLER INDUSTRY WELFARE FUND | LANDOVER | $397,511,934 |
| NATIONAL GALLERY OF ART | LANDOVER | $382,850,886 |
| LOYOLA UNIVERSITY MARYLAND INC | BALTIMORE | $368,946,806 |
| HOWARD COUNTY GENERAL HOSPITAL INC | BALTIMORE | $363,430,800 |
| UNITED STATES PHARMACOPEIAL CONVENTION INC | ROCKVILLE | $357,720,644 |
| CYSTIC FIBROSIS FOUNDATION | BETHESDA | $355,798,320 |
| LIFEBRIDGE HEALTH INC | OWINGS MILLS | $346,646,456 |
| SHEPPARD PRATT HEALTH SYSTEM INC | BALTIMORE | $343,486,385 |
| SHORE HEALTH SYSTEM INC | LINTHICUM HEIGHTS | $342,158,391 |
| STATE EMPLOYEES CREDIT UNION OF MARYLAND INC | LINTHICUM | $333,079,288 |
| MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC | COLUMBIA | $325,672,957 |
| AMERICAN KIDNEY FUND INC | ROCKVILLE | $324,644,050 |
| TIDALHEALTH INC | SALISBURY | $324,202,464 |
| CARROLL HOSPITAL CENTER INC | WESTMINSTER | $301,649,774 |
| NORTHWEST HOSPITAL CENTER INC | RANDALLSTOWN | $301,057,893 |
| THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC | BALTIMORE | $299,427,213 |
| LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC | ANNAPOLIS | $287,913,877 |
| MARYLAND GENERAL HOSPITAL | LINTHICUM HEIGHTS | $285,214,828 |
| JOHNS HOPKINS UNIVERSITY | BALTIMORE | $280,524,446 |
| GLENSTONE FOUNDATION | POTOMAC | $266,804,717 |
| GENE UPSHAW NFL PLAYER HEALTH REIMBURSEMENT ACCOUNT PLAN TRUST | BALTIMORE | $265,789,149 |
| SPECIAL AGENTS MUTUAL BENEFIT | ROCKVILLE | $259,545,577 |
| T ROWE PRICE PROGRAM FOR CHARITABLE GIVING INC | BALTIMORE | $241,178,122 |
| MARYLAND ECONOMIC DEVELOPMENT CORPORATION | BALTIMORE | $218,068,432 |
| ASBURY ATLANTIC INC | FREDERICK | $212,854,275 |
| ELECTRICAL WELFARE TRUST FUND | LANHAM | $195,649,514 |
| CHOPTANK ELECTRIC CORP | DENTON | $190,063,260 |
| UNIVERSITY OF MARYLAND COLLEGE PARK FOUNDATION INC | COLLEGE PARK | $187,927,589 |
| STEVENSON UNIVERSITY INC | OWINGS MILLS | $187,727,722 |
| UNITED ASSOCIATION OF JOURNEYMEN & APPRENTICES OF THE PLUMBING & PIPE | ANNAPOLIS | $185,325,356 |
| LUMINIS HEALTH INC | ANNAPOLIS | $167,378,576 |
| SEAFARERS HEALTH AND BENEFITS PLAN | CAMP SPRINGS | $164,732,059 |
| THE HARRY & JEANETTE WEINBERG FOUNDATION INC | OWINGS MILLS | $161,752,607 |
| RIDERWOOD VILLAGE INC | CATONSVILLE | $146,205,535 |
| ANNIE E CASEY FOUNDATION | BALTIMORE | $122,731,148 |
| ENTERPRISE COMMUNITY PARTNERS INC | COLUMBIA | $114,759,991 |
| ASHBY PONDS INC | CATONSVILLE | $114,534,137 |
| GREENSPRING VILLAGE INC | CATONSVILLE | $113,993,957 |
| GLOBAL COMMUNITIES INC | BETHESDA | $112,100,528 |
| DAVIS FAMILY FOUNDATION | HANOVER | $101,538,554 |
| ENTERPRISE COMMUNITY INVESTMENT INC | COLUMBIA | $94,119,207 |
| MUNICIPAL EMPLOYEES CREDIT UNION OF BALTIMORE INC | BALTIMORE | $77,729,986 |
| UNIVERSITY OF MARYLAND FOUNDATION INC | ADELPHI | $75,540,447 |