| NOVANT HEALTH INC | WINSTON SALEM | $6,542,888,138 |
| DUKE UNIVERSITY HEALTH SYSTEM INC | DURHAM | $6,165,109,566 |
| DUKE UNIVERSITY | DURHAM | $4,754,345,666 |
| NORTH CAROLINA BAPTIST HOSPITAL | WINSTONSALEM | $3,259,407,603 |
| GOTHIC CORPORATION | DURHAM | $3,176,211,784 |
| STATE CHARTERED CREDIT UNIONS INC | RALEIGH | $2,922,921,560 |
| WAKEMED | RALEIGH | $2,599,042,078 |
| PRESBYTERIAN HOSPITAL | WINSTON SALEM | $2,274,729,924 |
| PITT COUNTY MEMORIAL HOSPITAL INC | GREENVILLE | $2,223,240,973 |
| REX HOSPITAL INC | RALEIGH | $1,916,498,283 |
| SAMARITANS PURSE | BOONE | $1,839,497,527 |
| WAKE FOREST UNIVERSITY HEALTH SCIENCES | WINSTONSALEM | $1,713,703,683 |
| FORSYTH MEMORIAL HOSPITAL INC | WINSTON SALEM | $1,560,678,254 |
| NORTH CAROLINA ELECTRIC MEMBERSHIP CORPORATION | RALEIGH | $1,402,413,754 |
| RESEARCH TRIANGLE INSTITUTE | RTP | $1,254,259,534 |
| FIRST HEALTH OF THE CAROLINAS INC | PINEHURST | $1,179,213,070 |
| GOTHIC HSP CORPORATION | DURHAM | $974,815,584 |
| WAKE FOREST UNIVERSITY | WINSTONSALEM | $843,176,173 |
| ATLANTIC COAST CONFERENCE | CHARLOTTE | $826,480,916 |
| GASTON MEMORIAL HOSPITAL INC | GASTONIA | $790,891,234 |
| FOUNDATION FOR THE CAROLINAS | CHARLOTTE | $761,389,623 |
| NORTH CAROLINA INSURANCE | RALEIGH | $673,514,463 |
| EAST CAROLINA HEALTH | GREENVILLE | $599,551,368 |
| THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION | GREENSBORO | $598,632,199 |
| FAMILY HEALTH INTERNATIONAL | DURHAM | $539,608,705 |
| SANDHILLS CENTER FOR MENTAL HEALTH DEVELOPMENTAL DISABILITIES & SUBST | WEST END | $532,949,142 |
| HIGH POINT REGIONAL HEALTH | HIGH POINT | $502,891,625 |
| HIGH POINT UNIVERSITY | HIGH POINT | $501,892,632 |
| DUKE ENDOWMENT | CHARLOTTE | $497,718,591 |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC | GREENVILLE | $457,914,887 |
| ELON UNIVERSITY | ELON | $441,401,510 |
| L C IND INC | DURHAM | $408,056,988 |
| WAYNE MEMORIAL HOSPITAL INC | GOLDSBORO | $402,014,940 |
| SOUTHEASTERN REGIONAL MEDICAL CENTER | LUMBERTON | $374,729,794 |
| BLUE RIDGE HEALTHCARE HOSPITALS INC | MORGANTON | $373,147,584 |
| GROUP HEALTH PROGRAM OF THE NATNL TELECOMMUNICATIONS COOP ASSOC | ASHEVILLE | $353,314,204 |
| CUMBERLAND COUNTY HOSPITAL SYSTEM INC | FAYETTEVILLE | $346,889,617 |
| FLETCHER HOSPITAL INC | HENDERSONVLLE | $332,217,579 |
| SCOTLAND MEMORIAL HOSPITAL INCORPORATED | LAURINBURG | $323,287,922 |
| ENERGYUNITED ELECTRIC MEMBERSHIP CORPORATION | STATESVILLE | $313,161,255 |
| NC STATE INVESTMENT FUND INC | RALEIGH | $304,333,028 |
| DAVIDSON COLLEGE | DAVIDSON | $295,951,405 |
| DOGWOOD HEALTH TRUST | ASHEVILLE | $265,852,884 |
| CAMPBELL UNIVERSITY | BUIES CREEK | $258,344,677 |
| BRUNSWICK ELECTRIC MEMBERSHIP CORP | SHALLOTTE | $237,136,636 |
| AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS | DURHAM | $227,787,881 |
| UNION ELECTRIC MEMBERSHIP CORP | MONROE | $204,861,227 |
| SELF HELP VENTURES FUND | DURHAM | $189,217,541 |
| BLUE RIDGE ELECTRIC MEMBERSHIP CORPORATION | LENOIR | $182,234,252 |
| WINGATE UNIVERSITY | WINGATE | $178,345,647 |
| RUTHERFORD ELECTRIC MEMBERSHIP | FOREST CITY | $174,495,890 |
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | WINSTONSALEM | $172,627,029 |
| THE GOLDEN L E A F LONG-TERM ECONOMIC ADVANCEMENT FOUNDATION IN | ROCKY MOUNT | $171,537,614 |
| JONES-ONSLOW ELECTRIC MEMBERSHIP CORPORATION | JACKSONVILLE | $170,617,411 |
| LUMBEE RIVER ELECTRIC MEMBERSHIP CORPORATION | PEMBROKE | $169,560,200 |
| NEW HANOVER COMMUNITY ENDOWMENT INC | WILMINGTON | $111,652,777 |
| ALAMANCE REGIONAL MEDICAL CENTER | GREENSBORO | $107,512,685 |
| NOVANT HEALTH MEDICAL GROUP LLC | WINSTON SALEM | $105,546,529 |
| SELF HELP CREDIT UNION | DURHAM | $102,180,876 |
| STATE CHARTERED CREDIT UNIONS IN NORTH CAROLINA | DURHAM | $82,531,419 |
| MOSES H CONE MEMORIAL HOSPITAL | GREENSBORO | $53,658,006 |