| UPMC | PITTSBURGH | $30,348,523,096 |
| NATIONAL PHILANTHROPIC TR | JENKINTOWN | $17,794,939,562 |
| TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | PHILADELPHIA | $11,670,540,000 |
| VANGUARD CHARITABLE ENDOWMENT PROGRAM | MALVERN | $6,666,887,642 |
| HIGHMARK HEALTH | PITTSBURGH | $6,059,666,088 |
| LEHIGH VALLEY HOSPITAL | ALLENTOWN | $4,266,690,493 |
| THE CHILDRENS HOSPITAL OF PHILADELPHIA | PHILADELPHIA | $4,165,576,231 |
| UNIVERSITY OF PITTSBURGH | PITTSBURGH | $3,574,990,567 |
| GEISINGER HEALTH PLAN | DANVILLE | $3,175,815,149 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | PHILADELPHIA | $2,987,121,392 |
| TEMPLE UNIVERSITY HOSPITAL INC | PHILADELPHIA | $2,728,530,922 |
| HEALTH PARTNERS PLANS INC | PHILADELPHIA | $2,601,819,990 |
| CARNEGIE MELLON UNIVERSITY | PITTSBURGH | $2,498,102,199 |
| GEISINGER MEDICAL CENTER | DANVILLE | $2,019,451,285 |
| YORK HOSPITAL | YORK | $1,967,544,974 |
| GEISINGER CLINIC | DANVILLE | $1,913,273,917 |
| MAIN LINE HOSPITALS INC | RADNOR | $1,876,580,310 |
| LANCASTER GENERAL HOSPITAL | LANCASTER | $1,840,325,876 |
| ST LUKES HOSPITAL | BETHLEHEM | $1,788,643,219 |
| TEMPLE UNIVERSITY-OF THE COMMONWEALTH SYSTEM OF HIGHER EDUC | PHILADELPHIA | $1,787,499,000 |
| UPMC | PITTSBURGH | $1,611,844,691 |
| READING HOSPITAL | WEST READING | $1,585,100,406 |
| THOMAS JEFFERSON UNIVERSITY | PHILADELPHIA | $1,581,285,779 |
| PENNSYLVANIA EMPLOYEES BENEFIT | HARRISBURG | $1,513,107,257 |
| DREXEL UNIVERSITY | PHILADELPHIA | $1,465,915,989 |
| JEFFERSON HEALTH CORPORATION | PHILADELPHIA | $1,436,250,818 |
| PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH | PHILADELPHIA | $1,418,193,001 |
| COMMUNITY BEHAVORIAL HEALTH | PHILADELPHIA | $1,310,906,717 |
| MILTON HERSHEY SCHOOL & SCHOOL TRUST | HERSHEY | $1,262,623,043 |
| NATIONAL ELEVATOR INDUSTRY HEALTH BENEFIT PLAN | NEWTOWN SQ | $1,167,161,646 |
| WELLSPAN MEDICAL GROUP | YORK | $1,153,356,451 |
| LEHIGH VALLEY PHYSICIAN GROUP | ALLENTOWN | $1,144,530,356 |
| ST LUKES PHYSICIAN GROUP INC | BETHLEHEM | $1,045,125,998 |
| GEISINGER WYOMING VALLEY MEDICAL CENTER | DANVILLE | $1,043,877,364 |
| GBU FINANCIAL LIFE | PITTSBURGH | $1,006,212,483 |
| VILLANOVA UNIVERSITY | VILLANOVA | $930,985,067 |
| PENNSYLVANIA HOSPITAL OF THE UNIV OF PENNSYLVANIA HEALTH SYSTEM | PHILADELPHIA | $930,519,232 |
| WELLSPAN HEALTH | YORK | $920,651,702 |
| STEELWORKERS HEALTH & WELFARE FUND | PITTSBURGH | $909,029,705 |
| GLAXOSMITHKLINE PATIENT ACCESS PROGRAMS FOUNDATION | PHILADELPHIA | $902,976,608 |
| DELTA DENTAL OF PENNSYLVANIA | CAMP HILL | $901,969,533 |
| ABINGTON MEMORIAL HOSPITAL | PHILADELPHIA | $899,279,834 |
| PENN STATE HEALTH | HERSHEY | $856,562,700 |
| LEHIGH UNIVERSITY | BETHLEHEM | $840,062,522 |
| GEISINGER SYSTEM SERVICES | DANVILLE | $836,870,045 |
| PUBLIC HEALTH MANAGEMENT CORPORATION | PHILADELPHIA | $762,918,719 |
| UNITED STEELWORKERS | PITTSBURGH | $693,986,753 |
| COMMONWEALTH CHARTER ACADEMY CHARTER SCHOOL | HARRISBURG | $664,798,612 |
| ROBERT PACKER HOSPITAL | SAYRE | $634,375,036 |
| EXCELA HEALTH | GREENSBURG | $628,106,455 |
| JEFFERSON HEALTH-NORTHEAST | PHILAFELPHIA | $622,262,209 |
| ACTS RETIREMENT-LIFE COMMUNITIES INC | FT WASHINGTON | $619,296,438 |
| HIGHMARK HEALTH | PITTSBURGH | $602,566,971 |
| MOUNT NITTANY MEDICAL CENTER | STATE COLLEGE | $588,411,090 |
| DUBOIS REGIONAL MEDICAL CENTER | DU BOIS | $581,796,918 |
| UPMC | PITTSBURGH | $575,946,712 |
| PEW MEMORIAL TRUST | PHILADELPHIA | $563,705,651 |
| CHAMBERSBURG HOSPITAL | YORK | $563,328,048 |
| COMMUNITY MEDICAL CENTER | DANVILLE | $561,529,097 |
| LEHIGH VALLEY HOSPITAL POCONO | ALLENTOWN | $552,777,598 |
| MAIN LINE HEALTHCARE | RADNOR | $551,643,369 |
| DUQUESNE UNIVERSITY OF THE HOLY SPIRIT | PITTSBURGH | $535,237,246 |
| GUTHRIE MEDICAL GROUP PC | SAYRE | $513,406,727 |
| DEVEREUX FOUNDATION | VILLANOVA | $507,919,260 |
| TOWER HEALTH | READING | $502,368,130 |
| GCU | BEAVER | $501,090,460 |
| JEFFERSON UNIVERSITY PHYSICIANS | PHILADELPHIA | $496,377,280 |
| ALLEGHENY COUNTY SCHOOLS HEALTH INSURANCE CONSORTIUM | WEXFORD | $492,045,539 |
| THE CHILDRENS HOSPITAL OF PHILADELPHIA FOUNDATION | PHILADELPHIA | $490,140,423 |
| ST CLAIR HEALTH CORPORATION | PITTSBURGH | $486,649,622 |
| CHILDRENS HEALTH CARE ASSOCIATES INC | PHILADELPHIA | $485,200,881 |
| UPMC | PITTSBURGH | $482,959,040 |
| CHESTER COUNTY HOSPITAL | WEST CHESTER | $463,359,990 |
| TEMPLE FACULTY PRACTICE PLAN INC | PHILADELPHIA | $455,635,240 |
| SAINT JOSEPHS UNIVERSITY | PHILADELPHIA | $430,394,891 |
| ST MARY MEDICAL CENTER | LANGHORN | $423,660,105 |
| BUCKNELL UNIVERSITY | LEWISBURG | $420,693,420 |
| THE AMERICAN ONCOLOGIC HOSPITAL | PHILADELPHIA | $411,324,903 |
| UPMC WESTERN MARYLAND CORPORATION | PITTSBURGH | $407,309,100 |
| HOLY REDEEMER HEALTH SYSTEM | MEADOWBROOK | $401,837,400 |
| DOYLESTOWN HOSPITAL | DOYLESTOWN | $385,475,843 |
| SWARTHMORE COLLEGE | SWARTHMORE | $382,192,696 |
| SOUTHWEST BEHAVIORAL HEALTH MANAGEMENT INC | NEW CASTLE | $381,389,091 |
| HERITAGE VALLEY HEALTH SYSTEM INC | SEWICKLEY | $379,182,287 |
| ST JOSEPH REGIONAL HEALTH NETWORK | HERSHEY | $365,945,483 |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER | HERSHEY | $356,039,266 |
| GETTYSBURG HOSPITAL | YORK | $355,388,746 |
| CAPITAL AREA BEHAVIORAL HEALTH COLLABORATIVE INC | HARRISBURG | $343,375,313 |
| VIZO FINANCIAL CORPORATE CREDIT UNION | MIDDLETOWN | $342,674,561 |
| RIDDLE MEMORIAL HOSPITAL | RADNOR | $341,274,095 |
| THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA | YORK | $336,729,854 |
| LAFAYETTE COLLEGE | EASTON | $335,226,661 |
| BUTLER HEALTHCARE PROVIDERS | BUTLER | $333,028,054 |
| EASTERN ATLANTIC STATES CARPENTERS HEALTH FUND | PHILADELPHIA | $332,923,828 |
| RESOURCES FOR HUMAN DEVELOPMENT INC | PHILADELPHIA | $325,713,965 |
| NATIONAL SLOVAK SOCIETY OF THE USA | CANONSBURG | $325,199,717 |
| EPHRATA COMMUNITY HOSPITAL | YORK | $323,683,133 |
| TEMPLE UNIVERSITY HEALTH SYSTEM INC | PHILADELPHIA | $312,795,840 |
| THE GUTHRIE CLINIC | SYRE | $307,762,669 |
| WIDENER UNIVERSITY | CHESTER | $294,909,738 |
| EVANGELICAL COMMUNITY HOSPITAL | LEWISBURG | $294,270,847 |
| UNIVERSITY OF SCRANTON | SCRANTON | $294,074,987 |
| MEADVILLE MEDICAL CENTER | MEADVILLE | $293,242,808 |
| ST LUKE S HOSPITAL- GRAND VIEW CAMPUS | SELLERSVILLE | $279,472,712 |
| PHI GROUP RETURN | DILLSBURG | $278,636,015 |
| UPMC WASHINGTON | PITTSBURGH | $276,679,026 |
| INDIANA REGIONAL MEDICAL CENTER | INDIANA | $275,456,238 |
| BRYN MAWR COLLEGE | BRYN MAWR | $273,694,436 |
| DICKINSON COLLEGE | CARLISLE | $266,152,779 |
| DELAWARE COUNTY PUBLIC SCHOOLS HEALTHCARE TRUST | MORTON | $265,768,053 |
| SUN COAST NURSING CENTERS INC | BALA CYNWYD | $265,015,475 |
| MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA | ELIZABETHTOWN | $263,359,313 |
| ST LUKES HOSPITAL-MONROE CAMPUS | ALLENTOWN | $250,513,762 |
| LEHIGH VALLEY HOSPITAL-HAZLETON | ALLENTOWN | $247,294,494 |
| ST LUKES WARREN HOSPITAL INC | BETHLEHEM | $241,130,935 |
| UPMC | PITTSBURGH | $233,925,063 |
| GETTYSBURG COLLEGE | GETTYSBURG | $231,648,488 |
| LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE INC | ERIE | $230,492,050 |
| UPMC | PITTSBURGH | $229,979,761 |
| PENNSYLVANIA CYBER CHARTER SCHOOL | MIDLAND | $223,622,128 |
| CORPORATION OF HAVERFORD COLLEGE | HAVERFORD | $212,487,281 |
| GEISINGER HEALTH | DANVILLE | $202,773,951 |
| FRANKLIN & MARSHALL COLLEGE | LANCASTER | $199,432,384 |
| NATIONAL BOARD OF MEDICAL EXAMINERS | PHILADELPHIA | $189,758,430 |
| JOHN TEMPLETON FOUNDATION | WEST CONSHOHOCKEN | $175,754,080 |
| SUSQUEHANNA UNIVERSITY | SELINSGROVE | $173,028,993 |
| MUHLENBERG COLLEGE | ALLENTOWN | $160,215,961 |
| GANNON UNIVERSITY | ERIE | $159,593,681 |
| THE PITTSBURGH FOUNDATION | PITTSBURGH | $159,126,734 |
| WILLOW VALLEY COMMUNITIES | WILLOW STREET | $159,080,275 |
| YORK COLLEGE OF PENNSYLVANIA | YORK | $149,850,420 |
| ST LUKES HEALTH NETWORK INC | BETHLEHEM | $147,653,642 |
| CONCORDIA LUTHERAN MINISTRIES | CABOT | $140,669,178 |
| UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA | PITTSBURGH | $137,227,848 |
| GROVE CITY COLLEGE | GROVE CITY | $124,522,482 |
| LABORERS DISTRICT COUNCIL OF | PITTSBURGH | $123,288,554 |
| WILLIAM PENN FOUNDATION | PHILADELPHIA | $108,930,400 |
| DIETRICH FOUNDATION | PITTSBURGH | $107,295,535 |
| PHILADELPHIA MUSEUM OF ART | PHILADELPHIA | $94,551,536 |
| THE HEINZ ENDOWMENTS | PITTSBURGH | $93,890,340 |
| AMERICAN ELECTRIC POWER SYSTEM RETIREE MEDICAL TRUST | PITTSBURGH | $90,513,626 |
| AMERICAN BIBLE SOCIETY | PHILADELPHIA | $81,580,102 |
| THE WISTAR INSTITUTE OF ANATOMY AND BIOLOGY | PHILADELPHIA | $77,322,000 |
| ACCESSLEX INSTITUTE | WEST CHESTER | $72,063,198 |
| LONGWOOD GARDENS INC | KENNETT SQ | $72,037,073 |
| PHEAA STUDENT LOAN FOUNDATION INC | HARRISBURG | $71,037,628 |
| HILLMAN FAMILY FOUNDATIONS | PITTSBURGH | $63,977,937 |
| UNITED STATES STEEL CORPORATION REPRESENTED RETIREES BENEFIT TRUST | PITTSBURGH | $45,484,566 |
| THE DEERE & COMPANY WELFARE BENEFIT VEBA FOR SALARIED EMPLOYEES | PITTSBURGH | $35,758,098 |