| UPMC | $30,348,523,096 |
| Highmark Health | $6,059,666,088 |
| University of Pittsburgh | $3,574,990,567 |
| Carnegie Mellon University | $2,498,102,199 |
| UPMC | $1,611,844,691 |
| Gbu Financial Life | $1,006,212,483 |
| Steelworkers Health & Welfare Fund | $909,029,705 |
| United Steelworkers | $693,986,753 |
| Highmark Health | $602,566,971 |
| UPMC | $575,946,712 |
| Duquesne University of the Holy Spirit | $535,237,246 |
| St Clair Health Corporation | $486,649,622 |
| UPMC | $482,959,040 |
| UPMC Western Maryland Corporation | $407,309,100 |
| UPMC Washington | $276,679,026 |
| Employee Benefit Trust of Harris Trust and Savings Bank and | $265,780,877 |
| UPMC | $233,925,063 |
| UPMC | $233,221,747 |
| UPMC | $229,979,761 |
| UPMC Chautauqua at Wca | $181,852,194 |
| UPMC | $179,479,486 |
| Uhf-Ca Gift Annuity Reserve Tr | $178,308,316 |
| Veba Trust for Union Employees of Keyspan Corporation | $165,628,248 |
| The Pittsburgh Foundation | $159,126,734 |
| United Brotherhood of Carpenters and Joiners of America | $158,988,378 |
| McElhattan Foundation | $152,882,594 |
| Point Park University | $132,666,014 |
| UPMC | $131,584,540 |
| Laborers District Council of | $123,288,554 |
| The Greater Pennsylvania Carpenters Medical Plan | $121,410,880 |
| United States Steel Corporation Retiree Insurance Benefits Trust | $120,367,135 |
| Enbridge Employee Services Inc Welfare Benefit Plans Trust | $119,548,042 |
| Carnegie Institute | $115,993,787 |
| UPMC | $108,701,064 |
| Brothers Brother Foundation | $108,316,502 |
| Mercy Life Center Corporation | $107,749,173 |
| Dietrich Foundation | $107,295,535 |
| Steamfitters Local Union 420 Welfare Fund | $102,882,723 |
| Isda Fraternal Association | $99,118,418 |
| Carlow University | $98,195,281 |
| Chatham University | $97,788,713 |
| Chevron Phillips Chemical Co Lp Health & Benefit Tr Veba | $95,107,299 |
| Center for Organ Recovery and Education | $94,060,552 |
| The Heinz Endowments | $93,890,340 |
| American Electric Power System Retiree Medical Trust | $90,513,626 |
| UPMC | $89,433,881 |
| Pittsburgh Care Partnership Inc Community Life | $89,354,446 |
| Passavant Memorial Homes | $87,432,269 |
| The Hemophilia Center of Western Pennsylvania | $87,063,596 |
| Goodwill of Southwestern Pennsylvania | $86,731,401 |
| Pittsburgh Cultural Trust | $83,839,335 |
| IBEW Local Union 5 & Western Pa Chapter Neca | $79,796,133 |
| Jewish Federation of Greater Pittsburgh | $79,693,583 |
| Pressley Ridge | $79,446,966 |
| Gte Bargained Retired Group Insurance Plan | $78,980,927 |
| Eversource Retirees Benefit Trust | $76,653,187 |
| Wesley Family Services | $72,304,519 |
| The Deere & Company Welfare Benefit Veba for Salaried Employees | $70,084,856 |
| William Penn Association | $66,771,730 |
| Hillman Family Foundations | $63,977,937 |
| Magee-Womens Research Institute and Foundation | $63,537,877 |
| Ginok LLC | $62,994,053 |
| Concordia Lutheran Ministries of Pittsburgh | $61,814,787 |
| Childrens Hospital Pittsburgh Foundation | $60,822,117 |
| Shady Side Academy | $56,787,975 |
| Veba Health Insurance Trust for Non-Union Employees of Keyspan | $56,104,317 |
| Fund for Charitable Giving | $54,953,090 |
| Croatian Fraternal Union of America | $51,969,051 |
| Pittsburgh Symphony Inc | $51,388,751 |
| National Hockey League Players Health and Benefits Fund | $50,765,450 |
| Carnegie Library of Pittsburgh | $48,193,926 |
| Verizon Long Term Disability Veba | $46,758,099 |
| United States Steel Corporation Represented Retirees Benefit Trust | $45,484,566 |
| Nsabp Foundation Inc | $44,121,085 |
| Baptist Homes Society | $42,955,519 |
| Western Pennsylvania School for Blind Children | $41,912,974 |
| Western Pennsylvania Conservancy | $41,640,928 |
| Ati Usw Veba Trust | $41,280,644 |
| The American Electric Power System Retiree Medical Benefit Trust for | $41,059,078 |
| Sarah Scaife Foundation Inc | $40,773,564 |
| The United Way of Southwestern Pennsylvania | $38,540,763 |
| J E Barbey 8 Tenacre Foundation | $38,065,169 |
| Allegheny Council to Improve Our Neighborhoods-Housing Incorporated | $38,018,270 |
| Western Pennsylvania School for the Deaf | $37,339,291 |
| General Mills Inc Voluntary Emp Beneficiary Assoc Non-Union | $36,480,810 |
| Grable Foundation | $35,043,583 |
| Regional Industrial Development Corporation of Sw Pa | $34,584,113 |
| Young Mens Christian Association of Greater Pittsburgh | $34,013,685 |
| The Fred Rogers Company | $28,551,570 |
| UAW Retirees of Mack Trucks Health Benefit Fund | $28,480,993 |
| Allegheny Foundation | $27,460,393 |
| The Childrens Institute of Pittsburgh | $25,865,631 |
| Pacific Gas & Electric Long-Term Disability Trust for Union Empl | $25,406,364 |
| Vincentian Home | $23,901,570 |
| Veba for Retirees of Kaiser Aluminum | $23,837,686 |
| UAW Retirees of the Budd Company Health & Welfare Trust | $23,560,896 |
| Colcom Foundation | $23,457,577 |
| Jack Buncher Foundation | $21,945,342 |
| McCune Foundation | $21,180,909 |
| Jewish Healthcare Foundation of Pittsburgh | $20,024,297 |
| Posner Foundation of Pittsburgh | $19,658,594 |
| Pfizer Retiree Medical Plan | $15,940,998 |
| Ppg Industries Foundation | $11,815,823 |
| Zachary Smith Reynolds Trust | $8,232,510 |
| Mountain View Cancer Associates Inc | $6,688,521 |
| Shear Family Foundation Inc | $5,674,208 |
| Pnc Foundation | $5,585,259 |
| Claude Worthington Benedum Foundation | $5,453,349 |
| Eden Hall Foundation | $3,798,147 |
| Howmet Aerospace Foundation | $3,433,926 |
| Highmark Foundation | $2,755,132 |