| PROVIDENCE HEALTH & SERVICES WASHINGTON | RENTON | $9,728,808,188 |
| GATES FOUNDATION | SEATTLE | $7,810,137,842 |
| GATES FOUNDATION TRUST | KIRKLAND | $6,534,759,844 |
| PROVIDENCE HEALTH & SERVICES OREGON | SEATTLE | $5,906,975,155 |
| MULTICARE HEALTH SYSTEM | TACOMA | $5,011,395,222 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | RENTON | $4,366,355,550 |
| PEACEHEALTH | VANCOUVER | $4,019,939,134 |
| SWEDISH HEALTH SERVICES | RENTON | $3,338,219,787 |
| SEATTLE CHILDRENS HOSPITAL | SEATTLE | $3,072,099,534 |
| FRED HUTCHINSON CANCER CENTER | SEATTLE | $2,532,392,907 |
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | SEATTLE | $2,326,793,207 |
| DELTA DENTAL OF WASHINGTON | SEATTLE | $1,834,429,835 |
| CHP OF WASHINGTON | SEATTLE | $1,636,587,763 |
| WORLD VISION | FEDERAL WAY | $1,423,305,144 |
| VIRGINIA MASON MEDICAL CENTER | SEATTLE | $1,388,981,761 |
| KADLEC REGIONAL MEDICAL CENTER | RENTON | $1,003,950,715 |
| CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION | WENATCHEE | $914,470,733 |
| OVERLAKE MEDICAL CENTER & CLINICS | BELLEVUE | $851,950,642 |
| LEGACY SALMON CREEK HOSPITAL | VANCOUVER | $655,818,611 |
| YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION | YAKIMA | $647,033,017 |
| SEA MAR COMMUNITY HEALTH CENTERS | SEATTLE | $578,212,508 |
| PROVIDENCE HEALTH & SERVICES MT | SEATTLE | $563,343,536 |
| SEATTLE UNIVERSITY | SEATTLE | $520,511,868 |
| ASSOCIATION OF UNIVERSITY PHYSICIANS | SEATTLE | $518,671,288 |
| CORPORATION OF GONZAGA UNIVERSITY | SPOKANE | $508,869,741 |
| SEIU HEALTHCARE NW HEALTH BENEFITS TRUST | SEATTLE | $504,106,267 |
| PROVIDENCE SAINT JOHNS HEALTH CENTER | SEATTLE | $499,533,171 |
| YAKIMA VALLEY FARM WORKERS CLINIC | TOPPENISH | $396,166,161 |
| TARZANA MEDICAL CENTER LLC | RENTON | $393,476,114 |
| WASHINGTON TEAMSTER WELFARE TRUST | SEATTLE | $389,165,238 |
| PATH | SEATTLE | $353,538,888 |
| SPOKANE TEACHERS CREDIT UNION | LIBERTY LAKE | $343,405,605 |
| COMMUNITY HEALTH ASSOCIATION OF SPOKANE | SPOKANE | $342,222,987 |
| CREDIT UNIONS IN THE STATE OF WASHINGTON | OLYMPIA | $335,996,713 |
| CREDIT UNIONS IN THE STATE OF WASHINGTON | RICHLAND | $331,681,189 |
| OPERATING ENGINEERS HEALTH AND WELFARE TRUST FUND | BOTHELL | $330,628,678 |
| SWEDISH EDMONDS | SEATTLE | $320,985,372 |
| CREDIT UNIONS IN THE STATE OF WASHINGTON | OLYMPIA | $318,637,000 |
| CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON | SEATTLE | $317,162,695 |
| THE SEATTLE FOUNDATION | SEATTLE | $314,722,382 |
| MAXAID | SEATTLE | $309,119,754 |
| PACMED CLINICS | RENTON | $306,968,943 |
| COMMUNITY HEALTH NETWORK OF WASHINGTON | SEATTLE | $302,496,829 |
| SOUND HEALTH & WELLNESS TRUST | BOTHELL | $300,999,287 |
| ASSOCIATION OF WASHINGTON CITIES EMPLOYEES BENEFIT TRUST | OLYMPIA | $299,534,734 |
| ALLEN INSTITUTE | SEATTLE | $272,058,206 |
| NUMERICA CREDIT UNION | SPOKANE VLY | $255,238,984 |
| VOLUNTARY EMPLOYEES BENEFICIARY ASSOC TR FOR PUB EMPL STATE OF WA | SPOKANE | $226,969,367 |
| BEZOS FAMILY FOUNDATION | SEATTLE | $225,014,722 |
| ST JOSEPH HEALTH SYSTEM | RENTON | $216,194,246 |
| WHITMAN COLLEGE BOARD OF TRUSTEES | WALLA WALLA | $207,712,673 |
| ROOTS AND WINGS FOUNDATION INC | SEATTLE | $200,460,454 |
| LOCALS 302 AND 612 OF THE INTERNATL UNION OF OPERATING ENGINEERS CONST | SEATTLE | $194,272,974 |
| ASEA-AFSCME LOCAL 52 HEALTH BENEFITS TRUST | BOTHELL | $193,260,298 |
| WHATCOM EDUCATIONAL CREDIT UNION | BELLINGHAM | $184,450,455 |
| CREDIT UNIONS IN THE STATE OF WASHINGTON | TACOMA | $178,242,646 |
| CREDIT UNIONS IN THE STATE OF WASHINGTON | RICHLAND | $171,173,971 |
| WHITWORTH UNIVERSITY | SPOKANE | $164,233,665 |
| KITSAP CREDIT UNION | BREMERTON | $153,721,471 |
| COLUMBIA COMMUNITY CREDIT UNION | VANCOUVER | $147,178,811 |
| UNIVERSITY OF PUGET SOUND | TACOMA | $145,766,343 |
| EDUCATIONAL CORPORATION MUKOGAWA GAKUIN | SPOKANE | $136,492,151 |
| SEATTLE PACIFIC UNIVERSITY | SEATTLE | $136,323,721 |
| VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION TRUST FOR PUBLIC | SPOKANE | $129,366,966 |
| IQ CREDIT UNION | VANCOUVER | $128,694,198 |
| WASHINGTON STATE UNIVERSITY FOUNDATION | PULLMAN | $125,178,582 |
| CREDIT UNIONS IN THE STATE OF WASHINGTON | LAKEWOOD | $122,675,100 |
| CREDIT UNIONS IN THE STATE OF WASHINGTON | SPOKANE VALLEY | $116,805,788 |
| ALLEN FAMILY PHILANTHROPIES | SEATTLE | $115,479,539 |
| LOW INCOME HOUSING INSTITUTE | SEATTLE | $108,602,261 |
| PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST | BELLEVUE | $97,892,842 |
| M J MURDOCK CHARITABLE TRUST | VANCOUVER | $94,465,842 |
| SALAL CREDIT UNION | SEATTLE | $76,210,438 |
| CASEY FAMILY PROGRAMS | SEATTLE | $62,593,711 |
| PROVIDENCE ST JOSEPH HEALTH | RENTON | $23,956,871 |