| 1 | Providence Health & Services Washington Renton | $9.8B | $9.7B | $9.3B |
| 2 | Kaiser Foundation Health Plan of Washington Renton | $6.6B | $4.4B | $3.2B |
| 3 | Providence Health & Services Oregon Seattle | $6.2B | $5.9B | $4.7B |
| 4 | Peacehealth Vancouver | $5.9B | $3.6B | $4.8B |
| 5 | Multicare Health System Tacoma | $5.0B | $5.0B | $6.3B |
| 6 | Swedish Health Services Renton | $3.4B | $3.3B | $3.7B |
| 7 | Seattle Childrens Hospital Seattle | $2.9B | $2.7B | $5.6B |
| 8 | Fred Hutchinson Cancer Center Seattle | $2.8B | $2.0B | $3.5B |
| 9 | Providence Health System-southern California Seattle | $2.4B | $2.3B | $3.5B |
| 10 | Delta Dental of Washington Seattle | $1.9B | $1.8B | $258.7M |
| 11 | Franciscan Health System Tacoma | $1.8B | $1.8B | $1.2B |
| 12 | Chp of Washington Seattle | $1.7B | $1.6B | $498.6M |
| 13 | Overlake Medical Center & Clinics Bellevue | $1.3B | $802.8M | $946.2M |
| 14 | Virginia Mason Medical Center Seattle | $1.3B | $1.3B | $1.4B |
| 15 | Kadlec Regional Medical Center Richland | $1.1B | $1.0B | $903.7M |
| 16 | Central Washington Health Services Association Wenatchee | $954.3M | $914.5M | $808.4M |
| 17 | Harrison Medical Center Bremerton | $783.6M | $783.6M | $781.2M |
| 18 | Yakima Valley Memorial Hospital Association Yakima | $714.8M | $647.0M | $567.7M |
| 19 | Legacy Salmon Creek Hospital Vancouver | $657.1M | $655.8M | $738.8M |
| 20 | Sea Mar Community Health Centers Seattle | $580.4M | $578.2M | $465.0M |
| 21 | Providence Health & Services Mt Seattle | $567.8M | $563.3M | $431.8M |
| 22 | Providence Saint Johns Health Center Seattle | $501.6M | $499.5M | $523.1M |
| 23 | Franciscan Medical Group Tacoma | $462.4M | $462.4M | $219.6M |
| 24 | Yakima Valley Farm Workers Clinic Toppenish | $422.2M | $396.2M | $336.0M |
| 25 | Tarzana Medical Center LLC Renton | $394.8M | $393.5M | $922.6M |
| 26 | Providence Plan Partners Renton | $386.3M | $386.3M | $60.4M |
| 27 | Swedish Edmonds Seattle | $321.0M | $321.0M | $280.1M |
| 28 | Pacmed Clinics Seattle | $312.4M | $307.0M | $116.5M |
| 29 | Community Health Association of Spokane Spokane | $301.0M | $300.4M | $232.3M |
| 30 | The Association of Chrmc and University Physicians Seattle | $299.4M | $294.3M | $60.6M |
| 31 | Providence Saint Johns Medical Foundation Renton | $274.6M | $274.4M | $87.6M |
| 32 | Healthpoint Renton | $229.3M | $217.1M | $186.8M |
| 33 | St. Joseph Health System Renton | $216.2M | $216.2M | $2.1B |
| 34 | Northwest Kidney Centers Seatac | $201.2M | $141.6M | $292.4M |
| 35 | Bloodworks Seattle | $164.2M | $159.8M | $112.3M |
| 36 | Tri-state Memorial Hospital Clarkston | $145.3M | $144.7M | $156.2M |
| 37 | Neighborcare Health Seattle | $144.4M | $97.8M | $82.3M |
| 38 | Seattle Childrens Healthcare System Seattle | $144.1M | $63.6M | $1.3B |
| 39 | Western Healthconnect Renton | $129.7M | $129.7M | $137.1M |
| 40 | Sunnyside Community Hospital Association Sunnyside | $124.4M | $124.3M | $84.0M |
| 41 | Providence Health Assurance Renton | $101.8M | $2.5M | $270.0M |
| 42 | International Community Health Services Seattle | $101.2M | $101.2M | $103.0M |
| 43 | Lifecenter Northwest Bellevue | $99.8M | $85.4M | $49.1M |
| 44 | Chvi Professional Corporation Tacoma | $97.4M | $97.4M | $48.4M |
| 45 | Planned Parenthood Great Northwest Hawaii Alaska Indiana & Ky INC Seattle | $92.2M | $78.6M | $111.8M |
| 46 | Community Health Care Tacoma | $86.7M | $86.6M | $115.3M |
| 47 | Community Health Center of Snohomish County Everett | $85.5M | $74.4M | $88.2M |
| 48 | Enumclaw Regional Hospital Association Enumclaw | $83.4M | $83.4M | $58.7M |
| 49 | Swedish Medical Center Foundation Seattle | $80.8M | $77.1M | $201.9M |
| 50 | Washington Dental Service Seattle | $80.4M | $3.2M | $173.9M |