| 1 | Voluntary Employees Benefit Association Trust for Public Spokane | $507.2M | $129.4M | $651.2M |
| 2 | SEIU Healthcare Nw Health Benefits Trust Seattle | $484.6M | $375.4M | $479.5M |
| 3 | Middletown Works Hourly & Salaried Union Retirees Health Care Fund Seattle | $454.4M | $92.2M | $680.8M |
| 4 | Asea-afscme Local 52 Health Benefits Trust Spokane | $369.4M | $193.3M | $257.5M |
| 5 | Voluntary Employees Beneficiary Assoc Tr for Pub Empl State of Wa Spokane | $298.6M | $211.2M | $1.1B |
| 6 | Business Health Tr Mukilteo | $152.9M | $152.9M | $18.9M |
| 7 | Northwest Fire Fighters Benefits Trust Mukilteo | $131.4M | $124.5M | $57.1M |
| 8 | San Diego City Employees Retiree Medical Trust Spokane | $126.1M | $63.3M | $288.8M |
| 9 | Law Enforcement Officers & Fire Fighters Health and Welfare Tr Spokane | $87.8M | $76.0M | $36.1M |
| 10 | Porac Retree Medical Tr Mukilteo | $76.1M | $21.3M | $134.1M |
| 11 | Kearny Gateway LLC Seattle | $68.5M | $3.2M | $0 |
| 12 | Portage Bay Insurance Seattle | $55.6M | $55.6M | $187.4M |
| 13 | Omnitrade Health Tr Mukilteo | $54.7M | $54.7M | $1.5M |
| 14 | Boise Fire & Police Tr Mukilteo | $43.1M | $24.5M | $33.9M |
| 15 | Seattle Fire Fighters Union Local 27 Welfare Trust Mukilteo | $41.1M | $41.1M | $80.9M |
| 16 | State of Indiana Health Reimbursement Arrangement Hra Spokane | $38.7M | $26.5M | $342.6M |
| 17 | Washington Software Alliance Employee Benefit Trust Mukilteo | $36.1M | $34.7M | $2.6M |
| 18 | Health Alliance for Technology Health Trust Spokane | $35.8M | $35.8M | $1.8M |
| 19 | Snohomish County Pud Voluntary Employees Beneficiary Association Everett | $35.4M | $32.4M | $12.7M |
| 20 | Spokane Fire Firghters Benefit Trust Seattle | $31.4M | $13.8M | $43.2M |
| 21 | Washington Farm Bureau Health Care Tr Spokane | $29.9M | $29.9M | $6.0M |
| 22 | Washington Commercial Construction Health Trust Spokane | $27.3M | $27.3M | $2.2M |
| 23 | Washington Automotive Industry Association Health Trust Mukilteo | $27.0M | $27.0M | $2.3M |
| 24 | Oxnard Peace Officers Association Retiree Medical Trust Mukilteo | $25.0M | $3.0M | $40.7M |
| 25 | Operating Engineers Tr Fund H & W Plan Public Employers Division Bothell | $24.5M | $20.9M | $25.4M |
| 26 | Voluntary Employees Beneficiary Association Post-employment Health Spokane | $23.9M | $23.9M | $98.2M |
| 27 | Northwest Financial Associations Ebt Tacoma | $23.6M | $23.6M | $4.2M |
| 28 | Vigilant Manufacturers Tr Mukilteo | $22.9M | $22.9M | $2.0M |
| 29 | Iaff Local 726 Health and Welfare Trust Mukilteo | $22.5M | $20.5M | $13.6M |
| 30 | Center for Advanced Manufacturing Puget Sound Camps Healthcare Trus Bellevue | $18.4M | $18.4M | $3.0M |
| 31 | Portland Police Association Retiree Health Plan and Trust Spokane | $15.2M | $5.2M | $36.6M |
| 32 | Northwest Marine Trade Association Health Trust Bellevue | $15.1M | $15.1M | $1.7M |
| 33 | Washington Surveying & Rating Bureau Renton | $14.6M | $14.6M | $10.0M |
| 34 | Alaska Airlines 501C9 Welfare Trust Seattle | $14.3M | $14.3M | $12.9M |
| 35 | Leisure Care Health Benefits Trust Seattle | $11.9M | $11.9M | $44K |
| 36 | Washington Business Services Health Trust Spokane | $11.7M | $11.7M | $1.0M |
| 37 | Associated General Contractors Health Benefit Tr Ak Wa Chapters Mukilteo | $10.3M | $10.3M | $1.5M |
| 38 | Vancouver Firefighters Union Health and Welfare Trust Vancouver | $9.2M | $9.2M | $12.9M |
| 39 | Arizona Technology Council Employee Benefit Trust Mukilteo | $9.2M | $9.2M | $393K |
| 40 | Community College Employees Benefit Trust Mukilteo | $7.9M | $1.4M | $17.8M |
| 41 | State of Montana Voluntary Employee Beneficiary Association Health Spokane | $6.9M | $4.0M | $20.0M |
| 42 | Pasadena Fire Fighters Association Benefit Trust Mukilteo | $6.8M | $1.2M | $9.2M |
| 43 | City of Santa Clara Voluntary Employees Beneficiary Assoc Postre Spokane | $6.2M | $6.2M | $41.7M |
| 44 | Washington Retail Health Trust Spokane | $6.0M | $6.0M | $561K |
| 45 | Pasadena Police Retired Medical Tr Mukilteo | $6.0M | $1.9M | $25.1M |
| 46 | Irvine Police Association Benefit Trust Mukilteo | $6.0M | $6.0M | $44.2M |
| 47 | Hawaiian Airlines INC Pilots Voluntary Employee Beneficiary Seattle | $5.5M | $150K | $48.0M |
| 48 | SEIU Local 105 Health and Welfare Trust Fund Seattle | $5.3M | $5.3M | $1.7M |
| 49 | Redwood Empire Public Safety Medical Tr Spokane | $5.2M | $1.4M | $12.4M |
| 50 | Gig Harbor Firefighters Union Health & Welfare Tr Gig Harbor | $4.8M | $4.8M | $11.5M |