| 1 | Kaiser Foundation Health Plan INC Oakland, CA | California | $82.5B | $33.5B |
| 2 | Kaiser Foundation Hospitals Oakland, CA | California | $38.2B | $87.4B |
| 3 | UPMC Pittsburgh, PA | Pennsylvania | $24.3B | $11.2B |
| 4 | Mass General Brigham Incorporated and Affiliates Group RTN Somerville, MA | Massachusetts | $23.5B | $28.3B |
| 5 | Fidelity Investments Charitable Gift Fund Boston, MA | Massachusetts | $19.0B | $66.8B |
| 6 | Cleveland Clinic Foundation Independence, OH | Ohio | $17.2B | $26.5B |
| 7 | National Philanthropic TR Jenkintown, PA | Pennsylvania | $15.9B | $42.2B |
| 8 | Mayo Clinic Group Return Rochester, MN | Minnesota | $14.9B | $17.9B |
| 9 | Battelle Memorial Institute Columbus, OH | Ohio | $13.3B | $1.8B |
| 10 | Healthfirst PHSP INC New York, NY | New York | $12.2B | $4.2B |
| 11 | Thrivent Financial for Lutherans Minneapolis, MN | Minnesota | $11.8B | $118.0B |
| 12 | New York University New York, NY | New York | $11.6B | $21.1B |
| 13 | Bon Secours Mercy Health INC Blue Ash, OH | Ohio | $11.5B | $14.4B |
| 14 | Corewell Health Grand Rapids, MI | Michigan | $11.5B | $6.8B |
| 15 | Dignity Health San Francisco, CA | California | $11.3B | $18.8B |
| 16 | Bjc Health System Saint Louis, MO | Missouri | $11.3B | $8.0B |
| 17 | AARP Washington, DC | District of Columbia | $11.0B | $13.1B |
| 18 | Banner Health Phoenix, AZ | Arizona | $10.8B | $17.7B |
| 19 | Trustees of the University of Pennsylvania Philadelphia, PA | Pennsylvania | $10.7B | $34.0B |
| 20 | The New York and Presbyterian Hospital New York, NY | New York | $10.7B | $21.9B |
| 21 | Ihc Health Services INC Salt Lake Cty, UT | Utah | $10.7B | $18.7B |
| 22 | Johns Hopkins University Baltimore, MD | Maryland | $10.5B | $23.0B |
| 23 | Northwestern Memorial Healthcare Chicago, IL | Illinois | $10.1B | $14.2B |
| 24 | Providence Health & Services Washington Renton, WA | Washington | $9.7B | $9.3B |
| 25 | The Cleveland Clinic Foundation Cleveland, OH | Ohio | $9.7B | $17.4B |
| 26 | Donor Advised Charitable Giving San Francisco, CA | California | $9.7B | $41.1B |
| 27 | The Board of Trustees of the Leland Stanford Junior University Stanford, CA | California | $9.5B | $63.3B |
| 28 | NYU Langone Hospitals New York, NY | New York | $9.5B | $12.1B |
| 29 | Hackensack Meridian Health INC Edison, NJ | New Jersey | $8.8B | $7.6B |
| 30 | Caresource Ohio INC Dayton, OH | Ohio | $8.6B | $2.2B |
| 31 | Memorial Hermann Health System Houston, TX | Texas | $8.5B | $13.7B |
| 32 | Memorial Sloan-kettering Cancer Center New York, NY | New York | $8.5B | $15.5B |
| 33 | Adventist Health System Sunbelt INC Altamonte Spg, FL | Florida | $8.3B | $14.1B |
| 34 | Stanford Health Care 227 Stanford, CA | California | $8.0B | $12.1B |
| 35 | Mayo Clinic Rochester, MN | Minnesota | $7.9B | $26.7B |
| 36 | Advocate Health and Hospitals Corporation Downers Grove, IL | Illinois | $7.8B | $23.8B |
| 37 | Rwj Barnabas Health INC Oceanport, NJ | New Jersey | $7.8B | $9.7B |
| 38 | Northside Hospital INC Atlanta, GA | Georgia | $7.8B | $5.9B |
| 39 | Vanderbilt University Medical Center Nashville, TN | Tennessee | $7.7B | $6.6B |
| 40 | President and Fellows of Harvard College Cambridge, MA | Massachusetts | $7.7B | $74.4B |
| 41 | Aurora Health Care INC Milwaukee, WI | Wisconsin | $7.4B | $8.0B |
| 42 | Trustees of Columbia University New York, NY | New York | $7.3B | $24.8B |
| 43 | Emory University Atlanta, GA | Georgia | $7.3B | $22.2B |
| 44 | Healthfirst Health Plan INC New York, NY | New York | $7.0B | $2.2B |
| 45 | Yale University New Haven, CT | Connecticut | $6.8B | $55.2B |
| 46 | Risant Health INC Oakland, CA | California | $6.7B | $3.0B |
| 47 | Gs Donor Advised Philanthropy Fund for Wealth Management INC New York, NY | New York | $6.6B | $12.7B |
| 48 | Cornell University Ithaca, NY | New York | $6.6B | $18.6B |
| 49 | Novant Health INC Winston Salem, NC | North Carolina | $6.5B | $14.6B |
| 50 | Sentara Health Plans Virginia Bch, VA | Virginia | $6.5B | $1.7B |
| 51 | University of Miami Coral Gables, FL | Florida | $6.5B | $7.8B |
| 52 | Inova Health Care Services Fairfax, VA | Virginia | $6.4B | $8.1B |
| 53 | Vanguard Charitable Endowment Program Malvern, PA | Pennsylvania | $6.4B | $22.2B |
| 54 | Ucare Minnesota Minneapolis, MN | Minnesota | $6.3B | $1.5B |
| 55 | Delta Dental of California San Francisco, CA | California | $6.3B | $4.3B |
| 56 | Sanford Sioux Falls, SD | South Dakota | $6.1B | $4.3B |
| 57 | Government Employees Health Association INC Lees Summit, MO | Missouri | $6.1B | $2.5B |
| 58 | Indiana University Health INC Indianapolis, IN | Indiana | $6.1B | $12.8B |
| 59 | Highmark Health Pittsburgh, PA | Pennsylvania | $6.1B | $4.5B |
| 60 | Ochsner Clinic Foundation New Orleans, LA | Louisiana | $6.0B | $6.6B |
| 61 | Kaiser Foundation Health Plan of the Mid Atlantic States INC Hyattsville, MD | Maryland | $6.0B | $3.3B |
| 62 | University Hospitals Health System INC Shaker Hts, OH | Ohio | $5.9B | $3.3B |
| 63 | Priority Health Grand Rapids, MI | Michigan | $5.9B | $2.4B |
| 64 | Allina Health System Minneapolis, MN | Minnesota | $5.9B | $6.0B |
| 65 | University of Rochester Rochester, NY | New York | $5.9B | $8.4B |
| 66 | Montefiore Medical Center Bronx, NY | New York | $5.9B | $5.0B |
| 67 | Providence Health & Services Oregon Seattle, WA | Washington | $5.9B | $4.7B |
| 68 | Massachusetts Institute of Technology Cambridge, MA | Massachusetts | $5.9B | $39.9B |
| 69 | Duke University Health System INC Durham, NC | North Carolina | $5.8B | $8.6B |
| 70 | Sutter Bay Hospitals Sacramento, CA | California | $5.6B | $5.8B |
| 71 | University of Southern California Los Angeles, CA | California | $5.6B | $15.1B |
| 72 | Central States Southeast & Southwest Areas Health & Welfare F Chicago, IL | Illinois | $5.5B | $16.6B |
| 73 | Kaiser Foundation Health Plan of the Northwest Portland, OR | Oregon | $5.4B | $2.3B |
| 74 | Fairview Health Services Minneapolis, MN | Minnesota | $5.3B | $6.5B |
| 75 | Henry Ford Health System Detroit, MI | Michigan | $5.3B | $5.0B |
| 76 | Cedars-sinai Medical Center W Hollywood, CA | California | $5.3B | $12.4B |
| 77 | Washington University St. Louis, MO | Missouri | $5.2B | $20.5B |
| 78 | Boston Medical Center Health Plan INC Charlestown, MA | Massachusetts | $5.2B | $1.7B |
| 79 | Sutter Valley Hospitals Sacramento, CA | California | $5.1B | $2.9B |
| 80 | Ohiohealth Corporation Grant Riverside Doctors Dublin Met Columbus, OH | Ohio | $5.1B | $10.2B |
| 81 | Selecthealth INC Salt Lake Cty, UT | Utah | $5.1B | $2.6B |
| 82 | Feeding America Chicago, IL | Illinois | $5.0B | $573.7M |
| 83 | Multicare Health System Tacoma, WA | Washington | $5.0B | $6.3B |
| 84 | Scan Health Plan Long Beach, CA | California | $5.0B | $1.0B |
| 85 | Silicon Valley Community Foundation Mountain View, CA | California | $4.9B | $12.3B |
| 86 | University of Chicago Chicago, IL | Illinois | $4.9B | $15.0B |
| 87 | Scripps Health San Diego, CA | California | $4.9B | $9.1B |
| 88 | Metroplus Health Plan INC New York, NY | New York | $4.9B | $2.6B |
| 89 | Orlando Health INC Orlando, FL | Florida | $4.8B | $9.5B |
| 90 | Advanced Technology International Summerville, SC | South Carolina | $4.8B | $2.2B |
| 91 | Mercy Care Phoenix, AZ | Arizona | $4.8B | $1.3B |
| 92 | Blue Care Network of Michigan Detroit, MI | Michigan | $4.8B | $2.4B |
| 93 | Atlantic Health System INC Morristown, NJ | New Jersey | $4.8B | $6.3B |
| 94 | Health Insurance Plan of Greater New York New York, NY | New York | $4.7B | $2.3B |
| 95 | Mount Sinai Hospital New York, NY | New York | $4.7B | $5.9B |
| 96 | Long Island Jewish Medical Center Westbury, NY | New York | $4.6B | $4.1B |
| 97 | Astrazeneca Patient Assistance Organization Wilmington, DE | Delaware | $4.6B | $0 |
| 98 | Yale New Haven Hospital New Haven, CT | Connecticut | $4.6B | $5.4B |
| 99 | Icahn School of Medicine at Mount Sinai New York, NY | New York | $4.5B | $4.3B |
| 100 | Kaiser Foundation Health Plan of Colorado Aurora, CO | Colorado | $4.5B | $2.6B |