| 1 | Providence Health & Services Washington Renton, WA | $9.7B | $9.3B |
| 2 | Providence Health & Services Oregon Seattle, WA | $5.9B | $4.7B |
| 3 | Multicare Health System Tacoma, WA | $5.0B | $6.3B |
| 4 | Kaiser Foundation Health Plan of Washington Renton, WA | $4.4B | $3.2B |
| 5 | Peacehealth Vancouver, WA | $3.6B | $4.8B |
| 6 | Swedish Health Services Renton, WA | $3.3B | $3.7B |
| 7 | Seattle Childrens Hospital Seattle, WA | $2.7B | $5.6B |
| 8 | Providence Health Plan Renton, WA | $2.6B | $1.2B |
| 9 | Providence Health System-southern California Seattle, WA | $2.3B | $3.5B |
| 10 | Fred Hutchinson Cancer Center Seattle, WA | $2.0B | $3.5B |
| 11 | Delta Dental of Washington Seattle, WA | $1.8B | $258.7M |
| 12 | Franciscan Health System Tacoma, WA | $1.8B | $1.2B |
| 13 | Chp of Washington Seattle, WA | $1.6B | $498.6M |
| 14 | World Vision Federal Way, WA | $1.6B | $506.6M |
| 15 | Virginia Mason Medical Center Seattle, WA | $1.3B | $1.4B |
| 16 | Kadlec Regional Medical Center Richland, WA | $1.0B | $903.7M |
| 17 | Central Washington Health Services Association Wenatchee, WA | $914.5M | $808.4M |
| 18 | Overlake Medical Center & Clinics Bellevue, WA | $802.8M | $946.2M |
| 19 | Harrison Medical Center Bremerton, WA | $783.6M | $781.2M |
| 20 | Legacy Salmon Creek Hospital Vancouver, WA | $655.8M | $738.8M |
| 21 | Yakima Valley Memorial Hospital Association Yakima, WA | $647.0M | $567.7M |
| 22 | Sea Mar Community Health Centers Seattle, WA | $578.2M | $465.0M |
| 23 | Providence Health & Services Mt Seattle, WA | $563.3M | $431.8M |
| 24 | Providence Saint Johns Health Center Seattle, WA | $499.5M | $523.1M |
| 25 | Association of University Physicians Seattle, WA | $465.1M | $334.8M |
| 26 | Franciscan Medical Group Tacoma, WA | $462.4M | $219.6M |
| 27 | Corporation of Gonzaga University Spokane, WA | $459.0M | $1.1B |
| 28 | Seattle University Seattle, WA | $455.1M | $971.5M |
| 29 | Yakima Valley Farm Workers Clinic Toppenish, WA | $396.2M | $336.0M |
| 30 | Tarzana Medical Center LLC Renton, WA | $393.5M | $922.6M |
| 31 | Providence Plan Partners Renton, WA | $386.3M | $60.4M |
| 32 | Washington Teamster Welfare Trust Seattle, WA | $376.2M | $399.8M |
| 33 | Seiu Healthcare NW Health Benefits Trust Seattle, WA | $375.4M | $479.5M |
| 34 | Path Seattle, WA | $353.5M | $416.1M |
| 35 | Spokane Teachers Credit Union Liberty Lake, WA | $343.4M | $5.8B |
| 36 | Credit Unions in the State of Washington Olympia, WA | $336.0M | $5.2B |
| 37 | Catholic Community Services of Western Washington Seattle, WA | $332.5M | $181.2M |
| 38 | Credit Unions in the State of Washington Richland, WA | $331.7M | $5.6B |
| 39 | Operating Engineers Health and Welfare Trust Fund Bothell, WA | $330.6M | $822.2M |
| 40 | Swedish Edmonds Seattle, WA | $321.0M | $280.1M |
| 41 | Credit Unions in the State of Washington Olympia, WA | $318.6M | $4.3B |
| 42 | The Seattle Foundation Seattle, WA | $314.7M | $1.4B |
| 43 | Greater Good Charities Seattle, WA | $311.9M | $16.0M |
| 44 | Maxaid Seattle, WA | $309.1M | $73.6M |
| 45 | Pacmed Clinics Seattle, WA | $307.0M | $116.5M |
| 46 | Community Health Network of Washington Seattle, WA | $302.5M | $320.8M |
| 47 | Sound Health & Wellness Trust Bothell, WA | $301.0M | $148.2M |
| 48 | Community Health Association of Spokane Spokane, WA | $300.4M | $232.3M |
| 49 | Association of Washington Cities Employees Benefit Trust Olympia, WA | $299.5M | $141.3M |
| 50 | The Association of Chrmc and University Physicians Seattle, WA | $294.3M | $60.6M |