| COLLEGIUM CHARTER SCHOOL | Exton | B20 Education | $67.4M | 5 |
| ACTION-HOUSING INC | Pittsburgh | L800 Housing & Shelter | $66.7M | 4 |
| KIDSPEACE NATIONAL CENTERS FOR KIDS IN CRISIS | Schnecksville | F330 Mental Health & Crisis Intervention | $66.5M | 9 |
| UNITED CHURCH OF CHRIST HOMES INC | Camp Hill | P750 Human Services | $66.5M | 9 |
| MENNO-HAVEN INC | Chambersburg | P750 Human Services | $65.9M | 10 |
| HEALTH FEDERATION OF PHILADELPHIA INC | Philadelphia | — | $65.8M | 6 |
| INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS-126 HEALTH & WELFARE PLAN | Collegeville | Y43 Mutual & Membership Benefit | $65.3M | 3 |
| SPIRITRUST LUTHERAN FKA LUTHERAN SOCIAL SERVICES | York | P750 Human Services | $65.2M | 7 |
| CENTRAL SUSQUEHANNA REGION SCHOOL EMPLOYEES' HEALTH & WELFARE TRUST | Milton | — | $63.9M | 0 |
| GWYNEDD MERCY UNIVERSITY | Gwynedd Valley | B420 Education | $63.9M | 11 |
| PHILADELPHIA FEDERATION OF TEACHERS HEALTH & WELFARE FUND | Philadelphia | — | $63.8M | 1 |
| PENNSYLVANIA VIRTUAL CHARTER SCHOOL | King Of Prussia | B99 Education | $63.4M | 5 |
| BELCO COMMUNITY CREDIT UNION | Harrisburg | — | $63.2M | 11 |
| MERAKEY ALLOS | Lafayette Hill | F33 Mental Health & Crisis Intervention | $63.2M | 12 |
| ABH Pennsylvania Childrens Services Inc | Villanova | F33 Mental Health & Crisis Intervention | $63.1M | 13 |
| LIVING INDEPENDENCE FOR THE ELDERLY | Pittsburgh | P810 Human Services | $63M | 10 |
| CONCORDIA LUTHERAN HEALTH AND HUMAN CARE | Cabot | P750 Human Services | $62.8M | 16 |
| ACTS RETIREMENT SERVICES INC GRP EXEMP | Fort Washington | — | $61.8M | 36 |
| ALBRIGHT COLLEGE | Reading | B420 Education | $61.7M | 9 |
| Deere & Company WFT #2 | Pittsburgh | Y43 Mutual & Membership Benefit | $61.7M | 1 |
| MASTERY CHARTER HIGH SCHOOL | Philadelphia | B29 Education | $61.6M | 15 |
| LUTHERCARE | Lititz | P750 Human Services | $61.4M | 11 |
| PHILADELPHIA PERFORMING ARTS A STRING THEORY CHARTER SCHOOL | Philadelphia | B290 Education | $61.3M | 6 |
| IUPAT DISTRICT COUNCIL NO 21 WELFARE FUND | Philadelphia | — | $60.8M | 9 |
| PHILADELPHIA FIGHT | Philadelphia | H20Z Medical Research | $60.6M | 10 |
| THE PUBLIC SCHOOL OF GERMANTOWN | Fort Washington | B200 Education | $60.2M | 7 |
| SALUS UNIVERSITY | Philadelphia | — | $60.1M | 12 |
| TITUSVILLE AREA HOSPITAL | Titusville | E22 Health Care | $59.7M | 7 |
| Employment Partners Benefits Fund | Bridgeville | — | $59.4M | 1 |
| United States Steel Corporation Represented Retirees Benefit Trust | Pittsburgh | — | $59.4M | 1 |
| MESSIAH HOME | Mechanicsburg | P750 Human Services | $59.2M | 9 |
| JC BLAIR MEMORIAL HOSPITAL | Huntingdon | E220 Health Care | $58.6M | 6 |
| CONCORDIA LUTHERAN MINISTRIES OF PITTSBURGH | Pittsburgh | L22 Housing & Shelter | $58.2M | 13 |
| WINDBER HOSPITAL INC | Windber | E220 Health Care | $58.1M | 10 |
| WAYNESBURG UNIVERSITY | Waynesburg | B420 Education | $57.8M | 12 |
| CLARION HOSPITAL | Clarion | E220 Health Care | $57.8M | 13 |
| SPRINGSIDE CHESTNUT HILL ACADEMY | Philadelphia | B200 Education | $57.8M | 8 |
| PENNSYLVANIA ASSOCIATION OF AREA AGENCIES ON AGING INC | Harrisburg | — | $57.8M | 2 |
| PUNXSUTAWNEY AREA HOSPITAL INC | Punxsutawney | E22Z Health Care | $57.6M | 11 |
| CENTRAL PENNSYLVANIA BEHAVIORAL HEALTH COLLABORATIVE INC | Hollidaysburg | F20 Mental Health & Crisis Intervention | $57.5M | 2 |
| SHARED SERVICES HEALTH PLAN TRUST | Lititz | Y43 Mutual & Membership Benefit | $57.4M | 0 |
| Northeast Pennsylvania School Districts Health Trust | Edwardsville | Y43 Mutual & Membership Benefit | $57.1M | 0 |
| J N PEW JR CHARITABLE TRUST | Philadelphia | — | $57M | 1 |
| SHEET METAL WORKERS HEALTH FUND OF LOCAL UNION NO 19 | Philadelphia | — | $56.9M | 7 |
| LANDIS HOMES RETIREMENT COMMUNITY | Lititz | P750 Human Services | $56.6M | 6 |
| ANABAPTIST FINANCIAL | Lewisburg | W60 Public & Societal Benefit | $56.4M | 10 |
| CHOICES HEALTHCARE | Lancaster | P740 Human Services | $56.3M | 14 |
| ADELPHOI VILLAGE INC | Latrobe | P300 Human Services | $56.3M | 8 |
| VEBA Health Insurance Trust For Non-Union Employees Of Keyspan | Pittsburgh | Y43 Mutual & Membership Benefit | $56.1M | 1 |
| NATIONAL COMPREHENSIVE CANCER NETWORK | Plymouth Meeting | E99Z Health Care | $55.7M | 10 |
