| 201 | Presbyterian Hospital | Winston Salem, North Carolina | $4.8B | $2.3B | $2.3B |
| 202 | Christiana Care Health Services INC | Wilmington, Delaware | $4.8B | $3.1B | $3.9B |
| 203 | The Queens Medical Center | Honolulu, Hawaii | $4.8B | $1.8B | $3.1B |
| 204 | City of Hope National Medical Center | Duarte, California | $4.8B | $2.9B | $4.1B |
| 205 | University of Chicago Medical Center | Chicago, Illinois | $4.8B | $3.2B | $3.8B |
| 206 | Laura and John Arnold Foundation | Houston, Texas | $4.8B | $0 | $621.7M |
| 207 | University of Maryland Medical System Corporation | Linthicum Heights, Maryland | $4.8B | $2.4B | $2.7B |
| 208 | Peacehealth | Vancouver, Washington | $4.8B | $3.6B | $5.9B |
| 209 | Trustees of Tufts College | Medford, Massachusetts | $4.7B | $1.4B | $3.2B |
| 210 | Southern Baptist Hospital of Florida INC | Jacksonville, Florida | $4.7B | $2.6B | $2.6B |
| 211 | Purdue Research Foundation | West Lafayette, Indiana | $4.7B | $322.8M | $835.7M |
| 212 | Rush University Medical Center | Chicago, Illinois | $4.7B | $3.0B | $3.9B |
| 213 | Providence Health & Services Oregon | Seattle, Washington | $4.7B | $5.9B | $6.2B |
| 214 | Alice L Walton Foundation | Bentonville, Arkansas | $4.7B | $0 | $1.6B |
| 215 | Sharp Memorial Hospital | San Diego, California | $4.7B | $1.6B | $1.6B |
| 216 | Syracuse University | Syracuse, New York | $4.7B | $0 | $2.4B |
| 217 | Mercy Health | Chesterfield, Missouri | $4.7B | $172.9M | $172.9M |
| 218 | Texas Christian University | Fort Worth, Texas | $4.7B | $1.2B | $4.0B |
| 219 | University of Delaware | Newark, Delaware | $4.6B | $0 | $3.0B |
| 220 | W I Cook Foundation INC | Fort Worth, Texas | $4.6B | $95.1M | $760.6M |
| 221 | Liberty University INC | Lynchburg, Virginia | $4.6B | $1.8B | $2.4B |
| 222 | Norton Hospitals INC | Louisville, Kentucky | $4.6B | $3.4B | $3.4B |
| 223 | American National Red Cross | Washington, District of Columbia | $4.6B | $3.8B | $4.4B |
| 224 | Lucile Salter Packard Childrens Hospital at Stanford | Palo Alto, California | $4.5B | $2.8B | $2.8B |
| 225 | Carnegie Corporation of New York | New York, New York | $4.5B | $0 | $2.1B |
| 226 | Case Western Reserve University | Cleveland, Ohio | $4.5B | $1.6B | $2.6B |
| 227 | Simons Foundation INC | New York, New York | $4.5B | $0 | $167.6M |
| 228 | Southern Methodist University | Dallas, Texas | $4.5B | $1.1B | $1.5B |
| 229 | Knight Foundation | Beaverton, Oregon | $4.5B | $0 | $520.0M |
| 230 | Highmark Health | Pittsburgh, Pennsylvania | $4.5B | $6.1B | $6.4B |
| 231 | The California Endowment | Los Angeles, California | $4.5B | $0 | $1.6B |
| 232 | Carl Victor Page Memorial Foundation | Palo Alto, California | $4.5B | $0 | $1.9B |
| 233 | Indiana University Foundation | Bloomington, Indiana | $4.4B | $447.8M | $1.0B |
| 234 | Crankstart Foundation | San Jose, California | $4.4B | $0 | $862.1M |
| 235 | Texas Scottish Rite Hospital for Children | Dallas, Texas | $4.4B | $496.2M | $822.6M |
| 236 | Louisiana Childrens Medical Center | New Orleans, Louisiana | $4.3B | $1.6B | $1.6B |
| 237 | The Administrators of the Tulane Educational Fund | New Orleans, Louisiana | $4.3B | $1.8B | $2.1B |
| 238 | Sergey Brin Family Foundation | San Francisco, California | $4.3B | $0 | $1.1B |
| 239 | University of California San Francisco Foundation | San Francisco, California | $4.3B | $574.9M | $1.9B |
| 240 | Piedmont Healthcare INC | Atlanta, Georgia | $4.3B | $358.1M | $358.4M |
| 241 | Sanford | Sioux Falls, South Dakota | $4.3B | $6.1B | $6.1B |
| 242 | Pew Memorial Trust | Philadelphia, Pennsylvania | $4.3B | $563.7M | $668.2M |
| 243 | Icahn School of Medicine at Mount Sinai | New York, New York | $4.3B | $4.5B | $4.5B |
| 244 | Lettie Pate Evans Foundation INC Trustee of the Restricted Fund Uw | Atlanta, Georgia | $4.3B | $641.3M | $1.4B |
| 245 | Healthfirst Phsp INC | New York, New York | $4.2B | $12.2B | $12.8B |
| 246 | Loyola University Medical Center | Maywood, Illinois | $4.2B | $1.7B | $1.7B |
| 247 | Baylor University | Waco, Texas | $4.2B | $1.5B | $1.5B |
| 248 | A Mainehealth Hcsr | Portland, Maine | $4.2B | $4.1B | $4.9B |
| 249 | City of Hope | Duarte, California | $4.2B | $413.3M | $1.5B |
| 250 | Baylor University Medical Center | Dallas, Texas | $4.1B | $2.0B | $3.7B |