| 1 | THE REGENTS OF THE UNIVERSITY OF CALIFORNIA | $18,009,881,071 | 1 | $18,009,881,071 | Oct 27, 1999 | Department of Energy |
| 2 | THE TRUSTEES OF PRINCETON UNIVERSITY | $2,188,408,942 | 1 | $2,188,408,942 | Jan 31, 2009 | Department of Energy |
| 3 | CALIFORNIA INSTITUTE OF TECHNOLOGY | $139,386,816 | 1 | $139,386,816 | Feb 29, 2008 | National Aeronautics and … |
| 4 | MASSACHUSETTS INSTITUTE OF TECHNOLOGY | $125,405,829 | 4 | $31,351,457 | Mar 31, 2026 | National Aeronautics and … |
| 5 | VANDERBILT UNIVERSITY MEDICAL CENTER | $35,393,948 | 13 | $2,722,611 | Jul 01, 2026 | Department of Veterans Af… |
| 6 | PRIVATE DIAGNOSTIC CLINIC, PLLC | $31,720,482 | 1 | $31,720,482 | Dec 01, 2020 | Department of Veterans Af… |
| 7 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, … | $29,566,130 | 4 | $7,391,532 | Jul 01, 2026 | Department of Veterans Af… |
| 8 | UNIVERSITY OF ARIZONA | $22,415,536 | 3 | $7,471,845 | Jun 27, 2024 | Department of Health and … |
| 9 | OREGON HEALTH & SCIENCE UNIVERSITY | $18,200,632 | 20 | $910,032 | Aug 01, 2026 | Department of Veterans Af… |
| 10 | DUKE UNIVERSITY HEALTH SYSTEM, INC. | $17,745,734 | 3 | $5,915,245 | Feb 01, 2025 | Department of Veterans Af… |
| 11 | MEDICAL FACULTY ASSOCIATES, INC. | $16,565,201 | 2 | $8,282,600 | Jan 09, 2026 | Department of Veterans Af… |
| 12 | WESTERN GOVERNORS UNIVERSITY | $15,943,560 | 1 | $15,943,560 | Jan 09, 2024 | Department of Defense |
