The state's top seventy-five public companies are ranked by their June, 2004, market value. Bank of America ranks No. 1, followed by Wachovia and Lowe's. Charlotte-based MedCath, which operates heart hospitals, made the biggest advance, jumping twenty-one place to No. 44. Five companies dropped off the list. Five companies made the Top 75 for the first time or returned after missing the cut last year.