| WARREN RURAL ELECTRIC COOPERATIVE CORPORATION | $200,501,344 | $187,752,205 |
| TJ SAMSON COMMUNITY HOSPITAL | $201,727,151 | $181,592,379 |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER | $189,438,377 | $179,903,373 |
| OWEN ELECTRIC COOPERATIVE INC | $174,532,090 | $174,532,090 |
| ST CLAIRE MEDICAL CENTER INC | $154,203,459 | $151,489,508 |
| DELTA DENTAL OF KENTUCKY INC | $147,173,389 | $144,249,398 |
| DISABLED AMERICAN VETERANS | $145,388,158 | $144,008,462 |
| BEREA COLLEGE | $205,202,087 | $142,734,145 |
| BELLARMINE UNIVERSITY | $139,771,034 | $137,307,939 |
| OWENSBORO HEALTH MEDICAL GROUP INC | $71,512,576 | $137,117,147 |
| JENNIE STUART MEDICAL CENTER INC | $146,137,923 | $135,588,218 |
| METHODIST HEALTH INC | $113,957,136 | $135,550,790 |
| KENTUCKYONE HEALTH MEDICAL GROUP INC | $79,353,871 | $135,257,700 |
| CHRISTIAN APPALACHIAN PROJECT INC | $133,828,729 | $134,517,134 |
| BLUE GRASS ENERGY COOPERATIVE CORP | $132,758,328 | $132,758,328 |
| SOUTH KENTUCKY RURAL ELECTRIC COOPERATIVE CORPORATION | $126,122,119 | $126,122,119 |
| CAMPBELLSVILLE UNIVERSITY INC | $147,591,479 | $125,957,053 |
| PENNYRILE RURAL ELECTRIC COOPERATIVE CORPORATION | $129,860,794 | $124,066,993 |
| UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION | $126,934,461 | $122,421,563 |
| COMMONWEALTH HEALTH CORPORATION INC | $118,032,477 | $114,508,816 |
| ARH TUG VALLEY HEALTH SERVICES INC | $119,809,065 | $108,454,450 |
| CENTRE COLLEGE | $91,020,340 | $104,670,727 |
| UNIVERSITY OF THE CUMBERLANDS INC | $177,084,438 | $104,177,008 |
| SALT RIVER ELECTRIC COOPERATIVE | $103,102,993 | $103,102,993 |
| BAPTIST HEALTH RICHMOND INC | $105,302,540 | $101,887,388 |