| FLOWER HOSPITAL | $247,914,781 | $424,807,723 |
| AMERICAN ENDOWMENT FOUNDATION | $959,495,885 | $424,614,494 |
| DAYTON CHILDRENS HOSPITAL | $509,114,556 | $418,903,483 |
| LAKE HOSPITAL SYSTEM INC | $420,108,889 | $410,674,873 |
| ST RITAS MEDICAL CENTER | $448,412,201 | $391,470,345 |
| SOUTHWEST GENERAL HEALTH CENTER | $390,498,903 | $384,499,305 |
| SOUTHERN OHIO MEDICAL CENTER | $423,080,148 | $374,122,159 |
| ALLIANCE PHYSICIANS INC | $234,198,184 | $352,474,207 |
| PROMEDICA HEALTH SYSTEM INC | $428,415,348 | $346,524,937 |
| MERCY MEDICAL CENTER INC | $346,755,025 | $340,008,169 |
| SOUTH CENTRAL POWER COMPANY | $338,803,254 | $338,803,254 |
| COMMUNITY MERCY HEALTH PARTNERS | $324,173,506 | $314,335,805 |
| UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY | $329,460,513 | $306,130,478 |
| XAVIER UNIVERSITY | $308,233,290 | $293,006,457 |
| UNIVERSITY OF CINCINNATI PHYSICIANS INC | $308,277,745 | $291,117,350 |
| OHIO STATE UNIVERSITY FOUNDATION | $367,876,357 | $285,915,842 |
| FIRELANDS REGIONAL MEDICAL CENTER | $291,296,412 | $270,827,426 |
| ST ANNS HOSPITAL | $297,171,209 | $269,362,388 |
| TRIHEALTH INC | $248,070,803 | $264,394,777 |
| FAIRFIELD MEDICAL CENTER | $279,973,252 | $262,377,619 |
| OBERLIN COLLEGE | $305,531,376 | $257,878,609 |
| MEDCENTRAL HEALTH SYSTEM | $247,906,545 | $249,829,412 |
| TRINITY HEALTH SYSTEM GROUP | $236,437,007 | $235,491,647 |
| MERCY HEALTH SYSTEM - NORTHERN REGION | $197,227,777 | $229,366,192 |
| LICKING MEMORIAL HOSPITAL | $285,617,348 | $227,004,134 |