| WRIGHT-PATT CREDIT UNION INC | $301,810,002 | $225,776,563 |
| BLANCHARD VALLEY REGIONAL HEALTH CENTER | $307,688,691 | $224,614,690 |
| PREMIER HEALTH PARTNERS | $2,890,080 | $224,242,990 |
| ST LUKES HOSPITAL | $194,301,693 | $220,305,635 |
| GOOD SAMARITAN HOSPITAL | $160,612,604 | $213,721,363 |
| OCLC INC FKA OCLC ONLINE COMPUTER LIBRARY CENTER INC | $210,147,112 | $213,096,462 |
| CARESOURCE KENTUCKY CO | $237,068,323 | $211,848,520 |
| ATRIUM MEDICAL CENTER | $233,669,611 | $211,182,634 |
| HEARTLAND HEALTH AND WELLNESS FUND | $192,989,870 | $210,022,508 |
| SOUTHERN OHIO CHAMBER ALLIANCE BENEFIT PLAN | $205,731,624 | $203,228,953 |
| MATTHEW 25 MINISTRIES INC | $233,829,665 | $202,467,861 |
| SISTERS OF MERCY OF HAMILTON OHIO | $244,656,776 | $200,871,820 |
| DENISON UNIVERSITY | $213,251,671 | $200,397,127 |
| COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER | $199,620,747 | $199,572,656 |
| EMH REGIONAL MEDICAL CENTER | $206,089,890 | $195,522,141 |
| GALION COMMUNITY HOSPITAL | $226,855,135 | $193,805,261 |
| LIMA MEMORIAL JOINT OPERATING COMPANY | $222,586,027 | $192,551,195 |
| MERCY HOSPITALS WEST | $175,463,473 | $186,711,133 |
| BEAVERCREEK MEDICAL CENTER | $193,227,971 | $184,622,678 |
| TRINITY HOSPITAL HOLDING COMPANY | $187,383,075 | $181,442,980 |
| PROCTER AND GAMBLE RETIREE BENEFIT TRUST | $187,075,022 | $181,105,252 |
| PARMA COMMUNITY GENERAL HOSPITAL | $180,451,535 | $180,658,550 |
| ELECTRONIC CLASSROOM OF TOMORROW | $96,341,668 | $178,823,672 |
| CLEVELAND FOUNDATION | $120,009,767 | $176,182,289 |
| KNOX COMMUNITY HOSPITAL | $189,290,752 | $174,388,774 |