| LEGACY COMMUNITY HEALTH SERVICES | $226,045,440 | $220,283,301 |
| ASCENSION TEXAS | $222,690,706 | $217,395,034 |
| TRINITY UNIVERSITY | $216,246,276 | $215,809,683 |
| NORTHEAST TEXAS ELECTRIC COOPERATIVE | $217,648,634 | $214,061,017 |
| ABILENE CHRISTIAN UNIVERSITY | $252,996,672 | $212,710,147 |
| UNITED ELECTRIC COOPERATIVE SERVICES INC | $210,713,181 | $210,954,876 |
| SCOTT AND WHITE HOSPITAL-COLLEGE STATION | $229,813,284 | $209,502,770 |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON | $235,149,516 | $206,692,430 |
| BAYLOR REGIONAL MEDICAL CENTER AT PLANO | $241,423,835 | $197,792,340 |
| INTERNATIONAL AMERICAN EDUCATION FEDERA TION INC | $212,377,748 | $196,341,174 |
| TML MULTISTATE INTERGOVERNMENTAL EMPLOYEE BENEFITS | $204,385,765 | $191,882,065 |
| RESPONSIVE EDUCATION SOLUTIONS | $207,641,879 | $191,209,711 |
| TEXAS HEALTH HUGULEY INC | $223,062,217 | $190,691,948 |
| ST EDWARDS UNIVERSITY | $208,782,526 | $188,190,824 |
| GECU | $225,334,087 | $186,819,628 |
| TEXAS DOW ECU | $218,948,213 | $183,663,255 |
| BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY | $214,565,654 | $183,089,998 |
| HIGH PLAINS BAPTIST HEALTH FOUNDATION | $8,104,647 | $181,960,020 |
| MISSION HOSPITAL INC | $191,280,800 | $176,177,538 |
| JACOBS ENGINEERING GROUP MEDICAL PLAN TRUST | $174,096,406 | $176,057,899 |
| BAYLOR ST LUKES MEDICAL GROUP | $89,470,211 | $172,300,311 |
| NORTH TEXAS FOOD BANK | $202,605,139 | $171,096,544 |
| BAYLOR MEDICAL CENTER AT WAXAHACHIE | $200,654,852 | $168,387,200 |
| SAN MIGUEL ELECTRIC COOPERATIVE INC | $167,993,495 | $167,993,495 |
| KIPP INC DBA KNOWLEDGE IS POWER PROGRAM INC | $168,397,731 | $166,883,105 |