| CLEVELAND CLINIC FOUNDATION | INDEPENDENCE | $17,206,708,633 |
| BATTELLE MEMORIAL INSTITUTE | COLUMBUS | $13,526,408,187 |
| BON SECOURS MERCY HEALTH INC | BLUE ASH | $11,537,795,267 |
| THE CLEVELAND CLINIC FOUNDATION | INDEPENDENCE | $9,680,031,802 |
| CARESOURCE OHIO INC | DAYTON | $8,559,845,484 |
| UNIVERSITY HOSPITALS HEALTH SYSTEM INC | SHAKER HTS | $5,946,385,392 |
| OHIOHEALTH CORPORATION | COLUMBUS | $5,723,845,185 |
| NATIONWIDE CHILDRENS HOSPITAL | COLUMBUS | $4,325,096,802 |
| CHILDRENS HOSPITAL MEDICAL CENTER | CINCINNATI | $3,568,680,376 |
| UC HEALTHCARE SYSTEM | CINCINNATI | $2,926,481,065 |
| OHIOHEALTH CORPORATION | COLUMBUS | $2,182,011,764 |
| BON SECOURS RICHMOND HEALTH SYSTEM | CINCINNATI | $2,045,591,727 |
| AMERICAN ENDOWMENT FOUNDATION | HUDSON | $1,891,313,285 |
| CASE WESTERN RESERVE UNIVERSITY | CLEVELAND | $1,735,353,050 |
| SUMMA HEALTH GROUP RETURN | AKRON | $1,694,854,147 |
| TOLEDO HOSPITAL | TOLEDO | $1,672,239,052 |
| MIAMI VALLEY HOSPITAL | DAYTON | $1,604,924,367 |
| CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON | AKRON | $1,540,288,244 |
| CARESOURCE | DAYTON | $1,514,731,827 |
| CHRIST HOSPITAL | CINCINNATI | $1,491,663,160 |
| CARESOURCE GEORGIA CO | DAYTON | $1,467,472,962 |
| MOUNT CARMEL HEALTH SYSTEM | COLUMBUS | $1,427,168,597 |
| CARESOURCE INDIANA INC | DAYTON | $1,324,786,071 |
| ELDERSERVE HEALTH INC | DAYTON | $1,265,590,864 |
| OHIO STATE UNIVERSITY PHYSICIANS INC | COLUMBUS | $1,231,249,686 |
| KETTERING COLLEGE | MIAMISBURG | $1,176,502,669 |
| BETHESDA HOSPITAL INC | CINCINNATI | $1,110,023,036 |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 | CINCINNATI | $1,059,242,585 |
| AULTMAN HEALTH FOUNDATION GROUP RETURN | CANTON | $1,049,448,649 |
| UNIVERSITY HOSPITALS HEALTH SYSTEM INC | SHAKER HTS | $954,845,315 |
| UNIVERSITY OF DAYTON | DAYTON | $947,238,621 |
| JACK JOSEPH AND MORTON MANDEL FOUNDATION | CLEVELAND | $929,693,588 |
| BUCKEYE POWER INC | COLUMBUS | $915,533,213 |
| DAYTON OSTEOPATHIC HOSPITAL | MIAMISBURG | $870,345,091 |
| DAYTON CHILDRENS HOSPITAL | DAYTON | $825,137,568 |
| GENESIS HEALTHCARE SYSTEM | ZANESVILLE | $759,908,584 |
| CHRISTIAN HEALTHCARE MINISTRIES INC | BARBERTON | $754,679,157 |
| ADENA HEALTH SYSTEM | CHILLICOTHE | $704,434,969 |
| JOBSOHIO BEVERAGE SYSTEM | COLUMBUS | $702,077,129 |
| SOUTHERN OHIO MEDICAL CENTER | PORTSMOUTH | $630,867,880 |
| 0005 WRIGHT-PATT CREDIT UNION | BEAVERCREEK | $600,728,000 |
| MOUNT CARMEL HEALTH PLAN INC | COLUMBUS | $598,543,717 |
| MARIETTA MEMORIAL HOSPITAL | MARIETTA | $571,778,893 |
| SOUTHERN OHIO CHAMBER ALLIANCE BENEFIT PLAN | CINCINNATI | $556,360,532 |
| SOUTHWEST GENERAL HEALTH CENTER | CLEVELAND | $449,561,763 |
| UNIVERSITY OF CINCINNATI PHYSICIANS INC | CINCINNATI | $418,117,387 |
| BLANCHARD VALLEY REGIONAL HEALTH CENTER | FINDLAY | $413,666,615 |
| COLUMBUS FOUNDATION | COLUMBUS | $411,632,853 |
| CHILDRENS HOSPITAL | CINCINNATI | $411,378,205 |
| LICKING MEMORIAL HOSPITAL | NEWARK | $399,199,871 |
| COMMUNITY MERCY HEALTH PARTNERS | SPRINGFIELD | $392,510,312 |
| SOUTH CENTRAL POWER COMPANY | LANCASTER | $391,809,698 |
| OHIO STATE UNIVERSITY FOUNDATION | COLUMBUS | $378,949,364 |
| OBERLIN COLLEGE | OBERLIN | $362,974,600 |
| GALION COMMUNITY HOSPITAL | GALION | $357,401,751 |
| TRIHEALTH INC | CINCINNATI | $354,269,277 |
| FAIRFIELD MEDICAL CENTER | LANCASTER | $351,630,396 |
| XAVIER UNIVERSITY | CINCINNATI | $347,371,536 |
| PROMEDICA CENTRAL PHYSICIANS LLC | TOLEDO | $338,343,787 |
| LIMA MEMORIAL JOINT OPERATING COMPANY | LIMA | $317,901,718 |
| FIRELANDS REGIONAL MEDICAL CENTER | SANDUSKY | $313,575,433 |
| JOBSOHIO | COLUMBUS | $313,472,056 |
| HCR MANORCARE INC | TOLEDO | $304,377,638 |
| COMMUNITY BLOOD CENTER | DAYTON | $302,991,373 |
| CLEVELAND FOUNDATION | CLEVELAND | $302,815,178 |
| DENISON UNIVERSITY | GRANVILLE | $299,027,973 |
| BEAVERCREEK MEDICAL CENTER | MIAMISBURG | $292,793,240 |
| ATRIUM MEDICAL CENTER | DAYTON | $280,348,580 |
| MATTHEW 25 MINISTRIES INC | BLUE ASH | $279,440,386 |
| OCLC INC | DUBLIN | $273,340,036 |
| PROMEDICA HEALTH SYSTEM INC | TOLEDO | $268,610,062 |
| TRAILHEAD COMMUNITY HEALTH FUND OF GREATER AKRON | AKRON | $268,004,285 |
| 1386 GENERAL ELECTRIC CREDIT UNION | CINCINNATI | $251,427,949 |
| THE CEDARVILLE UNIVERSITY | CEDARVILLE | $240,765,832 |
| KNOX COMMUNITY HOSPITAL | MOUNT VERNON | $223,103,354 |
| KENYON COLLEGE | GAMBIER | $222,084,361 |
| INDEPENDENT CHARITABLE GIFT FUND | HUDSON | $198,305,368 |
| COLLEGE OF WOOSTER | WOOSTER | $192,267,257 |
| ASHTABULA COUNTY MEDICAL CENTER | ASHTABULA | $188,739,601 |
| JOHN CARROLL UNIVERSITY | UNIVERSITY HT | $187,965,161 |
| GREATER CINCINNATI FOUNDATION | CINCINNATI | $183,703,186 |
| OHIO WESLEYAN UNIVERSITY | DELAWARE | $174,041,527 |
| JACK JOSEPH AND MORTON MANDEL SUPPORTING FOUNDATION | CLEVELAND | $168,250,145 |
| OHIO NORTHERN UNIVERSITY | ADA | $168,131,336 |
| 37 KEMBA FINANCIAL CREDIT UNION | GAHANNA | $164,806,272 |
| BALDWIN WALLACE UNIVERSITY | BEREA | $164,650,505 |
| JEWISH FEDERATION OF CLEVELAND | CLEVELAND | $150,540,330 |
| OHIO LIVING COMMUNITIES | WESTERVILLE | $148,215,031 |
| UNIVERSITY OF CINCINNATI FOUNDATION | CINCINNATI | $147,453,508 |
| 810 SEVEN SEVENTEEN CREDIT UNION INC | WARREN | $120,308,326 |
| 42 KEMBA CREDIT UNION INC | WEST CHESTER | $100,593,597 |
| 1389 SUPERIOR CREDIT UNION INC | LIMA | $99,841,761 |
| OHIO UNIVERSITY FOUNDATION | ATHENS | $92,753,417 |
| HOSPITAL PROPERTIES INC | COLUMBUS | $91,036,675 |
| 64 TELHIO CREDIT UNION INC | COLUMBUS | $85,291,658 |
| CLEVELAND MUSEUM OF ART | CLEVELAND | $84,403,647 |
| 569 DIRECTIONS CREDIT UNION INC | TOLEDO | $73,772,147 |
| FIRST CATHOLIC SLOVAK LADIES ASSOC OF THE USA | BEACHWOOD | $70,952,159 |