| Vanderbilt University Medical Center | Nashville | $8,674,383,028 |
| American Lebanese Syrian Assoc Char Inc | Memphis | $3,292,450,744 |
| Vanderbilt University | Nashville | $2,818,556,976 |
| St Jude Childrens Research Hospital Inc | Memphis | $2,208,853,162 |
| Methodist Healthcare-Memphis | Memphis | $1,968,551,184 |
| University Health System Inc | Knoxville | $1,624,770,137 |
| Mountain States Health Alliance | Johnson City | $1,307,839,695 |
| Baptist Memorial Hospital | Memphis | $1,120,858,064 |
| Middle Tennessee Electric Membershi P Corporation | Murfreesboro | $991,192,614 |
| Wellmont Health System | Johnson City | $933,212,443 |
| Shelby County Health Care Corporation | Memphis | $809,133,452 |
| Dialysis Clinic Inc | Nashville | $705,801,265 |
| The Bill Gatton Foundation | Bristol | $664,214,874 |
| Belmont University | Nashville | $579,470,406 |
| Baptist Memorial Hospital Tipton | Covington | $487,779,550 |
| Youth Villages Inc | Bartlett | $483,465,306 |
| Parkwest Medical Center | Knoxville | $469,844,949 |
| Methodist Lebonheur Healthcare | Memphis | $439,781,743 |
| Fort Sanders Regional Medical Center | Knoxville | $423,187,776 |
| East Tennessee Childrens Hospital Association Inc | Knoxville | $413,764,965 |
| Cumberland Electric Membership Corp | Clarksville | $404,680,278 |
| Baptist Memorial Health Care Corporation | Memphis | $397,014,555 |
| Ducks Unlimited Inc | Memphis | $380,340,506 |
| The University of Tennessee Foundat Ion Inc | Knoxville | $344,836,967 |
| Knoxville Tva Employees Credit Unio | Knoxville | $331,431,202 |
| Volunteer Energy Cooperative | Decatur | $314,777,815 |
| Baptist Memorial Hospital - Jonesboro Inc | Memphis | $303,556,800 |
| Lincoln Memorial University | Harrogate | $285,223,229 |
| Lipscomb University | Nashville | $272,059,219 |
| Baptist Memorial Medical Group Inc | Memphis | $264,177,015 |
| Duck River Electric Membership Corporation | Shelbyville | $263,609,490 |
| Nissan North America Inc Voluntary Employees Beneficiary Association | Franklin | $250,816,514 |
| University of the South | Sewanee | $246,056,453 |
| The Community Fdn of Middle Tn Inc | Nashville | $239,914,601 |
| Covenant Health | Knoxville | $235,666,950 |
| Meharry Medical College | Nashville | $234,140,557 |
| Southern District Ubc Health Trust | Goodlettsvlle | $205,635,343 |
| Guardian Foundation Inc | Ooltewah | $200,414,805 |
| Johnston Memorial Hospital Inc | Johnson City | $196,436,710 |
| Methodist Medical Center | Knoxville | $184,391,658 |
| Wellmont Medical Associates Inc | Johnson City | $181,405,196 |
| Life Care Centers of America Inc Associate Benefit Trust | Cleveland | $180,664,311 |
| Rhodes College | Memphis | $177,972,908 |
| Centerstone of Tennessee Inc | Nashville | $172,046,133 |
| Community Foundation of Greater Memphis Inc | Memphis | $171,395,190 |
| Morristown Hamblen Hosp | Knoxville | $161,164,897 |
| Leconte Medical Center | Knoxville | $160,423,596 |
| Tri-County Electric Membership Corporation | Lafayette | $159,546,330 |
| Second Harvest Food Bank of Middle Tennessee Inc | Nashville | $156,647,104 |
| Dci Donor Services Inc | Nashville | $155,853,313 |
| Education Loan Finance Inc | Knoxville | $152,761,053 |
| Takoma Regional Hospital Inc | Johnson City | $152,325,889 |
| Southwest Tennessee Electric Membership Corp | Brownsville | $150,745,970 |
| Meriwether Lewis Electric Cooperative | Centerville | $145,999,618 |
| Upper Cumberland Electric Membership Corporation | Carthage | $142,968,605 |
| Appalachian Electric Cooperative | New Market | $139,121,874 |
| Gibson Electric Membership Corp | Trenton | $137,258,147 |
| Ballad Health | Johnson City | $130,240,270 |
| Volunteer Corporate Credit Union | Nashville | $130,013,138 |
| Goodwill Industries of Middle Tennessee Inc | Nashville | $127,867,427 |
| Christian Community Foundation of Memphis and the Mid-South Inc | Memphis | $125,427,924 |
| Health Services Management Inc | Murfreesboro | $121,311,118 |
| Sequachee Valley Electric Cooperative | S Pittsburg | $121,157,075 |
| The Helen Ross McNabb Center | Knoxville | $121,133,699 |
| Trousdale Foundation Inc | Cleveland | $120,822,767 |
| Oak Ridge Associated Universities Inc | Oak Ridge | $118,279,300 |
| Union University | Jackson | $113,725,836 |
| Mechanical Licensing Collective | Nashville | $111,325,211 |
| Lee University | Cleveland | $111,269,584 |
| Holston Electric Cooperative Inc | Rogersville | $110,216,626 |
| Methodist Healthcare-Olive Branch Hospital | Memphis | $110,204,871 |
| Bill and Crissy Haslam Foundation | Knoxville | $109,743,731 |
| Centerstone of Indiana Inc | Nashville | $107,622,845 |
| Cumberland Medical Center Inc | Knoxville | $105,201,732 |
| Young Mens Christian Association of Nashville and Middle Tennessee | Nashville | $98,454,788 |
| Ocoee Foundation Inc | Cleveland | $98,292,310 |
| Dollywood Foundation | Sevierville | $98,131,804 |
| Trevecca Nazarene University | Nashville | $95,946,476 |
| Volunteer Behavioral Health Care System | Chattanooga | $94,980,636 |
| Mental Health Cooperative Inc | Nashville | $94,185,119 |
| Cherokee Health Systems | Talbott | $94,076,648 |
| Leaders Credit Union | Jackson | $93,333,162 |
| Fort Loudoun Electric Cooperative | Vonore | $93,154,859 |
| Frontier Health | Gray | $88,750,463 |
| Soles 4 Souls | Nashville | $88,258,383 |
| Scarlett Family Foundation | Nashville | $86,776,319 |
| Ut Medical Group Inc | Memphis | $85,488,061 |
| Caney Fork Electric Cooperative Inc | McMinnville | $84,991,952 |
| Sweetwater Hospital Association | Sweetwater | $84,911,814 |
| The Haslam 3 Foundation Inc | Knoxville | $84,287,806 |
| Ensworth School | Nashville | $83,745,106 |
| Charity Global Inc | Franklin | $82,267,852 |
| Cumberland University | Lebanon | $82,170,753 |
| Powell Valley Electric Cooperative | New Tazewell | $82,117,471 |
| Freed-Hardeman University | Henderson | $78,463,666 |
| Country Music Association Inc | Nashville | $78,217,001 |
| Twin Lakes Telephone Cooperative Corporation | Gainesboro | $74,267,308 |
| Mountain Electric Cooperative Inc | Mountain City | $74,072,410 |
| Country Music Foundation Inc | Nashville | $73,334,385 |
| Sheet Metal Workers National Health Fund | Goodlettsvlle | $72,514,098 |
| KIPP Nashville | Nashville | $71,997,127 |
| Christian Brothers University | Memphis | $71,692,855 |
| Nashville Zoo Inc | Nashville | $69,968,685 |
| Mid-South Food Bank | Memphis | $68,858,683 |
| McCallie School Inc | Chattanooga | $67,518,791 |
| Open Arms Care Corporation | Brentwood | $67,417,503 |
| Centerstone of Florida Inc | Nashville | $66,448,235 |
| Baptist Memorial Health Care Foundation | Memphis | $66,415,217 |
| University of Memphis Foundation | Memphis | $66,402,207 |
| United Furniture Workers Insurance Fund | Nashville | $65,442,764 |
| Maryville College | Maryville | $65,265,884 |
| Southeast Community Capital Corporation | Nashville | $65,102,054 |
| Fisk University | Nashville | $64,088,576 |
| The Baylor School | Chattanooga | $63,646,677 |
| Medical Education Assistance Corporation | Mountain Home | $62,745,686 |
| YMCA of Memphis & the Mid-South | Cordova | $62,721,668 |
| First Horizon Foundation | Memphis | $62,188,326 |
| Milligan University | Milligan | $61,430,257 |
| Siskin Hospital for Physical Rehabilitation | Chattanooga | $60,984,367 |
| Smyth County Community Hospital | Johnson City | $57,206,760 |
| Alliance Healthcare Services Inc | Memphis | $56,950,640 |
| Youth Villages Foundation Inc | Bartlett | $56,343,115 |
| Harpeth Hall School | Nashville | $55,794,593 |
| Pickwick Electric Cooperative | Selmer | $55,758,904 |
| Unity Medical Center Inc | Manchester | $54,075,617 |
| Memphis Goodwill Inc | Memphis | $54,072,468 |
| Chattanooga Christian Community Foundation | Chattanooga | $53,564,266 |
| North Central Telephone Cooperative Corp | Lafayette | $53,407,283 |
| Cumberland Heights Foundation Inc | Nashville | $52,940,998 |
| Centerstone of America Inc | Nashville | $51,853,446 |
| Tennessee Valley Electric Cooperative | Savannah | $51,579,483 |
| Plateau Electric Cooperative | Oneida | $51,335,434 |
| Christian Community Development Corporation Inc | Memphis | $50,643,703 |
| Knox Area Rescue Ministries | Knoxville | $49,999,440 |
| Roane County Medical Center | Knoxville | $49,871,885 |
| Alpha Omicron Pi Fraternity Inc | Brentwood | $49,602,212 |
| Isha Foundation Inc | McMinnville | $48,687,782 |
| Carson-Newman University | Jefferson Cty | $48,393,481 |
| Community Foundation of Greater Chattanooga Inc | Chattanooga | $48,049,930 |
| University of Nashville Montgomery Bell Academy | Nashville | $46,351,974 |
| Bethel University | Mc Kenzie | $46,326,285 |
| National Association of State Boards of Accountancy Inc | Nashville | $46,019,069 |
| Credit Unions Chartered in the State of Tennessee | Nashville | $43,133,868 |
| Franklin Road Academy Inc | Nashville | $41,989,734 |
| Baptist Memorial College of Health Sciences Inc | Memphis | $41,814,630 |
| Trezevant Episcopal Home | Memphis | $41,738,450 |
| First South Financial Federal Credit Union | Bartlett | $41,196,500 |
| Girls Preparatory School Inc | Chattanooga | $41,139,026 |
| Webb School of Knoxville | Knoxville | $41,128,638 |
| King University | Bristol | $40,757,913 |
| University School of Nashville | Nashville | $40,406,656 |
| Lead Public Schools Inc | Brentwood | $40,153,731 |
| Memphis Brooks Museum of Art Inc | Memphis | $40,031,401 |
| Rural Health Services Consortium Inc | Rogersville | $39,523,074 |
| Tennessee Wesleyan University | Athens | $38,571,636 |
| Tusculum University | Greeneville | $36,816,176 |
| Ben Lomand Rural Telephone Cooperative Inc | McMinnville | $36,583,231 |
| Dettwiller Foundation | Nashville | $35,857,802 |
| Southern College of Optometry | Memphis | $35,582,027 |
| Tennessee Aquarium | Chattanooga | $34,216,548 |
| United Way of Middle Tennessee Inc | Nashville | $33,469,440 |
| Briarcrest Christian School System Inc | Eads | $33,326,057 |
| Southeast Financial Credit Union | Franklin | $31,581,827 |
| J R Hyde III Foundation | Memphis | $31,470,439 |
| Le Bonheur Childrens Hospital Foundation | Memphis | $31,378,831 |
| Freedom Preparatory Academy Inc | Memphis | $30,495,662 |
| Johnson University | Knoxville | $30,338,363 |
| Consumer Credit Union | Greeneville | $29,887,391 |
| Middle Tennessee State University Foundation | Murfreesboro | $29,458,163 |
| Heritage South Community Cu | Shelbyville | $29,057,056 |
| Bill and Carol Latimer Charitable Foundation | Union City | $28,531,702 |
| Blakeford at Green Hills Corporation | Nashville | $28,275,753 |
| Day Foundation | Memphis | $27,985,804 |
| Luke Inc | Collierville | $27,676,096 |
| East Tennessee Foundation | Knoxville | $27,657,283 |
| Dekalb Telephone Cooperative | Alexandria | $27,171,280 |
| Hca Healthcare Foundation | Nashville | $25,819,933 |
| Woodbine Community Organization Wco Inc | Nashville | $24,544,823 |
| The Frist Foundation | Nashville | $23,118,814 |
| U S Community Credit Union | Nashville | $22,908,081 |
| Bowater Employees Credit Union | Calhoun | $22,414,931 |
| The Tennessee Credit Union | Nashville | $21,382,047 |
| Old Hickory Credit Union | Nashville | $19,643,133 |
| Covenant Living at Shannondale | Knoxville | $19,182,281 |
| Assisi Foundation of Memphis Inc | Memphis | $18,670,140 |
| East Tennessee State University Foundation | Johnson City | $18,187,606 |
| Robert E and Jenny D Kirkland Found | Union City | $16,870,044 |
| Tennessee Health Foundation Inc | Chattanooga | $16,462,274 |
| Formanek Foundation | Memphis | $12,023,174 |
| Clarksville Montgomery Countycommunity Health Foundation Inc | Clarksville | $10,707,275 |
| Joe C Davis Foundation | Nashville | $10,381,384 |
| Clayton Family Foundation | Knoxville | $9,700,499 |
| Living Legacy Foundation | Nashville | $8,662,020 |
| Maclellan Foundation Inc | Chattanooga | $7,801,963 |
| Speer Foundation | Brentwood | $6,876,925 |
| Lauren and Lee Fixel Family Foundation Inc | Nashville | $5,402,078 |
| Pyramid Peak Foundation | Memphis | $4,415,478 |
| Kennedy Foundation Inc | Chattanooga | $4,333,769 |
| Poplar Foundation | Memphis | -$14,934 |