| 1 | Baptist Healthcare System INC Louisville | E | $4.3B | $4.3B | $5.2B |
| 2 | Norton Hospitals INC Louisville | E | $3.4B | $3.4B | $4.6B |
| 3 | St. Elizabeth Medical Center INC Edgewood | E | $2.6B | $2.2B | $3.4B |
| 4 | Bowling Green-warren County Community Hospital Corporation Bowling Green | E | $1.6B | $838.8M | $1.3B |
| 5 | Uofl Health-louisville INC Louisville | E | $1.3B | $1.3B | $891.5M |
| 6 | Norton Healthcare INC Louisville | E | $1.2B | $759.4M | $2.6B |
| 7 | University Medical Center INC Louisville | E | $1.2B | $902.9M | $983.0M |
| 8 | East Kentucky Power Cooperative INC Winchester | Z | $1.2B | $1.2B | $3.9B |
| 9 | George and Beverly Rawlings Endowment Foundation INC Lagrange | T | $1.1B | $0 | $516.4M |
| 10 | Owensboro Health Regional Hospital Owensboro | E | $1.0B | $888.7M | $2.8B |
| 11 | Ashland Hospital Corporation Ashland | E | $1.0B | $976.8M | $1.3B |
| 12 | Saint Joseph Health System INC Lexington | E | $1.0B | $1.0B | $704.5M |
| 13 | Appalachian Regional Healthcare INC Lexington | E | $943.9M | $943.9M | $1.4B |
| 14 | Community Medical Associates INC Louisville | E | $920.5M | $919.7M | $199.1M |
| 15 | Baptist Health Medical Group INC Louisville | E | $850.9M | $850.8M | $207.2M |
| 16 | Adam R Scripps Foundation Ft Mitchell | T | $841.9M | $0 | $754.6M |
| 17 | Pikeville Medical Center INC Pikeville | E | $736.7M | $688.9M | $706.3M |
| 18 | University of Louisville Research Foundation INC Louisville | B | $652.9M | $651.0M | $966.6M |
| 19 | Summit Medical Group INC Erlanger | E | $548.3M | $548.3M | $234.6M |
| 20 | University of Kentucky Research Foundation Lexington | B | $493.2M | $486.7M | $265.5M |
| 21 | University of Louisville Physicians INC Louisville | E | $414.0M | $414.0M | $196.1M |
| 22 | Kentucky Medical Services Foundation INC Lexington | B | $386.2M | $386.2M | $224.7M |
| 23 | Kenergy Corp. Henderson | Z | $376.6M | $376.4M | $393.5M |
| 24 | The Community Foundation of Louisville INC Louisville | T | $365.6M | $90.1M | $699.5M |
| 25 | Berea College Berea | B | $306.1M | $139.3M | $2.1B |
| 26 | Commonwealth Health Corporation INC Bowling Green | E | $305.8M | $195.7M | $204.6M |
| 27 | T J Samson Community Hospital Glasgow | E | $296.0M | $259.3M | $256.0M |
| 28 | Baptist Health Deaconess Madisonville INC Madisonville | E | $291.0M | $289.6M | $122.5M |
| 29 | Ephraim McDowell Regional Medical C Enter Danville | E | $282.1M | $282.1M | $327.5M |
| 30 | St. Claire Medical Center INC Morehead | E | $271.1M | $264.0M | $150.4M |
| 31 | Warren Rural Electric Cooperative Corporation Bowling Green | Z | $268.7M | $268.7M | $393.8M |
| 32 | Owen Electric Cooperative INC Owenton | Z | $246.5M | $246.5M | $319.2M |
| 33 | Shirleys Way Louisville | T | $246.3M | $10.4M | $6.2M |
| 34 | Jennie Stuart Medical Center INC Hopkinsville | E | $242.6M | $234.3M | $305.4M |
| 35 | Christian Appalachian Project INC Paintsville | P | $240.3M | $237.2M | $55.0M |
| 36 | University of the Cumberlands INC Williamsburg | B | $239.6M | $239.6M | $644.9M |
| 37 | Disabled American Veterans Erlanger | Z | $238.9M | $176.5M | $654.7M |
| 38 | Arh Tug Valley Health Services INC Lexington | E | $217.9M | $217.9M | $116.5M |
| 39 | Delta Dental of Kentucky INC Louisville | Z | $217.1M | $196.4M | $140.0M |
| 40 | Gheens Foundation INC Louisville | Z | $201.1M | $0 | $158.8M |
| 41 | Norton Healthcare-indiana INC Louisville | E | $197.6M | $197.6M | $185.1M |
| 42 | Ray and Kay Eckstein Charitable Trust Paducah | B | $189.3M | $0 | $457.4M |
| 43 | Asbury Theological Seminary Wilmore | B | $180.4M | $45.3M | $363.8M |
| 44 | Norton - Kings Daughters Health INC Louisville | E | $177.5M | $151.1M | $349.0M |
| 45 | Methodist Health INC Henderson | E | $171.2M | $171.1M | $120.7M |
| 46 | Goodwill Industries of Kentucky INC Louisville | J | $168.7M | $138.3M | $235.7M |
| 47 | Pennyrile Rural Electric Cooperative Corporation Hopkinsville | Z | $168.6M | $168.6M | $312.8M |
| 48 | Bluegrass Energy Cooperative Corp. Nicholasville | Y | $159.6M | $159.6M | $320.3M |
| 49 | Hospice of the Bluegrass INC Lexington | P | $158.4M | $92.7M | $126.3M |
| 50 | South Kentucky Rural Electric Cooperative Corp. Somerset | Z | $156.5M | $156.5M | $355.1M |