| 1 | The Methodist Hospital Houston | E | $9.9B | $3.6B | $11.9B |
| 2 | Memorial Hermann Health System Houston | E | $8.5B | $8.5B | $13.7B |
| 3 | Michael & Susan Dell Foundation Austin | T | $6.6B | $0 | $7.8B |
| 4 | Texas Mutual Insurance Company Austin | Z | $5.5B | $1.5B | $8.6B |
| 5 | Methodist Hospital Group Houston | Z | $4.4B | $4.4B | $7.6B |
| 6 | ATTt Veba Trust Dallas | Z | $4.4B | $2.1B | $55.9M |
| 7 | Texas Health Resources Arlington | E | $4.1B | $1.6B | $9.9B |
| 8 | Texas Childrens Health Plan INC Bellaire | E | $4.1B | $2.8B | $796.6M |
| 9 | Texas Christian University Fort Worth | B | $4.0B | $1.2B | $4.7B |
| 10 | Texas Childrens Hospital Houston | E | $3.9B | $3.8B | $8.5B |
| 11 | Baylor University Medical Center Dallas | E | $3.7B | $2.0B | $4.1B |
| 12 | Christus Health Irving | E | $3.6B | $1.2B | $3.5B |
| 13 | Baylor College of Medicine Houston | B | $2.9B | $2.8B | $3.1B |
| 14 | Bankamerica Group Benefits Program TR Dallas | Y | $2.8B | $2.8B | $407.3M |
| 15 | Childrens Health System of Texas Dallas | E | $2.7B | $2.7B | $5.9B |
| 16 | William Marsh Rice University Houston | B | $2.4B | $1.4B | $10.7B |
| 17 | Scott and White Health Plan Dallas | Z | $2.3B | $2.2B | $1.1B |
| 18 | Cook Childrens Medical Center Fort Worth | E | $2.2B | $2.2B | $2.5B |
| 19 | Methodist Hospitals of Dallas Dallas | E | $2.1B | $2.1B | $3.8B |
| 20 | Stephens Greth Family Foundation INC Midland | T | $2.0B | $0 | $2.0B |
| 21 | Community Health Choice Texas INC Houston | Z | $1.9B | $1.9B | $788.9M |
| 22 | Scott & White Memorial Hospital Dallas | E | $1.8B | $1.8B | $1.8B |
| 23 | Texas A&m Foundation College Sta | B | $1.8B | $338.7M | $3.4B |
| 24 | Texas Childrens Hospital Foundation Bellaire | E | $1.6B | $25.7M | $3.5B |
| 25 | Moody Foundation Galveston | T | $1.5B | $0 | $3.5B |
| 26 | Southern Methodist University Dallas | B | $1.5B | $1.1B | $4.5B |
| 27 | Stoller Foundation Houston | T | $1.5B | $0 | $1.1B |
| 28 | Baylor University Waco | B | $1.5B | $1.5B | $4.2B |
| 29 | Baylor Regional Medical Center at Grapevine Dallas | E | $1.5B | $462.7M | $1.5B |
| 30 | Mother Frances Hospital Regional Health Care Center Tyler | E | $1.4B | $1.4B | $853.3M |
| 31 | Baylor Scott & White Health Dallas | E | $1.4B | $1.4B | $2.6B |
| 32 | Healthtexas Provider Network Dallas | E | $1.3B | $1.3B | $286.5M |
| 33 | Scott & White Clinic Dallas | E | $1.3B | $1.3B | $273.4M |
| 34 | Chi St. Lukes Health Baylor College of Medicine Medical Center Houston | E | $1.3B | $1.3B | $1.4B |
| 35 | Texas Health Harris Methodist Hospital Fort Worth Fort Worth | E | $1.3B | $1.3B | $737.9M |
| 36 | Texas Gas Employee Welfare Benefits Trust Houston | Z | $1.2B | $14.8M | $87.1M |
| 37 | Christus Santa Rosa Health Care Corporation San Antonio | E | $1.2B | $1.2B | $966.7M |
| 38 | Driscoll Childrens Health Plan Corp Christi | E | $1.2B | $1.2B | $436.0M |
| 39 | Idea Public Schools Weslaco | B | $1.2B | $1.2B | $2.0B |
| 40 | Driscoll Childrens Hospital Corp Christi | E | $1.2B | $1.1B | $2.1B |
| 41 | Christus Trinity Clinic Texas Tyler | E | $1.1B | $1.1B | $107.7M |
| 42 | Baylor Regional Medical Center at Plano Dallas | E | $1.1B | $445.3M | $1.2B |
| 43 | Hendrick Medical Center Abilene | E | $1.0B | $940.8M | $1.7B |
| 44 | Cook Childrens Health Care System Fort Worth | E | $1.0B | $451.9M | $1.7B |
| 45 | American Heart Association INC Dallas | G | $1.0B | $972.8M | $1.9B |
| 46 | Methodist Hospital Houston | E | $1.0B | $150.9M | $1.0B |
| 47 | Christus Spohn Health System Corporation Corp Christi | E | $954.5M | $954.0M | $850.0M |
| 48 | Schlumberger Master Health Care Trust Houston | Z | $954.4M | $337.5M | $728.4M |
| 49 | Parkland Community Health Plan INC Dallas | Z | $952.7M | $952.7M | $419.0M |
| 50 | Pedernales Electric Cooperative INC Johnson City | Z | $929.9M | $927.9M | $2.4B |