| 1 | Vanderbilt University Medical Center Nashville, TN | $7.7B | $6.6B |
| 2 | American Lebanese Syrian Assoc Char INC Memphis, TN | $2.9B | $10.0B |
| 3 | Vanderbilt University Nashville, TN | $2.6B | $13.8B |
| 4 | St. Jude Childrens Research Hospital INC Memphis, TN | $2.0B | $11.7B |
| 5 | Methodist Healthcare-memphis Memphis, TN | $2.0B | $1.2B |
| 6 | University Health System INC Knoxville, TN | $1.6B | $1.3B |
| 7 | Erlanger Health Chattanooga, TN | $1.3B | $997.0M |
| 8 | Mountain States Health Alliance Johnson City, TN | $1.1B | $603.5M |
| 9 | Middle Tennessee Electric Membershi P Corporation Murfreesboro, TN | $991.2M | $1.2B |
| 10 | Baptist Memorial Hospital Memphis, TN | $975.5M | $585.8M |
| 11 | Wellmont Health System Johnson City, TN | $856.9M | $469.6M |
| 12 | Shelby County Health Care Corporation Memphis, TN | $766.8M | $348.5M |
| 13 | Dialysis Clinic INC Nashville, TN | $736.4M | $697.7M |
| 14 | Memorial Health Care System INC Chattanooga, TN | $715.0M | $494.3M |
| 15 | Chs Community Health Systems INC Veba Trust Franklin, TN | $680.1M | $7K |
| 16 | Eastman Credit Union Kingsport, TN | $536.0M | $9.1B |
| 17 | Belmont University Nashville, TN | $523.2M | $1.8B |
| 18 | Youth Villages INC Bartlett, TN | $483.5M | $354.3M |
| 19 | Parkwest Medical Center Knoxville, TN | $469.8M | $289.9M |
| 20 | Ducks Unlimited INC Memphis, TN | $443.6M | $459.6M |
| 21 | Methodist Lebonheur Healthcare Memphis, TN | $439.8M | $2.4B |
| 22 | Fort Sanders Regional Medical Center Knoxville, TN | $423.2M | $249.5M |
| 23 | Baptist Memorial Hospital Tipton Covington, TN | $407.1M | $224.4M |
| 24 | Cumberland Electric Membership Corp. Clarksville, TN | $404.7M | $686.9M |
| 25 | East Tennessee Childrens Hospital Association INC Knoxville, TN | $365.4M | $665.5M |
| 26 | Baptist Memorial Health Care Corporation Memphis, TN | $351.2M | $1.7B |
| 27 | The University of Tennessee Foundat Ion INC Knoxville, TN | $315.3M | $1.0B |
| 28 | Volunteer Energy Cooperative Decatur, TN | $314.8M | $394.5M |
| 29 | Knoxville Tva Employees Credit Unio Knoxville, TN | $296.9M | $4.6B |
| 30 | Baptist Memorial Hospital - Jonesboro INC Memphis, TN | $288.3M | $288.8M |
| 31 | Kingsway Charities INC Bristol, TN | $266.3M | $131.3M |
| 32 | Duck River Electric Membership Corporation Shelbyville, TN | $263.6M | $352.5M |
| 33 | Lincoln Memorial University Harrogate, TN | $258.9M | $472.8M |
| 34 | Nissan North America INC Voluntary Employees Beneficiary Association Franklin, TN | $250.8M | $21.0M |
| 35 | Lipscomb University Nashville, TN | $242.5M | $460.2M |
| 36 | Baptist Memorial Medical Group INC Memphis, TN | $241.0M | $517.4M |
| 37 | The Community Fdn of Middle Tn INC Nashville, TN | $239.9M | $832.0M |
| 38 | Meharry Medical College Nashville, TN | $239.3M | $484.7M |
| 39 | Covenant Health Knoxville, TN | $235.7M | $2.0B |
| 40 | Johnston Memorial Hospital INC Johnson City, TN | $219.5M | $316.6M |
| 41 | Baptist Memorial Medical Ministries Employee Health & Welfare TR Memphis, TN | $217.7M | $10.9M |
| 42 | Southern District Ubc Health Trust Goodlettsvlle, TN | $205.6M | $237.4M |
| 43 | University of the South Sewanee, TN | $192.8M | $851.0M |
| 44 | Rhodes College Memphis, TN | $187.6M | $656.5M |
| 45 | Methodist Medical Center Knoxville, TN | $184.4M | $93.7M |
| 46 | Guardian Foundation INC Ooltewah, TN | $173.5M | $129.9M |
| 47 | Centerstone of Tennessee INC Nashville, TN | $172.0M | $73.7M |
| 48 | Community Foundation of Greater Memphis INC Memphis, TN | $171.4M | $953.1M |
| 49 | Life Care Centers of America INC Associate Benefit Trust Cleveland, TN | $163.4M | $26.2M |
| 50 | Morristown Hamblen Hosp Knoxville, TN | $161.2M | $109.8M |