| 1 | Memorial Hermann Health System Houston, TX | $8.5B | $13.7B |
| 2 | Methodist Hospital Group Houston, TX | $4.4B | $7.6B |
| 3 | Texas Childrens Hospital Houston, TX | $3.8B | $8.5B |
| 4 | The Methodist Hospital Houston, TX | $3.6B | $11.9B |
| 5 | Bankamerica Group Benefits Program TR Dallas, TX | $2.8B | $407.3M |
| 6 | Texas Childrens Health Plan INC Bellaire, TX | $2.8B | $796.6M |
| 7 | Baylor College of Medicine Houston, TX | $2.8B | $3.1B |
| 8 | Childrens Health System of Texas Dallas, TX | $2.7B | $5.9B |
| 9 | Cook Childrens Medical Center Fort Worth, TX | $2.2B | $2.5B |
| 10 | Scott and White Health Plan Dallas, TX | $2.2B | $1.1B |
| 11 | Methodist Hospitals of Dallas Dallas, TX | $2.1B | $3.8B |
| 12 | ATTt Veba Trust Dallas, TX | $2.1B | $55.9M |
| 13 | Baylor University Medical Center Dallas, TX | $2.0B | $4.1B |
| 14 | Community Health Choice Texas INC Houston, TX | $1.9B | $788.9M |
| 15 | Scott & White Memorial Hospital Dallas, TX | $1.8B | $1.8B |
| 16 | Texas Health Resources Arlington, TX | $1.6B | $9.9B |
| 17 | Texas Mutual Insurance Company Austin, TX | $1.5B | $8.6B |
| 18 | Baylor University Waco, TX | $1.5B | $4.2B |
| 19 | Mother Frances Hospital Regional Health Care Center Tyler, TX | $1.4B | $853.3M |
| 20 | William Marsh Rice University Houston, TX | $1.4B | $10.7B |
| 21 | Baylor Scott & White Health Dallas, TX | $1.4B | $2.6B |
| 22 | Healthtexas Provider Network Dallas, TX | $1.3B | $286.5M |
| 23 | Scott & White Clinic Dallas, TX | $1.3B | $273.4M |
| 24 | Chi St. Lukes Health Baylor College of Medicine Medical Center Houston, TX | $1.3B | $1.4B |
| 25 | Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX | $1.3B | $737.9M |
| 26 | Christus Health Irving, TX | $1.2B | $3.5B |
| 27 | Christus Santa Rosa Health Care Corporation San Antonio, TX | $1.2B | $966.7M |
| 28 | Driscoll Childrens Health Plan Corp Christi, TX | $1.2B | $436.0M |
| 29 | Texas Christian University Fort Worth, TX | $1.2B | $4.7B |
| 30 | Idea Public Schools Weslaco, TX | $1.2B | $2.0B |
| 31 | Southern Methodist University Dallas, TX | $1.1B | $4.5B |
| 32 | Driscoll Childrens Hospital Corp Christi, TX | $1.1B | $2.1B |
| 33 | Christus Trinity Clinic Texas Tyler, TX | $1.1B | $107.7M |
| 34 | American Heart Association INC Dallas, TX | $972.8M | $1.9B |
| 35 | Christus Spohn Health System Corporation Corp Christi, TX | $954.0M | $850.0M |
| 36 | Parkland Community Health Plan INC Dallas, TX | $952.7M | $419.0M |
| 37 | Hendrick Medical Center Abilene, TX | $940.8M | $1.7B |
| 38 | Pedernales Electric Cooperative INC Johnson City, TX | $927.9M | $2.4B |
| 39 | Southwest Research Institute San Antonio, TX | $926.4M | $1.1B |
| 40 | Southwest Key Programs INC Austin, TX | $921.5M | $256.3M |
| 41 | Community Health Choice INC Houston, TX | $898.4M | $280.6M |
| 42 | Cook Childrens Health Plan Fort Worth, TX | $892.6M | $334.7M |
| 43 | Texas Health Presbyterian Hospital Dallas Dallas, TX | $869.4M | $468.2M |
| 44 | Denton County Electric Cooperative INC Corinth, TX | $861.7M | $2.3B |
| 45 | Texas Childrens Physician Group Houston, TX | $780.3M | $117.6M |
| 46 | Shannon Medical Center San Angelo, TX | $740.3M | $562.5M |
| 47 | Baylor Health Care Systems Employee Welfare Benefit Trust Dallas, TX | $698.7M | $71.6M |
| 48 | Christus Good Shepherd Medical Center Marshall, TX | $696.7M | $396.8M |
| 49 | Scott & White Hospital Round Rock Dallas, TX | $695.9M | $561.7M |
| 50 | Baylor All Saints Medical Center Dallas, TX | $693.3M | $768.6M |