| ARH MARY BRECKINRIDGE HEALTH SERVICE | Lexington | E22 Health Care | $122.1M | 10 |
| NEW VISTA COMMUNITIES INC | Lexington | F33 Mental Health & Crisis Intervention | $113.7M | 8 |
| SEVEN COUNTIES SERVICES INC | Louisville | F300 Mental Health & Crisis Intervention | $113.2M | 10 |
| NEW VISTA OF THE BLUEGRASS INC | Lexington | F32Z Mental Health & Crisis Intervention | $109.8M | 7 |
| CUMBERLAND FAMILY MEDICAL CENTER INC | Burkesville | E32 Health Care | $109.8M | 18 |
| Owensboro Health Medical Group Inc | Owensboro | E99 Health Care | $108.3M | 12 |
| CENTRE COLLEGE | Danville | B420 Education | $105.1M | 14 |
| HARRISON MEMORIAL HOSPITAL INC | Cynthiana | E22Z Health Care | $102.4M | 9 |
| WEST KENTUCKY RURAL ELECTRIC COOPERATIVE | Mayfield | — | $98.2M | 18 |
| LIFESKILLS INC | Bowling Green | F80Z Mental Health & Crisis Intervention | $97.9M | 11 |
| HOSPARUS INC | Louisville | P74Z Human Services | $95.6M | 11 |
| LEWIS COUNTY PRIMARY CARE CENTER INC | Vanceburg | E32Z Health Care | $94.3M | 6 |
| Memorial Hospital Inc | Manchester | E220 Health Care | $93.7M | 26 |
| MOUNTAIN COMPREHENSIVE HEALTH CORPORATION | Whitesburg | E34Z Health Care | $93.4M | 9 |
| ROCKCASTLE HOSPITAL & RESPIRATORY CARE | Mt Vernon | E22 Health Care | $92.7M | 12 |
| JACKSON PURCHASE ENERGY CORPORATION | Paducah | — | $92.2M | 18 |
| GEORGETOWN COLLEGE | Georgetown | B420 Education | $91.9M | 10 |
| FLEMING-MASON ENERGY COOPERATIVE INC | Flemingsburg | — | $89.9M | 14 |
| DISMAS CHARITIES INC | Louisville | P20Z Human Services | $89.6M | 9 |
| FLAGET HEALTHCARE INC | Bardstown | — | $89.4M | 13 |
| NOLIN RURAL ELECTRIC COOPERATIVE CORP | Elizabethtown | — | $88.5M | 14 |
| UNIVERSITY OF PIKEVILLE | Pikeville | B420 Education | $86M | 12 |
| Hospice of the Bluegrass Inc | Lexington | P740 Human Services | $85.6M | 18 |
| LINDSEY WILSON COLLEGE | Columbia | B430 Education | $85.3M | 7 |
| OHIO COUNTY HOSPITAL CORPORATION | Hartford | E22 Health Care | $84.3M | 8 |
| KING'S DAUGHTERS MEDICAL SPECIALTIES | Ashland | E30 Health Care | $78.8M | 9 |
| GOD'S PANTRY FOOD BANK INC | Lexington | — | $78.1M | 4 |
| KENTUCKYONE HEALTH MEDICAL GROUP INC | Lexington | E20 Health Care | $77.4M | 17 |
| NEW VISTA BEHAVIORAL HEALTHCARE INC | Lexington | F113 Mental Health & Crisis Intervention | $75.4M | 7 |
| MEADE COUNTY RURAL ELECTRIC | Brandenburg | — | $74.6M | 17 |
| Grace Community Health Center Inc | Corbin | E32 Health Care | $73.9M | 9 |
| COMMUNITY ACT COUNCIL FOR LEX-FAY | Lexington | B22Z Education | $73.2M | 3 |
| Owensboro Health Twin Lakes Regional Medical Center Inc | Owensboro | E22 Health Care | $72.1M | 10 |
| CATHOLIC CHARITIES OF LOUISVILLE INC | Louisville | P30Z Human Services | $71.5M | 2 |
| INTER-COUNTY ENERGY COOPERATIVE | Danville | — | $70.8M | 12 |
| COMMUNITY ACTION KENTUCKY INC | Frankfort | S21Z Community Improvement & Capacity Building | $69.8M | 0 |
| 4 GOOD COMMUNITY INC | Henderson | P20 Human Services | $69.2M | 2 |
| MOUNTAIN PLUS SERVICES INC | Prestonsburg | F19 Mental Health & Crisis Intervention | $69M | 9 |
| TRANSYLVANIA UNIVERSITY | Lexington | B420 Education | $66.5M | 17 |
| NORTON PROPERTIES INC | Louisville | E110 Health Care | $66M | 7 |
| COMMUNICARE INC | Elizabethtown | F330 Mental Health & Crisis Intervention | $65.8M | 6 |
| COUNCIL OF STATE GOVERNMENTS | Lexington | — | $65.3M | 11 |
| FARMERS RURAL ELECTRIC COOPERATIVE | Glasgow | — | $61.7M | 15 |
| ASBURY COLLEGE | Wilmore | B420 Education | $61.7M | 8 |
| NETWORK FOR HOPE INC | Louisville | — | $61.5M | 14 |
| THE HOME OF THE INNOCENTS INC | Louisville | P300 Human Services | $61.4M | 9 |
| CUMBERLAND VALLEY ELECTRIC INC | Gray | — | $59.9M | 11 |
| AUDUBON AREA COMMUNITY SERVICES INC | Owensboro | P200 Human Services | $59.3M | 4 |
| CLARK ENERGY COOPERATIVE CORPORATION | Winchester | — | $58M | 17 |
| THOMAS MORE UNIVERSITY INC | Crestview Hills | B420 Education | $57.6M | 9 |
