| FARMERS ELECTRIC COOPERATIVE INC | Greenville | — | $211.3M | 19 |
| St Edwards University | Austin | B430 Education | $207.7M | 14 |
| GOODWILL INDUSTRIES OF CENTRAL TEXAS | Austin | J32Z Employment | $206.1M | 8 |
| DALLAS SAFETY NET SUPPORT CORPORATION | Dallas | E12 Health Care | $205.9M | 3 |
| METROPLEX ADVENTIST HOSPITAL INC | Killeen | E220 Health Care | $204.7M | 14 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | E20 Health Care | $203.3M | 17 |
| PROFESSIONAL CONTRACT SERVICES INC | Austin | P80Z Human Services | $202.4M | 18 |
| AT&T CORPORATION MANAGEMENT & NON-REPRESENTED EMPLOYEE POSTRETIREMENT WELFARE BENEFIT TRUST | Dallas | Y430 Mutual & Membership Benefit | $202.3M | 1 |
| TRINITY VALLEY ELECTRIC COOPERATIVE INC | Kaufman | — | $197.7M | 22 |
| TI EMPLOYEES HEALTH BENEFIT TRUST | Dallas | — | $194M | 1 |
| YPO INC | Irving | — | $193.1M | 20 |
| AUSTIN TRANSIT PARTNERSHIP LOCAL GOVERNMENT CORPORATION | Austin | W40 Public & Societal Benefit | $188.2M | 12 |
| ST DAVID'S FOUNDATION | Austin | E210 Health Care | $187.7M | 13 |
| CREDIT UNION OF TEXAS | Allen | — | $187.6M | 26 |
| Dallas County Local Workforce Development Board | Dallas | P800 Human Services | $185.8M | 7 |
| FIRST CHOICE PHYSICIAN PARTNERS | Dallas | E30 Health Care | $184.5M | 5 |
| SOUTHWESTERN MEDICAL FOUNDATION | Dallas | B110 Education | $183.1M | 8 |
| BRAZOS SANDY CREEK ELECTRIC COOPERATIVE INC C/O JSN BANKRUPTCY TRUSTEE | Houston | — | $180.7M | 0 |
| St Mary's University | San Antonio | — | $180.3M | 23 |
| SAN MIGUEL ELECTRIC COOPERATIVE INC | Jourdanton | — | $175.6M | 28 |
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | Lufkin | E220 Health Care | $174.8M | 15 |
| Century Integrated Partners Inc | Dallas | E32 Health Care | $174.6M | 8 |
| Texas Health Hospital Frisco | Frisco | E20 Health Care | $172.3M | 18 |
| THE PROFESSIONAL GOLFERS ASSOC OF AMERICA | Frisco | — | $172.3M | 12 |
| COMPREHENSIVE HEALTH INSURANCE ASSOCIATION | San Antonio | — | $171.7M | 1 |
| Adventist Health SystemTexas Inc | Burleson | — | $171.2M | 10 |
| ALAMO WORKFORCE DEVELOPMENT INC | San Antonio | J200 Employment | $171.2M | 5 |
| SOUTH PLAINS ELECTRIC COOPERATIVE INC | Lubbock | — | $167.6M | 21 |
| FIRST COMMUNITY CREDIT UNION | Houston | — | $167.4M | 24 |
| Young Men's Christian Association of the Greater Houston Area | Houston | P270 Human Services | $165.8M | 10 |
| ACH CHILD AND FAMILY SERVICES | Fort Worth | — | $161.2M | 9 |
| Carter BloodCare | Bedford | E610 Health Care | $160.7M | 19 |
| MEDINA ELECTRIC COOPERATIVE INC | Hondo | — | $160.6M | 21 |
| MID-SOUTH ELECTRIC COOPERATIVE ASSOCIATION | Navasota | — | $160.5M | 19 |
| HOUSTON ENDOWMENT INC | Houston | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $160.3M | 3 |
| THE DALLAS FOUNDATION | Dallas | T31 Philanthropy, Voluntarism & Grantmaking Foundations | $160M | 8 |
| Baylor Scott & White Medical Center - Centennial | Dallas | E22 Health Care | $159.4M | 13 |
| HOUSTON CHRISTIAN UNIVERSITY | Houston | — | $158.2M | 13 |
| MISSION HOSPITAL INC | Mission | E220 Health Care | $157.7M | 11 |
| CARL & MARILYNN THOMA FOUNDATION | Dallas | T23 Philanthropy, Voluntarism & Grantmaking Foundations | $156.8M | 0 |
| MedHealth | Dallas | E30 Health Care | $153.9M | 33 |
| Catholic Life Insurance | San Antonio | — | $152.8M | 17 |
| THE METHODIST HOSPITAL FOUNDATION | Houston | E20 Health Care | $150.9M | 6 |
| DALLAS BAPTIST UNIVERSITY | Dallas | B430 Education | $150M | 19 |
| Baylor Scott & White Medical Centers- Capitol Area | Dallas | E20 Health Care | $148.1M | 20 |
| AMERICAN ATHLETIC CONFERENCE | Irving | — | $147.7M | 8 |
| CHILD CARE ASSOCIATES | Fort Worth | — | $147.7M | 15 |
| Scott & White Care Plans | Dallas | P20 Human Services | $147.4M | 6 |
| Christus Hopkins Health Alliance | Irving | — | $145.9M | 16 |
| The Brown Foundation Inc | Houston | T22 Philanthropy, Voluntarism & Grantmaking Foundations | $145.9M | 2 |