| 1 | The Health Plan of West Virginia INC Wheeling | $1.1B | $772.7M | $461.8M |
| 2 | St. Marys Medical Center INC Huntington | $717.2M | $715.6M | $488.6M |
| 3 | West Virginia Laborers Trust Fund Charleston | $110.7M | $33.6M | $145.8M |
| 4 | West Virginia Health Care Cooperative INC Summersville | $87.7M | $87.7M | $51.4M |
| 5 | Community Care of West Virginia INC Rock Cave | $87.5M | $87.4M | $72.8M |
| 6 | Employer-teamsters Joint Council 84 Health & Welfare Fund South Charleston | $85.5M | $27.7M | $38.5M |
| 7 | Community Health Systems INC Beckley | $85.1M | $85.1M | $77.4M |
| 8 | International Union of Operating Engineers-132 Health & Welfare Fun Huntington | $75.8M | $39.9M | $138.3M |
| 9 | University Physicians & Surge Ons INC Huntington | $68.5M | $66.8M | $164.5M |
| 10 | Hospital Development Co Spencer | $66.9M | $66.9M | $51.9M |
| 11 | Tri-county Building Trades Welfare Fund Ona | $64.5M | $29.9M | $39.9M |
| 12 | Maryland Electrical Industry Health Fund Ona | $43.3M | $36.9M | $60.8M |
| 13 | IBEW 82 Health and Welfare Fund Ona | $40.9M | $19.1M | $36.6M |
| 14 | Wvuhs Home Care LLC Morgantown | $40.6M | $40.6M | $10.0M |
| 15 | Goodwill Industries of Kanawha Valley INC Charleston | $39.5M | $37.4M | $43.7M |
| 16 | West Virginia Health Right INC Charleston | $37.8M | $37.8M | $25.8M |
| 17 | Quality Insights INC Charleston | $33.6M | $29.4M | $43.1M |
| 18 | Southern Highlands Community Mental Health Center Princeton | $29.2M | $29.1M | $15.6M |
| 19 | Valley Health Care INC Mill Creek | $22.6M | $22.6M | $26.8M |
| 20 | Facing Hunger Foodbank INC Huntington | $22.4M | $22.3M | $5.7M |
| 21 | Harrison Rural Electrification Association INC Clarksburg | $22.3M | $22.1M | $54.5M |
| 22 | West Virginia State University Research and Development Corp. Institute | $22.0M | $21.9M | $8.3M |
| 23 | Sheet Metal Worker Local 98 Welfare Fund Ona | $20.1M | $16.5M | $18.0M |
| 24 | West Virginia Association of Rehabilitation Facilities INC Charleston | $18.6M | $18.6M | $4.3M |
| 25 | Hospice of the Panhandle INC Kearneysville | $17.9M | $17.8M | $22.3M |
| 26 | Hospice Care Corporation Dba Wv Caring Arthurdale | $17.4M | $11.2M | $16.7M |
| 27 | Foster Foundation INC Huntington | $17.3M | $0 | $43.2M |
| 28 | Seneca Health Services INC Summersville | $17.3M | $17.3M | $13.1M |
| 29 | Valley Comprehensive Community Mental Health Center INC Morgantown | $17.2M | $17.1M | $13.2M |
| 30 | Hardy Telecommunications INC Lost River | $16.5M | $16.5M | $40.0M |
| 31 | Ohio Valley Industrial and Business Development Corporation Wheeling | $15.9M | $15.9M | $68.6M |
| 32 | Hospice of Southern West Virginia INC Beckley | $15.8M | $15.7M | $10.6M |
| 33 | Hazel Ruby McQuain Charitable Tr Morgantown | $15.5M | $0 | $104.0M |
| 34 | St. George Medical Clinic INC Parsons | $14.8M | $14.8M | $12.7M |
| 35 | West Liberty University Foundation INC West Liberty | $13.7M | $5.4M | $32.6M |
| 36 | Hospice of Huntington INC Huntington | $12.9M | $12.9M | $11.8M |
| 37 | Monongahela Valley Association of Health Centers INC Fairmont | $12.9M | $12.9M | $31.2M |
| 38 | Interactivity Foundation Parkersburg | $12.5M | $0 | $68.5M |
| 39 | Pendleton Manor INC Franklin | $12.4M | $12.4M | $2.5M |
| 40 | Maier Foundation INC Charleston | $12.1M | $0 | $30.4M |
| 41 | EMS INC Elkins | $11.5M | $11.5M | $8.4M |
| 42 | McGee Foundation Charleston | $10.7M | $0 | $17.3M |
| 43 | West Virginia School of Osteopathic Medicine Clinic INC Lewisburg | $10.4M | $10.4M | $1.9M |
| 44 | Appalachian Bible College INC Mount Hope | $9.6M | $9.3M | $12.9M |
| 45 | International Union of Operating Engineers 132 Charleston | $8.8M | $8.4M | $48.2M |
| 46 | Daywood Foundation INC Charleston | $8.4M | $0 | $18.4M |
| 47 | Afl-cio Appalachian Council INC Charleston | $8.1M | $8.1M | $1.6M |
| 48 | Big Green Scholarship Foundation INC Huntington | $7.7M | $7.7M | $27.0M |
| 49 | West Virginia Hospital Association Charleston | $7.6M | $6.0M | $24.1M |
| 50 | St. Barbaras Memorial Nursing Home INC Monongah | $7.6M | $7.6M | $17.6M |