| 1 | University Hospitals Health System Inc Health | Health | 86 | $5.3B | $18.2M | A |
| 2 | Mercy Health Health | Health | 85 | $4.6B | $23.1M | A |
| 3 | Bon Secours Mercy Health Inc Health | Health | 79 | $8.7B | $35.9M | B |
| 4 | Ohiohealth Corporation Grant Riverside Doctors Dublin Met Health | Health | 79 | $4.5B | $18.1M | B |
| 5 | Bon Secours Richmond Health System Health | Health | 79 | $1.9B | $1.6M | B |
| 6 | Ohiohealth Corporation Health | Health | 79 | $1.9B | $2.9M | B |
| 7 | The Cedarville University Education | Education | 79 | $206.7M | $2.0M | B |
| 8 | Music And Event Management Inc Arts, Culture & Humanities | Arts, Culture & Humanities | 78 | $66.9M | $845K | B |
| 9 | Cleveland Clinic Foundation Health | Health | 77 | $15.6B | $80.3M | B |
| 10 | The Cleveland Clinic Foundation Health | Health | 76 | $7.6B | $25.4M | B |
| 11 | Ohio State University Physicians Inc Education | Education | 76 | $1.0B | $32.5M | B |
| 12 | University Of Findlay Education | Education | 74 | $146.3M | $1.4M | B |
| 13 | National Inventors Hall Of Fame Inc Arts, Culture & Humanities | Arts, Culture & Humanities | 73 | $49.3M | $2.0M | B |
| 14 | Xavier University Education | Education | 72 | $332.2M | $2.7M | B |
| 15 | Childrens Hospital Medical Center Health | Health | 71 | $3.1B | $11.9M | B |
| 16 | National Football Museum Inc Arts, Culture & Humanities | Arts, Culture & Humanities | 71 | $32.5M | $1.1M | B |
| 17 | University Of Dayton Education | Education | 70 | $911.4M | $8.0M | B |
| 18 | Caresource Ohio Inc Health | Health | 69 | $8.5B | — | B |
| 19 | Oclc Inc Education | Education | 69 | $248.0M | $7.2M | B |
| 20 | Franciscan University Of Steubenville Education | Education | 69 | $128.2M | $1.9M | B |
| 21 | Uc Healthcare System Health | Health | 68 | $2.3B | $8.0M | B |
| 22 | Ohio Northern University Education | Education | 68 | $172.4M | $1.4M | B |
| 23 | Western Reserve Land Conservancy Environment & Animals | Environment & Animals | 68 | $19.2M | — | B |
| 24 | Columbus Association For The Performing Arts Inc Arts, Culture & Humanities | Arts, Culture & Humanities | 67 | $29.9M | $832K | B |
| 25 | Case Western Reserve University Education | Education | 65 | $1.5B | $6.2M | B |
| 26 | Baldwin Wallace University Education | Education | 59 | $147.0M | $1.9M | C |
| 27 | Kenyon College Education | Education | 58 | $218.8M | $1.4M | C |
| 28 | Zoological Society Of Cincinnati Environment & Animals | Environment & Animals | 58 | $119.6M | $1.7M | C |
| 29 | Playhouse Square Foundation Arts, Culture & Humanities | Arts, Culture & Humanities | 58 | $97.2M | $1.6M | C |
| 30 | Cleveland Museum Of Art Arts, Culture & Humanities | Arts, Culture & Humanities | 56 | $102.9M | $2.5M | C |
| 31 | Oberlin College Education | Education | 55 | $344.0M | $5.9M | C |
| 32 | Denison University Education | Education | 55 | $265.4M | $3.6M | C |
| 33 | John Carroll University Education | Education | 55 | $162.3M | $2.3M | C |
| 34 | The Musical Arts Association Arts, Culture & Humanities | Arts, Culture & Humanities | 55 | $76.8M | $1.4M | C |
| 35 | Toledo Zoological Society Environment & Animals | Environment & Animals | 54 | $47.5M | $1.1M | C |
| 36 | Columbus Symphony Orchestra Inc Arts, Culture & Humanities | Arts, Culture & Humanities | 54 | $14.0M | — | C |
| 37 | Cincinnati Museum Center Arts, Culture & Humanities | Arts, Culture & Humanities | 53 | $26.9M | $553K | C |
| 38 | Columbus Zoological Park Association Environment & Animals | Environment & Animals | 52 | $87.3M | $2.0M | C |
| 39 | Cincinnati Symphony Orchestra Arts, Culture & Humanities | Arts, Culture & Humanities | 52 | $51.1M | $1.9M | C |
| 40 | Rock And Roll Hall Of Fame And Museum Inc Arts, Culture & Humanities | Arts, Culture & Humanities | 51 | $54.8M | $3.0M | C |
| 41 | Akron Zoological Park Environment & Animals | Environment & Animals | 50 | $23.9M | $1.4M | C |
| 42 | Ohio State University Foundation Education | Education | 49 | $353.8M | — | D |
| 43 | Ohio Historical Society Arts, Culture & Humanities | Arts, Culture & Humanities | 45 | $29.9M | $898K | D |
| 44 | College Of Wooster Education | Education | 42 | $163.7M | $2.4M | D |
| 45 | Greenacres Foundation Environment & Animals | Environment & Animals | 42 | $22.3M | — | D |