| INSTITUTE FOR DEFENSE ANALYSES | $260,314,576 | $254,217,959 |
| NAVY MUTUAL AID ASSOCIATION | $250,230,031 | $248,840,732 |
| COMPASS ROSE BENEFITS GROUP | $233,979,738 | $247,486,797 |
| WASHINGTON AND LEE UNIVERSITY | $186,199,453 | $241,164,102 |
| POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM | $251,019,701 | $240,216,773 |
| BON SECOURS ST MARYS HOSPITAL OF RICHMOND INC | $249,441,467 | $227,511,720 |
| CONSERVATION FUND A NONPROFIT CORPORATION | $221,481,591 | $218,541,676 |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | $259,715,753 | $211,681,591 |
| BON SECOURS DEPAUL MEDICAL CENTER INC | $187,114,696 | $206,088,767 |
| TIDEWATER HEALTH CARE INC | $225,532,837 | $204,930,768 |
| AMERICAN FOUNDATION FOR DONATION AND TRANSPLANTATION | $198,303,958 | $196,980,217 |
| NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION | $194,080,159 | $194,127,310 |
| EDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE | $209,071,836 | $191,547,549 |
| HAMPTON UNIVERSITY | $206,010,995 | $186,364,893 |
| CHILDFUND INTERNATIONAL USA | $197,595,976 | $183,026,081 |
| VIRGINIA CREDIT UNION INC | $213,935,125 | $178,335,094 |
| AIR LINE PILOTS ASSOCIATION INTERNATIONAL | $235,270,740 | $177,727,197 |
| SENTARA HEALTHCARE | $244,219,286 | $170,154,577 |
| MARY IMMACULATE HOSPITAL | $186,953,428 | $162,757,083 |
| UNITED SERVICE ORGANIZATIONS INC | $147,807,433 | $155,588,896 |
| COMMUNITY MEMORIAL HOSPITAL | $167,039,170 | $152,595,602 |
| CONSERVATION INTERNATIONAL FOUNDATION | $159,498,081 | $150,296,653 |
| SOCIETY FOR HUMAN RESOURCE MANAGEMENT | $154,367,546 | $148,932,748 |
| AMERICAN SOCIETY OF CLINICAL ONCOLOGY INC | $162,711,421 | $148,108,869 |
| SOURCEAMERICA | $157,831,452 | $147,764,265 |