| PATIENT SERVICES INC | $70,428,541 | $64,059,855 |
| MARY BALDWIN UNIVERSITY | $55,719,348 | $63,554,637 |
| VIRGINIA UNITED METHODIST HOMES INC | $68,274,041 | $63,020,007 |
| AMERICAN INSTITUTE IN TAIWAN | $65,412,389 | $62,858,920 |
| AMERICAN SOCIETY OF CIVIL ENGINEERS INC | $60,241,903 | $61,796,705 |
| UNIVERSITY OF VIRGINIA DARDEN SCHOOL FOUNDATION | $75,634,091 | $61,399,206 |
| INTERNATIONAL FOUNDATION FOR ELECTORAL SYSTEMS | $60,615,172 | $60,979,141 |
| IMAGINE SCHOOLS NON-PROFIT INC | $57,096,854 | $60,757,477 |
| WESTMINSTER CANTERBURY ON CHESAPEAKE BAY | $62,696,283 | $60,613,729 |
| NATIONAL COUNCIL ON AGING INC | $59,804,505 | $59,214,039 |
| INOVA HEALTH SYSTEM FOUNDATION | $821,639,394 | $58,662,095 |
| HOLLINS UNIVERSITY CORPORATION | $57,553,783 | $58,229,653 |
| TROUT UNLIMITED INC | $60,391,561 | $57,903,753 |
| MERCATUS CENTER INC | $71,902,379 | $57,876,827 |
| DUPONT COMMUNITY CREDIT UNION | $67,151,318 | $57,708,559 |
| UNITED NETWORK FOR ORGAN SHARING | $63,375,408 | $57,623,973 |
| PEDIATRIC SPECIALISTS OF VIRGINIA LLC | $35,980,077 | $56,338,233 |
| CITY FUND | $78,982,333 | $55,124,298 |
| PEOPLE FOR THE ETHICAL TREATMENT OF ANIMALS INC | $60,643,106 | $54,749,552 |
| MATTRESS RECYCLING COUNCIL INC | $49,328,918 | $54,696,789 |
| VOLUNTEERS OF AMERICA CARE FACILITIES | $55,030,011 | $54,496,679 |
| BLUE RIDGE AREA FOOD BANK INC | $58,553,203 | $54,313,553 |
| GRAFTON SCHOOL INCORPORATED | $58,123,369 | $54,178,271 |
| FERRUM COLLEGE | $52,056,769 | $53,791,127 |
| COLLEGIATE SCHOOL | $61,894,185 | $53,511,575 |