| ROANOKE COLLEGE | $118,896,428 | $118,541,667 |
| RICHFIELD LIVING | $31,814,185 | $32,217,280 |
| FEEDING AMERICA SOUTHWEST VIRGINIA | $35,157,440 | $32,050,394 |
| VIRGINIA BAPTIST CHILDRENS HOME AND FAMILY SERVICES | $15,174,613 | $16,062,792 |
| UNIFIED HUMAN SERVICES TRANSPORTATION SYSTEM INC | $3,950,590 | $4,888,094 |
| RFG SURVEY ASSOCIATION | $4,297,875 | $4,235,168 |
| SNYDER NURSING HOME INC | $4,122,519 | $3,957,145 |
| NATIONAL VA COUNCIL 53 AFGE | $5,039,407 | $3,711,179 |
| SHERWOOD MEMORIAL PARK INC | $1,763,814 | $1,515,684 |
| SALEM RESEARCH INSTITUTE INC | $1,647,249 | $1,339,858 |
| RIDGECREST AT RICHFIELD | $1,081,238 | $1,133,370 |
| INTL BRTHRHD OF TEAMSTERS LOCAL 171 | $1,027,321 | $933,670 |
| ADULT CARE CENTER OF ROANOKE VALLEY INC | $830,456 | $869,231 |
| BLUE RIDGE POWER AGENCY | $897,099 | $864,560 |
| KINGDOM KIDS CHILD CARE INC | $636,866 | $637,456 |
| SALEM MINISTERS CONFERENCE COMMUNITY FOOD PANTRY INC | $803,881 | $636,899 |
| WARD TRANSITIONAL SERVICES INC | $518,184 | $474,345 |
| LOYAL ORDER OF MOOSE | $503,537 | $473,879 |
| LODGE 284 LOYAL ORDER OF MOOSE | $432,131 | $425,439 |
| ROANOKE REGIONAL HOME BUILDERS ASSO | $370,881 | $330,895 |
| SALEM HISTORICAL SOCIETY | $333,114 | $299,801 |
| FAMILY PROMISE OF GREATER ROANOKE | $351,594 | $279,624 |
| SALEM-ROANOKE COUNTY CHAMBER OF COMMERCE | $171,234 | $163,113 |
| SCOTTISH RITE FOUNDATION OF VIRGINIA | $565,558 | $161,069 |
| SALEM EDUCATIONAL FOUNDATION AND ALUMNI ASSOCIATION | $94,227 | $135,659 |