| Novant Health Inc | Winston Salem | $6,542,888,138 |
| Duke University Health System Inc | Durham | $6,165,109,566 |
| Duke University | Durham | $4,754,345,666 |
| North Carolina Baptist Hospital | Winstonsalem | $3,259,407,603 |
| Gothic Corporation | Durham | $3,176,211,784 |
| State Chartered Credit Unions Inc | Raleigh | $2,922,921,560 |
| Wakemed | Raleigh | $2,599,042,078 |
| Presbyterian Hospital | Winston Salem | $2,274,729,924 |
| Pitt County Memorial Hospital Inc | Greenville | $2,223,240,973 |
| Rex Hospital Inc | Raleigh | $1,916,498,283 |
| Wake Forest University Health Sciences | Winstonsalem | $1,713,703,683 |
| Samaritans Purse | Boone | $1,615,288,885 |
| Forsyth Memorial Hospital Inc | Winston Salem | $1,560,678,254 |
| North Carolina Electric Membership Corporation | Raleigh | $1,402,413,754 |
| Research Triangle Institute | Rtp | $1,254,259,534 |
| First Health of the Carolinas Inc | Pinehurst | $1,179,213,070 |
| Gothic Hsp Corporation | Durham | $974,815,584 |
| Wake Forest University | Winstonsalem | $843,176,173 |
| Atlantic Coast Conference | Charlotte | $826,480,916 |
| Gaston Memorial Hospital Inc | Gastonia | $790,891,234 |
| Foundation for the Carolinas | Charlotte | $761,389,623 |
| North Carolina Insurance | Raleigh | $673,514,463 |
| East Carolina Health | Greenville | $599,551,368 |
| The Moses H Cone Memorial Hospital Operating Corporation | Greensboro | $598,632,199 |
| Family Health International | Durham | $539,608,705 |
| Sandhills Center for Mental Health Developmental Disabilities & Subst | West End | $532,949,142 |
| High Point Regional Health | High Point | $502,891,625 |
| High Point University | High Point | $501,892,632 |
| Duke Endowment | Charlotte | $497,718,591 |
| University Health Systems of Eastern Carolina Inc | Greenville | $457,914,887 |
| Elon University | Elon | $441,401,510 |
| L C Ind Inc | Durham | $408,056,988 |
| Wayne Memorial Hospital Inc | Goldsboro | $402,014,940 |
| Southeastern Regional Medical Center | Lumberton | $374,729,794 |
| Blue Ridge Healthcare Hospitals Inc | Morganton | $373,147,584 |
| Group Health Program of the Natnl Telecommunications Coop Assoc | Asheville | $353,314,204 |
| Cumberland County Hospital System Inc | Fayetteville | $346,889,617 |
| Fletcher Hospital Inc | Hendersonvlle | $332,217,579 |
| Scotland Memorial Hospital Incorporated | Laurinburg | $323,287,922 |
| Vidant Medical Group LLC | Greenville | $322,274,004 |
| Energyunited Electric Membership Corporation | Statesville | $313,161,255 |
| Catawba College | Salisbury | $310,506,126 |
| Nc State Investment Fund Inc | Raleigh | $304,333,028 |
| Davidson College | Davidson | $295,951,405 |
| North Carolina Joint Underwriting Association | Raleigh | $289,605,669 |
| Community Care of North Carolina Inc | Garner | $279,557,517 |
| Dogwood Health Trust | Asheville | $265,852,884 |
| Campbell University | Buies Creek | $258,344,677 |
| Brunswick Electric Membership Corp | Shallotte | $254,802,534 |
| Duke University Affiliated Physicans Inc | Durham | $252,449,361 |
| Food Bank of Central & Eastern North Carolina Inc | Raleigh | $247,244,979 |
| American Institute of Certified Public Accountants | Durham | $227,787,881 |
| Bank of America Charitable Foundation Inc | Charlotte | $220,225,056 |
| Caldwell Memorial Hospital Inc | Lenoir | $220,031,286 |
| Association of International Certified Professional Accountants | Durham | $214,151,477 |
| Union Electric Membership Corp | Monroe | $204,861,227 |
| Lenoir Memorial Hospital Inc | Kinston | $191,550,558 |
| Self Help Ventures Fund | Durham | $189,217,541 |
| Blue Ridge Electric Membership Corporation | Lenoir | $182,234,252 |
| Wingate University | Wingate | $178,345,647 |
| Columbus Regional Healthcare System | Whiteville | $176,377,792 |
| Rutherford Electric Membership | Forest City | $174,495,890 |
| Wake Forest University Baptist Medical Center | Winstonsalem | $172,627,029 |
| Delta Dental of North Carolina | Raleigh | $172,317,001 |
| Second Harvest Food Bank of Metrolina Inc | Charlotte | $172,264,484 |
| The Golden L E A F Long-Term Economic Advancement Foundation in | Rocky Mount | $171,537,614 |
| Jones-Onslow Electric Membership Corporation | Jacksonville | $170,617,411 |
| Lumbee River Electric Membership Corporation | Pembroke | $169,560,200 |
| Caromont Medical Group Inc | Gastonia | $165,685,869 |
| North Carolina State University Foundation Inc | Raleigh | $164,944,230 |
| Gaston Family Health Services Inc | Gastonia | $162,367,718 |
| Wrmc Hospital Operating Corporation | N Wilkesboro | $156,144,073 |
| The Outer Bank Hospital Inc | Greenville | $154,950,522 |
| Atrium Health Foundation | Charlotte | $150,109,810 |
| Mountain Area Health Education Center Inc | Asheville | $146,571,218 |
| North Carolina Community Foundation Inc | Raleigh | $143,714,496 |
| Easter Seals Ucp North Carolina & Virginia Inc | Raleigh | $142,997,456 |
| Legacy Healthcare Services Inc | Raleigh | $139,332,034 |
| The Young Mens Christian Association of the Triangle Area I | Raleigh | $138,241,356 |
| Mana Nutritive Aid Products Inc | Matthews | $138,046,810 |
| French Broad Electric Membership Corporation | Marshall | $134,997,169 |
| North Carolina Partnership for Children Inc | Raleigh | $134,009,549 |
| Hugh Chatham Memorial Hospital Inc | Elkin | $133,746,492 |
| Center for Creative Leadership | Greensboro | $133,624,740 |
| Wake Electric Membership Corp | Wake Forest | $129,361,410 |
| South River Electric Membership Corporation | Dunn | $127,602,690 |
| Wake Forest Emergency Providers | Winstonsalem | $118,762,167 |
| Daymark Recovery Services Inc | Salisbury | $117,920,654 |
| Monarch | Albemarle | $115,589,948 |
| Four County Electric Membership Corp | Burgaw | $114,987,385 |
| Hendrick Automotive Group Employee Benefit Trust | Charlotte | $114,685,593 |
| The United Methodist Retirement Homes Inc | Durham | $113,193,566 |
| New Hanover Community Endowment Inc | Wilmington | $111,652,777 |
| Gardner-Webb University | Boiling Spgs | $107,714,396 |
| Alamance Regional Medical Center | Greensboro | $107,512,685 |
| Wake Forest University Health Sciences Group Return | Winstonsalem | $106,748,590 |
| Summit Foundation | Charlotte | $104,295,775 |
| Givens Estates Inc | Asheville | $103,443,220 |
| Second Harvest Food Bank of Northwest North Carolina Inc | Winston Salem | $102,400,620 |
| Self Help Credit Union | Durham | $102,180,876 |
| Hospice & Palliative Care Charlotte Region | Charlotte | $101,944,911 |
| Goodwill Industries of the Southern Piedmont Inc | Charlotte | $101,824,926 |
| Educational Foundation Inc | Chapel Hill | $99,241,416 |
| Piedmont Health Services Inc | Chapel Hill | $94,893,293 |
| Goodwill Industries of Nw North Carolina Inc | Winston Salem | $94,124,683 |
| University of North Carolina at Greensboro Investment Fund Inc | Greensboro | $92,391,253 |
| Queens University of Charlotte | Charlotte | $91,815,282 |
| Methodist University Inc | Fayetteville | $91,298,028 |
| Caromont Health Inc | Gastonia | $90,245,762 |
| e4e Relief LLC | Charlotte | $88,323,862 |
| The Community Foundation of Western North Carolina Inc | Asheville | $87,667,848 |
| YMCA of Greater Charlotte | Charlotte | $87,561,220 |
| Meredith College | Raleigh | $86,940,604 |
| Randolph Electric Membership Corp | Asheboro | $85,237,716 |
| Thales Academy | Raleigh | $84,614,285 |
| C D Spangler Foundation Inc | Charlotte | $84,541,335 |
| Horizon Development Properties Inc | Charlotte | $84,376,456 |
| Everyage | Newton | $84,178,344 |
| Murphy Medical Center Inc | Murphy | $83,088,545 |
| Piedmont Electric Membership Corp | Hillsborough | $83,060,504 |
| State Chartered Credit Unions in North Carolina | Durham | $82,531,419 |
| Blue Ridge Community Health Services Inc | Hendersonvlle | $81,798,731 |
| Carteret-Craven Electric Cooperative | Newport | $81,558,920 |
| William R Kenan Jr Charitable Trust | Chapel Hill | $81,478,601 |
| Lenoir-Rhyne University | Hickory | $81,097,533 |
| Grow Early Learning Corp | Raleigh | $79,457,527 |
| Associated Health Services Inc | Durham | $76,032,944 |
| McNc | R Triangle Park | $74,135,271 |
| Providence Day School | Charlotte | $72,890,636 |
| Tri-County Electric Membership Corporation | Dudley | $72,029,883 |
| UNC Health Foundation Inc | Chapel Hill | $71,635,095 |
| Rural Economic Development Center Inc | Raleigh | $69,981,334 |
| Surry-Yadkin Electric Membership Corporation | Dobson | $69,155,272 |
| Central Electric Membership Corp | Sanford | $68,957,194 |
| Chatham Hospital Inc | Siler City | $68,266,257 |
| Warren Wilson College | Swannanoa | $68,261,812 |
| Livingstone College | Salisbury | $68,135,223 |
| Charlotte Country Day School | Charlotte | $67,433,403 |
| Honorbridge | Greenville | $66,151,836 |
| UNC Rockingham Health Care Inc | Eden | $65,927,391 |
| Charlotte Latin Schools Inc | Charlotte | $64,437,871 |
| Goshen Medical Center Incorporated | Faison | $64,043,863 |
| Telamon Corporation | Raleigh | $63,936,850 |
| Belmont Abbey College | Belmont | $63,695,801 |
| Roanoke Electric Membership Corp | Ahoskie | $63,432,743 |
| Rural Health Group Inc | Roanoke Rapid | $62,663,704 |
| Mars Hill University | Mars Hill | $61,867,647 |
| Hospice of the Emerald Coast Inc | Mooresville | $61,723,041 |
| The V Foundation | Cary | $61,639,637 |
| The Foundation of the University of North Carolina at Charlotte Inc | Charlotte | $61,259,638 |
| University of Mount Olive Inc | Mount Olive | $60,674,207 |
| Pee Dee Electric Membership Corporation | Lilesville | $60,535,716 |
| Arbor Acres United Methodist Retirement Community Inc | Winston Salem | $58,950,328 |
| Nc Student Aid Association Inc | Raleigh | $58,813,112 |
| Haywood Electric Membership Corporation | Waynesville | $58,379,009 |
| Carolina Family Health Centers Inc | Wilson | $58,207,857 |
| Johnson C Smith University Incorporated | Charlotte | $58,180,585 |
| Kenan-Flagler Business School Foundation | Chapel Hill | $56,551,031 |
| Deerfield Episcopal Retirement Comm Inc | Asheville | $55,909,916 |
| Ipas | Chapel Hill | $55,616,322 |
| Sall Family Foundation Inc | Cary | $55,481,412 |
| Tideland Electric Membership Corp | Pantego | $55,142,801 |
| Wakemed | Raleigh | $54,991,401 |
| Southminster Inc | Charlotte | $54,400,467 |
| Carolina Meadows Inc | Chapel Hill | $53,823,607 |
| North Carolina Charter Educational Foundation Inc | Mooresville | $53,667,588 |
| Moses H Cone Memorial Hospital | Greensboro | $53,658,006 |
| New York University Hospitals Center Veba Trust | Charlotte | $53,558,431 |
| Barton College | Wilson | $52,719,590 |
| Lees-McRae College Incorporated | Banner Elk | $52,335,611 |
| Goodwill Industries of Eastern North Carolina Inc | Durham | $52,099,807 |
| Blanche and Julian Robertson Family Foundation | Salisbury | $51,497,851 |
| Lutheran Retirement Ministries of Alamance County North Carolina | Burlington | $51,404,978 |
| Friends Homes Inc | Greensboro | $50,087,335 |
| Thompson Child & Family Focus | Matthews | $49,426,929 |
| American Board of Pediatrics Inc | Chapel Hill | $49,392,371 |
| North Carolina Wesleyan University | Rocky Mount | $48,471,791 |
| North Carolina Performing Arts Center at Charlotte Foundation | Charlotte | $48,023,571 |
| The Pines at Davidson Inc | Davidson | $47,990,437 |
| Durham Academy Inc | Durham | $47,555,061 |
| Aldersgate United Methodist Retirement Community Inc | Charlotte | $47,215,556 |
| The Accreditation Commission for Health Care Inc | Cary | $47,211,328 |
| Planned Parenthood South Atlantic | Raleigh | $47,108,332 |
| Winston-Salem Foundation | Winston Salem | $46,606,251 |
| North Carolina Community Carenetworks Inc | Garner | $45,964,449 |
| Lower Cape Fear Hospice Incorporated | Wilmington | $45,142,728 |
| Springmoor Inc | Raleigh | $44,919,208 |
| Baptist Retirement Homes of North Carolina Incorporated | Winston Salem | $44,428,310 |
| Smith Richardson Foundation Inc | Greensboro | $44,427,804 |
| Ravenscroft School Inc | Raleigh | $43,524,626 |
| Cornelia Nixon Davis Inc | Wilmington | $43,389,998 |
| Well-Spring Ret Community | Greensboro | $42,978,331 |
| Montreat College | Montreat | $42,925,388 |
| Triangle Community Foundation | Durham | $42,545,546 |
| Galloway Ridge Inc | Pittsboro | $42,369,020 |
| Presbyterian Home at Charlotte Inc | Charlotte | $42,177,812 |
| Baptist Childrens Homes of North Carolina Inc | Thomasville | $41,738,454 |
| Brevard College Corporation | Brevard | $41,569,910 |
| Moravian Home Incorporated | Winston Salem | $41,505,884 |
| Maryfield Inc | High Point | $40,615,435 |
| Chapel Hill Residential Retirement Center Inc | Chapel Hill | $40,583,636 |
| Appalachian State University Foundation Inc | Boone | $39,141,698 |
| Young Mens Christian Association of Northwest North Carolina | Winston Salem | $38,563,107 |
| Material Handling Industry | Charlotte | $38,227,209 |
| Lumbee Land Development Inc | Pembroke | $38,162,624 |
| Carolina Village Inc | Hendersonville | $38,061,951 |
| Harnett Health System Inc | Dunn | $37,806,886 |
| New Charlotte Corporation | Charlotte | $37,753,912 |
| Global Support and Development | Charlotte | $37,702,487 |
| St Joseph of Pines Inc | Southern Pnes | $37,223,727 |
| Albemarle Electric Membership Corp | Hertford | $37,006,663 |
| Pfeiffer University | Misenheimer | $36,936,438 |
| Shaw University | Raleigh | $36,315,893 |
| Habitat for Humanity International Inc | Raleigh | $35,867,635 |
| Forest at Duke Inc | Durham | $34,469,066 |
| Cary Academy | Cary | $33,639,824 |
| Salem Academy & College | Winston Salem | $32,951,649 |
| State Chartered Credit Unions in | Canton | $32,696,309 |
| Montage Living | Charlotte | $32,294,170 |
| Greensboro Independent School Corporation | Greensboro | $32,287,912 |
| The Eddie and Jo Allison Smith Family Foundation Inc | Greenville | $30,986,328 |
| Anonymous Trust | Raleigh | $30,587,157 |
| The Ezrah Charitable Trust | Charlotte | $29,342,147 |
| Asheville School Incorporated | Asheville | $28,685,887 |
| State Chartered Credit Unions in North Carolina | Winstonsalem | $28,312,183 |
| University of North Carolina Chapel Hill Arts and Sciences Foundation | Chapel Hill | $28,147,593 |
| Burroughs Wellcome Fund | Rtp | $28,040,204 |
| Davidson Water Inc | Welcome | $27,927,249 |
| Samaritan Housing Foundation Inc | Cary | $27,836,580 |
| Masonic and Eastern Star Home | Greensboro | $27,817,330 |
| Dreamkey Partners Inc | Charlotte | $27,604,493 |
| Chowan University | Murfreesboro | $27,445,151 |
| Triangle Land Conservancy Inc | Durham | $26,081,648 |
| State Chartered Credit Unions in North Carolina | Greensboro | $25,893,783 |
| North Carolina Agricultural Foundation Inc | Raleigh | $25,873,390 |
| The North Carolina A&T Real Estate Foundation Inc | Greensboro | $25,696,950 |
| Z Smith Reynolds Foundation Inc | Winston Salem | $25,216,380 |
| Moses Cone Medical Services Inc | Greensboro | $24,975,067 |
| New Hanover County Financing Corporation | Wilmington | $24,920,026 |
| East Carolina University Foundation Inc | Greenville | $24,897,775 |
| Moses Cone Physician Services Inc | Greensboro | $24,780,449 |
| Telco Community Credit Union | Candler | $24,588,053 |
| State Chartered Credit Unions in North Carolina | Waynesville | $23,409,328 |
| Moses Cone Affiliated Physicians Inc | Greensboro | $22,589,106 |
| State Chartered Credit Unions in North Carolina | Winston Salem | $22,562,731 |
| Presbyterian Homes Inc | Greensboro | $22,093,236 |
| Community Foundation of Henderson County Inc | Hendersonville | $20,540,631 |
| State Employees Credit Union Foundation | Raleigh | $20,266,593 |
| Charles A Cannon Charitable Trust n0 One | Concord | $19,999,630 |
| Education Foundation Scholarship Endowment Trust | Chapel Hill | $19,702,991 |
| Community Foundation of Greater Greensboro Inc | Greensboro | $19,207,070 |
| University of North Carolina at Chapel Hill Foundation Inc | Chapel Hill | $17,023,538 |
| North Carolina Insurance Guaranty Association | Raleigh | $15,993,250 |
| Presbyterian Homes Inc | Greensboro | $15,902,441 |
| The Leon Levine Foundation | Charlotte | $14,848,840 |
| The Merancas Foundation Inc | Charlotte | $14,755,922 |
| Research Triangle Foundation of North Carolina | Durham | $13,384,548 |
| Morehead Cain Foundation | Chapel Hill | $10,574,596 |
| The Rauch Family Foundation | Durham | $9,318,034 |
| Cannon Foundation Inc | Concord | $9,085,868 |
| R B Terry Charitable Foundation Inc | High Point | $8,417,528 |
| Mary Reynolds Babcock Foundation Incorporated | Winston Salem | $7,793,293 |
| Bolick Foundation | Conover | $7,537,966 |
| Blue Cross and Blue Shield of North Carolina Foundation | Durham | $6,752,351 |
| Goodnight Educational Foundation | Cary | $5,826,421 |
| John William Pope Foundation | Raleigh | $5,809,394 |
| Kate B Reynolds Charitable Trust | Winston Salem | $4,424,686 |
| Guilford College | Greensboro | $4,421,830 |
| St Lukes Hospital Inc | Columbus | $4,351,432 |
| John M Belk Endowment | Charlotte | $2,550,432 |
| Crosland Foundation | Charlotte | $1,113,591 |
| The Duke Energy Foundation | Charlotte | $1,079,979 |
| The Gambrell Foundation | Charlotte | -$23,882,443 |