| SENTARA HEALTH PLANS | VIRGINIA BCH | $6,496,481,283 |
| INOVA HEALTH CARE SERVICES | FAIRFAX | $6,423,097,177 |
| SENTARA HOSPITALS | VIRGINIA BCH | $4,425,929,465 |
| GOOD360 | ALEXANDRIA | $3,264,744,236 |
| RIVERSIDE HEALTHCARE ASSOCIATION INC | NEWPORT NEWS | $2,523,395,459 |
| CARILION MEDICAL CENTER | ROANOKE | $2,324,266,131 |
| NATIONAL RURAL UTILITIES COOPERATIVE FINANCE CORP | DULLES | $2,071,222,273 |
| GEORGE WASHINGTON UNIVERSITY | ASHBURN | $2,041,697,367 |
| LIBERTY UNIVERSITY INC | LYNCHBURG | $1,939,920,591 |
| RAILROAD EMPLOYEES NATIONAL HEALTH AND WELFARE PLAN TRUST | ARLINGTON | $1,773,181,499 |
| NATURE CONSERVANCY | ARLINGTON | $1,746,229,436 |
| AEROSPACE CORPORATION | CHANTILLY | $1,623,067,000 |
| VALLEY HEALTH SYSTEM | WINCHESTER | $1,442,236,973 |
| SENTARA HEALTH | VIRFINIA BEACH | $1,261,880,759 |
| CENTRA HEALTH INC | LYNCHBURG | $1,166,348,794 |
| OLD DOMINION ELECTRIC COOPERATIVE | GLEN ALLEN | $1,135,612,072 |
| MARY WASHINGTON HEALTHCARE | FREDERICKSBRG | $1,070,313,284 |
| CHARITIES AID FOUNDATION AMERICA | ALEXANDRIA | $1,059,508,784 |
| NORTHERN VIRGINIA ELECTRIC CO-OP | MANASSAS | $907,031,155 |
| VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM | ALEXANDRIA | $896,410,115 |
| INOVA HEALTH SYSTEM FOUNDATION | FAIRFAX | $885,906,035 |
| DELTA DENTAL PLAN OF VIRGINIA | ROANOKE | $861,540,517 |
| NATIONAL RURAL ELECTRIC COOPERATIVE | ARLINGTON | $838,293,694 |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC | NORFOLK | $820,962,150 |
| UNIVERSITY OF VIRGINIA INVESTMENT MANAGEMENT COMPANY | CHARLOTTESVLE | $780,811,330 |
| UNIVERSITY OF VIRGINIA PHYSICIANS GROUP | CHARLOTTESVLE | $702,399,669 |
| PUBLIC BROADCASTING SERVICE | ARLINGTON | $696,585,777 |
| SMART - TD HEALTH AND WELFARE PLAN | ARLINGTON | $644,079,592 |
| MCV ASSOCIATED PHYSICIANS | RICHMOND | $632,316,187 |
| AVMED INC | VIRGINIA BCH | $616,585,583 |
| NOBLIS INC | RESTON | $614,468,693 |
| RAPPAHANNOCK ELECTRIC COOPERATIVE | FREDERICKSBRG | $605,653,015 |
| LIFENET HEALTH | VIRGINIA BCH | $598,564,898 |
| SENTARA RMH MEDICAL CENTER | ROCKINGHAM | $575,171,713 |
| AUGUSTA HEALTH CARE INC | FISHERSVILLE | $559,084,413 |
| UNIVERSITY OF RICHMOND | RICHMOND | $535,402,202 |
| CFA INSTITUTE | CHARLOTTESVLE | $534,038,687 |
| AMERICAN FOUNDATION FOR DONATION AND TRANSPLANTATION | N CHESTERFLD | $531,811,631 |
| CARILION SERVICES INC | ROANOKE | $514,313,784 |
| PARTNERSHIP FOR SUPPLY CHAIN MANAGE MENT | ARLINGTON | $490,016,158 |
| SENTARA PRINCESS ANNE HOSPITAL | VIRGINIA BCH | $461,270,182 |
| AMERICAN INSTITUTES FOR RESEARCH IN THE BEHAVIORAL SCIENCES | ARLINGTON | $437,187,471 |
| WASHINGTON & LEE UNIVERSITY | LEXINGTON | $436,455,053 |
| MARINE TOYS FOR TOTS FOUNDATION | TRIANGLE | $432,326,962 |
| NRLCA VEBA TRUST | ALEXANDRIA | $423,780,744 |
| MARTHA JEFFERSON HOSPITAL | VIRGINIA BCH | $408,631,205 |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | ROANOKE | $407,769,472 |
| SENTARA MEDICAL GROUP | VIRGINIA BCH | $401,519,252 |
| UVA PRINCE WILLIAM MEDICAL CENTER | MANASSAS | $385,182,939 |
| AIR LINE PILOTS ASSOCIATION INTERNATIONAL | MCLEAN | $382,120,748 |
| INSTITUTE FOR DEFENSE ANALYSES | ALEXANDRIA | $344,675,047 |
| THE CONSERVATION FUND A NONPROFIT CORPORATION | ARLINGTON | $329,373,956 |
| POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM | VIRGINIA BCH | $326,104,865 |
| U S COMMITTEE FOR REFUGEES AND IMMIGRANTS INC | ARLINGTON | $313,999,935 |
| EDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE | BLACKSBURG | $309,538,440 |
| CONSERVATION INTERNATIONAL FOUNDATION | ARLINGTON | $308,673,004 |
| SHENANDOAH VALLEY ELECTRIC COOPERATIVE INC | ROCKINGHAM | $303,380,294 |
| DONORS TRUST INC | ALEXANDRIA | $294,438,756 |
| NAVY MUTUAL AID ASSOCIATION | CITY OF ARLINGTO | $284,879,145 |
| CHRISTIAN BROADCASTING NETWORK INC | VIRGINIA BCH | $282,362,500 |
| VIRGINIA TECH FOUNDATION INC | BLACKSBURG | $245,697,159 |
| HAMPTON UNIVERSITY | HAMPTON | $245,688,438 |
| SOCIETY FOR HUMAN RESOURCE MANAGEMENT | ALEXANDRIA | $233,028,539 |
| NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION | ARLINGTON | $227,345,758 |
| CENTRO INTERNACIONAL DE MEJORAMIENTO DE MAIZ Y TRIGO | ALEXANDRIA | $220,531,073 |
| AMERICAN TYPE CULTURE COLLECTION | MANASSAS | $198,027,310 |
| MARY WASHINGTON HEALTHCARE | FREDERICKSBRG | $171,804,417 |
| AMERICAN SOCIETY OF CLINICAL ONCOLOGY | ALEXANDRIA | $159,100,585 |
| UNIVERSITY OF VIRGINIA DARDEN SCHOOL FOUNDATION | CHARLOTTESVLE | $158,114,680 |
| 1693 PARTNERS FUND | WILLIAMSBURG | $156,427,454 |
| COLONIAL WILLIAMSBURG FOUNDATION | WILLIAMSBURG | $149,379,664 |
| COMMUNITY MEMORIAL HOSPITAL | SOUTH HILL | $148,968,875 |
| BARBARA BRUNCKHORST FOUNDATION | RICHMOND | $148,040,317 |
| SOUTHSIDE ELECTRIC COOPERATIVE INCORPORATED | CREWE | $145,238,799 |
| PATIENT ADVOCATE FOUNDATION INC | HAMPTON | $133,773,940 |
| IN-Q-TEL INC | MC LEAN | $132,130,603 |
| HAMPDEN-SYDNEY COLLEGE | HMPDEN SYDNEY | $128,621,797 |
| CENTRAL VIRGINIA ELECTRIC COOPERATIVE | LOVINGSTON | $124,755,119 |
| GEORGE MASON UNIVERSITY FOUNDATION INC | FAIRFAX | $116,356,966 |
| THE COMMUNITY FOUNDATION INC | RICHMOND | $101,658,764 |
| THE PAULEY FAMILY FOUNDATION | RICHMOND | $29,015,913 |