| 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 | Arlington | $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 |
| Bae Systems North America Welfare Benefit Trust | Falls Church | $534,243,661 |
| 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 |
| Leidos Health and Welfare Benfits Tr | Reston | $417,347,998 |
| 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 |
| National Association of Chain Drug Stores Inc | Arlington | $364,100,689 |
| 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 |
| Compass Rose Benefits Group | Reston | $287,856,559 |
| Riverside Research Institute | Fairfax | $286,600,214 |
| Navy Mutual Aid Association | City of Arlingto | $284,879,145 |
| Christian Broadcasting Network Inc | Virginia Bch | $282,362,500 |
| Mecklenburg Electric Cooperative | Chase City | $274,431,136 |
| 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 |
| Americans for Prosperity | Arlington | $223,706,334 |
| Centro Internacional de Mejoramiento de Maiz Y Trigo | Alexandria | $220,531,073 |
| Childfund International USA | Richmond | $210,435,038 |
| Valley Health System | Winchester | $204,470,710 |
| Uva Culpeper Medical Center | Culpeper | $202,544,812 |
| American Type Culture Collection | Manassas | $198,027,310 |
| William & Mary Foundation | Williamsburg | $191,186,125 |
| Regent University | Virginia Bch | $189,426,241 |
| Weissberg Foundation | McLean | $182,934,492 |
| Servicesource Inc | Oakton | $177,596,091 |
| National Rifle Association of America | Fairfax | $173,824,471 |
| Stand Together Trust | Arlington | $172,644,390 |
| Shenandoah University | Winchester | $172,357,275 |
| Mary Washington Healthcare | Fredericksbrg | $171,804,417 |
| United Service Organizations Inc | Arlington | $168,028,301 |
| Armed Forces Benefit Association | Alexandria | $162,908,056 |
| American Society of Clinical Oncology | Alexandria | $159,100,585 |
| University of Virginia Darden School Foundation | Charlottesvle | $158,114,680 |
| Sourceamerica | Vienna | $157,651,082 |
| 1693 Partners Fund | Williamsburg | $156,427,454 |
| Cna Corporation | Arlington | $154,356,745 |
| Consumer Technology Association | Arlington | $153,775,854 |
| American Diabetes Association Inc | Arlington | $152,241,578 |
| Colonial Williamsburg Foundation | Williamsburg | $149,379,664 |
| Community Memorial Hospital | South Hill | $148,968,875 |
| Greater Washington Educational Telecommunications Association Inc | Arlington | $148,406,874 |
| Barbara Brunckhorst Foundation | Richmond | $148,040,317 |
| Islamic Development & Empowerment in America | Alexandria | $147,232,658 |
| Southside Electric Cooperative Incorporated | Crewe | $145,238,799 |
| Associated Universities Inc | Vienna | $145,098,658 |
| Analytic Services Inc | Arlington | $142,473,079 |
| American College of Radiology | Reston | $141,352,754 |
| Westminster-Canterbury Corporation | Richmond | $139,378,865 |
| Carilion Giles Community Hospital | Roanoke | $136,582,151 |
| Marymount University | Arlington | $134,584,702 |
| Patient Advocate Foundation Inc | Hampton | $133,773,940 |
| In-Q-Tel Inc | Mc Lean | $132,130,603 |
| International Justice Mission | Arlington | $129,931,939 |
| Hampden-Sydney College | Hmpden Sydney | $128,621,797 |
| Agra | Alexandria | $126,759,117 |
| Randolph-Macon College | Ashland | $126,051,166 |
| Central Virginia Electric Cooperative | Lovingston | $124,755,119 |
| National Wildlife Federation | Reston | $124,061,599 |
| Goodwin House Incorporated | Alexandria | $123,242,651 |
| Technoserve Inc | Arlington | $122,123,118 |
| Sentara Enterprises | Virginia Bch | $121,556,173 |
| Uva Prince William Health System | Manassas | $118,553,953 |
| George Mason University Foundation Inc | Fairfax | $116,356,966 |
| Southside Community Hospital Inc | Farmville | $116,150,425 |
| Shore Health Services Inc | Newport News | $115,176,834 |
| International Institute of Tropical Agriculture | Alexandria | $115,116,000 |
| Carilion Franklin Memorial Hospital | Roanoke | $114,894,972 |
| Batten University | Virginia Bch | $112,555,367 |
| Marine Spill Response Corporation | Herndon | $112,384,332 |
| Roanoke College | Salem | $111,634,654 |
| Didlake Inc | Manassas | $111,378,930 |
| University of Lynchburg | Lynchburg | $110,895,162 |
| People for the Ethical Treatment of Animals Inc | Norfolk | $110,179,122 |
| Trout Unlimited Inc | Arlington | $109,528,553 |
| One Nation | Haymarket | $106,804,171 |
| Public Interest Registry | Reston | $106,377,555 |
| Evms Academic Physicians and Surgeons Health Services Foundatio | Norfolk | $105,939,002 |
| National Student Clearinghouse | Herndon | $105,701,011 |
| National Center for State Courts | Williamsburg | $104,312,649 |
| Goodwill Industries of the Valley Works | Roanoke | $104,197,127 |
| The Community Foundation Inc | Richmond | $101,658,764 |
| Packaging Machinery Manufacturers Institute Inc | Herndon | $101,447,151 |
| Carilion Rockbridge Community Hospital | Roanoke | $101,192,116 |
| Airport Research and Development Foundation | Alexandria | $100,567,015 |
| Operation Smile Inc | Virginia Bch | $100,175,924 |
| Nami National | Arlington | $99,202,629 |
| Halifax Regional Hospital Inc | Virginia Bch | $98,174,906 |
| Old Dominion University Research Foundation | Norfolk | $97,665,864 |
| Madeira School Inc | McLean | $96,815,172 |
| Community Housing Partners Corporation | Christiansbrg | $96,195,813 |
| Feed More Inc | Richmond | $96,180,731 |
| Teamsters Joint Council-83 of Virginia Health & Welfare Insuranc | Richmond | $95,929,762 |
| International Livestock Research Institute | Alexandria | $95,365,000 |
| Railroad Employees National Dental Plan and Trust | Arlington | $94,688,351 |
| Mpb Inc | Virginia Bch | $90,608,196 |
| Central Virginia Health Services Inc | New Canton | $90,300,423 |
| Rehab Jv LLC | Richmond | $89,863,707 |
| A & N Electric Cooperative | Tasley | $88,315,179 |
| International Information System Security Certification Consortium | Alexandria | $87,659,863 |
| Richfield Living | Roanoke | $85,938,343 |
| International Rice Research Institute | Alexandria | $85,501,524 |
| March of Dimes Inc | Arlington | $85,191,655 |
| Westminster-Canterbury on Chesapeake Bay | Virginia Beach | $84,621,629 |
| Medical College of Virginia Foundation | Richmond | $84,215,955 |
| Virginia United Methodist Homes Inc | Glen Allen | $83,855,341 |
| Imagine Schools Non-Profit Inc | Vienna | $83,360,997 |
| Mount Vernon Ladies Association of the Union | Mount Vernon | $82,188,334 |
| Emory & Henry University | Emory | $80,452,058 |
| Grafton School Incorporated | Winchester | $78,983,443 |
| Operation Blessing International Relief & Development Corp | Virginia Bch | $78,244,217 |
| National Council on Aging Inc | Arlington | $77,891,453 |
| Hollins University Corporation | Roanoke | $77,425,022 |
| Potomac School | McLean | $76,946,773 |
| United Network for Organ Sharing | Richmond | $76,646,659 |
| Capital Impact Partners | Arlington | $76,134,398 |
| Fringe Benefit Plan for Service Contract Act Employees of Maximus | McLean | $75,904,701 |
| Blue Ridge Area Food Bank Inc | Verona | $75,158,603 |
| Entrepreneurs Organization | Alexandria | $74,764,654 |
| Middle East Broadcasting Networks Inc | Arlington | $73,748,565 |
| US Civilian Research and Development Foundation | Arlington | $73,586,507 |
| Woodberry Forest School | Woodberry for | $73,125,829 |
| Ethiopian Community Development Council Inc | Arlington | $72,961,991 |
| Association of State and Territorial Health Officials | Arlington | $72,754,622 |
| United Way Worldwide | Alexandria | $72,397,617 |
| Virginia Museum of Fine Arts Foundation | Richmond | $71,216,972 |
| Communities in Schools Inc | Arlington | $71,027,341 |
| American Institute in Taiwan | Arlington | $70,384,329 |
| Prison Fellowship Ministries | Lansdowne | $70,344,398 |
| Human Resources Research Organization | Alexandria | $69,540,238 |
| National Apartment Association | Arlington | $67,857,026 |
| Virginia Home | Richmond | $67,455,077 |
| Graduate Management Admission Council | Reston | $67,401,273 |
| Goodwill of Central and Coastal Virginia Inc | Richmond | $67,197,242 |
| National Center for Missing and Exploited Children | Alexandria | $66,813,108 |
| Protestant Episcopal High School in Virginia | Alexandria | $66,245,622 |
| Vcu Health Tappahannock Hospital | Tappahannock | $66,173,711 |
| Common Application Inc | Arlington | $65,847,203 |
| Resolve to Save Lives Inc | Alexandria | $65,629,780 |
| Virginia Union University | Richmond | $65,604,693 |
| Collegiate School | Richmond | $65,124,818 |
| Virginia Bankers Association Group Benefits Trust | Glen Allen | $64,101,494 |
| Bedford Falls Foundation | McLean | $63,470,417 |
| Prince George Electric Cooperative | Waverly | $63,443,940 |
| Young Mens Christian Association of South Hampton Roads | Chesapeake | $62,655,548 |
| Wolf Trap Foundation for the Performing Arts | Vienna | $62,548,638 |
| International Potato Center | Alexandria | $61,898,141 |
| National Association of Convenience Stores Inc | Alexandria | $61,836,797 |
| American Association of Motor Vehicle Administrators | Arlington | $61,486,645 |
| Sunnyside Presbyterian Home | Harrisonburg | $60,987,047 |
| Mary Baldwin University | Staunton | $60,209,727 |
| Averett University | Danville | $59,620,653 |
| University of Virginia Law School Foundation | Charlottesvle | $59,356,086 |
| Eastern Mennonite University | Harrisonburg | $59,328,189 |
| American Society of Civil Engineers | Reston | $58,896,001 |
| Southern Environmental Law Center | Charlottesville | $58,167,590 |
| Young Mens Christian Association of Greater Richmond | Richmond | $58,041,561 |
| Country Club of Virginia Inc | Richmond | $57,907,065 |
| Volunteers of America Inc | Alexandria | $57,863,085 |
| The Railrd Emplys Nati Earl Retire Major Medcl Benefit Plan Trust | Arlington | $57,685,120 |
| Ucare Health Inc | Stuart | $57,617,276 |
| Semper Fi & Americas Fund | Quantico | $56,599,765 |
| Worldwide Assurance for Employees of Public Agencies Inc | Falls Church | $55,378,016 |
| Institute for Justice | Arlington | $55,276,320 |
| Flint Hill School | Oakton | $55,056,858 |
| Bedford Memorial Hospital | Bedford | $54,920,124 |
| Riverside Healthcare Association Inc | Newport News | $54,052,272 |
| American Society for Training and Development | Alexandria | $53,622,589 |
| Bridgewater College | Bridgewater | $52,172,366 |
| Thomas Jefferson Foundation Inc | Charlottesvle | $51,655,297 |
| National Rural Letter Carriers Association | Alexandria | $51,371,476 |
| American Physical Therapy Association | Alexandria | $51,314,350 |
| Association of the United State Army Inc | Arlington | $50,896,685 |
| Fs-Isac Inc | Reston | $50,893,979 |
| Piedmont Access to Health Services Inc | Danville | $50,784,453 |
| Army Navy Country Club | Arlington | $50,428,550 |
| Virginia Student Aid Foundation | Charlottesvle | $50,256,478 |
| Randolph College | Lynchburg | $50,220,398 |
| Westminster Canterbury of the Blue Ridge | Charlottesvle | $50,103,594 |
| Williamsburg Landing Inc | Williamsburg | $49,268,612 |
| Navy-Marine Corps Relief Society | Arlington | $48,902,234 |
| Mercatus Center Inc | Arlington | $48,287,301 |
| Northern Neck Electric Cooperative Inc | Warsaw | $48,223,820 |
| Childrens Health System Inc | Norfolk | $48,170,908 |
| Tax Analysts | Falls Church | $48,134,055 |
| Air-Conditioning Heating and Refrigeration Institute | Arlington | $48,012,249 |
| Internet Society | Fredericksburg | $47,978,162 |
| National Association of Corporate Directors | Arlington | $47,685,789 |
| Avixa Inc | Fairfax | $47,109,457 |
| Lakewood Manor Baptist Retirement Community Inc | Glen Allen | $46,915,081 |
| College Foundation of the University of Virginia | Charlottesvle | $46,909,365 |
| Jack Kent Cooke Foundation | Lansdowne | $46,441,200 |
| Robin Merger Corporation Inc | Arlington | $46,004,090 |
| Eastern Shore Rural Health System Incorporated | Onancock | $45,845,487 |
| Old Dominion University Educational Foundation | Norfolk | $45,608,493 |
| International Centre for Research in Agroforestry | Alexandria | $45,412,924 |
| Christendom Educational Corporation | Front Royal | $45,215,813 |
| Food Marketplace Inc | Arlington | $44,887,297 |
| Claws Foundation | Reston | $44,818,209 |
| Navy Marine Coast Guard Residence Foundation | Mc Lean | $44,680,025 |
| Fort Norfolk Retirement Community Inc | Norfolk | $44,317,574 |
| University of Virginia Foundation | Charlottesvle | $44,146,959 |
| Sweet Briar Institute | Sweet Briar | $43,099,012 |
| St Annes-Belfield Inc | Charlottesvle | $42,647,338 |
| Rainforest Trust | Warrenton | $42,467,687 |
| Carilion Clinic | Roanoke | $42,307,838 |
| Young Americas Foundation | Reston | $41,594,746 |
| Air Force Retired Officers Community-Washington DC | Sterling | $41,492,029 |
| Conquer Cancer Fdn of the American Society of Clinical Oncology | Alexandria | $41,435,619 |
| Volgenau Foundation | McLean | $40,626,183 |
| Propane Education & Research Council Inc | Richmond | $40,610,525 |
| National Industries for the Blind | Alexandria | $40,558,816 |
| Paul Shelton Hcsr | Lynchburg | $40,140,586 |
| Ferrum College | Ferrum | $40,045,924 |
| Marine Corps Scholarship Foundation Inc | Alexandria | $39,359,324 |
| True Ground Housing Partners | Arlington | $39,201,787 |
| Charlottesville Area Community Foundation | Charlottesvle | $39,042,429 |
| Covenant Woods | Mechanicsville | $38,798,410 |
| International Association of Chiefs of Police Incorporated | Alexandria | $38,795,422 |
| Westminster-Canterbury of Winchester Inc | Winchester | $38,740,586 |
| Navy Seal Foundation Inc | Virginia Bch | $38,567,660 |
| Red Gates Foundation | Richmond | $38,249,357 |
| James Madison University Foundation Inc | Harrisonburg | $37,668,356 |
| Accessia Health | Midlothian | $37,605,875 |
| Jefferson Scholars Foundation | Charlottesvle | $36,641,682 |
| Norfolk Academy | Norfolk | $35,906,293 |
| Longwood University Real Estate Foundation | Farmville | $35,126,384 |
| National Defense Industrial Association | Arlington | $34,794,526 |
| Insurance Institute for Highway Safety | Arlington | $34,396,378 |
| Child Care Aware of America | Arlington | $34,254,703 |
| Volunteers of America Inc | Alexandria | $34,072,084 |
| Virginia Innovation Partnership Corporation | Herndon | $33,814,047 |
| Air & Space Forces Association | Arlington | $33,219,089 |
| Army Emergency Relief | Arlington | $32,975,008 |
| Internet Society Foundation | Fredericksburg | $32,709,029 |
| Childrens Hospital and Healthcare Services Foundation | Richmond | $32,539,085 |
| Infectious Diseases Society of America Inc | Arlington | $32,259,941 |
| Ahc Inc | Arlington | $32,048,676 |
| Senior Living Choices of Virginia Inc | Midlothian | $31,919,620 |
| Westminster Presbyterian Retirement Community Inc | Lake Ridge | $30,552,489 |
| Christian Relief Services Charities Inc | Alexandria | $30,469,552 |
| The Pauley Family Foundation | Richmond | $29,015,913 |
| Good Food Institute Inc | Arlington | $28,143,912 |
| Noblereach Foundation | Tysons | $27,882,963 |
| Wellspring Foundation of Southwest Virginia | Abingdon | $27,149,953 |
| James Family Charitable Foundation | Charlottesville | $26,826,938 |
| Vmi Foundation | Lexington | $26,717,885 |
| Foxcroft School | Middleburg | $26,163,860 |
| Harvest Foundation of the Piedmont | Martinsville | $25,899,429 |
| Virginia United Methodist Homes of Williamsburg Inc | Glen Allen | $25,668,071 |
| United Methodist Family Services of Virginia | Richmond | $25,291,627 |
| Blue Investments for Nature Inc | Arlington | $25,277,092 |
| Commonwealth Foundation for Cancer Research Foundation | Richmond | $25,046,690 |
| Dominion Energy Charitable Foundation | Richmond | $24,733,672 |
| University of Virginia Alumni Association | Charlottesville | $24,213,385 |
| Hampton Roads Community Foundation | Norfolk | $22,945,331 |
| Capital One Foundation Inc | McLean | $21,841,693 |
| University of Mary Washington Foundation | Fredericksbrg | $21,673,643 |
| Virginia Tech Real Estate Fdn | Blacksburg | $21,053,814 |
| Military Officers Association of America | Alexandria | $20,955,963 |
| Amyotrophic Lateral Sclerosis Assn | Arlington | $20,939,101 |
| Fauquier Health Foundation | Warrenton | $20,808,855 |
| United Charitable | Ashburn | $19,695,149 |
| Westminister-Canterbury Management Corporation | Richmond | $19,689,971 |
| The Chrysler Museum Inc | Norfolk | $16,549,844 |
| University of Virginia McIntire School of Commerce Foundation | Charlottesvle | $16,134,614 |
| Northrop Grumman Foundation | Falls Church | $15,108,191 |
| Edward C and Linda Dresner Levy Foundation | Reston | $14,476,656 |
| Horatio Alger Endowment Fund | Alexandria | $13,748,030 |
| Danville Regional Foundation | Danville | $13,320,686 |
| Taubman Foundation for the Arts | Roanoke | $12,694,002 |
| Endeavour Legacy Foundation | Richmond | $12,014,166 |
| Carmax Foundation | Richmond | $10,080,818 |
| Commonwealth Foundations | Richmond | $10,080,000 |
| Bionexus Foundation Inc | Manassas | $9,120,346 |
| Fairfax Educational Foundation Inc | Fairfax | $8,368,503 |
| Stand Together Foundation | Arlington | $8,352,812 |
| The Batten Foundation | Norfolk | $8,127,803 |
| Townebank Foundation | Suffolk | $8,053,248 |
| Manning Family Foundation | Charlottesvle | $7,998,437 |
| Connected Giving Foundation | Fredericksburg | $5,637,277 |
| Claude Moore Charitable Foundation | Fairfax | $3,683,978 |
| The Landmark Foundation | Norfolk | $3,294,914 |
| Revada Foundation | Alexandria | $3,258,811 |
| The Methuselah Foundation | Springfield | $1,975,510 |
| Beth Sholom Home of Eastern Virginia | Virginia Beach | $1,742,796 |
| Ucare Foundation | Stuart | $1,594,765 |
| Charles Koch Foundation | Arlington | $1,315,532 |
| Charles Koch Foundation II | Arlington | $307,386 |