| 1 | Nrlca Veba Trust Alexandria | $423.8M | $423.8M | $144.4M |
| 2 | Partnership for Supply Chain Management INC Arlington | $415.7M | $415.7M | $135.7M |
| 3 | Navy Marine Coast Guard Residence Foundation Mc Lean | $183.5M | $38.2M | $172.1M |
| 4 | Westminster-canterbury Corporation Richmond | $121.4M | $92.4M | $592.3M |
| 5 | Goodwin House Incorporated Alexandria | $114.7M | $114.7M | $453.2M |
| 6 | Virginia United Methodist Homes INC Glen Allen | $113.6M | $83.9M | $268.2M |
| 7 | Goodwill Industries of the Valley Works Roanoke | $104.2M | $104.2M | $47.5M |
| 8 | Young Mens Christian Association of South Hampton Roads Chesapeake | $95.3M | $57.6M | $123.9M |
| 9 | Ethiopian Community Development Council INC Arlington | $92.4M | $92.4M | $43.9M |
| 10 | Sunnyside Presbyterian Home Harrisonburg | $86.1M | $61.0M | $159.0M |
| 11 | Westminster-canterbury on Chesapeake Bay Virginia Beach | $77.6M | $71.6M | $723.0M |
| 12 | Young Mens Christian Association of Greater Richmond Richmond | $72.0M | $57.4M | $121.4M |
| 13 | Bay Aging Urbanna | $61.6M | $61.6M | $38.0M |
| 14 | Lutheran Family Services of Virginia INC Roanoke | $56.4M | $56.4M | $25.3M |
| 15 | Williamsburg Landing INC Williamsburg | $50.4M | $49.3M | $274.9M |
| 16 | Westminster Canterbury of the Blue Ridge Charlottesvle | $49.6M | $48.3M | $227.2M |
| 17 | Northern Virginia Family Service Falls Church | $48.6M | $40.6M | $29.9M |
| 18 | Lakewood Manor Baptist Retirement Community INC Glen Allen | $46.9M | $46.9M | $216.8M |
| 19 | United Methodist Family Services of Virginia Richmond | $45.6M | $24.9M | $72.0M |
| 20 | Community Residences INC Chantilly | $43.9M | $43.9M | $10.5M |
| 21 | Air Force Retired Officers Community-washington Dc Sterling | $42.1M | $41.5M | $140.7M |
| 22 | Fort Norfolk Retirement Community INC Norfolk | $42.0M | $39.5M | $273.8M |
| 23 | Westminster-canterbury of Winchester INC Winchester | $39.7M | $38.7M | $272.4M |
| 24 | Paul Shelton Hcsr Lynchburg | $38.7M | $38.7M | $147.4M |
| 25 | Blue Ridge Hospice INC Winchester | $37.0M | $37.0M | $25.7M |
| 26 | Third Option Foundation Reston | $34.6M | $12.8M | $41.5M |
| 27 | Boulder Crest Foundation Bluemont | $33.8M | $22.4M | $46.4M |
| 28 | Louise W Eggleston Center INC Norfolk | $32.7M | $30.5M | $36.1M |
| 29 | Disability Belongs Fredericksbrg | $32.7M | $3.4M | $4.3M |
| 30 | Westminster Presbyterian Retirement Community INC Lake Ridge | $32.0M | $30.6M | $79.6M |
| 31 | Senior Living Choices of Virginia INC Midlothian | $31.9M | $31.9M | $103.1M |
| 32 | Sentara Life Care Corporation Virginia Bch | $31.8M | $31.7M | $15.4M |
| 33 | Newport News Baptist Retirement Community INC Glen Allen | $31.2M | $31.2M | $43.4M |
| 34 | Young Mens Christian Association of the Virginia Peninsulas Newport News | $31.2M | $27.7M | $53.1M |
| 35 | Child Care Aware of America Arlington | $30.7M | $30.7M | $46.8M |
| 36 | James Barry-robinson Institute Norfolk | $30.4M | $30.2M | $60.7M |
| 37 | Bridgewater Home INC Bridgewater | $30.3M | $30.3M | $55.7M |
| 38 | Rappahannock Westminster Canterbury INC Irvington | $29.6M | $29.1M | $47.7M |
| 39 | Westminster-canterbury Foundation Richmond | $29.5M | $8.0M | $86.8M |
| 40 | Total Action Against Poverty in Roanoke Valley Roanoke | $29.1M | $29.0M | $18.8M |
| 41 | Lexington Retirement Community INC Lexington | $27.5M | $23.1M | $120.6M |
| 42 | Appalachian Agency for Senior Citizens Cedar Bluff | $27.1M | $27.0M | $17.8M |
| 43 | Presbyterian Homes & Family Services INC Lynchburg | $25.9M | $24.8M | $44.0M |
| 44 | Virginia United Methodist Homes of Williamsburg INC Glen Allen | $25.7M | $25.7M | $103.7M |
| 45 | Commonwealth Catholic Charities Richmond | $25.6M | $25.5M | $12.9M |
| 46 | Mercy Chefs INC Portsmouth | $25.6M | $25.4M | $17.5M |
| 47 | St. Josephs Villa Richmond | $23.6M | $23.6M | $23.1M |
| 48 | Mountain Empire Older Citizens INC Big Stone Gap | $21.5M | $21.5M | $9.1M |
| 49 | Employment Source INC Oakton | $21.1M | $21.1M | $10.8M |
| 50 | Child Care Resources INC Richmond | $20.2M | $20.2M | $5.1M |