| 1 | Sandhills Center for Mental Health Developmental Disabilities & Subst West End | $533.5M | $532.9M | $251.2M |
| 2 | Coastal Horizons Center INC Wilmington | $71.4M | $71.3M | $22.5M |
| 3 | Crossnore Communities for Children Newland | $29.9M | $29.4M | $48.5M |
| 4 | McLeod Centers for Wellbeing Charlotte | $27.4M | $27.4M | $28.2M |
| 5 | Residential Services INC Chapel Hill | $23.9M | $16.0M | $19.3M |
| 6 | Insight Human Services INC Winston Salem | $21.5M | $20.8M | $13.0M |
| 7 | Southlight Healthcare Raleigh | $19.5M | $19.5M | $8.7M |
| 8 | Charlotte Rescue Mission Charlotte | $19.0M | $19.0M | $58.4M |
| 9 | Cooperriis INC Mill Spring | $14.5M | $14.5M | $11.2M |
| 10 | Fellowship Hall INC Greensboro | $13.6M | $11.7M | $17.4M |
| 11 | Stop Soldier Suicide Durham | $12.9M | $10.0M | $3.4M |
| 12 | B & D Integrated Health Services Durham | $12.1M | $11.9M | $4.6M |
| 13 | Pavillon International Mill Spring | $11.8M | $11.7M | $8.5M |
| 14 | The Mental Health Fund INC Hickory | $9.7M | $9.7M | $8.8M |
| 15 | Healing Transitions INC Raleigh | $9.3M | $8.9M | $38.0M |
| 16 | Meridian Behavioral Health Services INC Sylva | $6.4M | $6.4M | $4.6M |
| 17 | Addiction Recovery Care Association INC Winston Salem | $6.4M | $6.4M | $9.5M |
| 18 | El Futuro Durham | $5.8M | $5.8M | $5.3M |
| 19 | Healing Place of New Hanover County INC Wilmington | $5.8M | $5.8M | $2.8M |
| 20 | Freedom House Greensboro | $5.8M | $5.7M | $4.7M |
| 21 | Wilkes Recovery Revolution N Wilkesboro | $5.6M | $5.6M | $4.2M |
| 22 | North Side Fire & Rescue INC Clayton | $5.6M | $5.6M | $8.2M |
| 23 | Sunrise Community for Recovery and Wellness INC Asheville | $5.5M | $5.5M | $2.0M |
| 24 | Haven House INC Raleigh | $5.2M | $5.2M | $6.7M |
| 25 | Hope Haven INC Charlotte | $5.2M | $5.2M | $5.4M |
| 26 | Peacehaven Farm INC Whitsett | $5.1M | $5.1M | $9.8M |
| 27 | Promise Resource Network INC Charlotte | $5.0M | $5.0M | $5.7M |
| 28 | North Carolina Harm Reduction INC Wilmington | $4.1M | $4.1M | $1.1M |
| 29 | Christian Recovery Center INC Shallotte | $4.0M | $4.0M | $7.4M |
| 30 | Cape Fear Group Homes INC Wilmington | $4.0M | $4.0M | $3.0M |
| 31 | Alcohol & Drug Services of Guilford INC High Point | $3.9M | $3.9M | $3.7M |
| 32 | Creative Directions INC Graham | $3.4M | $3.4M | $0 |
| 33 | North Carolina Chamber Foundation Raleigh | $3.3M | $3.3M | $7.6M |
| 34 | North Carolina Physicans Health Program INC Raleigh | $3.3M | $3.2M | $8.3M |
| 35 | Governors Institute Raleigh | $3.3M | $3.3M | $1.9M |
| 36 | Pats Place Child Advocacy Center INC Charlotte | $3.2M | $3.1M | $4.3M |
| 37 | Living Free Ministries INC Snow Camp | $2.9M | $2.9M | $3.1M |
| 38 | The Power of U Incorporated Elizabeth City | $2.8M | $2.8M | $33K |
| 39 | Evergreen Foundation Waynesville | $2.5M | $0 | $24.7M |
| 40 | Bridge to Recovery Albemarle | $2.4M | $2.4M | $5.1M |
| 41 | Safe Harbor of Nc INC Hickory | $2.4M | $1.7M | $4.5M |
| 42 | Residential Treatment Services of Alamance INC Burlington | $2.3M | $2.0M | $2.1M |
| 43 | First Step Farm of Wnc INC Candler | $2.1M | $1.9M | $3.6M |
| 44 | Outer Banks Dare Challenge INC Wanchese | $2.1M | $2.1M | $7.6M |
| 45 | Recovery Ventures Corporation Black Mtn | $2.0M | $2.0M | $3.3M |
| 46 | New Leaf Behavioral Health Raleigh | $1.9M | $1.9M | $2.9M |
| 47 | Sixth Avenue Psychiatricrehabilitation Partners INC Hendersonville | $1.9M | $1.9M | $1.1M |
| 48 | Outer Banks Hotline Incorporated Nags Head | $1.9M | $1.9M | $2.0M |
| 49 | Resources Education Assistance Counseling and Housing of Macon Franklin | $1.8M | $1.6M | $3.0M |
| 50 | Path of Hope INC Lexington | $1.5M | $1.5M | $865K |