| 1 | Nami National Arlington | $83.1M | $35.3M | $77.2M |
| 2 | Danville Pittsylvania Community Services Danville | $30.3M | $30.0M | $39.5M |
| 3 | Pathway Homes INC Fairfax | $24.2M | $23.9M | $31.7M |
| 4 | All Rise for Justice Alexandria | $23.4M | $23.4M | $15.2M |
| 5 | National Association of State Mental Health Program Directors in Alexandria | $22.9M | $22.9M | $7.5M |
| 6 | National Capital Treatment and Recovery Arlington | $22.7M | $22.6M | $21.2M |
| 7 | Crossroads Services Board Farmville | $19.3M | $19.1M | $19.4M |
| 8 | Tragedy Assistance Program for Survivors Arlington | $16.5M | $15.6M | $2.2M |
| 9 | Leary Educational Foundation INC Winchester | $16.0M | $15.9M | $14.6M |
| 10 | Al-anon Family Group Headquarters INC Virginia Bch | $12.0M | $6.5M | $15.8M |
| 11 | Charterhouse School INC Richmond | $9.5M | $9.5M | $5.7M |
| 12 | American Psychiatric Nurses Association Falls Church | $7.5M | $6.2M | $6.9M |
| 13 | McShin Foundation Henrico | $6.7M | $6.4M | $4.9M |
| 14 | Treatment Advocacy Center Alexandria | $4.9M | $3.6M | $3.0M |
| 15 | Fbiaa Memorial College Fund Alexandria | $4.9M | $2.2M | $19.1M |
| 16 | Virginia Association of Recovery Residences INC Richmond | $4.0M | $4.0M | $330K |
| 17 | Region Ten Community Services Board INC Charlottesvle | $3.8M | $3.8M | $46.4M |
| 18 | The Womens Initiative Charlottesvle | $2.9M | $2.9M | $1.9M |
| 19 | Stop the Addiction Fatality Epidemic - Safe - Project US Arlington | $2.8M | $2.8M | $4.7M |
| 20 | 11012 Family Foundation Oakton | $2.5M | $0 | $2.5M |
| 21 | The We Card Program INC Arlington | $2.4M | $1.9M | $4.4M |
| 22 | Operator Relief Fund INC Leesburg | $2.4M | $2.4M | $791K |
| 23 | Rachels Haven INC Pound | $2.3M | $2.3M | $1.2M |
| 24 | Dr Lorna Breen Heroes Foundation Charlottesvle | $2.3M | $2.3M | $2.2M |
| 25 | Schizophrenia and Related Disorders Alliance of America Alexandria | $2.1M | $1.9M | $1.1M |
| 26 | Washington Regional Alcohol Program Mc Lean | $1.9M | $1.9M | $1.4M |
| 27 | Our Minds Matter Arlington | $1.8M | $1.8M | $1.4M |
| 28 | Strength in Peers New Market | $1.8M | $1.8M | $1.4M |
| 29 | Bridges Community Services INC Elkton | $1.7M | $1.7M | $327K |
| 30 | Regenesis Chester | $1.5M | $1.5M | $837K |
| 31 | Roads to Recovery INC Lynchburg | $1.5M | $1.4M | $2.2M |
| 32 | Family Guidance of Virginia N Chesterfld | $1.4M | $1.4M | $576K |
| 33 | Alicias Place Chesapeake | $1.4M | $1.4M | $214K |
| 34 | Chris Atwood Foundation INC Reston | $1.4M | $1.4M | $890K |
| 35 | Alteristic INC Alexandria | $1.3M | $1.3M | $252K |
| 36 | Virginia Association of Community Services Boards INC Richmond | $1.3M | $1.3M | $2.5M |
| 37 | Edgehill Recovery Retreat Center Winchester | $1.3M | $1.3M | $20K |
| 38 | Hanover Domestic Violence Task Force INC Ashland | $1.3M | $1.3M | $913K |
| 39 | Footsteps Counseling Center INC Chesterfield | $1.2M | $1.2M | $368K |
| 40 | Virginia Crisis Intervention Team Coalition Roanoke | $1.2M | $1.2M | $1.4M |
| 41 | Virginia Harm Reduction Coalition Roanoke | $921K | $921K | $682K |
| 42 | Maternal Mental Health Leadership Alliance Arlington | $901K | $901K | $454K |
| 43 | American Neuropsychiatric Association Alexandria | $875K | $583K | $1.6M |
| 44 | Virginia Judges and Lawyers Assistance Program Glen Allen | $866K | $866K | $443K |
| 45 | Pathway Homes of Florida INC Fairfax | $845K | $827K | $438K |
| 46 | Warren County Community Health Coalition INC Front Royal | $814K | $814K | $85K |
| 47 | New Directions Center INC Staunton | $811K | $811K | $119K |
| 48 | American Counseling Association Alexandria | $809K | $809K | $3.4M |
| 49 | Rockbridge Recovery Center Buena Vista | $801K | $801K | $641K |
| 50 | Can We Talk Professional Services Coaching Richmond | $780K | $780K | $0 |