| 1 | Shenandoah Medical Center | Health Care | $70.4M | $85.4M |
| 2 | Nishna Productions INC | Human Services | $14.7M | $16.1M |
| 3 | Greater Shenandoah Foundation | Education | $1.4M | $8.0M |
| 4 | Our House Child Development Center | Unclassified | $648K | $1.5M |
| 5 | Charles Hockenberry Foundation | Unclassified | $556K | $1.2M |
| 6 | Ivan & Caroline Wilson Memorial Tr II | Philanthropy, Voluntarism & Grantmaking | $436K | $6.3M |
| 7 | Benevolent & Protective Order of Elks of the USA | Unclassified | $386K | $1.8M |
| 8 | Shenandoah Medical Center Foundation | Philanthropy, Voluntarism & Grantmaking | $380K | $939K |
| 9 | Shenandoah Economic Development Corp. | Unclassified | $283K | $71K |
| 10 | Kay M Anderson Foundation | Unclassified | $255K | $1.8M |
| 11 | Cy Rapp and Carolyn Rapp Test Charitable Remainder Tr | Philanthropy, Voluntarism & Grantmaking | $234K | $5.7M |
| 12 | Shenandoah Iowa Education Foundation | Education | $229K | $870K |
| 13 | George S & Grace a Jay Memorial Trust | Unclassified | $206K | $2.6M |
| 14 | Benevolent & Protective Order of Elks of the USA | Unclassified | $206K | $116K |
| 15 | Shenandoah Public Library Foundation | Unclassified | $193K | $477K |
| 16 | Community Food Pantry of Shenandoah Ia and Surrounding Area INC | Food, Agriculture & Nutrition | $184K | $949K |
| 17 | Shenandoah Pregnancy & Resource Center | Health Care | $136K | $92K |
| 18 | Benevolent & Protective Order of Elks of the USA | Unclassified | $126K | $150K |
| 19 | Fraternal Order of Eagles | Unclassified | $76K | $142K |
| 20 | People for Paws | Animal-Related | $57K | $135K |
| 21 | Mary Louise Gidley Scholarship Fund | Unclassified | $47K | $377K |
| 22 | Greater Shenandoah Historical Society | Arts, Culture & Humanities | $43K | $1.4M |
| 23 | Kidd Family Foundation Dated 10-18-2017 | Philanthropy, Voluntarism & Grantmaking | $32K | $334K |
| 24 | Lake-matthews Educational Fund INC | Philanthropy, Voluntarism & Grantmaking | $31K | $396K |
| 25 | Stable Care Incorporated | Mental Health & Crisis Intervention | $7K | $7K |
| 26 | Fremont County Horizons | Public & Societal Benefit | $520 | $4K |
| 27 | West Tarkio Watershed and Lake Alliance INC | Environment | $0 | $0 |
| 28 | Optimist International | Unclassified | $0 | $0 |
| 29 | Knights of Columbus | Unclassified | $0 | $0 |
| 30 | Fraternal Order of Eagles | Unclassified | $0 | $0 |
| 31 | Vision Shenandoah INC | Community Improvement & Capacity Building | $0 | $0 |
| 32 | Women for the World | Human Services | $0 | $0 |
| 33 | Janice L Wilson Foundation INC | Mental Health & Crisis Intervention | $0 | $0 |
| 34 | Shenandoah War Memorial Trust | Unclassified | $0 | $0 |
| 35 | First Christian Church | Unclassified | $0 | $0 |
| 36 | First Methodist Church | Unclassified | $0 | $0 |
| 37 | First Baptist Church | Unclassified | $0 | $0 |
| 38 | West Page Improvement Center INC | Unclassified | $0 | $0 |
| 39 | Peace Lutheran Church | Unclassified | $0 | $0 |
| 40 | Porters Lake Lutheran Founders INC | Religion-Related | $0 | $0 |
| 41 | The Southwest Iowa Theatre Groupincorporated | Unclassified | $0 | $0 |
| 42 | Assembly of God Full Gospel Tabernacle | Unclassified | $0 | $0 |
| 43 | Shenandoah Music Association | Arts, Culture & Humanities | $0 | $0 |
| 44 | Living Word World Outreach Center | Unclassified | $0 | $0 |
| 45 | Veterans of Foreign Wars of the United States Dept of Iowa | Unclassified | $0 | $0 |
| 46 | Church of God of Prophecy | Unclassified | $0 | $0 |
| 47 | Covenant Messenger Ministries | Religion-Related | $0 | $0 |
| 48 | Shenandoah Twelve Step House INC | Mental Health & Crisis Intervention | $0 | $0 |
| 49 | Reorganized Waubonsie Saddle Club INC | Youth Development | $0 | $0 |
| 50 | American Legion | Unclassified | $0 | $0 |
| 51 | American Legion Auxiliary | Unclassified | $0 | $0 |
| 52 | Rotary Club of Shenandoah Iowa | Unclassified | $0 | $0 |
| 53 | National Association of Letter Carriers Branch 851 | Mutual & Membership Benefit | $0 | $0 |
| 54 | Trinity Lutheran Church | Unclassified | $0 | $0 |
| 55 | United States Bowling Congress INC | Recreation & Sports | $0 | $0 |
| 56 | Veterans Memorial Museum INC | Arts, Culture & Humanities | $0 | $0 |
| 57 | Amvets | Unclassified | $0 | $0 |
| 58 | Cornerstone Fellowship of the Christian and Missionary Alliance | Unclassified | $0 | $0 |
| 59 | Forum to Revitalize Shenandoah INC | Public & Societal Benefit | $0 | $0 |
| 60 | Fuller Center for Housing INC | Unclassified | $0 | $0 |
| 61 | Santas Workshop | Human Services | $0 | $0 |
| 62 | Shenandoah Iowa Athletic Booster Club INC | Recreation & Sports | $0 | $0 |