| 4551 | Geneva General Hospital | Geneva, New York | $206.1M | $135.3M | $135.3M |
| 4552 | Trinity Christian Center of Santa Ana INC | Tustin, California | $206.1M | $65.5M | $65.5M |
| 4553 | National Bureau of Economic Research INC | Cambridge, Massachusetts | $206.0M | $47.0M | $56.7M |
| 4554 | Chicago Community Loan Fund | Chicago, Illinois | $206.0M | $18.8M | $22.5M |
| 4555 | Browning School | New York, New York | $206.0M | $32.6M | $50.4M |
| 4556 | University of Florida Jacksonville Physicians INC | Jacksonville, Florida | $205.9M | $474.1M | $474.1M |
| 4557 | Rosalinde and Arthur Gilbert Foundation | Los Angeles, California | $205.9M | $0 | $62.3M |
| 4558 | Hudson-alpha Institute for Biotechnology | Huntsville, Alabama | $205.8M | $52.2M | $53.8M |
| 4559 | Ford Philanthropy | Dearborn, Michigan | $205.8M | $0 | $115.4M |
| 4560 | Enoch Pratt Free Library of Baltimore City | Baltimore, Maryland | $205.8M | $57.3M | $75.2M |
| 4561 | Laffont Family Foundation | New York, New York | $205.8M | $0 | $22.4M |
| 4562 | Pih Health Downey Hosptial | Downey, California | $205.8M | $262.2M | $262.3M |
| 4563 | United Nations Development Corporation | New York, New York | $205.6M | $43.7M | $43.7M |
| 4564 | Charitable Assets Tr | Austin, Texas | $205.5M | $274.5M | $281.6M |
| 4565 | Democracy Prep New York Charter Schools | Bronx, New York | $205.5M | $88.8M | $88.8M |
| 4566 | True North Medical Group Pc | Westbury, New York | $205.4M | $212.3M | $212.5M |
| 4567 | Chatham University | Pittsburgh, Pennsylvania | $205.3M | $90.9M | $100.9M |
| 4568 | The Mercy Hospital INC | Hartford, Connecticut | $205.3M | $337.4M | $337.4M |
| 4569 | Baltimore Museum of Art INC | Baltimore, Maryland | $205.3M | $26.5M | $31.5M |
| 4570 | Bin Lin and Daisy Liu Family Foundation | Fremont, California | $205.2M | $0 | $23.0M |
| 4571 | Kipp Cooper Norcross a New Jersey Nonprofit Corporation | Newark, New Jersey | $205.2M | $72.4M | $72.4M |
| 4572 | Zachary Smith Reynolds Trust | Pittsburgh, Pennsylvania | $205.1M | $0 | $150.0M |
| 4573 | Ssmhcs Liability Trust Mercantile Bank Ttee | Saint Louis, Missouri | $205.1M | $51.4M | $51.4M |
| 4574 | University of Southern Indiana Foundation INC | Evansville, Indiana | $205.0M | $11.3M | $52.1M |
| 4575 | Seton Family of Doctors | Saint Louis, Missouri | $204.9M | $260.9M | $260.9M |
| 4576 | McLaren Oakland | Pontiac, Michigan | $204.9M | $307.2M | $307.2M |
| 4577 | Charles H Revson Foundation INC | New York, New York | $204.9M | $0 | $45.8M |
| 4578 | Samuel I Newhouse Foundation INC | New York, New York | $204.8M | $0 | $9.4M |
| 4579 | Christian Buehler Memorial | Peoria, Illinois | $204.8M | $0 | $42.4M |
| 4580 | Commonwealth Health Corporation INC | Bowling Green, Kentucky | $204.6M | $195.7M | $305.8M |
| 4581 | Deborah Heart & Lung Center | Browns Mills, New Jersey | $204.6M | $239.1M | $239.1M |
| 4582 | Cambria County Association for the Blind & Handicapped INC | Johnstown, Pennsylvania | $204.5M | $49.6M | $94.0M |
| 4583 | Institute for Protein Innovation INC | Boston, Massachusetts | $204.5M | $7.5M | $74.2M |
| 4584 | Colburn Foundation | Los Angeles, California | $204.4M | $0 | $63.0M |
| 4585 | Community Foundation of Abilene | Abilene, Texas | $204.3M | $30.6M | $67.7M |
| 4586 | Global Alliance for Tb Drug Development INC | New York, New York | $204.3M | $63.7M | $202.5M |
| 4587 | Adventhealth Foundation INC | Altamonte Spg, Florida | $204.1M | $47.4M | $50.5M |
| 4588 | Principal Financial Group Foundation INC | Des Moines, Iowa | $204.1M | $0 | $7.7M |
| 4589 | Fritz B Burns Foundation | Woodland Hls, California | $204.1M | $0 | $52.0M |
| 4590 | Stowers Foundation | Leawood, Kansas | $204.0M | $0 | $170.1M |
| 4591 | Communities Foundation of Oklahoma INC | Oklahoma City, Oklahoma | $204.0M | $38.5M | $45.3M |
| 4592 | Marlborough School | Los Angeles, California | $204.0M | $37.8M | $41.4M |
| 4593 | Baycare Pasco INC | Wesley Chapel, Florida | $204.0M | $86.4M | $86.4M |
| 4594 | Joseph C Bancroft Charitable & Educational Fund | McComb, Mississippi | $204.0M | $6.8M | $6.9M |
| 4595 | Lancer Educational Housingcorporation | Riverside, California | $203.9M | $27.9M | $27.9M |
| 4596 | Adventist Health Delano | Delano, California | $203.8M | $117.1M | $117.1M |
| 4597 | Friendsview Manor | Newberg, Oregon | $203.7M | $25.0M | $26.1M |
| 4598 | The Health Care Authority of the City of Anniston | Anniston, Alabama | $203.7M | $281.0M | $281.0M |
| 4599 | Atlanta Historical Society INC | Atlanta, Georgia | $203.7M | $43.2M | $43.8M |
| 4600 | Healthcare Foundation of Wilson | Wilson, North Carolina | $203.7M | $18.8M | $18.8M |