| 1 | Walter Scott Family Foundation Omaha | T | $7.1B | $0 | $2.8B |
| 2 | Woodmen of the World Life Insurance Society Omaha | Z | $2.4B | $1.2B | $11.3B |
| 3 | The Susan Thompson Buffett Foundation Omaha | T | $2.4B | $0 | $2.8B |
| 4 | The Nebraska Medical Center Omaha | E | $2.3B | $2.3B | $2.3B |
| 5 | Father Flanagans Fund for Needy Children Boys Town | P | $1.8B | $97.9M | $1.1B |
| 6 | University of Nebraska Foundation Lincoln | B | $1.4B | $352.5M | $3.6B |
| 7 | Creighton University Omaha | B | $1.3B | $750.2M | $2.0B |
| 8 | Suzanne and Walter Scott Foundation Omaha | T | $1.2B | $480.2M | $965.1M |
| 9 | Bryan Medical Center Lincoln | E | $1.0B | $970.5M | $1.3B |
| 10 | Nebraska Methodist Hospital Omaha | E | $1.0B | $804.6M | $1.1B |
| 11 | Childrens Hospital & Medical Center Omaha | E | $997.9M | $774.5M | $1.6B |
| 12 | Father Flanagans Boys Home Boys Town | P | $975.2M | $503.4M | $1.9B |
| 13 | Alegent Health - Bergan Mercy Health System Omaha | E | $804.3M | $792.7M | $1.1B |
| 14 | Sherwood Foundation Omaha | T | $655.1M | $0 | $716.3M |
| 15 | Alegent Creighton Clinic Omaha | E | $580.6M | $580.6M | $131.0M |
| 16 | Eagle Foundation Omaha | Z | $576.6M | $0 | $990.9M |
| 17 | Unmc Physicians Omaha | E | $564.5M | $564.5M | $178.4M |
| 18 | Peter Kiewit Foundation Omaha | T | $556.3M | $0 | $466.6M |
| 19 | Alegent Creighton Health Omaha | E | $488.1M | $480.4M | $839.0M |
| 20 | Mosaic Omaha | L | $374.9M | $374.2M | $227.1M |
| 21 | North Platte Nebraska Hospital Corporation North Platte | E | $336.6M | $327.8M | $579.5M |
| 22 | Physicians Clinic INC Omaha | E | $306.9M | $306.6M | $108.3M |
| 23 | Faith Regional Health Services Norfolk | E | $289.4M | $288.6M | $276.5M |
| 24 | Omaha Community Foundation Omaha | T | $258.0M | $154.2M | $556.1M |
| 25 | Vetter Senior Living Elkhorn | E | $257.0M | $248.8M | $317.6M |
| 26 | Nebraska Electric Generation and Transmission Cooperative INC Columbus | Z | $256.0M | $256.0M | $21.1M |
| 27 | Regional West Medical Center Scottsbluff | E | $255.8M | $255.8M | $139.0M |
| 28 | Alegent Health-immanuel Medical Center Omaha | E | $235.8M | $230.6M | $805.8M |
| 29 | The Mary Lanning Memorial Hospital Association Hastings | E | $223.3M | $222.8M | $257.2M |
| 30 | Bellevue University Bellevue | B | $214.7M | $160.1M | $296.0M |
| 31 | Good Samaritan Hospital Kearney | E | $209.1M | $205.1M | $709.4M |
| 32 | Methodist Fremont Health Omaha | E | $198.9M | $170.4M | $176.2M |
| 33 | Saint Elizabeth Regional Medical Center Lincoln | E | $192.1M | $192.0M | $483.9M |
| 34 | Madonna Rehabilitation Hospital Lincoln | E | $189.0M | $189.0M | $295.1M |
| 35 | Columbus Community Hospital INC Columbus | E | $175.9M | $175.3M | $223.0M |
| 36 | Bryan Hospital Kearney Lincoln | E | $172.6M | $172.6M | $384.9M |
| 37 | Filkins Family Foundation Omaha | T | $162.6M | $0 | $137.6M |
| 38 | Saint Francis Medical Center Grand Island | E | $142.1M | $141.9M | $749.2M |
| 39 | Nebraska Medicine Omaha | E | $141.5M | $141.5M | $1.4B |
| 40 | Omaha Community Foundation Donor Directed Depository Omaha | T | $134.9M | $70.0M | $63.6M |
| 41 | Nebraska Methodist Health System INC Omaha | E | $134.2M | $100.7M | $2.0B |
| 42 | First National of Nebraska INC Welfare Benefit Plan Trust Omaha | Y | $130.4M | $72.2M | $1.1M |
| 43 | The Lozier Foundation Omaha | T | $129.6M | $0 | $437.1M |
| 44 | The Hawks Foundation Omaha | B | $123.8M | $0 | $413.1M |
| 45 | Phelps Memorial Health Center Holdrege | E | $116.9M | $116.9M | $191.7M |
| 46 | National Arbor Day Foundation Lincoln | C | $114.2M | $111.9M | $136.3M |
| 47 | Nebraska Pediatric Practice INC Omaha | E | $112.4M | $112.4M | $22.7M |
| 48 | Beatrice Community Hospital & Health Center INC Beatrice | E | $105.2M | $101.3M | $111.6M |
| 49 | William and Ruth Scott Family Foundation INC Omaha | T | $104.5M | $40.9M | $214.6M |
| 50 | Metropolitan Entertainment & Omaha | S | $101.6M | $101.6M | $134.4M |