| 1 | Multicare Health System | Health Care | $5.0B | $6.3B |
| 2 | Franciscan Health System | Health Care | $1.8B | $1.2B |
| 3 | Franciscan Medical Group | Health Care | $462.4M | $219.6M |
| 4 | Pacific Lutheran University INC | Education | $203.3M | $293.4M |
| 5 | University of Puget Sound | Education | $187.5M | $750.4M |
| 6 | Credit Unions in the State of Washington | Unclassified | $178.6M | $3.1B |
| 7 | Chvi Professional Corporation | Health Care | $97.4M | $48.4M |
| 8 | Goodwill of the Olympics and Rainier Region | Employment | $96.8M | $126.3M |
| 9 | Community Health Care | Health Care | $86.7M | $115.3M |
| 10 | Young Mens Christian Association of Pierce and Kitsap Counties | Human Services | $84.2M | $144.4M |
| 11 | United Employees Benefit Trust | Unclassified | $77.9M | $58.5M |
| 12 | Lutheran Community Services Northwest | Human Services | $74.3M | $67.6M |
| 13 | Geneva Foundation 04-15-93 | Science & Technology | $60.8M | $25.2M |
| 14 | Comprehensive Mental Health Center of Tacoma Pierce County | Mental Health & Crisis Intervention | $51.7M | $53.0M |
| 15 | Alliance for South Sound Health | Health Care | $51.5M | $59.4M |
| 16 | Annie Wright Schools | Unclassified | $50.8M | $105.4M |
| 17 | Pierce County Rural Library District | Education | $48.2M | $53.0M |
| 18 | Eliseo | Human Services | $45.6M | $103.5M |
| 19 | Greater Tacoma Community Foundation | Philanthropy, Voluntarism & Grantmaking | $38.0M | $185.7M |
| 20 | Credit Unions in the State of Washington | Unclassified | $37.9M | $658.7M |
| 21 | Washington State Child Care Resource & Referral Network | Unclassified | $35.3M | $9.9M |
| 22 | Charles Wright Academy | Unclassified | $31.3M | $77.2M |
| 23 | Habitat for Humanity International INC | Housing & Shelter | $29.4M | $50.8M |
| 24 | Eastside Community Center Qalicb | Recreation & Sports | $28.5M | $26.7M |
| 25 | Foss Home & Villiage | Housing & Shelter | $28.3M | $9.0M |
| 26 | Gary E Milgard Family Foundation-cari | Philanthropy, Voluntarism & Grantmaking | $28.0M | $115.3M |
| 27 | Mary Bridge Childrens Foundation | Health Care | $26.9M | $208.6M |
| 28 | Gary E Milgard Family Foundation - Mark | Philanthropy, Voluntarism & Grantmaking | $26.9M | $120.5M |
| 29 | Stewardship Foundation C D a B & W T Weyerhaeuser Ttees | Unclassified | $23.9M | $97.1M |
| 30 | Elmhurst Mutual Power and Light Co | Unclassified | $23.7M | $35.3M |
| 31 | Northwest Financial Associations Ebt | Mutual & Membership Benefit | $23.6M | $4.2M |
| 32 | Metropolitan Development Council | Community Improvement & Capacity Building | $23.0M | $21.8M |
| 33 | Franke Tobey Jones | Human Services | $21.6M | $53.4M |
| 34 | Dave Purchase Project | Diseases, Disorders & Medical Disciplines | $21.5M | $7.7M |
| 35 | Pierce County Accountable Community of Health | Health Care | $21.2M | $50.4M |
| 36 | Carol Milgard Breast Center | Diseases, Disorders & Medical Disciplines | $20.1M | $20.3M |
| 37 | Ben B Cheney Foundation INC | Unclassified | $19.0M | $68.9M |
| 38 | Multicare Foundations | Health Care | $18.8M | $92.1M |
| 39 | Parkland Light & Water Company | Unclassified | $17.0M | $58.2M |
| 40 | Apa-the Engineered Wood Association | Unclassified | $16.8M | $20.0M |
| 41 | Clementine Fund | Philanthropy, Voluntarism & Grantmaking | $16.0M | $38.2M |
| 42 | Gary E Milgard Family Foundation-lori | Philanthropy, Voluntarism & Grantmaking | $15.9M | $60.2M |
| 43 | Making a Difference Foundation | International, Foreign Affairs & National Security | $13.6M | $12.5M |
| 44 | The Rescue Mission | Housing & Shelter | $13.0M | $30.9M |
| 45 | Multicultural Child and Family Hope Center | Human Services | $12.7M | $12.2M |
| 46 | Hopesparks | Human Services | $11.3M | $9.4M |
| 47 | The Bamford Foundation | Unclassified | $11.2M | $24.6M |
| 48 | Mary Bridge Brigade | Diseases, Disorders & Medical Disciplines | $10.9M | $12.2M |
| 49 | Tacoma-pierce County Humane Society & Scty Prevention Cruelty Animals | Animal-Related | $10.6M | $28.4M |
| 50 | Pierce County Alliance | Human Services | $10.4M | $5.5M |
| 51 | Pacific Public Media | Arts, Culture & Humanities | $10.1M | $22.8M |
| 52 | Washington Elks Therapy Program for Children INC | Health Care | $10.0M | $32.4M |
| 53 | Tacoma Art Museum Tacoma Wa | Arts, Culture & Humanities | $9.9M | $58.6M |
| 54 | Tacoma-pierce County Blood Bank | Health Care | $9.6M | $5.6M |
| 55 | Tacoma Orthopedic Association Operations & Maintenance Tr | Diseases, Disorders & Medical Disciplines | $9.3M | $10.7M |
| 56 | Boys & Girls Clubs of South Puget Sound | Youth Development | $9.1M | $54.8M |
| 57 | Gary E Milgard Family Foundation-sunshine | Philanthropy, Voluntarism & Grantmaking | $8.9M | $37.3M |
| 58 | United Way of Pierce County | Philanthropy, Voluntarism & Grantmaking | $8.6M | $17.7M |
| 59 | Asia Pacific Cultural Center | Arts, Culture & Humanities | $8.4M | $10.1M |
| 60 | Honzel Family Foundation | Philanthropy, Voluntarism & Grantmaking | $7.9M | $31.9M |
| 61 | United Association of Journeyman & Ppf Washington State Assn. | Unclassified | $7.8M | $4.7M |
| 62 | World Boxing Association | Recreation & Sports | $7.6M | $3.8M |
| 63 | Valeo Vocation | Employment | $7.3M | $5.7M |
| 64 | Municipal Research and Services Center of Washington | Public & Societal Benefit | $7.1M | $4.3M |
| 65 | Tacoma Arts Live | Arts, Culture & Humanities | $6.7M | $11.9M |
| 66 | Museum of Glass | Arts, Culture & Humanities | $5.9M | $27.1M |
| 67 | Nourish Pierce County | Unclassified | $5.9M | $9.8M |
| 68 | International Brotherhood of Electrical Workers | Unclassified | $5.8M | $5.3M |
| 69 | Communities in Schools of Washington State | Unclassified | $5.8M | $3.4M |
| 70 | Woodworth Family Foundation | Arts, Culture & Humanities | $5.7M | $26.7M |
| 71 | International Union of Operating Engineers-612 | Unclassified | $5.6M | $17.5M |
| 72 | United Food and Commercial Workers International Union | Unclassified | $5.5M | $10.9M |
| 73 | The Dimmer Family Foundation | Unclassified | $5.3M | $14.5M |
| 74 | Tacoma Yacht Club | Unclassified | $5.3M | $18.6M |
| 75 | Point Defiance Zoological Society | Animal-Related | $5.1M | $28.0M |
| 76 | Tacoma Community House | Human Services | $5.1M | $17.2M |
| 77 | Lemay-americas Car Museum | Arts, Culture & Humanities | $4.9M | $49.6M |
| 78 | Educational Programs in Home Living | Employment | $4.9M | $2.2M |
| 79 | Summit Water & Supply Co | Unclassified | $4.8M | $25.2M |
| 80 | Greentrike | Arts, Culture & Humanities | $4.6M | $5.9M |
| 81 | Tacoma-pierce County Bar Foundation | Crime & Legal-Related | $4.6M | $3.3M |
| 82 | Laborers International Union of North America | Unclassified | $4.5M | $5.6M |
| 83 | YWCA Pierce County | Unclassified | $4.5M | $23.1M |
| 84 | Washington State Golf Association | Unclassified | $4.4M | $9.2M |
| 85 | Tacoma Community College Foundation | Education | $4.4M | $10.8M |
| 86 | Foundation for Tacoma Students | Education | $4.3M | $846K |
| 87 | Nw Furniture Bank | Human Services | $4.2M | $4.5M |
| 88 | Greater Metro Parks Foundation | Unclassified | $4.2M | $10.3M |
| 89 | Tacoma Regional Convention & Visitior Bureau | Unclassified | $4.1M | $2.7M |
| 90 | Pierce County Community Development Corporation | Community Improvement & Capacity Building | $4.1M | $44.5M |
| 91 | Washington Premier Football Club | Recreation & Sports | $4.0M | $5.2M |
| 92 | Americas Automotive Trust | Arts, Culture & Humanities | $3.9M | $2.2M |
| 93 | Care Net Pregnancy & Family Services of Puget Sound | Health Care | $3.8M | $5.1M |
| 94 | Credit Unions in the State of Washington | Unclassified | $3.7M | $115.7M |
| 95 | Associated Ministries of Tacoma-pierce County | Unclassified | $3.5M | $3.1M |
| 96 | Benevolent & Protective Order of Elks of the USA | Unclassified | $3.5M | $4.4M |
| 97 | Asia-northwest Cultural Education Association | Arts, Culture & Humanities | $3.4M | $170K |
| 98 | First Five Fundamentals | Youth Development | $3.4M | $2.7M |
| 99 | Larche Tahoma Hope Community | Human Services | $3.3M | $6.0M |
| 100 | Lindquist Dental Clinic for Children | Unclassified | $3.2M | $3.5M |