| 1 | Renown Regional Medical Center Reno | E | $1.4B | $1.4B | $830.1M |
| 2 | Engelstad Fam Foundation Las Vegas | T | $795.8M | $0 | $666.1M |
| 3 | Renown Transitional Care Services Reno | E | $548.8M | $42.4M | $833.1M |
| 4 | Carson Tahoe Regional Healthcare Carson City | E | $467.5M | $467.2M | $494.3M |
| 5 | Hometown Health Plan INC Reno | Z | $404.5M | $392.1M | $121.3M |
| 6 | Dave and Cheryl Duffield Foundation Incline Vlg | Z | $385.1M | $0 | $887.3M |
| 7 | University of Nevada Las Vegas Foundation Las Vegas | B | $297.7M | $55.8M | $507.8M |
| 8 | Renown Health Reno | E | $262.9M | $257.1M | $594.5M |
| 9 | United Movement Organized Kindness Las Vegas | P | $242.1M | $242.1M | $238.5M |
| 10 | Teachers Health Trust Las Vegas | Z | $241.3M | $241.3M | $104.4M |
| 11 | Renown South Meadows Medical Center Reno | E | $216.7M | $216.0M | $312.2M |
| 12 | Amk Charitable Foundation Henderson | T | $175.6M | $0 | $286.4M |
| 13 | Lightcone Foundation Sparks | U | $163.3M | $163.3M | $147.7M |
| 14 | Roseman University of Health Sciences a Nevada Non-profit Corp. Henderson | B | $151.9M | $113.8M | $381.6M |
| 15 | Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Gardnerville | E | $140.0M | $114.6M | $196.0M |
| 16 | Las Vegas-clark County Urban League Caa Las Vegas | P | $139.0M | $139.0M | $29.8M |
| 17 | Three Square Las Vegas | K | $133.7M | $89.7M | $178.1M |
| 18 | Nevada Community Foundation INC Las Vegas | T | $129.1M | $36.7M | $253.5M |
| 19 | Electrical Workers Health & Welfare Trust Fund Las Vegas | Z | $124.8M | $54.0M | $58.2M |
| 20 | Sagebrush Health Services Las Vegas | P | $122.2M | $0 | $50.9M |
| 21 | Teamsters Security Fund for Southern Nevada Local 14 Las Vegas | Z | $117.1M | $58.4M | $36.9M |
| 22 | Carson-tahoe Health System Carson City | E | $115.5M | $115.5M | $370.2M |
| 23 | Somerset Academy of Las Vegas N Las Vegas | B | $111.9M | $111.6M | $213.9M |
| 24 | Greater Nevada Credit Union Carson City | Z | $109.5M | $108.7M | $1.7B |
| 25 | University of Nevada-reno Foundation Reno | B | $107.2M | $52.5M | $530.8M |
| 26 | George W Gillemot Foundation Reno | T | $102.9M | $0 | $100.3M |
| 27 | Intl Brotherhood of Electrical Workers 640 Az Chapter NE Welfare Las Vegas | Z | $92.9M | $53.3M | $84.3M |
| 28 | William N Pennington Foundation Reno | T | $92.0M | $0 | $481.8M |
| 29 | Pinecrest Academy of Nevada Henderson | B | $88.5M | $88.5M | $175.9M |
| 30 | Alexander Dawson Foundation Las Vegas | B | $86.3M | $49.5M | $341.2M |
| 31 | Jean Perkins Foundation Las Vegas | Z | $85.4M | $0 | $126.7M |
| 32 | Unlv Medicine Las Vegas | E | $82.4M | $82.4M | $44.8M |
| 33 | Las Vegas Metropolitan Police Dept Employee Health & Welfare Trust Las Vegas | Y | $82.4M | $77.3M | $103.6M |
| 34 | Clark County Credit Union Las Vegas | Z | $81.9M | $81.9M | $1.4B |
| 35 | Regional Emergency Medical Services Authority Reno | E | $78.6M | $78.3M | $63.7M |
| 36 | Touro University Drive Henderson | B | $77.5M | $73.6M | $118.8M |
| 37 | Richard B Fullerton Foundation Reno | T | $76.6M | $0 | $77.6M |
| 38 | Nevada Donor Network INC Las Vegas | E | $74.7M | $74.7M | $41.1M |
| 39 | Childrens Cabinet INC a Child and Family Resource Reno | P | $74.5M | $74.2M | $20.9M |
| 40 | Goodwill Industries of Southern Nevada INC Las Vegas | Z | $74.1M | $56.6M | $117.6M |
| 41 | Nevada H a N D INC Las Vegas | Z | $73.8M | $73.8M | $256.9M |
| 42 | Silver State Schools Credit Union Las Vegas | Z | $73.5M | $69.8M | $1.3B |
| 43 | Doral Academy of Nevada Henderson | B | $71.7M | $71.7M | $139.6M |
| 44 | Alliance for Childhood Diseases Las Vegas | E | $71.4M | $71.0M | $36.5M |
| 45 | Mater Academy of Nevada Las Vegas | B | $70.2M | $70.2M | $140.1M |
| 46 | Northern Nevada Hiv Outpatient Program Education and Services Reno | E | $70.2M | $70.2M | $58.7M |
| 47 | Westcare California INC Henderson | F | $69.8M | $69.8M | $20.7M |
| 48 | Horowitz Family Foundation Las Vegas | T | $69.3M | $0 | $144.8M |
| 49 | Community Foundation of Northern Nevada Reno | T | $67.3M | $38.4M | $178.2M |
| 50 | Coral Academy of Science Las Vegas Las Vegas | B | $63.1M | $63.1M | $145.5M |