| NINTH DISTRICT OPPORTUNITY INC | Gainesville | T30 Philanthropy, Voluntarism & Grantmaking Foundations | $46.5M | 5 |
| MARCUS JEWISH COMMUNITY CENTER OF ATLANTA INC | Dunwoody | P280 Human Services | $45.7M | 10 |
| ST MARY'S MEDICAL GROUP INC | Athens | E30 Health Care | $45.3M | 22 |
| ST MARY'S SACRED HEART HOSPITAL INC | Lavonia | E22 Health Care | $45M | 14 |
| THE O WAYNE ROLLINS FOUNDATION C/O RFA MANAGEMENT CO LLC | Atlanta | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $44.9M | 1 |
| REINHARDT UNIVERSITY | Waleska | B420 Education | $44.7M | 9 |
| VISITING NURSE HEALTH SYSTEM INC | Atlanta | E920 Health Care | $44.3M | 8 |
| THREE NOTCH ELECTRIC MEMBERSHIP CORPORATION | Donalsonville | — | $44.1M | 15 |
| PLANTERS ELECTRIC MEMBERSHIP CORPORATION | Millen | — | $44M | 16 |
| COUNCIL OF STATE AND TERRITORIAL EPIDEMIOLOGISTS INC | Atlanta | — | $43.9M | 7 |
| GOODWILL OF THE COASTAL EMPIRE INC | Savannah | J32 Employment | $43.8M | 10 |
| WESLEYAN SCHOOL INC | Peachtree Corners | B200 Education | $43.5M | 12 |
| COMMUNITY FOUNDATION OF THE CHATTAHOOCHEE VALLEY INC | Columbus | T31 Philanthropy, Voluntarism & Grantmaking Foundations | $43.4M | 3 |
| POINT UNIVERSITY INC | West Point | — | $43.3M | 6 |
| ATLANTA HISTORICAL SOCIETY INC | Atlanta | A800 Arts, Culture & Humanities | $43.2M | 9 |
| SOUTHERN MOTOR CARRIERS ASSOCIATION INC DBA SMC3 | Peachtree City | — | $42.8M | 21 |
| DELTA PILOTS MUTUAL AID INC | Atlanta | Y43 Mutual & Membership Benefit | $42.7M | 2 |
| Shorter University | Rome | B11 Education | $42.6M | 4 |
| LAGRANGE COLLEGE | LaGrange | B420 Education | $42.1M | 7 |
| GOOD SAMARITAN HOSPITAL INC | Greensboro | E22 Health Care | $42M | 14 |
| FOOD BANK OF NORTHEAST GEORGIA INC | Athens | K31Z Food, Agriculture & Nutrition | $41.6M | 1 |
| J BULOW CAMPBELL FOUNDATION | Atlanta | T22 Philanthropy, Voluntarism & Grantmaking Foundations | $41.6M | 2 |
| THE CAPITAL CITY CLUB | Atlanta | — | $41.2M | 7 |
| NATIONAL BLOOD TESTING PARTNERS INC | Stone Mountain | — | $41.1M | 7 |
| NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC | Johns Creek | — | $40.6M | 10 |
| SOMA FOUNDATION INC | Columbus | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $40.5M | 2 |
| GEORGIA TECH FACILITIES INC | Atlanta | B110 Education | $40M | 8 |
| GWINNETT CONVENTION AND VISITORS BUREAU INC | Duluth | S41 Community Improvement & Capacity Building | $39.9M | 16 |
| MEDSHARE INTERNATIONAL INC | Decatur | Q300 International, Foreign Affairs & National Security | $39.6M | 9 |
| CREDIT UNION OF GEORGIA | Kennesaw | — | $39.3M | 12 |
| RAYLE ELECTRIC MEMBERSHIP CORPORATION | Washington | — | $39.3M | 15 |
| ATLANTA ATHLETIC CLUB | Johns Creek | — | $39.2M | 28 |
| CLINICAL SERVICES INC | Gray | E900 Health Care | $38.7M | 18 |
| COMMUNITY HEALTH SYSTEMS INC | Macon | E900 Health Care | $38.6M | 35 |
| OCONEE ELECTRIC MEMBERSHIP CORPORATION | Dudley | — | $38.4M | 14 |
| IRWIN ELECTRIC MEMBERSHIP CORPORATION | Ocilla | — | $38.1M | 15 |
| University McDuffie County Regional Medical Center Inc | Augusta | E22 Health Care | $38M | 12 |
| Athens Regional Physicians Services Inc | Athens | B60Z Education | $37.8M | 12 |
| CHESTNUT FAMILY FOUNDATION | Atlanta | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $37.6M | 0 |
| WHITEFIELD ACADEMY INC | Mableton | — | $37.6M | 7 |
| MAGNOLIA MANOR INC | Americus | P75 Human Services | $37.6M | 11 |
| FOX THEATRE INC F/K/A ATLANTA LANDMARKS INC | Atlanta | A800 Arts, Culture & Humanities | $37.4M | 10 |
| American College of Rheumatology Inc | Atlanta | — | $37.1M | 17 |
| CHATUGE REGIONAL HOSPITAL INC | Hiawassee | E220 Health Care | $36.7M | 9 |
| GOLDEN HARVEST FOOD BANK INC | Augusta | K31Z Food, Agriculture & Nutrition | $36.6M | 1 |
| NATIONAL ASSOCIATION OF CHRONIC DISEASE DIRECTORS | Decatur | I20Z Crime & Legal-Related | $36.6M | 11 |
| GEORGIA ADVANCED TECHNOLOGY VENTURES INC | Atlanta | B99 Education | $36.4M | 12 |
| Rabun Gap-Nacoochee School | Rabun Gap | B250 Education | $36.2M | 6 |
| DONALSONVILLE HOSPITAL INC | Donalsonville | E220 Health Care | $36.2M | 13 |
| THE SHELTERING ARMS INC | Atlanta | — | $36M | 5 |
