| PRESERVATI FAMILY CHAR TR FDN | Princeton | T22 Philanthropy, Voluntarism & Grantmaking Foundations | $6.6M | 0 |
| RUSSELL NESBITT SERVICES INC | Wheeling | P820 Human Services | $6.6M | 2 |
| GLENVILLE STATE UNIVERSITY FOUNDATION INC | Glenville | B42I Education | $6.6M | 0 |
| 1978 RETIRED CONSTRUCTION WORKERS BENEFIT TRUST | Charleston | — | $6.6M | 3 |
| EASTERN WEST VIRGINIA COMMUNITY ACTION AGENCY INC | Petersburg | L25Z Housing & Shelter | $6.5M | 0 |
| RITCHIE COUNTY PRIMARY CARE ASSOC INC | Harrisville | E39Z Health Care | $6.3M | 6 |
| MONTGOMERY GENERAL ELDERLY CARE CENTER INC | Montgomery | E91Z Health Care | $6.3M | 3 |
| STATE FAIR OF WEST VIRGINIA | Lewisburg | K99 Food, Agriculture & Nutrition | $6.2M | 1 |
| CENTRAL LMC INC | Ona | S41 Community Improvement & Capacity Building | $6.1M | 0 |
| OGLEBAY FOUNDATION INC | Wheeling | N30 Recreation & Sports | $6.1M | 1 |
| PRINCETON RESCUE SQUAD INC | Princeton | E62Z Health Care | $5.9M | 4 |
| YWCA OF CHARLESTON WEST VIRGINIA INC | Charleston | P27Z Human Services | $5.7M | 2 |
| ST MARY'S MEDICAL CENTER FOUNDATION | Huntington | E112 Health Care | $5.7M | 5 |
| MAIER FOUNDATION INC | Charleston | — | $5.6M | 5 |
| WEST VIRGINIA HOSPITAL ASSOCIATION | Charleston | — | $5.6M | 7 |
| JACKSON COUNTY DEVELOPMENTAL CENTER INC | Millwood | J33Z Employment | $5.6M | 2 |
| ROANE COUNTY FAMILY HEALTH CARE INC | Spencer | E39Z Health Care | $5.4M | 7 |
| VERTEX NON-PROFIT HOLDINGS INC | Fairmont | S47 Community Improvement & Capacity Building | $5.3M | 4 |
| COMMUNITY CONNECTIONS INC | Princeton | P20Z Human Services | $5.3M | 1 |
| PARTNERSHIP OF AFRICAN AMERICAN CHURCHES | Charleston | P20 Human Services | $5.3M | 3 |
| HARRISON COUNTY EMERGENCY SQUAD INC | Clarksburg | M23 Public Safety, Disaster Preparedness & Relief | $5.2M | 2 |
| CABELL COUNTY PUBLIC LIBRARY | Huntington | B70 Education | $5.1M | 1 |
| TEN UP MINISTRIES INC | St Albans | P29 Human Services | $5.1M | 4 |
| CENTRAL WV COMMUNITY ACTION ASSOC INC | Clarksburg | — | $5.1M | 1 |
| YMCA OF KANAWHA VALLEY INC | Charleston | P27Z Human Services | $5.1M | 2 |
| CLAY CENTER FOR THE ARTS & SCIENCES OF WV INC | Charleston | A200 Arts, Culture & Humanities | $5M | 3 |
| THE RECOVERY POINT OF HUNTINGTON INC | Huntington | L40 Housing & Shelter | $5M | 1 |
| WEST VIRGINIA PLUMBERS AND STEAMFITTERS LOCAL 152 TRUST FUND | Ona | Y43 Mutual & Membership Benefit | $5M | 0 |
| MOUNTAIN HOSPICE INC | Belington | E87Z Health Care | $5M | 5 |
| THE ARC OF HARRISON COUNTY INC | Clarksburg | — | $4.9M | 0 |
| West Virginia Laborers' Training Trust Fund | Mineral Wells | — | $4.9M | 0 |
| BUSINESS DEVELOPMENT CORPORATION OF THE NORTHERN PANHANDLE | Weirton | S30 Community Improvement & Capacity Building | $4.9M | 2 |
| MILAN PUSKAR FOUNDATION INC | Morgantown | T22Z Philanthropy, Voluntarism & Grantmaking Foundations | $4.9M | 3 |
| ENCOVA FOUNDATION OF WEST VIRGINIA | Charleston | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $4.7M | 0 |
| BLUEFIELD RESCUE SQUAD INC | Bluefield | E620 Health Care | $4.7M | 0 |
| RURAL HEALTH ACCESS CORPORATION DBA COALFIELD HEALTH CENTER | Chapmanville | E30 Health Care | $4.7M | 6 |
| CLAY BATTELLE HEALTH SERVICES ASSOCIATION INC | Blacksville | E39Z Health Care | $4.6M | 5 |
| WEST VIRGINIA COMMUNITY ACTION PARTNERSH | Charleston | S32Z Community Improvement & Capacity Building | $4.6M | 1 |
| SKYTRUTH | Shepherdstown | C05 Environment | $4.6M | 9 |
| AGING & FAMILY SERVICES OF MINERAL COUNTY INC | Keyser | P81Z Human Services | $4.6M | 1 |
| FAYETTE COUNTY CHILD DEVELOPMENT IN INC | Oak Hill | — | $4.5M | 1 |
| FORT GAY PRIMARY HEALTH CARE INC | Fort Gay | E39Z Health Care | $4.5M | 5 |
| GENERATION WEST VIRGINIA INC | Beckley | O50 Youth Development | $4.5M | 2 |
| YOUNG MEN'S CHRISTIAN ASSOCIATION (7015) | Huntington | P27Z Human Services | $4.5M | 3 |
| SOUTH WESTERN WV REGION 2 WORKFORCE INVE | Huntington | J20 Employment | $4.5M | 1 |
| WC WORKSHOP INC | Mullens | S99 Community Improvement & Capacity Building | $4.4M | 1 |
| SW RESOURCES INC | Parkersburg | J330 Employment | $4.4M | 2 |
| GUYAN GOLF & COUNTRY CLUB | Huntington | — | $4.4M | 2 |
| GREENWOOD CEMETERY ASSOCIATION | Wheeling | — | $4.4M | 5 |
| WEST VIRGINIA HEALTH INFORMATION NETWORK INC | Huntington | F02 Mental Health & Crisis Intervention | $4.4M | 2 |
