| AMERICAN KIDNEY FUND INC | Rockville | — | $305M | 7 |
| LUTHERAN IMMIGRATION & REFUGEE SERVICE INC DBA GLOBAL REFUGE | Baltimore | — | $304.3M | 9 |
| T ROWE PRICE PROGRAM FOR CHARITABLE GIVING INC | Baltimore | T90 Philanthropy, Voluntarism & Grantmaking Foundations | $302.2M | 5 |
| NORTHWEST HOSPITAL CENTER INC | Randallstown | E22 Health Care | $298.1M | 16 |
| THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC | Baltimore | E220 Health Care | $293.3M | 18 |
| CYSTIC FIBROSIS FOUNDATION | Bethesda | G200 Diseases, Disorders & Medical Disciplines | $292M | 13 |
| MEDSTAR SOUTHERN MD HOSPITAL CENTER INC | Clinton | E22 Health Care | $288.8M | 15 |
| STATE EMPLOYEES CREDIT UNION OF MARYLAND INC | Linthicum | — | $285.5M | 35 |
| EUGENE B CASEY FOUNDATION | Rockville | T22 Philanthropy, Voluntarism & Grantmaking Foundations | $284.3M | 2 |
| Maryland General Hospital Inc | Baltimore | E220 Health Care | $273.1M | 11 |
| GENE UPSHAW NFL PLAYER HEALTH REIMBURSEMENT ACCOUNT PLAN TRUST | Baltimore | Y43 Mutual & Membership Benefit | $265.8M | 0 |
| SPECIAL AGENTS MUTUAL BENEFIT ASSOCIATION | Rockville | — | $259.5M | 15 |
| LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER INC | Annapolis | E220 Health Care | $254.6M | 14 |
| PHYSICIAN ENTERPRISE LLC | Annapolis | E30 Health Care | $251.8M | 15 |
| KENNEDY KRIEGER CHILDREN'S HOSPITAL INC | Baltimore | E240 Health Care | $251.6M | 20 |
| THE ARC OF THE CENTRAL CHESAPEAKE REGION | Linthicum Heights | F30Z Mental Health & Crisis Intervention | $219.9M | 10 |
| ASBURY ATLANTIC INC | Frederick | P75 Human Services | $212.9M | 12 |
| MARYLAND ECONOMIC DEVELOPMENT CORPORATION | Baltimore | — | $210.5M | 6 |
| HARBOR HOSPITAL INC | Baltimore | E220 Health Care | $209.9M | 16 |
| ST MARYS HOSPITAL OF ST MARYS COUNTY INC | Leonardtown | E220 Health Care | $205.3M | 19 |
| ELECTRICAL WELFARE TRUST FUND | Lanham | — | $195.6M | 9 |
| TIDALHEALTH INC | Salisbury | E21 Health Care | $194.7M | 13 |
| WORLD RELIEF CORP OF NATIONAL ASSOCIATION OF EVANGELICALS | Towson | Q330 International, Foreign Affairs & National Security | $194.2M | 10 |
| TRANSIT EMPLOYEES' HEALTH & WELFARE PLAN | Forestville | — | $193.4M | 7 |
| MONTGOMERY GENERAL HOSPITAL INC | Olney | E220 Health Care | $192.6M | 17 |
| CHOPTANK ELECTRIC COOPERATIVE INC | Denton | — | $182M | 23 |
| Civista Medical Center Inc | La Plata | E220 Health Care | $180M | 12 |
| GRAND LODGE INTERNATIONAL ASSOCIATION OF MACHINISTS & AEROSPACE WORKERS | Upper Marlboro | — | $179.2M | 15 |
| UNITED ASSOCIATION OF JOURNEYMEN & APPRENTICES OF THE PLUMBING & PIPE | Annapolis | J40 Employment | $178.6M | 52 |
| Atlantic General Hospital | Berlin | E21Z Health Care | $175.3M | 10 |
| GLOBAL COMMUNITIES | Bethesda | Q300 International, Foreign Affairs & National Security | $173.2M | 12 |
| HOOD COLLEGE | Frederick | B430 Education | $171.5M | 10 |
| Stevenson University | Owings Mills | B420 Education | $170.2M | 12 |
| CalvertHealth Medical Center Inc | Prince Frederick | E220 Health Care | $166.3M | 23 |
| UNIVERSITY OF MARYLAND COLLEGE PARK FOUNDATION INC | College Park | B110 Education | $166M | 6 |
| Annie E Casey Foundation Inc | Baltimore | T21 Philanthropy, Voluntarism & Grantmaking Foundations | $164.1M | 11 |
| THE HARRY AND JEANETTE WEINBERG FOUNDATION INC | Owings Mills | T21 Philanthropy, Voluntarism & Grantmaking Foundations | $161.8M | 8 |
| CHASE BREXTON HEALTH SERVICES INC | Baltimore | G810 Diseases, Disorders & Medical Disciplines | $159.7M | 10 |
| ENTERPRISE COMMUNITY PARTNERS INC | Columbia | S200 Community Improvement & Capacity Building | $159.6M | 17 |
| SODEXO INC Vacation Plan & Trust Agreement | North Bethesda | Y43 Mutual & Membership Benefit | $159.2M | 0 |
| WASHINGTON COLLEGE | Chestertown | B420 Education | $154.2M | 13 |
| JOHNS HOPKINS UNIV APP PHYS LAB MED & DEN INS TRST | Laurel | — | $153.4M | 0 |
| LUMINIS HEALTH INC | Annapolis | E210 Health Care | $150.9M | 16 |
| RIDERWOOD VILLAGE INC | Silver Spring | P75 Human Services | $146.2M | 10 |
| St Paul Place Specialists Inc | Baltimore | — | $144.8M | 16 |
| PEDIATRIC PHYSICIAN SERVICES INC | Baltimore | — | $143.2M | 18 |
| MOUNT SAINT MARY'S UNIVERSITY INC | Emmitsburg | B430 Education | $141.5M | 18 |
| HIAS INC | Silver Spring | Q710 International, Foreign Affairs & National Security | $140.6M | 10 |
| JOHNS HOPKINS PHARMAQUIP INC | Baltimore | E50Z Health Care | $140M | 12 |
| GOUCHER COLLEGE | Baltimore | B420 Education | $139.6M | 12 |