| INTERMOUNTAIN MEDICAL HOLDINGS | Las Vegas | E30 Health Care | $1.3B | 25 |
| Renown Regional Medical Center | Reno | E220 Health Care | $1.2B | 10 |
| CARSON TAHOE REGIONAL HEALTHCARE | Carson City | E22 Health Care | $467.2M | 14 |
| Hometown Health Plan Inc | Reno | — | $361.8M | 13 |
| DAVE & CHERYL DUFFIELD FOUNDATION | Incline Village | — | $356.2M | 2 |
| UNITED MOVEMENT INC | Las Vegas | P20 Human Services | $242.1M | 0 |
| Renown Health | Reno | E210 Health Care | $240.7M | 15 |
| TEACHERS HEALTH TRUST | Las Vegas | — | $217.4M | 7 |
| Renown South Meadows Medical Center | Reno | E22 Health Care | $183.9M | 9 |
| LIGHTCONE FOUNDATION | Sparks | U05 Science & Technology | $163.3M | 0 |
| University of Nevada Reno Foundation | Reno | B110 Education | $151.9M | 4 |
| EIGHTH DISTRICT ELECTRICAL BENEFIT FUND | Las Vegas | — | $129M | 0 |
| AMK FOUNDATION | Las Vegas | T22 Philanthropy, Voluntarism & Grantmaking Foundations | $121.2M | 0 |
| VALLEY ELECTRIC ASSOCIATION INC | Pahrump | — | $117.6M | 26 |
| CARSON-TAHOE HEALTH SYSTEM | Carson City | E22 Health Care | $115.5M | 18 |
| ROSEMAN UNIVERSITY OF HEALTH SCIENCES | Henderson | B40 Education | $107.8M | 14 |
| Washoe Barton Medical Clinic | Gardnerville | E020 Health Care | $101.5M | 7 |
| THREE SQUARE | Las Vegas | K35 Food, Agriculture & Nutrition | $97.5M | 10 |
| GREATER NEVADA CREDIT UNION | Carson City | — | $96.7M | 20 |
| UNLV MEDICINE | Las Vegas | E02 Health Care | $95.2M | 10 |
| LAS VEGAS CLARK COUNTY URBAN LEAGUE | Las Vegas | P22 Human Services | $94.4M | 1 |
| BIA-ECHO FOUNDATION | Reno | T22 Philanthropy, Voluntarism & Grantmaking Foundations | $92.7M | 1 |
| SOMERSET ACADEMY OF LAS VEGAS | Las Vegas | B25 Education | $88.5M | 7 |
| Pinecrest Academy of Nevada | Las Vegas | B20 Education | $88.5M | 5 |
| ONE NEVADA CREDIT UNION | Las Vegas | — | $87.9M | 13 |
| REGIONAL EMERGENCY MEDICAL SERVICES | Reno | E62 Health Care | $78.3M | 10 |
| THE CHILDREN'S CABINET INC | Reno | P300 Human Services | $74.2M | 4 |
| NEVADA HAND INC | Las Vegas | — | $73.8M | 0 |
| TEAMSTERS LOCAL 631 SECURITY FUND FOR SOUTHERN NEVADA | Las Vegas | — | $73.4M | 0 |
| ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND | Las Vegas | — | $73M | 1 |
| WESTCARE CALIFORNIA INC | Las Vegas | F200 Mental Health & Crisis Intervention | $69.8M | 5 |
| NEVADA COMMUNITY FOUNDATION INC | Las Vegas | T31Z Philanthropy, Voluntarism & Grantmaking Foundations | $69.6M | 4 |
| LAS VEGAS METROPOLITAN POLICE DEPT EMPLOYEES H&W TRUST | Las Vegas | Y43 Mutual & Membership Benefit | $66.4M | 1 |
| Clark County Credit Union | Las Vegas | — | $65.9M | 11 |
| CORAL ACADEMY OF SCIENCE LAS VEGAS | Las Vegas | B29 Education | $63.1M | 7 |
| LEONARD & BERYL BUCK FOUNDATION | Las Vegas | T900 Philanthropy, Voluntarism & Grantmaking Foundations | $62.1M | 0 |
| NEVADA HEALTH CENTERS INC | Carson City | E30 Health Care | $59.6M | 7 |
| PLUMBERS AND PIPEFITTERS UNION LOCAL | Las Vegas | — | $59.1M | 4 |
| Food Bank of Northern Nevada Inc | Sparks | K31Z Food, Agriculture & Nutrition | $58.6M | 2 |
| Silver State Schools Credit Union | Las Vegas | — | $58.3M | 13 |
| GABELLI FOUNDATION INC | Reno | — | $57.9M | 6 |
| GOODWILL INDUSTRIES OF SOUTHERN NEVADA | Las Vegas | — | $57.8M | 9 |
| DORAL ACADEMY OF NEVADA | Las Vegas | B21 Education | $57.1M | 7 |
| UNIVERSITY OF NEVADA LAS VEGAS FOUNDATION | Las Vegas | B110 Education | $55.8M | 9 |
| NEVADA DONOR NETWORK INC | Las Vegas | E65 Health Care | $55.7M | 12 |
| Teamsters Security Fund for Southern | Las Vegas | — | $54.5M | 0 |
| CARPENTERS INTERNATIONAL TRAINING FUND | Las Vegas | — | $54M | 6 |
| PANDA CARES FOUNDATION INC | Las Vegas | B90 Education | $51.7M | 0 |
| Northern Nevada HIV Outpatient Program | Reno | E32 Health Care | $51.2M | 8 |
| THE GEORGE W GILLEMOT FOUNDATION | Reno | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $51M | 0 |
