| OLD HICKORY CREDIT UNION | Nashville | — | $19.6M | 2 |
| MIDDLE TENNESSEE CHRISTIAN SCHOOL | Murfreesboro | B200 Education | $19.6M | 2 |
| GREAT OAKS FOUNDATION | Memphis | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $19.5M | 0 |
| MID-CUMBERLAND HUMAN RESOURCE AGENCY | Nashville | P200 Human Services | $19.5M | 5 |
| JOURNEY COMMUNITY SCHOOLS INC | Memphis | B02 Education | $19.5M | 1 |
| NASHVILLE DOWNTOWN PARTNERSHIP | Nashville | S41 Community Improvement & Capacity Building | $19.4M | 5 |
| HOLSTON HOME FOR CHILDREN FOUNDATION INC | Greeneville | L11 Housing & Shelter | $19.4M | 1 |
| BOWATER EMPLOYEES CREDIT UNION | Calhoun | — | $19.3M | 3 |
| RUTHERFORD COUNTY PRIMARY CARE CLINIC INC | Murfreesboro | E32I Health Care | $19M | 10 |
| ABE'S GARDEN | Nashville | L22 Housing & Shelter | $18.9M | 8 |
| LOCAL 666 BENEFIT TRUST FUND | Goodlettsville | — | $18.9M | 0 |
| HISTORIC TENNESSEE THEATRE FOUNDATION | Knoxville | A610 Arts, Culture & Humanities | $18.7M | 2 |
| Mid-South Transplant Foundation Inc | Cordova | E650 Health Care | $18.6M | 10 |
| MCENIRY FAMILY FOUNDATION | Memphis | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $18.6M | 0 |
| EASTER SEALS TENNESSEE INC | Brentwood | E50Z Health Care | $18.5M | 5 |
| NASHVILLE CHRISTIAN SCHOOLS INC | Nashville | — | $18.5M | 2 |
| Methodist Le Bonheur Community Outreach | Memphis | P41Z Human Services | $18.5M | 9 |
| TENNESSEE VOICES FOR CHILDREN | Goodlettsville | F80Z Mental Health & Crisis Intervention | $18.5M | 6 |
| PLUMBERS & PIPEFITTERS LU NO 572 HEALTH & WELFARE FUND | Goodlettsville | — | $18.4M | 0 |
| Christian Schools Inc dba Goodpasture Christian School | Madison | — | $18.4M | 2 |
| UBC HEALTHCARE TRUST FUND UBC HEALTHCARE TRUST FUND | Goodlettsville | E81Z Health Care | $18.3M | 0 |
| GOODWILL FOUNDATION OF MIDDLE TENNESSEE | Nashville | S02 Community Improvement & Capacity Building | $18.3M | 0 |
| JOE C DAVIS FOUNDATION | Nashville | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $18.3M | 0 |
| FRIST ART MUSEUM | Nashville | A400 Arts, Culture & Humanities | $18.2M | 9 |
| HARDING ACADEMY | Nashville | B240 Education | $18.2M | 6 |
| TENNESSEE HOSPITAL ASSOCIATION | Brentwood | — | $18.1M | 8 |
| CENTER FOR STRATEGIC LEADERSHIP AND ORGANIZATIONAL COHERENCE INC | Memphis | B90 Education | $18M | 6 |
| THE USMMA SAILING FOUNDATION INC | Spring Hill | B114 Education | $18M | 2 |
| HOLSTON HOME FOR CHILDREN INC | Greeneville | P730 Human Services | $17.9M | 3 |
| UT-BATTELLE DEVELOPMENT CORPORATION | Oak Ridge | U99 Science & Technology | $17.9M | 4 |
| AVE MARIA HOME INC | Memphis | P750 Human Services | $17.9M | 3 |
| PROGRESSIVE HEALTHCARE PROVIDERS ALABAMA INC | Collierville | — | $17.8M | 0 |
| Mission Eurasia | Franklin | X20Z Religion-Related | $17.8M | 2 |
| CAREY COUNSELING CENTER INC | Paris | F32 Mental Health & Crisis Intervention | $17.7M | 7 |
| TENNESSEE STATE COLLABORATIVE ON REFORMING EDUCATION | Nashville | B80 Education | $17.7M | 8 |
| RICHLAND COUNTRY CLUB | Nashville | N51Z Recreation & Sports | $17.6M | 7 |
| UNITED WAY OF GREATER KNOXVILLEINC | Knoxville | — | $17.4M | 3 |
| UNIVERSITY SCHOOL OF JACKSON | Jackson | B250 Education | $17.2M | 2 |
| MEDICAL EDUCATION & RESEARCH INSTITUTE | Memphis | B54Z Education | $17.2M | 7 |
| BUSH BROTHERS & CO EMPLOYEE BENEFITS TR | Knoxville | — | $17.2M | 0 |
| ST GEORGE'S INDEPENDENT SCHOOL | Collierville | B25 Education | $17.1M | 0 |
| COLUMBIA ACADEMY | Columbia | B21Z Education | $17M | 1 |
| GENERATIONS HEALTH ASSOCIATION INC | McMinnville | E60Z Health Care | $17M | 10 |
| GARDEN GATE FOUNDATION | Kingston Springs | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $17M | 0 |
| MEMPHIS LUNG PHYSICIANS FOUNDATION INC | Memphis | E32 Health Care | $17M | 18 |
| BOYS & GIRLS CLUBS OF THE TENNESSEE VALL | Knoxville | O23Z Youth Development | $16.9M | 3 |
| UNITED METHODIST CHURCH METHODIST PUBLISHING HOUSE | Nashville | — | $16.9M | 8 |
| THE ROBERT E & JENNY D KIRKLAND FOUNDATION | Union City | T22 Philanthropy, Voluntarism & Grantmaking Foundations | $16.9M | 3 |
| Metropolitan Inter-Faith Association | Memphis | P200 Human Services | $16.9M | 6 |
| PROFESSIONAL CARE SERVICES OF WEST TENN INC | Covington | — | $16.8M | 11 |