| ST JOSEPH HOME CARE NETWORK | Renton | P70Z Human Services | $42.8M | 17 |
| RAIKES FOUNDATION | Seattle | T22 Philanthropy, Voluntarism & Grantmaking Foundations | $42.8M | 1 |
| Community Foundation for SW Washington | Vancouver | T310 Philanthropy, Voluntarism & Grantmaking Foundations | $42.7M | 4 |
| INATAI FOUNDATION | Seattle | E05 Health Care | $42.5M | 25 |
| YOUNG WOMENS CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY | Seattle | P270 Human Services | $42.4M | 8 |
| INSTITUTE FOR SYSTEMS BIOLOGY | Renton | U500 Science & Technology | $42.3M | 13 |
| PUGET SOUND KIDNEY CENTERS | Everett | E300 Health Care | $42.2M | 22 |
| TRI-CITIES COMMUNITY HEALTH | Pasco | — | $41.9M | 10 |
| INLAND EMPIRE ELECTRICAL WORKERS HEALTH AND WELFARE PLAN | Spokane | — | $41.8M | 0 |
| CASCADE PUBLIC MEDIA | Seattle | A320 Arts, Culture & Humanities | $41.7M | 9 |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | Chehalis | E322 Health Care | $41.6M | 13 |
| ASTRIA HEALTH | Sunnyside | E21 Health Care | $41.1M | 7 |
| SEATTLE FIRE FIGHTERS HEALTHCARE TRUST | Mukilteo | Y43 Mutual & Membership Benefit | $41.1M | 0 |
| SEIU HEALTHCARE NORTHWEST TRAINING PARTNERSHIP | Seattle | B40 Education | $41M | 0 |
| ORCAS POWER & LIGHT COOPERATIVE | Eastsound | — | $40.9M | 16 |
| ASIAN COUNSELING AND REFERRAL SERVICE | Seattle | P200 Human Services | $40.4M | 10 |
| CATHOLIC CHARITIES OF SPOKANE | Spokane | P20Z Human Services | $39.7M | 12 |
| Columbia Rural Electric Association | Walla Walla | — | $39.5M | 18 |
| NORTHWEST HARVEST EMM | Seattle | — | $39.2M | 13 |
| AMAZONSMILE FOUNDATION | Seattle | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $39M | 0 |
| SEATTLE ART MUSEUM | Seattle | A510 Arts, Culture & Humanities | $38.9M | 11 |
| BrightSpark Early Learning Services | Renton | P33L Human Services | $38.8M | 7 |
| TEAMSTERS 206 EMPLOYERS PLAN | Seattle | — | $38.8M | 0 |
| ANNIE WRIGHT SCHOOLS | Tacoma | — | $38.7M | 8 |
| EASTSIDE PREPARATORY SCHOOL | Kirkland | B20 Education | $38.7M | 8 |
| COMPREHENSIVE MENTAL HEALTH CENTER OF TACOMA-PIERCE COUNTY | Tacoma | F31Z Mental Health & Crisis Intervention | $38.5M | 7 |
| THE BUSH SCHOOL | Seattle | B200 Education | $38.2M | 13 |
| O BEE CREDIT UNION | Lacey | — | $38.1M | 10 |
| LIFELINE CONNECTIONS | Vancouver | F20Z Mental Health & Crisis Intervention | $37.8M | 7 |
| CREDIT UNIONS IN THE STATE OF WASHINGTON TAPCO CREDIT UNION | Tacoma | — | $37.8M | 20 |
| PARATRANSIT SERVICES | Bremerton | P52Z Human Services | $37.6M | 15 |
| COMMITTEE FOR CHILDREN | Seattle | I720 Crime & Legal-Related | $37.4M | 10 |
| UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 3000 | Des Moines | — | $37.3M | 51 |
| Neighborhood House INC | Seattle | P200 Human Services | $37.3M | 7 |
| PACIFIC NORTHWEST BALLET ASSOCIATION | Seattle | A630 Arts, Culture & Humanities | $37.2M | 10 |
| PROVIDENCE TRINITYCARE HOSPICE | Renton | — | $36.6M | 8 |
| SEATTLE-KING COUNTY CONVENTION AND VISITORS BUREAU | Seattle | — | $36.5M | 10 |
| SEIU 775 Benefits Group | Seattle | B30 Education | $36.4M | 4 |
| UNIVERSITY PREPARATORY ACADEMY | Seattle | B200 Education | $36.1M | 11 |
| SEATTLE PUBLIC LIBRARY FOUNDATION | Seattle | B116 Education | $35.4M | 6 |
| Washington State Child Care Resource & Referral Network | Tacoma | — | $35.3M | 7 |
| Innovia Foundation | Spokane | T310 Philanthropy, Voluntarism & Grantmaking Foundations | $35.1M | 8 |
| INLANDBOATMEN'S UNION OF THE PACIFIC NATIONAL HEALTH BENEFIT TRUST | Seattle | — | $34.7M | 0 |
| UNITED EMPLOYEES BENEFIT TRUST | Tacoma | — | $34.7M | 1 |
| UNITE HERE NORTHWEST HEALTH TRUST FUND | Seattle | — | $34.4M | 0 |
| SPOKANE NEIGHBORHOOD ACTION PARTNERS | Spokane | P280 Human Services | $34.4M | 7 |
| NW PLUMBERS & PIPEFITTERS HEALTH FUND | Seattle | — | $33.2M | 5 |
| CHILDRENS HOME SOCIETY AND TRUST FOUNDATION | Seattle | — | $33.2M | 2 |
| Global Health Labs Inc | Bellevue | E02 Health Care | $33.1M | 2 |
| AGC-IUOE LOCAL 701 H&W TRUST FUND 701 HEALTH & WELFARE TRUST FUND | Seattle | — | $32.9M | 0 |