| 1 | FIDELITY INVESTMENTS CHARITABLE GIFT FUND | MA | 2024 | $15,307,491,635 | not itemised | $86,270,322,515 | 17.7% |
| 2 | DONOR ADVISED CHARITABLE GIVING | CO | 2024 | $8,872,852,963 | not itemised | $47,548,536,893 | 18.7% |
| 3 | GATES FOUNDATION TRUST | WA | 2024 | $8,096,000,000 | 2 | $77,564,446,975 | 10.4% |
| 4 | NATIONAL PHILANTHROPIC TR | PA | 2024 | $6,415,072,479 | not itemised | $56,096,033,883 | 11.4% |
| 5 | GLOBAL FUND TO FIGHT AIDS TUBERCULOSIS AND MALARIA | — | 2024 | $6,217,247,903 | not itemised | $7,507,202,758 | 82.8% |
| 6 | GATES FOUNDATION | WA | 2024 | $5,856,756,578 | 4,974 | $78,673,465,696 | 7.4% |
| 7 | FEEDING AMERICA | IL | 2024 | $4,771,873,654 | not itemised | $572,495,646 | 833.5% |
| 8 | ASTRAZENECA PATIENT ASSISTANCE ORGANIZATION | DE | 2024 | $4,589,156,843 | not itemised | $0 | not reported |
| 9 | SANOFI-AVENTIS PATIENT ASSISTANCE FOUNDATION | NJ | 2024 | $4,149,829,881 | 1 | $0 | not reported |
| 10 | GENENTECH PATIENT FOUNDATION | CA | 2024 | $3,513,726,500 | 1 | $424,094,878 | 828.5% |
| 11 | SILICON VALLEY COMMUNITY FOUNDATION | CA | 2024 | $3,326,495,992 | not itemised | $12,299,698,780 | 27.0% |
| 12 | GOOD360 | VA | 2024 | $3,295,725,303 | not itemised | $108,126,257 | 3,048.0% |
| 13 | NOVARTIS PATIENT ASSISTANCE FOUNDATION | NJ | 2024 | $3,097,009,871 | 1 | $382,899,147 | 808.8% |
| 14 | GS DONOR ADVISED PHILANTHROPY FUND FOR WEALTH MANAGEMENT INC | NY | 2024 | $3,082,130,420 | not itemised | $12,737,589,000 | 24.2% |
| 15 | VANGUARD CHARITABLE ENDOWMENT PROGRAM | PA | 2023 | $3,057,423,430 | not itemised | $22,173,441,530 | 13.8% |
| 16 | GAVI ALLIANCE | DC | 2024 | $2,912,788,961 | not itemised | $9,505,640,020 | 30.6% |
| 17 | BRISTOL-MYERS SQUIBB PATIENT ASSISTANCE FOUNDATION INC | NJ | 2024 | $2,658,494,866 | 1 | $230,714,652 | 1,152.3% |
| 18 | NATIONAL CHRISTIAN CHARITABLE FOUNDATION | GA | 2024 | $2,604,923,993 | not itemised | $6,064,060,160 | 43.0% |
| 19 | AMERICAN ONLINE GIVING FOUNDATION INC | DE | 2025 | $2,324,264,081 | not itemised | $445,317,505 | 521.9% |
| 20 | INTERNATIONAL OLYMPIC COMMITTEE | — | 2024 | $2,295,751,344 | not itemised | $4,735,675,750 | 48.5% |
| 21 | THE WELLCOME TRUST | — | 2024 | $2,032,579,851 | not itemised | $57,932,370,800 | 3.5% |
| 22 | DIRECT RELIEF | CA | 2024 | $2,002,150,217 | not itemised | $1,292,290,030 | 154.9% |
| 23 | BOEHRINGER INGELHEIM CARES FOUNDATION INC | CT | 2025 | $1,988,478,993 | 1 | $302,951,448 | 656.4% |
| 24 | MERCK PATIENT ASSISTANCE PROGRAM INC | NJ | 2024 | $1,911,974,863 | 1 | $26,439,841 | 7,231.4% |
| 25 | NYU LANGONE HOSPITALS | NY | 2024 | $1,826,026,116 | not itemised | $13,091,045,206 | 13.9% |
| 26 | MAYO CLINIC GROUP RETURN | MN | 2024 | $1,672,735,071 | not itemised | $17,859,698,606 | 9.4% |
| 27 | CONFERENCE ON JEWISH MATERIAL CLAIMS AGAINST GERMANY | NY | 2024 | $1,543,826,336 | not itemised | $784,520,458 | 196.8% |
| 28 | LILLY ENDOWMENT INC | IN | 2023 | $1,527,002,818 | 1,983 | $62,180,012,552 | 2.5% |
| 29 | PFIZER PATIENT ASSISTANCE FOUNDATION INC | NY | 2024 | $1,480,409,944 | 45 | $9,377,757 | 15,786.4% |
| 30 | MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES GROUP RTN | MA | 2024 | $1,429,056,612 | not itemised | $32,196,538,053 | 4.4% |
| 31 | BAYER US PATIENT ASSISTANCE FOUNDATION | NJ | 2025 | $1,426,030,870 | 1 | $401,381,199 | 355.3% |
| 32 | AMERICARES FOUNDATION INC | CT | 2022 | $1,418,749,740 | not itemised | $380,165,817 | 373.2% |
| 33 | GOTHIC CORPORATION | NC | 2022 | $1,417,259,958 | not itemised | $8,367,573,592 | 16.9% |
| 34 | THE MASTERCARD FOUNDATION | — | 2024 | $1,410,232,855 | not itemised | $50,320,893,084 | 2.8% |
| 35 | AMERICAN LEBANESE SYRIAN ASSOC CHAR INC | TN | 2022 | $1,367,277,418 | not itemised | $9,109,419,712 | 15.0% |
| 36 | JOHNS HOPKINS UNIVERSITY | MD | 2024 | $1,346,182,000 | not itemised | $25,294,054,000 | 5.3% |
| 37 | AMERICAN ENDOWMENT FOUNDATION | OH | 2024 | $1,305,303,631 | not itemised | $8,410,336,989 | 15.5% |
| 38 | MAP INTERNATIONAL | GA | 2024 | $1,265,212,554 | not itemised | $363,727,957 | 347.8% |
| 39 | THE CHICAGO COMMUNITY TRUST | IL | 2024 | $1,225,337,518 | not itemised | $7,126,827,178 | 17.2% |
| 40 | NOVO NORDISK FONDEN | — | 2024 | $1,171,517,714 | not itemised | $8,588,465,835 | 13.6% |
| 41 | STEP UP FOR STUDENTS - FLORIDA INC | FL | 2023 | $1,155,593,322 | not itemised | $1,488,205,086 | 77.7% |
| 42 | WORLD FEDERATION OF HEMOPHILIA USA | NY | 2024 | $1,154,048,112 | not itemised | $377,644,851 | 305.6% |
| 43 | WORLD VISION | WA | 2024 | $1,113,101,224 | not itemised | $515,283,132 | 216.0% |
| 44 | PRESIDENT AND FELLOWS OF HARVARD COLLEGE | MA | 2024 | $1,089,639,465 | not itemised | $79,935,301,000 | 1.4% |
| 45 | NORTH LOS ANGELES COUNTY REGIONAL CENTER INC | CA | 2024 | $1,066,126,012 | not itemised | $302,518,481 | 352.4% |
| 46 | NEW YORK UNIVERSITY | NY | 2024 | $1,057,746,164 | not itemised | $23,589,633,382 | 4.5% |
| 47 | JEWISH COMMUNAL FUND | NY | 2024 | $1,023,406,196 | not itemised | $3,552,406,570 | 28.8% |
| 48 | BLOOMBERG FAMILY FOUNDATION INC | NY | 2024 | $1,016,737,000 | 203 | $12,117,236,821 | 8.4% |
| 49 | CHARITIES AID FOUNDATION AMERICA | VA | 2024 | $993,190,177 | not itemised | $485,759,064 | 204.5% |
| 50 | REGIONAL CENTER OF THE EAST BAY INC | CA | 2024 | $975,200,452 | not itemised | $442,912,028 | 220.2% |
| 51 | BANK OF AMERICA CHARITABLE GIFT FUND | MA | 2024 | $969,496,994 | not itemised | $5,096,006,595 | 19.0% |
| 52 | JOHNSON & JOHNSON PATIENT ASSISTANCE FOUNDATION INC | NJ | 2024 | $965,733,938 | 1 | $60,638,412 | 1,592.6% |
| 53 | TRUSTEES OF BOSTON UNIVERSITY | MA | 2024 | $938,613,847 | not itemised | $9,263,866,015 | 10.1% |
| 54 | CORNELL UNIVERSITY | NY | 2023 | $932,703,394 | not itemised | $18,612,463,436 | 5.0% |
| 55 | THE SUSAN THOMPSON BUFFETT FOUNDATION | NE | 2024 | $908,844,493 | 398 | $2,839,484,794 | 32.0% |
| 56 | NAVIGATE AFFORDABLE HOUSING PARTNERS INC | AL | 2024 | $890,111,727 | not itemised | $93,225,339 | 954.8% |
| 57 | THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY | CA | 2024 | $887,704,139 | not itemised | $68,719,825,443 | 1.3% |
| 58 | INLAND COUNTIES REGIONAL CENTER INC | CA | 2023 | $883,931,120 | not itemised | $328,679,488 | 268.9% |
| 59 | SAN DIEGO IMPERIAL COUNTIES DEVELOPMENTAL SERVICES INC | CA | 2024 | $883,401,853 | not itemised | $177,820,991 | 496.8% |
| 60 | TRUSTEES OF COLUMBIA UNIVERSITY | NY | 2022 | $877,363,455 | not itemised | $23,551,142,933 | 3.7% |
| 61 | PIVOTAL PHILANTHROPIES FOUNDATION | WA | 2024 | $874,621,851 | 132 | $7,358,421,363 | 11.9% |
| 62 | ALTA CALIFORNIA REGIONAL CENTER INC | CA | 2024 | $870,508,549 | not itemised | $405,331,078 | 214.8% |
| 63 | SAN ANDREAS REGIONAL CENTER | CA | 2024 | $862,684,645 | not itemised | $176,468,872 | 488.9% |
| 64 | BIG TEN CONFERENCE INC | IL | 2022 | $844,124,194 | not itemised | $352,880,095 | 239.2% |
| 65 | GLAXOSMITHKLINE PATIENT ACCESS PROGRAMS FOUNDATION | PA | 2025 | $842,945,879 | 1 | $70,245,490 | 1,200.0% |
| 66 | FOUNDATION FOR THE CAROLINAS | NC | 2024 | $804,486,974 | not itemised | $3,934,238,899 | 20.4% |
| 67 | YALE UNIVERSITY | CT | 2023 | $800,884,314 | not itemised | $55,210,972,740 | 1.5% |
| 68 | PAYPAL CHARITABLE GIVING FUND | DC | 2024 | $797,890,089 | not itemised | $106,256,109 | 750.9% |
| 69 | UNIVERSITY OF MIAMI | FL | 2024 | $791,373,249 | not itemised | $8,896,386,052 | 8.9% |
| 70 | UNIVERSITY OF CHICAGO | IL | 2024 | $789,348,850 | not itemised | $15,809,478,980 | 5.0% |
| 71 | VOLKSWAGEN-STIFTUNG | UT | 2024 | $782,154,988 | 1 | $4,939,258,668 | 15.8% |
| 72 | NORTHWESTERN UNIVERSITY | IL | 2024 | $780,323,456 | not itemised | $20,789,227,097 | 3.8% |
| 73 | UNIVERSITY OF SOUTHERN CALIFORNIA | CA | 2022 | $775,730,369 | not itemised | $13,778,469,076 | 5.6% |
| 74 | GLOBAL HEALTH SOLUTIONS INC | GA | 2024 | $772,045,614 | not itemised | $0 | not reported |
| 75 | RENAISSANCE CHARITABLE FOUNDATION INC | IN | 2024 | $770,759,425 | not itemised | $5,913,566,776 | 13.0% |
| 76 | FORD FOUNDATION | NY | 2024 | $770,674,415 | 4,007 | $17,484,692,219 | 4.4% |
| 77 | BNY MELLON CHARITABLE GIFT FUND | MA | 2024 | $725,628,666 | not itemised | $1,963,215 | 36,961.2% |
| 78 | FLORIDA CLINICAL PRACTICE ASSOCIATION INC | FL | 2023 | $715,932,787 | not itemised | $382,261,456 | 187.3% |
| 79 | MASSACHUSETTS INSTITUTE OF TECHNOLOGY | MA | 2024 | $706,619,000 | not itemised | $45,313,517,000 | 1.6% |
| 80 | HOWARD G BUFFETT FOUNDATION | IL | 2025 | $698,710,460 | 1 | $718,146,804 | 97.3% |
| 81 | SERGEY BRIN FAMILY FOUNDATION | CA | 2024 | $688,727,682 | 170 | $4,309,591,153 | 16.0% |
| 82 | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | PA | 2024 | $675,616,764 | not itemised | $36,736,678,000 | 1.8% |
| 83 | SOUTH CENTRAL L A REG CENTRAL FOR DVLOPMNTLY DISABLED PERSONS INC | CA | 2024 | $674,429,171 | not itemised | $441,517,633 | 152.8% |
| 84 | ROBERT WOOD JOHNSON FOUNDATION | NJ | 2024 | $660,732,627 | 3,093 | $13,417,636,452 | 4.9% |
| 85 | ATLANTIC COAST CONFERENCE | NC | 2023 | $650,630,789 | not itemised | $274,028,095 | 237.4% |
| 86 | SAVE THE CHILDREN FEDERATION INC | CT | 2024 | $632,693,214 | not itemised | $548,769,907 | 115.3% |
| 87 | WILLIAM & FLORA HEWLETT FOUNDATION | CA | 2024 | $625,041,978 | 2,001 | $14,202,751,280 | 4.4% |
| 88 | JOBSOHIO BEVERAGE SYSTEM | OH | 2022 | $625,000,000 | not itemised | $1,181,052,892 | 52.9% |
| 89 | PRINCETON UNIVERSITY | NJ | 2024 | $620,310,685 | not itemised | $45,858,792,000 | 1.4% |
| 90 | NATIONAL COLLEGIATE ATHLETIC ASSOCIATION | IN | 2024 | $618,448,491 | not itemised | $1,128,327,634 | 54.8% |
| 91 | MEDECINS SANS FRONTIERES USA INC | NY | 2024 | $616,057,744 | not itemised | $434,345,054 | 141.8% |
| 92 | MAYO CLINIC | MN | 2024 | $607,369,592 | not itemised | $26,682,635,058 | 2.3% |
| 93 | GOLDEN GATE REGIONAL CENTER INC | CA | 2024 | $597,303,877 | not itemised | $297,013,712 | 201.1% |
| 94 | IMPACTASSETS INC | MD | 2024 | $591,997,031 | not itemised | $3,002,686,264 | 19.7% |
| 95 | EMORY UNIVERSITY | GA | 2024 | $586,214,166 | not itemised | $24,888,450,281 | 2.4% |
| 96 | UNIVERSITY OF NOTRE DAME DU LAC | IN | 2024 | $576,974,727 | not itemised | $29,638,395,911 | 1.9% |
| 97 | SIGNATRY CHARITABLE TRUST | SD | 2024 | $571,532,708 | not itemised | $816,185,056 | 70.0% |
| 98 | HEALTHWELL FOUNDATION | MD | 2024 | $570,236,144 | not itemised | $918,189,028 | 62.1% |
| 99 | VANDERBILT UNIVERSITY | TN | 2024 | $569,225,782 | not itemised | $14,819,492,400 | 3.8% |
| 100 | GOTHIC HSP CORPORATION | NC | 2024 | $567,844,502 | not itemised | $2,750,520,019 | 20.6% |