| BILLINGS CLINIC | Billings | E210 Health Care | $1.2B | 24 |
| UPPER MISSOURI G&T ELECTRIC COOPERATIVE | Sidney | — | $906.4M | 14 |
| SCL HEALTH - MONTANA | Billings | E220 Health Care | $581.2M | 28 |
| BENEFIS HOSPITALS INC | Great Falls | E220 Health Care | $570.1M | 13 |
| MONTANA HEALTH COOPERATIVE | Helena | Y20 Mutual & Membership Benefit | $482.6M | 28 |
| KALISPELL REGIONAL MEDICAL CENTER | Kalispell | E220 Health Care | $475.2M | 12 |
| Bozeman Health Deaconess Hospital | Bozeman | E20 Health Care | $446.4M | 11 |
| ST PETER'S HEALTH | Helena | E220 Health Care | $370.1M | 12 |
| Bozeman Deaconess Health Services | Bozeman | E220 Health Care | $193.2M | 16 |
| ST JAMES HEALTHCARE | Butte | E220 Health Care | $143.4M | 25 |
| FLATHEAD ELECTRIC COOPERATIVE INC | Kalispell | — | $127.2M | 19 |
| BENEFIS HEALTH SYSTEM INC | Great Falls | E21 Health Care | $125.3M | 18 |
| MARCUS DALY MEMORIAL HOSPITAL | Hamilton | E22I Health Care | $117.8M | 10 |
| EASTERSEALS - GOODWILL | Great Falls | — | $104.2M | 10 |
| COMMUNITY HOSPITAL OF ANACONDA | Anaconda | E22Z Health Care | $103M | 8 |
| SIDNEY HEALTH CENTER | Sidney | E220 Health Care | $103M | 11 |
| ROCKY MOUNTAIN ELK FOUNDATION INC | Missoula | D300 Animal-Related | $100.1M | 10 |
| BENEFIS MEDICAL GROUP INC | Great Falls | E22 Health Care | $98.1M | 24 |
| HOLY ROSARY HEALTHCARE | Miles City | E20 Health Care | $91.8M | 15 |
| LOGAN HEALTH - WHITEFISH | Whitefish | E220 Health Care | $89.3M | 10 |
| NORTHERN MONTANA HOSPITAL | Havre | E220 Health Care | $86.1M | 11 |
| WHITEFISH CREDIT UNION ASSOCIATION | Whitefish | — | $84.8M | 15 |
| NATIONAL FOREST FOUNDATION | Missoula | N20Z Recreation & Sports | $77.9M | 5 |
| Livingston Healthcare | Livingston | E22Z Health Care | $77.4M | 8 |
| CARROLL COLLEGE | Helena | B420 Education | $73.1M | 0 |
| MONTANA UNIFIED SCHOOL TRUST | Helena | — | $66.3M | 8 |
| ROCKY BOY HEALTH CENTER | Box Elder | E320 Health Care | $64.8M | 6 |
| 3 RIVERS TELEPHONE COOPERATIVE INC | Fairfield | — | $62.8M | 18 |
| MONTANA STATE UNIVERSITY FOUNDATION INC | Bozeman | B114 Education | $61.2M | 8 |
| THE UNIVERSITY OF MONTANA FOUNDATION | Missoula | B110 Education | $59M | 9 |
| CENTRAL MONTANA ELECTRIC POWER | Great Falls | — | $59M | 9 |
| Central Montana Medical Facilities Inc | Lewistown | E22Z Health Care | $58.4M | 8 |
| Glendive Medical Center | Glendive | E20 Health Care | $53.7M | 11 |
| ST LUKE COMMUNITY HOSPITAL | Ronan | E220 Health Care | $52.9M | 9 |
| SALISH KOOTENAI COLLEGE INC | Pablo | B41Z Education | $51.4M | 4 |
| St John's Lutheran Hospital Inc | Libby | E20 Health Care | $50.2M | 9 |
| LOWER YELLOWSTONE RURAL ELECTRIC | Sidney | — | $48.7M | 16 |
| AWARE INC | Anaconda | — | $48.4M | 8 |
| ROCKY MOUNTAIN COLLEGE | Billings | B420 Education | $48.3M | 12 |
| Billings Clinic Employee Benefit Trust | Billings | — | $47M | 7 |
| PARTNERSHIP HEALTH CENTER INC | Missoula | — | $45M | 11 |
| YELLOWSTONE VALLEY ELECTRIC | Huntley | — | $44.5M | 15 |
| Barrett Hospital Development Corporation | Dillon | E22 Health Care | $42.7M | 7 |
| YELLOWSTONE FOREVER | Bozeman | C60 Environment | $41.8M | 7 |
| Montana Joint Powers Trust | Billings | — | $40.9M | 1 |
| FRANCES MAHON DEACONESS HOSPITAL | Glasgow | E22Z Health Care | $40.5M | 11 |
| NORTHEAST MONTANA HEALTH SERVICES | Wolf Point | E22 Health Care | $39.3M | 8 |
| THE MONTANA LAND RELIANCE | Helena | C340 Environment | $37.9M | 3 |
| Montana Contractors' Association Health | Billings | — | $37.7M | 3 |
| BIGHORN VALLEY HEALTH CENTER INC | Hardin | E32 Health Care | $37M | 7 |
