| MONTANA CHILDREN'S HOME AND HOSPITAL | Helena | F310 Mental Health & Crisis Intervention | $36.4M | 7 |
| MONTANA FOOD BANK NETWORK INC | Missoula | K31Z Food, Agriculture & Nutrition | $36.1M | 1 |
| PLAINS HOSPITAL CORPORATION | Plains | E20 Health Care | $33.5M | 9 |
| COMMUNITY COUNSELING & CORRECTIONAL SERV | Butte | J20Z Employment | $32.5M | 2 |
| FERGUS ELECTRIC COOPERATIVE INC | Lewistown | — | $30.4M | 13 |
| St John's Lutheran Ministries Inc | Billings | P200 Human Services | $30M | 7 |
| CENTRAL MONTANA FOUNDATION | Lewistown | T31Z Philanthropy, Voluntarism & Grantmaking Foundations | $29.9M | 1 |
| UNIVERSITY OF PROVIDENCE | Great Falls | B43Z Education | $29.5M | 8 |
| Billings Food Bank Inc | Billings | K31Z Food, Agriculture & Nutrition | $29.1M | 1 |
| HUMAN RESOURCE DEVELOPMENT COUNCIL OF | Bozeman | P200 Human Services | $28.3M | 6 |
| Montana Health Network Health Insurance | Miles City | — | $27.2M | 1 |
| WESTERN MONTANA MENTAL HEALTH CENTER | Missoula | — | $26.6M | 7 |
| Missoula Electric Cooperative Inc | Missoula | — | $26M | 14 |
| VALLEY FINANCIAL CREDIT UNION | Billings | W61 Public & Societal Benefit | $26M | 7 |
| IMMANUEL LIVING | Kalispell | — | $25.9M | 8 |
| Thomas W & Joan Scott Foundation | Billings | T99Z Philanthropy, Voluntarism & Grantmaking Foundations | $25.8M | 0 |
| COMMUNITY HEALTH CARE CENTER INC | Great Falls | E21 Health Care | $25.1M | 9 |
| AMERICAN PRAIRIE FOUNDATION | Bozeman | C34 Environment | $25M | 8 |
| FLATHEAD COMMUNITY HEALTH CENTER | Kalispell | E20 Health Care | $24.9M | 7 |
| MONTANA HIGHER EDUCATION STUDENT | Helena | B82 Education | $24.5M | 11 |
| ROCKY MOUNTAIN ELK FOUNDATION INC | Missoula | — | $24.4M | 11 |
| POWELL COUNTY MEMORIAL HOSPITAL ASSOC | Deer Lodge | E22Z Health Care | $24.4M | 7 |
| Butte Silver Bow Primary Health Care | Butte | E32 Health Care | $24.2M | 8 |
| PARTNERS IN HOME CARE INC | Missoula | E920 Health Care | $23.6M | 9 |
| YELLOWSTONE BOYS & GIRLS RANCH | Billings | F330 Mental Health & Crisis Intervention | $23.2M | 3 |
| SHERIDAN MEMORIAL HOSPITAL ASSOCIATION | Plentywood | E220 Health Care | $22.7M | 5 |
| MEMORIAL HOSPITAL ASSOCIATION | Red Lodge | E22 Health Care | $21.7M | 6 |
| ROCKY MOUNTAIN CREDIT UNION | Helena | — | $21.6M | 7 |
| PARK SIDE FINANCIAL CREDIT UNION | Whitefish | — | $21.2M | 8 |
| NATIVE AMERICAN DEVELOPMENT CORPORATON | Billings | S40 Community Improvement & Capacity Building | $21M | 6 |
| LOGAN HEALTH - CONRAD | Kalispell | E20 Health Care | $21M | 14 |
| Ravalli County Electric Cooperative Inc | Victor | — | $20.7M | 14 |
| BRIDGER BOWL | Bozeman | — | $20.6M | 6 |
| SHERIDAN ELECTRIC COOPERATIVE | Medicine Lake | — | $20.2M | 0 |
| WHITEFISH COMMUNITY FOUNDATION INC | Whitefish | T31 Philanthropy, Voluntarism & Grantmaking Foundations | $20.2M | 2 |
| MADISON VALLEY HOSPITAL INC | Ennis | E22 Health Care | $19.5M | 7 |
| MONTANA COMMUNITY DEVELOPMENT CORP | Missoula | S20 Community Improvement & Capacity Building | $18.9M | 8 |
| HILL COUNTY ELECTRIC COOPERATIVE INC | Havre | — | $18.7M | 13 |
| LINCOLN COUNTY COMMUNITY HEALTH CENTER | Libby | E30 Health Care | $18.7M | 9 |
| INTREPID CREDIT UNION | Helena | — | $18.5M | 6 |
| VIGILANTE ELECTRIC COOPERATIVE INC | Dillon | — | $18.4M | 17 |
| THE FOLEY FAMILY CHARITABLE FOUNDATION | Whitefish | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $18.4M | 1 |
| BIG HORN HOSPITAL ASSOCIATION | Hardin | E30Z Health Care | $18M | 6 |
| MONTANA COMMUNITY FOUNDATION INC | Helena | T310 Philanthropy, Voluntarism & Grantmaking Foundations | $17.8M | 3 |
| MOUNTAIN-PACIFIC QUALITY HEALTH | Helena | E050 Health Care | $17.8M | 8 |
| Missions United Inc | Billings | P750 Human Services | $17.5M | 0 |
| GLACIER ELECTRIC COOPERATIVE INC | Cut Bank | — | $17.4M | 15 |
| PARK ELECTRIC COOPERATIVE INC | Livingston | — | $17.4M | 15 |
| ST VINCENT HEALTHCARE FOUNDATION INC | Billings | — | $17.1M | 0 |
| MONTANANS SECURING REPRODUCTIVE RIGHTS | Helena | — | $17.1M | 1 |
