| COMMUNITY COUNSELING & CORRECTIONAL SERVICES INC | Butte | J20Z Employment | $37.7M | 2 |
| Montana Contractors' Association Health Care Trust | Billings | — | $37.7M | 3 |
| BIGHORN VALLEY HEALTH CENTER INC | Hardin | E32 Health Care | $37M | 7 |
| MONTANA FOOD BANK NETWORK INC | Missoula | K31Z Food, Agriculture & Nutrition | $36.1M | 1 |
| SALISH KOOTENAI COLLEGE INC | Pablo | B41Z Education | $35.7M | 4 |
| MONTANA COMMUNITY DEVELOPMENT CORP | Missoula | S20 Community Improvement & Capacity Building | $35.1M | 11 |
| PLAINS HOSPITAL CORPORATION | Plains | E20 Health Care | $33.5M | 9 |
| VALLEY FINANCIAL CREDIT UNION | Billings | W61 Public & Societal Benefit | $33M | 10 |
| IMMANUEL LIVING AT BUFFALO HILL | Kalispell | — | $31.3M | 8 |
| Billings Food Bank Inc | Billings | K31Z Food, Agriculture & Nutrition | $30.6M | 1 |
| FERGUS ELECTRIC COOPERATIVE INC | Lewistown | — | $30.4M | 13 |
| Montana Health Network Health Insurance Plan & Trust | Miles City | — | $30.3M | 1 |
| MONTANA HEALTHCARE FOUNDATION | Bozeman | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $30.2M | 7 |
| CENTRAL MONTANA FOUNDATION | Lewistown | T31Z Philanthropy, Voluntarism & Grantmaking Foundations | $29.9M | 1 |
| YELLOWSTONE BOYS & GIRLS RANCH | Billings | F330 Mental Health & Crisis Intervention | $28.9M | 3 |
| HUMAN RESOURCE DEVELOPMENT COUNCIL OF DISTRICT IX INC | Bozeman | P200 Human Services | $28.3M | 6 |
| St John's Lutheran Ministries Inc | Billings | P200 Human Services | $27.3M | 7 |
| POWELL COUNTY MEMORIAL HOSPITAL ASSOC | Deer Lodge | E22Z Health Care | $26.7M | 9 |
| BILLINGS CLINIC FOUNDATION | Billings | — | $26.3M | 12 |
| THE MONTANA LAND RELIANCE | Helena | C340 Environment | $26.1M | 3 |
| Missoula Electric Cooperative Inc | Missoula | — | $26M | 14 |
| COMMUNITY HEALTH CARE CENTER INC | Great Falls | E21 Health Care | $24.9M | 9 |
| FLATHEAD COMMUNITY HEALTH CENTER INC | Kalispell | E20 Health Care | $24.9M | 7 |
| Butte Silver Bow Primary Health Care Clinic Inc | Butte | E32 Health Care | $24.8M | 8 |
| MONTANA HIGHER EDUCATION STUDENT ASSISTANCE CORPORATION | Helena | B82 Education | $24.5M | 11 |
| ROCKY MOUNTAIN ELK FOUNDATION INC GROUP RETURN | Missoula | — | $24.4M | 11 |
| THE FOUNDATION FOR THE DIOCESE OF HELENA INC | Helena | X20 Religion-Related | $24.3M | 1 |
| ROCKY MOUNTAIN CREDIT UNION | Helena | — | $23.6M | 7 |
| PARTNERS IN HOME CARE INC | Missoula | E920 Health Care | $23.6M | 5 |
| TOWN PUMP CHARITABLE FOUNDATION | Butte | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $23.4M | 0 |
| SHERIDAN MEMORIAL HOSPITAL ASSOCIATION | Plentywood | E220 Health Care | $22.7M | 5 |
| MONTANANS FOR ELECTION REFORM ACTION FUND | Helena | — | $22.7M | 1 |
| BENEFIS COMMUNITY HOSPITALS INC | Great Falls | E20 Health Care | $21.6M | 9 |
| VIGILANTE ELECTRIC COOPERATIVE INC | Dillon | — | $21.3M | 17 |
| PARK SIDE FINANCIAL CREDIT UNION | Whitefish | — | $21.2M | 8 |
| MEMORIAL HOSPITAL ASSOCIATION | Red Lodge | E22 Health Care | $21.2M | 6 |
| NATIVE AMERICAN DEVELOPMENT CORPORATON | Billings | S40 Community Improvement & Capacity Building | $21M | 6 |
| LOGAN HEALTH - CONRAD | Kalispell | E20 Health Care | $21M | 14 |
| WESTERN MONTANA MENTAL HEALTH CENTER | Missoula | — | $20.8M | 7 |
| Ravalli County Electric Cooperative Inc | Victor | — | $20.7M | 14 |
| BRIDGER BOWL | Bozeman | — | $20.6M | 6 |
| WHITEFISH COMMUNITY FOUNDATION INC | Whitefish | T31 Philanthropy, Voluntarism & Grantmaking Foundations | $20.2M | 2 |
| BIG HORN HOSPITAL ASSOCIATION | Hardin | E30Z Health Care | $20.1M | 8 |
| MADISON VALLEY HOSPITAL INC | Ennis | E22 Health Care | $19.5M | 7 |
| SHERIDAN ELECTRIC COOPERATIVE INC | Medicine Lake | — | $19.3M | 17 |
| MOUNTAIN-PACIFIC QUALITY HEALTH FOUNDATION | Helena | E050 Health Care | $19.1M | 7 |
| PARK ELECTRIC COOPERATIVE INC | Livingston | — | $18.7M | 15 |
| HILL COUNTY ELECTRIC COOPERATIVE INC | Havre | — | $18.7M | 13 |
| LINCOLN COUNTY COMMUNITY HEALTH CENTER NORTHWEST COMMUNITY HEALTH CENTER | Libby | E30 Health Care | $18.7M | 9 |
| INTREPID CREDIT UNION | Helena | — | $18.5M | 6 |
