| ALTRU HEALTH SYSTEM | Grand Forks | E220 Health Care | $672.6M | 32 |
| INNOVIS HEALTH LLC | Fargo | E20 Health Care | $571.6M | 29 |
| Mountrail-Williams Electric Cooperative | Williston | — | $490.8M | 19 |
| MCKENZIE ELECTRIC COOPERATIVE INC | Watford City | — | $478.7M | 16 |
| MINNKOTA POWER COOPERATIVE INC | Grand Forks | — | $449.7M | 27 |
| TRINITY HEALTH & AFFILIATES | Minot | E21 Health Care | $368.4M | 11 |
| ST ALEXIUS MEDICAL CENTER | Bismarck | E220 Health Care | $255.9M | 17 |
| Central Power Electric Cooperative Inc | Minot | — | $188.2M | 16 |
| Cass County Electric Cooperative Inc | Fargo | — | $162.1M | 16 |
| NODAK ELECTRIC COOPERATIVE INC | Grand Forks | — | $140M | 14 |
| TRINITY HEALTH | Minot | E020 Health Care | $135.8M | 16 |
| North Dakota State University Foundation | Fargo | B110 Education | $102.4M | 7 |
| OFFUTT FAMILY FOUNDATION | Fargo | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $98.2M | 1 |
| University of Mary | Bismarck | B430 Education | $95.7M | 8 |
| MERCY MEDICAL CENTER | Williston | — | $88.6M | 13 |
| ROUGHRIDER ELECTRIC COOPERATIVE INC | Hazen | W80 Public & Societal Benefit | $86M | 15 |
| Lutheran Charity Association | Jamestown | E220 Health Care | $76.4M | 7 |
| Sisters of Mary of the Presentation | Fargo | E910 Health Care | $75.4M | 13 |
| ST JOSEPH'S HOSPITAL & HEALTH CENTER | Dickinson | — | $71.8M | 11 |
| FIRST COMMUNITY CREDIT UNION | Jamestown | — | $66M | 15 |
| DAKOTAS & WESTERN MN ELECTRICAL INDUSTRY | Fargo | — | $63.6M | 11 |
| Dakota Valley Electric Cooperative Inc | Edgeley | Y22 Mutual & Membership Benefit | $61M | 18 |
| THEODORE ROOSEVELT PRESIDENTIAL LIBRARY | Bismarck | B19 Education | $59.5M | 12 |
| University of Jamestown | Jamestown | B420 Education | $59.5M | 7 |
| VERENDRYE ELECTRIC COOPERATIVE INC | Velva | — | $58.3M | 18 |
| McKenzie County Healthcare Systems Inc | Watford City | — | $54.9M | 10 |
| UND Alumni Association and Foundation | Grand Forks | B110 Education | $51.7M | 7 |
| North Dakota Public Health Insurance | Fargo | Y44 Mutual & Membership Benefit | $48.5M | 10 |
| NORTHERN PLAINS ELECTRIC COOPERATIVE INC | Carrington | — | $48.3M | 16 |
| MDU RESOURCES GROUP INC EMPLOYEE BENEFIT | Bismarck | — | $48.2M | 0 |
| CAPITAL ELECTRIC COOPERATIVE INC | Bismarck | — | $47.5M | 17 |
| BUILDING INDUSTRY HEALTH PLAN OF THE RED | Fargo | — | $47M | 1 |
| Missouri Slope Lutheran Care Center Inc | Bismarck | E91Z Health Care | $45.9M | 7 |
| HIT Incorporated | Mandan | P820 Human Services | $43.9M | 7 |
| Hospice of the Red River Valley | Fargo | P74Z Human Services | $42.7M | 7 |
| CAPITAL CREDIT UNION | Bismarck | — | $41.2M | 25 |
| ANNE CARLSEN CENTER | Jamestown | B28 Education | $38.9M | 7 |
| TOWN & COUNTRY CREDIT UNION | Minot | — | $38.5M | 6 |
| UND Aerospace Foundation | Grand Forks | B11 Education | $37.3M | 12 |
| Good Samaritan Hospital Association | Rugby | E220 Health Care | $36.4M | 8 |
| VALLEY HOMES AND SERVICES | Grand Forks | E910 Health Care | $36.1M | 15 |
| American Lutheran Homes | Fargo | — | $35.3M | 8 |
| TURTLE MOUNTAIN COMMUNITY COLLEGE | Belcourt | B420 Education | $34.8M | 18 |
| UNITED TRIBES TECHNICAL COLLEGE | Bismarck | B600 Education | $33.4M | 13 |
| YMCA of the Northern Sky | Fargo | P27Z Human Services | $30.6M | 1 |
| WEST RIVER HEALTH SERVICES | Hettinger | E220 Health Care | $29.9M | 15 |
| MERCY HOSPITAL OF DEVILS LAKE | Devils Lake | E220 Health Care | $29.8M | 12 |
| NORTH DAKOTA COMMUNITY FOUNDATION | Bismarck | T31Z Philanthropy, Voluntarism & Grantmaking Foundations | $29.6M | 1 |
| Great Plains Food Bank | Fargo | K31 Food, Agriculture & Nutrition | $29.5M | 4 |
| CHRISTIAN UNITY HOSPITAL CORPORATION | Grafton | E22Z Health Care | $28.5M | 9 |
