| ALTRU HEALTH SYSTEM | Grand Forks | E220 Health Care | $780.4M | 21 |
| INNOVIS HEALTH LLC | Fargo | E20 Health Care | $625.4M | 32 |
| Mountrail-Williams Electric Cooperative | Williston | — | $490.8M | 19 |
| MCKENZIE ELECTRIC COOPERATIVE INC | Watford City | — | $478.7M | 16 |
| MINNKOTA POWER COOPERATIVE INC | Grand Forks | — | $472M | 27 |
| TRINITY HEALTH & AFFILIATES | Minot | E21 Health Care | $362.7M | 9 |
| ST ALEXIUS MEDICAL CENTER | Bismarck | E220 Health Care | $272.7M | 16 |
| CENTRAL POWER ELECTRIC COOP INC | Minot | — | $190.9M | 15 |
| Cass County Electric Cooperative Inc | Fargo | — | $158.7M | 17 |
| NODAK ELECTRIC COOPERATIVE INC | Grand Forks | — | $140M | 14 |
| TRINITY HEALTH | Minot | E020 Health Care | $136.6M | 14 |
| University of Mary | Bismarck | B430 Education | $127.1M | 8 |
| North Dakota State University Foundation | Fargo | B110 Education | $102.4M | 7 |
| UND Alumni Association and Foundation | Grand Forks | B110 Education | $98.4M | 7 |
| OFFUTT FAMILY FOUNDATION | Fargo | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $98.2M | 1 |
| MERCY MEDICAL CENTER | Williston | — | $91.3M | 14 |
| ROUGHRIDER ELECTRIC COOPERATIVE INC | Hazen | W80 Public & Societal Benefit | $86M | 15 |
| Sisters of Mary of the Presentation Long Term Care | Fargo | E910 Health Care | $80.7M | 13 |
| Lutheran Charity Association D/B/A Jamestown Regional Medical Center | Jamestown | E220 Health Care | $79.7M | 7 |
| ST JOSEPH'S HOSPITAL & HEALTH CENTER | Dickinson | — | $72M | 13 |
| DAKOTAS & WESTERN MN ELECTRICAL INDUSTRY HEALTH AND WELFARE FUND | Fargo | — | $70.7M | 12 |
| University of Jamestown | Jamestown | B420 Education | $67.5M | 8 |
| FIRST COMMUNITY CREDIT UNION | Jamestown | — | $66M | 15 |
| McKenzie County Healthcare Systems Inc | Watford City | — | $65.1M | 11 |
| Dakota Valley Electric Cooperative Inc | Edgeley | Y22 Mutual & Membership Benefit | $61M | 18 |
| THEODORE ROOSEVELT PRESIDENTIAL LIBRARY FOUNDATION | Bismarck | B19 Education | $59.5M | 12 |
| VERENDRYE ELECTRIC COOPERATIVE INC | Velva | — | $58.3M | 18 |
| North Dakota Public Health Insurance Trust | Fargo | Y44 Mutual & Membership Benefit | $56M | 11 |
| HIT Incorporated | Mandan | P820 Human Services | $50.8M | 7 |
| NORTHERN PLAINS ELECTRIC COOPERATIVE INC | Carrington | — | $48.3M | 16 |
| MDU RESOURCES GROUP INC EMPLOYEE BENEFIT TRUST | Bismarck | — | $48.2M | 0 |
| Hospice of the Red River Valley | Fargo | P74Z Human Services | $48.1M | 7 |
| Missouri Slope Lutheran Care Center Inc | Bismarck | E91Z Health Care | $47.9M | 7 |
| CAPITAL ELECTRIC COOPERATIVE INC | Bismarck | — | $47.5M | 17 |
| BUILDING INDUSTRY HEALTH PLAN OF THE RED RIVER VALLEY | Fargo | — | $47M | 1 |
| TOWN & COUNTRY CREDIT UNION | Minot | — | $45.8M | 6 |
| ANNE CARLSEN CENTER | Jamestown | B28 Education | $43.6M | 9 |
| CAPITAL CREDIT UNION | Bismarck | — | $41.2M | 25 |
| UND Aerospace Foundation | Grand Forks | B11 Education | $37.3M | 12 |
| Good Samaritan Hospital Association | Rugby | E220 Health Care | $36.4M | 8 |
| MERCY HOSPITAL OF DEVILS LAKE | Devils Lake | E220 Health Care | $36.1M | 13 |
| VALLEY HOMES AND SERVICES | Grand Forks | E910 Health Care | $36.1M | 15 |
| Great Plains Food Bank | Fargo | K31 Food, Agriculture & Nutrition | $35.9M | 4 |
| UNITED TRIBES TECHNICAL COLLEGE | Bismarck | B600 Education | $35.6M | 14 |
| American Lutheran Homes | Fargo | — | $35.3M | 8 |
| CHRISTIAN UNITY HOSPITAL CORPORATION | Grafton | E22Z Health Care | $31.4M | 9 |
| YMCA of the Northern Sky | Fargo | P27Z Human Services | $30.6M | 1 |
| Pioneer Healthcare Trust | Fargo | — | $30.5M | 1 |
| MINOT VOCATIONAL ADJUSTMENT WORKSHOP | Minot | J30Z Employment | $30M | 10 |
| WEST RIVER HEALTH SERVICES | Hettinger | E220 Health Care | $29.9M | 15 |
