| MINOT VOCATIONAL ADJUSTMENT WORKSHOP | Minot | J30Z Employment | $27.8M | 6 |
| DAKOTA BOYS AND GIRLS RANCH | Minot | P72Z Human Services | $27.7M | 7 |
| NORTH CENTRAL ELECTRIC COOPERATIVE INC | Bottineau | — | $27.4M | 16 |
| Pioneer Healthcare Trust | Fargo | — | $27.1M | 1 |
| Delta Waterfowl Foundation | Bismarck | D30 Animal-Related | $27.1M | 15 |
| 4000 VALLEY SQUARE INC DBA WOODSIDE VILL WHEATLAND TERR | Grand Forks | L22Z Housing & Shelter | $26.9M | 11 |
| St Aloisius Hospital | Harvey | E22 Health Care | $26.7M | 8 |
| Capstone Classical Academy | Fargo | B20 Education | $25.8M | 2 |
| VILLA NAZARETH INC | Fargo | P73Z Human Services | $25.6M | 4 |
| Burke-Divide Electric Cooperative | Columbus | — | $25.5M | 14 |
| FAMILY HEALTHCARE CENTER | Fargo | — | $25.5M | 9 |
| NORTH STAR COMMUNITY CREDIT UNION | Maddock | — | $24.6M | 7 |
| MOR GRAN SOU ELECTRIC | Flasher | — | $24.5M | 15 |
| FARGO-MOORHEAD AREA FOUNDATION | Fargo | T310 Philanthropy, Voluntarism & Grantmaking Foundations | $24.2M | 2 |
| Napoleon Care Center | Napoleon | E91Z Health Care | $23.7M | 10 |
| Bethany on 42nd | Fargo | L22 Housing & Shelter | $23.2M | 3 |
| SLOPE ELECTRIC COOPERATIVE INC | New England | — | $22M | 16 |
| Hazen Memorial Hospital Association | Hazen | E22Z Health Care | $21.9M | 9 |
| Northland PACE Program | Bismarck | E21 Health Care | $21.8M | 4 |
| PEMBINA COUNTY MEMORIAL HOSPITAL | Cavalier | E22 Health Care | $21.4M | 9 |
| MCLEAN ELECTRIC COOPERATIVE INC | Garrison | — | $21.4M | 16 |
| ND Banks Benefit Trust | Bismarck | Y44 Mutual & Membership Benefit | $21.3M | 0 |
| PR Health Corporation | Park River | E22 Health Care | $21M | 8 |
| EGC FOUNDATION TRUST | Neche | T90 Philanthropy, Voluntarism & Grantmaking Foundations | $20.8M | 0 |
| DEVELOPMENT HOMES INC | Grand Forks | — | $20.7M | 7 |
| WESTERN COOPERATIVE CREDIT UNION | Williston | — | $20.7M | 12 |
| NORTH DAKOTA GRAIN DEALERS ASSOCIATION | Fargo | — | $20.1M | 0 |
| CHILDRENS MUSEUM OF MINOT INC | Minot | A52 Arts, Culture & Humanities | $20.1M | 1 |
| ND REC Benefit Trust | Mandan | Y20 Mutual & Membership Benefit | $19.5M | 2 |
| CENTRAL REGIONAL EDUCATION ASSOCIATION | Bismarck | B02 Education | $19.4M | 1 |
| Red River Human Services Foundation | Fargo | — | $19.1M | 5 |
| Tioga Medical Center | Tioga | E22 Health Care | $18.7M | 7 |
| DAKOTA BOYS AND GIRLS RANCH FOUNDATION | Minot | P110 Human Services | $18.3M | 2 |
| Theodore Roosevelt Medora Foundation | Medora | — | $18M | 7 |
| Southwest Healthcare Services | Bowman | E22 Health Care | $17.9M | 8 |
| CANKDESKA CIKANA COMMUNITY COLLEGE | Fort Totten | B41Z Education | $17.6M | 9 |
| PRIDE INC | Bismarck | J22 Employment | $17.3M | 2 |
| BISMARCK CANCER CENTER | Bismarck | G300 Diseases, Disorders & Medical Disciplines | $17.2M | 7 |
| HEARTVIEW FOUNDATION | Bismarck | F22Z Mental Health & Crisis Intervention | $16.9M | 7 |
| St Andrew's Hospital | Bottineau | E22 Health Care | $16.9M | 8 |
| ABLE INC | Dickinson | P820 Human Services | $16.7M | 2 |
| Easter Seals Goodwill ND Inc | Mandan | E500 Health Care | $16.4M | 2 |
| Towner County Medical Center Inc | Cando | E22 Health Care | $16.3M | 7 |
| Coal Country Community Health Center | Beulah | E20 Health Care | $16M | 9 |
| SITTING BULL COLLEGE | Fort Yates | — | $15.9M | 15 |
| Bethel Lutheran Nursing & Rehabilitation | Williston | E910 Health Care | $15.5M | 6 |
| COMMUNITY EXTENDED NUCLEAR TRANSITIONAL | Fargo | — | $15.4M | 3 |
| KEM ELECTRIC COOPERATIVE INC | Linton | — | $15.3M | 12 |
| Nexus-PATH Family Healing | Fargo | P32 Human Services | $15.3M | 6 |
| UND SPORTS FACILITIES INC | Grand Forks | B99 Education | $15.1M | 2 |
