| Nexus-PATH Family Healing | Fargo | P32 Human Services | $15.3M | 6 |
| STANDING ROCK COMMUNITY GRANT SCHOOL | Fort Yates | — | $14.7M | 0 |
| Towner County Medical Center Inc | Cando | E22 Health Care | $14.6M | 6 |
| Presentation Medical Center | Rolla | E220 Health Care | $14.5M | 7 |
| UND SPORTS FACILITIES INC | Grand Forks | B99 Education | $14.2M | 3 |
| CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION | Langdon | E22Z Health Care | $14M | 7 |
| COMMUNITY LIVING SERVICES INCORPORATED | Fargo | P820 Human Services | $14M | 3 |
| DAKOTA WEST CREDIT UNION | Watford City | — | $13.5M | 11 |
| Ashley Medical Center | Ashley | E220 Health Care | $13.4M | 7 |
| Open Door Center | Valley City | — | $13.3M | 3 |
| Opportunity Foundation Inc | Williston | P82Z Human Services | $13.2M | 2 |
| FRASER LTD | Fargo | P70Z Human Services | $13M | 4 |
| OAKES COMMUNITY HOSPITAL | Oakes | E220 Health Care | $13M | 15 |
| LISBON AREA HEALTH SERVICES | Lisbon | E22 Health Care | $12.7M | 13 |
| Enable Inc | Bismarck | P73Z Human Services | $12.7M | 6 |
| CHI HEALTH CONNECT AT HOME - FARGO | Fargo | E92 Health Care | $12.3M | 7 |
| HOMETOWN CREDIT UNION | Kulm | — | $12.3M | 8 |
| Lutheran Sunset Home | Grafton | — | $12.2M | 2 |
| Missouri Valley Family YMCA | Bismarck | P27 Human Services | $12.2M | 2 |
| Trenton Indian Service Area | Trenton | P200 Human Services | $12.1M | 7 |
| SOUTHEASTERN NORTH DAKOTA COMMUNITY ACTION AGENCY | Fargo | P200 Human Services | $12.1M | 2 |
| Beulah Community Nursing Home | Beulah | — | $12.1M | 4 |
| Linton Hospital | Linton | E22Z Health Care | $11.6M | 8 |
| Prairie Public Broadcasting Inc | Fargo | A300 Arts, Culture & Humanities | $11.5M | 4 |
| CUAD Health Benefits Trust | Bismarck | Y20 Mutual & Membership Benefit | $11.5M | 0 |
| Jacobson Memorial Hospital Care Center | Elgin | E22Z Health Care | $11.4M | 7 |
| GRAND FARM RESEARCH AND EDUCATION INITIATIVE INC | Fargo | K20 Food, Agriculture & Nutrition | $11.3M | 1 |
| GARRISON MEMORIAL HOSPITAL | Garrison | E22Z Health Care | $11.2M | 14 |
| Share House Inc | Fargo | F22Z Mental Health & Crisis Intervention | $11M | 4 |
| Trinity Bible College and Graduate School | Ellendale | — | $11M | 2 |
| RAILWAY CREDIT UNION | Mandan | — | $10.9M | 5 |
| Hill Top Home of Comfort Inc | Killdeer | P750 Human Services | $10.9M | 6 |
| Blue Cross Blue Shield of North Dakota Funded GROUP BENEFIT PLAN | Fargo | Y43 Mutual & Membership Benefit | $10.7M | 2 |
| TEAM MAKERS CLUB INC | Fargo | B82Z Education | $10.7M | 1 |
| CENTRAL REGIONAL EDUCATION ASSOCIATION | Bismarck | B02 Education | $10.7M | 1 |
| ALTRU HEALTH FOUNDATION | Grand Forks | — | $10.6M | 5 |
| Luther Memorial Home | Mayville | E910 Health Care | $10.5M | 3 |
| Mountrail County Medical Center | Stanley | E22 Health Care | $10.5M | 9 |
| Lake Region Corporation | Devils Lake | — | $10.4M | 11 |
| YWCA CASS CLAY | Fargo | L41 Housing & Shelter | $10.1M | 4 |
| Elm Crest Manor | New Salem | L22 Housing & Shelter | $10.1M | 3 |
| WISHEK HOSPITAL CLINIC ASSOCIATION | Wishek | E22 Health Care | $10M | 7 |
| Marian Manor Community Corporation | Glen Ullin | E91Z Health Care | $10M | 5 |
| NDHA Health Benefits Trust | Bismarck | Y43 Mutual & Membership Benefit | $9.9M | 5 |
| SPECTRA HEALTH | Grand Forks | E320 Health Care | $9.8M | 7 |
| NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER | Turtle Lake | E30 Health Care | $9.5M | 7 |
| RED RIVER VALLEY FAIR ASSOCIATION | West Fargo | — | $9.5M | 2 |
| WILLISTON COMMUNITY BUILDERS | Williston | N32 Recreation & Sports | $9.4M | 0 |
| NORTH DAKOTA NATURAL RESOURCES TRUST | Bismarck | T20 Philanthropy, Voluntarism & Grantmaking Foundations | $9.2M | 1 |
| ND Association of Counties | Bismarck | — | $9.2M | 7 |
