| 1 | Innovis Health LLC | Health Care | $626.4M | $320.7M |
| 2 | Offutt Family Foundation | Philanthropy, Voluntarism & Grantmaking | $160.6M | $380.7M |
| 3 | Cass County Electric Cooperative INC | Unclassified | $159.4M | $347.2M |
| 4 | North Dakota State University Foundation | Education | $105.4M | $688.4M |
| 5 | Sisters of Mary of the Presentation Long Term Care | Health Care | $80.8M | $81.1M |
| 6 | Dakotas & Western Minnesota Industry Health & Welfare Fund | Unclassified | $79.9M | $78.4M |
| 7 | Share House INC | Mental Health & Crisis Intervention | $68.8M | $13.7M |
| 8 | Fargo-moorhead Area Foundation Corporation | Philanthropy, Voluntarism & Grantmaking | $62.3M | $126.6M |
| 9 | Team Makers Club INC | Education | $58.1M | $27.7M |
| 10 | Prairie Public Broadcasting INC | Arts, Culture & Humanities | $57.4M | $36.2M |
| 11 | North Dakota Public Health Insurance Trust | Mutual & Membership Benefit | $56.0M | $13.1M |
| 12 | Fargo-moorhead Home Builders Health Plan and Trust | Unclassified | $50.6M | $28.5M |
| 13 | Plains Art Museum | Arts, Culture & Humanities | $49.4M | $14.7M |
| 14 | Hospice of the Red River Valley | Human Services | $48.8M | $60.0M |
| 15 | Great Plains Food Bank | Food, Agriculture & Nutrition | $37.0M | $16.4M |
| 16 | American Lutheran Homes INC | Unclassified | $35.3M | $47.0M |
| 17 | Pioneer Healthcare Tr | Unclassified | $35.2M | $28.6M |
| 18 | West Fargo Baseball INC | Recreation & Sports | $32.9M | $5.8M |
| 19 | North Dakota Grain Dealers Association Benefit Plan and Trust | Unclassified | $31.1M | $8.2M |
| 20 | YMCA of the Northern Sky | Human Services | $30.7M | $51.8M |
| 21 | Red River Human Services Foundation | Unclassified | $27.0M | $22.0M |
| 22 | Villa Nazareth | Human Services | $26.1M | $29.4M |
| 23 | Northern Prairie Performing Arts | Unclassified | $26.0M | $7.8M |
| 24 | Family Healthcare Center | Unclassified | $25.9M | $29.0M |
| 25 | The Barry Foundation | Philanthropy, Voluntarism & Grantmaking | $24.7M | $54.9M |
| 26 | Bethany on 42ND | Housing & Shelter | $23.2M | $40.6M |
| 27 | YWCA Cass Clay | Housing & Shelter | $19.0M | $33.2M |
| 28 | Community Extended Nuclear Transitional Resid Exoffenders INC | Unclassified | $17.1M | $18.3M |
| 29 | Village Family Service Center | Unclassified | $17.1M | $9.6M |
| 30 | Capstone Classical Academy | Education | $16.9M | $63.1M |
| 31 | Fraser Ltd | Human Services | $14.8M | $12.3M |
| 32 | Matt and Joann Butler Foundation | Philanthropy, Voluntarism & Grantmaking | $14.3M | $11.1M |
| 33 | Community Living Services Incorporated | Human Services | $14.0M | $17.5M |
| 34 | Blue Cross Blue Shield of North Dakota Funded Group Benefit Plan | Mutual & Membership Benefit | $12.5M | $16.3M |
| 35 | Chi Health Connect at Home - Fargo | Health Care | $12.3M | $2.2M |
| 36 | Southeastern North Dakota Community Action Agency | Human Services | $12.1M | $4.4M |
| 37 | Red River Basin Commission | Unclassified | $10.9M | $10.5M |
| 38 | Dakota Medical Foundation | Health Care | $10.5M | $63.4M |
| 39 | Vocational Training Center INC | Employment | $10.0M | $9.2M |
| 40 | Dakotas Areawide Ibew-neca Vacation and Holiday Trust | Unclassified | $9.9M | $3.5M |
| 41 | Sts Juliana and Philaret Foundation | Philanthropy, Voluntarism & Grantmaking | $9.8M | $24.5M |
| 42 | North Dakota Life and Heath Insurance Guaranty Assn. | Unclassified | $9.1M | $2.5M |
| 43 | Catholic Charities North Dakota | Unclassified | $8.8M | $7.5M |
| 44 | Fargo Union Mission INC | Unclassified | $8.7M | $11.6M |
| 45 | Fargo Metro Baseball Association | Recreation & Sports | $8.2M | $272K |
| 46 | Bek Care LLC | Unclassified | $7.6M | $3.8M |
| 47 | Beyond Shelter INC | Housing & Shelter | $7.0M | $61.4M |
| 48 | Fargo Country Club INC | Unclassified | $7.0M | $11.1M |
| 49 | Achievement Unlimited Foundation | Community Improvement & Capacity Building | $6.8M | $7.8M |
| 50 | YMCA of Cass and Clay Counties Endowment Fund INC | Unclassified | $6.5M | $9.2M |
| 51 | Bethany Homes INC | Housing & Shelter | $6.4M | $19.4M |
| 52 | United Way of Cass-clay | Unclassified | $6.2M | $9.2M |
| 53 | Sisters of Mary of the Presentation Health Corporation | Unclassified | $6.1M | $66.2M |
| 54 | Metro Sports Foundations INC | Recreation & Sports | $6.1M | $25.0M |
| 55 | Small Wonders Preschool and Childcare Center INC | Education | $5.9M | $355K |
| 56 | American Gold Gymnastics | Recreation & Sports | $5.8M | $2.5M |
| 57 | Community Action Partnership of North Dakota INC | Human Services | $5.6M | $5.4M |
| 58 | Fred M Hector Jr Charitable Trust | Philanthropy, Voluntarism & Grantmaking | $5.4M | $19.2M |
| 59 | Fargo-moorhead Science Museum | Arts, Culture & Humanities | $5.4M | $5.8M |
| 60 | Pioneer Equipment Dealers Association | Unclassified | $5.3M | $13.0M |
| 61 | Rape & Abuse Crisis Center of Fargo-moorhead | Human Services | $5.1M | $5.8M |
| 62 | Family Wellness LLC | Human Services | $5.0M | $11.7M |
| 63 | Fargo Moorhead Convention & Visitors Bureau INC | Unclassified | $4.9M | $5.5M |
| 64 | Fargo Firefighters Pension Assoc | Unclassified | $4.7M | $53.7M |
| 65 | Impact Foundation | Philanthropy, Voluntarism & Grantmaking | $4.7M | $9.3M |
| 66 | Boys & Girls Club of the Red River Valley | Youth Development | $4.6M | $4.2M |
| 67 | Valley Christian Counseling Center INC | Mental Health & Crisis Intervention | $4.5M | $5.1M |
| 68 | Emergency Food Pantry INC | Unclassified | $4.1M | $1.4M |
| 69 | Fargo Hockey Association | Unclassified | $4.1M | $4.6M |
| 70 | Boy Scouts of America | Unclassified | $3.9M | $15.3M |
| 71 | Homeward Animal Shelter INC | Animal-Related | $3.8M | $3.4M |
| 72 | Dakota Medical Charities | Philanthropy, Voluntarism & Grantmaking | $3.7M | $88.0M |
| 73 | Grand Farm Research and Education Initiative INC | Food, Agriculture & Nutrition | $3.7M | $22.1M |
| 74 | F5 Project | Crime & Legal-Related | $3.7M | $1.1M |
| 75 | Arc of Cass County | Unclassified | $3.4M | $1.6M |
| 76 | Greater Fargo Moorhead Economic Development Corporation | Community Improvement & Capacity Building | $3.4M | $1.9M |
| 77 | Ndsu Research Foundation | Education | $3.3M | $14.3M |
| 78 | North Dakota Certified Seed Potato Growers Association Incorporated | Unclassified | $3.2M | $2.4M |
| 79 | North Dakota Farm Bureau | Unclassified | $3.2M | $7.8M |
| 80 | Make-a-wish Foundation of North Dakota | Unclassified | $3.2M | $6.3M |
| 81 | Horse Race North Dakota | Recreation & Sports | $3.1M | $1.9M |
| 82 | Presentation Partners in Housing | Housing & Shelter | $3.1M | $2.3M |
| 83 | Womens Care Center | Unclassified | $2.9M | $5.6M |
| 84 | Dakotas Area Electrical Apprenticeship & Training Fund Tru | Education | $2.8M | $2.7M |
| 85 | Tnt Kids Fitness | Recreation & Sports | $2.7M | $6.3M |
| 86 | Dakota Business Lending | Community Improvement & Capacity Building | $2.6M | $8.9M |
| 87 | El Zagal Shriners | Unclassified | $2.6M | $3.8M |
| 88 | Friends of Chimbote | International, Foreign Affairs & National Security | $2.6M | $1.2M |
| 89 | Real Presence Radio | Arts, Culture & Humanities | $2.4M | $4.4M |
| 90 | International Association for Impact Assessment INC | Environment | $2.3M | $1.6M |
| 91 | Red River Zoological Society | Animal-Related | $2.3M | $3.7M |
| 92 | North Dakota Trade Office INC | Community Improvement & Capacity Building | $2.3M | $1.7M |
| 93 | Sex Offender Treatment and Assessment North Dakota | Crime & Legal-Related | $2.3M | $1.9M |
| 94 | Red River Valley Sugarbeet Growers Association INC | Unclassified | $2.1M | $1.2M |
| 95 | Firstlink | Human Services | $2.1M | $1.5M |
| 96 | Sts Family Foundation | Philanthropy, Voluntarism & Grantmaking | $2.1M | $1.0M |
| 97 | Bio Girls INC | Youth Development | $2.1M | $549K |
| 98 | Alex Stern Family Foundation | Unclassified | $2.0M | $9.1M |
| 99 | National Electrical Contractors Association INC | Unclassified | $2.0M | $2.4M |
| 100 | Hope Lutheran Foundation | Philanthropy, Voluntarism & Grantmaking | $1.9M | $4.8M |