| 1 | Billings Clinic Billings | E | $1.2B | $1.2B | $1.4B |
| 2 | Upper Missouri G & T Electric Cooperative INC Sidney | Z | $906.4M | $906.4M | $537.3M |
| 3 | Kalispell Regional Medical Center INC Kalispell | E | $737.5M | $737.5M | $550.7M |
| 4 | Benefis Hospitals INC Great Falls | E | $627.0M | $626.3M | $962.0M |
| 5 | Bozeman Health Deaconess Hospital Bozeman | E | $535.4M | $534.7M | $664.0M |
| 6 | Montana Health Cooperative Helena | Y | $529.7M | $486.1M | $197.0M |
| 7 | St. Peters Health Helena | E | $435.4M | $370.1M | $465.1M |
| 8 | Benefis Health System INC Great Falls | E | $358.0M | $135.7M | $826.0M |
| 9 | University of Montana Foundation Missoula | B | $356.2M | $59.0M | $425.0M |
| 10 | Bozeman Deaconess Health Services Bozeman | E | $193.4M | $193.2M | $209.8M |
| 11 | Montana State University Foundation Bozeman | B | $176.3M | $101.1M | $453.2M |
| 12 | Marcus Daly Memorial Hospital Corporation Hamilton | E | $143.6M | $141.6M | $142.0M |
| 13 | Flathead Electric Cooperative INC Kalispell | Z | $140.6M | $140.5M | $294.3M |
| 14 | Sidney Health Center Sidney | E | $123.6M | $121.3M | $104.6M |
| 15 | Logan Health - Whitefish Kalispell | E | $123.0M | $123.0M | $172.1M |
| 16 | Logan Health Kalispell | E | $111.3M | $110.7M | $13.1M |
| 17 | Rocky Mountain Elk Foundation INC Missoula | D | $110.0M | $100.1M | $151.5M |
| 18 | Benefis Medical Group INC Great Falls | E | $109.8M | $109.8M | $36.3M |
| 19 | Easterseals-goodwill Northern Rocky Mountain INC Great Falls | Z | $107.8M | $104.2M | $112.6M |
| 20 | Community Hospital of Anaconda Anaconda | E | $103.0M | $103.0M | $102.2M |
| 21 | Northern Montana Hospital Havre | E | $96.2M | $92.1M | $113.9M |
| 22 | Dennis R Washington Foundation INC Missoula | Z | $93.6M | $0 | $1.1B |
| 23 | Livingston Healthcare Livingston | E | $91.6M | $91.6M | $90.4M |
| 24 | Montana Community Foundation INC Helena | T | $89.3M | $17.8M | $188.5M |
| 25 | Carroll College Helena | B | $78.4M | $73.1M | $159.9M |
| 26 | National Forest Foundation Missoula | N | $77.9M | $77.9M | $93.5M |
| 27 | Montana Healthcare Foundation Bozeman | T | $74.5M | $0 | $283.9M |
| 28 | 3 Rivers Telephone Cooperative INC Fairfield | Z | $68.9M | $62.8M | $175.0M |
| 29 | Montana Unified School Trust Helena | Z | $67.6M | $65.0M | $18.2M |
| 30 | Rocky Boy Health Center Box Elder | E | $64.8M | $64.8M | $162.3M |
| 31 | Rocky Mountain College Billings | B | $61.8M | $49.9M | $87.7M |
| 32 | Central Montana Medical Facilities INC Lewistown | E | $60.5M | $58.4M | $61.0M |
| 33 | Glendive Medical Center INC Glendive | E | $59.8M | $59.6M | $51.5M |
| 34 | Central Montana Electric Power Cooperative INC Great Falls | Z | $59.0M | $59.0M | $43.0M |
| 35 | Cabinet Peaks Medical Center Libby | E | $57.8M | $57.6M | $76.7M |
| 36 | St. Lukes Community Hospital Ronan | E | $54.9M | $54.9M | $115.3M |
| 37 | American Prairie Foundation Bozeman | C | $51.6M | $44.7M | $206.8M |
| 38 | Montana Childrens Home and Hospital Helena | F | $50.6M | $42.6M | $118.6M |
| 39 | Billings Clinic Employee Benefit Trust Billings | Z | $50.5M | $50.5M | $23.9M |
| 40 | Yellowstone Forever Bozeman | C | $49.0M | $41.8M | $70.5M |
| 41 | Lower Yellowstone Rural Electric Association INC Sidney | Z | $48.7M | $48.7M | $106.4M |
| 42 | Aware INC Anaconda | Z | $48.6M | $48.4M | $35.6M |
| 43 | Headwaters Health Foundation of Western Montana Missoula | E | $47.5M | $0 | $127.5M |
| 44 | Foundation of Montana State University-billings Billings | B | $45.6M | $7.9M | $47.7M |
| 45 | Barrett Hospital Development Corporation Dillon | E | $44.9M | $44.9M | $66.1M |
| 46 | Frances Mahon Deaconess Hospital Glasgow | E | $44.7M | $44.7M | $86.9M |
| 47 | Yellowstone Valley Electric Cooperative INC Huntley | Z | $44.5M | $44.5M | $100.5M |
| 48 | Partnership Health Center INC Missoula | Z | $43.7M | $43.7M | $50.4M |
| 49 | Whitefish Community Foundation INC Whitefish | T | $43.0M | $20.2M | $67.6M |
| 50 | Joint Powers Trust Billings | Z | $43.0M | $39.3M | $7.9M |