| 1 | Theodore Roosevelt Presidential Library Foundation Bismarck | B | $1.1B | $59.5M | $244.5M |
| 2 | Altru Health System Grand Forks | E | $780.4M | $780.4M | $1.2B |
| 3 | Mountrail-williams Electric Cooperative INC Williston | Z | $703.4M | $490.8M | $957.5M |
| 4 | Innovis Health LLC Fargo | E | $626.4M | $625.4M | $320.7M |
| 5 | McKenzie Electric Cooperative INC Watford City | Z | $478.7M | $478.7M | $646.8M |
| 6 | Minnkota Power Cooperative INC Grand Forks | Z | $472.0M | $472.0M | $1.2B |
| 7 | Trinity Health & Affiliates Minot | E | $365.5M | $362.7M | $836.0M |
| 8 | Native American Agriculture Fund Bismarck | K | $321.0M | $0 | $180.1M |
| 9 | St. Alexius Medical Center Bismarck | E | $272.8M | $272.7M | $261.8M |
| 10 | Central Power Electric Coop INC Minot | Z | $190.9M | $190.9M | $510.5M |
| 11 | Centurion Foundation West Fargo | T | $163.1M | $0 | $157.9M |
| 12 | Offutt Family Foundation Fargo | T | $160.6M | $0 | $380.7M |
| 13 | Cass County Electric Cooperative INC Fargo | Z | $159.4M | $158.7M | $347.2M |
| 14 | Nodak Electric Cooperative INC Grand Forks | Z | $140.0M | $140.0M | $177.3M |
| 15 | Trinity Health Minot | E | $137.2M | $136.6M | $42.7M |
| 16 | University of Mary Bismarck | B | $130.0M | $127.1M | $242.5M |
| 17 | North Dakota State University Foundation Fargo | B | $105.4M | $102.4M | $688.4M |
| 18 | North Dakota Association for the Disabled INC Grand Forks | P | $101.7M | $5.8M | $30.4M |
| 19 | North Dakota Community Foundation Bismarck | T | $94.0M | $29.6M | $160.3M |
| 20 | Mercy Medical Center Williston | Z | $91.3M | $91.3M | $167.4M |
| 21 | Development Homes INC Grand Forks | Z | $90.5M | $20.7M | $26.2M |
| 22 | Roughrider Electric Cooperative INC Hazen | W | $86.2M | $86.0M | $326.7M |
| 23 | Matpac Wrestling Club INC Bismarck | N | $84.9M | $3.5M | $9.9M |
| 24 | Sisters of Mary of the Presentation Long Term Care Fargo | E | $80.8M | $80.7M | $81.1M |
| 25 | Dakotas & Western Minnesota Industry Health & Welfare Fund Fargo | Z | $79.9M | $70.7M | $78.4M |
| 26 | Lutheran Charity Association Jamestown | E | $79.8M | $79.7M | $103.5M |
| 27 | First Community Credit Union Jamestown | Z | $76.7M | $76.7M | $1.3B |
| 28 | University of Jamestown Jamestown | B | $76.5M | $67.5M | $153.0M |
| 29 | St. Josephs Hospital and Health Center Dickinson | Z | $72.0M | $72.0M | $172.0M |
| 30 | Share House INC Fargo | F | $68.8M | $11.0M | $13.7M |
| 31 | McKenzie County Healthcare Systems INC Watford City | Z | $65.9M | $65.1M | $112.2M |
| 32 | Fargo-moorhead Area Foundation Corporation Fargo | T | $62.3M | $24.2M | $126.6M |
| 33 | Dakota Valley Electric Cooperative INC Edgeley | Y | $61.0M | $61.0M | $179.7M |
| 34 | Team Makers Club INC Fargo | B | $58.1M | $10.7M | $27.7M |
| 35 | Verendrye Electric Cooperative INC Velva | Z | $57.5M | $57.4M | $182.9M |
| 36 | Prairie Public Broadcasting INC Fargo | A | $57.4M | $11.5M | $36.2M |
| 37 | North Dakota Public Health Insurance Trust Fargo | Y | $56.0M | $56.0M | $13.1M |
| 38 | Veterans Club Kenmare | Z | $55.3M | $3.2M | $2.4M |
| 39 | Hit INC Mandan | P | $51.1M | $50.8M | $24.0M |
| 40 | Fargo-moorhead Home Builders Health Plan and Trust Fargo | Z | $50.6M | $45.2M | $28.5M |
| 41 | Und Alumni Association and Foundation Grand Forks | B | $50.2M | $42.4M | $669.8M |
| 42 | Dakota Boys and Girls Ranch Foundation Minot | P | $49.8M | $22.8M | $44.6M |
| 43 | Plains Art Museum Fargo | A | $49.4M | $4.5M | $14.7M |
| 44 | Hospice of the Red River Valley Fargo | P | $48.8M | $48.1M | $60.0M |
| 45 | Northern Plains Electric Cooperative Carrington | Z | $48.4M | $48.3M | $154.7M |
| 46 | American Foundation for Wildlife Bismarck | D | $48.0M | $1.1M | $9.6M |
| 47 | Missouri Slope Lutheran Care Center Bismarck | E | $48.0M | $47.9M | $89.2M |
| 48 | Mandan Baseball Club INC Mandan | O | $47.5M | $2.7M | $2.6M |
| 49 | Capital Electric Cooperative INC Bismarck | Z | $47.5M | $47.5M | $158.2M |
| 50 | Capital Credit Union Bismarck | Z | $47.1M | $46.6M | $815.3M |