| 1 | Billings Clinic Billings, MT | $1.2B | $1.4B |
| 2 | Upper Missouri G & T Electric Cooperative INC Sidney, MT | $906.4M | $537.3M |
| 3 | Kalispell Regional Medical Center INC Kalispell, MT | $737.5M | $550.7M |
| 4 | Benefis Hospitals INC Great Falls, MT | $626.3M | $962.0M |
| 5 | Bozeman Health Deaconess Hospital Bozeman, MT | $534.7M | $664.0M |
| 6 | Montana Health Cooperative Helena, MT | $486.1M | $197.0M |
| 7 | St. Peters Health Helena, MT | $370.1M | $465.1M |
| 8 | Bozeman Deaconess Health Services Bozeman, MT | $193.2M | $209.8M |
| 9 | Marcus Daly Memorial Hospital Corporation Hamilton, MT | $141.6M | $142.0M |
| 10 | Flathead Electric Cooperative INC Kalispell, MT | $140.5M | $294.3M |
| 11 | Benefis Health System INC Great Falls, MT | $135.7M | $826.0M |
| 12 | Logan Health - Whitefish Kalispell, MT | $123.0M | $172.1M |
| 13 | Sidney Health Center Sidney, MT | $121.3M | $104.6M |
| 14 | Logan Health Kalispell, MT | $110.7M | $13.1M |
| 15 | Benefis Medical Group INC Great Falls, MT | $109.8M | $36.3M |
| 16 | Easterseals-goodwill Northern Rocky Mountain INC Great Falls, MT | $104.2M | $112.6M |
| 17 | Community Hospital of Anaconda Anaconda, MT | $103.0M | $102.2M |
| 18 | Montana State University Foundation Bozeman, MT | $101.1M | $453.2M |
| 19 | Rocky Mountain Elk Foundation INC Missoula, MT | $100.1M | $151.5M |
| 20 | Northern Montana Hospital Havre, MT | $92.1M | $113.9M |
| 21 | Livingston Healthcare Livingston, MT | $91.6M | $90.4M |
| 22 | National Forest Foundation Missoula, MT | $77.9M | $93.5M |
| 23 | Carroll College Helena, MT | $73.1M | $159.9M |
| 24 | Montana Unified School Trust Helena, MT | $65.0M | $18.2M |
| 25 | Rocky Boy Health Center Box Elder, MT | $64.8M | $162.3M |
| 26 | 3 Rivers Telephone Cooperative INC Fairfield, MT | $62.8M | $175.0M |
| 27 | Glendive Medical Center INC Glendive, MT | $59.6M | $51.5M |
| 28 | University of Montana Foundation Missoula, MT | $59.0M | $425.0M |
| 29 | Central Montana Electric Power Cooperative INC Great Falls, MT | $59.0M | $43.0M |
| 30 | Central Montana Medical Facilities INC Lewistown, MT | $58.4M | $61.0M |
| 31 | Cabinet Peaks Medical Center Libby, MT | $57.6M | $76.7M |
| 32 | St. Lukes Community Hospital Ronan, MT | $54.9M | $115.3M |
| 33 | Billings Clinic Employee Benefit Trust Billings, MT | $50.5M | $23.9M |
| 34 | Rocky Mountain College Billings, MT | $49.9M | $87.7M |
| 35 | Lower Yellowstone Rural Electric Association INC Sidney, MT | $48.7M | $106.4M |
| 36 | Aware INC Anaconda, MT | $48.4M | $35.6M |
| 37 | Barrett Hospital Development Corporation Dillon, MT | $44.9M | $66.1M |
| 38 | Frances Mahon Deaconess Hospital Glasgow, MT | $44.7M | $86.9M |
| 39 | American Prairie Foundation Bozeman, MT | $44.7M | $206.8M |
| 40 | Yellowstone Valley Electric Cooperative INC Huntley, MT | $44.5M | $100.5M |
| 41 | Partnership Health Center INC Missoula, MT | $43.7M | $50.4M |
| 42 | Montana Childrens Home and Hospital Helena, MT | $42.6M | $118.6M |
| 43 | Yellowstone Forever Bozeman, MT | $41.8M | $70.5M |
| 44 | Northeast Montana Health Services INC Wolf Point, MT | $40.9M | $66.9M |
| 45 | Joint Powers Trust Billings, MT | $39.3M | $7.9M |
| 46 | University of Providence Great Falls, MT | $37.8M | $56.6M |
| 47 | Community Counseling and Correctional Services INC Butte, MT | $37.7M | $31.6M |
| 48 | Montana Contractors Association Health Care Trust Billings, MT | $37.5M | $42.4M |
| 49 | Bighorn Valley Health Center Incorporated Hardin, MT | $37.0M | $48.4M |
| 50 | Montana Food Bank Network INC Missoula, MT | $36.1M | $23.5M |