| 1 | Altru Health System Grand Forks, ND | $780.4M | $1.2B |
| 2 | Innovis Health LLC Fargo, ND | $625.4M | $320.7M |
| 3 | Mountrail-williams Electric Cooperative INC Williston, ND | $490.8M | $957.5M |
| 4 | McKenzie Electric Cooperative INC Watford City, ND | $478.7M | $646.8M |
| 5 | Minnkota Power Cooperative INC Grand Forks, ND | $472.0M | $1.2B |
| 6 | Trinity Health & Affiliates Minot, ND | $362.7M | $836.0M |
| 7 | St. Alexius Medical Center Bismarck, ND | $272.7M | $261.8M |
| 8 | Central Power Electric Coop INC Minot, ND | $190.9M | $510.5M |
| 9 | Cass County Electric Cooperative INC Fargo, ND | $158.7M | $347.2M |
| 10 | Nodak Electric Cooperative INC Grand Forks, ND | $140.0M | $177.3M |
| 11 | Trinity Health Minot, ND | $136.6M | $42.7M |
| 12 | University of Mary Bismarck, ND | $127.1M | $242.5M |
| 13 | North Dakota State University Foundation Fargo, ND | $102.4M | $688.4M |
| 14 | Mercy Medical Center Williston, ND | $91.3M | $167.4M |
| 15 | Roughrider Electric Cooperative INC Hazen, ND | $86.0M | $326.7M |
| 16 | Sisters of Mary of the Presentation Long Term Care Fargo, ND | $80.7M | $81.1M |
| 17 | Lutheran Charity Association Jamestown, ND | $79.7M | $103.5M |
| 18 | First Community Credit Union Jamestown, ND | $76.7M | $1.3B |
| 19 | St. Josephs Hospital and Health Center Dickinson, ND | $72.0M | $172.0M |
| 20 | Dakotas & Western Minnesota Industry Health & Welfare Fund Fargo, ND | $70.7M | $78.4M |
| 21 | University of Jamestown Jamestown, ND | $67.5M | $153.0M |
| 22 | McKenzie County Healthcare Systems INC Watford City, ND | $65.1M | $112.2M |
| 23 | Dakota Valley Electric Cooperative INC Edgeley, ND | $61.0M | $179.7M |
| 24 | Theodore Roosevelt Presidential Library Foundation Bismarck, ND | $59.5M | $244.5M |
| 25 | Verendrye Electric Cooperative INC Velva, ND | $57.4M | $182.9M |
| 26 | North Dakota Public Health Insurance Trust Fargo, ND | $56.0M | $13.1M |
| 27 | Hit INC Mandan, ND | $50.8M | $24.0M |
| 28 | Northern Plains Electric Cooperative Carrington, ND | $48.3M | $154.7M |
| 29 | Hospice of the Red River Valley Fargo, ND | $48.1M | $60.0M |
| 30 | Missouri Slope Lutheran Care Center Bismarck, ND | $47.9M | $89.2M |
| 31 | Capital Electric Cooperative INC Bismarck, ND | $47.5M | $158.2M |
| 32 | Capital Credit Union Bismarck, ND | $46.6M | $815.3M |
| 33 | Town & Country Credit Union Minot, ND | $45.8M | $717.9M |
| 34 | Fargo-moorhead Home Builders Health Plan and Trust Fargo, ND | $45.2M | $28.5M |
| 35 | Anne Carlsen Center Jamestown, ND | $43.6M | $161.4M |
| 36 | Und Alumni Association and Foundation Grand Forks, ND | $42.4M | $669.8M |
| 37 | Valley Homes and Services Grand Forks, ND | $37.4M | $33.2M |
| 38 | Und Aerospace Foundation Grand Forks, ND | $37.3M | $109.6M |
| 39 | Good Samaritan Hospital Association Rugby, ND | $36.4M | $87.5M |
| 40 | Mercy Hospital of Devils Lake Devils Lake, ND | $36.1M | $142.9M |
| 41 | Great Plains Food Bank Fargo, ND | $35.9M | $16.4M |
| 42 | United Tribes Technical College Bismarck, ND | $35.6M | $66.7M |
| 43 | Mdu Resources Group INC Bismarck, ND | $35.4M | $3.1M |
| 44 | American Lutheran Homes INC Fargo, ND | $35.3M | $47.0M |
| 45 | Mountrail Bethel Home INC Stanley, ND | $32.6M | $38.4M |
| 46 | West River Health Services Hettinger, ND | $32.4M | $34.1M |
| 47 | Christian Unity Hospital Corporation Grafton, ND | $31.4M | $42.5M |
| 48 | YMCA of the Northern Sky Fargo, ND | $30.6M | $51.8M |
| 49 | Pioneer Healthcare TR Fargo, ND | $30.5M | $28.6M |
| 50 | Minot Vocational Adjustment Workshop Minot, ND | $30.0M | $27.9M |