| Altru Health System | Grand Forks | $780,388,280 |
| Innovis Health LLC | Fargo | $683,497,859 |
| McKenzie Electric Cooperative Inc | Watford City | $514,412,694 |
| Mountrail-Williams Electric Cooperative Inc | Williston | $490,840,345 |
| Minnkota Power Cooperative Inc | Grand Forks | $486,986,596 |
| Trinity Health & Affiliates | Minot | $385,754,703 |
| St Alexius Medical Center | Bismarck | $277,686,138 |
| Central Power Electric Coop Inc | Minot | $204,731,346 |
| Cass County Electric Cooperative Inc | Fargo | $162,375,206 |
| Nodak Electric Cooperative Inc | Grand Forks | $147,271,424 |
| Trinity Health | Minot | $136,153,774 |
| University of Mary | Bismarck | $111,552,517 |
| North Dakota State University Foundation | Fargo | $102,362,441 |
| Roughrider Electric Cooperative Inc | Hazen | $87,888,242 |
| Lutheran Charity Association | Jamestown | $84,283,730 |
| Sisters of Mary of the Presentation Long Term Care | Fargo | $82,996,357 |
| First Community Credit Union | Jamestown | $76,733,253 |
| Dakotas & Western Minnesota Industry Health & Welfare Fund | Fargo | $70,730,366 |
| Theodore Roosevelt Presidential Library Foundation | Bismarck | $69,456,974 |
| University of Jamestown | Jamestown | $67,512,683 |
| McKenzie County Healthcare Systems Inc | Watford City | $65,053,793 |
| Dakota Valley Electric Cooperative Inc | Edgeley | $63,679,922 |
| Offutt Family Foundation | Fargo | $58,253,180 |
| Verendrye Electric Cooperative Inc | Velva | $57,430,112 |
| Capital Electric Cooperative Inc | Bismarck | $51,656,407 |
| Hit Inc | Mandan | $50,818,942 |
| Northern Plains Electric Cooperative | Carrington | $49,620,202 |
| Anne Carlsen Center | Jamestown | $48,405,868 |
| Hospice of the Red River Valley | Fargo | $48,078,567 |
| Missouri Slope Lutheran Care Center | Bismarck | $47,926,280 |
| Capital Credit Union | Bismarck | $46,566,416 |
| Town & Country Credit Union | Minot | $45,794,051 |
| Building Industry Health Plan of the Red River Valley | Fargo | $45,209,776 |
| Und Aerospace Foundation | Grand Forks | $43,834,481 |
| Und Alumni Association and Foundation | Grand Forks | $42,421,576 |
| Good Samaritan Hospital Association | Rugby | $39,300,907 |
| Valley Homes and Services | Grand Forks | $37,394,066 |
| American Lutheran Homes Inc | Fargo | $35,302,976 |
| North Dakota Community Foundation | Bismarck | $34,790,928 |
| United Tribes Technical College | Bismarck | $33,912,395 |
| North Star Community Credit Union | Maddock | $29,836,143 |
| Burke Divide Electric Cooperative Inc | Columbus | $29,591,427 |
| North Central Electric Cooperative Inc | Bottineau | $28,436,498 |
| Mor-Gran-Sou Electric Cooperative Inc | Flasher | $26,435,372 |
| Turtle Mountain College | Belcourt | $25,822,978 |
| Western Cooperative Credit Union | Dickinson | $24,455,256 |
| Slope Electric Cooperative Inc | New England | $22,308,484 |
| Theodore Roosevelt Medora Foundation | Medora | $18,334,928 |
| Dakota West Credit Union | Watford City | $15,739,287 |
| Hometown Credit Union | Kulm | $12,623,300 |
| Native American Agriculture Fund | Bismarck | $2,729,208 |