| 1 | Montana Childrens Home and Hospital Helena | $50.6M | $42.6M | $118.6M |
| 2 | Yellowstone Boys & Girls Ranch Billings | $29.6M | $28.9M | $17.5M |
| 3 | Montana Opioid Abatement Tr Billings | $26.5M | $0 | $28.2M |
| 4 | West Mont Helena | $10.9M | $10.7M | $4.9M |
| 5 | Eastern Montana Community Mental Health Center Miles City | $10.7M | $10.7M | $7.4M |
| 6 | New Day INC Billings | $6.7M | $6.7M | $7.7M |
| 7 | Indian Family Health Clinic of Great Falls INC Great Falls | $4.5M | $4.5M | $3.7M |
| 8 | All Nations Health Center INC Missoula | $3.8M | $3.8M | $6.6M |
| 9 | Help Committee and Boys & Girls Club of the Hi-line Havre | $3.3M | $2.5M | $5.2M |
| 10 | The Station Foundation Bozeman | $2.5M | $2.5M | $7.8M |
| 11 | 406 Recovery INC Bozeman | $1.8M | $1.8M | $13K |
| 12 | Family Connections INC Great Falls | $1.6M | $1.6M | $730K |
| 13 | Butte Cares INC Butte | $1.5M | $1.5M | $0 |
| 14 | Crosswinds Recovery Missoula | $1.2M | $1.2M | $78K |
| 15 | Catalyst for Change Big Timber | $1.2M | $1.1M | $532K |
| 16 | Tamarack Grief Resource Center INC Missoula | $1.0M | $921K | $1.2M |
| 17 | Veterans Navigation Network INC Billings | $917K | $916K | $365K |
| 18 | Southwest Chemical Dependency Livingston | $859K | $859K | $462K |
| 19 | Gratitude in Action Foundation Billings | $796K | $796K | $211K |
| 20 | Nami Montana Helena | $737K | $342K | $2.9M |
| 21 | Family Promise of Yellowstone Valley Billings | $618K | $576K | $3.2M |
| 22 | Nate Chute Foundation INC Kalispell | $560K | $529K | $672K |
| 23 | Raising Arrows Ministries INC Eureka | $547K | $527K | $162K |
| 24 | Jody Alise Foundation Roundup | $544K | $0 | $2.5M |
| 25 | Hope of Africa INC Billings | $477K | $477K | $225K |
| 26 | Stepping Stones Behavioral Health Services INC Missoula | $455K | $455K | $283K |
| 27 | Montana Meth Project Missoula | $406K | $406K | $43K |
| 28 | Healing Heroes Ministries Bozeman | $405K | $405K | $4.5M |
| 29 | Phillips County Coalition for Healthy Choices Malta | $329K | $329K | $132K |
| 30 | Chinook Horses Billings | $303K | $288K | $29K |
| 31 | Dynamic Recovery LLC Great Falls | $293K | $293K | $2K |
| 32 | Hope Counseling & Consulting Services Glendive | $271K | $271K | $49K |
| 33 | Arlee Rehabilitation Center Missoula | $254K | $254K | $53K |
| 34 | Life Houses INC Helena | $241K | $169K | $352K |
| 35 | Montana Council on Problem Gambling Helena | $223K | $223K | $425K |
| 36 | Suffer Out Loud Bozeman | $220K | $220K | $180K |
| 37 | Rural Resilience Livingston | $220K | $206K | $253K |
| 38 | Vibrant Lives of Montana Dillon | $203K | $203K | $12K |
| 39 | Flathead Shelter Friends Kalispell | $198K | $198K | $180K |
| 40 | Nami-billings Billings | $158K | $158K | $711K |
| 41 | Two Powers Land Collective Incorporated Browning | $133K | $133K | $1 |
| 42 | Advance Hope Ministries Kalispell | $103K | $103K | $31K |
| 43 | Anaconda Community Intervention INC Anaconda | $102K | $102K | $44K |
| 44 | Joliet Community Center INC Joliet | $91K | $87K | $613K |
| 45 | Friends of Issup Missoula | $73K | $73K | $71K |
| 46 | Realize Hope Bozeman | $60K | $60K | $6K |
| 47 | Aspens Angels Grief Outreach Foundation Billings | $49K | $49K | $6K |
| 48 | Sense-ability Great Falls | $16K | $16K | $360K |
| 49 | Bresee Center INC Sidney | $5K | $5K | $5K |
| 50 | Odaat Alcoholics Anonymous Billings | $2K | $0 | $2K |