| 1 | Billings Clinic | Health Care | $1.2B | $1.4B |
| 2 | Rocky Mountain College | Education | $61.8M | $87.7M |
| 3 | Billings Clinic Employee Benefit Trust | Unclassified | $50.5M | $23.9M |
| 4 | Foundation of Montana State University-billings | Education | $45.6M | $47.7M |
| 5 | Joint Powers Trust | Unclassified | $43.0M | $7.9M |
| 6 | Montana Contractors Association Health Care Trust | Unclassified | $37.5M | $42.4M |
| 7 | Valley Financial Credit Union | Public & Societal Benefit | $33.7M | $511.1M |
| 8 | Billings Food Bank INC | Food, Agriculture & Nutrition | $30.6M | $8.3M |
| 9 | Yellowstone Boys & Girls Ranch | Mental Health & Crisis Intervention | $29.6M | $17.5M |
| 10 | St. Johns Lutheran Ministries INC | Human Services | $29.0M | $50.5M |
| 11 | Billings Clinic Foundation | Unclassified | $26.8M | $161.2M |
| 12 | Montana Opioid Abatement Tr | Mental Health & Crisis Intervention | $26.5M | $28.2M |
| 13 | Missions United INC | Human Services | $25.7M | $57.5M |
| 14 | Native American Development Corporation | Community Improvement & Capacity Building | $21.0M | $23.1M |
| 15 | Alternatives | Crime & Legal-Related | $17.7M | $17.8M |
| 16 | Intertribal Agriculture Council INC | Unclassified | $17.4M | $14.6M |
| 17 | St. Vincent Healthcare Foundation | Unclassified | $17.4M | $87.7M |
| 18 | Yellowstone Boys and Girls Ranch Foundation INC | Human Services | $17.0M | $161.2M |
| 19 | Bair Ranch Foundation | Education | $14.2M | $56.9M |
| 20 | Rimrock Foundation | Unclassified | $13.7M | $5.5M |
| 21 | First Interstate Bancsystem Foundation INC | Unclassified | $12.1M | $20.3M |
| 22 | Soaring Eagle | Human Services | $11.3M | $19.3M |
| 23 | Girl Scouts of Montana & Wyoming | Youth Development | $10.4M | $17.0M |
| 24 | Elizabeth Heyer Charitable Trust | Philanthropy, Voluntarism & Grantmaking | $9.7M | $10.5M |
| 25 | Billings Catholic Schools Foundation | Education | $8.9M | $35.6M |
| 26 | District 7 Human Resources Development Council | Human Services | $8.8M | $4.2M |
| 27 | Family Service INC | Human Services | $8.7M | $7.1M |
| 28 | Structural Building Components Association | Unclassified | $8.6M | $15.3M |
| 29 | Montana Family Practice Residency | Education | $8.3M | $3.3M |
| 30 | Yellowstone Country Club | Unclassified | $7.6M | $15.6M |
| 31 | Residential Support Services | Housing & Shelter | $7.1M | $4.3M |
| 32 | Western Organization of Resource Councils | Unclassified | $6.9M | $1.9M |
| 33 | Intermountain Planned Parenthood INC | Health Care | $6.8M | $5.4M |
| 34 | New Day INC | Mental Health & Crisis Intervention | $6.7M | $7.7M |
| 35 | Western Organization of Resource | Community Improvement & Capacity Building | $6.7M | $7.2M |
| 36 | South Central Montana Regional Mental Health Center | Unclassified | $6.6M | $4.8M |
| 37 | Resource Support & Development INC | Human Services | $6.4M | $6.0M |
| 38 | Billings Family YMCA INC | Human Services | $6.2M | $11.8M |
| 39 | United Way of Yellowstone County INC | Philanthropy, Voluntarism & Grantmaking | $6.2M | $6.8M |
| 40 | Refuge Foundation | Religion-Related | $5.8M | $6.5M |
| 41 | Montana Rescue Mission | Unclassified | $5.7M | $22.6M |
| 42 | Muriel and Seymour Thickman Family Charitable Foundation | Unclassified | $5.4M | $5.6M |
| 43 | Thomas W & Joan D Scott Foundation | Philanthropy, Voluntarism & Grantmaking | $5.4M | $37.3M |
| 44 | Yellowstone Art Museum | Arts, Culture & Humanities | $4.6M | $12.6M |
| 45 | Home Based Services Initiative LLC | Unclassified | $4.6M | $1.6M |
| 46 | Head Start INC | Education | $4.6M | $2.9M |
| 47 | Charles M Bair Memorial Trust Fund | Unclassified | $4.4M | $10.1M |
| 48 | Montana Migrant & Seasonal Farmworker Council INC Ceta Projec | Philanthropy, Voluntarism & Grantmaking | $4.4M | $361K |
| 49 | Dan and Jeanne Scott Family Foundation | Philanthropy, Voluntarism & Grantmaking | $4.3M | $26.8M |
| 50 | Yellowstone Health Partnership | Health Care | $4.3M | $24.2M |
| 51 | Adult Resource Alliance of Yellowstone County | Human Services | $4.2M | $5.4M |
| 52 | Yellowstone Ice Foundation | Recreation & Sports | $4.1M | $4.0M |
| 53 | Boys & Girls Club of Yellowstone County | Youth Development | $3.9M | $3.0M |
| 54 | Yellowstone Valley Animal Shelter INC | Animal-Related | $3.9M | $4.1M |
| 55 | Charles M Bair Family Tr Fund | Unclassified | $3.9M | $33.9M |
| 56 | Montana Policy Action INC | Social Science | $3.8M | $560K |
| 57 | Hilands Golf Club | Recreation & Sports | $3.8M | $6.9M |
| 58 | Community Option Resource Enterprises INC | Employment | $3.8M | $5.3M |
| 59 | Billings Christian Schools | Education | $3.7M | $1.5M |
| 60 | Living Independently for Today & Tomorrow Incorporated | Human Services | $3.7M | $2.0M |
| 61 | Habitat for Humanity International INC | Unclassified | $3.6M | $5.7M |
| 62 | Alberta Bair Theater Corporation | Arts, Culture & Humanities | $3.6M | $18.6M |
| 63 | Boys and Girls Club of Yellowstone County Endowment Foundation | Youth Development | $3.5M | $14.2M |
| 64 | Eci Foundation | Arts, Culture & Humanities | $3.5M | $3.5M |
| 65 | Billings Tourism Business Improvement District | Community Improvement & Capacity Building | $3.4M | $4.0M |
| 66 | The Briarwood | Recreation & Sports | $3.3M | $3.1M |
| 67 | Big Sky Economic Development Corporation | Community Improvement & Capacity Building | $3.2M | $5.2M |
| 68 | Community Leadership and Development INC | Human Services | $3.1M | $14.6M |
| 69 | Education Foundation for Billings Public Schools | Unclassified | $3.1M | $6.9M |
| 70 | Billings Chamber of Commerce | Unclassified | $2.5M | $1.4M |
| 71 | Care Camps Foundation | Unclassified | $2.5M | $2.8M |
| 72 | Energy Laboratories INC Employee Welfare Benefit Plan Trust | Unclassified | $2.5M | $562K |
| 73 | Northern Plains Resource Council | Community Improvement & Capacity Building | $2.4M | $6.8M |
| 74 | Zoomontana INC | Animal-Related | $2.4M | $5.3M |
| 75 | Western Native Voice | Unclassified | $2.3M | $2.5M |
| 76 | Billings Association of Realtors | Unclassified | $2.3M | $2.1M |
| 77 | Brady Foundation INC | Philanthropy, Voluntarism & Grantmaking | $2.3M | $6.5M |
| 78 | Community Crisis Center LLC | Health Care | $2.1M | $1.1M |
| 79 | Cine Billings | Arts, Culture & Humanities | $2.1M | $2.3M |
| 80 | Billings Symphony Society | Arts, Culture & Humanities | $2.0M | $5.3M |
| 81 | Sample Foundation INC | Unclassified | $2.0M | $7.7M |
| 82 | Better Billings Foundation | Philanthropy, Voluntarism & Grantmaking | $1.9M | $6.1M |
| 83 | Young Womens Christian Association | Unclassified | $1.9M | $5.8M |
| 84 | Job Connection INC | Unclassified | $1.9M | $2.1M |
| 85 | Nance Family Foundation INC | Philanthropy, Voluntarism & Grantmaking | $1.8M | $1.8M |
| 86 | Billings Crisis Pregnancy Center INC | Health Care | $1.8M | $3.4M |
| 87 | Montana Beef Council | Unclassified | $1.7M | $1.8M |
| 88 | Associated Employers of Montana | Unclassified | $1.7M | $3.9M |
| 89 | Friendship House of Christian Services | Religion-Related | $1.7M | $2.8M |
| 90 | Home Builders Association of Billings Montana INC | Unclassified | $1.7M | $1.4M |
| 91 | St. Johns Foundation | Human Services | $1.6M | $20.2M |
| 92 | Northern International Livestock Exposition | Unclassified | $1.6M | $1.4M |
| 93 | Billings Leadership Foundation | Philanthropy, Voluntarism & Grantmaking | $1.6M | $920K |
| 94 | International Brotherhood of Electrical Workers | Unclassified | $1.6M | $3.6M |
| 95 | Yellowstone County Museum Foundation | Arts, Culture & Humanities | $1.6M | $1.3M |
| 96 | Montana Bible College | Unclassified | $1.6M | $2.1M |
| 97 | Donald & Carol Roberts Foundation in Memory of Virginia K Weston INC | Philanthropy, Voluntarism & Grantmaking | $1.5M | $2.8M |
| 98 | Department of Montana Veterans of Foreign Wars of the United States | Unclassified | $1.5M | $482K |
| 99 | Sbca Foundation and Endowment | Science & Technology | $1.5M | $3.4M |
| 100 | Support and Techniques for Empowering People | Human Services | $1.5M | $3.8M |