| NORTHWEST IOWA HOSPITAL CORPORATION | $182,061,912 | $172,135,989 |
| STATE UNIVERSITY OF IOWA FOUNDATION | $179,293,850 | $163,225,916 |
| IOWA BANKERS BENEFIT PLAN | $163,455,889 | $162,264,737 |
| MERCY MEDICAL CENTER CLINTON INC | $139,086,884 | $138,753,510 |
| TRINITY REGIONAL MEDICAL CENTER | $137,742,002 | $128,077,581 |
| IOWA STATE UNIVERSITY FOUNDATION | $132,115,683 | $127,015,540 |
| LUTHER COLLEGE | $123,520,374 | $124,786,418 |
| FINLEY HOSPITAL | $126,925,053 | $119,445,392 |
| JENNIE EDMUNDSON MEMORIAL HOSPITAL | $121,975,638 | $113,511,197 |
| ST AMBROSE UNIVERSITY | $111,513,726 | $103,581,494 |
| NORTHWEST IOWA POWER COOPERATIVE | $103,773,468 | $103,371,925 |
| PELLA REGIONAL HEALTH CENTER | $105,691,818 | $100,373,641 |
| UNIVERSITY OF DUBUQUE | $93,440,105 | $88,984,205 |
| WESLEY RETIREMENT SERVICES INC | $92,112,196 | $87,456,599 |
| WARTBURG COLLEGE | $91,519,616 | $86,139,931 |
| COE COLLEGE | $82,885,005 | $83,812,157 |
| IOWA STUDENT LOAN LIQUIDITY CORPORATION | $64,909,561 | $79,151,403 |
| ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME | $84,081,626 | $78,920,910 |
| DUPACO COMMUNITY CREDIT UNION | $101,689,571 | $78,483,157 |
| COLLINS COMMUNITY CREDIT UNION | $74,113,692 | $73,182,564 |
| UPPER IOWA UNIVERSITY | $66,646,644 | $70,994,941 |
| CENTRAL COLLEGE | $65,374,610 | $70,929,384 |
| IOWA LAKES ELECTRIC COOPERATIVE | $73,512,821 | $69,869,310 |
| MISSISSIPPI VALLEY REGIONAL BLOOD CENTER | $68,227,560 | $69,817,041 |
| DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER | $72,304,261 | $67,766,196 |