| PRIMARY HEALTH CARE INC | $42,603,601 | $45,054,129 |
| HOPE HAVEN INC | $45,570,489 | $44,877,498 |
| UNITY HEALTHCARE | $50,177,397 | $44,511,436 |
| SHENANDOAH MEDICAL CENTER | $44,163,863 | $43,606,633 |
| IMAGINE THE POSSIBILITIES INC | $44,289,279 | $43,019,268 |
| RIVER BEND FOOD RESERVOIR | $44,594,726 | $42,067,713 |
| HAWKEYE AREA COMMUNITY ACTION PROGRAM INC | $44,043,091 | $41,399,291 |
| MAHARISHI INTERNATIONAL UNIVERSITY | $45,057,725 | $40,276,310 |
| KNOXVILLE COMMUNITY HOSPITAL INC | $43,431,347 | $39,341,458 |
| IOWA FARM BUREAU FEDERATION | $97,485,677 | $39,048,404 |
| WILLIAM PENN UNIVERSITY | $40,090,210 | $38,687,396 |
| MEDICAL ASSOCIATES CLINIC HEALTH PLAN OF WISCONSIN | $38,339,448 | $38,219,457 |
| MAQUOKETA VALLEY RURAL ELECTRIC COOPERATIVE | $40,324,827 | $38,084,827 |
| TARRANT COUNTY SENIOR LIVING CENTER INC | $23,708,901 | $37,981,621 |
| DUBUQUE RACING ASSOCIATION LTD | $39,382,122 | $37,710,795 |
| FOUR OAKS FAMILY AND CHILDRENS SERVICES | $38,155,712 | $37,544,173 |
| BRIAR CLIFF UNIVERSITY | $36,373,701 | $37,032,848 |
| CLARKE UNIVERSITY OF DUBUQUE IOWA | $36,110,999 | $37,004,055 |
| COMMUNITY 1ST CREDIT UNION | $41,086,764 | $36,884,371 |
| SOUTH SLOPE COOPERATIVE TELEPHONE COMPANY | $36,238,626 | $36,255,953 |
| ACCESS ENERGY COOPERATIVE | $39,829,762 | $36,122,630 |
| ST LUKESJONES REGIONAL MEDICAL CENTER | $41,674,557 | $35,831,906 |
| SYSTEMS UNLIMITED INC | $38,764,628 | $35,436,317 |
| LUTHERAN SERVICES IN IOWA INC | $34,750,438 | $35,110,705 |
| LIFESERVE BLOOD CENTER | $36,829,142 | $34,928,661 |