| MERCY MEDICAL CENTER NEWTON | $33,493,471 | $34,511,478 |
| GOOWILL INDUSTRIES OF THE HEARTLAND | $34,923,753 | $34,405,579 |
| IOWA STATE ASSOCIATION OF COUNTIES | $37,003,109 | $34,389,657 |
| MERCY MEDICAL CENTER CENTERVILLE | $35,772,587 | $33,749,733 |
| WOODWARD YOUTH CORPORATION | $33,427,937 | $33,403,339 |
| L AND O POWER COOPERATIVE INC | $33,098,794 | $33,098,794 |
| SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | $35,652,260 | $32,677,113 |
| SIOUXLAND COMMUNITY HEALTH CENTER | $34,005,207 | $31,720,483 |
| COMMUNITY HEALTH CARE INC | $32,165,099 | $31,641,093 |
| PRAIRIE ENERGY COOPERATIVE | $32,220,863 | $31,493,864 |
| STEWART MEMORIAL COMMUNITY HOSPITAL | $32,536,575 | $31,200,273 |
| UNITED WAY OF CENTRAL IOWA | $32,989,395 | $31,115,984 |
| SARTORI MEMORIAL HOSPITAL INC | $31,128,862 | $30,619,166 |
| BURGESS HEALTH CENTER | $31,658,996 | $30,017,267 |
| VIRGINIA GAY HOSPITAL INC | $30,173,040 | $29,972,140 |
| PALMER LUTHERAN HEALTH CENTER INC | $31,112,324 | $29,858,175 |
| FOOD BANK OF IOWA | $35,889,201 | $29,838,063 |
| BUTLER COUNTY RURAL ELECTRIC COOPERATIVE | $30,394,763 | $29,834,817 |
| IOWA SOYBEAN ASSOCIATION | $33,930,076 | $29,641,064 |
| HEARTLAND POWER COOPERATIVE | $29,909,949 | $29,534,949 |
| VISITING NURSE SERVICES OF IOWA | $28,732,614 | $28,680,133 |
| MERIT RESOURCES WELFARE BENEFIT PLAN | $28,024,089 | $27,978,750 |
| BARTON CREEK SENIOR LIVING CENTER INC | $23,721,155 | $27,665,408 |
| IOWA LABORERS HEALTH AND WELFARE FUND | $28,553,558 | $27,523,523 |
| MERCY HEALTH NETWORK INC | $27,194,954 | $27,177,428 |