| HANNIBAL REGIONAL HEALTHCARE SYSTEM INC | $191,942,476 | $186,970,433 |
| HANNIBAL LAGRANGE UNIVERSITY | $17,351,348 | $20,296,479 |
| MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC | $18,341,920 | $13,796,530 |
| DOUGLASS COMMUNITY SERVICES INC | $8,576,532 | $8,430,321 |
| MENNONITE HOME ASSOCIATION INC | $8,159,251 | $8,290,032 |
| LUTHER MANOR ASSOCIATION | $4,185,185 | $4,536,764 |
| HANNIBAL CLINIC INC EMPLOYEES GROUP HEALTH PLAN TRUST | $4,360,882 | $4,276,686 |
| TURNING POINT RECOVERY CENTERS | $2,798,568 | $3,075,129 |
| NORTHEAST INDEPENDENT LIVING SERVICES | $2,284,805 | $2,285,049 |
| YOUNG MENS CHRISTIAN ASSOCIATION | $2,250,410 | $2,125,847 |
| MARION COUNTY SERVICES INC | $1,793,695 | $1,634,037 |
| SALT RIVER COMMUNITY HEALTH CENTER | $1,303,147 | $1,336,284 |
| HANNIBAL AREA COUNCIL OF AGING | $1,215,406 | $1,196,276 |
| MARK TWAIN HOME FOUNDATION | $1,231,742 | $870,787 |
| HANNIBAL REGIONAL FOUNDATION | $1,889,715 | $693,151 |
| BETH HAVEN TERRACE INC | $651,102 | $648,318 |
| AVENUES FOR NORTHEAST MISSOURI INC | $759,905 | $645,825 |
| HANNIBAL COUNTRY CLUB | $512,661 | $573,702 |
| SKILLS DEVELOPMENT INC | $379,788 | $403,998 |
| UNITED WAY OF THE MARK TWAIN AREA | $474,825 | $362,665 |
| HANNIBAL REGIONAL HOSPITAL AUXILIARY | $351,950 | $356,066 |
| FAMILIES AND COMMUNITIES TOGETHER | $299,442 | $268,418 |
| NORTHEAST MISSOURI SHELTERED WORKSHOP | $243,206 | $256,048 |
| COMMUNITY FIRST CREDIT UNION | $263,106 | $248,704 |
| NORTHEAST MISSOURI HUMANE SOCIETY | $541,105 | $224,028 |