| PEMISCOT COUNTY MEMORIAL HOSPITAL | $42,371,229 | $42,298,995 |
| MERCY HOSPITAL LINCOLN | $44,609,898 | $42,248,218 |
| CONFLUENCE ACADEMY | $50,100,449 | $42,217,094 |
| ST MARYS MEDICAL CENTER | $42,250,600 | $41,735,973 |
| SEMO ELECTRIC COOPERATIVE | $41,147,484 | $41,662,231 |
| MISSOURI VALLEY COLLEGE | $42,882,469 | $41,590,356 |
| RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN | $53,841,243 | $41,317,746 |
| NATIONAL INSURANCE PRODUCER REGISTRY | $48,944,008 | $40,780,318 |
| MERCY HEALTH EAST COMMUNITIES | $44,526,732 | $40,630,071 |
| COMMUNITY BLOOD CENTER OF GREATER KANSAS CITY | $43,377,291 | $39,918,018 |
| FRIENDSHIP VILLAGE OF SOUTH COUNTY | $36,200,772 | $39,788,409 |
| AFFINIA HEALTHCARE | $41,545,646 | $39,066,649 |
| SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE | $38,319,986 | $38,954,056 |
| ASCENSION WISCONSIN PHARMACY INC | $36,267,492 | $38,337,457 |
| KANSAS CITY ART INSTITUTE | $37,784,606 | $38,171,081 |
| ASCENSION RIVER DISTRICT HOSPITAL | $30,646,124 | $38,021,017 |
| IRONWORKERS ST LOUIS DISTRICT COUNCIL WELFARE PLAN | $43,316,737 | $37,992,478 |
| COX HPS OF THE OZARKS INC | $37,436,715 | $37,950,464 |
| FAMILY COUNSELING CENTER INC | $44,624,414 | $37,348,484 |
| MO KAN SHEET METAL WORKERS WELFARE FUND | $34,327,354 | $37,330,636 |
| WILLIAM WOODS UNIVERSITY | $36,966,601 | $37,319,262 |
| OSAGE VALLEY ELECTRIC COOPERATIVE | $37,229,065 | $37,229,065 |
| MINISTRY HEALTH CARE INC | $52,937,333 | $37,195,794 |
| MISSOURI HOSPITAL PLAN | $36,300,538 | $36,875,933 |
| FONTBONNE UNIVERSITY | $33,146,168 | $36,327,397 |