| SAINT LUKES FOUNDATION | $31,665,376 | $20,527,482 |
| STARLIGHT THEATRE ASSOCIATION OF KANSAS CITY INC | $18,937,464 | $20,482,436 |
| FAMILY CARE HEALTH CENTERS | $20,139,141 | $20,474,166 |
| ASCENSION HEALTH SENIOR CARE | $24,388,733 | $20,465,588 |
| ST VINCENT WILLIAMSPORT HOSPITAL INC | $19,661,105 | $20,431,709 |
| HANNIBAL LAGRANGE UNIVERSITY | $17,351,348 | $20,296,479 |
| MISSOURI HISTORICAL SOCIETY | $50,604,856 | $20,290,827 |
| TRI-COUNTY MENTAL HEALTH SERVICES INC | $22,549,168 | $20,289,366 |
| MERCY HOSPITAL AURORA | $22,413,832 | $20,265,582 |
| SAC OSAGE ELECTRIC COOPERATIVE INC | $20,238,354 | $20,238,354 |
| LUTHERAN RETIREMENT CENTER ASSOCIATION CO LUTHERAN SENIOR SERVICES | $20,094,950 | $20,138,923 |
| BLACK RIVER ELECTRIC COOPERATIVE | $23,464,367 | $20,133,156 |
| CONCORDIA PUBLISHING HOUSE | $21,154,455 | $20,068,614 |
| BOONE CENTER INC | $19,233,639 | $20,001,884 |
| WEST CENTRAL MISSOURI COMMUNITY ACTION AGENCY | $19,805,175 | $19,996,634 |
| ST LOUIS LEGACY ICE FOUNDATION | $6,258,817 | $19,977,814 |
| MISSOURI RURAL ELECTRIC COOPERATIVE | $19,864,203 | $19,885,628 |
| M AND A ELECTRIC POWER COOP | $24,168,915 | $19,863,301 |
| AMERICAN PUBLIC WORKS ASSOCIATION | $20,519,960 | $19,819,709 |
| COTTEY COLLEGE | $16,101,002 | $19,785,707 |
| UFCW UNION LOCAL NO 88 AND EMPLOYERS HEALTH AND WELFARE FUND | $19,248,235 | $19,553,570 |
| CARONDELET CARDIOLOGY SERVICES INC | $8,686,867 | $19,456,996 |
| BIG SPRINGS MEDICAL ASSOCIATION INC | $19,514,553 | $19,386,582 |
| LIFEFLIGHT EAGLE | $19,889,056 | $19,364,299 |
| VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC | $21,512,187 | $19,347,800 |