| CAPITAL REGION MEDICAL CENTER | $216,156,009 | $218,237,035 |
| ASCENSION PROVIDENCE ROCHESTER HOSPITAL | $223,857,323 | $214,184,740 |
| COMPASS HEALTH INC | $222,744,729 | $213,599,507 |
| SETON FAMILY OF DOCTORS | $103,171,648 | $211,544,009 |
| ST VINCENTS AMBULATORY CARE INC | $108,997,488 | $201,856,296 |
| ST JOHN PROVIDENCE | $199,269,481 | $195,833,813 |
| CONVOY OF HOPE | $194,826,293 | $190,498,785 |
| LAKE REGIONAL HEALTH SYSTEM | $176,325,229 | $189,287,458 |
| SSM REGIONAL HEALTH SERVICES | $176,698,048 | $188,149,445 |
| HANNIBAL REGIONAL HEALTHCARE SYSTEM INC | $191,942,476 | $186,970,433 |
| SKAGGS COMMUNITY HOSPITAL ASSOCIATION | $199,960,333 | $186,700,032 |
| WEBSTER UNIVERSITY | $171,791,221 | $184,772,786 |
| ASCENSION ST MICHAELS HOSPITAL INC | $177,183,067 | $184,572,296 |
| SAINT LUKES NORTH HOSPITAL | $185,463,131 | $182,863,580 |
| AMEREN HEALTH AND WELFARE TRUST | $231,360,264 | $182,282,551 |
| LUTHERAN SENIOR SERVICES | $172,492,506 | $181,548,551 |
| PRESENCE HEALTHCARE SERVICES | $89,216,902 | $180,213,120 |
| GOOD SAMARITAN REGIONAL HEALTH CENTER | $189,871,786 | $179,287,224 |
| LINDENWOOD COLLEGE | $153,756,093 | $175,883,635 |
| STVINCENT ANDERSON REGIONAL HOSPITAL INC | $183,308,263 | $175,855,986 |
| ASCENSION ST FRANCIS HOSPITAL INC | $171,706,123 | $173,619,331 |
| OZARKS MEDICAL CENTER | $185,987,186 | $172,537,450 |
| SSM EMPLOYEE HEALTH CARE FUND | $173,530,552 | $171,734,380 |
| ST LUKES-ST VINCENTS HEALTHCARE INC | $181,787,371 | $170,878,653 |
| PRESENCE CARE TRANSFORMATION CORPORATION | $416,757,920 | $168,134,943 |