| ASCENSION MEDICAL GROUP PROMED | $78,824,301 | $124,488,730 |
| BURRELL INC | $144,683,356 | $123,483,044 |
| ASCENSION MEDICAL GROUP MICHIGAN | $60,682,760 | $122,572,266 |
| FIRST COMMUNITY CREDIT UNION | $134,147,474 | $117,992,996 |
| MERCY ACO CLINICAL SERVICES | $116,179,441 | $116,179,566 |
| NW ELECTRIC POWER COOPERATIVE | $117,334,007 | $115,759,289 |
| ST VINCENTS HEALTH SYSTEM INC | $112,153,124 | $112,414,524 |
| ST LUKES MEDICAL GROUP | $72,967,787 | $109,814,437 |
| ST VINCENTS MEDICAL CENTER-CLAY COUNTY INC | $122,475,573 | $109,649,189 |
| CITIZENS ELECTRIC CORPORATION | $115,619,682 | $107,090,751 |
| JANE PHILLIPS MEMORIAL MEDICAL CENTER | $117,185,440 | $106,612,997 |
| ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC | $106,457,719 | $104,133,855 |
| MRIGLOBAL | $108,959,622 | $103,621,879 |
| ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC | $67,294,269 | $103,297,669 |
| CHILDREN INTERNATIONAL | $112,499,923 | $103,235,117 |
| ASCENSION ARIZONA | $89,709,514 | $102,340,902 |
| COLUMBIA COLLEGE | $90,701,665 | $101,576,266 |
| TEAMSTERS AND EMPLOYERS WELFARE TRU | $119,816,869 | $101,008,900 |
| MISSOURI DELTA MEDICAL CENTER | $101,077,023 | $100,996,939 |
| ST LOUIS AREA FOOD BANK INC | $107,752,103 | $96,641,433 |
| ST MARYS HOSPITAL CENTRALIA ILLINOIS | $112,043,483 | $96,212,961 |
| TOGETHER CREDIT UNION | $109,073,449 | $94,556,170 |
| COLLEGE OF THE OZARKS | $97,681,730 | $94,258,276 |
| PRESENCE LIFE CONNECTIONS | $78,656,403 | $94,024,220 |
| SAINT THOMAS REGIONAL HOSPITALS | $80,981,079 | $93,083,958 |