| LACLEDE ELECTRIC COOPERATIVE | $74,266,261 | $74,266,261 |
| INTERNATIONAL ASSOC OF MACHINISTS AND AEROSPACE WORKERS WELFARE TRUST | $81,268,856 | $72,997,671 |
| PLATTE-CLAY ELECTRIC COOPERATIVE INC | $74,097,282 | $70,146,430 |
| EASTER SEALS MIDWEST | $72,795,380 | $70,061,606 |
| KANSAS CITY UNIVERSITY OF MEDICINE AND BIOSCIENCES | $91,867,213 | $69,630,218 |
| BOARD OF TRUSTEES OF IBEW LOCAL 1 HEALTH AND WELFARE FUND | $75,144,865 | $68,817,455 |
| FOUNDATION FOR BARNES-JEWISH HOSPITAL | $67,316,704 | $68,244,439 |
| UNITED FOOD AND COMMERCIAL WORKERS UNION WORKERS UNION LOCAL NO 655 WELFARE FUND | $58,046,423 | $67,526,806 |
| LEGGETT AND PLATT INCORPORATED EMPLOYEE BENEFIT FUND | $66,234,904 | $66,992,294 |
| ALPHAPOINTE | $65,874,700 | $64,013,950 |
| STVINCENT FISHERS HOSPITAL INC | $73,717,194 | $63,954,321 |
| SOUTHWEST ELECTRIC COOPERATIVE | $69,243,622 | $63,675,316 |
| SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP | $39,723,341 | $63,055,529 |
| SAINT LUKES HOSPITAL OF CHILLICOTHE | $69,636,470 | $62,483,207 |
| HALLMARK EMPLOYEE BENEFIT TRUSTS COMMERCE | $60,626,837 | $61,903,281 |
| CARPENTERS DIST CNCL OF KANSAS CITY AND VICINITY WELFARE PLAN | $53,992,549 | $61,729,908 |
| SAINT LUKES PHYSICIAN GROUP I LLC | $61,383,910 | $61,620,465 |
| BOONE ELECTRIC COOPERATIVE | $64,344,021 | $61,257,754 |
| CAMERON REGIONAL MEDICAL CENTER | $60,174,622 | $60,923,857 |
| WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC | $75,984,957 | $59,029,002 |
| ST LOUIS COLLEGE OF PHARMACY | $56,017,154 | $58,931,246 |
| PERRY COUNTY HEALTH SYSTEM PERRY COUNTY MEMORIAL HOSPITAL | $57,582,509 | $58,803,879 |
| ADVOCATES FOR A HEALTHY COMMUNITY INC | $60,801,210 | $58,691,733 |
| SSM AUDRAIN HEALTH CARE INC | $52,425,147 | $58,030,869 |
| ASCENSION MICHIGAN CMG | $40,738,480 | $57,893,298 |