| JOHN FITZGIBBON MEMORIAL HOSPITAL | $51,508,443 | $57,623,006 |
| SWOPE HEALTH SERVICES | $59,338,071 | $57,388,925 |
| INTERCOUNTY ELECTRIC COOPERATIVE ASSOCIATION | $61,747,376 | $57,222,068 |
| EVANGEL UNIVERSITY | $57,997,112 | $57,201,830 |
| MERCY HEALTH | $2,272,971 | $56,779,091 |
| ST JOHN BROKEN ARROW INC | $62,979,518 | $56,476,604 |
| MISSOURI FOUNDATION FOR HEALTH | $55,807,029 | $55,397,104 |
| MID-AMERICA TRANSPLANT SERVICES | $59,473,152 | $55,362,635 |
| FOOD BANK FOR CENTRAL AND NORTHEAST MISSOURI INC | $54,695,966 | $54,469,451 |
| ARC OF THE OZARKS | $55,973,217 | $54,252,695 |
| ST LOUIS MUNICIPAL FINANCE CORPORATION | $43,921,000 | $54,013,000 |
| CONSTRUCTION INDUSTRY LABORERS WELFARE FUND | $57,989,921 | $53,354,653 |
| ASCENSION MEDICAL GROUP GENESYS | $47,575,897 | $52,389,787 |
| DONALD DANFORTH PLANT SCIENCE CENTER | $54,968,873 | $52,132,116 |
| SSMHC LIABILITY TRUST I | $30,590,529 | $52,108,980 |
| CENTRAL METHODIST UNIVERSITY | $55,286,312 | $51,915,191 |
| CITIZENS MEMORIAL HEALTH CARE FOUNDATION | $51,579,885 | $51,426,969 |
| ALABAMA PROVIDENCE HEALTHCARE SERVICES | $32,937,947 | $51,185,936 |
| STEPHENS COLLEGE ENDOWMENT FOUNDATION | $442,311 | $50,854,560 |
| WILLIAM JEWELL COLLEGE | $45,650,784 | $50,585,097 |
| VANTAGE CREDIT UNION | $56,423,711 | $50,528,833 |
| MISSOURI BAPTIST UNIVERSITY | $51,218,020 | $50,174,856 |
| OPERATING ENGINEERS LOCAL 101 HEALTH AND WELFARE PLAN | $52,407,694 | $48,826,846 |
| HOWARD YOUNG MEDICAL CENTER INC | $58,902,930 | $48,702,516 |
| CO-MO ELECTRIC COOPERATIVE INC | $51,988,626 | $48,312,224 |