| 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 |
| STVINCENT FISHERS HOSPITAL INC | $73,717,194 | $63,954,321 |
| SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP | $39,723,341 | $63,055,529 |
| WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC | $75,984,957 | $59,029,002 |
| SSM AUDRAIN HEALTH CARE INC | $52,425,147 | $58,030,869 |
| ASCENSION MICHIGAN CMG | $40,738,480 | $57,893,298 |
| 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 |
| 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 |
| ALABAMA PROVIDENCE HEALTHCARE SERVICES | $32,937,947 | $51,185,936 |
| MISSOURI BAPTIST UNIVERSITY | $51,218,020 | $50,174,856 |
| HOWARD YOUNG MEDICAL CENTER INC | $58,902,930 | $48,702,516 |
| BETHESDA LONG TERM CARE INC | $47,851,249 | $46,201,026 |
| MISSOURI BOTANICAL GARDEN BOARD OF TRUSTEES | $50,712,840 | $45,945,265 |
| RANKEN TECHNICAL COLLEGE | $40,680,568 | $44,470,939 |
| CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC | $88,817,004 | $43,472,214 |
| ST LOUIS CHILDRENS HOSPITAL FOUNDATION | $49,013,270 | $43,149,700 |
| CARPENTERS VACATION TRUST FUND OF ST LOUIS | $43,235,937 | $43,131,337 |
| MARY INSTITUTE AND ST LOUIS COUNTRY DAY SCHOOL | $41,393,698 | $42,942,972 |
| CONFLUENCE ACADEMY | $50,100,449 | $42,217,094 |
| MERCY HEALTH EAST COMMUNITIES | $44,526,732 | $40,630,071 |