| BJC HEALTH SYSTEM | SAINT LOUIS | $11,251,316,536 |
| GOVERNMENT EMPLOYEES HEALTH ASSOCIATION INC | LEES SUMMIT | $6,100,727,459 |
| WASHINGTON UNIVERSITY | ST LOUIS | $5,899,375,814 |
| ASCENSION SETON | SAINT LOUIS | $3,320,092,864 |
| ASCENSION HEALTH ALLIANCE | SAINT LOUIS | $3,284,806,032 |
| CHILDRENS MERCY HOSPITAL | KANSAS CITY | $2,340,991,656 |
| SSM HEALTH CARE ST LOUIS | SAINT LOUIS | $2,192,307,272 |
| BJC HEALTH SYSTEM | SAINT LOUIS | $2,042,365,571 |
| MERCY HOSPITALS EAST COMMUNITIES | CHESTERFIELD | $1,974,869,337 |
| LESTER E COX MEDICAL CENTER | SPRINGFIELD | $1,960,936,555 |
| SACRED HEART HEALTH SYSTEM INC | SAINT LOUIS | $1,847,286,701 |
| MHM SUPPORT SERVICES | CHESTERFIELD | $1,656,435,434 |
| ST VINCENT HOSPITAL & HEALTH CARE | SAINT LOUIS | $1,655,182,680 |
| MERCY HOSPITAL SPRINGFIELD | SPRINGFIELD | $1,453,548,711 |
| SSM HEALTH CARE CORPORATION | SAINT LOUIS | $1,391,036,296 |
| SAINT THOMAS WEST HOSPITAL | SAINT LOUIS | $1,265,719,340 |
| ST LUKES HOSPITAL OF KANSAS CITY | KANSAS CITY | $1,157,790,152 |
| SSM HEALTH CARE OF OKLAHOMA INC | SAINT LOUIS | $1,121,270,362 |
| ASCENSION HEALTH-IS INC | SAINT LOUIS | $989,717,856 |
| SSM-SLUH INC | SAINT LOUIS | $947,923,142 |
| TRUMAN MEDICAL CENTER INCORPORATED | KANSAS CITY | $892,047,111 |
| HEARTLAND REGIONAL MEDICAL CENTER | SAINT JOSEPH | $883,407,770 |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA INC | SAINT LOUIS | $844,568,747 |
| DELTA DENTAL OF MISSOURI | ST LOUIS | $805,510,567 |
| MERCY CLINIC EAST COMMUNITIES | CHESTERFIELD | $804,629,365 |
| GREATER KANSAS CITY COMMUNITY FOUNDATION | KANSAS CITY | $781,787,887 |
| SSM HEALTH CARE OF WISCONSIN INC | SAINT LOUIS | $770,222,978 |
| SAINT FRANCIS MEDICAL CENTER | CPE GIRARDEAU | $767,210,156 |
| GREATER HORIZONS | KANSAS CITY | $754,144,636 |
| COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC | SAINT LOUIS | $724,039,616 |
| FREEMAN HEALTH SYSTEM | JOPLIN | $709,601,151 |
| MERCY HOSPITAL SOUTH | SAINT LOUIS | $709,067,431 |
| ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL | CHESTERFIELD | $685,484,744 |
| ST MARYS HEALTH INC DBA ASCENSION | SAINT LOUIS | $669,333,941 |
| COMPASS HEALTH INC | CLINTON | $663,472,344 |
| AGNESIAN HEALTHCARE INC | SAINT LOUIS | $584,413,789 |
| SAINT LUKES PHYSICIAN GROUP INC | KANSAS CITY | $562,469,307 |
| PRESENCE CHICAGO HOSPITALS NETWORK | SAINT LOUIS | $562,281,879 |
| ST AGNES HEALTHCARE INC | SAINT LOUIS | $536,687,047 |
| SAINT THOMAS RUTHERFORD HOSPITAL | SAINT LOUIS | $519,770,282 |
| ST VINCENTS MEDICAL CENTER INC | SAINT LOUIS | $493,026,123 |
| ASCENSION BORGESS HOSPITAL | SAINT LOUIS | $486,245,425 |
| ALEXIAN BROTHERS MEDICAL CENTER | SAINT LOUIS | $475,061,260 |
| SSM CARDINAL GLENNON CHILDRENS HOSPITAL | SAINT LOUIS | $441,283,899 |
| CH ALLIED SERVICES INC | COLUMBIA | $438,261,156 |
| SOUTHEAST HOSPITAL | CPE GIRARDEAU | $404,529,005 |
| ASCENSION SE WISCONSIN HOSPITAL INC | SAINT LOUIS | $400,522,919 |
| COXHEALTH | SPRINGFIELD | $394,598,058 |
| ST ALEXIUS MEDICAL CENTER | SAINT LOUIS | $389,316,421 |
| ASCENSION HEALTH | SAINT LOUIS | $383,050,950 |
| SAINT LUKES EAST HOSPITAL | LEES SUMMIT | $376,201,191 |
| ASCENSION PROVIDENCE | SAINT LOUIS | $357,478,823 |
| ST LUKES - ST VINCENTS HEALTHCAREINC | SAINT LOUIS | $355,249,360 |
| ASCENSION ALL SAINTS HOSPITAL INC | SAINT LOUIS | $355,020,008 |
| MERCY HOSPITAL JOPLIN | JOPLIN | $342,621,581 |
| ST VINCENT MEDICAL GROUP INC | SAINT LOUIS | $338,620,643 |
| HANNIBAL REGIONAL HEALTHCARE SYSTEM INC | HANNIBAL | $325,399,388 |
| SKAGGS COMMUNITY HOSPITAL ASSOCIATION | BRANSON | $314,979,655 |
| MERCY HOSPITAL JEFFERSON | CRYSTAL CITY | $300,175,557 |
| ST VINCENT CARMEL HOSPITAL INC | SAINT LOUIS | $290,888,939 |
| ASCENSION HEALTH PROFESSIONAL AND GENERAL LIABILITY SELF-INSURANCE | SAINT LOUIS | $286,007,626 |
| SAINT LUKES HEALTH SYSTEM INC | KANSAS CITY | $283,168,180 |
| CONCORDIA HEALTH PLAN | SAINT LOUIS | $278,771,265 |
| SSM HEALTH BUSINESSES | SAINT LOUIS | $273,933,110 |
| LAKE REGIONAL HEALTH SYSTEM | OSAGE BEACH | $273,472,502 |
| CENTRAL ELECTRIC POWER COOPERATIVE | JEFFERSON CTY | $269,590,281 |
| GOOD SAMARITAN REGIONAL HEALTH CENTER | SAINT LOUIS | $264,543,787 |
| OZARKS MEDICAL CENTER | WEST PLAINS | $261,442,966 |
| PRESENCE ST MARYS HOSPITAL PRESENCE CENTRAL AND SUBURBAN HOSPITALS NET | SAINT LOUIS | $255,990,346 |
| LUTHERAN SENIOR SERVICES | SAINT LOUIS | $254,513,817 |
| A T STILL UNIVERSITY OF HEALTH SCIENCES | KIRKSVILLE | $238,524,037 |
| THE MONROE CLINIC INC | SAINT LOUIS | $237,133,051 |
| SAINT LUKES NORTH HOSPITAL | KANSAS CITY | $233,411,515 |
| SAINT FRANCIS HEALTHCARE SYSTEM | CPE GIRARDEAU | $215,855,247 |
| PATTERSON FAMILY FOUNDATION | KANSAS CITY | $211,204,262 |
| ST ANTHONY SHAWNEE HOSPITAL INC | SAINT LOUIS | $205,517,992 |
| ASCENSION WELFARE BENEFITS TRUST | SAINT LOUIS | $191,430,760 |
| ASCENSION WISCONSIN INC | SAINT LOUIS | $183,089,163 |
| EWING MARION KAUFFMAN FOUNDATION | KANSAS CITY | $173,769,242 |
| CUIVRE RIVER ELECTRIC COOPERATIVE INCORPORATED | TROY | $161,893,918 |
| PRINCIPIA CORPORATION | SAINT LOUIS | $158,233,307 |
| COLLEGE OF THE OZARKS | POINT LOOKOUT | $145,882,802 |
| ALEXIAN BROTHERS HEALTH SYSTEM | SAINT LOUIS | $130,240,720 |
| CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC | SAINT LOUIS | $128,243,911 |
| LUTHERAN SENIOR SERVICES EAST | BRENTWOOD | $116,578,894 |
| MISSOURI FOUNDATION FOR HEALTH | SAINT LOUIS | $102,425,431 |
| MERCY HEALTH EAST COMMUNITIES | CHESTERFIELD | $85,339,198 |
| MERCY HEALTH SPRINGFIELD COMMUNITIES | SPRINGFIELD | $46,176,003 |
| CAPITAL REGION MEDICAL CENTER | JEFFERSON CTY | $1,258,980 |