| 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 |
| Mercy Clinic Springfield Communities | Chesterfield | $570,849,481 |
| 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 |
| Beacon Kalamazoo Inc | 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 |
| Saint Thomas Medical Partners | Saint Louis | $366,184,545 |
| 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 |
| Missouri Valley Line Constructors | Kansas City | $350,746,966 |
| 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 Health | Chesterfield | $310,443,758 |
| National Electrical Contractors Association Inc | Kansas City | $306,712,395 |
| 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 |
| Seton Family of Doctors | Saint Louis | $284,323,550 |
| 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 |
| Fellowship of Christian Athletes | Kansas City | $262,386,103 |
| Stifel Charitable Inc | Saint Louis | $261,457,767 |
| Ozarks Medical Center | West Plains | $261,442,966 |
| Burrell Inc | Springfield | $260,299,737 |
| Presence St Marys Hospital Presence Central and Suburban Hospitals Net | Saint Louis | $255,990,346 |
| Lutheran Senior Services | Saint Louis | $254,513,817 |
| Mers Missouri Goodwill Industries | Saint Louis | $251,650,956 |
| A T Still University of Health Sciences | Kirksville | $238,524,037 |
| The Monroe Clinic Inc | Saint Louis | $237,133,051 |
| Ascension Medical Group-Southeast Wisconsin Inc | Saint Louis | $235,840,251 |
| Saint Lukes North Hospital | Kansas City | $233,411,515 |
| Missouri Chamber Federation Benefit Plan Trust | Jefferson Cty | $228,531,344 |
| Mercy Clinic Oklahoma Communities | Chesterfield | $225,717,190 |
| Saint Francis Healthcare System | Cpe Girardeau | $215,855,247 |
| University Health Physicians | Kansas City | $214,228,334 |
| Cox Health Systems Insurance Company | Springfield | $211,831,984 |
| Patterson Family Foundation | Kansas City | $211,204,262 |
| Dell Childrens Medical Group | Saint Louis | $208,342,878 |
| St Anthony Shawnee Hospital Inc | Saint Louis | $205,517,992 |
| Ascension Health Texas | Saint Louis | $202,761,921 |
| Stowers Resource Management Inc | Kansas City | $198,300,289 |
| St Vincent Anderson Regional Hospital Inc | Saint Louis | $192,591,418 |
| Ascension Welfare Benefits Trust | Saint Louis | $191,430,760 |
| Missouri Delta Medical Center | Sikeston | $188,593,600 |
| Ascension Wisconsin Inc | Saint Louis | $183,089,163 |
| Citizens Electric Corporation | Perryville | $175,338,534 |
| Ewing Marion Kauffman Foundation | Kansas City | $173,769,242 |
| Maryville University of St Louis | Saint Louis | $171,685,559 |
| St Vincents Health System Inc | Saint Louis | $168,691,325 |
| Johnny Morris Ozarks Heritage Preserve | Springfield | $167,956,538 |
| Webster University | Saint Louis | $166,552,505 |
| Kansas City University | Kansas City | $165,535,312 |
| Acension St Vincent South Side | Saint Louis | $163,910,921 |
| Cuivre River Electric Cooperative Incorporated | Troy | $161,893,918 |
| Mercy Clinic Fort Smith Communities | Chesterfield | $159,161,745 |
| St Louis Childrens Hospital Foundation | Saint Louis | $159,135,119 |
| Principia Corporation | Saint Louis | $158,233,307 |
| Ssm Regional Health Services | Saint Louis | $147,305,400 |
| Harvesters-the Community Food Network | Kansas City | $146,724,224 |
| St Louis Community Foundation Incorporated | Saint Louis | $146,274,809 |
| College of the Ozarks | Point Lookout | $145,882,802 |
| Jane Phillips Memorial Medical Center Inc | Saint Louis | $144,791,337 |
| St Vincent Health Inc | Saint Louis | $131,426,723 |
| Alexian Brothers Health System | Saint Louis | $130,240,720 |
| Ascension St Francis Hospital Inc | Saint Louis | $128,420,532 |
| Central Indiana Health System Cardiac Services Inc | Saint Louis | $128,243,911 |
| Preferred Family Healthcare Inc | Springfield | $127,987,180 |
| N W Electric Power Cooperative Inc | Cameron | $126,449,964 |
| Mercy Aco Clinical Services Inc | Chesterfield | $125,501,264 |
| Ozark Schools Benefits Association | Bolivar | $123,882,108 |
| St Marys Hospital | Saint Louis | $123,815,235 |
| Ascension Medical Group-Fox Valley Wisconsin Inc | Saint Louis | $122,534,383 |
| Saint Thomas Regional Hospitals | Saint Louis | $120,561,832 |
| Mercy Hospital Lebanon | Lebanon | $120,515,483 |
| Easter Seals Midwest | Saint Louis | $118,986,600 |
| Arc of the Ozarks | Springfield | $118,460,429 |
| Lutheran Senior Services East | Brentwood | $116,578,894 |
| Mriglobal | Kansas City | $115,849,749 |
| St John Broken Arrow Inc | Saint Louis | $115,171,683 |
| Northeast Missouri Electric Power Cooperative | Palmyra | $114,512,159 |
| Rockhurst University | Kansas City | $114,024,174 |
| St Marys Medical Group LLC | Saint Louis | $111,967,409 |
| Saint Thomas Health | Saint Louis | $109,680,912 |
| Swope Health Services | Kansas City | $109,387,315 |
| Advocates for A Healthy Community Inc | Springfield | $108,591,088 |
| Mid-America Transplant Services | St Louis | $108,143,652 |
| Ascension Via Christi Hospital Manhattan Inc | Saint Louis | $108,090,338 |
| Enterprise Holdings Foundation | Saint Louis | $107,472,464 |
| International Academy of Science | Kansas City | $106,589,066 |
| The Foundation for Barnes-Jewish Hospital | Saint Louis | $106,303,827 |
| Family Counseling Center Inc | Kennett | $105,712,296 |
| Veterans of Foreign Wars of the United States | Kansas City | $103,347,960 |
| Missouri Foundation for Health | Saint Louis | $102,425,431 |
| Stowers Institute for Medical Research | Kansas City | $102,011,512 |
| Mosaic Medical Center - Maryville | Saint Joseph | $101,943,790 |
| St Vincent Fishers Hospital Inc | Saint Louis | $101,511,607 |
| St Lukes Medical Group | Chesterfield | $101,454,063 |
| National Insurance Producer Registry | Kansas City | $96,795,304 |
| St Louis Area Food Bank Inc | Bridgeton | $95,904,080 |
| Plumbers and Pipefitters Welfare Educational Fund | Earth City | $93,399,347 |
| St Vincents Ambulatory Care Inc | Saint Louis | $92,936,444 |
| Laclede Electric Cooperative | Lebanon | $90,729,121 |
| Drury University | Springfield | $90,602,921 |
| Ozark Electric Cooperative | Mount Vernon | $87,856,093 |
| John Knox Village | Lees Summit | $85,620,338 |
| Mercy Health East Communities | Chesterfield | $85,339,198 |
| IBEW-1 Health & Welfare Fund | Saint Louis | $85,145,602 |
| Gateway Region Young Mens Christian Association | Saint Louis | $84,044,927 |
| Mercy Hospital Carthage | Carthage | $83,327,776 |
| Seton-Ut Austin Dell Medical School University Physicians Group | Saint Louis | $82,774,846 |
| Southwest Electric Cooperative Inc | Bolivar | $81,663,498 |
| Rediscover | Lees Summit | $81,206,554 |
| Evangel University of the Assemblies of God | Springfield | $81,140,664 |
| Boone Electric Cooperative | Columbia | $81,103,577 |
| Park University | Parkville | $80,125,480 |
| Alexian Brothers Ambulatory Group | Saint Louis | $79,967,373 |
| United States Soybean Export Council Inc | Chesterfield | $79,095,999 |
| Mary Institute and Saint Louis Country Day School | Saint Louis | $78,648,624 |
| Cox-Monett Hospital Inc | Monett | $76,668,527 |
| St Louis Municipal Finance Corporation | Saint Louis | $75,878,000 |
| Teamsters & Employers Welfare Trust of Illinois | Earth City | $75,091,725 |
| Alexian Brothers Behavioral Health Hospital | Saint Louis | $75,081,696 |
| Citizens Memorial Health Care Foundation | Bolivar | $74,818,514 |
| Ascension Via Christi Health Inc | Saint Louis | $74,614,503 |
| Ranken-Jordan Home for Convalescent Crippled Children | Maryland Hts | $74,536,783 |
| Intercounty Electric Cooperative Association | Licking | $73,962,568 |
| Platte-Clay Electric Cooperative Inc | Kearney | $72,240,535 |
| Providence Health Alliance Inc | Saint Louis | $71,654,372 |
| Internatonal Assoc of Machinists | Bridgeton | $71,478,684 |
| Missouri Baptist University | Saint Louis | $70,683,910 |
| Cameron Regional Medical Center Inc | Cameron | $70,287,433 |
| St Lukes Des Peres Episcopal-Presbyterian Hospital | Chesterfield | $69,764,346 |
| Columbia College | Columbia | $69,110,444 |
| Saint Lukes Hospital of Chillicothe | Chillicothe | $69,039,563 |
| Greater St Louis Construction Laborers Welfare Fund | Saint Louis | $68,928,683 |
| Operating Engineers-101 Health and Welfare Fund | Kansas City | $68,579,633 |
| United Way of Greater St Louis Inc | Saint Louis | $68,551,203 |
| Alphapointe | Kansas City | $67,336,243 |
| Cardinal Glennon Childrens Foundation | Saint Louis | $66,918,507 |
| Ascension Via Christi Hospital St Teresa Inc | Saint Louis | $65,566,315 |
| United Food & Commercial Workers Union Lock 655 Welfare Fund | Ballwin | $65,414,835 |
| International Brotherhood of Boilermakers Iron Ship Builders | Kansas City | $65,312,777 |
| Ozark Center | Joplin | $64,827,238 |
| Donald Danforth Plant Science Center | Saint Louis | $63,779,784 |
| Friendship Village of South County | Saint Louis | $63,121,770 |
| Leonard & Beryl Buck Foundation | Saint Louis | $62,821,444 |
| John Fitzgibbon Memorial Hospital Inc | Marshall | $62,743,772 |
| Central Methodist University | Fayette | $62,064,522 |
| Presence Healthcare Services | Saint Louis | $61,731,801 |
| Missouri Botanical Garden Board of Trustees | Saint Louis | $60,959,371 |
| Cox Health Systems HMO Inc | Springfield | $60,268,895 |
| Black River Electric Cooperative | Fredericktown | $59,896,750 |
| Mosaic Health System | Saint Joseph | $59,455,072 |
| Ameren Health & Welfare Trust | Saint Louis | $57,701,223 |
| Community Foundation of the Ozarks Inc | Springfield | $57,399,016 |
| Missouri Hospital Plan | Jefferson Cty | $56,721,537 |
| Three Rivers Electric Cooperative | Linn | $56,551,474 |
| Urban League of Metropolitan St Louis | Saint Louis | $56,384,000 |
| Southwest Baptist University | Bolivar | $56,069,214 |
| Confluence Academy | Saint Louis | $55,780,422 |
| New Mac Electric Cooperative Inc | Neosho | $55,764,895 |
| Nelson Gallery Foundation | Kansas City | $55,555,683 |
| Missouri Valley College | Marshall | $55,365,959 |
| Saint Louis Symphony Orchestra | Saint Louis | $54,686,743 |
| The Saint Louis Zoo Foundation | Saint Louis | $53,824,998 |
| Friends of the Zoo Inc of Kansas City Mo | Kansas City | $53,626,478 |
| Osage Valley Electric Cooperative Association | Butler | $53,175,273 |
| Lighthouse for the Blind | Saint Louis | $53,108,670 |
| American Angus Association | Saint Joseph | $53,107,780 |
| Affinia Healthcare | Saint Louis | $52,202,407 |
| KIPP St Louis | Saint Louis | $51,954,944 |
| Ssmhcs Liability Trust Mercantile Bank Ttee | Saint Louis | $51,410,370 |
| Hall Family Foundation | Kansas City | $51,077,477 |
| John Burroughs School | Saint Louis | $50,440,295 |
| Marvin M Schwan Charitable Foundation | Earth City | $49,239,185 |
| William Jewell College | Liberty | $47,919,153 |
| Ranken Technical College | Saint Louis | $47,873,490 |
| Kansas City Art Institute | Kansas City | $46,598,365 |
| Ironworkers St Louis District Council Welfare Plan | Maryland Heights | $46,290,861 |
| Mercy Health Springfield Communities | Springfield | $46,176,003 |
| Friendship Village of West County | Chesterfield | $45,933,581 |
| University of Health Sciences and Pharmacy in St Louis | Saint Louis | $45,332,864 |
| Health Forward Foundation | Kansas City | $45,105,484 |
| Pembroke Hill School | Kansas City | $45,070,337 |
| Logan University | Chesterfield | $44,575,690 |
| Crawford Electric Cooperative Inc | Bourbon | $44,572,741 |
| Bethesda Long Term Care Inc | St Louis | $43,875,058 |
| Worldwide Inventory Network Inc | Saint Louis | $43,202,476 |
| Webster Electric Cooperative | Marshfield | $42,978,887 |
| The 1791 Foundation Inc | Columbia | $42,527,486 |
| Forest Park Forever Inc | Saint Louis | $42,276,327 |
| Missouri State University Foundation | Springfield | $40,740,762 |
| Freeman Neosho Hospital | Neosho | $40,129,717 |
| Central Missouri Electric Cooperative Inc North Hwy 65 | Sedalia | $39,761,003 |
| Municipal Theatre Association of St Louis | Saint Louis | $39,442,600 |
| Westminster College | Fulton | $39,343,464 |
| Saint Lukes Foundation | Kansas City | $39,304,754 |
| Mark Twain Association for Mental Health Inc | Hannibal | $38,911,982 |
| West-Central Electric Cooperative Inc | Higginsville | $38,213,172 |
| Ascension Living Bethlehem Woods Village | Saint Louis | $38,122,265 |
| Kanakuk Ministries | Branson | $37,754,925 |
| Ozark Border Electric Cooperative Inc | Poplar Bluff | $37,553,736 |
| Wheaton Franciscan Healthcare - Southeast Wisconsin Inc | Saint Louis | $36,976,619 |
| Culver-Stockton College | Canton | $36,716,313 |
| Midway USA Foundation Inc | Columbia | $36,186,941 |
| Ameren Management Health Trust | Saint Louis | $35,532,132 |
| Macon Electric Cooperative | Macon | $33,901,804 |
| Farmers Electric Cooperative Inc | Chillicothe | $33,398,089 |
| M & A Electric Power Cooperative | Poplar Bluff | $32,693,480 |
| Barry Electric Cooperative Inc | Cassville | $32,183,173 |
| Children International | Kansas City | $31,692,874 |
| Humane Society of Missouri | Saint Louis | $31,581,705 |
| Crawford Taylor Foundation | Saint Louis | $31,571,521 |
| Water Org Inc | Kansas City | $31,261,309 |
| Concordia Disability and Survivor Plan | Saint Louis | $30,986,269 |
| Marion and Henry Bloch Family Foundation | Kansas City | $30,186,820 |
| Umkc Foundation | Kansas City | $29,053,341 |
| Sac Osage Electric Cooperative Inc | El Dorado Spg | $28,816,541 |
| Pemiscot-Dunklin Electric Cooperative | Kennett | $28,384,163 |
| Dell Childrens Foundation | Saint Louis | $27,810,157 |
| Charles N Sharpe Jr Foundation | Smithville | $26,607,931 |
| Alexian Health Senior Care | Saint Louis | $26,296,434 |
| Howell-Oregon Electric Cooperative Inc | West Plains | $26,122,172 |
| Arsenal Credit Union | Arnold | $25,913,198 |
| James S McDonnell Foundation | Saint Louis | $25,559,234 |
| St Louis Art Museum Foundation | Saint Louis | $25,077,695 |
| Muriel McBrien Kauffman Foundation | Kansas City | $24,450,047 |
| Paula and Rodger Riney Foundation | Saint Louis | $23,879,861 |
| Childrens Mercy Hospital Foundation | Kansas City | $23,630,721 |
| Missouri Historical Society Jefferson Memorial Building | Saint Louis | $23,607,289 |
| Cottey College | Nevada | $23,150,788 |
| Alexian Brothers Hospital Network | Saint Louis | $23,022,266 |
| Jewish Federation of St Louis | Saint Louis | $19,976,856 |
| Robert K Johnson Foundation | Saint Louis | $19,288,917 |
| Hope Educational & Research Center | Saint Louis | $19,137,612 |
| Kauffman Center for the Performing Arts | Kansas City | $18,702,513 |
| Kummer Institute Foundation | Rolla | $18,066,483 |
| Boniface Foundation | Saint Louis | $16,458,910 |
| William T Kemper Foundation Commerce Bank of Kansas City N A T | Kansas City | $14,651,347 |
| World Wide Technology Foundation | Saint Louis | $13,430,044 |
| Ascension Via Christi Hospital Pittsburg Inc | Saint Louis | $12,625,051 |
| Steward Family Foundation | Saint Louis | $12,505,319 |
| Jeremiah 924 Foundation | Springfield | $11,355,537 |
| Charles K Blandin Residuary Trust 30/15962 | Saint Louis | $11,325,737 |
| Youthbridge Community Foundation | Saint Louis | $11,240,983 |
| Missouri Corporation for Science and Technology | Saint Louis | $11,182,096 |
| Greater Horizons Trust | Kansas City | $10,071,553 |
| The Hagan Scholarship Foundation | Columbia | $9,518,138 |
| Bellwether Foundation Inc | Saint Louis | $7,841,135 |
| Centene Foundation | Saint Louis | $7,724,853 |
| Anheuser-Busch Foundation | Clayton | $7,543,118 |
| Bayer Fund | Saint Louis | $7,248,118 |
| The W W Smith Charitable Trust | Saint Louis | $6,358,198 |
| Alvin Goldfarb Foundation | Saint Louis | $5,228,317 |
| Tw Ld McEachearn | Saint Louis | $4,789,195 |
| Berry Foundation | Kansas City | $4,470,563 |
| Jefferson Foundation | Festus | $3,202,649 |
| Ascension Care Management Insurance Holdings | Saint Louis | $2,784,206 |
| Perry County Health System | Perryville | $2,318,503 |
| Providence Hospital | Saint Louis | $1,503,462 |
| Capital Region Medical Center | Jefferson Cty | $1,258,980 |