| 1 | Bjc Health System Saint Louis, MO | $11.3B | $8.0B |
| 2 | Government Employees Health Association INC Lees Summit, MO | $6.1B | $2.5B |
| 3 | Washington University St. Louis, MO | $5.2B | $20.5B |
| 4 | Ascension Seton Saint Louis, MO | $3.3B | $3.2B |
| 5 | Ascension Health Alliance Saint Louis, MO | $2.4B | $24.0B |
| 6 | Ssm Health Care St. Louis Saint Louis, MO | $2.2B | $1.1B |
| 7 | Childrens Mercy Hospital Kansas City, MO | $2.1B | $3.3B |
| 8 | Bjc Health System St. Louis, MO | $2.0B | $7.8B |
| 9 | Mercy Hospitals East Communities Chesterfield, MO | $1.9B | $916.1M |
| 10 | Lester E Cox Medical Center Springfield, MO | $1.8B | $2.1B |
| 11 | Sacred Heart Health System INC Saint Louis, MO | $1.7B | $981.7M |
| 12 | Mhm Support Services Chesterfield, MO | $1.5B | $848.9M |
| 13 | St. Vincent Hospital & Health Care Saint Louis, MO | $1.5B | $1.1B |
| 14 | Ssm Health Care Corporation Saint Louis, MO | $1.4B | $7.0B |
| 15 | Mercy Hospital Springfield Springfield, MO | $1.3B | $555.3M |
| 16 | Ascension Health-is INC Saint Louis, MO | $1.3B | $695.3M |
| 17 | Saint Thomas West Hospital Saint Louis, MO | $1.3B | $815.7M |
| 18 | Presence Chicago Hospitals Network Saint Louis, MO | $1.2B | $1.0B |
| 19 | Ssm Health Care of Oklahoma INC Saint Louis, MO | $1.1B | $453.7M |
| 20 | Ssm-sluh INC Saint Louis, MO | $947.9M | $708.1M |
| 21 | St. Louis University Saint Louis, MO | $864.3M | $3.0B |
| 22 | Truman Medical Center Incorporated Kansas City, MO | $835.9M | $517.0M |
| 23 | Presence St. Marys Hospital Presence Central and Suburban Hospitals Net Saint Louis, MO | $807.2M | $530.0M |
| 24 | Delta Dental of Missouri St. Louis, MO | $805.5M | $229.1M |
| 25 | Heartland Regional Medical Center Saint Joseph, MO | $782.2M | $495.4M |
| 26 | Greater Kansas City Community Foundation Kansas City, MO | $781.8M | $3.4B |
| 27 | Ssm Health Care of Wisconsin INC Saint Louis, MO | $770.2M | $499.4M |
| 28 | Ascension via Christi Hospitals Wichita INC Saint Louis, MO | $759.1M | $380.0M |
| 29 | Greater Horizons Kansas City, MO | $754.1M | $2.8B |
| 30 | Mercy Clinic East Communities Chesterfield, MO | $739.7M | $136.1M |
| 31 | Freeman Health System Joplin, MO | $709.6M | $734.7M |
| 32 | Saint Francis Medical Center Cpe Girardeau, MO | $695.1M | $1.7B |
| 33 | St. Marys Health INC DBA Ascension Saint Louis, MO | $689.6M | $394.1M |
| 34 | St. Lukes Episcopal-presbyterian Hospital Chesterfield, MO | $664.6M | $859.5M |
| 35 | Columbia St. Marys Hospital Milwaukee INC Saint Louis, MO | $662.4M | $501.6M |
| 36 | Mercy Hospital South Saint Louis, MO | $661.3M | $515.8M |
| 37 | St. John Medical Center INC Saint Louis, MO | $600.4M | $328.2M |
| 38 | Agnesian Healthcare INC Saint Louis, MO | $584.4M | $743.4M |
| 39 | Mercy Clinic Springfield Communities Chesterfield, MO | $562.9M | $39.8M |
| 40 | Compass Health INC Clinton, MO | $557.2M | $432.9M |
| 41 | Saint Thomas Rutherford Hospital Saint Louis, MO | $512.9M | $446.3M |
| 42 | St. Agnes Healthcare INC Saint Louis, MO | $494.2M | $404.0M |
| 43 | Alexian Brothers Medical Center Saint Louis, MO | $482.0M | $332.5M |
| 44 | St. Vincents Medical Center INC Saint Louis, MO | $453.8M | $323.5M |
| 45 | Ssm Cardinal Glennon Childrens Hospital Saint Louis, MO | $441.3M | $602.9M |
| 46 | Ch Allied Services INC Columbia, MO | $438.3M | $238.0M |
| 47 | Ascension Borgess Hospital Saint Louis, MO | $402.3M | $219.8M |
| 48 | Ascension SE Wisconsin Hospital INC Saint Louis, MO | $388.4M | $293.3M |
| 49 | St. Alexius Medical Center Saint Louis, MO | $377.4M | $257.6M |
| 50 | Ascension NE Wisconsin INC Saint Louis, MO | $363.3M | $311.9M |