| 1 | Presence Chicago Hospitals Network Saint Louis | $1.2B | $1.2B | $1.0B |
| 2 | Lutheran Senior Services Saint Louis | $418.7M | $254.5M | $898.9M |
| 3 | Mers Missouri Goodwill Industries Saint Louis | $265.6M | $251.7M | $177.3M |
| 4 | John Knox Village Lees Summit | $123.4M | $85.6M | $228.3M |
| 5 | Family Counseling Center INC Kennett | $99.2M | $99.2M | $79.6M |
| 6 | Gateway Region Young Mens Christian Association Saint Louis | $87.5M | $81.3M | $169.4M |
| 7 | Friendship Village of South County Saint Louis | $84.7M | $61.5M | $292.2M |
| 8 | Cornerstones of Care Kansas City | $57.8M | $57.5M | $27.9M |
| 9 | St. Louis Arc INC Saint Louis | $53.7M | $46.3M | $52.4M |
| 10 | Friendship Village of West County Chesterfield | $49.1M | $45.2M | $176.0M |
| 11 | Greater Kc Linc INC Kansas City | $44.2M | $43.2M | $10.8M |
| 12 | Oats INC Columbia | $41.6M | $40.0M | $49.0M |
| 13 | International Institute of Metropolitan St. Louis Saint Louis | $41.3M | $41.3M | $11.4M |
| 14 | Life Unlimited INC Liberty | $38.9M | $38.8M | $30.6M |
| 15 | Kansas City Hospice INC Kansas City | $38.4M | $38.4M | $14.6M |
| 16 | Youth in Need Saint Charles | $36.2M | $35.8M | $16.2M |
| 17 | Ozarks Area Community Action Corporation Springfield | $35.8M | $35.8M | $23.1M |
| 18 | Jackson County Community Childrens Service Fund Kansas City | $34.4M | $34.4M | $30.5M |
| 19 | Area Resources for Community and Human Services St. Louis | $34.4M | $34.4M | $11.7M |
| 20 | Youthbridge Community Foundation Saint Louis | $34.4M | $11.2M | $105.2M |
| 21 | Supported Living and Employment Services INC Springfield | $33.2M | $33.2M | $23.9M |
| 22 | Sunny Hill INC Fenton | $29.5M | $29.4M | $19.1M |
| 23 | Taylor Family Foundation Saint Louis | $28.1M | $0 | $111.3M |
| 24 | Ascension Living Alexian Village Tennesee Saint Louis | $27.7M | $27.6M | $66.3M |
| 25 | St. Andrews Resources for Seniors Chesterfield | $27.5M | $25.3M | $71.2M |
| 26 | Bootheel Area Independent Living Services INC Kennett | $27.1M | $13.7M | $30.4M |
| 27 | Masonic Home of Missouri Columbia | $27.0M | $18.9M | $196.5M |
| 28 | Pony Bird Incorporated Herculaneum | $26.7M | $21.9M | $32.1M |
| 29 | Jewish Community Center Saint Louis | $26.3M | $26.1M | $79.1M |
| 30 | Willows Way INC Saint Charles | $25.2M | $22.5M | $24.7M |
| 31 | The Baptist Home Jefferson City | $25.1M | $22.9M | $56.0M |
| 32 | Operation Bbq Relief Peculiar | $24.6M | $17.0M | $20.4M |
| 33 | Seniorage Area Agency on Aging Springfield | $23.6M | $23.6M | $9.2M |
| 34 | Foster Adopt Connect INC Independence | $23.6M | $23.2M | $14.7M |
| 35 | Society of St. Vincent de Paul Archdiocesan Council of St. Louis Saint Louis | $23.6M | $23.5M | $21.3M |
| 36 | Urban Strategies INC Saint Louis | $23.4M | $23.4M | $9.3M |
| 37 | Synergy Services INC Parkville | $22.3M | $22.1M | $26.3M |
| 38 | Kansas City United Methodist Retirement Home INC Kansas City | $22.1M | $22.1M | $46.8M |
| 39 | Ascension Living Sherbrooke Village Saint Louis | $21.7M | -$3.5M | $9.8M |
| 40 | Academie Lafayette Kansas City | $21.6M | $21.4M | $18.4M |
| 41 | The Sarah Community Bridgeton | $21.1M | $21.1M | $35.2M |
| 42 | Community Health Ctr of Central Missouri Jefferson Cty | $17.8M | $17.8M | $32.3M |
| 43 | Southeast Missouri Area Agency on Aging Cpe Girardeau | $17.8M | $17.8M | $6.2M |
| 44 | Mbch Children and Family Ministries Bridgeton | $17.6M | $17.6M | $10.9M |
| 45 | Ascension Living Alexian Village Milwaukee Saint Louis | $17.1M | $17.1M | $19.9M |
| 46 | Services by Design INC Saint Louis | $16.9M | $16.8M | $8.9M |
| 47 | Evangelical Childrens Home Saint Louis | $16.7M | $15.1M | $42.2M |
| 48 | Catholic Charities of Kc St. Joseph INC Kansas City | $16.0M | $12.4M | $9.6M |
| 49 | Ascension Living via Christi Village Ridge Saint Louis | $15.8M | $15.8M | $16.8M |
| 50 | Central Missouri Area Agency on Aging Columbia | $15.7M | $15.7M | $6.8M |