Home › Mental health & crisis intervention
Mark Twain Association for Mental Health Mark Twain Behavioral Health
Mark Twain Association for Mental Health Mark Twain Behavioral Health reported $38.9 million in revenue and $30.3 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $86.29 went to program services, $13.71 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.7% of the total. The highest compensation it reported for one person was $465,694 (MEDICAL DIRECTOR). 30 people received more than $100,000 in reportable compensation. Revenue rose 112% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $30MFor context, the median across 864 covered mental health & crisis intervention charities: $86.13 programs, $13.87 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $39MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 86.3% | 85.2% |
| Management & general Part IX 25(C) ÷ 25(A) | 13.7% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | Not reported | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.4% | 26.4% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.4% | 14.5% |
| Program service revenue share Part VIII 2g ÷ 12 | 95.7% | 69.3% |
| Highest reported compensation Part VII-A, columns D–F | $465,694 | $324,111 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.54% | 1.28% |
| People paid over $100,000 Part VII, line 2 | 30 | 8 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 32.2 | 6.2 |
| Independent voting board members Part VI 1a–1b | 9 of 9 | 100.0% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHighest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| MEDICAL DIRECTOR Key employee, 40.00 hrs/week | $465,694 | $0 | $0 | $465,694 |
| CEO Key employee, 40.00 hrs/week | $406,276 | $0 | $0 | $406,276 |
| CFO Key employee, 40.00 hrs/week | $334,500 | $0 | $0 | $334,500 |
| COO Key employee, 40.00 hrs/week | $334,500 | $0 | $0 | $334,500 |
30 people received more than $100,000 in reportable compensation from Mark Twain Association for Mental Health Mark Twain Behavioral Health (Part VII, line 2).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b9 · 9 independent
- Audited financial statements Part XII 2bNo
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 50
Private foundation grants it received
1 private foundation reported grants to Mark Twain Association for Mental Health Mark Twain Behavioral Health totaling $104 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Mark Twain Association for Mental Health Mark Twain Behavioral Health's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Mark Twain Association for Mental Health Mark Twain Behavioral Health, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Mark Twain Association for Mental Health Mark Twain Behavioral Health spent in FY2025, $86.29 went to programs. The full breakdown, from its IRS Form 990:
Embed on your site
Similar-sized charities in this cause
- Richmond Area Multi-ServicesSan Francisco, CA · revenue $39M · programs 87.3% · FY2025
- Isaiah HouseWillisburg, KY · revenue $39M · programs 83.9% · 2024
- Crisis Text LineNew York, NY · revenue $38M · programs 79.7% · 2025
- Shalom HousePortland, ME · revenue $39M · programs 90.1% · FY2025
- Erie Homes for Children & AdultsErie, PA · revenue $38M · programs 90.5% · FY2025
All mental health & crisis intervention charities · Largest charities in Missouri
Questions people ask
How much of Mark Twain Association for Mental Health Mark Twain Behavioral Health's spending goes to programs?
In the fiscal year ending June 30, 2025, Mark Twain Association for Mental Health Mark Twain Behavioral Health reported that 86.3% of its $30.3 million in expenses went to program services, 13.7% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Mark Twain Association for Mental Health Mark Twain Behavioral Health pay its top executive?
The largest total compensation Mark Twain Association for Mental Health Mark Twain Behavioral Health reported for one person in the fiscal year ending June 30, 2025 was $465,694, for the role of MEDICAL DIRECTOR (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Mark Twain Association for Mental Health Mark Twain Behavioral Health get its money?
Of $38.9 million in revenue in the fiscal year ending June 30, 2025, 0.4% came from contributions and grants (including 0.4% from government grants) and 95.7% from program service revenue (Form 990, Part VIII).
Is Mark Twain Association for Mental Health Mark Twain Behavioral Health a registered charity?
The IRS lists EIN 43-1020989 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202532679349300113 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202443039349302759 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023 (amended), object 202442509349301219 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022 (amended), object 202432339349301723 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202103289349300520 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202002669349301445 · read the filing
All filings for EIN 43-1020989: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.