Mark Twain Medical Center
Mark Twain Medical Center reported $91.2 million in revenue and $89.9 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $84.07 went to program services, $15.93 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: 94.0% of the total. The highest compensation it reported for one person was $1,119,665 (DIRECTOR). 126 people received more than $100,000 in reportable compensation. Revenue rose 26% 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 $90MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 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 $91MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 84.1% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 15.9% | 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 | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 4.6% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 1.2% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 94.0% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,119,665 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.25% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 126 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 6.4 | 6.6 |
| Independent voting board members Part VI 1a–1b | 1 of 5 | 88.9% |
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 expenseThe hospital provides routine patient care in private and semi-private rooms as well as various inpatient and outpatient ancillary services such as x-ray, lab, emergency room, etc. During the fiscal year 2025, 1,005 patients were admitted to the facility and 91,959 outpatient visits were recorded including visits at our 4 rural health clinics
Highest 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 |
|---|---|---|---|---|
| DIRECTOR Director/trustee, 4.00 hrs/week | $0 | $985,127 | $134,538 | $1,119,665 |
| PHYSICIAN PAIN MANAGEMENT Highest compensated employee, 50.00 hrs/week | $857,282 | $0 | $92,102 | $949,384 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $793,948 | $0 | $93,102 | $887,050 |
| PRESIDENT & CEO Officer, 50.00 hrs/week | $0 | $650,563 | $123,882 | $774,445 |
| DIRECTOR/ SECRETARY Director/trustee, officer, 4.00 hrs/week | $0 | $606,440 | $78,623 | $685,063 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $521,104 | $0 | $45,604 | $566,708 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $507,513 | $0 | $50,117 | $557,630 |
| VICE CHAIR Director/trustee, officer, 4.00 hrs/week | $0 | $471,381 | $34,688 | $506,069 |
126 people received more than $100,000 in reportable compensation from Mark Twain Medical Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.1M (Part IX, line 5).
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–1b5 · 1 independent
- Audited financial statements Part XII 2bYes
- 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 15aNo
- Board given the 990 before filing Part VI 11aNo
- 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 4Yes
- 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 5519
- Volunteers Part I, line 67
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| MEDICAL SOLUTIONS LLC Staffing services | $1,621,285 |
| COMMUNITY MEDICAL TEAM ACUTE Medical/physician services | $1,460,780 |
| INPATIENT SVC OF CA INC Medical services | $714,548 |
| STOCKTON HEMATOLGY ONCOLOGY Medical/physician services | $487,462 |
Individuals listed as contractors are left out. 19 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Mark Twain Medical Center'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 Medical Center, you can publish a response that is linked from this page.
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Of every $100 Mark Twain Medical Center spent in FY2025, $84.07 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Cherry Street ServicesGrand Rapids, MI · revenue $91M · programs 88.8% · FY2025
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- The Good Shepherd Rehabilitation HospitalAllentown, PA · revenue $91M · programs 77.8% · FY2025
- Satellite HealthcareMilpitas, CA · revenue $92M · programs 35.2% · 2024
- Covenant Health & Community ServicesPensacola, FL · revenue $91M · programs 12.1% · 2024
Questions people ask
How much of Mark Twain Medical Center's spending goes to programs?
In the fiscal year ending June 30, 2025, Mark Twain Medical Center reported that 84.1% of its $89.9 million in expenses went to program services, 15.9% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Mark Twain Medical Center pay its top executive?
The largest total compensation Mark Twain Medical Center reported for one person in the fiscal year ending June 30, 2025 was $1,119,665, for the role of DIRECTOR (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Mark Twain Medical Center get its money?
Of $91.2 million in revenue in the fiscal year ending June 30, 2025, 4.6% came from contributions and grants (including 1.2% from government grants) and 94.0% from program service revenue (Form 990, Part VIII).
Is Mark Twain Medical Center a registered charity?
The IRS lists EIN 68-0127677 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 202601279349302010 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202511269349303706 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411319349303331 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202331249349300203 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201219349300200 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101239349301630 · read the filing
All filings for EIN 68-0127677: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.