MARK TWAIN ASSOCIATION FOR MENTAL HEALTH MARK TWAIN BEHAVIORAL HEALTH (EIN 431020989) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1972

Legal Domicile

Principal Officer

MICHAEL CANTRELL

Phone

5732212120

Tax Period

2024-07-01 to 2025-06-30

MARK TWAIN ASSOCIATION FOR MENTAL HEALTH MARK TWAIN BEHAVIORAL HEALTH, founded in 1972, is a mid-sized nonprofit in the Mental Health sector that reported $38.9M in total revenue in fiscal year 2024. The organization ran a surplus of $8.6M, a strong 22% operating margin.

Mission

TO PROVIDE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES AND EDUCATION TO RESIDENTS LIVING IN THE 9 NORTHEASTERN COUNTIES OF MISSOURI.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $154,411

Program Service Revenue $37,226,602

Investment Income $1,507,649

Other Revenue $23,320

TOTAL REVENUE $38,911,982

Expense Breakdown

Grants Paid $0

Salaries & Benefits $24,685,452

Fundraising Expenses $0

Program Expenses $26,153,789

Other Expenses $5,622,133

TOTAL EXPENSES $30,307,585

Year-over-Year Comparison

	2024	2023	Change
Revenue	$38,911,982	$40,178,837	0.0%
Expenses	$30,307,585	$27,042,729	+0.1%
Net Income	$8,604,397	$13,136,108	-0.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

Total Directors

Key Employees

$1,540,970

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
GAYLAH SUBLETTE	PRESIDENT	1.00	Officer Director	$0	$0	$0
LORETTA FELDKAMP	VICE PRESIDENT	1.00	Officer Director	$0	$0	$0
CINDY AYERS	SECRETARY	1.00	Officer Director	$0	$0	$0
DONNA LAWSON	TREASURER	1.00	Officer Director	$0	$0	$0
DEANA BALL	BOARD MEMBER	1.00	Director	$0	$0	$0
EILEEN DAWKINS	BOARD MEMBER	1.00	Director	$0	$0	$0
LORI MOOTS-CLAIR	BOARD MEMBER	1.00	Director	$0	$0	$0
WENDY NELSON	BOARD MEMBER	1.00	Director	$0	$0	$0
DAVID PULLIAM	BOARD MEMBER	1.00	Director	$0	$0	$0
MICHAEL CANTRELL	CEO	40.00	Key Emp	$406,276	$0	$406,276
JENNY HAUGHT	CFO	40.00	Key Emp	$334,500	$0	$334,500
ANGELA CARAWAY	COO	40.00	Key Emp	$334,500	$0	$334,500
DAVID GOLDMAN	MEDICAL DIRECTOR	40.00	Key Emp	$465,694	$0	$465,694

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$38,911,982	$30,307,585	$82,485,870	$8,604,397
2024	$40,178,837	$27,042,729	$73,655,026	$13,136,108
2023	$34,481,308	$23,222,228	$60,245,518	$11,259,080
2023	$34,307,131	$23,222,228	$59,724,041	$11,084,903
2022	$33,889,306	$22,393,764	$48,637,755	$11,495,542
2022	$33,978,604	$22,393,764	$48,985,055	$11,584,840
2021	$26,743,411	$15,670,104	$36,781,917	$11,073,307
2020	$18,341,920	$13,796,530	$27,277,998	$4,545,390
2019	$17,334,660	$11,985,056	$21,713,131	$5,349,604

MARK TWAIN ASSOCIATION FOR MENTAL HEALTH MARK TWAIN BEHAVIORAL HEALTH