MISSOURI EMERGENCY MEDICAL SERVICE… - Form 990 Financial Data

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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

1983

Legal Domicile

Principal Officer

JUSTIN DUNCAN

Phone

5738970044

Tax Period

2025-01-01 to 2025-12-31

MISSOURI EMERGENCY MEDICAL SERVICES ASSOCIATION INC, founded in 1983, is a small nonprofit in the Philanthropy & Grantmaking sector that reported $336K in total revenue in fiscal year 2025. Revenue fell 79% from the prior year — a significant decline worth monitoring. Expenses of $1.4M exceeded revenue, resulting in a 330% operating deficit.

Mission

The association primarily represents the pre-hospital emergency care providers and is dedicated to providing education to enhance or change patient care practice in order to have better patient outcomes. Provides annual training for emergency medical instructors. Program coordinates instructors statewide in the latest methods in emergency care procedures. Education conference cosponsors seminars for medical emergency professionals. Participants earn educational credit which is required for a license.

Program Service Accomplishments

Program 1

Expenses: $1,168,612

MIH - Patterson Grant: Set up Mobile Integrated Health Network 6 sites. Mobile integrated health care is a patient-centered, mobile care model that delivers out-of-hospital medical services.

Program 2

Expenses: $71,722

CVD Contract Services: Educate clients on the risk of elevated blood pressure and hypertension numbers, the risk of elevated cholesterol levels, and to screen clients for social determinates of...

CVD Contract Services: Educate clients on the risk of elevated blood pressure and hypertension numbers, the risk of elevated cholesterol levels, and to screen clients for social determinates of health.

Program 3

Expenses: $54,830

HRSA/RHND Grant: A comprehensive MIH strategic plan with sustainability and data collection\data sharing strategies that streamline services and maximize resources to improve access and quality of...

HRSA/RHND Grant: A comprehensive MIH strategic plan with sustainability and data collection\data sharing strategies that streamline services and maximize resources to improve access and quality of care for Missouri rural residents.

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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 (2025)

Revenue Breakdown

Contributions & Grants $229,199

Program Service Revenue $17,140

Investment Income $89,219

Other Revenue $26

TOTAL REVENUE $335,584

Expense Breakdown

Grants Paid $0

Salaries & Benefits $0

Fundraising Expenses $0

Program Expenses $1,338,310

Other Expenses $1,442,862

TOTAL EXPENSES $1,442,862

Year-over-Year Comparison

	2025	2024	Change
Revenue	$335,584	$1,611,786	-0.8%
Expenses	$1,442,862	$163,965	+7.8%
Net Income	$-1,107,278	$1,447,821	-1.8%

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

N/A

Employees

N/A

Volunteers

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

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
RUBY MEHRER	Past President	5.00	Director	$0	$0	$0
BONNIE PEMBERTON	Director	5.00	Director	$0	$0	$0
DAVID HOOVER	Director	5.00	Director	$0	$0	$0
CHRIS WHITE	Director	5.00	Director	$0	$0	$0
DOROTHEA LAKE	Director	5.00	Director	$0	$0	$0
DAVID LOMAX	Director	5.00	Director	$0	$0	$0
SHARON SMITH	Director	5.00	Director	$0	$0	$0
ERIC REETER	Director	5.00	Director	$0	$0	$0
AMY GUYNN	Director	5.00	Director	$0	$0	$0
KYLE TAPPS	Director	5.00	Director	$0	$0	$0
MATT HART	Director	5.00	Director	$0	$0	$0
JASON WHITE	Presidential Ap	5.00	Director	$0	$0	$0
KEVIN STUHLMAN	Director	5.00	Director	$0	$0	$0
JUSTIN DUNCAN	President	5.00	Officer	$0	$0	$0
SHELBY COX	Secretary	5.00	Officer	$0	$0	$0
JOSHUA KRULL	Treasurer	15.00	Officer	$0	$0	$0
JESSE FOURNIER	Presidential Ap	5.00	Officer	$0	$0	$0
JOHN ROMEO	Vice President	5.00	Officer	$0	$0	$0

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	$335,584	$1,442,862	$495,936	$-1,107,278
2024	No data	No data	No data	No data

MISSOURI EMERGENCY MEDICAL SERVICES ASSOCIATION INC