Missouri Hospital Association

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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

1922

Legal Domicile

Principal Officer

Jon Doolittle

Phone

5738933700

Tax Period

2024-01-01 to 2024-12-31

Missouri Hospital Association, founded in 1922, is a mid-sized nonprofit that reported $21.3M in total revenue in fiscal year 2024. Revenue surged 21% from the prior year, signaling strong growth momentum. Expenses of $19.9M left a modest 7% surplus.

Mission

TO PROMOTE THE HEALTH & WELFARE OF MISSOURI CITIZENS BY ASSISTING HOSPITALS AND OTHER HEALTHCARE-RELATED ORGANIZATIONS.

Program Service Accomplishments

Program 1

Advocacy and Policy - To promote the health and welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. This assistance includes serving as an advocate and...

Advocacy and Policy - To promote the health and welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. This assistance includes serving as an advocate and representative of hospitals to create an environment enabling hospitals to coordinate and provide health services in a cost-effective manner in order to improve the health status in their communities.

Program 2

Communication, Education and Workforce Initiatives - Communicated with and educated members, policy leaders and the public on issues that affect the organization, delivery and financing of health...

Communication, Education and Workforce Initiatives - Communicated with and educated members, policy leaders and the public on issues that affect the organization, delivery and financing of health care services. Identified, supported, promoted and provided education for initiatives that assist members in improving health care services for Missourians.

Program 3

Quality Improvement and Emergency Preparedness - Assist members with quality improvement efforts to improve health outcomes for patients and enhance the health status of the population of Missouri...

Quality Improvement and Emergency Preparedness - Assist members with quality improvement efforts to improve health outcomes for patients and enhance the health status of the population of Missouri while reducing costs and disparities and increasing efficiencies using triple aim principles.

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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 $0

Program Service Revenue $19,353,606

Investment Income $1,905,074

Other Revenue $50,708

TOTAL REVENUE $21,309,388

Expense Breakdown

Grants Paid $1,690

Salaries & Benefits $13,086,965

Fundraising Expenses $0

Other Expenses $6,822,829

TOTAL EXPENSES $19,911,484

Year-over-Year Comparison

	2024	2023	Change
Revenue	$21,309,388	$17,662,556	+0.2%
Expenses	$19,911,484	$16,025,285	+0.2%
Net Income	$1,397,904	$1,637,271	-0.1%

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

Volunteers

725

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

$1,842,205

Total Directors

$1,314,662

Key Employees

$1,507,142

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Jon D Doolittle	President and CEO	26.2	Officer Director	$1,228,735	$85,927	$1,314,662
Jane Drummond	Sr. VP Gov. Relations	36.2	Key Emp	$452,927	$75,508	$528,435
Kathleen Poff	Sr. VP Admin & CFO	26.6	Officer	$488,322	$39,221	$527,543
Jackie Gatz	Sr. VP of Strategic Quality In	5.2	Key Emp	$348,182	$79,278	$427,460
Brett Moorehouse	Sr. VP of Membership Services	42.6	Key Emp	$286,284	$72,883	$359,167
Rob Monsees	VP of Advocacy & Sr. Political	59.9	Highest	$286,618	$66,635	$353,253
Mary Becker	Sr VP Strategic Comm & Market	0.0		$263,030	$0	$263,030
William McNally	VP of Membership Svcs & Rural	45.0	Highest	$190,061	$54,388	$244,449
Edward Wedel	Vice President of Policy Dev.	46.9	Highest	$187,348	$43,934	$231,282
Andrew Wheeler	VP of Federal Finance	48.0	Highest	$168,767	$42,114	$210,881
Sarah Willson	VP of Clinical Quality Improve	57.8	Highest	$156,486	$50,849	$207,335
Farrah Fite As of 4012024	Sr. VP Strategic Comm. & Marke	42.1	Key Emp	$175,832	$16,248	$192,080
Alan W Greimann	Chair	1.2	Officer Director	$0	$0	$0
Craig Thompson PT MSA FACHE	Chair Elect	0.9	Officer Director	$0	$0	$0
Richard J Liekweg	Past Chair	0.9	Officer Director	$0	$0	$0
Andrew J Bagnall MHA FACHE	Secretary	0.6	Officer Director	$0	$0	$0
Tina L Gillespie	Treasurer	1.0	Officer Director	$0	$0	$0
C Todd Ahrens FACHE	Trustee	1.1	Director	$0	$0	$0
David Argueta	Trustee	0.9	Director	$0	$0	$0
Jeremy M Fotheringham JD MHSA RN	Trustee	0.7	Director	$0	$0	$0
Jason Schrumpf	Trustee	0.7	Director	$0	$0	$0
Rick L Stevens FACHE	Trustee	0.7	Director	$0	$0	$0
Lori L Wightman RN MHA FACHE	Trustee	0.7	Director	$0	$0	$0
Robin B Blount MD	Trustee	0.6	Director	$0	$0	$0
Karla Clubine	Trustee	0.6	Director	$0	$0	$0
Marc H Ellinger JD	Trustee	0.6	Director	$0	$0	$0
Paul Kempinski MS FACHE	Trustee	0.6	Director	$0	$0	$0
Michele C Meyer MA BSN RN	Trustee	0.6	Director	$0	$0	$0
J Michael Poore Jr	Trustee	0.6	Director	$0	$0	$0
Ric Ransom	Trustee	0.6	Director	$0	$0	$0
Charles Shields	Trustee	0.6	Director	$0	$0	$0
Laura Smith RN	Trustee	0.6	Director	$0	$0	$0
Max D Buetow	Trustee	0.5	Director	$0	$0	$0
Justin Davison MBA	Trustee	0.5	Director	$0	$0	$0
Thomas W Keller	Trustee	0.5	Director	$0	$0	$0
J Christopher Lang	Trustee	0.5	Director	$0	$0	$0
David J Meiners MD	Trustee	0.5	Director	$0	$0	$0
Stephen L Reintjes Sr MD	Trustee	0.5	Director	$0	$0	$0
Keith Zimmerman	Trustee	0.4	Director	$0	$0	$0
Paula F Baker	Trustee	0.1	Director	$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
2024	$21,309,388	$19,911,484	$65,664,675	$1,397,904
2023	$17,662,556	$16,025,285	$60,626,272	$1,637,271
2022	$16,936,044	$15,317,199	$54,779,218	$1,618,845
2021	$17,839,212	$15,961,970	$56,914,745	$1,877,242
2020	$18,668,282	$18,645,812	$54,745,928	$22,470
2019	$17,060,806	$16,709,570	$49,327,585	$351,236
2018	$16,512,104	$15,348,416	$45,123,516	$1,163,688