MARK TWAIN MEDICAL CENTER (EIN 680127677) - 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

1987

Legal Domicile

Principal Officer

DOUGLAS ARCHER

Phone

2097543521

Tax Period

2024-07-01 to 2025-06-30

MARK TWAIN MEDICAL CENTER, founded in 1987, is a mid-sized nonprofit in the Health Care sector that reported $91.2M in total revenue in fiscal year 2024.

Mission

AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), MARK TWAIN MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO AREVULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.

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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 $4,153,542

Program Service Revenue $85,713,103

Investment Income $81,870

Other Revenue $1,243,832

TOTAL REVENUE $91,192,347

Expense Breakdown

Grants Paid $434,230

Salaries & Benefits $53,900,887

Fundraising Expenses $0

Program Expenses $75,545,144

Other Expenses $35,522,696

TOTAL EXPENSES $89,857,813

Year-over-Year Comparison

	2024	2023	Change
Revenue	$91,192,347	$84,842,121	+0.1%
Expenses	$89,857,813	$85,087,375	+0.1%
Net Income	$1,334,534	$-245,254	-6.4%

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

519

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

$2,875,780

Total Directors

$3,305,045

Key Employees

$1,276,928

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
BENJAMIN BJ PREDUM	DIRECTOR	4.00	Director	$0	$134,538	$1,119,665
DONALD J GRECO MD	PHYSICIAN PAIN MANAGEMENT	50.00	Highest	$857,282	$92,102	$949,384
ROGER P ROGALSKI MD	PHYSICIAN	50.00	Highest	$793,948	$93,102	$887,050
DOUGLAS P ARCHER	PRESIDENT & CEO	50.00	Officer	$0	$123,882	$774,445
LISA HAUSMANN	DIRECTOR/ SECRETARY	4.00	Officer Director	$0	$78,623	$685,063
JAMES J GONZALES MD	PHYSICIAN	50.00	Highest	$521,104	$45,604	$566,708
DAVID M MELNICZEK MD	PHYSICIAN	50.00	Highest	$507,513	$50,117	$557,630
THERESA M HYLEN	VICE CHAIR	4.00	Officer Director	$0	$34,688	$506,069
KATHY KOHRMAN	DIRECTOR	4.00	Director	$0	$102,467	$499,329
DARYN KUMAR	CHAIRMAN (THRU 7/8/24)	4.00	Officer Director	$0	$50,414	$494,919
ANDREA NIKKI OCHOA	FORMER OFFICER (CFO)	0.00		$0	$66,279	$473,574
DEAN M KELAITA MD	PHYSICIAN	50.00	Highest	$329,140	$92,756	$421,896
SCOTT BANKS	CFO (EFF 6/24/24)	4.00	Officer	$0	$78,423	$415,284
JILL ORTIZ	DIRECTOR OF PHARMACY	50.00	Key Emp	$293,940	$81,537	$375,477
GARY ARVIN	VP OF ANCILLARY SERVICES	50.00	Key Emp	$252,253	$81,436	$333,689
KARA M EVANS	CNO (THRU 10/21/24)	50.00	Key Emp	$240,458	$77,518	$317,976
PARDEEP ATHWAL	CMO	50.00	Key Emp	$213,230	$36,556	$249,786
LIN REED	CHAIRMAN (EFFECTIVE 7/8/24)	4.00	Officer 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
2025	$91,192,347	$89,857,813	$89,924,068	$1,334,534
2024	$84,842,121	$85,087,375	$85,693,312	$-245,254
2023	$79,076,442	$80,651,389	$60,639,368	$-1,574,947
2022	$72,182,170	$77,781,689	$62,617,516	$-5,599,519
2021	$74,521,934	$76,630,743	$73,050,822	$-2,108,809
2020	$72,534,148	$72,730,108	$71,492,585	$-195,960
2019	$68,550,856	$69,647,287	$57,355,585	$-1,096,431
2018	$67,369,748	$68,946,491	$38,023,384	$-1,576,743

MARK TWAIN MEDICAL CENTER