Most Efficient in Missouri

Top nonprofits by program expense ratio

50 organizations
Across Missouri, the latest Form 990 most efficient ranking covers 5,770 organizations (2026 filings). Lockton Cares Inc leads at 122.5%.
Year: Latest 2024 2023 2022
# Organization Revenue Assets
1 Lockton Cares Inc
EIN: 412113872 · Kansas City, MO
$1.4M $923K
2 ASCENSION ST CLARE'S HOSPITAL INC
EIN: 721531917 · ST LOUIS, MO
$1.2M $973K
3 MERCY HEALTH EAST COMMUNITIES
EIN: 431718408 · CHESTERFIELD, MO
$85.3M $384.4M
4 EXTENSION FOUNDATION C/O BRYAN CAVE LLP
EIN: 204781422 · KANSAS CITY, MO
$7.4M $2.9M
5 BETTER BUSINESS BUREAU OF GREATER ST LOUIS INC
EIN: 430181430 · ST LOUIS, MO
$5.6M $4.2M
6 BRS BURLINGTON NORTHERN SANTA FE BNSF GENERAL COMMITTEE
EIN: 450322693 · WALKER, MO
$1.3M $1.8M
7 PLUMBERS UNION 178 - GENERAL FUND
EIN: 440377546 · SPRINGFIELD, MO
$1.6M $3.6M
8 Farmhouse Fraternity
EIN: 430265090 · Columbia, MO
$1.1M $47K
9 MISSOURI LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION
EIN: 431501870 · JEFFERSON CITY, MO
$23.1M $70.7M
10 Missouri Chapter Of Delta Upsilon
EIN: 430240455 · Columbia, MO
$1.3M $511K
11 Medicare Value Partners
EIN: 363495969 · ST LOUIS, MO
$1.9M $0
12 SVH Real Estate Inc
EIN: 205002285 · ST LOUIS, MO
$1.2M $62.7M
13 Boone Electric Cooperative
EIN: 430188985 · Columbia, MO
$81.1M $230.0M
14 TEAMSTERS & EMPLOYERS WELFARE TRUST OF ILLINOIS
EIN: 376155633 · EARTH CITY, MO
$75.1M $109.4M
15 Ascension Ministry & Mission Fund
EIN: 273174701 · SAINT LOUIS, MO
$1.1M $3.1M
16 Consolidated Electric Cooperative
EIN: 430226184 · Mexico, MO
$29.4M $75.4M
17 Together Credit Union
EIN: 430160998 · Saint Louis, MO
$158.8M $2.5B
18 HELPING HANDS FOUNDATION INC
EIN: 384317868 · MEMPHIS, MO
$1.7M $1.4M
19 UNIVERSITY OF MISSOURI - COLUMBIA MEDICAL ALLIANCE
EIN: 311574931 · COLUMBIA, MO
$1.1M $9.9M
20 AMERICAN DORPER SHEEP BREEDERS SOCIETY
EIN: 421448042 · HALLSVILLE, MO
$1.1M $457K
21 Medical Cost Sharing Inc
EIN: 371736976 · Saint Joseph, MO
$1.5M $27K
22 Cape Regional Credit Union
EIN: 237099978 · Cape Girardeau, MO
$1.0M $18.0M
23 MHM Support Services
EIN: 202553101 · CHESTERFIELD, MO
$1.5B $848.9M
24 OZARKS CHARITABLE REAL ESTATE FOUNDATION
EIN: 412086647 · SPRINGFIELD, MO
$2.0M $2.5M
25 CAPE GIRARDEAU COUNTRY CLUB TRUST
EIN: 430206175 · CAPE GIRARDEAU, MO
$2.3M $2.9M
26 Saint Lukes Care
EIN: 260185090 · Kansas City, MO
$1.5M $0
27 HOSTETTER MINISTRIES
EIN: 260244982 · FAYETTE, MO
$1.6M $344K
28 JOPLIN REGIONAL MEDICAL SCHOOL ALLIANCE
EIN: 273183285 · NEOSHO, MO
$2.7M $3.5M
29 The Against Malaria Foundation
EIN: 203069841 · Kansas City, MO
$119.4M $288K
30 BOONSLICK COMMUNITY DEVELOPMENT CORPORATION
EIN: 300811050 · BOONVILLE, MO
$2.4M $2.6M
31 WISE FOUNDATION
EIN: 273337511 · WARRENTON, MO
$2.1M $2.5M
32 Be The Change Vacations
EIN: 262435157 · Columbia, MO
$2.4M $2.9M
33 COMMUNITY FOUNDATION OF CENTRAL MO
EIN: 272930245 · COLUMBIA, MO
$6.0M $15.0M
34 CHRISTOPHER MACKLIN MINISTRIES INC
EIN: 275484270 · HOLLISTER, MO
$1.0M $682K
35 Lifes Journey
EIN: 263697509 · Springfield, MO
$3.0M $4.2M
36 BOILERMAKERS LOCAL 83 SUPPLEMENTAL HEALTH AND WELFARE PLAN
EIN: 205130170 · KANSAS CITY, MO
$1.5M $14.8M
37 LAKE OF THE OZARKS SHOOTOUT INC
EIN: 262067090 · SUNRISE BEACH, MO
$1.1M $62K
38 SIGMA NU FRATERNITY RHO
EIN: 237432859 · COLUMBIA, MO
$1.0M $114K
39 NRIVA INC
EIN: 261923816 · Saint Louis, MO
$2.7M $2.5M
40 ST PATRICK PARTNERSHIP CENTER
EIN: 272599885 · ST LOUIS, MO
$10.8M $0
41 WRIGHT CITY R-II SCHOOL DISTRICT
EIN: 364742977 · WRIGHT CITY, MO
$2.2M $3.7M
42 Lifechangers Missouri
EIN: 332814835 · Rolla, MO
$1.7M $403K
43 Ascension Health Alliance Professional & General Liability Self-Insurance T rust
EIN: 367046706 · St Louis, MO
$223.9M $789.8M
44 PREACH EVANGELISTIC MINISTRIES
EIN: 223895058 · SEYMOUR, MO
$1.1M $674K
45 WESTPORT COMMUNITY IMPROVEMENT DISTRICT #1
EIN: 200215460 · KANSAS CITY, MO
$1.4M $353K
46 Jesus Real Inc
EIN: 264163150 · Springfield, MO
$4.3M $32K
47 Healthcare Collaborative
EIN: 273220767 · ST LOUIS, MO
$1.1M $13K
48 POLK COUNTY HOUSE OF HOPE
EIN: 202426214 · BOLIVAR, MO
$1.1M $1.2M
49 Sertoma Inc Heart of the Ozarks
EIN: 237087135 · Springfield, MO
$1.1M $107K
50 UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 655 WELFARE FUND
EIN: 237401847 · BALLWIN, MO
$57.1M $28.5M
Data from IRS Form 990 filings. Click an organization name to view full details. © 2026 990 Finder by Trantor SpA.