Civic Intelligence

Missouri Medical Malpractice Joint Underwriting Association

EIN 01-0815695 • 501(c)15 • Jefferson City, MO

Profile

Missouri Medical Malpractice Joint Underwriting Association offers medical professional liability policies to any provider who meets the eligibility requirements. Missouri Medical Malpractice Joint Underwriting Association currently provides claims-made professional liability insurance policies.

4700 Country Club DriveJefferson City, MO 65109

www.mmmjua.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

80th percentile

0.30x

Higher debt load relative to assets than 80% of similar nonprofits.

$1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

98th percentile

8.03x

Higher debt load relative to revenue than 98% of similar nonprofits.

$1M-$5M nonprofits • Source year 2024

Net Margin

2nd percentile

-247%

Higher net margin than 2% of similar nonprofits.

$1M-$5M nonprofits • Source year 2024

Top Officer Pay

47th percentile

$0

Higher top officer pay than 47% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

$1M-$5M nonprofits • Source year 2024

Asset Growth

15th percentile

-9.0%

Faster asset growth than 15% of similar nonprofits.

$1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

9th percentile

-37%

Faster revenue growth than 9% of similar nonprofits.

$1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Down

$2,594,716

Down $256,696 (-9.0%) from 2023

Liabilities

Down

$788,512

Down $5,229 (-0.7%) from 2023

Net Assets

Down

$1,806,204

Down $251,467 (-12%) from 2023

Revenue

Down

$98,206

Down $57,494 (-37%) from 2023

Expenses

Down

$341,007

Down $110,069 (-24%) from 2023

Net Income

Up

-$242,801

Up $52,575 (+18%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2016: $5,464,859Liabilities 2016: $1,965,081Net Assets 2016: $3,499,7782016Assets 2017: $5,361,675Liabilities 2017: $1,987,906Net Assets 2017: $3,373,7692017Assets 2019: $4,013,102Liabilities 2019: $3,295,999Net Assets 2019: $717,1032019Assets 2020: $3,605,448Liabilities 2020: $2,544,997Net Assets 2020: $1,060,4512020Assets 2021: $3,136,808Liabilities 2021: $1,170,483Net Assets 2021: $1,966,3252021Assets 2022: $3,009,055Liabilities 2022: $656,008Net Assets 2022: $2,353,0472022Assets 2023: $2,851,412Liabilities 2023: $793,741Net Assets 2023: $2,057,6712023Assets 2024: $2,594,716Liabilities 2024: $788,512Net Assets 2024: $1,806,2042024

Highlighted filing

2024

Assets$2,594,716
Liabilities$788,512
Net Assets$1,806,204

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0M$1.0M$0-$1.0M-$2.0MRevenue 2016: $556,650Expenses 2016: $833,549Net Income 2016: -$276,8992016Revenue 2017: $581,725Expenses 2017: $707,733Net Income 2017: -$126,0082017Revenue 2019: $362,097Expenses 2019: $1,869,358Net Income 2019: -$1,507,2612019Revenue 2020: $372,319Expenses 2020: $66,365Net Income 2020: $305,9542020Revenue 2021: $203,414Expenses 2021: -$702,460Net Income 2021: $905,8742021Revenue 2022: $139,331Expenses 2022: -$247,391Net Income 2022: $386,7222022Revenue 2023: $155,700Expenses 2023: $451,076Net Income 2023: -$295,3762023Revenue 2024: $98,206Expenses 2024: $341,007Net Income 2024: -$242,8012024

Highlighted filing

2024

Revenue$98,206
Expenses$341,007
Net Income-$242,801

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jul 11, 2025
Return Version
2024v5.1
Gross Receipts
$1,666,372
Mission and Program Overview

Mission

Missouri medical malpractice joint underwriting association offers medical professional liabilty policies to any provider who meets the eligibility requirements. No eligible provider may be denied coverage based on loss experience. Missouri medical malpractice joint underwriting association currently provides occurrence-based profssional liabilty insurance policies.

The organization was formed by the State of Missouri upon determination that medical malpractice insurance coverage was not reasonably available in the state. The organization offers medical malpractice insurance coverage to those that meet eligibility requirements.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pd in Cap Srpls Land Bldg Eqp Fund$3,951,794$3,951,794→ $0
Investments Program Related$2,706,165$2,332,321▼ $373,844
Savings and Temporary Cash Investments$110,885$240,511▲ $129,626
Prepaid Expenses and Deferred Charges$21,896$0▼ $21,896
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-1,894,123$-2,145,590▼ $251,467
Total Assets$2,851,412$2,594,716▼ $256,696
Other Assets Total$12,466$21,884▲ $9,418
Liabilities
Other Liabilities$760,817$782,895▲ $22,078
Accounts Payable and Accrued Expenses$32,924$5,617▼ $27,307
Total Liabilities$793,741$788,512▼ $5,229
Net Assets / Fund Balance
Total Net Assets Fund Balance$2,057,671$1,806,204▼ $251,467
Total Liabilities and Net Assets / Fund Balance$2,851,412$2,594,716▼ $256,696

Asset Categories

AssetBook ValueDepreciationBasis
Investment Program Related Org$2,332,321--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Brian WallerChairman
Michael SternVice-Chairman
Aaron AngelBoard Member
Chelsea ChaneyBoard Member
Dean TrachselBoard Member
Jess AlanisBoard Member
Kim DeckerBoard Member
Andi LockridgeSecretary/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$10,982
Investment Income
$87,224
Other Revenue
$0
Change in Net Assets
$-242,801

Audited Revenue Reconciliation

Revenue per Audited Statements
$90,340
Revenue Not Reported on Financial Statements
$7,866
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$90,340
Total Revenue per Form 990
$98,206
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$341,007
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management---$147,750
Insurance---$18,507
Fees for Services Legal---$8,500
Fees for Service Investment Mgmnt Fees---$7,866
Fees for Services Accounting---$5,715
Travel---$1,200
Other Expenses---$831
Total Functional Expenses$0$0$0$341,007

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$341,007
Expenses per Audited Statements$333,141
Total Expenses per Audited Statements$333,141
Expenses Not Reported on Financial Statements$7,866
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$782,895
Reserve for Losses and Lae-
Unearned Premiums-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Line 3 Delegation of management duties

The Board of Directors hired Healthcare Services Group as a servicing agent for Missouri Malpractice Joint Underwriting Association.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The return is prepared by Forvis Mazars, LLP, an independent CPA firm and is reviewed by Healthcare Services Group and the signatory, Treasurer Andrea Lockridge before being filed with the IRS.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization has adopted a Conflict of Interest Policy which contains an Acknowledgement and Affirmation that is completed by all Directors. Any Director with a possible conflict of interest on a matter shall not vote, take action, or use his or her personal influence on the matter. The minutes of the meetings will reflect any disclosure of conflict and if a Director was excused from voting on a related matter.

Form 990, Part VI, Line 19 Required documents available to the public

The organization files all required documents with the Missouri Department of Commerce & Insurance, Financial Institutions, and professional registration which are open to the public.

Form 990, Part VI, Section A Governance and Management

Missouri Medical Malpractice Joint Underwriting Association is governed by Missouri Revised Statutes 383.150-383.195. In July 2003, the Governor of Missouri requested that the Director of Insurance hold a public hearing to determine whether medical malpractice insurance is reasonably available in the State. On the basis of information presented at the hearing, the Director determined that coverage is not reasonably available. This determination was the statutorily required trigger needed to allow the Director to form a "Joint Underwriting Association" for the purposes of providing professional liability insurance coverage to Missouri health care providers. The Director named a governing board, and a Plan of Operation was developed specifying eligibility for the MMMJUA, as well as rules for the program. Missouri Medical Malpractice Joint Underwriting Association is managed by the Board of Directors, which is appointed by the Director of the Missouri Department of Commerce & Insurance.

Filing and Contact Details

Filer

Filer Name
Missouri Medical Malpractice Joint Underwriting Association
EIN
01-0815695
Phone
8665861693
Address
4700 Country Club Drive, Jefferson City, MO 65109

Signing Officer

Name
Andi Lockridge
Title
Treasurer
Phone
8665861693
Signed
2025-07-11
Discuss with paid preparer
Yes

Organization Details

Formed
2004
Legal Domicile
Mo
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Forvis Mazars LLP
Address
211 N Broadway Suite 600, St Louis, MO 63102-2733
Preparer
Kristen Hankins
Phone
3142315544
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Change in non-admitted assets - -8666;

Form 990, Part XII, Line 1 OTHER METHOD OF ACCOUNTING

The taxpayer is an insurance company which utilizes the statutory accounting method to prepare its financial statements and form 990.

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

Tax positions are evaluated at the reporting date to determine whether an unrecognized tax benefit should be recorded. The association did not have any unrecognized tax benefits at december 31, 2024 or 2023. The association had no uncertain tax positions as of december 31, 2024 and 2023.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0-2145590
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0110885
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0240511
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IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt07866
IRS990ScheduleD/ExpensesSubtotalAmt0333141
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt07866
IRS990ScheduleD/InvestmentExpensesNotIncldAmt07866
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt02332321
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0BONDS
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd0C
IRS990ScheduleD/OtherExpensesIncludedAmt00
IRS990ScheduleD/OtherExpensesNotIncludedAmt00
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0782895
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal Income Taxes
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1RESERVE FOR LOSSES AND LAE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2UNEARNED PREMIUMS
IRS990ScheduleD/OtherRevenueAmt00
IRS990ScheduleD/OtherRevenuesNotIncludedAmt00
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt07866
IRS990ScheduleD/RevenueSubtotalAmt090340
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0TAX POSITIONS ARE EVALUATED AT THE REPORTING DATE TO DETERMINE WHETHER AN UNRECOGNIZED TAX BENEFIT SHOULD BE RECORDED. THE ASSOCIATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2024 OR 2023. THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 AND 2023.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS
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IRS990ScheduleD/TotalExpensesPerForm990Amt0341007
IRS990ScheduleD/TotalLiabilityAmt0782895
IRS990ScheduleD/TotalRevenuePerForm990Amt098206
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt090340
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0333141
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Board of Directors hired Healthcare Services Group as a servicing agent for Missouri Malpractice Joint Underwriting Association.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The return is prepared by Forvis Mazars, LLP, an independent CPA firm and is reviewed by Healthcare Services Group and the signatory, Treasurer Andrea Lockridge before being filed with the IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The organization has adopted a Conflict of Interest Policy which contains an Acknowledgement and Affirmation that is completed by all Directors. Any Director with a possible conflict of interest on a matter shall not vote, take action, or use his or her personal influence on the matter. The minutes of the meetings will reflect any disclosure of conflict and if a Director was excused from voting on a related matter.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The organization files all required documents with the Missouri Department of Commerce & Insurance, Financial Institutions, and professional registration which are open to the public.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4CHANGE IN NON-ADMITTED ASSETS - -8666;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE TAXPAYER IS AN INSURANCE COMPANY WHICH UTILIZES THE STATUTORY ACCOUNTING METHOD TO PREPARE ITS FINANCIAL STATEMENTS AND FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Missouri Medical Malpractice Joint Underwriting Association is governed by Missouri Revised Statutes 383.150-383.195. In July 2003, the Governor of Missouri requested that the Director of Insurance hold a public hearing to determine whether medical malpractice insurance is reasonably available in the State. On the basis of information presented at the hearing, the Director determined that coverage is not reasonably available. This determination was the statutorily required trigger needed to allow the Director to form a "Joint Underwriting Association" for the purposes of providing professional liability insurance coverage to Missouri health care providers. The Director named a governing board, and a Plan of Operation was developed specifying eligibility for the MMMJUA, as well as rules for the program. Missouri Medical Malpractice Joint Underwriting Association is managed by the Board of Directors, which is appointed by the Director of the Missouri Department of Commerce & Insurance.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 3 Delegation of management duties
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 11b Review of form 990 by governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 12c Conflict of interest policy
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 19 Required documents available to the public
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part XI, Line 9 Other changes in net assets or fund balances
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part XII, Line 1 OTHER METHOD OF ACCOUNTING
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section A Governance and Management
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IRS990/TotalFunctionalExpensesGrp/TotalAmt0341007
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0793741
IRS990/TotalLiabilitiesEOYAmt0788512
IRS990/TotalLiabilitiesGrp/BOYAmt0793741
IRS990/TotalLiabilitiesGrp/EOYAmt0788512
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt02057671
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01806204
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IRS990/TotalProgramServiceRevenueAmt010982
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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt098206
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt08
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02594716
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IRS990/TravelGrp/TotalAmt01200
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IRS990/TypeOfOrganizationAssocInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt04700 Country Club Drive
IRS990/USAddress/CityNm0Jefferson City
IRS990/USAddress/StateAbbreviationCd0MO
IRS990/USAddress/ZIPCd065109
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0WWW.MMMJUA.COM
IRS990/WhistleblowerPolicyInd0false
IRS990/WrittenPolicyOrProcedureInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Andi Lockridge
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/PhoneNum08665861693
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-07-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Missouri Medical Malpractice Joint Underwriting Association
ReturnHeader/Filer/BusinessNameControlTxt0MISS
ReturnHeader/Filer/EIN0010815695
ReturnHeader/Filer/PhoneNum08665861693
ReturnHeader/Filer/USAddress/AddressLine1Txt04700 Country Club Drive
ReturnHeader/Filer/USAddress/CityNm0Jefferson City
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MO
ReturnHeader/Filer/USAddress/ZIPCd065109
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0440160260
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Forvis Mazars LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0211 N Broadway Suite 600
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0St Louis
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0631022733
ReturnHeader/PreparerPersonGrp/PhoneNum03142315544
ReturnHeader/PreparerPersonGrp/PreparationDt02025-07-11
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Kristen Hankins
ReturnHeader/ReturnTs02025-07-11T07:46:41+00:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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