Civic Intelligence

Missouri State Medical Association

EIN 43-0631112 • 501(c)6 • Jefferson City, MO

Profile

Msma's mission is to serve its members through promotion of the science & art of medicine, protection of the health of the public & betterment of the medical profession in missouri.

113 Madison StreetJefferson City, MO 65101

www.msma.org

Siviq Scores

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

Liabilities / Assets

18th percentile

0.05x

Higher debt load relative to assets than 18% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

42nd percentile

0.31x

Higher debt load relative to revenue than 42% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Source year 2024

Net Margin

94th percentile

42%

Higher net margin than 94% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

33rd percentile

$290,916

Higher top officer pay than 33% of similar nonprofits.

Top officer pay equals 9.1% of source-year revenue.

501(c)6 • $10M-$25M nonprofits • Source year 2024

Asset Growth

70th percentile

11%

Faster asset growth than 70% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

83rd percentile

22%

Faster revenue growth than 83% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$19,435,872

Up $1,879,554 (+11%) from 2023

Liabilities

Down

$992,159

Down $24,959 (-2.5%) from 2023

Net Assets

Up

$18,443,713

Up $1,904,513 (+12%) from 2023

Revenue

Up

$3,186,509

Up $578,058 (+22%) from 2023

Expenses

Up

$1,849,215

Up $282,237 (+18%) from 2023

Net Income

Up

$1,337,294

Up $295,821 (+28%) from 2023

Trend Graphs

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2011: $9,627,219Liabilities 2011: $1,848,438Net Assets 2011: $7,778,7812011Assets 2012: $10,611,713Liabilities 2012: $2,147,583Net Assets 2012: $8,464,1302012Assets 2013: $11,993,829Liabilities 2013: $1,204,767Net Assets 2013: $10,789,0622013Assets 2014: $12,852,704Liabilities 2014: $2,268,940Net Assets 2014: $10,583,7642014Assets 2015: $12,664,626Liabilities 2015: $4,604,964Net Assets 2015: $8,059,6622015Assets 2016: $12,991,915Liabilities 2016: $5,223,232Net Assets 2016: $7,768,6832016Assets 2017: $14,629,007Liabilities 2017: $5,947,696Net Assets 2017: $8,681,3112017Assets 2018: $13,418,599Liabilities 2018: $4,537,227Net Assets 2018: $8,881,3722018Assets 2019: $16,065,381Liabilities 2019: $4,372,527Net Assets 2019: $11,692,8542019Assets 2020: $15,714,960Liabilities 2020: $3,119,442Net Assets 2020: $12,595,5182020Assets 2021: $17,359,290Liabilities 2021: $1,309,847Net Assets 2021: $16,049,4432021Assets 2022: $15,392,347Liabilities 2022: $973,177Net Assets 2022: $14,419,1702022Assets 2023: $17,556,318Liabilities 2023: $1,017,118Net Assets 2023: $16,539,2002023Assets 2024: $19,435,872Liabilities 2024: $992,159Net Assets 2024: $18,443,7132024

Highlighted filing

2024

Assets$19,435,872
Liabilities$992,159
Net Assets$18,443,713

Operations Trend

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MExpenses 2011: $2,039,3452011Revenue 2012: $2,406,699Expenses 2012: $2,192,713Net Income 2012: $213,9862012Revenue 2013: $2,321,396Expenses 2013: $2,209,815Net Income 2013: $111,5812013Revenue 2014: $2,606,557Expenses 2014: $1,968,252Net Income 2014: $638,3052014Revenue 2015: $2,080,388Expenses 2015: $1,970,461Net Income 2015: $109,9272015Revenue 2016: $2,142,070Expenses 2016: $2,436,787Net Income 2016: -$294,7172016Revenue 2017: $2,215,176Expenses 2017: $2,467,141Net Income 2017: -$251,9652017Revenue 2018: $2,561,585Expenses 2018: $2,286,354Net Income 2018: $275,2312018Revenue 2019: $2,580,904Expenses 2019: $2,324,544Net Income 2019: $256,3602019Revenue 2020: $3,035,499Expenses 2020: $1,859,554Net Income 2020: $1,175,9452020Revenue 2021: $2,722,727Expenses 2021: $1,371,606Net Income 2021: $1,351,1212021Revenue 2022: $2,140,475Expenses 2022: $1,462,685Net Income 2022: $677,7902022Revenue 2023: $2,608,451Expenses 2023: $1,566,978Net Income 2023: $1,041,4732023Revenue 2024: $3,186,509Expenses 2024: $1,849,215Net Income 2024: $1,337,2942024

Highlighted filing

2024

Revenue$3,186,509
Expenses$1,849,215
Net Income$1,337,294

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$19.4$0.99$18.4$3.19$1.85$1.34
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.6$1.02$16.5$2.61$1.57$1.04
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.4$0.97$14.4$2.14$1.46$0.68
2021Detailed filing. Detailed filing data is available for this year.$17.4$1.31$16.0$2.72$1.37$1.35
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.7$3.12$12.6$3.04$1.86$1.18
2019Detailed filing. Detailed filing data is available for this year.$16.1$4.37$11.7$2.58$2.32$0.26
2018Summary only. Only limited summary data is available for this year.$13.4$4.54$8.88$2.56$2.29$0.28
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.6$5.95$8.68$2.22$2.47$0.25
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.0$5.22$7.77$2.14$2.44$0.29
2015Summary only. Only limited summary data is available for this year.$12.7$4.60$8.06$2.08$1.97$0.11
2014Summary only. Only limited summary data is available for this year.$12.9$2.27$10.6$2.61$1.97$0.64
2013Summary only. Only limited summary data is available for this year.$12.0$1.20$10.8$2.32$2.21$0.11
2012Summary only. Only limited summary data is available for this year.$10.6$2.15$8.46$2.41$2.19$0.21
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.63$1.85$7.78$2.04
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jun 6, 2025
Return Version
2024v5.0
Gross Receipts
$6,446,193
Mission and Program Overview

Mission

MSMA's MISSION IS TO SERVE ITS MEMBERS THROUGH PROMOTION OF THE SCIENCE & ART OF MEDICINE, PROTECTION OF THE HEALTH OF THE PUBLIC & BETTERMENT OF THE MEDICAL PROFESSION IN MISSOURI.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$15,706,800$16,973,218▲ $1,266,418
Cash and Non-Interest-Bearing Accounts$604,685$873,407▲ $268,722
Land, Buildings, and Equipment, Net$111,640$457,162▲ $345,522
Savings and Temporary Cash Investments$350,000--
Other Notes and Loans Receivable, Net$199,610$154,700▼ $44,910
Prepaid Expenses and Deferred Charges$36,280$32,554▼ $3,726
Total Assets$17,556,318$19,435,872▲ $1,879,554
Other Assets Total$547,303$944,831▲ $397,528
Liabilities
Deferred Revenue$589,370$579,825▼ $9,545
Other Liabilities$267,281$243,619▼ $23,662
Accounts Payable and Accrued Expenses$160,467$168,715▲ $8,248
Total Liabilities$1,017,118$992,159▼ $24,959
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$16,539,200$18,443,713▲ $1,904,513
Total Net Assets Fund Balance$16,539,200$18,443,713▲ $1,904,513
Total Liabilities and Net Assets / Fund Balance$17,556,318$19,435,872▲ $1,879,554

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$372,624$582,281$954,905
Land$83,000-$83,000
Equipment$1,538$25,105$26,643
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jeffrey HowellExec DirectorFT$208,582$82,334$290,916

Board Members and Trustees

NameTitle
David Pohl MdPresident
Brian BiggersPresident El
Amy Patel MdBoard Member
Amy Zguta MdBoard Member
Christopher Swingle DoBoard Member
Dorothy Munch DoBoard Member
Inderjit Singh MdBoard Member
Jenny Page MdBoard Member
Tim Swearengin DoBoard Member
Barbara White Do2nd Dist. Vi
Ramona Behshad Md3rd Dist. Vi
Keith Ratcliff Md4th Dist. Vi
Jennifer Powell Md5th Dist. Vi
Sarah B Florio Md7th Dist. Vi
Chakshu Gupta MdCouncil Chai
David Kuhlmann MdCouncil Chai
Erin Gardner MdCouncil Chai
Fariha Shafi MdCouncil Chai
Hossein Behniaye MdCouncil Chai
Kevin Weikart MdCouncil Chai
Lirong Zhu MdCouncil Chai
Lisa Thomas MdCouncil Chai
Joanne Loethen MdCouncil Vice
John Krautmann MdHonorary Vic
John Rollo MdHonorary Vic
Deepu Sudhakaran MdInt Med Grad
Louis Delcampo MdInt Med Grad
Bethany BaumgartnerMed Stud Sec
Lacey RaperMedical Stud
Peggy Barjenbruch MdOrg Med Staf
Lancer Gates DoPast Preside
Rachana Raghupathy MdRes & Fell S
Julia Dmowska MdRes & Fell V
M Ellen Nichols MdSecretary
M Laurin Council MdSpeaker
Elie Azrak MdTreasurer
Carlin Ridpath MdVice Preside
George Mansour MdVice Speaker
Adriana Canas-polesel MdWomen Physic
Kelly Schmidt MdWomens Phy V
Sara Hawatmeh MdYoung Phys V
Rachel Kyllo MdYoung Physic
Revenue and Support

Revenue Composition

Contributions and Grants
$254,500
Program Service Revenue
$820,540
Investment Income
$1,846,050
Other Revenue
$265,419
All Other Contributions
$164,500
Change in Net Assets
$1,337,294

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,186,509
Revenue Not Reported on Form 990
$105,960
Total Revenue per Audited Statements
$3,292,469
Total Revenue per Form 990
$3,186,509
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,052,780
Other Expenses$796,435
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages---$541,343
Current Officers, Directors, Trustees, and Key Employees---$290,916
Conferences and Meetings---$173,188
Fees for Service Investment Mgmnt Fees---$83,626
Other Employee Benefits---$80,042
Pension Plan Contributions---$76,446
Advertising---$65,973
Fees for Services Other---$64,035
Payroll Taxes---$64,033
Fees for Services Accounting---$50,436
Insurance---$34,920
All Other Expenses---$22,568
Occupancy---$19,230
Office Expenses---$18,088
Other Expenses---$13,965
Travel---$11,664
Information Technology---$10,384
Fees for Services Legal---$8,091
Depreciation Depletion---$4,993
Total Functional Expenses$0$0$0$1,849,215

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,849,215
Expenses per Audited Statements$1,844,222
Total Expenses per Audited Statements$1,844,222
Expenses Not Reported on Financial Statements$4,993
Other Expense Adjustments$4,993
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
Yes
In-house lobbying only
No
Subject to proxy tax
Yes

Reported Spending and Taxes

Line ItemAmount
Current Year Nondeductible Lobbying and Political Cost$346,756
Total Nondeductible Lobbying and Political Cost$194,856
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Comp Liability$243,619
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

Active members - shall be limited to those members who (1) hold the degree of doctor of medicine or bachelor of medicine, and (2) members who hold the degree of doctor of osteopathy. Resident members - shall be limited to those members of the resident and fellow section who are serving a full-time postgraduate training program approved by the american medical association or the american osteopathic association and shall enjoy all of the privileges of active membership. Student members - shall be limited to those members of the medical student section who are pursuing a course of study leading to the degree of doctor of medicine or doctor of osteopathy in a medical school approved by the american medical association or american osteopathic association and shall have all the privileges of active membership. Honor members - shall be limited to active members who have reached advanced years and have long served the association and the profession. They shall enjoy all the privileges of active membership. Special dues-exempt members - shall be limited to those members who have been elected to the u.s. Congress, the missouri state legislature, or to an office in the executive branch of the state or federal government. They shall be exempt from the payment of dues until the term of their politcal office expires, and shall enjoy all privileges of active membership. Affiliate members - shall be those individuals who contribute to the health care of the public through employment service to msma members and component societies and who are not otherwise eligible for active membership. The criteria for affiliate membership and the policies governing the participation of affiliate members shall be established and maintained by the council. Affiliate members shall have no voting rights nor will this class of membership apply toward house of delegates or council representation.

Form 990, Page 6, Part VI, Line 7A

The house of delegates is the legislative body of the association. Delegates are elected by the component societies, the organized medical staff section, young physician section, international medical graduate section, resident and fellow section, medical student section, all past presidents of the association, the speaker and vice speaker. Also, the deans of each medical school located in missouri who are members of the association shall serve as delegates-at-large. The council is the executive body of the association when the house of delegates is not in session. It consists of the president, president-elect, immediate past president, first vice president, secretary and treasurer, the duly elected councilors from each councilor district and the duly elected councilors from the medical student section, the resident and fellow section, the young physician section, the organziation medical staff section, and the international medical graudate section.

Form 990, Page 6, Part VI, Line 7B

At any general meeting of the association, it may, by a two-thirds vote, order a general referendum upon any question pending before the house of delegates. The house of delegates may, by a vote of its members, submit any question to the membership of the association for its vote. A majority vote of all members of the association shall determine the question. Petitions signed by 10 percent of active members of the association, including petitioners representing at least one-half of the component medical societies, will initiate a referendum regarding changes in the constitution or bylaws or questions before the house of delegates. A two- thirds vote of all active members of the association responding will determine the question.

Form 990, Page 6, Part VI, Line 11B

The 990 is reviewed by the executive vice president and treasurer prior to submission.

Form 990, Page 6, Part VI, Line 12C

The organization provides the written conflict of interest policy and an oral reminder of it to all participants at every meeting of its governing body.

Form 990, Page 6, Part VI, Line 15A

The organization's executive committee annually conducts a formal performance evaluation of the executive vice president. Also, the organization annually consults a nationwide compensation and benefit survey of comparable organizations for comparable employees.

Form 990, Page 6, Part VI, Line 15B

The organization's management annually consults a nationwide compensation and benefits survey of comparable organizations for comparable key employees.

Form 990, Page 6, Part VI, Line 19

UPON REQUEST.

Filing and Contact Details

Filer

Filer Name
Missouri State Medical Association
EIN
43-0631112
Phone
5736365151
Address
113 MADISON STREET, JEFFERSON CITY, MO 65101

Signing Officer

Name
Jeffrey Howell
Title
Exec Director
Phone
5736365151
Signed
2025-06-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeffrey Howell
Formed
1850
Legal Domicile
Mo
Voting Board Members
32
Independent Board Members
32
Employees
9
Volunteers
71

Preparer

Firm
EVERS & COMPANY CPA'S LLC
Address
520 DIX RD STE A, JEFFERSON CITY, MO 65109-1486
Preparer
Wendy M Renner CPA
Phone
5736350227
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Net income of subsidiary 15,600 net periodic pension cost 445,659 total 461,259

Financial Statement Notes

Schedule D, Page 4, Part XII, Line 4B

Book / tax depreciation difference 4,993

Raw XML AppendixShowing 400 of 779 raw XML fields

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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