Civic Intelligence

The Missouri Foundation for Health

EIN 43-1880952 • 501(c)4 • St Louis, MO

Profile

To eliminate underlying causes of health inequities, transform systems and enable individuals and communities to thrive

4254 Vista AvenueSt Louis, MO 63110

www.mffh.org

Siviq Scores

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

Liabilities / Assets

20th percentile

0.05x

Higher debt load relative to assets than 20% of similar nonprofits.

$1B+ nonprofits • Source year 2023

Liabilities / Revenue

54th percentile

0.75x

Higher debt load relative to revenue than 54% of similar nonprofits.

$1B+ nonprofits • Source year 2023

Net Margin

84th percentile

28%

Higher net margin than 84% of similar nonprofits.

$1B+ nonprofits • Source year 2023

Top Officer Pay

17th percentile

$537,705

Higher top officer pay than 17% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

$1B+ nonprofits • Source year 2023

Asset Growth

70th percentile

10%

Faster asset growth than 70% of similar nonprofits.

$1B+ nonprofits • Annualized from 2022 to 2023

Revenue Growth

28th percentile

5.8%

Faster revenue growth than 28% of similar nonprofits.

$1B+ nonprofits • Annualized from 2022 to 2023

Assets

Up

$1,444,093,156

Up $136,534,546 (+10%) from 2022

Liabilities

Up

$76,678,294

Up $6,198,275 (+8.8%) from 2022

Net Assets

Up

$1,367,414,862

Up $130,336,271 (+11%) from 2022

Revenue

Up

$102,425,431

Up $5,575,069 (+5.8%) from 2022

Expenses

Down

$73,936,734

Down $7,537,573 (-9.3%) from 2022

Net Income

Up

$28,488,697

Up $13,112,642 (+85%) from 2022

Trend Graphs

Balance Sheet Trend

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

$1.5B$1.0B$500M$0Assets 2011: $1,127,558,333Liabilities 2011: $238,144,004Net Assets 2011: $889,414,3282011Assets 2012: $1,232,328,077Liabilities 2012: $272,419,697Net Assets 2012: $959,908,3802012Assets 2013: $1,105,613,100Liabilities 2013: $40,916,780Net Assets 2013: $1,064,696,3202013Assets 2014: $1,126,100,533Liabilities 2014: $46,266,549Net Assets 2014: $1,079,833,9842014Assets 2015: $1,077,118,041Liabilities 2015: $59,637,409Net Assets 2015: $1,017,480,5492015Assets 2016: $1,087,861,489Liabilities 2016: $58,400,809Net Assets 2016: $1,029,460,6802016Assets 2017: $1,200,991,252Liabilities 2017: $74,777,161Net Assets 2017: $1,126,214,0912017Assets 2018: $1,118,235,896Liabilities 2018: $87,118,235Net Assets 2018: $1,031,117,6612018Assets 2019: $1,221,021,941Liabilities 2019: $79,096,199Net Assets 2019: $1,141,925,7422019Assets 2020: $1,321,497,115Liabilities 2020: $78,596,756Net Assets 2020: $1,242,900,3592020Assets 2021: $1,491,905,029Liabilities 2021: $71,514,591Net Assets 2021: $1,420,390,4382021Assets 2022: $1,307,558,610Liabilities 2022: $70,480,019Net Assets 2022: $1,237,078,5912022Assets 2023: $1,444,093,156Liabilities 2023: $76,678,294Net Assets 2023: $1,367,414,8622023

Highlighted filing

2023

Assets$1,444,093,156
Liabilities$76,678,294
Net Assets$1,367,414,862

Operations Trend

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

$200M$100M$0-$100MRevenue 2011: $25,561,135Expenses 2011: $54,352,166Net Income 2011: -$28,791,0312011Revenue 2012: $29,342,419Expenses 2012: $59,654,717Net Income 2012: -$30,312,2982012Revenue 2013: $140,702,125Expenses 2013: $53,449,484Net Income 2013: $87,252,6412013Revenue 2014: $71,550,112Expenses 2014: $60,366,815Net Income 2014: $11,183,2972014Revenue 2015: $2,506,210Expenses 2015: $70,442,002Net Income 2015: -$67,935,7922015Revenue 2016: $70,437,426Expenses 2016: $63,989,216Net Income 2016: $6,448,2102016Revenue 2017: $126,136,949Expenses 2017: $70,487,471Net Income 2017: $55,649,4782017Revenue 2018: $62,158,361Expenses 2018: $76,409,617Net Income 2018: -$14,251,2562018Revenue 2019: $55,807,029Expenses 2019: $55,397,104Net Income 2019: $409,9252019Revenue 2020: $28,045,192Expenses 2020: $78,980,099Net Income 2020: -$50,934,9072020Revenue 2021: $167,005,980Expenses 2021: $68,317,773Net Income 2021: $98,688,2072021Revenue 2022: $96,850,362Expenses 2022: $81,474,307Net Income 2022: $15,376,0552022Revenue 2023: $102,425,431Expenses 2023: $73,936,734Net Income 2023: $28,488,6972023

Highlighted filing

2023

Revenue$102,425,431
Expenses$73,936,734
Net Income$28,488,697

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 14, 2024
Return Version
2023v5.1
Gross Receipts
$835,337,064
Mission and Program Overview

Mission

To improve the health and well being of individuals and communities in need.

To eliminate underlying causes of health inequities, transform systems and enable individuals and communities to thrive

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$1,134,937,651$1,150,759,934▲ $15,822,283
Investments in Publicly Traded Securities$63,958,606$205,318,386▲ $141,359,780
Savings and Temporary Cash Investments$88,619,300$67,124,527▼ $21,494,773
Land, Buildings, and Equipment, Net$17,241,451$16,817,945▼ $423,506
Investments Program Related$2,162,422$3,718,981▲ $1,556,559
Prepaid Expenses and Deferred Charges$189,914$253,649▲ $63,735
Accounts Receivable$74,266$62,234▼ $12,032
Pledges and Grants Receivable$375,000$37,500▼ $337,500
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,307,558,610$1,444,093,156▲ $136,534,546
Other Assets Total$0$0→ $0
Liabilities
Grants Payable$60,515,613$67,333,245▲ $6,817,632
Mortgage Notes Payable Secured by Investment Property$4,800,000$4,800,000→ $0
Accounts Payable and Accrued Expenses$4,784,108$4,507,549▼ $276,559
Deferred Revenue$380,298$37,500▼ $342,798
Other Liabilities$0$0→ $0
Total Liabilities$70,480,019$76,678,294▲ $6,198,275
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,237,078,591$1,367,414,862▲ $130,336,271
Total Net Assets Fund Balance$1,237,078,591$1,367,414,862▲ $130,336,271
Total Liabilities and Net Assets / Fund Balance$1,307,558,610$1,444,093,156▲ $136,534,546

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$14,903,834$1,943,821$16,847,655
Land$1,628,110-$1,628,110
Equipment$271,001$445,599$716,600
Other Land Buildings$15,000$0$15,000
Leasehold Improvements$0$0$0
Other Securities$66,873,024--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-President & CEOFT$497,479$40,226$537,705
-Executive VP of Impact InvestingFT$190,351$145,319$335,670
-Chief Financial & Administrative OfficerFT$259,078$48,105$307,183
-VP Stategic InitiativesFT$223,327$49,335$272,662
-Chief Strategy OfficerFT$210,924$35,523$246,447
-VP Strategic InitiativesFT$196,025$34,937$230,962
-VP Health PolicyFT$189,462$35,738$225,200
-VP Learning & ResearchFT$173,506$41,234$214,740
-SecretaryFT$94,647$32,847$127,494

Board Members and Trustees

NameTitle
-Chairperson
-Vice Chairperson
-Director
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Cornerstone PartnersInvestment Advisor675 PETER JEFFERSON PKWY STE 160, Charlottesville, VA 22911$2,195,771
Northern TrustInvestment Custodian50 SOUTH LASALLE STREET, Chicago, IL 60603$284,318
Rdl InsightsConsultant38335 9TH ST N, Arlington, VA 22203$189,023
Mosaic Beginnings LLCConsultant4655 ROBBINS GROVE DR, Florissant, MO 63034$105,540
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$101,975,868
Other Revenue
$449,563
Change in Net Assets
$28,488,697

Audited Revenue Reconciliation

Revenue per Audited Statements
$84,498,854
Revenue Not Reported on Financial Statements
$17,926,577
Revenue Not Reported on Form 990
$100,814,359
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$185,313,213
Total Revenue per Form 990
$102,425,431
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$43,515,999
Other Expenses$22,047,442
Salaries, Compensation, and Employee Benefits$8,373,293
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$43,515,999--$43,515,999
Fees for Service Investment Mgmnt Fees-$17,926,577-$17,926,577
Other Salaries and Wages$2,731,515$2,642,378-$5,373,893
Current Officers, Directors, Trustees, and Key Employees$160,190$931,145-$1,091,335
Other Employee Benefits$532,212$522,412-$1,054,624
Depreciation Depletion$258,873$255,070-$513,943
Information Technology$229,272$271,196-$500,468
Pension Plan Contributions$219,046$212,516-$431,562
Payroll Taxes$214,053$207,826-$421,879
Fees for Services Other$101,271$162,371$0$263,642
Occupancy$120,544$118,773-$239,317
Travel$144,556$73,094-$217,650
Conferences and Meetings$69,157$98,033-$167,190
Other Expenses$155,812$162,857-$155,812
Office Expenses$64,283$68,759-$133,042
Fees for Services Accounting-$123,291-$123,291
Insurance$49,643$73,014-$122,657
Advertising$31,367$57,217-$88,584
Interest-$51,936-$51,936
Fees for Services Legal$80$12,738-$12,818
All Other Expenses$628$7,520$0$8,148
Total Functional Expenses$49,868,111$24,068,623$0$73,936,734

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$73,936,734
Expenses per Audited Statements$54,976,942
Total Expenses per Audited Statements$54,976,942
Expenses Not Reported on Financial Statements$18,959,792
Other Expense Adjustments$1,033,215
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
See Attached DetailSt Louis, MO-See Attached Detail$43,515,999

International Summary

Offices
0
Employees
0
Spending
$628,853,358

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$623,614,290
Europe (Including Iceland and Greenland)Investments-00$5,239,068
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
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
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

The cfao and director of finance review the form 990 completely after supplied in draft form by the external tax preparer. The ceo reviews the form after the cfao's review is complete. After management's review is complete, the form 990 is placed in a board accessible portal prior to filing. Board members are notified when this occurs and that the return is available for review and comment.

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

All board members, community advisory council members and staff complete a conflict of interest disclosure statement annually, and update as required throughout the year. Any potential conflicts are reviewed by staff. A current summary of potential conflicts is maintained and brought to programmatic strategy committee meetings and board meetings at which funding decisions are discussed and/or made.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

Ceo compensation decision is based on comparable market data from several reliable sources. The 2023 decision was made by the executive committee of the board.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

Compensation decisions for key employees are made by the president and ceo and are based on market data from several reliable sources, as well as an annual performance review process.

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

Missouri foundation for health provides access to requested documents (including governing documents, conflict of interest policy, and financial statements) to the public upon request. Documents are made available for review or copies are provided to the requestor, whichever the requestor prefers.

Filing and Contact Details

Filer

Filer Name
The Missouri Foundation for Health
EIN
43-1880952
Phone
3143455500
Address
4254 Vista Avenue, St Louis, MO 63110

Signing Officer

Name
Mark Seebeck
Title
Cfao
Phone
3143455500
Signed
2024-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
Mo
Voting Board Members
13
Independent Board Members
13
Employees
64
Volunteers
13

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

Grants present value adjustment - 1292672; contribution expense - -239757; in kind adjustment - -19700;

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

Grants present value adjustment - 1292672 contribution expense - -239757 in kind adjustment - -19700

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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2DONNA CHECKETT
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3ALEXANDER GARZA
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4ASHANTI TATE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5CRAIG STEVENSON
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6ESTRELLA CARMONA
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7FRANCINE PRATT
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8KYLER SHERMAN WILKENS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9NALINI MAHADEVAN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10STEPHEN LEWIS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11TODD AHRENS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12VETTA SANDERS THOMPSON
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13DWAYNE PROCTOR
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14MARK SEEBECK
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15SARAH SELLERS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16JULIE RUSSELL
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17COURTNEY STEWART
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18JILL NOWAK
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19KATHERINE FRITZ
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt20KATHLEEN HOLMES
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IRS990/Form990PartVIISectionAGrp/TitleTxt15SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF STRATEGY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP STRATEGIC INITIATIVES
IRS990/Form990PartVIISectionAGrp/TitleTxt18EXECUTIVE VP OF IMPACT INVESTING
IRS990/Form990PartVIISectionAGrp/TitleTxt19VP LEARNING & RESEARCH
IRS990/Form990PartVIISectionAGrp/TitleTxt20VP STATEGIC INITIATIVES
IRS990/Form990PartVIISectionAGrp/TitleTxt21VP HEALTH POLICY
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IRS990/OtherExpensesGrp/Desc2UNRELATED BUSINESS INCOME TAX
IRS990/OtherExpensesGrp/Desc3CONVENTIONS & TRAINING

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