Fitzgibbon Hospital
Legal name: John Fitzgibbon Memorial Hospital
Nonprofit profile at a glance
- EIN
- 440655986
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Marshall, MO, US
- Phone
- (660) 886-7431
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Hospital, General
Reported finances
- Revenue
- $62,743,772
- Expenses
- $67,783,038
- Assets
- $31,328,396
- Liabilities
- $31,642,885
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
12 people listed
Executive titles in this filing
- Jan Stapleton (Vice President)
- William L Summers (President)
- Jared Romney (President of Medical Staff)
- Angela Littrell (President/CEO)
Highest reported compensation
- Darin L Haug (ER Physician): $662,071 total reported compensation
- Kelly Ross (Orthopedic Surgeon): $661,479 total reported compensation
- William Smith (OB/GYN Physisican): $578,383 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Fitzgibbon Hospital is a 501(c)(3) not-for-profit hospital committed to providing quality, compassionate care and personal attention to patients in central Missouri.
What it reported doing in 2024
Hospital service - fitzgibbon hospital is a 60 bed acute care facility serving marshall, mo and the surrounding communities. The facility provides health care with a 24 hour physician-staffed emergency department, in and out-patient medical/surgical services, an obstetrics unit, a behavioral health unit and a 24 hour hospitalist program to serve in-patient needs at all times. Ancillary services such as radiology, laboratory, respiratory therapy and rehabilitative services are available on site. For the fiscal year ended april 30, 2025, the emergency room experienced 14,013 patient visits. The surgical team performed 168 inpatient procedures and 1,381 outpatient procedures. The radiology group performed 15,604 procedures which include 2,567 mammograms, 6,775 ct scans, 1,546 mri's, 4,012 ultrasound images and 704 nuclear medicine scans. The laboratory team performed 216,648 tests. The respiratory therapy department conducted 11,681 procedures and the rehabilitative services group which includes physical, occupational, and speech therapies provided 50,714 procedures.
Operating model
- Revenue model
- Other-operating. 99% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 80
- Transparency & Controls: 91
- Accountability: 75
- Sustainability: 11
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 90.4%; rating input score 90
- Program expense ratio: 83.6%; rating input score 84
- Fundraising efficiency: $4.73 raised per $1 spent on fundraising; rating input score 19; 19th percentile among comparable filings
Transparency & Controls
- Consistency checks: 88.2%; rating input score 88; 2nd percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 80%; rating input score 80; 28th percentile among comparable filings
- Governance controls: 6 of 9 controls in place; rating input score 67
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -8%; rating input score 9; 9th percentile among comparable filings
- Total-asset coverage ratio: 0.46; rating input score 17; 17th percentile among comparable filings
- Liabilities to assets ratio: 1.01; rating input score 6; 6th percentile among comparable filings
- Officer compensation ratio: 6.1%; rating input score 11; 11th percentile among comparable filings
Growth
- Program expense growth: 1.1% per year; rating input score 100; 11th percentile among comparable filings
- Revenue growth: 1.5% per year; rating input score 100; 11th percentile among comparable filings
- Asset growth: -2.6% per year; rating input score 0; 4th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 3 operating locations identified
- Where the money goes: 90.4% of revenue deployed · 83.6% of spending went to programs
- Governance: 4 of 5 board members independent · 6 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $56.7M in reported program spending
- Leadership: top reported pay $662K · 12 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $2.5M reported
- Consistency: 35 of 37 current checks pass · 2 findings to review
- Schedules: 12 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 9 filed money-flow records
- Related organizations: 2 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Financial Efficiency: Fundraising efficiency scored 19/100.
- Review — Accountability: Governance controls: 3 of 9 not reported.
- High — Sustainability: Operating margin scored 9/100.
- High — Sustainability: Total-asset coverage ratio scored 17/100.
- High — Growth: Asset growth scored 0/100.
- High — Sustainability: Liabilities to assets ratio scored 6/100.
- High — Sustainability: Officer compensation ratio scored 11/100.
- Moderate — Transparency & Controls: Schedule D expense reconciliation did not reconcile in the filed values.
- Moderate — Transparency & Controls: Schedule D revenue reconciliation did not reconcile in the filed values.