Missouri Foundation for Health

Legal name: The Missouri Foundation for Health

Nonprofit profile at a glance

EIN
431880952
IRS 990 coverage
2017–2023
Official website data refreshed
Sep 2026
Forms available
Form 990 2023
Location
St Louis, MO, USA
Phone
3143455500
Rating
84
Verdict
STRONG
Rating confidence
Moderate
Sector
Public Health Program (Includes General Health and Wellness Promotion Services)

Official website

Reported finances

Revenue
$102,425,431
Expenses
$73,936,734
Assets
$1,444,093,156
Liabilities
$76,678,294

Source: IRS Form 990. Selected filing: tax year 2023. Amounts in USD.

Leadership & pay

22 people listed

Source: IRS Form 990. Selected filing: tax year 2023. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Missouri Foundation for Health is building a more equitable future through collaboration, convening, knowledge sharing, and strategic investment.

What it reported doing in 2023

Mfh awarded 168 grants/contracts in 2023 to organizations to improve the health of missourians in our service area. A complete listing of awards by funding program is attached in schedule i.

Operating model

Revenue model
Investment-supported. 98% of the money available for current operations came from recurring investment income.
Distribution model
Grant intermediary. The nonprofit sent 87% of its reported program spending out as grants.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 78
  • Transparency & Controls: 79
  • Accountability: 100
  • Sustainability: 86
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 67.4%; rating input score 67
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Missing
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 78th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 27.8%; rating input score 93; 93rd percentile among comparable filings
  • Total-asset coverage ratio: 19.53; rating input score 96; 96th percentile among comparable filings
  • Liabilities to assets ratio: 0.05; rating input score 89; 89th percentile among comparable filings
  • Officer compensation ratio: 3.4%; rating input score 32; 32nd percentile among comparable filings

Growth

  • Program expense growth: 0.9% per year; rating input score 100; 11th percentile among comparable filings
  • Revenue growth: 1% per year; rating input score 100; 10th percentile among comparable filings
  • Asset growth: 3.4% per year; rating input score 100; 24th percentile among comparable filings

Details

  • What they do: 10 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 100% of revenue deployed · 67.4% of spending went to programs
  • Governance: 13 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $49.9M in reported program spending
  • Leadership: top reported pay $538K · 22 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $2.8M reported
  • Consistency: 37 of 37 current checks pass
  • Schedules: 6 filed schedules · includes foreign activity, grants, executive pay, and related organizations
  • Filing history: 6 filing years from 2017 to 2023
  • Contacts: How to reach this organization
  • Money network: 10 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 — Transparency & Controls: Foreign activity oversight scored 0/100.
  • Moderate — Sustainability: Officer compensation ratio scored 32/100.