Mark Twain Association for Mental Health Inc
154 Forrest Dr, Hannibal, MO · IRS data through FY2025
Revenue, expenses and net assets
Revenue Expenses Net assets
| Tax year | Revenue | Expenses | Net assets |
|---|---|---|---|
| FY2025 | $38,911,982 | $30,307,585 | $81,243,980 |
| FY2024 | $40,178,837 | $27,042,729 | $72,527,360 |
| FY2023 | $34,307,131 | $23,222,228 | $58,792,536 |
| FY2022 | $33,889,306 | $22,393,764 | $47,649,753 |
| FY2021 | $26,743,411 | $15,670,104 | $36,154,211 |
| FY2020 | $18,341,920 | $13,796,530 | $25,080,904 |
| FY2019 | $17,334,660 | $11,985,056 | $20,535,515 |
| FY2018 | $14,245,046 | $9,617,671 | $15,185,911 |
| FY2017 | $9,576,316 | $7,919,534 | $10,558,536 |
| FY2016 | $8,540,113 | $7,482,110 | $8,901,754 |
| FY2015 | $7,788,686 | $6,808,934 | $7,843,751 |
| FY2014 | $6,855,849 | $5,903,378 | $6,863,999 |
| FY2013 | $5,981,406 | $4,994,867 | $5,911,529 |
| FY2012 | $5,615,917 | $4,740,265 | $4,924,990 |
Form 990 filings
The returns filed by Mark Twain Association for Mental Health Inc (EIN 43-1020989), including Form 990 PDFs and e-file data by year, are available in ProPublica's Nonprofit Explorer. The figures on this page come from IRS data files built from those returns.
Where the revenue came from
| Source | Amount | % of revenue |
|---|---|---|
| Contributions & grants | $154,411 | <1% |
| Program service revenue | $37,226,602 | 96% |
| Other revenue | $1,530,969 | 4% |
Where the money was spent
| Category | Amount | % of expenses |
|---|---|---|
| Program services | $26,153,789 | 86% |
| Management & general | $4,153,796 | 14% |
| Fundraising | $0 | 0% |
What the numbers show
- Program service revenue made up 96% of total revenue in FY2025.
- Program services accounted for 86% of functional expenses, management & general 14%, and fundraising 0%.
- 86% of functional expenses went to program services in FY2025. That is higher than 59.8% of 689 Mental Health & Crisis Intervention organizations nationwide (too few in MO for a state comparison).
- Net assets covered about 32.2 months of expenses at the end of the reporting year. That puts it in the 84th percentile among 137 Mental Health & Crisis Intervention organizations in MO.
- Total revenue was higher than 97.1% of 138 Mental Health & Crisis Intervention organizations in MO.
- Total revenue rose from $5,615,917 in FY2012 to $38,911,982 in FY2025. Revenue increased in 12 and decreased in 1 of 13 year-over-year comparisons.
- Revenue covered expenses in each of the 14 reported years, FY2012 to FY2025.
- The highest revenue on record here is $40,178,837 in FY2024.
- Net assets grew from $4,924,990 to $81,243,980 between FY2012 and FY2025.
- Listed in the IRS Publication 78 data as eligible to receive tax-deductible contributions (public charity).
Figures compared against other organizations of the same NTEE program area in the same state. See the methodology page for how these are calculated and the guide to reading nonprofit financials for their limits.
About this organization
TO PROVIDE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES AND EDUCATION TO RESIDENTS LIVING IN THE 9 NORTHEASTERN COUNTIES OF MISSOURI.
IRS status
| Ruling year | 1975 |
| Subsection | 501(c)(3) |
| Classification | Public charity |
| Program area (NTEE) | F32Z — Mental Health & Crisis Intervention |
| Donations | Listed in the IRS Publication 78 data as eligible to receive tax-deductible contributions (public charity). |
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Source: Internal Revenue Service — Exempt Organizations Business Master File (downloaded November 4, 2026), Statistics of Income extracts, Form 990 e-file data, Publication 78 and the Automatic Revocation list. Figures are as reported by the organization; IRS processing may adjust them. This is not a charity rating and not tax advice. Confirm deductibility in IRS Tax Exempt Organization Search.
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