Missouri Coalition for Primary Health Care: Nonprofit Profile, Financials & Form 990 (EIN 43-1419937)

Revenue by fiscal year
FY2020	$16.6M
FY2021	$21.0M
FY2022	$22.7M
FY2023	$48.1M
FY2024	$49.4M
FY2025	$66.2M

Expenses by fiscal year
FY2020	$15.7M
FY2021	$19.2M
FY2022	$21.9M
FY2023	$46.6M
FY2024	$48.0M
FY2025	$57.1M

Net assets by fiscal year
FY2020	$7.1M
FY2021	$8.9M
FY2022	$9.7M
FY2023	$11.2M
FY2024	$12.6M
FY2025	$21.7M

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Jun 1987.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

98 cents of each dollar spent went to programs.

98%

Program services 98% · $56.1M Management & general 2% · $1.0M Fundraising 0% · $51K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

36 people listed on the 990; $1.8M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII

Joseph Pierle

Chief Executive Officer

$476,387Pt VII · Sec A

Samuel Joseph

Chief Clinical Officer

$286,041Pt VII · Sec A

Lindsey Haslag

Organization and Operations Liaison

$177,346Pt VII · Sec A

Tina Bradshaw

Vice President of Payer Relations

$150,962Pt VII · Sec A

Amanda Keilholz

Chief of Operations and Programs

$137,800Pt VII · Sec A

Laura Rankin

Director of Finance

$131,854Pt VII · Sec A

Kathryn Eiken

Vice President of External Affairs

$127,830Pt VII · Sec A

Angela Herman-Nestor

Senior Director of Health Care Trnasformation

$113,497Pt VII · Sec A

Compensation history total reportable pay by year · 8 named individuals · Part VII

Name	FY2025	FY2024	FY2023	FY2022	FY2021	FY2020
Joseph Pierle	$476,387	$436,001	$418,318	$400,548	$317,304	$284,585
Samuel Joseph	$286,041	$278,438	$275,284	$234,055	$204,255	$193,691
Lindsey Haslag	$177,346	$172,631	$146,742	$128,468	$110,129	—
Tina Bradshaw	$150,962	$149,356	$137,137	$132,176	—	—
Amanda Keilholz	$137,800	$136,771	$117,606	—	—	—
Laura Rankin	$131,854	$129,038	$120,838	$122,267	$109,517	—
Kathryn Eiken	$127,830	$115,980	—	$104,689	—	—
Angela Herman-Nestor	$113,497	—	—	—	—	—

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Missouri Coalition for Primary Health Care executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

Family or business ties among officersPt VI · Ln 2Yes
Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Improving access to affordable, community-based primary healthcare in Missouri.

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Provided by the organization

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3 programs · $30.5M · in their own filed words · FY2024

01

FQHC capital improvements

$20.3Mprogram expense

02

Substance use disorder network

$5.5Mprogram expense

03

Community health worker program

$4.7Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · funders on record

Grants received · FY2024

Forvis Mazars FoundationFY2024$30K

A T Still University of Health SciencesFY2024$10K

Total grants receivedfrom 2 funders$40K

By the numbers

The FY2025 990, line by line.

Download 990

from philanthropy.org

1The main four

Money inPt VIII

$66.2M

Ln 12

Gifts and grantsLn 1h$61.4M

Fees for servicesLn 2g$4.4M

Investment incomeLn 3$416K

Money outPt IX

$57.1M

Ln 25

Programscol B$56.1M

Managementcol C$1.0M

Fundraisingcol D$51K

Owns and owesPt X

$21.7M

net assets · Ln 32

Cash and savingsLn 1–2$16.0M

Total assetsLn 16$36.4M

LiabilitiesLn 26$14.7M

PeoplePt VI, VII

36

listed · VII A

PaidVII A10

Voting boardVI 1a25

IndependentVI 1b25

2In more detail

Revenue in detailPt VIII

Gifts and grantsLn 1h$61.4M

Government grantsLn 1e$56.9M

Fees for servicesLn 2g$4.4M

Investment incomeLn 3$416K

Gains on assetsLn 7$486

Total revenueLn 12$66.2M

Assets in detailPt X, end of year

CashLn 1$15.4M

SavingsLn 2$600K

Cash and savings togetherLn 1–2$16.0M

InvestmentsLn 11–13$740K

Land, buildings, equipmentLn 10c$13.5M

Other assetsLn 15$10K

Total assetsLn 16$36.4M

LiabilitiesLn 26$14.7M

Net assetsLn 32$21.7M

OperationsPt I, VI

EmployeesI 539

VolunteersI 60

Fiscal year endsHeaderJune

Conflict-of-interest policyVI 12aYes

Whistleblower policyVI 13Yes

Records policyVI 14Yes

3Year over year

Balance sheet, start vs end of yearPt X · col A, B

Line	Start FY25	End FY25
Cash and savingsLn 1–2	$12.4M	$16.0M
InvestmentsLn 11–13	$536K	$740K
Land, buildings, equipmentLn 10c	$1.7M	$13.5M
Total assetsLn 16	$19.6M	$36.4M
LiabilitiesLn 26	$7.0M	$14.7M
Net assetsLn 32	$12.6M	$21.7M

4Every line

Statement of functional expensesPt IX · every line

Line	Total	Programs	Management	Fundraising
Pay of current officers, directors and key staffLn 5	$1.5M	$1.4M	$116K	$9K
Other salaries and wagesLn 7	$2.9M	$2.6M	$224K	$18K
Pension plan contributionsLn 8	$311K	$285K	$24K	$2K
Other employee benefitsLn 9	$269K	$246K	$21K	$2K
Payroll taxesLn 10	$276K	$253K	$22K	$2K
Legal feesLn 11b	$135K	$123K	$12K	$204
Accounting feesLn 11c	$60K	$55K	$5K	$91
Lobbying feesLn 11d	$73K	$66K	$6K	$110
Other fees for servicesLn 11g	$49.6M	$49.3M	$335K	$6K
Advertising and promotionLn 12	$135K	$135K		$89
Office expensesLn 13	$53K	$53K		$51
OccupancyLn 16	$485K	$418K	$63K	$4K
TravelLn 17	$196K	$168K	$28K	$81
Conferences, conventions and meetingsLn 19	$358K	$296K	$62K	$22
InterestLn 20	$7K			$7K
Depreciation, depletion and amortizationLn 22	$111K	$108K	$3K	$522
Other expenses (24a–d)Ln 24	$650K	$581K	$68K	$160
All other expensesLn 24e	$60K	$44K	$15K	$21
Total functional expensesLn 25	$57.1M	$56.1M	$1.0M	$51K

Filing history

Year	Money in	Money out	In minus out	Net assets	Download
FY2025 Latest Viewing	$66.2M	$57.1M	$9.1M	$21.7M	990 PDF
FY2024	$49.4M	$48.0M	$1.4M	$12.6M	990 PDF
FY2023	$48.1M	$46.6M	$1.5M	$11.2M	990 PDF
FY2022	$22.7M	$21.9M	$799K	$9.7M	990 PDF
FY2021	$21.0M	$19.2M	$1.8M	$8.9M	990 PDF
FY2020	$16.6M	$15.7M	$869K	$7.1M	990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash

See the full FY2025 990 (6 parts)

Part I · Summary $66,240,785 revenue, 12 lines filed

I-8 Contributions and grantsPrior year $44,468,835$61,388,910

I-9 Program service revenuePrior year $4,388,660$4,435,721

I-10 Investment incomePrior year $567,048$416,154

I-11 Other revenuePrior year $0$0

I-12 Total revenuePrior year $49,424,543$66,240,785

I-13 Grants and similar amounts paidPrior year $0$0

I-14 Benefits paid to membersPrior year $0$0

I-15 Salaries and benefitsPrior year $4,848,395$5,206,062

I-16a Professional fundraising feesPrior year $0$0

I-17 Other expensesPrior year $43,173,051$51,931,838

I-18 Total expensesPrior year $48,021,446$57,137,900

I-19 Revenue less expensesPrior year $1,403,097$9,102,885

Part VI · Governance 25 of 25 board members independent, 1 to look at

VI-1a Voting members of the governing body25

VI-1b Independent voting members25

VI-2 Family or business relationship among officers or directorsYes

VI-12a Written conflict of interest policyYes

VI-13 Written whistleblower policyYes

VI-14 Document retention and destruction policyYes

VI-15a Process for setting top official's payYes

Part VIII · Statement of revenue $66,240,785 across 8 lines filed

VIII-1b Membership dues$571,377

VIII-1e Government grants$56,924,657

VIII-1f All other contributions, gifts and grants$3,892,876

VIII-1h Total contributions, gifts and grants$61,388,910

VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $4,435,721$4,435,721

VIII-3 Investment incomeExcluded from tax $415,668$415,668

VIII-7 Net gain or loss on sales of assetsExcluded from tax $486$486

VIII-12 Total revenueRelated to mission $4,435,721 · Unrelated business $0 · Excluded from tax $416,154$66,240,785

Part IX · Statement of functional expenses $57,137,900 across 18 lines filed

IX-5 Pay of current officers, directors and key staffPrograms $1,361,413 · Management $116,121 · Fundraising $9,257$1,486,791

IX-7 Other salaries and wagesPrograms $2,621,870 · Management $223,632 · Fundraising $17,828$2,863,330

IX-8 Pension plan contributionsPrograms $284,876 · Management $24,298 · Fundraising $1,937$311,111

IX-9 Other employee benefitsPrograms $246,251 · Management $21,004 · Fundraising $1,674$268,929

IX-10 Payroll taxesPrograms $252,635 · Management $21,548 · Fundraising $1,718$275,901

IX-11b Legal feesPrograms $122,761 · Management $11,970 · Fundraising $204$134,935

IX-11c Accounting feesPrograms $54,986 · Management $5,361 · Fundraising $91$60,438

IX-11d Lobbying feesPrograms $66,262 · Management $6,461 · Fundraising $110$72,833

IX-11g Other fees for servicesPrograms $49,268,611 · Management $335,022 · Fundraising $5,698$49,609,331

IX-12 Advertising and promotionPrograms $134,741 · Fundraising $89$134,830

IX-13 Office expensesPrograms $53,309 · Fundraising $51$53,360

IX-16 OccupancyPrograms $417,617 · Management $63,320 · Fundraising $4,498$485,435

IX-17 TravelPrograms $167,860 · Management $27,994 · Fundraising $81$195,935

IX-19 Conferences, conventions and meetingsPrograms $295,730 · Management $62,259 · Fundraising $22$358,011

IX-20 InterestFundraising $6,571$6,571

IX-22 Depreciation, depletion and amortizationPrograms $107,751 · Management $2,722 · Fundraising $522$110,995

IX-24 Other expenses (24a–d)Programs $581,006 · Management $68,472 · Fundraising $160$649,638

IX-24e All other expensesPrograms $44,446 · Management $15,059 · Fundraising $21$59,526

IX-25 Total functional expensesPrograms $56,082,125 · Management $1,005,243 · Fundraising $50,532$57,137,900

Part X · Balance sheet $36,448,783 assets, 17 lines filed

X-1 Cash, non-interest-bearingStart of year $11,845,902$15,381,952

X-2 Savings and temporary cash investmentsStart of year $600,000$600,000

X-3 Pledges and grants receivableStart of year $4,018,660$5,912,018

X-4 Accounts receivableStart of year $3,873$5,010

X-9 Prepaid expenses and deferred chargesStart of year $703,483$309,821

X-10c Land, buildings and equipment, netStart of year $1,746,004$13,489,587

X-11 Publicly traded securitiesStart of year $535,563$740,448

X-15 Other assetsStart of year $97,640$9,947

X-16 Total assetsStart of year $19,551,125$36,448,783

X-17 Accounts payable and accrued expensesStart of year $5,812,473$7,219,473

X-19 Deferred revenueStart of year $506,026$486,821

X-25 Other liabilitiesStart of year $633,203$750,395

X-26 Total liabilitiesStart of year $6,951,702$14,746,475

X-27 Net assets without donor restrictionsStart of year $12,410,776$14,531,796

X-28 Net assets with donor restrictionsStart of year $188,647$7,170,512

X-32 Total net assets or fund balancesStart of year $12,599,423$21,702,308

X-33 Total liabilities and net assetsStart of year $19,551,125$36,448,783

Part XI · Reconciliation of net assets $21,702,308 net assets at year end

XI-1 Total revenue$66,240,785

XI-2 Total expenses$57,137,900

XI-3 Revenue less expenses$9,102,885

XI-4 Net assets at start of year$12,599,423

XI-9 Other changes in net assets$0

XI-10 Net assets at end of year$21,702,308

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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