Public Charity

MARK TWAIN ASSOCIATION FOR MENTAL HEALTH MARK TWAIN BEHAVIORAL HEALTH

Based in HANNIBAL, MO, MARK TWAIN ASSOCIATION FOR MENTAL HEALTH MARK TWAIN BEHAVIORAL HEALTH operates as a Public Charity. The organization reported $38.9M in revenue, $30.3M in expenses, $82.5M in total assets for fiscal year 2025. Imperigo tracks 2 reported grant relationships connected to this organization totaling approximately $557K.

EIN: 431020989 HANNIBAL, MO Community Mental Health Centers NTEE: F32 Latest filing: 2025
Total Revenue$38.9M
Total Expenses$30.3M
Total Assets$82.5M
Grant Records2
Funding Total$557K
Filing Years2021–2025

Mission

PROVIDE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES AND EDUCATION TO RESIDENTS LIVING IN THE 9 NORTHEASTERN COUNTIES OF MISSOURI.

Where $100 goes at Mark Twain Association for Mental Health Mark Twain Behavioral Health

How Mark Twain Association for Mental Health Mark Twain Behavioral Health divides every $100 it spends, from its own Form 990 filings, averaged across 7 years.

$85 Programs the work itself
$15 Management running the organization
$0 Fundraising none reported

No fundraising costs are reported. That often means fundraising runs through a separate affiliated organization that files its own return.

Inside the $85 for programs

$85
All salaries, benefits, supplies, travel, buildings and equipment were directly related to providing a comprehensive array of outpatient community behavioral health services and education to approximately 9300 residents…
All program spending · Reported in the filing: 9,300 residents of northeast
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Source: Form 990 filings with the IRS, latest fiscal year 2025. Shares are from the organization's reported expenses. Data by Imperigo; not affiliated with the IRS.

Officers & Directors

COO Angela Caraway
SECRETARY Cindy Ayers
MEDICAL DIRECTOR David Goldman
BOARD MEMBER David Pulliam
BOARD MEMBER Deana Ball
TREASURER Donna Lawson

Officer compensation and complete director data available with membership.

Top Grant Purposes

General Support
$557,071 2 grants

Financial Trends

Year Revenue Expenses Assets
2025 $38.9M $30.3M $82.5M
2024 $40.2M $27.0M $73.7M
2023 $34.5M $23.2M $60.2M
2022 $34.0M $22.4M $49.0M
2021 $26.7M $15.7M $36.8M

Between 2021 and 2025, reported annual revenue grew from $26.7M to $38.9M (+46%), with total assets most recently reported at $82.5M.

Interactive year-over-year charts and full filing details available with membership.

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