Nonprofits in Missouri
What the IRS records say about tax-exempt organizations in Missouri.
- Tax-exempt organizations
- 44,247
- Revenue in a year
- $120.8 billion
- on 15,530 e-filed returns
- Assets
- $230.2 billion
- Employees
- 647,030
- People paid $1 million or more
- 431
- Typical top pay
- $43,540
- median, best-paid person per organization
Missouri rankings
- Tax-exempt organizations
- 44,247
- Of which 501(c)(3)
- 35,317
- File the 990-N (receipts ≤ $50,000)
- 21,269
- File Form 990 or 990-EZ
- 9,708
- Filed a 990-N (latest e-Postcard on record)
- 29,284
- Exemption automatically revoked (all years)
- 22,936
Largest nonprofits in Missouri by revenue
- BJC HEALTH SYSTEM EIN 75-3052953 · SAINT LOUIS, MO · last filed 990 for 2024 · revenue $11,251,316,536
- GOVERNMENT EMPLOYEES HEALTH ASSOCIATION INC EIN 44-0545275 · LEES SUMMIT, MO · last filed 990 for 2024 · revenue $6,100,727,459
- WASHINGTON UNIVERSITY EIN 43-0653611 · ST LOUIS, MO · last filed 990 for 2025 · revenue $5,899,375,814
- ASCENSION SETON EIN 74-1109643 · SAINT LOUIS, MO · last filed 990 for 2025 · revenue $3,320,092,864
- ASCENSION HEALTH ALLIANCE EIN 45-3358926 · SAINT LOUIS, MO · last filed 990 for 2025 · revenue $3,284,806,032
- CHILDRENS MERCY HOSPITAL EIN 44-0605373 · KANSAS CITY, MO · last filed 990 for 2025 · revenue $2,340,991,656
- SSM HEALTH CARE ST LOUIS EIN 43-1343281 · SAINT LOUIS, MO · last filed 990 for 2024 · revenue $2,192,307,272
- BJC HEALTH SYSTEM EIN 43-1617558 · SAINT LOUIS, MO · last filed 990 for 2024 · revenue $2,042,365,571
- MERCY HOSPITALS EAST COMMUNITIES EIN 43-0653493 · CHESTERFIELD, MO · last filed 990 for 2025 · revenue $1,974,869,337
- LESTER E COX MEDICAL CENTER EIN 44-0577118 · SPRINGFIELD, MO · last filed 990 for 2025 · revenue $1,960,936,555
- SACRED HEART HEALTH SYSTEM INC EIN 59-0634434 · SAINT LOUIS, MO · last filed 990 for 2025 · revenue $1,847,286,701
- MHM SUPPORT SERVICES EIN 20-2553101 · CHESTERFIELD, MO · last filed 990 for 2025 · revenue $1,656,435,434
- ST VINCENT HOSPITAL & HEALTH CARE EIN 35-0869066 · SAINT LOUIS, MO · last filed 990 for 2025 · revenue $1,655,182,680
- MERCY HOSPITAL SPRINGFIELD EIN 44-0552485 · SPRINGFIELD, MO · last filed 990 for 2025 · revenue $1,453,548,711
- SSM HEALTH CARE CORPORATION EIN 46-6029223 · SAINT LOUIS, MO · last filed 990 for 2024 · revenue $1,391,036,296
- SAINT THOMAS WEST HOSPITAL EIN 62-0347580 · SAINT LOUIS, MO · last filed 990 for 2025 · revenue $1,265,719,340
- ST LOUIS UNIVERSITY EIN 43-0654872 · SAINT LOUIS, MO · last filed 990 for 2025 · revenue $1,195,599,660
- ST LUKES HOSPITAL OF KANSAS CITY EIN 44-0545297 · KANSAS CITY, MO · last filed 990 for 2023 · revenue $1,157,790,152
- SSM HEALTH CARE OF OKLAHOMA INC EIN 73-0657693 · SAINT LOUIS, MO · last filed 990 for 2024 · revenue $1,121,270,362
- ASCENSION HEALTH-IS INC EIN 65-1257719 · SAINT LOUIS, MO · last filed 990 for 2025 · revenue $989,717,856
Top 5s in Missouri
From each organization's latest e-filed Form 990, 990-EZ or 990-PF.
Highest-paid people
Compensation from the organization and related organizations, including other pay
- 1BJC Health Sys Group ReturnSee Schedule 0 · BJC Health System · SAINT LOUIS, MO$28.7M
- 2Joseph R Impicciche JD MHACEO · Ascension Health Alliance · SAINT LOUIS, MO$14.1M
- 3Scott WilsonChief Investment Officer · Washington University · ST LOUIS, MO$13M
- 4Eduardo F ConradoPresident · Ascension Health Alliance · SAINT LOUIS, MO$10.9M
- 5Stephen L MackinPresident, Mercy Health CEO · MHM Support Services · CHESTERFIELD, MO$8.3M
Most raised in gifts and grants
Contributions, gifts and grants received in the year
- 1Washington UniversityST LOUIS, MO · 990, year ended Jun 2025$1.6B
- 2Greater HorizonsKANSAS CITY, MO · 990, year ended Dec 2024$647.5M
- 3Greater Kansas City Community FoundationKANSAS CITY, MO · 990, year ended Dec 2024$576.4M
- 4Saint Lukes Physician Group IncKANSAS CITY, MO · 990, year ended Dec 2023$242.1M
- 5Fellowship of Christian AthletesKANSAS CITY, MO · 990, year ended Aug 2025$230M
Largest reserves
Net assets (fund balance) at year end
- 1Washington UniversityST LOUIS, MO · 990, year ended Jun 2025$17.8B
- 2Ascension Health AllianceSAINT LOUIS, MO · 990, year ended Jun 2025$12.4B
- 3BJC Health SystemSAINT LOUIS, MO · 990, year ended Dec 2024$5.7B
- 4BJC Health SystemSAINT LOUIS, MO · 990, year ended Dec 2024$3.9B
- 5SSM Health Care CorporationSAINT LOUIS, MO · 990, year ended Dec 2024$3.4B
Biggest employers
Employees reported for the calendar year
- 1MHM Support ServicesCHESTERFIELD, MO · 990, year ended Jun 202561,511
- 2BJC Health SystemSAINT LOUIS, MO · 990, year ended Dec 202458,977
- 3Washington UniversityST LOUIS, MO · 990, year ended Jun 202533,651
- 4Ascension SetonSAINT LOUIS, MO · 990, year ended Jun 202516,711
- 5Lester E Cox Medical CenterSPRINGFIELD, MO · 990, year ended Sep 202510,696
By city
- SAINT LOUIS 8,017
- KANSAS CITY 4,090
- SPRINGFIELD 1,089
- COLUMBIA 969
- JEFFERSON CTY 828
- SAINT CHARLES 561
- CHESTERFIELD 486
- LEES SUMMIT 438
- FLORISSANT 388
- JOPLIN 373
- INDEPENDENCE 325
- SAINT JOSEPH 304
- TWN AND CNTRY 274
- CPE GIRARDEAU 251
- ST LOUIS 225
- BALLWIN 188
- BLUE SPRINGS 180
- ROLLA 180
- CLAYTON 177
- WENTZVILLE 177
- BRANSON 170
- LIBERTY 168
- FENTON 161
- SAINT PETERS 157
- SEDALIA 143
- KIRKSVILLE 140
- WEST PLAINS 128
- OZARK 127
- OFALLON 126
- POPLAR BLUFF 126
- WILDWOOD 123
- HANNIBAL 121
- WARRENSBURG 121
- CHILLICOTHE 120
- NIXA 118
- HARRISONVILLE 114
- LEBANON 113
- RAYTOWN 112
- FULTON 111
- KIRKWOOD 110
- GRANDVIEW 105
- MEXICO 103
- O FALLON 103
- WASHINGTON 102
- LAKE ST LOUIS 100
- BOLIVAR 94
- FESTUS 94
- CLINTON 92
- BELTON 91
- MARYLAND HTS 91
- PERRYVILLE 91
- FARMINGTON 90
- BRIDGETON 89
- MOBERLY 89
- NEOSHO 89
- TROY 88
- MARYVILLE 87
- SIKESTON 86
- CARTHAGE 85
- JACKSON 85
- JEFFERSON CITY 84
- MARSHALL 82
- UNION 82
- HAZELWOOD 81
- MANCHESTER 81
- EUREKA 78
- RAYMORE 77
- BOONVILLE 75
- KEARNEY 71
- ARNOLD 70
- NEVADA 70
- PLATTE CITY 70
- STE GENEVIEVE 70
- CAMDENTON 68
- HILLSBORO 68
- SMITHVILLE 68
- CREVE COEUR 65
- TRENTON 65
- WARRENTON 65
- AVA 64