Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2025
Open to Public Inspection
For calendar year 2025, or tax year beginning 01 - 01 2025, and ending 12 - 31, 20 25
Name of foundation
MISSOURI STATE MEDICAL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address) 113 MADISON STREET
  Room/suite
City or town
JEFFERSON CITY
State or province
MO
Country  
ZIP or foreign postal code
65101
A Employer identification number

43-6033780
B Telephone number (see instructions)

5736365151
C
G Check all that apply:

D 1. Foreign organizations, check here.............
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
H Check type of organization:
F
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)$8,396,540J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 17,420
2 Check .................
3 Interest on savings and temporary cash investments 227 227 227
4 Dividends and interest from securities... 207,611 172,737 207,611
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 370,088
b Gross sales price for all assets on line 6a 1,261,944
7 Capital gain net income (from Part IV, line 2)... 370,088
8 Net short-term capital gain......... 14,001
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
32,899   32,899
12 Total. Add lines 1 through 11........ 628,245 543,052 254,738
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
9,230      
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
115,675 69,140 15,335 31,200
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
6,484 6,484    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
20,782 922   19,860
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 152,171 76,546 15,335 51,060
25 Contributions, gifts, grants paid....... 330,000 330,000
26 Total expenses and disbursements. Add lines 24 and 25 ................ 482,171 76,546 15,335 381,060
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 146,074
b Net investment income (if negative, enter -0-) 466,506
c Adjusted net income (if negative, enter -0-)... 239,403
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2025)
Form 990-PF (2025)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 205,715 -50,073 -50,073
2 Savings and temporary cash investments......... 140,013 350,354 350,354
3 Accounts receivable  
Less: allowance for doubtful accounts        
4 Pledges receivable  
Less: allowance for doubtful accounts        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) 273,459
Less: allowance for doubtful accounts 41,019 255,734 Click to see attachment
List of Attached Documents:
// Content
232,440 		232,440
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 1,665,732 Click to see attachment
List of Attached Documents:
// Content
1,495,142 		1,495,142
b Investments—corporate stock (attach schedule)....... 5,459,031 Click to see attachment
List of Attached Documents:
// Content
6,164,296 		6,164,296
c Investments—corporate bonds (attach schedule)....... 193,243 Click to see attachment
List of Attached Documents:
// Content
165,797 		165,797
11 Investments—land, buildings, and equipment: basis  
Less: accumulated depreciation (attach schedule)        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 14,819 Click to see attachment
List of Attached Documents:
// Content
14,977 		14,977
14 Land, buildings, and equipment: basis 10,692
Less: accumulated depreciation (attach schedule) 10,692      
15 Other assets (describe ) Click to see attachment
List of Attached Documents:
// Content
25,123 		Click to see attachment
List of Attached Documents:
// Content
23,607 		Click to see attachment
List of Attached Documents:
// Content
23,607
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,959,410 8,396,540 8,396,540
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe ) Click to see attachment
List of Attached Documents:
// Content
176,918 		Click to see attachment
List of Attached Documents:
// Content
184,734
23 Total liabilities (add lines 17 through 22)......... 176,918 184,734
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 7,782,492 8,211,806
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 7,782,492 8,211,806
30 Total liabilities and net assets/fund balances (see instructions). 7,959,410 8,396,540
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
7,782,492
2
Enter amount from Part I, line 27a .....................
2
146,074
3
Other increases not included in line 2 (itemize) Click to see attachment
List of Attached Documents:
// Content
3
283,240
4
Add lines 1, 2, and 3 ..........................
4
8,211,806
5
Decreases not included in line 2 (itemize)
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, line 29, column (b) ..
6
8,211,806
Form 990-PF (2025)
Form 990-PF (2025)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES - LT P    
b PUBLICLY TRADED SECURITIES - ST P    
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,119,698   763,611 356,087
b 142,246   128,245 14,001
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       356,087
b       14,001
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 370,088
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ......................... 		Bracket 3 14,001
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions) 1 6,484
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 6,484
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 6,484
6 Credits/Payments:
a 2025 estimated tax payments and 2024 overpayment credited to 2025 6a  
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld .......... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment
List of Attached Documents:
// Content
8 331
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed....... 9 6,815
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid... 10  
11 Enter the amount of line 10 to be: Credited to 2026 estimated tax   Refunded 11  
For Refunded amount, also complete and attach Form 8050. See instructions.
Form 990-PF (2025)
Form 990-PF (2025)
Page 4
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. $   (2) On foundation managers.$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
round bullet By language in the governing instrument, or
round bullet By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument? ................
6
Yes
 
7
Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
and Part XIV..................................
7
Yes
 
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
8b
Yes
 
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2025 or the taxable year beginning in 2025? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
9
 
No
10
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
and addresses. ...............................
10
 
No
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
11
 
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions.................
12
 
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
 
Website addressWWW.MSMA.ORG/MSM-FOUNDATION.HTML
14
The books are in care ofJEFF HOWELL Telephone no. (573) 636-5151

Located at113 MADISON STREETJEFFERSON CITYMO ZIP+465101
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........
and enter the amount of tax-exempt interest received or accrued during the year ........
15
 
16 At any time during calendar year 2025, did the foundation have an interest in or a signature or other authority over YesNo
a bank, securities, or other financial account in a foreign country? .................
16   No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Form 990-PF (2025)
Form 990-PF (2025)
Page 5
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
 
No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? ......................
1a(5)
 
No
(6) Agree to pay money or property to a government official? (Exception. Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.) ...............
1a(6)
 
No
b
If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
1b
 
 
c
Organizations relying on a current notice regarding disaster assistance check here ........
d
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2025? .............
1d
 
 
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2025, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2025?....................
2a
 
No
If "Yes," list the years 20, 20, 20, 20
b
Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement—see instructions.) ..............
2b
 
 
c
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
20, 20, 20, 20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2025 as a result of (1) any purchase by the foundation
or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Form 4720, Schedule C, to determine
if the foundation had excess business holdings in 2025.).....................
3b
 
 
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
 
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2025? ..
4b
 
No
Form 990-PF (2025)
Form 990-PF (2025)
Page 6
Part VI-B
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
b
If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
5b
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........
d
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant? .................
5d
 
 
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract? .............................
6a
 
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
6b
 
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
7a
 
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
7b
 
 
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year? .........................
8
 
No
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a) Name and address (b) Title, and average
hours per week
devoted to position 		(c) Compensation
 (If not paid, enter
-0-) 		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
other allowances
DEB SNYDER TRUSTEE
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
RAMONA BEHSHAD MD PRESIDENT
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
STEPHEN HALPIN MD TRUSTEE
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
NICKOLE FORGET MD TREASURER
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
SARAH FLORIO MD SECRETARY
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
BEN NORTHRUP MD TRUSTEE
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
KATHY PERRYMAN MD VICE PRESIDE
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
KEVIN WEIKART MD TRUSTEE
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
JENNY PAGE MD TRUSTEE
1.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
JEFF HOWELL EXECUTIVE VP
2.00 		0 0 0
113 MADISON STREET
JEFFERSON CITY,MO65101
DAVID HAUSTEIN TRUSTEE
1.00 		0 0 0
113 MADISON ST
JEFFERSON CITY,MO65101
2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a) Name and address of each employee paid more than $50,000 (b) Title, and average
hours per week
devoted to position 		(c) Compensation (d) Contributions to
employee benefit
plans and deferred
compensation 		(e) Expense account,
other allowances
NONE
Total number of other employees paid over $50,000...................  
Form 990-PF (2025)
Form 990-PF (2025)
Page 7
Part VII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)
3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
NONE
Total number of others receiving over $50,000 for professional services.............right arrow  
Part VIII-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
1 SCHOLARSHIPS: THE FOUNDATION GIVES SCHOLARSHIPS TO SIX MEDICAL SCHOOLS IN MISSOURI. THE PURPOSE IS TO ASSIST MISSOURI MEDICAL SCHOOL STUDENTS WITH FINANCIAL AID. 330,000
2  
3  
4  
Part VIII-B
Summary of Program-Related Investments (see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
1 N/A  
2  
All other program-related investments. See instructions.
3  
Total. Add lines 1 through 3.........................  
Form 990-PF (2025)
Form 990-PF (2025)
Page 8
Part IX
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities...................
1a
7,421,699
b
Average of monthly cash balances.......................
1b
249,600
c
Fair market value of all other assets (see instructions)................
1c
250,368
d
Total (add lines 1a, 1b, and 1c).......................
1d
7,921,667
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation) .............
1e
 
2
Acquisition indebtedness applicable to line 1 assets..................
2
 
3
Subtract line 2 from line 1d.........................
3
7,921,667
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
118,825
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
7,802,842
6
Minimum investment return. Enter 5% (0.05) of line 5 ................
6
390,142
Part X
Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here and do not complete this part.)
1
Minimum investment return from Part IX, line 6..................
1
390,142
2a
Tax on investment income for 2025 from Part V, line 5 .......
2a
6,484
b
Income tax for 2025. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
6,484
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
383,658
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
383,658
6
Deduction from distributable amount (see instructions) .................
6
 
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
7
383,658
Part XI
Qualifying Distributions (see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, line 26, column (d) ..........
1a
381,060
b
Program-related investments—total from Part VIII-B..................
1b
 
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
 
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
 
b
Cash distribution test (attach the required schedule) .................
3b
 
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
381,060
Form 990-PF (2025)
Form 990-PF (2025)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2024 		(c)
2024 		(d)
2025
1 Distributable amount for 2025 from Part X, line 7 383,658
2 Undistributed income, if any, as of the end of 2025:
a Enter amount for 2024 only.......  
b Total for prior years:20 , 20, 20  
3 Excess distributions carryover, if any, to 2025:
a From 2020...... 40,812
b From 2021...... 2,713
c From 2022...... 34,206
d From 2023...... 1,795
e From 2024......  
f Total of lines 3a through e ........ 79,526
4Qualifying distributions for 2025 from Part
XI, line 4: $ 381,060
a Applied to 2024, but not more than line 2a  
b Applied to undistributed income of prior years
(Election required—see instructions) ..... 		 
c Treated as distributions out of corpus (Election
required—see instructions) ........ 		 
d Applied to 2025 distributable amount..... 381,060
e Remaining amount distributed out of corpus  
5 Excess distributions carryover applied to 2025. 2,598 2,598
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6Enter the net total of each column as
indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 76,928
b Prior years’ undistributed income. Subtract
line 4b from line 2b .......... 		 
c Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed...... 		 
d Subtract line 6c from line 6b. Taxable amount
—see instructions ........... 		 
e Undistributed income for 2024. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		 
f Undistributed income for 2025. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2026 .......... 		0
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions) ....... 		 
8 Excess distributions carryover from 2020 not
applied on line 5 or line 7 (see instructions) ... 		38,214
9 Excess distributions carryover to 2026.
Subtract lines 7 and 8 from line 6a ...... 		38,714
10 Analysis of line 9:
a Excess from 2021 .... 2,713
b Excess from 2022 .... 34,206
c Excess from 2023 .... 1,795
d Excess from 2024 ....  
e Excess from 2025 ....  
Form 990-PF (2025)
Form 990-PF (2025)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-A, question 9)
1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2025, enter the date of the ruling ......
 
b Check box to indicate whether the organization is a private operating foundation described in section or
2a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2025 (b) 2024 (c) 2023 (d) 2022
         
b 85% (0.85) of line 2a .......          
c Qualifying distributions from Part XI,
line 4 for each year listed ..... 		         
d Amounts included in line 2c not used directly
for active conduct of exempt activities .......... 		         
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c .... 		         
3 Complete 3a, 3b, or 3c for the
alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......          
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)		          
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed .. 		         
c “Support" alternative test—enter:
(1) Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties) .... 		         
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii).... 		         
(3) Largest amount of support
from an exempt organization		          
(4) Gross investment income          
Part XIV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1Information Regarding Foundation Managers:
aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, 2b, 2c, and 2d. See instructions
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
JEFF HOWELL
113 MADISON STREET
JEFFERSON CITY,MO65101
(573) 636-5151
bThe form in which applications should be submitted and information and materials they should include:
THERE IS NO APPLICATION THAT IS SENT TO MSMF. MSMF GIVES THE SCHOLARSHIP FUNDS DIRECTLY TO THE INSITITUTIONS AND THOSE INSTITUTIONS CHOOSE WHICH STUDENTS RECEIVE THE SCHOLARSHIPS.
cAny submission deadlines:
SEE STATEMENT 17
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SEE STATEMENT 17
Form 990-PF (2025)
Form 990-PF (2025)
Page 11
Part XIV
Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
 Foundation
status of
recipient 		Purpose of grant or
contribution 		Amount
Name and address (home or business)
aPaid during the year

ST LOUIS UNIVERSITY SCHOOL OF MEDIC

1402 S GRAND BLVD
ST LOUIS,MO63104 		    SCHOLARSHIP 82,500

ATSU SCHOOL OF MEDICINE

800 W JEFFERSON ST
KIRKSVILLE,MO63501 		    SCHOLARSHIP 54,000

UMKC SCHOOL OF MEDICINE

2411 HOMES STREET
KANSAS CITY,MO65108 		    SCHOLARSHIP 55,000

KCU SCHOOL OF MEDICINE

1750 INDEPENDENCE AVE
KANSAS CITY,MO64106 		    SCHOLARSHIP 56,000

WASHINGTON UNIVERSITY SCHOOL OF MED

660 E EUCLID AVE
ST LOUIS,MO63110 		    SCHOLARSHIP 27,500

UNIVERSITY OF MISSOURI SCHOOL OF ME

1 HOSPITAL DRIVE
COLUMBIA,MO65212 		    SCHOLARSHIP 55,000
Total ................................. 3a 330,000
bApproved for future payment
Total ................................. 3b  
Form 990-PF (2025)
Form 990-PF (2025)
Page 12
Part XV-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(See instructions.)
1Program service revenue: (a)
Business code 		(b)
Amount 		(c)
Exclusion code 		(d)
Amount
aSTUDENT LOAN INTEREST     14 32,899  
b
c
d
e
f
gFees and contracts from government agencies          
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		    14 227  
4 Dividends and interest from securities ....     14 207,611  
5 Net rental income or (loss) from real estate:
aDebt-financed property......          
bNot debt-financed property.....          
6 Net rental income or (loss) from personal property          
7 Other investment income .....          
8 Gain or (loss) from sales of assets other than
inventory ............ 		    18 370,088  
9 Net income or (loss) from special events:          
10 Gross profit or (loss) from sales of inventory          
11 Other revenue:
a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..   610,825  
13Total. Add line 12, columns (b), (d), and (e)..................
13
610,825
(See worksheet in line 13 instructions to verify calculations.)
Part XV-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
DownArrow 		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
1A MEDICAL SCHOOL STUDENT LOANS: THE FOUNDATION HAS OUTSTANDING LOANS WITH APPROXIMATELY 50 PHYSICIANS. THE PURPOSE IS TO ALLEVIATE SOME OF THE MEDICAL SCHOOL DEBT BURDEN BY PROVIDING LOWER COST LOANS TO MISSOURI MEDICAL SCHOOL STUDENTS. THE FOUNDATION DID NOT ORIGINATE ANY NEW LOANS DURING THE TAX YEAR.
Form 990-PF (2025)
Form 990-PF (2025)
Page 13
Part XVI
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1) Cash...................................
1a(1)
 
No
(2) Other assets.................................
1a(2)
 
No
b
Other transactions:
(1) Sales of assets to a noncharitable exempt organization....................
1b(1)
 
No
(2) Purchases of assets from a noncharitable exempt organization..................
1b(2)
 
No
(3) Rental of facilities, equipment, or other assets.......................
1b(3)
 
No
(4) Reimbursement arrangements...........................
1b(4)
Yes
 
(5) Loans or loan guarantees.............................
1b(5)
 
No
(6) Performance of services or membership or fundraising solicitations................
1b(6)
Yes
 
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
1c
 
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
(a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
1b(4) 78,000 MO STATE MEDICAL ASSOC REIMBURSEMENT PAID TO MSMA
1b(6) 36,086 MO STATE MEDICAL ASSOC SHARING OF PAID EMPLOYEES
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
b
If "Yes," complete the following schedule.

(a) Name of organization (b) Type of organization (c) Description of relationship
MO STATE MEDICAL ASSOC 501(C)(6) COMMON MANAGEMENT
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below?
See instructions.
Signature of officer or trustee Date Title
Paid Preparer Use Only Preparer's name Preparer's Signature Date Check if self-
employed 		PTIN
Firm's name
Firm's EIN
Firm's address


Phone no.
Form 990-PF (2025)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description

TY 2025 AccountingFeesSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INDIRECT ACCOUNTING FEES 9,230      

TY 2025 InvestmentsCorpBondsSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Name of Bond End of Year Book Value End of Year Fair Market Value
VANGUARD S/T INVESTMENT GRADE FD-ADM 15,293 15,293
THE HOME DEPOT 49,383 49,383
HOTCHKIS & WILEY HIGH YIELD 58,228 58,228
ARTISAN HIGH INCOME INST 42,893 42,893

TY 2025 InvestmentsCorpStockSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Name of Stock End of Year Book Value End of Year Fair Market Value
ALIGN TECHNOLOGY INC    
ALPHABET INC CL A 133,338 133,338
AMAZON.COM INC 139,646 139,646
APPLE INC 57,091 57,091
APPLIED MATLS INC 78,382 78,382
BALLIE GIFFORD EMERGING 66,326 66,326
BLACKSTONE INC 32,369 32,369
BOOZ ALLEN HAMILTON HLDG    
BORADCOM INC 61,606 61,606
CARLYLE GROUP INC    
CHARLES SCHWAB US MC 629,906 629,906
CHARLES SCHWAB US MC    
COPART INC    
D R HORTON INC 44,649 44,649
DANAHER CORP 51,965 51,965
DODGE & COX INTL STOCK FUND 533,180 533,180
EXXON MOBIL CORP 32,492 32,492
FAIR ISAAC CORP    
FFCB 140,732 140,732
FORTINET INC 27,396 27,396
HCA HEALTHCARE INC 41,084 41,084
HOME DEPOT INC    
HOTCHKIS & WILEY SM CP D 30,395 30,395
INVESCO STEELPATH MLP SE 88,583 88,583
ISHARES CORE MSCI EAFE 19,860 19,860
ISHARES CORE MSCI EAFE ETF 157,002 157,002
ISHARES RUSSELL 2000 8,369 8,369
ISHARES RUSSELL 2000 GROWTH ETF 198,005 198,005
ISHARES RUSSELL 2000 VALUE ETF 169,613 169,613
ISHARES RUSSELL 3000 45,648 45,648
ISHARES S& P 500 827,408 827,408
JPMORGAN MID CAP VALUE-INST 87,851 87,851
MACQUIRE MID CAP GROWTH    
MAINGATE MLP I 100,002 100,002
MASTERCARD INC CL A 77,069 77,069
MEDPACE HLDGS INC 24,151 24,151
MICROSOFT CORP 124,290 124,290
MURPHY USA INC 20,176 20,176
NEXTERA ENERGY INC 20,552 20,552
NORTHERN MULTI-MGR GLBL 63,422 63,422
NVIDIA CORP 149,573 149,573
O REILLY AUTOMOTIVE INC 35,116 35,116
POST HOLDINGS INC    
PRINCIPAL REAL ESTATE SE 247,045 247,045
PROGRESSIVE CORP OH 48,960 48,960
SCHWAB EMERGING MARKETS 69,430 69,430
SERVICENOW INC 31,404 31,404
TRANSDIGM GROUP INC 57,184 57,184
TWEEDY BROWNE GLOBAL VALUE FUND    
UNITED HEALTH GROUP INC    
UNITED RENTALS INC 55,843 55,843
VANGUARD DIVIDEND 452,747 452,747
VANGUARD LARGE CAP ETF 6,296 6,296
VISA INC 54,360 54,360
WASTE CONNECTIONS INC F 38,755 38,755
WCM FOCUSED INTERNATIONA 390,511 390,511
TVA 102,919 102,919
VANGUARD MID CAP GROWTH 61,411 61,411
ISHARES S&P 500 VALUE 106,883 106,883
APOLLO GLOBAL MGMT INC N 30,400 30,400
INTUIT 19,210 19,210
TYLER TECHNOLOGIES INC 28,145 28,145
META PLATFORMS INC 45,546 45,546

TY 2025 InvestmentsGovtObligationsSch
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
US Government Securities - End of Year Book Value:

 
US Government Securities - End of Year Fair Market Value:

 
State & Local Government Securities - End of Year Book Value:


1,495,142
State & Local Government Securities - End of Year Fair Market Value:


1,495,142


TY 2025 InvestmentsOtherSchedule2
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
CITIBANK NA FMV 14,977 14,977

TY 2025 LandEtcSchedule2
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
  10,692 10,692    


TY 2025 OtherAssetsSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
ACCRUED INTEREST RECEIVABLE 25,122 23,607 23,607
ROUNDING 1    


TY 2025 OtherExpensesSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
EXPENSES        
MARKETING 9,360     9,360
MISCELLANEOUS 803 803    
PRINTING 119 119    
DONATIONS EXPENSE 10,500     10,500


TY 2025 OtherIncomeSchedule2
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
STUDENT LOAN INTEREST 32,899   32,899


TY 2025 OtherIncreasesSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Description Amount
UNREALIZED GAIN ON INVESTEMENTS 283,240


TY 2025 OtherLiabilitiesSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Description Beginning of Year - Book Value End of Year - Book Value
FUNDS HELD FOR OTHERS 169,229 177,919
ROUNDING    
EXCISE TAX PAYABLE 7,689 6,815


TY 2025 OtherNotesLoansRcvblShortSch2
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Name of 501(c)(3) Organization Balance Due
OTHER LOANS
  		232,440


TY 2025 OtherProfessionalFeesSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMENT MANAGEMENT 37,675 30,140 7,535  
ADMINISTRATION 78,000 39,000 7,800 31,200


TY 2025 TaxesSchedule
Name:
MISSOURI STATE MEDICAL FOUNDATION
EIN:
43-6033780
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
EXCISE TAX 6,484 6,484