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        <FormAndLineReferenceDesc>PART III, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>MHI'S MISSION IS TO PROVIDE A FORUM WHERE TRUSTED INFORMATION AND SHARED RESPONSIBILITY ARE USED BY THOSE THAT PROVIDE, PAY FOR AND USE HEALTH CARE TO IMPROVE HEALTH AND THE QUALITY AND AFFORDABILITY OF CARE. THE ORGANIZATION IS GOVERNED BY A MULTI-STAKEHOLDER BOARD WHICH REPRESENTS THE DIVERSE INTEREST OF MISSOURIANS, AND IT RECEIVES SUPPORT FROM A WIDE RANGE OF CONSTITUENTS ACROSS MISSOURI AND BEYOND.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION QUALIFIES AS A NOT-FOR-PROFIT ORGANIZATION UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3). THEREFORE, IT IS EXEMPT FROM FEDERAL INCOME TAXES. MANAGEMENT BELIEVES THERE ARE NO UNCERTAIN TAX POSITIONS AS OF APRIL 30, 2020. THE ORGANIZATION'S FORMS 990 ARE SUBJECT TO EXAMINATION BY THE RESPECTIVE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.</ExplanationTxt>
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        <ExplanationTxt>LOUISE PROBST'S SERVICES AS MIDWEST HEALTH INITIATIVES'S (MHI'S) EXECUTIVE DIRECTOR AND MICHAEL HELY'S SERVICES AS MHI'S SENIOR DIRECTOR ARE ON LOAN TO THIS ORGANIZATION AS PART OF THE ST. LOUIS AREA BUSINESS HEALTH COALITION'S (BHC'S) RESOURCE COMMITMENT TO MHI. BHC RECEIVES NO FINANCIAL BENEFIT FROM MHI WITH THE EXCEPTION OF A MONTHLY SET FEE THAT MHI PAYS BHC TO COVER ITS RENT, STAFF, AND ADMINISTRATIVE EXPENSES. MHI ASSETS DO NOT PAY FOR THE DIRECTOR'S SALARY, AND THE DIRECTOR'S SALARY HAS NOT CHANGED OR BEEN IMPACTED BY THE ADDED MHI RESPONSIBILITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE FORM 990 ARE DISTRIBUTED BY EMAIL TO ALL BOARD MEMBERS FOR REVIEW BEFORE FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MHI MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12:</FormAndLineReferenceDesc>
        <ExplanationTxt>MHI BYLAWS OBLIGATE DIRECTORS TO PLACE LONG TERM COMMUNITY INTEREST FIRST IN ALL DECISION MAKING. WHEN POTENTIAL DIRECTORS ARE SOLICITED THEY ARE INTERVIEWED ABOUT THEIR ABILITY TO BRING THEIR STAKEHOLDER PERSPECTIVES TO THE TABLE ONLY SECONDARILY TO THE COMMUNITY INTEREST AND WITHOUT UNDUE INFLUENCE OF THEIR INSTITUTIONAL PERSPECTIVE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990 PART VII, COLUMN B, #23</FormAndLineReferenceDesc>
        <ExplanationTxt>LOUISE PROBST SPENDS 40 HOURS COMBINED BETWEEN ALL RELATED ENTITIES: BHC FOUNDATION, ST. LOUIS AREA BUSINESS HEALTH COALITION AND MIDWEST HEALTH INITIATIVE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BHC FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>150000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BHC FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>75000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BHC FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>176533</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BHC FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>50000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>