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      <Form990PartVIISectionAGrp>
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        <FormAndLineReferenceDesc>PART III, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RECEIVES SUPPORT FROM A BROADBASE OF CONSTITUENTS IN THE GREATER ST. LOUIS AREA AND BEYOND. THE BOARD OF DIRECTORS IS REPRESENTATIVE OF A BROAD BASE OF INTERESTS OF THE GREATER ST. LOUIS COMMUNITY. FINALLY, THE ORGANIZATION'S MISSION INCLUDES PROVIDING A FORUM OF TRUSTED INFORMATION AND SHARED RESPONSIBILITY TO IMPROVE HEALTH AND THE QUALITY AND AFFORDABILITY OF HEALTH CARE IN THE GREATER ST. LOUIS REGION.</ExplanationTxt>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <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, 2019. 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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED GOODS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED GOODS EXPENSE</ExplanationTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <PersonNm>PATRICIA WAHL</PersonNm>
        <TitleTxt>SENIOR DIRECTOR</TitleTxt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 2, PART II, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>LOUISE PROBST'S SERVICES AS MIDWEST HEALTH INITIATIVES'S (MHI'S) EXECUTIVE DIRECTOR AND PATRICIA WAHL'S SERVICES AS MHI'S SENIOR DIRECTOR ARE ON LOAN TO THIS ORGANIZATION AS PART OF THE ST. LOUIS AREA BUSINESS HEALTH COALITIONS (BHC'S) RESOURCE COMMITTMENT TO MHI. BHC RECEIVES NO FINANCIAL BENEFIT FROM MHI WITH THE EXCEPTION OF A MONTTHLY SET FEE THAT MHI PAYS BHC TO COVER ITS RENT, SOME 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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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTARY ALL PAYER DATA WAREHOUSE - MHI STEWARDS A VOLUNTARY ALL COMMERCIAL CLAIM DATA WAREHOUSE FOR THE STATE OF MISSOURI AND ITS BORDERING MSAS. THAT DATA REPRESENTS MORE THAN 1.6 MILLION LIVES AND WILL SOON INCREASE SUBSTANTIALLY IN THE KANSAS CITY, BI-STATE METRO AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION SHARING WITH PROVIDERS, PLANS AND OTHER PARTNERS - MHI SHARES INFORMATION WITH PROVIDERS ON HOW THEIR PRACTICES COMPARE TO THAT OF OTHERS. IT ALSO CONVENES COMMUNITY PARTNERS TO SHARE INFORMATION AND ALIGN ACTIONS TOWARD AN IMPROVEMENT GOAL. BY WORKING TOGETHER, MEANINGFUL IMPROVEMENTS WERE ACHIEVED IN IMPROVING THE APPROPRIATENESS OF ED VISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION SHARING WITH THE PUBLIC - MHI SUPPORTS THE PUBLIC WITH DATA VIA TWO WEBSITES AND A SCORECARD. LIVEWELLSTL.ORG CONNECTS ST. LOUISANS TO INFORMATION AND RESOURCES TO SUPPORT THEM IN EATING BETTER AND MOVING MORE. CHOOSEWELLSTL.ORG PROVIDES THE PUBLIC INFORMATION TO INFORM THEIR CHOICE OF HOSPITAL AND PRIMARY CARE PROVIDER. ST. LOUIS HEALTH STATS IS AN ANNUAL SCORECARD OF KEY HEALTH STATISTICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURCHASER MEMBERS OF THE MHI BOARD OF DIRECTORS ARE APPOINTED BY THE ST. LOUIS AREA BUSINESS HEALTH COALITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION DID NOT CHANGE OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST LOUIS AREA BUSINESS HEALTH COALITION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8888 LADUE RD STE 250</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63124</ZIPCd>
        </USAddress>
        <EIN>431694859</EIN>
        <PrimaryActivitiesTxt>IMPROVE WELL-BEING AND THE VALUE OF HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C(6)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BHC FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8888 LADUE RD STE 250</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63124</ZIPCd>
        </USAddress>
        <EIN>431296542</EIN>
        <PrimaryActivitiesTxt>PROMOTE EFFICIENT &amp; ECONOMIC DELIVERY OF HEALTH CARE TO THE PUBLIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</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>200000</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>167455</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>