Midwest Health Initiative
Public records show a registered, tax-exempt organization in good standing.
What it says it does
TO PROVIDE A FORUM WHERE TRUSTED INFORMATION AND SHARED RESPONSIBILITY ARE USED TO IMPROVE HEALTH AND THE QUALITY AND AFFORDABILITY OF HEALTH CARE.
- Income
- $534,337
- Spending
- $654,058
- Spent on programs
- 86%
- Reserves
- 5.4 months of spending
- Largest source of income
- donations and private grants, 66%
- Employees
- 0
- Volunteers
- 20
- Highest pay
- $171,082, executive director
Source: Form 990 for the year ending April 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 55 out of 100. Higher than 12% of charities in its peer group (medical research, $250k to $1m).
Reserves
20 of 35Spendable reserves would cover 5.4 months of spending.
Debt
20 of 20It owes 0% of what it owns.
Living within its means
0 of 15Spending exceeded income by 22% of income.
Income trend
0 of 15Income fell 32% on the year before.
Spending floor
15 of 1586% of spending went to programs and raising each dollar of donations cost 2 cents.
Source: Form 990 for the year ending April 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 72 out of 100. Higher than 45% of charities in its peer group (medical research, $250k to $1m).
Independent board
25 of 2517 of 17 voting board members are independent.
Conflict of interest policy
0 of 15Reports no written conflict of interest policy.
Whistleblower policy
0 of 8Reports no written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending April 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (3)
- $391,943 spent. HEALTHCARE CLAIM VOLUNTARY ALL PAYER DATA WAREHOUSEMHI stewards a voluntary all commercial claims data warehouse for the State of Missouri and its bordering MSAs in Illinois and Kansas. The data represents about 1.7 million lives each year.
- $86,264 spent. INFORMATION SHARING WITH PROVIDERS, PLANS, AND OTHER PARTNERSMHI shares information with providers on how care utilized by their attributed population compares to that of others. It also convenes community partners to share information and align actions toward improvement. During this period, MHI produced market share reports to inform its partners of the healthcare market in St. Louis. These analyses report on inpatient and outpatient facility services, total knee and hip replacement volume and outcomes. These are accessible on MHIs website by Champions for Health Care Value. MHI also began an event series called Community Connections to engage primary care providers directly in conversation and convene purchasers and plans for these discussions. MHI hosted two events, focused on Integrating Behavioral Health into Primary Care and Addressing Chronic Disease through Lifestyle Medicine.
- $86,264 spent. INFORMATION SHARING WITH THE PUBLICMHI supports the public with insights via reports and websites. The St. Louis Health Stats, a community scorecard, offers employers and the broader public relevant benchmarks from which to compare the results for their population with the regions larger commercial population. The scorecard products were expanded to Kansas City and Springfield to provide similar benchmarking metrics to other metropolitan areas in Missouri and call attention to any location-specific disparities. MHI also produced an infographic about commercially insured patients with a mental health diagnosis. This was shared at a community forum in the spring 2025 and is also housed on MHIs website.
Source: Form 990 for the year ending April 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending April 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since July 2010.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.