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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS PRESENT VALUE ADJUSTMENT - 1292672 CONTRIBUTION EXPENSE - -239757 IN KIND ADJUSTMENT - -19700</ExplanationTxt>
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        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>623614290</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
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        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>5239068</RegionTotalExpendituresAmt>
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      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>628853358</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>628853358</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
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        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual</ExplanationTxt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>SEE ATTACHED DETAIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4254 VISTA AVENUE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63110</ZIPCd>
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        <RecipientEIN>000000000</RecipientEIN>
        <CashGrantAmt>43515999</CashGrantAmt>
        <PurposeOfGrantTxt>SEE ATTACHED DETAIL</PurposeOfGrantTxt>
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      <TotalOtherOrgCnt>83</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSOURI FOUNDATION FOR HEALTH (MFH) MAINTAINS DETAILED RECORDS OF ALL GRANTS AND CONTRACTS TO GOVERNMENT AGENCIES, ORGANIZATIONS, AND INDIVIDUALS. FUNDING PROGRAMS ARE APPROVED BY THE MFH BOARD OF DIRECTORS. AN APPLICANT ORGANIZATION'S ELIGIBILITY IS VERIFIED BY STAFF, AND THE APPLICANT'S RESPONSE IS EVALUATED. THE CEO CAN APPROVE ALL AWARDS WITH SOME EXCEPTIONS NEEDING APPROVAL BY THE BOARD. ON AWARD OF A GRANT, A CONTRACTUAL AGREEMENT IS ENTERED INTO BETWEEN MFH AND THE APPLICANT, NOW TERMED GRANTEE. THE USE OF GRANT FUNDS IS MONITORED BY STAFF THROUGH INTERIM REPORTS THAT MUST BE SUBMITTED BY THE GRANTEE TO CONTINUE TO RECEIVE SCHEDULED DISBURSEMENTS. MONITORING IS PERFORMED FROM BOTH A PROGRAMMATIC AND FINANCIAL VIEWPOINT TO ENSURE THAT OBJECTIVES ARE BEING MET AND THAT FUNDS ARE BEING SPENT ACCORDING TO THE PROJECT PLAN AND GRANT AWARD AGREEMENT. AT THE CONCLUSION OF THE GRANT, A FINAL REPORT IS REQUIRED FROM THE GRANTEE. THE FINAL REPORT PROVIDES PROGRAMMATIC OUTCOMES AS WELL AS A FINAL FINANCIAL REPORT THAT MUST BE SUPPORTED BY APPROPRIATE RECEIPTS/DOCUMENTATION.</ExplanationTxt>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>MARK SEEBECK</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF FINANCIAL &amp; ADMINISTRATIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>259078</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>573</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1032</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22100</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>24400</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>307183</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <BaseCompensationFilingOrgAmt>497479</BaseCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>22729</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>1104</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>537705</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JULIE RUSSELL</BusinessNameLine1Txt>
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        <BaseCompensationFilingOrgAmt>210924</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>567</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>335</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15588</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19033</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>246447</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>KATHERINE FRITZ</BusinessNameLine1Txt>
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        <TitleTxt>VP LEARNING &amp; RESEARCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>173506</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>621</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>648</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14884</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25081</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214740</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KATHLEEN HOLMES</BusinessNameLine1Txt>
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        <TitleTxt>VP STATEGIC INITIATIVES</TitleTxt>
        <BaseCompensationFilingOrgAmt>223327</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>997</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>19144</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>27983</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusFilingOrganizationAmount>567</BonusFilingOrganizationAmount>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>SHELDON WEISGRAU</BusinessNameLine1Txt>
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        <TitleTxt>VP HEALTH POLICY</TitleTxt>
        <BaseCompensationFilingOrgAmt>189462</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>567</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1113</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16118</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17940</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225200</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JILL NOWAK</BusinessNameLine1Txt>
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        <TitleTxt>EXECUTIVE VP OF IMPACT INVESTING</TitleTxt>
        <BaseCompensationFilingOrgAmt>190351</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>99712</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16195</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>JILL NOWAK WAS TERMINATED AS OF 8/31/23 AND RECEIVED A SEVERANCE PAYMENT OF $87,500 DURING THE YEAR.</ExplanationTxt>
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        <ExplanationTxt>THE CFAO AND DIRECTOR OF FINANCE REVIEW THE FORM 990 COMPLETELY AFTER SUPPLIED IN DRAFT FORM BY THE EXTERNAL TAX PREPARER. THE CEO REVIEWS THE FORM AFTER THE CFAO'S REVIEW IS COMPLETE. AFTER MANAGEMENT'S REVIEW IS COMPLETE, THE FORM 990 IS PLACED IN A BOARD ACCESSIBLE PORTAL PRIOR TO FILING. BOARD MEMBERS ARE NOTIFIED WHEN THIS OCCURS AND THAT THE RETURN IS AVAILABLE FOR REVIEW AND COMMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>ALL BOARD MEMBERS, COMMUNITY ADVISORY COUNCIL MEMBERS AND STAFF COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND UPDATE AS REQUIRED THROUGHOUT THE YEAR. ANY POTENTIAL CONFLICTS ARE REVIEWED BY STAFF. A CURRENT SUMMARY OF POTENTIAL CONFLICTS IS MAINTAINED AND BROUGHT TO PROGRAMMATIC STRATEGY COMMITTEE MEETINGS AND BOARD MEETINGS AT WHICH FUNDING DECISIONS ARE DISCUSSED AND/OR MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION DECISION IS BASED ON COMPARABLE MARKET DATA FROM SEVERAL RELIABLE SOURCES. THE 2023 DECISION WAS MADE BY THE EXECUTIVE COMMITTEE OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DECISIONS FOR KEY EMPLOYEES ARE MADE BY THE PRESIDENT AND CEO AND ARE BASED ON MARKET DATA FROM SEVERAL RELIABLE SOURCES, AS WELL AS AN ANNUAL PERFORMANCE REVIEW PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSOURI FOUNDATION FOR HEALTH PROVIDES ACCESS TO REQUESTED DOCUMENTS (INCLUDING GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS) TO THE PUBLIC UPON REQUEST. DOCUMENTS ARE MADE AVAILABLE FOR REVIEW OR COPIES ARE PROVIDED TO THE REQUESTOR, WHICHEVER THE REQUESTOR PREFERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS PRESENT VALUE ADJUSTMENT - 1292672; CONTRIBUTION EXPENSE - -239757; IN KIND ADJUSTMENT - -19700;</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>4254 VISTA AVE</AddressLine1Txt>
          <CityNm>SAINT LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63110</ZIPCd>
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        <EIN>832641041</EIN>
        <PrimaryActivitiesTxt>BUILDINGS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>99367</TotalIncomeAmt>
        <EndOfYearAssetsAmt>18965608</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>MFH</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>BUILD MISSOURI HEALTH</BusinessNameLine1Txt>
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          <AddressLine1Txt>4254 VISTA AVE</AddressLine1Txt>
          <CityNm>SAINT LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63110</ZIPCd>
        </USAddress>
        <EIN>832641644</EIN>
        <PrimaryActivitiesTxt>LEVERAGE LEND</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MFH</BusinessNameLine1Txt>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
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      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>BUILD MISSOURI HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>156911</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BUILD MISSOURI HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>29834</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL EXPENSES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>