2026-08-19T06:50:16-07:00 2025-12-31 371231621 FEW CPAs 6240 S Lindbergh Suite 101 St Louis MO 63123 990 2025-01-01 431694859 GATEWAY BUSINESS HEALTH COALITION GATE 3147217800 1001 Highlands Plaza Drive W 150 SAINT LOUIS MO 63110 LAUREL PICKERING President & CEO 2026-08-19 true JENNIFER HEIM P01864381 3148457999 2025 2025-03-06 01:10:19Z X LAUREL PICKERING 1796395 false X WWW.GATEWAYBHC.ORG X 1994 MO Since 1982, the Gateway Business Health Coalition has worked to achieve its mission of supporting employer efforts to improve the well-being of their employees and enhance the quality and overall value of their investments in health benefits. 17 17 0 17 0 206340 574140 5500 1120000 4444 22255 80000 216284 1796395 50000 325000 0 0 0 35000 73392 759536 123392 1084536 92892 711859 989917 1701776 0 989917 1701776 Since 1982, the Gateway Business Health Coalition has worked to achieve its mission of supporting employer efforts to improve the well-being of their employees and enhance the quality and overall value of their investments in health benefits. false false 952302 1200000 The Coalition was established to support employers in improving the well-being of their workforce and the safety, quality, and affordability of health care. 952302 false false false true false false false false false false false false false false true true false false false false false false false false false false true false true false false false false false false false false false false false true false false true 3 0 true 0 false false false false false false false false X 17 17 false false false false false false false true true false false true false false true true false false X MELANIE BREUER 3147217800 1001 Highlands Plaza Drive W Suite SAINT LOUIS MO 63110 X LAUREL PICKERING PRESIDENT & CEO 0.00 40.00 0 250000 36479 KELCI HANNAN RESEARCH/ANALYTICS 0.00 40.00 0 114998 13335 John Ziegler President 2.00 2.00 X X 0 0 0 Linda Brady Vice President 2.00 2.00 X X 0 0 0 Mark Riley Treasurer 2.00 2.00 X X 0 0 0 Misi Holmberg Member-At-Large 2.00 2.00 X X 0 0 0 Kristine Schuster Member-At-Large 2.00 2.00 X X 0 0 0 Dave Toben Imm. Past Chair 2.00 2.00 X X 0 0 0 Mickey Luna Member-At-Large 2.00 2.00 X X 0 0 0 Rupinder Budham Board Member 0.50 0.00 X 0 0 0 Alison Casler Board Member 0.50 0.00 X 0 0 0 Trisha Holbert Board Member 0.50 0.00 X 0 0 0 Barbara Mullett Board Member 0.50 0.00 X 0 0 0 Jaime Otzenberger Board Member 0.50 0.00 X 0 0 0 Valerie Peters Board Member 0.50 0.00 X 0 0 0 Margo Quinlan Board Member 0.50 0.00 X 0 0 0 Kirsten Tidd Board Member 0.50 0.00 X 0 0 0 Dawne Trokey Board Member 0.50 0.00 X 0 0 0 Carol Wilson Board Member 0.50 0.00 X 0 0 0 364998 49814 0 false true false 0 574140 574140 NEW MEMBER FEES 541900 16000 16000 PBM ACCESS FEES 541900 1104000 1104000 1120000 22255 22255 0 0 0 0 0 0 0 OTHER 900099 80000 80000 80000 1796395 1200000 22255 X 325000 325000 0 0 0 0 0 0 0 0 0 0 0 12802 12802 0 0 0 169356 152420 16936 20530 18477 2053 2494 2120 374 0 0 117812 100140 17672 81326 73194 8132 0 0 0 0 0 19826 3965 15861 SALARIES AND OVERHEAD REIMB. 295000 248000 12000 35000 DUES AND SUBSCRIPTIONS 21383 12830 8553 GOVERNMENT RELATIONS, TAXES 18633 15838 2795 OTHER 374 318 56 0 1084536 952302 97234 35000 83124 72671 748404 1619105 0 0 0 0 0 0 0 0 0 158389 10000 0 0 0 989917 1701776 0 0 X 989917 1701776 989917 1701776 989917 1701776 711859 X X false true X true false false false false false 1694140 10500 10500 10500 X 1796395 1796395 1796395 1084536 1084536 1084536 Part X : FIN48 Footnote The Coalition is exempt from income taxes pursuant to section 501(c)(6) of the Internal Revenue Service Code. Therefore, no provision is made for taxes on income.The Coalition adopted the provisions of Accounting for Uncertainty in Income Taxes on January 1, 2012. The adoption of that guidance resulted in no change to the financial statements for prior periods. As of December 31, 2025, no amounts have been recognized for uncertain tax positions. The Coalitions tax returns filed for 2022 and prior are closed. true BHC FOUNDATION 1001 HIGHLANDS PLAZA DR W ST LOUIS MO 63110 431296542 501(C)(3) 125000 0 CASH GENERAL OPERATING EXPENSES MIDWEST HEALTH INITIATIVE 1001 HIGHLANDS PLAZA DR W ST LOUIS MO 63110 300491563 501(C)(3) 200000 0 CASH GENERAL OPERATING EXPENSES 0 2 Additional Supplemental Information PART I, LINE 2:THESE FUNDS ARE APPROVED THROUGH THE BOARD OF DIRECTORS OF THE GATEWAY BUSINESS HEALTH COALITION FOR USE BY THE BHC FOUNDATION AND MIDWEST HEALTH INITIATIVE, AS DEFINED IN ITS BUDGET, WHICH IS APPROVED BY THE BOARD ANNUALLY AND MONITORED THROUGHOUT THE YEAR. X X false false false LAUREL PICKERING PRESIDENT & CEO 250000 12500 23979 286479 Part III, Additional Information PART II:PAYROLL ACCOUNTING IS SHARED WITH BHC FOUNDATION FOR ALL EMPLOYEES. Form 990, Part VI, Section B, Line 11b THE 990 IS PROVIDED TO THE OFFICERS OF THE ORGANIZATION FOR REVIEW PRIOR TO FILING. Form 990, Part VI, Section B, Line 15a THE COMPENSATION AND REVIEW PROCESS ALONG WITH COMPARABILITY DATA IS HANDLED BY THE EXECUTIVE COMMITTEE OF THE BHC. THE EXECUTIVE COMMITTEE OF THE BOARD, WHO ARE CORPORATE HR EXECUTIVES, PERIODICALLY OBTAINS THE SERVICES OF AN EXTERNAL COMPENSATION CONSULTANT TO REVIEW COMPENSATION AND MAKE RECOMMENDATIONS ON SALARY AND SALARY INCREASES. Form 990, Part VI, Section C, Line 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Form 990, Part XII, Line 2c THE ORGANIZATION'S OVERSIGHT AND SELECTION PROCESSES HAVE NOT CHANGED. BHC FOUNDATION 1001 HIGHLANDS PLAZA DR W STE 150 ST LOUIS MO 63110 431296542 SEE SUPPLEMENTAL INFO MO 3 SCH A, PART I, LN 7 N/A false MIDWEST HEALTH INITIATIVE 1001 HIGHLANDS PLAZA DR W STE 150 ST LOUIS MO 63110 300491563 SEE SUPPLEMENTAL INFO MO 3 SCH A, PART I, LN 7 N/A false false true false false false false false false false false false false false false true false true false false BHC FOUNDATION b 125000 CASH BHC FOUNDATION o 295000 CASH BHC FOUNDATION q 42636 CASH MIDWEST HEALTH INITIATIVE b 200000 CASH SCHEDULE R, FORM 990, PAGE 1, PART II, COLUMN B LINE 1: PRIMARY ACTIVITY FOR THE BHC FOUNDATION: TO ENCOURAGE AND SUPPORT THE DELIVERY OF HIGH QUALITY AND AFFORDABLE HEALTH CARE IN THE ST. LOUIS REGION: TO PROVIDE INFORMATION AND ANALYSIS ON HEALTH CARE POLICY, THE QUALITY AND AVAILABILITY OF HEALTH CARE, AND HEALTH CARE ECONOMICS FOR THE BENEFIT OF THE GENERAL PUBLIC; TO ENGAGE IN CHARITABLE, SCIENTIFIC, AND EDUCATIONAL ACTIVITIES IN FURTHERANCE OF THE FOREGOING; AND TO RECEIVE CONTRIBUTIONS AND GRANTS TO MAKE DISTRIBUTIONS THEREOF FOR THE FOREGOING PURPOSES. SCHEDULE R, FORM 990, PAGE 1, PART II, COLUMN B LINE 2: PRIMARY ACTIVITY FOR THE MIDWEST HEALTH INITIATIVE: TO PROVIDE A FORUMTO IMPROVE HEALTH AND THE QUALITY AND AFFORDABILITY OF HEALTH CARE BYWORKING COLLABORATIVELY WITH PHYSICIANS, HOSPITALS, HEALTH PLANS,COMMUNITY AGENCIES, EMPLOYERS, LABOR UNIONS, CONSUMER REPRESENTATIVESAND OTHER STAKEHOLDERS.