SKAGGS COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SKAGGS COMMUNITY HOSPITAL ASSOCIATION (EIN 44-0584290)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-14
IRS object ID: 202432279349303018
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-14T15:49:47+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E St Louis 200 PO Box 1190	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440584290	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SKAG	BusinessNameControlTxt
Phone	4173357000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 BRANSON LANDING BOULEVARD	AddressLine1Txt
City	BRANSON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65615	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM MAHONEY	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	4173357000	PhoneNum
Signature	2024-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	COX MEDICAL CENTER BRANSON	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM MAHONEY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 BRANSON LANDING BOULEVARD	AddressLine1Txt
City	BRANSON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65615	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$273,047,715	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COXHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	IMPROVES LIVES VIA EDUCATION, PREVENTION, AND ADVOCACY; BY THE USE OF TECHNOLOGY; AND BY PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1771	TotalEmployeeCnt
Total Volunteers	87	TotalVolunteersCnt
Total Gross UBI	$21,532	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,560,008	PYContributionsGrantsAmt
CY Contributions Grants	$8,155,227	CYContributionsGrantsAmt
PY Program Service Revenue	$220,033,803	PYProgramServiceRevenueAmt
CY Program Service Revenue	$248,942,850	CYProgramServiceRevenueAmt
PY Investment Income	$5,836,002	PYInvestmentIncomeAmt
CY Investment Income	$6,017,495	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$241,429,813	PYTotalRevenueAmt
CY Total Revenue	$263,115,572	CYTotalRevenueAmt
PY Grants And Similar Paid	$34,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$75,907	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$100,564,483	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$111,312,837	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$118,508,131	PYOtherExpensesAmt
CY Other Expenses	$126,346,581	CYOtherExpensesAmt
PY Total Expenses	$219,107,114	PYTotalExpensesAmt
CY Total Expenses	$237,735,325	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,322,699	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,380,247	CYRevenuesLessExpensesAmt
Total Assets BOY	$310,056,684	TotalAssetsBOYAmt
Total Assets EOY	$315,316,782	TotalAssetsEOYAmt
Total Liabilities BOY	$101,452,691	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$88,161,940	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$208,603,993	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$227,154,842	NetAssetsOrFundBalancesEOYAmt
Mission	THE HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$196,053,457	ExpenseAmt
Grant	$75,907	GrantAmt
Revenue	$230,211,615	RevenueAmt
Desc	HOSPITAL SERVICES - COX MEDICAL CENTER BRANSON PROVIDES THE FOLLOWING AREAS OF SERVICE: CANCER, CARDIAC, DIABETES AND ENDOCRINOLOGY, EAR NOSE AND THROAT, EMERGENCY, URGENT CARE, FAMILY MEDICINE, IMAGING AND RADIOLOGY, LABORATORY AND PATHOLOGY, NEPHROLOGY AND DIALYSIS, NEUROLOGY, OCCUPATIONAL HEALTH, ORTHOPEDICS, PEDIATRICS, PSYCHIATRY, PULMONOLOGY/CRITICAL CARE, REHABILITATION AND THERAPY, RHEUMATOLOGY, SLEEP DISORDER CENTER, SOCIAL SERVICES, SURGERY, UROLOGY, WOMEN'S SERVICES AND WOUND CARE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$21,763,739	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$18,731,235	RevenueAmt
Desc	CLINIC SERVICES - CLINIC SERVICES INCLUDE FAMILY MEDICINE, OB-GYN SERVICES, GENERAL SURGERY, INTERNAL MEDICINE, INFECTIOUS DISEASE TREATMENT AND PULMONOLOGY. COORDINATION OF CARE IS ENHANCED BY A PHYSICIAN LIAISON.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$217,817,196	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1771	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAKE MCWAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4173357789	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 BRANSON LANDING BOULEVARD	AddressLine1Txt
City	BRANSON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65615	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JACOB MCWAY
BOARD MEMBER	1.0	48.0	Yes (X)	Yes (X)	$0	$1,026,750	$231,057
JOE LOTH
2ND VICE CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
MAX BUETOW
PRESIDENT & CEO	1.0	48.0	Yes (X)	Yes (X)	$0	$809,328	$218,005
RANDY BRASHERS
1ST VICE CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
SUE HEAD
CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
BILL JONES
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
BRAD SWOFFORD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
CHARITY ELMER
BOARD MEMBER	1.0	40.0	Yes (X)		$0	$760,155	$170,819
CODY HIRSCHI
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
CODY HOEFLICKER
BOARD MEMBER	40.0	0	Yes (X)		$400,351	$0	$32,738
HOLLY WHERRY
BOARD MEMBER	40.0	0	Yes (X)		$335,093	$0	$16,872
J TRAVIS BRAWNER
BOARD MEMBER	1.0	0	Yes (X)		$72,000	$0	$0
PAMELA YANCEY
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
PHILLIP LOYD
BOARD MEMBER	1.0	6.0	Yes (X)		$0	$0	$0
ROBERT COX
BOARD MEMBER	1.0	6.0	Yes (X)		$0	$0	$0
ERIKA GETTLING
SECRETARY	40.0	0		Yes (X)	$44,832	$0	$14,805
WILLIAM MAHONEY
PRESIDENT	40.0	0		Yes (X)	$722,176	$0	$105,821
LORI CANTRELL
VP FINANCE	40.0	0			$164,392	$0	$24,183	Yes (X)
LYNNE YAGGY
CNO	40.0	0			$226,133	$0	$19,284	Yes (X)
MATTHEW TURNER
VP OF COMMUNITY HOSPITAL GROUP	40.0	0			$151,098	$0	$24,424	Yes (X)
CHAD EFIRD
PHYSICIAN	40.0	0			$1,346,836	$0	$53,178		Yes (X)
DAVID SOTELLO AVILES
PHYSICIAN	40.0	0			$701,813	$0	$53,153		Yes (X)
NARIN ARUNAKUL
PHYSICIAN	40.0	0			$754,808	$0	$51,636		Yes (X)
PATRICK FINKBONE
PHYSICIAN	40.0	0			$1,147,422	$0	$32,653		Yes (X)
PRASER VIJITBENJARONK
PHYSICIAN	40.0	0			$846,848	$0	$53,743		Yes (X)
DAVID STRONG
FORMER CFO	0.0	0.0			$168,485	$168,485	$56,919			Yes (X)
STEVE EDWARDS
FORMER PRESIDENT & CEO	0.0	0.0			$0	$1,720,045	$161,696			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,082,287	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,484,763	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,320,986	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	149	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SHIFTWISE
PO BOX 70870	ST PAUL	MN	551709705	STAFFING	$8,167,808
360 DEGREE MEDICINE
800 STATE HWY 248 STE 2E	BRANSON	MO	65616	STAFFING	$7,033,455
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	STAFFING	$1,249,070
NUCLEAR DIAGNOSIS
19600 E 39TH ST ROOM 30335	INDEPENDENCE	MO	64057	LAB SERVICES	$829,712
ALLIANCE RECRUITING RESOURCES
PO BOX 223901	DALLAS	TX	752223901	RECRUITING	$632,668

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,048	RelatedOrganizationsAmt
Government Grants	$4,772,687	GovernmentGrantsAmt
All Other Contributions	$3,375,492	AllOtherContributionsAmt
Total Contributions	$8,155,227	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	624100	$244,617,176	$244,617,176
CAFETERIA	722514	$1,217,599	$1,217,599
FITNESS CENTER	624100	$298,911	$298,911
LAB REVENUE	621500	$168,301	$146,769	$21,532
OTHER REVENUE	900099	$2,640,863	$2,640,863

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$248,942,850	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,084,851	TotalRevenueColumnAmt
Exclusion	$5,084,851	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$10,864,787	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$9,932,022	SecuritiesAmt
Other	$121	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$932,765	SecuritiesAmt
Other	-$121	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$932,644	TotalRevenueColumnAmt
Exclusion	$932,644	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$263,115,572	TotalRevenueColumnAmt
Related Or Exempt Func Income	$248,921,318	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,532	UnrelatedBusinessRevenueAmt
Exclusion	$6,017,495	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$75,907	TotalAmt
Program Services	$75,907	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,354,202	TotalAmt
Program Services	$1,102,471	ProgramServicesAmt
Management And General	$1,251,731	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$364,061	TotalAmt
Program Services	$167,116	ProgramServicesAmt
Management And General	$196,945	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$92,207,375	TotalAmt
Program Services	$79,038,989	ProgramServicesAmt
Management And General	$13,168,386	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,902,276	TotalAmt
Program Services	$2,871,149	ProgramServicesAmt
Management And General	$31,127	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,621,290	TotalAmt
Program Services	$7,286,803	ProgramServicesAmt
Management And General	$334,487	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,863,633	TotalAmt
Program Services	$5,557,518	ProgramServicesAmt
Management And General	$306,115	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$43,936	TotalAmt
Management And General	$43,936	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$13,308	TotalAmt
Management And General	$13,308	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$57,945,545	TotalAmt
Program Services	$55,358,012	ProgramServicesAmt
Management And General	$2,587,533	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,956	TotalAmt
Program Services	$6,381	ProgramServicesAmt
Management And General	$575	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,269,992	TotalAmt
Program Services	$5,647,275	ProgramServicesAmt
Management And General	$622,717	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,014,747	TotalAmt
Program Services	$930,891	ProgramServicesAmt
Management And General	$83,856	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,551,605	TotalAmt
Program Services	$2,340,747	ProgramServicesAmt
Management And General	$210,858	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$734,958	TotalAmt
Program Services	$674,223	ProgramServicesAmt
Management And General	$60,735	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$27,893	TotalAmt
Program Services	$25,588	ProgramServicesAmt
Management And General	$2,305	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,145,572	TotalAmt
Program Services	$2,885,631	ProgramServicesAmt
Management And General	$259,941	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,000,793	TotalAmt
Program Services	$7,339,630	ProgramServicesAmt
Management And General	$661,163	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$794,454	TotalAmt
Program Services	$728,803	ProgramServicesAmt
Management And General	$65,651	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$35,822,784	$35,822,784
STATE PROVIDER TAX	$9,680,261	$9,680,261
LICENSES, DUES, SUBSCRIPTION	$293,777	$277,017	$16,760

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$237,735,325	TotalAmt
Program Services	$217,817,196	ProgramServicesAmt
Management And General	$19,918,129	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,266,257	BOYAmt
EOY	$1,007,909	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$138,223,990	BOYAmt
EOY	$113,020,284	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,518,315	BOYAmt
EOY	$866,311	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,071,119	BOYAmt
EOY	$25,275,355	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,028,628	BOYAmt
EOY	$2,932,579	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$726,562	BOYAmt
EOY	$687,363	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$188,432,313	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$81,988,861	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$92,584,062	BOYAmt
EOY	$106,443,452	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$27,047,175	BOYAmt
EOY	$51,005,542	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$8,306,854	BOYAmt
EOY	$8,929,024	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$222,501	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$551,500	BOYAmt
EOY	$551,500	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,509,721	BOYAmt
EOY	$4,597,463	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$310,056,684	BOYAmt
EOY	$315,316,782	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,616,490	BOYAmt
EOY	$13,446,933	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$67,565,006	BOYAmt
EOY	$66,892,749	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,657,096	BOYAmt
EOY	$2,701,751	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,614,099	BOYAmt
EOY	$5,120,507	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,452,691	BOYAmt
EOY	$88,161,940	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$200,107,666	BOYAmt
EOY	$218,251,304	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,496,327	BOYAmt
EOY	$8,903,538	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$208,603,993	BOYAmt
EOY	$227,154,842	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$310,056,684	BOYAmt
EOY	$315,316,782	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,380,247	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,416,466	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$9,245,864	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$16,221	OtherActivitiesAmt
Total Lobbying Expenditures	$16,221	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAID DUES OF $45,057 TO THE MISSOURI HOSPITAL ASSOCIATION , OF WHICH $16,221 (36%) IS ATTRIBUTABLE TO LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,879,318	OtherCostOrOtherBasisAmt
Book Value	$8,879,318	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,838,057	OtherCostOrOtherBasisAmt
Depreciation	$24,440,013	DepreciationAmt
Book Value	$56,398,044	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,454,390	OtherCostOrOtherBasisAmt
Depreciation	$979,880	DepreciationAmt
Book Value	$474,510	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$83,169,923	OtherCostOrOtherBasisAmt
Depreciation	$52,434,885	DepreciationAmt
Book Value	$30,735,038	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,090,625	OtherCostOrOtherBasisAmt
Depreciation	$4,134,083	DepreciationAmt
Book Value	$9,956,542	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$106,443,452	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY	$2,500,000
DUE TO RELATED PARTY	$1,026,923
ESTIMATED INSURANCE COSTS	$1,593,584

Field	Value	IRS element (for citing)
Total Liability	$5,120,507	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS:	FormAndLineReferenceDesc
Explanation	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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	false	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,036,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,036,349	NetCommunityBenefitExpnsAmt
Total Expense	0.0254	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,000,822	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,275,249	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$48,037,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,275,249	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,036,349	NetCommunityBenefitExpnsAmt
Total Expense	0.0254	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$632	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,492,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$247,581	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,245,026	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,694,614	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,486,884	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,207,730	NetCommunityBenefitExpnsAmt
Total Expense	0.0177	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,984	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,984	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,284,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,734,465	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,550,372	NetCommunityBenefitExpnsAmt
Total Expense	0.0233	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$59,322,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,009,714	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,586,721	NetCommunityBenefitExpnsAmt
Total Expense	0.0487	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$15,294,475	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,018,871	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$99,174,428	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$122,774,090	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,599,662	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1Txt
City	BRANSON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65616	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SKAGGS.NET	WebsiteAddressTxt
State License	52-57	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	(SEE STATEMENT)	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. COMMUNITY INPUT: IN 2021, ORGANIZATIONS ACROSS THE OZARKS RECONVENED UNDER THE UMBRELLA OF THE OZARKS HEALTH COMMISSION (OHC) TO ASSESS THE HEALTH NEEDS OF OUR REGION. THE OHC REGION INCLUDES 30 COUNTIES LOCATED WITHIN THE STATES OF MISSOURI, KANSAS AND OKLAHOMA. IT IS CENTERED IN SOUTHWEST MISSOURI, AND REPRESENTS THE COMBINED SERVICE AREAS OF OHC REGION HEALTHCARE PARTNERS COXHEALTH, FREEMAN HEALTH SYSTEM, AND MERCY HOSPITALS. SEVEN MULTI-COUNTY COMMUNITIES WERE DEFINED BASED ON HOSPITAL SERVICE AREAS AND NAMED FOR A MAJOR CITY WITHIN THE COMMUNITY: BOLIVAR, BRANSON, JOPLIN, LEBANON, MONETT, MOUNTAIN VIEW, AND SPRINGFIELD. THE 2022 REGIONAL HEALTH ASSESSMENT (RHA) BUILDS UPON THE SUCCESS OF THE 2016 AND 2019 RHAS TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE POPULATIONS AND COMMUNITIES SERVED. THIS ASSESSMENT TAKES A COMPREHENSIVE, DATA-DRIVEN APPROACH TO LOOK AT THE HEALTH CHARACTERISTICS AND BEHAVIORS OF RESIDENTS IN THE OHC REGION BY PRESENTING MORE THAN 200 PUBLIC HEALTH AND EMERGENCY ROOM UTILIZATION DATA INDICATORS INCLUDING DEMOGRAPHICS, HEALTH MORBIDITY AND MORTALITY, HEALTH STATUS AND BEHAVIORS, AND SOCIAL DETERMINANTS OF HEALTH. THE OHC STEERING COMMITTEE ELECTED TO UTILIZE CONSULTATIVE SERVICES TO ACQUIRE RELIABLE AND REPRESENTATIVE INPUT FROM THE 30- COUNTY OHC REGION. TO THAT END, A CONSULTING FIRM WAS HIRED TO GATHER BOTH QUANTITATIVE AND QUALITATIVE DATA THROUGH 3 AVENUES: COMMUNITY SURVEYS, FOCUS GROUPS AND INTERVIEWS. THE PROCESS RESULTED IN THE IDENTIFICATION OF THE FOLLOWING HEALTH PRIORITIES: JOPLIN COMMUNITY (ENCOMPASSES COX BARTON COUNTY HOSPITAL SERVICE AREA): MENTAL HEALTH, DIABETES, LUNG DISEASE, HEART DISEASE; SPRINGFIELD, BRANSON AND MONETT COMMUNITIES: MENTAL HEALTH, SUBSTANCE USE AND RECOVERY, DIABETES. ALL COMMUNITIES IDENTIFIED COVID-19 AS A SPECIAL HEALTH ISSUE. ADDITIONALLY, INDICATORS THAT COULD IMPACT MULTIPLE ASSESSED HEALTH ISSUES, REFERRED TO HERE AS SOCIAL DETERMINANTS OF HEALTH, WERE NOTED IN EVERY COMMUNITY. BROADLY, THESE SOCIAL DETERMINANTS OF HEALTH FALL INTO SIX CATEGORIES: ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, HEALTHCARE ACCESS AND QUALITY, NEIGHBORHOOD AND BUILT ENVIRONMENT, SOCIAL AND COMMUNITY CONTEXT, AND HEALTH BEHAVIORS. THE OHC HIGHLIGHTED KEY FACTORS AND POPULATIONS OF INTEREST WITH DISPARATE NEEDS, CHALLENGES AND GREATER VULNERABILITY THAN COMPARABLE AREAS WITH THE SAME POPULATION IN OTHER COUNTIES. HISTORICALLY DISENFRANCHISED POPULATIONS, SUCH AS PEOPLE IN POVERTY, MINORITIES AND THE ELDERLY, OFTEN EXPERIENCE HIGHER RATES OF CHRONIC ILLNESS AND WORSE HEALTH OUTCOMES, DUE TO A MULTITUDE OF STRUCTURAL AND ENVIRONMENTAL FACTORS. THIS CAN LEAD TO HEALTH DISPARITIES BETWEEN VARIOUS SOCIOECONOMIC CLASSES AND/OR DEMOGRAPHIC GROUPS. THE PRIORITIZATION OF ASSESSED HEALTH ISSUES PROCESS INCLUDED THE FOLLOWING COMMUNITY STAKEHOLDERS. BRANSON COMMUNITY: -COXHEALTH -COX MEDICAL CENTER BRANSON -SKAGGS FOUNDATION -TANEY COUNTY AMBULANCE DISTRICT -TANEY COUNTY HEALTH DEPARTMENT -GIFT OF HOPE -FAITH COMMUNITY HEALTH -TABLE ROCK LAKE CHAMBER OF COMMERCE -STONE COUNTY HEALTH DEPARTMENT -CHRISTIAN ACTION MINISTRIES
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. THE CHNA WAS CONDUCTED FOR THE ENTIRE REPORTING GROUP #1, AS REPORTED ON SCHEDULE H, PART V, SECTION A, INCLUDING LESTER E. COX MEDICAL CENTERS - SOUTH, LESTER E. COX MEDICAL CENTERS - NORTH, AND MEYER ORTHOPEDIC HOSPITAL. OTHER HOSPITAL FACILITY PARTNERS INCLUDED FREEMAN HEALTH SYSTEM, AND MERCY HOSPITALS. THE CHNA WAS ALSO CONDUCTED WITH RELATED ORGANIZATIONS COX MEDICAL CENTER BRANSON, COX BARTON COUNTY HOSPITAL AND COX MONETT HOSPITAL.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. THE CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL ORGANIZATIONS: -BURRELL BEHAVIORAL HEALTH -CHRISTIAN COUNTY HEALTH DEPARTMENT -CITY OF JOPLIN HEALTH DEPARTMENT -JASPER COUNTY HEALTH DEPARTMENT -LAWRENCE COUNTY HEALTH DEPARTMENT -SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT -TANEY COUNTY HEALTH DEPARTMENT -VERNON COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 7 Facility 1, 1	Facility 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. PRINTED COPIES ARE AVAILABLE BY REQUEST THROUGH HOSPITAL AND PUBLIC HEALTH PARTNERS. ELECTRONIC AND PRINTABLE VERSIONS ARE AVAILABLE AT COXHEALTH.COM AND OZARKSHEALTHCOMMISSION.ORG. NEWS RELEASE WAS HELD TO ENCOURAGE MEDIA COVERAGE WITH LINKS TO THE REPORT AND KEY MESSAGES FOR THE PUBLIC.
Schedule H, Part V, Section B, Line 7 Facility 1, 2	Facility 1, 2 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. CHNA OTHER WEBSITES: HTTP://WWW.OZARKSHEALTHCOMMISSION.ORG HTTP://WWW.MERCY.NET HTTP://WWW.COXHEALTH.COM HTTP://WWW.FREEMANHEALTH.COM
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. 1. DECREASE HOSPITALIZATIONS RELATED TO COVID-19 -SUPPORT COMMUNITY INITIATIVES, INCLUDING INCREASE PERCENT OF FULLY VACCINATED INDIVIDUALS AS RECOMMENDED BY THE CDC 2. DECREASE TOBACCO AND VAPE USE RATES -INCREASE ACCESS TO CLINICAL EDUCATION AND TRAINING RELATED TO TOBACCO AND VAPE CESSATION 3. INCREASE AWARENESS OF SUBSTANCE USE PREVENTION AND TREATMENT RESOURCES -PROMOTE EDUCATION AND TRAINING RELATED TO SUBSTANCE USE (EXAMPLES: HARM REDUCTION, NALOXONE, MENTAL HEALTH FIRST AID) 4. INCREASE AWARENESS OF MENTAL HEALTH SERVICES -INCREASE ACCESS THROUGH ALTERNATIVE CARE MODELS -IMPLEMENT TRAUMA INFORMED CARE TRAINING AND EDUCATION 5. IMPROVE CHRONIC DISEASE SELF-MANAGEMENT -INCREASE REFERRALS TO SELF-MANAGEMENT EDUCATION -INCREASE ENROLLMENT IN CARE MANAGEMENT PROGRAMS -PROMOTE ACCESS TO SCHOOL-AGE PREVENTION EDUCATION AND CARE PROGRAMS 6. ENGAGE IN MULTI-SECTOR CARE COORDINATION TO REDUCE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES -IMPLEMENT COMMUNITY INFORMATION EXCHANGE PLATFORM
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. MEDICAL HARDSHIP MAY ALSO BE USED TO DETERMINE FINANCIAL ELIGIBILITY. COXHEALTH SHALL MAKE A DECISION ABOUT A PATIENT/GUARANTOR'S MEDICAL HARDSHIP BY REVIEWING THE FINANCIAL ASSISTANCE APPLICATION, INCLUDING ACCOMPANYING FINANCIAL DOCUMENTATION, IN ADDITION TO OTHER RELEVANT DOCUMENTATION THAT SUPPORTS THE MEDICAL HARDSHIP OF THE PATIENT.
Schedule H, Part V, Section B, Line 13 Facility 1, 2	Facility 1, 2 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility 1, 1	Facility 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. FINANCIAL ASSISTANCE AVAILABILITY IS PROACTIVELY COMMUNICATED TO UNINSURED PATIENTS BY CUSTOMER SERVICE STAFF AND BY OUR EARLY OUT AND BAD DEBT VENDORS; ANYONE RECOGNIZED AS UNINSURED IS TOLD ABOUT THE FA AVAILABILITY AND ENCOURAGED TO PARTICIPATE.

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
COX HEART CENTER BRANSON
1150 STATE HWY 248 STE 202	BRANSON	MO	65616	CLINIC
COX HYPERBARIC MEDICINE & WOUND CARE BRA
101 SKAGGS RD STE 103	BRANSON	MO	65616	CLINIC
COXHEALTH CENTER BRANSON WEST
18452 BUSINESS HWY 13	BRANSON WEST	MO	65737	CLINIC
COXHEALTH CENTER FORSYTH
13852 US HWY 160	FORSYTH	MO	65653	CLINIC
COXHEALTH DIABETES & ENDOCRINOLOGY CLINIC
121 CAHILL ROAD SUITE 201	BRANSON	MO	65616	CLINIC
COXHEALTH FAMILY MEDICINE & OB
525 BRANSON LANDING BLVD SUITE 50	BRANSON	MO	65616	CLINIC
COXHEALTH FAMILY MEDICINE BRANSON HWY 248
1150 STATE HWY 248 SUITE 202	BRANSON	MO	65616	CLINIC
COXHEALTH HOSPITALIST
525 BRANSON LAND BLVD	BRANSON	MO	65616	CLINIC
COXHEALTH INTERNAL MEDICINE & INFECTIOUS
525 BRANSON LANDING SUITE 407	BRANSON	MO	65616	CLINIC
COXHEALTH OCCUPATIONAL MEDICINE
121 CAHILL ROAD SUITE 205	BRANSON	MO	65616	CLINIC
COXHEALTH ORTHOPEDICS
121 CAHILL ROAD SUITE 206	BRANSON	MO	65616	CLINIC
COXHEALTH PAIN & NEUROLOGY
121 CAHILL ROAD SUITE 204	BRANSON	MO	65616	CLINIC
COXHEALTH PHYSICAL MEDINCE & REHABILITATION
525 BRANSON LANDING BLVD SUITE 40	BRANSON	MO	65616	CLINIC
COXHEALTH PULMONOLOGY & SLEEP MEDICINE
525 BRANSON LANDING BLVD SUITE 30	BRANSON	MO	65616	CLINIC
COXHEALTH RHEUMATOLOGY
525 BRANSON LANDING SUITE 301	BRANSON	MO	65616	CLINIC
COXHEALTH URGENT CARE
525 BRANSON LANDING BLD SUITE 10	BRANSON	MO	65616	CLINIC
COXHEALTH WOMEN'S CENTER BRANSON
525 BRANSON LANDING BLVD SUITE 40	BRANSON	MO	65616	CLINIC
MARY'S WELL HOUSE
6136 STATE HWY 265	BRANSON	MO	65616	PHYSICIAN CLINIC
FITNESS CENTER BRANSON
1500 BRANSON HILLS PKWY	BRANSON	MO	65616	FITNESS CENTER
FDC UROLOGYGI
525 BRANSON LANDING BLCVD	BRANSON	MO	65616	CLINIC
COXHEALTH INPATIENT PSYCHIATRY
525 BRANSON LANDING BLVD	BRANSON	MO	65616	CLINIC
COXHEALTH PEDIATRIC SPECIALTIES BRANSON
525 BRANSON LANDING SUITE 501	BRANSON	MO	65616	CLINIC
COXHEALTH PSYCHIATRY SERVICES BRANSON
525 BRANSON LANDING BLVD	BRANSON	MO	65616	CLINIC
SKAGGS ORTHONEURO CENTER
101 CAHILL RD	BRANSON	MO	65606	OUTPATIENT DEPTS PHYSICIAN CLINICS
CMCB OUTPATIENT CENTER
545 N BRANSON LANDING BLVD	BRANSON	MO	65606	OUTPATIENT DEPTS PHYSICIAN CLINICS
COXHEALTH GENERAL SURGEY
545 N BRANSON LANDING BLVD	BRANSON	MO	65606	CLINIC
COXHEALTH ACCESS CLINIC
1150 STATE HWY 248 STE 202	BRANSON	MO	65606	CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c ELIGIBILITY FOR FREE CARE:	IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THIS POLICY.
Schedule H, Part I, Line 7 COST TO CHARGE RATIO	THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEET 1 AND 3. WORKSHEET 6 USED INTERNAL COST CALCULATIONS.
Schedule H, Part I, Line 7 SUBSIDIZED SERVICES	THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $4,207,730. COX MEDICAL CENTER BRANSON PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. COX MEDICAL CENTER BRANSON CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
Schedule H, Part I, Line 7 PERCENT OF TOTAL EXPENSE	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014- 09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON PAGE 15 OF THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE."
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE HOSPITAL IS DESIGNATED BY MEDICARE AS A SOLE COMMUNITY HOSPITAL AND AS SUCH, IS THE SOLE SOURCE OF HOSPITAL CARE WITHIN A 35-MILE RADIUS. AS A LARGE RURAL HOSPITAL, MINIMUM STAFFING MUST BE MAINTAINED REGARDLESS OF SWINGS IN PATIENT VOLUME. WITHOUT THE HOSPITAL, MEDICARE PATIENTS WOULD NEED TO TRAVEL SIGNIFICANT DISTANCES TO RECEIVE HOSPITAL CARE. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF ANY AMOUNTS DISCOUNTED AS A RESULT OF AN APPROVED OR PARTIALLY APPROVED REQUEST FOR FINANCIAL ASSISTANCE. BALANCES REMAINING AFTER SUCH DISCOUNTS ARE APPLIED WILL, HOWEVER, BE SUBJECT TO COLLECTION ACTIVITY, INCLUDING LEGAL ACTION. IN ADDITION, THE ORGANIZATION WILL NOT CHARGE INTEREST ON THE BALANCE REMAINING AFTER APPLYING THE FINANCIAL ASSISTANCE DISCOUNT. HOWEVER, THE ORGANIZATION MAY, IN ITS SOLE DISCRETION, CHARGE INTEREST ON THE BALANCE OWED IF 1) THE GUARANTOR DEFAULTS ON HIS OR HER PAYMENT AGREEMENT OR 2) THE BALANCE IS REFERRED TO THE COLLECTION AGENCY FOR COLLECTION.
Schedule H, Part V, Section B, Line 16a FAP website	1 - SKAGGS COMMUNITY HEALTH CENTER: Line 16a URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - SKAGGS COMMUNITY HEALTH CENTER: Line 16b URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - SKAGGS COMMUNITY HEALTH CENTER: Line 16c URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment	LESTER E. COX MEDICAL CENTERS HAS PERFORMED AN ENVIRONMENTAL SCAN ANNUALLY SINCE 2006. COMMUNITY HEALTH NEEDS ASSESSMENTS AS REQUIRED BY THE IRS WERE COMPLETED IN 2022. COMMISSION STAKEHOLDERS BEGAN THE RHA PROCESS WITH ANALYSIS OF PUBLICLY AVAILABLE HEALTH DATA (SECONDARY DATA) AND PARTICIPATING HEALTH SYSTEMS' EMERGENCY ROOM UTILIZATION DATA (PRIMARY DATA) TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN ACROSS THE REGION. THE RESULT WAS A RANKED LIST OF EIGHT OZARKS HEALTH COMMISSION REGION HEALTH ISSUES. A FULL DESCRIPTION OF THE HEALTH ISSUES AND INDICATORS USED CAN BE FOUND IN THE OHC REGIONAL HEALTH ASSESSMENT. TO REPRESENT DIVERSE VIEWS FROM ACROSS THE REGION AND POPULATION, QUALITATIVE DATA WAS GARNERED. DURING SEPTEMBER AND OCTOBER 2021, 7 INDIVIDUAL INTERVIEWS, IN ADDITION TO VIRTUAL FOCUS GROUP DISCUSSIONS IN BOTH TANEY AND STONE COUNTIES WERE COMPLETED. THOSE INTERVIEWED REPRESENTED HEALTH AND SOCIAL SERVICE ORGANIZATIONS, EDUCATION AND COMMUNITY COLLABORATIVES. OF THE 2,628 SURVEY RESPONDENTS FROM THE OHC REGION, 3.99% INDICATED THEY LIVED IN THE BRANSON COMMUNITY. RESPONDENTS WERE ASKED TO RANK PERCEIVED COMMUNITY NEEDS. STAKEHOLDERS, EDUCATION AND COMMUNITY INDIVIDUAL INTERVIEWS AND FOCUS GROUPS AGREED THAT A TOP CHALLENGE WAS AFFORDABLE HOUSING. IN CONTRAST TO SURVEY PARTICIPANTS, AFFORDABLE AND QUALITY CHILDCARE DID NOT HOLD AS HIGH A SPOT AS ACCESS TO HEALTHCARE. ALSO OF HIGH PRIORITY WAS LACK OF MENTAL HEALTH OPTIONS FOR CHILDREN AND FREE OR LOW-COST TREATMENT FOR SUBSTANCE USE, WHICH IS A SIGNIFICANT NEED IN THIS COMMUNITY. THIS INFORMATION WAS CONSIDERED DURING THE PROCESS OF ESTABLISHING HEALTH PRIORITIES FOR THE BRANSON COMMUNITY. METHODOLOGIES USED FOR THE INITIAL SCORING/RANKING OF THE HEALTH ISSUES AND THE FULL REPORT OF THE QUALITATIVE WORK CAN BE FOUND IN THE OHC REGIONAL REPORT. THIS PRIORITIZATION INFORMATION CAN BE USED BY ORGANIZATIONS TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS, GUIDE DECISION-MAKING, AND FOSTER COLLABORATION ACROSS INITIATIVES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	LESTER E. COX MEDICAL CENTERS, PARENT ORGANIZATION, USES A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE PROGRAMS OR UNDER THE ORGANIZATION'S POLICY: - AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION IS COMMUNICATED TO PATIENTS THROUGH THE USE OF SIGNAGE AND BROCHURES/INFORMATION PACKETS AVAILABLE AT CHECK-IN LOCATIONS. - LESTER E. COX MEDICAL CENTERS ALSO PROACTIVELY COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND ITS EARLY-OUT VENDOR RESPONSIBLE FOR PATIENT BALANCE COLLECTIONS IS EXPECTED TO PROACTIVELY INFORM SELF PAY PATIENTS OF THE AVAILABILITY WHEN SPEAKING TO THEM ON THE PHONE. - FOR ASSISTANCE UNDER FEDERAL AND STATE PROGRAMS LESTER E. COX MEDICAL CENTERS UTILIZES AN OUTSOURCE ELIGIBILITY VENDOR WHO MEETS WITH SELF PAY INPATIENTS AT THE BEDSIDE TO COMPLETE AN ELIGIBILITY SCREENING, INFORM THE PATIENTS OF POTENTIAL AVAILABILITY, AND WILL WORK WITH THE PATIENT TO HELP THEM THROUGH THE PROCESS. OUTPATIENTS ARE REFERRED TO THE VENDOR AFTER CARE AND THOSE ARE WORKED IN A SIMILAR FASHION WITH THE EXPECTATION THAT THE FIRST CONTACT IS THROUGH MAIL OR PHONE RATHER THAN AT THE BEDSIDE.
Schedule H, Part VI, Line 4 Community information	CMCB CONSIDERS TANEY AND STONE COUNTIES AS ITS PRIMARY SERVICE AREA WITH CHRISTIAN COUNTY, BOONE COUNTY AND PARTS OF CARROLL COUNTY IN NORTHERN ARKANSAS AS ITS SECONDARY SERVICE AREA. THE TOTAL POPULATION OF ZIP CODES SERVED BY CMCB IS APPROXIMITELY 144,000. THE PROJECTED POPULATION GROWTH IN THESE AREAS, ESPECIALLY THE CONTINUING MIGRATION INTO THE AREA OF RETIREES, IS A SIGNIFICANT FACTOR IN THE EVER-INCREASING NEED FOR HIGH-TECH MEDICAL SERVICES.
Schedule H, Part VI, Line 5 Promotion of community health	CMCB HAS A 15-MEMBER BOARD OF DIRECTORS. SEVERAL THOUSANDS OF DOLLARS ARE SPENT EACH YEAR OFFERING FREE LOW-COST SCREENINGS TO THE COMMUNITY AND EDUCATIONAL PROGRAMS. CMCB PHYSICIANS AND STAFF ARE COMMITTED TO EDUCATING THE COMMUNITY TO HELP ENSURE A HEALTHIER FUTURE. CPR CLASSES, SMOKING CESSATION CLASSES, PRENATAL CLASSES, ETC. ARE ALL FOCUSED ON GIVING OUR COMMUNITY MEMBERS THE RESOURCES THEY NEED TO MAKE INFORMED DECISIONS.
Schedule H, Part VI, Line 6 Affiliated health care system	CMCB IS PART OF THE COXHEALTH SYSTEM, WHICH INCLUDES THE FOLLOWING: LESTER E. COX MEDICAL CENTERS, WHICH OPERATES AS AN INTEGRATED DELIVERY SYSTEM INCLUDING FOUR HOSPITALS, A SURGICAL CENTER, AN INPATIENT REHABILITATION FACILITY, HOME CARE COMPANIES, PHYSICIAN SERVICES, MENTAL HEALTH SERVICES, INSURANCE COMPANIES AND A FOUNDATION. THE HEALTH SYSTEM PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE, INPATIENT REHABILITATION, HOME CARE, PHYSICIAN SERVICES AND HEALTH INSURANCE PRODUCTS TO PATIENTS AND EMPLOYERS IN SPRINGFIELD, MISSOURI, AND THE SURROUNDING SOUTHWEST MISSOURI AREA. COXHEALTH IS THE PARENT OF LESTER E. COX MEDICAL CENTERS AND ITS WHOLLY OWNED SUBSIDIARIES PLUS CERTAIN AFFILIATED NOT-FOR-PROFIT ENTITIES AND IS COLLECTIVELY REFERRED TO AS COXHEALTH. COXHEALTH (THE HEALTH SYSTEM) OPERATES AS AN INTEGRATED DELIVERY SYSTEM INCLUDING FOUR HOSPITALS, A SURGICAL CENTER, AN INPATIENT REHABILITATION FACILITY, HOME CARE COMPANIES, PHYSICIAN SERVICES, MENTAL HEALTH SERVICES, INSURANCE COMPANIES AND A FOUNDATION. COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY COXHEALTH AT HOME AND INCLUDE HOME HEALTH SERVICES, INFUSION THERAPY AND DURABLE MEDICAL EQUIPMENT. COXHEALTH AT HOME SUPPORTED THE COMMUNITY THROUGH MONTHLY NUTRITION AND FALL PREVENTION SEMINARS AT 20 AREA SENIOR CENTERS THROUGHOUT SOUTHWEST MISSOURI. THEY ALSO PROVIDED FREE BONE DENSITY SCREENINGS AT 34 COMMUNITY EVENTS, AND VITAL SIGN SCREENINGS AT MANY MORE. THROUGH AN ANNUAL FAN DRIVE, COXHEALTH AT HOME COLLECTED AND DISTRIBUTED BOX FANS TO SENIORS AND THE DISABLED WHO LACK ADEQUATE ACCESS TO COOLING DURING THE SUMMER MONTHS. INFUSION THERAPY RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS US TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. ASSISTANCE TO COXHEALTH SYSTEM IN DEVELOPING AN INTEGRATED HEALTH SYSTEM, AND SERVICE TO MEDICAID PATIENTS. COX-MONETT HOSPITAL SUPPORTS THE MONETT, MISSOURI AND SURROUNDING COMMUNITY BY PROVIDING A VARIETY OF SERVICES WHICH INCLUDE UROLOGY, ENT (EAR, NOSE AND THROAT), PULMONOLOGY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE AND MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY CENTER, GENERAL SURGICAL SERVICES, SAME-DAY SURGERY, DIABETES CENTER, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL-SURGICAL UNIT, URGENT CARE, PHARMACY AND COMMUNITY WELLNESS. COXHEALTH FOUNDATION SUPPORTS THE COMMUNITY BY RAISING FUNDS TO DISPERSE TO PATIENTS FOR THOSE NEEDS FOR WHICH THEY HAVE NO RESOURCES OR FUNDING, BUT WHICH ARE CRITICAL TO THE PATIENT'S HEALTH AND WELL BEING. SKAGGS COMMUNITY HOSPITAL ASSOCIATION D/B/A COX MEDICAL CENTER BRANSON (CMCB) HAS BEEN SERVING SOUTHWEST MISSOURI RESIDENTS FOR MORE THAN 63 YEARS AND OFFERS OVER 25 MAJOR SERVICE AREAS. THE HOSPITAL'S AVERAGE DAILY PATIENT CENSUS EXCEEDS 85 WITH 165 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,100 PERSONNEL IS REQUIRED TO OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS. COXHEALTH ADDED A FOURTH HOSPITAL IN 2018, COX BARTON COUNTY HOSPITAL (COX BARTON COUNTY). THE FACILITY WAS A COUNTY HOSPITAL OWNED AND OPERATED BY BARTON COUNTY MEMORIAL HOSPITAL (BCMH). IT WAS BUILT IN 2007 AND IS A 25-BED CRITICAL ACCESS HOSPITAL IN LAMAR, MISSOURI OFFERING AN EMERGENCY DEPARTMENT, AS WELL AS SPECIALIZED CARE IN DIABETES, CARDIOLOGY, ORTHOPEDICS AND SPORTS MEDICINE, NEUROLOGY, WOMEN'S HEALTH AND MORE. IN OCTOBER 2017, COXHEALTH SIGNED A LETTER OF INTENT WITH BCMH TO ACQUIRE ITS OPERATION AND TO LEASE ITS PROPERTY. BCMH WAS STRUGGLING AS A RURAL HOSPITAL TO KEEP UP WITH DECLINING REVENUE. COXHEALTH'S ACQUISITION ALLOWS FOR THE PATIENTS PREVIOUSLY SERVED BY BCMH TO BECOME A PART OF THE COXHEALTH SYSTEM. COX BARTON COUNTY WILL CONTINUE THE SERVICES PREVIOUSLY PROVIDED BY BCMH AND INTENDS TO EXPAND THESE SERVICES FURTHER IN THE FUTURE AS WELL.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MHA Health Institute	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 60	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	651020060	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	430898947	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$19,544	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE HOSPITAL MONITORS THE USE OF THE FUNDS DONATED TO COMMUNITY FOUNDATION OF THE OZARKS AND COXHEALTH FOUNDATION THROUGH GRANT MANAGEMENT AND OVERSIGHT OF DISBURSEMENTS AND REIMBURSEMENTS BY ORGANIZATION OFFICIALS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MAX BUETOW
PRESIDENT & CEO	$0	$743,426	$0	$63,787	$0	$2,115	$0	$201,493	$0	$16,512	$0	$1,027,333	$0	$0
JACOB MCWAY
BOARD MEMBER	$0	$745,476	$0	$171,360	$0	$109,914	$0	$210,020	$0	$21,037	$0	$1,257,807	$0	$97,178
CHARITY ELMER
BOARD MEMBER	$0	$540,164	$0	$122,878	$0	$97,113	$0	$151,720	$0	$19,099	$0	$930,974	$0	$80,591
HOLLY WHERRY
BOARD MEMBER	$334,643	$0	$0	$0	$450	$0	$14,825	$0	$2,047	$0	$351,965	$0	$0	$0
CODY HOEFLICKER
BOARD MEMBER	$399,541	$0	$0	$0	$810	$0	$14,825	$0	$17,913	$0	$433,089	$0	$0	$0
STEVE EDWARDS
FORMER PRESIDENT & CEO	$0	$987,148	$0	$414,960	$0	$317,937	$0	$140,438	$0	$21,258	$0	$1,881,741	$0	$307,491
WILLIAM MAHONEY
PRESIDENT	$514,620	$0	$133,529	$0	$74,027	$0	$88,043	$0	$17,778	$0	$827,997	$0	$65,307	$0
DAVID STRONG
FORMER CFO	$122,243	$123,243	$23,536	$22,536	$22,706	$22,706	$22,063	$22,062	$6,397	$6,397	$196,945	$196,944	$22,097	$22,097
MATTHEW TURNER
VP OF COMMUNITY HOSPITAL GROUP	$150,828	$0	$0	$0	$270	$0	$8,060	$0	$16,364	$0	$175,522	$0	$0	$0
LYNNE YAGGY
CNO	$211,734	$0	$13,109	$0	$1,290	$0	$10,273	$0	$9,011	$0	$245,417	$0	$0	$0
LORI CANTRELL
VP FINANCE	$163,704	$0	$0	$0	$688	$0	$8,627	$0	$15,556	$0	$188,575	$0	$0	$0
CHAD EFIRD
PHYSICIAN	$1,346,386	$0	$0	$0	$450	$0	$35,325	$0	$17,853	$0	$1,400,014	$0	$0	$0
PATRICK FINKBONE
PHYSICIAN	$1,147,122	$0	$0	$0	$300	$0	$14,825	$0	$17,828	$0	$1,180,075	$0	$0	$0
PRASER VIJITBENJARONK
PHYSICIAN	$845,558	$0	$0	$0	$1,290	$0	$35,750	$0	$17,993	$0	$900,591	$0	$0	$0
NARIN ARUNAKUL
PHYSICIAN	$752,828	$0	$0	$0	$1,980	$0	$35,750	$0	$15,886	$0	$806,444	$0	$0	$0
DAVID SOTELLO AVILES
PHYSICIAN	$701,513	$0	$0	$0	$300	$0	$35,325	$0	$17,828	$0	$754,966	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF STEVE EDWARDS, FORMER CEO, AND JAKE MCWAY, CFO.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	STEVE EDWARDS, CHARITY ELMER, WILLIAM MAHONEY, MAX BUETOW, AND DAVID STRONG PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN THROUGH LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $125,188. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $307,491, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - CHARITY ELMER RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $115,970. - CHARITY ELMER RECEIVED A 457(F) DISTRIBUTION OF $80,591, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $13,455. - DAVID STRONG ECEIVED A 457(F) DISTRIBUTION OF $44,194, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $172,368. - WILLIAM MAHONEY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $52,293. - WILLIAM MAHONEY ECEIVED A 457(F) DISTRIBUTION OF $65,307, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $174,270. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $97,178, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. EXECUTIVE LEVEL STAFF ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON A VARIETY OF PERFORMANCE INDICATORS IN QUALITY, CUSTOMER AND EMPLOYEE SATISFACTION AND BUSINESS PERFORMANCE MEASURES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JENNA YAGGY
DAUGHTER OF LYNNE YAGGY, CNO BRANSON	$29,141	WAGES	false
JIM BRAWNER
FATHER OF J. TRAVIS BRANWER, BOARD MEMBER	$60,864	WAGES	false
STACI REED
SISTER-IN-LAW OF JOE LOTH, BOARD MEMBER	$77,111	WAGES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 ORGANIZATION'S MISSION:	VISION: THE HOSPITAL'S VISION IS TO BE THE BEST FOR THOSE WHO NEED US. WE VALUE SAFETY, COMPASSION, RESPECT AND INTEGRITY. THE HOSPITAL HAS BEEN SERVING SOUTHWEST MISSOURI FOR MORE THAN 65 YEARS AND OFFERS OVER 25 MAJOR SERVICE AREAS. THE HOSPITAL'S AVERAGE DAILY PATIENT CENSUS EXCEEDS 80 PATIENTS WITH 157 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,100 PERSONNEL OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS.
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	IVANTAGE HEALTH ANALYTICS RECOGNIZED COX MEDICAL CENTER BRANSON FOR OVERALL EXCELLENCE IN OUTCOMES AMONG ALL ACUTE CARE HOSPITALS IN THE NATION, AND AS ONE OF SEVEN RURAL MISSOURI HOSPITALS FOR EXCELLENCE IN QUALITY, ACCORDING TO ITS HOSPITAL STRENGTH INDEX. COX MEDICAL CENTER BRANSON EACH RECEIVED A 4-STAR RATING FROM HOSPITAL COMPARE STAR RATINGS, AS DETERMINED BY QUALITY, SAFETY AND PATIENT EXPERIENCE DATA REPORTED TO THE CENTERS FOR MEDICARE; MEDICAID SERVICES. COX MEDICAL CENTER BRANSON RECEIVED HIGH PATIENT SAFETY AND PATIENT OUTCOMES SCORES FROM CONSUMER REPORTS. COX MEDICAL CENTER BRANSON IS AMONG A SELECT FEW HEALTH SYSTEMS IN THE NATION TO RECEIVE THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD. COX MEDICAL CENTER BRANSON HAS BEEN NAMED TO THE TARGET: STROKE HONOR ROLL ELITE LIST. COX MEDICAL CENTER BRANSON IS A LEVEL 2 STROKE CENTER. COX MEDICAL CENTER BRANSON'S IMPLEMENTED CENTERING PREGNANCY -A PILOT GROUP PROGRAM FOR PRENATAL CARE. THE NATIONAL PROGRAM CAME TO BRANSON IN JUNE 2016 THROUGH FUNDING FROM THE MARCH OF DIMES AND SKAGGS FOUNDATION. THE CONCEPT OF CENTERING PREGNANCY IS A MODEL OF CARE THAT LOOKS A LOT DIFFERENT FROM TRADITIONAL PRENATAL VISITS, WHICH ARE OFTEN BRIEF AND ONE-ON-ONE WITH A WOMAN'S HEALTHCARE PROVIDER. IN THE NEW PROGRAM, EXPECTANT MOMS SKIP THE WAITING ROOM AND HAVE APPOINTMENTS THE SAME DAY AND TIME EACH MONTH IN SUPPORT-GROUP STYLE. THE OPEN FORUM ALLOWS MOMS TO SUPPORT EACH OTHER BY SHARING THEIR PREGNANCY WORRIES AND EXCITEMENT.
Form 990, Part IV, Line 24a TAX EXEMPT BONDS	LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, REPORTS BONDS RELATED TO COX BRANSON ON ITS FORM 990, SCHEDULE K. AN ALLOCATION OF COX BRANSON'S PORTION OF RELATED BONDS IS REPORTED ON PART X, LINE 20.
Form 990, Part V, Line 2a NUMBER OF EMPLOYEES REPORTED ON FORM W-3	LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, FILES ALL REQUIRED W-2'S FOR THE HEALTH SYSTEM. THE NUMBER REPORTED ON FORM 990, PART V, LINE 2A REPRESENTS THE NUMBER OF W-2'S FILED ON BEHALF OF THE ORGANIZATION.
Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS	BOARD MEMBERS WHO RECEIVE COMPENSATION, OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED BY COXHEALTH AND ITS AFFILIATES AND THEREFORE SHARE A BUSINESS RELATIONSHIP.
Form 990, Part VI, Line 4 Significant changes to organizational documents	THE ORGANIZATION UPDATED THEIR BYLAWS DURING THE CURRENT YEAR WITH THE FOLLOWING CHANGES: ARTICLE TWO - MEMBER SECTION 3. POWERS AND RESPONSIBILITIES OF THE MEMBER (W) TO CONTRACT ON BEHALF OF COX BRANSON WITH RESPECT TO ANY MATTER THAT IMPACTS ONE OR MORE OF MEMBER'S SUBSIDIARIES OR WHERE MEMBER DETERMINES IN ITS DISCRETION THAT CONTRACTING ON BEHALF OF ITSELF AND SOME OR ALL OF ITS SUBSIDIARIES IS IN THE BEST INTEREST OF THE HEALTH SYSTEM. REMOVED LANGUAGE OUTLINING POWER TO OVERRIDE AND REVERSE ANY DECISION AUTORIZED BY JOINT OPERATIONS COMMITTEE OF THE MEMBER. ARTICLE SEVEN - OFFICERS AND THEIR DUTIES REMOVED LANGUAGE IN ALL SECTIONS ABOUT CHIEF FINANCIAL OFFICER
Form 990, Part VI, Line 6 Classes of members or stockholders	THE ORGANIZATION HAS ONLY ONE MEMBER -COXHEALTH
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE FOLLOWING RESERVED POWERS MAY BE EXERCISED BY THE PARENT WITHOUT PRIOR ACTION BY THE BOARD. SAID RESERVED POWERS ARE: (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF COX BRANSON; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF COX BRANSON AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF COX BRANSON: (D) TO APPROVE THE ADOPTION OF AND ANY REVISION TO THE CHARTERS FOR ALL COMMITTEES ESTABLISHED BY THE BOARD; (E) TO APPOINT AND REMOVE THE DIRECTORS OF COX BRANSON, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE OF THE BYLAWS, AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND COX BRANSONT; (F) TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF COX BRANSON; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR COX BRANSON AND ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES; (H) TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, MARKETING, LEGAL, CORPORATE COMPLIANCE, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF COX BRANSON IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF COX BRANSON; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF COX BRANSON OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF COX-BRANSON; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY COX BRANSON OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF COX BRANSON; (M) APPROVAL OF COX BRANSON'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (N) TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY COX BRANSON OF REALPROPERTY OR ANY INTEREST IN REAL PROPERTY HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (O) TO APPROVE THE SALE OR PURCHASE OF ANY PROPERTY OF COX BRANSON HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (P) TO AUTHORIZE AND APPROVE BORROWING MONEY OR ENTERING INTO FINANCIAL GUARANTIES BY COX BRANSON, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF COX BRANSON; (Q) TO REQUIRE COX BRANSON TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER AND/OR PARENT; (R) TO APPROVE THE TRANSFER OF ASSETS BY COX BRANSON TO ANY ENTITY OTHER THAN THE MEMBER AND/OR PARENT, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF COX BRANSON WHICH WILL NOT REQUIRE APPROVAL OF THE PARENT; (S) TO APPROVE THE RATE OF PAYMENT, COMPENSATION OR RENT AND/OR ANY PROVISIONS CONCERNING EXCLUSIVITY WITH RESPECT TO ANY CONTRACT FOR PHYSICIAN SERVICES AND ANY LEASE/TIMESHARE AGREEMENT BETWEEN ANY PHYSICIAN OR PHYSICIAN GROUP, ON THE ONE HAND, AND COX BRANSON OR ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY, ON THE OTHER HAND, ALL IN ACCORDANCE WITH SUCH POLICIES AND PROCESSES WHICH MAY BE PROMULGATED FROM TIME TO TIME BY THE MEMBER AND/OR PARENT; (T) TO APPROVE CHANGES TO THE TYPE OF OR RELOCATION OF PHYSICIAN PROFESSIONAL MEDICAL SERVICES OFFERED BY COX BRANSON, WHERE THE CHANGE INVOLVES (A) SERVICES OFFERED OR PROVIDED BY CMG PHYSICIANS (AS DEFINED IN THE MEMBER'S BYLAWS) AND (B)(I) A CHANGE IN VENUE OR PROVIDER STATUS OF THE MEDICAL SERVICE, (II) THE CESSATION OF A PRE-EXISTING MEDICAL SERVICE, OR (III) THE OFFERING OF A NEW MEDICAL SERVICE; (U) TO ENGAGE, APPROVE, AND TO FINALIZE ANY AND ALL CONTRACTS OR AGREEMENTS WITH ANY THIRD PARTY HOSPITAL-BASED PHYSICIAN GROUPS (ANESTHESIOLOGISTS, PATHOLOGISTS, RADIOLOGISTS, OR EMERGENCY MEDICINE PHYSICIANS) THAT WILL RENDER PROFESSIONAL SERVICES TO COX BRANSON; (V) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED WHICH ARE RESERVED TO THE MEMBERS WITH RESPECT TO COX BRANSON ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY. (W) TO CONTRACT ON BEHALF OF COX BRANSON WITH RESPECT TO ANY MATTER THAT IMPACTS ONE OR MORE OF MEMBER'S SUBSIDIARIES OR WHERE MEMBER DETERMINES IN ITS DISCRETION THAT CONTRACTING ON BEHALF OF ITSELF AND SOME OR ALL OF ITS SUBSIDIARIES IS IN THE BEST INTEREST OF THE HEALTH SYSTEM.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. WHILE THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS, IT IS THE MEMBERS OF THE FINANCE COMMITTEE THAT GO THROUGH AND REVIEW THE RETURN IN DETAIL. UPON RECEIVING THE APPROVAL OF THE BOARD OF DIRECTORS, THE DRAFT IS THEN FINALIZED AND SUBMITTED TO THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	COXHEALTH OFFICERS, DIRECTORS AND KEY EMPLOYEES, AS WELL AS OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE COXHEALTH AFFILIATES AND/OR COMMITTEES WITH DELEGATED AUTHORITY TO MAKE DECISIONS, ARE ANNUALLY REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST FOLLOWING THE POLICY, SET FORTH BELOW. THE POLICY REQUIRES THAT BOARD MEMBERS MAKE DECISIONS THAT ARE CONFLICT FREE, OR IF A CONFLICT IS PRESENT, THAT IT IS FULLY DISCLOSED FOR THE BOARD'S CONSIDERATION. COXHEALTH'S EMPLOYEES AND BOARD MEMBERS MUST AVOID ALL ACTIVITIES, ASSOCIATIONS OR INTERESTS THAT CREATE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST FOR EMPLOYEES MUST BE REPORTED TO THE CORPORATE INTEGRITY DEPARTMENT. A FILE WILL BE MAINTAINED OF ALL REPORTED CONFLICTS OF INTEREST. FOR MEDICAL STAFF MEMBERS, THE CONFLICT OF INTEREST PROCESS MAY BE ACCESSED THROUGH THE MEDICAL STAFF OFFICE. FOR BOARD MEMBERS, THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH THE GOVERNANCE SUBCOMMITTEE OF COXHEALTH WITH THE ASSISTANCE OF THE EXECUTIVE OFFICE AND IS DEFINED IN THE CHARTER OF THE GOVERNANCE SUB-COMMITTEE. IF ANY OFFICER OR DIRECTOR IS FOUND TO HAVE A CONFLICT OF INTEREST, SUCH PERSON SHALL NEITHER VOTE NOR USE HIS OR HER INFLUENCE TO AFFECT ANY DECISION RELATING TO THE CONFLICT, AND SUCH PERSON SHOULD NOT BE INCLUDED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION. SUCH PERSON IS PERMITTED TO BRIEFLY STATE HIS OR HER POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS ABOUT IT, IF HIS OR HER KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	COXHEALTH EMPLOY A DEFINED GOVERNANCE STRUCTURE AROUND EXECUTIVE COMPENSATION. THE BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE THAT IS CHARGED WITH CARRYING OUT THE FUNCTIONS OF EVALUATING AND SETTING EXECUTIVE COMPENSATION THROUGH FORMAL DOCUMENTED MEETINGS THAT OCCUR SEVERAL TIMES DURING THE YEAR. THE COMPENSATION COMMITTEE UTILIZES A WELL RESPECTED INDEPENDENT EXTERNAL ADVISOR TO PROVIDE THIRD PARTY ASSESSMENT AND RECOMMENDATIONS REGARDING COMPENSATION LEVELS AND BENEFIT PROGRAMS FOR THE TOP THREE EXECUTIVES TIERS OF THE ORGANIZATION; THE CEO, CFO AND SENIOR VPS TO ENSURE THE COMPENSATION PROGRAM IS COMPETITIVE AND WITHIN FAIR MARKET VALUE. AFTER A FULL REVIEW OF THE DATA AND THOROUGH DISCUSSION THE COMMITTEE MAKES A SELF DETERMINATION OF COMPENSATION LEVELS SET JANUARY OF EACH YEAR. ANNUALLY THE STEPS NECESSARY TO DOCUMENT REBUTTABLE PRESUMPTION ARE TAKEN AND RECORDED. ADDITIONALLY, COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE CEO USING EXTERNAL COMPARABLE DATA FOR ASSESSMENT AND IS PROVIDED TO THE COMPENSATION COMMITTEE FOR REVIEW ON AN ANNUAL BASIS.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A BOARD MEMBER COMPENSATION	CHARITY ELMER, HOLLY WHERRY, MAX BUETOW, JAKE MCWAY J. TRAVIS BRAWNER, AND CODY HOEFLICKER ARE RECEIVING COMPENSATION RELATED TO THEIR ROLES AS EMPLOYEES UNDER COXHEALTH AND RELATED AFFILIATES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS.
Form 990, Part IX, Line 11g Other Fees	OTHER CONTRACTED SERVICES - Total Expense: 35563760, Program Service Expense: 33854738, Management and General Expenses: 1709022, Fundraising Expenses: ; CONTRACTED LABOR - Total Expense: 18710558, Program Service Expense: 18699198, Management and General Expenses: 11360, Fundraising Expenses: ; CONTRACTED EQUIPMENT SERVICES - Total Expense: 1139583, Program Service Expense: 1045411, Management and General Expenses: 94172, Fundraising Expenses: ; CONTRACTED RADIOLOGY SERVICE - Total Expense: 1129019, Program Service Expense: 1129019, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED LAUNDRY SERVICES - Total Expense: 400935, Program Service Expense: , Management and General Expenses: 400935, Fundraising Expenses: ; CONTRACTED HOUSEKEEPING - Total Expense: 334357, Program Service Expense: 306727, Management and General Expenses: 27630, Fundraising Expenses: ; CONTRACTED LAB SERVICES - Total Expense: 285983, Program Service Expense: 285983, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED COLLECTION SERVICES - Total Expense: 268741, Program Service Expense: , Management and General Expenses: 268741, Fundraising Expenses: ; CONTRACTED COURIER SERVICES - Total Expense: 72346, Program Service Expense: , Management and General Expenses: 72346, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 40263, Program Service Expense: 36936, Management and General Expenses: 3327, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATE - -9653708; CHANGE IN BENEFICIAL INTEREST IN TRUST - 407844;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SKAGGS EMERGENCY PHYSICIANS
PO BOX 650	BRANSON	MO	65615	352275232	BILLING	MO	CMCB
BRANSON HEART CENTER
PO BOX 650	BRANSON	MO	65615	300497209	BILLING	MO	CMCB
SKAGGS OCCUPATIONAL HEALTH
PO BOX 650	BRANSON	MO	65615	383774737	BILLING	MO	CMCB
BRANSON FAMILY MEDICINE CLINIC
PO BOX 650	BRANSON	MO	65615	322331834	BILLING	MO	CMCB
BRANSON ORTHONEURO CENTER LLC
PO BOX 650	BRANSON	MO	65615	171952089	MED BLDG	MO	CMCB

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COXHEALTH FOUNDATION
3525 S NATIONAL	SUITE 204	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(c)(3)	Type I	LESTER E COX	false
COX-MONETT HOSPITAL INC
801 LINCOLN AVE		MONETT	MO	65708	431656689	HOSPITAL	MO	501(c)(3)	3	LESTER E COX	false
COX HPS OZKS INC DBA COXHEALTH AT HOME
2220 W SUNSET		SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(c)(3)	10	LESTER E COX	false
HC SVCS OZARKS INC DBA COXHEALTH AT HOME
PO BOX 10939		SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(c)(3)	10	LESTER E COX	false
PRIMROSE PLACE INC
1115 E PRIMROSE		SPRINGFIELD	MO	65807	431183783	SUPPORT	MO	501(c)(3)	Type I	LESTER E COX	false
LESTER E COX MEDICAL CENTERS
1423 N JEFFERSON ST		SPRINGFIELD	MO	65802	440577118	HOSPITAL	MO	501(c)(3)	3	COXHEALTH	false
LESTER E COX MED CTRPROF LIAB LOSS FUND
1423 N JEFFERSON		SPRINGFIELD	MO	65802	366668576	SELF INSURANCE	MO	501(c)(3)	Type I	LESTER E COX	false
COXHEALTH
1423 N JEFFERSON ST		SPRINGFIELD	MO	65802	471087427	HOLDING CO	MO	501(c)(3)	Type II	NA	false
COX MEDICAL GROUP
1423 N JEFFERSON ST		SPRINGFIELD	MO	65802	411087566	PHYSICIANS	MO	501(c)(3)	10	COXHEALTH	false
COXHEALTH SYSTEMS HMO
PO BOX 6750		SPRINGFIELD	MO	65801	431757075	HMO	MO	501(c)(4)		LESTER E COX	false
COXHEALTH SYSTEMS INSURANCE COMPANY
PO BOX 5750		SPRINGFIELD	MO	65801	431684044	INSURANCE	MO	501(c)(4)		LESTER E COX	false
COX MEDICAL GROUP CLINICS
3801 S NATIONAL		SPRINGFIELD	MO	65807	371830627	HEALTHCARE	MO	501(c)(3)	10	COXHEALTH	false
COX BARTION COUNTY HOSPITAL
29 NW 1ST LANE		LAMAR	MO	64759	823300758	HOSPITAL	MO	501(c)(3)	3	COXHEALTH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	LESTER E COX	C Corporation	false
COXHEALTH RISK SOLUTIONS
					CAPTIVE INSURANCE		LESTER E COX	C Corporation	false	CJ
COX TAXABLE CLOSE CORPORATION
1423 N JEFFERSON	SPINGFIELD	MO	65802	472573263	MEDICAL CLINIC	MO	COX MED GROUP	C Corporation	false
FERREL-DUNCAN CLINIC
1001 E PRIMROSE	SPRINGFIELD	MO	65808	430997578	PHYSICIANS	MO	CTCC	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd