LESTER E COX MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: LESTER E COX MEDICAL CENTER (EIN 44-0577118)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-14
IRS object ID: 202332269349302353
Schema version: 2021v4.2
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-14T19:30:32+00:00	ReturnTs
Tax Period End	2022-09-30	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 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	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440577118	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lester E Cox Medical Centers	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LEST	BusinessNameControlTxt
Phone	4172693000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1423 N JEFFERSON ST	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65802	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MAX BEUTOW	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4172363000	PhoneNum
Signature	2023-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MAX	PersonFirstNm
Person Last	BUETOW	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRIAN D TODD	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum
Preparation	2023-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1423 N JEFFERSON ST	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65802	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,694,222,024	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	1923	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	12713	TotalEmployeeCnt
Total Volunteers	16	TotalVolunteersCnt
Total Gross UBI	$886,939	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$353,091	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$37,287,120	PYContributionsGrantsAmt
CY Contributions Grants	$82,156,213	CYContributionsGrantsAmt
PY Program Service Revenue	$1,365,816,377	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,447,887,706	CYProgramServiceRevenueAmt
PY Investment Income	$54,481,146	PYInvestmentIncomeAmt
CY Investment Income	$49,520,326	CYInvestmentIncomeAmt
PY Other Revenue	$1,057,589	PYOtherRevenueAmt
CY Other Revenue	$277,414	CYOtherRevenueAmt
PY Total Revenue	$1,458,642,232	PYTotalRevenueAmt
CY Total Revenue	$1,579,841,659	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,193,717	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,322,069	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$552,255,975	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$610,116,392	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$619,931	CYTotalFundraisingExpenseAmt
PY Other Expenses	$809,540,348	PYOtherExpensesAmt
CY Other Expenses	$880,485,661	CYOtherExpensesAmt
PY Total Expenses	$1,362,990,040	PYTotalExpensesAmt
CY Total Expenses	$1,491,924,122	CYTotalExpensesAmt
PY Revenues Less Expenses	$95,652,192	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$87,917,537	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,947,973,281	TotalAssetsBOYAmt
Total Assets EOY	$1,842,947,814	TotalAssetsEOYAmt
Total Liabilities BOY	$925,591,859	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$796,226,092	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,022,381,422	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,046,721,722	NetAssetsOrFundBalancesEOYAmt
Mission	MISSION: 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	$990,823,007	ExpenseAmt
Grant	$1,322,069	GrantAmt
Revenue	$1,231,730,984	RevenueAmt
Desc	HOSPITAL SERVICES: AS A COMMUNITY OWNED, NON-PROFIT HOSPITAL, LESTER E. COX MEDICAL CENTERS PROVIDES THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE MANY OF THE MOST VULNERABLE IN OUR COMMUNITIES - THE UNDERINSURED AND UNINSURED. COMMUNITY BENEFIT TOTALED $1,223,983,404 SYSTEM-WIDE IN THESE CATEGORIES: SHORT-FALLS IN REIMBURSEMENT AND CHARITY CARE; COMMUNITY OUTREACH SERVICES INCLUDING COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND IMMUNIZATIONS; HEALTH PROFESSIONALS EDUCATION AND RESEARCH, INCLUDING THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS. THE HOSPITAL ALSO OPERATES COX COLLEGE, A PRIVATE, NON-PROFIT SINGLE PURPOSE COLLEGE ACCREDITED TO PROVIDE ACADEMIC PROGRAMMING IN A VARIETY OF ALLIED HEALTH FIELDS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$272,601,020	ExpenseAmt
Revenue	$216,156,722	RevenueAmt
Desc	PHYSICIAN CARE: EMPLOYED PHYSICIANS AT LESTER E. COX MEDICAL CENTER PLAY AN IMPORTANT ROLE IN ACCESS TO MEDICAL CARE THROUGH THEIR PRACTICE AT RURAL HEALTH CLINICS IN UNDER-SERVED AREAS OF SOUTHWEST MISSOURI. PHYSICIANS WITH COX FAMILY MEDICINE RESIDENCY ARE MAKING A VISIBLE DIFFERENCE IN CARE FOR UNINSURED PATIENTS AS WELL AS PATIENTS COVERED BY MEDICAID. THESE PATIENTS REPRESENT 10.7% AND 36.2% PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC RESPECTIVELY. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. LESTER E. COX MEDICAL CENTERS CONTINUES TO ADD SUPER CLINICS BRINGING ADVANCED CARE TO THE PATIENT INCLUDING PHYSICAL THERAPY, IMAGING AND PHARMACY SERVICES WITHIN THE CLINIC. COXHEALTH HAS ALSO INVESTED IN TELEMEDICINE INFRASTRUCTURE TO FURTHER EXPAND ITS ABILITY TO OFFER COST EFFECTIVE AND CONVENIENT CARE TO OUR COMMUNITY. ADDITIONALLY COXHEALTH HAS 29 VIRTUAL SCHOOL CLINICS ENABLING STUDENTS TO BE SEEN ON SITE AND PARENTS TO PARTICIPATE IN THE CLINICAL VISIT WITHOUT LEAVING WORK.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,263,424,027	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	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	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	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	Yes (true)	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	495	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	12713	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	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	Yes (true)	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	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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	JACOB M MCWAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4172698811	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3800 S NATIONAL	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65807	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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
HAL HIGDON
1ST VICE CHAIR	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
JEFFERSON M TYNES
3RD VICE CHAIR	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT FULP
CHAIR	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
SALLY HARGIS
2ND VICE CHAIR	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
BRIAN JARED
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
CHARLES CHUCK CHALENDER
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
HOWARD JARVIS MD
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$475,816	$18,038
IBRAHIM ABE ABDALLA MD
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$1,586,625	$18,038
JAMES HUTCHESON
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
JAN BAUMGARTNER
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
JOSEPH TURNER
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
JULIA L FLAX MD
BOARD MEMBER	1.0	4.0	Yes (X)		$434,598	$0	$47,225
KRYSTAL RUSSELL
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
KURT HELLWEG
BOARD MEMBER	1.0	4.0	Yes (X)		$0	$0	$0
PHILLIP LOYD
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
JACOB MCWAY
EXEC VP AND COXHEALTH CFO	10.0	30.0		Yes (X)	$0	$986,042	$214,862
MAX BUETOW
PRESIDENT & COXHEALTH CEO BEG 06/22	10.0	30.0		Yes (X)	$0	$364,546	$73,649
STEVE EDWARDS
PRESIDENT AND CEO COXHEALTH END 05/22	10.0	30.0		Yes (X)	$0	$1,973,321	$323,705
VICKIE NELSON
BOARD SECRETARY	1.0	40.0		Yes (X)	$0	$68,896	$11,409
AMANDA HEDGPETH
VP OF HOSPITAL OPERATIONS	40.0	0			$265,040	$0	$22,132	Yes (X)
ASHLEY CASAD
VP, CLINICAL SERVICES SHG	40.0	0			$214,416	$0	$19,029	Yes (X)
BETH POLIVKA
VP, CNO	40.0	0			$178,249	$0	$16,075	Yes (X)
DARREN BASS
VP CLINICAL SVS	40.0	0.0			$0	$261,420	$32,954	Yes (X)
DAVID STRONG
VP HOSPITAL REVENUE AND CFO CMG	20.0	20.0			$200,902	$200,903	$82,562	Yes (X)
ELLEN HAMMOCK
VP CMG	40.0	0			$217,135	$0	$19,955	Yes (X)
GENICE MAROC
VP CLINICAL SERVICES ending 4/22	40.0	0			$255,668	$0	$10,523	Yes (X)
JEFF HAWKINS
VP CLINICAL SERVICES	40.0	0			$236,960	$0	$21,197	Yes (X)
JONATHAN B SHAMEL
VP CMG	40.0	0			$174,017	$0	$22,792	Yes (X)
KAREN KRAMER
SVP, PRESIDENT SPRINGFIELD HOS	40.0	0			$552,109	$0	$49,592	Yes (X)
SHAWN USERY
SVP CHIEF MEDICAL OFFICER	40.0	0			$198,823	$0	$23,189	Yes (X)
ARIJIT CHOWDHURY MD
PHYSICIAN	40.0	0			$671,510	$0	$32,188		Yes (X)
GREGORY STAMPS MD
PHYSICIAN	40.0	0			$690,125	$0	$49,977		Yes (X)
LOUIS KRENN MD
PHYSICIAN	40.0	0			$803,327	$0	$32,213		Yes (X)
MIMI PROPST MD
PHYSICIAN	40.0	0			$733,877	$0	$30,815		Yes (X)
VIMAL RAVI MD
PHYSICIAN	40.0	0			$687,227	$0	$8,789		Yes (X)
FRANK ROMERO
FORMER VP MEDICAL AFFAIRS	0.0	0			$228,243	$0	$32,602			Yes (X)
ROBERT FERGUSON
FORMER VP CMG	0.0	0			$195,443	$0	$24,968			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,937,669	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,917,569	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,238,478	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	782	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SPFD NEUROLOGICAL INSTITUTE
1411 E PRIMROSE STE C	SPRINGFIELD	MO	65804	PHYS REMUNERATION	$15,540,373
OZARK ANESTHESIA ASSOCIATES
1000 E PRIMROSE STE 520	SPRINGFIELD	MO	65807	ANESTHESIA SERVICES	$13,166,478
INTELLIHARTX LLC
29 E CRAWFORD ST STE 360	FINDLAY	OH	45840	ACCOUNT COLLECTIONS	$8,876,718
360 DEGREE MEDICINE
108 SUNNY LANE	BRANSON WEST	MO	65737	PHYSICIAN SERVICES	$6,988,689
DYNAMIC CONSTRUCTION SYSTEMS
PO Box 14198	SPRINGFIELD	MO	65814	CONSTRUCTION CONTRACTOR	$5,307,477

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	92	CntrctRcvdGreaterThan100KCnt
Fundraising	$63,488	FundraisingAmt
Related Organizations	$338,220	RelatedOrganizationsAmt
Government Grants	$76,315,577	GovernmentGrantsAmt
All Other Contributions	$5,438,928	AllOtherContributionsAmt
Total Contributions	$82,156,213	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	900099	$1,377,925,951	$1,377,925,951
NET PATIENT SERVICE - UNRELATED LAB	621500	$814,860		$814,860
NET PATIENT SERVICE - UNRELATED RETAIL D	446199	$73,339		$73,339
TUITION AND FEES	611600	$12,983,464	$12,983,464
FITNESS CENTERS	713940	$1,541,032	$1,541,032

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,549,060	TotalRevenueColumnAmt
Related Or Exempt Func Income	$54,549,060	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,447,887,706	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,750,824	TotalRevenueColumnAmt
Exclusion	$23,750,824	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,959,486	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$899,337	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,060,149	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,060,149	TotalRevenueColumnAmt
Exclusion	$1,060,149	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$138,678,430	SecuritiesAmt
Other	$305,204	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$113,214,132	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,464,298	SecuritiesAmt
Other	$305,204	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,769,502	TotalRevenueColumnAmt
Exclusion	$25,769,502	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$13,192	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$62,488	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$25,803	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$12,611	TotalRevenueColumnAmt
Exclusion	-$12,611	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$239,861	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$241,093	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,232	TotalRevenueColumnAmt
Exclusion	-$1,232	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN ON INVESTMENT IN EQUITY INVESTEE	Desc
Business	900099	BusinessCd
Total Revenue Column	-$768,892	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,260	UnrelatedBusinessRevenueAmt
Exclusion	-$767,632	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	-$768,892	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,579,841,659	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,446,999,507	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$886,939	UnrelatedBusinessRevenueAmt
Exclusion	$49,799,000	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	$41,669	TotalAmt
Program Services	$41,669	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,280,400	TotalAmt
Program Services	$1,280,400	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,515,281	TotalAmt
Program Services	$2,756,712	ProgramServicesAmt
Management And General	$758,569	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,255,478	TotalAmt
Program Services	$477,453	ProgramServicesAmt
Management And General	$778,025	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$487,533,616	TotalAmt
Program Services	$387,675,901	ProgramServicesAmt
Management And General	$99,571,316	ManagementAndGeneralAmt
Fundraising	$286,399	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,049,135	TotalAmt
Program Services	$15,956,182	ProgramServicesAmt
Management And General	$4,082,457	ManagementAndGeneralAmt
Fundraising	$10,496	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$59,822,041	TotalAmt
Program Services	$55,931,271	ProgramServicesAmt
Management And General	$3,890,710	ManagementAndGeneralAmt
Fundraising	$60	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$37,940,841	TotalAmt
Program Services	$30,133,869	ProgramServicesAmt
Management And General	$7,787,111	ManagementAndGeneralAmt
Fundraising	$19,861	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,338	TotalAmt
Management And General	$3,338	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$198,637	TotalAmt
Management And General	$198,637	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$175,567	TotalAmt
Management And General	$175,567	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,088,804	TotalAmt
Management And General	$1,088,804	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$430,318,013	TotalAmt
Program Services	$342,063,408	ProgramServicesAmt
Management And General	$88,219,506	ManagementAndGeneralAmt
Fundraising	$35,099	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$581,567	TotalAmt
Program Services	$462,142	ProgramServicesAmt
Management And General	$119,425	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,106,119	TotalAmt
Program Services	$17,577,915	ProgramServicesAmt
Management And General	$4,494,713	ManagementAndGeneralAmt
Fundraising	$33,491	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,816,944	TotalAmt
Program Services	$11,774,270	ProgramServicesAmt
Management And General	$3,042,674	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,717,241	TotalAmt
Program Services	$16,382,943	ProgramServicesAmt
Management And General	$3,334,298	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,350,821	TotalAmt
Program Services	$1,868,078	ProgramServicesAmt
Management And General	$482,743	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$236,352	TotalAmt
Program Services	$187,817	ProgramServicesAmt
Management And General	$48,535	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,273,348	TotalAmt
Program Services	$14,845,663	ProgramServicesAmt
Management And General	$1,427,685	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$46,046,180	TotalAmt
Program Services	$42,005,971	ProgramServicesAmt
Management And General	$4,039,650	ManagementAndGeneralAmt
Fundraising	$559	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,167,158	TotalAmt
Program Services	$8,079,322	ProgramServicesAmt
Management And General	$2,087,836	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUGS	$252,241,231	$252,241,231
STATE PROVIDER TAX	$53,211,076	$53,211,076
LICENSES, DUES, SUBSCRIPTION	$1,242,583	$987,417	$255,166
MISCELLANEOUS	$9,710,682	$7,483,317	$1,993,399	$233,966

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	$1,491,924,122	TotalAmt
Program Services	$1,263,424,027	ProgramServicesAmt
Management And General	$227,880,164	ManagementAndGeneralAmt
Fundraising	$619,931	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,994,405	BOYAmt
EOY	$10,440,298	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$272,927,660	BOYAmt
EOY	$130,778,407	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$179,040,194	BOYAmt
EOY	$183,725,059	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$18,005,068	BOYAmt
EOY	$22,289,306	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,354,945	BOYAmt
EOY	$22,401,792	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,692,182	BOYAmt
EOY	$19,815,373	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,195,483,826	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$688,499,653	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$496,928,561	BOYAmt
EOY	$506,984,173	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$523,958,091	BOYAmt
EOY	$445,526,039	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$219,378,861	BOYAmt
EOY	$257,224,134	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$81,069,004	BOYAmt
EOY	$63,105,306	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,263,742	BOYAmt
EOY	$25,263,742	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$78,360,568	BOYAmt
EOY	$155,394,185	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,947,973,281	BOYAmt
EOY	$1,842,947,814	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$254,236,832	BOYAmt
EOY	$199,348,228	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$12,460,731	BOYAmt
EOY	$11,805,606	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$473,801,033	BOYAmt
EOY	$464,953,017	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	$40,771,319	BOYAmt
EOY	$34,319,344	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$6,978,187	BOYAmt
EOY	$6,383,594	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$137,343,757	BOYAmt
EOY	$79,416,303	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$925,591,859	BOYAmt
EOY	$796,226,092	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$976,571,647	BOYAmt
EOY	$1,009,022,536	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,809,775	BOYAmt
EOY	$37,699,186	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,022,381,422	BOYAmt
EOY	$1,046,721,722	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,947,973,281	BOYAmt
EOY	$1,842,947,814	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$87,917,537	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$92,474,151	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$28,896,914	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$134,123	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$41,444	OtherActivitiesAmt
Total Lobbying Expenditures	$175,567	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1i DIRECT CONTACT WITH LEGISLATORS, ETC	THE ORGANIZATION CONTRACTED WINTON POLICY GROUP AND MERCHANT MCINTYRE & ASSOCIATES, LOBBYING AND ASSOCIATION MANAGEMENT FIRMS, TO LOBBY ISSUES THAT BENEFIT THE INTERESTS OF THE COMMUNITY, COXHEALTH AND ITS AFFILIATES.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	MEMBERS OF THE ADMINISTRATIVE STAFF CONTACT LEGISLATORS REGARDING KEY HEALTHCARE ISSUES. ALSO, PORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2022, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $41,444.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,434,210	BeginningYearBalanceAmt
Contributions	$621,805	ContributionsAmt
Investment Earnings Or Losses	$193,160	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,090,984	OtherExpendituresAmt
End Year Balance	$8,158,191	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,429,596	BeginningYearBalanceAmt
Contributions	$4,232,438	ContributionsAmt
Investment Earnings Or Losses	$135,287	InvestmentEarningsOrLossesAmt
Other Expenditures	$363,111	OtherExpendituresAmt
End Year Balance	$8,434,210	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,315,153	BeginningYearBalanceAmt
Contributions	$351,222	ContributionsAmt
Investment Earnings Or Losses	$104,830	InvestmentEarningsOrLossesAmt
Other Expenditures	$341,609	OtherExpendituresAmt
End Year Balance	$4,429,596	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,225,941	BeginningYearBalanceAmt
Contributions	$394,384	ContributionsAmt
Investment Earnings Or Losses	$99,139	InvestmentEarningsOrLossesAmt
Other Expenditures	$404,311	OtherExpendituresAmt
End Year Balance	$4,315,153	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,002,028	BeginningYearBalanceAmt
Contributions	$426,535	ContributionsAmt
Investment Earnings Or Losses	$107,185	InvestmentEarningsOrLossesAmt
Other Expenditures	$309,807	OtherExpendituresAmt
End Year Balance	$4,225,941	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.431	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.569	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,138,143	OtherCostOrOtherBasisAmt
Book Value	$39,138,143	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$456,175,113	OtherCostOrOtherBasisAmt
Depreciation	$243,013,153	DepreciationAmt
Book Value	$213,161,960	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,710,475	OtherCostOrOtherBasisAmt
Depreciation	$3,471,871	DepreciationAmt
Book Value	$238,604	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$658,373,276	OtherCostOrOtherBasisAmt
Depreciation	$430,701,152	DepreciationAmt
Book Value	$227,672,124	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,086,819	OtherCostOrOtherBasisAmt
Depreciation	$11,313,477	DepreciationAmt
Book Value	$26,773,342	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$506,984,173	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVEST IN WHOLLY OWNED C-CORP	$595,038	C
INVESTMENTS IN PARTNERSHIPS	$126,208,471	C
INVESTMENTS IN NON-PTS C CORPS	$130,420,625	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$257,224,134	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM 3RD PARTY PAYORS	$71,408,276
DUE FROM RELATED PARTIES	$38,648,745
OTHER RECEIVABLES	$1,495,977
DEPOSITS	$4,633,406
OTHER ASSETS	$508,128
CSV OFFICER LIFE INSURANCE	$293,172
ASSETS HELD UNDER PERP TRUST	$638,840
ACCRUED INTEREST	$830,676
ROU ASSET	$36,936,965

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$155,394,185	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
D/T AFFILIATES	$21,899,766
EST AMT DUE TO 3RD PARTIES	$12,134,682
SELF INSURANCE CLAIMS PAYABLE	$45,381,855

Field	Value	IRS element (for citing)
Total Liability	$79,416,303	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

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.

Schedule D, Part V, Line 4 Intended uses of endowment funds

COXHEALTH FOUNDATION, A RELATED ORGANIZATION, HOLDS ENDOWMENT FUNDS WHICH INCLUDE MONIES DONATED TO BE USED FOR SPECIFIC EXPENSES, AND THE INCOME FROM EACH FUND IS TO BE SPENT ON SPECIFIC SERVICES AND PROGRAM FUNCTIONS ON A FUND-BY-FUND BASIS. ENDOWMENT FUNDS HELD BY THE FOUNDATION ARE INTENDED FOR BUT NOT LIMITED TO EXPENDITURES RELATING TO CANCER SERVICES, HEALTH EDUCATION, PURCHASE OF EQUIPMENT AND INDIGENT CARE. THESE SERVICES AND FUNCTIONS BENEFIT COXHEALTH AND ITS AFFILIATES. SCHEDULE D, PART V, LINE 1B, COLUMN A INCLUDES AN AMOUNT REPRESENTING THE BALANCE OF FUNDS THAT ARE HELD FOR THE BENEFIT OF COX COLLEGE, A RELATED ENTITY. THESE FUNDS WERE TRANSFERRED TO LESTER E. COX MEDICAL CENTERS DURING FISCAL YEAR ENDING 9/30/2021.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	1	Investments	CAPTIVE INSURANCE	$7,818,841
Central America and the Caribbean	0	0	Investments		$152,298,005

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$160,116,846	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$160,116,846	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-,Other:THE AMOUNT OF PROGRAM SERVICE EXPENDITURES REPORTED ON LINE 1 ARE REPORTED BASED ON THE AMOUNTS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF COXHEALTH RISK SOLUTIONS,THE CAPTIVE INSURANCE COMPANY. THESE AUDITED FINANCIAL STATEMENTS USED GENERALLY ACCEPTED ACCOUNTING PRINCIPLES ESTABLISHED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SCRAMBLE FOR MIRACLES	Event1Nm
Gross Receipts Event1	$53,421	GrossReceiptsEvent1Amt
Charitable Contri Event1	$40,229	CharitableContriEvent1Amt
Gross Revenue Event1	$13,192	GrossRevenueEvent1Amt
Cash Prizes Event1	$4,500	CashPrizesEvent1Amt
Rent Facility Costs Event1	$6,850	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$2,240	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$7,410	OtherDirectExpensesEvent1Amt
Event2	MSU DANCE MARATHON	Event2Nm
Gross Receipts Event2	$23,259	GrossReceiptsEvent2Amt
Charitable Contri Event2	$23,259	CharitableContriEvent2Amt
Gross Revenue Event2	$0	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$4,803	OtherDirectExpensesEvent2Amt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$76,680	GrossReceiptsTotalAmt
Charitable Contributions Tot	$63,488	CharitableContributionsTotAmt
Gross Revenue Total Events	$13,192	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$4,500	CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,850	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$2,240	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$12,213	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$25,803	DirectExpenseSummaryEventsAmt
Net Income Summary	-$12,611	NetIncomeSummaryAmt

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	$29,068,403	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,068,403	NetCommunityBenefitExpnsAmt
Total Expense	0.0195	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$267,409,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$197,518,732	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,890,284	NetCommunityBenefitExpnsAmt
Total Expense	0.0468	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	$296,477,419	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$197,518,732	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,958,687	NetCommunityBenefitExpnsAmt
Total Expense	0.0663	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$137,023	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,664,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,489,747	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,175,048	NetCommunityBenefitExpnsAmt
Total Expense	0.0048	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,279,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,496,276	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,783,162	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	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	$1,910,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,910,199	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,991,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,986,023	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,005,432	NetCommunityBenefitExpnsAmt
Total Expense	0.0080	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$331,468,874	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$220,504,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,964,119	NetCommunityBenefitExpnsAmt
Total Expense	0.0744	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	$96,940,049	BadDebtExpenseAmt
Bad Debt Expense Attributable	$15,193,833	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$456,783,504	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$632,400,009	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$175,616,505	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	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd
LESTER E COX MEDICAL CENTERS - NORTH
1	1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	WWW.COXHEALTH.COM	500	Yes (X)	Yes (X)	Yes (X)	1
MEYER ORTHOPEDIC HOSPITAL
2	1000 E WALNUT LAWN	SPRINGFIELD	MO	65807	WWW.COXHEALTH.COM	500	Yes (X)	Yes (X)		1
FACILITY REPORTING GROUP #1
3	3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	WWW.COXHEALTH.COM	500	Yes (X)	Yes (X)	Yes (X)	1	Yes (X)	Yes (X)

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)
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	http://www.coxhealth.com/about-us/community-health-needs-assessments/	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	(SEE STATEMENT)	OtherWebsiteURLTxt
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 Free Care	0.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
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	HHTTPS://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 (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - MERCY HOSPITAL. Mercy Hospital system serves millions each year. Mercy is a cutting-edge healthcare provider that is charged with "providing the region with high-quality care and an experience that is easier and more personal." Mercy Hospital Springfield houses 886 beds that serve people throughout Southwest Missouri and Northwest Arkansas.
Schedule H, Part V, Section B, Line 5 Facility 1, 2	Facility 1, 2 - BURRELL BEHAVIORAL HEALTH. Burrell Behavioral Health is the third largest Certified Community Behavioral Health Center in the nation with multiple locations throughout Springfield and surrounding areas. Burrell has more than 400 licensed providers offering a full continuum of care through their integrated network. Burrell has continued to expand their reach and partnerships in the community through offering community-based services in coordination with schools and other organizations, such as Boys & Girls Clubs Springfield to meet the behavioral health needs of the community.
Schedule H, Part V, Section B, Line 5 Facility 1, 3	Facility 1, 3 - JORDAN VALLEY COMMUNITY HEALTH CENTER. Jordan Valley Community Health Center is Missouri's largest Federally Qualified Health Center serving 75,000 patients in the Ozarks each year. Founded in 2003, their mission to improve the community's health through access and relationships has driven their growth from their first medical clinic located in a strip mall to nine clinics, three school-based clinics and a fleet of mobile units that visit schools and organizations providing medical, dental, vision and behavioral health care services in southwest Missouri. Jordan Valley Community Health Center provides an integrated model of care, simplifying healthcare by giving access to a multitude of services in each clinic
Schedule H, Part V, Section B, Line 5 Facility 1, 4	Facility 1, 4 - OZARKS HEALTH COMMISSION. Building upon the success of the 2016 and 2019 regional health assessments, in 2021 partners again sought to better understand the health status, behaviors and needs of the populations served. The resulting 2022 Regional Health Assessment (RHA) combines more than 200 hospital and community indicators, including feedback from stakeholders and citizens, across a 30-county region that includes southwest Missouri, southeast Kansas and northeast Oklahoma. The full Ozarks Health Commission RHA can be found at http://ozarkshealthcommission.org/.
Schedule H, Part V, Section B, Line 5 Facility 1, 5	Facility 1, 5 - CHRISTIAN COUNTY HEALTH DEPARTMENT. In 1968 a public health office was established in Ozark, Missouri, under the auspices of the Ozarks Area Community Action Agency Corporation, with funding shared by the federal government and the Missouri Department of Health. Two years later the Christian County Health Department (CCHD) was created by a vote of the residents of the county. CCHD's mission is to serve and protect the county citizens by promoting healthy behaviors, increasing understanding of health issues and improving the quality of the environment. The department offers a variety of programs to serve the needs of Christian County residents.
Schedule H, Part V, Section B, Line 5 Facility 1, 6	Facility 1, 6 - WEBSTER COUNTY HEALTH DEPARTMENT. The Webster County Health Department (WCHD) was established in 1957 in order to preserve and protect public health of the community. WCHD's focus is on teaching, protecting and empowering people so that they don't get sick. By providing vaccinations, offering nutrition education, ensuring clean water and safe food, and providing screening and testing services, WCHD protects individual and community health.
Schedule H, Part V, Section B, Line 5 Facility 1, 7	Facility 1, 7 - SPRINGFIELD-GREENE COUNTY HEALTH (SGCHD). Springfield-Greene County Health (SGCHD) was established by the City of Springfield in 1873 as the Springfield Department of Health. The name was changed, and services were expanded to the entire county in 1976. The mission of SCGHD is to protect and improve community health through education, collaboration and prevention. Through chronic disease prevention, community health & epidemiology, environmental health and other programs, SGCHD can help the citizens of Greene County live longer, happier and healthier lives.
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. 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 MERCY HEALTH. 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 - REPORTING GROUP #1. THE CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL ORGANIZATIONS: -CHRISTIAN COUNTY HEALTH DEPARTMENT -SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT - WEBSTER COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 7 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. PRINTED COPIES ARE AVAILABLE BY REQUEST THROUGH HOSPITAL OR PUBLIC HEALTH PARTNERS OR AT OZARKSHEALTHCOMMISSION.ORG AND NEWS RELEASE WAS SENT OUT 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 - REPORTING GROUP #1. 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 - REPORTING GROUP #1. (1) SPECIAL HEALTH ISSUE - COVID 19 (A) DECREASE HOSPITALIZATION RELATED TO COVID 19 (i) PROPOSED TACTIC - SUPPORT COMMUNITY INITIATIVES, INCLUDING INCREASE PERCENT OF FULLY VACCINATED INDIVIDUALS AS RECOMMENDED BY CDC (2) SUBSTANCE USE AND RECOVERY (A) DECREASE TOBACCO AND VAPE USE RATES (i) INCREASE ACCESS TO CLINICAL EDUCATION AND TRAINING RELATED TO TOBACCO AND VAPE CESSATION (B) INCREASE AWARENESS OF SUBSTANCE USE PREVENTION AND TREATMENT RESOURCES (i) PROMOTE EDUCATION AND TRAIING RELATED TO SUBSTANCE USE (EXAMPLES: HARM REDUCTION, NALOXONE, MENTAL HEALTH FIRST AID) (3) MENTAL HEALTH (A) INCREASE AWARENESS OF MENTAL HEALTH SERVICES (i) INCREASE ACCESS THROUGH ALTERNATIVE CARE MODELS (II) IMPLEMENT TRAUMA INFORMED CARE TRAINING AND EDUCATION (4) DIABETES (A) IMPROVE CHRONIC DISEASE SELF MANAGEMENT (i) INCREASE ENROLLMENT IN CARE MANAGEMENT PROGRAMS (ii) PROMOTE ACCESS TO SCHOOL-AGE PREVENTION EDUCATION AND CARE PROGRAMS (ALL) (A) ENGAGE IN MULTI-SECTOR CARE COORDINATION TO REDUCE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES (i) IMPLEMENT COMMUNITY INFORMATION EXCHANGE (CIE)
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. 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 13 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. 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 16 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. 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	70	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (69 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SPRINGFIELD INPATIENT PHYSICIANS
3801 S NATIONAL AVE 5TH FL	SPRINGFIELD	MO	65807	MEDICAL OFFICES
ADULT MEDICINE AND ENDOCRINOLOGY SPECLST
960 E WALNUT LAWN SUITE 201	SPRINGFIELD	MO	65807	CLINIC
FAMILY MEDICAL CARE CENTER
1423 N JEFFERSON ST B-100	SPRINGFIELD	MO	65802	CLINIC
PHYSICIANS FOR WOMEN
3850 S NATIONAL AVE 400	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER STEEPLECHASE
1530 E REPUBLIC RD	SPRINGFIELD	MO	65804	CLINIC
PEDIATRIC CENTER
3443 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
REGIONAL PERINATAL CENTER
1000 E PRIMROSE 360	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER NIXA
411 N MCCROSKEY	NIXA	MO	65714	CLINIC
NORTHSIDE PEDIATRICS AND ADOLESCENTS
1443 N ROBBERSON 200	SPRINGFIELD	MO	65802	CLINIC
COXHEALTH NEWBORN MEDICINE SPECIALISTS
3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER WILLOW SPRINGS
816 E MAIN	WILLOW SPRINGS	MO	65793	CLINIC
SUN RIVER ORTHOPAEDICS
3800 S NATIONAL AVE 700	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH PEDIATRICS
1000 E PRIMROSE 300	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER LEBANON
510 E HWY 32	LEBANON	MO	65536	CLINIC
COXHEALTH CENTER CHESTERFIELD
1925 CHESTERFIELD BLVD	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER CHESTERFIELD
1925 CHESTERFIELD BLVD	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER WILLARD
304 E JACKSON 5H	WILLARD	MO	65781	CLINIC
COXHEALTH CENTER MOUNTAIN GROVE
1602-A N MAIN ST	MOUNTAIN GROVE	MO	65711	CLINIC
COX SENIOR HEALTH CENTER SOUTH
3525 S NATIONAL 207	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER MARSHFIELD
941 EAST HUBBLE DRIVE	MARSHFIELD	MO	65706	CLINIC
COXHEALTH CENTER OZARK
1741 S 15TH STREET	OZARK	MO	65721	CLINIC
COXHEALTH CENTER REPUBLIC
820 ILLINOIS AVE	REPUBLIC	MO	65738	CLINIC
COXHEALTH CENTER ROGERSVILLE
151 JOHNSTOWN DR	ROGERSVILLE	MO	65742	CLINIC
COXHEALTH CENTER AVA
806 SW 13TH AVE	AVA	MO	65608	CLINIC
COXHEALTH INPATIENT PSYCHIATRY
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	CLINIC
COXHEALTH CENTER BUFFALO CLINIC
119 N ASH	BUFFALO	MO	65622	CLINIC
COXHEALTH CENTER FOR ADDICTIONS
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	CLINIC
SPRINGFIELD NEUROLOGICAL AND SPINE
3801 S NATIONAL	SPRINGFIELD	MO	65804	CLINIC
COXHEALTH PEDIATRIC SPECIALTIES
1000 E PRIMROSE 200	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER SEYMOUR
202 COMMERCIAL	SEYMOUR	MO	65746	CLINIC
OZARK HEALTH VENTURES
3550 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
BONE AND JOINT CENTER
3555 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
FERRELL-DUNCAN CLINIC
1000 E PRIMROSE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
COXHEALTH CENTER CAMPBELL
2750 S CAMPBELL	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH PSYCHOLOGICAL SERVICES
3800 S NATIONAL 770	SPRINGFIELD	MO	65807	CLINIC
MEYER CENTER FITNESS AND REHAB
3545 S NATIONAL AVE	SPRINGFIELD	MO	65807	FITNESS AND REHAB CENTER
COX HYPERBARIC MEDICINE AND WOUND CARE
3525 S NATIONAL AVE 101	SPRINGFIELD	MO	65807	CLINIC
MEDICAL OFFICE BUILDING-MORH
3525 S NATIONAL AVE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
TURNER WOMEN AND CHILDREN'S CENTER
1000 E PRIMROSE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
WHEELER HEART AND VASCULAR
3800 S NATIONAL AVE 700	SPRINGFIELD	MO	65807	MEDICAL OFFICES
HULSTON CANCER CENTER
3850 S NATIONAL AVE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
MEDICAL TOWERS
1443 N ROBBERSON	SPRINGFIELD	MO	65802	MEDICAL OFFICES
COXHEALTH INFECTIOUS DISEASES SPECIALTY
3800 S NATIONAL LL100	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH PEDIATRIC SURGICAL SPECIALTIES
1000 E PRIMROSE SUITE 300	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH PRIMROSE OBGYN
1000 E PRIMROSE SUITE 270	SPRINGFIELD	MO	65807	CLINIC
PANTHER CLINIC OPERATED BY COXHEALTH
900 N BENTON AVENUE	SPRINGFIELD	MO	65802	CLINIC
COXHEALTH ADULT AND PEDIATRIC URGENT CAR
1000 E PRIMROSE	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH VIRTUAL VISITS
3801 S NATIONAL	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH NEUROPSYCHOLOGY
3801 S NATIONAL AVE SUITE 900	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH OCCUPATIONAL MEDICINE
1423 N JEFFERSON K500	SPRINGFIELD	MO	65802	CLINIC
COXHEALTH PEDIATRIC PLACE
3800 S NATIONAL AVE SUITE 730	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH PEDIATRIC SURGICAL SPECIALTIES
1000 E PRIMROSE SUITE 300	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH SKIN CARE
2900 S NATIONAL AVE	SPRINGFIELD	MO	65804	CLINIC
PALLIATIVE CARE
3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH HARRISON CLINIC
715 W SHERMAN STE H	HARRISON	AR	72601	CLINIC
O'REILLY AUTOMOTIVE HEALTH AND WELLNESS
233 S PATTERSON AVE	SPRINGFIELD	MO	65802	CLINIC
COXHEALTH SOUTHERN HILLS
2702 E SUNSHINE	SPRINGFIELD	MO	65804	CLINIC
GLYCEMIC MANAGEMENT SERVICES
3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH VEIN CENTER
1230 E KINGSLEY SUITE C	SPRINGFIELD	MO	65804	CLINIC
COXHEALTH OBSTETRICS AND GYNECOLOGY
3525 S NATIONAL AVE STE 210	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH EAST BATTLEFIELD
3525 E BATTLEFIELD	SPRINGFIELD	MO	65809	CLINIC
PEDIATRIC INPATIENT PHYSICIANS
3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
POST ACUTE CARE
3515 S NATIONAL SUITE 207	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH URGENT CARE ELFINDALE
1429 W SUNSHINE	SPRINGFIELD	MO	65806	Urgent Care
URGENT CARE LEBANON
1216 DEADRA DR	LEBANON	MO	65536	URGENT CARE
SPRINGFIELD NEUROLOGICAL AND SPINE
3801 S NATIONAL	SPRINGFIELD	MO	65804	CLINIC
MARTIN CENTER
3801 S FREMONT	SPRINGFIELD	MO	65807	CLINIC
OZARK HEALTH VENTURES
3550 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH PRIMROSE OBGYN
1000 E PRIMEROSE SUITE 270	SPRINGFIELD	MO	65807	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 THE POLICY.
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 PART IX, LINE 25, OF THE FORM 990.
Schedule H, Part I, Line 7g 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 $2,783,162. LESTER E. COX MEDICAL CENTERS 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. LESTER E. COX MEDICAL CENTERS 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 COSTING METHODOLOGY	THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 5 AND 6 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT STEP-DOWN PROCESS.
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, 2022. 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	THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2017-2021, APPROXIMATELY 13.2 PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUNDION THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE."
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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 - FACILITY REPORTING GROUP #1: Line 16a URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - FACILITY REPORTING GROUP #1: Line 16b URL: HHTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - FACILITY REPORTING GROUP #1: 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. OHC Region stakeholders began the RHA process with analysis of publicly available health data (secondary data) and participating health systems' emergency department 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 collected between September and October 2021. Across the OHC Region these viewpoints were solicited via 75 individual interviews, 10 focus groups and 2,638 surveys. Specifically in the Springfield Community, 20 individual interviews were held with stakeholders and 3 virtual focus groups were held with local health system leaders, community outreach organizations, and a local drug task force as well as other sectors of the Springfield Community to allow voices to highlight challenges that they see as the biggest health related needs. Further, approximately 31% of regional survey respondents were from the Springfield 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 Health Assessment. This prioritization information can be used by organizations to develop community health improvement plans, guide decision making, foster collaboration across initiatives for collective community impact and increase funding by using evidence to describe issues and propose solutions.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	LESTER E. COX MEDICAL CENTERS 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	THE PRIMARY SERVICE AREA (PSA) COUNTIES SERVED BY LESTER E. COX MEDICAL CENTERS INCLUDE: BARRY, CHRISTIAN, GREENE, LAWRENCE, STONE, TANEY, AND WEBSTER (ALL PSA COUNTIES ARE LOCATED IN MISSOURI). THE SECONDARY SERVICE AREA (SSA) COUNTIES SERVED BY LESTER E. COX MEDICAL CENTERS INCLUDE: BARTON, BAXTER - AR, BOONE - AR, CARROLL - AR, CEDAR, DADE, DALLAS, DOUGLAS, HICKORY, HOWELL, LACLEDE, MARION - AR, OREGON, OZARK, POLK, PULASKI, TEXAS, AND WRIGHT (ALL SSA COUNTIES ARE LOCATED IN MISSOURI EXCEPT BAXTER, BOONE, CARROLL, AND MARION COUNTIES IN ARKANSAS). THE TOTAL POPULATION IN THE SERVICE AREA IS OVER ONE MILLION AND APPROXIMATELY 58% OF THE TOTAL 25-COUNTY POPULATION IS IN THE SEVEN COUNTY PRIMARY SERVICE AREA. SLIGHTLY MORE THAN 50% OF THE MARKET IS FEMALE AND SLIGHTLY MORE THAN 18% OF THE SERVICE AREA IS FEMALE BETWEEN THE AGES OF 15 AND 44. THE SEGMENT OF THE POPULATION OVER THE AGE OF 65 IS ALMOST 20% OF THE TOTAL POPULATION AND IS PROJECTED TO INCREASE 12% BETWEEN 2020 AND 2025. THE AVERAGE HOUSEHOLD INCOME IS $64,665 IN THE TOTAL 25-COUNTY SERVICE AREA COMPARED WITH $79,915 FOR THE STATE OF MISSOURI. DIVERSITY IS VERY LOW IN THE 25-COUNTY SERVICE AREA AS 91% OF THE POPULATION IS WHITE ALONE.
Schedule H, Part VI, Line 5 Promotion of community health	LESTER E. COX MEDICAL CENTERS' MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. WE ACTIVELY LIVE THIS MISSION BY PROVIDING QUALITY HEALTH CARE WITH MULTIPLE ACCESS POINTS FOR CARE INCLUDING THREE HOSPITALS AND MORE THAN 60 PHYSICIAN CLINICS (INCLUDING RETAIL CLINICS). THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH A COMMUNITY BOARD, HEALTH RELATED AD CAMPAIGNS, PROVISION OF WELLNESS SERVICES AND VACCINATIONS, PROVISION OF CARE FOR INDIGENT SEGMENTS OF THE POPULATION, FUNDING OF CARE QUALIFIED COMMUNITY MEMBERS THROUGH A NOT-FOR-PROFIT FOUNDATION, COMMUNITY EDUCATION CLASSES RELATED TO HEALTH AND WELLNESS, COMMUNITY ADVISORY COUNCILS AND HEALTH IMPROVEMENT EFFORTS IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS, SCHOOL SYSTEMS AND OTHER REGIONAL HEALTH CARE PROVIDERS. A MAJORITY OF LESTER E. COX MEDICAL CENTERS' BOARD IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO PHYSICIANS IN THE COMMUNITY IF THEY QUALIFY.
Schedule H, Part VI, Line 6 Affiliated health care system	Coxhealth is the parent of lester e. Cox medical centers and its wholly owned and/or controlled 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 (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	$18,045	COMMUNITY BENEFIT
COX-MONETT HOSPITAL INC
801 N LINCOLN	MONETT	MO	65708	431656689	501(C)(3)	$12,254	COMMUNITY BENEFIT
SKAGGS COMMUNITY HOSPITAL ASSOCIATION (COX MEDICAL CENTER BRANSON)
525 BRANSON LANDING	BRANSON	MO	65616	440584290	501(C)(3)	$9,870	COMMUNITY BENEFIT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
CHILDREN'S MIRACLE NETWORK -SPECIAL NEEDS GRANT	2477	$138,889
CHILDREN'S MIRACLE NETWORK -FAMILY CARE GRANTS	42	$97,020
CHILDREN'S MIRACLE NETWORK -COMMUNITY OUTREACH GRA	199754	$86,943
CHILDREN'S MIRACLE NETWORK -LESTER E COX MC GRANTS	32279	$574,893
CHILDREN'S MIRACLE NETWORK -OTHER GRANTS	60246	$382,655
TUITION DISCOUNTS	307	$302,147
CARES ACT DISBURSEMENTS	526	$813,664

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	THROUGH THE CHILDREN'S MIRACLE NETWORK, LESTER E. COX MEDICAL CENTERS DISTRIBUTES FUNDS TO INDIVIDUALS THROUGHOUT THE COMMUNITY. SEE BELOW FOR A SUMMARY OF PROGRAMS THROUGH WHICH FUNDS ARE DISTRIBUTED. DURING FISCAL YEAR 2022, MORE THAN 156,000 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $138,889 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: KIDS CHECKS - $40,480 MEAL TRAYS - $71,878 MEAL VOUCHERS - $4,811 GIFT CARDS - $21,720 FAMILY CARE GRANTS - $97,020 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $86,943 TOTAL CARDIAC PROGRAM (A PORTION TO COX- MONETT HOSPITAL, INC.) - $26,610 "NEVER SHAKE A BABY" PROGRAM - $15,000 BICYCLE SAFETY PROGRAM - $7,000 WASTED PROGRAM - $3,000 WATER SAFETY PROGRAM - $7,000 CAR SEAT SAFETY PROGRAM - $10,000 FIREARM SAFETY - $4,583 INFANT SLEEP & SAFETY - $6,417 FARM SAFETY PROGRAM - $2,750 HOME SAFETY PROGRAM - $4,583 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $574,893 TOTAL CHILD LIFE PROGRAM - $196,989 C.A.R.E. MOBILE - $377,904 DISCRETIONARY AND OPEN FUNDS - $435,815 - THESE ARE FUNDS THAT DO NOT FALL INTO ONE OF THE ABOVE CATEGORIES AND INCLUDES FUNDS TO DEPARTMENTS FOR EQUIPMENT AND OTHER THERAPEUTIC ITEMS FOR CHILDREN. THE FUNDS ARE AS FOLLOWS: BRANSON CASE MANAGEMENT - $5,995 RESPIRATORY CARE - $54,668 WOMEN AND NEWBORN - $24,166 LABOR AND DELIVERY - $42,817 MONETT LABOR AND DELIVERY - $12,254 NICU - $74.623 BRANSON MATERNITY - $12,885 CASE MANAGEMENT SOUTH - $4,997 ACUTE CARE THERAPY - $6,145 ER BARTON COUNTY - $5,923 PEDIATRICS - $30,688 CMG TRAINING AND EDUCATION $2,557 RADIOLOGY CARE UNIT - $9,265 PICU - $19,167 CHILD PSYCHIATRY - $5,590 BRANSON ER - $31,680 *OP NEURO THERAPY - $39,235 THE ORGANIZATION ALSO PROVIDED SUPPORT OF OTHER LOCAL ORGANIZATIONS THROUGH SPONSORSHIPS AS PART OF THEIR COMMUNITY BUILDING ACTIVITIES. THE USE OF THE FUNDS CAN BE SEEN AT EVENTS AND IN COMMUNITY PROJECTS. STUDENTS MUST MEET THE ELIGIBILITY REQUIREMENTS SPECIFIED IN THE APPLICABLE SCHOLARSHIP IN ORDER TO BE CONSIDERED FOR AWARD. THESE REQUIREMENTS INCLUDE SUCH THINGS AS GRADE POINT AVERAGES, ECONOMIC NEED, ENROLLMENT IN A PARTICULAR PROGRAM, ETC. AS APPLICABLE, THE COLLEGE FOLLOWS FEDERAL, STATE, AND INSTITUTIONAL GUIDELINES FOR AWARDS.	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 (24 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
IBRAHIM ABE ABDALLA MD
BOARD MEMBER	$0	$1,586,625	$0	$0	$0	$0	$0	$0	$0	$18,038	$0	$1,604,663	$0	$0
JULIA L FLAX MD
BOARD MEMBER	$433,908	$0	$0	$0	$690	$0	$34,000	$0	$13,225	$0	$481,823	$0	$0	$0
HOWARD JARVIS MD
BOARD MEMBER	$0	$475,816	$0	$0	$0	$0	$0	$0	$0	$18,038	$0	$493,854	$0	$0
STEVE EDWARDS
PRESIDENT AND CEO COXHEALTH END 05/22	$0	$1,232,639	$0	$441,501	$0	$299,181	$0	$301,267	$0	$22,438	$0	$2,297,026	$0	$284,930
JACOB MCWAY
EXEC VP AND COXHEALTH CFO	$0	$707,634	$0	$175,932	$0	$102,476	$0	$193,450	$0	$21,412	$0	$1,200,904	$0	$88,077
MAX BUETOW
PRESIDENT & COXHEALTH CEO BEG 06/22	$0	$335,760	$0	$28,516	$0	$270	$0	$56,934	$0	$16,715	$0	$438,195	$0	$0
ROBERT FERGUSON
FORMER VP CMG	$163,701	$0	$30,752	$0	$990	$0	$10,101	$0	$14,867	$0	$220,411	$0	$0	$0
FRANK ROMERO
FORMER VP MEDICAL AFFAIRS	$193,843	$0	$34,108	$0	$292	$0	$14,500	$0	$18,102	$0	$260,845	$0	$0	$0
ASHLEY CASAD
VP, CLINICAL SERVICES SHG	$189,707	$0	$24,469	$0	$240	$0	$10,863	$0	$8,166	$0	$233,445	$0	$0	$0
ELLEN HAMMOCK
VP CMG	$200,991	$0	$15,694	$0	$450	$0	$6,741	$0	$13,214	$0	$237,090	$0	$0	$0
JEFF HAWKINS
VP CLINICAL SERVICES	$211,656	$0	$23,324	$0	$1,980	$0	$12,035	$0	$9,162	$0	$258,157	$0	$0	$0
AMANDA HEDGPETH
VP OF HOSPITAL OPERATIONS	$238,459	$0	$26,311	$0	$270	$0	$13,337	$0	$8,795	$0	$287,172	$0	$0	$0
KAREN KRAMER
SVP, PRESIDENT SPRINGFIELD HOS	$471,063	$0	$79,066	$0	$1,980	$0	$33,500	$0	$16,092	$0	$601,701	$0	$0	$0
GENICE MAROC
VP CLINICAL SERVICES ending 4/22	$228,033	$0	$25,655	$0	$1,980	$0	$1,392	$0	$9,131	$0	$266,191	$0	$0	$0
BETH POLIVKA
VP, CNO	$177,852	$0	$0	$0	$397	$0	$7,854	$0	$8,221	$0	$194,324	$0	$0	$0
JONATHAN B SHAMEL
VP CMG	$173,783	$0	$0	$0	$234	$0	$6,055	$0	$16,737	$0	$196,809	$0	$0	$0
DAVID STRONG
VP HOSPITAL REVENUE AND CFO CMG	$154,071	$154,071	$28,220	$28,221	$18,611	$18,611	$32,155	$32,155	$9,126	$9,126	$242,183	$242,184	$17,966	$17,966
SHAWN USERY
SVP CHIEF MEDICAL OFFICER	$175,709	$0	$22,987	$0	$127	$0	$5,119	$0	$18,070	$0	$222,012	$0	$0	$0
DARREN BASS
VP CLINICAL SVS	$0	$216,788	$0	$38,511	$0	$6,121	$0	$26,023	$0	$6,931	$0	$294,374	$0	$0
ARIJIT CHOWDHURY MD
PHYSICIAN	$671,210	$0	$0	$0	$300	$0	$14,100	$0	$18,088	$0	$703,698	$0	$0	$0
LOUIS KRENN MD
PHYSICIAN	$802,877	$0	$0	$0	$450	$0	$14,100	$0	$18,113	$0	$835,540	$0	$0	$0
MIMI PROPST MD
PHYSICIAN	$733,607	$0	$0	$0	$270	$0	$14,100	$0	$16,715	$0	$764,692	$0	$0	$0
VIMAL RAVI MD
PHYSICIAN	$686,957	$0	$0	$0	$270	$0	$0	$0	$8,789	$0	$696,016	$0	$0	$0
GREGORY STAMPS MD
PHYSICIAN	$688,835	$0	$0	$0	$1,290	$0	$34,000	$0	$15,977	$0	$740,102	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	INFORMATION REGARDING BENEFITS PROVIDED: MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF STEVE EDWARDS, CEO.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	STEVE EDWARDS, MAX BUETOW. JACOB MCWAY, AND DAVID STRONG PARTICIPATE IN A 457(F) NON QUALIFIED RETIREMENT PLAN WITH LESTER E COX MEDICAL CENTERS: - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $286,767. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $284,930, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $23,334 -JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $159,450. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $88,077, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $31,350. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $35,932, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A 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. PHYSICIANS LISTED ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE ARAVI VIMAL, GREGORY STAMPS, LOUIS KRENN, MIMI PROPST, ARIJIT CHOWDHURY. 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 J, Part II BOARD MEMBER COMPENSATION	NO COMPENSATION WAS PROVIDED FOR RESPONSIBILITIES ASSOCIATED WITH BEING A BOARD DIRECTOR. COMPENSATION REPORTED FOR SEVERAL BOARD MEMBERS LISTED ON SCHEDULE J REPRESENTS EMPLOYEE OR INDEPENDENT CONTRACTOR COMPENSATION UNRELATED TO SERVICE AS A BOARD MEMBER.
Schedule J, Part II, Column (F) COMPENSATION REPORTED IN PRIOR FORM 990	COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
A	431178966	2017-08-29	$4,692,000	CAPITAL EQUIPMENT FINANCING	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
B	431178966	2015-04-22	$142,209,927	REFINANCE 80% 2008A	false	false	false	60637AHS4
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
C	431178966	2008-10-15	$35,000,000	NEW INFRASTRUCTURE & EQUIPMENT	false	false	false	60635R5B9
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
D	431178966	2013-04-17	$215,764,755	NEW INFRASTRUCTURE/ CURRENT REFUND	false	false	false	60637AEA6

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Credit EnhancementCreditEnhancementAmt
A	$3,283,995	$4,692,000	$90,350	$4,601,650	2017	false	false	Yes (true)	Yes (true)
B		$142,215,222	$1,326,793	$140,826,285	2015	false	Yes (true)	Yes (true)	Yes (true)	$62,144
C	$1,335,000	$35,028,548	$271,292	$33,532,576	2012	false	false	Yes (true)	Yes (true)		$421,299	$803,381
D	$7,490,000	$216,278,348	$2,222,341	$167,958,089	2015	Yes (true)	false	Yes (true)	Yes (true)	$29,720,728	$16,377,190

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.0	0.0	false	false	Yes (true)
B	false	Yes (true)	false	false	0.0104	0.0104	false	false	Yes (true)
C	false	Yes (true)	false	false	0.0	0.0	false	false	Yes (true)
D	false	Yes (true)	false	false	0.0105	0.0105	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	false	false	false	false	Yes (true)
C	false	false	false	Yes (true)	false	false	false	false	Yes (true)
D	false	false	false	Yes (true)	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part IV, Line 2c GROUP 1 - COLUMNS B, C, & D, GROUP 2 - COLUMN B	REBATE CALCULATION/ANALYSIS WERE COMPLETED AS FOLLOWS: -BOND SERIES ISSUE B ON 04/30/2020 -BOND SERIES ISSUE C ON 11/20/2018 -BOND SERIES ISSUE D ON 03/20/2018 -BOND SERIES ISSUE B ON 11/19/2018
Schedule K, Part II, Line 3 GROUP 1 - COLUMNS B, C, & D, GROUP 2 - COLUMNS A & B	THE TOTAL PROCEEDS OF THE ISSUE EXCEEDED THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 09/30/2022.
Schedule K, Part II, Line 11 GROUP 1 - COLUMNS B & D, GROUP 2 - COLUMN A	THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
A	431178966	60637ANY4	2019-04-17	$120,260,000	NEW INFRASTRUCTURE & EQUIPMENT	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
B	431178966	60636G1A8	2008-10-15	$70,000,000	NEW INFRASTRUCTURE & EQUIPMENT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt
A	$120,308,278	$716,079	$119,592,199	2021	Yes (true)	false	Yes (true)	Yes (true)
B	$70,469,521	$501,052		2012	false	false	Yes (true)	Yes (true)	$783,050	$2,121,540	$67,063,879

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.0102	0.0102	false	false	Yes (true)
B	false	Yes (true)	false	false	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	false	false		false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Josh Hawkins
Son of Jeff Hawkins, VP; cousin of Andrew Hedgpeth VP	$85,738	wages	false
Lisa Hedgpeth
Step-mother of Andrew Hedgpeth VPHR and Mother-in-law of Amanda Hedgpeth VP	$40,811	wages	false
Meredith Bartelt
Daughter of Genice Maroc, VP	$51,516	wages	false
ANDREW HEDGPETH
NEPHEW OF JEFF HAWKINS VP; SPOUSE OF AMANDA HEDGPETH, VP	$311,269	WAGES	false
VICKI HOCKENSMITH
SISTER OF STEVE EDWARDS, CEO	$129,866	WAGES	false
TERRY HAMMER
BROTHER-IN-LAW OF STEVE EDWARDS, CEO	$12,738	WAGES	false
BETTY B EDWARDS
MOTHER OF STEVE EDWARDS	$21,757	PENSION	false
SPINGFIELD GROCER COMPANCY
PARTIALLY OWNED BY BOARD MEMBER JEFFERSON TYNES	$117,733	GROCER	false
COLTON NELSON
SON OF VICKIE NELSON, SECRETARY OF BOARD	$59,260	WAGES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 2a PAYROLL FILINGS	LESTER E. COX MEDICAL CENTERS FILES PAYROLL TAX FORMS, INCLUDING FORMS W-2, FOR MANY RELATED ORGANIZATIONS. THE AMOUNT REPORTED ON PART V, LINE 2A INCLUDES THE W-2S FILED FOR RELATED ORGANIZATIONS.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	Jeff Hawkins - Family relationship, Amanda Hedgpeth - Family relationship, JAN BAUMGARTNER AND TIM CLOYD - Business relationship, HOWARD JARVIS AND HAL HIGDON - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	LESTER E COX MEDICAL CENTERS SHALL HAVE ONE MEMBER WHICH SHALL BE COXHEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The following corporate powers and responsibilities shall be solely & Specifically reserved to the member; (a) to establish and change the business purposes, mission, vision or Values of cmc; (b) to approve amendments to the articles of incorporation of cmc as Provided therein; (c) to approve amendments to the bylaws of cmc; (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 cmc, subject to the Requirements of article five, section 1 and to appoint and remove the Officers of the board and cmc; (f) after consultation with the board, to approve the appointment and Removal of the president and ceo of cmc; (g) to appoint the auditor and the corporate counsel for cmc 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 cmc in such programs; and to authorize the Opening and closing of bank accounts and investment accounts in the name Of cmc; (i) to approve the merger, consolidation or dissolution of cmc or the sale of all or substantially all of the assets of cmc; (j) to approve the formation of a controlled subsidiary or a remotely Subsidiary; (k) to approve the acquisition or disposition by cmc of another legal Entity or an interest in another legal entity; (l) after receiving input from the board, to approve the strategic plan And the operating and capital budgets of cmc; (m) approval of cmc'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 cmc of real Property 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 cmc 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 cmc, 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 Cmc; (q) to require cmc to transfer assets, including but not limited to cash, To the member; (r) to approve the transfer of assets by cmc to any entity other than the Member, other than transfers made in the ordinary course of operations of Cmc which will not require approval of the member; (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 cmc 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; (t) to approve changes to the type of or relocation of physician Professional medical services offered by cmc, where the change involves (a) services offered or provided by cmg physicians 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 cmc; (v) to override and reverse any decision made or action authorized by the Cmc board to the extent that such decision or action conflicts with a Decision made or action authorized by the joint operations committee of The member; (w) to determine the extent to which and the manner in which the powers Described in this section which are reserved to the member with respect To cmc 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 any remotely controlled subsidiary. The board shall be elected by the member. Prior to the annual meeting, the Board shall nominate a slate of persons for election as cmc directors and Officers to submit to coxhealth for appointment. Coxhealth will act in Good faith and not unreasonably withhold appointment.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Subject to the powers and responsibilities reserved to the Member pursuant to these Bylaws (including without limitation in Article Two, Section 3) and the Articles of Incorporation, the Board shall have general charge of the business and affairs of CMC and may do and perform all acts necessary to carry out its purposes and, when not otherwise provided, in such way as the Board shall deem best. The Board may provide for building, equipping and furnishing all necessary buildings. The Board may borrow money and provide for the repayment of such and for securing the same by deed of trust, or other lien, on any property owned by CMC or otherwise, and may provide for the execution of all necessary or proper instruments of any kind for that purpose. The Board may accept contributions of every kind and conveyances of property of all kinds to CMC. The Board may provide for procuring all necessary or proper funds and provide for all expenditures. The enumeration of the above powers of the Board shall not in any way limit its general powers, but said Board shall do and perform any and all acts deemed by it desirable to carry out the purposes of CMC as expressed in its Articles of Incorporation without limitation, except as may be provided by these Bylaws.
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. PRIOR TO FILING, FORM 990 IS FIRST REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE THEY HAVE APPROVED THE DRAFT, A FINAL COPY IS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH THE ONLINE BOARD PORTAL PRIOR TO FILING.
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 SUB-COMMITTEE 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 EMPLOYS 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 EXECUTIVES OF THE ORGANIZATION 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 1 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 15b Process to establish compensation of other employees	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	LESTER E. COX MEDICAL CENTERS MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR ALL LEGITIMATE BUSINESS PURPOSES AS DETERMINED BY MANAGEMENT. IN ADDITION, AS A CONTINUING DISCLOSURE REQUIREMENT OF CERTAIN DEBT COVENANTS THE ORGANIZATION PROVIDES ITS AUDITED FINANCIAL STATEMENTS AND SPECIFIC QUARTERLY FINANCIAL INFORMATION TO DEFINED REPOSITORIES FOR REVIEW BY PARTIES OR INDIVIDUALS INTERESTED IN THE INFORMATION.
Form 990, Part VIII, Line 2f Other Program Service Revenue	- Total Revenue: 54549060, Related or Exempt Function Revenue: 54549060, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PURCHASED AFFILIATE SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 35877638, Fundraising Expenses: ; PHYSICAL REMUNERATION - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 29177220, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 66686838, Program Service Expense: 52992630, Management and General Expenses: 13694208, Fundraising Expenses: ; ANESTHESIA SERVICES - Total Expense: 11988300, Program Service Expense: 9526491, Management and General Expenses: 2461809, Fundraising Expenses: ; REPAIRS & MAINTENANCE - Total Expense: 6702327, Program Service Expense: 5325998, Management and General Expenses: 1376329, Fundraising Expenses: ; PURCHASED LAB SERVICES - Total Expense: 5995648, Program Service Expense: 4764436, Management and General Expenses: 1231212, Fundraising Expenses: ; BILLING/COLLECTIONS SERVICES - Total Expense: 5995193, Program Service Expense: 4764074, Management and General Expenses: 1231119, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 4419034, Program Service Expense: 3484455, Management and General Expenses: 900443, Fundraising Expenses: 34136; HOUSEKEEPING/LAUNDRY - Total Expense: 2880227, Program Service Expense: 2288770, Management and General Expenses: 591457, Fundraising Expenses: ; CONSULTING - Total Expense: 2356199, Program Service Expense: 1872351, Management and General Expenses: 483848, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 2107923, Program Service Expense: 1675059, Management and General Expenses: 432864, Fundraising Expenses: ; PHARMACY FEES - Total Expense: 1936273, Program Service Expense: 1538657, Management and General Expenses: 397616, Fundraising Expenses: ; SPECIAL SERVICES - Total Expense: 485224, Program Service Expense: 385583, Management and General Expenses: 99641, Fundraising Expenses: ; PURCHASED MANAGEMENT SERVICES - Total Expense: 445252, Program Service Expense: 353819, Management and General Expenses: 91433, Fundraising Expenses: ; COURIER - Total Expense: 422704, Program Service Expense: 335136, Management and General Expenses: 86605, Fundraising Expenses: 963; RADIOLOGY - Total Expense: 405452, Program Service Expense: 322192, Management and General Expenses: 83260, Fundraising Expenses: ; PROFESSIONAL SERVICES - Total Expense: 13657, Program Service Expense: 10853, Management and General Expenses: 2804, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	DEFINED BENEFIT PENSION PLAN LOSS & SETTLEMENT - 44592839; CHANGE IN BENEFICIAL INTEREST IN TRUST - -207621; CHANGE IN NET ASSETS OF SUBSIDIARIES - -11101304; TRANSFER FROM AFFILIATE - -4387000;
FORM 990, PART III, LINES 4A-4B EXEMPT PURPOSE ACHIEVEMENTS - COMMUNITY BENEFIT REPORT	LESTER E. COX MEDICAL CENTERS IS PROUD TO OFFER NATIONALLY RECOGNIZED QUALITY CARE AND THE LATEST IN MEDICAL TECHNOLOGY AND SERVICES TO IMPROVE OUR COMMUNITY'S HEALTH. DESPITE INNOVATION AND QUALITY, THERE ARE STILL COMMUNITY NEEDS THAT ARE NOT MET THROUGH REGULAR COURSE OF CARE. THAT IS WHY AS A COMMUNITY-OWNED, NOT-FOR-PROFIT HOSPITAL SYSTEM, WE PROVIDE THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE ALL IN OUR COMMUNITIES, INCLUDING SOME OF THE MOST VULNERABLE - THE UNDERINSURED AND UNINSURED. PROGRAMS THAT HELP THE INDIVIDUALS AND FAMILIES OF OUR COMMUNITY ARE AN INVESTMENT IN FRIENDS, FAMILY, AND NEIGHBORS. LESTER E. C MEDICAL CENTERS DOES THIS THROUGH INITIATIVES LIKE AMANDA BELLE FARM, KOHLS CARDIAC KIDS AND HEALTHY FOOD PANTRY COLLABORATIVE, BUT IS ALSO EVIDENT IN COMMUNITY AND HEALTH CARE EDUCATION, SUPPORT GROUPS, PREVENTIVE SCREENINGS, SPONSORSHIPS, AND DONATIONS. COMMUNITY BENEFIT MEDICARE, MEDICAID AND UNINSURED SUBSIDIES $ 276,652,457 CMC $ 309,244,971 SYSTEM-WIDE THIS FIGURE INCLUDES THE ESTIMATED UNPAID COSTS OF PROVIDING C TO MEDICARE AND MEDICAID PATIENTS AND REPRESENTS THE SHORTFALL BETWEEN THE COST OF PROVIDING CARE AND THE PAYMENTS RECEIVED BY THE GOVERNMENT AND COVERED INDIVIDUALS. ALSO, IT INCLUDES THE ESTIMATED UNPAID COST OF PROVIDING FREE OR DISCOUNTED CARE TO PERSONS WHO CANNOT AFFORD TO PAY FOR ANY OR ALL OF THE SERVICES THEY RECEIVE AND WHO ARE NOT ELIGIBLE FOR PUBLIC PROGRAMS. COMMUNITY OUTREACH SERVICES $ 137,023 CMC $ 162,900 SYSTEM-WIDE INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND SERVICES THAT ARE SUBSIDIZED BECAUSE THEY ARE NEEDED THE COMMUNITY. EXAMPLES ARE COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, IMMUNIZATIONS, COALITION BUILDING AND SUBSIDY OF HEALTH CARE SERVICES. HEALTH PROFESSIONALS EDUCATION AND RESEARCH $ 7,940,921 CMC $ 9,537,958 SYSTEM-WIDE THIS FIGURE IS THE COST OF PROVIDING CLINICAL PLACEMENTS FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS PLUS THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS. IT INCLUDES THE UN-REIMBURSED EXPENSE OF STUDIES ON THERAPEUTIC PROTOCOLS AND RESEARCH. FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS $ 1,910,199 CMC $ 1,980,052 SYSTEM-WIDE THIS FIGURE INCLUDES CASH AND IN-KIND DONATIONS TO SUPPORT COMMUNITY ORGANIZATIONS, PATIENT ADVOCACY AND EDUCATION, AS WELL AS CONTRIBUTIONS FOR NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS AND EVENT SPONSORSHIPS. TOTAL COMMUNITY BENEFIT: $ 286,640,600 CMC $ 320,925,881 SYSTEM-WIDE ECONOMIC IMPACT RESTRICTED FOUNDATION GRANTS $ 8,544,456 CMC $ 9,746,463 SYSTEM-WIDE THIS FIGURE INCLUES GRANTS TO ORGANIZATIONS IN THE COMMUNITY FOR SPECIFIC RESTRICTED REQUESTS. REAL ESTATE AND PROPERTY TAXES $ 1,521,299 CMC $ 1,765,844 SYSTEM-WIDE TOTAL REAL ESTATE AND PROPERTY TAXES PAID BY LESTER E. COX MEDICAL CENTERS FOR MEDICAL OFFICE BUILDINGS AND PHYSICIAN OFFICES AND CLINIC. CAPITAL INVESTMENTS $ 89,255,660 CMC $ 106,081,035 SYSTEM-WIDE AS A NON-PROFIT ORGANIZATION, LESTER E. COX MEDICAL CENTERS REINVESTS ITS REVENUE IN THE SERVICES IT PROVIDES TO THE COMMUNITY INCLUDING THE COST OF MEDICAL TECHNOLOGY, EQUIPMENT AND SERVICES. THIS AMOUNT INCLUDES THE TOTAL INVESTMENT MADE THROUGH PURCHASING AND LEASING OF MEDICAL EQUIPMENT AND TECHNOLOGY, AS WELL AS RENTAL FACILITIES, SUCH AS MEDICAL OFFICES. PAYROLL & BENEFITS $ 605,199,105 CMC $ 785,464,180 SYSTEM-WIDE THE COXHEALTH SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN CALENDAR YEAR 2021, LESTER E. COX MEDICAL CENTERS ALONE EMPLOYED NEARLY 12,700 PEOPLE, AND THE REMAINING COXHEALTH SYSTEM AFFILIATES CARRY THE TOTAL EMPLOYED FIGURE TO OVER 17,000 PEOPLE. THIS DOLLAR AMOUNT INCLUDES THE COST OF PAYROLL AND BENEFITS OF OUR DEDICATED TEAM FOR LESTER E. COX MEDICAL CENTERS. IT ALSO INCLUDES A SIGNIFICANT INVESTMENT ON CONTRACT PERSONNEL IN VARIOUS MEDICAL SPECIALTIES AS WELL AS MONIES TO OTHER PROFESSIONALS WHO RESIDE LOCALLY. TOTAL ECONOMIC IMPACT: $ 704,520,520 CMC $ 903,057,523 SYSTEM-WIDE TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 991,161,120 CMC $ 1,223,983,404 SYSTEM-WIDE
FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION	DR. ABDALLA, DR. JARVIS, AND DR. FLAX ARE RECEIVING COMPENSATION RELATED TO THEIR ROLES AS EMPLOYEES UNDER COXHEALTH AND RELATED AFFILIATES. NO BOARD MEMBER RECEIVED COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FERRELL DUNCAN CLINIC
1001 E PRIMROSE	SPRINGFIELD	MO	65807	542183221	PHYSICIANS	MO	$0	$0	LESTER E COX
OXFORD HEALTHCARE HOME HEALTH AGENCY
3550 S NATIONAL	SPRINGFIELD	MO	65807	770700975	HOME HEALTH	MO	$0	$0	LESTER E COX
REGIONAL SERVICES
3800 S NATIONAL SUITE 540	SPRINGFIELD	MO	65807	542183222	HEALTHCARE	MO	$0	$0	LESTER E COX
OB GYN FERRELL DUNCAN CLINIC
1000 E PRIMROSE	SPRINGFIELD	MO	65807	431878984	PHYSICIANS	MO	$0	$0	LESTER E COX
COXHEALTH HOME SUPPORT SYSTEMS
2224 W SUNSET	SPRINGFIELD	MO	65807	542183216	HOME HEALTH	MO	$0	$0	LESTER E COX
SPRINGFIELD NEUROLOGICAL AND SPINE INSTI
2900 S NATIONAL AVE	SPRINGFIELD	MO	65807	274296628	PHYSICIANS	MO	$0	$0	LESTER E COX
FERRELL DUNCAN CLINIC BRANSON
251 SKAGGS ROAD	BRANSON	MO	65616	464039135	PHYSICIANS	MO	$0	$0	LESTER E COX
TRIPLE STARS PROPERTIES LLC
901 ST LOUIS STREET SUITE 600	SPRINGFIELD	MO	65806	300649009	REAL ESTATE	MO	$0	$0	LESTER E COX
COXHEALTH INNOVATIONS LLC
3850 S NATIONAL	SPRINGFIELD	MO	65807	271117213	MANAGEMENT	MO	$0	$0	LESTER E COX

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	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	Yes (true)
COX-MONETT HOSPITAL INC
801 N LINCOL	MONETT	MO	65708	431656689	HOSPITAL	MO	501(c)(3)	3	LESTER E COX	Yes (true)
COX HPS OZARKS INC DBA COXHEALTH AT HOME
2220 W SUNSET	SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(c)(3)	10	LESTER E COX	Yes (true)
PRIMROSE PLACE INC
1115 E PRIMROSE	SPRINGFIELD	MO	65807	431183783	SUPPORT	MO	501(c)(3)	Type I	LESTER E COX	Yes (true)
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	Yes (true)
HC SVCS OZARKS INC DBA COXHEALTH AT HOME
PO BOX 10939	SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(c)(3)	10	HPS OF OZARK	Yes (true)
SKAGGS COMM HOSP ASSOC (COX MC BRANSON)
525 BRANSON LANDING BOULEVARD	BRANSON	MO	65616	440584290	HOSPITAL	MO	501(c)(3)	3	LESTER E COX	Yes (true)
COXHEALTH
1423 N JEFFERSON	SPRINGFIELD	MO	65802	471087427	HOLDING CO	MO	501(c)(3)	Type II	NA	false
COX MEDICAL GROUP
1423 N JEFFERSON	SPRINGFIELD	MO	65802	471087566	PHYSICIANS	MO	501(c)(3)	10	COXHEALTH	false
COXHEALTH SYSTEMS HMO
PO BOX 5750	SPRINGFIELD	MO	65801	431757075	HMO	MO	501(c)(4)		LESTER E COX	Yes (true)
COX BARTON COUNTY HOSPITAL
1423 N JEFFERSON	SPRINGFIELD	MO	65802	823300758	HOSPITAL	MO	501(c)(3)	3	COXHEALTH	false
COX MEDICAL GROUP CLINICS
3801 S NATIONAL	SPRINGFIELD	MO	65807	371830627	HEALTHCARE	MO	501(c)(3)	10	COXHEALTH	false
COX HEALTH SYSTEMS INSURANCE COMPANY
PO BOX 5750	SPRINGFIELD	MO	65801	431684044	INSURANCE	MO	501(c)(4)		LESTER E COX	Yes (true)

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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	LESTER E COX	C Corporation	$3,822,487	$7,538,245	1.0000	Yes (true)
COX TAXABLE CLOSE CORPORATION
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	472573263	MEDICAL CLINIC	MO	COX MED GROUP	C Corporation	$0	$0		false
FERRELL-DUNCAN CLINIC INC
1001 E PRIMROSE	SPRINGFIELD	MO	65808	430991578	PHYSICIANS	MO	CTCC	C Corporation	$0	$0		false
COXHEALTH RISK SOLUTIONS
					CAPTIVE INSURANCE		LESTER E COX	C Corporation	$7,818,841	$16,733,666	1.0000	Yes (true)	GRAND PAVILLION CORPORATE CENTRE KY	GRAND CAYMAN	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	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	Yes (true)	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

Transactions Related Org TransactionsRelatedOrgGrp (28 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CoxHealth Foundation
C	$338,220	Cost
Medical Developments Inc
J	$119,193	Cost
Cox Monett Hospital
K	$74,891	Cost
Medical Developments Inc
K	$208,897	Cost
Skaggs Comm Hosp Assoc
P	$5,624,422	Cost
Cox Monett Hospital
P	$4,603,646	Cost
Medical Developments Inc
P	$253,722	Cost
Cox Barton County Hospital
P	$145,387	Cost
HC Svcs Ozarks DBACoxHealth At Home
P	$218,274	Cost
Cox Health Systems HMO Inc
P	$4,737,842	Cost
CoxHealth Risk Solutions
P	$7,932,597	Cost
Ferrell Duncan Clinic Inc
P	$256,157	Cost
CoxHealth
P	$196,977,422	Cost
Skaggs Comm Hosp Assoc
Q	$100,805,704	Cost
Cox Monett Hospital
Q	$31,141,628	Cost
Medical Developments Inc
Q	$6,987,736	Cost
Cox Barton County Hospital
Q	$11,478,109	Cost
HC Svcs Ozarks DBACoxHealth At Home
Q	$24,762,241	Cost
Cox Health Systems HMO Inc
Q	$7,808,509	Cost
Cox Medical Group
Q	$352,500	Cost
Ferrell Duncan Clinic Inc
Q	$13,069,327	Cost
CoxHealth
Q	$213,076,523	Cost
Cox Monett Hospital
R	$297,090	Cost
HC Svcs Ozarks DBACoxHealth At Home
R	$6,132,024	Cost
CoxHealth
R	$912,174	Cost
Medical Developments Inc
S	$15,810,766	Cost
HC Svcs Ozarks DBACoxHealth At Home
S	$147,780	Cost
COXHEALTH FOUNDATION
S	$2,893,000	COST