2022-08-10T16:21:08-05:00 2021-09-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2020-10-01 440577118 LESTER E COX MEDICAL CENTERS % JACOB M MCWAY LEST 4172693000 1423 N JEFFERSON ST SPRINGFIELD MO 65802 JAKE MCWAY EXEC VP AND CFO 4178658701 2022-02-13 true JACOB MCWAY XXX-XX-XXXX Brian D Todd P00422601 4178658701 2 2020 2022-09-23 18:48:47Z MAX BUETOW 1423 N JEFFERSON ST SPRINGFIELD MO 65802 1789507412 false X WWW.COXHEALTH.COM X 1923 MO THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 16 13 13105 16 894662 399096 35931160 37287120 1189059077 1365816377 16733253 54481146 730921 1057589 1242454411 1458642232 1264100 1193717 0 0 472214790 552255975 0 0 621961 726828638 809540348 1200307528 1362990040 42146883 95652192 1734890340 1947973281 970097000 925591859 764793340 1022381422 X MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. true false 931069070 1193717 1139283116 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 $1,163,074,892 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. 245174221 226533261 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 10.3% AND 37.2% PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC RESPECTIVELY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1176243291 true true false true false false false false false true true true false false true false false true false false true false false false true false true true true true true true false false false false false false false false true false false false false false true true true true true false true X 456 0 true 13105 true true true true CJ false false false true true false false false false true false X 16 13 true false false false true true true true true false false true true true true true true true true false X JACOB M MCWAY 4172698811 3800 S NATIONAL SPRINGFIELD MO 65807 X STEVE EDWARDS PRESIDENT AND CEO COXHEALTH 10.0 30.0 X 0 2398016 319700 IBRAHIM ABE ABDALLA MD BOARD MEMBER 1.0 39.0 X 0 1266137 18915 DAVID ZOLFAGHARI MD BOARD MEMBER 1.0 39.0 X 0 1201236 18915 JACOB MCWAY EXEC VP AND CFO COXHEALTH 10.0 30.0 X 0 938444 206555 ARMIN KAMYAB MD PHYSICIAN 40.0 0.0 X 933385 0 8278 LOUIS KRENN MD PHYSICIAN 40.0 0.0 X 678541 0 32943 GREGORY STAMPS MD PHYSICIAN 40.0 0.0 X 587023 0 51225 MIMI PROPST MD PHYSICIAN 40.0 0.0 X 601348 0 31364 ARIJIT CHOWDHURY MD PHYSICIAN 40.0 0.0 X 587385 0 32918 FRANK ROMERO VP MEDICAL AFFAIRS END 3/21 40.0 0.0 X 440065 0 33208 SHAWN USERY VP MEDICAL AFFAIRS BEG 4/21 40.0 0.0 X 439140 0 26012 DAVID STRONG VP HOSPITAL REVENUE AND CFO CM 20.0 20.0 X 188738 188738 82137 KAREN KRAMER SVP, PRESIDENT SPRINGFIELD HOS 40.0 0.0 X 406264 0 41813 ROBERT FERGUSON VP CMG END 4/21 40.0 0.0 X 352959 0 22822 PATRICIA DIX MD BOARD MEMBER 40.0 0.0 X 293682 0 44770 AMANDA HEDGPETH VP OF HOSPITAL OPERATIONS 40.0 0.0 X 236677 0 20208 JEFF HAWKINS VP CLINICAL SERVICES 40.0 0.0 X 222611 0 30551 GENICE MAROC VP CLINICAL SERVICES 40.0 0.0 X 234730 0 9348 ASHLEY CASAD VP, CLINICAL SERVICES SHG 40.0 0.0 X 187319 0 13984 ELLEN HAMMOCK VP CMG BEG 4/21 40.0 0.0 X 171156 0 18945 VICKIE NELSON SECRETARY 10.0 30.0 X 0 68887 11406 JAN BAUMGARTNER BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES CHUCK CHALENDER CHAIR OF THE BOARD 1.0 0.0 X X 0 0 0 ROBERT FULP 1ST VICE CHAIR OF THE BOARD 1.0 0.0 X X 0 0 0 SALLY HARGIS 3RD VICE CHAIR OF THE BOARD 1.0 0.0 X X 0 0 0 JANICE HARRIS BOARD MEMBER 1.0 0.0 X 0 0 0 DENNIS HEIM BOARD MEMBER 1.0 0.0 X 0 0 0 KURT HELLWEG BOARD MEMBER 1.0 0.0 X 0 0 0 HAL HIGDON 2ND VICE CHAIR OF THE BOARD 1.0 0.0 X X 0 0 0 JAMES HUTCHESON BOARD MEMBER 1.0 0.0 X 0 0 0 BRIAN JARED BOARD MEMBER 1.0 0.0 X 0 0 0 PHILLIP LOYD BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT MCDOWELL BOARD MEMBER 1.0 0.0 X 0 0 0 JOSEPH TURNER BOARD MEMBER 1.0 0.0 X 0 0 0 6561023 6061458 1076017 810 false true false SPFD NEUROLOGICAL INSTITUTE 1411 E PRIMROSE STE C SPRINGFIELD MO 65804 PHYS REMUNERATION 15804789 OZARK ANESTHESIA ASSOCIATES 1000 E PRIMROSE STE 520 SPRINGFIELD MO 65807 ANESTHESIA SERVICES 11642332 360 DEGREE MEDICINE 108 SUNNY LANE BRANSON WEST MO 65737 PHYSICIAN SERVICES 6689380 INTELLIHARTX LLC 29 E CRAWFORD ST STE 360 FINDLAY OH 45840 ACCOUNT COLLECTIONS 6624356 FERRELL DUNCAN BUILDING CO 1001 E PRIMROSE AVE SPRINGFIELD MO 65807 BUILDING SPACE 3510751 92 29043 371479 33334724 3551874 37287120 NET PATIENT SERVICE REVENUE 900099 1319443964 1319443964 NET PATIENT SERVICE - UNRELATED LAB 621500 808263 808263 NET PATIENT SERVICE - UNRELATED RETAIL DME 446199 85727 85727 CAFETERIA, MEALS & VENDING 722514 4469468 4469468 FITNESS CENTERS 713940 549331 549331 40459624 40459624 1365816377 18301336 18301336 0 0 1895886 978817 917069 0 917069 917069 365955446 523 329776159 36179287 523 36179810 36179810 38348 29043 18160 20188 20188 0 0 0 84705 92044 -7339 -7339 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 127671 672 126999 127671 1458642232 1364922387 894662 55538063 X 259311 259311 934406 934406 0 0 3476071 2405331 1070740 838394 445812 392582 437197302 356815766 80118295 263241 22177783 18087692 4080983 9108 54445377 50232962 4212355 60 34121048 27799114 6303565 18369 0 4159 4159 198935 198935 179092 179092 0 1043143 1043143 385963664 314572698 71338537 52429 444404 366420 77984 20027248 16337005 3654201 36042 13017477 10607868 2409609 0 17894089 15401047 2493042 1421203 1158180 263023 0 137583 112527 25056 15668401 14293789 1374612 0 42159150 38463389 3694909 852 8127352 6622888 1504464 MEDICAL SUPPLIES & DRUGS 240787029 240787029 STATE PROVIDER TAX 54061734 54061734 LICENSES, DUES, SUBSCRIPTIONS 1074850 875697 199153 MISCELLANEOUS 7330835 5602626 1486349 241860 1362990040 1176243291 186124788 621961 400300 14994405 302566674 272927660 0 0 155519671 179040194 0 0 0 0 12202905 18005068 21074456 23354945 15258650 14692182 1322263931 825335370 457973216 496928561 515231235 523958091 85700644 219378861 65079279 81069004 25263742 25263742 78619568 78360568 1734890340 1947973281 273755908 254236832 0 0 12611042 12460731 482403161 473801033 0 0 0 0 48003458 40771319 7205051 6978187 146118380 137343757 970097000 925591859 X 727470459 976571647 37322881 45809775 764793340 1022381422 1734890340 1947973281 X 95652192 93760743 68175147 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 133009 false true 46083 179092 false SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH LEGISLATORS, ETC: THE ORGANIZATION CONTRACTED PENMAN & WINTON CONSULTING GROUP AND KELLER 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 1I OTHER LOBBYING ACTIVITIES: 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 2021, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $46,083. 4429596 4232438 135287 363111 8434210 4315153 351222 104830 341609 4429596 4225941 394384 99139 404311 4315153 4044690 426535 107185 309807 4268603 3820777 426535 107185 309807 4044690 0.49160 0.50840 false true true 38267133 38267133 429246250 229798467 199447783 4794678 4466928 327750 800754697 574391485 226363212 49201173 16678490 32522683 496928561 INVEST IN WHOLLY OWNED C-CORP 1013025 C INVESTMENTS IN PARTNERSHIPS 123699639 C INVESTMENTS IN NON-PTS C CORPS 94666197 219378861 0 D/T AFFILIATES 18204345 EST AMT DUE TO 3RD PARTIES 72463347 SELF INSURANCE CLAIMS PAYABLE 46676065 137343757 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENTS: 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 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. Central America and the Caribbean 0 1 Investments CAPTIVE INSURANCE 7650314 Central America and the Caribbean 0 0 Investments 130465430 0 1 0 1 138115744 138115744 true false true true false false SCHEDULE F, PART I, LINE 3, COLUMN F ACCOUNTING METHOD: 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. SCRAMBLE FOR MI 46285 29043 17242 2700 5750 2240 6982 MSU DANCE MARAT 21106 21106 488 0 67391 29043 38348 2700 5750 2240 7470 18160 20188 true true X false true X true true false true true 42192629 42192629 0.03100 192689139 162578323 30110816 0.02210 234881768 162578323 72303445 0.05310 147310 147310 0.00010 23171921 16425263 6746658 0.00490 11565807 7455333 4110474 0.00300 2124049 2124049 0.00160 37009087 23880596 13128491 0.00960 271890855 186458919 85431936 0.06270 false 150169070 25650290 454976278 586002191 -131025913 X true true 3 1 FACILITY REPORTING GROUP #1 3801 S NATIONAL AVE SPRINGFIELD MO 65807 WWW.COXHEALTH.COM 500 X X X X X 1 2 LESTER E COX MEDICAL CENTERS - NORTH 1423 N JEFFERSON ST SPRINGFIELD MO 65802 WWW.COXHEALTH.COM 500 X X X 1 3 MEYER ORTHOPEDIC HOSPITAL 1000 E WALNUT LAWN SPRINGFIELD MO 65807 WWW.COXHEALTH.COM 500 X X 1 FACILITY REPORTING GROUP #1 13 false false true X X X X X X X X X 18 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 0. 300. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: IN 2017, A VARIETY OF ORGANIZATIONS ACROSS THE OZARKS RECONVENED UNDER THE UMBRELLA OF THE OZARKS HEALTH COMMISSION TO ASSESS THE HEALTH NEEDS OF OUR REGION. BUILDING UPON THE SUCCESS OF THE 2016 REGIONAL HEALTH ASSESSMENT, PARTNERS AGAIN SOUGHT TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE POPULATIONS THEY SERVE. THIS 2019 ASSESSMENT COMBINES MORE THAN 140 HOSPITAL AND COMMUNITY DATA INDICATORS AS WELL AS FEEDBACK FROM STAKEHOLDERS AND THE BROADER COMMUNITY. THIS PROCESS RESULTED IN THREE PRIORITIES: LUNG DISEASE, CARDIOVASCULAR DISEASE AND MENTAL HEALTH. WEAVING AMONG THE ISSUES IDENTIFIED WERE FIVE COMMON THREADS: ACCESS TO HEALTH CARE, MENTAL HEALTH, PHYSICAL ACTIVITY, SOCIAL DETERMINANTS OF HEALTH AND TOBACCO USE. ADDITIONALLY, THE HEALTH STATUS OF POPULATIONS OF INTEREST - SUCH AS PEOPLE IN POVERTY, MINORITIES AND THE ELDERLY--WERE ALSO ANALYZED. RECOGNIZING THE VALUE OF ASSESSING AND ACTING TOGETHER ON LOCAL HEALTH ISSUES, KEY PLAYERS FROM LOCAL HOSPITAL SYSTEMS, PUBLIC HEALTH ENTITIES, AND OTHERS FORMED A WORKING GROUP TO BEGIN THE TASK OF A REGIONAL HEALTH ASSESSMENT. THIS GROUP GREW UNDER THE UMBRELLA OF THE LOCAL OZARKS HEALTH COMMISSION (OHC) AND PUBLISHED THE FIRST ASSESSMENTS IN 2016. SINCE THAT TIME, THE PROCESS HAS BEEN RECOGNIZED AT THE ANNUAL MEETING OF THE AMERICAN PUBLIC HEALTH ASSOCIATION, HONORED AS A PROMISING PRACTICE BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, AND AWARDED THE GROUP MERIT AWARD FROM THE MISSOURI PUBLIC HEALTH ASSOCIATION. COLLECTIVELY, THE ASSESSMENTS SPAN FOUR STATES - MISSOURI, OKLAHOMA, ARKANSAS, AND KANSAS, 29 COUNTIES AND THREE HOSPITAL SYSTEMS. THIS FOOTPRINT WILL BE REFERRED TO THROUGHOUT THE REPORT AS THE OHC REGION. PRIORITIZATION PROCESS INCLUDED THE FOLLOWING STAKEHOLDERS: CITY OF SPRINGFIELD - PLANNING DEPARTMENT -COMMUNITY PARTNERSHIP OF THE OZARKS -COXHEALTH -DREW LEWIS FOUNDATION -MERCY -MISSOURI ALLIANCE OF YMCA -MISSOURI STATE UNIVERSITY -MISSOURI JOB CENTER -OZARKS FOOD HARVEST -OZARK GREENWAYS -SPRINGFIELD AREA CHAMBER OF COMMERCE -SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT -SPRINGFIELD-GREENE COUNTY PARKS SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA WAS CONDUCTED FOR THE ENTIRE REPORTING GROUP #1, AS REPORTED ON SCHEDULE H, PART V, SECTION A, INCLUDING LESTER E. COX MEDICAL CENTERS - SOUTH, LESTER E. COX MEDICAL CENTERS - NORTH, AND MEYER ORTHOPEDIC HOSPITAL. OTHER HOSPITAL FACILITY PARTNERS INCLUDED FREEMAN HEALTH SYSTEM, AND MERCY. 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 CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL ORGANIZATIONS: -JASPER COUNTY HEALTH DEPARTMENT -JOPLIN HEALTH DEPARTMENT -SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT -TANEY COUNTY HEALTH DEPARTMENT SCHEDULE H, PART V, SECTION B, LINE 7A CHNA HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ SCHEDULE H, PART V, SECTION B, LINE 7B 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 7D OTHER METHODS TO MAKE THE CHNA REPORT AVAILABLE TO THE PUBLIC: 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 10A IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: 1. INCREASE PATIENT ENGAGEMENT IN CHRONIC CONDITION SELF-MANAGEMENT -THE CENTER FOR HEALTH IMPROVEMENT EMPLOYS A SKILLED TEAM OF HEALTHCARE PROFESSIONALS WHO DELIVER SUPPORT AND EDUCATION FOR CHRONIC DISEASE MANAGEMENT, MEDICAL NUTRITION THERAPY, AND ADVANCE CARE PLANNING. THEY PROVIDE TOOLS DESIGNED TO INCREASE SELF- MANAGEMENT OF CHRONIC CONDITIONS INCLUDING DIABETES, AUTOIMMUNE DISORDERS, METABOLIC SYNDROME, AND MORE. -IN THE FIRST QUARTER CALENDAR YEAR 2018, A CURRENT STATE ASSESSMENT OF THE CENTER FOR HEALTH IMPROVEMENT WAS CONDUCTED TO DETERMINE THE EFFICACY OF VARIOUS PROGRAMS. AS A RESULT OF THE ASSESSMENT, THE TEAM REFINED THE SCOPE OF OFFERINGS TO AN EVIDENCE-BASED, TARGETED PROGRAM SUITE THAT FOCUSES HEAVILY ON IMPROVING CHRONIC CONDITION MANAGEMENT OF PATIENTS. 2. REDUCE AVOIDABLE HOSPITAL READMISSIONS: -IN FEBRUARY, COXHEALTH IMPLEMENTED A PATIENT READMISSION INTERVIEW FORM. WHEN A PATIENT IS READMITTED WITHIN THIRTY DAYS, A CASE MANAGER WILL MEET WITH THE PATIENT AND DISCUSS THE READMISSION. TOPICS COVERED INCLUDE: -FREQUENCY OF GOOD COMMUNICATION IN THE HOSPITAL REGARDING DIAGNOSIS AND MEDICATIONS. -COMMUNICATION ABOUT DISCHARGE INSTRUCTIONS AND ABILITY TO UNDERSTAND INSTRUCTIONS. -MEDICATION COMPLIANCE AND REASONS FOR ANY DIFFICULTY REMAINING COMPLIANT. -FOLLOW UP APPOINTMENTS WITH A PCP BEING SCHEDULED AND ATTENDED. -REASONS FOR READMISSION, FROM THE PATIENTS PERSPECTIVE: -THE INFORMATION GATHERED BY THE CASE MANAGER COMES DIRECTLY FROM THE PATIENT AND IS REPORTABLE. COMMON THEMES FOR AVOIDABLE READMISSIONS WILL BE EASIER TO IDENTIFY AND PREVENT. -EVIDENCE BASED BEST PRACTICES TO REDUCE AVOIDABLE READMISSIONS HAVE BEEN IMPLEMENTED AND CONTINUE TO EXPAND. -COXHEALTH HAS HIRED TRANSITIONAL CARE PHARMACISTS, WHO WILL DEDICATE THEIR TIME TO WORKING WITH PATIENTS BEING DISCHARGED TO ENSURE THE PATIENT LEAVES THE HOSPITAL WITH THEIR MEDICATIONS. -THE CARE MANAGEMENT TEAM HAS BEEN INSTRUMENTAL IN SETTING UP FOLLOW-UP APPOINTMENTS WITH PATIENTS AND IS WORKING TO EXPAND THEIR SERVICES TO ENSURE EVEN MORE PATIENTS HAVE A FOLLOW UP APPOINTMENT SCHEDULED BEFORE LEAVING THE HOSPITAL. 3. INCREASE ACCESS TO TOBACCO CESSATION RESOURCES FOR PATIENTS AND FAMILIES PRESENTING TO OUR HOSPITALS AND CLINICS: -THE TOBACCO FREE COUNCIL, A GROUP OF SUBJECT MATTER EXPERTS FROM ACROSS THE COXHEALTH SYSTEM, WAS REINSTATED WITH THE GOAL OF DEVELOPING A COORDINATED, EVIDENCE-BASED APPROACH TO IMPROVE ACCESS TO TOBACCO CESSATION RESOURCES ACROSS THE COXHEALTH ENTERPRISE. FOLLOWING AN ASSET ASSESSMENT AND GAP ANALYSIS, RECOMMENDATIONS INCLUDED THE CREATION OF A CLEARLY OUTLINED REFERRAL PROCESS AND DEFINED RESOURCES; PROMOTION OF THE ASK, ADVISE, ACT/REFER MODEL TO INITIATE INTERVENTION; DEVELOPMENT AND IMPLEMENTATION OF PREOPERATIVE PROTOCOL TO PROMOTE TOBACCO CESSATION 12 HOURS PRE- AND POST-SURGERY. TRACKS FOR INPATIENT SETTING, OUTPATIENT/CLINIC SETTING, AND PREADMISSION SERVICES ARE CURRENTLY IN THE WORKS. AFTER APPROVAL IS OBTAINED FROM NECESSARY GOVERNING COUNCILS, AN EDUCATION CAMPAIGN WILL BE DEPLOYED TO ALL COXHEALTH PROVIDERS AND STAFF. 4. DECREASE CHILDHOOD OBESITY -THE CARDIAC KIDS PROGRAM IS IMPLEMENTED IN 13 RURAL SCHOOLS IN THE COXHEALTH SERVICE AREA. ITS MAIN OBJECTIVE IS TO SCREEN 5TH GRADE STUDENTS FOR HEALTH INDICATORS THAT PUT THEM AT HIGH RISK FOR DEVELOPING CARDIAC DISEASE. SCREENING BY COXHEALTH STAFF INCLUDES HEIGHT AND WEIGHT MEASUREMENT, BMI CONSULT, AND HEALTH/NUTRITION EDUCATION. -APPROXIMATELY 400 CHILDREN ARE SCREENED ANNUALLY. THOSE WHO ARE DEEMED HIGH RISK ARE REFERRED TO THE COMMITTED TO KIDS PROGRAM. THIS 8-WEEK PROGRAM IS AN INTENSIVE INTERVENTION FOR AT-RISK CHILDREN AND THEIR FAMILIES FOCUSING ON HEATHY BEHAVIOR AND NUTRITION EDUCATION. 5. INCREASE THE NUMBER OF WOMEN WHO BREASTFEED THEIR INFANTS AFTER DELIVERY -COXHEALTH AND THE SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT ARE CURRENTLY ENGAGED IN A COMMUNITY BREASTFEEDING COALITION WITH THE GOAL OF STRATEGICALLY ALIGNING EFFORTS TO HELP MOVE THE CHIP INITIATIVE FORWARD. -IN ADDITION TO EDUCATION PRESENTED IN OUR GENERAL PRENATAL CLASSES, THE COXHEALTH LACTATION CONSULTANTS FACILITATE A MONTHLY BREAST FEEDING SUPPORT GROUP CALLED THE LACTATION CLUB. -THE ANNUAL COXHEALTH BABY FAIR IS A FREE EVENT THAT FEATURES VENDOR DISPLAYS, DEMONSTRATIONS, DOOR PRIZES, AND CLASSES WITH A VARIETY OF TOPICS INCLUDING BREASTFEEDING. 6. INCREASE DETECTION AND TREATMENT OF THE EARLIEST STAGES OF LUNG CANCER NODULES -COXHEALTH OFFERS LOW-DOSE CT SCANS AS A DIAGNOSTIC SCREENING FOR LUNG CANCER. LOW-DOSE CT SCANS USE LOWER AMOUNTS OF RADIATION TO HELP IDENTIFY LUNG NODULES IN THE EARLIEST STAGES OF LUNG CANCER WHEN IT IS MOST TREATABLE. STUDIES HAVE SHOWN THAT PATIENTS WHO PARTICIPATE IN A LOW-DOSE CT LUNG CANCER PROGRAM ARE 20% LESS LIKELY TO DIE FROM LUNG CANCER THAN THOSE WHO WERE NOT SCREENED WHEN APPROPRIATE. -SINCE THE PROGRAM BEGAN, THE NUMBER OF INDIVIDUALS WHO HAD A LOW-DOSE CT SCAN COMPLETED HAS CONTINUED TO INCREASE. 7. INCREASE REFERRALS TO COMMUNITY ORAL HEALTH RESOURCES FOR PATIENTS PRESENTING TO THE ED FOR DENTAL ISSUES -COMMUNITY PARTNERSHIPS WITH LOCAL RESOURCES HAVE BEEN STRENGTHENED AND REFINED TO ENSURE STAFF FEEL EMPOWERED TO REFER PATIENTS TO FACILITIES LIKE THE JORDAN VALLEY COMMUNITY HEALTH CENTER (JVCHC) FOR THE APPROPRIATE LEVEL OF CARE FOR ORAL HEALTH ISSUES. -WHEN EVALUATING THE CHIEF COMPLAINTS OF PATIENTS THAT PRESENTED TO THE EMERGENCY DEPARTMENT (ED) FIVE OR MORE TIMES IN A 12-MONTH PERIOD FOR NON-EMERGENT CARE, DENTAL COMPLAINTS RANKED AMONG THE HIGHEST. -PROTOCOLS WERE DEVELOPED FOR PATIENTS THAT PRESENT WITH 'TOOTH PAIN' IN THE ED. AFTER THE MEDICAL SCREENING EXAM COMPLETION, THE PATIENT IS TRANSITIONED TO JVCHC FOR IMMEDIATE DENTAL CARE. -COXHEALTH WORKED IN COLLABORATION WITH JVCHC TO APPLY FOR A GRANT THAT ALLOWED FOR THE HIRE OF ADDITIONAL DENTISTS. TO ENSURE SAME-DAY OR NEXT DAY APPOINTMENTS, THE DENTAL CLINIC EXPANDED TO ADD SATURDAY HOURS. -QUICK ACCESS TO THE DENTAL CLINIC ALLOWED COXHEALTH ED PHYSICIANS TO DISCONTINUE PRESCRIBING NARCOTICS TO PATIENTS WHO PRESENTED WITH TOOTH PAIN. TREATABLE. STUDIES HAVE SHOWN THAT PATIENTS WHO PARTICIPATE IN A LOW- DOSE CT LUNG CANCER PROGRAM ARE 20% LESS LIKELY TO DIE FROM LUNG CANCER THAN THOSE WHO WERE NOT SCREENED WHEN APPROPRIATE. -SINCE THE PROGRAM BEGAN, THE NUMBER OF INDIVIDUALS WHO HAD A LOW-DOSE CT SCAN COMPLETED HAS CONTINUED TO INCREASE. 7. INCREASE REFERRALS TO COMMUNITY ORAL HEALTH RESOURCES FOR PATIENTS PRESENTING TO THE ED FOR DENTAL ISSUES -COMMUNITY PARTNERSHIPS WITH LOCAL RESOURCES HAVE BEEN STRENGTHENED AND REFINED TO ENSURE STAFF FEEL EMPOWERED TO REFER PATIENTS TO FACILITIES LIKE THE JORDAN VALLEY COMMUNITY HEALTH CENTER (JVCHC) FOR THE APPROPRIATE LEVEL OF CARE FOR ORAL HEALTH ISSUES. -WHEN EVALUATING THE CHIEF COMPLAINTS OF PATIENTS THAT PRESENTED TO THE EMERGENCY DEPARTMENT (ED) FIVE OR MORE TIMES IN A 12-MONTH PERIOD FOR NON-EMERGENT CARE, DENTAL COMPLAINTS RANKED AMONG THE HIGHEST. -PROTOCOLS WERE DEVELOPED FOR PATIENTS THAT PRESENT WITH 'TOOTH PAIN' IN THE ED. AFTER THE MEDICAL SCREENING EXAM COMPLETION, THE PATIENT IS TRANSITIONED TO JVCHC FOR IMMEDIATE DENTAL CARE. -COXHEALTH WORKED IN COLLABORATION WITH JVCHC TO APPLY FOR A GRANT THAT ALLOWED FOR THE HIRE OF ADDITIONAL DENTISTS. TO ENSURE SAME-DAY OR NEXT DAY APPOINTMENTS, THE DENTAL CLINIC EXPANDED TO ADD SATURDAY HOURS. -QUICK ACCESS TO THE DENTAL CLINIC ALLOWED COXHEALTH ED PHYSICIANS TO DISCONTINUE PRESCRIBING NARCOTICS TO PATIENTS WHO PRESENTED WITH TOOTH PAIN. SCHEDULE H, PART V, SECTION B, LINE 13A 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 V, SECTION B, LINE 13H OTHER CRITERIA USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY: 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 16A FINANCIAL ASSISTANCE POLICY WEBSITE: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16B FINANCIAL ASSISTANCE POLICY APPLICATION WEBSITE: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16C PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16J MEASURES TO PUBLICIZE THE POLICY: 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. 80 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 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 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 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 1423 N JEFFERSON ST SPRINGFIELD MO 65802 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 119 N ASH BUFFALO MO 65622 CLINIC COXHEALTH CENTER ROGERSVILLE 151 JOHNSTOWN DR ROGERSVILLE MO 65742 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 PEDIATRIC HOSPITAL AFFILIATES 3801 S NATIONAL AVE 7TH FL SPRINGFIELD MO 65807 CLINIC SPRINGFIELD NEUROLOGICAL AND SPINE 3801 S NATIONAL SPRINGFIELD MO 65804 CLINIC COXHEALTH PSYCHOLOGICAL SERVICES 3800 S NATIONAL 770 SPRINGFIELD MO 65807 CLINIC MARTIN CENTER 3901 S FREMONT SPRINGFIELD MO 65807 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 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 COXHEALTH QUICK CARE HYVEE 1720 W BATTLEFIELD SPRINGFIELD MO 65807 CLINIC COXHEALTH SPECIALTY CLINIC 1001 E PRIMROSE STREET 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 PRIMROSE OBGYN 1000 E PRIMROSE SUITE 270 SPRINGFIELD MO 65807 CLINIC COXHEALTH QUICK CARE HYVEE 1720 W BATTLEFIELD 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 CONSULTING & AVIATION MED 3555 S NATIONAL AVE SUITE 300 SPRINGFIELD MO 65807 CLINIC COXHEALTH COVID SUPPORT 1550 E SUNSHINE SPRINGFIELD MO 65804 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 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, COLUMN F 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 $4,110,474. 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, SECTION A, LINE 2 BAD DEBT EXPENSE: 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, 2021. 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, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: 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 2016-2020, APPROXIMATELY 15.3 PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE." SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: 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, SECTION C, LINE 9B COLLECTION POLICY: 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 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 EARLY 2016. A PUBLIC PERCEPTION STUDY OF AREA HEADS OF HOUSEHOLDS IS CONDUCTED ANNUALLY. THE MOST RECENT STUDY SURVEYED 876 HOUSEHOLDS IN OUR SERVICE AREA TO DETERMINE WHAT SERVICES ARE NEEDED. WE ALSO PERFORM A PUBLIC HEALTH SURVEY, WHICH ASKS COMMUNITY LEADERS AND HEALTH PROFESSIONALS WHAT THEIR PRIORITIES ARE AND WHAT HEALTH SERVICES ARE LACKING IN THEIR COMMUNITY. THE PUBLIC HEALTH SURVEY IS SENT TO COUNTY PUBLIC HEALTH DEPARTMENTS, LOCAL AGENCIES, REGIONAL SERVICES CLINICS, MENTAL HEALTH FACILITIES, AND PUBLIC SCHOOLS THROUGHOUT THE TOTAL SERVICE AREA. LESTER E. COX MEDICAL CENTERS REFERENCES UNITED HEALTH FOUNDATION STATE-BY-STATE HEALTH RANKINGS AS WELL AS ROBERT WOOD JOHNSON AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE COUNTY HEALTH RANK FOR HEALTH OUTCOMES AND HEALTH FACTORS. COXHEALTH ALSO REFERENCES ASSESSING THE HEALTH OF THE COMMUNITY, WHICH IS AN ANALYSIS OF BEHAVIORS AND OUTCOMES FOR THE SPECIFIC COUNTIES OF THE SERVICE AREA BY THE MISSOURI HOSPITAL ASSOCIATION. DEMOGRAPHIC AND ECONOMIC ANALYSIS IS PERFORMED FOR THE 22-COUNTY SERVICE AREA. NIELSEN CLARITAS DEMOGRAPHIC ESTIMATES AND PROJECTIONS ARE USED TO EVALUATE THE CHANGE IN POPULATION CHARACTERISTICS. UNEMPLOYMENT, HOME FORECLOSURE, AND INPATIENT PAYER DATA IS ALSO ASSESSED. IN 2016, COXHEALTH PERFORMED A COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF A COLLABORATIVE EFFORT, CONSISTING OF A VARIETY OF ORGANIZATIONS ACROSS THE OZARKS, TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS, AND NEEDS OF THE POPULATIONS WE SERVE. UNDER THE UMBRELLA OF THE LOCAL OZARKS HEALTH COMMISSION, THIS FIRST-TIME COLLABORATION WAS THE LARGEST IN THE REGION SPANNING FOUR STATES-MISSOURI, OKLAHOMA, ARKANSAS AND KANSAS-29 COUNTIES AND THREE HOSPITAL SYSTEMS. THE WORKING GROUP SAW THE VALUE OF USING A SYSTEMATIC, DATA-DRIVEN ASSESSMENT TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS ON A REGIONAL LEVEL. THIS LARGER, CONCERTED APPROACH WILL LEVERAGE COMMON STRENGTHS AND STRATEGIES TO MOVE IN THE SAME DIRECTION ON SIGNIFICANT HEALTH CONCERNS. THE 2019 ASSESSMENT PROCESS BUILDS ON THE METHODOLOGY DEVELOPED DURING THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. IT INCLUDES MORE THAN 140 HOSPITAL AND COMMUNITY DATA INDICATORS. THIS DATA WAS COMPARED TO THE NATION AND PAST PERFORMANCE AND USED TO IDENTIFY THE SIX ASSESSED HEALTH ISSUES (AHI): CANCER, LUNG DISEASE, CARDIOVASCULAR DISEASE, MENTAL HEALTH, DIABETES, AND ORAL HEALTH. LOCAL STAKEHOLDERS UTILIZED A COMBINATION OF PUBLIC HEALTH AND HOSPITAL DATA, ALONG WITH A COMMUNITY SURVEY DATA, TO PRIORITIZE THE AHI BASED ON FEASIBILITY AND COMMUNITY READINESS. THIS PRIORITIZATION PROCESS RESULTED IN THREE PRIORITIES FOR THE SPRINGFIELD COMMUNITY: LUNG DISEASE, CARDIOVASCULAR DISEASE AND MENTAL HEALTH. ALTHOUGH OTHER AHI WERE IDENTIFIED AS HEALTH ISSUES FOR THE SPRINGFIELD COMMUNITY, RESOURCES WOULD BE DILUTED IN AN EFFORT TO ADDRESS SEVERAL HEALTH ISSUES, THUS MINIMIZING THE ABILITY TO CREATE MEANINGFUL IMPACT. BY PRIORITIZING THE AHI BY FEASIBILITY AND COMMUNITY READINESS, THE COMMUNITY WILL BE ABLE TO HAVE A GREATER IMPACT ON OVERALL COMMUNITY HEALTH THROUGH EFFICIENT AND EFFECTIVE RESOURCE ALLOCATION. 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 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. true MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 65102 430898947 501(C)(3) 98539 COMM BENEFIT COX-MONETT HOSPITAL INC 801 N LINCOLN MONETT MO 65708 431656689 501(C)(3) 32110 COMM BENEFIT 2 CHILDREN'S MIRACLE NETWORK -SPECIAL NEEDS GRANT 3001 113535 CHILDREN'S MIRACLE NETWORK -FAMILY CARE GRANTS 53 101571 CHILDREN'S MIRACLE NETWORK -COMMUNITY OUTREACH GRA 53958 58101 CHILDREN'S MIRACLE NETWORK -LESTER E COX MC GRANTS 61246 270630 CHILDREN'S MIRACLE NETWORK -OTHER GRANTS 34394 390568 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: 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 2021, MORE THAN 152,000 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $113,535 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: *KIDS CHECKS - $38,364 *MEAL TRAYS - $55,882 *MEAL VOUCHERS - $2,689 *GIFT CARDS - $16,600 FAMILY CARE GRANTS - $101,571 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $58,101 TOTAL *CARDIAC PROGRAM (A PORTION TO COX- MONETT HOSPITAL, INC.) - $25,101 *"NEVER SHAKE A BABY" PROGRAM - $15,000 *BICYCLE SAFETY PROGRAM - $7,000 *WASTED PROGRAM - $3,000 *WATER SAFETY PROGRAM - $2,000 *CAR SEAT SAFETY PROGRAM - $6,000 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $270,630 TOTAL *CHILD LIFE PROGRAM - $144,510 *C.A.R.E. MOBILE - $126,120 DISCRETIONARY AND OPEN FUNDS - $390,568 - 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: *ELECTROCARDIOLOGY - $15,454 *RESPIRATORY CARE - $75,191 *PEDIATRIC - $58,825 *MONETT ER - $18,601 *NICU - $54,953 *WOMEN & NEWBORN - $23,706 *CASE MANAGEMENT - $5,000 *BRANSON MATERNITY - $17,069 *MONETT REHAB/SPORTS MEDICINE - $9,311 *PEDRIATRIC SURGICAL SPECIALTIES - $42,443 *ACUTE CARE THERAPY - $19,208 *OUTPATIENT REHAB THERAPY - $8,100 *OUTPATIENT NEURO THERAPY - $39,420 *BRANSON ER - $3,287 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. X true true X X X X X false true false false false true false false false JACOB MCWAY EXEC VP AND CFO COXHEALTH 0 659023 0 143419 0 136002 0 180779 0 25776 0 1144999 0 124246 IBRAHIM ABE ABDALLA MD BOARD MEMBER 0 1266137 0 0 0 0 0 0 0 18915 0 1285052 0 0 PATRICIA DIX MD BOARD MEMBER 287502 0 0 0 6180 0 27250 0 17520 0 338452 0 0 0 STEVE EDWARDS PRESIDENT AND CEO COXHEALTH 0 1186103 0 358539 0 853374 0 291517 0 28183 0 2717716 0 840800 DAVID ZOLFAGHARI MD BOARD MEMBER 0 1201236 0 0 0 0 0 0 0 18915 0 1220151 0 0 ARMIN KAMYAB MD PHYSICIAN 933385 0 0 0 0 0 0 0 8278 0 941663 0 0 0 GREGORY STAMPS MD PHYSICIAN 585733 0 0 0 1290 0 33750 0 17475 0 638248 0 0 0 LOUIS KRENN MD PHYSICIAN 678091 0 0 0 450 0 14025 0 18918 0 711484 0 0 0 ARIJIT CHOWDHURY MD PHYSICIAN 587085 0 0 0 300 0 14025 0 18893 0 620303 0 0 0 MIMI PROPST MD PHYSICIAN 601115 0 0 0 233 0 14025 0 17339 0 632712 0 0 0 ROBERT FERGUSON VP CMG END 4/21 331046 0 19933 0 1980 0 14250 0 8572 0 375781 0 0 0 KAREN KRAMER SVP, PRESIDENT SPRINGFIELD HOS 384743 0 19596 0 1925 0 33250 0 8563 0 448077 0 0 0 JEFF HAWKINS VP CLINICAL SERVICES 207918 0 12768 0 1925 0 11276 0 19275 0 253162 0 0 0 AMANDA HEDGPETH VP OF HOSPITAL OPERATIONS 224698 0 11717 0 262 0 11911 0 8297 0 256885 0 0 0 GENICE MAROC VP CLINICAL SERVICES 220107 0 12643 0 1980 0 0 0 9348 0 244078 0 0 0 FRANK ROMERO VP MEDICAL AFFAIRS END 3/21 384139 0 55236 0 690 0 14250 0 18958 0 473273 0 0 0 DAVID STRONG VP HOSPITAL REVENUE AND CFO CM 150080 150080 20858 20857 17800 17801 31543 31542 9526 9526 229807 229806 17173 17173 SHAWN USERY VP MEDICAL AFFAIRS BEG 4/21 438878 0 0 0 262 0 7125 0 18887 0 465152 0 0 0 ASHLEY CASAD VP, CLINICAL SERVICES SHG 187106 0 0 0 213 0 9443 0 4541 0 201303 0 0 0 ELLEN HAMMOCK VP CMG BEG 4/21 170856 0 0 0 300 0 5320 0 13625 0 190101 0 0 0 SCHEDULE J, PART I, LINE 1A 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, 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 $277,267. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $840,800. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $147,029. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $124,246, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $30,375. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $34,346, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A FORM 990. SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON THE 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 ARMIN KAMYAB, 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; AND FORM 990, PART VII 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. A HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 2017-08-29 4692000 CAPITAL EQUIPMENT FINANCING false false false B HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 60637AHS4 2015-04-22 142209927 REFINANCE 80% 2008A false false false C HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 60635R5B9 2008-10-15 35000000 NEW INFRASTRUCTURE & EQUIPMENT false false false A 2600713 0 4692000 0 0 0 90350 0 0 4601650 0 0 2017 false false true true B 0 0 142215222 0 0 0 1326793 0 0 140826285 62144 0 2015 false true true true C 1175000 0 35028548 0 421299 0 271292 803381 0 33531939 0 0 2012 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false true false false 0.01070 0.01070 false false false true C false true false false 0 false false false true A false true false false false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true A true B true C true SCHEDULE K, GROUP 1, PART II, LINE 3, COLUMNS B, C TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS OF THE ISSUE EXCEEDED THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 09/30/2021. SCHEDULE K, GROUP 1, PART II, LINE 11, COLUMN C OTHER PROCEEDS SPENT: THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. SCHEDULE K, GROUP 1, PART IV, LINE 2C, COLUMNS B, C DATE REBATE COMPUTATION WAS PERFORMED: REBATE CALCULATION/ANALYSIS WERE COMPLETED AS FOLLOWS: -BOND SERIES ISSUE B ON 04/30/2020 -BOND SERIES ISSUE C ON 11/20/2018 A HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 60637AEA6 2013-04-17 215764755 NEW INFRASTRUCTURE/ CURRENT REFUND false false false B HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 60637ANY4 2019-04-17 120260000 NEW INFRASTRUCTURE & EQUIPMENT false false false C HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 60636G1A8 2008-10-15 70000000 NEW INFRASTRUCTURE & EQUIPMENT false false false A 5870000 0 216278348 0 16377190 0 2222341 0 0 167958089 29720728 0 2015 true false true true B 0 0 120308278 0 0 0 716079 0 0 0 108812892 10779307 true false false true C 0 0 70469521 0 783050 0 501052 2121540 0 67063879 0 0 2012 false false true true A false true false false 0.01050 0.01050 false false false true B false true false false 0.01030 0.01030 false false false true C false true false false 0 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false false false true true false 0 false 0 false true A true B true C true SCHEDULE K, GROUP 2, PART II, LINE 3, COLUMNS A, B, C TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS OF THE ISSUE EXCEEDED THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 09/30/2021. SCHEDULE K, GROUP 2, PART II, LINE 11, COLUMNS A, B OTHER PROCEEDS SPENT: THE OTHER SPENT PROCEEDS RELATE TO THE ADVANCE REFUNDING PROCEEDS OF THE ISSUE. SCHEDULE K, GROUP 2, PART IV, LINE 2C, COLUMNS A, C DATE REBATE COMPUTATION WAS PERFORMED: REBATE CALCULATION/ANALYSIS WERE COMPLETED AS FOLLOWS: -BOND SERIES ISSUE A ON 03/20/2018 -BOND SERIES ISSUE C ON 11/19/2018 VICKI HOCKENSMITH S EDWARDS SEE PART V 112492 WAGES AND BENEFITS false TERRY HAMMER S EDWARDS SEE PART V 90922 WAGES AND BENEFITS false LISA ESPY K KRAMER - SEE PART V 41322 WAGES false BETTY EDWARDS S EDWARDS - SEE PART V 23953 RETIREMENT BENEFITS false CONNIE ROMERO F ROMERO - SEE PART V 110064 WAGES AND BENEFITS false ANDREW HEDGPETH A HEDGPETH - SEE PART V 282518 WAGES AND BENEFITS false JEFF HAWKINS A HEDGPETH - SEE PART V 233887 WAGES AND BENEFITS false AMANDA HEDGPETH J HAWKINS - SEE PART V 248588 WAGES AND BENEFITS false LISA HEDGPETH A HEDGPETH - SEE PART V 26998 WAGES AND BENEFITS false JOSH HAWKINS J HAWKINS - SEE PART V 99101 WAGES AND BENEFITS false MEREDITH BARTELT G MAROC - SEE PART V 51024 WAGES AND BENEFITS false SCHEDULE L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (1,2,4)STEVE EDWARDS, CEO, HAS THREE FAMILY MEMBERS WHO WORK FOR OR RECEIVE RETIREMENT BENEFITS FROM LESTER E. COX MEDICAL CENTERS. VICKI HOCKENSMITH IS HIS SISTER, TERRY HAMMER IS HIS BROTHER-IN-LAW, AND BETTY B. EDWARDS IS HIS MOTHER. (3)KAREN KRAMER'S SISTER, LISA ESPY, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND KAREN IS VICE PRESIDENT AND CHIEF NURSING OFFICER. (5)FRANK ROMERO'S WIFE, CONNIE ROMERO, IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS AND FRANK IS VICE PRESIDENT OF MEDICAL AFFAIRS. (6,7,8,9,10) ANDREW HEDGPETH IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS AND AMANDA HEDGPETH IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS AND ARE MARRIED. THERE ARE THREE ADDITIONAL FAMILY MEMBERS WHO ARE EMPLOYEES OF LESTER E. COX MEDICAL CENTERS. JEFF HAWKINS, VICE PRESIDENT OF CLINICAL SERVICES, IS AMANDA HEDGPETH'S UNCLE. LISA HEDGPETH, AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, IS ANDREW HEDGPETH'S MOTHER. JOSH HAWKINS, AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, IS JEFF HAWKIN'S SON. (11) MEREDITH BARTELT IS THE DAUGHTER OF GENICE MAROC, VP, AND IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS. FORM 990, PART III, LINE 2 NEW PROGRAM SERVICES: EFFECTIVE JULY 31, 2021, COX COLLEGE BECAME A DEPARTMENT OF MEDICAL CENTERS AND IS NO LONGER A SEPARATE ENTITY. ACTIVITY FROM AUGUST 1, 2021 THROUGH SEPTEMBER 30, 2021 HAS BEEN INCLUDED ON THIS RETURN AS WELL AS BALANCES AS OF SEPTEMBER 30, 2021. FORM 990, PART III, LINE 4B ADDITIONAL INFORMATION ABOUT PHYSICIAN CARE: 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. FORM 990, PART III, LINE 4C EXEMPT PURPOSE ACHIEVEMENTS - ADDITIONAL INFORMATION ABOUT HOME CARE: OXFORD SUPPORTS THE COMMUNITY THROUGH THEIR ASSOCIATION SUPPORT (I.E. ALZHEIMER'S ASSOCIATION, DIABETES ASSOCIATION, HEART ASSOCIATION, ETC,) THEY WORK DILIGENTLY TO RAISE FUNDS FOR PATIENTS THROUGH DONATIONS FROM THEIR EMPLOYEES AND A COMMUNITY WIDE FAN DRIVE FOR PATIENTS WITHOUT AIR CONDITIONING. HOME SUPPORT HAS PROVIDED DURABLE MEDICAL EQUIPMENT AND SERVICES TO PATIENTS IN SOUTHWEST MISSOURI FOR OVER 30 YEARS AND AS THE COMPANY HAS GROWN IT HAS STEADILY BECOME MORE INVOLVED IN AN EFFORT TO BETTER MEET THE NEEDS OF THE COMMUNITY AS A WHOLE. THE STAFF SUPPORT THEIR PATIENTS AND FAMILIES IN MANY WAYS BY CONTACTING HOME HEALTH CARE AGENCIES, DIVISION OF AGING AND OTHER LOCAL CHARITIES. THEY REGULARLY DONATE MEDICAL EQUIPMENT TO CONVOY OF HOPE AND OTHER AGENCIES THAT SUPPORT DISASTER AND RELIEF EFFORTS BOTH LOCALLY AND ABROAD. COMMUNITY BENEFIT ACTIVITIES INCLUDE DONATED EMPLOYEE TIME AND PARTS TO INSTALL AN OVERHEAD LIFT FOR AN ORGANIZATION CALLED "HORSES OF HOPE" THAT AIDS IN HELPING DISABLED PATIENTS RIDE HORSES. 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 $ 229,011,941 CMC $ 260,018,950 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 $ 147,310 CMC $ 151,284 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 $ 5,254,033 CMC $ 6,310,862 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 $ 2,124,049 CMC $ 5,812,371 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: $ 236,537,333 CMC $ 272,293,467 SYSTEM-WIDE ECONOMIC IMPACT RESTRICTED FOUNDATION GRANTS $ 4,334,547 CMC $ 4,353,674 SYSTEM-WIDE THIS FIGURE INCLUES GRANTS TO ORGANIZATIONS IN THE COMMUNITY FOR SPECIFIC RESTRICTED REQUESTS. REAL ESTATE AND PROPERTY TAXES $ 1,157,098 CMC $ 1,328,935 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 $ 99,610,829 CMC $ 125,813,636 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 $ 604,882,540 CMC $ 758,285,180 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 13,100 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: $ 709,985,014 CMC $ 890,781,425 SYSTEM-WIDE TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 946,522,348 CMC $ 1,163,074,892 SYSTEM-WIDE 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, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: JAN BAUMGARTNER, ROBERT FULP, AND LARRY LIPSCOMB SHARE A BUSINESS RELATIONSHIP. BOARD MEMBERS WHO RECEIVE COMPENSATION, OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED BY COXHEALTH AND ITS AFFILIATES AND THEREFORE SHARE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: 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, SECTION B, LINE 11B 990 REVIEW POLICY: 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, SECTION B, LINE 12C MONITORING COMPLIANCE WITH 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. FOR VENDORS, THE POLICY IS DISTRIBUTED WITH THEIR INITIAL CONTRACT WITH LESTER E. COX MEDICAL CENTERS. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW POLICY: 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, SECTION C, LINE 19 DOCUMENT DISCLOSURE: 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 VII, SECTION A BOARD MEMBER COMPENSATION: DRS. DIX, ZOLFAGHARI, AND ABDALLA ARE RECEIVING COMPENSATION RELATED TO THEIR ROLES AS EMPLOYEES UNDER COXHEALTH AND RELATED AFFILIATES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. FORM 990, PART XI, LINE 9 OTHER CHANGES TO NET ASSETS: $ 43,992,131 DEFINED BENEFIT PENSION PLAN LOSS & SETTLEMENT 123,026 CHANGE IN BENEFICIAL INTEREST IN TRUST 9,072,802 CHANGE IN NET ASSETS OF SUBSIDIARIES 14,987,188 TRANSFER OF COX COLLEGE NET ASSETS ------------- $ 68,175,147 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED AFFILIATE SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICAL REMUNERATION TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:47820510 FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIA SERVICES TOTAL FEES:10432317 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED LAB SERVICES TOTAL FEES:9679179 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:7529129 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING/COLLECTIONS SERVICES TOTAL FEES:3593468 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:2924344 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:2792172 FORM 990 PART IX LINE 11G DESCRIPTION:HOUSEKEEPING/ LAUNDRY TOTAL FEES:2471112 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY FEES TOTAL FEES:1818253 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL DIRECTOR TOTAL FEES:1676103 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED MANAGEMENT SERVICES TOTAL FEES:745517 FORM 990 PART IX LINE 11G DESCRIPTION:COURIER TOTAL FEES:396733 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:260755 FORM 990 PART IX LINE 11G DESCRIPTION:RADIOLOGY TOTAL FEES:220135 FORM 990 PART IX LINE 11G DESCRIPTION:COLLEGE PROFESSIONAL SERVICES TOTAL FEES:101827 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 COXHLTH INNV COXHEALTH INNOVATIONS LLC 3850 S NATIONAL SPRINGFIELD MO 65807 271117213 MANAGEMENT MO 0 0 LESTER E COX COXHEALTH FOUNDATION 3525 S NATIONAL SUITE 204 SPRINGFIELD MO 65807 436810485 FUNDRAISING MO 501(C)(3) 12 A I LESTER E COX true COX-MONETT HOSPITAL INC 801 N LINCOLN MONETT MO 65708 431656689 HOSPITAL MO 501(C)(3) 3 LESTER E COX 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 true PRIMROSE PLACE INC 1115 E PRIMROSE SPRINGFIELD MO 65807 431183783 SUPPORT MO 501(C)(3) 12 A I LESTER E COX true LESTER E COX MED CTRPROF LIAB LOSS FUND 1423 N JEFFERSON SPRINGFIELD MO 65802 366668576 SELF INSURANC MO 501(C)(3) 12 A I LESTER E COX 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 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 true COXHEALTH 1423 N JEFFERSON SPRINGFIELD MO 65802 471087427 HOLDING CO MO 501(C)(3) 12 B 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 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 true COX COLLEGE 1423 N JEFFERSON SPRINGFIELD MO 65802 475148345 EDUCATION MO 501(C)(3) 2 LESTER E COX true MEDICAL DEVELOPMENTS INC 1423 N JEFFERSON SPRINGFIELD MO 65802 431622182 PHARMACY MO LESTER E COX C CORP 4683600 8174908 1.00000 true COX TAXABLE CLOSE CORPORATION 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 472573263 MEDICAL CLINIC MO COX MED GROUP C CORP 0 0 0.00000 false FERRELL-DUNCAN CLINIC INC 1001 E PRIMROSE SPRINGFIELD MO 65808 430991578 PHYSICIANS MO CTCC C CORP 0 0 0.00000 false COXHEALTH RISK SOLUTIONS GRAND PAVILLION CORPORATE CENTRE KY GRAND CAYMAN CJ CAPTIVE INSURANCE CJ LESTER E COX C CORP 7650314 13665520 1.00000 true false true true false false false false false false false true false false false false true true true true COXHEALTH FOUNDATION C 371479 COST COX COLLEGE K 858870 COST COX-MONETT HOSPITAL INC K 105975 COST MEDICAL DEVELOPMENTS INC K 177495 COST COX HEALTH SYSTEMS HMO INC P 4130927 COST COXHEALTH P 175371212 COST SKAGGS COMM HOSP ASSOC DBA MED CTR BRNSN P 5271863 COST COXHEALTH RISK SOLUTIONS P 7313137 COST COX-MONETT HOSPITAL INC P 1484878 COST COX-MONETT HOSPITAL INC Q 38810613 COST SKAGGS COMM HOSP ASSOC DBA MED CTR BRNSN Q 76734156 COST COX COLLEGE Q 12527761 COST COXHEALTH Q 188689219 COST COXHEALTH SYSTEMS HMO INC Q 5856693 COST MEDICAL DEVELOPMENTS INC Q 211838 COST COX BARTON COUNTY HOSPITAL Q 11396897 COST HC SVCS OZARKS INC DBA COXHEALTH AT HOME Q 21325805 COST FERRELL DUNCAN CLINIC INC Q 5710401 COST COX MEDICAL GROUP Q 721151 COST HC SVCS OZARKS INC DBA COXHEALTH AT HOME R 2733574 COST COXHEALTH R 841482 COST HC SVCS OZARKS INC DBA COXHEALTH AT HOME S 87870 COST MEDICAL DEVELOPMENTS INC S 13025326 COST COX COLLEGE S 14987188 COST