COX-MONETT HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: COX-MONETT HOSPITAL INC (EIN 43-1656689)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-14
IRS object ID: 202522269349301912
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-14T11:19:08+00:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	431656689	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COX-MONETT HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COX-	BusinessNameControlTxt
Phone	4172353144	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 E US Hwy 60	AddressLine1Txt
City	Monett	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65708	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAKE MCWAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4172353144	PhoneNum
Signature	2025-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum
Preparation	2025-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 E US Hwy 60	AddressLine1Txt
City	Monett	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65708	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$70,965,415	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	1993	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION PROVIDES QUALITY HEALTHCARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	578	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$577,524	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,334,273	PYContributionsGrantsAmt
CY Contributions Grants	$153,455	CYContributionsGrantsAmt
PY Program Service Revenue	$67,360,132	PYProgramServiceRevenueAmt
CY Program Service Revenue	$69,687,575	CYProgramServiceRevenueAmt
PY Investment Income	$606,361	PYInvestmentIncomeAmt
CY Investment Income	$1,121,457	CYInvestmentIncomeAmt
CY Other Revenue	$2,928	CYOtherRevenueAmt
PY Total Revenue	$69,300,766	PYTotalRevenueAmt
CY Total Revenue	$70,965,415	CYTotalRevenueAmt
PY Grants And Similar Paid	$34,757	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$38,459	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$32,314,327	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$32,280,325	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,574,935	PYOtherExpensesAmt
CY Other Expenses	$32,937,573	CYOtherExpensesAmt
PY Total Expenses	$62,924,019	PYTotalExpensesAmt
CY Total Expenses	$65,256,357	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,376,747	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,709,058	CYRevenuesLessExpensesAmt
Total Assets BOY	$91,050,703	TotalAssetsBOYAmt
Total Assets EOY	$97,555,229	TotalAssetsEOYAmt
Total Liabilities BOY	$43,610,976	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$43,407,445	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$47,439,727	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$54,147,784	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$25,079,908	ExpenseAmt
Grant	$38,459	GrantAmt
Revenue	$33,798,814	RevenueAmt
Desc	INPATIENT AND OUTPATIENT SERVICES PROVIDED AT THE MONETT FACILITY MAKE UP THE ORGANIZATION'S LARGEST PROGRAM SERVICE ACTIVITY. USERS ARE ABLE TO SAVE TIME AND MONEY BY SEEING SPECIALISTS IN THEIR COMMUNITY. SERVICES INCLUDE PULMONOLOGY, ENT (EAR, NOSE AND THROAT), ORTHOPEDICS, CARDIOLOGY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE, ULTRASOUND AND MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY CENTER, GENERAL SURGICAL SERVICES, SAME-DAY SURGERY, DIABETES CENTER, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL-SURGICAL UNIT, PHARMACY AND COMMUNITY WELLNESS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$11,026,854	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$14,860,285	RevenueAmt
Desc	SERVICES PROVIDED AT THE HOSPITAL'S NETWORK OF RURAL HEALTH CLINICS MAKE UP THE SECOND LARGEST PROGRAM SERVICE ACTIVITY. DURING THE YEAR THESE CLINICS SAW 50,764 PATIENT VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,904,968	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,567,221	RevenueAmt
Desc	REHABILITATION SERVICES PROVIDED THROUGH COX-MONETT CREATE THE THIRD LARGEST PROGRAM SERVICE ACTIVITY. THE TEAM MEMBERS AT THIS FACILITY ARE THE EXPERTS IN HUMAN MOTION. SERVICES INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, ATHLETIC TRAINING AND SPORTS MEDICINE. WHETHER ONE IS SUFFERING FROM BACK PAIN OR RECOVERING FROM A TOTAL JOINT REPLACEMENT, THERE ARE SERVICES TO GET THE PATIENT BACK ON THEIR FEET QUICKLY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$51,710,630	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	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	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	578	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	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	false	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	JOSHUA POWELL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4172353144	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 E US Hwy 60	AddressLine1Txt
City	Monett	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65708	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HAL L HIGDON
CHAIR	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
BRAD E ERWIN
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
JEFFERSON M TYNES
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
LARRY W LIPSCOMB
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
ROBERT C FULP
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
SALLY HARGIS
BOARD MEMBER	1.0	5.0	Yes (X)		$0	$0	$0
ANDREA MCKAY
PRESIDENT	20.0	20.0		Yes (X)	$155,917	$155,917	$24,381
JACOB M MCWAY
EVP, COXHEALTH CFO	1.0	48.0		Yes (X)	$0	$1,311,928	$221,113
MAX D BUETOW
PRESIDENT & CEO	1.0	50.0		Yes (X)	$0	$1,617,479	$305,452
VICKIE J NELSON
SECRETARY	1.0	45.0		Yes (X)	$0	$80,046	$11,742
Ali H Amro
Physician	40.0	0			$870,277	$0	$33,250	Yes (X)
David L Matlock
Physician	40.0	0			$372,414	$0	$12,107	Yes (X)
Megan A Carter
Physician	40.0	0			$374,572	$0	$25,515	Yes (X)
Stephen Hudson
Physician	40.0	0			$498,290	$0	$34,105	Yes (X)
William W Goodman
Physician	40.0	0			$501,225	$0	$17,605	Yes (X)
DARREN BASS
FORMER PRESIDENT	0.0	40.0			$133,885	$0	$12,064		Yes (X)
STEVE EDWARDS
FORMER PRESIDENT & CEO	0.0	0.0			$0	$718,423	$34,105		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,906,580	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,883,793	TotReportableCompRltdOrgAmt
Total Other Compensation	$731,439	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	52	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
FERRELL DUNCAN INC
1001 E PRIMROSE ST	SPRINGFIELD	MO	65807	PHYSICIAN SERVICES	$1,212,979
SHIFTWISE
PO BOX 70870	ST PAUL	MN	551709705	STAFFING	$600,365
BAXLEY ANESTHETICS
10850 COUNTY LN 253	WEBB CITY	MO	64870	ANESTHESIA SERVICES	$536,097
JOHNSON VORHEES AND MARTUCCI
444 S CAMPBELL AVE	SPRINGFIELD	MO	65806	LEGAL SERVICES	$400,000
360 DEGREE MEDICINE
800 STATE HWY 248 STE 2E	BRANSON	MO	65616	STAFFING	$394,375

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Related Organizations	$83,779	RelatedOrganizationsAmt
All Other Contributions	$69,676	AllOtherContributionsAmt
Total Contributions	$153,455	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	900099	$67,693,190	$67,693,190
RETAIL PHARMACY REVENUE	446610	$1,588,417	$1,010,893	$577,524
OTHER REVENUE	900099	$405,968	$405,968

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$69,687,575	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,121,447	TotalRevenueColumnAmt
Exclusion	$1,121,447	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,928	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,928	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,928	TotalRevenueColumnAmt
Exclusion	$2,928	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$10	OtherAmt

Gain Or Loss GainOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10	TotalRevenueColumnAmt
Exclusion	$10	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,965,415	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69,110,051	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$577,524	UnrelatedBusinessRevenueAmt
Exclusion	$1,124,385	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	$38,459	TotalAmt
Program Services	$38,459	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$168,107	TotalAmt
Management And General	$168,107	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$145,949	TotalAmt
Management And General	$145,949	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$26,995,815	TotalAmt
Program Services	$25,829,512	ProgramServicesAmt
Management And General	$1,166,303	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$918,870	TotalAmt
Program Services	$883,877	ProgramServicesAmt
Management And General	$34,993	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,249,532	TotalAmt
Program Services	$2,138,402	ProgramServicesAmt
Management And General	$111,130	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,802,052	TotalAmt
Program Services	$1,705,885	ProgramServicesAmt
Management And General	$96,167	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$95	TotalAmt
Management And General	$95	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$13,991	TotalAmt
Management And General	$13,991	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,584,599	TotalAmt
Program Services	$7,704,828	ProgramServicesAmt
Management And General	$7,879,771	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,917	TotalAmt
Program Services	$4,903	ProgramServicesAmt
Management And General	$5,014	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,207,108	TotalAmt
Program Services	$597,282	ProgramServicesAmt
Management And General	$609,826	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$379,513	TotalAmt
Program Services	$187,626	ProgramServicesAmt
Management And General	$191,887	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$778,601	TotalAmt
Program Services	$384,930	ProgramServicesAmt
Management And General	$393,671	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$221,640	TotalAmt
Program Services	$109,576	ProgramServicesAmt
Management And General	$112,064	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,533	TotalAmt
Program Services	$3,724	ProgramServicesAmt
Management And General	$3,809	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,489,424	TotalAmt
Program Services	$736,352	ProgramServicesAmt
Management And General	$753,072	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,074,886	TotalAmt
Program Services	$1,520,185	ProgramServicesAmt
Management And General	$1,554,701	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$256,265	TotalAmt
Program Services	$126,694	ProgramServicesAmt
Management And General	$129,571	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$7,741,566	$7,741,566
STATE PROVIDER TAX	$1,825,121	$1,825,121
RECRUITING & RETENTION	$228,383	$112,910	$115,473
LICENSES, DUES, SUBSCRIPTION	$99,715	$49,298	$50,417

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,216	TotalAmt
Program Services	$9,500	ProgramServicesAmt
Management And General	$9,716	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$65,256,357	TotalAmt
Program Services	$51,710,630	ProgramServicesAmt
Management And General	$13,545,727	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$198,897	BOYAmt
EOY	$238,745	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,168,679	BOYAmt
EOY	$25,407,133	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,273,168	BOYAmt
EOY	$7,271,182	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$438,094	BOYAmt
EOY	$634,788	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$64,658	BOYAmt
EOY	$147,405	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$62,806,354	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,108,571	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$42,631,481	BOYAmt
EOY	$40,697,783	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,275,726	BOYAmt
EOY	$23,158,193	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$91,050,703	BOYAmt
EOY	$97,555,229	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,985,709	BOYAmt
EOY	$2,990,315	EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$36,948,311	BOYAmt
EOY	$36,796,122	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,676,956	BOYAmt
EOY	$3,621,008	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,610,976	BOYAmt
EOY	$43,407,445	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$47,439,727	BOYAmt
EOY	$54,147,784	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$47,439,727	BOYAmt
EOY	$54,147,784	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$91,050,703	BOYAmt
EOY	$97,555,229	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,709,058	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$998,999	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$10,562	OtherActivitiesAmt
Total Lobbying Expenditures	$10,562	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A PORTION OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION IS USED FOR LOBBYING PURPOSES. IN FY 2024, THIS AMOUNT WAS $10,562.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$791,024	OtherCostOrOtherBasisAmt
Book Value	$791,024	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,656,430	OtherCostOrOtherBasisAmt
Depreciation	$8,308,095	DepreciationAmt
Book Value	$19,348,335	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,706	OtherCostOrOtherBasisAmt
Depreciation	$38,706	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,550,313	OtherCostOrOtherBasisAmt
Depreciation	$12,254,731	DepreciationAmt
Book Value	$18,295,582	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,769,881	OtherCostOrOtherBasisAmt
Depreciation	$1,507,039	DepreciationAmt
Book Value	$2,262,842	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$40,697,783	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATE	$19,116,100
DUE FROM THIRD-PARTY PAYERS	$3,775,435
DEPOSITS	$202,888
OTHER RECEIVABLES	$63,770

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$23,158,193	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
EST AMT DUE TO 3RD PARTY	$2,172,048
ESTIMATED INSURANCE COSTS	$1,448,960

Field	Value	IRS element (for citing)
Total Liability	$3,621,008	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS:	FormAndLineReferenceDesc
Explanation	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	false	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$2,149,804	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,149,804	NetCommunityBenefitExpnsAmt
Total Expense	0.0329	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,223,409	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,582,693	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$640,716	NetCommunityBenefitExpnsAmt
Total Expense	0.0098	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	$14,373,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,582,693	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,790,520	NetCommunityBenefitExpnsAmt
Total Expense	0.0428	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,822,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,539,067	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,283,332	NetCommunityBenefitExpnsAmt
Total Expense	0.0810	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$243,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$243,991	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,459	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,459	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,104,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,539,067	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,565,782	NetCommunityBenefitExpnsAmt
Total Expense	0.0853	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$27,478,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,121,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,356,302	NetCommunityBenefitExpnsAmt
Total Expense	0.1281	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	$6,923,348	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,073,119	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$26,385,560	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$27,413,684	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,028,124	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COX-MONETT HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 E US HIGHWAY 60	AddressLine1Txt
City	MONETT	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65708	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.COXHEALTH.COM	WebsiteAddressTxt
State License	389-31	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

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

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - COX-MONETT HOSPITAL, INC. COMMUNITY INPUT: IN 2021, ORGANIZATIONS ACROSS THE OZARKS RECONVENED UNDER THE UMBRELLA OF THE OZARKS HEALTH COMMISSION (OHC) TO ASSESS THE HEALTH NEEDS OF OUR REGION. THE OHC REGION INCLUDES 30 COUNTIES LOCATED WITHIN THE STATES OF MISSOURI, KANSAS AND OKLAHOMA. IT IS CENTERED IN SOUTHWEST MISSOURI, AND REPRESENTS THE COMBINED SERVICE AREAS OF OHC REGION HEALTHCARE PARTNERS COXHEALTH, FREEMAN HEALTH SYSTEM, AND MERCY HOSPITALS. SEVEN MULTI-COUNTY COMMUNITIES WERE DEFINED BASED ON HOSPITAL SERVICE AREAS AND NAMED FOR A MAJOR CITY WITHIN THE COMMUNITY: BOLIVAR, BRANSON, JOPLIN, LEBANON, MONETT, MOUNTAIN VIEW, AND SPRINGFIELD. THE 2022 REGIONAL HEALTH ASSESSMENT (RHA) BUILDS UPON THE SUCCESS OF THE 2016 AND 2019 RHAS TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE POPULATIONS AND COMMUNITIES SERVED. THIS ASSESSMENT TAKES A COMPREHENSIVE, DATA-DRIVEN APPROACH TO LOOK AT THE HEALTH CHARACTERISTICS AND BEHAVIORS OF RESIDENTS IN THE OHC REGION BY PRESENTING MORE THAN 200 PUBLIC HEALTH AND EMERGENCY ROOM UTILIZATION DATA INDICATORS INCLUDING DEMOGRAPHICS, HEALTH MORBIDITY AND MORTALITY, HEALTH STATUS AND BEHAVIORS, AND SOCIAL DETERMINANTS OF HEALTH. THE OHC STEERING COMMITTEE ELECTED TO UTILIZE CONSULTATIVE SERVICES TO ACQUIRE RELIABLE AND REPRESENTATIVE INPUT FROM THE 30- COUNTY OHC REGION. TO THAT END, A CONSULTING FIRM WAS HIRED TO GATHER BOTH QUANTITATIVE AND QUALITATIVE DATA THROUGH 3 AVENUES: COMMUNITY SURVEYS, FOCUS GROUPS AND INTERVIEWS. THE PROCESS RESULTED IN THE IDENTIFICATION OF THE FOLLOWING HEALTH PRIORITIES: JOPLIN COMMUNITY (ENCOMPASSES COX BARTON COUNTY HOSPITAL SERVICE AREA): MENTAL HEALTH, DIABETES, LUNG DISEASE, HEART DISEASE; SPRINGFIELD, BRANSON AND MONETT COMMUNITIES: MENTAL HEALTH, SUBSTANCE USE AND RECOVERY, DIABETES. ALL COMMUNITIES IDENTIFIED COVID-19 AS A SPECIAL HEALTH ISSUE. ADDITIONALLY, INDICATORS THAT COULD IMPACT MULTIPLE ASSESSED HEALTH ISSUES, REFERRED TO HERE AS SOCIAL DETERMINANTS OF HEALTH, WERE NOTED IN EVERY COMMUNITY. BROADLY, THESE SOCIAL DETERMINANTS OF HEALTH FALL INTO SIX CATEGORIES: ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, HEALTHCARE ACCESS AND QUALITY, NEIGHBORHOOD AND BUILT ENVIRONMENT, SOCIAL AND COMMUNITY CONTEXT, AND HEALTH BEHAVIORS. THE OHC HIGHLIGHTED KEY FACTORS AND POPULATIONS OF INTEREST WITH DISPARATE NEEDS, CHALLENGES AND GREATER VULNERABILITY THAN COMPARABLE AREAS WITH THE SAME POPULATION IN OTHER COUNTIES. HISTORICALLY DISENFRANCHISED POPULATIONS, SUCH AS PEOPLE IN POVERTY, MINORITIES AND THE ELDERLY, OFTEN EXPERIENCE HIGHER RATES OF CHRONIC ILLNESS AND WORSE HEALTH OUTCOMES, DUE TO A MULTITUDE OF STRUCTURAL AND ENVIRONMENTAL FACTORS. THIS CAN LEAD TO HEALTH DISPARITIES BETWEEN VARIOUS SOCIOECONOMIC CLASSES AND/OR DEMOGRAPHIC GROUPS. THE PRIORITIZATION OF ASSESSED HEALTH ISSUES PROCESS INCLUDED THE FOLLOWING COMMUNITY STAKEHOLDERS. SPRINGFIELD COMMUNITY: -COXHEALTH -MERCY -SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT -COMMUNITY PARTNERSHIP OF THE OZARKS -COMMUNITY FOUNDATION OF THE OZARKS -OZARKS REGIONAL YMCA -GLO CENTER -MISSOURI STATE UNIVERSITY -SPRINGFIELD PUBLIC SCHOOLS -BURRELL BEHAVIORAL HEALTH -JORDAN VALLEY COMMUNITY HEALTH CENTER -OZARKS FOOD HARVEST -THE CONNECTING GROUNDS -BETTER LIFE IN RECOVERY -CATHOLIC CHARITIES OF SOUTHERN MISSOURI -HAND IN HAND MULTICULTURAL CENTER -PROMO MONETT COMMUNITY: -COXHEALTH -COX MONETT HOSPITAL -CLARK COMMUNITY MENTAL HEALTH CENTER -MOSWITCH -AURORA CHAMBER OF COMMERCE -LAWRENCE COUNTY HEALTH DEPARTMENT -MONETT SCHOOL DISTRICT -BARRY COUNTY HEALTH DEPARTMENT -DRURY UNIVERSITY -OACAC BRANSON COMMUNITY: -COXHEALTH -COX MEDICAL CENTER BRANSON -SKAGGS FOUNDATION -TANEY COUNTY AMBULANCE DISTRICT -TANEY COUNTY HEALTH DEPARTMENT -GIFT OF HOPE -FAITH COMMUNITY HEALTH -TABLE ROCK LAKE CHAMBER OF COMMERCE -STONE COUNTY HEALTH DEPARTMENT -CHRISTIAN ACTION MINISTRIES -JOPLIN COMMUNITY -COX BARTON COUNTY HOSPITAL -FREEMAN HEALTH -MERCY -UNITED WAY -MISSOURI HEALTH CARE FOR ALL -CITIZEN POTAWATOMI NATION -ONE JOPLIN -ALLIANCE OF SOUTHWEST MISSOURI -UNIVERSITY OF MISSOURI -ACCESS FAMILY CARE MEDICAL AND DENTAL CLINICS -CITY OF JOPLIN HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - COX-MONETT HOSPITAL, INC. 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 HOSPITALS. THE CHNA WAS ALSO CONDUCTED WITH RELATED ORGANIZATIONS COX MEDICAL CENTER BRANSON, COX BARTON COUNTY HOSPITAL AND COX MONETT HOSPITAL.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - COX-MONETT HOSPITAL, INC. CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL ORGANIZATIONS: -BURRELL BEHAVIORAL HEALTH -CHRISTIAN COUNTY HEALTH DEPARTMENT -CITY OF JOPLIN HEALTH DEPARTMENT -JASPER COUNTY HEALTH DEPARTMENT -LAWRENCE COUNTY HEALTH DEPARTMENT -SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT -TANEY COUNTY HEALTH DEPARTMENT -VERNON COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 7 Facility 1, 1	Facility 1, 1 - COX-MONETT HOSPITAL, INC. OTHER METHODS TO MAKE THE CHNA REPORT AVAILABLE TO THE PUBLIC: PRINTED COPIES ARE AVAILABLE BY REQUEST THROUGH HOSPITAL AND PUBLIC HEALTH PARTNERS. ELECTRONIC AND PRINTABLE VERSIONS ARE AVAILABLE AT COXHEALTH.COM AND OZARKSHEALTHCOMMISSION.ORG. NEWS RELEASE WAS HELD TO ENCOURAGE MEDIA COVERAGE WITH LINKS TO THE REPORT AND KEY MESSAGES FOR THE PUBLIC. CHNA OTHER WEBSITE: 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 - COX-MONETT HOSPITAL, INC. ADDRESSING IDENTIFIED NEEDS: 1. DECREASE HOSPITALIZATIONS RELATED TO COVID-19 -SUPPORT COMMUNITY INITIATIVES, INCLUDING INCREASE PERCENT OF FULLY VACCINATED INDIVIDUALS AS RECOMMENDED BY THE CDC 2. DECREASE TOBACCO AND VAPE USE RATES -INCREASE ACCESS TO CLINICAL EDUCATION AND TRAINING RELATED TO TOBACCO AND VAPE CESSATION 3. INCREASE AWARENESS OF SUBSTANCE USE PREVENTION AND TREATMENT RESOURCES -PROMOTE EDUCATION AND TRAINING RELATED TO SUBSTANCE USE (EXAMPLES: HARM REDUCTION, NALOXONE, MENTAL HEALTH FIRST AID) 4. INCREASE AWARENESS OF MENTAL HEALTH SERVICES -INCREASE ACCESS THROUGH ALTERNATIVE CARE MODELS -IMPLEMENT TRAUMA INFORMED CARE TRAINING AND EDUCATION 5. IMPROVE CHRONIC DISEASE SELF-MANAGEMENT -INCREASE REFERRALS TO SELF-MANAGEMENT EDUCATION -INCREASE ENROLLMENT IN CARE MANAGEMENT PROGRAMS -PROMOTE ACCESS TO SCHOOL-AGE PREVENTION EDUCATION AND CARE PROGRAMS 6. ENGAGE IN MULTI-SECTOR CARE COORDINATION TO REDUCE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES -IMPLEMENT COMMUNITY INFORMATION EXCHANGE PLATFORM
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - COX-MONETT HOSPITAL, INC. 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 13 Facility 1, 2	Facility 1, 2 - COX-MONETT HOSPITAL, INC. 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 IINCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility 1, 1	Facility 1, 1 - COX-MONETT HOSPITAL, INC. 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.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
COXHEALTH MONETT CLINIC
1000 E US HIGHWAY 60	MONETT	MO	65708	RURAL HEALTH CLINIC
COX REHAB AND SPORTS MEDICINE
700 E CLEVELAND AVENUE	MONETT	MO	65708	REHABILITATION
COX MONETT URGENT CARE
2200 E CLEVELAND AVENUE	MONETT	MO	65708	URGENT CARE
COXHEALTH SURGERY MONETT
1000 E US HIGHWAY 60	MONETT	MO	65708	CLINIC-GENERAL SURGERY
COXHEALTH CASSVILLE
75 SMITHSON DRIVE SUITE A	CASSVILLE	MO	65625	RURAL HEALTH CLINIC
COXHEALTH CENTER MT VERNON
10763 HWY 39 SUITE 200	MT VERNON	MO	65712	RURAL HEALTH CLINIC
COXHEALTH CENTER AURORA
106 COMMERCE DRIVE	AURORA	MO	65605	RURAL HEALTH CLINIC
COXHEALTH CENTER CRANE
102 CORTNEY LANE	CRANE	MO	65633	RURAL HEALTH CLINIC
COXHEALTH CENTER CASSIVILLE
75 SMITHSON DRIVE SUITE B	CASSVILLE	MO	65625	OUTPATIENT SERVICES

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 COSTING METHODOLOGY	THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1. COST COMPUTED ON IRS WORKSHEETS 3, 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 I, Line 7 PERCENT OF TOTAL EXPENSE	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER FORM 990.
Schedule H, Part I, Line 7g SUBSIDIZED SERVICES	THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTER (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $6,248,671. COX-MONETT HOSPITAL PROVIDES PRIMARY CARE SERVICES TO THE CASSVILLE COMMUNITY AT THE CENTER. THESE SERVICES ARE PROVIDED IN A RURAL AREA WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
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, 2024. 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 ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS 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 - COX-MONETT HOSPITAL, INC: Line 16a URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - COX-MONETT HOSPITAL, INC: Line 16b URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - COX-MONETT HOSPITAL, INC: 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 ENVIROMENTAL SCAN ANNUALLY SINCE 2006. COMMUNITY HEALTH NEEDS ASSESSMENTS AS REQUIRED BY THE IRS WERE COMPLETED IN 2022. COMMISSION STAKEHOLDERS BEGAN THE RHA PROCESS WITH ANALYSIS OF PUBLICLY AVAILABLE HEALTH DATA (SECONDARY DATA) AND PARTICIPATING HEALTH SYSTEMS' EMERGENCY ROOM UTILIZATION DATA (PRIMARY DATA) TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN ACROSS THE REGION. THE RESULT WAS A RANKED LIST OF EIGHT OZARKS HEALTH COMMISSION REGION HEALTH ISSUES. A FULL DESCRIPTION OF THE HEALTH ISSUES AND INDICATORS USED CAN BE FOUND IN THE OHC REGIONAL HEALTH ASSESSMENT. TO REPRESENT DIVERSE VIEWS FROM ACROSS THE REGION AND POPULATION, QUALITATIVE DATA WAS GARNERED. ACROSS THE OHC REGION, THESE VIEWPOINTS WERE SOLICITED VIA 75 INDIVIDUAL INTERVIEWS, 10 FOCUS GROUPS AND 2,638 SURVEYS. METHODOLOGIES USED FOR THE INITIAL SCORING/RANKING OF THE HEALTH ISSUES AND THE FULL REPORT OF THE QUALITATIVE WORK CAN BE FOUND IN THE OHC REGIONAL REPORT. THIS PRIORITIZATION INFORMATION CAN BE USED BY ORGANIZATIONS TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS, GUIDE DECISION-MAKING, AND FOSTER COLLABORATION ACROSS INITIATIVES. DURING SEPTEMBER AND OCTOBER 2021, FOUR INDIVIDUAL INTERVIEWS, IN ADDITION TO TEN VIRTUAL FOCUS GROUP DISCUSSIONS IN BOTH BARRY AND LAWRENCE COUNTIES WERE COMPLETED. THOSE INTERVIEWED REPRESENTED HEALTH AND SOCIAL SERVICE ORGANIZATIONS, EDUCATION AND COMMUNITY COLLABORATIVES. OF THE 2,628 SURVEY RESPONDENTS FROM THE REGION, 5.28% INDICATED THEY LIVED IN THE MONETT COMMUNITY. RESPONDENTS WERE ASKED TO RANK PERCEIVED COMMUNITY NEEDS. THOSE INTERVIEWED REPRESENTED HEALTH AND SOCIAL SERVICE ORGANIZATIONS, EDUCATION AND COMMUNITY COLLABORATIVES. STAKEHOLDERS, EDUCATION AND COMMUNITY INDIVIDUAL INTERVIEWS AND FOCUS GROUPS AGREED THAT A TOP CHALLENGE WAS ACCESS TO MENTAL HEALTH SERVICES AND HEALTHCARE. THIS INFORMATION WAS CONSIDERED DURING THE PROCESS OF ESTABLISHING HEALTH PRIORITIES FOR THE MONETT COMMUNITY. METHODOLOGIES USED FOR THE INITIAL SCORING/RANKING OF THE HEALTH ISSUES AND THE FULL REPORT OF THE QUALITATIVE WORK CAN BE FOUND IN THE OHC REGIONAL REPORT. THIS PRIORITIZATION INFORMATION CAN BE USED BY ORGANIZATIONS TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS, GUIDE DECISION-MAKING, AND FOSTER COLLABORATION ACROSS INITIATIVES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE COXHEALTH SYSTEM 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. - THE COXHEALTH SYSTEM 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 THE COXHEALTH SYSTEM 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 THE COXHEALTH SYSTEM INCLUDE: BARRY, BARTON, CHRISTIAN, GREENE, LAWRENCE, STONE, TANEY, AND WEBSTER (ALL PSA COUNTIES ARE LOCATED IN MISSOURI). THE SECONDARY SERVICE AREA (SSA) COUNTIES SERVED BY THE COXHEALTH SYSTEM INCLUDE: 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 APPROACHING THE 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 ALMOST NEARLY 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 24-COUNTY SERVICE AREA AS 91% OF THE POPULATION IS WHITE ALONE.
Schedule H, Part VI, Line 5 Promotion of community health	COX MONETT HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE ACTIVELY LIVE THIS MISSION BY PROVIDING QUALITY, AFFORDABLE HEALTH CARE TO THE COMMUNITIES WE SERVE. COMMUNITY INVOLVEMENT INCLUDES SUPPORTING ORGANIZATIONS THAT ALIGN WITH OUR MISSION, VISION AND VALUES. WE WERE ABLE TO ACHIEVE THIS IN THE FOLLOWING WAYS, INCLUDING COLLABORATING WITH THE MISSOURI EXTENSION OFFICE TO OFFER A PRE-DIABETES PROGRAM. THIS PROGRAM TEACHES PARTICIPANTS HOW TO LIVE A HEALTHY LIFESTYLE. THE LIVE WELL WELLNESS SCREENING IS OFFERED TO THE COMMUNITY WITH LAB SCREENINGS AND OTHER SERVICES AVAILABLE AT A SIGNIFICANTLY REDUCED COST. COX MONETT PARTNERS WITH THE BREAST CANCER FOUNDATION OF THE OZARKS TO OFFER FREE SCREENING MAMMOGRAMS FOR THE UNINSURED OR UNDERINSURED. COX MONETT STAFF VOLUNTEER TO WORK AT A FIRST AID STATION DURING FIRST ON FRONT, A MUSIC FESTIVAL OFFERD DURING THE SUMMER MONTHS IN DOWNTOWN MONETT. COX MONETT'S ADMINISTRATIVE LEADERS PARTICIPATE IN MANY CIVIC ORGANIZATIONS WHOSE PURPOSE IS TO IMPROVE THE LIVES OF COMMUNITY MEMBERS. EXAMPLES INCLUDE THE MONETT CHAMBER OF COMMERCE. DINING FOR DIABETES IS A YEARLY EVENT THAT RAISES MONEY FOR PATIENTS IN THE COMMUNITY WHO CANNOT AFFORD THE COST OF THE DISEASE. THE EVENT RAISES FUNDS TO HELP PATIENTS WITH SUPPLIES AND EQUIPMENT NEEDED, TRAVEL TO/FROM APPOINTMENTS, AND DISEASE MANAGEMENT EDUCATION. LAST YEAR, THE EVENT RAISED OVER $100,000.
Schedule H, Part VI, Line 6 Affiliated health care system	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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3525 S NATIONAL AVE	AddressLine1Txt
Address Line2	STE 204	AddressLine2Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65807	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	436810485	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$38,459	CashGrantAmt
Purpose Of Grant	SUPPORT	PurposeOfGrantTxt

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (10 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
DARREN BASS
FORMER PRESIDENT	$89,879	$0	$36,453	$0	$7,553	$0	$6,831	$0	$5,233	$0	$145,949	$0	$0	$0
STEVE EDWARDS
FORMER PRESIDENT & CEO	$0	$218,675	$0	$205,935	$0	$293,813	$0	$16,500	$0	$17,605	$0	$752,528	$0	$292,665
MAX D BUETOW
PRESIDENT & CEO	$0	$1,041,070	$0	$556,570	$0	$19,839	$0	$289,441	$0	$16,011	$0	$1,922,931	$0	$0
ANDREA MCKAY
PRESIDENT	$132,170	$132,169	$23,102	$23,103	$645	$645	$8,003	$8,004	$4,187	$4,187	$168,107	$168,108	$0	$0
JACOB M MCWAY
EVP, COXHEALTH CFO	$0	$769,096	$0	$354,929	$0	$187,903	$0	$200,249	$0	$20,864	$0	$1,533,041	$0	$153,057
Ali H Amro
Physician	$831,450	$0	$38,587	$0	$240	$0	$16,200	$0	$17,050	$0	$903,527	$0	$0	$0
William W Goodman
Physician	$499,272	$0	$0	$0	$1,953	$0	$0	$0	$17,605	$0	$518,830	$0	$0	$0
Stephen Hudson
Physician	$497,000	$0	$0	$0	$1,290	$0	$16,500	$0	$17,605	$0	$532,395	$0	$0	$0
David L Matlock
Physician	$372,056	$0	$0	$0	$358	$0	$0	$0	$12,107	$0	$384,521	$0	$0	$0
Megan A Carter
Physician	$373,882	$0	$0	$0	$690	$0	$16,500	$0	$9,015	$0	$400,087	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	STEVE EDWARDS, MAX BEUTOW, AND JACOB MCWAY PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS: -STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $292,665, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $183,749. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $153,057, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $273,241.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. EXECUTIVE LEVEL STAFF ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON A VARIETY OF PERFORMANCE INDICATORS IN QUALITY, CUSTOMER AND EMPLOYEE SATISFACTION AND BUSINESS PERFORMANCE MEASURES.
Schedule J, Part I, Line 1a HEALTH AND SOCIAL CLUB DUES	A RELATED ENTITY, COXHEALTH, INCLUDES MONTHLY SOCIAL CLUB DUES IN THE TAXABLE COMPENSATION OF JAKE MCWAY, CFO.
Schedule J, Part I, Line 3 ESTABLISHMENT OF TOP MANAGEMENT OFFICIAL COMPENSATION	LESTER E. COX MEDICAL CENTERS, A RELATED PARTY OF THE ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE COXHEALTH TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
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 ON 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a-4c Description of program services	(Expenses $ 13,698,900 including grants of $ 0)(Revenue $ 18,461,255) EXEMPT PURPOSE ACHIEVEMENTS: COX-MONETT HOSPITAL EMBRACES A MISSION STATEMENT AND BY-LAWS THAT REFLECT A COMMITMENT TO CHARITABLE PURPOSE AND COMMUNITY BENEFIT. COX-MONETT PROVIDES MANY SERVICES TO THE COMMUNITY FREE OF CHARGE OR WITH LITTLE FINANCIAL GAIN. OUR GOAL IS TO KEEP OUR COMMUNITY HEALTHY. THE FOLLOWING IS A LIST OF SERVICES PROVIDED TO THE MONETT COMMUNITY DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2024. ADDITIONALLY, THE SUBSIDIES NOTED BELOW ARE CALCULATED USING INTERNAL COST ACCOUNTING METHODS RATHER THAN THE IRS WORKSHEETS FOR SCHEDULE H. SEE SCHEDULE H FOR THE COMPUTATION OF THESE SUBSIDIES USING THE SCHEDULE H WORKSHEETS. PARTICIPATED IN THE MEDICAID PROGRAM WITH UNREIMBURSED COST OF CARING FOR PATIENTS AND PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED CARE SERVICES. SEE SCHEDULE H FOR AMOUNTS RELATED TO THESE SERVICES. RENDERED HEALTH CARE SERVICES AND EDUCATIONAL SERVICES SPECIFICALLY DESIGNED TO IMPROVE COMMUNITY HEALTH ARE AS FOLLOWS: -COMMUNITY WELLNESS SERVICES: COX MONETT TEAMED UP WITH THE MISSOURI EXTENSION OFFICE TO OFFER A NEW PRE-DIABETES PROGRAM. ONE IN THREE ADULTS ARE PRE-DIABETIC, AND 90 PERCENT ARE UNAWARE. THE PROGRAM CAN REDUCE THEIR RISK OF GETTING TYPE 2 DIABETES BY 58 PERCENT. THE GOAL OF THE PROGRAM IS TO HELP PARTICIPANTS LOSE 5-7 PERCENT OF THEIR BODYWEIGHT AND WORK UP TO 150 MINUTES OF PHYSICAL ACTIVITY PER WEEK BY THE END OF THE 12-MONTH COURSE. THE PROGRAM ALSO FUNCTIONS AS A SUPPORT GROUP, WHERE MEMBERS CAN WORK TOGETHER TO SHARE INFORMATION. -TUITION REIMBURSEMENT FOR STAFF WANTING TO CONTINUE THEIR EDUCATION. ENCOURAGE AND PROVIDE OPPORTUNITIES FOR VOLUNTEER EFFORTS TO SERVE IN THE COMMUNITY. MANY EMPLOYEES SERVE ON LOCAL NOT-FOR-PROFIT BOARDS AND ARE INVOLVED IN VARIOUS COMMUNITY ORGANIZATIONS AND ARE ASKED OFTEN TO SPEAK ON HEALTH-RELATED TOPICS. OPERATE 24-HOUR EMERGENCY CENTER. ER VISITS TOTALED 15,866. PROVIDE MANY COMMUNITY HEALTH AND EDUCATION PROGRAMS AND PROJECTS SPECIFICALLY DESIGNED TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY AT NO CHARGE OR AT A REDUCED RATE, SUCH AS: - COMMUNITY HEALTH FAIR, INCLUDING CHOLESTEROL, BLOOD SUGAR AND BLOOD PRESSURE SCREENINGS. VOLUNTEERS OPERATE A FIRST-AID STATION AT MONETT'S FIRST ON FRONT EVENTS. EMPLOYEES PARTICIPATE IN THE COXHEALTH DIAPER DRIVE AND DONATE THE ITEMS TO A LOCAL COMMUNITY KITCHEN AND PANTRY COMBINED RADIOLOGY TESTS TOTALED 28,459, INPATIENT AND OUTPATIENT SURGERIES TOTALED 1,635. *THE HOSPITAL OWNS SIX RURAL HEALTH CLINICS IN MONETT AND THE SURROUNDING COMMUNITIES AND PHYSICIAN OFFICE VISITS TOTALED 50,764.
Form 990, Part IV, Line 24a TAX EXEMPT BONDS	LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, REPORTS BONDS RELATED TO COX-MONETT ON ITS FORM 990, SCHEDULE K. AN ALLOCATION OF COX-MONETT'S PORTION OF RELATED BONDS IS REPORTED ON PART X, LINE 20.
Form 990, Part V, Line 2a NUMBER OF EMPLOYEES REPORTED ON FORM W-3	LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, FILES ALL REQUIRED W-2'S FOR THE HEALTH SYSTEM. THE NUMBER REPORTED ON FORM 990, PART V, LINE 2A REPRESENTS THE NUMBER OF W-2'S FILED ON BEHALF OF THE ORGANIZATION.
Form 990, Part VI, Line 8b MEETING DOCUMENTATION	THE ORGANIZATION'S GOVERNING BODY DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Line 6 Classes of members or stockholders	COX-MONETT SHALL HAVE ONE MEMBER WHICH SHALL BE COXHEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE FOLLOWING RESERVED POWERS MAY BE EXERCISED BY THE PARENT WITHOUT PRIOR ACTION BY THE BOARD. SAID RESERVED POWERS ARE: (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF COXMONETT; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF COX-MONETT AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF COX-MONETT; (D) TO APPROVE THE ADOPTION OF AND ANY REVISION TO THE CHARTERS FOR ALL COMMITTEES ESTABLISHED BY THE BOARD; (E) TO APPOINT AND REMOVE THE DIRECTORS OF COX-MONETT, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE OF THE BYLAWS, AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND COX-MONETT; (F) TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF COX-MONETT; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR COX-MONETT AND ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES; (H) TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, MARKETING, LEGAL, CORPORATE COMPLIANCE, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF COX-MONETT IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF COX-MONETT; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF COX-MONETT OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF COX-MONETT; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY COX-MONETT OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF COXMONETT; (M) APPROVAL OF COX-MONETT'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (N) TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY COX-MONETT 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 COX-MONETT HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (P) TO AUTHORIZE AND APPROVE BORROWING MONEY OR ENTERING INTO FINANCIAL GUARANTIES BY COX-MONETT, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF COX-MONETT; (Q) TO REQUIRE COX-MONETT TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER AND/OR PARENT; (R) TO APPROVE THE TRANSFER OF ASSETS BY COX-MONETT TO ANY ENTITY OTHER THAN THE MEMBER AND/OR PARENT, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF COX-MONETT WHICH WILL NOT REQUIRE APPROVAL OF THE PARENT; (S) TO APPROVE THE RATE OF PAYMENT, COMPENSATION OR RENT AND/OR ANY PROVISIONS CONCERNING EXCLUSIVITY WITH RESPECT TO ANY CONTRACT FOR PHYSICIAN SERVICES AND ANY LEASE/TIMESHARE AGREEMENT BETWEEN ANY PHYSICIAN OR PHYSICIAN GROUP, ON THE ONE HAND, AND COX-MONETT OR ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY, ON THE OTHER HAND, ALL IN ACCORDANCE WITH SUCH POLICIES AND PROCESSES WHICH MAY BE PROMULGATED FROM TIME TO TIME BY THE MEMBER AND/OR PARENT; (T) TO APPROVE CHANGES TO THE TYPE OF OR RELOCATION OF PHYSICIAN PROFESSIONAL MEDICAL SERVICES OFFERED BY COX-MONETT, WHERE THE CHANGE INVOLVES (A) SERVICES OFFERED OR PROVIDED BY CMG PHYSICIANS (AS DEFINED IN THE MEMBER'S BYLAWS) AND (B)(I) A CHANGE IN VENUE OR PROVIDER STATUS OF THE MEDICAL SERVICE, (II) THE CESSATION OF A PRE-EXISTING MEDICAL SERVICE, OR (III) THE OFFERING OF A NEW MEDICAL SERVICE; (U) TO ENGAGE, APPROVE, AND TO FINALIZE ANY AND ALL CONTRACTS OR AGREEMENTS WITH ANY THIRD PARTY HOSPITAL-BASED PHYSICIAN GROUPS (ANESTHESIOLOGISTS, PATHOLOGISTS, RADIOLOGISTS, OR EMERGENCY MEDICINE PHYSICIANS) THAT WILL RENDER PROFESSIONAL SERVICES TO COX-MONETT; (V) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED WHICH ARE RESERVED TO THE MEMBERS WITH RESPECT TO COX-MONETT ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY. (W) TO CONTRACT ON BEHALF OF COX MONETT WITH RESPECT TO ANY MATTER THAT IMPACTS ONE OR MORE OF MEMBER'S SUBSIDIARIES OR WHERE MEMBER DETERMINES IN ITS DISCRETION THAT CONTRACTING ON BEHALF OF ITSELF AND SOME OR ALL OF ITS SUBSIDIARIES IS IN THE BEST INTEREST OF THE HEALTH SYSTEM.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, FORM 990 IS FIRST REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE THEY HAVE APPROVED THE DRAFT, A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH THE ONLINE BOARD PORTAL.
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 CORPORATE COMPLIANCE POLICY, AS STATED BELOW: 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 MEMBER 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 SYSTEM 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	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT). APPROVED DOCUMENTS CAN BE VIEWED AT THE COX MONETT HOSPITAL ADMINISTRATIVE OFFICES.
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - Total Expense: 10937211, Program Service Expense: 5407219, Management and General Expenses: 5529992, Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 3178784, Program Service Expense: 1571551, Management and General Expenses: 1607233, Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 464987, Program Service Expense: 229884, Management and General Expenses: 235103, Fundraising Expenses: ; RADIOLOGY SERVICES - Total Expense: 446386, Program Service Expense: 220688, Management and General Expenses: 225698, Fundraising Expenses: ; HOUSEKEEPING SERVICES - Total Expense: 180500, Program Service Expense: 89237, Management and General Expenses: 91263, Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 178925, Program Service Expense: 88458, Management and General Expenses: 90467, Fundraising Expenses: ; LAUNDRY SERVICES - Total Expense: 127204, Program Service Expense: 62888, Management and General Expenses: 64316, Fundraising Expenses: ; BILLING SERVICES - Total Expense: 34316, Program Service Expense: 16965, Management and General Expenses: 17351, Fundraising Expenses: ; COURIER SERVICES - Total Expense: 20488, Program Service Expense: 10129, Management and General Expenses: 10359, Fundraising Expenses: ; LAB SERVICES - Total Expense: 15798, Program Service Expense: 7809, Management and General Expenses: 7989, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATES - 998999;

Schedule R IRS990ScheduleR

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	Address Line2USAddress/AddressLine2Txt
LESTER E COX MEDICAL CENTERS
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	440577118	HOSPITAL	MO	501(c)(3)	3	COXHEALTH	false
COXHEALTH FOUNDATION
3525 S NATIONAL	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(c)(3)	Type I	LESTER E COX	false	SUITE 204
COX HPS OZKS DBA COXHEALTH AT HOME
2220 W SUNSET	SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(c)(3)	10	COXHEALTH	false
HC SVCS OZARKS INC DBA COXHEALTH AT HOME
PO BOX 10939	SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(c)(3)	10	COXHEALTH	false
PRIMROSE PLACE INC
1115 E PRIMROSE	SPRINGFIELD	MO	65807	431183783	SUPPORT	MO	501(c)(3)	Type I	LESTER E COX	false
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
525 BRANSON LANDING BOULEVARD	BRANSON	MO	65616	440584290	HOSPITAL	MO	501(c)(3)	3	COXHEALTH	false
COXHEALTH
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	471087427	HOLDING CO	MO	501(c)(3)	Type II	NA	false
COX MEDICAL GROUP
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	471087566	PHYSICIANS	MO	501(c)(3)	Type I	LESTER E COX	false
COXHEALTH SYSTEMS HMO
PO BOX 5750	SPRINGFIELD	MO	65802	431757075	HMO	MO	501(c)(4)		LESTER E COX	false
COX MEDICAL GROUP CLINICS
3801 S NATIONAL	SPRINGFIELD	MO	65807	371830627	HEALTHCARE	MO	501(c)(3)	10	COXHEALTH	false
COX HEALTH SYSTEMS INSURANCE COMPANY
PO BOX 5750	SPRINGFIELD	MO	65801	431684044	INSURANCE	MO	501(c)(4)		LESTER E COX	false
COX BARTON COUNTY HOSPITAL
1423 N JEFFERSON	SPRINGFIELD	MO	65802	823300758	HOSPITAL	MO	501(c)(3)	3	COXHEALTH	false
LESTER E COX MED CTRPROF LIAB LOSS FUND
1423 N JEFFERSON	SPRINGFIELD	MO	65802	366668576	SELF INSURANCE	MO	501(c)(3)	Type I	LESTER E COX	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVVE	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	LESTER E COX	C Corporation	false
COXHEALTH RISK SOLUTIONS
					CAPTIVE INSURANCE		LESTER E COX	C Corporation	false	GRAND PAVILION CORPORATE CENTRE	GRAND CAYMAN	CJ	KY1110	CJ
COX TAXABLE CLOSE CORPORATION
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	472573263	MEDICAL CLINIC	MO	COX MED GROP	C Corporation	false
FERRELL-DUNCAN CLINIC INC
1001 E PRIMROSE	SPRINGFIELD	MO	65808	430991578	PHYSICIANS	MO	COX TAX CLOSE	C Corporation	false

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