LESTER E COX MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: LESTER E COX MEDICAL CENTER (EIN 44-0577118)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-14
IRS object ID: 202532269349300348
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-14T11:22:27+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	901 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	440577118	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LESTER E COX MEDICAL CENTERS	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MAX BUETOW	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	4172693000	PhoneNum
Signature	2025-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRIAN D 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	MAX BUETOW	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,995,075,796	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COXHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1923	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	The organization provides quality health care, education and research in order to improve the health of the communities it serves.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	13423	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$9,452,437	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$647,929	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$72,556,069	PYContributionsGrantsAmt
CY Contributions Grants	$10,152,147	CYContributionsGrantsAmt
PY Program Service Revenue	$1,614,365,441	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,772,645,515	CYProgramServiceRevenueAmt
PY Investment Income	$24,393,639	PYInvestmentIncomeAmt
CY Investment Income	$44,569,422	CYInvestmentIncomeAmt
PY Other Revenue	-$71,560,413	PYOtherRevenueAmt
CY Other Revenue	$3,027,682	CYOtherRevenueAmt
PY Total Revenue	$1,639,754,736	PYTotalRevenueAmt
CY Total Revenue	$1,830,394,766	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,713,242	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,979,951	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$671,431,278	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$710,994,045	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$637,499	CYTotalFundraisingExpenseAmt
PY Other Expenses	$938,773,924	PYOtherExpensesAmt
CY Other Expenses	$1,057,460,592	CYOtherExpensesAmt
PY Total Expenses	$1,611,918,444	PYTotalExpensesAmt
CY Total Expenses	$1,770,434,588	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,836,292	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$59,960,178	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,932,352,204	TotalAssetsBOYAmt
Total Assets EOY	$2,055,262,059	TotalAssetsEOYAmt
Total Liabilities BOY	$758,239,286	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$803,779,952	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,174,112,918	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,251,482,107	NetAssetsOrFundBalancesEOYAmt
Mission	Mission: To improve the health of the communities we serve through quality healthcare, education and research.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,238,583,424	ExpenseAmt
Grant	$1,979,951	GrantAmt
Revenue	$1,511,218,596	RevenueAmt
Desc	HOSPITAL SERVICES: AS A COMMUNITY OWNED, NON-PROFIT HOSPITAL, LESTER E. COX MEDICAL CENTERS PROVIDES THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE MANY OF THE MOST VULNERABLE IN OUR COMMUNITIES - THE UNDERINSURED AND UNINSURED. COMMUNITY BENEFIT TOTALED $1,366,169,119 SYSTEM-WIDE IN THESE CATEGORIES: SHORT-FALLS IN REIMBURSEMENT AND CHARITY CARE; COMMUNITY OUTREACH SERVICES INCLUDING COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND IMMUNIZATIONS; HEALTH PROFESSIONALS EDUCATION AND RESEARCH, INCLUDING THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS. THE HOSPITAL ALSO OPERATES COX COLLEGE, A PRIVATE, NON-PROFIT SINGLE PURPOSE COLLEGE ACCREDITED TO PROVIDE ACADEMIC PROGRAMMING IN A VARIETY OF ALLIED HEALTH FIELDS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$320,982,585	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$261,426,919	RevenueAmt
Desc	PHYSICIAN CARE: EMPLOYED PHYSICIANS AT LESTER E. COX MEDICAL CENTER PLAY AN IMPORTANT ROLE IN ACCESS TO MEDICAL CARE THROUGH THEIR PRACTICE AT RURAL HEALTH CLINICS IN UNDER-SERVED AREAS OF SOUTHWEST MISSOURI. PHYSICIANS WITH COX FAMILY MEDICINE RESIDENCY ARE MAKING A VISIBLE DIFFERENCE IN CARE FOR UNINSURED PATIENTS AS WELL AS PATIENTS COVERED BY MEDICAID. 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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,559,566,009	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	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	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	493	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	13423	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4172698811	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HAL 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
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
ASHLEY CASAD
PRESIDENT, SHG	40.0	0			$413,347	$0	$24,206	Yes (X)
BETH G POLIVKA
SVP, CNO	40.0	0			$362,495	$0	$28,774	Yes (X)
DARREN BASS
VP, CLINICAL SERVICES	40.0	0.0			$0	$133,885	$12,064	Yes (X)
ELLEN HAMMOCK
VP, CMG	40.0	0			$306,296	$0	$22,402	Yes (X)
JEFF HAWKINS
VP, CLINICAL SERVICES	40.0	0			$322,004	$0	$25,108	Yes (X)
JONATHAN B SHAMEL
SVP, CMG	40.0	0			$393,115	$0	$32,211	Yes (X)
SHAWN USERY MD
SVP, CMO	40.0	0			$635,446	$0	$25,855	Yes (X)
Gregory Stamps
PHYSICIAN	40.0	0			$763,815	$0	$24,874		Yes (X)
Karim Welaya
PHYSICIAN	40.0	0			$1,014,319	$0	$33,805		Yes (X)
Louis Krenn
PHYSICIAN	40.0	1.0			$956,238	$0	$33,805		Yes (X)
Mimi Propst
PHYSICIAN	40.0	0			$822,105	$0	$22,611		Yes (X)
Rajesh Banderudrappagari
PHYSICIAN	40.0	0			$790,118	$0	$37,679		Yes (X)
DAVID STRONG
FORMER VP, HOSPITAL REVENUE	0.0	0.0			$57,647	$57,647	$0			Yes (X)
KAREN KRAMER
FORMER SVP, PRES SPRINGFIELD HOSP	0.0	0			$233,712	$0	$43,414			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	$7,070,657	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,919,408	TotReportableCompRltdOrgAmt
Total Other Compensation	$939,220	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1122	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
MPLT Healthcare LLC
5810 Coral Ridge Dr Ste 250	Coral Springs	FL	33076	Phys Services/Locum	$18,263,950
SPFD NEUROLOGICAL INSTITUTE
1411 E PRIMROSE	SPRINGFIELD	MO	65804	PHYS REMUNERATION	$16,161,588	STE C
OZARK ANATHESIA ASSOCIATES
1000 E PRIMROSE	SPRINGFIELD	MO	65807	ANESTHESIA SERVICES	$14,034,847	STE 520
INTELLIHARTX LLC
29 E CRAWFORD ST	FINDLAY	OH	45840	ACCOUNT COLLECTIONS	$12,660,039	STE 360
360 DEGREE MEDICINE
108 SUNNY LANE	BRANSON WEST	MO	65737	PHYSICIAN SERVICES	$9,342,762

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	107	CntrctRcvdGreaterThan100KCnt
Related Organizations	$575,028	RelatedOrganizationsAmt
Government Grants	$2,491,250	GovernmentGrantsAmt
All Other Contributions	$7,085,869	AllOtherContributionsAmt
Total Contributions	$10,152,147	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	900099	$1,692,152,595	$1,692,152,595
NET PATIENT SERVICE-UNRELATED LAB	621500	$1,060,189		$1,060,189
NET PATIENT SERVICE-UNRELATED RETAIL D	446199	$8,392,248		$8,392,248
TUITION AND FEES	611600	$12,120,272	$12,120,272
CAFE	722514	$7,159,841	$7,159,841

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,760,370	TotalRevenueColumnAmt
Related Or Exempt Func Income	$51,760,370	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,772,645,515	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,888,155	TotalRevenueColumnAmt
Exclusion	$18,888,155	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,432,692	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,049,443	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,383,249	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,383,249	TotalRevenueColumnAmt
Exclusion	$3,383,249	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$188,697,925	SecuritiesAmt
Other	$75,134	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$162,900,599	SecuritiesAmt
Other	$191,193	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,797,326	SecuritiesAmt
Other	-$116,059	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,681,267	TotalRevenueColumnAmt
Exclusion	$25,681,267	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$333,411	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$539,795	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$206,384	TotalRevenueColumnAmt
Exclusion	-$206,384	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	LOSS ON INVESTMENT IN EQUITY INVESTEE	Desc
Business	900099	BusinessCd
Total Revenue Column	-$149,183	TotalRevenueColumnAmt
Exclusion	-$149,183	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	-$149,183	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,830,394,766	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,763,193,078	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,452,437	UnrelatedBusinessRevenueAmt
Exclusion	$47,597,104	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	$264,139	TotalAmt
Program Services	$264,139	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,715,812	TotalAmt
Program Services	$1,715,812	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,591,257	TotalAmt
Program Services	$1,929,956	ProgramServicesAmt
Management And General	$661,301	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$516,629	TotalAmt
Program Services	$139,442	ProgramServicesAmt
Management And General	$377,187	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$573,675,046	TotalAmt
Program Services	$518,231,528	ProgramServicesAmt
Management And General	$55,151,418	ManagementAndGeneralAmt
Fundraising	$292,100	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,605,806	TotalAmt
Program Services	$23,112,181	ProgramServicesAmt
Management And General	$2,482,670	ManagementAndGeneralAmt
Fundraising	$10,955	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$63,139,414	TotalAmt
Program Services	$57,012,219	ProgramServicesAmt
Management And General	$6,127,195	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$45,465,893	TotalAmt
Program Services	$41,018,242	ProgramServicesAmt
Management And General	$4,426,817	ManagementAndGeneralAmt
Fundraising	$20,834	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,740	TotalAmt
Management And General	$11,740	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$148,941	TotalAmt
Management And General	$148,941	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$262,247	TotalAmt
Management And General	$262,247	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,048,154	TotalAmt
Management And General	$1,048,154	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$485,404,085	TotalAmt
Program Services	$375,063,210	ProgramServicesAmt
Management And General	$110,324,971	ManagementAndGeneralAmt
Fundraising	$15,904	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$213,375	TotalAmt
Program Services	$108,400	ProgramServicesAmt
Management And General	$31,962	ManagementAndGeneralAmt
Fundraising	$73,013	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,799,098	TotalAmt
Program Services	$15,689,249	ProgramServicesAmt
Management And General	$5,026,570	ManagementAndGeneralAmt
Fundraising	$83,279	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,273,451	TotalAmt
Program Services	$7,161,798	ProgramServicesAmt
Management And General	$2,111,653	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,185,520	TotalAmt
Program Services	$17,171,851	ProgramServicesAmt
Management And General	$4,013,669	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,103,124	TotalAmt
Program Services	$1,617,600	ProgramServicesAmt
Management And General	$476,948	ManagementAndGeneralAmt
Fundraising	$8,576	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$212,918	TotalAmt
Program Services	$164,213	ProgramServicesAmt
Management And General	$48,418	ManagementAndGeneralAmt
Fundraising	$287	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,488,874	TotalAmt
Program Services	$17,779,086	ProgramServicesAmt
Management And General	$1,709,788	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$45,795,138	TotalAmt
Program Services	$41,765,250	ProgramServicesAmt
Management And General	$4,016,501	ManagementAndGeneralAmt
Fundraising	$13,387	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$32,969,861	TotalAmt
Program Services	$25,462,310	ProgramServicesAmt
Management And General	$7,507,551	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUGS	$348,023,323	$348,023,323	$0	$0
STATE PROVIDER TAX	$51,669,911	$51,669,911	$0	$0
REPAIRS AND MAINTENANCE	$12,405,107	$9,580,346	$2,824,761	$0
RECRUITMENT AND RENTENTION	$4,613,904	$3,563,274	$1,050,630	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,831,821	TotalAmt
Program Services	$1,322,669	ProgramServicesAmt
Management And General	$389,988	ManagementAndGeneralAmt
Fundraising	$119,164	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,770,434,588	TotalAmt
Program Services	$1,559,566,009	ProgramServicesAmt
Management And General	$210,231,080	ManagementAndGeneralAmt
Fundraising	$637,499	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,819,309	BOYAmt
EOY	$5,836,720	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$152,868,578	BOYAmt
EOY	$66,192,830	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$201,882,275	BOYAmt
EOY	$215,481,633	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$24,146,907	BOYAmt
EOY	$36,967,468	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,931,092	BOYAmt
EOY	$28,901,000	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$41,581,550	BOYAmt
EOY	$20,472,586	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,295,076,027	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$752,458,925	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$491,996,974	BOYAmt
EOY	$542,617,102	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$486,325,002	BOYAmt
EOY	$553,720,100	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$299,114,927	BOYAmt
EOY	$382,646,964	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$69,536,454	BOYAmt
EOY	$76,559,660	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$112,885,394	BOYAmt
EOY	$100,602,254	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,932,352,204	BOYAmt
EOY	$2,055,262,059	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$174,725,703	BOYAmt
EOY	$182,031,028	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$12,499,381	BOYAmt
EOY	$11,158,185	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$456,215,915	BOYAmt
EOY	$447,388,480	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$28,765,259	BOYAmt
EOY	$30,295,597	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,757,770	BOYAmt
EOY	$5,327,375	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,275,258	BOYAmt
EOY	$127,579,287	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$758,239,286	BOYAmt
EOY	$803,779,952	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	$1,132,883,080	BOYAmt
EOY	$1,209,317,552	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,229,838	BOYAmt
EOY	$42,164,555	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,174,112,918	BOYAmt
EOY	$1,251,482,107	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,932,352,204	BOYAmt
EOY	$2,055,262,059	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$59,960,178	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$103,812,631	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$86,403,620	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$173,814	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$88,433	OtherActivitiesAmt
Total Lobbying Expenditures	$262,247	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1i DIRECT CONTACT WITH LEGISLATORS, ETC	THE ORGANIZATION CONTRACTED WINTON POLICY GROUP AND MERCHANT MCINTYRE & ASSOCIATES, LOBBYING AND ASSOCIATION MANAGEMENT FIRMS, TO LOBBY ISSUES THAT BENEFIT THE INTERESTS OF THE COMMUNITY, COXHEALTH AND ITS AFFILIATES.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	MEMBERS OF THE ADMINISTRATIVE STAFF CONTACT LEGISLATORS REGARDING KEY HEALTHCARE ISSUES. ALSO, PORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2024, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $88,433.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,487,254	BeginningYearBalanceAmt
Contributions	$420,865	ContributionsAmt
Investment Earnings Or Losses	$206,029	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$386,861	OtherExpendituresAmt
End Year Balance	$8,727,287	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,158,191	BeginningYearBalanceAmt
Contributions	$521,369	ContributionsAmt
Investment Earnings Or Losses	$202,858	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$395,164	OtherExpendituresAmt
End Year Balance	$8,487,254	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,434,210	BeginningYearBalanceAmt
Contributions	$621,805	ContributionsAmt
Investment Earnings Or Losses	$193,160	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,090,984	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$8,158,191	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,429,596	BeginningYearBalanceAmt
Contributions	$4,232,438	ContributionsAmt
Investment Earnings Or Losses	$135,287	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$363,111	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$8,434,210	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,315,153	BeginningYearBalanceAmt
Contributions	$351,222	ContributionsAmt
Investment Earnings Or Losses	$104,830	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$341,609	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$4,429,596	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.4565	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.5435	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,868,544	OtherCostOrOtherBasisAmt
Book Value	$43,868,544	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$498,347,360	OtherCostOrOtherBasisAmt
Depreciation	$267,085,858	DepreciationAmt
Book Value	$231,261,502	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,428,052	OtherCostOrOtherBasisAmt
Depreciation	$3,135,155	DepreciationAmt
Book Value	$292,897	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$684,749,230	OtherCostOrOtherBasisAmt
Depreciation	$468,417,898	DepreciationAmt
Book Value	$216,331,332	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,682,841	OtherCostOrOtherBasisAmt
Depreciation	$13,820,014	DepreciationAmt
Book Value	$50,862,827	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$542,617,102	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVEST IN WHOLLY OWNED C-CORP	$198,576	C
INVESTMENTS IN PARTNERSHIPS	$240,841,577	C
INVEST IN NON-PTS CORPS	$141,606,811	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$382,646,964	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$25,860,084
EST AMT DUE TO 3RD PARTIES	$22,200,000
SELF INSURANCE CLAIMS PAYABLE	$57,549,093
OTHER LIABILITIES	$21,970,110

Field	Value	IRS element (for citing)
Total Liability	$127,579,287	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

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

COXHEALTH FOUNDATION, A RELATED ORGANIZATION, HOLDS ENDOWMENT FUNDS WHICH INCLUDE MONIES DONATED TO BE USED FOR SPECIFIC EXPENSES, AND THE INCOME FROM EACH FUND IS TO BE SPENT ON SPECIFIC SERVICES AND PROGRAM FUNCTIONS ON A FUND-BY-FUND BASIS. ENDOWMENT FUNDS HELD BY THE FOUNDATION ARE INTENDED FOR BUT NOT LIMITED TO EXPENDITURES RELATING TO CANCER SERVICES, HEALTH EDUCATION, PURCHASE OF EQUIPMENT AND INDIGENT CARE. THESE SERVICES AND FUNCTIONS BENEFIT COXHEALTH AND ITS AFFILIATES. SCHEDULE D, PART V, LINE 1B, COLUMN A INCLUDES AN AMOUNT REPRESENTING THE BALANCE OF FUNDS THAT ARE HELD FOR THE BENEFIT OF COX COLLEGE, A RELATED ENTITY. THESE FUNDS WERE TRANSFERRED TO LESTER E. COX MEDICAL CENTERS DURING FISCAL YEAR ENDING 9/30/2024.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	1	Investments	CAPTIVE INSURANCE	$11,235,189
Central America and the Caribbean	0	0	Investments		$185,796,307

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$197,031,496	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$197,031,496	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule 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	$35,395,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,395,200	NetCommunityBenefitExpnsAmt
Total Expense	0.0200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$302,572,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$231,115,918	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,456,201	NetCommunityBenefitExpnsAmt
Total Expense	0.0404	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
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	$337,967,319	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$231,115,918	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,851,401	NetCommunityBenefitExpnsAmt
Total Expense	0.0604	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$245,374	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$245,374	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,815,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,632,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,182,641	NetCommunityBenefitExpnsAmt
Total Expense	0.0046	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,125,779	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,941,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,184,714	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,788,963	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,788,963	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$33,975,517	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,573,825	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,401,692	NetCommunityBenefitExpnsAmt
Total Expense	0.0070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$371,942,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$252,689,743	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$119,253,093	NetCommunityBenefitExpnsAmt
Total Expense	0.0674	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	$95,598,658	BadDebtExpenseAmt
Bad Debt Expense Attributable	$13,479,411	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$594,057,568	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$781,729,266	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$187,671,698	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	3	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	HTTP://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	(SEE STATEMENT)	OtherWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - MERCY HOSPITAL. MERCY HOSPITAL SYSTEM SERVES MILLIONS EACH YEAR. MERCY IS A CUTTING-EDGE HEALTHCARE PROVIDER THAT IS CHARGED WITH "PROVIDING THE REGION WITH HIGH-QUALITY CARE AND AN EXPERIENCE THAT IS EASIER AND MORE PERSONAL." MERCY HOSPITAL SPRINGFIELD HOUSES 886 BEDS THAT SERVE PEOPLE THROUGHOUT SOUTHWEST MISSOURI AND NORTHWEST ARKANSAS.
Schedule H, Part V, Section B, Line 5 Facility 1, 2	Facility 1, 2 - BURRELL BEHAVIORAL HEALTH. BURRELL BEHAVIORAL HEALTH IS THE THIRD LARGEST CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER IN THE NATION WITH MULTIPLE LOCATIONS THROUGHOUT SPRINGFIELD AND SURROUNDING AREAS. BURRELL HAS MORE THAN 400 LICENSED PROVIDERS OFFERING A FULL CONTINUUM OF CARE THROUGH THEIR INTEGRATED NETWORK. BURRELL HAS CONTINUED TO EXPAND THEIR REACH AND PARTNERSHIPS IN THE COMMUNITY THROUGH OFFERING COMMUNITY-BASED SERVICES IN COORDINATION WITH SCHOOLS AND OTHER ORGANIZATIONS, SUCH AS BOYS & GIRLS CLUBS SPRINGFIELD TO MEET THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY.
Schedule H, Part V, Section B, Line 5 Facility 1, 3	Facility 1, 3 - JORDAN VALLEY COMMUNITY HEALTH CENTER. JORDAN VALLEY COMMUNITY HEALTH CENTER IS MISSOURI'S LARGEST FEDERALLY QUALIFIED HEALTH CENTER SERVING 75,000 PATIENTS IN THE OZARKS EACH YEAR. FOUNDED IN 2003, THEIR MISSION TO IMPROVE THE COMMUNITY'S HEALTH THROUGH ACCESS AND RELATIONSHIPS HAS DRIVEN THEIR GROWTH FROM THEIR FIRST MEDICAL CLINIC LOCATED IN A STRIP MALL TO NINE CLINICS, THREE SCHOOL-BASED CLINICS AND A FLEET OF MOBILE UNITS THAT VISIT SCHOOLS AND ORGANIZATIONS PROVIDING MEDICAL, DENTAL, VISION AND BEHAVIORAL HEALTH CARE SERVICES IN SOUTHWEST MISSOURI. JORDAN VALLEY COMMUNITY HEALTH CENTER PROVIDES AN INTEGRATED MODEL OF CARE, SIMPLIFYING HEALTHCARE BY GIVING ACCESS TO A MULTITUDE OF SERVICES IN EACH CLINIC
Schedule H, Part V, Section B, Line 5 Facility 1, 4	Facility 1, 4 - OZARKS HEALTH COMMISSION. BUILDING UPON THE SUCCESS OF THE 2016 AND 2019 REGIONAL HEALTH ASSESSMENTS, IN 2021 PARTNERS AGAIN SOUGHT TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE POPULATIONS SERVED. THE RESULTING 2022 REGIONAL HEALTH ASSESSMENT (RHA) COMBINES MORE THAN 200 HOSPITAL AND COMMUNITY INDICATORS, INCLUDING FEEDBACK FROM STAKEHOLDERS AND CITIZENS, ACROSS A 30-COUNTY REGION THAT INCLUDES SOUTHWEST MISSOURI, SOUTHEAST KANSAS AND NORTHEAST OKLAHOMA. THE FULL OZARKS HEALTH COMMISSION RHA CAN BE FOUND AT HTTP://OZARKSHEALTHCOMMISSION.ORG/.
Schedule H, Part V, Section B, Line 5 Facility 1, 5	Facility 1, 5 - CHRISTIAN COUNTY HEALTH DEPARTMENT. IN 1968 A PUBLIC HEALTH OFFICE WAS ESTABLISHED IN OZARK, MISSOURI, UNDER THE AUSPICES OF THE OZARKS AREA COMMUNITY ACTION AGENCY CORPORATION, WITH FUNDING SHARED BY THE FEDERAL GOVERNMENT AND THE MISSOURI DEPARTMENT OF HEALTH. TWO YEARS LATER THE CHRISTIAN COUNTY HEALTH DEPARTMENT (CCHD) WAS CREATED BY A VOTE OF THE RESIDENTS OF THE COUNTY. CCHD'S MISSION IS TO SERVE AND PROTECT THE COUNTY CITIZENS BY PROMOTING HEALTHY BEHAVIORS, INCREASING UNDERSTANDING OF HEALTH ISSUES AND IMPROVING THE QUALITY OF THE ENVIRONMENT. THE DEPARTMENT OFFERS A VARIETY OF PROGRAMS TO SERVE THE NEEDS OF CHRISTIAN COUNTY RESIDENTS.
Schedule H, Part V, Section B, Line 5 Facility 1, 6	Facility 1, 6 - WEBSTER COUNTY HEALTH DEPARTMENT. THE WEBSTER COUNTY HEALTH DEPARTMENT (WCHD) WAS ESTABLISHED IN 1957 IN ORDER TO PRESERVE AND PROTECT PUBLIC HEALTH OF THE COMMUNITY. WCHD'S FOCUS IS ON TEACHING, PROTECTING AND EMPOWERING PEOPLE SO THAT THEY DON'T GET SICK. BY PROVIDING VACCINATIONS, OFFERING NUTRITION EDUCATION, ENSURING CLEAN WATER AND SAFE FOOD, AND PROVIDING SCREENING AND TESTING SERVICES, WCHD PROTECTS INDIVIDUAL AND COMMUNITY HEALTH.
Schedule H, Part V, Section B, Line 5 Facility 1, 7	Facility 1, 7 - SPRINGFIELD-GREENE COUNTY HEALTH (SGCHD). SPRINGFIELD-GREENE COUNTY HEALTH (SGCHD) WAS ESTABLISHED BY THE CITY OF SPRINGFIELD IN 1873 AS THE SPRINGFIELD DEPARTMENT OF HEALTH. THE NAME WAS CHANGED, AND SERVICES WERE EXPANDED TO THE ENTIRE COUNTY IN 1976. THE MISSION OF SCGHD IS TO PROTECT AND IMPROVE COMMUNITY HEALTH THROUGH EDUCATION, COLLABORATION AND PREVENTION. THROUGH CHRONIC DISEASE PREVENTION, COMMUNITY HEALTH & EPIDEMIOLOGY, ENVIRONMENTAL HEALTH AND OTHER PROGRAMS, SGCHD CAN HELP THE CITIZENS OF GREENE COUNTY LIVE LONGER, HAPPIER AND HEALTHIER LIVES.
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. THE CHNA WAS CONDUCTED FOR THE ENTIRE REPORTING GROUP #1, AS REPORTED ON SCHEDULE H, PART V, SECTION A, INCLUDING LESTER E. COX MEDICAL CENTERS - SOUTH, LESTER E. COX MEDICAL CENTERS - NORTH, AND MEYER ORTHOPEDIC HOSPITAL. OTHER HOSPITAL FACILITY PARTNERS INCLUDED MERCY HEALTH. THE CHNA WAS ALSO CONDUCTED WITH RELATED ORGANIZATIONS COX MEDICAL CENTER BRANSON, COX BARTON COUNTY HOSPITAL AND COX-MONETT HOSPITAL.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. THE CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL ORGANIZATIONS: -CHRISTIAN COUNTY HEALTH DEPARTMENT -SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT - WEBSTER COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 7 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. PRINTED COPIES ARE AVAILABLE BY REQUEST THROUGH HOSPITAL OR PUBLIC HEALTH PARTNERS OR AT OZARKSHEALTHCOMMISSION.ORG AND NEWS RELEASE WAS SENT OUT TO ENCOURAGE MEDIA COVERAGE WITH LINKS TO THE REPORT AND KEY MESSAGES FOR THE PUBLIC. CHNA OTHER WEBSITES: HTTP://WWW.OZARKSHEALTHCOMMISSION.ORG HTTP://WWW.MERCY.NET HTTP://WWW.COXHEALTH.COM HTTP://WWW.FREEMANHEALTH.COM
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. (1) SPECIAL HEALTH ISSUE - COVID 19 (A) DECREASE HOSPITALIZATION RELATED TO COVID 19 (I) PROPOSED TACTIC - SUPPORT COMMUNITY INITIATIVES, INCLUDING INCREASE PERCENT OF FULLY VACCINATED INDIVIDUALS AS RECOMMENDED BY CDC (2) SUBSTANCE USE AND RECOVERY (A) DECREASE TOBACCO AND VAPE USE RATES (I) INCREASE ACCESS TO CLINICAL EDUCATION AND TRAINING RELATED TO TOBACCO AND VAPE CESSATION (B) INCREASE AWARENESS OF SUBSTANCE USE PREVENTION AND TREATMENT RESOURCES (I) PROMOTE EDUCATION AND TRAIING RELATED TO SUBSTANCE USE (EXAMPLES: HARM REDUCTION, NALOXONE, MENTAL HEALTH FIRST AID) (3) MENTAL HEALTH (A) INCREASE AWARENESS OF MENTAL HEALTH SERVICES (I) INCREASE ACCESS THROUGH ALTERNATIVE CARE MODELS (II) IMPLEMENT TRAUMA INFORMED CARE TRAINING AND EDUCATION (4) DIABETES (A) IMPROVE CHRONIC DISEASE SELF MANAGEMENT (I) INCREASE ENROLLMENT IN CARE MANAGEMENT PROGRAMS (II) PROMOTE ACCESS TO SCHOOL-AGE PREVENTION EDUCATION AND CARE PROGRAMS (ALL) (A) ENGAGE IN MULTI-SECTOR CARE COORDINATION TO REDUCE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES (I) IMPLEMENT COMMUNITY INFORMATION EXCHANGE (CIE)
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THE POLICY.
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. MEDICAL HARDSHIP MAY ALSO BE USED TO DETERMINE FINANCIAL ELIGIBILITY. COXHEALTH SHALL MAKE A DECISION ABOUT A PATIENT/GUARANTOR'S MEDICAL HARDSHIP BY REVIEWING THE FINANCIAL ASSISTANCE APPLICATION, INCLUDING ACCOMPANYING FINANCIAL DOCUMENTATION, IN ADDITION TO OTHER RELEVANT DOCUMENTATION THAT SUPPORTS THE MEDICAL HARDSHIP OF THE PATIENT.
Schedule H, Part V, Section B, Line 16 Facility 1, 1	Facility 1, 1 - REPORTING GROUP #1. FINANCIAL ASSISTANCE AVAILABILITY IS PROACTIVELY COMMUNICATED TO UNINSURED PATIENTS BY CUSTOMER SERVICE STAFF AND BY OUR EARLY OUT AND BAD DEBT VENDORS; ANYONE RECOGNIZED AS UNINSURED IS TOLD ABOUT THE FA AVAILABILITY AND ENCOURAGED TO PARTICIPATE.

Field	Value	IRS element (for citing)
Facility	101	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (101 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
SPRINGFIELD INPATIENT PHYSICIANS
3801 S NATIONAL AVE 5TH FLOOR	SPRINGFIELD	MO	65807	MEDICAL OFFICES
Family Medical Care Center
3800 S National Ave Suite 700	Springfield	MO	65807	CLINIC
CoxHealth Center Steeplechase
1530 E Republic Road	Springfield	MO	65804	CLINIC
Pediatric Center
3443 S National	Springfield	MO	65807	CLINIC
CoxHealth Center Willow Springs
816 E Main	Willow Springs	MO	65793	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
3805 S Kansas Expressway Suite B	Springfield	MO	65807	CLINIC
CoxHealth Center Willard
304 E Jackson 5H	Willard	MO	65781	CLINIC
CoxHealth Center Mountain Grove
1602-A North Main Street	Mountain Grove	MO	65711	CLINIC
CoxHealth Center Marshfield
1245 Banning Street	Marshfield	MO	65706	CLINIC
CoxHealth Center Rogersville
151 Johnstown Drive	Rogersville	MO	65742	CLINIC
CoxHealth Inpatient Psychiatry
1423 N Jefferson Street	Springfield	MO	65802	CLINIC
CoxHealth Center Seymour
202 Commercial	Seymour	MO	65746	CLINIC
CoxHealth Center Campbell
2750 S Campbell	Springfield	MO	65807	CLINIC
CoxHealth Psychological Services
3525 S National Avenue Suite 206	Springfield	MO	65807	CLINIC
CoxHealth Pediatric Surgical Specialties
1011 E Montclair	Springfield	MO	65807	CLINIC
CoxHealth Occupational Medicine
1499 N Robberson Ave K500	Springfield	MO	65802	CLINIC
CoxHealth Pediatric Place
3850 S National Avenue Suite 400	Springfield	MO	65807	CLINIC
CoxHealth Skin Care
1530 E Republic Road	Springfield	MO	65804	CLINIC
Glycemic Management Services
3801 S National Avenue	Springfield	MO	65807	CLINIC
CoxHealth Vein Center
3555 SNational Ave Suite 502	Springfield	MO	65807	CLINIC
CoxHealth Obstetrics and Gynecology
3801 S National Avenue	Springfield	MO	65807	CLINIC
CoxHealth Center Buffalo
119 N Ash St	Buffalo	MO	65622	CLINIC
CoxHealth Harrison
1401 Highway 62 65 N Suite 200	Harrison	AR	72601	CLINIC
CoxHealth Urgent Care Lebanon
1216 Deadra Drive	Lebanon	MO	65536	URGENT CARE
CoxHealth Nixa Clinic
501 N Old Wilderness Road	Nixa	MO	65714	CLINIC
Coxhealth Urgent Care Nixa
501 N Old Wilderness Road	Nixa	MO	65714	URGENT CARE
CoxHealth Ozark Clinic
5100 N Towne Centre Drive	Ozark	MO	65721	CLINIC
Coxhealth Urgent Care Ozark
5100 N Towne Centre Drive	Ozark	MO	65721	URGENT CARE
CoxHealth Republic
3203 E Old Stone Avenue	Republic	MO	65738	CLINIC
CoxHealth East Battlefield Clinic
3525 E Battlefield Road	Springfield	MO	65809	CLINIC
MEYER CENTER FITNESS AND REHAB
3545 S NATIONAL AVE	SPRINGFIELD	MO	65807	FITNESS AND REHAB CENTER
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
Radiation Oncology
3850 S National Avenue	Springfield	MO	65807	CLINIC
Northside Pediatrics & Adolescents
1443 N Robberson 200	Springfield	MO	65802	CLINIC
O'Reilly Automotive Health & Wellness Clinic
233 S Patterson Ave	Springfield	MO	65802	CLINIC
CoxHealth Center Southern Hills
2702 E Sunshine	Springfield	MO	65804	CLINIC
CoxHealth Springfield Inpatient Physicians
3801 S National Avenue	Springfield	MO	65807	CLINIC
FDC Plastic Surgery
3555 S National Avenue Suite 500	Springfield	MO	65807	CLINIC
FDC ENT (Otolaryngology)
960 E Walnut Lawn Street Suite 102	Springfield	MO	65807	CLINIC
CoxHealth Weight Loss & Advanced Surgery Center
1001 E Primrose Street	Springfield	MO	65807	CLINIC
Cox Hyperbaric Medicine & Wound Care
3525 S National 101	Springfield	MO	65807	CLINIC
CoxHealth Gastroenterology
3901 S Fremont Avenue 4th Floor	Springfield	MO	65807	CLINIC
FDC Urology
1001 E Primrose Street	Springfield	MO	65807	CLINIC
CoxHealth General Surgery
1001 E Primrose Street	Springfield	MO	65807	CLINIC
FDC Colon & Rectal Surgery
1001 E Primrose Street	Springfield	MO	65807	CLINIC
CoxHealth Med Spa
3555 S National Avenue Suite 501	Springfield	MO	65807	CLINIC
FDC Orthopedic Surgery
3555 S National Avenue 2nd 3rd Floo	Springfield	MO	65807	CLINIC	r
FDC Physical Medicine and Rehabilitation
3555 S National Avenue 3rd Floor	Springfield	MO	65807	CLINIC
FDC Sports Medicine
3555 S National Avenue 1st Floor	Springfield	MO	65807	CLINIC
CoxHealth Vascular Surgery & Medicine
3800 S National Avenue Suite 160	Springfield	MO	65807	CLINIC
CoxHealth Cardiovascular Services
3800 S National Avenue Suite 400	Springfield	MO	65807	CLINIC
CoxHealth Rheumatology
3555 S National Avenue Suite 102	Springfield	MO	65807	CLINIC
Adult Medicine & Endocrinology Specialists
960 E Walnut Lawn Suite 201	Springfield	MO	65807	CLINIC
CoxHealth Physicians for Women
1000 E Primrose Suite 210	Springfield	MO	65807	CLINIC
CoxHealth Primrose OBGYN
1000 E Primrose Suite 270	Springfield	MO	65807	CLINIC
Regional Perinatal Center
1000 E Primrose 360	Springfield	MO	65807	CLINIC
FDC OBGYN
1000 E Primrose Street Suite 400	Springfield	MO	65807	CLINIC
CoxHealth Pediatric Specialties
1011 E Montclair	Springfield	MO	65807	CLINIC
CoxHealth Labor and Delivery Hospitalist
3801 S National Ave Suite G108A	Springfield	MO	65807	CLINIC
CoxHealth Newborn Intensive Care Specialists
3801 S National Avenue	Springfield	MO	65807	CLINIC
CoxHealth Pediatric Critical Care Medicine
3801 S National Avenue	Springfield	MO	65807	CLINIC
CoxHealth Adult & Pediatric Urgent Care
1000 E Primrose Suite 170	Springfield	MO	65807	URGENT CARE
RS Post Acute Care
3525 S National	Springfield	MO	65808	CLINIC
The Breast Care Surgeons at CoxHealth
3850 S National Avenue Suite 320	Springfield	MO	65808	CLINIC
CoxHealth Advanced Medicine Specialists
961 E Walnut Lawn Suite 202	Springfield	MO	65808	CLINIC
CoxHealth Center for Addictions - North
1423 N Jefferson Street	Springfield	MO	65802	CLINIC
CoxHealth Virtual Visits On Demand
1423 N Jefferson Ave	Springfield	MO	65802	CLINIC
CoxHealth Advantage Care Clinic
1819 S National Ave	Springfield	MO	65804	CLINIC
CoxHealth Urgent Care Sunshine and National
1819 S National Ave	Springfield	MO	65804	URGENT CARE
CoxHealth Inpatient Palliative Care
3801 S National Avenue	Springfield	MO	65807	CLINIC
CoxHealth Pulmonology
3800 S National Avenue Suite 510	Springfield	MO	65807	CLINIC
CoxHealth Consulting Services and Aviation Medicine
3555 S National Suite 300	Springfield	MO	65807	CLINIC
CoxHealth Trauma & Acute Care Surgery Clinic
3800 S National Ave 600	Springfield	MO	65807	CLINIC
Interventional Pain Management
1001 E Primrose St	Springfield	MO	65807	CLINIC
FDC Neurology
3801 S National Avenue Suite 900	Springfield	MO	65807	CLINIC
CoxHealth Neuropsychology Services
3801 S National Ave Suite 900	Springfield	MO	65807	CLINIC
CoxHealth Electrophysiology
3800 S National Avenue Suite 170	Springfield	MO	65807	CLINIC
CoxHealth Dermatology
1925 W Chesterfield Blvd	Springfield	MO	65807	CLINIC
CoxHealth Allergy
1001 E Primrose Street	Springfield	MO	65807	CLINIC
CoxHealth Medical Oncology
3850 S National Avenue Suite 520	Springfield	MO	65807	CLINIC
FDC Gynecological Oncology
3850 S National Avenue Suite 700	Springfield	MO	65807	CLINIC
CoxHealth Infectious Diseases Specialty Clinic
3800 S National LL100	Springfield	MO	65807	CLINIC
RS Pediatric Inpatient Physicians
3801 S National Avenue	Springfield	MO	65807	CLINIC
CoxHealth OBGYN Laborist
3801 S National Ave Suite G108B	Springfield	MO	65807	CLINIC
CoxHealth Care Mobile
3805 S Kansas Expressway Ste A	Springfield	MO	65807	CLINIC
FDC Internal Medicine Family Medicine
1001 E Primrose Street	Springfield	MO	65807	CLINIC
Coxhealth Urgent Care East Battlefield
3525 East Battlefield Rd	Springfield	MO	65809	URGENT CARE
MARTIN CENTER
3801 S FREMONT	SPRINGFIELD	MO	65807	CLINIC
CoxHealth Center Crane
102 Cortney Ln	Crane	MO	65633	CLINIC
CoxHealth Center Forsyth
13852 US Hwy 160	Forsyth	MO	65653	CLINIC
CoxHealth Center Mt Vernon
10763 Hwy 39 Ste 200	Mt Vernon	MO	65712	CLINIC
CoxHealth Harrison Clinic
1401 Hwy 65 North Ste 200	Harrision	AR	72601	CLINIC
CoxHealth Nephrology Clinic
3525 S National Ave Ste 207	Springfield	MO	65807	CLINIC
CoxHealth Republic Clinic
3203 E Old Stone Ave	Brookline	MO	65619	CLINIC
FDC Radiology
3801 S National Ave	Springfield	MO	65807	CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c ELIGIBILITY FOR FREE CARE	IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THE POLICY.
Schedule H, Part I, Line 7 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 I, Line 7 PERCENT OF TOTAL EXPENSE	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990.
Schedule H, Part I, Line 7g SUBSIDIZED SERVICES	THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $2,649,195. 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 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 DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2019-2023, APPROXIMATELY 14.1% PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE."
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF ANY AMOUNTS DISCOUNTED AS A RESULT OF AN APPROVED OR PARTIALLY APPROVED REQUEST FOR FINANCIAL ASSISTANCE. BALANCES REMAINING AFTER SUCH DISCOUNTS ARE APPLIED WILL, HOWEVER, BE SUBJECT TO COLLECTION ACTIVITY, INCLUDING LEGAL ACTION. IN ADDITION, THE ORGANIZATION WILL NOT CHARGE INTEREST ON THE BALANCE REMAINING AFTER APPLYING THE FINANCIAL ASSISTANCE DISCOUNT. HOWEVER, THE ORGANIZATION MAY, IN ITS SOLE DISCRETION, CHARGE INTEREST ON THE BALANCE OWED IF 1) THE GUARANTOR DEFAULTS ON HIS OR HER PAYMENT AGREEMENT OR 2) THE BALANCE IS REFERRED TO THE COLLECTION AGENCY FOR COLLECTION.
Schedule H, Part V, Section B, Line 16a FAP website	1 - FACILITY REPORTING GROUP #1: Line 16a URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - FACILITY REPORTING GROUP #1: Line 16b URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - FACILITY REPORTING GROUP #1: Line 16c URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment	LESTER E. COX MEDICAL CENTERS HAS PERFORMED AN ENVIRONMENTAL SCAN ANNUALLY SINCE 2006. COMMUNITY HEALTH NEEDS ASSESSMENTS AS REQUIRED BY THE IRS WERE COMPLETED IN 2022. OHC REGION STAKEHOLDERS BEGAN THE RHA PROCESS WITH ANALYSIS OF PUBLICLY AVAILABLE HEALTH DATA (SECONDARY DATA) AND PARTICIPATING HEALTH SYSTEMS' EMERGENCY DEPARTMENT UTILIZATION DATA (PRIMARY DATA) TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN ACROSS THE REGION. THE RESULT WAS A RANKED LIST OF EIGHT OZARKS HEALTH COMMISSION REGION HEALTH ISSUES. A FULL DESCRIPTION OF THE HEALTH ISSUES AND INDICATORS USED CAN BE FOUND IN THE OHC REGIONAL HEALTH ASSESSMENT. TO REPRESENT DIVERSE VIEWS FROM ACROSS THE REGION AND POPULATION, QUALITATIVE DATA WAS COLLECTED BETWEEN SEPTEMBER AND OCTOBER 2021. ACROSS THE OHC REGION THESE VIEWPOINTS WERE SOLICITED VIA 75 INDIVIDUAL INTERVIEWS, 10 FOCUS GROUPS AND 2,638 SURVEYS. SPECIFICALLY IN THE SPRINGFIELD COMMUNITY, 20 INDIVIDUAL INTERVIEWS WERE HELD WITH STAKEHOLDERS AND 3 VIRTUAL FOCUS GROUPS WERE HELD WITH LOCAL HEALTH SYSTEM LEADERS, COMMUNITY OUTREACH ORGANIZATIONS, AND A LOCAL DRUG TASK FORCE AS WELL AS OTHER SECTORS OF THE SPRINGFIELD COMMUNITY TO ALLOW VOICES TO HIGHLIGHT CHALLENGES THAT THEY SEE AS THE BIGGEST HEALTH RELATED NEEDS. FURTHER, APPROXIMATELY 31% OF REGIONAL SURVEY RESPONDENTS WERE FROM THE SPRINGFIELD COMMUNITY. METHODOLOGIES USED FOR THE INITIAL SCORING/RANKING OF THE HEALTH ISSUES AND THE FULL REPORT OF THE QUALITATIVE WORK CAN BE FOUND IN THE OHC REGIONAL HEALTH ASSESSMENT. THIS PRIORITIZATION INFORMATION CAN BE USED BY ORGANIZATIONS TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS, GUIDE DECISION MAKING, FOSTER COLLABORATION ACROSS INITIATIVES FOR COLLECTIVE COMMUNITY IMPACT AND INCREASE FUNDING BY USING EVIDENCE TO DESCRIBE ISSUES AND PROPOSE SOLUTIONS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	LESTER E. COX MEDICAL CENTERS USES A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE PROGRAMS OR UNDER THE ORGANIZATION'S POLICY: - AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION IS COMMUNICATED TO PATIENTS THROUGH THE USE OF SIGNAGE AND BROCHURES/INFORMATION PACKETS AVAILABLE AT CHECK-IN LOCATIONS. - LESTER E. COX MEDICAL CENTERS ALSO PROACTIVELY COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND ITS EARLY-OUT VENDOR RESPONSIBLE FOR PATIENT BALANCE COLLECTIONS IS EXPECTED TO PROACTIVELY INFORM SELF PAY PATIENTS OF THE AVAILABILITY WHEN SPEAKING TO THEM ON THE PHONE. - FOR ASSISTANCE UNDER FEDERAL AND STATE PROGRAMS LESTER E. COX MEDICAL CENTERS UTILIZES AN OUTSOURCE ELIGIBILITY VENDOR WHO MEETS WITH SELF PAY INPATIENTS AT THE BEDSIDE TO COMPLETE AN ELIGIBILITY SCREENING, INFORM THE PATIENTS OF POTENTIAL AVAILABILITY, AND WILL WORK WITH THE PATIENT TO HELP THEM THROUGH THE PROCESS. OUTPATIENTS ARE REFERRED TO THE VENDOR AFTER CARE AND THOSE ARE WORKED IN A SIMILAR FASHION WITH THE EXPECTATION THAT THE FIRST CONTACT IS THROUGH MAIL OR PHONE RATHER THAN AT THE BEDSIDE
Schedule H, Part VI, Line 4 Community information	THE PRIMARY SERVICE AREA (PSA) COUNTIES SERVED BY LESTER E. COX MEDICAL CENTERS INCLUDE: BARRY, CHRISTIAN, GREENE, LAWRENCE, STONE, TANEY, AND WEBSTER (ALL PSA COUNTIES ARE LOCATED IN MISSOURI). THE SECONDARY SERVICE AREA (SSA) COUNTIES SERVED BY LESTER E. COX MEDICAL CENTERS INCLUDE: BARTON, BAXTER - AR, BOONE - AR, CARROLL - AR, CEDAR, DADE, DALLAS, DOUGLAS, HICKORY, HOWELL, LACLEDE, MARION - AR, OREGON, OZARK, POLK, PULASKI, TEXAS, AND WRIGHT (ALL SSA COUNTIES ARE LOCATED IN MISSOURI EXCEPT BAXTER, BOONE, CARROLL, AND MARION COUNTIES IN ARKANSAS). THE TOTAL POPULATION IN THE SERVICE AREA IS OVER ONE MILLION AND APPROXIMATELY 58% OF THE TOTAL 25-COUNTY POPULATION IS IN THE SEVEN COUNTY PRIMARY SERVICE AREA. SLIGHTLY MORE THAN 50% OF THE MARKET IS FEMALE AND SLIGHTLY MORE THAN 18% OF THE SERVICE AREA IS FEMALE BETWEEN THE AGES OF 15 AND 44. THE SEGMENT OF THE POPULATION OVER THE AGE OF 65 IS ALMOST 20% OF THE TOTAL POPULATION AND IS PROJECTED TO INCREASE 12% BETWEEN 2020 AND 2025. THE AVERAGE HOUSEHOLD INCOME IS $64,665 IN THE TOTAL 25-COUNTY SERVICE AREA COMPARED WITH $79,915 FOR THE STATE OF MISSOURI. DIVERSITY IS VERY LOW IN THE 25-COUNTY SERVICE AREA AS 91% OF THE POPULATION IS WHITE ALONE.
Schedule H, Part VI, Line 5 Promotion of community health	LESTER E. COX MEDICAL CENTERS' MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. WE ACTIVELY LIVE THIS MISSION BY PROVIDING QUALITY HEALTH CARE WITH MULTIPLE ACCESS POINTS FOR CARE INCLUDING THREE HOSPITALS AND MORE THAN 60 PHYSICIAN CLINICS (INCLUDING RETAIL CLINICS). THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH A COMMUNITY BOARD, HEALTH RELATED AD CAMPAIGNS, PROVISION OF WELLNESS SERVICES AND VACCINATIONS, PROVISION OF CARE FOR INDIGENT SEGMENTS OF THE POPULATION, FUNDING OF CARE QUALIFIED COMMUNITY MEMBERS THROUGH A NOT-FOR-PROFIT FOUNDATION, COMMUNITY EDUCATION CLASSES RELATED TO HEALTH AND WELLNESS, COMMUNITY ADVISORY COUNCILS AND HEALTH IMPROVEMENT EFFORTS IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS, SCHOOL SYSTEMS AND OTHER REGIONAL HEALTH CARE PROVIDERS. A MAJORITY OF LESTER E. COX MEDICAL CENTERS' BOARD IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO PHYSICIANS IN THE COMMUNITY IF THEY QUALIFY.
Schedule H, Part VI, Line 6 Affiliated health care system	COXHEALTH IS THE PARENT OF LESTER E. COX MEDICAL CENTERS AND ITS WHOLLY OWNED AND/OR CONTROLLED SUBSIDIARIES PLUS CERTAIN AFFILIATED NOT-FOR-PROFIT ENTITIES AND IS COLLECTIVELY REFERRED TO AS COXHEALTH. COXHEALTH (THE HEALTH SYSTEM OPERATES AS AN INTEGRATED DELIVERY SYSTEM INCLUDING FOUR HOSPITALS, A SURGICAL CENTER, AN INPATIENT REHABILITATION FACILITY, HOME CARE COMPANIES, PHYSICIAN SERVICES, MENTAL HEALTH SERVICES, INSURANCE COMPANIES AND A FOUNDATION. COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY COXHEALTH AT HOME AND INCLUDE HOME HEALTH SERVICES, INFUSION THERAPY AND DURABLE MEDICAL EQUIPMENT. COXHEALTH AT HOME SUPPORTED THE COMMUNITY THROUGH MONTHLY NUTRITION AND FALL PREVENTION SEMINARS AT 20 AREA SENIOR CENTERS THROUGHOUT SOUTHWEST MISSOURI. THEY ALSO PROVIDED FREE BONE DENSITY SCREENINGS AT 34 COMMUNITY EVENTS, AND VITAL SIGN SCREENINGS AT MANY MORE. THROUGH AN ANNUAL FAN DRIVE, COXHEALTH AT HOME COLLECTED AND DISTRIBUTED BOX FANS TO SENIORS AND THE DISABLED WHO LACK ADEQUATE ACCESS TO COOLING DURING THE SUMMER MONTHS. INFUSION THERAPY RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS US TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. ASSISTANCE TO COXHEALTH SYSTEM IN DEVELOPING AN INTEGRATED HEALTH SYSTEM, AND SERVICE TO MEDICAID PATIENTS. COX-MONETT HOSPITAL SUPPORTS THE MONETT, MISSOURI AND SURROUNDING COMMUNITY BY PROVIDING A VARIETY OF SERVICES WHICH INCLUDE UROLOGY, ENT (EAR, NOSE AND THROAT), PULMONOLOGY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE AND MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY CENTER, GENERAL SURGICAL SERVICES, SAME-DAY SURGERY, DIABETES CENTER, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL-SURGICAL UNIT, URGENT CARE, PHARMACY AND COMMUNITY WELLNESS. COXHEALTH FOUNDATION SUPPORTS THE COMMUNITY BY RAISING FUNDS TO DISPERSE TO PATIENTS FOR THOSE NEEDS FOR WHICH THEY HAVE NO RESOURCES OR FUNDING, BUT WHICH ARE CRITICAL TO THE PATIENT'S HEALTH AND WELL BEING. SKAGGS COMMUNITY HOSPITAL ASSOCIATION D/B/A COX MEDICAL CENTER BRANSON (CMCB) HAS BEEN SERVING SOUTHWEST MISSOURI RESIDENTS FOR MORE THAN 63 YEARS AND OFFERS OVER 25 MAJOR SERVICE AREAS. THE HOSPITAL'S AVERAGE DAILY PATIENT CENSUS EXCEEDS 85 WITH 165 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,100 PERSONNEL IS REQUIRED TO OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS. COXHEALTH ADDED A FOURTH HOSPITAL IN 2018, COX BARTON COUNTY HOSPITAL (COX BARTON COUNTY). THE FACILITY WAS A COUNTY HOSPITAL OWNED AND OPERATED BY BARTON COUNTY MEMORIAL HOSPITAL (BCMH). IT WAS BUILT IN 2007 AND IS A 25-BED CRITICAL ACCESS HOSPITAL IN LAMAR, MISSOURI OFFERING AN EMERGENCY DEPARTMENT, AS WELL AS SPECIALIZED CARE IN DIABETES, CARDIOLOGY, ORTHOPEDICS AND SPORTS MEDICINE, NEUROLOGY, WOMEN'S HEALTH AND MORE. IN OCTOBER 2017, COXHEALTH SIGNED A LETTER OF INTENT WITH BCMH TO ACQUIRE ITS OPERATION AND TO LEASE ITS PROPERTY. BCMH WAS STRUGGLING AS A RURAL HOSPITAL TO KEEP UP WITH DECLINING REVENUE. COXHEALTH'S ACQUISITION ALLOWS FOR THE PATIENTS PREVIOUSLY SERVED BY BCMH TO BECOME A PART OF THE COXHEALTH SYSTEM. COX BARTON COUNTY WILL CONTINUE THE SERVICES PREVIOUSLY PROVIDED BY BCMH AND INTENDS TO EXPAND THESE SERVICES FURTHER IN THE FUTURE AS WELL.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	$150,341	COMMUNITY BENEFIT
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
525 BRANSON LANDING BLVD	BRANSON	MO	65615	440584290	501(C)(3)	$38,261	SUPPORT
COX-MONETT HOSPITAL INC
1000 E US HWY 60	MONETT	MO	65708	431656689	501(C)(3)	$13,171	SUPPORT
COXHEALTH
1423 N JEFFERSON	SPRINGFIELD	MO	65802	471087427	501(C)(3)	$62,366	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
CHILDREN'S MIRACLE NETWORK - SPECIAL NEEDS GRANTS	1946	$166,280
CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS	31	$70,054
CHILDREN'S MIRACLE NETWORK - COMMUNITY OUTREACH GRANTS	507992	$121,105
CHILDREN'S MIRACLE NETWORK - LESTER E MC GRANTS	33489	$294,586
CHILDREN'S MIRACLE NETWORK - OTHER GRANTS	50317	$557,509
TUITION DISCOUNTS	331	$456,278
CARE ACT DISBURSEMENTS	109	$50,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THROUGH THE CHILDREN'S MIRACLE NETWORK, LESTER E. COX MEDICAL CENTERS DISTRIBUTES FUNDS TO INDIVIDUALS THROUGHOUT THE COMMUNITY. SEE BELOW FOR A SUMMARY OF PROGRAMS THROUGH WHICH FUNDS ARE DISTRIBUTED. DURING FISCAL YEAR 2024, MORE THAN 91,000 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $166,280 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: KIDS CHECKS - $59,865 MEAL TRAYS - $78,689 MEAL VOUCHERS - $10,906 GIFT CARDS - $16,820 FAMILY CARE GRANTS - $70,054 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $121,105 TOTAL CARDIAC PROGRAM (A PORTION TO COX- MONETT HOSPITAL, INC.) - $25,855 "NEVER SHAKE A BABY" PROGRAM - $18,750 BICYCLE SAFETY PROGRAM - $13,500 WASTED PROGRAM - $3,750 WATER SAFETY PROGRAM - $8,750 CAR SEAT SAFETY PROGRAM - $12,500 FIREARM SAFETY - $13,000 INFANT SLEEP & SAFETY - $8,750 FARM SAFETY PROGRAM - $7,500 HOME SAFETY PROGRAM - $8,750 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $294,586 TOTAL CHILD LIFE PROGRAM - $123,301 C.A.R.E. MOBILE - $171,285 DISCRETIONARY AND OPEN FUNDS - $557,509 - 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: PEDIATRICS - $33,330.70 RESPIRATORY CARE - $55,899.66 ACUTE CARE THERAPY - $7,499.00 BRANSON MATERNITY - $19,560.41 COX NORTH EDUCATION CENTER - $40,954.58 BRANSON CASE MANAGEMENT - $4,846.92 OUTPATIENT NEURO THERAPY - $13,992.79 OUTPATIENT REHAB NORTH - $4,353.58 COX SOUTH SURGERY CENTER - $193,485.74 MOHR OUTPATIENT - $5,799.00 NICU - $115,395.00 WOMEN AND NEWBORN - $9,996.00 OZARK THERAPY SERVICES - $5,419.43 CASE MANAGEMENT - $5,493.09 CHILD-ADOLESCENT PSYCHIATRY - $14,187.13 COX AIR CARE - $19,236.00 TRAUMA SERVICES - $8,060.00 THE ORGANIZATION ALSO PROVIDED SUPPORT OF OTHER LOCAL ORGANIZATIONS THROUGH SPONSORSHIPS AS PART OF THEIR COMMUNITY BUILDING ACTIVITIES. THE USE OF THE FUNDS CAN BE SEEN AT EVENTS AND IN COMMUNITY PROJECTS. STUDENTS MUST MEET THE ELIGIBILITY REQUIREMENTS SPECIFIED IN THE APPLICABLE SCHOLARSHIP IN ORDER TO BE CONSIDERED FOR AWARD. THESE REQUIREMENTS INCLUDE SUCH THINGS AS GRADE POINT AVERAGES, ECONOMIC NEED, ENROLLMENT IN A PARTICULAR PROGRAM, ETC. AS APPLICABLE, THE COLLEGE FOLLOWS FEDERAL, STATE, AND INSTITUTIONAL GUIDELINES FOR AWARDS	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID STRONG
FORMER VP, HOSPITAL REVENUE	$45,522	$45,522	$12,125	$12,125	$0	$0	$0	$0	$0	$0	$57,647	$57,647	$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
KAREN KRAMER
FORMER SVP, PRES SPRINGFIELD HOSP	$233,712	$0	$0	$0	$0	$0	$29,017	$0	$14,397	$0	$277,126	$0	$0	$0
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
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
ASHLEY CASAD
PRESIDENT, SHG	$328,187	$0	$84,891	$0	$269	$0	$16,200	$0	$8,006	$0	$437,553	$0	$0	$0
ELLEN HAMMOCK
VP, CMG	$245,075	$0	$61,221	$0	$0	$0	$9,429	$0	$12,973	$0	$328,698	$0	$0	$0
JEFF HAWKINS
VP, CLINICAL SERVICES	$257,292	$0	$62,732	$0	$1,980	$0	$16,356	$0	$8,752	$0	$347,112	$0	$0	$0
BETH G POLIVKA
SVP, CNO	$286,943	$0	$74,871	$0	$681	$0	$16,500	$0	$12,274	$0	$391,269	$0	$0	$0
JONATHAN B SHAMEL
SVP, CMG	$314,339	$0	$78,507	$0	$269	$0	$16,200	$0	$16,011	$0	$425,326	$0	$0	$0
SHAWN USERY MD
SVP, CMO	$500,564	$0	$134,582	$0	$300	$0	$8,250	$0	$17,605	$0	$661,301	$0	$0	$0
Karim Welaya
PHYSICIAN	$1,014,019	$0	$0	$0	$300	$0	$16,200	$0	$17,605	$0	$1,048,124	$0	$0	$0
Louis Krenn
PHYSICIAN	$955,788	$0	$0	$0	$450	$0	$16,200	$0	$17,605	$0	$990,043	$0	$0	$0
Mimi Propst
PHYSICIAN	$821,835	$0	$0	$0	$270	$0	$6,600	$0	$16,011	$0	$844,716	$0	$0	$0
Rajesh Banderudrappagari
PHYSICIAN	$789,726	$0	$0	$0	$392	$0	$20,074	$0	$17,605	$0	$827,797	$0	$0	$0
Gregory Stamps
PHYSICIAN	$740,025	$0	$0	$0	$23,790	$0	$16,500	$0	$8,374	$0	$788,689	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	STEVE EDWARDS, MAX BEUTOW, JACOB MCWAY, AND DAVID STRONG 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. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $91,044 WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A FORM 990.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. PHYSICIANS LISTED ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE GREGORY STAMPS, LOUIS KRENN, MIMI PROPST, KARIM WELAYA, AND KATHRYN CAMERON. 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 II BOARD MEMBER COMPENSATION	NO COMPENSATION WAS PROVIDED FOR RESPONSIBILITIES ASSOCIATED WITH BEING A BOARD DIRECTOR. COMPENSATION REPORTED FOR SEVERAL BOARD MEMBERS LISTED ON SCHEDULE J REPRESENTS EMPLOYEE OR INDEPENDENT CONTRACTOR COMPENSATION UNRELATED TO SERVICE AS A BOARD MEMBER.
Schedule J, Part II, Column (F) COMPENSATION REPORTED IN PRIOR FORM 990	COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HEALTH & EDUCCATIONAL FACILITIES AUTH-STATE OF MO
A	431178966	60637AHS4	2015-04-22	$142,209,927	REFINANCE 80% 2008A	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO
B	431178966	60635R5B9	2008-10-15	$35,000,000	NEW INFRASTRUCTURE & EQUIPMENT	false	false	false
HEALTH & EDUCATIONAL FACILITIES-AUTH STATE OF MO
C	431178966	60637AEA6	2013-04-17	$215,764,755	NEW INFRASTRUCTURE/CURRENT REFUND	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO
D	431178966	60637ANY4	2019-04-17	$132,217,208	NEW INFRASTRUCTURE & EQUIPMENT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$8,030,000	$0	$142,209,927	$0	$0	$0	$1,385,435	$0	$0	$0	$140,824,492	$0	2015	false	Yes (true)	Yes (true)	Yes (true)
B	$3,075,000	$0	$35,028,548	$0	$421,299	$0	$271,292	$803,381	$0	$0	$33,532,576	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$11,100,000	$0	$215,764,775	$0	$18,784,325	$0	$2,272,111	$0	$0	$194,708,339	$0	$0	2015	false	false	Yes (true)	Yes (true)
D	$360,000	$0	$132,217,208	$0	$5,878,142	$0	$1,335,157	$0	$0	$95,003,909	$30,000,000	$0	2021	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	false	Yes (true)	false	false	0.0	0.0009	0.0009	false	false	Yes (true)
B	false	Yes (true)	false	false	0.0	0.0	0.0	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	false	0.0003	0.0	0.0003	false	false	Yes (true)	Yes (true)
D	false	Yes (true)	false	false	0.0	0.0002	0.0002	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 GROUP 1 - COLUMNS B, C, & D, GROUP 2 - COLUMNS A & B	THE TOTAL PROCEEDS OF THE ISSUE EXCEEDED THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 09/30/2024.
Schedule K, Part II, Line 11 GROUP 1 - COLUMNS B & D, GROUP 2 - COLUMN A	THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE.
Schedule K, Part IV, Line 2c GROUP 1 - COLUMNS B, C, & D, GROUP 2 - COLUMN B	REBATE CALCULATION/ANALYSIS WERE COMPLETED AS FOLLOWS: -BOND SERIES ISSUE B ON 04/30/2020 -BOND SERIES ISSUE C ON 11/20/2018 -BOND SERIES ISSUE D ON 03/20/2018 -BOND SERIES ISSUE B ON 11/19/2018

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	431178966	BondIssuerEIN
CUSIP	60636G1A8	CUSIPNum
Bond Issued	2008-10-15	BondIssuedDt
Issue Price	$70,000,000	IssuePriceAmt
Purpose	NEW INFRASTRUCTURE & EQUIPMENT	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$250,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$70,469,521	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$783,050	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$501,052	IssuanceCostsFromProceedsAmt
Credit Enhancement	$2,121,540	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$67,063,879	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2013	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Colton Nelson
Son of Vickie Nelson, Secretary of Board	$69,839	wages	false
Sabrina Nelson
Daughter in Law of Vickie Nelson, Secretary of Board	$42,413	wages	false
Jefferson Tynes
2nd Vice Chair	$166,751	Business Relationship - Supplies	false
JOSH HAWKINS
SON OF JEFF HAWKINS , VP:	$69,603	WAGES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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-FORPROFIT 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 $ 267,576,550 CMC $ 313,317,259 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 $ 245,374 CMC $ 248,414 SYSTEM-WIDE INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND SERVICES THAT ARE SUBSIDIZED BECAUSE THEY ARE NEEDED THE COMMUNITY. EXAMPLES ARE COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, IMMUNIZATIONS, COALITION BUILDING AND SUBSIDY OF HEALTH CARE SERVICES. HEALTH PROFESSIONALS EDUCATION AND RESEARCH $ 7,724,738 CMC $ 9,277,876 SYSTEM-WIDE THIS FIGURE IS THE COST OF PROVIDING CLINICAL PLACEMENTS FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS PLUS THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS. IT INCLUDES THE UN-REIMBURSED EXPENSE OF STUDIES ON THERAPEUTIC PROTOCOLS AND RESEARCH. FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS $ 1,788,963 CMC $ 1,822,950 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: $ 277,335,625 CMC $ 324,666,500 SYSTEM-WIDE ECONOMIC IMPACT RESTRICTED FOUNDATION GRANTS $ 7,298,746 CMC $ 8,533,598 SYSTEM-WIDE THIS FIGURE INCLUES GRANTS TO ORGANIZATIONS IN THE COMMUNITY FOR SPECIFIC RESTRICTED REQUESTS. REAL ESTATE AND PROPERTY TAXES $ 2,128,323 CMC $ 2,461,515 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 $ 98,590,566 CMC $ 125,683,662 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 $ 707,450,689 CMC $ 904,823,844 SYSTEM-WIDE THE COXHEALTH SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN FISCAL YEAR 2024, LESTER E. COX MEDICAL CENTERS ALONE EMPLOYED NEARLY 13,423 PEOPLE, AND THE REMAINING COXHEALTH SYSTEM AFFILIATES CARRY THE TOTAL EMPLOYED FIGURE TO 16,867 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: $ 815,468,324 CMC $ 1,041,502,619 SYSTEM-WIDE TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 1,092,803,949 CMC $ 1,366,169,119 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, Line 4 Significant changes to organizational documents	THE ORGANIZATION AMENDED THEIR BYLAWS DURING THE YEAR WITH THE FOLLOWING: f) REMOVED LANGUAGE RELATED TO THE APPOINTMENT AND REMOVAL OF THE CEO ARTICLE 5: REMOVED LANGUAGE STATING -OF THE MEMBER PLUS THE PRESIDENT AND CEO OF THE MEMBER WHO SHALL SERVE EX OFFICIO WITH VOTE. REMOVED - THE PRESIDENT OF THE MEDICAL STAFF SHALL BE AN EX OFFICIO MEMBER WITHOUT VOTE. ARTICLE 7: SECTION 1: REMOVED LANGUAGE - AND THE OFFICERS OF CMC AND THE OFFICERS OF COXHEALTH AND SHALL SERVE AS LONG AS THE OFFICERS OF THE MEMBER AND THE OFFICERS OF COXHEALTH REMAIN IN SAID OFFICE. ADDED LANGUAGE: AND SHALL SERVE AS LONG AS THE OFFICERS OF THE MEMBER REMAIN IN SAID OFFICE. THE OFFICERS OF CMC SHALL BE PRESIDENT, CHIEF FINANCIAL OFFICER (CFO) AND SECRETARY, NONE OF WHOM SHALL BE A DIRECTOR. ADDED SECTION 2: APPOINTMENT AND TERM OF OFFICE - OFFICERS OF THE BOARD. THE OFFICERS OF THE BOARD SHALL SERVE AS LONG AS THE OFFICERS OF THE MEMBER REMAIN IN SAID OFFICE. OFFICERS OF CMC. PRESIDENT. THE PRESIDENT OF CMC SHALL BE APPOINTED BY THE MEMBER AS PROVIDED IN ARTICAL TWO, SECTION 3, SHALL BE AN EMPLOYEE OF THE MEMBER OR ONE OF ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES AND SHALL SERVE AT THE PLEASURE OF THE MEMBER IN ACCORDANCE WITH ANY WRITTEN CONTRACT, AS APPLICABLE, AND THE MEMBER'S POLICIES AND PROCEDURES. CFO. THE CFO SHALL BE THE SAME PERSON WHO HOLDS THE CORRESPONDING OFFICE OF CFO OF COXHEALTH. SECRETARY. THE SECRETARY OF CMC SHALL BE THE SAME PERSON WHO HOLDS THE CORRESPONDING OFFICE OF SECRETARY OF THE BOARD OF COXHEALTH. SECTION 3: REMOVAL AND RESIGNATION. OFFICERS OF THE BOARD. IF THE OFFICE OF ANY OFFICER OF THE BOARD BECOMES VACANT, THE VACANCY SHALL BE FILLED AS SET FORTH IN ARTICLE SEVEN, SECTION 2. OFFICERS OF CMC. PRESIDENT. IF THE OFFICE OF PRESIDENT OF CMC BECOMES VACANT, OR IF THE PRESIDENT OF CMC NOTIFIES THE BOARD OF THE INTENT TO RESIGN OR RETIRE, THE MEMBER SHALL APPOINT A REPLACEMENT AS SET FORTH IN THIS ARTICLE SEVEN, SECTION 2. IN THE INTERIM, THE MEMBER MAY APPOINT AN ACTING PRESIDENT. SECRETARY. IF THE OFFICE OF SECRETARY OF CMC BECOMES VACANT, THE VACANCY SHALL BE FILLED AS SET FORTH IN ARTICLE SEVEN, SECTION 2. DUTIES OF OFFICERS OF CMC REMOVED ALL LANGUAGE RELATING TO CEO. DESCRIPTION OF CHIEF FINANCIAL OFFICER NOW STATES THAT THE CFO SHALL HAVE THE SAME DUTIES AND RESPONSIBILITIES AS SET FORTH IN THE BYLAWS OF COXHEALTH FOR THE CFO OF COXHEALTH EXCEPT SUCH DUTIES AND RESPONSIBILITIES SHALL APPLY TO CMC. SECRETARY OF CMC DESCRIPTION REMOVES CEO LANGUAGE ARTICLE EIGHT (g) REMOVAL OF CEO IN DESCRIPTION
Form 990, Part VI, Line 6 Classes of members or stockholders	LESTER E COX MEDICAL CENTERS SHALL HAVE ONE MEMBER WHICH SHALL BE COXHEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE SOLELY & SPECIFICALLY RESERVED TO THE MEMBER; (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF CMC; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF CMC AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF CMC; (D) TO APPROVE THE ADOPTION OF AND ANY REVISION TO THE CHARTERS FOR ALL COMMITTEES ESTABLISHED BY THE BOARD; (E) TO APPOINT AND REMOVE THE DIRECTORS OF CMC, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE, SECTION 1 AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND CMC; (F) AFTER CONSULTATION WITH THE BOARD, TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT 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 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. W) TO CONTRACT ON BEHALF OF CMC 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 7b Decisions requiring approval by members or stockholders	SUBJECT TO THE POWERS AND RESPONSIBILITIES RESERVED TO THE MEMBER PURSUANT TO THESE BYLAWS (INCLUDING WITHOUT LIMITATION IN ARTICLE TWO, SECTION 3) AND THE ARTICLES OF INCORPORATION, THE BOARD SHALL HAVE GENERAL CHARGE OF THE BUSINESS AND AFFAIRS OF CMC AND MAY DO AND PERFORM ALL ACTS NECESSARY TO CARRY OUT ITS PURPOSES AND, WHEN NOT OTHERWISE PROVIDED, IN SUCH WAY AS THE BOARD SHALL DEEM BEST. THE BOARD MAY PROVIDE FOR BUILDING, EQUIPPING AND FURNISHING ALL NECESSARY BUILDINGS. THE BOARD MAY BORROW MONEY AND PROVIDE FOR THE REPAYMENT OF SUCH AND FOR SECURING THE SAME BY DEED OF TRUST, OR OTHER LIEN, ON ANY PROPERTY OWNED BY CMC OR OTHERWISE, AND MAY PROVIDE FOR THE EXECUTION OF ALL NECESSARY OR PROPER INSTRUMENTS OF ANY KIND FOR THAT PURPOSE. THE BOARD MAY ACCEPT CONTRIBUTIONS OF EVERY KIND AND CONVEYANCES OF PROPERTY OF ALL KINDS TO CMC. THE BOARD MAY PROVIDE FOR PROCURING ALL NECESSARY OR PROPER FUNDS AND PROVIDE FOR ALL EXPENDITURES. THE ENUMERATION OF THE ABOVE POWERS OF THE BOARD SHALL NOT IN ANY WAY LIMIT ITS GENERAL POWERS, BUT SAID BOARD SHALL DO AND PERFORM ANY AND ALL ACTS DEEMED BY IT DESIRABLE TO CARRY OUT THE PURPOSES OF CMC AS EXPRESSED IN ITS ARTICLES OF INCORPORATION WITHOUT LIMITATION, EXCEPT AS MAY BE PROVIDED BY THESE BYLAWS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, FORM 990 IS FIRST REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE THEY HAVE APPROVED THE DRAFT, A FINAL COPY IS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH THE ONLINE BOARD PORTAL PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	COXHEALTH OFFICERS, DIRECTORS AND KEY EMPLOYEES, AS WELL AS OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE COXHEALTH AFFILIATES AND/OR COMMITTEES WITH DELEGATED AUTHORITY TO MAKE DECISIONS, ARE ANNUALLY REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST FOLLOWING THE POLICY, SET FORTH BELOW. THE POLICY REQUIRES THAT BOARD MEMBERS MAKE DECISIONS THAT ARE CONFLICT FREE, OR IF A CONFLICT IS PRESENT, THAT IT IS FULLY DISCLOSED FOR THE BOARD'S CONSIDERATION. COXHEALTH'S EMPLOYEES AND BOARD MEMBERS MUST AVOID ALL ACTIVITIES, ASSOCIATIONS OR INTERESTS THAT CREATE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST FOR EMPLOYEES MUST BE REPORTED TO THE CORPORATE INTEGRITY DEPARTMENT. A FILE WILL BE MAINTAINED OF ALL REPORTED CONFLICTS OF INTEREST. FOR MEDICAL STAFF MEMBERS, THE CONFLICT OF INTEREST PROCESS MAY BE ACCESSED THROUGH THE MEDICAL STAFF OFFICE. FOR BOARD MEMBERS, THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH THE GOVERNANCE SUB-COMMITTEE OF COXHEALTH WITH THE ASSISTANCE OF THE EXECUTIVE OFFICE AND IS DEFINED IN THE CHARTER OF THE GOVERNANCE SUB-COMMITTEE. IF ANY OFFICER OR DIRECTOR IS FOUND TO HAVE A CONFLICT OF INTEREST, SUCH PERSON SHALL NEITHER VOTE NOR USE HIS OR HER INFLUENCE TO AFFECT ANY DECISION RELATING TO THE CONFLICT, AND SUCH PERSON SHOULD NOT BE INCLUDED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION. SUCH PERSON IS PERMITTED TO BRIEFLY STATE HIS OR HER POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS ABOUT IT, IF HIS OR HER KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	COXHEALTH EMPLOYS A DEFINED GOVERNANCE STRUCTURE AROUND EXECUTIVE COMPENSATION. THE BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE THAT IS CHARGED WITH CARRYING OUT THE FUNCTIONS OF EVALUATING AND SETTING EXECUTIVE COMPENSATION THROUGH FORMAL DOCUMENTED MEETINGS THAT OCCUR SEVERAL TIMES DURING THE YEAR. THE COMPENSATION COMMITTEE UTILIZES A WELL RESPECTED INDEPENDENT EXTERNAL ADVISOR TO PROVIDE THIRD PARTY ASSESSMENT AND RECOMMENDATIONS REGARDING COMPENSATION LEVELS AND BENEFIT PROGRAMS FOR THE TOP EXECUTIVES OF THE ORGANIZATION TO ENSURE THE COMPENSATION PROGRAM IS COMPETITIVE AND WITHIN FAIR MARKET VALUE. AFTER A FULL REVIEW OF THE DATA AND THOROUGH DISCUSSION THE COMMITTEE MAKES A SELF DETERMINATION OF COMPENSATION LEVELS SET JANUARY 1 OF EACH YEAR. ANNUALLY THE STEPS NECESSARY TO DOCUMENT REBUTTABLE PRESUMPTION ARE TAKEN AND RECORDED. ADDITIONALLY, COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE CEO USING EXTERNAL COMPARABLE DATA FOR ASSESSMENT AND IS PROVIDED TO THE COMPENSATION COMMITTEE FOR REVIEW ON AN ANNUAL BASIS.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE CEO USING EXTERNAL COMPARABLE DATA FOR ASSESSMENT AND IS PROVIDED TO THE COMPENSATION COMMITTEE FOR REVIEW ON AN ANNUAL BASIS.
Form 990, Part VI, Line 19 Required documents available to the public	LESTER E. COX MEDICAL CENTERS MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR ALL LEGITIMATE BUSINESS PURPOSES AS DETERMINED BY MANAGEMENT. IN ADDITION, AS A CONTINUING DISCLOSURE REQUIREMENT OF CERTAIN DEBT COVENANTS THE ORGANIZATION PROVIDES ITS AUDITED FINANCIAL STATEMENTS AND SPECIFIC QUARTERLY FINANCIAL INFORMATION TO DEFINED REPOSITORIES FOR REVIEW BY PARTIES OR INDIVIDUALS INTERESTED IN THE INFORMATION.
Form 990, Part VIII, Line 2f Other Program Service Revenue	- Total Revenue: 51760370, Related or Exempt Function Revenue: 51760370, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PURCHASED AFFILIATE SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 57481795, Fundraising Expenses: ; PHYSICAL REMUNERATION - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 41514598, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 14656122, Program Service Expense: 11318923, Management and General Expenses: 3337199, Fundraising Expenses: ; ANESTHESIA SERVICES - Total Expense: 12814235, Program Service Expense: 9896434, Management and General Expenses: 2917801, Fundraising Expenses: ; PURCHASED LAB SERVICES - Total Expense: 5995702, Program Service Expense: 4630481, Management and General Expenses: 1365221, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 3846351, Program Service Expense: 3156171, Management and General Expenses: 674276, Fundraising Expenses: 15904; HOUSEKEEPING SERVICES - Total Expense: 3501067, Program Service Expense: 2703874, Management and General Expenses: 797193, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 2952201, Program Service Expense: 2279985, Management and General Expenses: 672216, Fundraising Expenses: ; RADIOLOGY - Total Expense: 2756047, Program Service Expense: 2128495, Management and General Expenses: 627552, Fundraising Expenses: ; BILLING/COLLECTION SERVICES - Total Expense: 2359501, Program Service Expense: 1822243, Management and General Expenses: 537258, Fundraising Expenses: ; CONSULTING - Total Expense: 1147768, Program Service Expense: 886421, Management and General Expenses: 261347, Fundraising Expenses: ; SPECIAL SERVICES - Total Expense: 379218, Program Service Expense: 292870, Management and General Expenses: 86348, Fundraising Expenses: ; COURIER - Total Expense: 229104, Program Service Expense: 176937, Management and General Expenses: 52167, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	DEFINED BENEFIT PENSION PLAN LOSS & SETTLEMENT - 17936673; CHANGE IN BENEFICIAL INTEREST IN TRUST - 131672; CHANGE IN NET ASSETS OF SUBSIDIARIES - 5850232; TRANSFER TO AFFILIATE - -XXX-XX-XXXX;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Address Line2USAddress/AddressLine2Txt
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	SPRINGFIELD	MO	65807	542183222	HEALTHCARE	MO	$0	$0	LESTER E COX	SUITE 540
OB GYN FERRELL DUNCAN CLINIC
1000 E PRIMROSE	SPRINGFIELD	MO	65807	431878984	PHYSICIANS	MO	$0	$0	LESTER E COX
COXHEALTH HOME SUPPORT SYSTEMS
2224 E 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	SPRINGFIELD	MO	65807	271117213	MANAGEMENT	MO	$0	$0	LESTER E COX	SUITE 600
COXHEALTH INNOVATIONS LLC
3850 S NATIONAL	SPRINGFIELD	MO	65807	271117213	MANAGEMENT	MO	$0	$0	LESTER E COX

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COXHEALTH FOUNDATION
3525 S NATIONAL	SUITE 204	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(c)(3)	Type I	LESTER E COX	Yes (true)
COX-MONETT HOSPITAL INC
801 N LINCOLN		MONETT	MO	65708	431656689	HOSPITAL	MO	501(c)(3)	3	COX HEALTH	false
COX HPS OZARKS INC DBA COXHEALTH AT HOME
2220 W SUNSET		SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(c)(3)	10	COX HEALTH	false
PRIMROSE PLACE INC
1115 E PRIMROSE		SPRINGFIELD	MO	65807	431183783	SUPPORT	MO	501(c)(3)	Type I	LESTER E COX	Yes (true)
LESTER E COX MED CTRPROF LIAB LOSS FUND
1423 N JEFFERSON		SPRINGFIELD	MO	65802	366668576	SELF INSURANCE	MO	501(c)(3)	Type I	LESTER E COX	Yes (true)
HC SVCS OZARKS INC DBA COXHEALTH AT HOME
PO BOX 10939		SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(c)(3)	10	HPS OF OZARK	Yes (true)
SKAGGS COMM HOSP ASSOC (COX MC BRANSON)
525 BRANSON LANDING BOULEVARD		BRANSON	MO	65616	440584290	HOSPITAL	MO	501(c)(3)	3	COX HEALTH	false
COXHEALTH
1423 N JEFFERSON		SPRINGFIELD	MO	65802	471087427	HOLDING CO	MO	501(c)(3)	Type II	NA	false
COX MEDICAL GROUP
1423 N JEFFERSON		SPRINGFIELD	MO	65802	471087566	PHYSICIANS	MO	501(c)(3)	Type I	LESTER E COX	Yes (true)
COXHEALTH SYSTMS HMO
PO BOX 5750		SPRINGFIELD	MO	65801	431757075	HMO	MO	501(c)(4)		LESTER E COX	Yes (true)
COX BARTON COUNTY HOSPITAL
1423 N JEFFERSON		SPRINGFIELD	MO	65802	823300758	HOSPITAL	MO	501(c)(3)	3	COXHEALTH	false
COX MEDICAL GROUP CLINICS
3801 S NATIONAL		SPRINGFIELD	MO	65807	371830627	HEALTHCARE	MO	501(c)(3)	10	COXHEALTH	false
COX HEALTH SYSTEMS INSURANCE COMPANY
PO BOX 5750		SPRINGFIELD	MO	65801	431684044	INSURANCE	MO	501(c)(4)		LESTER E COX	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	LESTER E XCOX	C Corporation	$1,230,388	$0	1	Yes (true)
COX TAXABLE CLOSE CORPORATION
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	472573263	MEDICAL CLINICS	MO	COX MED GROUP	C Corporation	$0	$0		false
FERRELL-DUNCAN CLINIC INC
1001 E PRIMROSE	SPRINGFIELD	MO	65808	430991578	PHYSICIANS	MO	CTCC	C Corporation	$0	$0		false
COXHEALTH RISK SOLUTIONS
					CAPTIVE INSURANCE		LESTER E COX	C Corporation	$11,235,189	$35,928,609	1	Yes (true)	GRAND PAVILLION CORPORATE CENTRE KY	GRAND CAYMAN	CJ	1	CJ

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COXHEALTH FOUNDATION
C	$575,028	COST
COX HEALTH SYSTEM HMO INC
P	$4,146,563	COST
COXHEALTH RISK SOLUTIONS
P	$12,713,959	COST
COX HEALTH SYSTEM HMO INC
Q	$6,839,454	COST
FERRAL DUNCAN CLINIC INC
Q	$145,126,927	COST
COXHEALTH FOUNDATION
S	$755,891	COST
PRIMROSE PLACE
S	$2,510,308	COST
MEDICAL DEVELOPMENTS
S	$557,675	COST
COX HEALTH SYSTEM HMO INC
S	$5,380,559	COST