LESTER E COX MEDICAL CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LESTER E COX MEDICAL CENTER (EIN 44-0577118)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-14
- IRS object ID
- 201842269349301024
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-14T12:11:37-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | 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) |
|---|---|---|
| In Care Of | % JACOB M MCWAY | InCareOfNm |
| Business Name Control | LEST | BusinessNameControlTxt |
| Phone | 4172693000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1423 N JEFFERSON ST | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65802 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAKE MCWAY | PersonNm |
| Person Title | SR VP AND CFO | PersonTitleTxt |
| Signature | 2018-01-19 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVE EDWARDS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1423 N JEFFERSON ST | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,425,255,420 | 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 | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 10513 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $1,106,772 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $360,962 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,494,192 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,508,450 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,081,644,308 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,143,802,388 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,239,271 | PYInvestmentIncomeAmt |
| CY Investment Income | $29,394,027 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,416,168 | PYOtherRevenueAmt |
| CY Other Revenue | $12,020,785 | CYOtherRevenueAmt |
| PY Total Revenue | $1,128,793,939 | PYTotalRevenueAmt |
| CY Total Revenue | $1,188,725,650 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,281,841 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,649,320 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $402,610,454 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $430,204,990 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $580,275 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $663,215,862 | PYOtherExpensesAmt |
| CY Other Expenses | $695,156,566 | CYOtherExpensesAmt |
| PY Total Expenses | $1,067,108,157 | PYTotalExpensesAmt |
| CY Total Expenses | $1,127,010,876 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $61,685,782 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $61,714,774 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,463,149,223 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,562,280,731 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $750,390,414 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $747,084,033 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $712,758,809 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $815,196,698 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $754,438,882 | ExpenseAmt |
| Revenue | $848,405,763 | 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 $171,140,012 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $241,052,574 | ExpenseAmt |
| Revenue | $197,240,773 | RevenueAmt |
| Desc | PHYSICIAN CARE: EMPLOYED PHYSICIANS AT LESTER E. COX MEDICAL CENTERS PLAY AN IMPORTANT ROLE IN ACCESS TO MEDICAL CARE THROUGH THEIR PRACTICE AT RURAL HEALTH CLINICS IN UNDER-SERVED AREAS OF SOUTHWEST MISSOURI. PHYSICIANS WITH COX FAMILY MEDICINE RESIDENCY ARE MAKING A VISIBLE DIFFERENCE IN CARE FOR UNINSURED PATIENTS AS WELL AS PATIENTS COVERED BY MEDICAID. THESE PATIENTS REPRESENT 14% AND 25% PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC RESPECTIVELY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $32,614,930 | ExpenseAmt |
| Revenue | $28,317,494 | RevenueAmt |
| Desc | HOME CARE: LESTER E. COX MEDICAL CENTERS' HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE HOME CARE AND HOSPICE AND COX HOME SUPPORT DURABLE MEDICAL EQUIPMENT. OXFORD STRIVES TO MEET THE HOME CARE AND HOSPICE NEEDS FOR CLIENTS OF ALL AGES. THEIR SERVICES INCLUDE NURSING CARE, MEDICATION SUPERVISION, IV THERAPY, PERSONAL CARE, HOUSEKEEPING, LAUNDRY, MEAL PREPARATION, SHOPPING, ERRANDS, TRANSPORTATION, COMPANIONSHIP, TELEMONITORING AND LIFELINE PERSONAL EMERGENCY RESPONSE SYSTEM. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $24,499,411 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,649,320 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $69,838,358 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,052,605,797 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 |
| IRP Document | 459 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 10513 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACOB M MCWAY | PersonNm |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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 |
|---|---|---|---|---|---|---|---|---|---|
| JOSEPH TURNER | |||||||||
| CHAIRMAN | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GRANT HADEN | |||||||||
| 1ST VICE CHAIR ENDING 11/2016 | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DENNIS HEIM | |||||||||
| 2ND VICE CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES CHALENDER | |||||||||
| 3RD VICE CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES HUTCHESON | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JERRY JARED | |||||||||
| BOARD MEMBER ENDING 10/2016 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT FULP | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JANICE HARRIS | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JACK PRIM | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA DIX MD | |||||||||
| BOARD MEMBER | 40.0 | 1.0 | Yes (X) | $345,793 | $0 | $39,661 | |||
| DAVID ZOLFAGHARI MD | |||||||||
| BOARD MEMBER | 1.0 | 40.0 | Yes (X) | $0 | $949,903 | $14,802 | |||
| PIERRE CLOTHIAUX MD | |||||||||
| BOARD MEMBER | 1.0 | 40.0 | Yes (X) | $0 | $528,833 | $14,802 | |||
| ROBERT MCDOWELL | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JAN BAUMGARTNER | |||||||||
| BOARD MEMBER BEGINNING 10/2016 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| HAL HIGDON | |||||||||
| BOARD MEMBER BEGINNING 10/2016 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN JARED | |||||||||
| BOARD MEMBER BEGINNING 10/2016 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KATHY RIGGER | |||||||||
| BOARD SECRETARY ENDING 8/2017 | 1.0 | 5.0 | Yes (X) | $0 | $56,744 | $7,481 | |||
| STEVE EDWARDS | |||||||||
| PRESIDENT AND CEO | 5.0 | 40.0 | Yes (X) | $0 | $1,532,608 | $276,827 | |||
| JACOB MCWAY | |||||||||
| SR VP AND CFO | 5.0 | 40.0 | Yes (X) | $0 | $794,156 | $152,014 | |||
| VICKIE NELSON | |||||||||
| BOARD SECRETARY BEG 8/2017 | 1.0 | 5.0 | Yes (X) | $0 | $61,450 | $18,035 | |||
| RON PRENGER | |||||||||
| SR VP, CHIEF HOSPITAL ADMIN | 40.0 | 0.0 | $428,364 | $0 | $44,483 | Yes (X) | |||
| ROBERT FERGUSON | |||||||||
| VP FERRELL DUNCAN CLINIC | 40.0 | 0.0 | $301,061 | $0 | $26,387 | Yes (X) | |||
| KAREN KRAMER | |||||||||
| VP, CNO | 40.0 | 0.0 | $295,542 | $0 | $43,890 | Yes (X) | |||
| JEFF HAWKINS | |||||||||
| VP CLINICAL SERVICES | 40.0 | 0.0 | $182,737 | $0 | $16,611 | Yes (X) | |||
| AMANDA HEDGPETH | |||||||||
| VP CLINICAL SERVICES | 40.0 | 0.0 | $173,369 | $0 | $19,546 | Yes (X) | |||
| GENICE MAROC | |||||||||
| VP CLINICAL SERVICES | 40.0 | 0.0 | $207,366 | $0 | $11,618 | Yes (X) | |||
| FRANK ROMERO | |||||||||
| VP MEDICAL AFFAIRS | 40.0 | 0.0 | $462,866 | $0 | $27,862 | Yes (X) | |||
| MAX BUETOW | |||||||||
| VP REGIONAL SERVICES | 40.0 | 0.0 | $203,418 | $0 | $25,355 | Yes (X) | |||
| ARIJIT CHOWDHURY MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $497,790 | $0 | $27,832 | Yes (X) | |||
| TOMMY TRENT DO | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $504,290 | $0 | $27,837 | Yes (X) | |||
| GREGORY STAMPS | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $677,076 | $0 | $46,167 | Yes (X) | |||
| ARMIN KAMYAB | |||||||||
| PHYISICAN | 40.0 | 0.0 | $613,492 | $0 | $20,119 | Yes (X) | |||
| LOUIS KRENN | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $452,205 | $0 | $27,837 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,345,369 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,923,694 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $889,166 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 647 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| EMERGENCY PHYSICIANS OF | |||||
| SPFD | SPRINGFIELD | MO | 65810 | PHYS REMUNERATION | $18,077,382 |
| SPFD NEUROLOGICAL | |||||
| INSTITUTE | SPRINGFIELD | MO | 65804 | PHYS REMUNERATION | $14,510,769 |
| OZARK ANESTHESIA | |||||
| ASSOCIATES | SPRINGFIELD | MO | 65807 | ANESTHESIA SERVICES | $8,761,985 |
| XTEND | |||||
| HEALTHCARE | HENDERSONVILLE | TN | 37075 | ACCOUNT COLLECTIONS | $4,675,095 |
| SHIFTWISE | |||||
| 500 W MAIN ST STE 14 | ST PAUL | MN | 55170 | STAFFING MGMT | $7,280,878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 86 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $49,957 | FundraisingAmt |
| Related Organizations | $1,022,509 | RelatedOrganizationsAmt |
| All Other Contributions | $2,435,984 | AllOtherContributionsAmt |
| Total Contributions | $3,508,450 | 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 | $1,122,652,290 | $1,122,652,290 | |
| NET PATIENT SERVICE - UNRELATED LAB | 621500 | $623,014 | $623,014 | |
| NET PATIENT SERVICE - UNRELATED RETAIL DME | 446199 | $377,357 | $377,357 | |
| CAFETERIA, MEALS & VENDING | 722514 | $4,738,120 | $4,738,120 | |
| FITNESS CENTERS | 713940 | $3,102,051 | $3,102,051 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,309,556 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,309,556 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,143,802,388 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,590,203 | TotalRevenueColumnAmt |
| Exclusion | $10,590,203 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,692,253 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,286,735 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $405,518 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $405,518 | TotalRevenueColumnAmt |
| Exclusion | $405,518 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $253,667,916 | SecuritiesAmt |
| Other | $340,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $235,021,143 | SecuritiesAmt |
| Other | $183,449 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,646,773 | SecuritiesAmt |
| Other | $157,051 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,803,824 | TotalRevenueColumnAmt |
| Exclusion | $18,803,824 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $35,519 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $49,957 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $38,443 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,924 | TotalRevenueColumnAmt |
| Exclusion | -$2,924 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| LOSS ON INVESTMENT IN EQUITY INVESTEE | 900099 | -$18,953 | $106,401 | -$125,354 |
| CHANGE IN INTEREST IN NET ASSETS OF SUBS | 900099 | $11,637,144 | $11,637,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,618,191 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,188,725,650 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,142,802,017 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,106,772 | UnrelatedBusinessRevenueAmt |
| Exclusion | $41,308,411 | 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 | $525,200 | TotalAmt |
| Program Services | $525,200 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,124,120 | TotalAmt |
| Program Services | $1,124,120 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,855,929 | TotalAmt |
| Program Services | $1,826,861 | ProgramServicesAmt |
| Management And General | $1,029,068 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $647,809 | TotalAmt |
| Program Services | $375,240 | ProgramServicesAmt |
| Management And General | $272,569 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,191,132 | TotalAmt |
| Program Services | $315,343,794 | ProgramServicesAmt |
| Management And General | $23,614,901 | ManagementAndGeneralAmt |
| Fundraising | $232,437 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,915,712 | TotalAmt |
| Program Services | $2,739,688 | ProgramServicesAmt |
| Management And General | $168,250 | ManagementAndGeneralAmt |
| Fundraising | $7,774 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,271,881 | TotalAmt |
| Program Services | $55,004,219 | ProgramServicesAmt |
| Management And General | $4,251,468 | ManagementAndGeneralAmt |
| Fundraising | $16,194 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,322,527 | TotalAmt |
| Program Services | $23,486,590 | ProgramServicesAmt |
| Management And General | $1,835,937 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,757 | TotalAmt |
| Management And General | $138,757 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,413 | TotalAmt |
| Management And General | $247,413 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,411 | TotalAmt |
| Management And General | $153,411 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,052,435 | TotalAmt |
| Management And General | $1,052,435 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,538,137 | TotalAmt |
| Program Services | $243,582,606 | ProgramServicesAmt |
| Management And General | $30,946,695 | ManagementAndGeneralAmt |
| Fundraising | $8,836 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,386 | TotalAmt |
| Program Services | $392,298 | ProgramServicesAmt |
| Management And General | $50,088 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,570,043 | TotalAmt |
| Program Services | $16,434,192 | ProgramServicesAmt |
| Management And General | $2,099,559 | ManagementAndGeneralAmt |
| Fundraising | $36,292 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,726,162 | TotalAmt |
| Program Services | $5,964,613 | ProgramServicesAmt |
| Management And General | $761,549 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,610,245 | TotalAmt |
| Program Services | $19,945,505 | ProgramServicesAmt |
| Management And General | $631,394 | ManagementAndGeneralAmt |
| Fundraising | $33,346 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,202,712 | TotalAmt |
| Program Services | $1,953,317 | ProgramServicesAmt |
| Management And General | $249,395 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,360,142 | TotalAmt |
| Program Services | $2,092,922 | ProgramServicesAmt |
| Management And General | $267,220 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,037,031 | TotalAmt |
| Program Services | $16,454,616 | ProgramServicesAmt |
| Management And General | $1,582,415 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,027,390 | TotalAmt |
| Program Services | $32,866,251 | ProgramServicesAmt |
| Management And General | $3,160,697 | ManagementAndGeneralAmt |
| Fundraising | $442 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,406,772 | TotalAmt |
| Program Services | $3,107,891 | ProgramServicesAmt |
| Management And General | $298,881 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $166,516,023 | $166,516,023 | |
| BAD DEBT | $90,465,430 | $90,465,430 | |
| STATE PROVIDER TAX | $45,635,290 | $45,635,290 | |
| LICENSES, DUES, SUBSCRIPTIONS | $1,718,482 | $1,523,912 | $194,570 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,308,305 | TotalAmt |
| Program Services | $5,245,219 | ProgramServicesAmt |
| Management And General | $818,132 | ManagementAndGeneralAmt |
| Fundraising | $244,954 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,127,010,876 | TotalAmt |
| Program Services | $1,052,605,797 | ProgramServicesAmt |
| Management And General | $73,824,804 | ManagementAndGeneralAmt |
| Fundraising | $580,275 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,248,042 | BOYAmt |
| EOY | $1,549,715 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,184,521 | BOYAmt |
| EOY | $182,532,177 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,044,837 | BOYAmt |
| EOY | $144,714,568 | 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 | $5,965,653 | BOYAmt |
| EOY | $5,975,650 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,336,468 | BOYAmt |
| EOY | $12,489,817 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,432,646 | BOYAmt |
| EOY | $11,587,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,111,005,602 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $673,226,156 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,846,443 | BOYAmt |
| EOY | $437,779,446 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,356,289 | BOYAmt |
| EOY | $491,860,610 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,875,038 | BOYAmt |
| EOY | $23,519,148 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,628,527 | BOYAmt |
| EOY | $207,720,383 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,283,894 | BOYAmt |
| EOY | $25,263,742 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,946,865 | BOYAmt |
| EOY | $17,288,429 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,463,149,223 | BOYAmt |
| EOY | $1,562,280,731 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,035,917 | BOYAmt |
| EOY | $208,617,977 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,716,075 | BOYAmt |
| EOY | $3,354,829 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,349,573 | BOYAmt |
| EOY | $454,589,924 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $9,138,723 | BOYAmt |
| EOY | $13,303,246 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,699,099 | BOYAmt |
| EOY | $7,589,337 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,451,027 | BOYAmt |
| EOY | $59,628,720 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,390,414 | BOYAmt |
| EOY | $747,084,033 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $674,416,276 | BOYAmt |
| EOY | $774,690,863 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,562,781 | BOYAmt |
| EOY | $20,632,685 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,779,752 | BOYAmt |
| EOY | $19,873,150 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $712,758,809 | BOYAmt |
| EOY | $815,196,698 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,463,149,223 | BOYAmt |
| EOY | $1,562,280,731 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $61,714,774 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $17,082,635 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $23,640,480 | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| 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 | $104,691 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $48,720 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $153,411 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE C, PART II-B, LINE 1G | DIRECT CONTACT WITH LEGISLATORS, ETC: THE ORGANIZATION CONTRACTED PENMAN & WINTON CONSULTING 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 1I | OTHER LOBBYING ACTIVITIES: MEMBERS OF THE ADMINISTRATIVE STAFF CONTACT LEGISLATORS REGARDING KEY HEALTHCARE ISSUES. ALSO, PORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2017, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $35,502 FOR MHA AND $13,217 FOR AHA. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,820,777 | BeginningYearBalanceAmt |
| Contributions | $426,535 | ContributionsAmt |
| Investment Earnings Or Losses | $107,185 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $309,807 | OtherExpendituresAmt |
| End Year Balance | $4,044,690 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,111,030 | BeginningYearBalanceAmt |
| Contributions | $653,117 | ContributionsAmt |
| Investment Earnings Or Losses | $107,994 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,051,364 | OtherExpendituresAmt |
| End Year Balance | $3,820,777 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,800,435 | BeginningYearBalanceAmt |
| Contributions | $486,859 | ContributionsAmt |
| Investment Earnings Or Losses | $149,724 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $22,800 | GrantsOrScholarshipsAmt |
| Other Expenditures | $303,188 | OtherExpendituresAmt |
| End Year Balance | $5,111,030 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,452,776 | BeginningYearBalanceAmt |
| Contributions | $513,875 | ContributionsAmt |
| Investment Earnings Or Losses | $154,886 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $27,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $294,102 | OtherExpendituresAmt |
| End Year Balance | $4,800,435 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,159,597 | BeginningYearBalanceAmt |
| Contributions | $695,884 | ContributionsAmt |
| Investment Earnings Or Losses | $162,212 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $14,600 | GrantsOrScholarshipsAmt |
| Other Expenditures | $550,317 | OtherExpendituresAmt |
| End Year Balance | $4,452,776 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.37010 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.62990 | 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 | $27,046,709 | OtherCostOrOtherBasisAmt |
| Book Value | $27,046,709 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $391,594,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $188,921,691 | DepreciationAmt |
| Book Value | $202,672,851 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,715,606 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,972,822 | DepreciationAmt |
| Book Value | $742,784 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $652,950,566 | OtherCostOrOtherBasisAmt |
| Depreciation | $467,545,288 | DepreciationAmt |
| Book Value | $185,405,278 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,698,179 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,786,355 | DepreciationAmt |
| Book Value | $21,911,824 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $437,779,446 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INT IN NA OF TAX EXEMPT SUBS | Desc |
| Book Value | $207,720,383 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $207,720,383 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| EST AMT DUE TO 3RD PARTIES | $5,829,828 |
| DUE TO AFFILIATES | $16,077,857 |
| SELF INSURANCE CLAIMS PAYABLE | $37,721,035 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $59,628,720 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | INTENDED USE OF ENDOWMENTS: COXHEALTH FOUNDATION, A RELATED ORGANIZATION, HOLDS 19 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 1E, COLUMN B INCLUDES AN AMOUNT REPRESENTING THE BALANCE OF FUNDS THAT ARE HELD FOR THE BENEFIT OF COX COLLEGE, A RELATED ENTITY. THESE FUNDS WERE PREVIOUSLY HELD FOR THE BENEFIT OF LESTER E. COX MEDICAL CENTERS. IN FYE 9/30/16, COX COLLEGE WAS CREATED AND THESE FUNDS WERE DEEMED HELD FOR THE BENEFIT OF COX COLLEGE. |
| 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 F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| Central America and the Caribbean | 1 | Investments | CAPTIVE INSURANCE | $1,088,533 |
| Central America and the Caribbean | Investments | $156,073,276 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $157,161,809 | SubtotalSpentAmt |
| Total Spent | $157,161,809 | 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, COLUMN F | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING METHOD: THE AMOUNT OF PROGRAM SERVICE EXPENDITURES REPORTED ON LINE 1 ARE REPORTED BASED ON THE AMOUNTS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF THE INSURANCE COMPANY OF SPRINGFIELD, INC., THE CAPTIVE INSURANCE COMPANY. THESE AUDITED FINANCIAL STATEMENTS USED GENERALLY ACCEPTED ACCOUNTING PRINCIPLES ESTABLISHED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNEY | Event1Nm |
| Gross Receipts Event1 | $35,639 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $19,036 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $16,603 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $2,924 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $643 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $15,960 | RentFacilityCostsEvent1Amt |
| Event2 | MEDICAL MILE | Event2Nm |
| Gross Receipts Event2 | $29,198 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $16,031 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $13,167 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $9,482 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $290 | RentFacilityCostsEvent2Amt |
| Entertainment Event2 | $263 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $3,132 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $20,639 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $14,890 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $5,749 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $45 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $2,912 | RentFcltyCostsOtherEventsAmt |
| Entertainment Other Events | $189 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $2,603 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $85,476 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $49,957 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $35,519 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $2,924 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $10,170 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $19,162 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $452 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,735 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $38,443 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$2,924 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,520,744 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,520,744 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03620 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148,024,752 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,015,836 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,008,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $185,545,496 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,015,836 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,529,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06030 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $862,551 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $862,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,699,252 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,631,862 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,067,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,065,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,326,987 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,738,087 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,089,418 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,089,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,716,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,958,849 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,757,446 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206,261,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $132,974,685 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $73,287,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $90,465,430 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $14,902,140 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $349,649,405 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $414,568,820 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$64,919,415 | 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 | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LESTER E COX MEDICAL CENTERS - SOUTH | ||||||||||||
| 1 | 3801 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | WWW.COXHEALTH.COM | 500-8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 1 |
| LESTER E COX MEDICAL CENTERS - NORTH | ||||||||||||
| 2 | 1423 N JEFFERSON ST | SPRINGFIELD | MO | 65802 | WWW.COXHEALTH.COM | 500-8 | Yes (X) | Yes (X) | Yes (X) | 1 | ||
| MEYER ORTHOPEDIC HOSPITAL | ||||||||||||
| 3 | 1000 E WALNUT LAWN | SPRINGFIELD | MO | 65807 | WWW.COXHEALTH.COM | 500-8 | Yes (X) | Yes (X) | 1 | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP #1 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | 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 | 15 | 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 | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| 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 | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | COMMUNITY INPUT: A COMMITTEE WAS FORMED TO CREATE AND IMPLEMENT THE SURVEY USED IN THE ASSESSMENT. THE COMMITTEE BEGAN MEETING IN JUNE 2015 AND WAS COMPRISED OF HOSPITAL, ACADEMIC AND PUBLIC HEALTH PARTNERS. THE COMMITTEE CREATED A SURVEY AND THE FOCUS OF THIS SURVEY WAS TO GARNER FEEDBACK FROM RESIDENTS IN THE REGION ON PRIORITIZING ISSUES THAT ARE BARRIERS TO IMPROVED HEALTH. IN ADDITION, THE COMMITTEE DETERMINED THAT THERE WAS SIGNIFICANT VALUE IN OBTAINING PERSPECTIVES ON HEALTH FROM BOTH INDIVIDUALS AND ORGANIZATIONS THAT PROVIDE SERVICES TO THE COMMUNITY. AS A RESULT, AN ADDITIONAL SURVEY THAT HAD MINOR ADJUSTMENTS MADE FOR THE ORGANIZATIONAL PERSPECTIVE WAS ALSO ADMINISTERED. AFTER THE SURVEY WAS DEVELOPED, IT WAS APPROVED THROUGH THE INSTITUTIONAL REVIEW BOARD THROUGH THE OFFICE OF RESEARCH ADMINISTRATION AT MISSOURI STATE UNIVERSITY AND TRANSLATED INTO SPANISH. THE FULL SURVEY CAN BE FOUND IN THE APPENDIX J OF THE REPORT. SURVEY MONKEY WAS USED TO STREAMLINE THE DATA COLLECTION, COMPILATION AND ANALYSIS. THE SURVEY INCLUDED FOUR POTENTIAL PATHS BASED ON 2 LINKS (ENGLISH AND SPANISH) AND THE FIRST QUESTION (INDIVIDUAL OR ORGANIZATION). THE ANNOUNCEMENT OF THE SURVEY WAS MADE THROUGH A JOINT EFFORT OF ALL PARTICIPATING PARTNERS WITH A COORDINATED PRESS RELEASE. INDIVIDUAL ORGANIZATIONS PROMOTED THE COMPLETION OF THE SURVEY THROUGH EMAIL, NETWORKING, SOCIAL MEDIA AND PROMOTION AT POINT OF SERVICE WITHIN FACILITIES. INCENTIVES WERE NOT OFFERED TO PARTICIPANTS AT ANY POINT OF SURVEY COLLECTION. TO MAXIMIZE THE RESPONSE RATE, THE SURVEY WAS KEPT OPEN AND PROMOTED FROM AUGUST 2015 UNTIL DECEMBER 2015. PRELIMINARY RESULTS WERE COLLECTED AT THE BEGINNING OF NOVEMBER 2015 TO INFORM THE LINE OF QUESTIONING DEVELOPED FOR THE FOCUS GROUPS. FINAL RESULTS WERE THEN TABULATED IN DECEMBER 2015 AND JANUARY 2016. FOCUS GROUPS WERE ALSO USED TARGETING UNDERSERVED, CHRONICALLY ILL AND LOW-POPULATIONS IN EACH COMMUNITY. A RESEARCHER FROM MISSOURI STATE UNIVERSITY'S SOCIOLOGY DEPARTMENT WAS CONTRACTED TO COMPLETE THE FOCUS GROUPS. THE RESEARCHER HAS EXPERIENCE WITH HEALTHCARE AND FOCUS GROUPS. THE RESEARCHER ALSO SERVED ON THE SURVEY COMMITTEE AND WAS AN INTEGRAL PART OF THE PROCESS. AFTER THE TOPICS OF FOCUS WERE IDENTIFIED IN AUGUST 2015, THE RESEARCHER DEVELOPED THE FOCUS GROUP QUESTIONS AND SUBMITTED THEM TO THE SURVEY COMMITTEE AND THE STEERING COMMITTEE TO REVIEW AND PROVIDE FEEDBACK. THE SURVEY COMMITTEE ALSO HELPED DETERMINE THE NUMBER OF FOCUS GROUPS AND THE TARGET AUDIENCE FOR THE FOCUS GROUPS. THE COMMITTEE DETERMINED THAT RESIDENTS WERE THE MOST IMPORTANT GROUP FROM WHICH TO RECEIVE IN-DEPTH FEEDBACK. ADDITIONALLY, THE COMMITTEE DETERMINED THAT IT WAS NECESSARY TO CONDUCT FOCUS GROUPS IN EACH OF THE NINE COMMUNITIES DUE TO VARIANCES IN LOCAL PERCEPTIONS AND BARRIERS. FOCUS GROUP FACILITATOR TRAININGS WERE CONDUCTED IN SEPTEMBER AND OCTOBER 2015, WITH FOCUS GROUPS OCCURRING IN NOVEMBER AND DECEMBER 2015. IN ADDITION, SECONDARY DATA WAS COLLECTED FROM COMMUNITYCOMMONS.ORG AND OTHER SOURCES AND EMERGENCY DEPARTMENT DATA WAS OBTAINED FROM HOSPITAL PARTNERS. |
| SCHEDULE H, PART V, SECTION B, LINE 6A | CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA WAS CONDUCTED FOR THE ENTIRE REPORTING GROUP #1, AS REPORTED ON SCHEDULE H, PART V, SECTION A, INCLUDING LESTER E. COX MEDICAL CENTERS - SOUTH, LESTER E. COX MEDICAL CENTERS - NORTH, AND MEYER ORTHOPEDIC HOSPITAL. OTHER HOSPITAL FACILITY PARTNERS INCLUDED CITIZENS MEMORIAL HEALTHCARE, FREEMAN HEALTH SYSTEM, AND MERCY. THE CHNA WAS ALSO CONDUCTED WITH RELATED ORGANIZATIONS COX MEDICAL CENTER BRANSON AND COX-MONETT HOSPITAL. |
| SCHEDULE H, PART V, SECTION B, LINE 6B | CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL ORGANIZATIONS: -BURRELL BEHAVIORAL HEALTH -JASPER COUNTY HEALTH DEPARTMENT -JOPLIN HEALTH DEPARTMENT -POLK COUNTY HEALTH CENTER -SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT -TANEY COUNTY HEALTH DEPARTMENT |
| SCHEDULE H, PART V, SECTION B, LINE 7A | CHNA HOSPITAL FACILITYS WEBSITE: https://www.coxhealth.com/about-us/community-health-needs-assessments/ |
| SCHEDULE H, PART V, SECTION B, LINE 7B | CHNA OTHER WEBSITES: HTTP://WWW.OZARKSHEALTHCOMMISSION.ORG HTTP://WWW.MERCY.NET HTTP://WWW.COXHEALTH.COM HTTP://WWW.FREEMANHEALTH.COM HTTP://WWW.CITIZENSMEMORIAL.COM |
| SCHEDULE H, PART V, SECTION B, LINE 7D | OTHER METHODS TO MAKE THE CHNA REPORT AVAILABLE TO THE PUBLIC: PRINTED COPIES ARE AVAILABLE BY REQUEST THROUGH HOSPITAL OR PUBLIC HEALTH PARTNERS OR AT OZARKSHEALTHCOMMISSION.ORG AND NEWS RELEASE WAS SENT OUT TO ENCOURAGE MEDIA COVERAGE WITH LINKS TO THE REPORT AND KEY MESSAGES FOR THE PUBLIC. |
| SCHEDULE H, PART V, SECTION B, LINE 10A | IMPLEMENTATION STRATEGY WEBSITE: https://www.coxhealth.com/about-us/community-health-needs-assessments/ |
| SCHEDULE H, PART V, SECTION B, LINE 11 | ADDRESSING IDENTIFIED NEEDS: 1. INCREASE PATIENT ENGAGEMENT IN CHRONIC CONDITION SELF-MANAGEMENT -THE CENTER FOR HEALTH IMPROVEMENT EMPLOYS A SKILLED TEAM OF HEALTHCARE PROFESSIONALS WHO DELIVER SUPPORT AND EDUCATION FOR CHRONIC DISEASE MANAGEMENT, NUTRITION SERVICES, AND ADVANCED CARE PLANNING. THEY PROVIDE TOOLS DESIGNED TO INCREASE SELF-MANAGEMENT OF CHRONIC CONDITIONS INCLUDING DIABETES, LUNG DISEASE, CHRONIC PAIN, AND MORE. -IN THE FIRST QUARTER CALENDAR YEAR 2018, A CURRENT STATE ASSESSMENT OF THE CENTER FOR HEALTH IMPROVEMENT WAS CONDUCTED TO DETERMINE THE EFFICACY OF VARIOUS PROGRAMS. AS A RESULT OF THE ASSESSMENT, THE TEAM IS REFINING THE SCOPE OF OFFERINGS TO AN EVIDENCE-BASED, TARGETED PROGRAM SUITE THAT FOCUSES HEAVILY ON IMPROVING CHRONIC CONDITION MANAGEMENT OF PATIENTS. THIS REORGANIZATION AND RESTRUCTURE REMAINS IN PROCESS WITH PLANS FOR FULL IMPLEMENTATION IN THE NEAR FUTURE. -THE NURSING EDUCATION DEPARTMENT AND THE JOINT REPLACEMENT EDUCATORS AT MEYER ORTHOPEDIC CENTER DEVELOPED A PROCESS TO INCREASE TIGR VIDEO EDUCATION VIEWS. MANDATORY EDUCATION WAS EXPANDED TO INCLUDE ALL ADULT PATIENTS WITH A DIAGNOSIS OF PNEUMONIA, HEART FAILURE, ACUTE MI, TOTAL HIP/KNEE REPLACEMENT, OR COPD TO HELP ACHIEVE BEST OUTCOMES WHILE REDUCING READMISSIONS. -AS A RESULT OF THIS INTERVENTION, TIGR VIDEO VIEWS INCREASED FROM 1,618 VIEWS IN JUNE 2017, TO 4,694 VIEWS IN MAY 2018. 2. REDUCE AVOIDABLE HOSPITAL READMISSIONS -IN FEBRUARY 2017, COXHEALTH IMPLEMENTED A PATIENT READMISSION INTERVIEW FORM. WHEN A PATIENT IS READMITTED WITHIN THIRTY DAYS, A CASE MANAGER MEETS WITH THE PATIENT TO DISCUSS THE READMISSION. TO INCREASE THE NUMBER OF PATIENTS INTERVIEWED, COXHEALTH NURSING ADMINISTRATION BEGAN TRAINING NURSES ON LIGHT DUTY TO COMPLETE THE INTERVIEWS IN 2018. TOPICS COVERED IN THE INTERVIEW INCLUDE: >FREQUENCY OF GOOD COMMUNICATION IN THE HOSPITAL REGARDING DIAGNOSIS AND MEDICATIONS. >COMMUNICATION ABOUT DISCHARGE INSTRUCTIONS AND ABILITY TO UNDERSTAND INSTRUCTIONS. >MEDICATION COMPLIANCE AND REASONS FOR ANY DIFFICULTY REMAINING COMPLIANT. >FOLLOW UP APPOINTMENTS WITH A PCP BEING SCHEDULED AND ATTENDED. >REASONS FOR READMISSION, FROM THE PATIENTS PERSPECTIVE. >>THE INFORMATION GATHERED BY THE CASE MANAGER COMES DIRECTLY FROM THE PATIENT AND IS ENTERED INTO REPORTABLE FIELDS THAT ALLOW FOR DATA COLLECTION. COMMON THEMES FOR AVOIDABLE READMISSIONS WILL BE EASIER TO IDENTIFY AND PREVENT THROUGH THIS PROCESS. -EVIDENCE-BASED BEST PRACTICES TO REDUCE AVOIDABLE READMISSIONS HAVE BEEN IMPLEMENTED AND CONTINUE TO EXPAND. >COXHEALTH HIRED TRANSITIONAL CARE PHARMACISTS WHO DEDICATE THEIR TIME WORKING WITH PATIENTS BEING DISCHARGED TO ENSURE THE PATIENT LEAVES THE HOSPITAL WITH THEIR MEDICATIONS. >NEW EFFORTS ARE IN PLACE TO INCREASE THE NUMBER OF PATIENTS WHO LEAVE THE HOSPITAL WITH THEIR MEDICATIONS THROUGH THE USE OF A FOCUSED, FAST-PACED I-90 PROJECT. >THE CLINIC SUPPORT TEAM HAS BEEN INSTRUMENTAL IN SCHEDULING FOLLOW-UP APPOINTMENTS WITH PATIENTS. THE MAJORITY OF INPATIENT UNITS ARE COVERED BY THE CLINIC SUPPORT TEAM, WHICH MEANS MOST PATIENTS HAVE A FOLLOW UP APPOINTMENT SCHEDULED PRIOR TO LEAVING THE HOSPITAL. >A SUBGROUP COMPRISED OF FRONTLINE STAFF, LEADERS, AND QUALITY IMPROVEMENT EXPERTS HAS FORMED TO FOCUS SPECIFICALLY ON REDUCING HEART FAILURE READMISSIONS. THE GROUP WILL USE DATA TO INFORM DECISIONS ON HOW TO BEST MANAGE OUR PATIENTS WITH FREQUENT INPATIENT STAYS DUE TO HEART FAILURE. 3. INCREASE ACCESS TO TOBACCO CESSATION RESOURCES FOR PATIENTS AND FAMILIES PRESENTING TO OUR HOSPITALS AND CLINICS -AN ASSET ASSESSMENT AND GAP ANALYSIS OF THE SYSTEMS CURRENT TOBACCO TREATMENT OFFERINGS WAS CONDUCTED EARLIER THIS YEAR. RECOMMENDATIONS FROM THAT ASSESSMENT INCLUDE CREATION AND IMPLEMENTATION OF A CLEARLY OUTLINED REFERRAL PROCESS AND DEFINED RESOURCES; PROMOTION OF THE ASK, ADVISE, ACT/REFER MODEL TO INITIATE INTERVENTION; DEVELOPMENT AND IMPLEMENTATION OF PREOPERATIVE PROTOCOL TO PROMOTE TOBACCO CESSATION 12 HOURS PRE- AND POST-SURGERY. -EARLIER THIS YEAR, WE PROVIDED TRAINING TO 12 KEY COXHEALTH STAFF MEMBERS AND 3 COMMUNITY EDUCATORS. COMPLETION OF THE UMASS EDUCATION CURRICULUM, REQUIRED EXAMS, AND PRACTICE HOURS MAKE CLASS PARTICIPANTS ELIGIBLE FOR CERTIFICATION AS TOBACCO TREATMENT SPECIALISTS. AS A RESULT OF THIS EDUCATION, THERE WILL BE A LARGE INCREASE IN THE AMOUNT OF CESSATION RESOURCES AVAILABLE WITHIN THE SYSTEM. -THE QUIT RATE FOR OUR MFH STONE AND TANEY COUNTIES TOBACCO CESSATION GRANT HAS STEADILY INCREASED SINCE ITS INCEPTION IN 2013, WITH THE CURRENT QUIT RATE FOR 2018 TO DATE AT 75%. AVERAGING ACROSS THE HISTORY OF THE PROGRAM, THE AGGREGATED QUIT RATE IS 53%. -DUE TO THE SUCCESS OF THIS PROGRAM, FOLLOWING THE GRANTS END ON MAY 31, 2018, WE WERE ABLE TO HIRE A FULL TIME TOBACCO CESSATION COORDINATOR WHO WILL BE RESPONSIBLE FOR COORDINATING SYSTEM EFFORTS TO STANDARDIZE POLICIES AND REFERRAL PROCESSES ACROSS ALL CAMPUSES AND SETTINGS. 4. DECREASE CHILDHOOD OBESITY -THE CARDIAC KIDS PROGRAM IS IMPLEMENTED IN 13 RURAL SCHOOLS IN THE COXHEALTH SERVICE AREA. ITS MAIN OBJECTIVE IS TO SCREEN 5TH GRADE STUDENTS FOR HEALTH INDICATORS THAT PUT THEM AT HIGH RISK FOR DEVELOPING CARDIAC DISEASE. SCREENING BY COXHEALTH STAFF INCLUDES HEIGHT AND WEIGHT MEASUREMENT, BMI CONSULT, AND HEALTH/NUTRITION EDUCATION. -APPROXIMATELY 400 CHILDREN ARE SCREENED ANNUALLY. THOSE WHO ARE DEEMED HIGH RISK ARE REFERRED TO THE COMMITTED TO KIDS PROGRAM. THIS 8-WEEK PROGRAM IS AN INTENSIVE INTERVENTION FOR AT-RISK CHILDREN AND THEIR FAMILIES FOCUSING ON HEATHY BEHAVIOR AND NUTRITION EDUCATION. -PLANS ARE IN PLACE TO FURTHER INTEGRATE THE TWO PROGRAMS TO PROVIDE A COHESIVE UNIT AND BETTER UTILIZE RESOURCES TO SERVE AT-RISK COMMUNITIES. 5. INCREASE THE NUMBER OF WOMEN WHO BREASTFEED THEIR INFANTS AFTER DELIVERY -COXHEALTH AND THE SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT ARE CURRENTLY ENGAGED IN A COMMUNITY BREASTFEEDING COALITION WITH THE GOAL OF STRATEGICALLY ALIGNING EFFORTS TO HELP MOVE THE CHIP INITIATIVE FORWARD. -IN ADDITION TO EDUCATION PRESENTED IN OUR GENERAL PRENATAL CLASSES, THE COXHEALTH LACTATION CONSULTANTS FACILITATE A MONTHLY BREASTFEEDING SUPPORT GROUP CALLED THE LACTATION CLUB. -THE ANNUAL COXHEALTH BABY FAIR IS A FREE EVENT THAT FEATURES VENDOR DISPLAYS, DEMONSTRATIONS, DOOR PRIZES, AND CLASSES WITH A VARIETY OF TOPICS INCLUDING BREASTFEEDING. 6. INCREASE DETECTION AND TREATMENT OF THE EARLIEST STAGES OF LUNG CANCER NODULES -COXHEALTH OFFERS LOW-DOSE CT SCANS AS A DIAGNOSTIC SCREENING FOR LUNG CANCER. LOW-DOSE CT SCANS USE LOWER AMOUNTS OF RADIATION TO HELP IDENTIFY LUNG NODULES IN THE EARLIEST STAGES OF LUNG CANCER WHEN IT IS MOST TREATABLE. STUDIES HAVE SHOWN THAT PATIENTS WHO PARTICIPATE IN A LOW-DOSE CT LUNG CANCER PROGRAM ARE 20% LESS LIKELY TO DIE FROM LUNG CANCER THAN THOSE WHO WERE NOT SCREENED WHEN APPROPRIATE. -SINCE THE PROGRAM BEGAN, THE NUMBER OF INDIVIDUALS WHO HAD A LOW-DOSE CT SCAN COMPLETED HAS INCREASED NEARLY THREE-FOLD. AS A RESULT, 354 PEOPLE HAVE BEEN SCREENED FOR EARLY STAGE LUNG CANCER USING LOW-DOSE CT SCAN TECHNOLOGY. -THE GOAL OF DEVELOPING A REFERRAL PATHWAY BETWEEN THE CLINIC AND SYSTEM TOBACCO CESSATION RESOURCES IS UNDERWAY. 7. INCREASE REFERRALS TO COMMUNITY ORAL HEALTH RESOURCES FOR PATIENTS PRESENTING TO THE ED FOR DENTAL ISSUES -COMMUNITY PARTNERSHIPS WITH LOCAL RESOURCES HAVE BEEN STRENGTHENED AND REFINED TO ENSURE STAFF FEEL EMPOWERED TO REFER PATIENTS TO FACILITIES LIKE THE JORDAN VALLEY COMMUNITY HEALTH CENTER (JVCHC) FOR THE APPROPRIATE LEVEL OF CARE FOR ORAL HEALTH ISSUES. -WHEN EVALUATING THE CHIEF COMPLAINTS OF PATIENTS THAT PRESENTED TO THE EMERGENCY DEPARTMENT (ED) FIVE OR MORE TIMES IN A 12-MONTH PERIOD FOR NON-EMERGENT CARE, DENTAL COMPLAINTS RANKED AMONG THE HIGHEST. -PROTOCOLS WERE DEVELOPED FOR PATIENTS THAT PRESENT WITH TOOTH PAIN IN THE ED. AFTER THE MEDICAL SCREENING EXAM COMPLETION, THE PATIENT IS TRANSITIONED TO JVCHC FOR IMMEDIATE DENTAL CARE. -COXHEALTH WORKED IN COLLABORATION WITH JVCHC TO APPLY FOR A GRANT THAT ALLOWED FOR THE HIRE OF ADDITIONAL DENTISTS. TO ENSURE SAME-DAY OR NEXT DAY APPOINTMENTS, THE DENTAL CLINIC EXPANDED TO ADD SATURDAY HOURS. -QUICK ACCESS TO THE DENTAL CLINIC ALLOWED COXHEALTH ED PHYSICIANS TO DISCONTINUE PRESCRIBING NARCOTICS TO PATIENTS WHO PRESENTED WITH TOOTH PAIN. IN 2017, 2,098 INDIVIDUALS WHO PRESENTED TO THE SPRINGFIELD ED WITH NON-EMERGENT DENTAL PAIN WERE REFERRED TO JORDAN VALLEY FOR TREATMENT. OF THOSE INDIVIDUALS, 1,061 (50.5%) RECEIVED TREATMENT. -FOLLOWING A JOINT EFFORT BETWEEN PROGRAM ADMINISTRATORS AT COXHEALTH AND JORDAN VALLEY TO IMPROVE COMMUNICATION AND DATA REPORTING, THE MONTHLY REFERRAL COMPLETION RATE TO DATE HAS INCREASED EXPONENTIALLY TO 91.0%. -IN 2017, OF THE 612 INDIVIDUALS WHO PRESENTED TO COX BRANSON ED WITH DENTAL PAIN, 426 WERE REFERRED TO APPROPRIATE DENTAL CARE. OF THOSE REFERRAL PATIENTS WHO COULD BE REACHED FOR FOLLOW-UP, 31.5% HAD FULFILLED THEIR REFERRAL APPOINTMENT. THE LOW COMPLETION RATE CAN BE CORREL |
| SCHEDULE H, PART V, SECTION B, LINE 13A | ELIGIBILITY FOR FREE CARE: IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THE POLICY. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | OTHER CRITERIA USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY: MEDICAL HARDSHIP MAY ALSO BE USED TO DETERMINE FINANCIAL ELIGIBILITY. COXHEALTH SHALL MAKE A DECISION ABOUT A PATIENT/GUARANTORS MEDICAL HARDSHIP BY REVIEWING THE FINANCIAL ASSISTANCE APPLICATION, INCLUDING ACCOMPANYING FINANCIAL DOCUMENTATION, IN ADDITION TO OTHER RELEVANT DOCUMENTATION THAT SUPPORTS THE MEDICAL HARDSHIP OF THE PATIENT. |
| SCHEDULE H, PART V, SECTION B, LINE 16A | FINANCIAL ASSISTANCE POLICY WEBSITE: https://www.coxhealth.com/patients-and-visitors/financial-assistance/ |
| SCHEDULE H, PART V, SECTION B, LINE 16B | FINANCIAL ASSISTANCE POLICY APPLICATION WEBSITE: https://www.coxhealth.com/patients-and-visitors/financial-assistance/ |
| SCHEDULE H, PART V, SECTION B, LINE 16C | PLAIN LANGUAGE SUMMARY WEBSITE: https://www.coxhealth.com/patients-and-visitors/financial-assistance/ |
| SCHEDULE H, PART V, SECTION B, LINE 16J | MEASURES TO PUBLICIZE THE POLICY: FINANCIAL ASSISTANCE AVAILABILITY IS PROACTIVELY COMMUNICATED TO UNINSURED PATIENTS BY CUSTOMER SERVICE STAFF AND BY OUR EARLY OUT AND BAD DEBT VENDORS; ANYONE RECOGNIZED AS UNINSURED IS TOLD ABOUT THE FA AVAILABILITY AND ENCOURAGED TO PARTICIPATE. |
| SCHEDULE H, PART V | REV. PROC. 2015-21 DISCLOSURE: COXHEALTH PROACTIVELY MONITORS COMPLIANCE WITH IRC 501(R) REGULATIONS. DURING REGULARLY SCHEDULED INTERNAL AUDIT PROCEDURES, THE ORGANIZATION IDENTIFIED CERTAIN AREAS THAT NEEDED MINOR MODIFICATIONS TO MORE FULLY COMPLY WITH THE FOLLOWING SECTIONS OF 501(R): - THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF DETERMINING THE BEST COURSE OF ACTION TO MAKE SURE THAT IT HAS MADE ADEQUATE NOTIFICATION TO MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE ABOUT AVAILABILITY OF THE FAP. - THE ORGANIZATION HAS TRANSLATORS AVAILABLE IN MANY LANGUAGES, INCLUDING SPANISH, ASIAN, AND ENDO-EUROPEAN LANGUAGES. HOWEVER, THE ORGANIZATION HAS NOT YET PUBLICIZED A TRANSLATED FAP AND RELATED DOCUMENTS FOR LEP POPULATIONS, BUT IS IN THE PROCESS OF DOING SO. -THE ORGANIZATION IS IN THE PROCESS OF UPDATING CONSPICUOUS PUBLIC DISPLAYS THROUGHOUT ALL FACILITIES AND CLINICS. WHILE THE ORGANIZATION DOES HAVE DISPLAYS IN MANY AREAS, DISPLAYS ARE BEING UPDATED TO BE MORE CONSPICUOUS AND CONSISTENT THROUGHOUT. -THE ORGANIZATION HAS IDENTIFIED THAT IN SOME SITUATIONS, IT MAY NOT HAVE TECHNICALLY COMPLIED WITH ALL OF THE 501(R) PREREQUISITES REQUIRED FOR TAKING AN EXTRAORDINARY COLLECTION ACTION (ECA). THE ORGANIZATION IS IMPLEMENTING NEW PROCEDURES AND TRAINING FOR STAFF TO ENSURE THE REQUIREMENTS OF 501(R) ARE MET PRIOR TO INITIATING AN ECA INDLUDING MODIFYING OR REVERSING CERTAIN ECAS WHERE DETERMINED APPROPRIATE. THE ORGANIZATION DOES NOT BELIEVE THERE WERE ANY FAP-ELIGIBLE INDIVIDUALS THAT PAID MORE THAN AGB, AND THEREFORE NO CORRECTIONS NECESSARY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 72 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (72 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SPRINGFIELD INPATIENT PHYSICIANS | ||||
| 3801 S NATIONAL AVE 5TH FL | SPRINGFIELD | MO | 65807 | MEDICAL OFFICES |
| ADULT MEDICINE & ENDOCRINOLOGY SPECLST | ||||
| 960 E WALNUT LAWN SUITE 201 | SPRINGFIELD | MO | 65807 | CLINIC |
| FAMILY MEDICAL CARE CENTER | ||||
| 1423 N JEFFERSON ST B-100 | SPRINGFIELD | MO | 65802 | CLINIC |
| PHYSICIANS FOR WOMEN | ||||
| 3850 S NATIONAL AVE 400 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH CENTER STEEPLECHASE | ||||
| 1530 E REPUBLIC RD | SPRINGFIELD | MO | 65804 | CLINIC |
| PEDIATRIC CENTER | ||||
| 3443 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | CLINIC |
| REGIONAL PERINATAL CENTER | ||||
| 1000 E PRIMROSE 360 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH CENTER NIXA | ||||
| 411 N MCCROSKEY | NIXA | MO | 65714 | CLINIC |
| DIAGNOSTIC CLINIC | ||||
| 3800 S NATIONAL 600 | SPRINGFIELD | MO | 65807 | CLINIC |
| NORTHSIDE PEDIATRICS & ADOLESCENTS | ||||
| 1443 N ROBBERSON 200 | SPRINGFIELD | MO | 65802 | CLINIC |
| COXHEALTH NEWBORN MEDICINE SPECIALISTS | ||||
| 3801 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH CENTER WILLOW SPRINGS | ||||
| 816 E MAIN | WILLOW SPRINGS | MO | 65793 | CLINIC |
| SUN RIVER ORTHOPAEDICS | ||||
| 3800 S NATIONAL AVE 700 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH INTERNAL MEDICINE FOR WOMEN | ||||
| 3850 S NATIONAL AVE 700 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH CENTER ELFINDALE | ||||
| 1429 W SUNSHINE | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH PEDIATRICS | ||||
| 1000 E PRIMROSE 300 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH CENTER LEBANON | ||||
| 510 E HWY 32 | LEBANON | MO | 65536 | CLINIC |
| COXHEALTH CENTER CHESTERFIELD | ||||
| 1925 CHESTERFIELD BLVD | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH CENTER WILLARD | ||||
| 304 E JACKSON 5H | WILLARD | MO | 65781 | CLINIC |
| COXHEALTH CENTER MOUNTAIN GROVE | ||||
| 1602-A N MAIN ST | MOUNTAIN GROVE | MO | 65711 | CLINIC |
| COX SENIOR HEALTH CENTER | ||||
| 1423 N JEFFERSON ST | SPRINGFIELD | MO | 65802 | CLINIC |
| COX SENIOR HEALTH CENTER SOUTH | ||||
| 3525 S NATIONAL 207 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH CENTER MARSHFIELD | ||||
| 941 EAST HUBBLE DRIVE | MARSHFIELD | MO | 65706 | CLINIC |
| COXHEALTH CENTER OZARK | ||||
| 1741 S 15TH STREET | OZARK | MO | 65721 | CLINIC |
| COXHEALTH CENTER REPUBLIC | ||||
| 820 ILLINOIS AVE | REPUBLIC | MO | 65738 | CLINIC |
| COXHEALTH SURGERY MONETT | ||||
| 801 N LINCOLN | MONETT | MO | 65708 | CLINIC |
| COXHEALTH CENTER AVA | ||||
| 806 SW 13TH AVE | AVA | MO | 65608 | CLINIC |
| COXHEALTH INPATIENT PSYCHIATRY | ||||
| 1423 N JEFFERSON ST | SPRINGFIELD | MO | 65802 | CLINIC |
| COXHEALTH CENTER BUFFALO | ||||
| 119 N ASH | BUFFALO | MO | 65622 | CLINIC |
| COXHEALTH CENTER ROGERSVILLE | ||||
| 151 JOHNSTOWN DR | ROGERSVILLE | MO | 65742 | CLINIC |
| COXHEALTH CENTER FOR ADDICTIONS | ||||
| 1423 N JEFFERSON ST | SPRINGFIELD | MO | 65802 | CLINIC |
| THE CLINIC AT WALMART #0444 | ||||
| 3315 S CAMPBELL | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH PEDIATRIC SPECIALTIES | ||||
| 1000 E PRIMROSE 200 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH CENTER SEYMOUR | ||||
| 202 COMMERCIAL | SEYMOUR | MO | 65746 | CLINIC |
| THE CLINIC AT WALMART #0379 | ||||
| 2004 W MARLER LANE | OZARK | MO | 65721 | CLINIC |
| THE CLINIC AT WALMART #2221 | ||||
| 2021 E INDEPENDENCE | SPRINGFIELD | MO | 65804 | CLINIC |
| THE CLINIC AT WALMART #1009 | ||||
| 1150 US HWY 60 EAST | REPUBLIC | MO | 65738 | CLINIC |
| COXHEALTH CENTER CAMPBELL | ||||
| 2750 S CAMPBELL | SPRINGFIELD | MO | 65807 | CLINIC |
| PEDIATRIC HOSPITAL AFFILIATES | ||||
| 3801 S NATIONAL AVE 7TH FL | SPRINGFIELD | MO | 65807 | CLINIC |
| SPRINGFIELD NEUROLOGICAL & SPINE | ||||
| 3801 S NATIONAL | SPRINGFIELD | MO | 65804 | CLINIC |
| COXHEALTH PSYCHOLOGICAL SERVICES | ||||
| 3800 S NATIONAL 770 | SPRINGFIELD | MO | 65807 | CLINIC |
| MARTIN CENTER | ||||
| 3901 S FREMONT | SPRINGFIELD | MO | 65807 | CLINIC |
| OZARK HEALTH VENTURES | ||||
| 3550 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | CLINIC |
| BONE & JOINT CENTER | ||||
| 3555 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | CLINIC |
| FERRELL-DUNCAN CLINIC | ||||
| 1000 E PRIMROSE | SPRINGFIELD | MO | 65807 | MEDICAL OFFICES |
| MEYER CENTER FITNESS & REHAB | ||||
| 3545 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | FITNESS AND REHAB CENTER |
| COX HYPERBARIC MEDICINE & WOUND CARE | ||||
| 3525 S NATIONAL AVE 101 | SPRINGFIELD | MO | 65807 | CLINIC |
| MEDICAL OFFICE BUILDING-COX WALNUT LAWN | ||||
| 3525 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | MEDICAL OFFICES |
| TURNER WOMEN & CHILDREN'S CENTER | ||||
| 1000 E PRIMROSE | SPRINGFIELD | MO | 65807 | MEDICAL OFFICES |
| WHEELER HEART & VASCULAR | ||||
| 3800 S NATIONAL AVE 700 | SPRINGFIELD | MO | 65807 | MEDICAL OFFICES |
| HULSTON CANCER CENTER | ||||
| 3850 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | MEDICAL OFFICES |
| MEDICAL TOWERS | ||||
| 1443 N ROBBERSON | SPRINGFIELD | MO | 65802 | MEDICAL OFFICES |
| COXHEALTH INFECTIOUS DISEASES SPECIALTY | ||||
| 3800 S NATIONAL LL100 | SPRINGFIELD | MO | 65807 | CLINIC |
| COX CARE MOBILE | ||||
| 3525 S NATIONAL AVE 105 | SPRINGFIELD | MO | 65807 | CLINIC |
| THE CLINIC AT WALMART #86 | ||||
| 2825 N KANSAS EXPWAY | SPRINGFIELD | MO | 65803 | CLINIC |
| SENIOR ADVANTAGE | ||||
| 1000 E WALNUT LAWN | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH SPECIALTY CLINIC | ||||
| 1001 E PRIMROSE STREET | SPRINGFIELD | MO | 65807 | CLINIC |
| PANTHER CLINIC OPERATED BY COXHEALTH | ||||
| 900 N BENTON AVENUE | SPRINGFIELD | MO | 65802 | CLINIC |
| COXHEALTH ADULT & PEDIATRIC URGENT CARE | ||||
| 1000 E PRIMROSE | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH DIRECT CONNECT | ||||
| 3801 S NATIONAL | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH NEUROPSYCHOLOGY | ||||
| 3801 S NATIONAL AVE SUITE 900 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH OCCUPATIONAL MEDICINE | ||||
| 1423 N JEFFERSON K500 | SPRINGFIELD | MO | 65802 | CLINIC |
| COXHEALTH PEDIATRIC PLACE | ||||
| 3800 S NATIONAL AVE SUITE 730 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH PEDIATRIC SURGICAL SPECIALTIES | ||||
| 1000 E PRIMROSE SUITE 300 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH PRIMROSE OBGYN | ||||
| 1000 E PRIMROSE SUITE 270 | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH QUICK CARE HYVEE | ||||
| 1720 W BATTLEFIELD | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH SKIN CARE | ||||
| 2900 S NATIONAL AVE | SPRINGFIELD | MO | 65804 | CLINIC |
| COXHEALTH WELCOME CLINIC | ||||
| 2900 S NATIONAL BLDG A | SPRINGFIELD | MO | 65804 | CLINIC |
| OZARK FAMILY CLINIC | ||||
| 5548 N FARNER BRANCH RD | OZARK | MO | 65721 | CLINIC |
| PALLIATIVE CARE | ||||
| 3801 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | CLINIC |
| COXHEALTH OZARK PEDIATRICS | ||||
| 1741 SOUTH 15TH ST | OZARK | MO | 65721 | CLINIC |
| COXHEALTH MEDICAL MILE CLINIC | ||||
| 2900 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 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, COLUMN F | PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $90,465,430. |
| SCHEDULE H, PART I, LINE 7G | SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $4,738,087. LESTER E. COX MEDICAL CENTERS PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. LESTER E. COX MEDICAL CENTERS CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. |
| SCHEDULE H, PART I, LINE 7 | COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 5 AND 6 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT STEP-DOWN PROCESS. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT EXPENSE: THE BAD DEBT EXPENSE LISTED ON LINE 2 IS THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2012-2016, APPROXIMATELY 16.5 PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Health System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Health System records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | COLLECTION POLICY: THE ORGANIZATION WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF ANY AMOUNTS DISCOUNTED AS A RESULT OF AN APPROVED OR PARTIALLY APPROVED REQUEST FOR FINANCIAL ASSISTANCE. BALANCES REMAINING AFTER SUCH DISCOUNTS ARE APPLIED WILL, HOWEVER, BE SUBJECT TO COLLECTION ACTIVITY, INCLUDING LEGAL ACTION. IN ADDITION, THE ORGANIZATION WILL NOT CHARGE INTEREST ON THE BALANCE REMAINING AFTER APPLYING THE FINANCIAL ASSISTANCE DISCOUNT. HOWEVER, THE ORGANIZATION MAY, IN ITS SOLE DISCRETION, CHARGE INTEREST ON THE BALANCE OWED IF 1) THE GUARANTOR DEFAULTS ON HIS OR HER PAYMENT AGREEMENT OR 2) THE BALANCE IS REFERRED TO THE COLLECTION AGENCY FOR COLLECTION. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: LESTER E. COX MEDICAL CENTERS HAS PERFORMED AN ENVIRONMENTAL SCAN ANNUALLY SINCE 2006. COMMUNITY HEALTH NEEDS ASSESSMENTS AS REQUIRED BY THE IRS WERE COMPLETED IN 2012 AND 2015. THE ENVIRONMENTAL SCAN AND THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE VERY SIMILAR IN THAT SOME OF THE SAME ELEMENTS ARE PRESENT IN BOTH DOCUMENTS. A PUBLIC PERCEPTION STUDY OF AREA HEADS OF HOUSEHOLDS IS CONDUCTED ANNUALLY. THE MOST RECENT STUDY SURVEYED 876 HOUSEHOLDS IN OUR SERVICE AREA TO DETERMINE WHAT SERVICES ARE NEEDED. WE ALSO PERFORM A PUBLIC HEALTH SURVEY, WHICH ASKS COMMUNITY LEADERS AND HEALTH PROFESSIONALS WHAT THEIR PRIORITIES ARE AND WHAT HEALTH SERVICES ARE LACKING IN THEIR COMMUNITY. THE PUBLIC HEALTH SURVEY IS SENT TO COUNTY PUBLIC HEALTH DEPARTMENTS, LOCAL AGENCIES, REGIONAL SERVICES CLINICS, MENTAL HEALTH FACILITIES, AND PUBLIC SCHOOLS THROUGHOUT THE TOTAL SERVICE AREA. LESTER E. COX MEDICAL CENTERS REFERENCES UNITED HEALTH FOUNDATION STATE-BY-STATE HEALTH RANKINGS AS WELL AS ROBERT WOOD JOHNSON AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE COUNTY HEALTH RANK FOR HEALTH OUTCOMES AND HEALTH FACTORS. COXHEALTH ALSO REFERENCES "ASSESSING THE HEALTH OF THE COMMUNITY", WHICH IS AN ANALYSIS OF BEHAVIORS AND OUTCOMES FOR THE SPECIFIC COUNTIES OF THE SERVICE AREA BY THE MISSOURI HOSPITAL ASSOCIATION. DEMOGRAPHIC AND ECONOMIC ANALYSIS IS PERFORMED FOR THE 22-COUNTY SERVICE AREA. NIELSEN CLARITAS DEMOGRAPHIC ESTIMATES AND PROJECTIONS ARE USED TO EVALUATE THE CHANGE IN POPULATION CHARACTERISTICS. UNEMPLOYMENT, HOME FORECLOSURE, AND INPATIENT PAYER DATA IS ALSO ASSESSED. IN 2015, COXHEALTH PERFORMED A COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF A COLLABORATIVE EFFORT, CONSISTING OF A VARIETY OF ORGANIZATIONS ACROSS THE OZARKS, TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS, AND NEEDS OF THE POPULATIONS WE SERVE. UNDER THE UMBRELLA OF THE LOCAL OZARKS HEALTH COMMISSION, THIS FIRST-TIME COLLABORATION WAS THE LARGEST IN THE REGION SPANNING FOUR STATES-MISSOURI, OKLAHOMA, ARKANSAS AND KANSAS-51 COUNTIES AND FOUR HOSPITAL SYSTEMS. THE WORKING GROUP SAW THE VALUE OF USING A SYSTEMATIC, DATA-DRIVEN ASSESSMENT TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS ON A REGIONAL LEVEL. THIS LARGER, CONCERTED APPROACH WILL LEVERAGE COMMON STRENGTHS AND STRATEGIES TO MOVE IN THE SAME DIRECTION ON SIGNIFICANT HEALTH CONCERNS. THIS ASSESSMENT, ALONG WITH THE RESULTING ACTION PLAN, WILL ALLOW COXHEALTH TO HAVE A MORE HOLISTIC AND UP-TO-DATE PICTURE WITH WHICH TO STRATEGICALLY ADDRESS COMMUNITY HEALTH CONCERNS. |
| 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: BAXTER - AR, BOONE - AR, CARROLL - AR, CEDAR, DADE, DALLAS, DOUGLAS, HICKORY, HOWELL, LACLEDE, MARION - AR, OREGON, OZARK, POLK, PULASKI, TEXAS, AND WRIGHT (ALL SSA COUNTIES ARE LOCATED IN MISSOURI EXCEPT BAXTER, BOONE, CARROLL, AND MARION COUNTIES IN ARKANSAS). THE TOTAL POPULATION IN THE SERVICE AREA IS APPROACHING THE ONE MILLION AND APPROXIMATELY 59% OF THE TOTAL 24-COUNTY POPULATION IS IN THE SEVEN COUNTY PRIMARY SERVICE AREA. SLIGHTLY MORE THAN 50% OF THE MARKET IS FEMALE AND ALMOST NEARLY 18% OF THE SERVICE AREA IS FEMALE BETWEEN THE AGES OF 15 AND 44. THE SEGMENT OF THE POPULATION OVER THE AGE OF 65 IS ALMOST 19% OF THE TOTAL POPULATION AND IS PROJECTED TO INCREASE 12% BETWEEN 2017 AND 2022. THE AVERAGE HOUSEHOLD INCOME IS $55,960 IN THE TOTAL 24-COUNTY SERVICE AREA COMPARED WITH $69,305 FOR THE STATE OF MISSOURI. DIVERSITY IS VERY LOW IN THE 24-COUNTY SERVICE AREA AS 92% OF THE POPULATION IS WHITE ALONE. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: LESTER E. COX MEDICAL CENTERS' MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. WE ACTIVELY LIVE THIS MISSION BY PROVIDING QUALITY HEALTH CARE WITH MULTIPLE ACCESS POINTS FOR CARE INCLUDING THREE HOSPITALS AND MORE THAN 60 PHYSICIAN CLINICS (INCLUDING RETAIL CLINICS). THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH A COMMUNITY BOARD, HEALTH RELATED AD CAMPAIGNS, PROVISION OF WELLNESS SERVICES AND VACCINATIONS, PROVISION OF CARE FOR INDIGENT SEGMENTS OF THE POPULATION, FUNDING OF CARE QUALIFIED COMMUNITY MEMBERS THROUGH A NOT-FOR-PROFIT FOUNDATION, COMMUNITY EDUCATION CLASSES RELATED TO HEALTH AND WELLNESS, COMMUNITY ADVISORY COUNCILS AND HEALTH IMPROVEMENT EFFORTS IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS, SCHOOL SYSTEMS AND OTHER REGIONAL HEALTH CARE PROVIDERS. A MAJORITY OF LESTER E. COX MEDICAL CENTERS' BOARD IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO PHYSICIANS IN THE COMMUNITY IF THEY QUALIFY. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: CoxHealth is the parent of Lester E. Cox Medical Centers and its wholly owned subsidiaries plus certain affiliated not-for-profit entities and is collectively referred to as CoxHealth. CoxHealth (the "Health System") operates as an integrated delivery system including four hospitals, a surgical center, an inpatient rehabilitation facility, home care companies, physician services, mental health services, insurance companies and a foundation. COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE, HOME PARENTERAL SERVICES (INFUSION THERAPY) AND HOME SUPPORT (DURABLE MEDICAL EQUIPMENT). OXFORD HEALTHCARE SUPPORTED THE COMMUNITY THROUGH MONTHLY NUTRITION AND FALL PREVENTION SEMINARS AT 20 AREA SENIOR CENTERS THROUGHOUT SOUTHWEST MISSOURI. OXFORD ALSO PROVIDED FREE BONE DENSITY SCREENINGS AT 34 COMMUNITY EVENTS, AND VITAL SIGN SCREENINGS AT MANY MORE. THROUGH AN ANNUAL FAN DRIVE, OXFORD COLLECTED AND DISTRIBUTED MORE THAN 600 BOX FANS TO SENIORS AND THE DISABLED WHO LACK ADEQUATE ACCESS TO COOLING DURING THE SUMMER MONTHS. HOME PARENTERAL SERVICES RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS HPS TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. COXHEALTH HOME CARE SERVICES OF THE MIDWEST SUPPORTS THE COMMUNITY BY PROVIDING IN-HOME PRIVATE DUTY SERVICES, HOME HEALTHCARE AND THERAPY SUPPORT SERVICES, 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, 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. COXHEALTH AUXILIARY SUPPORTS THE COMMUNITY THROUGH FINANCIAL AND NON-FINANCIAL MEANS. THE ORGANIZATION PROVIDES SCHOLARSHIPS TO NURSING AND MEDICAL TECHNOLOGY STUDENTS AT COX COLLEGE. IN ADDITION, THE AUXILIARY PROVIDES SLEEP SACKS TO ALL NEWBORNS BORN AT LESTER E. COX MEDICAL CENTERS AND CAR SEATS TO THOSE IN NEED TO ENSURE THE SAFETY OF ANY NEWBORN LEAVING LESTER E. COX MEDICAL CENTERS. IN JANUARY 2013, SKAGGS COMMUNITY HOSPITAL ASSOCIATION D/B/A COX MEDICAL CENTER BRANSON (CMCB) BECAME A PART OF THE COXHEALTH NETWORK. UNDER THE AGREEMENT, A MEMBER SUBSTITUTION MODEL, CMCB CONTINUES TO MAINTAIN ITS OWN HOSPITAL BOARD WHILE BECOMING A SUBSIDIARY OF COXHEALTH. COXHEALTH, AS THE PARENT COMPANY, ASSUMES THE RESPONSIBILITIES PREVIOUSLY HELD BY THE CMCB BOARD OF TRUSTEES. THE CMCB BOARD WILL HAVE REPRESENTATION ON THE COXHEALTH BOARD. THIS ALLOWS BOTH PARTIES TO ACT TOGETHER AS ONE ENTITY FOR THE PURPOSES OF CONTRACTING, RECRUITMENT AND GROWTH. 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 90 WITH 165 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,000 PERSONNEL IS REQUIRED TO OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF MISSOURI ENDOWMENT FUND | |||||||
| 125 JESSE HALL | COLUMBIA | MO | 65211 | 431212976 | 501(C)(3) | $500,000 | COMM BENEFIT |
| COX-MONETT HOSPITAL INC | |||||||
| 801 N LINCOLN AVE | MONETT | MO | 65708 | 431656689 | 501(C)(3) | $24,450 | COMM BENEFIT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| CHILDREN'S MIRACLE NETWORK -SPECIAL NEEDS GRANT | 4194 | $161,555 |
| CHILDREN'S MIRACLE NETWORK -FAMILY CARE GRANTS | 90 | $142,366 |
| CHILDREN'S MIRACLE NETWORK -COMMUNITY OUTREACH GRA | 120000 | $51,257 |
| CHILDREN'S MIRACLE NETWORK -LESTER E COX MC GRANTS | 28613 | $469,233 |
| CHILDREN'S MIRACLE NETWORK -OTHER GRANTS | 31920 | $299,709 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THROUGH THE CHILDREN'S MIRACLE NETWORK, LESTER E. COX MEDICAL CENTERS DISTRIBUTES FUNDS TO INDIVIDUALS THROUGHOUT THE COMMUNITY. SEE BELOW FOR A SUMMARY OF PROGRAMS THROUGH WHICH FUNDS ARE DISTRIBUTED. DURING FISCAL YEAR 2017, APPROXIMATELY 184,817 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $161,555 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: *KIDS CHECKS - $55,529 *MEAL TRAYS - $56,711 *MEAL VOUCHERS - $4,815 *GIFT CARDS - $44,500 FAMILY CARE GRANTS - $142,366 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $51,257 TOTAL *CARDIAC PROGRAM (A PORTION TO COX- MONETT HOSPITAL, INC.) - $24,889 *"NEVER SHAKE A BABY" PROGRAM - $15,923*BICYCLE SAFETY PROGRAM - $15,000 *WASTED PROGRAM - $3,039 *BICYCLE SAFETY PROGRAM - $2,089 *CAR SEAT SAFETY PROGRAM - $5,910 *WATER SAFETY PROGRAM - $330 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $469,233 TOTAL *CHILD LIFE PROGRAM - $168,074 *C.A.R.E. MOBILE - $301,159 DISCRETIONARY AND OPEN FUNDS - $299,709 - THESE ARE FUNDS THAT DO NOT FALL INTO ONE OF THE ABOVE CATEGORIES AND INCLUDES THE FOLLOWING: *MONETT MED SURG: - $6,490 *MONETT URGENT CARE: - $5,487 *MONETT L & D: - $3,783 *RESPIRATORY CARE: - $66,340 *PEDIATRICS/PICU: - $5,222 *PEDIATRIC URGENT CARE: - $3,125 *BRANSON PEDIATRICS: - $2,099 *CHILD/ADOLESCENT PSYCH: - $5,997 *WOMEN/NEWBORN: - $27,825 *NICU: - $76,276 *CASE MANAGEMENT: - $6,500 *BRANSON MATERNITY: - $7,512 *OZARK THERAPY SERVICES: - $4,037 *OUTPATIENT REHAB: - $16,008 *ACUTE CARE THERAPY: - $6,000 *REHAB THERAPY MORH: - $57,008 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICIA DIX MD | ||||||||||||||
| BOARD MEMBER | $342,860 | $0 | $0 | $0 | $2,933 | $0 | $26,250 | $0 | $13,411 | $0 | $385,454 | $0 | $0 | $0 |
| DAVID ZOLFAGHARI MD | ||||||||||||||
| BOARD MEMBER | $0 | $949,903 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,802 | $0 | $964,705 | $0 | $0 |
| PIERRE CLOTHIAUX MD | ||||||||||||||
| BOARD MEMBER | $0 | $528,833 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,802 | $0 | $543,635 | $0 | $0 |
| STEVE EDWARDS | ||||||||||||||
| PRESIDENT AND CEO | $0 | $956,727 | $0 | $331,733 | $0 | $244,148 | $0 | $253,616 | $0 | $23,211 | $0 | $1,809,435 | $0 | $238,103 |
| JACOB MCWAY | ||||||||||||||
| SR VP AND CFO | $0 | $547,968 | $0 | $141,318 | $0 | $104,870 | $0 | $130,967 | $0 | $21,047 | $0 | $946,170 | $0 | $95,346 |
| ARIJIT CHOWDHURY MD | ||||||||||||||
| PHYSICIAN | $497,520 | $0 | $0 | $0 | $270 | $0 | $12,985 | $0 | $14,847 | $0 | $525,622 | $0 | $0 | $0 |
| TOMMY TRENT DO | ||||||||||||||
| PHYSICIAN | $503,990 | $0 | $0 | $0 | $300 | $0 | $12,985 | $0 | $14,852 | $0 | $532,127 | $0 | $0 | $0 |
| GREGORY STAMPS | ||||||||||||||
| PHYSICIAN | $676,386 | $0 | $0 | $0 | $690 | $0 | $31,250 | $0 | $14,917 | $0 | $723,243 | $0 | $0 | $0 |
| ARMIN KAMYAB | ||||||||||||||
| PHYISICAN | $613,252 | $0 | $0 | $0 | $240 | $0 | $12,985 | $0 | $7,134 | $0 | $633,611 | $0 | $0 | $0 |
| LOUIS KRENN | ||||||||||||||
| PHYSICIAN | $451,905 | $0 | $0 | $0 | $300 | $0 | $12,985 | $0 | $14,852 | $0 | $480,042 | $0 | $0 | $0 |
| RON PRENGER | ||||||||||||||
| SR VP, CHIEF HOSPITAL ADMIN | $353,943 | $0 | $42,700 | $0 | $31,721 | $0 | $31,231 | $0 | $13,252 | $0 | $472,847 | $0 | $29,741 | $0 |
| ROBERT FERGUSON | ||||||||||||||
| VP FERRELL DUNCAN CLINIC | $279,618 | $0 | $20,153 | $0 | $1,290 | $0 | $13,250 | $0 | $13,137 | $0 | $327,448 | $0 | $0 | $0 |
| KAREN KRAMER | ||||||||||||||
| VP, CNO | $277,285 | $0 | $16,967 | $0 | $1,290 | $0 | $30,750 | $0 | $13,140 | $0 | $339,432 | $0 | $0 | $0 |
| JEFF HAWKINS | ||||||||||||||
| VP CLINICAL SERVICES | $171,011 | $0 | $10,436 | $0 | $1,290 | $0 | $9,284 | $0 | $7,327 | $0 | $199,348 | $0 | $0 | $0 |
| AMANDA HEDGPETH | ||||||||||||||
| VP CLINICAL SERVICES | $163,900 | $0 | $9,229 | $0 | $240 | $0 | $8,895 | $0 | $10,651 | $0 | $192,915 | $0 | $0 | $0 |
| GENICE MAROC | ||||||||||||||
| VP CLINICAL SERVICES | $194,076 | $0 | $12,000 | $0 | $1,290 | $0 | $4,221 | $0 | $7,397 | $0 | $218,984 | $0 | $0 | $0 |
| FRANK ROMERO | ||||||||||||||
| VP MEDICAL AFFAIRS | $462,416 | $0 | $0 | $0 | $450 | $0 | $12,985 | $0 | $14,877 | $0 | $490,728 | $0 | $0 | $0 |
| MAX BUETOW | ||||||||||||||
| VP REGIONAL SERVICES | $203,179 | $0 | $0 | $0 | $239 | $0 | $10,523 | $0 | $14,832 | $0 | $228,773 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | INFORMATION REGARDING BENEFITS PROVIDED: MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF STEVE EDWARDS, CEO. CHARTER TRAVEL IS PROVIDED FOR STEVE EDWARDS, JACOB MCWAY AND JAMES HUTCHESON FOR TRAVEL TO COLLABORATIVE MEETINGS REPRESENTING COXHEALTH FOR EXPEDIENCY. AS THERE WAS NO PERSONAL USE PORTION OF THIS BENEFIT, NONE WAS INCLUDED IN TAXABLE WAGES. |
| SCHEDULE J, PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: STEVE EDWARDS, JACOB MCWAY AND RON PRENGER PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $240,366. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $238,103, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $99,982. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $95,346, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - RON PRENGER RECEIVED A 457(F) DISTRIBUTION OF $29,741, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. |
| SCHEDULE J, PART I, LINE 6A | COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION: KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. PHYSICIANS LISTED ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE ARIJIT CHOWDHURY, GREGORY STAMPS, LOUIS KRENN, TOMMY TRENT, AND ARMIN KAMYAB. EXECUTIVE LEVEL STAFF ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON A VARIETY OF PERFORMANCE INDICATORS IN QUALITY, CUSTOMER AND EMPLOYEE SATISFACTION AND BUSINESS PERFORMANCE MEASURES. |
| SCHEDULE J, PART II; AND FORM 990, PART VII | BOARD MEMBER COMPENSATION: NO COMPENSATION WAS PROVIDED FOR RESPONSIBILITIES ASSOCIATED WITH BEING A BOARD DIRECTOR. COMPENSATION REPORTED FOR SEVERAL BOARD MEMBERS LISTED ON SCHEDULE J REPRESENTS EMPLOYEE OR INDEPENDENT CONTRACTOR COMPENSATION UNRELATED TO SERVICE AS A BOARD MEMBER. |
| SCHEDULE J, PART II, COLUMN F | COMPENSATION REPORTED IN PRIOR FORM 990: COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. |
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 & EDUCATIONAL FACILITIES AUTH - STATE OF MO | ||||||||
| A | 431178966 | 60637AEA6 | 2013-04-17 | $215,764,775 | NEW INFRASTRUCTURE/CURRENT REFUND | false | false | false |
| HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO | ||||||||
| B | 431178966 | 2008-10-15 | $70,000,000 | NEW INFRASTRUCTURE & EQUIPMENT | false | false | false | |
| HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO | ||||||||
| C | 431178966 | 60635R427 | 2008-09-25 | $157,078,759 | 97 & 02 REFUND, NEW INFRASTRUCTURE | Yes (true) | false | false |
| HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO | ||||||||
| D | 431178966 | 2008-10-15 | $35,000,000 | 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 | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $538,720 | $0 | $216,270,777 | $0 | $16,377,190 | $0 | $2,222,341 | $0 | $0 | $167,958,089 | $29,708,339 | $0 | 2015 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $70,469,521 | $0 | $783,050 | $0 | $501,052 | $2,121,540 | $0 | $67,063,878 | $0 | $0 | 2012 | false | false | Yes (true) | Yes (true) |
| C | $0 | $130,000,000 | $158,223,345 | $3,080,726 | $1,387,574 | $0 | $1,448,413 | $0 | $0 | $66,262,892 | $72,482,407 | $0 | 2012 | Yes (true) | false | Yes (true) | Yes (true) |
| D | $855,000 | $0 | $35,028,548 | $0 | $421,209 | $0 | $271,929 | $803,381 | $0 | $33,531,939 | $0 | $0 | 2012 | false | false | 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 | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | 0 | false | false | false | Yes (true) | |
| B | false | false | false | false | 0.00830 | false | false | false | Yes (true) | 0.00830 |
| C | false | Yes (true) | false | false | 0.00930 | false | false | false | Yes (true) | 0.00930 |
| D | false | false | false | false | 0.00830 | false | false | false | Yes (true) | 0.00830 |
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 | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||||
| A | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) | ||
| 0 | ||||||||||||
| B | false | false | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) | false | false |
| 0 | ||||||||||||
| C | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) | false | false |
| 0 | ||||||||||||
| D | false | false | false | Yes (true) | Yes (true) | false | false | 0 | 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, GROUP 1, PART II, LINE 3, COLUMNS A, B, C, D | TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS OF THE ISSUE EXCEEDED THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 9/30/17. |
| SCHEDULE K, GROUP 1, PART II, LINE 11, COLUMNS A, C | OTHER PROCEEDS SPENT: THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. |
| SCHEDULE K, GROUP 1, PART IV, LINE 2C, COLUMNS A, B, C, D | DATE REBATE COMPUTATION WAS PERFORMED: REBATE CALCULATION/ANALYSIS WERE COMPLETED AS FOLLOWS: -BOND SERIES ISSUE A ON 3/30/2018 -BOND SERIES ISSUE B ON 11/14/2013 -BOND SERIES ISSUE C ON 10/15/2013 -BOND SERIES ISSUE D ON 11/14/2013 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO | |||||||
| A | 431178966 | 2017-08-29 | $4,692,000 | CAPITAL EQUIPMENT FINANCING | false | false | false |
| HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO | |||||||
| B | 431178966 | 2015-04-22 | $142,209,927 | REFINANCE 80% 2008A | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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 | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $4,692,000 | $0 | $0 | $0 | $9,350 | $0 | $0 | $4,601,650 | $0 | $0 | 2017 | false | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $142,201,343 | $0 | $0 | $0 | $1,326,793 | $0 | $0 | $140,883,185 | $0 | $0 | 2015 | false | Yes (true) | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, GROUP 2, PART II, LINE 3, COLUMN B | FormAndLineReferenceDesc |
| Explanation | THE TOTAL PROCEEDS OF THE ISSUE DIFFERS FROM THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 09/30/2017. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ERICA SAMUEL | |||
| D HEIM - SEE PART V | $11,382 | WAGES AND BENEFITS | false |
| VICKI HOCKENSMITH | |||
| S EDWARDS - SEE PART V | $105,660 | WAGES AND BENEFITS | false |
| TERRY HAMMER | |||
| S EDWARDS - SEE PART V | $107,191 | WAGES AND BENEFITS | false |
| LISA ESPY | |||
| K KRAMER - SEE PART V | $40,264 | WAGES | false |
| JASON PRENGER | |||
| R PRENGER - SEE PART V | $21,787 | WAGES AND BENEFITS | false |
| BETTY EDWARDS | |||
| S EDWARDS - SEE PART V | $23,953 | RETIREMENT BENEFITS | false |
| CONNIE ROMERO | |||
| F ROMERO - SEE PART V | $78,277 | WAGES AND BENEFITS | false |
| ANDREW HEDGPETH | |||
| A HEDGPETH - SEE PART V | $194,292 | WAGES AND BENEFITS | false |
| JEFF HAWKINS | |||
| A HEDGPETH - SEE PART V | $192,021 | WAGES AND BENEFITS | false |
| AMANDA HEDGPETH | |||
| J HAWKINS - SEE PART V | $182,264 | WAGES AND BENEFITS | false |
| CONSTANCE BUETOW | |||
| M BUETOW - SEET PART V | $18,886 | WAGES AND BENEFITS | false |
| LISA HEDGPETH | |||
| A HEDGPETH - SEE PART V | $46,106 | WAGES AND BENEFITS | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (1)DENNIS HEIM'S DAUGHTER, ERICA SAMUEL, IS EMPLOYED BY LESTER E. COX MEDICAL CENTERS, AND DENNIS IS A BOARD MEMBER. (2,3,6)STEVE EDWARDS, CEO, HAS THREE FAMILY MEMBERS WHO WORK FOR OR RECEIVE RETIREMENT BENEFITS FROM LESTER E. COX MEDICAL CENTERS. VICKI HOCKENSMITH IS HIS SISTER, TERRY HAMMER IS HIS BROTHER-IN-LAW, AND BETTY B. EDWARDS IS HIS MOTHER. (4)KAREN KRAMER'S SISTER, LISA ESPY, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND KAREN IS VICE PRESIDENT AND CHIEF NURSING OFFICER. (5)RON PRENGER'S SON, JASON PRENGER, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND RON IS A SENIOR VICE PRESIDENT AND CHIEF HOSPITAL OFFICER. (7)FRANK ROMERO'S WIFE, CONNIE ROMERO, IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, AND FRANK IS VICE PRESIDENT OF MEDICAL AFFAIRS. (8) & (12)ANDREW HEDGPETH IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS AND HAS THREE FAMILY MEMBERS WHO ARE EMPLOYEES OF LESTER E. COX MEDICAL CENTERS. AMANDA HEDGPETH, VICE PRESIDENT OF CLINICAL SERVICES, IS HIS WIFE. JEFF HAWKINS, VICE PRESIDENT OF CLINICAL SERVICES, IS HIS UNCLE. LISA HEDGPETH, AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, IS HIS MOTHER. (9) & (10)JEFF HAWKINS, VICE PRESIDENT OF CLINICAL SERVICES, IS THE UNCLE OF AMANDA HEDGPETH, VICE PRESIDENT OF CLINICAL SERVICES. BOTH ARE DEEMED KEY EMPLOYEES ON PART VII OF FORM 990. (11)MAX BUETOW'S MOTHER, CONSTANCE BUETOW, IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, AND MAX IS A VICE PRESIDENT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4B | ADDITIONAL INFORMATION ABOUT PHYSICIAN CARE: AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. LESTER E. COX MEDICAL CENTERS CONTINUES TO PARTNER WITH WAL-MART AND HYVEE AND CURRENTLY HAS 6 PARTNERSHIP CLINICS. COXHEALTH HAS ALSO INVESTED IN TELEMEDICINE INFRASTRUCTURE TO FURTHER EXPAND ITS ABILITY TO OFFER COST EFFECTIVE AND CONVENIENT CARE TO OUR COMMUNITY. |
| FORM 990, PART III, LINE 4C | EXEMPT PURPOSE ACHIEVEMENTS - ADDITIONAL INFORMATION ABOUT HOME CARE: OXFORD SUPPORTS THE COMMUNITY THROUGH THEIR ASSOCIATION SUPPORT (I.E. ALZHEIMER'S ASSOCIATION, DIABETES ASSOCIATION, HEART ASSOCIATION, ETC,) THEY WORK DILIGENTLY TO RAISE FUNDS FOR PATIENTS THROUGH DONATIONS FROM THEIR EMPLOYEES AND A COMMUNITY WIDE FAN DRIVE FOR PATIENTS WITHOUT AIR CONDITIONING. HOME SUPPORT HAS PROVIDED DURABLE MEDICAL EQUIPMENT AND SERVICES TO PATIENTS IN SOUTHWEST MISSOURI FOR OVER 30 YEARS AND AS THE COMPANY HAS GROWN IT HAS STEADILY BECOME MORE INVOLVED IN AN EFFORT TO BETTER MEET THE NEEDS OF THE COMMUNITY AS A WHOLE. THE STAFF SUPPORT THEIR PATIENTS AND FAMILIES IN MANY WAYS BY CONTACTING HOME HEALTH CARE AGENCIES, DIVISION OF AGING AND OTHER LOCAL CHARITIES. THEY REGULARLY DONATE MEDICAL EQUIPMENT TO CONVOY OF HOPE AND OTHER AGENCIES THAT SUPPORT DISASTER AND RELIEF EFFORTS BOTH LOCALLY AND ABROAD. COMMUNITY BENEFIT ACTIVITIES INCLUDE DONATED EMPLOYEE TIME AND PARTS TO INSTALL AN OVERHEAD LIFT FOR AN ORGANIZATION CALLED "HORSES OF HOPE" THAT AIDS IN HELPING DISABLED PATIENTS RIDE HORSES. |
| FORM 990, PART III, LINES 4A-4D | EXEMPT PURPOSE ACHIEVEMENTS - COMMUNITY BENEFIT REPORT: LESTER E. COX MEDICAL CENTERS IS PROUD TO OFFER NATIONALLY RECOGNIZED QUALITY CARE AND THE LATEST IN MEDICAL TECHNOLOGY AND SERVICES TO IMPROVE OUR COMMUNITY'S HEALTH. DESPITE INNOVATION AND QUALITY, THERE ARE STILL COMMUNITY NEEDS THAT ARE NOT MET THROUGH REGULAR COURSE OF CARE. THAT IS WHY AS A COMMUNITY-OWNED, NOT-FOR-PROFIT HOSPITAL SYSTEM, WE PROVIDE THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE ALL IN OUR COMMUNITIES, INCLUDING SOME OF THE MOST VULNERABLE - THE UNDERINSURED AND UNINSURED. PROGRAMS THAT HELP THE INDIVIDUALS AND FAMILIES OF OUR COMMUNITY ARE AN INVESTMENT IN FRIENDS, FAMILY, AND NEIGHBORS. LESTER E. COX MEDICAL CENTERS DOES THIS THROUGH INITIATIVES LIKE KOHL'S 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 $ 135,739,103 CMC $ 166,318,469 SYSTEM-WIDE THIS FIGURE INCLUDES THE ESTIMATED UNPAID COSTS OF PROVIDING CARE 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 $ 1,339,704 CMC $ 1,397,339 SYSTEM-WIDE INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND SERVICES THAT ARE SUBSIDIZED BECAUSE THEY ARE NEEDED IN THE COMMUNITY. EXAMPLES ARE COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, IMMUNIZATIONS, COALITION BUILDING AND SUBSIDY OF HEALTH CARE SERVICES. HEALTH PROFESSIONALS EDUCATION AND RESEARCH $ 1,331,350 CMC $ 1,341,561 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 $ 1,956,291 CMC $ 2,082,643 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: $ 140,366,448 CMC $ 171,140,012 SYSTEM-WIDE ECONOMIC IMPACT REAL ESTATE AND PROPERTY TAXES $ 988,634 CMC $ 1,142,099 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 $ 72,451,278 CMC $ 92,064,669 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 $ 432,318,574 CMC $ 704,173,538 SYSTEM-WIDE THE COXHEALTH SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN CALENDAR YEAR 2015, LESTER E. COX MEDICAL CENTERS ALONE EMPLOYED NEARLY 9,400 PEOPLE, AND THE REMAINING COXHEALTH SYSTEM AFFILIATES CARRY THE TOTAL EMPLOYED FIGURE TO OVER 10,000 PEOPLE. THIS DOLLAR AMOUNT INCLUDES THE COST OF PAYROLL AND BENEFITS OF OUR DEDICATED TEAM FOR LESTER E. COX MEDICAL CENTERS. IT ALSO INCLUDES A SIGNIFICANT INVESTMENT ON CONTRACT PERSONNEL IN VARIOUS MEDICAL SPECIALTIES AS WELL AS MONIES TO OTHER PROFESSIONALS WHO RESIDE LOCALLY. TOTAL ECONOMIC IMPACT: $ 505,758,486 CMC $ 800,410,618 SYSTEM-WIDE TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 646,124,934 CMC $ 971,550,630 SYSTEM-WIDE |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS: BOARD MEMBERS JERRY JARED, JOSEPH TURNER, AND GRANT HADEN HAVE A BUSINESS RELATIONSHIP. BOARD MEMBERS JERRY JARED AND BRIAN JARED HAVE A FAMILY RELATIONSHIP, ALTHOUGH THEY DID NOT SERVE ON THE BOARD AT THE SAME TIME. BOARD MEMBERS JAN BAUMGARTNER AND ROBERT FULP HAVE A BUSINESS RELATIONSHIP. BOARD MEMBERS WHO RECEIVE COMPENSATION, OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED BY COXHEALTH AND ITS AFFILIATES AND THEREFORE SHARE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B | MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE SOLELY & SPECIFICALLY RESERVED TO THE MEMBER; (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF CMC; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF CMC AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF CMC; (D) TO APPROVE THE ADOPTION OF AND ANY REVISION TO THE CHARTERS FOR ALL COMMITTEES ESTABLISHED BY THE BOARD; (E) TO APPOINT AND REMOVE THE DIRECTORS OF CMC, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE, SECTION 1 AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND CMC; (F) AFTER CONSULTATION WITH THE BOARD, TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT AND CEO OF CMC; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR CMC AND ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES; (H) TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, MARKETING, LEGAL, CORPORATE, COMPLIANCE, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF CMC IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF CMC; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF CMC OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CMC; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY CMC OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) AFTER RECEIVING INPUT FROM THE BOARD, TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF CMC; (M) APPROVAL OF CMC'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (N) TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY CMC OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (O) TO APPROVE THE SALE OR PURCHASE OF ANY PROPERTY OF CMC HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (P) TO AUTHORIZE AND APPROVE BORROWING MONEY OR ENTERING INTO FINANCIAL GUARANTIES BY CMC, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF CMC; (Q) TO REQUIRE CMC TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER; (R) TO APPROVE THE TRANSFER OF ASSETS BY CMC TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF CMC WHICH WILL NOT REQUIRE APPROVAL OF THE MEMBER; (S) TO APPROVE THE RATE OF PAYMENT, COMPENSATION OR RENT AND/OR ANY PROVISIONS CONCERNING EXCLUSIVITY WITH RESPECT TO ANY CONTRACT FOR PHYSICIAN SERVICES AND ANY LEASE/TIMESHARE AGREEMENT BETWEEN ANY PHYSICIAN OR PHYSICIAN GROUP, ON THE ONE HAND, AND CMC OR ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY, ON THE OTHER HAND, ALL IN ACCORDANCE WITH SUCH POLICIES AND PROCESSES WHICH MAY BE PROMULGATED FROM TIME TO TIME BY THE MEMBER; (T) TO APPROVE CHANGES TO THE TYPE OF OR RELOCATION OF PHYSICIAN PROFESSIONAL MEDICAL SERVICES OFFERED BY CMC, WHERE THE CHANGE INVOLVES (A) SERVICES OFFERED OR PROVIDED BY CMG PHYSICIANS AND (B) (I) A CHANGE IN VENUE OR PROVIDER STATUS OF THE MEDICAL SERVICE, (II) THE CESSATION OF A PRE-EXISTING MEDICAL SERVICE, OR (III) THE OFFERING OF A NEW MEDICAL SERVICE; (U) TO ENGAGE, APPROVE, AND TO FINALIZE ANY AND ALL CONTRACTS OR AGREEMENTS WITH ANY THIRD PARTY HOSPITAL-BASED PHYSICIAN GROUPS (ANESTHESIOLOGISTS, PATHOLOGISTS, RADIOLOGISTS, OR EMERGENCY MEDICINE PHYSICIANS) THAT WILL RENDER PROFESSIONAL SERVICES TO CMC; (V) TO OVERRIDE AND REVERSE ANY DECISION MADE OR ACTION AUTHORIZED BY THE CMC BOARD TO THE EXTENT THAT SUCH DECISION OR ACTION CONFLICTS WITH A DECISION MADE OR ACTION AUTHORIZED BY THE JOINT OPERATIONS COMMITTEE OF THE MEMBER; (W) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO CMC ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY OR ANY REMOTELY CONTROLLED SUBSIDIARY. THE BOARD SHALL BE ELECTED BY THE MEMBER. PRIOR TO THE ANNUAL MEETING, THE BOARD SHALL NOMINATE A SLATE OF PERSONS FOR ELECTION AS CMC DIRECTORS AND OFFICERS TO SUBMIT TO COXHEALTH FOR APPOINTMENT. COXHEALTH WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, FORM 990 IS FIRST REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE THEY HAVE APPROVED THE DRAFT, A FINAL COPY IS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH THE ONLINE BOARD PORTAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: COXHEALTH OFFICERS, DIRECTORS AND KEY EMPLOYEES, AS WELL AS OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE COXHEALTH AFFILIATES AND/OR COMMITTEES WITH DELEGATED AUTHORITY TO MAKE DECISIONS, ARE ANNUALLY REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST FOLLOWING THE POLICY, SET FORTH BELOW. THE POLICY REQUIRES THAT BOARD MEMBERS MAKE DECISIONS THAT ARE CONFLICT FREE, OR IF A CONFLICT IS PRESENT, THAT IT IS FULLY DISCLOSED FOR THE BOARD'S CONSIDERATION. COXHEALTH'S EMPLOYEES AND BOARD MEMBERS MUST AVOID ALL ACTIVITIES, ASSOCIATIONS OR INTERESTS THAT CREATE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST FOR EMPLOYEES MUST BE REPORTED TO THE CORPORATE INTEGRITY DEPARTMENT. A FILE WILL BE MAINTAINED OF ALL REPORTED CONFLICTS OF INTEREST. FOR MEDICAL STAFF MEMBERS, THE CONFLICT OF INTEREST PROCESS MAY BE ACCESSED THROUGH THE MEDICAL STAFF OFFICE. FOR BOARD MEMBERS, THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH THE GOVERNANCE SUB-COMMITTEE OF COXHEALTH WITH THE ASSISTANCE OF THE EXECUTIVE OFFICE AND IS DEFINED IN THE CHARTER OF THE GOVERNANCE SUB-COMMITTEE. IF ANY OFFICER OR DIRECTOR IS FOUND TO HAVE A CONFLICT OF INTEREST, SUCH PERSON SHALL NEITHER VOTE NOR USE HIS OR HER INFLUENCE TO AFFECT ANY DECISION RELATING TO THE CONFLICT, AND SUCH PERSON SHOULD NOT BE INCLUDED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION. SUCH PERSON IS PERMITTED TO BRIEFLY STATE HIS OR HER POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS ABOUT IT, IF HIS OR HER KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION. FOR VENDORS, THE POLICY IS DISTRIBUTED WITH THEIR INITIAL CONTRACT WITH LESTER E. COX MEDICAL CENTERS. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION REVIEW POLICY: COXHEALTH EMPLOYS A DEFINED GOVERNANCE STRUCTURE AROUND EXECUTIVE COMPENSATION. THE BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE THAT IS CHARGED WITH CARRYING OUT THE FUNCTIONS OF EVALUATING AND SETTING EXECUTIVE COMPENSATION THROUGH FORMAL DOCUMENTED MEETINGS THAT OCCUR SEVERAL TIMES DURING THE YEAR. THE COMPENSATION COMMITTEE UTILIZES A WELL RESPECTED INDEPENDENT EXTERNAL ADVISOR TO PROVIDE THIRD PARTY ASSESSMENT AND RECOMMENDATIONS REGARDING COMPENSATION LEVELS AND BENEFIT PROGRAMS FOR THE TOP EXECUTIVES OF THE ORGANIZATION TO ENSURE THE COMPENSATION PROGRAM IS COMPETITIVE AND WITHIN FAIR MARKET VALUE. AFTER A FULL REVIEW OF THE DATA AND THOROUGH DISCUSSION THE COMMITTEE MAKES A SELF DETERMINATION OF COMPENSATION LEVELS SET JANUARY 1 OF EACH YEAR. ANNUALLY THE STEPS NECESSARY TO DOCUMENT REBUTTABLE PRESUMPTION ARE TAKEN AND RECORDED. ADDITIONALLY, COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE CEO USING EXTERNAL COMPARABLE DATA FOR ASSESSMENT AND IS PROVIDED TO THE COMPENSATION COMMITTEE FOR REVIEW ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: LESTER E. COX MEDICAL CENTERS MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR ALL LEGITIMATE BUSINESS PURPOSES AS DETERMINED BY MANAGEMENT. IN ADDITION, AS A CONTINUING DISCLOSURE REQUIREMENT OF CERTAIN DEBT COVENANTS THE ORGANIZATION PROVIDES ITS AUDITED FINANCIAL STATEMENTS AND SPECIFIC QUARTERLY FINANCIAL INFORMATION TO DEFINED REPOSITORIES FOR REVIEW BY PARTIES OR INDIVIDUALS INTERESTED IN THE INFORMATION. |
| FORM 990, PART VII, SECTION A | BOARD MEMBER COMPENSATION: DRS. DIX, CLOTHIAUX, AND ZOLFAGHARI ARE RECEIVING COMPENSATION RELATED TO THEIR ROLES AS EMPLOYEES UNDER COXHEALTH AND RELATED AFFILIATES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: $ 116,430,381 PURCHASED AFFILIATE SERVICES 108,194,283 PHYSICAL REMUNERATION 9,669,314 CONTRACT LABOR 7,825,000 ANESTHESIA SERVICES 6,798,322 BILLING/COLLECTION SERVICES 6,335,662 PURCHASED LAB SERVICES 5,429,616 OTHER PURCHASED SERVICES 4,558,320 CONTRACTED REPAIRS & MAINTENANCE 2,479,764 CONSULTING 2,330,576 HOUSEKEEPING/LAUNDRY 1,905,752 MEDICAL DIRECTOR 928,908 PHARMACY FEES 791,709 PURCHASED MANAGEMENT SERVICES 373,669 COURIER SERVICES 304,728 PROFESSIONAL FEES 71,980 OCCUPATIONAL THERAPY SERVICES 44,421 MEDICAL TRANSCRIPTION 40,818 SPECIAL SERVICES 24,914 RADIOLOGY SERVICES ------------- $ 274,538,137 |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES TO NET ASSETS: $ 22,313,000 DEFINED BENEFIT PENSION PLAN GAIN 1,292,000 TRANSFER FROM AFFILIATES 41,480 CHANGE IN BENEFICIAL INTEREST IN TRUST (6,000) RETURN OF CAPITAL ------------- $ 23,640,480 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (10 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 Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FERRELL DUNCAN CLINIC | ||||||||||||||
| 1001 E PRIMROSE | SPRINGFIELD | MO | 65807 | 542183221 | PHYSICIANS | MO | $0 | $0 | LESTER E COX | |||||
| REGIONAL SERVICES | ||||||||||||||
| 3800 S NATIONAL SUITE 540 | SPRINGFIELD | MO | 65807 | 542183222 | HEALTHCARE | 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 | |||||
| COXHEALTH HOME SUPPORT SYSTEMS | ||||||||||||||
| 2224 W SUNSET | SPRINGFIELD | MO | 65807 | 542183216 | HOME HEALTH | MO | $0 | $0 | LESTER E COX | |||||
| OB GYN FERRELL DUNCAN CLINIC | ||||||||||||||
| 1000 E PRIMROSE | SPRINGFIELD | MO | 65807 | 431878984 | PHYSICIANS | MO | $0 | $0 | LESTER E COX | |||||
| COXHEALTH INNOVATIONS LLC | ||||||||||||||
| 3850 S NATIONAL | SPRINGFIELD | MO | 65807 | 271117213 | MANAGEMENT | 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 | |||||
| TITAN CF LP | ||||||||||||||
| 364781057 | INVESTMENT | $2,014,407 | $61,953,374 | LESTER E COX | UBS FUND SVC CAYMAN LTD | GRAND CAYMAN | CAYMAN ISLAND | CJ | CJ | |||||
| FERRELL DUNCAN CLINIC BRANSON | ||||||||||||||
| 251 SKAGGS ROAD | BRANSON | MO | 65616 | 464039135 | PHYSICIANS | MO | $0 | $0 | LESTER E COX | |||||
| TRIPLE STARS PROPERTIES LLC | ||||||||||||||
| 901 ST LOUIS STREET SUITE 600 | SPRINGFIELD | MO | 65806 | REAL ESTATE | MO | $0 | $0 | COXHLTH INNV | ||||||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COX ALTERNATIVE CARE OF THE OZARKS INC | ||||||||||
| PO BOX 10939 | SPRINGFIELD | MO | 65808 | 431641925 | HOME HEALTH | MO | 501(C)(3) | 10 | LESTER E COX | Yes (true) |
| COXHEALTH FOUNDATION | ||||||||||
| 3525 S NATIONAL SUITE 204 | SPRINGFIELD | MO | 65807 | 436810485 | FUNDRAISING | MO | 501(C)(3) | 12A I | LESTER E COX | Yes (true) |
| COXHEALTH HOME CARE SVCS OF THE MIDWEST | ||||||||||
| PO BOX 10939 | SPRINGFIELD | MO | 65808 | 264781194 | HOME HEALTH | MO | 501(C)(3) | 10 | LESTER E COX | Yes (true) |
| COX HPS OF THE OZARKS INC | ||||||||||
| 2220 W SUNSET | SPRINGFIELD | MO | 65807 | 431641927 | HOME HEALTH | MO | 501(C)(3) | 10 | LESTER E COX | Yes (true) |
| COX-MONETT HOSPITAL INC | ||||||||||
| 801 N LINCOLN | MONETT | MO | 65708 | 431656689 | HOSPITAL | MO | 501(C)(3) | 3 | LESTER E COX | Yes (true) |
| COX-MONETT HOSPITAL AUXILIARY | ||||||||||
| 801 N LINCOLE AVE | MONETT | MO | 65708 | 431852817 | FUNDRAISING | MO | 501(C)(3) | 10 | LESTER E COX | Yes (true) |
| HEALTH ENRICHMENT SERVICES INC | ||||||||||
| 3801 S NATIONAL | SPRINGFIELD | MO | 65807 | 363263313 | MED SERVICES | MO | 501(C)(3) | 7 | LESTER E COX | Yes (true) |
| HEALTHCARE SERVICES OF THE OZARKS INC | ||||||||||
| PO BOX 10939 | SPRINGFIELD | MO | 65808 | 431641928 | HOME HEALTH | MO | 501(C)(3) | 10 | LESTER E COX | Yes (true) |
| PRIMROSE PLACE INC | ||||||||||
| 1115 E PRIMROSE | SPRINGFIELD | MO | 65807 | 431183783 | SUPPORT | MO | 501(C)(3) | 12A I | LESTER E COX | Yes (true) |
| COXHEALTH AUXILIARY | ||||||||||
| 3801 S NATIONAL | SPRINGFIELD | MO | 65807 | 431090590 | SUPPORT | MO | 501(C)(3) | 10 | LESTER E COX | Yes (true) |
| LESTER E COX MED CTRPROF LIAB LOSS FUND | ||||||||||
| 1423 N JEFFERSON | SPRINGFIELD | MO | 65802 | 366668576 | SELF INSURANC | MO | 501(C)(3) | 12A I | LESTER E COX | Yes (true) |
| COXHEALTH | ||||||||||
| 1423 N JEFFERSON | SPRINGFIELD | MO | 65802 | 471087427 | HOLDING CO | MO | 501(C)(3) | 12 B II | NA | false |
| COX MEDICAL GROUP | ||||||||||
| 1423 N JEFFERSON | SPRINGFIELD | MO | 65802 | 471087566 | PHYSICIANS | MO | 501(C)(3) | 10 | COXHEALTH | false |
| SKAGGS COMM HOSP ASSOC (COX MC BRANSON) | ||||||||||
| 525 BRANSON LANDING BOULEVARD | BRANSON | MO | 65616 | 440584290 | HOSPITAL | MO | 501(C)(3) | 3 | LESTER E COX | Yes (true) |
| COXHEALTH SYSTEMS HMO INC | ||||||||||
| PO BOX 5750 | SPRINGFIELD | MO | 658015750 | 431757075 | HMO | MO | 501(C)(4) | LESTER E COX | Yes (true) | |
| COX COLLEGE | ||||||||||
| 1423 N JEFFERSON | SPRINGFIELD | MO | 65802 | 475148345 | EDUCATION | MO | 501(C)(3) | 2 | LESTER E COX | Yes (true) |
| 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 COX | C CORP | $3,363,404 | $4,432,743 | 1.00000 | Yes (true) | |||||
| COX TAXABLE CLOSE CORPORATION | |||||||||||||||||
| 1423 N JEFFERSON AVE | SPRINGFIELD | MO | 65802 | 472573263 | MEDICAL CLINIC | MO | COX MED GROUP | C CORP | $0 | $0 | false | ||||||
| FERRELL-DUNCAN CLINIC INC | |||||||||||||||||
| 1001 E PRIMROSE | SPRINGFIELD | MO | 65808 | 430991578 | PHYSICIANS | MO | CTCC | C CORP | $0 | $0 | false | ||||||
| INSURANCE CO OF SPRINGFIELD INC | |||||||||||||||||
| CAPTIVE INSURANCE | LESTER E COX | C CORP | $1,107,170 | $535,197 | 1.00000 | Yes (true) | GRAND PAVILLION CORPORATE CENTRE | KY GRAND CAYMAN | CJ | GRAND CAYMAN | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | 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 | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | 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 (26 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN | ||
| A/J | $3,935 | COST |
| COX-MONETT HOSPITAL INC | ||
| A/J | $3,817 | COST |
| INSURANCE CO OF SPRINGFIELD INC | ||
| B | $1,088,533 | COST |
| COXHEALTH FOUNDATION | ||
| C | $995,009 | COST |
| COX COLLEGE | ||
| K | $548,065 | COST |
| COX-MONETT HOSPITAL INC | ||
| K | $74,445 | COST |
| MEDICAL DEVELOPMENTS INC | ||
| K | $178,516 | COST |
| COX HPS OF THE OZARKS INC | ||
| K | $220,920 | COST |
| COX-MONETT HOSPITAL INC | ||
| P | $598,651 | COST |
| COX HPS OF THE OZARKS INC | ||
| P | $637,294 | COST |
| SKAGGS COMM HOSP ASSOC DBA MED CTR BRNSN | ||
| P | $4,407,936 | COST |
| COX HEALTH SYSTEMS HMO INC | ||
| P | $3,140,323 | COST |
| SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN | ||
| Q | $68,243,082 | COST |
| COX COLLEGE | ||
| Q | $9,097,440 | COST |
| COX-MONETT HOSPITAL INC | ||
| Q | $17,702,148 | COST |
| MEDICAL DEVELOPMENTS INC | ||
| Q | $2,598,006 | COST |
| COX HPS OF THE OZARKS INC | ||
| Q | $3,179,246 | COST |
| HEALTHCARE SERVICES OF THE OZARKS INC | ||
| Q | $1,351,517 | COST |
| COX HEALTH SYSTEMS HMO INC | ||
| Q | $13,295,801 | COST |
| FERRELL-DUNCAN CLINIC INC | ||
| Q | $2,578,803 | COST |
| SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN | ||
| R | $627,468 | COST |
| COX-MONETT HOSPITAL INC | ||
| R | $64,866 | COST |
| MEDICAL DEVELOPMENTS INC | ||
| R | $953,390 | COST |
| COX COLLEGE | ||
| S | $80,586 | COST |
| MEDICAL DEVELOPMENTS INC | ||
| S | $3,120,015 | COST |
| SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN | ||
| S | $164,096 | COST |