LESTER E COX MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: LESTER E COX MEDICAL CENTER (EIN 44-0577118)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-11
IRS object ID: 201622249349301897
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule 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	2016-08-11T14:14:34-05:00	ReturnTs
Tax Period End	2015-09-30	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	2014-10-01	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	JACOB MCWAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4172693000	PhoneNum
Signature	2016-08-05	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	2014	TaxYr
Build TS	2016-12-15 16:53:06Z	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	$1,243,742,703	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	8701	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$2,829,928	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$250,245	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,509,785	PYContributionsGrantsAmt
CY Contributions Grants	$2,611,043	CYContributionsGrantsAmt
PY Program Service Revenue	$1,031,461,157	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,044,032,909	CYProgramServiceRevenueAmt
PY Investment Income	$39,434,234	PYInvestmentIncomeAmt
CY Investment Income	$17,673,354	CYInvestmentIncomeAmt
PY Other Revenue	$10,587,729	PYOtherRevenueAmt
CY Other Revenue	-$10,713,627	CYOtherRevenueAmt
PY Total Revenue	$1,083,992,905	PYTotalRevenueAmt
CY Total Revenue	$1,053,603,679	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,591,995	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,085,920	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$405,590,091	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$388,201,252	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$638,002	CYTotalFundraisingExpenseAmt
PY Other Expenses	$613,841,869	PYOtherExpensesAmt
CY Other Expenses	$634,962,000	CYOtherExpensesAmt
PY Total Expenses	$1,021,023,955	PYTotalExpensesAmt
CY Total Expenses	$1,024,249,172	CYTotalExpensesAmt
PY Revenues Less Expenses	$62,968,950	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,354,507	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,403,872,850	TotalAssetsBOYAmt
Total Assets EOY	$1,420,537,175	TotalAssetsEOYAmt
Total Liabilities BOY	$729,411,456	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$756,535,309	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$674,461,394	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$664,001,866	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	$673,211,446	ExpenseAmt
Revenue	$732,310,432	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 $143,136,606 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	$221,233,236	ExpenseAmt
Revenue	$185,268,189	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 18% AND 32% 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	$29,796,528	ExpenseAmt
Revenue	$25,978,398	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	$30,935,993	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,085,920	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$100,475,890	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$955,177,203	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	Yes (true)	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	473	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8701	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	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
JAMES HUTCHESON
CHAIRMAN OF THE BOARD	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
GRANT HADEN
1ST VICE CHAIRMAN OF THE BOARD	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH TURNER
2ND VICE CHAIRMAN OF THE BOARD	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
DENNIS HEIM
3RD VICE CHAIRMAN OF THE BOARD	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JACK PRIM
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
CHARLES CHALENDER
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
PATRICIA DIX MD
BOARD MEMBER	40.0	1.0	Yes (X)		$327,105	$0	$39,136
JANICE HARRIS
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
ROBERT MCDOWELL
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
ROBERT FULP
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
RONALD PONDS
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
DAVID ZOLFAGHARI MD
BOARD MEMBER	40.0	1.0	Yes (X)		$0	$890,181	$0
JERRY JARED
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
STEVE EDWARDS
PRESIDENT AND CEO	20.0	20.0		Yes (X)	$1,230,233	$0	$262,993
JAKE MCWAY
SR VP AND CFO	20.0	20.0		Yes (X)	$726,795	$0	$141,589
KATHY RIGGER
BOARD SECRETARY	20.0	20.0		Yes (X)	$53,124	$0	$9,618
JOHN DUFF MD
SR VP CHIEF CORP SVCS END 6/15	20.0	20.0			$645,634	$0	$51,452	Yes (X)
RON PRENGER
SR VP, CHIEF HOSPITAL OFFICER	40.0	0.0			$295,876	$0	$71,371	Yes (X)
CHARITY ELMER
SR VP AND GENERAL COUNSEL	20.0	20.0			$446,773	$0	$97,012	Yes (X)
ROBERT FERGUSON
VP FERRELL DUNCAN CLINIC	40.0	0.0			$313,998	$0	$23,367	Yes (X)
DAVID TAYLOR
VP REGIONAL SERVICES	40.0	0.0			$281,000	$0	$27,725	Yes (X)
JOHN HURSH
VP HUMAN RESOURCES END 7/15	20.0	20.0			$256,969	$0	$43,698	Yes (X)
RODNEY SCHAFFER
VP FACILITIES MANAGEMENT	20.0	20.0			$236,447	$0	$19,251	Yes (X)
KAREN KRAMER
VP, CNO	40.0	0.0			$280,847	$0	$43,478	Yes (X)
BETTY BRESHEARS
VP CORPORATE COMPLIANCE	20.0	20.0			$184,603	$0	$22,688	Yes (X)
BRUCE ROBISON
CIO	20.0	20.0			$196,798	$0	$23,439	Yes (X)
FRANK ROMERO
VP MEDICAL AFFAIRS BEG 12/14	20.0	20.0			$407,694	$0	$26,854	Yes (X)
TIM JONES
JOC CHAIR	20.0	20.0			$348,134	$0	$27,301	Yes (X)
BOYD CROCKETT MD
PHYSICIAN	40.0	0.0			$647,053	$0	$27,301		Yes (X)
ARIJIT CHOWDHURY MD
PHYSICIAN	40.0	0.0			$501,412	$0	$27,296		Yes (X)
CARY MARQUIS MD
PHYSICIAN	40.0	0.0			$526,828	$0	$44,825		Yes (X)
RUSSELL R BOND JR DO
PHYSICIAN	40.0	0.0			$449,306	$0	$43,467		Yes (X)
MARTIN JONES MD
PHYSICIAN	40.0	0.0			$447,190	$0	$22,101		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,803,819	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$890,181	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,095,962	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	337	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)

ServicesServicesDesc	CompensationCompensationAmt
BECK KILLIAN A JOINT VENTURE
PROJECT MANAGEMENT	$42,123,220
EMERGENCY PHYSICIANS OF SPFD
PHYS REMUNERATION	$14,163,211
SPFD NEUROLOGICAL INSTITUTE
PHYS REMUNERATION	$14,119,407
OZARK ANESTHESIA ASSOCIATES
ANESTHESIA SERVICES	$7,632,169
HC BECK LTD
PROJECT MANAGEMENT	$4,984,768

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	76	CntrctRcvdGreaterThan100KCnt
Fundraising	$89,378	FundraisingAmt
Related Organizations	$35,500	RelatedOrganizationsAmt
All Other Contributions	$2,486,165	AllOtherContributionsAmt
Total Contributions	$2,611,043	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	$1,012,618,643	$1,012,618,643
NET PATIENT SERVICE - UNRELATED LAB	621500	$722,263		$722,263
NET PATIENT SERVICE - UNRELATED RETAIL DME	446199	$2,107,665		$2,107,665
CAFETERIA, MEALS & VENDING	722514	$4,655,697	$4,655,697
FITNESS CENTERS	713940	$3,095,009	$3,095,009

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,833,632	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,833,632	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,044,032,909	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,686,584	TotalRevenueColumnAmt
Exclusion	$9,686,584	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$124,802	TotalRevenueColumnAmt
Exclusion	$124,802	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,628,487	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,269,953	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$358,534	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$358,534	TotalRevenueColumnAmt
Exclusion	$358,534	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$196,508,027	SecuritiesAmt
Other	$185,797	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$188,748,498	SecuritiesAmt
Other	$83,358	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,759,529	SecuritiesAmt
Other	$102,439	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,861,968	TotalRevenueColumnAmt
Exclusion	$7,861,968	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$22,638	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$89,378	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$37,215	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$14,577	TotalRevenueColumnAmt
Exclusion	-$14,577	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
LOSS ON INVESTMENT IN EQUITY INVESTEE	900099	-$135,570	-$135,570
CHANGE IN INTEREST IN NET ASSETS OF SUBS	900099	$13,021,657	$13,021,657
LOSS ON EXTINGUISHMENT OF DEBT	900099	-$23,943,671	-$23,943,671

Field	Value	IRS element (for citing)
Other Revenue Total	-$11,057,584	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,053,603,679	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,041,202,981	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,829,928	UnrelatedBusinessRevenueAmt
Exclusion	$6,959,727	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$38,864	TotalAmt
Program Services	$38,864	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,047,056	TotalAmt
Program Services	$1,047,056	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	$7,163,002	TotalAmt
Program Services	$3,118,127	ProgramServicesAmt
Management And General	$4,044,875	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$517,963	TotalAmt
Program Services	$494,010	ProgramServicesAmt
Management And General	$23,953	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$300,819,607	TotalAmt
Program Services	$281,969,591	ProgramServicesAmt
Management And General	$18,647,266	ManagementAndGeneralAmt
Fundraising	$202,750	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,565,537	TotalAmt
Program Services	$1,550,311	ProgramServicesAmt
Management And General	$6,585	ManagementAndGeneralAmt
Fundraising	$8,641	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$55,557,823	TotalAmt
Program Services	$51,592,009	ProgramServicesAmt
Management And General	$3,950,692	ManagementAndGeneralAmt
Fundraising	$15,122	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,577,320	TotalAmt
Program Services	$20,929,215	ProgramServicesAmt
Management And General	$1,648,105	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	$139,883	TotalAmt
Management And General	$139,883	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$332,798	TotalAmt
Management And General	$332,798	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$150,283	TotalAmt
Management And General	$150,283	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	$1,271,944	TotalAmt
Management And General	$1,271,944	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$237,302,319	TotalAmt
Program Services	$208,875,833	ProgramServicesAmt
Management And General	$28,318,960	ManagementAndGeneralAmt
Fundraising	$107,526	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$585,490	TotalAmt
Program Services	$515,261	ProgramServicesAmt
Management And General	$70,229	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,462,374	TotalAmt
Program Services	$13,561,268	ProgramServicesAmt
Management And General	$1,855,445	ManagementAndGeneralAmt
Fundraising	$45,661	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,070,949	TotalAmt
Program Services	$9,743,003	ProgramServicesAmt
Management And General	$1,327,946	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,792,881	TotalAmt
Program Services	$20,097,375	ProgramServicesAmt
Management And General	$662,781	ManagementAndGeneralAmt
Fundraising	$32,725	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,990,568	TotalAmt
Program Services	$1,751,802	ProgramServicesAmt
Management And General	$238,766	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	$1,613,512	TotalAmt
Program Services	$1,419,973	ProgramServicesAmt
Management And General	$193,539	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,284,936	TotalAmt
Program Services	$13,943,966	ProgramServicesAmt
Management And General	$1,340,970	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,564,698	TotalAmt
Program Services	$29,707,613	ProgramServicesAmt
Management And General	$2,856,936	ManagementAndGeneralAmt
Fundraising	$149	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,880,927	TotalAmt
Program Services	$3,540,448	ProgramServicesAmt
Management And General	$340,479	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$148,505,520	$148,505,520
BAD DEBT	$92,816,355	$92,816,355
STATE PROVIDER TAX	$43,622,370	$43,622,370
LICENSES, DUES, SUBSCRIPTIONS	$1,255,183	$1,104,625	$150,558

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,319,010	TotalAmt
Program Services	$5,232,608	ProgramServicesAmt
Management And General	$860,974	ManagementAndGeneralAmt
Fundraising	$225,428	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,024,249,172	TotalAmt
Program Services	$955,177,203	ProgramServicesAmt
Management And General	$68,433,967	ManagementAndGeneralAmt
Fundraising	$638,002	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,277,135	BOYAmt
EOY	$1,246,040	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$146,720,586	BOYAmt
EOY	$123,251,896	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	$131,288,489	BOYAmt
EOY	$122,731,108	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	$16,089,046	BOYAmt
EOY	$7,616,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,983,158	BOYAmt
EOY	$12,819,630	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,318,318	BOYAmt
EOY	$12,012,090	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,038,690,270	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$609,227,970	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$369,674,109	BOYAmt
EOY	$429,462,300	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$474,169,034	BOYAmt
EOY	$452,992,941	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,271,558	BOYAmt
EOY	$29,985,410	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$158,589,886	BOYAmt
EOY	$170,997,691	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,538,561	BOYAmt
EOY	$25,411,228	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$32,952,970	BOYAmt
EOY	$32,010,841	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,403,872,850	BOYAmt
EOY	$1,420,537,175	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$199,881,969	BOYAmt
EOY	$213,943,534	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	$3,551,190	BOYAmt
EOY	$4,124,618	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$459,278,000	BOYAmt
EOY	$469,838,811	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	$12,038,113	BOYAmt
EOY	$10,661,804	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$11,161,029	BOYAmt
EOY	$10,678,829	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,501,155	BOYAmt
EOY	$47,287,713	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$729,411,456	BOYAmt
EOY	$756,535,309	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$634,508,141	BOYAmt
EOY	$627,394,433	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,021,113	BOYAmt
EOY	$18,338,781	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,932,140	BOYAmt
EOY	$18,268,652	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$674,461,394	BOYAmt
EOY	$664,001,866	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,403,872,850	BOYAmt
EOY	$1,420,537,175	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,354,507	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$23,574,803	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$16,239,232	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	$112,428	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$37,855	OtherActivitiesAmt
Total Lobbying Expenditures	$150,283	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 KELLER MCINTYRE & ASSOCIATES, LOBBYING AND ASSOCIATION MANAGEMENT FIRMS, TO LOBBY ISSUES THAT BENEFIT THE INTERESTS OF THE COMMUNITY, COXHEALTH AND ITS AFFILIATES.

SCHEDULE C, PART II-B, LINE 1I

OTHER LOBBYING ACTIVITIES: MEMBERS OF THE ADMINISTRATIVE STAFF CONTACT LEGISLATORS REGARDING KEY HEALTHCARE ISSUES. ALSO, PORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2015, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $35,495. IN ADDITION, $2,333 OF DUES PAID TO THE SPRINGFIELD AREA CHAMBER OF COMMERCE AND $27 OF DUES PAID TO THE AICPA WERE ATTRIBUTABLE TO LOBBYING.

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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,887,423	BeginningYearBalanceAmt
Contributions	$527,957	ContributionsAmt
Investment Earnings Or Losses	$162,356	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$48,350	GrantsOrScholarshipsAmt
Other Expenditures	$369,789	OtherExpendituresAmt
End Year Balance	$4,159,597	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,472,905	BeginningYearBalanceAmt
Contributions	$676,849	ContributionsAmt
Investment Earnings Or Losses	$151,329	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$26,610	GrantsOrScholarshipsAmt
Other Expenditures	$387,050	OtherExpendituresAmt
End Year Balance	$3,887,423	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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	$26,660,304	OtherCostOrOtherBasisAmt
Book Value	$26,660,304	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$375,597,557	OtherCostOrOtherBasisAmt
Depreciation	$169,913,975	DepreciationAmt
Book Value	$205,683,582	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,848,038	OtherCostOrOtherBasisAmt
Depreciation	$3,914,817	DepreciationAmt
Book Value	$933,221	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$593,643,063	OtherCostOrOtherBasisAmt
Depreciation	$424,166,142	DepreciationAmt
Book Value	$169,476,921	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,941,308	OtherCostOrOtherBasisAmt
Depreciation	$11,233,036	DepreciationAmt
Book Value	$26,708,272	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$429,462,300	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INT IN NA OF TAX EXEMPT SUBS	Desc
Book Value	$170,997,691	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$170,997,691	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTEREST RATE BASIS SWAP	$3,278,528
EST AMT DUE TO 3RD PARTIES	$3,664,486
SELF INSURANCE CLAIMS PAYABLE	$40,344,699

Field	Value	IRS element (for citing)
Total Liability	$47,287,713	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$924,343,896	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$23,574,803	NetUnrealizedGainsInvstAmt
Other Revenue	-$108,385,640	OtherRevenueAmt
Revenue Not Reported	-$131,960,443	RevenueNotReportedAmt
Revenue Subtotal	$1,056,304,339	RevenueSubtotalAmt
Other Revenues Not Included	-$2,700,660	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$2,700,660	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,053,603,679	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$931,457,604	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,296,731	OtherExpensesIncludedAmt
Expenses Not Reported	$1,296,731	ExpensesNotReportedAmt
Expenses Subtotal	$930,160,873	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,271,944	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$92,816,355	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$94,088,299	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,024,249,172	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	INTENDED USE OF ENDOWMENTS: COXHEALTH FOUNDATION, A RELATED ORGANIZATION, HOLDS 29 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, AS WELL AS SCHOLARSHIPS FOR INDIVIDUALS PURSUING DEGREES.
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (20,159,031) DEFINED BENEFIT LOSS 1,418,276 NET ASSETS RELEASED FROM RESTRICTION (751,921) RETURN OF CAPITAL (1,271,944) INVESTMENT FEES (92,816,355) BAD DEBT EXPENSE 5,195,335 TRANSFER FROM AFFILIATES ----------------- $ (108,385,640)
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (3,380,558) CHANGE IN INTEREST OF NET ASSETS OF SUBSIDIARIES 2,018,374 TEMPORARILY RESTRICTED CONTRIBUTIONS 93,615 TEMPORARILY RESTRICTED INVESTMENT RETURN (37,215) SPECIAL EVENTS EXPENSES (1,259,516) RENTAL EXPENSES RECLASSED FROM EXPENSES (135,360) PERMANENTLY RESTRICTED CONTRIBUTIONS -------------- $ (2,700,660)
SCHEDULE D, PART XII, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 1,259,516 RENTAL EXPENSES RECLASSED FROM EXPENSES 37,215 SPECIAL EVENTS EXPENSES ---------------- $ 1,296,731
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 92,816,355 BAD DEBT EXPENSE

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	Program Services	CAPTIVE INSURANCE	$1,202,375
Central America and the Caribbean		Investments		$157,409,711

Field	Value	IRS element (for citing)
Subtotal Employees	1	SubtotalEmployeesCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$158,612,086	SubtotalSpentAmt
Total Spent	$158,612,086	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	WRAP IT UP	Event1Nm
Gross Receipts Event1	$53,930	GrossReceiptsEvent1Amt
Charitable Contri Event1	$47,152	CharitableContriEvent1Amt
Gross Revenue Event1	$6,778	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$68	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$6,368	RentFacilityCostsEvent1Amt
Entertainment Event1	$400	EntertainmentEvent1Amt
Other Direct Expenses Event1	$2,904	OtherDirectExpensesEvent1Amt
Event2	GOLF TOURNEY	Event2Nm
Gross Receipts Event2	$38,384	GrossReceiptsEvent2Amt
Charitable Contri Event2	$27,756	CharitableContriEvent2Amt
Gross Revenue Event2	$10,628	GrossRevenueEvent2Amt
Cash Prizes Event2	$276	CashPrizesEvent2Amt
Non Cash Prizes Event2	$2,700	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$15,382	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$869	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$19,702	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$14,470	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$5,232	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$187	NonCashPrizesOtherEventsAmt
Entertainment Other Events	$545	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$7,516	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$112,016	GrossReceiptsTotalAmt
Charitable Contributions Tot	$89,378	CharitableContributionsTotAmt
Gross Revenue Total Events	$22,638	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$276	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$2,955	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$21,750	RentFcltyCostsTotalEventsAmt
Entertainment Total Events	$945	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$11,289	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$37,215	DirectExpenseSummaryEventsAmt
Net Income Summary	-$14,577	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	$31,712,190	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,712,190	NetCommunityBenefitExpnsAmt
Total Expense	0.03400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,420,249	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,212,633	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,207,616	NetCommunityBenefitExpnsAmt
Total Expense	0.02380	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$169,132,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,212,633	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,919,806	NetCommunityBenefitExpnsAmt
Total Expense	0.05780	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,530	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$176,530	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,945,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,039,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,905,886	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,671,494	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,981,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,689,962	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,085,920	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,085,920	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,879,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,020,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,858,298	NetCommunityBenefitExpnsAmt
Total Expense	0.01270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$205,011,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,233,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,778,104	NetCommunityBenefitExpnsAmt
Total Expense	0.07050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$92,816,355	BadDebtExpenseAmt
Bad Debt Expense Attributable	$19,120,169	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$321,354,233	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$391,695,040	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$70,340,807	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)
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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.COXHEALTH.COM/BODY.CFM?ID=834	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.SWMOCOUNTS.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.COXHEALTH.COM/BODY.CFM?ID=834	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: THE PUBLIC HEALTH SURVEY WAS SENT TO SERVICE AREA PUBLIC HEALTH NURSES, PUBLIC SCHOOL ADMINISTRATORS AND NURSES, COMMUNITY ORGANIZATION LEADERS AND REGIONAL CLINICAL LEADERS. APPENDIX 5: PUBLIC HEALTH SURVEY SHOWS TO WHICH ORGANIZATIONS THE SURVEY WAS SENT IN AND AROUND THE COXHEALTH SYSTEM AREA. LISTED ON PAGES 106 AND 107 OF THE CHNA ARE THESE INDIVIDUALS WHO RESPONDED TO THE SURVEY.
SCHEDULE H, PART V, SECTION B, LINE 6A	CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA WAS CONDUCTED FOR THE 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 COX WALNUT LAWN ORTHOPEDIC HOSPITAL. IN ADDITION, COX-MONETT HOSPITAL, INC., A RELATED ORGANIZATION, WAS ALSO INCLUDED IN THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 11	IMPLEMENTATION STRATEGY: CARDIAC KIDS THE CARDIAC KIDS PROGRAM CONTINUES IN 12 AREA SCHOOL DISTRICTS. IT IS ALMOST COMPLETELY FUNDED BY GRANTS PROVIDED BY KOHL'S FOUNDATION AND CHILDREN'S MIRACLE NETWORK. -MONETT -ST. LAWRENCE -AURORA -VERONA -MT. VERNON -PURDY -MARIONVILLE -MILLER -SARCOXIE -EXETER -SHELL KNOB -PIERCE CITY -NIXA -HOLLISTER OVER THE PAST YEAR 19% OF THE STUDENTS PARTICIPATING IN THE CARDIAC KIDS PROGRAM HAVE A POSITIVE LIPID PROFILE RESULT. STUDENTS WERE SCREENED THE PAST SCHOOL YEAR FOR BODY MASS INDEX AND BLOOD PRESSURE -40 % HAD A BODY MASS INDEX OVER THE 85TH PERCENTILE -35% WITH A MILD RISK BLOOD PRESSURE -57% OF THE STUDENTS RETESTED FOR A POSITIVE LIPID PROFILE SHOWED IMPROVEMENT OVER THE PAST YEAR 257 TOTAL PARTICIPANTS (PARENTS AND STUDENTS) ATTENDED CARDIAC FAMILY FUN NIGHTS. HEALTHY FOOD PANTRY COLLABORATIVE (HFPC) DEVELOPMENT COMMUNICATION WITH HFPC MEMBERS OCCURS THROUGH A VARIETY OF WAYS: THE NEWSLETTER - THE PANTRY BUZZ, EMAIL INFORMATION ABOUT PRODUCT SHARING (LIST SERVE), ORGANIZER SUBCOMMITTEE PLANNING AND COLLABORATION MEETINGS, AND A FORMAL MEETING ON APRIL 7, 2016 FOR ALL MEMBERSHIP. THE FOCUS CONTINUES TO BE "BRINGING TOGETHER PARTNERS WHO SERVE OUR COMMUNITY IN NEED OF HEALTHY FOOD AND WORKING TOGETHER TO PROMOTE THE MESSAGE ABOUT THE NEEDS OF THIS POPULATION". THE PARTNERSHIP INCLUDES: MSU, UNIVERSITY OF MISSOURI-EXTENSION, COUNCIL OF CHURCHES, OZARKS REGIONAL FOOD POLICY COUNCIL, OZARKS FOOD HARVEST (OFH), COXHEALTH AND 25 PLUS INDIVIDUAL FOOD PANTRIES. THE FOLLOWING ARE SOME ACCOMPLISHMENTS THIS YEAR: -THE PANTRY BUZZ-PREPARED BY MSU INTERNS, WHICH FEATURED SCHWEITZER FOOD PANTRY, WAS EMAILED TO ALL PARTNERS, PANTRIES AND ORGANIZATIONS GERMANE TO THE HFPC MISSION. -APRIL 7TH, 2016 HFPC MEETING HELD AT CENTRAL ASSEMBLY WITH BREAKFAST PROVIDED. MEETING LOCATION TO BE ROTATED AMONG PARTICIPATING PANTRIES. TOURS OF THE PANTRY FOLLOW THE MEETING, GIVING PARTICIPANTS THE OPPORTUNITY TO LEARN NEW WAYS TO DISTRIBUTE/DISPLAY FOOD PRODUCTS. -NEXT MEETING PLANNED FOR SEPTEMBER 8TH AT 10:00, LOCATION TBD. WILL CONTINUE MEETING SPRING AND FALL. -HEALTHY FOOD DRIVE AT COXHEALTH IN COLLABORATION WITH CROSSLINES 11/9/15-11/23/15. A TOTAL OF 1,163 POUNDS OF FOOD WAS COLLECTED. -TEMPLATE OF DONOR LETTER: BECAUSE OF THE FOCUS ON 'HEALTHY FOOD DONATIONS', A TEMPLATE TO SEND TO DONOR ORGANIZATIONS WAS DEVELOPED FOR THE PANTRIES TO USE. THIS LETTER CAN BE USED WITH BUSINESSES, CHURCHES, INDIVIDUALS, ETC. AND WILL ALLOW THE PANTRIES TO EDUCATE THEIR DONORS ON 'HEALTHY FOOD CONTRIBUTIONS' WITHOUT SOUNDING UNGRATEFUL FOR WHAT THEY RECEIVE. -TWO COMMUNITY PROJECTS PROMOTED BY HFPC: COMMUNITY GARDENS: PLANT A ROW CONCEPT AND THE MILK DRIVE. -HFPC COLLABORATED WITH CROSSLINES SUBMITTED AN APPLICATION TO COXHEALTH FOR A COMMUNITY SPONSORSHIP, WHICH UNFORTUNATELY WAS NOT FUNDED. THE NEED FOR 'MONEY' AS A DONATION IS AT THE TOP OF THE PRIORITY LIST. THESE DONATIONS EXPAND THE BUYING POWER OF THE PANTRIES FOR PURCHASING HEALTHY FOODS. -FUTURE INITIATIVES BEING CONSIDERED: FEEDING AMERICA, HOPE FOR DINNER, "DIABESITY" (OBESITY AND DIABETES) AND PROMOTING BEST PRACTICES AMONG THE PANTRIES. -MSU INTERN PROGRAM CONTINUE TO PROVIDE EDUCATION ON HOW TO PREPARE FRESH VEGETABLES AND INCORPORATE THEM INTO THEIR MEALS AND THE EXTENSION STAFF ALSO PARTICIPATE IN THIS PROCESS. -"HEALTHY FOOD WISH LIST" PROMOTED DURING THE YEAR AT VARIOUS MEETINGS AND WITH DESIGNATED ORGANIZATIONS. THE LIST OF FOODS WAS ALSO INCORPORATED ON THE TEMPLATE DONOR LETTER. COMMUNITY IN MOTION THE COMMUNITY IN MOTION PROGRAM WAS DESIGNED AS A WEIGHT LOSS CHALLENGE THAT INCORPORATED AND COORDINATED MULTIPLE WEIGHT LOSS OFFERINGS THROUGHOUT THE COMMUNITY. THE FOLLOWING IS AN UPDATE ON CURRENT OFFERINGS BY COXHEALTH. MOST OF THESE PROGRAMS ARE FULLY INTEGRATED AND OPERATIONAL, WHILE SOME COMPONENTS OF "HEALTHY SCHOOLS, HEALTHY COMMUNITIES" ARE CURRENTLY IN PROGRESS AND BEING DEVELOPED. COMMITTED TO KIDS -ADOLESCENT WEIGHT MANAGEMENT PROGRAM FOR AGES 11-14 -FAMILY AFFAIR - EACH MEMBER OF THE FAMILY WEIGHS IN, TURNS IN FOOD LOGS, WEARS PEDOMETER, AND PARTICIPATES IN CLASS EXERCISE, LEARNING SESSIONS, AND DISCUSSIONS JOURNEYS -20-WEEK ADULT WEIGHT MANAGEMENT PROGRAM THAT FOCUSES ON YOUR MENTAL, PHYSICAL AND EMOTIONAL HEALTH. -INCORPORATES THREE COMPONENTS FOR SUCCESSFUL WEIGHT LOSS AND WEIGHT MAINTENANCE: BEHAVIOR CHANGE, NUTRITION EDUCATION AND MEAL PLANNING, AND ACTIVITY AND EXERCISE PROGRAMS. LEANER LIFE -DEVELOPS STRATEGIES TO HELP YOU LOSE WEIGHT, CONTINUE HEALTHY LIFESTYLE CHOICES AND MAINTAIN WEIGHT LOSS -MEET OTHERS IN THE SAME SITUATION FOR DISCUSSION, SUPPORT AND WEEK-TO-WEEK ACCOUNTABILITY HEALTHY SCHOOLS, HEALTHY COMMUNITIES - REDUCE CHILDHOOD OBESITY BY 5% OVER 5 YEARS IN MONETT AND PIERCE CITY SCHOOLS -EXPAND ACCESS TO HEALTHY FOODS -"HEALTHY MEAL NIGHT" PROGRAM -HEALTHY RETAILER/MENU GUIDE FOR LOCAL BUSINESSES -REVIVAL OF THE MONETT FARMER'S MARKET -HEALTHY FOODS SERVED AT CONCESSIONS -"KIDS IN THE KITCHEN" -EXPAND ACCESS TO PHYSICAL ACTIVITY -COMPLETE STREET PROJECT -GREENWAY IMPROVEMENTS/PROMOTION -EQUIPMENT CHECKOUT PROGRAM AT PARKS -PIERCE CITY AFTER SCHOOL PROGRAM -PIERCE CITY COMMUNITY POOL PROGRAM -INCREASE AWARENESS OF HEALTHY EATING AND PHYSICAL ACTIVITY OPPORTUNITIES -COMMUNITY SURVEY ON HEALTH LIVING -COMMUNITY SOCIAL MEDIA SITES/COMMUNICATION -BUILD A STRONG, ENGAGED, AND DIVERSE 'HEALTHY COMMUNITY PARTNERSHIP' -BIMONTHLY MEETINGS WITH COMMUNITY LEADERS -EXPAND RELATIONSHIPS WITH MINORITIES WITHIN THE COMMUNITY -EXPAND HEALTHY LIVING EFFORTS ALREADY ESTABLISHED -INCREASE HEALTH CARE PROVIDERS' ENGAGEMENT IN HEALTHY LIFESTYLES -HEALTHY LIVING PRESENTATION AT SENIOR LEADERS SEMINAR -HEALTHY LIVING REFERRAL RESOURCES -DISCUSSION OF LIFESTYLE CHOICES WITH PATIENTS OTHER OBESITY/HEALTHY LIVING OFFERINGS FROM COX FITNESS CENTERS -MED MILE KIDS RUN TRAINING IN MAY 2016 -MEDICAL MILE 5K RUN IN JUNE 2016 -GIRLS JUST WANNA RUN RACE IN JULY 2016 -REPUBLIC SENIORFEST IN MAY 2016 -GALLOWAY RUN/WALK TRAINING FOR BASS PRO MARATHON AND HALF MARATHON IN APRIL 2016 -FITLIFE MEDICAL FITNESS PROGRAM OTHER OBESITY/HEALTHY LIVING OFFERINGS FROM A PARTNERSHIP BETWEEN COX MONETT AND MONETT YMCA -VERY ACTIVE SPIN PROGRAM FOR EMPLOYEES AND COMMUNITY -CLASSES OFFERED EVERY DAY
SCHEDULE H, PART V, SECTION B, LINE 13A	CCRITERIA USED TO DETERMINE 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: PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. STATE FUNDED PRESCRIPTION PROGRAMS; 2. HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC; 3. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); 4. FOOD STAMP ELIGIBILITY; 5. SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; 6. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND DOWN); 7. PATIENT IS DECEASED WITH NO KNOWN ESTATE.
SCHEDULE H, PART V, SECTION B, LINE 16A	FINANCIAL ASSISTANCE POLICY AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE FOLLOWING URL: WWW.COXHEALTH.COM/BODY.CFM?ID=5445
SCHEDULE H, PART V, SECTION B, LINE 16B	FINANCIAL ASSISTANCE POLICY APPLICATION FORM AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY APPLICATION FORM IS AVAILABLE AT THE FOLLOWING URL: WWW.COXHEALTH.COM/BODY.CFM?ID=5445
SCHEDULE H, PART V, SECTION B, LINE 16C	FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY AVAILABILITY: THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE FOLLOWING URL: WWW.COXHEALTH.COM/BODY.CFM?ID=5445
SCHEDULE H, PART V, SECTION B, LINE 16I	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, SECTION B, LINE 22D	DETERMINATION OF MAXIMUM CHARGES TO FAP-ELIGIBLE INDIVIDUALS: AMOUNTS GENERALLY BILLED WILL BE CALCULATED UTILIZING THE LOOK BACK METHOD. THIS IS A PERCENTAGE CALCULATED NO LESS FREQUENTLY THAN ANNUALLY BY DIVIDING THE SUM OF COMMERCIAL AND MEDICARE CLAIMS PAID TO THE HOSPITAL FACILITY BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. COX WILL MAKE THIS CALCULATION ON OR ABOUT AUGUST 15TH OF EACH YEAR AND BEGIN APPLYING ITS AGB PERCENTAGE(S) BY OCTOBER 1ST. FAP ELIGIBLE INDIVIDUALS WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

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
SOUTHWEST SPINE & SPORTS MEDICINE
3555 S NATIONAL AVE 302	SPRINGFIELD	MO	65807	CLINIC
COX FAMILY MEDICINE ASSOCIATES
3850 S NATIONAL AVE 520	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER NIXA
411 N MCCROSKEY	NIXA	MO	65714	CLINIC
DIAGNOSTIC CLINIC
3800 S NATIONAL 600	SPRINGFIELD	MO	65807	CLINIC
FAMILY PRACTICE & OBSTETRICS OF MONETT
815 N LINCOLN STE G	MONETT	MO	65708	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
FAMILY & OCCUPATIONAL MEDICINE OF MONETT
2200 E CLEVELAND	MONETT	MO	65708	CLINIC
COX FAMILY MEDICINE OF MONETT
307 W BENTON	MONETT	MO	65708	CLINIC
COXHEALTH CENTER AURORA
106 COMMERCE DRIVE	AURORA	MO	65605	CLINIC
COXHEALTH CENTER SOUTHERN HILLS
2702 E SUNSHINE	SPRINGFIELD	MO	65804	CLINIC
COXHEALTH CENTER ELFINDALE
1429 W SUNSHINE	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER BRANSON
890 HWY 248	BRANSON	MO	65616	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 MT VERNON
10763 HWY 39 SUITE 200	MT VERNON	MO	65712	CLINIC
COXHEALTH CENTER OZARK
1741 S 15TH STREET	OZARK	MO	65721	CLINIC
COXHEALTH CENTER CRANE
102 CORTNEY LANE	CRANE	MO	65633	CLINIC
COXHEALTH CENTER REPUBLIC
820 ILLINOIS AVE	REPUBLIC	MO	65738	CLINIC
MONETT SURGICAL ASSOCIATES
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
COXHEALTH CENTER SHELL KNOB
25376 STATE HWY 39 SUITE 301	SHELL KNOB	MO	65747	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 AND SPINE
2900 S NATIONAL AVE	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
CASSVILLE MEDICAL CARE ASSOCIATES
75 SMITHSON DRIVE SUITE A	CASSVILLE	MO	65625	CLINIC
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 CENTER CASSVILLE
75 SMITHSON DRIVE STE B	CASSVILLE	MO	65625	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

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. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. STATE FUNDED PRESCRIPTION PROGRAMS; 2. HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC; 3. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); 4. FOOD STAMP ELIGIBILITY; 5. SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; 6. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND DOWN); 7. PATIENT IS DECEASED WITH NO KNOWN ESTATE.
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 $92,816,355.
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 $4,689,962. 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 2010-2014, APPROXIMATELY 20.6 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 COLLECTABILITY 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. IN 2012, THE FIRST "COMMUNITY HEALTH NEEDS ASSESSMENT" AS REQUIRED BY THE IRS WAS PUT IN PROCESS. 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.
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, WEBSTER, AND WRIGHT (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, CEDAR, DADE, DALLAS, DOUGLAS, HICKORY, HOWELL, JASPER, LACLEDE, OZARK, POLK, PULASKI, AND TEXAS (ALL SSA COUNTIES ARE LOCATED IN MISSOURI EXCEPT BOONE AND BAXTER COUNTIES IN ARKANSAS). THE SERVICE AREA HAS EXCEEDED THE ONE MILLION PERSON MARK AND APPROXIMATELY 56% OF THE 22-COUNTY POPULATION IS IN THE EIGHT COUNTY PRIMARY SERVICE AREA. 51% OF THE MARKET IS FEMALE AND ALMOST 19% OF THE MARKET IS FEMALES BETWEEN THE AGES OF 15 AND 44. THE SEGMENT OF THE POPULATION OVER 65 IS PROJECTED TO GROW AT ABOUT A 13% RATE. THE AVERAGE HOUSEHOLD INCOME IS $48,766 IN THE 22-COUNTY SERVICE AREA COMPARED WITH $58,796 FOR THE STATE OF MISSOURI. DIVERSITY IS NEARLY NONEXISTENT IN THE 22-COUNTY MARKET. YEAR-TO-YEAR UNEMPLOYMENT RATES HAVE BEEN DECLINING IN THE AREA.
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	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 & THROAT), PULMONOLOGY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE & 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 LESTER E. COX MEDICAL CENTERS. LESTER E. COX MEDICAL CENTERS, AS THE PARENT COMPANY, ASSUMES THE RESPONSIBILITIES PREVIOUSLY HELD BY THE CMCB BOARD OF TRUSTEES. THE CMCB BOARD WILL HAVE REPRESENTATION ON THE LESTER E. COX MEDICAL CENTERS 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 62 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. IN THE PRIOR FISCAL YEAR, A NEW PARENT ORGANIZATION OF LESTER E. COX MEDICAL CENTERS, COXHEALTH, WAS ESTABLISHED, AS WAS COX MEDICAL GROUP TO PROVIDE ADDITIONAL SERVICES TO THE AREA.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MHA CENTER FOR EDUCATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 60	AddressLine1Txt
City	JEFFERSON CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65102	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	430898947	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$37,700	CashGrantAmt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
CHILDREN'S MIRACLE NETWORK -SPECIAL NEEDS GRANT	2249	$173,508
CHILDREN'S MIRACLE NETWORK -FAMILY CARE GRANTS	95	$155,157
CHILDREN'S MIRACLE NETWORK -COMMUNITY OUTREACH GRA	100000	$112,310
CHILDREN'S MIRACLE NETWORK -LESTER E COX MC GRANTS	9762	$370,085
CHILDREN'S MIRACLE NETWORK -OTHER GRANTS	38425	$235,996

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 2015, APPROXIMATELY 150,531 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $173,508 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: TRAVEL ASSISTANCE, ORTHOPEDIC BRACES, PRESCRIPTIONS, EYE GLASSES, ETC. FAMILY CARE GRANTS - $155,157 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $112,310 TOTAL CARDIAC PROGRAM (A PORTION TO COX- MONETT HOSPITAL, INC.) - $76,545 "NEVER SHAKE A BABY" PROGRAM - $15,000 BICYCLE SAFETY PROGRAM - $6,965 WASTED PROGRAM - $5,000 CAR SEAT SAFETY PROGRAM - $7,700 WATER SAFETY PROGRAM - $1,100 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $370,085 TOTAL CHILD LIFE PROGRAM - $118,493 C.A.R.E. MOBILE - $251,592 DISCRETIONARY AND OPEN FUNDS - $235,996 - THESE ARE FUNDS THAT DO NOT FALL INTO ONE OF THE ABOVE CATEGORIES AND CAN INCLUDE OPTIONAL GRANT FUNDING AND OTHERS. THROUGH AMENDMENT 3 OF THE ORGANIZATION'S AGREEMENT WITH MHA MANAGEMENT SERVICES CORPORATION AND INCREASED DISPROPORTIONATE SHARE HOSPITAL PAYMENTS TO ALL MISSOURI HOSPITALS UNDER THE FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM, THE HOSPITAL MADE CHARITABLE CONTRIBUTIONS TO THE MHA CENTER FOR EDUCATION. THESE CONTRIBUTIONS ARE USED FOR FUNDING SCHOLARSHIPS TO MEDICAL, NURSING AND ALLIED HEALTH PROFESSIONALS, AND WORKFORCE INITIATIVES TO ADDRESS THE SHORTAGES OF NURSING AND ALLIED HEALTH PROFESSIONALS. TOTAL CONTRIBUTION RELATING TO THIS AGREEMENT IN FISCAL YEAR 2015 EQUALED $37,700.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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
STEVE EDWARDS
PRESIDENT AND CEO	$876,096	$0	$240,385	$0	$113,752	$0	$238,287	$0	$24,706	$0	$1,493,226	$0	$105,971	$0
JAKE MCWAY
SR VP AND CFO	$506,845	$0	$115,045	$0	$104,905	$0	$121,770	$0	$19,819	$0	$868,384	$0	$96,844	$0
PATRICIA DIX MD
BOARD MEMBER	$324,804	$0	$0	$0	$2,301	$0	$26,000	$0	$13,136	$0	$366,241	$0	$0	$0
DAVID ZOLFAGHARI MD
BOARD MEMBER	$0	$890,181	$0	$0	$0	$0	$0	$0	$0	$0	$0	$890,181	$0	$0
BOYD CROCKETT MD
PHYSICIAN	$646,753	$0	$0	$0	$300	$0	$12,649	$0	$14,652	$0	$674,354	$0	$0	$0
ARIJIT CHOWDHURY MD
PHYSICIAN	$501,142	$0	$0	$0	$270	$0	$12,649	$0	$14,647	$0	$528,708	$0	$0	$0
CARY MARQUIS MD
PHYSICIAN	$526,384	$0	$0	$0	$444	$0	$30,149	$0	$14,676	$0	$571,653	$0	$0	$0
RUSSELL R BOND JR DO
PHYSICIAN	$448,016	$0	$0	$0	$1,290	$0	$30,500	$0	$12,967	$0	$492,773	$0	$0	$0
MARTIN JONES MD
PHYSICIAN	$446,890	$0	$0	$0	$300	$0	$12,649	$0	$9,452	$0	$469,291	$0	$0	$0
JOHN DUFF MD
SR VP CHIEF CORP SVCS END 6/15	$489,209	$0	$70,293	$0	$86,132	$0	$30,500	$0	$20,952	$0	$697,086	$0	$68,470	$0
RON PRENGER
SR VP, CHIEF HOSPITAL OFFICER	$281,556	$0	$13,030	$0	$1,290	$0	$59,501	$0	$11,870	$0	$367,247	$0	$0	$0
CHARITY ELMER
SR VP AND GENERAL COUNSEL	$377,560	$0	$60,250	$0	$8,963	$0	$77,691	$0	$19,321	$0	$543,785	$0	$0	$0
ROBERT FERGUSON
VP FERRELL DUNCAN CLINIC	$294,631	$0	$18,077	$0	$1,290	$0	$13,000	$0	$10,367	$0	$337,365	$0	$0	$0
DAVID TAYLOR
VP REGIONAL SERVICES	$260,333	$0	$17,562	$0	$3,105	$0	$13,000	$0	$14,725	$0	$308,725	$0	$0	$0
JOHN HURSH
VP HUMAN RESOURCES END 7/15	$242,437	$0	$12,231	$0	$2,301	$0	$30,498	$0	$13,200	$0	$300,667	$0	$0	$0
RODNEY SCHAFFER
VP FACILITIES MANAGEMENT	$223,179	$0	$11,315	$0	$1,953	$0	$11,890	$0	$7,361	$0	$255,698	$0	$0	$0
KAREN KRAMER
VP, CNO	$266,644	$0	$12,936	$0	$1,267	$0	$30,500	$0	$12,978	$0	$324,325	$0	$0	$0
BETTY BRESHEARS
VP CORPORATE COMPLIANCE	$174,285	$0	$8,365	$0	$1,953	$0	$9,538	$0	$13,150	$0	$207,291	$0	$0	$0
BRUCE ROBISON
CIO	$185,239	$0	$9,606	$0	$1,953	$0	$10,223	$0	$13,216	$0	$220,237	$0	$0	$0
FRANK ROMERO
VP MEDICAL AFFAIRS BEG 12/14	$313,406	$0	$93,838	$0	$450	$0	$12,649	$0	$14,205	$0	$434,548	$0	$0	$0
TIM JONES
JOC CHAIR	$272,366	$0	$75,468	$0	$300	$0	$12,649	$0	$14,652	$0	$375,435	$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.
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: STEVE EDWARDS, JAKE MCWAY, JOHN DUFF, CHARITY ELMER 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 $225,638. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $105,971, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JAKE MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $91,520. - JAKE MCWAY RECEIVED A 457(F) DISTRIBUTION OF $96,844, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JOHN DUFF RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $68,470, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - CHARITY ELMER RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $47,542. -RON PRENGER RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $29,001.
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 RUSSELL BOND JR, MARTIN JONES, ARIJIT CHOWDHURY, CARY MARQUIS, AND BOYD CROCKETT. 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 REFUNDI	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
B	431178966		2008-10-15	$70,000,000	NEW INFRASTRUCTURE AND EQUIPMENT	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
C	431178966	60635R427	2008-09-25	$157,078,759	1997 & 2002 BOND RFDING; NEW INFRA	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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$216,268,835	$0	$16,377,190	$0	$2,222,341	$0	$0	$155,950,900	$29,708,339	$12,010,065	Yes (true)	false	false	Yes (true)
B	$0	$0	$70,469,521	$0	$783,050	$0	$501,052	$2,121,540	$0	$67,063,878	$0	$0	false	false	Yes (true)	Yes (true)	2012
C	$0	$130,000,000	$158,173,261	$3,080,540	$1,387,574	$0	$1,448,411	$0	$0	$66,262,892	$72,482,407	$0	Yes (true)	false	Yes (true)	Yes (true)	2012
D	$0	$0	$35,028,548	$0	$421,299	$0	$271,929	$803,381	$0	$33,531,939	$0	$0	false	false	Yes (true)	Yes (true)	2012

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.01050	0.01050	false	false	false	Yes (true)
B	false	false	false	false	0.00830	0.00830	false	false	false	Yes (true)
C	false	Yes (true)	false	false	0		false	false	false	Yes (true)
D	false	false	false	false	0.00830	0.00830	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	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	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
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, PART II, LINE 3, COLUMNS A, B, C, D & (II)B	TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS OF THE ISSUE EXCEEDED THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 09/30/2015.
SCHEDULE K, PART II, LINE 11, COLUMNS A, C & (II)B	OTHER PROCEEDS SPENT: THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT OR ADVANCE REFUNDING PROCEEDS OF THE ISSUE.
SCHEDULE K, PART IV, LINE 2C, COLUMNS B, C, D & (II)A	DATE REBATE COMPUTATION WAS PERFORMED: REBATE CALCULATION/ANALYSIS WERE COMPLETED AS FOLLOWS: -BOND SERIES ISSUE B ON 11/14/2013 -BOND SERIES ISSUE C ON 10/15/2013 -BOND SERIES ISSUE D ON 11/14/2013 -BOND SERIES ISSUE (II)A ON 10/10/2012

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
A	431178966	60637AEA6	2007-02-22	$5,000,000	CAPITAL EQUIPMENT FINANCING	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
B	431178966	60637AHS4	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	$5,000,000	$0	$0	$0	$50,000	$0	$0	$4,900,000	$0	$0	2007	false	false	Yes (true)	Yes (true)
B	$0	$0	$142,209,978	$0	$0	$0	$1,326,793	$0	$0	$0	$140,824,492	$58,693		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	Total Private Business UseTotalPrivateBusinessUsePct	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	0.01000	0.01000	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	false	false	Yes (true)	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)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
WILLIAM BRESHEARS
B BRESHEARS - SEE PART V	$15,208	WAGES AND BENEFITS	false
VICKIE HOCKENSMITH
S EDWARDS - SEE PART V	$96,398	WAGES AND BENEFITS	false
TERRY HAMMER
S EDWARDS - SEE PART V	$104,474	WAGES AND BENEFITS	false
LISA ESPY
K KRAMER - SEE PART V	$37,806	WAGES	false
JASON PRENGER
R PRENGER - SEE PART V	$21,708	WAGES AND BENEFITS	false
FAITH SCHAFFER
R SCHAFFER - SEE PART V	$147,658	WAGES AND BENEFITS	false
BETTY EDWARDS
S EDWARDS - SEE PART V	$23,953	RETIREMENT BENEFITS	false
HADEN COWHERD AND BULLOCK
G HADEN - SEE PART V	$549,672	LEGAL SERVICES	false
CONNIE ROMERO
F ROMERO - SEE PART V	$70,758	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)BETTY BRESHEARS' HUSBAND, WILLIAM BRESHEARS, IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, AND BETTY IS VICE PRESIDENT OF CORPORATE COMPLIANCE. (2,3,7)STEVE EDWARDS, CEO, HAS THREE FAMILY MEMBERS WHO WORK FOR OR RECEIVE RETIREMENT BENEFITS FROM LESTER E. COX MEDICAL CENTERS. VICKIE 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. (6)RODNEY SCHAFFER'S SPOUSE, FAITH SCHAFFER, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND RODNEY IS THE VICE PRESIDENT OF FACILITIES MANAGEMENT. (8)GRANT HADEN, FIRST VICE CHAIRMAN OF THE BOARD OF DIRECTORS, IS AN OWNER OF HADEN, COWHERD & BULLOCK, LLC. (9)FRANK ROMERO'S WIFE, CONNIE ROMERO, IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS AND FRANK IS VICE PRESIDENT OF MEDICAL AFFAIRS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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 $ 141,114,203 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 $ 309,578 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 $ 489,982 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 $ 1,222,843 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: $ 143,136,606 ECONOMIC IMPACT: RESTRICTED FOUNDATION GRANTS $ 7,370,979 THIS FIGURE INCLUDES CASH DONATIONS PAID BY THE COXHEALTH SYSTEM TO SUPPORT COMMUNITY ORGANIZATIONS, PATIENT ADVOCACY AND EDUCATION, AS WELL AS CONTRIBUTIONS FOR NON-FOR-PROFIT COMMUNITY ORGANIZATIONS AND EVENT SPONSORSHIPS. REAL ESTATE AND PROPERTY TAXES $ 1,057,479 TOTAL REAL ESTATE AND PROPERTY TAXES PAID BY LESTER E. COX MEDICAL CENTERS FOR MEDICAL OFFICE BUILDINGS AND PHYSICIAN OFFICES AND CLINIC. CAPITAL INVESTMENTS $ 136,560,033 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 $ 430,164,856 THE COXHEALTH SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN CALENDAR YEAR 2014, LESTER E. COX MEDICAL CENTERS ALONE EMPLOYED APPROXIMATELY 8,701 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: $ 567,782,368 TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 710,918,974
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B	MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: PER BYLAW CHANGES MADE DURING THE FISCAL YEAR, COXHEALTH IS NOW THE SOLE MEMBER OF LESTER E. COX MEDICAL CENTERS. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE SOLELY AND 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 OBLICATED 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, 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, LINES 15A & 15B	COMPENSATION REVIEW POLICY: LESTER E. COX MEDICAL CENTERS 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 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: $ 99,162,468 PHYSICIAN REMUNERATION 92,231,273 PURCHASED AFFILIATE SERVICES 11,134,437 OTHER PURCHASED SERVICES 5,820,319 ANESTHESIA SERVICES 4,737,340 CONTRACTED REPAIRS & MAINTENANCE 4,652,807 BILLING/COLLECTION SERVICES 4,597,870 PURCHASED LAB SERVICES 4,556,060 HOUSEKEEPING/LAUNDRY 2,759,920 CONSULTING 1,663,146 PROFESSIONAL FEES 1,480,872 PHARMACY 1,430,439 MEDICAL DIRECTOR 1,368,503 CONTRACT LABOR 1,051,310 PURCHASED MANAGEMENT SERVICES 361,930 COURIER SERVICES 271,355 SPECIAL SERVICES 77,797 OCCUPATIONAL THERAPY SERVICES 72,661 RADIOLOGY SERVICES 22,095 MEDICAL TRANSCRIPTION -------------- $ 237,302,319
FORM 990, PART XI, LINE 9	OTHER CHANGES TO NET ASSETS: $ (751,921) RETURN OF CAPITAL (20,159,031) DEFINED BENEFIT PENSION PLAN LOSS 4,740,335 TRANSFER FROM AFFILIATES (68,615) CHANGE IN BENEFICIAL INTEREST IN TRUST --------------- $ (16,239,232)

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	Foreign PostalForeignAddress/ForeignPostalCd	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
TELERADIOLOGY SERVICES
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	611733996	HEALTHCARE	MO	$0	$0	LESTER E COX
COXHEALTH ALLIANCE 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		-$1,830,720	$92,467,062	LESTER E COX	UBS FUND SVCCAYMAN LTD BOX 852	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-1103	CJ
FERRELL DUNCAN CLINIC BRANSON
251 SKAGGS ROAD	BRANSON	MO	65616	464039135	PHYSICIANS	MO	$0	$0	LESTER E COX

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 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)	9	LESTER E COX	Yes (true)
COXHEALTH FOUNDATION
3525 S NATIONAL SUITE 204	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(C)(3)	11A I	LESTER E COX	Yes (true)
COXHEALTH HOME CARE SVCS OF THE MIDWEST
1400 HERIFORD RD STE 104	COLUMBIA	MO	65202	264781194	HOME HEALTH	MO	501(C)(3)	9	LESTER E COX	Yes (true)
COX HPS OF THE OZARKS INC
2220 W SUNSET	SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(C)(3)	9	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)	9	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)	9	LESTER E COX	Yes (true)
PRIMROSE PLACE INC
1115 E PRIMROSE	SPRINGFIELD	MO	65807	431183783	SUPPORT	MO	501(C)(3)	11A I	LESTER E COX	Yes (true)
COXHEALTH AUXILIARY
3801 S NATIONAL	SPRINGFIELD	MO	65807	431090590	SUPPORT	MO	501(C)(3)	9	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)	11A I	LESTER E COX	Yes (true)
COXHEALTH
1423 N JEFFERSON	SPRINGFIELD	MO	65802	471087427	HOLDING CO	MO	501(C)(3)	11 B II	NA	false
COX MEDICAL GROUP
1423 N JEFFERSON	SPRINGFIELD	MO	65802	471087566	PHYSICIANS	MO	501(C)(3)	9	COXHEALTH	false
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
DBA COX MC BRANSON 251 SKAGGS RD	BRANSON	MO	65616	440584290	HOSPITAL	MO	501(C)(3)	3	LESTER E COX	Yes (true)
COXHEALTH SYSTEMS HMO
PO BOX 5750	SPRINGFIELD	MO	658015750	431757075	HMO	MO	501(C)(4)		LESTER E COX	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PCRMC-COXHEALTH ALLIANCE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1423 N JEFFERSON	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65807	ZIPCd

Field	Value	IRS element (for citing)
EIN	300649009	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.60000	OwnershipPct

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	$3,952,455	$4,564,149	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	$1,204,516	$3,654,914	1.00000	Yes (true)	GRAND PAVILLION CORPORATE CENTRE	GRAND CAYMAN	CJ	KY1-1102	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	false	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 (28 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL DEVELOPMENTS INC
A	$64,078	COST
COXHEALTH FOUNDATION
C	$5,769,249	COST
SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN
C	$209,540	COST
COX-MONETT HOSPITAL INC
K	$95,419	COST
MEDICAL DEVELOPMENTS INC
K	$102,866	COST
COX HPS OF THE OZARKS INC
K	$220,920	COST
SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN
K	$716,362	COST
COX-MONETT HOSPITAL INC
P	$3,695,800	COST
COX HPS OF THE OZARKS INC
P	$771,147	COST
COXHEALTH SYSTEMS HMO
P	$11,293,958	COST
SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN
P	$2,662,064	COST
COXHEALTH
P	$65,276,268	COST
FERRELL-DUNCAN CLINIC INC
P	$44,127,706	COST
COX-MONETT HOSPITAL INC
Q	$13,948,072	COST
MEDICAL DEVELOPMENTS INC
Q	$3,263,262	COST
COX HPS OF THE OZARKS INC
Q	$1,517,615	COST
COX ALTERNATIVE CARE OF THE OZARKS INC
Q	$1,247,218	COST
COX HEALTH SYSTEMS HMO INC
Q	$12,042,603	COST
INSURANCE CO OF SPRINGFIELD INC
Q	$1,202,375	COST
SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN
Q	$63,940,151	COST
PRIMROSE PLACE
Q	$232,904	COST
COXHEALTH
Q	$119,910,753	COST
COX MEDICAL GROUP
Q	$423,471	COST
FERRELL-DUNCAN CLINIC INC
Q	$1,588,995	COST
MEDICAL DEVELOPMENTS INC
R	$614,219	COST
COXHEALTH FOUNDATION
R	$285,011	COST
COXHEALTH FOUNDATION
S	$101,129	COST
MEDICAL DEVELOPMENTS INC
S	$3,307,571	COST