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LESTER E COX MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
LESTER E COX MEDICAL CENTER (EIN 44-0577118)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-14
IRS object ID
201522269349300317
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-14T08:38:50-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN440577118EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LESTER E COX MEDICAL CENTERSBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JACOB M MCWAYInCareOfNm
Business Name ControlLESTBusinessNameControlTxt
Phone4172698811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11423 N JEFFERSON STAddressLine1
Address Line2SuiteAddressLine2
CitySPRINGFIELDCity
StateMOState
ZIP Code65802ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACOB MCWAYPersonNm
Person TitleSENIOR VP & CFOPersonTitleTxt
Phone4172698811PhoneNum
Signature2015-08-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4172698811PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVE EDWARDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11423 N JEFFERSON STAddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code65802ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,533,145,247GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COXHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1923FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.ActivityOrMissionDesc
Voting Members Governing Body29VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee8554TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$3,999,084TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$197,774NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$68,461,532PYContributionsGrantsAmt
CY Contributions Grants$2,509,785CYContributionsGrantsAmt
PY Program Service Revenue$1,002,714,972PYProgramServiceRevenueAmt
CY Program Service Revenue$1,031,461,157CYProgramServiceRevenueAmt
PY Investment Income$11,258,214PYInvestmentIncomeAmt
CY Investment Income$39,434,234CYInvestmentIncomeAmt
PY Other Revenue$9,008,258PYOtherRevenueAmt
CY Other Revenue$10,587,729CYOtherRevenueAmt
PY Total Revenue$1,091,442,976PYTotalRevenueAmt
CY Total Revenue$1,083,992,905CYTotalRevenueAmt
PY Grants And Similar Paid$1,593,947PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,591,995CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$401,596,721PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$405,590,091CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$546,081CYTotalFundraisingExpenseAmt
PY Other Expenses$594,780,700PYOtherExpensesAmt
CY Other Expenses$613,841,869CYOtherExpensesAmt
PY Total Expenses$997,971,368PYTotalExpensesAmt
CY Total Expenses$1,021,023,955CYTotalExpensesAmt
PY Revenues Less Expenses$93,471,608PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$62,968,950CYRevenuesLessExpensesAmt
Total Assets BOY$1,345,753,808TotalAssetsBOYAmt
Total Assets EOY$1,403,872,850TotalAssetsEOYAmt
Total Liabilities BOY$685,529,161TotalLiabilitiesBOYAmt
Total Liabilities EOY$729,411,456TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$660,224,647NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$674,461,394NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION & RESEARCH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$670,188,020ExpenseAmt
Revenue$759,566,612RevenueAmt
DescHOSPITAL 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 & UNINSURED. COMMUNITY BENEFIT IN FY14 TOTALED $140,043,467 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 & SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS & IN-KIND DONATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$215,665,663ExpenseAmt
Revenue$181,636,759RevenueAmt
DescPHYSICIAN 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 20% AND 30% PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC RESPECTIVELY. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. LESTER E. COX MEDICAL CENTERS CONTINUES TO PARTNER WITH WAL-MART, AND CURRENTLY HAS 5 PARTNERSHIP CLINICS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$30,229,715ExpenseAmt
Revenue$29,339,810RevenueAmt
DescHOME 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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$6,247,350TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,591,995TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$60,917,976TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$922,330,748TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document464IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8554EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members29GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJACOB M MCWAYPersonNm
Phone4172698811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 S NATIONALAddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code65807ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES HUTCHESON
CHAIRMAN OF THE BOARD1.06.0Yes (X)Yes (X)$0$0
GRANT HADEN
1ST VICE CHAIRMAN OF THE BOARD1.05.0Yes (X)Yes (X)$0$0
JOSEPH TURNER
2ND VICE CHAIRMAN OF THE BOARD1.05.0Yes (X)Yes (X)$0$0
DENNIS HEIM
3RD VICE CHAIRMAN OF THE BOARD1.05.0Yes (X)Yes (X)$0$0
HAL HIGDON
BOARD MEMBER1.0Yes (X)$0$0
JACK PRIM
BOARD MEMBER1.0Yes (X)$0$0
LARRY HALVERSON MD
BOARD MEMBER40.0Yes (X)$123,661$0$30,049
JEFFERSON TYNES
BOARD MEMBER1.0Yes (X)$0$0
PHILLIP LOYD
BOARD MEMBER1.07.0Yes (X)$0$0
THOMAS AUNER
BOARD MEMBER1.0Yes (X)$0$0
CHARLES CHALENDER
BOARD MEMBER1.01.0Yes (X)$0$0
PIERRE CLOTHIAUX MD
BOARD MEMBER1.0Yes (X)$0$0
PATRICIA DIX MD
BOARD MEMBER40.0Yes (X)$369,303$0$37,538
HOWARD FISK
BOARD MEMBER1.0Yes (X)$0$0
MARK HASELTINE
BOARD MEMBER1.0Yes (X)$0$0
JANICE HARRIS
BOARD MEMBER1.06.0Yes (X)$0$0
KURT HELLWEG
BOARD MEMBER1.0Yes (X)$0$0
LARRY LIPSCOMB
BOARD MEMBER1.05.0Yes (X)$0$0
ROBERT MCDOWELL
BOARD MEMBER1.07.0Yes (X)$0$0
JEFFREY GOWER DDS
BOARD MEMBER1.0Yes (X)$0$0
JAMES GIBSON
BOARD MEMBER1.0Yes (X)$0$0
JERRY JARED
BOARD MEMBER1.05.0Yes (X)$0$0
RICHARD KISSELL MD
BOARD MEMBER40.05.0Yes (X)$47,243$0$5,266
ROBERT MCHAFFEY
BOARD MEMBER1.0Yes (X)$0$0
DAVID MANUEL
BOARD MEMBER1.0Yes (X)$0$0
ROBERT FULP
BOARD MEMBER1.04.0Yes (X)$0$0
RONALD PONDS
BOARD MEMBER1.05.0Yes (X)$0$0
CLIFTON SMART
BOARD MEMBER1.0Yes (X)$0$0
DAVID ZOLFAGHARI
BOARD MEMBER1.05.0Yes (X)$0$0
DONA ELKINS
BOARD MEMBER ENDING 10/20131.03.0Yes (X)$0$0
STEVE EDWARDS
PRESIDENT & CEO40.010.0Yes (X)$1,177,948$0$243,844
JAKE MCWAY
SR VP & CFO40.09.0Yes (X)$651,585$0$133,766
KATHY RIGGER
BOARD SECRETARY40.05.0Yes (X)$56,889$0$11,932
JOHN DUFF MD
SR VP CHIEF CORPORATE SERVICES40.08.0$471,145$0$164,578Yes (X)
RON PRENGER
SR VP, CHIEF HOSPITAL OFFICER40.0$278,153$0$40,436Yes (X)
CHARITY ELMER
SR VP & GENERAL COUNSEL40.0$378,782$0$88,263Yes (X)
ROBERT FERGUSON
VP FERRELL DUNCAN CLINIC40.0$293,940$0$23,570Yes (X)
DANIEL SONTHEIMER MD
VP MEDICAL AFFAIRS40.0$407,128$0$43,710Yes (X)
DAVID TAYLOR
VP REGIONAL SERVICES40.0$281,066$0$49,515Yes (X)
JOHN HURSH
VP HUMAN RESOURCES40.01.0$259,537$0$27,991Yes (X)
RODNEY SCHAFFER
VP FACILITIES MANAGEMENT40.0$227,183$0$18,142Yes (X)
KAREN KRAMER
VP, CNO40.0$277,739$0$42,278Yes (X)
BETTY BRESHEARS
VP CORPORATE COMPLIANCE40.0$229,624$0$23,517Yes (X)
BRUCE ROBISON
CIO40.0$195,160$0$22,269Yes (X)
TYLER HEDDEN
VP CLINICAL SERVICES40.0$181,560$0$22,680Yes (X)
BOYD CROCKETT MD
PHYSICIAN40.0$569,086$0$26,187Yes (X)
ARIJIT CHOWDHURY MD
PHYSICIAN40.0$485,218$0$35,372Yes (X)
CARY MARQUIS MD
PHYSICIAN40.0$474,063$0$43,687Yes (X)
ALI HASSAN MD
PHYSICIAN40.0$428,309$0$19,034Yes (X)
LOUIS KRENN MD
PHYSICIAN/CMIO40.0$429,537$0$26,182Yes (X)
ANNE BRETT
FORMER PRESIDENT COX COLLEGE$187,160$0$40,487Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,481,019TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,220,293TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K336IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDescCompensationCompensationAmt
FERRELL DUNCAN CLINIC INC
PHYS REMUNERATION$75,713,784
HC BECK LTD
CONSTRUCTION$16,803,721
BECK KILLIAN A JOINT VENTURE
PROJECT MGMT$48,374,461
SPFD NEUROLOGICAL INSTITUTE
PHYS REMUNERATION$15,111,456
OZARK ANESTHESIA ASSOCIATES
ANESTHESIA SERVICES$14,839,865
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K75CntrctRcvdGreaterThan100KCnt
Fundraising$68,175FundraisingAmt
Related Organizations$381,874RelatedOrganizationsAmt
All Other Contributions$2,059,736AllOtherContributionsAmt
Total Contributions$2,509,785TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE900099$995,691,267$995,691,267
NET PATIENT SERVICE - UNRELATED LAB621500$1,029,296$1,029,296
NET PATIENT SERVICE - UNRELATED RETAIL DME446199$2,969,788$2,969,788
CAFETERIA, MEALS & VENDING722514$5,171,448$5,171,448
FITNESS CENTERS713940$2,896,410$2,896,410

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,702,948TotalRevenueColumnAmt
Related Or Exempt Func Income$23,702,948RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,031,461,157TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,225,697TotalRevenueColumnAmt
Exclusion$10,225,697ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$262,632TotalRevenueColumnAmt
Exclusion$262,632ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,046,761RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,405,139RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$641,622RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$641,622TotalRevenueColumnAmt
Exclusion$641,622ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$476,170,752SecuritiesAmt
Other$479,969OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$447,421,878SecuritiesAmt
Other$282,938OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$28,748,874SecuritiesAmt
Other$197,031OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,945,905TotalRevenueColumnAmt
Exclusion$28,945,905ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$41,945FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$68,175ContriRptFundraisingEventAmt
Fundraising Direct Expenses$42,387FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$442TotalRevenueColumnAmt
Exclusion-$442ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
LOSS ON INVESTMENT IN EQUITY INVESTEE900099-$319,570-$319,570
CHANGE IN INTEREST IN NET ASSETS OF SUBS900099$10,266,119$10,266,119
FieldValueIRS element (for citing)
Other Revenue Total$9,946,549OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,083,992,905TotalRevenueColumnAmt
Related Or Exempt Func Income$1,027,462,073RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,999,084UnrelatedBusinessRevenueAmt
Exclusion$50,021,963ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$454,257TotalAmt
Program Services$454,257ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,137,738TotalAmt
Program Services$1,137,738ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,936,990TotalAmt
Program Services$3,118,021ProgramServicesAmt
Management And General$3,818,969ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$630,510TotalAmt
Program Services$266,498ProgramServicesAmt
Management And General$364,012ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$317,928,273TotalAmt
Program Services$281,631,418ProgramServicesAmt
Management And General$36,109,405ManagementAndGeneralAmt
Fundraising$187,450FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$979,972TotalAmt
Program Services$914,385ProgramServicesAmt
Management And General$58,298ManagementAndGeneralAmt
Fundraising$7,289FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$56,782,554TotalAmt
Program Services$49,859,483ProgramServicesAmt
Management And General$6,903,720ManagementAndGeneralAmt
Fundraising$19,351FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,331,792TotalAmt
Program Services$19,576,821ProgramServicesAmt
Management And General$2,754,971ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,226,019TotalAmt
Management And General$3,226,019ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$571,458TotalAmt
Management And General$571,458ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$117,895TotalAmt
Management And General$117,895ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,300,706TotalAmt
Management And General$1,300,706ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$196,947,112TotalAmt
Program Services$167,020,807ProgramServicesAmt
Management And General$29,820,356ManagementAndGeneralAmt
Fundraising$105,949FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,476,948TotalAmt
Program Services$2,100,446ProgramServicesAmt
Management And General$376,502ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,434,131TotalAmt
Program Services$13,733,832ProgramServicesAmt
Management And General$2,665,708ManagementAndGeneralAmt
Fundraising$34,591FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,708,126TotalAmt
Program Services$18,408,439ProgramServicesAmt
Management And General$3,299,687ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,655,638TotalAmt
Program Services$20,095,692ProgramServicesAmt
Management And General$527,432ManagementAndGeneralAmt
Fundraising$32,514FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,614,681TotalAmt
Program Services$2,217,243ProgramServicesAmt
Management And General$397,438ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,570,921TotalAmt
Program Services$1,332,137ProgramServicesAmt
Management And General$238,784ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,310,013TotalAmt
Program Services$13,966,843ProgramServicesAmt
Management And General$1,343,170ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$36,389,023TotalAmt
Program Services$33,196,425ProgramServicesAmt
Management And General$3,192,449ManagementAndGeneralAmt
Fundraising$149FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,077,704TotalAmt
Program Services$8,281,304ProgramServicesAmt
Management And General$796,400ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$145,144,175$145,144,175
BAD DEBT$95,298,581$95,298,581
STATE PROVIDER TAX$43,147,201$43,147,201
LICENSES, DUES, SUBSCRIPTIONS$1,547,641$1,312,396$235,245

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$303,896TotalAmt
Program Services$116,606ProgramServicesAmt
Management And General$28,502ManagementAndGeneralAmt
Fundraising$158,788FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,021,023,955TotalAmt
Program Services$922,330,748ProgramServicesAmt
Management And General$98,147,126ManagementAndGeneralAmt
Fundraising$546,081FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,275,673BOYAmt
EOY$1,277,135EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$317,449,444BOYAmt
EOY$146,720,586EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$136,111,963BOYAmt
EOY$131,288,489EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$14,780,876BOYAmt
EOY$16,089,046EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,751,088BOYAmt
EOY$11,983,158EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,161,631BOYAmt
EOY$8,318,318EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$946,337,276LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$576,663,167LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$328,536,091BOYAmt
EOY$369,674,109EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$307,858,025BOYAmt
EOY$474,169,034EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$22,462,326BOYAmt
EOY$27,271,558EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$153,132,997BOYAmt
EOY$158,589,886EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$25,670,894BOYAmt
EOY$25,538,561EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,562,800BOYAmt
EOY$32,952,970EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,345,753,808BOYAmt
EOY$1,403,872,850EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$146,395,699BOYAmt
EOY$199,881,969EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,236,022BOYAmt
EOY$3,551,190EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$461,838,869BOYAmt
EOY$459,278,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,515,284BOYAmt
EOY$12,038,113EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$11,662,390BOYAmt
EOY$11,161,029EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,880,897BOYAmt
EOY$43,501,155EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$685,529,161BOYAmt
EOY$729,411,456EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$623,597,716BOYAmt
EOY$634,508,141EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,219,363BOYAmt
EOY$21,021,113EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,407,568BOYAmt
EOY$18,932,140EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$660,224,647BOYAmt
EOY$674,461,394EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,345,753,808BOYAmt
EOY$1,403,872,850EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$62,968,950ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$9,247,672NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$39,484,531OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$73,490DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$44,405OtherActivitiesAmt
Total Lobbying Expenditures$117,895TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1GDIRECT 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 1IOTHER 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 2014, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $42,874. IN ADDITION, $1,524 OF DUES PAID TO THE SPRINGFIELD AREA CHAMBER OF COMMERCE AND $7 OF DUES PAID TO THE AICPA WERE ATTRIBUTABLE TO LOBBYING.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,733,699OtherCostOrOtherBasisAmt
Book Value$26,733,699BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$297,337,693OtherCostOrOtherBasisAmt
Depreciation$161,573,240DepreciationAmt
Book Value$135,764,453BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,848,038OtherCostOrOtherBasisAmt
Depreciation$3,691,201DepreciationAmt
Book Value$1,156,837BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$530,149,506OtherCostOrOtherBasisAmt
Depreciation$400,890,801DepreciationAmt
Book Value$129,258,705BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$87,268,340OtherCostOrOtherBasisAmt
Depreciation$10,507,925DepreciationAmt
Book Value$76,760,415BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$369,674,109TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINT IN NA OF TAX EXEMPT SUBSDesc
Book Value$158,589,886BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$158,589,886TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTEREST RATE BASIS SWAP$3,669,601
EST AMT DUE TO 3RD PARTIES$1,770,827
SELF INSURANCE CLAIMS PAYABLE$38,060,727
FieldValueIRS element (for citing)
Total Liability$43,501,155TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$936,763,493TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$9,247,672NetUnrealizedGainsInvstAmt
Other Revenue-$134,717,809OtherRevenueAmt
Revenue Not Reported-$143,965,481RevenueNotReportedAmt
Revenue Subtotal$1,080,728,974RevenueSubtotalAmt
Other Revenues Not Included$3,263,931OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,263,931RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,083,992,905TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$925,853,068TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,428,400OtherExpensesIncludedAmt
Expenses Not Reported$1,428,400ExpensesNotReportedAmt
Expenses Subtotal$924,424,668ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,300,706InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$95,298,581OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$96,599,287ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,021,023,955TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2UNCERTAIN 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 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (37,853,458) DEFINED BENEFIT LOSS 1,382,078 NET ASSETS RELEASED FROM RESTRICTION (1,647,142) RETURN OF CAPITAL (1,300,706) INVESTMENT FEES (95,298,581) BAD DEBT EXPENSE ----------------- $ (134,717,809)
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 3,047,076 CHANGE IN INTEREST OF NET ASSETS OF SUBSIDIARIES 1,578,047 TEMPORARILY RESTRICTED CONTRIBUTIONS 67,208 TEMPORARILY & PERMANENTLY RESTRICTED INVEST. RETURN (42,387) SPECIAL EVENTS EXPENSES (1,386,013) RENTAL EXPENSES RECLASSED FROM EXPENSES --------------- $ 3,263,931
SCHEDULE D, PART XII, LINE 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 1,386,013 RENTAL EXPENSES RECLASSED FROM EXPENSES 42,387 SPECIAL EVENTS EXPENSES ---------------- $ 1,428,400
SCHEDULE D, PART XII, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 95,298,581 BAD DEBT EXPENSE

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean1Program ServicesCAPTIVE INSURANCE$1,208,193
Central America and the CaribbeanInvestments$165,448,965
FieldValueIRS element (for citing)
Subtotal Employees1SubtotalEmployeesCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$166,657,158SubtotalSpentAmt
Total Spent$166,657,158TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1WRAP IT UPNameOfEvent1Amt
Gross Receipts Event1$48,175GrossReceiptsEvent1Amt
Charitable Contri Event1$41,357CharitableContriEvent1Amt
Gross Revenue Event1$6,818GrossRevenueEvent1Amt
Rent Facility Costs Event1$6,818RentFacilityCostsEvent1Amt
Entertainment Event1$400EntertainmentEvent1Amt
Other Direct Expenses Event1$7,680OtherDirectExpensesEvent1Amt
Name Of Event2GOLF TOURNEYNameOfEvent2Amt
Gross Receipts Event2$42,462GrossReceiptsEvent2Amt
Charitable Contri Event2$14,084CharitableContriEvent2Amt
Gross Revenue Event2$28,378GrossRevenueEvent2Amt
Rent Facility Costs Event2$16,303RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$566OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$19,483GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$12,734CharitableContriOtherEventsAmt
Gross Revenue Other Events$6,749GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$18NonCashPrizesOtherEventsAmt
Entertainment Other Events$295EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$10,307OthDirectExpnssOtherEventsAmt
Gross Receipts Total$110,120GrossReceiptsTotalAmt
Charitable Contributions Tot$68,175CharitableContributionsTotAmt
Gross Revenue Total Events$41,945GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$18NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$23,121RentFcltyCostsTotalEventsAmt
Entertainment Total Events$695EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$18,553OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$42,387DirectExpenseSummaryEventsAmt
Net Income Summary-$442NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CarefalseFPGReferenceFreeCareInd
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,537,245TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,537,245NetCommunityBenefitExpnsAmt
Total Expense0.03730TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$131,261,623TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$106,968,389DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,293,234NetCommunityBenefitExpnsAmt
Total Expense0.02620TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$165,798,868TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$106,968,389DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,830,479NetCommunityBenefitExpnsAmt
Total Expense0.06350TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,458,634TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,960,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,498,033NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,653,921TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,944,081DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,709,840NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,137,738TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,137,738NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,250,293TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,904,682DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,345,611NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$200,049,161TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$129,873,071DirectOffsettingRevenueAmt
Net Community Benefit Expns$70,176,090NetCommunityBenefitExpnsAmt
Total Expense0.07570TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$95,298,581BadDebtExpenseAmt
Bad Debt Expense Attributable$17,820,835BadDebtExpenseAttributableAmt
Reimbursed By Medicare$323,257,890ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$379,541,000CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$56,283,110MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
LESTER E COX MEDICAL CENTERS - SOUTH
13801 S NATIONAL AVESPRINGFIELDMO65807WWW.COXHEALTH.COM500-8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)1
LESTER E COX MEDICAL CENTERS - NORTH
21423 N JEFFERSON STSPRINGFIELDMO65802WWW.COXHEALTH.COM500-8Yes (X)Yes (X)Yes (X)1
MEYER ORTHOPEDIC HOSPITAL
31000 E WALNUT LAWNSPRINGFIELDMO65807WWW.COXHEALTH.COM500-8Yes (X)Yes (X)1

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP #1BusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.COXHEALTH.COM/BODY.CFM?ID=834OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.SWMOCOUNTS.ORGOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CarefalseFPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3COMMUNITY 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 PAGED 106 AND 107 OF THE CHNA ARE THESE INDIVIDUALS WHO RESPONDED TO THE SURVEY.
SCHEDULE H, PART V, SECTION B, LINE 4CHNA 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 6IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS ATTACHED. CHNA IMPLEMENTATION STRATEGY PROGRESS REPORT: CARDIAC KIDS THE CARDIAC KIDS PROGRAM CONTINUES IN THE FOLLOWING TWELVE 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 OVER THE PAST TWO YEARS, WE HAD 24.5% OF THE STUDENTS PARTICIPATING IN THE CARDIAC KIDS PROGRAM HAVE A POSITIVE LIPID PROFILE RESULT. STUDENTS WERE SCREENED OVER THE PAST TWO YEARS FOR BODY MASS INDEX AND BLOOD PRESSURE: -46% HAD A BODY MASS INDEX OVER THE 85TH PERCENTILE -36.5% WITH A MILD RISK BLOOD PRESSURE -67% OF THE STUDENTS RETESTED FOR A POSITIVE LIPID PROFILE SHOWED IMPROVEMENT OVER THE PAST TWO YEARS, 403 TOTAL PARTICIPANTS (PARENTS AND STUDENTS) ATTENDED CARDIAC FAMILY FUN NIGHTS. HEALTHY FOOD PANTRY COLLABORATIVE (HFPC) DEVELOPMENT THE HFPC HAS MET FORMALLY TWICE THIS YEAR. 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". A STRONG PARTNERSHIP CONTINUES WITH MSU, UNIVERSITY OF MISSOURI-EXTENSION, COUNCIL OF CHURCHES, CENTRAL ASSEMBLY, OZARKS REGIONAL FOOD POLICY COUNCIL, OZARKS FOOD HARVEST, AND INDIVIDUAL PANTRIES. THE FOLLOWING ARE ACCOMPLISHMENTS TO-DATE: -SHARING BY THE PANTRIES OF WAYS TO OBTAIN FRESH PRODUCE AND OTHER FOOD PRODUCTS MORE ECONOMICALLY (COMMUNICATION HAS INCREASED AND IMPROVED BECAUSE OF THE HFPC) -EDUCATION ON HOW TO PREPARE FRESH VEGETABLES AND INCORPORATE THEM INTO THEIR MEALS HAS INCREASED BECAUSE OF THE MSU INTERN PROGRAM AND CONTINUED WORK OF MU EXTENSION -MSU HAS ASSUMED RESPONSIBILITY FOR THE NEWSLETTER, THE PANTRY BUZZ, AND IS HAVING STUDENTS PREPARE THIS DURING THE SEMESTERS THEY ARE AVAILABLE. COXHEALTH DOES DISTRIBUTION. -INCREASE IN THE NUMBER OF PANTRIES REPORTING THEY ARE ALLOWING 'CLIENT CHOICE' FOR FOOD SELECTION. (THIS IS A BEST PRACTICE.) -UPDATED THE INFORMATION ON THE LISTING OF PANTRIES FROM THE COXHEALTH WEBSITE. -CONTINUE TO OFFER THE "HEALTHY FOOD WISH LIST" FOR DISTRIBUTION BY THE PANTRIES (PANTRIES ARE GIVING THE "WISH LIST" TO DONORS SO THE FOODS CONTRIBUTED TO THE PANTRY WILL BE A HEALTHY CHOICE). THE "WISH LIST" IS ALSO AVAILABLE ON THE COXHEALTH WEBSITE. -THE HFPC WAS INCLUDED IN THE "HEALTHY SHELVE" PUBLICATION BY MU INTERDISCIPLINARY CENTER FOR FOOD SECURITY. THE ARTICLE WAS "HFPC: COLLABORATION CREATES OPPORTUNITY". THE HFPC WAS INCLUDED AS A WAY TO ADDRESS ISSUES OF NUTRITION AND CHRONIC DISEASE THROUGH LOCAL FOOD PANTRY SERVICES. COXHEALTH WAS REFERENCED. -HEALTHY COMMUNITY FOOD DRIVE: COLLECTING HEALTHY FOOD FOR LOCAL FOOD PANTRIES FROM NOV. 12-30. 881 POUNDS OF HEALTHY FOOD WAS COLLECTED FROM 16 COXHEALTH LOCATIONS -PROMOTING THE MESSAGE THROUGH, 417 MAGAZINE: NEIGHBORHOODS, WE LOVE: JULY 2015. THE ARTICLE, "FOOD FOR THOUGHT", REFERENCED COXHEALTH AND INCLUDED INFORMATION ABOUT THE HFPC AND THE HEALTHY FOOD WISH LIST. THE ARTICLE WAS VERY WELL DONE. -COXHEALTH MARKETING DEPARTMENT PROVIDED TO CROSSLINES FOOD PANTRY, CANVAS BAGS WITH THE MESSAGE, "100% HEALTHY: PACK THE PANTRIES" TO DISTRIBUTE FOOD TO PARTICIPANTS OF THE PANTRY AND TO BRING IT BACK WHEN RETURNING. 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 "HEALTH 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 A 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 HEALTHY 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 + REPUBLIC MAY DAY 5K RUN IN MAY 2015 + MED MILE KIDS RUN TRAINING IN APRIL 2015 + MEDICAL MILE 5K RUN IN MAY 2015 + GIRLS JUST WANNA RUN RACE IN JULY 2015 + REPUBLIC SENIORFEST IN MAY 2015 + GALLOWAY RUN/WALK TRAINING FOR BASS PRO MARATHON AND HALF MARATHON IN APRIL 2015 + FITLIFE MEDICAL FITNESS PROGRAM
SCHEDULE H, PART V, SECTION B, LINE 7ADDRESSING IDENTIFIED NEEDS: THERE ARE MANY NEEDS IN A SERVICE AREA THE SIZE OF 22 COUNTIES AS THE CHNA ILLUSTRATES. LESTER E. COX MEDICAL CENTERS DOES IN SOME WAY ADDRESS MANY OF THE IMPORTANT ISSUES THAT WERE SUGGESTED THROUGH THE ASSESSMENT STAGE OF THE CHNA. SOME ISSUES UNFORTUNATELY CANNOT BE ADDRESSED BECAUSE OF LIMITED RESOURCES AND OTHERS ARE BEING ADDRESSED OR ARE BETTER SUITED FOR OTHER ORGANIZATIONS. ONE OF THE REASONS OBESITY WAS CHOSEN AS THE SINGLE PRIORITY IS THAT THERE ARE MANY ISSUES IDENTIFIED IN THE CHNA THAT ARE EITHER DIRECTLY OR INDIRECTLY RELATED TO OBESITY. THE FOLLOWING TABLE SHOWS THE IDENTIFIED NEEDS AND A BRIEF REASON FOR PRIORITIZATION. PRIORITIZATION KEY 1. IDENTIFIED PRIORITY FOR ENTIRE SERVICE AREA 2. IMPORTANT ISSUE BEING ADDRESSED BY LESTER E. COX MEDICAL CENTERS IN SOME WAY, BUT DOES NOT RISE TO THE LEVEL OF A TOP PRIORITY 3. LIMITED RESOURCES 4. DIRECT OR INDIRECT RELATIONSHIP TO IDENTIFIED PRIORITY 5. UNCLEAR, AMBIGUOUS, OR ISSUE ADDRESSED BY OTHERS
SCHEDULE H, PART V, SECTION B, LINE 10CRITERIA 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 THIS POLICY.
SCHEDULE H, PART V, SECTION B, LINE 14GMEASURES 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.
FieldValueIRS element (for citing)
Facility72FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (72 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
SPRINGFIELD INPATIENT PHYSICIANS
3801 S NATIONAL AVE 5TH FLSPRINGFIELDMO65807MEDICAL OFFICES
ADULT MEDICINE & ENDOCRINOLOGY SPECLST
960 E WALNUT LAWN SUITE 201SPRINGFIELDMO65807CLINIC
FAMILY MEDICAL CARE CENTER
1423 N JEFFERSON ST B-100SPRINGFIELDMO65802CLINIC
PHYSICIANS FOR WOMEN
3850 S NATIONAL AVE 400SPRINGFIELDMO65807CLINIC
COXHEALTH CENTER STEEPLECHASE
1530 E REPUBLIC RDSPRINGFIELDMO65804CLINIC
PEDIATRIC CENTER
3443 S NATIONAL AVESPRINGFIELDMO65807CLINIC
REGIONAL PERINATAL CENTER
1000 E PRIMROSE 360SPRINGFIELDMO65807CLINIC
SOUTHWEST SPINE & SPORTS MEDICINE
3555 S NATIONAL AVE 302SPRINGFIELDMO65807CLINIC
COX FAMILY MEDICINE ASSOCIATES
3850 S NATIONAL AVE 520SPRINGFIELDMO65807CLINIC
COXHEALTH CENTER NIXA
411 N MCCROSKEYNIXAMO65714CLINIC
MILNE-SCANLON UROLOGY CLINIC
3800 S NATIONAL 730SPRINGFIELDMO65807CLINIC
DIAGNOSTIC CLINIC
3800 S NATIONAL 600SPRINGFIELDMO65807CLINIC
FAMILY PRACTICE & OBSTETRICS OF MONETT
815 N LINCOLN STE GMONETTMO65708CLINIC
NORTHSIDE PEDIATRICS & ADOLESCENTS
1443 N ROBBERSON 200SPRINGFIELDMO65802CLINIC
COXHEALTH NEWBORN MEDICINE SPECIALISTS
3801 S NATIONAL AVESPRINGFIELDMO65807CLINIC
COXHEALTH CENTER WILLOW SPRINGS
816 E MAINWILLOW SPRINGSMO65793CLINIC
SUN RIVER ORTHOPAEDICS
3800 S NATIONAL AVE 700SPRINGFIELDMO65807CLINIC
COXHEALTH INTERNAL MEDICINE FOR WOMEN
3850 S NATIONAL AVE 700SPRINGFIELDMO65807CLINIC
FAMILY & OCCUPATIONAL MEDICINE OF MONETT
2200 E CLEVELANDMONETTMO65708CLINIC
COX FAMILY MEDICINE OF MONETT
307 W BENTONMONETTMO65708CLINIC
COXHEALTH CENTER AURORA
106 COMMERCE DRIVEAURORAMO65605CLINIC
COXHEALTH CENTER SOUTHERN HILLS
2702 E SUNSHINESPRINGFIELDMO65804CLINIC
COXHEALTH CENTER ELFINDALE
1429 W SUNSHINESPRINGFIELDMO65807CLINIC
COXHEALTH CENTER BRANSON
890 HWY 248BRANSONMO65616CLINIC
COXHEALTH PEDIATRICS
1000 E PRIMROSE 300SPRINGFIELDMO65807CLINIC
COXHEALTH CENTER LEBANON
510 E HWY 32LEBANONMO65536CLINIC
COXHEALTH CENTER CHESTERFIELD
1925 CHESTERFIELD BLVDSPRINGFIELDMO65807CLINIC
COXHEALTH CENTER WILLARD
304 E JACKSON 5HWILLARDMO65781CLINIC
COXHEALTH CENTER MOUNTAIN GROVE
1602-A N MAIN STMOUNTAIN GROVEMO65711CLINIC
COX SENIOR HEALTH CENTER
1423 N JEFFERSON STSPRINGFIELDMO65802CLINIC
COX SENIOR HEALTH CENTER SOUTH
3525 S NATIONAL 207SPRINGFIELDMO65807CLINIC
COXHEALTH CENTER MARSHFIELD
941 EAST HUBBLE DRIVEMARSHFIELDMO65706CLINIC
COXHEALTH CENTER MT VERNON
10763 HWY 39 SUITE 200MT VERNONMO65712CLINIC
COXHEALTH CENTER OZARK
1741 S 15TH STREETOZARKMO65721CLINIC
COXHEALTH CENTER CRANE
102 CORTNEY LANECRANEMO65633CLINIC
COXHEALTH CENTER REPUBLIC
820 ILLINOIS AVEREPUBLICMO65738CLINIC
MONETT SURGICAL ASSOCIATES
801 N LINCOLNMONETTMO65708CLINIC
COXHEALTH CENTER AVA
806 SW 13TH AVEAVAMO65608CLINIC
COXHEALTH INPATIENT PSYCHIATRY
1423 N JEFFERSON STSPRINGFIELDMO65802CLINIC
COXHEALTH CENTER BUFFALO
119 N ASHBUFFALOMO65622CLINIC
COXHEALTH CENTER ROGERSVILLE
151 JOHNSTOWN DRROGERSVILLEMO65742CLINIC
COXHEALTH CENTER FOR ADDICTIONS
1423 N JEFFERSON STSPRINGFIELDMO65802CLINIC
THE CLINIC AT WALMART #0444
3315 S CAMPBELLSPRINGFIELDMO65807CLINIC
COXHEALTH PEDIATRIC SPECIALTIES
1000 E PRIMROSE 200SPRINGFIELDMO65807CLINIC
COXHEALTH CENTER SEYMOUR
202 COMMERCIALSEYMOURMO65746CLINIC
COXHEALTH CENTER SHELL KNOB
25376 STATE HWY 39 SUITE 301SHELL KNOBMO65747CLINIC
THE CLINIC AT WALMART #0379
2004 W MARLER LANEOZARKMO65721CLINIC
THE CLINIC AT WALMART #2221
2021 E INDEPENDENCESPRINGFIELDMO65804CLINIC
THE CLINIC AT WALMART #1009
1150 US HWY 60 EASTREPUBLICMO65738CLINIC
COXHEALTH CENTER CAMPBELL
2750 S CAMPBELLSPRINGFIELDMO65807CLINIC
PEDIATRIC HOSPITAL AFFILIATES
3801 S NATIONAL AVE 7TH FLSPRINGFIELDMO65807CLINIC
SPRINGFIELD NEUROLOGICAL AND SPINE
2900 S NATIONAL AVESPRINGFIELDMO65804CLINIC
COXHEALTH PSYCHOLOGICAL SERVICES
3800 S NATIONAL 770SPRINGFIELDMO65807CLINIC
MARTIN CENTER
3901 S FREMONTSPRINGFIELDMO65807CLINIC
OZARK HEALTH VENTURES
3550 S NATIONAL AVESPRINGFIELDMO65807CLINIC
BONE & JOINT CENTER
3555 S NATIONAL AVESPRINGFIELDMO65807CLINIC
FERRELL-DUNCAN CLINIC
1000 E PRIMROSESPRINGFIELDMO65807MEDICAL OFFICES
MEYER CENTER FITNESS & REHAB
3545 S NATIONAL AVESPRINGFIELDMO65807FITNESS AND REHAB CENTER
COX HYPERBARIC MEDICINE & WOUND CARE
3525 S NATIONAL AVE 101SPRINGFIELDMO65807CLINIC
MEDICAL OFFICE BUILDING-COX WALNUT LAWN
3525 S NATIONAL AVESPRINGFIELDMO65807MEDICAL OFFICES
TURNER WOMEN & CHILDREN'S CENTER
1000 E PRIMROSESPRINGFIELDMO65807MEDICAL OFFICES
WHEELER HEART & VASCULAR
3800 S NATIONAL AVE 700SPRINGFIELDMO65807MEDICAL OFFICES
HULSTON CANCER CENTER
3850 S NATIONAL AVESPRINGFIELDMO65807MEDICAL OFFICES
MEDICAL TOWERS
1443 N ROBBERSONSPRINGFIELDMO65802MEDICAL OFFICES
CASSVILLE MEDICAL CARE ASSOCIATES
75 SMITHSON DRIVE SUITE ACASSVILLEMO65625CLINIC
COXHEALTH INFECTIOUS DISEASES SPECIALTY
3800 S NATIONAL LL100SPRINGFIELDMO65807CLINIC
COX CARE MOBILE
3525 S NATIONAL AVE 105SPRINGFIELDMO65807CLINIC
THE CLINIC AT WALMART #86
2825 N KANSAS EXPWAYSPRINGFIELDMO65803CLINIC
SENIOR ADVANTAGE
1000 E WALNUT LAWNSPRINGFIELDMO65807CLINIC
COXHEALTH CENTER CASSVILLE
75 SMITHSON DRIVE STE BCASSVILLEMO65625CLINIC
COXHEALTH SPECIALTY CLINIC
1001 E PRIMROSE STREETSPRINGFIELDMO65807CLINIC
PANTHER CLINIC OPERATED BY COXHEALTH
900 N BENTON AVENUESPRINGFIELDMO65802CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CELIGIBILITY 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 THIS POLICY.
SCHEDULE H, PART I, LINE 7, COLUMN FPERCENT 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 $95,298,581.
SCHEDULE H, PART I, LINE 7GSUBSIDIZED 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 $4,709,840. 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 7COSTING 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 2BAD 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 3BAD 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 2009-2013, APPROXIMATELY 18.7 PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY.
SCHEDULE H, PART III, SECTION A, LINE 4BAD 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: THE HEALTH SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
SCHEDULE H, PART III, SECTION B, LINE 8COMMUNITY 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 9BCOLLECTION 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 2NEEDS 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 3PATIENT 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. - WE ALSO PROACTIVELY COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND OUR 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 WE UTILIZE ON 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 4COMMUNITY 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 5PROMOTION 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 6AFFILIATED HEALTH CARE SYSTEM: 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 THE 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. ADDITIONALLY, LESTER E. COX MEDICAL CENTERS WILL HAVE REPRESENTATION ON THE CMCB BOARD AND CMCB 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 CURRENT FISCAL YEAR, A NEW PARENT ORGANIZATION OF LESTER E. COX MEDICAL CENTERS, COXHEALTH, WAS ESTABLISHED. IN ADDITION, COX MEDICAL GROUP WAS ESTABLISHED TO PROVIDE ADDITIONAL SERVICES TO THE AREA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ALZHEIMERS ASSOCIATION
1630 W ELFINDALESPRINGFIELDMO65807133039601501(C)(3)$11,000COMMUNITY BENEFIT
URBAN DISTRICTS ALLIANCE
304 W MCDANIELSPRINGFIELDMO65806431790672501(C)(3)$10,000COMMUNITY BENEFIT
COMMUNITY FOUNDATION OF THE OZARKS
425 E TRAFFICWAYSPRINGFIELDMO65806237290968501(C)(3)$10,000COMMUNITY BENEFIT
AMERICAN RED CROSS OF THE OZARKS
PO BOX 2088SPRINGFIELDMO65801440563832501(C)(3)$7,500COMMUNITY BENEFIT
GYN CANCERS ALLIANCE
3023 FORT AVE BSPRINGFIELDMO65807431943170501(C)(3)$7,500COMMUNITY BENEFIT
NAMI SOUTHWEST MISSOURI
330 N JEFFERSON HSPRINGFIELDMO65806431244674501(C)(3)$6,500COMMUNITY BENEFIT
FOODCORE
PO BOX 41ROGERSVILLEMO65742271883334501(C)(3)$6,000COMMUNITY BENEFIT
BOYS AND GIRLS CLUB OF THE OZARKS
1460 BEE CREEK RDBRANSONMO65616431664669501(C)(3)$55,000COMMUNITY BENEFIT
BREAST CANCER FOUNDATION OF THE OZARKS
330 N JEFFERSONSPRINGFIELDMO65806431881450501(C)(3)$20,000COMMUNITY BENEFIT
MHA CENTER FOR EDUCATION
PO BOX 60JEFFERSON CITYMO65102430898947501(C)(3)$80,397COMMUNITY BENEFIT
AMERICAN DIABETES ASSOCIATION
1944 E SUNSHINESPRINGFIELDMO65808131623888501(C)(3)$17,000COMMUNITY BENEFIT
AMERICAN HEART ASSOCIATION
1950 N STEMMONS FWY STE 5010DALLASTX75207135613797501(C)(3)$13,300COMMUNITY BENEFIT
JUVENILE DIABETES RESEARCH FOUNDATION
528 W BATTLEFIELDSPRINGFIELDMO65804231907729501(C)(3)$11,500COMMUNITY BENEFIT
FieldValueIRS element (for citing)
Total501c3 Org13Total501c3OrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
CHILDREN'S MIRACLE NETWORK - SPECIAL NEEDS FUND765$204,572
CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS63$106,965
CHILDREN'S MIRACLE NETWORK - COMMUNITY GRANTS100000$361,082
CHILDREN'S MIRACLE NETWORK - LESTER COX MC GRANTS7815$282,674
CHILDREN'S MIRACLE NETWORK - OTHER GRANTS29269$182,445

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES 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 2014, APPROXIMATELY 137,912 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $204,572 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: TRAVEL ASSISTANCE, ORTHOPEDIC BRACES, PRESCRIPTIONS, EYE GLASSES, ETC. FAMILY CARE GRANTS - $106,965 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $361,082 TOTAL *CAREMOBILE PROGRAM - $263,044 *CARDIAC PROGRAM (A PORTION TO COX-MONETT HOSPITAL, INC.) - $64,970 *"NEVER SHAKE A BABY" PROGRAM - $15,303 *BICYCLE SAFETY PROGRAM - $6,965 *WASTED PROGRAM - $5,000 *CAR SEAT SAFETY PROGRAM - $4,700 *WATER SAFETY PROGRAM - $1,100 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $282,674 TOTAL *CHILD LIFE PROGRAM - $122,900 *DEPARTMENTAL DISTRIBUTION GRANTS - $159,774 DISCRETIONARY AND OPEN FUNDS - $182,445 - 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 2014 EQUALED $80,397. THE OTHER GRANTS STATED IN PART II ARE MONITORED THROUGH THE USE OF REIMBURSEMENT PROCEDURES IN WHICH THE GRANTEE SUBMITS SUPPORTING DOCUMENTATION FOR EXPENSES. THE DOCUMENTATION IS THEN REVIEWED BY THE ORGANIZATION TO ENSURE IT MEETS THE CRITERIA ACCORDING TO THE GRANT AGREEMENT AND FINALLY A DISBURSEMENT IS MADE BY THE ORGANIZATION. LESTER E. COX MEDICAL CENTERS GIVES TO ORGANIZATIONS IN THE LOCAL COMMUNITY WHICH ALLOWS THE USE OF THE FUNDS TO BE SEEN DIRECTLY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVE EDWARDS
PRESIDENT & CEO$850,275$0$162,334$0$165,339$0$223,121$0$20,723$0$1,421,792$0$155,171$0
JAKE MCWAY
SR VP & CFO$478,067$0$80,463$0$93,055$0$114,907$0$18,859$0$785,351$0$86,365$0
LARRY HALVERSON MD
BOARD MEMBER$121,982$0$0$0$1,679$0$23,683$0$6,366$0$153,710$0$0$0
PATRICIA DIX MD
BOARD MEMBER$367,002$0$0$0$2,301$0$25,250$0$12,288$0$406,841$0$0$0
BOYD CROCKETT MD
PHYSICIAN$568,786$0$0$0$300$0$12,495$0$13,692$0$595,273$0$0$0
ARIJIT CHOWDHURY MD
PHYSICIAN$484,948$0$0$0$270$0$21,685$0$13,687$0$520,590$0$0$0
CARY MARQUIS MD
PHYSICIAN$473,763$0$0$0$300$0$29,995$0$13,692$0$517,750$0$0$0
ALI HASSAN MD
PHYSICIAN$428,069$0$0$0$240$0$12,495$0$6,539$0$447,343$0$0$0
LOUIS KRENN MD
PHYSICIAN/CMIO$429,267$0$0$0$270$0$12,495$0$13,687$0$455,719$0$0$0
JOHN DUFF MD
SR VP CHIEF CORPORATE SERVICES$388,076$0$66,180$0$16,889$0$142,336$0$22,242$0$635,723$0$0$0
RON PRENGER
SR VP, CHIEF HOSPITAL OFFICER$267,922$0$8,941$0$1,290$0$30,250$0$10,186$0$318,589$0$0$0
CHARITY ELMER
SR VP & GENERAL COUNSEL$355,782$0$15,243$0$7,757$0$69,864$0$18,399$0$467,045$0$0$0
ROBERT FERGUSON
VP FERRELL DUNCAN CLINIC$277,023$0$15,650$0$1,267$0$12,750$0$10,820$0$317,510$0$0$0
DANIEL SONTHEIMER MD
VP MEDICAL AFFAIRS$342,235$0$64,443$0$450$0$29,993$0$13,717$0$450,838$0$0$0
DAVID TAYLOR
VP REGIONAL SERVICES$257,215$0$16,375$0$7,476$0$35,750$0$13,765$0$330,581$0$0$0
JOHN HURSH
VP HUMAN RESOURCES$243,901$0$12,290$0$3,346$0$15,442$0$12,549$0$287,528$0$0$0
RODNEY SCHAFFER
VP FACILITIES MANAGEMENT$214,405$0$11,488$0$1,290$0$11,359$0$6,783$0$245,325$0$0$0
KAREN KRAMER
VP, CNO$268,111$0$8,938$0$690$0$30,250$0$12,028$0$320,017$0$0$0
BETTY BRESHEARS
VP CORPORATE COMPLIANCE$219,823$0$8,511$0$1,290$0$11,481$0$12,036$0$253,141$0$0$0
BRUCE ROBISON
CIO$181,976$0$11,894$0$1,290$0$10,086$0$12,183$0$217,429$0$0$0
TYLER HEDDEN
VP CLINICAL SERVICES$174,898$0$6,392$0$270$0$9,078$0$13,602$0$204,240$0$0$0
ANNE BRETT
FORMER PRESIDENT COX COLLEGE$172,658$0$12,522$0$1,980$0$26,316$0$14,171$0$227,647$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1AINFORMATION REGARDING BENEFITS PROVIDED: MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF STEVE EDWARDS, CEO.
SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: STEVE EDWARDS, JACOB MCWAY, JOHN DUFF AND CHARITY ELMER PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $210,371. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $155,171, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $84,657. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $86,365, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JOHN DUFF RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $112,086. - CHARITY ELMER RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $43,069.
SCHEDULE J, PART I, LINE 6ACOMPENSATION 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 LISTING ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE ALI HASSAN, ARIJIT CHOWDHURY, CARY MARQUIS, LOUIS KRENN 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 VIIBOARD 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 FCOMPENSATION 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
A43117896660637AEA62013-04-17$215,764,775NEW INFRASTRUCTURE/CURRENT REFUNDIfalsefalsefalse
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
B4311789662008-10-15$70,000,000NEW INFRASTRUCTURE & EQUIPMENTfalsefalsefalse
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
C43117896660635R4Z72008-09-25$157,078,7591997 & 2002 BOND RFDING; NEW INFRAfalsefalsefalse
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
D4311789662008-10-15$35,000,000NEW INFRASTRUCTURE & EQUIPMENTfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$0$0$216,033,814$0$8,495,120$0$2,222,341$0$0$91,971,611$29,708,339$83,636,403Yes (true)falsefalseYes (true)
B$0$0$70,469,521$0$783,050$0$501,052$2,121,540$0$67,063,878$0$0falsefalseYes (true)Yes (true)2012
C$0$0$158,048,460$14,962,819$2,844,795$0$1,448,411$0$0$66,262,892$72,482,407$0Yes (true)falseYes (true)Yes (true)2012
D$0$0$35,028,548$0$421,299$0$271,929$803,381$0$33,531,939$0$0falsefalseYes (true)Yes (true)2012

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.010500.01050falsefalsefalseYes (true)
Bfalsefalsefalsefalse0.008300.00830falsefalsefalseYes (true)
CfalseYes (true)falsefalse0.009300.00930falsefalsefalseYes (true)
Dfalsefalsefalsefalse0.008300.00830falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)
0
CfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
DfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART 11, LINE 3, COLUMNS A, B, C & D
SCHEDULE K, PART II, LINE 11, COLUMN COTHER PROCEEDS SPENT: THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE.
SCHEDULE K, PART IV, LINE 2C, COLUMNS B, C, D & E & SCHEDULE 2, COLUMN A

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MOBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN431178966BondIssuerEIN
CUSIP60637AEA6CUSIPNum
Bond Issued2007-02-22BondIssuedDt
Issue Price$5,000,000IssuePriceAmt
PurposeCAPITAL EQUIPMENT FINANCINGPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$5,000,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$50,000IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$4,950,000CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.01000PrivateBusUseByOthersPct
Total Private Business Use0.01000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (13 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
WILLIAM BRESHEARS
B BRESHEARS - SEE PART V$23,079WAGES & BENEFITSfalse
VICKIE HOCKENSMITH
S EDWARDS - SEE PART V$37,941WAGES & BENEFITSfalse
TERRY HAMMER
S EDWARDS - SEE PART V$95,080WAGES & BENEFITSfalse
LISA ESPY
K KRAMER - SEE PART V$37,465WAGESfalse
JASON PRENGER
R PRENGER - SEE PART V$17,332WAGES & BENEFITSfalse
FAITH SCHAFFER
R SCHAFFER - SEE PART V$142,953WAGES & BENEFITSfalse
NICOLE HOLMAN
L HALVERSON - SEE PART V$25,060WAGES & BENEFITSfalse
BETTY EDWARDS
S EDWARDS - SEE PART V$23,953RETIREMENT BENEFITSfalse
HADEN COWHERD BULLOCK
G HADEN - SEE PART V$549,672LEGAL SERVICESfalse
FERRELL DUNCAN CLINIC INC
SEE PART V$73,897,977PHYSICIAN REMUNERATIONfalse
FERRELL DUNCAN BUILDING CO
SEE PART V$3,330,770BUILDING LEASEfalse
FERRELL DUNCAN BUILDING CO II
SEE PART V$1,380,935BUILDING LEASEfalse
COX HEALTH SYSTEMS HMO INC
SEE PART V$2,779,145INSURANCE ADMINISTRATIONfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: BETTY BRESHEARS' HUSBAND, WILLIAM BRESHEARS, IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, AND BETTY IS VICE PRESIDENT OF CORPORATE COMPLIANCE. 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. KAREN KRAMER'S SISTER, LISA ESPY, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND KAREN IS VICE PRESIDENT AND CHIEF NURSING OFFICER. 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. RODNEY SCHAFFER'S SPOUSE, FAITH SCHAFFER, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND RODNEY IS THE VICE PRESIDENT OF FACILITIES MANAGEMENT. LARRY W. HALVERSON'S DAUGHTER, NICOLE HOLMAN, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND LARRY IS A MEMBER OF THE BOARD OF DIRECTORS. GRANT HADEN, FIRST VICE CHAIRMAN OF THE BOARD OF DIRECTORS, IS AN OWNER OF HADEN, COWHERD & BULLOCK, LLC. DAVID ZOLFAGHARI, M.D., BOARD MEMBER, IS ALSO AN OFFICER AND BOARD MEMBER OF FERRELL DUNCAN CLINIC, INC. JAMES GIBSON, M.D., BOARD MEMBER, IS ALSO A BOARD MEMBER OF FERRELL DUNCAN CLINIC, INC. JAMES GIBSON, M.D., BOARD MEMBER, IS ALSO A MANAGING MEMBER OF FERRELL DUNCAN BUILDING CO. PIERRE L. CLOTHIAUX, M.D., BOARD MEMBER, IS ALSO A MANAGING MEMBER OF FERRELL DUNCAN BUILDING CO. II. JERRY G. JARED, BOARD MEMBER, AND JOSEPH W. TURNER, SECOND VICE CHAIRMAN OF THE BOARD OF DIRECTORS, ARE ALSO BOARD MEMBERS OF COX HEALTH SYSTEMS HMO, INC. STEVE EDWARDS, CEO, IS ALSO A BOARD MEMBER OF COX HEALTH SYSTEMS HMO, INC. JERRY G. JARED AND JOSEPH W. TURNER WERE DETERMINED TO BE NON-INDEPENDENT MEMBERS OF LESTER E. COX MEDICAL CENTERS BASED SOLELY ON THEIR ROLE AS COMMON OFFICERS OR DIRECTORS OF LESTER E. COX MEDICAL CENTERS AND COX HEALTH SYSTEMS HMO, INC. COX HEALTH SYSTEMS HMO, INC., IS AN ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY. LESTER E. COX MEDICAL CENTERS VIEWS THE COMMON OFFICERS AND DIRECTORS AS AN IMPORTANT ROLE IN HELPING BOTH ORGANIZATIONS IN ACHIEVING THEIR MISSIONS WHILE SERVING THE COMMUNITY.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, QUESTION 6NUMBER OF VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD.
FORM 990, PART III, LINE 4CEXEMPT 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-4DEXEMPT 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 $ 137,611,273 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 $ 625,468 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 $ 541,582 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 $ 1,265,114 THIS FIGURE INCLUDES CASH AND IN-KIND DONATIONS TO SUPPORT COMMUNITY ORGANIZATIONS, PATIENT ADVOCACY AND EDUCATION, AS WELL AS CONTRIBUTIONS FOR NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS AND EVENT SPONSORSHIPS. TOTAL COMMUNITY BENEFIT: $ 140,043,437 ECONOMIC IMPACT: RESTRICTED FOUNDATION GRANTS $ 3,741,781 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 $ 984,466 TOTAL REAL ESTATE AND PROPERTY TAXES PAID BY LESTER E. COX MEDICAL CENTERS FOR MEDICAL OFFICE BUILDINGS AND PHYSICIAN OFFICES AND CLINIC. CAPITAL INVESTMENTS $ 125,858,970 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 $ 405,590,091 THE COXHEALTH SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN CALENDAR YEAR 2013, LESTER E. COX MEDICAL CENTERS ALONE EMPLOYED APPROXIMATELY 8,844 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: $ 536,175,308 TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 676,218,745
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS: BOARD MEMBERS JERRY JARED AND JOSEPH TURNER ALSO HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE ORGANIZATION'S (CMC) BYLAWS DURING THE FISCAL YEAR: SECTION 1: MEMBER CMC SHALL HAVE ONE MEMBER WHICH SHALL BE COXHEALTH, A MISSOURI NONPROFIT CORPORATION ("COXHEALTH") OR ("MEMBER"). SECTION 2: FUNCTIONS THE MEMBER SHALL EXERCISE ITS POWERS AND FULFILL THE RESPONSIBILITIES OF THE MEMBER AS SPECIFIED IN THE ARTICLES OF INCORPORATION OF CMC AND THE BYLAWS. HOWEVER, IN THE EVENT THAT THE MEMBER (OR ITS EXECUTIVE COMMITTEE WHEN ACTING ON BEHALF OF THE BOARD OF THE MEMBER), EITHER VIA A VOTE OR CONSENT ACTION OF THE BOARD OF THE MEMBER, OR THROUGH THE MEMBER'S PRESIDENT AND CEO OR OTHER OFFICERS OR THEIR DESIGNEES TO THE EXTENT THAT THE BOARD OF THE MEMBER HAS DELEGATED TO SUCH OFFICER THE AUTHORITY TO EXERCISE THE APPLICABLE POWER RESERVED TO THE MEMBER, IS CONSIDERING TAKING ACTION ON ONE OR MORE OF THE FOLLOWING ITEMS, THEY SHALL FIRST CONSULT WITH THE BOARD OF DIRECTORS OF CMG ("CMG BOARD"). SECTION 3: POWERS AND RESPONSIBILITIES OF THE MEMBER EXCEPT AS SPECIFIED BELOW OR SET FORTH ELSEWHERE IN THE BYLAWS, THE FOLLOWING RESERVED POWERS MAY BE EXERCISED BY THE MEMBER WITHOUT PRIOR ACTION BY THE BOARD. SAID RESERVED POWERS ARE: (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. ARTICLE FIVE: DIRECTORS, NOMINATIONS, AND APPOINTMENTS SECTION 1: NUMBER AND QUALIFICATIONS OF DIRECTORS THE BOARD SHALL CONSIST OF FIFTEEN (15) DIRECTORS INCLUDING THE CHAIR OF THE BOARD, THE THREE (3) VICE CHAIRS OF THE BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD AND ONE (1) COX BRANSON DIRECTOR SELECTED BY THE MEMBER. THE REMAINING NINE (9) DIRECTORS SHALL BE COMPRISED AS FOLLOWS: PHYSICIAN DIRECTORS APPOINTED AND SUCH OTHER DIRECTORS AS ARE RECOMMENDED BY THE CHAIR OF THE BOARD AND APPROVED BY THE BOARD AS SOON AS PRACTICABLE AFTER EACH ANNUAL MEETING. PRIOR TO THE ANNUAL MEETING, THE NOMINATING COMMITTEE OF THE MEMBER SHALL NOMINATE A SLATE OF PERSONS FOR APPOINTMENT BY THE MEMBER AS DIRECTORS AND OFFICERS AT THE NEXT ANNUAL MEETING. WITH RESPECT TO THE COX BRANSON DIRECTOR, THE NOMINATING COMMITTEE OF THE MEMBER SHALL RECEIVE THE NOMINATION FROM THE COX BRANSON BOARD NO LATER THAN SEPTEMBER 1 OF EACH YEAR AS TO WHICH OF THE TWO (2) COX BRANSON DIRECTORS WHO WILL BE SERVING ON THE COXHEALTH BOARD AFTER THE NEXT ANNUAL MEETING SHOULD BE APPOINTED AS A DIRECTOR OF CMC. THE MEMBER WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. WITH RESPECT TO THE REMAINING THREE (3) PHYSICIAN DIRECTORS OF CMC, THE NOMINATING COMMITTEE SHALL RECEIVE NOMINATIONS FROM THE CMG BOARD NO LATER THAN SEPTEMBER 1 OF EACH YEAR FOR APPOINTMENT AS DIRECTORS OF CMC. THE MEMBER WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. IF FOR ANY REASON A PERSON NOMINATED BY COX BRANSON BOARD OR THE CMG BOARD IS NOT APPOINTED BY THE MEMBER, THE APPLICABLE BOARD HAS THE RIGHT TO NOMINATE ANOTHER PERSON FOR CONSIDERATION. AT THE ANNUAL MEETING, THE CHAIR OF THE BOARD SHALL CALL FOR THE REPORT OF THE NOMINATING COMMITTEE OF THE MEMBER. NOMINATIONS MAY BE MADE FROM THE FLOOR BY ANY DIRECTOR. THE MEMBER SHALL THEREUPON APPOINT DIRECTORS, OFFICERS OF THE BOARD AND OFFICERS OF CMC.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7BMEMBERS, 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. NO LATER THAN SEPTEMBER 1 OF EACH YEAR, 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. IF FOR ANY REASON A NOMINATED PERSON IS NOT APPOINTED BY THE COXHEALTH BOARD, THE CMC BOARD HAS THE RIGHT TO NOMINATE ANOTHER PERSON FOR CONSIDERATION. SEE THE SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS NARRATIVE FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION B, LINE 11B990 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 12CMONITORING 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 CORPORATE COMPLIANCE POLICY, SET FORTH BELOW. IN ADDITION, THE LESTER E. COX MEDICAL CENTERS BYLAWS CONTAIN A CONFLICT OF INTEREST PROVISION TO ENSURE 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 A SUB-COMMITTEE OF THE BOARD WITH THE ASSISTANCE OF THE EXECUTIVE OFFICE AND IS DEFINED IN THE BOARD BYLAWS. 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 AT THEIR FIRST CONTRACT WITH LESTER E. COX MEDICAL CENTERS.
FORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION 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 19DOCUMENT 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 ABOARD MEMBER COMPENSATION: DRS. DIX, KISSELL, AND HALVERSON ARE EMPLOYEES OF COX AS WELL AS MEMBERS OF THE BOARD OF DIRECTORS. THEIR COMPENSATION IS RELATED TO THEIR ROLES AS EMPLOYEES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES: $ 104,652,585 PHYSICIAN REMUNERATION 20,323,096 PURCHASED MANAGEMENT SERVICES 17,713,553 OTHER PURCHASED SERVICES 14,761,314 CONSULTING 14,120,013 ANESTHESIA SERVICES 8,925,916 CONTRACTED REPAIRS & MAINTENANCE 5,569,589 PURCHASED LAB SERVICES 5,505,843 BILLING/COLLECTION SERVICES 2,426,278 CONTRACT LABOR 1,726,517 PROFESSIONAL FEES 1,256,790 PHARMACY --------------- $ 196,981,494
FORM 990, PART XI, LINE 9OTHER CHANGES TO NET ASSETS: $ (1,647,142) RETURN OF CAPITAL (37,853,458) DEFINED BENEFIT PENSION PLAN LOSS 16,069 CHANGE IN BENEFICIAL INTEREST IN TRUST ------------- $ (39,484,531)
FORM 990, PART XII, LINE 2CCHANGES TO THE OVERSIGHT PROCESS: COXHEALTH, AS THE MEMBER OF LESTER E. COX MEDICAL CENTERS, NOW SELECTS THE INDEPENDENT ACCOUNTANT USED FOR AUDITS.

Schedule R IRS990ScheduleR

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INSURANCE CO OF SPRINGFIELD INC
CAPTIVE INSURANCELESTER E COXC CORP$1,229,312$8,885,6181.00000Yes (true)GRAND PAVILLION CORPORATE CENTREGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL DEVELOPMENTS INC
A$59,440COST
COXHEALTH FOUNDATION
C$351,874COST
COX-MONETT HOSPITAL INC
K$70,286COST
MEDICAL DEVELOPMENTS INC
K$112,217COST
COX HPS OF THE OZARKS INC
K$220,920COST
COX-MONETT HOSPITAL INC
P$865,272COST
COX HPS OF THE OZARKS INC
P$708,608COST
COXHEALTH SYSTEMS HMO
P$12,906,226COST
SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN
P$2,509,613COST
COX-MONETT HOSPITAL INC
Q$12,238,256COST
MEDICAL DEVELOPMENTS INC
Q$2,096,011COST
COX HPS OF THE OZARKS INC
Q$1,251,514COST
COX ALTERNATIVE CARE OF THE OZARKS INC
Q$1,480,353COST
COX HEALTH SYSTEMS HMO INC
Q$6,620,576COST
INSURANCE CO OF SPRINGFIELD INC
Q$1,173,475COST
SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN
Q$40,134,457COST
COX-MONETT HOSPITAL INC
R$18,063,324COST
MEDICAL DEVELOPMENTS INC
R$710,355COST
SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN
R$1,621,477COST
COXHEALTH FOUNDATION
S$2,510,191COST
COX-MONETT HOSPITAL INC
S$1,472,923COST
MEDICAL DEVELOPMENTS INC
S$3,415,409COST
SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN
S$433,350COST