SKAGGS COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SKAGGS COMMUNITY HOSPITAL ASSOCIATION (EIN 44-0584290)
Tax period: 2012-05-01 to 2013-04-30
Filed: 2014-03-14
IRS object ID: 201410739349300321
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-03-14T11:32:57-05:00	Timestamp
Tax Period End Date	2013-04-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-05-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	440584290	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% DAVID STRONG	InCareOfName
Name Control	SKAG	NameControl
Phone	4173357000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1
Address Line2	Suite	AddressLine2
City	BRANSON	City
State	MO	State
ZIP Code	65615	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID STRONG	Name
Title	CFO	Title
Phone	4173357700	Phone
Date Signed	2014-02-28	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Brian D Todd	Name
Phone	4178658701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	COX MEDICAL CENTER BRANSON	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MR WILLIAM MAHONEY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65615	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	189162153	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SKAGGS.NET	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1950	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	THE HOSPITAL IMPROVES YOUR LIFE VIA EDUCATION, PREVENTION, AND ADVO- CACY; BY THE USE OF TECHNOLOGY; AND BY PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	1423	TotalNbrEmployees
Total Nbr Volunteers	275	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	587515	ContributionsGrantsPriorYear
Contributions Grants Current Year	745045	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	181820734	ProgramServiceRevenuePriorYear
Program Service Revenue CY	186099475	ProgramServiceRevenueCY
Investment Income Prior Year	422840	InvestmentIncomePriorYear
Investment Income Current Year	517611	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1158507	OtherRevenuePriorYear
Other Revenue Current Year	1057748	OtherRevenueCurrentYear
Total Revenue Prior Year	183989596	TotalRevenuePriorYear
Total Revenue Current Year	188419879	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	385787	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	372526	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	67610329	SalariesEtcPriorYear
Salaries Etc Current Year	72562875	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	115478413	OtherExpensePriorYear
Other Expenses Current Year	109029820	OtherExpensesCurrentYear
Total Expenses Prior Year	183474529	TotalExpensesPriorYear
Total Expenses Current Year	181965221	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	515067	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6454658	RevenuesLessExpensesCY
Total Assets BOY	108670196	TotalAssetsBOY
Total Assets EOY	152039918	TotalAssetsEOY
Total Liabilities BOY	58180699	TotalLiabilitiesBOY
Total Liabilities EOY	61582892	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	50489497	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	90457026	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	128272172	Expense
Grants	184185	Grants
Revenue	158289235	Revenue
Description	HOSPITAL SERVICES - DURING THE FISCAL YEAR THE HOSPITAL EXPERIENCED A 9.46% DECREASE IN PATIENT ADMISSION WITH A TOTAL OF 6,267. EMERGENCY ROOM VISITS ALSO SAW A DECREASE OF 6.57% FOR A TOTAL OF 36,128 FOR THE FISCAL YEAR. OUTPATIENT VISITS INCREASED BY LESS THAN 1% TO 90,060 FOR THE FISCAL YEAR. THE HOSPITAL ALSO EXPERIENCED A DECREASE IN ITS AVERAGE OCCUPANCY RATE FROM 43.43% FOR FISCAL YEAR 2012 TO 41.62% FOR FISCAL YEAR 2013. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	32565842	Expense
Revenue	24686025	Revenue
Description	CLINIC SERVICES - DURING THE FISCAL YEAR THE HOSPITAL HAD 112,952 TOTAL CLINIC VISITS, AN INCREASE OF 10.19% COMPARED TO THE PRIOR FISCAL YEAR.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1863804	Expense
Grants	188341	Grants
Revenue	3124215	Revenue
Description	HOME HEALTH SERVICES - HOME HEALTH AND HOSPICE VISITS TOTALED 12,071 FOR THE FISCAL YEAR ENDED 4/30/13. THIS IS A DECREASE OF 23.38% AS COMPARED TO THE PREVIOUS FISCAL YEAR. HOME HEALTH SERVICES INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, MEDICAL SOCIAL SERVICE, PERSONAL CARE ASSISTANCE, NUTRITIONAL CONSULTATIONS AND RESPIRATORY CONSULTATION. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	162701818	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	150	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1423	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID STRONG	NamePerson
Telephone Number	4173357789	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65615	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BOB MCDOWELL
SECRETARY	3.0	0.0	X	X	0	0	0
TONY WHEELER
DIRECTOR	3.0	0.0	X		0	0	0
JIM KANEASTER
CHAIRMAN	3.0	0.0	X	X	0	0	0
BOB SIMMONS
DIRECTOR	3.0	0.0	X		0	0	0
DENNIS NEWKIRK
DIRECTOR	3.0	1.0	X		0	0	0
PHILLIP LOYD
VICE CHAIRMAN	3.0	1.0	X	X	0	0	0
JAKE MCWAY
DIRECTOR BEGINNING 1/2013	3.0	45.0	X		0	635317	107846
JAMES BERRY
DIRECTOR	3.0	1.0	X		0	0	0
JANICE WILLIAMS
DIRECTOR	3.0	0.0	X		0	0	0
LARRY SCHMITT
TREASURER	3.0	0.0	X	X	0	0	0
JOHN DUFF
DIRECTOR BEGINNING 1/2013	3.0	40.0	X		0	493575	139088
RAEANNE PRESLEY
DIRECTOR	3.0	0.0	X		0	0	0
RICHARD BLUBAUGH
DIRECTOR	3.0	0.0	X		0	0	0
STEVE EDWARDS
DIRECTOR BEGINNING 1/2013	3.0	46.0	X		0	901555	143128
LYNN ALLISON
DIRECTOR ENDING 12/2012	3.0	0.0	X		0	0	0
DAVID SMITH
CHAIRMAN ENDING 12/2012	3.0	0.0	X	X	0	0	0
WILLIAM MAHONEY
CEO	40.0	1.0		X	429118	0	32290
DAVID STRONG
CFO	40.0	1.0		X	227339	0	30459
SHERYL TILUS
CNO ENDING 4/2013	40.0	0.0			173696	0	27544	X
CAROL MURROW
VP BUSINESS DEVELOPMENT	40.0	0.0			166201	0	16859	X
DIANE CORNELISON
PHYSICIAN	40.0	0.0			519493	0	26107		X
JOHN HUFFMAN
PHYSICIAN	40.0	0.0			527931	0	32607		X
MITTIE DRAGOSLJVICH
PHYSICIAN	40.0	0.0			647794	0	43280		X
NARIN ARUNAKUL
PHYSICIAN	40.0	0.0			797073	0	33622		X
PRASERT VIJITBENJARONK
PHYSICIAN	40.0	0.0			550667	0	28272		X
PETER MARCELLUS
FORMER DIR. MEDICAL AFFAIRS	0.0	0.0			173794	0	28078			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4213106	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2030447	TotalReportableCompFrmRltdOrgs
Total Other Compensation	689180	TotalOtherCompensation
Number Individuals GT100 K	65	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
360 DEGREE MEDICINE
CONTRACT PHYSICIANS	4886184
WHITE RIVER ANESTHESIA ASSOCIATION
CONTRACT PHYSICIANS	1404318
PROVIDER SOLUTIONS LLC
CONTRACT PHYSICIANS	1001633
NUCLEAR DIAGNOSIS INC
NUC MED STUDIES	852587
SOUND PHYSICIANS
HOSPITALIST SERVICES	769836

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	100	NumberOfContractorsGT100K
Related Organizations	48491	RelatedOrganizations
Government Grants	30000	GovernmentGrants
All Other Contributions	666554	AllOtherContributions
Total Contributions	745045	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	624100	176343852	176343852
EHR REVENUE	624100	2299206	2299206
CAFETERIA	722514	742122	742122
MANAGEMENT FEES	453220	476769	476769
GIFT SHOP	561000	221012	221012

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6016514	TotalRevenueColumn
Related Or Exempt Function Income	6016514	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	186099475	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	335571	TotalRevenueColumn
Exclusion	$335,571	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1278697	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	94979	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1183718	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1183718	TotalRevenueColumn
Exclusion	$1,183,718	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	754879	Securities
Other	74456	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	631136	Securities
Other	16159	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	123743	Securities
Other	58297	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	182040	TotalRevenueColumn
Exclusion	$182,040	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	INCOME FROM EQUITY INVESTEE	Description
Business Code	900099	BusinessCode
Total Revenue Column	-125970	TotalRevenueColumn
Exclusion	-$125,970	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	-125970	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	188419879	TotalRevenueColumn
Related Or Exempt Function Income	186099475	RelatedOrExemptFunctionIncome
Exclusion	$1,575,359	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	125526	Total
Program Services	125526	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	247000	Total
Program Services	247000	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1205944	Total
Program Services	390995	ProgramServices
Management And General	814949	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	239654	Total
Program Services	239654	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	57590888	Total
Program Services	50810329	ProgramServices
Management And General	6780559	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1618618	Total
Program Services	1427022	ProgramServices
Management And General	191596	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7725727	Total
Program Services	6888735	ProgramServices
Management And General	836992	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4182044	Total
Program Services	3668907	ProgramServices
Management And General	513137	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	191294	Total
Management And General	191294	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	199100	Total
Management And General	199100	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	24958390	Total
Program Services	20590339	ProgramServices
Management And General	4368051	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	646323	Total
Program Services	24604	ProgramServices
Management And General	621719	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4099293	Total
Program Services	2699668	ProgramServices
Management And General	1399625	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2096114	Total
Program Services	1883701	ProgramServices
Management And General	212413	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3520468	Total
Program Services	2976163	ProgramServices
Management And General	544305	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	157171	Total
Program Services	115064	ProgramServices
Management And General	42107	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	468444	Total
Program Services	220447	ProgramServices
Management And General	247997	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2350627	Total
Program Services	2131078	ProgramServices
Management And General	219549	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7896540	Total
Program Services	7159003	ProgramServices
Management And General	737537	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1900078	Total
Program Services	786788	ProgramServices
Management And General	1113290	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	29236303	29236303
MEDICAL SUPPLIES & DRUGS	22486632	22486632
PROVIDER TAX	8284824	8284824
LICENSES, DUES, SUBSCRIPTIONS	391620	162512	229108

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	146599	Total
Program Services	146524	ProgramServices
Management And General	75	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	181965221	Total
Program Services	162701818	ProgramServices
Management And General	19263403	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1833191	BOY
EOY	6234707	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	18200476	BOY
EOY	20507318	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	16689828	BOY
EOY	18459913	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	130750	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2387964	BOY
EOY	2195639	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2112085	BOY
EOY	1279879	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	77121252	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2181904	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	44634586	BOY
EOY	74939348	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	11226233	BOY
EOY	13890288	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	7729508	BOY
EOY	8006679	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1494580	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	6552	BOY
EOY	1468164	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3719023	BOY
EOY	3563403	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	108670196	BOY
EOY	152039918	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11562941	BOY
EOY	10550126	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	40036	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	35845000	BOY
EOY	34505000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	10772758	BOY
EOY	14930581	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1557149	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	58180699	BOY
EOY	61582892	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	43207357	BOY
EOY	81050076	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1494580	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7282140	BOY
EOY	7912370	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	50489497	BOY
EOY	90457026	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	108670196	BOY
EOY	152039918	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6454658	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1053535	ReconciliationUnrealizedInvest
Reconcilation Other Changes	32459336	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$13,025	OtherActivitiesAmount
Total Lobbying Expenditures IIB	13025	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1(I)	ReturnReference
Explanation	THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1136152	OtherCostOrOtherBasis
Book Value	1136152	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19328860	OtherCostOrOtherBasis
Depreciation	584838	Depreciation
Book Value	18744022	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2194789	OtherCostOrOtherBasis
Depreciation	34762	Depreciation
Book Value	2160027	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	50487318	OtherCostOrOtherBasis
Depreciation	1350379	Depreciation
Book Value	49136939	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3974133	OtherCostOrOtherBasis
Depreciation	211925	Depreciation
Book Value	3762208	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	74939348	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BENEFICIAL INT IN TRUST	7912370	F
INV IN SKAGGS HLTH SYSTEM PHO	94309	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	8006679	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
LEGAL LIABILITY	$1,118,099
DUE TO RELATED PARTY	$149,262
DUE TO 3rd PARTY	$289,788

Field	Value	IRS element (for citing)
Total Of Amounts	1557149	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	225.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1337186	TotalCommunityBenefitExpense
Net Community Benefit Expense	1337186	NetCommunityBenefitExpense
Percent Of Total Expense	0.00880	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21941248	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18535404	DirectOffsettingRevenue
Net Community Benefit Expense	3405844	NetCommunityBenefitExpense
Percent Of Total Expense	0.02230	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23278434	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18535404	DirectOffsettingRevenue
Net Community Benefit Expense	4743030	NetCommunityBenefitExpense
Percent Of Total Expense	0.03110	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	149017	TotalCommunityBenefitExpense
Direct Offsetting Revenue	150	DirectOffsettingRevenue
Net Community Benefit Expense	148867	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	207019	TotalCommunityBenefitExpense
Net Community Benefit Expense	207019	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22322236	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18662284	DirectOffsettingRevenue
Net Community Benefit Expense	3659952	NetCommunityBenefitExpense
Percent Of Total Expense	0.02390	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2694	TotalCommunityBenefitExpense
Net Community Benefit Expense	2694	NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	380770	TotalCommunityBenefitExpense
Net Community Benefit Expense	380770	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23061736	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18662434	DirectOffsettingRevenue
Net Community Benefit Expense	4399302	NetCommunityBenefitExpense
Percent Of Total Expense	0.02880	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46340170	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37197838	DirectOffsettingRevenue
Net Community Benefit Expense	9142332	NetCommunityBenefitExpense
Percent Of Total Expense	0.05990	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$29,236,303	BadDebtExpenseAmount
Amount Attributable To	5262534	AmountAttributableTo
Amount Reimbursed By Medicare	43269540	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	47894190	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4624650	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	MEDICAL SUPPORT	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HEALTH CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65616	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.SKAGGS.NET	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	225.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	9	NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SKAGGS ORTHONEURO CENTER
101 CAHILL RD	BRANSON	MO	65616	OUTPATIENT DEPTS PHYSICIAN CLINICS
CMCB OUTPATIENT CENTER
545 N BRANSON LANDING BLVD	BRANSON	MO	65616	OUTPATIENT DEPTS PHYSICIAN CLINICS
CMCB SOUTHSIDE FAMILY CLINIC
590 BIRCH ST	HOLLISTER	MO	65672	PHYSICIAN CLINIC
CMCB MEDICAL EAST
13852 ST HWY 160	FORSYTH	MO	65653	PHYSICIAN CLINIC
CMCB MEDICAL WEST
11863 ST HWY 13	KIMBERLING CITY	MO	65686	PHYSICIAN CLINIC
CMCB BRANSON WEST MEDICAL CAREREHAB
18452 ST HWY 13	BRANSON WEST	MO	65737	OUTPATIENT DEPTS PHYSICIAN CLINICS
STONE COUNTY OUTREACH THERAPY
17565 ST HWY 13	REEDS SPRING	MO	65737	OUTPATIENT DEPTS
MARY'S WELL HOUSE
5136 HWY 265	BRANSON	MO	65616	PHYSICIAN CLINIC
FITNESS CENTER BRANSON
1500 BRANSON HILLS PKWY	BRANSON	MO	65616	FITNESS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY FOR FREE CARE	SCHEDULE H, PART I, LINE 3A	PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 150% OF THE FPL ARE ELIGIBLE TO RECEIVE NONELECTIVE/MEDICALLY NECESSARY CARE DISCOUNTED AT 100% AFTER A $20 ENCOUNTER PAYMENT.
PERCENT OF TOTAL EXPENSE	SCHEDULE H, PART I, LINE 7, COLUMN F	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25 ($181,965,221) WAS REDUCED BY BAD DEBT EXPENSE ($29,236,303).
COST TO CHARGE RATIO	SCHEDULE H, PART I, LINE 7	THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1, 3, AND 6.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A, LINE 4	DUE TO THE AFFILIATION WITH COXHEALTH THE HOSPITAL DID NOT HAVE AN AUDIT FOR THE FISCAL YEAR ENDED 4/30/13. THE ORGANIZATION CALCULATED BAD DEBT USING THE AMOUNTS CALCULATED IN THE ORGANIZATION'S INTERNAL FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA.
COMMUNITY BENEFIT RATIONALE	SCHEDULE H, PART III, SECTION B, LINE 8	THE HOSPITAL IS DESIGNATED BY MEDICARE AS A SOLE COMMUNITY HOSPITAL AND AS SUCH, IS THE SOLE SOURCE OF HOSPITAL CARE WITHIN A 35-MILE RADIUS. AS A LARGE RURAL HOSPITAL, MINIMUM STAFFING MUST BE MAINTAINED REGARDLESS OF SWINGS IN PATIENT VOLUME. WITHOUT THE HOSPITAL, MEDICARE PATIENTS WOULD NEED TO TRAVEL SIGNIFICANT DISTANCES TO RECEIVE HOSPITAL CARE. 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.
COMMUNITY INPUT	SCHEDULE H, PART V, SECTION B, LINE 3	THE CHNA PROCESS INVOLVED: - COLLECTION AND ANALYSIS OF A LARGE RANGE OF DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH STATISTICS, HEALTH CARE RESOURCES AND PATIENT USE RATES. - INTERVIEWS WITH KEY INFORMANTS WHO REPRESENT A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. - CIRCULATION OF A COMMUNITY HEALTH INPUT QUESTIONNAIRE THAT GATHERED A WIDE RANGE OF INFORMATION WHICH WAS WIDELY DISTRIBUTED TO MEMBERS OF THE COMMUNITY. THE FOLLOWING STEPS WERE CONDUCTED AS PART OF HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT: - THE "COMMUNITY" SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL. - POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES (SEE REFERENCES IN APPENDICES). THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. - AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED AND ESTIMATED A DEMAND FOR PHYSICIAN AND HOSPITAL SERVICES WAS ESTIMATED. BOTH WERE EVALUATED FOR UNMET NEEDS. - COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF 15 STAKEHOLDERS AND A COMMUNITY HEALTH INPUT QUESTIONNAIRE WAS WIDELY DISTRIBUTED. THE COMMUNITY HEALTH INPUT QUESTIONNAIRE WAS COMPLETED BY 547 INDIVIDUALS. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY INFORMANT AND COMMUNITY HEALTH INPUT QUESTIONNAIRE SECTIONS OF THE CHNA REPORT. - INFORMATION GATHERED IN THE ABOVE STEPS WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTING METHOD THAT CONSIDERS 1) THE ABILITY OF THE HOSPITAL TO IMPACT CHANGE, 2) THE SIZE OF THE PROBLEM, 3) THE SERIOUSNESS OF THE PROBLEM AND 4) THE PREVALENCE OF COMMON THEMES. - HEALTH NEEDS WERE THEN PRIORITIZED TAKING INTO ACCOUNT THE PERCEIVED DEGREE OF INFLUENCE THE HOSPITAL HAS TO IMPACT THE NEED AND THE HEALTH NEEDS IMPACT ON THE OVERALL HEALTH OF THE COMMUNITY. INFORMATION GAPS WERE IDENTIFIED DURING THE PRIORITIZATION PROCESS AND ARE ALSO REPORTED. - RECOMMENDATIONS BASED ON THIS ASSESSMENT HAVE BEEN COMMUNICATED TO HOSPITAL MANAGEMENT.
IMPLEMENTATION STRATEGY	SCHEDULE H, PART V, SECTION B, LINE 6	IN RESPONSE TO THE RESULTS OF THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.SKAGGS.NET/UPLOADS/PUBLIC/IMPLEMENTATION%20PLAN-FINAL%20VERSION %204%2030%2013.PDF
ADDRESSING IDENTIFIED NEEDS	SCHEDULE H, PART V, SECTION B, LINE 7	THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIES A NUMBER OF UNMET OR PARTIALLY MET HEALTH NEEDS THROUGHOUT THE SERVICE AREA. ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT DATA PROVIDED A MEANS TO EVALUATE AND PRIORITIZE AREAS OF GREATEST NEED. HEALTH NEEDS WERE RANKED ON A SCALE OF ONE TO FIVE WITH A FIVE MEANING THAT THE HOSPITAL COULD HAVE THE GREATEST IMPACT ON THAT NEED, WHILE A ONE DENOTES THE LEAST IMPACT. THESE HEALTH WERE FURTHER RANKED ON FOUR FACTORS: - THE ABILITY OF COX MEDICAL CENTER BRANSON TO EVALUATE AND MEASURE OUTCOMES. - HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE PROBLEM? - WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THE PROBLEM? - PREVALENCE OF COMMON THEMES. BY ADDRESSING THESE NEEDS, COMMUNITY HEALTH WILL LIKELY IMPROVE. THEY HAVE THE GREATEST IMPACT ON OVERALL COMMUNITY HEALTH AND THE HOSPITAL HAS THE ABILITY TO MAKE AN IMPACT. OVER THE LAST YEAR, THE HOSPITAL HAS BEGUN TO DEVELOP TOOLS FOR INTERVENTION, AND THROUGH THIS PLAN, CURRENT INTERVENTIONS WILL BE EXPANDED UPON AND NEW INTERVENTIONS WILL BE CREATED AND IMPLEMENTED IN ORDER TO IMPACT THE GREATEST NUMBER OF RESIDENTS. AS A RESULT OF THE ANALYSIS, AFFORDABLE CARE, UNINSURED RESIDENTS, DISEASES OF THE HEART, ACCESS TO SPECIALISTS, SHORTAGE OF PHYSICIANS, ACCESS TO RECREATIONAL FACILITIES, ADULT SMOKING AND TRANSPORTATION WERE IDENTIFIED AS THE PRIORITY AREAS ON WHICH WE WILL FOCUS. THERE WERE OTHER AREAS OF NEED IDENTIFIED THROUGH THE ASSESSMENT THAT ARE CLEARLY IMPORTANT TO IMPROVING THE HEALTH OF THE COMMUNITY. WHILE THEY ARE DEEMED TO HAVE A LESS IMMEDIATE IMPACT, IF OPPORTUNITY ARISES, THEY WILL BE INTEGRATED INTO THIS PLAN AS A SUB-OBJECTIVE ACTIVITY. UNFORTUNATELY, AS WITH MOST OF RURAL AMERICA, COX MEDICAL CENTER BRANSON IS WITHOUT THE NECESSARY RESOURCES TO ADEQUATELY ADDRESS THE PANDEMIC INCREASE IN PEOPLE WHO ARE IMPACTED BY MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES.
DETERMINATION OF MAXIMUM AMOUNTS CHARGED	SCHEDULE H, PART V, SECTION B, LINE 20	ALL UNINSURED PATIENTS RECEIVE A 30% DISCOUNT, THIS AMOUNT IS LESS THAN ANY OF OUR MANAGED CARE CONTRACTS. THE FINANCIAL ASSISTANCE PATIENTS WHO RECEIVE 100% CHARITY ARE REQUIRED TO PAY A $20 ENCOUNTER PAYMENT. PATIENTS APPROVED FOR 75% CHARITY CARE, WILL PAY 25% OF CHARGES, WITH A $40 ENCOUNTER PAYMENT. PATIENTS APPROVED FOR 50% CHARITY CARE ARE REQUIRED TO PAY 50% OF CHARGES WITH A $40 ENCOUNTER PAYMENT. THE ENCOUNTER PAYMENT AMOUNT IS BASED ON AVERAGE INSURANCE CO-PAYMENTS. THE MAXIMUM AMOUNT CHARGED TO OUR QUALIFYING PATIENTS, AS A PERCENTAGE OF GROSS CHARGES IS LESS THAN ANY OF OUR MANAGED CARE CONTRACTS.
NEEDS ASSESSMENT		COX MEDICAL CENTER BRANSON (CMCB) WORKS CLOSELY WITH ITS COMMUNITY THROUGH ITS RELATIONSHIP WITH COXHEALTH. IN THE FISCAL YEAR CMCB TOOK THE LEAD IN BRINGING TOGETHER AREA ORGANIZATIONS WITH THE SIMILAR GOAL OF ADDRESSING THE HEALTHCARE NEEDS OF THE COMMUNITY, AS IDENTIFIED BY THE COMMUNITY NEEDS ASSESSMENT: UNHEALTHY BODY WEIGHT, ACCESS TO CARE, MENTAL HEALTH, AND SUBSTANCE ABUSE - INCLUDING TOBACCO, AND CHILD AND FAMILY SAFETY. THE COALITION IS NAMED OWNIT AND IS LED BY A STEERING COMMITTEE AND MEMBERS MAKE UP SUCH AGENCIES AND ORGANIZATIONS AS THE TANEY AND STONE COUNTY HEALTH DEPARTMENTS AND MORE.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		CMCB SCREENS ALL SELF-PAY PATIENTS FOR MEDICAID BY OUTSOURCING SELF-PAY TO SEE IF PATIENTS QUALIFY FOR ENTITLEMENT. IF THEY DO NOT QUALIFY, THEY WILL TALK TO A FINANCIAL COUNSELOR, WHO WILL SCREEN THEM FOR CHARITY. WE ALSO HAVE SIGNS THAT INCLUDE "THIS HOSPITAL DOES PARTICIPATE IN THE MEDICAID PROGRAM."
COMMUNITY INFORMATION		CMCB CONSIDERS TANEY AND STONE COUNTIES AS ITS PRIMARY SERVICE AREA WITH CHRISTIAN COUNTY, BOONE COUNTY AND PARTS OF CARROLL COUNTY IN NORTHERN ARKANSAS AS ITS SECONDARY SERVICE AREA. THE TOTAL POPULATION OF ZIP CODES SERVED BY CMCB IS APPROXIMATELY 144,000. THE PROJECTED POPULATION GROWTH IN THESE AREAS, ESPECIALLY THE CONTINUING MIGRATION INTO THE AREA OF RETIREES, IS A SIGNIFICANT FACTOR IN THE EVER-INCREASING NEED FOR HIGH-TECH MEDICAL SERVICES.
PROMOTION OF COMMUNITY HEALTH		CMCB HAS A 14-MEMBER BOARD OF DIRECTORS. SEVERAL THOUSANDS OF DOLLARS ARE SPENT EACH YEAR OFFERING FREE OR LOW-COST SCREENINGS TO THE COMMUNITY AND EDUCATIONAL PROGRAMS. CMCB PHYSICIANS AND STAFF ARE COMMITTED TO EDUCATING THE COMMUNITY TO HELP ENSURE A HEALTHIER FUTURE. CPR CLASSES, SMOKING CESSATION CLASSES, PRENATAL CLASSES, ETC. ARE ALL FOCUSED ON GIVING OUR COMMUNITY MEMBERS THE RESOURCES THEY NEED TO MAKE INFORMED DECISIONS.
AFFILIATED HEALTH CARE SYSTEM		EFFECTIVE 1/1/2013, COX BRANSON BECAME A SUBSIDIARY OF COXHEALTH. COXHEALTH PROVIDES QUALITY HEALTH CARE, EDUCATION, AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES, INCLUDING SPRINGFIELD AND SURROUNDING AREAS. THE FOLLOWING ACTIVITIES RELATE TO ACTIVITIES PROVIDED THROUGH COXHEALTH'S AFFILIATED 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 COXHEALTH AND CAR SEATS TO THOSE IN NEED TO ENSURE THE SAFETY OF ANY NEWBORN LEAVING COXHEALTH.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
SKAGGS FOUNDATION
PO BOX 650	BRANSON	MO	65615	300107007	501(C)(3)	70157	SUPPORT
BRANSON CBMC
PO BOX 1246	BRANSON	MO	65615	621841451	501(C)(3)	10000	SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
TUITION ASSISTANCE	25	39717
HOME HEALTH CARE	8	188341
TOBACCO CESSATIION	3		13046	FMV	SUPPLIES
CAREERS IN HEALTH	24		5896	FMV	SUPPLIES

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.	Identifier
Return Reference	PART I, LINE 2	ReturnReference
Explanation	SKAGGS FOUNDATION FILED WITH THE INTERNAL REVENUE SERVICE TO BECOME A COMMUNITY FOUNDATION EFFECTIVE JANUARY 1, 2013. PRIOR TO THIS, SKAGGS FOUNDATION WAS A RELATED ORGANIZATION WHICH SHARED FINANCIALS WITH COX MEDICAL CENTER BRANSON. AS A RESULT, COX BRANSON WAS ABLE TO MONITOR THE USE OF GRANT FUNDS. FUNDS PAID TO CBMC WERE FOR A ONE-TIME SPONSORSHIP OF THE MAYOR'S PRAYER BREAKFAST. THE FUNDS DONATED WERE USED IMMEDIATELY TO SUPPORT THE EVENT. FOLLOWING COMPLETION OF THE COURSE(S), IT IS THE GRANTEE'S RESPONSIBILITY TO REQUEST, IN WRITING, A REIMBURSEMENT REQUEST FOR THE SEMESTER'S TUITION FEES NOT TO EXCEED $1,000 PER SEMESTER AND NO MORE THAN $2,000 PER YEAR. THE REQUEST MUST BE ACCOMPANIED WITH A STATEMENT FROM THE SCHOOL WITH A BREAKDOWN OF CHARGES ALONG WITH A COPY OF THE GRADES FOR THE COURSES BEING REIMBURSED. ALL DOCUMENTS SHOULD THEN BE SUBMITTED FOR REVIEW AND APPROVAL. THE HOME HEALTH CARE PROGRAM RECEIVES GRANT MONEY FROM THE SOUTHWEST MO OFFICE ON AGING IN TANEY COUNTY FOR USE TO COVER EXPENSES RELATED TO THE HOMEMAKER PROGRAM. EMPLOYEES WHO INCUR EXPENSES RELATED TO THIS PROGRAM ARE REIMBURSED WITH THIS GRANT MONEY. THE HOSPITAL'S HOME HEALTH DEPARTMENT MONITORS THE USE OF THESE GRANT FUNDS. THE TOBACCO CESSATION PROGRAM AND THE CAREERS IN HEALTH CLUB WERE FUNDED FROM DONATIONS RECEIVED FROM THE MISSOURI FOUNDATION FOR HEALTH. THE TOBACCO CESSATION PROGRAM OFFERS CLASSES AND SUPPLIES TO MEMBERS OF THE COMMUNITY/EMPLOYEES TO ASSIST THEM WITH SMOKING CESSATION. THIS PROGRAM IS MONITORED BY THE HEALTH AND WELLNESS DEPARTMENT. THE CAREERS IN HEALTH CLUB WAS SET-UP TO ENCOURAGE AND EXPOSE STUDENTS TO CONSIDER HEALTHCARE AS A CAREER CHOICE. THIS PROGRAM IS MONITORED BY THE HEALTH AND WELLNESS DEPARTMENT AND BRANSON SCHOOLS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAKE MCWAY
DIRECTOR BEGINNING 1/2013	0	417213	0	110374	0	107730	0	89979	0	17867	0	743163	0	85023
JOHN DUFF
DIRECTOR BEGINNING 1/2013	0	333629	0	90783	0	69163	0	117838	0	21250	0	632663	0	34836
STEVE EDWARDS
DIRECTOR BEGINNING 1/2013	0	630893	0	120585	0	150077	0	123397	0	19731	0	1044683	0	139676
WILLIAM MAHONEY
CEO	396030	0	32725	0	363	0	5000	0	27290	0	461408	0	0	0
DAVID STRONG
CFO	220190	0	0	0	7149	0	4699	0	25760	0	257798	0	0	0
DIANE CORNELISON
PHYSICIAN	515928	0	1800	0	1765	0	15411	0	10696	0	545600	0	0	0
JOHN HUFFMAN
PHYSICIAN	527931	0	0	0	0	0	15636	0	16971	0	560538	0	0	0
MITTIE DRAGOSLJVICH
PHYSICIAN	645850	0	0	0	1944	0	18131	0	25149	0	691074	0	0	0
NARIN ARUNAKUL
PHYSICIAN	768110	0	1800	0	27163	0	10500	0	23122	0	830695	0	0	0
PRASERT VIJITBENJARONK
PHYSICIAN	531851	0	1800	0	17016	0	5000	0	23272	0	578939	0	0	0
SHERYL TILUS
CNO ENDING 4/2013	173679	0	0	0	17	0	3597	0	23947	0	201240	0	0	0
CAROL MURROW
VP BUSINESS DEVELOPMENT	149127	0	0	0	17074	0	6047	0	10812	0	183060	0	0	0
PETER MARCELLUS
FORMER DIR. MEDICAL AFFAIRS	172931	0	0	0	863	0	7273	0	20805	0	201872	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
GROSS-UP PAYMENTS	SCHEDULE J, PART I, LINE 1	DOCTOR ARUNAKUL RECEIVED GROSS-UP PAYMENTS ON FORGIVEN PRINCIPAL AND INTEREST. STRONG, MURROW, TILUS AND VIJITBENJARONK RECEIVED GROSS-UP PAYMENTS ON GIFT CARDS. ALL AMOUNTS WERE TREATED AS TAXABLE.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B	STEVE EDWARDS, JACOB MCWAY, AND JOHN DUFF PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN THROUGH LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $110,897. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $139,676, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $77,479. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $85,023, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JOHN DUFF RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $105,338. - JOHN DUFF RECEIVED A 457(F) DISTRIBUTION OF $34,836, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990.
INCENTIVE PAYMENTS	SCHEDULE J, PART I, LINE 7	THE PHYSICIANS ARE ELIGIBLE FOR AN INCENTIVE PAYMENT, BASED ON REACHING A THRESHOLD SET BY THE CEC. ONCE THE PHYSICIANS' WORK RELATIVE VALUE UNITS (WRVU) ARE IN EXCESS OF THIS THRESHOLD ON AN ANNUAL BASIS THE PHYSICIAN RECEIVES A INCENTIVE. THE INCENTIVE IS CALCULATED ON 15% OF THE PHYSICIANS WRVU BASE RATE MULTIPLIED BY THE NUMBER OF WRVU'S IN EXCESS OF THAT THRESHOLD. THIS INCENTIVE IS ONLY COMPENSATED ONCE A YEAR AND IS CALCULATED IN OCTOBER. PHYSICIANS WHO HAVE A GUARANTEE ARE NOT ELIGIBLE FOR THE INCENTIVE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF TANEY CO	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	431288274	IssuerEIN
CUSIP Number	87539NBQ8	CUSIPNumber
Date Issued	2005-11-17	DateIssued
Issue Price	17635000	IssuePrice
Description Of Purpose	CONSTRUCT AND EQUIP HOSPITAL FACIL	DescriptionOfPurpose
Defeased	true	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	3745000	AmountRetired
Amount Bond Defeased	13890000	AmountBondDefeased
Total Proceeds	18700518	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	562209	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	0	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	16910892	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	true	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	false	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Prcntge Bond Financed Prop	0.00000	PrcntgeBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
No Rebate Due	true	NoRebateDue
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	true	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	AIG MATCHED FUND CO	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of GIC	23.4	TermOfGIC
Regulatory Safe Harbor Satisfied	true	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	true	GrossProceedsInvested
Written Proc To Monitor Reqs	true	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
TAX EXEMPT BOND	SCHEDULE K, PART II, LINE 3, COLUMN A	THE AMOUNT ENTERED IN PART II, LINE 3, COLUMN A IS GREATER THAN THE "ISSUE PRICE" OF THE BONDS ENTERED ON PART I, LINE A, COLUMN (E) BECAUSE OF INVESTMENT EARNINGS THAT WERE EARNED ON THE BOND PROCEEDS DEPOSITED IN THE PROJECT FUND AND DEBT SERVICE RESERVE FUND. INVESTMENT EARNINGS ON THE DEBT SERVICE RESERVE FUND WERE ONLY TAKEN INTO ACCOUNT THROUGH THE END OF THE "PROJECT PERIOD."
GROSS PROCEEDS IN RESERVE FUNDS	SCHEDULE K, PART II, LINE 4, COLUMN A	THE BONDS ARE NO LONGER OUTSTANDING. ALL AMOUNTS IN THE DEBT SERVICE RESERVE FUND WERE USED TO REDEEM THE BONDS ON MAY 6, 2013.
NO REBATE DUE	SCHEDULE K, PART IV, LINE 2(C), COLUMN A	THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF MAY 6, 2013.

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Total Balance Due	0	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SKAGGS HEALTH SYSTEMS
SEE PART V.	175800	PHO DUES & ADMIN FEES	false
WHITE RIVER VALLEY ELECTRIC COOP
SEE PART V.	156479	LOAN REPAYMENT & ELECTRIC SVC	false
CONNIE MARCELLUS
SPOUSE OF PETER MARCELLUS	19444	COMPENSATION	false
360 DEGREE MEDICINE
SEE PART V	4706184	CONTRACTED PHYSICIANS	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	TRANSACTIONS WITH INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV, COLUMN B	ReturnReference
Explanation	(1) SKAGGS HEALTH SYSTEMS AND COX MEDICAL CENTER BRANSON SHARE COMMON BOARD MEMBERS, INCLUDING: JAMES BERRY, PHIL LOYD, AND DENNIS NEWKIRK. ADDITIONALLY, CEO WILLIAM MAHONEY AND CFO DAVID STRONG SERVE ON THE BOARD OF SKAGGS HEALTH SYSTEMS. (2) BOB SIMMONS, A BOARD MEMBER OF COX MEDICAL CENTER BRANSON, IS ALSO A BOARD MEMBER OF WHITE RIVER VALLEY ELECTRIC COOP. (4) RICHARD BLUBAUGH, A BOARD MEMBER OF COX MEDICAL CENTER BRANSON, IS ALSO A BOARD MEMBER AND MANAGING PARTNER OF 360 DEGREE MEDICINE.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION SUMMARY	FORM 990, PART I, LINE 1	VISION: THE HOSPITAL'S VISION IS TO BE THE BEST FOR THOSE WHO NEED US. WE VALUE SAFETY, COMPASSION, RESPECT AND INTEGRITY. THE HOSPITAL 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. ON JUNE 28, 2012, THE HOSPITAL SIGNED A NONBINDING LETTER OF INTENT WITH LESTER E. COX MEDICAL CENTERS (COXHEALTH) TO EXCLUSIVELY NEGOTIATE A DEFINITIVE AGREEMENT WHEREBY COXHEALTH REPLACES THE TRUSTEES OF THE HOSPITAL TO BECOME THE SOLE MEMBER AND OWNER. THE LETTER OF INTENT WAS THE RESULT OF A FOUR MONTH PROCESS WHICH BEGAN IN FEBRUARY 2012 WITH THE HOSPITAL ISSUING A REQUEST FOR PROPOSAL. COXHEALTH AND ONE OTHER FINALIST WERE SELECTED TO UNDERGO THE INITIAL DUE DILIGENCE PROCESS AND NEGOTIATE A LETTER OF INTENT. COXHEALTH WAS SELECTED AS THE FINALISTS BY THE HOSPITAL'S BOARD. UNDER THE AGREEMENT, A MEMBER SUBSTITUTION MODEL, THE HOSPITAL CONTINUES TO MAINTAIN ITS OWN HOSPITAL BOARD WHILE BECOMING A SUBSIDIARY OF COXHEALTH. COXHEALTH, AS THE PARENT COMPANY, ASSUMES THE RESPONSIBILITIES PREVIOUSLY HELD BY THE SKAGGS BOARD OF TRUSTEES. ADDITIONALLY, COXHEALTH WILL HAVE REPRESENTATION ON THE SKAGGS BOARD AND SKAGGS WILL HAVE REPRESENTATION ON THE COXHEALTH BOARD. THIS ALLOWS BOTH PARTIES TO ACT TOGETHER AS ONE ENTITY FOR THE PURPOSES OF CONTRACTING, RECRUITMENT AND GROWTH. IN JANUARY 2013 THE HOSPITAL BECAME A PART OF THE COXHEALTH NETWORK, DOING BUSINESS AS COX MEDICAL CENTER BRANSON.
PROGRAM SERVICE ACHIEVEMENT #1	FORM 990, PART III, LINE 4A	COX MEDICAL CENTER BRANSON PROVIDES THE FOLLOWING AREAS OF SERVICE: CANCER, CARDIAC, DIABETES & ENDOCRINOLOGY, EAR NOSE & THROAT, EMERGENCY, URGENT CARE, FAMILY MEDICINE, IMAGING & RADIOLOGY, LABORATORY & PATHOLOGY, NEPHROLOGY & DIALYSIS, NEUROLOGY, OCCUPATIONAL HEALTH, ORTHOPEDICS, PEDIATRICS, PSYCHIATRY, PULMONOLOGY/CRITICAL CARE, REHABILITATION & THERAPY, RHEUMATOLOGY, SLEEP DISORDER CENTER, SOCIAL SERVICES, SURGERY, UROLOGY, WOMEN'S SERVICES AND WOUND CARE. IN THE FISCAL YEAR COX BRANSON BEGAN PROVIDING THE FULLTIME SERVICES OF A PHYSICIAN'S ASSISTANT AT FAITH COMMUNITY HEALTH CLINIC, WHICH PROVIDES TREATMENT AND PREVENTATIVE HEALTHCARE FOR THE UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY. ADDITIONALLY, MARKETING AND COMMUNICATIONS EFFORTS WERE PROVIDED TO THE CLINIC BY COX BRANSON. IN THE FISCAL YEAR COX BRANSON TOOK THE LEAD IN BRINGING TOGETHER AREA ORGANIZATIONS WITH THE SIMILAR GOAL OF ADDRESSING THE HEALTHCARE NEEDS OF THE COMMUNITY, AS IDENTIFIED BY THE COMMUNITY NEEDS ASSESSMENT: UNHEALTHY BODY WEIGHT, ACCESS TO CARE, MENTAL HEALTH, AND SUBSTANCE ABUSE - INCLUDING TOBACCO, AND CHILD AND FAMILY SAFETY. THE COALITION IS NAMED OWNIT AND IS LED BY A STEERING COMMITTEE AND MEMBERS MAKE UP SUCH AGENCIES AND ORGANIZATIONS AS THE TANEY AND STONE COUNTY HEALTH DEPARTMENTS AND MORE. INITIATIVES THAT HAVE BEEN CREATED AS A RESULT OF THIS COALITION ARE: - "STAYING FIT" - A GRANT FUNDED PROGRAM THAT TARGETS AREA YOUTH AND OBESITY. - "TRI-LAKES CLEAN AIR ALLIANCE" - A GRANT FUNDED PROGRAM THAT EDUCATES THE COMMUNITY OF THE DANGERS OF TOBACCO USE AND DRIVES AN INITIATIVE TO CHANGE POLICY. IN FEBRUARY OF 2013, COX BRANSON PRESENTED A ONE DAY HEALTH FAIR. THE EVENT INCLUDED LOW-COST AND FREE HEALTH SCREENINGS, FREE HEALTH PRESENTATIONS AND FREE FITNESS CLASSES. APPROXIMATELY 500 PEOPLE ATTENDED WITH 250 PARTICIPATING IN THE LOW-COST SCREENINGS. IN APRIL OF 2013, THANKS IN PART TO GRANT FUNDING SECURED BY SKAGGS FOUNDATION, COX BRANSON BEGAN PROVIDING TOBACCO CESSATION CLASSES, LED BY AN INSTRUCTOR WHO IS A CERTIFIED TOBACCO TREATMENT SPECIALIST THROUGH THE MAYO CLINIC AND CERTIFIED THROUGH THE ALA AS A FREEDOM FROM SMOKING FACILITATOR. SUBSTANCE ABUSE, INCLUDING TOBACCO USE, IS IDENTIFIED AS A HEALTHCARE NEED IN THE COMMUNITY HEALTH ASSESSMENT. IN APRIL OF 2013, COX BRANSON PRESENTED THE SAFE SUMMER INJURY PREVENTION EXPO FOR KIDS AND FAMILIES. THE FREE, ONE DAY EVENT HIGHLIGHTED THE COMMON INJURIES CHILDREN SUFFER DURING THE SUMMER MONTHS: WATER-RELATED, BICYCLE AND OTHER WHEELED SPORTS, AND PEDESTRIAN INJURIES. THROUGH FISCAL YEAR 2013 A TOTAL OF TWO COMMUNITY SCREENINGS WERE HELD AT COX MEDICAL CENTER BRANSON'S MAIN CAMPUS AND A SATELLITE CLINIC IN KIMBERLING CITY. A TOTAL OF 50 PEOPLE TOOK PART IN THE LOW-COST AND FREE SCREENINGS PROVIDED. LOW-COST SCREENINGS INCLUDE: CHOLESTEROL, A1C AND PSA AND A COMPLETE LIPID PANEL. FREE SCREENINGS INCLUDE: BMI, BODY FAT, HEIGHT, WEIGHT, BLOOD PRESSURE. NEW EQUIPMENT/SERVICES IN FISCAL YEAR 2013 COX BRANSON PURCHASED THE BECKMAN COULTER POWER PROCESSOR SAMPLE HANDLING SYSTEM AND CLINICAL CHEMISTRY SYSTEM, WHICH UPDATES EQUIPMENT THAT WAS EIGHT YEARS OLD. THIS ELECTRONIC, AUTOMATED ASSEMBLY LINE READS BAR-CODED TUBES OF BLOOD AND MUCH MORE. THE OUTCOME IS PATIENTS' LAB RESULTS BEING PROCESSED FASTER - MORE THAN 300 SAMPLES PER HOUR. THE COST OF THE NEW EQUIPMENT IS $1 MILLION DOLLARS, TO BE PAID FOR OVER THE NEXT SEVEN YEARS. INTERVENTIONAL CARDIOLOGISTS AT COXHEALTH CARDIOLOGY BRANSON ARE ON THE CUTTING EDGE OF CARDIAC CATHETERIZATION, INTRODUCING IN FISCAL YEAR 2013, A NEW ACCESS POINT, THE RADIAL ARTERY, TO REDUCE RECOVERY TIME, BLEEDING AND SAVE MONEY. ADDITIONAL PROGRAMS WITH A FOCUS ON ADDRESSING THE COMMUNITY'S UNHEALTHY BODY WEIGHT, AS IDENTIFIED BY THE COMMUNITY NEEDS ASSESSMENT, THE FOLLOWING PROGRAMS WERE OFFERED BY COXHEALTH FITNESS CENTER BRANSON IN FISCAL YEAR 2013: "THE 101 DAY WEIGHT LOSS CHALLENGE" AND "MAINTAIN DON'T GAIN." THESE PROGRAMS PROVIDED A DISCOUNT TO ACCESS THE FITNESS CENTER AND ATTEND UNLIMITED BOOT CAMPS WITH CERTIFIED PERSONAL TRAINERS.
PROGRAM SERVICE ACHIEVEMENT #3	FORM 990, PART III, LINE 4C	OUR INTERDISCIPLINARY TEAM WORKS HARD TO PROVIDE THE FINEST IN HOME HEALTH CARE, ALLOWING THE PATIENT COMFORT AND PRIVACY IN HIS/HER OWN SURROUNDINGS. BY DELIVERING THIS TYPE OF APPROPRIATE CARE UNDER THE SUPERVISION OF A PHYSICIAN, WE CAN HELP PATIENTS AVOID HOSPITALIZATION. HOWEVER, IF HOSPITALIZATION DOES BECOME NECESSARY, WE CAN HELP PATIENTS RECUPERATE MORE QUICKLY.
AUDITED FINANCIAL STATEMENTS	FORM 990, PART IV, LINE 20B	THE ORGANIZATION DID NOT RECEIVE AN AUDIT FOR THE FISCAL YEAR ENDING APRIL 30, 2013. IN ACCORDANCE WITH THE BYLAWS, WHICH WERE UPDATED AS A RESULT OF THE AGREEMENT WITH COXHEALTH, THE ORGANIZATION HAS ADOPTED A NEW FISCAL YEAR, ENDING SEPTEMBER 3O. COX MEDICAL CENTER BRANSON IS INCLUDED IN THE CONSOLIDATED AUDIT OF THE COXHEALTH SYSTEM FOR THE YEAR ENDED SEPTEMBER 30, 2013, WHICH IS ATTACHED TO THIS RETURN.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, SECTION A, LINE 4	ON JUNE 28, 2012, THE HOSPITAL SIGNED A NONBINDING LETTER OF INTENT WITH LESTER E. COX MEDICAL CENTERS (COXHEALTH) TO EXCLUSIVELY NEGOTIATE A DEFINITIVE AGREEMENT WHEREBY COXHEALTH REPLACES THE TRUSTEES OF THE HOSPITAL TO BECOME THE SOLE MEMBER AND OWNER. UNDER THE AGREEMENT, A MEMBER SUBSTITUTION MODEL, THE HOSPITAL CONTINUES TO MAINTAIN ITS OWN HOSPITAL BOARD WHILE BECOMING A SUBSIDIARY OF COXHEALTH. COXHEALTH, AS THE PARENT COMPANY, ASSUMES THE RESPONSIBILITIES PREVIOUSLY HELD BY THE SKAGGS BOARD OF TRUSTEES. ADDITIONALLY, COXHEALTH WILL HAVE REPRESENTATION ON THE SKAGGS BOARD AND SKAGGS WILL HAVE REPRESENTATION ON THE COXHEALTH BOARD. THIS ALLOWS BOTH PARTIES TO ACT TOGETHER AS ONE ENTITY FOR THE PURPOSES OF CONTRACTING, RECRUITMENT AND GROWTH. AS PART OF THE AGREEMENT, SKAGGS COMMUNITY HOSPITAL ASSOCIATION, DOING BUSINESS AS COX MEDICAL CENTER BRANSON, AMENDED ITS BYLAWS. SIGNIFICANT CHANGES RELATED TO THE AGREEMENT ARE AS FOLLOWS: - IN JANUARY 2013 THE HOSPITAL BECAME A PART OF THE COXHEALTH NETWORK, DOING BUSINESS AS COX MEDICAL CENTER BRANSON. - COX BRANSON SHALL HAVE ONE MEMBER WHICH SHALL BE LESTER E. COX MEDICAL CENTERS (COXHEALTH). THE POWERS AND DUTIES OF THE MEMBER WERE ALSO UPDATED. SEE NARRATIVE FOR FORM 990, PART VI, LINES 6, 7A & 7B FOR ADDITIONAL DETAILS. - THE AFFAIRS OF COX BRANSON SHALL BE MANAGED, SUPERVISED AND CONTROLLED BY A BOARD CONSISTING OF AT LEAST ELEVEN (11), BUT NOT MORE THAN FIFTEEN (15) MEMBERS. THE BOARD SHALL CONSIST OF THE FOLLOWING REPRESENTATIVES OF THE MEMBER: PRESIDENT AND CEO OF THE MEMBER; A MEMBER DESIGNATED BY THE PRESIDENT AND CEO OF THE MEMBER AND THE CHO OF THE MEMBER ("MEMBER DIRECTORS"). THREE (3) DIRECTORS SHALL BE FROM THE ACTIVE COX BRANSON MEDICAL STAFF. THESE NON-MEMBER REPRESENTATIVE DIRECTORS SHALL HAVE THEIR PRIMARY RESIDENCE IN THE BRANSON, MISSOURI AREA UNLESS A MAJORITY OF THE APPROVES OTHERWISE. - THE FISCAL YEAR OF COX BRANSON SHALL BEGIN OCTOBER 1 AND END SEPTEMBER 30.
MEMBERS, STOCKHOLDERS, OR OTHER PERSONS	FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B	THE ORGANIZATION HAS ONLY ONE MEMBER - LESTER E COX MEDICAL CENTERS (COXHEALTH). THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE SOLELY AND SPECIFICALLY RESERVED TO THE MEMBER; A. ELECTION, APPOINTMENT AND REMOVAL OF COX BRANSON BOARD OF DIRECTORS ("BOARD") AFTER NOMINATION BY THE BOARD; B. APPOINTMENT AND REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF COX BRANSON ("PRESIDENT AND CEO OF COX BRANSON") AFTER RECOMMENDATION BY/CONSULTATION WITH THE BOARD; C. APPROVAL OF COX BRANSON'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES EXCEEDING $250,000; D. APPROVAL OF COX BRANSON'S OPERATING AND CAPITAL BUDGETS AND FINANCIAL REPORTS, MERGERS, CONSOLIDATIONS, ACQUISITIONS, AFFILIATIONS, AND REORGANIZATION OR DISPOSITION OF ASSETS EXCEEDING THE THEN FAIR VALUE OF $250,000; E. AMENDMENT, REPEAL OR ADOPTION OF COX BRANSON'S ARTICLES OF INCORPORATION AND BYLAWS EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS. 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 COX BRANSON DIRECTORS AND OFFICERS TO SUBMIT TO THE COXHEALTH BOARD FOR APPOINTMENT. THE COXHEALTH BOARD 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 BOARD HAS THE RIGHT TO NOMINATE ANOTHER PERSON FOR CONSIDERATION. FINAL DECISIONS MADE BY THE BOARD OF THE DIRECTORS MUST ALSO BE APPROVED BY THE COXHEALTH BOARD AS WELL. THE MEMBER SHALL NOT EXERCISE ITS POWERS WITHOUT FIRST OBTAINING APPROVAL FROM TWO-THIRDS (2/3) MAJORITY OF THE BOARD IN THE FOLLOWING CIRCUMSTANCES: A. TRANSFER ANY OF ITS COX BRANSON MEMBERSHIP TO ANY OTHER ENTITY; B. SELL OR LEASE ALL OR SUBSTANTIALLY ALL OF COX BRANSON'S ASSETS; AND C. ENTER INTO A MANAGEMENT AGREEMENT FOR ALL OR SUBSTANTIALLY ALL OF COX BRANSON'S OPERATION. THE MEMBER MAY NOT TERMINATE OR SUBSTANTIALLY LIMIT THE FOLLOWING COX BRANSON SERVICE LINES WITHOUT FIRST OBTAINING APPROVAL FROM TWO-THIRDS (2/3) MAJORITY OF THE BOARD: EMERGENCY DEPARTMENT, CARDIOLOGY, ORTHOPEDICS, PRIMARY CARE, RADIATION AND MEDICAL ONCOLOGY, RADIOLOGY, PATHOLOGY, ANESTHESIA, GENERAL SURGERY, ICU, MEDICAL/SURGICAL SERVICES, ACUTE REHABILITATION SERVICES, WOMEN'S HEALTH SERVICES, GERIATRICS, NEUROSCIENCES, PAIN MANAGEMENT, PSYCHIATRY, UROLOGY AND ENDOCRINOLOGY NOTWITHSTANDING THE ABOVEMENTIONED LIMITATION, THESE SERVICE LINES MAY BE TERMINATED OR SUBSTANTIALLY LIMITED BY THE MEMBER WITHOUT TWO-THIRDS (2/3) MAJORITY OF THE COX BRANSON BOARD IF (I) THERE IS A LOSS OF A LICENSE OR ACCREDITATION REQUIRED TO MAINTAIN SUCH SERVICE, OR A LOSS OF MEDICARE OR MEDICAID CERTIFICATION REQUIRED FOR SUCH SERVICE, IN EACH CASE, OTHER THAN DUE TO THE ACTIONS OR INACTIONS OF THE MEMBER OR COX BRANSON OR (II) THERE IS DESTRUCTION OR MATERIAL DAMAGE TO A FACILITY (PENDING THE PERFORMANCE OR REPAIR OR REPLACEMENT EFFORTS).
REVIEW OF FORM 990	FORM 990, PART VI, SECTION B, LINE 11B	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. A DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. WHILE THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS, IT IS THE MEMBERS OF THE FINANCE COMMITTEE THAT GO THROUGH AND REVIEW THE RETURN IN DETAIL. UPON RECEIVING THE APPROVAL OF THE BOARD OF DIRECTORS, THE DRAFT IS THEN FINALIZED AND SUBMITTED TO THE IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	DIRECTORS AND COMMITTEE MEMBERS SHALL FILE A DISCLOSURE STATEMENT ANNUALLY WITH THE PRESIDENT AND CEO OF COX BRANSON OR HIS/HER DESIGNEE, WHICH DOCUMENT SHALL BE DISCLOSED TO THE BOARD AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE MEMBER. DIRECTORS AND COMMITTEE MEMBERS SHALL INFORM THE BOARD OR COMMITTEE, AS THE CASE MAY BE, OF ANY DUALITY OF INTEREST OR ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ANY MATTER UNDER CONSIDERATION. SUCH PERSON SHALL NEITHER VOTE NOR USE HIS/HER INFLUENCE TO AFFECT THE DECISION ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION, EVEN WHEN PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE, ABSTENTION FROM VOTING, AND QUORUM STATUS. NOTHING HEREIN PREVENTS THE BOARD FROM AUTHORIZING, APPROVING OR RATIFYING A BUSINESS RELATIONSHIP OR REACHING A CONCLUSION ON AN ISSUE DESPITE A CONFLICT OF INTEREST OR DUALITY OF INTEREST, SO LONG AS THE PROCEDURES DESCRIBED IN THE BYLAWS ARE FOLLOWED. DISCUSSION: THE PROCEDURES ABOVE SHALL NOT PREVENT THE DIRECTOR OR COMMITTEE MEMBER FROM BRIEFLY STATING HIS/HER POSITION ON THE MATTER, OR FROM ANSWERING PERTINENT QUESTIONS ABOUT IT, IF THE DUTIES SET FORTH HEREIN ARE SUBJECT TO THE RESERVED POWERS OF THE MEMBER'S KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION. ALL DIRECTORS SHALL BE INFORMED OF THIS ARTICLE BY THE PRESIDENT AND CEO OF COX BRANSON UPON TAKING OFFICE. VOTING: DIRECTORS AND COMMITTEE MEMBERS SHALL INFORM THE BOARD OR COMMITTEE, AS THE CASE MAY BE, OF ANY DUALITY OF INTEREST OR ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ANY MATTER UNDER CONSIDERATION. SUCH PERSON SHALL NEITHER VOTE NOR USE HIS/HER INFLUENCE TO AFFECT THE DECISION ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION, EVEN WHEN PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE, ABSTENTION FROM VOTING, AND QUORUM STATUS. NOTHING HEREIN PREVENTS THE BOARD FROM AUTHORIZING, APPROVING OR RATIFYING A BUSINESS RELATIONSHIP OR REACHING A CONCLUSION ON AN ISSUE DESPITE A CONFLICT OF INTEREST OR DUALITY OF INTEREST, SO LONG AS THE PROCEDURES DESCRIBED IN THIS ARTICLE ARE FOLLOWED. THE POLICY ABOVE SHALL NOT PREVENT THE DIRECTOR OR COMMITTEE MEMBER FROM BRIEFLY STATING HIS/HER POSITION ON THE MATTER, OR FROM ANSWERING PERTINENT QUESTIONS ABOUT IT, IF THE DUTIES SET FORTH HEREIN ARE SUBJECT TO THE RESERVED POWERS OF THE MEMBER'S KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION. NOTICE: ALL DIRECTORS SHALL BE INFORMED OF THIS ARTICLE BY THE PRESIDENT AND CEO OF COX BRANSON UPON TAKING OFFICE.
COMPENSATION REVIEW	FORM 990, PART VI, SECTION B, LINES 15A & 15B	THE COMPENSATION AND BENEFITS COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, MET ON 10/23/2012 TO REVIEW THE COMPENSATION AND BENEFITS FOR THE CEO OF THE HOSPITAL. THE CEO REVIEWS THE COMPENSATION OF THE VICE PRESIDENTS AND MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE WHO FORMALLY APPROVES THE COMPENSATION. THE COMMITTEE OBTAINED COMPARABILITY DATA OF TOTAL COMPENSATION AND BENEFITS FOR COMPARABLE POSITIONS FROM INTEGRATED HEALTHCARE STRATEGIES, MERCER AND SULLIVAN COTTER. AFTER CONSIDERING ALL DATA, COMPENSATION WAS DETERMINED TO BE REASONABLE AND WAS APPROVED. THIS PROCESS WAS DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMMITTEE MEETING.
DOCUMENT DISCLOSURE	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	OTHER FEES FOR SERVICES ARE COMPRISED OF THE FOLLOWING CATEGORIES: $ 6,642,284 CONTRACT SERVICES 4,074,111 OTHER CONTRACTS 4,080,277 NON-LABOR CONTRACTED SERVICES 4,124,251 PHYSICIAN CONTRACT LABOR 3,043,297 CONTRACTED LAB SERVICES 1,131,186 NON-PHYSICIAN CONTRACT LABOR 763,180 CONTRACTED COLLECTION AGENCY 689,518 CONTRACTED CONSULTING SERVICES 306,269 CONTRACTED TRANSCRIPTION SERVICES 104,017 CONTRACTED X-RAY SERVICES ---------- $24,958,390 TOTAL
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9	$30,334,482 ASSET FAIR VALUE ADJUSTMENT 1,494,623 CHANGE IN INVESTMENT IN SKAGGS FOUNDATION 630,231 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST ---------- $32,459,336 TOTAL

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SKAGGS EMERGENCY PHYSICIANS
PO BOX 650	BRANSON	MO	65615	352275232	BILLING	MO	0	0	CMCB
BRANSON HEART CENTER
PO BOX 650	BRANSON	MO	65615	300497209	BILLING	MO	0	0	CMCB
SKAGGS OCCUPATIONAL HEALTH
PO BOX 650	BRANSON	MO	65615	383774737	BILLING	MO	0	0	CMCB
BRANSON FAMILY MEDICINE CLINIC
PO BOX 650	BRANSON	MO	65615	322331834	BILLING	MO	0	0	CMCB
BRANSON ORTHONEURO CENTER LLC
PO BOX 650	BRANSON	MO	65615	171952089	MED BLDG	MO	641636	8189932	CMCB

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
COX ALTERNATIVE CARE OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641925	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	false
COXHEALTH FOUNDATION
3525 S NATIONAL SUITE 204	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(C)(3)	11 A I	COXHEALTH	false
COXHEALTH HME CRE SVCS OF THE MDWST INC
3850 S NATIONAL	SPRINGFIELD	MO	65807	264781194	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	false
COX HPS OF THE OZARKS INC
2220 W SUNSET	SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	false
COX-MONETT HOSPITAL INC
801 LINCOLN AVE	MONETT	MO	65708	431656689	HOSPITAL	MO	501(C)(3)	3	COXHEALTH	false
COX-MONETT HOSPITAL AUXILIARY
801 LINCOLN AVE	MONETT	MO	65708	431852817	FUNDRAISING	MO	501(C)(3)	9	COXHEALTH	false
HEALTH ENRICHMENT SERVICES INC
3801 S NATIONAL	SPRINGFIELD	MO	65807	363263313	MED SVC	MO	501(C)(3)	7	COXHEALTH	false
HEALTHCARE SERVICES OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	false
PRIMROSE PLACE INC
1115 E PRIMROSE	SPRINGFIELD	MO	65807	431183783	NURSING HOME	MO	501(C)(3)	11 a i	COXHEALTH	false
COXHEALTH AUXILIARY
3801 S NATIONAL	SPRINGFIELD	MO	65807	431090590	SUPPORT	MO	501(C)(3)	9	COXHEALTH	false
COX MEDICAL CTR GENPROF LIAB LOSS FUND
1423 N JEFFERSON	SPRINGFIELD	MO	65802	366668576	SELF-INSURAN	MO	501(C)(3)	11 a i	COXHEALTH	false
LESTER E COX MEDICAL CENTERS
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	440577118	HOSPITAL	MO	501(C)(3)	3	NA	false

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
SKAGGS-COX HEALTH ALLIANCE LL
1423 N JEFFERSON AVENUE	SPRINGFIELD	MO	65807	271117343	HEALTHCARE	MO	COXHEALTH	RELATED	0	-64196	false	$0	false	0.40000
PCRMC-COX HEALTH ALLIANCE LLC
1423 N JEFFERSON AVENUE	SPRINGFIELD	MO	65807	300649009	HEALTHCARE	MO	NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country
COX HEALTH SYSTEMS HMO INC
PO BOX 5750	SPRINGFIELD	MO	658015750	431757075	HMO	MO	NA	C CORP	false
COX HEALTH SYSTEMS INSURANCE COMPANY
3525 S NATIONAL SUITE 205	SPRINGFIELD	MO	65807	431684044	INSURANCE	MO	NA	C CORP	false
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	NA	C CORP	false	0.00000
INSURANCE COMPANY OF SPRINGFIELD INC
					CAPTIVE INSUR	MO	NA	C CORP	false	0.00000	GRAND PAVILION CORPORATE CENTRE	GRAND CAYMAN	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg