LESTER E COX MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: LESTER E COX MEDICAL CENTER (EIN 44-0577118)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-14
IRS object ID: 201312269349303366
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-14T15:08:31-05:00	Timestamp
Tax Period End Date	2012-09-30	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	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	440577118	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LESTER E COX MEDICAL CENTERS	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JACOB M MCWAY	InCareOfName
Name Control	LEST	NameControl
Phone	4172698811	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1423 N JEFFERSON ST	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	65802	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JACOB M MCWAY	Name
Title	SENIOR VP & CFO	Title
Date Signed	2013-08-12	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	2011	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	COXHEALTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	STEVE EDWARDS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1423 N JEFFERSON	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	65802	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1120852921	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.COXHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1923	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	29	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	8309	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	2499791	TotalGrossUBI
Net Unrelated Business Txbl Income	105807	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2449996	ContributionsGrantsPriorYear
Contributions Grants Current Year	2680250	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	921786583	ProgramServiceRevenuePriorYear
Program Service Revenue CY	952617795	ProgramServiceRevenueCY
Investment Income Prior Year	6595874	InvestmentIncomePriorYear
Investment Income Current Year	9109712	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3867668	OtherRevenuePriorYear
Other Revenue Current Year	3026667	OtherRevenueCurrentYear
Total Revenue Prior Year	934700121	TotalRevenuePriorYear
Total Revenue Current Year	967434424	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1705898	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1830829	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	396216572	SalariesEtcPriorYear
Salaries Etc Current Year	406861332	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	448848	TotalFundrsngExpCurrentYear
Other Expense Prior Year	512634914	OtherExpensePriorYear
Other Expenses Current Year	525556006	OtherExpensesCurrentYear
Total Expenses Prior Year	910557384	TotalExpensesPriorYear
Total Expenses Current Year	934248167	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	24142737	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	33186257	RevenuesLessExpensesCY
Total Assets BOY	1009866577	TotalAssetsBOY
Total Assets EOY	1079342042	TotalAssetsEOY
Total Liabilities BOY	569514135	TotalLiabilitiesBOY
Total Liabilities EOY	594762251	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	440352442	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	484579791	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION & RESEARCH.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	591085324	Expense
Revenue	688556338	Revenue
Description	HOSPITAL SERVICES: AS A COMMUNITY OWNED, NON-PROFIT HOSPITAL, COXHEALTH PROVIDES THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE MANY OF THE MOST VULNERABLE IN OUR COMMUNITIES - THE UNDERINSURED AND UNINSURED. COMMUNITY BENEFIT IN FY12 TOTALED $127,509,955 SYSTEM-WIDE IN THESE CATEGORIES: SHORT-FALLS IN REIMBURSEMENT AND CHARITY CARE; COMMUNITY OUTREACH SERVICES INCLUDING COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND IMMUNIZATIONS; HEALTH PROFESSIONALS EDUCATION AND RESEARCH, INCLUDING THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	190344309	Expense
Revenue	150051864	Revenue
Description	PHYSICIAN CARE: EMPLOYED PHYSICIANS AT COXHEALTH 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 11 AND 38 PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC RESPECTIVELY. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. COXHEALTH CONTINUES TO PARTNER WITH WAL-MART, AND CURRENTLY HAS 5 PARTNERSHIP CLINICS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	32937525	Expense
Revenue	34882986	Revenue
Description	HOME CARE: COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE AND HOME SUPPORT, WHICH INCLUDE HOME CARE SERVICES AND DURABLE MEDICAL EQUIPMENT. THE OXFORD STAFF HELPS THEIR PATIENTS CONNECT WITH ASSOCIATION SUPPORT (I.E., ALZHEIMER'S ASSOCIATION AND ASSOCIATION FOR THE BLIND) AS WELL AS COORDINATING MEALS ON WHEELS AND TRANSPORTATION. OXFORD WORKS DILIGENTLY TO RAISE FUNDS FOR SUCH EVENTS AS A FAN DRIVE FOR PATIENTS WHO DO NOT HAVE AIR CONDITIONING, A FOOD DRIVE AND CHRISTMAS EVENTS. FOR ADDITIONAL INFORMATION, SEE SCHEDULE O.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	15785839	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1830829	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	76626816	TotalOfOtherProgramServiceRev
Total Program Service Expense	830152997	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	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	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	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	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	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	474	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8309	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
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	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
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	29	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	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	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JACOB M MCWAY	NamePerson
Telephone Number	4172698811	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3800 S NATIONAL	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	65807	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (55 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
LARRY W LIPSCOMB
CHAIRMAN	1.0	X	X	0	0	0
JAMES W HUTCHESON
1ST VICE CHAIRMAN	1.0	X	X	0	0	0
GRANT Q HADEN JD
2ND VICE CHAIRMAN	1.0	X	X	0	0	0
JOSEPH W TURNER JD
3RD VICE CHAIRMAN	1.0	X	X	0	0	0
CHARLES T CHALENDER
DIRECTOR	1.0	X		0	0	0
PIERRE L CLOTHIAUX MD
DIRECTOR	1.0	X		0	0	0
PATRICIA M DIX MD
DIRECTOR	40.0	X		298078	0	24673
DENNIS J HEIM
DIRECTOR	1.0	X		0	0	0
GEORGE O WOOD JD
DIRECTOR	1.0	X		0	0	0
JERRY G JARED
DIRECTOR	1.0	X		0	0	0
DONA K ELKINS
DIRECTOR	1.0	X		0	0	0
JEFFREY C GOWER DDS
DIRECTOR	1.0	X		0	0	0
RICHARD W KISSELL MD
DIRECTOR	40.0	X		189822	0	21573
RONALD D PONDS
DIRECTOR	1.0	X		0	0	0
GIL L TROUT
DIRECTOR	1.0	X		0	0	0
ROBERT C FULP
DIRECTOR	1.0	X		0	0	0
MICHAEL D GARRETT JD
DIRECTOR THROUGH 10/11	1.0	X		0	0	0
LARRY W HALVERSON MD
DIRECTOR	40.0	X		181824	0	20944
JANICE K HARRIS
DIRECTOR	1.0	X		0	0	0
HAL L HIGDON PHD
DIRECTOR	1.0	X		0	0	0
JOHN W MARTIN
DIRECTOR THROUGH 10/11	1.0	X		0	0	0
BEN A PARNELL
DIRECTOR	1.0	X		0	0	0
DAVID ZOLFAGHARI MD
DIRECTOR	1.0	X		0	0	0
JOHN E WOLFE MD
DIRECTOR THROUGH 10/11	1.0	X		0	0	0
THOMAS Y AUNER
DIRECTOR	1.0	X		0	0	0
HOWARD J FISK
DIRECTOR	1.0	X		0	0	0
MARK J HASELTINE
DIRECTOR	1.0	X		0	0	0
KURT D HELLWEG
DIRECTOR	1.0	X		0	0	0
JACK PRIM
DIRECTOR BEG. 10/11	1.0	X		0	0	0
JAMES GIBSON MD
DIRECTOR BEG. 10/11	1.0	X		0	0	0
CLIF SMART JD
DIRECTOR	1.0	X		0	0	0
JEFF TYNES
DIRECTOR BEG. 10/11	1.0	X		0	0	0
ROBERT H BEZANSON
PRESIDENT & CEO THROUGH 12/11	40.0		X	1681262	0	43484
STEVE EDWARDS
EXEC VP & COO/CEO BEG. 01/12	40.0		X	557597	0	115332
JACOB MCWAY
SENIOR VP & CFO	40.0		X	537173	0	107304
LAURIE DUFF
SEC OF THE BOD, VP - CORP COMM	40.0		X	160294	0	9192
JOHN DUFF
VP - ADMINISTRATION COX HOSP	40.0			401505	0	126761	X
ROBERT FERGUSON
VP - FERRELL DUNCAN CLINIC	40.0			264693	0	25304	X
CHARITY ELMER
GENERAL COUNSEL	40.0			328303	0	26120	X
DAVID TAYLOR
VP - REGIONAL SERVICES	40.0			244659	0	25648	X
RON PRENGER
ADMIN CWL, VP - CLINICAL SVCS	40.0			226427	0	24820	X
JOHN HURSH
VP - HUMAN RESOURCES	40.0			234703	0	23783	X
RODNEY SCHAFFER
VP - FACILITIES MANAGEMENT	40.0			191510	0	18385	X
PATRICK WALSH
VP - MARKETING & PLANNING	40.0			190950	0	21430	X
KAREN KRAMER
VP - CHIEF NURSING OFFICER	40.0			234148	0	23596	X
DANIEL SONTHEIMER MD
VP - MEDICAL AFFAIRS	40.0			375272	0	25943	X
PETE LEER
VP - CLINIC SERVICES	40.0			173198	0	20153	X
BETTY BRESHEARS
VP - CORPORATE COMPLIANCE	40.0			171431	0	20572	X
ANNE BRETT
PRESIDENT, COX COLLEGE	40.0			169610	0	10082	X
BRUCE ROBISON
CIO	40.0			189265	0	21157	X
KATHRYN DERROUGH MD
PHYSICIAN	40.0			553513	0	26741		X
MICHAEL PAYNE MD
PHYSICIAN	40.0			504087	0	21068		X
REGGIE GEORGE MD
PHYSICIAN	40.0			484548	0	26599		X
PAUL FREWIN MD
PHYSICIAN	40.0			473296	0	27060		X
LOUIS KRENN MD
PHYSICIAN	40.0			458204	0	26436		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9475372	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	884160	TotalOtherCompensation
Number Individuals GT100 K	321	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
FERRELL DUNCAN CLINIC INC
PHYS REMUNERATION	64201464
EMERGENCY PHYSICIANS OF SPFD
ER PHYSICIAN SERVICE	12553292
FERRELL DUNCAN BUILDING CO
BUILDING LEASE	3278514
OZARK ANESTHESIA ASSOCIATES
ANESTHESIA SERVICES	13343806
SPRINGFIELD NEUROLOGICAL INSTIT
PHYS REMUNERATION	14874853

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	66	NumberOfContractorsGT100K
Fundraising Events	62023	FundraisingEvents
Related Organizations	782422	RelatedOrganizations
All Other Contributions	1835805	AllOtherContributions
Total Contributions	2680250	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	900099	920698239	920698239
NET PATIENT SERVICE - UNRELATED LAB	621500	864094		864094
NET PATIENT SERVICE - UNRELATED RETAIL DME	446199	1593499		1593499
CAFETERIA, MEALS & VENDING	722210	4196701	4196701
FITNESS CENTERS	713940	3234512	3234512

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	22030750	TotalRevenueColumn
Related Or Exempt Function Income	21988552	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	42198	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	952617795	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	11674946	TotalRevenueColumn
Exclusion	$11,674,946	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	1766036	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	962043	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	803993	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	803993	TotalRevenueColumn
Exclusion	$803,993	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	149734560	Securities
Other	128196	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	152224642	Securities
Other	203348	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-2490082	Securities
Other	-75152	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2565234	TotalRevenueColumn
Exclusion	-$2,565,234	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	35581	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	62023	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	28464	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	7117	TotalRevenueColumn
Exclusion	$7,117	ExclusionAmount

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 (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
LOSS ON INVESTMENT IN EQUITY INVESTEE	900099	-95338	-$95,338
CHANGE IN INTEREST IN NET ASSETS OF SUBS	900099	2310895	$2,310,895

Field	Value	IRS element (for citing)
Total Other Revenue	2215557	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	967434424	TotalRevenueColumn
Related Or Exempt Function Income	950118004	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2499791	UnrelatedBusinessRevenue
Exclusion	$12,136,379	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	548863	Total
Program Services	548863	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1281966	Total
Program Services	1281966	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	7757980	Total
Program Services	3087184	ProgramServices
Management And General	4670796	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	456227	Total
Program Services	231194	ProgramServices
Management And General	225033	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	317847019	Total
Program Services	279080250	ProgramServices
Management And General	38605770	ManagementAndGeneral
Fundraising	160999	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3227067	Total
Program Services	3029965	ProgramServices
Management And General	185683	ManagementAndGeneral
Fundraising	11419	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	55464665	Total
Program Services	48212093	ProgramServices
Management And General	7244456	ManagementAndGeneral
Fundraising	8116	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	22108374	Total
Program Services	19180400	ProgramServices
Management And General	2927974	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	3894118	Total
Management And General	3894118	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	472488	Total
Management And General	472488	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	71671	Total
Management And General	71671	ManagementAndGeneral

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	703456	Total
Management And General	703456	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	159649196	Total
Program Services	127474330	ProgramServices
Management And General	32013071	ManagementAndGeneral
Fundraising	161795	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1933917	Total
Program Services	1543948	ProgramServices
Management And General	389969	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	20383158	Total
Program Services	16246662	ProgramServices
Management And General	4103568	ManagementAndGeneral
Fundraising	32928	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3923715	Total
Program Services	3132509	ProgramServices
Management And General	791206	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	19765111	Total
Program Services	18883104	ProgramServices
Management And General	853917	ManagementAndGeneral
Fundraising	28090	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	2602863	Total
Program Services	2078003	ProgramServices
Management And General	524860	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	1453280	Total
Program Services	1160230	ProgramServices
Management And General	293050	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14114337	Total
Program Services	12876065	ProgramServices
Management And General	1238272	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33409012	Total
Program Services	30477544	ProgramServices
Management And General	2930979	ManagementAndGeneral
Fundraising	489	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7016405	Total
Program Services	6400845	ProgramServices
Management And General	615560	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	76660381	76660381
MEDICAL SUPPLIES & DRUGS	134727449	134727449
STATE PROVIDER TAX	41152192	41152192
LICENSES, DUES, SUBSCRIPTIONS	1287459	1027846	259613

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2335798	Total
Program Services	1659974	ProgramServices
Management And General	630812	ManagementAndGeneral
Fundraising	45012	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	934248167	Total
Program Services	830152997	ProgramServices
Management And General	103646322	ManagementAndGeneral
Fundraising	448848	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	157745	BOY
EOY	2992003	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	214396315	BOY
EOY	198198345	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	101575566	BOY
EOY	142167801	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	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	13347528	BOY
EOY	18431693	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11147117	BOY
EOY	10674298	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7399457	BOY
EOY	7233197	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	843567254	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	523048216	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	333933033	BOY
EOY	320519038	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	209923877	BOY
EOY	260779624	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	22379130	BOY
EOY	21244134	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	51904373	BOY
EOY	55156301	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	25997936	BOY
EOY	25820103	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17704500	BOY
EOY	16125505	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1009866577	BOY
EOY	1079342042	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	177677273	BOY
EOY	210277103	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	3637500	BOY
EOY	2807135	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	309198109	BOY
EOY	307144505	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	4841837	BOY
EOY	5092976	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	13327389	BOY
EOY	12674608	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	60832027	BOY
EOY	56765924	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	569514135	BOY
EOY	594762251	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	417954508	BOY
EOY	461821091	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12560293	BOY
EOY	12587233	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9837641	BOY
EOY	10171467	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	440352442	BOY
EOY	484579791	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1009866577	BOY
EOY	1079342042	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	33186257	ReconcilationRevenueExpenses
Reconcilation Other Changes	11041092	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

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	true	DirectContactLegislators
Direct Contact Legislators	$38,826	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$32,845	OtherActivitiesAmount
Total Lobbying Expenditures IIB	71671	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DIRECT CONTACT WITH LEGISLATORS, ETC	SCHEDULE C, PART II-B, LINE 1G	THE ORGANIZATION CONTRACTED PENMAN & WINTON CONSULTING GROUP, A LOBBYING AND ASSOCIATION MANAGEMENT FIRM, TO LOBBY ISSUES THAT BENEFIT THE INTERESTS OF THE COMMUNITY, COXHEALTH AND ITS AFFILIATES.
OTHER LOBBYING ACTIVITIES	SCHEDULE C, PART II-B, LINE 1I	MEMBERS OF COXHEALTH'S 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 2012, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $31,075. IN ADDITION, $1,761 OF DUES PAID TO THE SPRINGFIELD AREA CHAMBER OF COMMERCE AND $9 OF DUES PAID TO THE AICPA WERE ATTRIBUTABLE TO LOBBYING.

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26041751	OtherCostOrOtherBasis
Book Value	26041751	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	292355229	OtherCostOrOtherBasis
Depreciation	145126384	Depreciation
Book Value	147228845	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4745930	OtherCostOrOtherBasis
Depreciation	3006341	Depreciation
Book Value	1739589	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	501183841	OtherCostOrOtherBasis
Depreciation	365654034	Depreciation
Book Value	135529807	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19240503	OtherCostOrOtherBasis
Depreciation	9261457	Depreciation
Book Value	9979046	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	320519038	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	INT IN NA OF TAX EXEMPT SUBS	Description
Book Value	55156301	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	55156301	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
INTEREST RATE BASIS SWAP	$3,265,240
EST AMT DUE TO 3RD PARTIES	$3,414,734
SELF INSURANCE CLAIMS PAYABLE	$44,686,260
REG SETTLEMENT LIABILITY	$5,399,690

Field	Value	IRS element (for citing)
Total Of Amounts	56765924	TotalOfAmounts
Total Revenue	967434424	TotalRevenue
Total Expenses	934248167	TotalExpenses
Excess Or Deficit For Year	33186257	ExcessOrDeficitForYear
Net Unrealized GL On Investments	34503297	NetUnrealizedGLOnInvestments
Other	-$23,462,205	OtherAmount
Total Adjustments	11041092	TotalAdjustments
Excess Or Deficit Per FS	44227349	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	978762567	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	34503297	NetUnrealizedGainsInvestments
Other Revenues	-24165661	OtherRevenues
Revenue Not Rptd F990	10337636	RevenueNotRptdF990
Revenue Subtotal	968424931	RevenueSubtotal
Other Revenues Not Included	-990507	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-990507	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	967434424	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	934535218	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	990507	OtherExpensesIncluded
Expenses Not Rptd F990	990507	ExpensesNotRptdF990
Expenses Subtotal	933544711	ExpensesSubtotal
Investment Expenses Not Included2	703456	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	703456	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	934248167	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
UNCERTAIN TAX POSITIONS	SCHEDULE D, PART X, LINE 2	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.
OTHER RECONCILING CHANGE IN NET ASSETS	SCHEDULE D, PART XI, LINE 8	$ (466,638) CONTRIBUTED (RETURN OF) CAPITAL - COX HEALTH SYSTEMS HMO (24,075,066) DEFINED BENEFIT LOSS 1,000,000 TRANSFER FROM AFFILIATE 79,499 CHANGE IN BENEFICIAL INTEREST IN TRUST ------------ $(23,462,205)
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12	SCHEDULE D, PART XII, LINE 2D	$ (466,638) CONTRIBUTED (RETURN OF) CAPITAL - COX HEALTH SYSTEMS HMO (24,075,066) DEFINED BENEFIT LOSS 1,000,000 TRANSFER FROM AFFILIATE 79,499 CHANGE IN BENEFICIAL INTEREST IN TRUST (703,456) INVESTMENT FEES ------------ $(24,165,661)
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1	SCHEDULE D, PART XII, LINE 4B	$ (962,043) RENT EXPENSE (28,464) SPECIAL EVENT EXPENSES ------------ $ (990,507)
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25	SCHEDULE D, PART XIII, LINE 2D	$ 962,043 RENT EXPENSE 28,464 SPECIAL EVENT EXPENSES ------------ $ 990,507

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	1	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvided
Total Expenditures	1233473	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	1	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Subtotal Amount Spent	1233473	SubtotalAmountSpent
Total Amount Spent	1233473	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	49937	GrossReceiptsEvent1
Charitable Contributions Event1	39809	CharitableContributionsEvent1
Gross Revenue Event1	10128	GrossRevenueEvent1
Non Cash Prizes Event1	810	NonCashPrizesEvent1
Rent Facility Costs Event1	15833	RentFacilityCostsEvent1
Other Direct Expenses Event1	499	OtherDirectExpensesEvent1
Name Of Event2	MEDICAL MILE	NameOfEvent2
Gross Receipts Event2	22868	GrossReceiptsEvent2
Charitable Contributions Event2	22214	CharitableContributionsEvent2
Gross Revenue Event2	654	GrossRevenueEvent2
Non Cash Prizes Event2	285	NonCashPrizesEvent2
Other Direct Expenses Event2	7837	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	24799	GrossReceiptsOtherEvents
Gross Revenue Other Events	24799	GrossRevenueOtherEvents
Non Cash Prizes Other Events	225	NonCashPrizesOtherEvents
Other Direct Expenses Other Events	2975	OtherDirectExpensesOtherEvents
Gross Receipts Total	97604	GrossReceiptsTotal
Charitable Contributions Total	62023	CharitableContributionsTotal
Gross Revenue Total Events	35581	GrossRevenueTotalEvents
Non Cash Prizes Total Events	1320	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	15833	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	11311	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	28464	DirectExpenseSummaryEvents
Net Income Summary	7117	NetIncomeSummary

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	false	FPGReferenceFreeCare
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
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	27548809	TotalCommunityBenefitExpense
Net Community Benefit Expense	27548809	NetCommunityBenefitExpense
Percent Of Total Expense	0.03210	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	130217668	TotalCommunityBenefitExpense
Direct Offsetting Revenue	89931169	DirectOffsettingRevenue
Net Community Benefit Expense	40286499	NetCommunityBenefitExpense
Percent Of Total Expense	0.04700	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	157766477	TotalCommunityBenefitExpense
Direct Offsetting Revenue	89931169	DirectOffsettingRevenue
Net Community Benefit Expense	67835308	NetCommunityBenefitExpense
Percent Of Total Expense	0.07910	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	304347	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9051	DirectOffsettingRevenue
Net Community Benefit Expense	295296	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15579790	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9606529	DirectOffsettingRevenue
Net Community Benefit Expense	5973261	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12651255	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9162813	DirectOffsettingRevenue
Net Community Benefit Expense	3488442	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16366	TotalCommunityBenefitExpense
Net Community Benefit Expense	16366	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1123059	TotalCommunityBenefitExpense
Net Community Benefit Expense	1123059	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29674817	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18778393	DirectOffsettingRevenue
Net Community Benefit Expense	10896424	NetCommunityBenefitExpense
Percent Of Total Expense	0.01270	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	187441294	TotalCommunityBenefitExpense
Direct Offsetting Revenue	108709562	DirectOffsettingRevenue
Net Community Benefit Expense	78731732	NetCommunityBenefitExpense
Percent Of Total Expense	0.09180	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	17840	TotalCommunityBuildingExpense
Direct Offsetting Revenue	11150	DirectOffsettingRevenue
Net Community Building Expense	6690	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	151587	TotalCommunityBuildingExpense
Direct Offsetting Revenue	9051	DirectOffsettingRevenue
Net Community Building Expense	142536	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	315955	TotalCommunityBuildingExpense
Net Community Building Expense	315955	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	485382	TotalCommunityBuildingExpense
Direct Offsetting Revenue	20201	DirectOffsettingRevenue
Net Community Building Expense	465181	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$76,660,381	BadDebtExpenseAmount
Amount Attributable To	12878944	AmountAttributableTo
Amount Reimbursed By Medicare	226925129	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	256224829	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-29299700	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	true	ProvisionForCharityCare
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
LESTER E COX MEDICAL CENTERS - SOUTH
1	3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	X	X	X	X	X
LESTER E COX MEDICAL CENTERS - NORTH
2	1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	X			X	X
COX WALNUT LAWN ORTHOPEDIC HOSPITAL
3	1000 E WALNUT LAWN	SPRINGFIELD	MO	65807	X			X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
LESTER E COX MEDICAL CENTERS - SOUTH
1	true	false	true	300.	true	X	X	true	true	X	X	X	X	X	X	X	true	false	X	X	X	true	X	false	false
LESTER E COX MEDICAL CENTERS - NORTH
2	true	false	true	300.	true	X	X	true	true	X	X	X	X	X	X	X	true	false	X	X	X	true	X	false	false
COX WALNUT LAWN ORTHOPEDIC HOSPITAL
3	true	false	true	300.	true	X	X	true	true	X	X	X	X	X	X	X	true	false	X	X	X	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	73	NumberOfOtherFacilities

Other Facilities OtherFacilities (73 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SPRINGFIELD INPATIENT PHYSICIANS
3801 S NATIONAL AVE 5TH FL	SPRINGFIELD	MO	65807	CLINIC
ADULT MEDICINE & ENDOCRINOLOGY SPECLST
960 E WALNUT LAWN SUITE 201	SPRINGFIELD	MO	65807	CLINIC
FAMILY MEDICAL CARE CENTER
1423 N JEFFERSON ST B-100	SPRINGFIELD	MO	65802	CLINIC
PHYSICIANS FOR WOMEN
3850 S NATIONAL AVE 400	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER STEEPLECHASE
1530 E REPUBLIC RD	SPRINGFIELD	MO	65804	CLINIC
PEDIATRIC CENTER
3443 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
REGIONAL PERINATAL CENTER
1000 E PRIMROSE 360	SPRINGFIELD	MO	65807	CLINIC
SOUTHWEST SPINE & SPORTS MEDICINE
3555 S NATIONAL AVE 302	SPRINGFIELD	MO	65807	CLINIC
COX FAMILY MEDICINE ASSOCIATES
3850 S NATIONAL AVE 520	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER NIXA
411 N MCCROSKEY	NIXA	MO	65714	CLINIC
MILNE-SCANLON UROLOGY CLINIC
3800 S NATIONAL 730	SPRINGFIELD	MO	65807	CLINIC
DIAGNOSTIC CLINIC
3800 S NATIONAL 600	SPRINGFIELD	MO	65807	CLINIC
FAMILY PRACTICE & OBSTETRICS OF MONETT
815 N LINCOLN STE G	SPRINGFIELD	MO	65708	CLINIC
NORTHSIDE PEDIATRICS & ADOLESCENTS
1443 N ROBBERSON 200	SPRINGFIELD	MO	65802	CLINIC
COXHEALTH NEWBORN MEDICINE SPECIALISTS
3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER WILLOW SPRINGS
816 E MAIN	WILLOW SPRINGS	MO	65793	CLINIC
SUN RIVER ORTHOPAEDICS
3800 S NATIONAL AVE 700	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH INTERNAL MEDICINE FOR WOMEN
3850 S NATIONAL AVE 700	SPRINGFIELD	MO	65807	CLINIC
FAMILY & OCCUPATIONAL MEDICINE OF MONETT
2200 E CLEVELAND	MONETT	MO	65708	CLINIC
COX FAMILY MEDICINE OF MONETT
307 W BENTON	MONETT	MO	65708	CLINIC
COXHEALTH CENTER AURORA
106 COMMERCE DRIVE	AURORA	MO	65605	CLINIC
COXHEALTH CENTER SOUTHERN HILLS
2702 E SUNSHINE	SPRINGFIELD	MO	65804	CLINIC
COXHEALTH CENTER ELFINDALE
1429 W SUNSHINE	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER MARSHFIELD
941 E HUBBLE DRIVE	MARSHFIELD	MO	65706	CLINIC
COXHEALTH CENTER BRANSON
890 HWY 248	BRANSON	MO	65616	CLINIC
COXHEALTH PEDIATRICS
3525 S NATIONAL AVE 210	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER LEBANON
510 E HWY 32	LEBANON	MO	65536	CLINIC
COXHEALTH CENTER CHESTERFIELD
1925 CHESTERFIELD BLVD	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER WILLARD
304 E JACKSON 5H	WILLARD	MO	65781	CLINIC
COXHEALTH CENTER MOUNTAIN GROVE
1602-A N MAIN ST	MOUNTAIN GROVE	MO	65711	CLINIC
COX SENIOR HEALTH CENTER
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	CLINIC
COX SENIOR HEALTH CENTER SOUTH
3525 S NATIONAL 207	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER MARSHFIELD
941 EAST HUBBLE DRIVE	MARSHFIELD	MO	65706	CLINIC
COXHEALTH CENTER MT VERNON
10763 HWY 39 SUITE 200	MT VERNON	MO	65712	CLINIC
COXHEALTH CENTER OZARK
1741 S 15TH STREET	OZARK	MO	65721	CLINIC
COXHEALTH CENTER CRANE
102 CORTNEY LANE	CRANE	MO	65633	CLINIC
COXHEALTH CENTER REPUBLIC
820 ILLINOIS AVE	REPUBLIC	MO	65738	CLINIC
MONETT SURGICAL ASSOCIATES
815 N LINCOLN	MONETT	MO	65708	CLINIC
COXHEALTH CENTER AVA
806 SW 13TH AVE	AVA	MO	65608	CLINIC
HUGH HARRIS MD
3555 S NATIONAL AVE 300	SPRINGFIELD	MO	65807	CLINIC
COX FAMILY PHYSICIANS
1443 N ROBBERSON 1001	SPRINGFIELD	MO	65802	CLINIC
COXHEALTH INPATIENT PSYCHIATRY
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	CLINIC
COXHEALTH CENTER BUFFALO
119 N ASH	BUFFALO	MO	65622	CLINIC
COXHEALTH CENTER ROGERSVILLE
151 JOHNSTOWN DR	ROGERSVILLE	MO	65742	CLINIC
COXHEALTH CENTER FOR ADDICTIONS
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	CLINIC
THE CLINIC AT WALMART #0444
3315 S CAMPBELL	SPRINGFIELD	MO	65807	CLINIC
THOMAS J LEGG DO
3525 S NATIONAL 202	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH PEDIATRIC SPECIALTIES
1000 E PRIMROSE 200	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER SEYMOUR
202 COMMERCIAL	SEYMOUR	MO	65746	CLINIC
COXHEALTH CENTER SHELL KNOB
25376 STATE HWY 39 SUITE 301	SHELL KNOB	MO	65747	CLINIC
THE CLINIC AT WALMART #0379
2004 W MARLER LANE	OZARK	MO	65721	CLINIC
THE CLINIC AT WALMART #2221
2021 E INDEPENDENCE	SPRINGFIELD	MO	65804	CLINIC
THE CLINIC AT WALMART #1009
1150 US HWY 60 EAST	REPUBLIC	MO	65738	CLINIC
COXHEALTH CENTER CAMPBELL
2750 S CAMPBELL	SPRINGFIELD	MO	65807	CLINIC
PEDIATRIC HOSPITAL AFFILIATES
3801 S NATIONAL AVE 7TH FL	SPRINGFIELD	MO	65807	CLINIC
SPRINGFIELD NEUROLOGICAL AND SPINE
2900 S NATIONAL AVE	SPRINGFIELD	MO	65804	CLINIC
COXHEALTH PSYCHOLOGICAL SERVICES
3800 S NATIONAL 770	SPRINGFIELD	MO	65807	CLINIC
MARTIN CENTER
3901 S FREMONT	SPRINGFIELD	MO	65807	IMAGING CENTER
OZARK HEALTH VENTURES
3550 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
BONE & JOINT CENTER
3555 S NATIONAL AVE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
FERRELL-DUNCAN CLINIC
1000 E PRIMROSE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
MEYER CENTER FITNESS & REHAB
3545 S NATIONAL AVE	SPRINGFIELD	MO	65807	FITNESS AND REHAB CENTER
COX HYPERBARIC MEDICINE & WOUND CARE
3525 S NATIONAL AVE 101	SPRINGFIELD	MO	65807	CLINIC
MEDICAL OFFICE BUILDING-COX WALNUT LAWN
3525 S NATIONAL AVE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
TURNER WOMEN & CHILDREN'S CENTER
1000 E PRIMROSE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
WHEELER HEART & VASCULAR
3800 S NATIONAL AVE 700	SPRINGFIELD	MO	65807	MEDICAL OFFICES
HULSTON CANCER CENTER
3850 S NATIONAL AVE	SPRINGFIELD	MO	65807	MEDICAL OFFICES
MEDICAL TOWERS
1443 N ROBBERSON	SPRINGFIELD	MO	65802	MEDICAL OFFICES
CASSVILLE MEDICAL CARE ASSOCIATES
75 SMITHSON DRIVE SUITE A	CASSVILLE	MO	65625	CLINIC
COXHEALTH INFECTIOUS DISEASES SPECIALTY
3800 S NATIONAL LL100	SPRINGFIELD	MO	65807	CLINIC
COX CARE MOBILE
3525 S NATIONAL AVE 105	SPRINGFIELD	MO	65807	CLINIC
THE CLINIC AT WALMART #86
2825 N KANSAS EXPWAY	SPRINGFIELD	MO	65803	CLINIC
SENIOR ADVANTAGE
1000 E WALNUT LAWN	SPRINGFIELD	MO	65807	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY FOR FREE CARE	SCHEDULE H, PART I, LINE 3C	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.
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 PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE.
SUBSIDIZED SERVICES	SCHEDULE H, PART I, LINE 7G	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 $3,488,442. COXHEALTH 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. COXHEALTH CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
COSTING METHODOLOGY	SCHEDULE H, PART I, LINE 7G	THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. A COSTING SYSTEM WAS USED USING ALL PATIENT SEGMENTS. COST COMPUTED ON IRS WORKSHEET 6 WAS COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT STEP-DOWN PROCESS.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II	COXHEALTH PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH THE COMMUNITY BUILDING ACTIVITIES REPORTED BY VARIOUS AREAS THAT PARTICIPATED IN COMMUNITY COLLABORATIVES, COMMITTEES OR BOARDS. THESE ACTIVITIES ALLOW FOR COXHEALTH TO BE INVOLVED IN THE COMMUNITY AND TO PROTECT OR IMPROVE THE COMMUNITY 'S HEALTH OR SAFETY AND ARE NOT DIRECTLY RELATED TO THE HEALTHCARE SERVICES PROVIDED.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A, LINE 4	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. 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 2007-2011, APPROXIMATELY 16.8 PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY.
COMMUNITY BENEFIT	SCHEDULE H, PART III, SECTION B, LINE 8	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. DURING FISCAL YEAR 2012, THE MEDICARE SHORTFALL WAS $29,299,700.
COLLECTION POLICY	SCHEDULE H, PART III, SECTION C, LINE 9B	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.
CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE CARE	SCHEDULE H, PART V, SECTION B, LINE 9	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.
OTHER MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY	SCHEDULE H, PART V, SECTION B, LINE 13G	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.
NEEDS ASSESSMENT		COXHEALTH 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. COXHEALTH 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 COXHEALTH 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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		COXHEALTH 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. - COXHEALTH 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 COXHEALTH 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.
COMMUNITY INFORMATION		THE PRIMARY SERVICE AREA ("PSA") COUNTIES SERVED BY COXHEALTH 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 COXHEALTH 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.
PROMOTION OF COMMUNITY HEALTH		COXHEALTH'S 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). IN 2012, THE ENTIRE COXHEALTH AFFILIATED SYSTEM PROVIDED $127,509,955 IN TOTAL COMMUNITY BENEFIT AND $456,140,798 IN TOTAL ECONOMIC IMPACT. A LARGE PORTION IS ATTRIBUTABLE TO COXHEALTH MEDICAL CENTERS. COMMUNITY INVOLVEMENT IS ACHIEVED IN A VARIETY OF WAYS INCLUDING: + CHILDREN'S MIRACLE NETWORK RAISES MORE THAN $1 MILLION ANNUALLY TO MEET THE NEEDS OF CHILDREN AND THEIR FAMILIES. LAST YEAR, CMN SERVED MORE THAN 100,000 CHILDREN IN 32 SOUTHWEST MISSOURI COUNTIES. + COXHEALTH FOUNDATION DISTRIBUTED $1.8 MILLION TO 32 PATIENT SERVICE FUNDS TO SUPPORT PATIENT CARE, FACILITIES, TECHNOLOGY, PROGRAMS AND PREVENTION. + COXHEALTH PROVIDES EXTENSIVE OUTREACH THROUGH FREE OR LOW-COST HEALTH EDUCATION AND HEALTH SCREENINGS YEAR-ROUND, AND SERVES AS THE AMERICAN HEART ASSOCIATION TRAINING CENTER. + COXHEALTH.COM PROVIDES ONLINE HEALTH EDUCATION AND INCORPORATES PODCASTS, HEALTH SURVEYS AND QUIZZES, AS WELL AS A HEALTH LIBRARY. HEALTHSENSE MAGAZINE IS DISTRIBUTED EACH QUARTER TO OVER 160,000 SOUTHWEST MISSOURI RESIDENTS. IN PARTNERSHIP WITH GROUPS SUCH AS THE AMERICAN HEART ASSOCIATION AND AMERICAN CANCER SOCIETY. + COXHEALTH SPONSORS COMMUNITY EVENTS PROMOTING HEALTH MESSAGES AND RAISING FUNDS FOR NEEDED HEALTH SERVICES. + COXHEALTH'S BOARD AND ADMINISTRATIVE LEADERS PARTICIPATE IN MANY CIVIC ORGANIZATIONS WHOSE PURPOSE IS TO IMPROVE THE LIVES OF COMMUNITY MEMBERS. EXAMPLES INCLUDE THE UNITED WAY, THE ROTARY CLUB, THE REGIONAL HEALTH COMMISSION AND THE CHAMBER OF COMMERCE. + COXHEALTH'S RESPONSE TO THE MAY 2011 JOPLIN TORNADO WAS SWIFT AND COMPREHENSIVE. AMBULANCES, PHYSICIANS, ER STAFF, AND SUPPLIES WERE PROVIDED TO JOPLIN IMMEDIATELY AFTER THE TORNADO AND IN THE FOLLOWING WEEKS. + ON JANUARY 20, 2012, A FIRE DAMAGED THE MISSOURI HOTEL ON COMMERCIAL STREET IN SPRINGFIELD. THE MISSOURI HOTEL PROVIDES SHELTER TO THE NEEDY AND HOMELESS IN THE COMMUNITY. COXHEALTH RESPONDED BY OPENING UP SECTIONS OF ITS COX NORTH HOSPITAL TO HOUSE 28 FAMILIES, A TOTAL OF 90 PEOPLE, INCLUDING 56 CHILDREN, DISPLACED BY THE FIRE UNTIL REPAIRS COULD BE MADE TO THE HOTEL. A MAJORITY OF COXHEALTH'S 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.
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. NEEDS CARDIAC KIDS NARRATIVE 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	false	RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
SPRINGFIELD REGIONAL ARTS
304 W MCDANIEL	SPRINGFIELD	MO	65806	431225541	501(C)(3)	10000	COMMUNITY BENEFIT
AMERICAN CANCER SOCIETY
3322 S CAMPBELL SUITE P	SPRINGFIELD	MO	65807	440552054	501(C)(3)	25000	COMMUNITY BENEFIT
BREAST CANCER FOUNDATION OF THE OZARKS
330 N JEFFERSON	SPRINGFIELD	MO	65806	431881450	501(C)(3)	10000	COMMUNITY BENEFIT
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	93540	COMMUNITY BENEFIT
GYN CANCERS ALLIANCE
3023 S FORT AVE 8	SPRINGFIELD	MO	65807	431943170	501(C)(3)	7500	COMMUNITY BENEFIT
OTC FOUNDATION
1001 E CHESTNUT EXPWY	SPRINGFIELD	MO	65807	431753974	501(C)(3)	50000	SCHOLARSHIPS
COX FOUNDATION MATERNAL FETAL
3525 S NATIONAL SUITE 204	SPRINGFIELD	MO	65802	436810485	501(C)(3)	97500	COMMUNITY BENEFIT
SPRINGFIELDGREENE CO HEALTH COMMISSION
425 E TRAFFICWAY	SPRINGFIELD	MO	65806	800342550	501(C)(3)	92300	COMMUNITY BENEFIT
BOYS AND GIRLS CLUB OF THE OZARKS
1460 BEE CREEK RD	BRANSON	MO	65616	431664669	501(C)(3)	60000	COMMUNITY BENEFIT
SPRINGFIELD AREA SPORTS HALL OF FAME
864 S DEVONSHIRE DR	SPRINGFIELD	MO	65802	431532348	501(C)(3)	15000	COMMUNITY BENEFIT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	10	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
CHILDREN'S MIRACLE NETWORK - SPECIAL NEEDS FUND	1500	345308
CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS	150	116090
CHILDREN'S MIRACLE NETWORK - COMMUNITY GRANTS	62000	335375
CHILDREN'S MIRACLE NETWORK - COXHEALTH GRANTS	40000	243894
CHILDREN'S MIRACLE NETWORK - OTHER GRANTS	7000	241299

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	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	THROUGH THE CHILDREN'S MIRACLE NETWORK, COXHEALTH DISTRIBUTES FUNDS TO INDIVINUALS THROUGHOUT THE COMMUNITY. SEE BELOW FOR A SUMMARY OF PROGRAMS THROUGH WHICH FUNDS ARE DISTRIBUTED. DURING FISCAL YEAR 2012, APPROXIMATELY 110,650 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $345,308 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: TRAVEL ASSISTANCE, ORTHOPEDIC BRACES, PRESCRIPTIONS, EYE GLASSES, ETC. FAMILY CARE GRANTS - $116,090 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, COXHEALTH HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $335,375 TOTAL CAREMOBILE PROGRAM - $301,596 CARDIAC PROGRAM (A PORTION TO COX-MONETT HOSPITAL, INC.) - $18,671 "NEVER SHAKE A BABY" PROGRAM - $15,108 COXHEALTH GUARANTEED GRANTS - $243,894 TOTAL CHILD LIFE PROGRAM - $133,584 PEDIATRICS - $109,829 BOOKS FOR BABIES - $481 DISCRETIONARY AND OPEN FUNDS - $241,299 - 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 2012 EQUALED $93,540. 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. COXHEALTH GIVES TO ORGANIZATIONS IN THE LOCAL COMMUNITY WHICH ALLOWS THE USE OF THE FUNDS TO BE SEEN DIRECTLY.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	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	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

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
PATRICIA M DIX MD
282590	0	0	0	15488	0	12250	0	12423	0	322751	0	0	0
RICHARD W KISSELL MD
187069	0	0	0	2753	0	9491	0	12082	0	211395	0	0	0
LARRY W HALVERSON MD
163344	0	0	0	18480	0	9091	0	11853	0	202768	0	0	0
ROBERT H BEZANSON
965814	0	106533	0	608915	0	12250	0	31234	0	1724746	0	451808	0
STEVE EDWARDS
461802	0	48817	0	46978	0	93360	0	21972	0	672929	0	36712	0
JACOB MCWAY
409472	0	44683	0	83018	0	87008	0	20296	0	644477	0	60521	0
LAURIE DUFF
159604	0	0	0	690	0	8015	0	1177	0	169486	0	0	0
JOHN DUFF
331265	0	36752	0	33488	0	103898	0	22863	0	528266	0	0	0
ROBERT FERGUSON
264003	0	0	0	690	0	12250	0	13054	0	289997	0	0	0
CHARITY ELMER
324433	0	0	0	3870	0	12250	0	13870	0	354423	0	0	0
DAVID TAYLOR
239466	0	0	0	5193	0	12233	0	13415	0	270307	0	0	0
RON PRENGER
225137	0	0	0	1290	0	11321	0	13499	0	251247	0	0	0
JOHN HURSH
232723	0	0	0	1980	0	11735	0	12048	0	258486	0	0	0
RODNEY SCHAFFER
190220	0	0	0	1290	0	11786	0	6599	0	209895	0	0	0
PATRICK WALSH
172470	0	0	0	18480	0	9548	0	11882	0	212380	0	0	0
KAREN KRAMER
217906	0	0	0	16242	0	11448	0	12148	0	257744	0	0	0
DANIEL SONTHEIMER MD
374972	0	0	0	300	0	11786	0	14157	0	401215	0	0	0
KATHRYN DERROUGH MD
536563	0	0	0	16950	0	11786	0	14955	0	580254	0	0	0
PETE LEER
172379	0	0	0	819	0	8660	0	11493	0	193351	0	0	0
BETTY BRESHEARS
170141	0	0	0	1290	0	8572	0	12000	0	192003	0	0	0
ANNE BRETT
151130	0	0	0	18480	0	8481	0	1601	0	179692	0	0	0
BRUCE ROBISON
187975	0	0	0	1290	0	9463	0	11694	0	210422	0	0	0
MICHAEL PAYNE MD
501786	0	0	0	2301	0	12250	0	8818	0	525155	0	0	0
REGGIE GEORGE MD
467748	0	0	0	16800	0	11786	0	14813	0	511147	0	0	0
PAUL FREWIN MD
472606	0	0	0	690	0	12250	0	14810	0	500356	0	0	0
LOUIS KRENN MD
457934	0	0	0	270	0	11786	0	14650	0	484640	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INFORMATION REGARDING BENEFITS PROVIDED	SCHEDULE J, PART I, LINE 1A	MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF ROBERT BEZANSON, CEO.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B	ROBERT BEZANSON, STEVE EDWARDS, JACOB MCWAY, AND JOHN DUFF PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN. - ROBERT BEZANSON RECEIVED A 457(F) DISTRIBUTION OF $451,808, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $81,574. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $36,712, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $75,222. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $60,521, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JOHN DUFF RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $91,648.
COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION	SCHEDULE J, PART I, LINE 6A	KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. PHYSICIANS LISTED ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE KATHRYN DERROUGH, MICHAEL PAYNE, REGGIE GEORGE, PAUL FREWIN, AND LOUIS KRENN. 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.
BOARD MEMBER COMPENSATION	SCHEDULE J, PART II; AND FORM 990, PART VII	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.
COMPENSATION REPORTED IN PRIOR FORM 990	SCHEDULE J, PART II, COLUMN F	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

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
431178966	60635R4Z7	2008-09-25	157078759	1997 & 2002 BOND RFDING; NEW INFRA	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
431178966	60635R5B9	2008-10-15	105000000	NEW INFRASTRUCTURE	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
431178966		2007-02-27	5000000	CAPITAL EQUIPMENT FINANCING	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
157078759	15009956	1448411	68137985	2011	true	false	false	true
104721750	0	494731	104227019	2011	false	false	false	true
5000000	0	50000	4950000	2007	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	true	false	0.01100	0.01100	true
false	false	true	true	false	0.00080	0.00080	true
false	false	false		false	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
false	true	false	false	0	false	false
0
false	false	false	false	0	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	TOTAL PROCEEDS OF ISSUE	Identifier
Return Reference	SCHEDULE K, PART II, LINE 3	ReturnReference
Explanation	THE $278,250 DIFFERENCE BETWEEN ISSUE PRICE IN PART I, LINE B, COLUMN E AND TOTAL PROCEEDS OF ISSUE, PART II, LINE 3, COLUMN B CAN BE ATTRIBUTED TO INVESTMENT INCOME DURING THE PROJECT PERIOD.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (14 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
VICKI HOCKENSMITH
S EDWARDS - SEE PART V	91586	WAGES	false
TERRY HAMMER
S EDWARDS - SEE PART V	96436	WAGES	false
BETTE B EDWARDS
S EDWARDS - SEE PART V	23953	RETIREMENT BENEFITS	false
JASON PRENGER
R PRENGER - SEE PART V	13058	WAGES	false
NICOLE HALVERSON
L HALVERSON - SEE PART V	25154	WAGES	false
LINDA ESPY
K KRAMER - SEE PART V	35153	WAGES	false
FAITH SCHAFFER
R SCHAFFER - SEE PART V	123258	WAGES	false
HADEN COWHERD BULLOCK
G HADEN - SEE PART V	535590	LEGAL SERVICES	false
GREAT SOUTHERN BANK AND TRAVEL
J TURNER - SEE PART V	214596	FINANCIAL AND TRAVEL SERVICES	false
COX HEALTH SYSTEMS HMO INC
SEE PART V	2454847	INSURANCE ADMINISTRATION	false
WILLIAM BRESHEARS
B BRESHEARS - SEE PART V	47629	WAGES	false
FERRELL DUNCAN CLINIC INC
SEE PART V	60926557	PHYSICIAN REMUNERATION	false
FERRELL DUNCAN BUILDING CO
SEE PART V	3541695	BUILDING LEASE	false
FERRELL DUNCAN BUILDING CO II
SEE PART V	1568619	BUILDING LEASE	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	STEVE EDWARDS, EXECUTIVE VP & CHIEF OPERATIONS OFFICER, HAS THREE FAMILY MEMBERS WHO WORK FOR OR RECEIVE RETIREMENT BENEFITS FROM COXHEALTH. VICKI HOCKENSMITH IS HIS SISTER, TERRY HAMMER IS HIS BROTHER-IN-LAW, AND BETTE B. EDWARDS IS HIS MOTHER. RON PRENGER'S SON, JASON PRENGER, IS AN EMPLOYEE AT COXHEALTH, AND RON IS THE VICE PRESIDENT OF CLINICAL SERVICES. LARRY W. HALVERSON'S DAUGHTER, NICOLE HALVERSON, IS AN EMPLOYEE AT COXHEALTH, AND LARRY IS A MEMBER OF THE BOARD OF DIRECTORS. KAREN KRAMER'S SISTER, LINDA ESPY, IS AN EMPLOYEE AT COXHEALTH, AND KAREN IS VICE PRESIDENT AND CHIEF NURSING OFFICER. RODNEY SCHAFFER'S SPOUSE, FAITH SCHAFFER, IS AN EMPLOYEE AT COXHEALTH, AND RODNEY IS THE VICE PRESIDENT OF FACILITIES MANAGEMENT. GRANT Q. HADEN, THIRD VICE CHAIRMAN OF THE BOARD OF DIRECTORS, IS AN OWNER OF HADEN, COWHERD & BULLOCK, LLC. JOSEPH W. TURNER, MEMBER OF THE BOARD OF DIRECTORS, IS THE PRESIDENT AND CEO OF GREAT SOUTHERN BANK AND GREAT SOUTHERN TRAVEL. BETTY BRESHEARS' HUSBAND, WILLIAM BRESHEARS, IS AN EMPLOYEE OF COXHEALTH, AND BETTY IS VICE PRESIDENT OF CORPORATE COMPLIANCE. JERRY G. JARED, JOSEPH W. TURNER, AND DONA K. ELKINS, MEMBERS 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 DONA K. ELKINS WERE DETERMINED TO BE NON-INDEPENDENT MEMBERS OF COXHEALTH BASED SOLELY ON THEIR ROLE AS COMMON OFFICERS OR DIRECTORS OF COXHEALTH AND COX HEALTH SYSTEMS HMO, INC. COX HEALTH SYSTEMS HMO, INC., IS AN ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY. COXHEALTH VIEWS THE COMMON OFFICERS AND DIRECTORS AS AN IMPORTANT ROLE IN HELPING BOTH ORGANIZATIONS IN ACHIEVING THEIR MISSIONS WHILE SERVING THE COMMUNITY. 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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
NUMBER OF VOLUNTEERS	FORM 990, PART I, QUESTION 6	THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD.
EXEMPT PURPOSE ACHIEVEMENTS - ADDITIONAL INFORMATION ABOUT HOME CARE	FORM 990, PART III, LINE 4C	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.
EXEMPT PURPOSE ACHIEVEMENTS - COMMUNITY BENEFIT REPORT	FORM 990, PART III, LINES 4A-4D	COXHEALTH IS PROUD TO OFFER THE LATEST IN MEDICAL TECHNOLOGY AND SERVICES TO IMPROVE OUR COMMUNITY'S HEALTH STATUS. DESPITE THIS INNOVATION, HOWEVER, THERE ARE STILL COMMUNITY NEEDS THAT ARE NOT MET THROUGH OUR REGULAR COURSE OF CARE. THAT IS WHY AS A COMMUNITY-OWNED, NOT-FOR-PROFIT HOSPITAL, WE PROVIDE THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE MANY OF THE MOST VULNERABLE IN OUR COMMUNITIES - THE UNDERINSURED AND UNINSURED. OUR COMMUNITY BENEFIT PROGRAMS ARE AN INVESTMENT IN OUR FRIENDS AND NEIGHBORS. ONE OF THE VERY IMPORTANT WAYS IN WHICH WE DO THIS IS THROUGH PROGRAMS LIKE THE KOHL'S C.A.R.D.I.A.C. FUN PROGRAM. A NEW PARTNERSHIP BETWEEN COXHEALTH CHILDREN'S MIRACLE NETWORK HOSPITALS AND KOHL'S CARES IDENTIFIES CHILDREN AT RISK FOR OBESITY AND HEART DISEASE, AND TEACH THEM AND THEIR FAMILIES HOW TO LIVE A HEALTHIER LIFESTYLE. BY WORKING WITH OUR COMMUNITY PARTNERS, WE CAN HELP ENSURE A HEALTHIER COMMUNITY. THE FOLLOWING COMMUNITY BENEFIT INFORMATION IS PRESENTED ON A SYSTEM-WIDE BASIS; HOWEVER, A LARGE PORTION IS ATTRIBUTABLE TO THE MEDICAL CENTERS. ADDITIONALLY, THE SUBSIDIES NOTED BELOW ARE CALCULATED USING INTERNAL COST ACCOUNTING METHODS RATHER THAN THE IRS WORKSHEETS FOR SCHEDULE H. SEE SCHEDULE H FOR THE COMPUTATION OF THESE SUBSIDIES USING THE SCHEDULE H WORKSHEETS. COMMUNITY BENEFIT MEDICARE, MEDICAID AND UNINSURED SUBSIDIES $124,617,893 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, 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 $289,695 INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND SERVICES THAT ARE SUBSIDIZED BECAUSE THEY ARE NEEDED IN THE COMMUNITY. EXAMPLES INCLUDE COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, IMMUNIZATIONS AND SUBSIDY OF HEALTH CARE SERVICES. HEALTH PROFESSIONALS EDUCATION AND RESEARCH $332,321 THIS FIGURE INCLUDES 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 ALSO INCLUDES THE UN-REIMBURSED EXPENSE OF STUDIES ON THERAPEUTIC PROTOCOLS AND RESEARCH. FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS $2,270,046 THIS FIGURE INCLUDES CASH AND IN-KIND DONATIONS TO SUPPORT COMMUNITY ORGANIZATIONS, PATIENT ADVOCACY AND EDUCATION. IT ALSO INCLUDES CONTRIBUTIONS FOR NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS AND EVENT SPONSORSHIPS. TOTAL COMMUNITY BENEFIT: $127,509,955 ECONOMIC IMPACT: REAL ESTATE AND PROPERTY TAXES $1,192,485 TOTAL REAL ESTATE AND PROPERTY TAXES PAID BY COX FOR MEDICAL OFFICE BUILDINGS AND PHYSICIAN OFFICES AND CLINICS IN SPRINGFIELD-GREENE AND SURROUNDING COUNTIES. CAPITAL INVESTMENTS $18,855,507 AS A NON-PROFIT ORGANIZATION, COXHEALTH 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 INCLUDING MEDICAL OFFICES. PAYROLL & BENEFITS $436,059,756 COXHEALTH IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN CALENDAR YEAR 2011, THAT TOTALED 8,309 EMPLOYEES. THIS FIGURE INCLUDES THE COST OF PAYROLL AND BENEFITS OF OUR DEDICATED TEAM. 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: $456,107,748 TOTAL CONTRIBUTIONS TO THE COMMUNITY: $583,617,703
FAMILY/BUSINESS RELATIONSHIPS	FORM 990, PART VI, SECTION A, LINE 2	KEY EMPLOYEE JOHN DUFF AND OFFICER LAURIE DUFF HAVE A FAMILY RELATIONSHIP. BOARD MEMBER DOCTOR PIERRE CLOTHIAUX AND BOARD MEMBER DOCTOR JOHN WOLFE HAVE A BUSINESS RELATIONSHIP.
990 REVIEW POLICY	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. 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.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	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 COXHEALTH 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 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 COXHEALTH.
COMPENSATION REVIEW POLICY	FORM 990, PART VI, SECTION B, LINES 15A & 15B	COXHEALTH EMPLOYS A DEFINED GOVERNANCE STRUCTURE AROUND EXECUTIVE COMPENSATION. THE BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE THAT IS CHARGED WITH CARRYING OUT THE FUNCTIONS OF EVALUATING AND SETTING EXECUTIVE COMPENSATION THROUGH FORMAL DOCUMENTED MEETINGS THAT OCCUR SEVERAL TIMES DURING THE YEAR. THE COMPENSATION COMMITTEE UTILIZES A WELL RESPECTED INDEPENDENT EXTERNAL ADVISOR TO PROVIDE THIRD PARTY ASSESSMENT AND RECOMMENDATIONS REGARDING COMPENSATION LEVELS AND BENEFIT PROGRAMS FOR THE TOP THREE EXECUTIVES OF THE ORGANIZATION (THE CEO, CFO AND SVP OF HOSPITALS) 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.
DOCUMENT DISCLOSURE	FORM 990, PART VI, SECTION C, LINE 19	COXHEALTH 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.
BOARD MEMBER HOURS	FORM 990, PART VII, SECTION A	DRS. DIX, KISSELL, AND HALVERSON ARE EMPLOYEES OF COX AS WELL AS MEMBERS OF THE BOARD OF DIRECTORS. THEY AVERAGE ONE (1) HOUR PER WEEK FOR THEIR SERVICES 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.
HOURS FOR RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, COLUMN B	THE FOLLOWING DIRECTOR SERVED ON THE BOARD OF COXHEALTH FOUNDATION, A RELATED ORGANIZATION, AND AVERAGED ONE HOUR OF SERVICE PER WEEK: GIL L. TROUT THE FOLLOWING OFFICERS AND DIRECTORS SERVE ON THE BOARD OF COXHEALTH AUXILIARY, A RELATED ORGANIZATION, AND AVERAGE ONE HOUR OF SERVICE PER WEEK: JANICE K. HARRIS STEVE EDWARDS ROBERT H. BEZANSON LAURIE DUFF THE FOLLOWING OFFICERS AND DIRECTORS SERVE ON THE BOARDS OF COX ALTERNATIVE CARE OF THE OZARKS, INC., COXHEALTH HOME CARE SERVICES OF THE MIDWEST, INC., HEALTHCARE SERVICES OF THE OZARKS, INC., COX HPS OF THE OZARKS, INC., COX-MONETT HOSPITAL, INC., EACH A RELATED ORGANIZATION. EACH INDIVIDUAL AVERAGES ONE HOUR OF SERVICE PER WEEK FOR EACH ORGANIZATION: DONA K. ELKINS GRANT Q. HADEN, J.D. DENNIS J. HEIM JAMES W. HUTCHESON JERRY G. JARED RICHARD W. KISSELL, M.D. STEVE EDWARDS JOSEPH W. TURNER, J.D. ROBERT H. BEZANSON JACOB MCWAY LARRY W. LIPSCOMB JANICE K. HARRIS RONALD D. PONDS DAVID ZOLFAGHARI, M.D. CHARLES T. CHALENDER THE FOLLOWING OFFICERS AND DIRECTORS SERVE ON THE BOARD OF PRIMROSE PLACE, INC., A RELATED ORGANIZATION, AND AVERAGE ONE HOUR OF SERVICE PER WEEK: ROBERT H. BEZANSON STEVE EDWARDS JACOB MCWAY LARRY W. LIPSCOMB LAURIE DUFF, COX HEALTH OFFICER, ALSO SERVES AS AN OFFICER FOR THE FOLLOWING RELATED ORGANIZATIONS: COX ALTERNATIVE CARE OF THE OZARKS, INC., COXHEALTH HOME CARE SERVICES OF THE MIDWEST, INC., HEALTHCARE SERVICES OF THE OZARKS, INC., COX HPS OF THE OZARKS, INC., COX-MONETT HOSPITAL, INC., AND PRIMROSE PLACE, INC.
OTHER CHANGES TO NET ASSETS	FORM 990, PART XI, LINE 5	$ 34,503,297 UNREALIZED GAINS & LOSSES (466,638) RETURN OF CAPITAL (24,075,066) DEFINED BENEFIT LOSS 1,000,000 TRANSFER FROM AFFILIATES 79,499 CHANGE IN BENEFICIAL INTEREST IN TRUST ------------- $ 11,041,092

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (8 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
COX HEALTHPLANS LLC
PO BOX 5750	SPRINGFIELD	MO	65801	431757075	MANAGEMENT	MO	10544081	12097464	COX HMO
FERRELL-DUNCAN CLINIC
1001 E PRIMROSE	SPRINGFIELD	MO	65807	542183221	PHYSICIANS	MO	0	0	COXHEALTH
REGIONAL SERVICES
3800 S NATIONAL SUITE 540	SPRINGFIELD	MO	65807	542183222	HEALTHCARE	MO	0	0	COXHEALTH
OXFORD HEALTHCARE HOME HEALTH AGENCY
3550 S NATIONAL	SPRINGFIELD	MO	65807	770700975	HOME HEALTH	MO	0	0	COXHEALTH
COXHEALTH HOME SUPPORT SYSTEMS
2224 W SUNSET	SPRINGFIELD	MO	65807	542183216	HOME HEALTH	MO	0	0	COXHEALTH
OB GYN FERRELL-DUNCAN CLINIC
1000 E PRIMROSE	SPRINGFIELD	MO	65807	431878984	PHYSICIANS	MO	0	0	COXHEALTH
COXHEALTH ALLIANCE LLC
3850 S NATIONAL AVE	SPRINGFIELD	MO	65807	271117213	MANAGEMENT	MO	0	0	COXHEALTH
SPRINGFIELD NEUROLOGICAL AND SPINE INSTI
2900 S NATIONAL AVE	SPRINGFIELD	MO	65807	274296628	PHYSICIANS	MO	0	0	COXHEALTH

Form990 Schedule R Part II Form990ScheduleRPartII (11 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	true
COXHEALTH FOUNDATION
3525 S NATIONAL SUITE 204	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(C)(3)	11A I	COXHEALTH	true
COXHEALTH HME CRE SVCS OF THE MDWST INC
3850 S NATIONAL	SPRINGFIELD	MO	65807	264781194	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	true
COX HPS OF THE OZARKS INC
2220 W SUNSET	SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	true
COX-MONETT HOSPITAL INC
801 LINCOLN AVE	MONETT	MO	65708	431656689	HOSPITAL	MO	501(C)(3)	3	COXHEALTH	true
COX-MONETT HOSPITAL AUXILIARY
801 LINCOLN AVE	MONETT	MO	65708	431852817	FUNDRAISING	MO	501(C)(3)	9	COXHEALTH	true
HEALTH ENRICHMENT SERVICES INC
3801 S NATIONAL	SPRINGFIELD	MO	65807	363263313	MED SVC	MO	501(C)(3)	7	COXHEALTH	true
HEALTHCARE SERVICES OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	true
PRIMROSE PLACE INC
1115 E PRIMROSE	SPRINGFIELD	MO	65807	431183783	NURSING HOME	MO	501(C)(3)	11A I	COXHEALTH	true
COXHEALTH AUXILIARY
3801 S NATIONAL	SPRINGFIELD	MO	65807	431090590	SUPPORT	MO	501(C)(3)	9	COXHEALTH	true
COX MEDICAL CTR GENPROF LIAB LOSS FUND
1423 N JEFFERSON	SPRINGFIELD	MO	65802	366668576	SELF-INSURAN	MO	501(C)(3)	11A I	COXHEALTH	true

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 LLC
27-1117343 SFD MO 65807	SPRINGFIELD	MO	65807	271117343	HEALTHCARE	MO	COXHLTH ALLI	RELATED	0	64196	false	$0	false	0.60000
PCRMC-COX HEALTH ALLIANCE LLC
30-0649009 SFD MO 65807	SPRINGFIELD	MO	65802	300649009	HEALTHCARE	MO	COXHLTH ALLI	RELATED	0	0	false	$0	false	0.60000

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	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
COX HEALTH SYSTEMS HMO INC
PO BOX 5750	SPRINGFIELD	MO	658015750	431757075	HMO	MO	COXHEALTH	C CORP	9318803	16030942	1.00000
COX HEALTH SYSTEMS INSURANCE COMPANY
3525 S NATIONAL SUITE 205	SPRINGFIELD	MO	65807	431684044	INSURANCE	MO	COX HMO	C CORP	91841374	14707123	1.00000
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	COXHEALTH	C CORP	2537503	2839372	1.00000
INSURANCE COMPANY OF SPRINGFIELD INC
					CAPTIVE INSUR		COXHEALTH	C CORP	1225746	8024906	1.00000	GRAND PAVILION CORPORATE CENTRE	GRAND CAYMAN	CJ	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	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
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	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MEDICAL DEVELOPMENTS INC
A	65596	COST
INSURANCE COMPANY OF SPRINGFIELD INC
B	1236165	COST
COXHEALTH FOUNDATION
B	101499	COST
COXHEALTH FOUNDATION
C	699120	COST
MEDICAL DEVELOPMENTS INC
J	118006	COST
COX-MONETT HOSPITAL INC
J	115033	COST
COX-MONETT HOSPITAL INC
O	549519	COST
COX HPS OF THE OZARKS INC
O	475350	COST
COX HEALTH SYSTEMS HMO INC
O	2454847	COST
COX-MONETT HOSPITAL INC
P	13241114	COST
MEDICAL DEVELOPMENTS INC
P	2594180	COST
COX HPS OF THE OZARKS INC
P	1111373	COST
COXHEALTH FOUNDATION
P	1208998	COST
COX-MONETT HOSPITAL INC
Q	5665152	COST
COXHEALTH FOUNDATION
Q	309295	COST
MEDICAL DEVELOPMENTS INC
Q	145438	COST
PRIMROSE PLACE INC
R	1000000	COST