2013-08-14T15:08:31-05:00 2012-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2011-10-01 440577118 LESTER E COX MEDICAL CENTERS % JACOB M MCWAY LEST 4172698811 1423 N JEFFERSON ST SPRINGFIELD MO 65802 JACOB M MCWAY 2013-08-12 true Brian D Todd 4178658701 2011 2016-02-25 16:41:14Z COXHEALTH STEVE EDWARDS 1423 N JEFFERSON SPRINGFIELD MO 65802 1120852921 false X WWW.COXHEALTH.COM X 1923 MO THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 29 19 8309 30 2499791 105807 2449996 2680250 921786583 952617795 6595874 9109712 3867668 3026667 934700121 967434424 1705898 1830829 0 0 396216572 406861332 0 0 448848 512634914 525556006 910557384 934248167 24142737 33186257 1009866577 1079342042 569514135 594762251 440352442 484579791 X MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION & RESEARCH. false false 591085324 688556338 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. 190344309 150051864 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. 32937525 34882986 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. 15785839 1830829 76626816 830152997 true true false true false false false false false false true false true false true false false true false false true false false false true false true true true true true true false false false false false false false false true true false false false false true true true true false false true 474 0 true 8309 true true true false false false false true true false false false false X 29 19 true false false false false false false true true false false true true true true true true true true false X JACOB M MCWAY 4172698811 3800 S NATIONAL SPRINGFIELD MO 65807 X LARRY W LIPSCOMB 1.0 X X 0 0 0 JAMES W HUTCHESON 1.0 X X 0 0 0 GRANT Q HADEN JD 1.0 X X 0 0 0 JOSEPH W TURNER JD 1.0 X X 0 0 0 CHARLES T CHALENDER 1.0 X 0 0 0 PIERRE L CLOTHIAUX MD 1.0 X 0 0 0 PATRICIA M DIX MD 40.0 X 298078 0 24673 DENNIS J HEIM 1.0 X 0 0 0 GEORGE O WOOD JD 1.0 X 0 0 0 JERRY G JARED 1.0 X 0 0 0 DONA K ELKINS 1.0 X 0 0 0 JEFFREY C GOWER DDS 1.0 X 0 0 0 RICHARD W KISSELL MD 40.0 X 189822 0 21573 RONALD D PONDS 1.0 X 0 0 0 GIL L TROUT 1.0 X 0 0 0 ROBERT C FULP 1.0 X 0 0 0 MICHAEL D GARRETT JD 1.0 X 0 0 0 LARRY W HALVERSON MD 40.0 X 181824 0 20944 JANICE K HARRIS 1.0 X 0 0 0 HAL L HIGDON PHD 1.0 X 0 0 0 JOHN W MARTIN 1.0 X 0 0 0 BEN A PARNELL 1.0 X 0 0 0 DAVID ZOLFAGHARI MD 1.0 X 0 0 0 JOHN E WOLFE MD 1.0 X 0 0 0 THOMAS Y AUNER 1.0 X 0 0 0 HOWARD J FISK 1.0 X 0 0 0 MARK J HASELTINE 1.0 X 0 0 0 KURT D HELLWEG 1.0 X 0 0 0 JACK PRIM 1.0 X 0 0 0 JAMES GIBSON MD 1.0 X 0 0 0 CLIF SMART JD 1.0 X 0 0 0 JEFF TYNES 1.0 X 0 0 0 ROBERT H BEZANSON 40.0 X 1681262 0 43484 STEVE EDWARDS 40.0 X 557597 0 115332 JACOB MCWAY 40.0 X 537173 0 107304 LAURIE DUFF 40.0 X 160294 0 9192 JOHN DUFF 40.0 X 401505 0 126761 ROBERT FERGUSON 40.0 X 264693 0 25304 CHARITY ELMER 40.0 X 328303 0 26120 DAVID TAYLOR 40.0 X 244659 0 25648 RON PRENGER 40.0 X 226427 0 24820 JOHN HURSH 40.0 X 234703 0 23783 RODNEY SCHAFFER 40.0 X 191510 0 18385 PATRICK WALSH 40.0 X 190950 0 21430 KAREN KRAMER 40.0 X 234148 0 23596 DANIEL SONTHEIMER MD 40.0 X 375272 0 25943 PETE LEER 40.0 X 173198 0 20153 BETTY BRESHEARS 40.0 X 171431 0 20572 ANNE BRETT 40.0 X 169610 0 10082 BRUCE ROBISON 40.0 X 189265 0 21157 KATHRYN DERROUGH MD 40.0 X 553513 0 26741 MICHAEL PAYNE MD 40.0 X 504087 0 21068 REGGIE GEORGE MD 40.0 X 484548 0 26599 PAUL FREWIN MD 40.0 X 473296 0 27060 LOUIS KRENN MD 40.0 X 458204 0 26436 9475372 0 884160 321 false true false 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 66 62023 782422 1835805 2680250 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 22030750 21988552 42198 952617795 11674946 11674946 0 0 1766036 962043 803993 803993 803993 149734560 128196 152224642 203348 -2490082 -75152 -2565234 -2565234 35581 62023 28464 7117 7117 0 0 LOSS ON INVESTMENT IN EQUITY INVESTEE 900099 -95338 -95338 CHANGE IN INTEREST IN NET ASSETS OF SUBS 900099 2310895 2310895 2215557 967434424 950118004 2499791 12136379 548863 548863 1281966 1281966 0 0 7757980 3087184 4670796 456227 231194 225033 317847019 279080250 38605770 160999 3227067 3029965 185683 11419 55464665 48212093 7244456 8116 22108374 19180400 2927974 0 3894118 3894118 472488 472488 71671 71671 0 703456 703456 159649196 127474330 32013071 161795 1933917 1543948 389969 20383158 16246662 4103568 32928 3923715 3132509 791206 0 19765111 18883104 853917 28090 2602863 2078003 524860 0 1453280 1160230 293050 14114337 12876065 1238272 0 33409012 30477544 2930979 489 7016405 6400845 615560 BAD DEBT 76660381 76660381 MEDICAL SUPPLIES & DRUGS 134727449 134727449 STATE PROVIDER TAX 41152192 41152192 LICENSES, DUES, SUBSCRIPTIONS 1287459 1027846 259613 2335798 1659974 630812 45012 934248167 830152997 103646322 448848 157745 2992003 214396315 198198345 0 0 101575566 142167801 0 0 0 0 13347528 18431693 11147117 10674298 7399457 7233197 843567254 523048216 333933033 320519038 209923877 260779624 22379130 21244134 51904373 55156301 25997936 25820103 17704500 16125505 1009866577 1079342042 177677273 210277103 0 0 3637500 2807135 309198109 307144505 0 0 0 0 4841837 5092976 13327389 12674608 60832027 56765924 569514135 594762251 X 417954508 461821091 12560293 12587233 9837641 10171467 440352442 484579791 1009866577 1079342042 X 33186257 11041092 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 38826 false true 32845 71671 false 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. 26041751 26041751 292355229 145126384 147228845 4745930 3006341 1739589 501183841 365654034 135529807 19240503 9261457 9979046 320519038 INT IN NA OF TAX EXEMPT SUBS 55156301 C 55156301 0 INTEREST RATE BASIS SWAP 3265240 EST AMT DUE TO 3RD PARTIES 3414734 SELF INSURANCE CLAIMS PAYABLE 44686260 REG SETTLEMENT LIABILITY 5399690 56765924 967434424 934248167 33186257 34503297 -23462205 11041092 44227349 978762567 34503297 -24165661 10337636 968424931 -990507 -990507 967434424 934535218 990507 990507 933544711 703456 703456 934248167 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 Central America and the Caribbean 0 1 Program Services CAPTIVE INSURANCE 1233473 0 1 0 1 1233473 1233473 true false true false false false GOLF TOURNAMENT 49937 39809 10128 810 15833 499 MEDICAL MILE 22868 22214 654 285 7837 2 24799 24799 225 2975 97604 62023 35581 1320 15833 11311 28464 7117 true true X false true X true true true false true true 27548809 27548809 0.03210 130217668 89931169 40286499 0.04700 157766477 89931169 67835308 0.07910 304347 9051 295296 0.00030 15579790 9606529 5973261 0.00700 12651255 9162813 3488442 0.00410 16366 16366 0.00000 1123059 1123059 0.00130 29674817 18778393 10896424 0.01270 187441294 108709562 78731732 0.09180 17840 11150 6690 0.00000 151587 9051 142536 0.00020 315955 315955 0.00040 485382 20201 465181 0.00060 false 76660381 12878944 226925129 256224829 -29299700 X true true 3 1 LESTER E COX MEDICAL CENTERS - SOUTH

3801 S NATIONAL AVE SPRINGFIELD MO 65807

X X X X X 2 LESTER E COX MEDICAL CENTERS - NORTH

1423 N JEFFERSON ST SPRINGFIELD MO 65802

X X X 3 COX WALNUT LAWN ORTHOPEDIC HOSPITAL

1000 E WALNUT LAWN SPRINGFIELD MO 65807

X X 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 73 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 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. false 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 10 0 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 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. SCHEDULE I, PART I, LINE 2 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. X true true X X X X X false true false false false true false false false 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 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. 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 0 0 157078759 15009956 0 0 1448411 0 0 68137985 0 0 2011 true false false true 0 0 104721750 0 0 0 494731 0 0 104227019 0 0 2011 false false false true 0 0 5000000 0 0 0 50000 0 0 4950000 0 0 2007 false false true true false true true true false 0.01100 0.00000 0.01100 true false false true true false 0.00080 0.00000 0.00080 true false false false false 0.00000 0.00000 0.00000 true false false false 0 false 0 false false false true false 0 false 0 false false false false false 0 false 0 false false X TOTAL PROCEEDS OF ISSUE SCHEDULE K, PART II, LINE 3 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. 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 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV 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. 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 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 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 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 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 GRAND PAVILION CORPORATE CENTRE GRAND CAYMAN CJ CJ KY1-1102 CAPTIVE INSUR CJ COXHEALTH C CORP 1225746 8024906 1.00000 true true true false false false false false true true false true false true true true true true 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