LESTER E COX MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: LESTER E COX MEDICAL CENTER (EIN 44-0577118)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-14
IRS object ID: 201232279349303123
Schema version: 2010v3.7
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	2012-08-14T14:25:24-05:00	Timestamp
Tax Period End Date	2011-09-30	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	2010-10-01	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)
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	2012-08-09	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	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	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	1101329996	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	30	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	23	NbrIndependentVotingMembers
Total Nbr Employees	8107	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	875593	TotalGrossUBI
Net Unrelated Business Txbl Income	93920	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2922955	ContributionsGrantsPriorYear
Contributions Grants Current Year	2449996	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	886505038	ProgramServiceRevenuePriorYear
Program Service Revenue CY	921786583	ProgramServiceRevenueCY
Investment Income Prior Year	11452085	InvestmentIncomePriorYear
Investment Income Current Year	6595874	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3055288	OtherRevenuePriorYear
Other Revenue Current Year	3867668	OtherRevenueCurrentYear
Total Revenue Prior Year	903935366	TotalRevenuePriorYear
Total Revenue Current Year	934700121	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2387641	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1705898	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	377472817	SalariesEtcPriorYear
Salaries Etc Current Year	396216572	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	530357	TotalFundrsngExpCurrentYear
Other Expense Prior Year	507652075	OtherExpensePriorYear
Other Expenses Current Year	512634914	OtherExpensesCurrentYear
Total Expenses Prior Year	887512533	TotalExpensesPriorYear
Total Expenses Current Year	910557384	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16422833	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	24142737	RevenuesLessExpensesCY
Total Assets BOY	1009995091	TotalAssetsBOY
Total Assets EOY	1009866577	TotalAssetsEOY
Total Liabilities BOY	543627435	TotalLiabilitiesBOY
Total Liabilities EOY	569514135	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	466367656	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	440352442	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	580527120	Expense
Revenue	661122380	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 FY11 TOTALED $130,767,008 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	187467024	Expense
Revenue	148414249	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 14 AND 42 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 OPENED AN ADDITIONAL CLINIC IN FY11.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	33130209	Expense
Revenue	34092542	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	9600365	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1705898	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	77281819	TotalOfOtherProgramServiceRev
Total Program Service Expense	810724718	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
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	8107	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	30	NbrVotingGoverningBodyMembers
Number Independent Voting Members	23	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 (53 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	FormerFormer
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		275197	0	23887
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		172019	0	20831
RONALD D PONDS
DIRECTOR	1.0	X		0	0	0
JOHN P SQUIRES
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	1.0	X		0	0	0
LARRY W HALVERSON MD
DIRECTOR	40.0	X		172275	0	19853
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	1.0	X		0	0	0
MICHAEL T NIETZEL PHD
DIRECTOR	1.0	X		0	0	0
BEN A PARNELL
DIRECTOR	1.0	X		0	0	0
DAVID ZOLFAGHARI MD
DIRECTOR BEGINNING 10/2010	1.0	X		0	0	0
JOHN E WOLFE MD
DIRECTOR	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
LOREN BROADDUS MD
DIRECTOR ENDING 10/2010	1.0	X		94706	0	0
ROBERT H BEZANSON
PRESIDENT & CEO	40.0		X	798234	0	177729
STEVE EDWARDS
EXECUTIVE VP & COO	40.0		X	438428	0	103076
JACOB MCWAY
SENIOR VP & CFO	40.0		X	400669	0	97001
LAURIE DUFF
SEC OF THE BOD, VP - CORP COMM	40.0		X	153477	0	17354
JOHN DUFF
SR VP - ADMINISTRATOR COX HOSP	40.0			338833	0	121932	X
ROBERT FERGUSON
VP - FERRELL DUNCAN CLINIC	40.0			245699	0	23306	X
CHARITY ELMER
GENERAL COUNSEL	40.0			264023	0	25345	X
DAVID TAYLOR
VP - REGIONAL SERVICES	40.0			220869	0	24693	X
RON PRENGER
ADMIN CWL, VP - CLINICAL SVCS	40.0			209628	0	24066	X
JOHN HURSH
VP - HUMAN RESOURCES	40.0			216048	0	22875	X
RITA GURIAN
VP - ORGANIZATIONAL DEVELOP	40.0			175193	0	15471	X
RODNEY SCHAFFER
VP - FACILITIES MANAGEMENT	40.0			181573	0	15564	X
PATRICK WALSH
VP - MARKETING & PLANNING	40.0			170457	0	20858	X
KAREN KRAMER
VP - CHIEF NURSING OFFICER	40.0			212769	0	22285	X
BRETT KIRKMAN
VP - COX HEALTH NETWORK	40.0			237583	0	23038	X
DANIEL SONTHEIMER MD
VP - MEDICAL AFFAIRS	40.0			335771	0	25208	X
JOSEPH ECCHER MD
PHYSICIAN	40.0			511086	0	23881		X
KATHRYN DERROUGH MD
PHYSICIAN	40.0			499629	0	18633		X
COLLEEN ROSE MD
PHYSICIAN	40.0			493478	0	19075		X
SARAH KUHLMAN MD
PHYSICIAN	40.0			487595	0	25641		X
ROBERT HUFFT MD
PHYSICIAN	40.0			463491	0	24087		X
MARY KNAPP
VP-CLINICAL SVCS	40.0			170098	0	10049			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7938828	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	945738	TotalOtherCompensation
Number Individuals GT100 K	303	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
FERRELL DUNCAN CLINIC INC
PHYS REMUNERATION	60506735
EMERGENCY PHYSICIANS OF SPFD
ER PHYSICIAN SERVICE	12151923
HC BECK LTD
PROJECT MGMT	9407609
OZARK ANESTHESIA ASSOCIATES
ANESTHESIA SERVICES	13331523
SPRINGFIELD NEUROLOGICAL INSTIT
PHYS REMUNERATION	12578560

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	66	NumberOfContractorsGT100K
Fundraising Events	40064	FundraisingEvents
Related Organizations	813418	RelatedOrganizations
All Other Contributions	1596514	AllOtherContributions
Noncash Contributions	10716	NoncashContributions
Total Contributions	2449996	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	896525416	896525416
NET PATIENT SERVICE - UNRELATED LAB	621500	675985		675985
NET PATIENT SERVICE - UNRELATED RTL DME	446199	144190		144190
CAFETERIA, MEALS & VENDING	722210	4013612	4013612
FITNESS CENTERS	713940	3283780	3283780

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	17143600	TotalRevenueColumn
Related Or Exempt Function Income	17088182	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	55418	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	921786583	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	12152117	TotalRevenueColumn
Exclusion	$12,152,117	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	519261	TotalRevenueColumn
Exclusion	$519,261	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1881123	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1023113	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	858010	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	858010	TotalRevenueColumn
Exclusion	$858,010	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	159422429	Securities
Other	66484	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	165285946	Securities
Other	278471	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-5863517	Securities
Other	-211987	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-6075504	TotalRevenueColumn
Exclusion	-$6,075,504	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	56354	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	40064	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	42345	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	14009	TotalRevenueColumn
Exclusion	$14,009	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	-61868	-$61,868
CHANGE IN INTEREST IN NET ASSETS OF SUBS	900099	3057517	$3,057,517

Field	Value	IRS element (for citing)
Total Other Revenue	2995649	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	934700121	TotalRevenueColumn
Related Or Exempt Function Income	920910990	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	875593	UnrelatedBusinessRevenue
Exclusion	$10,463,542	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	582839	Total
Program Services	582839	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1123059	Total
Program Services	1123059	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	6137823	Total
Program Services	3193182	ProgramServices
Management And General	2944641	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	573107	Total
Program Services	178881	ProgramServices
Management And General	394226	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	307187627	Total
Program Services	267344537	ProgramServices
Management And General	39622539	ManagementAndGeneral
Fundraising	220551	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1297469	Total
Program Services	1247995	ProgramServices
Management And General	49474	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	59449673	Total
Program Services	51422828	ProgramServices
Management And General	8006900	ManagementAndGeneral
Fundraising	19945	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	21570873	Total
Program Services	18644110	ProgramServices
Management And General	2926763	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	3442736	Total
Management And General	3442736	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	453592	Total
Management And General	453592	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	67609	Total
Management And General	67609	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	559904	Total
Management And General	559904	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	157948300	Total
Program Services	128347351	ProgramServices
Management And General	29524699	ManagementAndGeneral
Fundraising	76250	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2116989	Total
Program Services	1719531	ProgramServices
Management And General	397458	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14034358	Total
Program Services	11354987	ProgramServices
Management And General	2624632	ManagementAndGeneral
Fundraising	54739	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1095191	Total
Program Services	889572	ProgramServices
Management And General	205619	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	19039506	Total
Program Services	18302496	ProgramServices
Management And General	737010	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2365714	Total
Program Services	1921558	ProgramServices
Management And General	444156	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	1242452	Total
Program Services	1009185	ProgramServices
Management And General	233267	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14654923	Total
Program Services	13369225	ProgramServices
Management And General	1285698	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	34974878	Total
Program Services	31906481	ProgramServices
Management And General	3068397	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5046898	Total
Program Services	4604126	ProgramServices
Management And General	442772	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	74013938	74013938
MEDICAL SUPPLIES & DRUGS	134280577	134280577
STATE PROVIDER TAX	38493320	38493320
LICENSES, DUES, SUBSCRIPTIONS	1322201	1073962	248239
MISCELLANEOUS	7481828	5700978	1621978	158872

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	910557384	Total
Program Services	810724718	ProgramServices
Management And General	99302309	ManagementAndGeneral
Fundraising	530357	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	646175	BOY
EOY	157745	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	263544794	BOY
EOY	214396315	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	97264903	BOY
EOY	101575566	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	17648982	BOY
EOY	13347528	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10340399	BOY
EOY	11147117	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6380213	BOY
EOY	7399457	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	828153008	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	494219975	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	332544016	BOY
EOY	333933033	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	187672256	BOY
EOY	209923877	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	19940363	BOY
EOY	22379130	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	51013753	BOY
EOY	51904373	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	4359061	BOY
EOY	25997936	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	18640176	BOY
EOY	17704500	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1009995091	BOY
EOY	1009866577	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	146178362	BOY
EOY	177677273	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	4461727	BOY
EOY	3637500	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	313337290	BOY
EOY	309198109	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7965473	BOY
EOY	4841837	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	4841710	BOY
EOY	13327389	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	66842873	BOY
EOY	60832027	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	543627435	BOY
EOY	569514135	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	444823006	BOY
EOY	417954508	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11900434	BOY
EOY	12560293	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9644216	BOY
EOY	9837641	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	466367656	BOY
EOY	440352442	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1009995091	BOY
EOY	1009866577	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	24142737	ReconcilationRevenueExpenses
Reconcilation Other Changes	-50157951	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	$31,650	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$35,959	OtherActivitiesAmount
Total Lobbying Expenditures IIB	67609	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 POLITICAL LOBBYING. IN FY11, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $34,490. IN ADDITION, $1,458 OF DUES PAID TO THE SPRINGFIELD AREA CHAMBER OF COMMERCE AND $11 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

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	282229097	OtherCostOrOtherBasis
Depreciation	137159734	Depreciation
Book Value	145069363	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4659063	OtherCostOrOtherBasis
Depreciation	2628429	Depreciation
Book Value	2030634	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	477531837	OtherCostOrOtherBasis
Depreciation	345932643	Depreciation
Book Value	131599194	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37691260	OtherCostOrOtherBasis
Depreciation	8499169	Depreciation
Book Value	29192091	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	333933033	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	INT IN NA OF TAX EXEMPT SUBS	Description
Book Value	51904373	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	51904373	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
INTEREST RATE BASIS SWAP	$8,968,469
SELF INSURANCE CLAIMS PAYABLE	$39,571,858
REG SETTLEMENT LIABILITY	$12,291,700

Field	Value	IRS element (for citing)
Total Of Amounts	60832027	TotalOfAmounts
Total Revenue	934700121	TotalRevenue
Total Expenses	910557384	TotalExpenses
Excess Or Deficit For Year	24142737	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-8129203	NetUnrealizedGLOnInvestments
Other	-$35,077,453	OtherAmount
Total Adjustments	-43206656	TotalAdjustments
Excess Or Deficit Per FS	-19063919	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	892007884	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-8129203	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	8865	DonatedSrvcAndUseOfFacilities
Other Revenues	-35637357	OtherRevenues
Revenue Not Rptd F990	-43757695	RevenueNotRptdF990
Revenue Subtotal	935765579	RevenueSubtotal
Other Revenues Not Included	-1065458	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1065458	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	934700121	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	911071803	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	8865	DonatedServicesUseOfFacilities
Other Expenses Included	1065458	OtherExpensesIncluded
Expenses Not Rptd F990	1074323	ExpensesNotRptdF990
Expenses Subtotal	909997480	ExpensesSubtotal
Investment Expenses Not Included2	559904	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	559904	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	910557384	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
UNCERTAIN TAX POSITION	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 ITEMS	SCHEDULE D, PART XI, LINE 8	$ (162,115) CONTRIBUTED (RETURN OF) CAPITAL - COX HEALTH SYSTEMS HMO (35,851,761) DEFINED BENEFIT LOSS 1,000,000 TRANSFER FROM AFFILIATE (63,577) CHANGE IN BENEFICIAL INTEREST IN TRUST ------------ (35,077,453) OTHER CHANGES IN NET ASSETS
OTHER RECONCILING ITEMS	SCHEDULE D, PART XII, LINE 2D	$ (162,115) CONTRIBUTED (RETURN OF) CAPITAL - COX HEALTH SYSTEMS HMO (35,851,761) DEFINED BENEFIT LOSS 1,000,000 TRANSFER FROM AFFILIATE (63,577) CHANGE IN BENEFICIAL INTEREST IN TRUST (559,904) INVESTMENT FEES ------------ (35,637,357) REVENUE EXCLUDED FROM 990
OTHER RECONCILING ITEMS	SCHEDULE D, PART XII, LINE 4B; PART XIII, LINE 2D	$ (1,023,113) RENT EXPENSE (42,345) SPECIAL EVENT EXPENSES ------------ ( 1,065,458) EXPENSES RECLASSED TO REVENUE

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	840000	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	840000	SubtotalAmountSpent
Total Amount Spent	840000	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 TOURNEY	NameOfEvent1
Gross Receipts Event1	44345	GrossReceiptsEvent1
Charitable Contributions Event1	28345	CharitableContributionsEvent1
Gross Revenue Event1	16000	GrossRevenueEvent1
Cash Prizes Event1	600	CashPrizesEvent1
Non Cash Prizes Event1	400	NonCashPrizesEvent1
Rent Facility Costs Event1	14969	RentFacilityCostsEvent1
Food And Beverage Event1	0	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	1055	OtherDirectExpensesEvent1
Name Of Event2	MEDICAL MILE	NameOfEvent2
Gross Receipts Event2	23809	GrossReceiptsEvent2
Charitable Contributions Event2	0	CharitableContributionsEvent2
Gross Revenue Event2	23809	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	138	NonCashPrizesEvent2
Rent Facility Costs Event2	1076	RentFacilityCostsEvent2
Food And Beverage Event2	0	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	9289	OtherDirectExpensesEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	28264	GrossReceiptsOtherEvents
Charitable Contrib Other Events	11719	CharitableContribOtherEvents
Gross Revenue Other Events	16545	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	0	RentFacilityCostsOtherEvents
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Other Direct Expenses Other Events	14818	OtherDirectExpensesOtherEvents
Gross Receipts Total	96418	GrossReceiptsTotal
Charitable Contributions Total	40064	CharitableContributionsTotal
Gross Revenue Total Events	56354	GrossRevenueTotalEvents
Cash Prizes Total Events	600	CashPrizesTotalEvents
Non Cash Prizes Total Events	538	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	16045	RentFacilityCostsTotalEvents
Food And Beverage Total Events	0	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	25162	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	42345	DirectExpenseSummaryEvents
Net Income Summary	14009	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	23264338	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	23264338	NetCommunityBenefitExpense
Percent Of Total Expense	0.02780	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	127543987	TotalCommunityBenefitExpense
Direct Offsetting Revenue	110582586	DirectOffsettingRevenue
Net Community Benefit Expense	16961401	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	150808325	TotalCommunityBenefitExpense
Direct Offsetting Revenue	110582586	DirectOffsettingRevenue
Net Community Benefit Expense	40225739	NetCommunityBenefitExpense
Percent Of Total Expense	0.04810	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	539910	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	539910	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14538993	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8817506	DirectOffsettingRevenue
Net Community Benefit Expense	5721487	NetCommunityBenefitExpense
Percent Of Total Expense	0.00680	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12211297	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8920766	DirectOffsettingRevenue
Net Community Benefit Expense	3290531	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1714763	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1714763	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29004963	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17738272	DirectOffsettingRevenue
Net Community Benefit Expense	11266691	NetCommunityBenefitExpense
Percent Of Total Expense	0.01330	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	179813288	TotalCommunityBenefitExpense
Direct Offsetting Revenue	128320858	DirectOffsettingRevenue
Net Community Benefit Expense	51492430	NetCommunityBenefitExpense
Percent Of Total Expense	0.06140	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$25,807,940	BadDebtExpenseAmount
Amount Attributable To	4180886	AmountAttributableTo
Amount Reimbursed By Medicare	281837637	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	332870433	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-51032796	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
LESTER E COX MEDICAL CENTERS - SOUTH
1
LESTER E COX MEDICAL CENTERS - NORTH
2
COX WALNUT LAWN ORTHOPEDIC HOSPITAL
3

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	69	NumberOfOtherFacilities

Other Facilities OtherFacilities (69 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
STEEPLECHASE FAMILY PHYSICIANS
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
MEDICAL CLINIC OF 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
SOUTHERN HILLS FAMILY MEDICINE
2702 E SUNSHINE	SPRINGFIELD	MO	65804	CLINIC
ELFINDALE FAMILY MEDICINE
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
CHESTERFIELD FAMILY CLINIC
1925 W CHESTERFIELD BLVD	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER WILLARD
304 E JACKSON	WILLARD	MO	65781	CLINIC
COX FAMILY MEDICINE OF MOUNTAIN GROVE
1602A N MAIN ST	MOUNTAIN GROVE	MO	65711	CLINIC
COX SENIOR HEALTH CENTER
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	CLINIC
ADVANCED PAIN MANAGEMENT
1011 E MONTCLAIR	SPRINGFIELD	MO	65807	CLINIC
PEDIATRIC NEUROLOGY OF THE OZARKS
1000 E PRIMROSE 200	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH CENTER MT VERNON
10763 HWY 39	MT VERNON	MO	65712	CLINIC
COXHEALTH CENTER OZARK
1741 S 15TH STREET	OZARK	MO	65721	CLINIC
CRANE MEDICAL CARE
102 CORTNEY LANE	CRANE	MO	65633	CLINIC
COXHEALTH CENTER REPUBLIC
820 ILLINOIS AVE	REPUBLIC	MO	65738	CLINIC
MONETT SURGICAL ASSOCIATES
815 N LINCOLN STE E	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
PEDIATRIC SPECIALTY CLINIC
3443 S NATIONAL AVE	SPRINGFIELD	MO	65807	CLINIC
SEYMOUR FAMILY HEALTH CARE
202 COMMERCIAL	SEYMOUR	MO	65746	CLINIC
COXHEALTH CENTER SHELL KNOB
25376 STATE HWY 39	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
ROBERT E HUFFT MD
1001 E PRIMROSE 3RD FL	SPRINGFIELD	MO	65807	CLINIC
COXHEALTH GYNECOLOGY CLINIC OF MONETT
801 N LINCOLN	MONETT	MO	65708	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
THE MEYER CENTER AT COXHEALTH
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	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

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 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 ($910,557,384) WAS REDUCED BY BAD DEBT EXPENSE ($74,013,938).
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 $3,290,531. 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 NOT USED IN THE CALCULATION OF COST ON THE OTHER IRS WORKSHEETS. A COSTING SYSTEM WAS USED USING ALL PATIENT SEGMENTS. COST COMPUTED ON IRS WORKSHEETS 1, 3, 5, AND 6 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT STEP-DOWN PROCESS.
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 ORGANIZATION CALCULATED BAD DEBT AT COST BY TAKING THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TIMES THE RATIO OF PATIENT CARE COST TO CHARGES USED FOR SCHEDULE H, PART I CALCULATIONS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2009, APPROXIMATELY 16 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 2011, THE MEDICARE SHORTFALL WAS $51,032,796.
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.
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 2011, THE ENTIRE COXHEALTH AFFILIATED SYSTEM PROVIDED $130,767,008 IN TOTAL COMMUNITY BENEFIT AND $490,071,227 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. DURING THE JOPLIN TORNADO AFTERMATH, OXFORD STAFF SET UP AND MANNED FIRST AID TENTS IN THE AFFECTED AREAS FOR 2 WEEKS, TENDING TO SURVIVORS AND CLEAN-UP CREWS. IN ADDITION TO PROVIDING FREE TREATMENT FOR MINOR INJURIES, THESE VOLUNTEER STAFFED FACILITIES AND ADMINISTERED MORE THAN 1,000 TETANUS SHOTS. OXFORD EMPLOYEES ADDITIONALLY COLLECTED FOOD AND CLOTHING TO BE DISTRIBUTED IN THE AFFECTED AREAS. HOME PARENTERAL SERVICES RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS HPS TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. COXHEALTH HOME CARE SERVICES OF THE MIDWEST SUPPORTS THE COMMUNITY BY PROVIDING IN-HOME PRIVATE DUTY SERVICES, HOME HEALTHCARE AND THERAPY SUPPORT SERVICES, ASSISTANCE TO COXHEALTH SYSTEM IN DEVELOPING AN INTEGRATED HEALTH SYSTEM, AND SERVICE TO MEDICAID PATIENTS. COX-MONETT HOSPITAL SUPPORTS THE MONETT, MISSOURI AND THE SURROUNDING COMMUNITY BY PROVIDING A VARIETY OF SERVICES WHICH INCLUDE UROLOGY, ENT (EAR, NOSE & THROAT), PULMONOLOGY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE & MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY CENTER, GENERAL SURGICAL SERVICES, SAME-DAY SURGERY, DIABETES CENTER, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL-SURGICAL UNIT, PHARMACY AND COMMUNITY WELLNESS. COXHEALTH FOUNDATION SUPPORTS THE COMMUNITY BY RAISING FUNDS TO DISPERSE TO PATIENTS FOR THOSE NEEDS FOR WHICH THEY HAVE NO RESOURCES OR FUNDING, BUT WHICH ARE CRITICAL TO THE PATIENT'S HEALTH AND WELL BEING. COXHEALTH AUXILIARY SUPPORTS THE COMMUNITY THROUGH FINANCIAL AND NON-FINANCIAL MEANS. THE ORGANIZATION PROVIDES SCHOLARSHIPS TO NURSING AND MEDICAL TECHNOLOGY STUDENTS AT COX COLLEGE. IN ADDITION, THE AUXILIARY PROVIDES SLEEP SACKS TO ALL NEWBORNS BORN AT COXHEALTH AND CAR SEATS TO THOSE IN NEED TO ENSURE THE SAFETY OF ANY NEWBORN LEAVING COXHEALTH.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (17 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)	15000	COMMUNITY BENEFIT
AMERICAN DIABETES ASSOCIATION
1944 E SUNSHINE	SPRINGFIELD	MO	65808	131623888	501(C)(3)	21000	COMMUNITY BENEFIT
SPRINGFIELD SYMPHONY
411 N SHERMAN	SPRINGFIELD	MO	65802	430797224	501(C)(3)	20000	COMMUNITY BENEFIT
AMERICAN HEART ASSOCIATION
2446 E MADRID	SPRINGFIELD	MO	65804	135613797	501(C)(3)	16500	COMMUNITY BENEFIT
AMERICAN CANCER SOCIETY
3322 S CAMPBELL	SPRINGFIELD	MO	65807	440552054	501(C)(3)	25000	COMMUNITY BENEFIT
SPECIAL OLYMPICS
901 E ST LOUIS	SPRINGFIELD	MO	65806	237328374	501(C)(3)	10000	COMMUNITY BENEFIT
SPRINGFIELD BUSINESS & DEVELOPMENT
PO BOX 1687	SPRINGFIELD	MO	65801	431309497	501(C)(3)	15000	COMMUNITY BENEFIT
ALZHEIMER'S ASSOCIATION
1800 S GLENSTONE	SPRINGFIELD	MO	65804	431485251	501(C)(3)	6000	COMMUNITY BENEFIT
BREAST CANCER FOUNDATION OF THE OZARKS
330 N JEFFERSON	SPRINGFIELD	MO	65806	431881450	501(C)(3)	10000	COMMUNITY BENEFIT
THE KITCHEN
1630 N JEFFERSON	SPRINGFIELD	MO	65803	431384531	501(C)(3)	7500	COMMUNITY BENEFIT
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	105263	COMMUNITY BENEFIT
GYN CANCERS ALLIANCE
3023 S FORT AVE B	SPRINGFIELD	MO	65807	431943170	501(C)(3)	7500	COMMUNITY BENEFIT
JUVENILE DIABETES RESEARCH
528 W BATTLEFIELD STE 101	SPRINGFIELD	MO	65804	291907729	501(C)(3)	6000	COMMUNITY BENEFIT
OTC FOUNDATION
1001 E CHESTNUT EXPWY	SPRINGFIELD	MO	65802	431753974	501(C)(3)	75000	SCHOLARSHIPS
MSMA PHYSICIAN HEALTH FOUNDATION
PO BOX 1028	JEFFERSON CITY	MO	65102	431572458	501(C)(3)	8000	COMMUNITY BENEFIT
COXHEALTH FOUNDATION
3525 S NATIONAL SUITE 204	SPRINGFIELD	MO	65807	436810485	501(C)(3)	150000	COMMUNITY BENEFIT
DRURY UNIVERSITY
900 N BENTON AVE	SPRINGFIELD	MO	65802	440552049	501(C)(3)	75076	COMMUNITY BENEFIT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	17	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	1200	258944
CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS	250	194207
CHILDREN'S MIRACLE NETWORK - COMMUNITY GRANTS	60000	278657
CHILDREN'S MIRACLE NETWORK - COXHEALTH GRANTS	35000	207879
CHILDREN'S MIRACLE NETWORK - OTHER GRANTS	6000	183372

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 INDIVIDUALS THROUGHOUT THE COMMUNITY. SEE BELOW FOR A SUMMARY OF PROGRAMS THROUGH WHICH FUNDS ARE DISTRIBUTED. DURING FY 2011, APPROXIMATELY 102,450 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $258,944 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: TRAVEL ASSISTANCE, ORTHOPEDIC BRACES, PRESCRIPTIONS, EYE GLASSES, ETC. FAMILY CARE GRANTS - $194,207 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, COXHEALTH HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $278,657 TOTAL CAREMOBILE PROGRAM - $248,275 CARDIAC PROGRAM (A PORTION TO COX-MONETT HOSPITAL, INC.) - $14,673 "NEVER SHAKE A BABY" PROGRAM - $11,221 "WASTED" PROGRAM - $4,488 COXHEALTH GUARANTEED GRANTS - $207,879 TOTAL CHILD LIFE PROGRAM - $90,630 PEDIATRICS - $17,263 NEONATAL INTENSIVE CARE UNIT - $69,051 PEDIATRIC URGENT CARE - $4,316 BABY BUGGY - $12,947 WAL-MART KITCHEN - $1,554 *BOOKS FOR BABIES - $12,118 DISCRETIONARY AND OPEN FUNDS - $183,372 - 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 2011 EQUALLED $105,263. 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.	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	true	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 (25 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
PATRICIA M DIX MD
260217	0	0	0	14980	0	12250	0	11637	0	299084	0
RICHARD W KISSELL MD
170039	0	0	0	1980	0	9026	0	11805	0	192850	0
LARRY W HALVERSON MD
170295	0	0	0	1980	0	8017	0	11836	0	192128	0
ROBERT H BEZANSON
615229	0	0	0	183005	0	165983	0	11746	0	975963	0	157147
STEVE EDWARDS
430955	0	0	0	7473	0	89940	0	13136	0	541504	0
JACOB MCWAY
336651	0	0	0	64018	0	83890	0	13111	0	497670	0	41228
LAURIE DUFF
152787	0	0	0	690	0	7851	0	9503	0	170831	0
JOHN DUFF
309993	0	0	0	28840	0	112184	0	9748	0	460765	0
ROBERT FERGUSON
245009	0	0	0	690	0	12250	0	11056	0	269005	0
CHARITY ELMER
260153	0	0	0	3870	0	12250	0	13095	0	289368	0
DAVID TAYLOR
216571	0	0	0	4298	0	11683	0	13010	0	245562	0
RON PRENGER
208938	0	0	0	690	0	10841	0	13225	0	233694	0
JOHN HURSH
214068	0	0	0	1980	0	11277	0	11597	0	238922	0
MARY KNAPP
34690	0	0	0	135408	0	0	0	10049	0	180147	0
RITA GURIAN
173903	0	0	0	1290	0	8925	0	6546	0	190664	0
RODNEY SCHAFFER
180283	0	0	0	1290	0	9190	0	6375	0	197138	0
PATRICK WALSH
154477	0	0	0	15980	0	8999	0	11858	0	191314	0
KAREN KRAMER
196227	0	0	0	16542	0	10843	0	11442	0	235054	0
BRETT KIRKMAN
237583	0	0	0	0	0	11907	0	11131	0	260621	0
DANIEL SONTHEIMER MD
335482	0	0	0	289	0	12250	0	12958	0	360979	0
JOSEPH ECCHER MD
509796	0	0	0	1290	0	12250	0	11631	0	534967	0
KATHRYN DERROUGH MD
482679	0	0	0	16950	0	12250	0	6383	0	518262	0
COLLEEN ROSE MD
475544	0	0	0	17934	0	12250	0	6825	0	512553	0
SARAH KUHLMAN MD
485615	0	0	0	1980	0	12250	0	13391	0	513236	0
ROBERT HUFFT MD
460099	0	0	0	3392	0	12250	0	11837	0	487578	0

Form990 Schedule J Part III Form990ScheduleJPartIII (6 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.
SEVERANCE PAYMENT	SCHEDULE J, PART I, LINE 4A	MARY KNAPP RECEIVED A SEVERANCE PAYMENT OF $134,070.
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 AN EXECUTIVE 457(F) CONTRIBUTION OF $153,733 - ROBERT BEZANSON RECEIVED A 457(F) DISTRIBUTION OF $157,147, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $ 77,690 - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $71,640 - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $ 41,228, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JOHN DUFF RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $99,934
COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION	SCHEDULE J, PART I, LINE 6A	EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY OR A FORMULA USING COLLECTIONS AND EXPENSES. PHYSICIANS LISTED ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE JOSEPH ECCHER, SARAH KUHLMAN, COLLEEN ROSE, ROBERT HUFFT, AND KATHRYN DERROUGH. 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	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement	Amount UnspentAmountUnspent
157078759	15025094	1200937	1448411	66937048	72482407	2011	true	false	false	true
104721750		1270247	494731	100026264		2011	false	false	false	true	2924921	5586
5000000			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	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	false	true	0.01100	0.01100	true
false	false	true	false	true	0.00080	0.00080	true
false	false	true	false	true	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	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	true	false	false	false	false
false	false	false	false	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

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 (10 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
VICKI HOCKENSMITH
S EDWARDS - SEE PART V	81760	WAGES	false
TERRY HAMMER
S EDWARDS - SEE PART V	91172	WAGES	false
BETTE B EDWARDS
S EDWARDS - SEE PART V	23953	RETIREMENT BENEFITS	false
JASON PRENGER
R PRENGER - SEE PART V	17194	WAGES	false
NICOLE HALVERSON
L HALVERSON - SEE PART V	24370	WAGES	false
LINDA ESPY
K KRAMER - SEE PART V	36513	WAGES	false
FAITH SCHAFFER
R SCHAFFER - SEE PART V	117998	WAGES	false
HADEN COWHERD BULLOCK
G HADEN - SEE PART V	464898	LEGAL SERVICES	false
GREAT SOUTHERN BANK AND TRAVEL
J TURNER - SEE PART V	130565	FINANCIAL AND TRAVEL SERVICES	false
COX HEALTH SYSTEMS HMO INC
SEE PART V	2383646	INSURANCE PREMIUMS	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. 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.	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 $126,514,429 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 $893,503 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 $320,965 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 $3,038,111 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: $130,767,008 ECONOMIC IMPACT: REAL ESTATE AND PROPERTY TAXES $1,139,763 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 $20,929,974 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 $468,001,490 COXHEALTH IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN 2011 THAT TOTALED 8,909 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: $490,071,227 TOTAL CONTRIBUTIONS TO THE COMMUNITY: $620,838,235
FAMILY/BUSINESS RELATIONSHIP	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 FOUR EXECUTIVES OF THE ORGANIZATION (THE CEO, COO, 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	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 THE DUTIES AS BOARD MEMBERS.
HOURS FOR RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, COLUMN B	THE FOLLOWING DIRECTORS SERVE ON THE BOARD OF COXHEALTH FOUNDATION, A RELATED ORGANIZATION, AND AVERAGE ONE HOUR OF SERVICE PER WEEK: JOSEPH TURNER JOHN MARTIN GIL TROUT LARRY LIPSCOMB THE FOLLOWING OFFICERS AND DIRECTORS SERVE ON THE BOARD OF COXHEALTH AUXILIARY, A RELATED ORGANIZATION, AND AVERAGE ONE HOUR OF SERVICE PER WEEK: LAURIE DUFF JANICE HARRIS ROBERT BEZANSON 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: LOREN BROADDUS JACOB MCWAY DONA ELKINS LARRY LIPSCOMB GRANT HADEN STEVE EDWARDS DENNIS HEIM JOSEPH TURNER JAMES HUTCHESON JANICE HARRIS JERRY JARED RONALD PONDS RICHARD KISSELL CHARLES CHALENDER JOHN SQUIRES DAVID ZOLFAGHARI ROBERT BEZANSON LAURIE DUFF (OFFICER ONLY) 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 BEZANSON STEVE EDWARDS JACOB MCWAY JERRY JARED LAURIE DUFF (OFFICER ONLY)
OTHER CHANGES TO NET ASSETS	FORM 990, PART XI, LINE 5	$ (8,129,203) UNREALIZED GAINS & LOSSES (162,115) RETURN OF CAPITAL (35,851,761) DEFINED BENEFIT LOSS 1,000,000 TRANSFER FROM AFFILIATES (63,577) CHANGE IN BENEFICIAL INTEREST IN TRUST (6,951,295) PRIOR PERIOD ADJUSTMENT ------------- (50,157,951)

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	9909364	11098152	COX HMO
FERRELL-DUNCAN CLINIC
1001 E PRIMROSE	SPRINGFIELD	MO	65807	542183221	PHYSICIANS	MO	0	0	NA
REGIONAL SERVICES
3800 S NATIONAL SUITE 540	SPRINGFIELD	MO	65807	542183222	HEALTHCARE	MO	0	0	NA
OXFORD HEALTHCARE HOME HEALTH AGENCY
3550 S NATIONAL	SPRINGFIELD	MO	65807	770700975	HOME HEALTH	MO	0	0	NA
COX HEALTH HOME SUPPORT SYSTEMS
2224 W SUNSET	SPRINGFIELD	MO	65807	542183216	HOME HEALTH	MO	0	0	NA
OB GYN FERRELL-DUNCAN CLINIC
1000 E PRIMROSE	SPRINGFIELD	MO	65807	431878984	PHYSICIANS	MO	0	0	NA
COX HEALTH ALLIANCE LLC
3850 S NATIONAL AVE	SPRINGFIELD	MO	65807	271117213	MANAGEMENT	MO	0	0	NA
SPRINGFIELD NEUROLOGICAL AND SPINE INSTI
2900 S NATIONAL AVE	SPRINGFIELD	MO	65807	274296628	PHYSICIANS	MO	0	0	NA

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
COX ALTERNATIVE CARE OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641925	HOME HEALTH	MO	501(C)(3)	9	NA
COXHEALTH FOUNDATION
3525 S NATIONAL SUITE 204	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(C)(3)	11A I	NA
COXHEALTH HME CRE SVCS OF THE MDWST INC
3850 S NATIONAL	SPRINGFIELD	MO	65807	264781194	HOME HEALTH	MO	501(C)(3)	9	NA
COX HPS OF THE OZARKS INC
2220 W SUNSET	SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(C)(3)	9	NA
COX-MONETT HOSPITAL INC
801 LINCOLN AVE	MONETT	MO	65708	431656689	HOSPITAL	MO	501(C)(3)	3	NA
COX-MONETT HOSPITAL AUXILIARY
801 LINCOLN AVE	MONETT	MO	65708	431852817	FUNDRAISING	MO	501(C)(3)	9	NA
HEALTH ENRICHMENT SERVICES INC
3801 S NATIONAL	SPRINGFIELD	MO	65807	363263313	MED SVC	MO	501(C)(3)	7	NA
HEALTHCARE SERVICES OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(C)(3)	9	NA
PRIMROSE PLACE INC
1115 E PRIMROSE	SPRINGFIELD	MO	65807	431183783	NURSING HOME	MO	501(C)(3)	11A I	NA
COXHEALTH AUXILIARY
3801 S NATIONAL	SPRINGFIELD	MO	65807	431090590	SUPPORT	MO	501(C)(3)	9	NA
COX MEDICAL CTR GENPROF LIAB LOSS FUND
1423 N JEFFERSON	SPRINGFIELD	MO	65802	366668576	SELF-INSURAN	MO	501(C)(3)	11A I	NA

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	NA	C CORP	11782411	15923631	1.00000
COX HEALTH SYSTEMS INSURANCE COMPANY
3525 S NATIONAL SUITE 205	SPRINGFIELD	MO	65807	431684044	INSURANCE	MO	COX HMO	C CORP	80698662	24393732	1.00000
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	NA	C CORP	2404713	2509566	1.00000
INSURANCE COMPANY OF SPRINGFIELD INC
					CAPTIVE INSUR		NA	C CORP	1223858	6215612	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 (20 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MEDICAL DEVELOPMENTS INC
A	65596
INSURANCE COMPANY OF SPRINGFIELD INC
B	1200000
COXHEALTH FOUNDATION
B	150000
COXHEALTH AUXILIARY
C	71440
COXHEALTH FOUNDATION
C	741978
MEDICAL DEVELOPMENTS INC
J	110635
COX-MONETT HOSPITAL INC
J	99429
COX-MONETT HOSPITAL INC
O	738171
COX HPS OF THE OZARKS INC
O	500201
COXHEALTH FOUNDATION
O	669591
COX HEALTH SYSTEMS HMO INC
O	1216146
COX HEALTH SYSTEMS HMO INC
P	1167500
COX-MONETT HOSPITAL INC
P	12221279
MEDICAL DEVELOPMENTS INC
P	1496357
COX HPS OF THE OZARKS INC
P	1018885
PRIMROSE PLACE INC
P	57578
COXHEALTH FOUNDATION
P	127675
COX-MONETT HOSPITAL INC
Q	5280649
COXHEALTH FOUNDATION
Q	416620
PRIMROSE PLACE INC
R	1000000