LESTER E COX MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: LESTER E COX MEDICAL CENTER (EIN 44-0577118)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-12
IRS object ID: 201132249349301563
Schema version: 2009v1.7
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	2011-08-12T13:02:51-04:00	Timestamp
Tax Period End Date	2010-09-30	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	2009-10-01	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
Phone	4172698811	Phone
Date Signed	2011-08-15	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	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT BEZANSON	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	1097728986	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVICE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	30	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	22	NbrIndependentVotingMembers
Total Nbr Employees	8214	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	986196	TotalGrossUBI
Net Unrelated Business Txbl Income	101754	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2251840	ContributionsGrantsPriorYear
Contributions Grants Current Year	2922955	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	862230597	ProgramServiceRevenuePriorYear
Program Service Revenue CY	886505038	ProgramServiceRevenueCY
Investment Income Prior Year	8442028	InvestmentIncomePriorYear
Investment Income Current Year	11452085	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3556012	OtherRevenuePriorYear
Other Revenue Current Year	3055288	OtherRevenueCurrentYear
Total Revenue Prior Year	876480477	TotalRevenuePriorYear
Total Revenue Current Year	903935366	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1898472	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2387641	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	372909479	SalariesEtcPriorYear
Salaries Etc Current Year	377472817	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	471712466	OtherExpensePriorYear
Other Expenses Current Year	507652075	OtherExpensesCurrentYear
Total Expenses Prior Year	846520417	TotalExpensesPriorYear
Total Expenses Current Year	887512533	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	29960060	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16422833	RevenuesLessExpensesCY
Total Assets BOY	975903827	TotalAssetsBOY
Total Assets EOY	1009995091	TotalAssetsEOY
Total Liabilities BOY	519923893	TotalLiabilitiesBOY
Total Liabilities EOY	543627435	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	455979934	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	466367656	NetAssetsOrFundBalancesEOY
Mission Description	MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION & RESEARCH. VISION: COMPASSION, RESPECT, INTEGRITY & SAFETY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	514314144	Expense
Revenue	580881246	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 FY10 TOTALED $130,767,008 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	170149066	Expense
Revenue	141999084	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 (17%) AS WELL AS PATIENTS COVERED BY MEDICAID (36%) PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. IN FY10, COXHEALTH PARTNERED WITH WALMART TO OPEN THE CLINIC AT WALMERT OPERATED BY COXHEALTH IN FIVE SUPER CENTER LOCATIONS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	21539663	Expense
Revenue	24518879	Revenue
Description	HOME CARE: COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE AND HOME SUPPORT, WHICH INCLUDE INFUSION THERAPY 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	82597418	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	2387641	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	140185479	TotalOfOtherProgramServiceRev
Total Program Service Expense	788600291	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
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	489	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8214	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	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	30	NbrVotingGoverningBodyMembers
Number Independent Voting Members	22	NumberIndependentVotingMembers
Family Or Business Relationship	false	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

Form990 Part VII Section A Form990PartVIISectionA (52 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
JERRY G JARED
CHAIRMAN	1.0	X	X	0	0	0
LARRY W LIPSCOMB
1ST VICE CHAIRMAN	1.0	X	X	0	0	0
JAMES W HUTCHESON
2ND VICE CHAIRMAN	1.0	X	X	0	0	0
GRANT Q HADEN 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	1.0	X		249917	0	28670
DENNIS J HEIM
DIRECTOR	1.0	X		0	0	0
GEORGE O WOOD JD
DIRECTOR	1.0	X		0	0	0
LOREN E BROADDUS MD
DIRECTOR	1.0	X		101845	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	1.0	X		165020	0	24953
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	1.0	X		173002	0	25590
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
JOSEPH W TURNER JD
DIRECTOR	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
ROBERT H BEZANSON
PRESIDENT & CEO	40.0		X	1012210	0	202963
STEVE EDWARDS
EXECUTIVE VP & COO	40.0		X	435938	0	113233
JAKE MCWAY
SENIOR VP & CFO	40.0		X	425796	0	105888
LAURIE CUNNINGHAM
SEC OF THE BOD, VP - CORP COMM	40.0		X	147864	0	22227
JOHN DUFF
SR VP - ADMINISTRATOR COX HOSP	40.0			334406	0	90395	X
ROBERT FERGUSON
VP - FERRELL DUNCAN CLINIC	40.0			232021	0	30170	X
CHARITY ELMER
GENERAL COUNSEL	40.0			245400	0	30236	X
DAVID TAYLOR
VP - REGIONAL SERVICES	40.0			208679	0	28762	X
RON PRENGER
ADMIN CWL, VP - CLINICAL SVCS	40.0			193726	0	27539	X
JOHN HURSH
VP - HUMAN RESOURCES	40.0			204814	0	28161	X
MARY KNAPP
VP - CLINIAL SERVICES	40.0			198976	0	26935	X
RITA GURIAN
VP - ORGANIZATIONAL DEVELOP	40.0			175263	0	18510	X
RODNEY SCHAFFER
VP - FACILITIES MANAGEMENT	40.0			173450	0	22770	X
PATRICK WALSH
VP - MARKETING & PLANNING	40.0			166258	0	24822	X
KAREN KRAMER
VP - CHIEF NURSING OFFICER	40.0			195734	0	27385	X
THERESA WINNING
VP - COX HEALTH NETWORK	40.0			157004	0	20999	X
DANIEL SONTHEIMER MD
VP - MEDICAL AFFAIRS	40.0			289689	0	30344	X
SARAH KUHLMAN MD
PHYSICIAN	40.0			531052	0	30921		X
COLLEEN ROSE MD
PHYSICIAN	40.0			537082	0	25236		X
CARY C MARQUIS MD
PHYSICIAN	40.0			453100	0	30110		X
LARRY CHASE MD
PHYSICIAN	40.0			459382	0	30195		X
JOSEPH ECCHER MD
PHYSICIAN	40.0			548563	0	30898		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8016191	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1077912	TotalOtherCompensation
Number Individuals GT100 K	278	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
FERRELL DUNCAN CLINIC INC
PHYS REMUNERATION	57893627
EMERGENCY PHYSICIANS OF SPRINGFIELD
ER PHYSICIAN SERVICE	11014202
HC BECK LTD
PROJECT MGMT	20926790
OZARK ANESTHESIA ASSOCIATES
ANESTHESIA SERVICES	9066965
BECKKILLIAN
CONSTRUCTION SERVICE	12836411

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	55	NumberOfContractorsGT100K
Fundraising Events	171375	FundraisingEvents
Related Organizations	913894	RelatedOrganizations
All Other Contributions	1837686	AllOtherContributions
Noncash Contributions	12374	NoncashContributions
Total Contributions	2922955	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE	900099	862553600	862553600
NET PATIENT SERVICE - UNRELATED LAB	621500	795370		795370
NET PATIENT SERVICE - UNRELATED RTL DME	446199	134513		134513
CAFETERA, MEALS, & VENDING	722210	4081472	4081472
FITNESS CENTERS	713940	3341668	3341668

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15598415	TotalRevenueColumn
Related Or Exempt Function Income	15542102	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	56313	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	886505038	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10150026	TotalRevenueColumn
Exclusion	$10,150,026	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	964058	TotalRevenueColumn
Exclusion	$964,058	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	1935134	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	854132	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1081002	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1081002	TotalRevenueColumn
Exclusion	$1,081,002	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	192984691	Securities
Other	126622	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	192671757	Securities
Other	101555	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	312934	Securities
Other	25067	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	338001	TotalRevenueColumn
Exclusion	$338,001	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	74616	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	171375	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	166176	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-91560	TotalRevenueColumn
Exclusion	-$91,560	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	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CHANGE IN INTEREST OF NET ASSETS OF SUBS	900099	2343013	2343013
LOSS ON INVESTMENT IN EQUITY INVESTEE	900099	-277167	-277167

Field	Value	IRS element (for citing)
Total Other Revenue	2065846	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	903935366	TotalRevenueColumn
Related Or Exempt Function Income	887584688	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	986196	UnrelatedBusinessRevenue
Exclusion	$12,441,527	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1214473	Total
Program Services	1214473	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1173168	Total
Program Services	1173168	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	6417564	Total
Program Services	3230432	ProgramServices
Management And General	3187132	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	507947	Total
Program Services	171111	ProgramServices
Management And General	336836	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	298284770	Total
Program Services	259890678	ProgramServices
Management And General	38394092	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1624554	Total
Program Services	1486495	ProgramServices
Management And General	138059	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	49516379	Total
Program Services	42860830	ProgramServices
Management And General	6655549	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	21121603	Total
Program Services	18249890	ProgramServices
Management And General	2871713	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	2999608	Total
Management And General	2999608	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	548548	Total
Management And General	548548	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	34485	Total
Management And General	34485	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	408792	Total
Management And General	408792	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	142205740	Total
Program Services	112757974	ProgramServices
Management And General	29447766	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1973279	Total
Program Services	1564276	ProgramServices
Management And General	409003	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	12770822	Total
Program Services	10123803	ProgramServices
Management And General	2647019	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1190146	Total
Program Services	943463	ProgramServices
Management And General	246683	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17209277	Total
Program Services	16503300	ProgramServices
Management And General	705977	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2012057	Total
Program Services	1595016	ProgramServices
Management And General	417041	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	1180009	Total
Program Services	935428	ProgramServices
Management And General	244581	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	13388468	Total
Program Services	12232127	ProgramServices
Management And General	1156341	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33082204	Total
Program Services	30224945	ProgramServices
Management And General	2857259	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	19954154	Total
Program Services	18230744	ProgramServices
Management And General	1723410	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	70093115	70093115
MEDICAL SUPPLIES & DRUGS	138189213	138189213
STATE PROVIDER TAX	35177368	35177368
LICENSES, DUES, SUBSCRIPTIONS	1258791	997880	260911
MISC	13508404	10383886	3124518

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	467595	Total
Program Services	370676	ProgramServices
Management And General	96919	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	887512533	Total
Program Services	788600291	ProgramServices
Management And General	98912242	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	914535	BOY
EOY	646175	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	335279662	BOY
EOY	263544794	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	106401166	BOY
EOY	97264903	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	18622071	BOY
EOY	17648982	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10010479	BOY
EOY	10340399	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4199461	BOY
EOY	10907530	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	797611092	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	465067076	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	281034102	BOY
EOY	332544016	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	127240091	BOY
EOY	187672256	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	17357072	BOY
EOY	19940363	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	51311880	BOY
EOY	51013753	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	23533308	BOY
EOY	18471920	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	975903827	BOY
EOY	1009995091	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	130753235	BOY
EOY	146178362	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5640854	BOY
EOY	4461727	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	314531952	BOY
EOY	313337290	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	6051993	BOY
EOY	7965473	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	7969068	BOY
EOY	4841710	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	54976791	BOY
EOY	66842873	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	519923893	BOY
EOY	543627435	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	435178993	BOY
EOY	444823005	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11398885	BOY
EOY	11900434	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9402056	BOY
EOY	9644217	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	455979934	BOY
EOY	466367656	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	975903827	BOY
EOY	1009995091	EOY

Field	Value	IRS element (for citing)
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	$34,485	DirectContactLegislatorsAmount
Other Activities	true	OtherActivities
Other Activities	$34,414	OtherActivitiesAmount
Total Lobbying Expenditures IIB	68899	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 ASSOCATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR POLITICAL LOBBYING. IN FY10, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $33,196. IN ADDITION, $1,212 OF DUES PAID TO THE SPRINGFIELD AREA CHAMBER OF COMMERCE AND $6 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	258538371	OtherCostOrOtherBasis
Depreciation	129219415	Depreciation
Book Value	129318956	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4124325	OtherCostOrOtherBasis
Depreciation	2219942	Depreciation
Book Value	1904383	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	443151188	OtherCostOrOtherBasis
Depreciation	325978782	Depreciation
Book Value	117172406	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	65755457	OtherCostOrOtherBasis
Depreciation	7648937	Depreciation
Book Value	58106520	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	332544016	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	INT IN N/A OF TAX EXEMPT SUBS	Description
Book Value	51013753	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	51013753	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
EST AMOUNT DUE TO 3RD PARTIES	$1,000,000
EST SELF INSURANCE COSTS	$41,036,623
REGULATORY SETTLEMENT LIAB	$15,584,017
INTEREST RATE BASIS SWAP	$9,222,233

Field	Value	IRS element (for citing)
Total Of Amounts	66842873	TotalOfAmounts
Total Revenue	903935366	TotalRevenue
Total Expenses	887512533	TotalExpenses
Excess Or Deficit For Year	16422833	ExcessOrDeficitForYear
Net Unrealized GL On Investments	7032850	NetUnrealizedGLOnInvestments
Other	-$13,067,961	OtherAmount
Total Adjustments	-6035111	TotalAdjustments
Excess Or Deficit Per FS	10387722	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	898511771	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	7032850	NetUnrealizedGainsInvestments
Other Revenues	-13476753	OtherRevenues
Revenue Not Rptd F990	-6443903	RevenueNotRptdF990
Revenue Subtotal	904955674	RevenueSubtotal
Other Revenues Not Included	-1020308	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1020308	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	903935366	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	888124049	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1020308	OtherExpensesIncluded
Expenses Not Rptd F990	1020308	ExpensesNotRptdF990
Expenses Subtotal	887103741	ExpensesSubtotal
Other Expenses Not Included	408792	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	408792	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	887512533	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 ADJUSTMENTS TO INCOME	SCHEDULE D, PART XI, LINE 8; PART XII, LINE 2D	2,397,052 CONTRIBUTED (RETURN OF) CAPITAL - COX HEALTH SYSTEMS HMO ( 134,907) UNREALIZED LOSS ON BOND FUND (17,239,975) DEFINED BENEFIT LOSS 1,880,000 TRANSFER FROM AFFILIATE 29,869 CHANGE IN BENEFICIAL INTEREST IN TRUST ------------ (13,067,961) REVENUE EXCLUDED FROM 990
OTHER ADJUSTMENTS TO INCOME	SCHEDULE D, PART XII, LINE 4B; PART XIII, LINE 2D	( 854,132) RENT EXPENSE ( 166,176) SPECIAL EVENT EXPENSES ------------ ( 1,020,308) EXPENSES RECLASSED TO REVENUE
OTHER ADJUSTMENTS TO INCOME	SCHEDULE D, PART XII, LINE 2D; PART XIII, LINE 4B	( 408,792) INVESTMENT EXPENSES

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	1217500	TotalExpenditures

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Total Amount Spent	1217500	TotalAmountSpent

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	MU GOLF TOURNEY	NameOfEvent1
Gross Receipts Event1	60444	GrossReceiptsEvent1
Charitable Contributions Event1	33444	CharitableContributionsEvent1
Gross Revenue Event1	27000	GrossRevenueEvent1
Cash Prizes Event1	6500	CashPrizesEvent1
Non Cash Prizes Event1	7691	NonCashPrizesEvent1
Rent Facility Costs Event1	21286	RentFacilityCostsEvent1
Food And Beverage Event1	0	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	3532	OtherDirectExpensesEvent1
Name Of Event2	RADIOTHON	NameOfEvent2
Gross Receipts Event2	48806	GrossReceiptsEvent2
Charitable Contributions Event2	48806	CharitableContributionsEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	0	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	0	OtherDirectExpensesEvent2
Total Number Of Other Events	10	TotalNumberOfOtherEvents
Gross Receipts Other Events	136741	GrossReceiptsOtherEvents
Charitable Contrib Other Events	89125	CharitableContribOtherEvents
Gross Revenue Other Events	47616	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	785	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	21365	RentFacilityCostsOtherEvents
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Other Direct Expenses Other Events	105017	OtherDirectExpensesOtherEvents
Gross Receipts Total	245991	GrossReceiptsTotal
Charitable Contributions Total	171375	CharitableContributionsTotal
Gross Revenue Total Events	74616	GrossRevenueTotalEvents
Cash Prizes Total Events	6500	CashPrizesTotalEvents
Non Cash Prizes Total Events	8476	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	42651	RentFacilityCostsTotalEvents
Food And Beverage Total Events	0	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	108549	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	166176	DirectExpenseSummaryEvents
Net Income Summary	-91560	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	19021775	TotalCommunityBenefitExpense
Net Community Benefit Expense	19021775	NetCommunityBenefitExpense
Percent Of Total Expense	0.02330	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	121482082	TotalCommunityBenefitExpense
Direct Offsetting Revenue	99591935	DirectOffsettingRevenue
Net Community Benefit Expense	21890147	NetCommunityBenefitExpense
Percent Of Total Expense	0.02680	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	140503857	TotalCommunityBenefitExpense
Direct Offsetting Revenue	99591935	DirectOffsettingRevenue
Net Community Benefit Expense	40911922	NetCommunityBenefitExpense
Percent Of Total Expense	0.05010	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	250853	TotalCommunityBenefitExpense
Net Community Benefit Expense	250853	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13480170	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6375965	DirectOffsettingRevenue
Net Community Benefit Expense	7104205	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23612879	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17082544	DirectOffsettingRevenue
Net Community Benefit Expense	6530335	NetCommunityBenefitExpense
Percent Of Total Expense	0.00790	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11910	TotalCommunityBenefitExpense
Net Community Benefit Expense	11910	NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1214473	TotalCommunityBenefitExpense
Net Community Benefit Expense	1214473	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38570285	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23458509	DirectOffsettingRevenue
Net Community Benefit Expense	15111776	NetCommunityBenefitExpense
Percent Of Total Expense	0.01840	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	179074142	TotalCommunityBenefitExpense
Direct Offsetting Revenue	123050444	DirectOffsettingRevenue
Net Community Benefit Expense	56023698	NetCommunityBenefitExpense
Percent Of Total Expense	0.06850	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	1152	TotalCommunityBuildingExpense
Net Community Building Expense	1152	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1152	TotalCommunityBuildingExpense
Net Community Building Expense	1152	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$25,780,247	BadDebtExpenseAmount
Amount Attributable To	4124839	AmountAttributableTo
Amount Reimbursed By Medicare	260863712	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	311953304	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-51089592	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

Form990 Schedule H Part V Form990ScheduleHPartV (72 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	OtherOther
LESTER E COX MEDICAL CENTERS - SOUTH
3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	X	X	X	X	X
LESTER E COX MEDICAL CENTERS - NORTH
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	X			X	X
COX WALNUT LAWN ORTHOPEDIC HOSPITAL
1000 E WALNUT LAWN	SPRINGFIELD	MO	65807	X			X
TURNER WOMEN & CHILDREN'S CENTER
1000 E PRIMROSE	SPRINGFIELD	MO	65807						MEDICAL OFFICES URGENT CARE
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
PEDIATRIC CENTER
3443 S NATIONAL AVE	SPRINGFIELD	MO	65807						MEDICAL OFFICES
COXHEALTH CENTER MARSHFIELD
941 E HUBBLE DRIVE	MARSHFIELD	MO	65706						CLINIC
COXHEALTH CENTER NIXA
411 N MCCROSKEY	NIXA	MO	65714						CLINIC
SEYMOUR FAMILY HEALTH CARE
202 COMMERCIAL	SEYMOUR	MO	65746						CLINIC
ELFINDALE FAMILY MEDICINE
1429 W SUNSHINE	SPRINGFIELD	MO	65807						CLINIC
SOUTHERN HILLS FAMILY MEDICINE
2702 E SUNSHINE	SPRINGFIELD	MO	65804						CLINIC
MEDICAL CLINIC OF WILLOW SPRINGS
816 E MAIN	WILLOW SPRINGS	MO	65793						CLINIC
CHESTERFIELD FAMILY CLINIC
1925 W CHESTERFIELD BLVD	SPRINGFIELD	MO	65807						CLINIC
STEEPLECHASE FAMILY PHYSICIANS
1530 E REPUBLIC RD	SPRINGFIELD	MO	65804						CLINIC
COXHEALTH CENTER AVA
806 SW 13TH AVE	AVA	MO	65608						CLINIC
COXHEALTH CENTER BUFFALO
119 N ASH	BUFFALO	MO	65622						CLINIC
COXHEALTH CENTER SHELL KNOB
25376 STATE HWY 39	SHELL KNOB	MO	65747						CLINIC
COXHEALTH CENTER REPUBLIC
820 ILLINOIS AVE	REPUBLIC	MO	65738						CLINIC
CRANE MEDICAL CARE
102 CORTNEY LANE	CRANE	MO	65633						CLINIC
COXHEALTH CENTER CAMPBELL
2750 S CAMPBELL	SPRINGFIELD	MO	65807						CLINIC
COXHEALTH CENTER AURORA
106 COMMERCE DRIVE	AURORA	MO	65605						CLINIC
MARTIN CENTER
3901 S FREMONT	SPRINGFIELD	MO	65807						MEDICAL OFFICES IMAGING CENTER
COXHEALTH CENTER LEBANON
510 E HWY 32	LEBANON	MO	65536						CLINIC
OZARK HEALTH VENTURES
3550 S NATIONAL AVE	SPRINGFIELD	MO	65807						CLINIC
COX FAMILY MEDICINE OF MOUNTAIN GROVE
1602A N MAIN ST	MOUNTAIN GROVE	MO	65711						CLINIC
COXHEALTH CENTER BRANSON
890 HWY 248	BRANSON	MO	65616						CLINIC
COXHEALTH CENTER WILLARD
304 E JACKSON	WILLARD	MO	65781						CLINIC
COXHEALTH CENTER OZARK
1741 S 15TH STREET	OZARK	MO	65721						CLINIC
COXHEALTH CENTER ROGERSVILLE
151 JOHNSTOWN DR	ROGERSVILLE	MO	65742						CLINIC
BONE & JOINT CENTER
3555 S NATIONAL AVE	SPRINGFIELD	MO	65807						CLINIC
ADVANCED PAIN MANAGEMENT
1011 E MONTCLAIR	SPRINGFIELD	MO	65807						CLINIC
COXHEALTH CENTER MT VERNON
10763 HWY 39	MT VERNON	MO	65712						CLINIC
FERRELL-DUNCAN CLINIC
1000 E PRIMROSE	SPRINGFIELD	MO	65807						MEDICAL OFFICES
THE MEYER CENTER AT COXHEALTH
3545 S NATIONAL AVE	SPRINGFIELD	MO	65807						MEDICAL OFFICES FITNESS CENTER
COXHEALTH GYNECOLOGY CLINIC OF MONETT
801 N LINCOLN	MONETT	MO	65708						MEDICAL OFFICES
FAMILY & OCCUPATIONAL MEDICINE OF MONETT
2200 E CLEVELAND	MONETT	MO	65708						MEDICAL OFFICES
FAMILY PRACTICE & OBSTETRICS OF MONETT
815 N LINCOLN STE G	MONETT	MO	65708						MEDICAL OFFICES
MONETT SURGICAL ASSOCIATES
815 N LINCOLN STE E	MONETT	MO	65708						MEDICAL OFFICES
COX FAMILY MEDICINE OF MONETT
307 W BENTON	MONETT	MO	65708						MEDICAL OFFICES
THE CLINIC AT WALMART #0379
2004 W MARLER LANE	OZARK	MO	65721						CLINIC
THE CLINIC AT WALMART #0444
3315 S CAMPBELL	SPRINGFIELD	MO	65807						CLINIC
THE CLINIC AT WALMART #1009
1150 US HWY 60 EAST	REPUBLIC	MO	65738						CLINIC
THE CLINIC AT WALMART #2221
2021 E INDEPENDENCE	SPRINGFIELD	MO	65804						CLINIC
ADULT MEDICINE & ENDOCRINOLOGY SPECLST
960 E WALNUT LAWN SUITE 201	SPRINGFIELD	MO	65807						CLINIC
CASSVILLE MEDICAL CARE ASSOCIATES
75 SMITHSON DRIVE SUITE A	CASSVILLE	MO	65625						CLINIC
COX FAMILY MEDICINE ASSOCIATES
3850 S NATIONAL AVE 520	SPRINGFIELD	MO	65807						CLINIC
COX FAMILY PHYSICIANS
1443 N ROBBERSON 1001	SPRINGFIELD	MO	65802						CLINIC
COX HYPERBARIC MEDICINE & WOUND CARE
3525 S NATIONAL AVE 101	SPRINGFIELD	MO	65807						CLINIC
COX SENIOR HEALTH CENTER
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802						CLINIC
COXHEALTH CENTER FOR ADDICTIONS
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802						CLINIC
COXHEALTH INPATIENT PSYCHIATRY
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802						CLINIC
COXHEALTH INTERNAL MEDICINE FOR WOMEN
3850 S NATIONAL AVE 700	SPRINGFIELD	MO	65807						CLINIC
COXHEALTH NEWBORN MEDICINE SPECIALISTS
3801 S NATIONAL AVE	SPRINGFIELD	MO	65807						CLINIC
COXHEALTH PEDIATRICS
3525 S NATIONAL AVE 210	SPRINGFIELD	MO	65807						CLINIC
DIAGNOSTIC CLINIC
3800 S NATIONAL 600	SPRINGFIELD	MO	65807						CLINIC
FAMILY MEDICAL CARE CENTER
1423 N JEFFERSON ST B-100	SPRINGFIELD	MO	65802						CLINIC
HUGH HARRIS MD
3555 S NATIONAL AVE 300	SPRINGFIELD	MO	65807						MEDICAL OFFICES
MEDICAL OFFICE BUILDING-COX WALNUT LAWN
3525 S NATIONAL AVE	SPRINGFIELD	MO	65807						MEDICAL OFFICES
MILNE-SCANLON UROLOGY CLINIC
3800 S NATIONAL 730	SPRINGFIELD	MO	65807						CLINIC
NORTHSIDE PEDIATRICS & ADOLESCENTS
1443 N ROBBERSON 200	SPRINGFIELD	MO	65802						CLINIC
PEDIATRIC HOSPITAL AFFILIATES
3801 S NATIONAL AVE 7TH FL	SPRINGFIELD	MO	65807						CLINIC
PEDIATRIC NEUROLOGY OF THE OZARKS
1000 E PRIMROSE 200	SPRINGFIELD	MO	65807						CLINIC
PEDIATRIC SPECIALTY CLINIC
3443 S NATIONAL AVE	SPRINGFIELD	MO	65807						CLINIC
PHYSICIANS FOR WOMEN
3850 S NATIONAL AVE 400	SPRINGFIELD	MO	65807						CLINIC
REGIONAL PERINATAL CENTER
1000 E PRIMROSE 360	SPRINGFIELD	MO	65807						CLINIC
ROBERT E HUFFT MD
1001 E PRIMROSE 3RD FL	SPRINGFIELD	MO	65807						MEDICAL OFFICES
SOUTHWEST SPINE & SPORTS MEDICINE
3555 S NATIONAL AVE 302	SPRINGFIELD	MO	65807						CLINIC
SPRINGFIELD INPATIENT PHYSICIANS
3801 S NATIONAL AVE 5TH FL	SPRINGFIELD	MO	65807						CLINIC
SUN RIVER ORTHOPAEDICS
3800 S NATIONAL AVE 700	SPRINGFIELD	MO	65807						CLINIC
THOMAS J LEGG DO
3525 S NATIONAL 202	SPRINGFIELD	MO	65807						MEDICAL OFFICES

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Subsidized Health Services Expln	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 $5,071,806. COX HEALTH 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.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE OF $70,093,115.	PercentOfTotalExpenseExpln
Bad Debt Footnote	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: THE HEALTH SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. 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.	BadDebtFootnote
Shortfall As Community Benefit	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. DURING FISCAL YEAR 2010, THE MEDICARE SHORTFALL WAS $51,089,592.	ShortfallAsCommunityBenefit
Debt Collection Policy	THE ORGANIZATION WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF ANY AMOUNTS DISCOUNTED AS A RESULT OF AN APPROVED OR PARTIALLY APPROVED REQUEST FOR FINANCIAL ASSISTANCE. BALANCES REMAINING AFTER SUCH DISCOUNTS ARE APPLIED WILL, HOWEVER, BE SUBJECT TO COLLECTION ACTIVITY, INCLUDING LEGAL ACTION. IN ADDITION, THE ORGANIZATION WILL NOT CHARGE INTEREST ON THE BALANCE REMAINING AFTER APPLYING THE FINANCIAL ASSISTANCE DISCOUNT. HOWEVER, THE ORGANIZATION MAY, IN ITS SOLE DISCRETION, CHARGE INTEREST ON THE BALANCE OWED IF 1) THE GUARANTOR DEFAULTS ON HIS OR HER PAYMENT AGREEMENT OR 2) THE BALANCE IS REFERRED TO THE COLLECTION AGENCY FOR COLLECTION.	DebtCollectionPolicy
General Explanation	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.	GeneralExplanation
Needs Assessment	A PUBLIC PERCEPTION STUDY IS CONDUCTED ANNUALLY. THE MOST RECENT STUDY SURVEYED 680 HOUSEHOLDS IN OUR PRIMARY SERVICE AREA TO DETERMINE "WHAT SERVICES ARE NEEDED." WE ALSO UTILIZE PUBLIC HEALTH SURVEYS, INCLUDING: COUNTY PUBLIC HEALTH DEPARTMENTS, LOCAL AGENCIES AND REGIONAL SERVICES CLINICS. WE REFERENCE 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.	NeedsAssessment
Patient Education Assistance	INDIVIDUALS RESIDING WITHIN THE COX SERVICE AREA WHO ARE UNINSURED OR MEDICALLY INDIGENT AND UNABLE TO PAY FOR MEDICALLY NECESSARY MEDICAL SERVICES MAY QUALIFY FOR A REDUCTION IN THEIR BILL, DEPENDING ON THEIR FINANCIAL STATUS. UNINSURED PATIENTS ARE PROVIDED A FINANCIAL ASSISTANT PACKET AT THE TIME OF REGISTRATION. COXHEALTH ALSO PROVIDES NOTIFICATION REGARDING FINANCIAL ASSISTANCE FOR ALL SELF-PAY PATIENTS ON THEIR BILLING STATEMENTS. HOSPITAL STAFF VISITS SELF-PAY PATIENTS DURING THEIR HOSPITALIZATION TO DETERMINE IF THEY MIGHT BE ELIGIBLE FOR MEDICAID COVERAGE, COBRA OR OTHER FEDERAL ASSISTANCE AND HELPS THEM WITH THE APPLICATION PROCESS. PATIENTS WHO ARE NOT ELIGIBLE FOR THESE PROGRAMS ARE CONTACTED BY A FINANCIAL COUNSELOR WHO CAN PROVIDE ASSISTANCE IN COMPLETING THE HOSPITAL'S ASSISTANCE PROGRAM. ELIGIBILITY ASSISTANCE INFORMATION IS AVAILABLE ON OUR WEBSITE, COXHEALTH.COM.	PatientEducationAssistance
Community Information	THE PRIMARY SERVICE AREA ("PSA") COUNTIES SERVED BY COXHEALTH INCLUDE: BARRY, CHRISTIAN, GREENE, LAWRENCE, POLK, STONE, TANEY, WEBSTER (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, PULASKI, TEXAS AND WRIGHT (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 57% OF THE 22-COUNTY POPULATION IS IN THE EIGHT COUNTY PRIMARY SERVICE AREA. 51% OF THE MARKET IS FEMALE AND ALMOST 20% OF THE MARKET ARE FEMALES BETWEEN THE AGES OF 15 AND 44. THE SEGMENT OF THE POPULATION OVER 65 IS PROJECTED TO GROW AT ABOUT A 12% RATE. THE AVERAGE HOUSEHOLD INCOME IS $51,511 IN THE 22-COUNTY SERVICE AREA COMPARED WITH $61,383 FOR THE STATE OF MISSOURI. THE POPULATION IN THE COXHEALTH SERVICE AREA IS NOT AS HIGHLY EDUCATED AS THE STATE AVERAGE. DIVERSITY IS NEARLY NONEXISTENT IN THE 22-COUNTY MARKET. UNEMPLOYMENT CONTINUES TO RISE IN THE AREA.	CommunityInformation
Community Building Activities	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). OUR GOAL IS TO PROVIDE QUALITY, AFFORDABLE CARE TO THE COMMUNITIES WE SERVE. THE COXHEALTH.COM WEB SITE IS FOCUSED ON PROVIDING HEALTH EDUCATION AND INCORPORATES PODCASTS, HEALTH SURVEYS AND QUIZZES, AS WELL AS A HEALTH LIBRARY. HEALTHSENSE MAGAZINE, FEATURING HEALTH INFORMATION AND EDUCATION, IS PUBLISHED AND DISTRIBUTED QUARTERLY AT NO CHARGE TO AN ESTIMATED 100,000 RESIDENTS IN OUR SERVICE AREA. COXHEALTH PROVIDES FREE AND/OR LOW-COST HEALTH EDUCATION PROGRAMS AND HEALTH SCREENINGS YEAR-ROUND. WE FREQUENTLY SPONSOR COMMUNITY EVENTS THAT PROMOTE A HEALTH MESSAGE OR RAISE FUNDS FOR A NEEDED HEALTH SERVICE, SUCH AS THE AMERICAN HEART ASSOCIATION'S HEART WALK. IN ADDITION, COXHEALTH IS PROUD TO SERVE AS A CO-SPONSOR OF CANCER RESEARCH FOR THE OZARKS WHICH ENABLES US TO PROVIDE ACCESS TO NATIONAL CLINICAL TRIALS FOR CANCER PATIENTS IN SOUTHWEST MISSOURI.	CommunityBuildingActivities
Other Information	COX C.A.R.E. MOBILE PROVIDES FREE WELLNESS SCREENINGS AND IMMUNIZATIONS TO YOUTH IN OUR SERVICE AREA RANGING IN AGE FROM 0 TO 18 YEARS. CHILDREN'S MIRACLE NETWORK HOSPITALS ANNUALLY PURCHASES LIFE-SAVING EQUIPMENT FOR AFFILIATE AND AREA HOSPITALS, AMBULANCES AND SCHOOLS; EDUCATIONAL PROGRAMS; FAMILY CARE GRANTS (FINANCIAL ASSISTANCE); AND THE SPECIAL NEEDS FUND WHICH OFFERS DIRECT FINANCIAL ASSISTANCE FOR SPECIAL MEDICAL NEEDS THAT ARE NOT COVERED BY PRIVATE INSURANCE OR MEDICAID. COXHEALTH BEARS 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. COXHEALTH'S NURSING, RADIOLOGY AND MEDICAL TECHNOLOGY EDUCATION PROGRAMS HELP TO ENSURE THAT HEALTH CARE IS AVAILABLE IN OUR COMMUNITY. COXHEALTH'S GROUND AND AIR AMBULANCE PROVIDE EMERGENCY MEDICAL SERVICES WITHOUT SUBSIDIES FROM LOCAL GOVERNMENTS. COXHEALTH FOUNDATION ANNUALLY PURCHASES LIFE-SAVING MEDICAL EQUIPMENT AND PROVIDES FINANCIAL ASSISTANCE TO PATIENTS AND EDUCATION. COXHEALTH'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD COMPRISED OF BUSINESS AND CIVIC LEADERS IN OUR COMMUNITY. THE DECISIONS THEY MAKE ARE IN RESPONSE TO THE NEEDS OF OUR FRIENDS AND NEIGHBORS IN THE COMMUNITIES WE SERVE.	OtherInformation
Affiliated Health Care System	THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP WHICH RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE CONSOLIDATED FINANCIAL STATEMENTS OF LESTER E. COX MEDICAL CENTERS (THE "MEDICAL CENTERS") AND ITS WHOLLY OWNED SUBSIDIARIES, WHICH INCLUDES WITHOUT LIMITATION MEDICAL DEVELOPMENTS, INC., AND COX HEALTH SYSTEMS HMO, INC. COX HEALTH SYSTEMS HMO, INC. IS THE SOLE OWNER OF COX HEALTH SYSTEMS INSURANCE COMPANY AND COX HEALTH PLANS, LLC. THE INSURANCE COMPANY OF SPRINGFIELD, INC., PRIMROSE PLACE, INC. AND COXHEALTH ALLIANCE, LLC ARE COLLECTIVELY REFERRED TO AS OTHER COXHEALTH ENTITIES. MEDICAL DEVELOPMENTS, INC., COX HEALTH SYSTEMS INSURANCE COMPANY, COX HEALTH SYSTEMS HMO, INC., COX HEALTH PLANS, LLC, INSURANCE COMPANY OF SPRINGFIELD, INC. AND COXHEALTH ALLIANCE, LLC ARE FOR-PROFIT ENTITIES. THE CONSOLIDATED FINANCIAL STATEMENTS ALSO INCLUDE THE FOLLOWING NOT-FOR-PROFIT ENTITIES FOR WHICH THE BOARDS ARE APPOINTED BY THE HEALTH SYSTEM: COX ALTERNATIVE CARE OF THE OZARKS, INC., HEALTHCARE SERVICES OF THE OZARKS, INC., AND COX HEALTHCARE SERVICES OF THE MIDWEST, INC. (COLLECTIVELY REFERRED TO AS OXFORD HOME HEALTH CARE), COX-MONETT HOSPITAL, INC., COX HPS OF THE OZARKS, INC., COXHEALTH FOUNDATION AND PRIMROSE PLACE, INC., INCLUDED AS A COMPONENT OF OTHER COXHEALTH ENTITIES. COXHEALTH'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT, AS WELL AS THE CHOICE OF AN INDEPENDENT ACCOUNTANT. COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE, HOME PARENTERAL SERVICES (INFUSION THERAPY) AND HOME SUPPORT (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. THE SUPPORT STAFF AT HOME PARENTERAL SERVICES (HPS) HAS REACHED OUT THIS YEAR WITH AN ABUNDANCE OF FOOD, HYGIENE PRODUCTS, CLOTHES, MONETARY DONATIONS, AND OTHER ITEMS TO SUPPORT OUR PATIENTS AND THEIR FAMILIES DURING THE THANKSGIVING AND CHRISTMAS SEASONS. OUR HPS BILLING DEPARTMENT STAFF HAS ORGANIZED SEVERAL FUNDRAISERS THIS YEAR AS AN OUTREACH TO PROVIDE MONETARY CONTRIBUTIONS TO THE SPRINGFIELD PUBLIC SCHOOLS' BACK PACK PROGRAM AND THE LOCAL OZARKS FOOD HARVEST. OUR NURSING STAFF CONTRIBUTES FUNDS EACH MONTH TO SUPPORT THE TRI COUNTY PREGNANCY CARE CENTER IN AURORA, MISSOURI. IN ADDITION, THEY HAVE VOLUNTEERED THEIR TIME TO HELP WITH THE TRI COUNTY PREGNANCY CARE CENTER'S ANNUAL FUND RAISING PROJECTS. THE HPS VAD TEAM AND AIC STAFF PROVIDED THEIR SUPPORT TO ISABEL'S HOUSE IN SPRINGFIELD. THEY CONTRIBUTED MONETARY DONATIONS AND ALSO VOLUNTEERED THEIR TIME TO HELP BUILD AND INSTALL SHELVING UNITS, PURCHASING TUBS FOR USE AS STORAGE FOR CLOTHING DONATIONS, AND SPENDING A DAY HELPING WITH GENERAL WORK PROJECTS AT THE FACILITY. AS AN OUTREACH TO OUR COMMUNITY THE HPS PHARMACY STAFF HAS RAISED FUNDS TO PROVIDE MONETARY SUPPORT TO THE LOCAL HARMONY HOUSE. COXHEALTH HOME SUPPORT REGULARLY DONATES MEDICAL EQUIPMENT TO CONVOY OF HOPE AND OTHER AGENCIES THAT SUPPORT DISASTER AND RELIEF EFFORTS BOTH LOCALLY AND ABROAD. IN AN EFFORT TO RESPOND TO A RECENT DISASTER CAUSED BY A TORNADO IN JOPLIN, MO., HOME SUPPORT DONATED AND COORDINATED THE SET UP OF HOSPITAL BEDS AT A LOCAL SHELTER FOR VICTIMS OF THE STORM. IN A SHOW OF SUPPORT FOR OUR LOCAL VETERANS, WE HAVE LOANED WHEELCHAIRS FOR "HONOR FLIGHTS" THAT ENABLE WORLD WAR II VETERANS TO VISIT MULTIPLE WASHINGTON D.C. MONUMENTS AND ATTEND HONORARY CEREMONIES. HOME SUPPORT'S EMPLOYEES ALSO REGULARLY PARTICIPATE IN FUND RAISERS THAT SUPPORT THE CHILDREN'S MIRACLE NETWORK AND MUSCULAR DYSTROPHY ASSOCIATION. WE PROVIDE MEDICAL EQUIPMENT TO THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. HOME SUPPORT'S RESPIRATORY DEPARTMENT PROVIDES HOME ENVIRONMENTAL ASTHMA ASSESSMENTS FOR PATIENTS WHO SUFFER FROM UPPER RESPIRATORY CONDITIONS. IN AN EFFORT TO HELP YOUNG DISABLED PATIENTS EXPERIENCE MULTIPLE CONSERVATION AND OUTDOOR EXPERIENCES, OUR REHAB DEPARTMENT CONTINUES TO PROVIDE CUSTOM WHEELCHAIR COMPONENTS AND OTHER PROFESSIONAL SERVICES TO THE MISSOURI DEPARTMENT OF CONSERVATION.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SPRINGFIELD GREENE COUNTY HEALTH COMMISSION
227 E CHESTNUT	SPRINGFIELD	MO	65802	800342550	501(C)(3)	50000	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)	20000	COMMUNITY BENEFIT
AMERICAN CANCER SOCIETY
3322 S CAMPBELL	SPRINGFIELD	MO	65807	440552054	501(C)(3)	46750	COMMUNITY BENEFIT
SPECIAL OLYMPICS
901 E ST LOUIS	SPRINGFIELD	MO	65806	237328374	501(C)(3)	10000	COMMUNITY BENEFIT
ISABEL'S HOUSE
2750 W BENNETT STREET	SPRINGFIELD	MO	65804	204574229	501(C)(3)		COMMUNITY BENEFIT	7989	FMV	NURSING PERSONNEL
MISSOURI WINTER GAMES
PO BOX 4934	SPRINGFIELD	MO	65808	562511450	501(C)(3)	15000	COMMUNITY BENEFIT
ALZHEIMER'S ASSOCIATION
1800 S GLENSTONE	SPRINGFIELD	MO	65804	431485251	501(C)(3)	6000	COMMUNITY BENEFIT
PROFESSIONAL BULL RIDERS
101 W RIVERWALK	PUEBLO	CO	81003	841357589		10000	SPONSORSHIP
BREAST CANCER FOUNDATION OF THE OZARKS
330 N JEFFERSON	SPRINGFIELD	MO	65806	431881450	501(C)(3)	10000	COMMUNITY BENEFIT
STL REGIONAL DSH FUNDING AUTHORITY
PO BOX 6766	JEFFERSON CITY	MO	65102	061642698	501(C)(3)	851671	COMMUNITY BENEFIT
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	98963	COMMUNITY BENEFIT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	13	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	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	275179
CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS	250	206384
CHILDREN'S MIRACLE NETWORK - COMMUNITY GRANTS	20000	296129
CHILDREN'S MIRACLE NETWORK - COXHEALTH GRANTS	50000	220914
CHILDREN'S MIRACLE NETWORK - OTHER GRANTS	6000	174562

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	GRANT OR ASSISTANCE TO INDIVIDUALS IN THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PART III	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 2010, APPROXIMATELY 80,000 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $275,179 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: TRAVEL ASSISTANCE, ORTHOPEDIC BRACES, PRESCRIPTIONS, EYE GLASSES, ETC. FAMILY CARE GRANTS - $206,384 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, COXHEALTH HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $296,129 TOTAL CAREMOBILE PROGRAM - $263,842 CARDIAC PROGRAM (A PORTION TO COX-MONETT HOSPITAL, INC.) - $15,593 "NEVER SHAKE A BABY" PROGRAM - $11,924 "WASTED" PROGRAM - $4,770 COXHEALTH GUARANTEED GRANTS - $220,914 TOTAL CHILD LIFE PROGRAM - $96,313 PEDIATRICS - $18,345 NEONATAL INTENSIVE CARE UNIT - $73,381 PEDIATRIC URGENT CARE - $4,586 BABY BUGGY - $13,759 WAL-MART KITCHEN - $1,651 *BOOKS FOR BABIES - $12,879 DISCRETIONARY AND OPEN FUNDS - $174,562 - 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 DSH FUNDING AUTHORITY. THESE CONTRIBUTIONS ARE USED TO SUSTAIN THE VARIOUS CHARITY CARE CLINICS IN THE ST. LOUIS AREA, WITH LOCAL COMMUNITY HOSPITALS ABSORBING THE INPATIENT AND OUTPATIENT NEEDS OF THE COMMUNITY'S MEDICALLY INDIGENT POPULATION.	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
ROBERT H BEZANSON
781146	0	0	0	231064	0	169768	0	33195	0	1215173	0	207064
STEVE EDWARDS
429182	0	0	0	6756	0	94781	0	18452	0	549171	0
JAKE MCWAY
374882	0	0	0	50914	0	88970	0	16918	0	531684	0	31704
LAURIE CUNNINGHAM
147196	0	0	0	668	0	11411	0	10816	0	170091	0
JOHN DUFF
320856	0	0	0	13550	0	71234	0	19161	0	424801	0
ROBERT FERGUSON
231331	0	0	0	690	0	18557	0	11613	0	262191	0
CHARITY ELMER
245130	0	0	0	270	0	18617	0	11619	0	275636	0
DAVID TAYLOR
207824	0	0	0	855	0	17061	0	11701	0	237441	0
RON PRENGER
193036	0	0	0	690	0	15694	0	11845	0	221265	0
JOHN HURSH
202834	0	0	0	1980	0	16762	0	11399	0	232975	0
MARY KNAPP
180496	0	0	0	18480	0	15394	0	11541	0	225911	0
RITA GURIAN
173973	0	0	0	1290	0	12307	0	6203	0	193773	0
RODNEY SCHAFFER
172160	0	0	0	1290	0	13988	0	8782	0	196220	0
PATRICK WALSH
153665	0	0	0	12593	0	13524	0	11298	0	191080	0
KAREN KRAMER
187244	0	0	0	8490	0	16099	0	11286	0	223119	0
THERESA WINNING
137351	0	0	0	19653	0	12607	0	8392	0	178003	0
SARAH KUHLMAN MD
529072	0	0	0	1980	0	18885	0	12036	0	561973	0
COLLEEN ROSE MD
518602	0	0	0	18480	0	18971	0	6265	0	562318	0
CARY C MARQUIS MD
436300	0	0	0	16800	0	18758	0	11352	0	483210	0
LARRY CHASE MD
443118	0	0	0	16264	0	18491	0	11704	0	489577	0
JOSEPH ECCHER MD
530773	0	0	0	17790	0	18977	0	11921	0	579461	0
PATRICIA M DIX MD
236215	0	0	0	13702	0	18505	0	10165	0	278587	0
RICHARD W KISSELL MD
163040	0	0	0	1980	0	13398	0	11555	0	189973	0
LARRY W HALVERSON MD
154522	0	0	0	18480	0	14013	0	11577	0	198592	0
DANIEL SONTHEIMER MD
289389	0	0	0	300	0	18699	0	11645	0	320033	0

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SOCIAL CLUB DUES	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	THERESA WINNING RECEIVED A SEVERANCE PAYMENT OF $19,200.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B	ROBERT BEZANSON, STEVE EDWARDS, JAKE MCWAY AND JOHN DUFF PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN. ROBERT BEZANSON RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $150,883 ROBERT BEZANSON RECEIVED A 457(F) DISTRIBUTION OF $207,064, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $76,088 JAKE MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $70,207 JAKE MCWAY RECEIVED A 457(F) DISTRIBUTION OF $31,704, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. JOHN DUFF RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $52,576
COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZAITON	SCHEDULE J, PART I, LINE 6A	EMPLOYED CLINICAL PHYSICIANS OF COXHEALTH ARE COMPENSATED BASED ON A PERCENTAGE OF NET COLLECTED REVENUE. PHYSICIANS LISTED ON PART VII THAT PARTICIPATE IN THIS ARRANGEMENT INCLUDE JOSEPH ECCHER, SARAH KUHLMAN, COLLEEN ROSE, LARRY CHASE, AND CARY C. MARQUIS.
BOARD MEMBER COMPENSATION	SCHEDULE J, PART II; SCHEDULE J-2 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
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
431178966	60635R4Z7	2008-09-25	157078759	1997 & 2002 BOND RFDING; NEW INFRA	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
431178966	60635R5B9	2008-10-15	105000000	NEW INFRASTRUCTURE	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
431178966		2007-02-27	5000000	CAPITAL EQUIPMENT FINANCING	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
157078759	15009956	0	0	1448411	0	68137985	true	false	false	true
104721750	0	0	25298477	494731	0	78928542	false	false	false	true
5000000				50000		4950000	false	false	true	true	2007

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	false	false	true	0.01100	0.01100	true
false	false	false	false	true	0.00080	0.00080	true
false	false	false	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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
VICKI HOCKENSMITH
S EDWARDS - SEE SCH O	69022	WAGES	false
TERRY HAMMER
S EDWARDS - SEE SCH O	85762	WAGES	false
BETTE B EDWARDS
S EDWARDS - SEE SCH O	23953	RETIREMENT BENEFITS	false
JASON PRENGER
R PRENGER - SEE SCH O	14748	WAGES	false
NICOLE HALVERSON
L HALVERSON - SEE SCH O	24477	WAGES	false
FOR ADDITIONAL PERSONS SEE SCHEDUL

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 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. THEY ALSO RECENTLY PROVIDED CUSTOM WHEEL CHAIR COMPONENTS AND OTHER SERVICES TO ARC OF THE OZARKS IN AN EFFORT TO HELP A YOUNG DISABLED MAN EXPERIENCE HIS FIRST SUCCESSFUL TURKEY HUNT.
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 CLINICAL RESEARCH. WE JOINTLY OPERATE CANCER RESEARCH OF THE OZARKS (CRO), WHICH ENABLES US TO PROVIDE ACCESS TO NATIONAL CLINICAL TRIALS FOR CANCER PATIENTS RIGHT HERE IN SOUTHWEST MISSOURI. WE ARE PROUD TO OPERATE CRO, OUR CANCER RESEARCH ORGANIZATION, AS WE ARE COMMITTED TO IMPROVING THE HEALTH AND QUALIFY OF LIFE FOR OUR COMMUNITY'S RESIDENTS. 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: $130,767,008 MEDICARE, MEDICAID AND UNINSURED SUBSIDIES $127,463,924 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. IT 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 $782,893 INCLUDES ACTIVITIES CARRIED OUT BY THE ORGANIZATION AND ITS AFFILIATES 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 $1,021,749 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 $1,498,442 THIS FIGURE INCLUDES COXHEALTH AND COXHEALTH AFFILIATE 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. ECONOMIC IMPACT: $490,071,227 REAL ESTATE AND PROPERTY TAXES $1,019,180 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 $86,103,246 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 $402,948,801 COXHEALTH IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN 2010 THAT TOTALED 8,214 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.
990 REVIEW POLICY	FORM 990, PART VI, SECTION B, LINE 11A	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. MEMBERS OF COXHEALTH 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, LINE 15	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.
TAX-EXEMPT BOND - YEAR OF SUBSTANTIAL COMPLETION	SCHEDULE K, PART II, LINE 8, COLUMNS A AND B	PROJECTS FUNDED WITH 2008 TAX-EXEMPT BONDS AWARDED THROUGH THE HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI WERE NOT SUBSTANTIALLY COMPLETE AS OF SEPTEMBER 30, 2010.
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	SCHEDULE L, PART IV	STEVE EDWARDS, EXECUTIVE VP & CHIEF OPERATIONS OFFICER, HAS THREE FAMILY MEMBERS WHO WORK FOR OR RECEIVE RETIREMENT BENEFITS FROM COXHEALTH. VICKI HOCKENSMITH IS HIS SISTER, TERRY HAMMER IS HIS BROTHER-IN-LAW, AND BETTE B. EDWARDS IS HIS MOTHER. RON PRENGER'S SON, JASON PRENGER, IS AN EMPLOYEE AT COXHEALTH, AND RON IS THE VICE PRESIDENT OF CLINICAL SERVICES. LARRY W. HALVERSON'S DAUGHTER, NICOLE HALVERSON, IS AN EMPLOYEE AT COXHEALTH, AND LARRY IS A MEMBER OF THE BOARD OF DIRECTORS. ADDITIONAL SCHEDULE L, PART IV DISCLOSURE: NAME OF INTERESTED PERSON: LUCAS C. SMITH RELATIONSHIP: JERRY G. JARED, CHAIRMAN OF THE BOARD OF DIRECTORS, IS LUCAS'S FATHER-IN-LAW AMOUNT OF TRANSACTION: $67,083 DESCRIPTION OF TRANSACTION: WAGES DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO NAME OF INTERESTED PERSON: LINDA ESPY RELATIONSHIP: KAREN KRAMER, VICE PRESIDENT & CHIEF NURSING OFFICER, IS LINDA'S SISTER AMOUNT OF TRANSACTION: $30,960 DESCRIPTION OF TRANSACTION: WAGES DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO NAME OF INTERESTED PERSON: LAURIE DUFF RELATIONSHIP: JOHN DUFF, SR. VICE PRESIDENT - ADMINISTRATOR COX HOSPITAL, IS LAURIE'S SPOUSE AMOUNT OF TRANSACTION: $152,537 DESCRIPTION OF TRANSACTION: WAGES DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO NAME OF INTERESTED PERSON: HADEN COWHERD & BULLOCK, LLC RELATIONSHIP: GRANT Q. HADEN, THIRD VICE CHAIRMAN OF THE BOARD OF DIRECTORS, IS AN OWNER. AMOUNT OF TRANSACTION: $464,898 DESCRIPTION OF TRANSACTION: LEGAL SERVICES DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO NAME OF INTERESTED PERSON: GREAT SOUTHERN BANK & GREAT SOUTHERN TRAVEL RELATIONSHIP: JOSEPH W. TURNER, MEMBER OF THE BOARD OF DIRECTORS, IS THE PRESIDENT AND CEO OF GREAT SOUTHERN BANK AMOUNT OF TRANSACTION: $130,565 DESCRIPTION OF TRANSACTION: FINANCIAL AND TRAVEL SERVICES DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO NAME OF INTERESTED PERSON: FAITH SCHAFFER RELATIONSHIP: RODNEY SCHAFFER, VICE PRESIDENT OF FACILITIES MANAGEMENT, IS FAITH'S HUSBAND. AMOUNT OF TRANSACTION: $39,405 DESCRIPTION OF TRANSACTION: WAGES DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO NAME OF INTERESTED PERSON: COX HEALTH SYSTEMS HMO, INC. RELATIONSHIP: JERRY G. JARED, JOSEPH W. TURNER AND DONA K. ELKINS ARE SHARED BOARD MEMBERS AMOUNT OF TRANSACTION: $2,587,835 DESCRIPTION OF TRANSACTION: INSURANCE PREMIUMS DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (7 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	10348437	9761414	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

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-INSURANC	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	General Or Managing PartnerGeneralOrManagingPartner
SKAGGS-COX HEALTH ALLIANCELLC
27-1117343 SFD MO 65807	SPRINGFIELD	MO	65807	271117343	HEALTHCARE	MO	COXHLTH ALLIANC	RELATED	-94100	52085	false	true
PCRMC-COX HEALTH ALLIANCELLC
30-0649009 SFD MO 65802	SPRINGFIELD	MO	65802	300649009	HEALTHCARE	MO	COXHLTH ALLIANC	RELATED	0	0	false	true

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	16294414	15202958	1.00000
COX HEALTH SYSTEMS INSURANCE COMPANY
3525 S NATIONAL SUITE 205	SPRINGFIELD	MO	65807	431684044	INSURANCE	MO	COX HMO	C CORP	74674615	21620079	1.00000
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	NA	C CORP	2014038	2318862	1.00000
INSURANCE COMPANY OF SPRINGFIELD INC
					CAPTIVE INSUR		NA	C CORP	1282650	546042	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 (19 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MEDICAL DEVELOPMENTS INC
A	65445
INSURANCE COMPANY OF SPRINGFIELD
B	1217500
COXHEALTH FOUNDATION
C	818267
COX HEALTHPLANS LLC
C	2587835
COXHEALTH AUXILIARY
C	95627
MEDICAL DEVELOPMENTS INC
J	110634
COX-MONETT HOSPITAL
J	57341
COX-MONETT HOSPITAL
O	371707
COX HPS OF THE OZARKS INC
O	375164
OXFORD HOME HEALTH AGENCY
O	83817
COX-MONETT HOSPITAL
P	8131567
MEDICAL DEVELOPMENTS INC
P	1439212
PRIMROSE PLACE INC
P	82984
COX HPS OF THE OZARKS INC
P	1179815
OXFORD HOME HEALTH AGENCY
P	1470276
COX-MONETT HOSPITAL
Q	5109443
COXHEALTH FOUNDATION
R	136148
COX-MONETT HOSPITAL
R	2856324
PRIMROSE PLACE INC
R	2000000