SKAGGS COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SKAGGS COMMUNITY HOSPITAL ASSOCIATION (EIN 44-0584290)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-11
IRS object ID: 201612249349302251
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-11T14:18:03-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440584290	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DAVID STRONG	InCareOfNm
Business Name Control	SKAG	BusinessNameControlTxt
Phone	4173357000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1Txt
City	BRANSON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65615	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID STRONG	PersonNm
Person Title	COX MEDICAL CENTER B	PersonTitleTxt
Phone	4173357000	PhoneNum
Signature	2016-08-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	COX MEDICAL CENTER BRANSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MR WILLIAM MAHONEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1Txt
City	BRANSON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65615	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$208,480,494	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COXHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	IMPROVES LIVES VIA EDUCATION, PREVENTION, AND ADVOCACY; BY THE USE OF TECHNOLOGY; AND BY PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY. SEE SCHEDULE O FOR MORE INFORMATION.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1483	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$25,491	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$97,152	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,107,369	PYContributionsGrantsAmt
CY Contributions Grants	$261,964	CYContributionsGrantsAmt
PY Program Service Revenue	$173,235,995	PYProgramServiceRevenueAmt
CY Program Service Revenue	$193,499,026	CYProgramServiceRevenueAmt
PY Investment Income	$946,870	PYInvestmentIncomeAmt
CY Investment Income	$1,452,033	CYInvestmentIncomeAmt
PY Other Revenue	-$440,928	PYOtherRevenueAmt
CY Other Revenue	$169,750	CYOtherRevenueAmt
PY Total Revenue	$175,849,306	PYTotalRevenueAmt
CY Total Revenue	$195,382,773	CYTotalRevenueAmt
PY Grants And Similar Paid	$145,769	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$98,363	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$68,516,551	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$66,028,833	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$106,841,835	PYOtherExpensesAmt
CY Other Expenses	$116,524,042	CYOtherExpensesAmt
PY Total Expenses	$175,504,155	PYTotalExpensesAmt
CY Total Expenses	$182,651,238	CYTotalExpensesAmt
PY Revenues Less Expenses	$345,151	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,731,535	CYRevenuesLessExpensesAmt
Total Assets BOY	$195,885,210	TotalAssetsBOYAmt
Total Assets EOY	$203,850,893	TotalAssetsEOYAmt
Total Liabilities BOY	$103,111,709	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$98,373,295	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$92,773,501	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$105,477,598	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$137,128,945	ExpenseAmt
Grant	$98,363	GrantAmt
Revenue	$167,615,167	RevenueAmt
Desc	HOSPITAL SERVICES - COX MEDICAL CENTER BRANSON PROVIDES THE FOLLOWING AREAS OF SERVICE: CANCER, CARDIAC, DIABETES AND ENDOCRINOLOGY, EAR NOSE AND THROAT, EMERGENCY, URGENT CARE, FAMILY MEDICINE, IMAGING AND RADIOLOGY, LABORATORY AND PATHOLOGY, NEPHROLOGY AND DIALYSIS, NEUROLOGY, OCCUPATIONAL HEALTH, ORTHOPEDICS, PEDIATRICS, PSYCHIATRY, PULMONOLOGY/CRITICAL CARE, REHABILITATION AND THERAPY, RHEUMATOLOGY, SLEEP DISORDER CENTER, SOCIAL SERVICES, SURGERY, UROLOGY, WOMEN'S SERVICES AND WOUND CARE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$32,074,710	ExpenseAmt
Revenue	$25,883,859	RevenueAmt
Desc	CLINIC SERVICES - CLINIC SERVICES INCLUDE FAMILY MEDICINE, OB-GYN SERVICES, GENERAL SURGERY, INTERNAL MEDICINE, INFECTIOUS DISEASE TREATMENT AND PULMONOLOGY. COORDINATION OF CARE IS ENHANCED BY A PHYSICIAN LIAISON.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$169,203,655	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	86	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1483	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID STRONG	PersonNm
Phone	4173357789	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1Txt
City	BRANSON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65615	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BOB MCDOWELL
VICE CHAIRMAN	3.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
ANTHONY WHEELER
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
DOUG HAYTER
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
BOB SIMMONS
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
DENNIS NEWKIRK
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
PHILLIP LOYD
CHAIRMAN	3.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
JAKE MCWAY
DIRECTOR	3.0	40.0	Yes (X)		$0	$726,795	$141,589
JAMES BERRY
DIRECTOR ENDING 12/13	3.0	0.0	Yes (X)		$0	$0	$0
JANICE WILLIAMS
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
LARRY SCHMITT
TREASURER	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
RAEANNE PRESLEY
SECRETARY	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD BLUBAUGH
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
STEVE EDWARDS
DIRECTOR	3.0	40.0	Yes (X)		$0	$1,230,233	$262,993
HOLLY WHERRY
DIRECTOR	3.0	0.0	Yes (X)		$309,077	$0	$14,664
BOB COX
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
WILLIAM MAHONEY
CEO	40.0	5.0		Yes (X)	$473,553	$0	$70,126
DAVID STRONG
CFO	30.0	10.0		Yes (X)	$271,499	$0	$52,329
CAROL MARTIN
VP ADMINISTRATION	40.0	0.0			$198,868	$0	$42,597	Yes (X)
BRIAN CLONTS MD
CMO	40.0	1.0			$378,017	$0	$27,370	Yes (X)
LYNNE YAGGY
CNO	40.0	0.0			$178,760	$0	$21,938	Yes (X)
CHAD EFIRD
PHYSICIAN	40.0	0.0			$766,811	$0	$27,313		Yes (X)
NARIN ARUNAKUL
PHYSICIAN	40.0	0.0			$671,707	$0	$45,261		Yes (X)
DENNIS DANIELS
PHYSICIAN	40.0	0.0			$596,690	$0	$14,706		Yes (X)
MITTIE DRAGOSLJVICH
PHYSICIAN	40.0	0.0			$606,296	$0	$28,247		Yes (X)
PRASER VIJITBENJARONK
PHYSICIAN	40.0	0.0			$481,328	$0	$45,261		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,932,606	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,957,028	TotReportableCompRltdOrgAmt
Total Other Compensation	$794,394	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	64	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDesc	CompensationCompensationAmt
360 DEGREE MEDICINE LLC
PHYSICIAN SERVICES	$5,842,801
CHG COMPANIES
PHYSICIAN SERVICES	$2,962,586
WEATHERBY LOCUMS INC
PHYSICIAN SERVICES	$1,140,722
WHITE RIVER ANESTHESIA ASSOCIATES
ANESTHESIA SERVICES	$1,104,617
NUCLEAR DIAGNOSIS INC
MEDICAL TESTING	$775,399

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Related Organizations	$215,240	RelatedOrganizationsAmt
All Other Contributions	$46,724	AllOtherContributionsAmt
Total Contributions	$261,964	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	624100	$188,901,754	$188,901,754
EHR MEANINGFUL USE REVENUE	624100	$1,631,919	$1,631,919
LAB REVENUE	621500	$1,231,876	$1,206,385	$25,491
CAFETERIA REVENUE	722514	$777,627	$777,627
FITNESS CENTER REVENUE	713940	$413,956	$413,956

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$541,894	TotalRevenueColumnAmt
Related Or Exempt Func Income	$541,894	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$193,499,026	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$940,548	TotalRevenueColumnAmt
Exclusion	$940,548	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$13,594,143	SecuritiesAmt
Other	$15,063	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$13,070,882	SecuritiesAmt
Other	$26,839	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$523,261	SecuritiesAmt
Other	-$11,776	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$511,485	TotalRevenueColumnAmt
Exclusion	$511,485	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	LOSS ON INVESTMENT IN EQUITY INVESTEE	Desc
Business	900099	BusinessCd
Total Revenue Column	$169,750	TotalRevenueColumnAmt
Exclusion	$169,750	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$169,750	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$195,382,773	TotalRevenueColumnAmt
Related Or Exempt Func Income	$193,473,535	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$25,491	UnrelatedBusinessRevenueAmt
Exclusion	$1,621,783	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$98,363	TotalAmt
Program Services	$98,363	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,038,798	TotalAmt
Program Services	$929,826	ProgramServicesAmt
Management And General	$1,108,972	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$52,445,854	TotalAmt
Program Services	$44,409,573	ProgramServicesAmt
Management And General	$8,036,281	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,326,781	TotalAmt
Program Services	$1,326,781	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,550,605	TotalAmt
Program Services	$6,233,089	ProgramServicesAmt
Management And General	$317,516	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,666,795	TotalAmt
Program Services	$3,466,814	ProgramServicesAmt
Management And General	$199,981	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$12,164	TotalAmt
Management And General	$12,164	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$133,405	TotalAmt
Management And General	$133,405	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$912,140	TotalAmt
Program Services	$835,596	ProgramServicesAmt
Management And General	$76,544	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,666,967	TotalAmt
Program Services	$31,847,516	ProgramServicesAmt
Management And General	$1,819,451	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$172,597	TotalAmt
Program Services	$158,113	ProgramServicesAmt
Management And General	$14,484	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,954,033	TotalAmt
Program Services	$3,592,199	ProgramServicesAmt
Management And General	$361,834	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$307,186	TotalAmt
Program Services	$281,408	ProgramServicesAmt
Management And General	$25,778	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,052,687	TotalAmt
Program Services	$3,712,597	ProgramServicesAmt
Management And General	$340,090	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$540,743	TotalAmt
Program Services	$495,365	ProgramServicesAmt
Management And General	$45,378	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$62,169	TotalAmt
Program Services	$56,952	ProgramServicesAmt
Management And General	$5,217	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,930,356	TotalAmt
Program Services	$2,684,449	ProgramServicesAmt
Management And General	$245,907	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,346,610	TotalAmt
Program Services	$6,730,103	ProgramServicesAmt
Management And General	$616,507	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$782,778	TotalAmt
Program Services	$717,089	ProgramServicesAmt
Management And General	$65,689	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$27,644,242	$27,644,242
MEDICAL SUPPLIES & DRUGS	$26,063,053	$26,063,053
STATE PROVIDER TAX	$7,676,155	$7,676,155
LICENSES, DUES, SUBSCRIPTIONS	$228,202	$209,052	$19,150

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,555	TotalAmt
Program Services	$35,320	ProgramServicesAmt
Management And General	$3,235	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$182,651,238	TotalAmt
Program Services	$169,203,655	ProgramServicesAmt
Management And General	$13,447,583	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,001,968	BOYAmt
EOY	$19,071,472	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,524,530	BOYAmt
EOY	$26,628,742	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,842,768	BOYAmt
EOY	$23,928,069	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,936,089	BOYAmt
EOY	$2,600,938	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,800,926	BOYAmt
EOY	$960,564	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$122,703,742	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,328,261	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$96,446,284	BOYAmt
EOY	$102,375,481	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$21,161,967	BOYAmt
EOY	$13,758,072	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$8,447,121	BOYAmt
EOY	$7,966,979	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,392,607	BOYAmt
EOY	$3,351,295	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$689,000	BOYAmt
EOY	$551,500	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,641,950	BOYAmt
EOY	$2,657,781	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$195,885,210	BOYAmt
EOY	$203,850,893	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,056,886	BOYAmt
EOY	$10,234,349	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$137,953	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$58,366,210	BOYAmt
EOY	$58,234,767	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$15,207,556	BOYAmt
EOY	$13,396,465	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,343,104	BOYAmt
EOY	$16,507,714	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,111,709	BOYAmt
EOY	$98,373,295	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$82,930,264	BOYAmt
EOY	$96,259,324	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,396,116	BOYAmt
EOY	$1,251,295	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,447,121	BOYAmt
EOY	$7,966,979	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$92,773,501	BOYAmt
EOY	$105,477,598	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,885,210	BOYAmt
EOY	$203,850,893	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,731,535	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,502,475	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,475,037	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$27,553	OtherActivitiesAmt
Total Lobbying Expenditures	$27,553	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 (I)	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAID DUES OF $42,389 TO THE MISSOURI HOSPITAL ASSOCIATION, OF WHICH $27,553 (65%) IS ATTRIBUTABLE TO LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,310,000	OtherCostOrOtherBasisAmt
Book Value	$5,310,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,414,052	OtherCostOrOtherBasisAmt
Depreciation	$4,673,825	DepreciationAmt
Book Value	$51,740,227	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,302,683	OtherCostOrOtherBasisAmt
Depreciation	$448,888	DepreciationAmt
Book Value	$3,853,795	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,736,492	OtherCostOrOtherBasisAmt
Depreciation	$14,323,574	DepreciationAmt
Book Value	$34,412,918	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,940,515	OtherCostOrOtherBasisAmt
Depreciation	$881,974	DepreciationAmt
Book Value	$7,058,541	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$102,375,481	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY	$599,516
DUE TO RELATED PARTY	$15,908,198

Field	Value	IRS element (for citing)
Total Liability	$16,507,714	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$167,297,556	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,502,475	NetUnrealizedGainsInvstAmt
Other Revenue	-$25,544,242	OtherRevenueAmt
Revenue Not Reported	-$27,046,717	RevenueNotReportedAmt
Revenue Subtotal	$194,344,273	RevenueSubtotalAmt
Other Revenues Not Included	$1,038,500	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,038,500	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$195,382,773	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$153,968,496	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$1,038,500	OtherExpensesIncludedAmt
Expenses Not Reported	-$1,038,500	ExpensesNotReportedAmt
Expenses Subtotal	$155,006,996	ExpensesSubtotalAmt
Other Expenses Not Included	$27,644,242	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$27,644,242	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$182,651,238	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: 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.
SCHEDULE D, PART XI, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $(27,644,242) BAD DEBT 2,100,000 CHANGE IN INVESTMENT IN SKAGGS FOUNDATION ------------- $(25,544,242)
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 1,038,500 LAB REVENUE
SCHEDULE D, PART XII, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ (1,038,500) LAB REVENUE
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 27,644,242 BAD DEBT

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	false	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,205,440	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,205,440	NetCommunityBenefitExpnsAmt
Total Expense	0.04650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,133,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,325,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,807,200	NetCommunityBenefitExpnsAmt
Total Expense	0.02460	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,338,571	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,325,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,012,640	NetCommunityBenefitExpnsAmt
Total Expense	0.07110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,118	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,118	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,616,710	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,262,484	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,354,226	NetCommunityBenefitExpnsAmt
Total Expense	0.02160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,203	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$113,203	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,766,031	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,262,484	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,503,547	NetCommunityBenefitExpnsAmt
Total Expense	0.02250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,104,602	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,588,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,516,187	NetCommunityBenefitExpnsAmt
Total Expense	0.09360	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$27,644,242	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,823,920	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$79,552,861	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$80,310,247	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$757,386	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1Txt
City	BRANSON	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65616	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SKAGGS.NET	WebsiteAddressTxt
State License	52-57	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.SKAGGS.NET/MAIN/ABOUTUS.ASPX	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.SKAGGS.NET/MAIN/ABOUTUS.ASPX	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	0.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: THE CHNA PROCESS INVOLVED: - COLLECTION AND ANALYSIS OF A LARGE RANGE OF DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH STATISTICS, AND HEALTH CARE RESOURCES - INTERVIEWS WITH KEY INFORMANTS WHO REPRESENT A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. THE FOLLOWING STEPS WERE CONDUCTED AS PART OF HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT: - THE "COMMUNITY" SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL. - POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES (SEE REFERENCES IN APPENDICES). THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. - AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED - COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF 14 STAKEHOLDERS. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY INFORMANT SECTION OF THE CHNA REPORT. - INFORMATION GATHERED IN THE ABOVE STEPS WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. THE HOSPITAL USED THE UPDATED INFORMATION AND RESULTS FROM THE KEY INFORMANT INTERVIEWS TO FOCUS RESOURCES AND EFFORTS ON PRIORITY AREAS THAT HAVE HAD MINIMAL IMPROVEMENT, ARE STILL A NEED, AND ALREADY HAVE RESOURCES DIRECTED TO MAKE IMPROVEMENTS IN THOSE AREAS. - RECOMMENDATIONS BASED ON THIS ASSESSMENT HAVE BEEN COMMUNICATED TO HOSPITAL MANAGEMENT.
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED MANY OF THE SAME RESULTS OF THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT. THE PRIORITY AREAS THAT WERE IDENTIFIED IN THE PREVIOUS ASSESSMENT WERE SIMILAR TO THAT IN 2015. IN PRIORITIZING HEALTH NEEDS FOR THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL WANTED TO EXPAND UPON THE FOCUS AREAS THAT CONTINUE TO POSE A PROBLEM AND WOULD HAVE THE GREATEST IMPACT ON IMPROVING OVERALL COMMUNITY HEALTH. CHANGES IN THE PREVIOUSLY DOCUMENTED HEALTH PRIORITIES WERE ASSESSED TO IDENTIFY IMPROVEMENTS IN STATISTICS FOR KEY HEALTH INDICATORS. THIS DATA REVEALED THE FOLLOWING FOR EACH PRIORITY AREA: AFFORDABLE CARE/UNINSURED RESIDENTS - THERE HAS BEEN ESSENTIALLY NO IMPROVEMENTS IN THE PERCENTAGE OF ADULTS WHO ARE INSURED. STONE COUNTY EXPERIENCED A DECREASE IN THE PERCENTAGE OF ADULTS WHO ARE INSURED (81% TO 79%), WHILE TANEY COUNTY EXPERIENCED NO CHANGE (78%) IN THE PERCENTAGE OF INSURED ADULTS. DISEASES OF THE HEART - A POSITIVE IMPROVEMENT EXPERIENCED WITH A DECREASE IN DEATH RATES DUE TO HEART DISEASE IN TANEY (237.9 TO 224.3) AND STONE (216.9 TO 198.1) COUNTIES, BUT STILL OCCURRING AT A HIGHER RATE THAN THE NATIONAL BENCHMARK. FOR ADULT OBESITY PERCENTAGE, TANEY COUNTY EXPERIENCED A DECREASE (32% TO 31%), WHILE STONE COUNTY EXPERIENCED AN INCREASE (30% TO 33%). ACCESS TO SPECIALISTS/SHORTAGE OF PHYSICIANS - BOTH TANEY (1,433:1 TO 1,127:1) AND STONE (3,499:1 TO 3,157:1) COUNTIES EXPERIENCED A POSITIVE IMPROVEMENT IN THE RATIO OF POPULATION TO PRIMARY CARE PHYSICIANS IN THE COMMUNITY. ACCESS TO RECREATIONAL FACILITIES - IN 2012, BOTH TANEY (12) AND STONE (6) COUNTIES HAD LOW RATES OF RECREATIONAL FACILITIES PER 100,000 POPULATION COMPARED TO THE NATIONAL BENCHMARK (16). HOWEVER, THERE IS NO DATA COLLECTED ON THIS HEALTH INDICATOR FOR THE CURRENT YEAR. ADULT SMOKING - BOTH TANEY (26% TO 31%) AND STONE (22% TO 25%) COUNTIES EXPERIENCED AN INCREASE IN THE PERCENTAGE OF ADULTS SMOKING. TRANSPORTATION - WHILE THE NEED FOR THIS WAS IDENTIFIED THROUGH INTERVIEWS WITH KEY STAKEHOLDERS, DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY REVEALS THE LACK OF TRANSPORTATION OPTIONS IN STONE AND TANEY COUNTIES. THE STONE AND TANEY COUNTY AVERAGES OF THE PERCENTAGE OF PEOPLE THAT CARPOOL TO WORK ARE 15.0% AND 16.3%, RESPECTFULLY, AND ARE BOTH HIGHER THAN THE STATE (9.4%) AND NATIONAL (9.6%) AVERAGES. ALSO, IN STONE COUNTY, 0.0% REPORTED TAKING PUBLIC TRANSPORTATION TO WORK, WHILE 1.0% OF TANEY COUNTY RESIDENTS REPORTED THE SAME. IT IS IMPORTANT TO NOTE THAT ALTHOUGH SOME OF THESE HEALTH PRIORITIES EXPERIENCED AN IMPROVEMENT, THEY ARE STILL PERFORMING POORER COMPARED TO STATE AND NATIONAL BENCHMARKS. WE UTILIZED THESE STATISTICS AND THE RESULTS OF THE COMMUNITY KEY INFORMANT INTERVIEWS TO DETERMINE THAT CMCB COMMUNITY RESOURCES WOULD BE BEST UTILIZED ON A FEW KEY HEALTH PRIORITIES THAT CONTINUE TO BE AN ISSUE AND HAVE THE POTENTIAL FOR GREATEST IMPACT ON COMMUNITY HEALTH. THESE SELECTED FOUR HEALTH PRIORITIES INCLUDE: -AFFORDABLE CARE/UNINSURED RESIDENTS -ACCESS TO SPECIALISTS/SHORTAGE OF PHYSICIANS -ADULT SMOKING -TRANSPORTATION
SCHEDULE H, PART V, SECTION B, LINE 16A	FINANCIAL ASSISTANCE POLICY AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE FOLLOWING URL: WWW.COXHEALTH.COM/BODY.CFM?ID=5445
SCHEDULE H, PART V, SECTION B, LINE 16B	FINANCIAL ASSISTANCE POLICY APPLICATION FORM AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY APPLICATION FORM IS AVAILABLE AT THE FOLLOWING URL: WWW.COXHEALTH.COM/BODY.CFM?ID=5445
SCHEDULE H, PART V, SECTION B, LINE 16C	FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY AVAILABILITY: THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE FOLLOWING URL: WWW.COXHEALTH.COM/BODY.CFM?ID=5445
SCHEDULE H, PART V, SECTION B, LINE 16I	MEASURES TO PUBLICIZE THE POLICY: FINANCIAL ASSISTANCE AVAILABILITY IS FURTHER PUBLICIZED BY INCLUSION OF NOTICES IN PATIENT BILLS AND BY POSTINGS IN ADMISSION OFFICES AND OTHER AREAS WITHIN THE HOSPITAL ADMITTING LOCATIONS.
SCHEDULE H, PART V, SECTION B, LINE 22D	DETERMINATION OF MAXIMUM CHARGES TO FAP-ELIGIBLE INDIVIDUALS: AMOUNTS GENERALLY BILLED WILL BE CALCULATED UTILIZING THE LOOK BACK METHOD. THIS IS A PERCENTAGE CALCULATED NO LESS FREQUENTLY THAN ANNUALLY BY DIVIDING THE SUM OF COMMERCIAL AND MEDICARE CLAIMS PAID TO THE HOSPITAL FACILITY BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. COX WILL MAKE THIS CALCULATION ON OR ABOUT AUGUST 15TH OF EACH YEAR AND BEGIN APPLYING ITS AGB PERCENTAGE(S) BY OCTOBER 1ST. FAP ELIGIBLE INDIVIDUALS WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SKAGGS ORTHONEURO CENTER
101 CAHILL RD	BRANSON	MO	65616	OUTPATIENT DEPTS PHYSICIAN CLINICS
CMCB OUTPATIENT CENTER
545 N BRANSON LANDING BLVD	BRANSON	MO	65616	OUTPATIENT DEPTS PHYSICIAN CLINICS
MARY'S WELL HOUSE
5136 HWY 265	BRANSON	MO	65616	PHYSICIAN CLINIC
CMCB HEART CENTER
1150 STATE HWY 248 SUITE 202	BRANSON	MO	65616	CLINIC
COXHEALTH HOSPITALIST
525 BRANSON LANDING BLVD	BRANSON	MO	65616	CLINIC
FDC UROLOGYGI
525 BRANSON LANDING BLVD	BRANSON	MO	65616	CLINIC
COXHEALTH FAMILY MEDICINE & OB
525 BRANSON LANDING BLVD	BRANSON	MO	65616	CLINIC
COXHEALTH FAMILY MEDICINE 248
1150 STATE HWY 248 SUITE 202	BRANSON	MO	65616	CLINIC
COXHEALTH FORSYTH
13852 US HWY 160	FORSYTH	MO	65653	CLINIC
COXHEALTH KIMBERLING CITY
2 KIMBERLING BLVD	KIMBERLING CITY	MO	65686	CLINIC
COXHEALTH GENERAL SURGERY
525 BRANSON LANDING BLVD	BRANSON	MO	65616	CLINIC
COXHEALTH DIABETES & ENDOCRINOLOGY
1150 HWY 248 SUITE 312	BRANSON	MO	65616	CLINIC
COXHEALTH INTERN MEDINFECTIOUS DISEASE
525 BRANSON LANDING BLVD	BRANSON	MO	65616	CLINIC
COXHEALTH ORTHOPEDICS
121 CAHILL ROAD SUITE 206	BRANSON	MO	65616	CLINIC
COXHEALTH PAIN & NEUROLOGY
121 CAHILL ROAD SUITE 204	BRANSON	MO	65616	CLINIC
COXHEALTH PULMONOLOGY & SLEEP MEDICINE
525 BRANSON LANDING BLVD SUITE 306	BRANSON	MO	65616	CLINIC
COX HYPERBARIC MEDICINE & WOUND CARE
101 SKAGGS ROAD SUITE 103	BRANSON	MO	65616	CLINIC
COXHEALTH URGENT CARE
525 BRANSON LANDING BLVD SUIE 100	BRANSON	MO	65616	CLINIC
COXHEALTH OCCUPATIONAL HEALTH
121 CAHILL ROAD SUITE 201	BRANSON	MO	65616	CLINIC
COXHEALTH RHEUMATOLOGY
525 BRANSON LANDING BLVD SUITE 301	BRANSON	MO	65616	CLINIC
COXHEALTH BRANSON WEST
18452 BUSINESS HWY 13	BRANSON WEST	MO	65737	CLINIC
FITNESS CENTER BRANSON
1500 BRANSON HILLS PARKWAY	BRANSON	MO	65616	FITNESS CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	ELIGIBILITY FOR FREE CARE: 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 TH DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THIS POLICY.
SCHEUDLE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25 WAS REDUCED BY BAD DEBT EXPENSE OF $27,644,242.
SCHEDULE H, PART I, LINE 7	COST TO CHARGE RATIO: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEET 1 AND 3. WORKSHEET 6 USED INTERNAL COST CALCULATIONS.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $3,354,226. COX MEDICAL CENTER BRANSON 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. COX MEDICAL CENTER BRANSON CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE ORGANIZATION CALCULATED BAD DEBT EXPENSE USING THE AMOUNTS CALCULATED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE 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.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT RATIONALE: THE HOSPITAL IS DESIGNATED BY MEDICARE AS A SOLE COMMUNITY HOSPITAL AND AS SUCH, IS THE SOLE SOURCE OF HOSPITAL CARE WITHIN A 35-MILE RADIUS. AS A LARGE RURAL HOSPITAL, MINIMUM STAFFING MUST BE MAINTAINED REGARDLESS OF SWINGS IN PATIENT VOLUME. WITHOUT THE HOSPITAL, MEDICARE PATIENTS WOULD NEED TO TRAVEL SIGNIFICANT DISTANCES TO RECEIVE HOSPITAL CARE. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: (A) COX WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF ANY AMOUNTS DISCOUNTED AS A RESULT OF AN APPROVED OR PARTIAL APPROVED REQUEST FOR FINANCIAL ASSISTANCE. BALANCES REMAINING AFTER SUCH DISCOUNTS ARE APPLIED WILL, HOWEVER, BE SUBJECT TO COLLECTION ACTIVITY, INCLUDING LEGAL ACTION. (B) COX WILL NOT CHARGE INTEREST ON THE BALANCE REMAINING AFTER APPLYING THE FINANCIAL ASSISTANCE DISCOUNT. HOWEVER, COX 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. (C) COX PROHIBITS ENGAGING IN COLLECTION ACTIVITY IN THE EMERGENCY AND URGENT CARE DEPARTMENTS FROM INDIVIDUALS SEEKING EMERGENT OR URGENT MEDICAL CARE BEFORE THE INDIVIDUAL HAS BEEN TRIAGED AND SEEN BY A LICENSED PHYSICIAN, NURSE PRACTITIONER OR PHYSICIAN ASSISTANT.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: COX MEDICAL CENTER BRANSON (CMCB) WORKS CLOSELY WITH ITS COMMUNITY THROUGH ITS RELATIONSHIP WITH THE COXHEALTH SYSTEM, INCLUDING LESTER E. COX MEDICAL CENTERS. IN THE FISCAL YEAR CMCB TOOK THE LEAD IN BRINGING TOGETHER AREA ORGANIZATIONS WITH THE SIMILAR GOAL OF NEEDS ASSESSMENT: ADDRESSING THE HEALTHCARE NEEDS OF THE COMMUNITY, AS IDENTIFIED BY THE COMMUNITY NEEDS ASSESSMENT: UNHEALTHY BODY WEIGHT, ACCESS TO CARE, MENTAL HEALTH, AND SUBSTANCE ABUSE - INCLUDING TOBACCO, AND CHILD AND FAMILY SAFETY. THE COALITION IS NAMED OWNIT AND IS LED BY A STEERING COMMITTEE AND MEMBERS MAKE UP SUCH AGENCIES AND ORGANIZATIONS AS THE TANEY AND STONE COUNTY HEALTH DEPARTMENTS AND MORE.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CMCB SCREENS ALL SELF-PAY PATIENTS FOR MEDICAID BY OUTSOURCING SELF-PAY TO SEE IF PATIENTS QUALIFY FOR ENTITLEMENT. IF THEY DO NOT QUALIFY, THEY WILL TALK TO A FINANCIAL COUNSELOR, WHO WILL SCREEN THEM FOR CHARITY. WE ALSO HAVE SIGNS THAT INCLUDE THIS HOSPITAL DOES PARTICIPATE IN THE MEDICAID PROGRAM.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: CMCB CONSIDERS TANEY AND STONE COUNTIES AS ITS PRIMARY SERVICE AREA WITH CHRISTIAN COUNTY, BOONE COUNTY AND PARTS OF CARROLL COUNTY IN NORTHERN ARKANSAS AS ITS SECONDARY SERVICE AREA. THE TOTAL POPULATION OF ZIP CODES SERVED BY CMCB IS APPROXIMATELY 144,000. THE PROJECTED POPULATION GROWTH IN THESE AREAS, ESPECIALLY THE CONTINUING MIGRATION INTO THE AREA OF RETIREES, IS A SIGNIFICANT FACTOR IN THE EVER-INCREASING NEED FOR HIGH-TECH MEDICAL SERVICES.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: CMCB HAS A 14-MEMBER BOARD OF DIRECTORS. SEVERAL THOUSANDS OF DOLLARS ARE SPENT EACH YEAR OFFERING FREE LOW-COST SCREENINGS TO THE COMMUNITY AND EDUCATIONAL PROGRAMS. CMCB PHYSICIANS AND STAFF ARE COMMITTED TO EDUCATING THE COMMUNITY TO HELP ENSURE A HEALTHIER FUTURE. CPR CLASSES, SMOKING CESSATION CLASSES, PRENATAL CLASSES, ETC. ARE ALL FOCUSED ON GIVING OUR COMMUNITY MEMBERS THE RESOURCES THEY NEED TO MAKE INFORMED DECISIONS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: CMCB IS PART OF THE COXHEALTH SYSTEM, WHICH INCLUDES THE FOLLOWING: -LESTER E. COX MEDICAL CENTERS, WHICH OPERATES AS AN INTEGRATED DELIVERY SYSTEM INCLUDING FOUR HOSPITALS, A SURGICAL CENTER, AN INPATIENT REHABILITATION FACILITY, HOME CARE COMPANIES, PHYSICIAN SERVICES, MENTAL HEALTH SERVICES, INSURANCE COMPANIES AND A FOUNDATION. THE HEALTH SYSTEM PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE, INPATIENT REHABILITATION, HOME CARE, PHYSICIAN SERVICES AND HEALTH INSURANCE PRODUCTS TO PATIENTS AND EMPLOYERS IN SPRINGFIELD, MISSOURI, AND THE SURROUNDING SOUTHWEST MISSOURI AREA. -COX HEALTH SYSTEMS HMO, INC. -MEDICAL DEVELOPMENTS, INC. -INSURANCE COMPANY OF SPRINGFIELD, INC. -COXHEALTH ALLIANCE, LLC -COX-MONETT HOSPITAL -COXHEALTH FOUNDATION -COX HPS OF THE OZARKS, INC. -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 -PRIMROSE PLACE, INC. -COXHEALTH IS THE PARENT COMPANY FOR LESTER E. COX MEDICAL CENTERS AND ITS WHOLLY OWNED AFFILIATES, AND COX MEDICAL GROUP. -COX MEDICAL GROUP IS THE SOLE MEMBER OF THE COX TAXABLE CLOSE CORPORATION, A FOR-PROFIT ENTITY THAT IS THE SOLE SHAREHOLDER OF FDCI.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SKAGGS FOUNDATION
PO BOX 650	BRANSON	MO	65616	300107007	501(C)(3)	$74,758	SUPPORT
BRANSON CHAMBER OF COMMERCE
PO BOX 1897	BRANSON	MO	65615	440586242	501(C)(6)	$19,709	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE HOSPITAL MONITORS THE USE OF THE FUNDS DONATED TO SKAGGS FOUNDATION BY REVIEWING THE EXPENSES INCURRED BY THE FOUNDATION ON A MONTHLY BASIS TO ENSURE THE FUNDS WERE PROPERLY DISTRIBUTED AND USED FOR THE INTENDED PURPOSE. THE FUNDS ARE USUALLY USED TO PURCHASE EQUIPMENT FOR THE HOSPITAL. THE FUNDS PAID TO BRANSON CHAMBER OF COMMERCE WERE FOR SPONSORSHIPS OF VARIOUS CHAMBER EVENTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAKE MCWAY
DIRECTOR	$0	$506,845	$0	$115,045	$0	$104,905	$0	$121,770	$0	$19,819	$0	$868,384	$0	$96,844
STEVE EDWARDS
DIRECTOR	$0	$876,096	$0	$240,385	$0	$113,752	$0	$238,287	$0	$24,706	$0	$1,493,226	$0	$105,971
WILLIAM MAHONEY
CEO	$418,615	$0	$48,488	$0	$6,450	$0	$55,449	$0	$14,677	$0	$543,679	$0	$0	$0
DAVID STRONG
CFO	$237,930	$0	$26,879	$0	$6,690	$0	$37,600	$0	$14,729	$0	$323,828	$0	$0	$0
HOLLY WHERRY
DIRECTOR	$303,297	$0	$5,407	$0	$373	$0	$0	$0	$14,664	$0	$323,741	$0	$0	$0
CHAD EFIRD
PHYSICIAN	$753,629	$0	$12,809	$0	$373	$0	$12,649	$0	$14,664	$0	$794,124	$0	$0	$0
NARIN ARUNAKUL
PHYSICIAN	$646,068	$0	$24,686	$0	$953	$0	$30,500	$0	$14,761	$0	$716,968	$0	$0	$0
DENNIS DANIELS
PHYSICIAN	$577,621	$0	$18,448	$0	$621	$0	$0	$0	$14,706	$0	$611,396	$0	$0	$0
MITTIE DRAGOSLJVICH
PHYSICIAN	$603,926	$0	$0	$0	$2,370	$0	$13,250	$0	$14,997	$0	$634,543	$0	$0	$0
PRASER VIJITBENJARONK
PHYSICIAN	$473,182	$0	$7,193	$0	$953	$0	$30,500	$0	$14,761	$0	$526,589	$0	$0	$0
CAROL MARTIN
VP ADMINISTRATION	$182,438	$0	$12,197	$0	$4,233	$0	$27,419	$0	$15,178	$0	$241,465	$0	$0	$0
BRIAN CLONTS MD
CMO	$332,911	$0	$44,389	$0	$717	$0	$12,649	$0	$14,721	$0	$405,387	$0	$0	$0
LYNNE YAGGY
CNO	$172,499	$0	$5,597	$0	$664	$0	$7,150	$0	$14,788	$0	$200,698	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: STEVE EDWARDS, JAKE MCWAY, WILLIAM MAHONEY AND DAVID STRONG PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN THROUGH LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $225,638. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $105,971, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JAKE MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $91,520. - JAKE MCWAY RECEIVED A 457(F) DISTRIBUTION OF $96,844, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - WILLIAM MAHONEY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $42,800. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $24,600.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	LAKES REGION IMAGING LLC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$81,250	TransactionAmt
Transaction	PURCHASED SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	TRANSACTIONS WITH INTERESTED PERSONS: (3) ANTHONY WHEELER, A BOARD MEMBER OF COX MEDICAL CENTER BRANSON, IS A 50% OWNER OF LAKES REGION IMAGING, LLC.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION SUMMARY VISION: THE HOSPITAL'S VISION IS TO BE THE BEST FOR THOSE WHO NEED US. WE VALUE SAFETY, COMPASSION, RESPECT AND INTEGRITY. THE HOSPITAL HAS BEEN SERVING SOUTHWEST MISSOURI FOR MORE THAN 65 YEARS AND OFFERS OVER 25 MAJOR SERVICE AREAS. THE HOSPITAL'S AVERAGE DAILY PATIENT CENSUS EXCEEDS 80 PATIENTS WITH 157 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,100 PERSONNEL OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACHIEVEMENT #1: IN THE SPRING OF 2015, COX MEDICAL CENTER BRANSON COMPLETED A $30 MILLION EMERGENCY DEPARTMENT AND CRITICAL CARE UNIT EXPANSION. THE 60,000-SQUARE-FOOT RENOVATION AND CONSTRUCTION PROJECT BEGAN IN SEPTEMBER 2013. THE NEW DESIGN ALLOWS FOR OPTIMIZED PATIENT FLOW TO HELP DECREASE PATIENT WAIT TIMES. THE NEW SPACE ALLOWS FOR MORE EFFICIENT AND EFFECTIVE USE OF MEDICAL TECHNOLOGIES AS WELL AS IMPROVES THE HUMAN SIDE OF PATIENT CARE BY OPTIMIZING BEDSIDE NURSING. IN JULY 2015, COX MEDICAL CENTER BRANSON OPENED A NEWLY RENOVATED CARDIAC CATHETERIZATION LAB. THE CATHETERIZATION LAB IS AN EXAMINATION ROOM WITH DIAGNOSTIC IMAGING EQUIPMENT THAT ALLOWS DOCTORS TO VISUALIZE THE ARTERIES AND CHAMBERS OF THE HEART AND THEN TREAT ANY STENOSIS OR ABNORMALITY DISCOVERED. THE NEW TECHNOLOGY ALLOWS DOCTORS TO SEE UP TO SIX DIFFERENT IMAGES DURING A PROCEDURE. THE NEW IMAGING EQUIPMENT IS ALSO A LOW-DOSE RADIATION MACHINE, WHICH MEANS IT IS SAFER FOR PATIENTS. HONORS COX MEDICAL CENTER BRANSON HAS ALSO RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE SILVER PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT AND SUCCESS IN ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. TO RECEIVE THE SILVER PLUS QUALITY ACHIEVEMENT AWARD, COX MEDICAL CENTER BRANSON HAD TO ACHIEVE AN 85 PERCENT OR HIGHER ADHERENCE TO ALL GET WITH THE GUIDELINES-STROKE ACHIEVEMENT INDICATORS FOR AT LEAST 12 CONSECUTIVE MONTHS AND DURING THE SAME PERIOD ACHIEVE 75 PERCENT OR HIGHER COMPLIANCE WITH FIVE OF EIGHT GET WITH THE GUIDELINES-STROKE QUALITY MEASURES. THESE QUALITY MEASURES ARE DESIGNED TO HELP HOSPITAL TEAMS PROVIDE THE MOST UP-TO-DATE, EVIDENCE-BASED GUIDELINES WITH THE GOAL OF SPEEDING RECOVERY AND REDUCING DEATH AND DISABILITY FOR STROKE PATIENTS. ADDITIONAL PROGRAMS ACCORDING TO INFORMATION FROM TANEY COUNTY HEALTH DEPARTMENT (TCHD), MISSOURI RANKS NO. 6 FOR HIGHEST TOBACCO USAGE AND TANEY COUNTY, WHERE COX MEDICAL CENTER BRANSON IS LOCATED, HAS BEEN IDENTIFIED AS HAVING THE HIGHEST TOBACCO USE RATE IN THE STATE. TOBACCO USAGE HAS BEEN IDENTIFIED BY TCHD AS A TOP HEALTH PRIORITY. COX MEDICAL CENTER BRANSON IS WORKING DILIGENTLY TO HELP REDUCE TOBACCO USAGE IN OUR AREA. WE EMPLOYEE A FULLTIME TOBACCO CESSATION SPECIALIST WHO, SINCE HE BEGAN IN APRIL 2013, HAS HELPED 138 PEOPLE QUIT TOBACCO. TOBACCO CESSATION CLASSES ARE OFFERED TO EMPLOYEES FREE OF CHARGE AND SCHOLARSHIPS ARE AVAILABLE TO INDIVIDUALS IN THE COMMUNITY. COX MEDICAL CENTER BRANSON WAS ALSO SUPPORTIVE AND ACTIVELY INVOLVED OF THE PASSAGE OF BRANSON'S SMOKE-FREE ORDINANCE THAT WENT INTO EFFECT JULY 1, 2015. TRI-LAKES CLEAN AIR ALLIANCE, WHICH WORKED WITH CITY OFFICIALS ON THE PASSAGE OF THE ORDINANCE, IS MADE POSSIBLE THROUGH A MISSOURI FOUNDATION FOR HEALTH GRANT AWARDED TO COX MEDICAL CENTER BRANSON. ANOTHER FOCUS IS ON ADDRESSING UNHEALTHY BODY WEIGHT IN THE COMMUNITY DUE TO POOR NUTRITION, ANOTHER OF THE HEALTH DEPARTMENT'S TOP HEALTH PRIORITIES. COX MEDICAL CENTER BRANSON OPERATES A FITNESS CENTER, OFFERS NUMEROUS PROGRAMS AT THE FITNESS CENTER, INCLUDING BOOTCAMPS, TO ENCOURAGE LOCAL RESIDENTS TO REACH A HEALTHIER BODY WEIGHT. OTHER WORK TO ADDRESS UNHEALTHY BODY WEIGHT INCLUDES NUMEROUS CLASSES HOSTED AT COX MEDICAL CENTER BRANSON THAT FOCUS ON HEALTHY LIFESTYLES.
FORM 990, PART IV, LINE 24A	TAX EXEMPT BONDS: LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, REPORTS BONDS RELATED TO COX BRANSON ON ITS FORM 990, SCHEDULE K. AN ALLOCATION OF COX BRANSON'S PORTION OF RELATED BONDS IS REPORTED ON PART X, LINE 20.
FORM 990, PART VI, SECTION A, LINE 4	SIGNIFICANT CHANGES TO ORGANIZATION'S BYLAWS: THE ORGANIZATION'S BYLAWS WERE AMENDED TO REMOVE THE SECTION CONTAINING THE DETAILED CONFLICT OF INTEREST POLICY, BUT THE SEPARATE CONFLICT OF INTEREST POLICY REMAINS UNCHANGED.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS: THE ORGANIZATION HAS ONLY ONE MEMBER - LESTER E COX MEDICAL CENTERS.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBER'S POWER TO ELECT GOVERNING BODY: THE BOARD SHALL BE ELECTED BY THE MEMBER. NO LATER THAN SEPTEMBER 1 OF EACH YEAR, THE BOARD SHALL NOMINATE A SLATE OF PERSONS FOR ELECTION AS COX BRANSON DIRECTORS AND OFFICERS TO SUBMIT TO THE LESTER E. COX MEDICAL CENTERS BOARD FOR APPOINTMENT. THE LESTER E. COX MEDICAL CENTERS BOARD WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. IF FOR ANY REASON A NOMINATED PERSON IS NOT APPOINTED BY THE LESTER E. COX MEDICAL CENTERS BOARD, THE BOARD HAS THE RIGHT TO NOMINATE ANOTHER PERSON FOR CONSIDERATION.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNANCE DECISIONS RESERVED TO MEMBERS: THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE SOLELY AND SPECIFICALLY RESERVED TO THE MEMBER; A. ELECTION, APPOINTMENT AND REMOVAL OF COX BRANSON BOARD OF DIRECTORS ("BOARD") AFTER NOMINATION BY THE BOARD; B. APPOINTMENT AND REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF COX BRANSON ("PRESIDENT AND CEO OF COX BRANSON") AFTER RECOMMENDATION BY/CONSULTATION WITH THE BOARD; C. APPROVAL OF COX BRANSON'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES EXCEEDING $250,000; D. APPROVAL OF COX BRANSON'S OPERATING AND CAPITAL BUDGETS AND FINANCIAL REPORTS, MERGERS, CONSOLIDATIONS, ACQUISITIONS, AFFILIATIONS, AND REORGANIZATION OR DISPOSITION OF ASSETS EXCEEDING THE THEN FAIR VALUE OF $250,000; E. AMENDMENT, REPEAL OR ADOPTION OF COX BRANSON'S ARTICLES OF INCORPORATION AND BYLAWS EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS. FINAL DECISIONS MADE BY THE BOARD OF THE DIRECTORS MUST ALSO BE APPROVED BY THE LESTER E. COX MEDICAL CENTERS BOARD AS WELL. THE MEMBER SHALL NOT EXERCISE ITS POWERS WITHOUT FIRST OBTAINING APPROVAL FROM TWO-THIRDS (2/3) MAJORITY OF THE BOARD IN THE FOLLOWING CIRCUMSTANCES: A. TRANSFER ANY OF ITS COX BRANSON MEMBERSHIP TO ANY OTHER ENTITY; B. SELL OR LEASE ALL OR SUBSTANTIALLY ALL OF COX BRANSON'S ASSETS; AND C. ENTER INTO A MANAGEMENT AGREEMENT FOR ALL OR SUBSTANTIALLY ALL OF COX BRANSON'S OPERATION. THE MEMBER MAY NOT TERMINATE OR SUBSTANTIALLY LIMIT THE FOLLOWING COX BRANSON SERVICE LINES WITHOUT FIRST OBTAINING APPROVAL FROM TWO-THIRDS (2/3) MAJORITY OF THE BOARD: EMERGENCY DEPARTMENT, CARDIOLOGY, ORTHOPEDICS, PRIMARY CARE, RADIATION AND MEDICAL ONCOLOGY, RADIOLOGY, PATHOLOGY, ANESTHESIA, GENERAL SURGERY, ICU, MEDICAL/SURGICAL SERVICES, ACUTE REHABILITATION SERVICES, WOMEN'S HEALTH SERVICES, GERIATRICS, NEUROSCIENCES, PAIN MANAGEMENT, PSYCHIATRY, UROLOGY AND ENDOCRINOLOGY. NOTWITHSTANDING THE ABOVEMENTIONED LIMITATION, THESE SERVICE LINES MAY BE TERMINATED OR SUBSTANTIALLY LIMITED BY THE MEMBER WITHOUT TWO-THIRDS (2/3) MAJORITY OF THE COX BRANSON BOARD IF (I) THERE IS A LOSS OF A LICENSE OR ACCREDITATION REQUIRED TO MAINTAIN SUCH SERVICE, OR A LOSS OF MEDICARE OR MEDICAID CERTIFICATION REQUIRED FOR SUCH SERVICE, IN EACH CASE, OTHER THAN DUE TO THE ACTIONS OR INACTIONS OF THE MEMBER OR COX BRANSON OR (II) THERE IS DESTRUCTION OR MATERIAL DAMAGE TO A FACILITY (PENDING THE PERFORMANCE OR REPAIR OR REPLACEMENT EFFORTS).
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. WHILE THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS, IT IS THE MEMBERS OF THE FINANCE COMMITTEE THAT GO THROUGH AND REVIEW THE RETURN IN DETAIL. UPON RECEIVING THE APPROVAL OF THE BOARD OF DIRECTORS, THE DRAFT IS THEN FINALIZED AND SUBMITTED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: DIRECTORS AND COMMITTEE MEMBERS SHALL FILE A DISCLOSURE STATEMENT ANNUALLY WITH THE PRESIDENT AND CEO OF COX BRANSON OR HIS/HER DESIGNEE, WHICH DOCUMENT SHALL BE DISCLOSED TO THE BOARD AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE MEMBER. DIRECTORS AND COMMITTEE MEMBERS SHALL INFORM THE BOARD OR COMMITTEE, AS THE CASE MAY BE, OF ANY DUALITY OF INTEREST OR ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ANY MATTER UNDER CONSIDERATION. SUCH PERSON SHALL NEITHER VOTE NOR USE HIS/HER INFLUENCE TO AFFECT THE DECISION ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION, EVEN WHEN PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE, ABSTENTION FROM VOTING, AND QUORUM STATUS. NOTHING HEREIN PREVENTS THE BOARD FROM AUTHORIZING, APPROVING OR RATIFYING A BUSINESS RELATIONSHIP OR REACHING A CONCLUSION ON AN ISSUE DESPITE A CONFLICT OF INTEREST OR DUALITY OF INTEREST, SO LONG AS THE PROCEDURES DESCRIBED IN THE BYLAWS ARE FOLLOWED. DISCUSSION: THE PROCEDURES ABOVE SHALL NOT PREVENT THE DIRECTOR OR COMMITTEE MEMBER FROM BRIEFLY STATING HIS/HER POSITION ON THE MATTER, OR FROM ANSWERING PERTINENT QUESTIONS ABOUT IT, IF THE DUTIES SET FORTH HEREIN ARE SUBJECT TO THE RESERVED POWERS OF THE MEMBER'S KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION. ALL DIRECTORS SHALL BE INFORMED OF THIS ARTICLE BY THE PRESIDENT AND CEO OF COX BRANSON UPON TAKING OFFICE. VOTING: DIRECTORS AND COMMITTEE MEMBERS SHALL INFORM THE BOARD OR COMMITTEE, AS THE CASE MAY BE, OF ANY DUALITY OF INTEREST OR ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ANY MATTER UNDER CONSIDERATION. SUCH PERSON SHALL NEITHER VOTE NOR USE HIS/HER INFLUENCE TO AFFECT THE DECISION ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION, EVEN WHEN PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE, ABSTENTION FROM VOTING, AND QUORUM STATUS. NOTHING HEREIN PREVENTS THE BOARD FROM AUTHORIZING, APPROVING OR RATIFYING A BUSINESS RELATIONSHIP OR REACHING A CONCLUSION ON AN ISSUE DESPITE A CONFLICT OF INTEREST OR DUALITY OF INTEREST, SO LONG AS THE PROCEDURES DESCRIBED IN THIS ARTICLE ARE FOLLOWED. THE POLICY ABOVE SHALL NOT PREVENT THE DIRECTOR OR COMMITTEE MEMBER FROM BRIEFLY STATING HIS/HER POSITION ON THE MATTER, OR FROM ANSWERING PERTINENT QUESTIONS ABOUT IT, IF THE DUTIES SET FORTH HEREIN ARE SUBJECT TO THE RESERVED POWERS OF THE MEMBER'S KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION. NOTICE: ALL DIRECTORS SHALL BE INFORMED OF THIS ARTICLE BY THE PRESIDENT AND CEO OF COX BRANSON UPON TAKING OFFICE.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	COMPENSATION REVIEW: COX MEDICAL CENTERS EMPLOY A DEFINED GOVERNANCE STRUCTURE AROUND EXECUTIVE COMPENSATION. THE BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE THAT IS CHARGED WITH CARRYING OUT THE FUNCTIONS OF EVALUATING AND SETTING EXECUTIVE COMPENSATION THROUGH FORMAL DOCUMENTED MEETINGS THAT OCCUR SEVERAL TIMES DURING THE YEAR. THE COMPENSATION COMMITTEE UTILIZES A WELL RESPECTED INDEPENDENT EXTERNAL ADVISOR TO PROVIDE THIRD PARTY ASSESSMENT AND RECOMMENDATIONS REGARDING COMPENSATION LEVELS AND BENEFIT PROGRAMS FOR THE TOP THREE EXECUTIVES TIERS OF THE ORGANIZATION; THE CEO, CFO AND SENIOR VPS 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 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. EACH JANUARY 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.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, SECTION A	BOARD MEMBER COMPENSATION: STEVE EDWARDS AND JAKE MCWAY ARE OFFICERS OF LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, AS WELL AS MEMBERS OF THE COX BRANSON BOARD OF DIRECTORS. THEIR COMPENSATION IS PAID BY LESTER E. COX MEDICAL CENTERS FOR SERVICES PERFORMED RELATED TO THEIR ROLES AS OFFICERS. HOLLY WHERRY IS AN EMPLOYEE OF COX BRANSON AS WELL AS A MEMBER OF THE BOARD OF DIRECTORS. HER COMPENSATION IS RELATED TO HER ROLE AS AN EMPLOYEE. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS.
FORM 990, PART IX, LINE 11G	OTHER FEES FOR SERVICES: OTHER FEES FOR SERVICES ARE COMPRISED OF THE FOLLOWING CATEGORIES: $13,334,843 CONTRACTED LABOR 18,551,103 OTHER CONTRACTED SERVICES 38,125 CONTRACTED MGMT SERVICES 109,845 CONTRACTED CONSULTING SERVICES 249,408 CONTRACTED COLLECTION AGENCY 383,546 CONTRACTED LAB SERVICES 531 CONTRACTED TRANSCRIPTION SERVICES 140,844 CONTRACTED HOUSEKEEPING 59,512 CONTRACTED COURIER SERVICES 799,210 CONTRACTED BILLING SERVICES ------------ $33,666,967 TOTAL
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $1,955,179 CHANGE IN INVESTMENT IN SKAGGS FOUNDATION (480,142) CHANGE IN BENEFICIAL INTEREST IN TRUST ----------- $1,475,037

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SKAGGS EMERGENCY PHYSICIANS
PO BOX 650	BRANSON	MO	65615	352275232	BILLING	MO	$0	$0	CMCB
BRANSON HEART CENTER
PO BOX 650	BRANSON	MO	65615	300497209	BILLING	MO	$0	$0	CMCB
SKAGGS OCCUPATIONAL HEALTH
PO BOX 650	BRANSON	MO	65615	383774737	BILLING	MO	$0	$0	CMCB
BRANSON FAMILY MEDICINE CLINIC
PO BOX 650	BRANSON	MO	65615	322331834	BILLING	MO	$0	$0	CMCB
BRANSON ORTHONEURO CENTER LLC
PO BOX 650	BRANSON	MO	65615	171952089	MED BLDG	MO	$0	$0	CMCB

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COX ALTERNATIVE CARE OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641925	HOME HEALTH	MO	501(C)(3)	9	LESTER E COX	false
COXHEALTH FOUNDATION
3525 S NATIONAL SUITE 204	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(C)(3)	11 A I	LESTER E COX	false
COXHEALTH HOME CARE SVCS OF THE MIDWEST
1400 HERIFORD RD STE 104	COLUMBIA	MO	65202	264781194	HOME HEALTH	MO	501(C)(3)	9	LESTER E COX	false
COX HPS OF THE OZARKS INC
2220 W SUNSET	SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(C)(3)	9	LESTER E COX	false
COX-MONETT HOSPITAL INC
801 LINCOLN AVE	MONETT	MO	65708	431656689	HOSPITAL	MO	501(C)(3)	3	LESTER E COX	false
COX-MONETT HOSPITAL AUXILIARY
801 LINCOLN AVE	MONETT	MO	65708	431852817	FUNDRAISING	MO	501(C)(3)	9	LESTER E COX	false
HEALTH ENRICHMENT SERVICES INC
3801 S NATIONAL	SPRINGFIELD	MO	65807	363263313	MED SVC	MO	501(C)(3)	7	LESTER E COX	false
HEALTHCARE SERVICES OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(C)(3)	9	LESTER E COX	false
PRIMROSE PLACE INC
1115 E PRIMROSE	SPRINGFIELD	MO	65807	431183783	NURSING HOME	MO	501(C)(3)	11 A I	LESTER E COX	false
COXHEALTH AUXILIARY
3801 S NATIONAL	SPRINGFIELD	MO	65807	431090590	SUPPORT	MO	501(C)(3)	9	LESTER E COX	false
COX MEDICAL CTR GENPROF LIAB LOSS FUND
1423 N JEFFERSON	SPRINGFIELD	MO	65802	366668576	SELF-INSURAN	MO	501(C)(3)	11 A I	LESTER E COX	false
LESTER E COX MEDICAL CENTERS
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	440577118	HOSPITAL	MO	501(C)(3)	3	COXHEALTH	false
COXHEALTH
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	471087427	HOLDING CO	MO	501(C)(3)	11 B II	NA	false
COX MEDICAL GROUP
1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	411087566	PHYSICIANS	MO	501(C)(3)	9	COXHEALTH	false
COX HEALTH SYSTEMS HMO INC
PO BOX 5750	SPRINGFIELD	MO	658015750	431757075	HMO	MO	501(C)(4)		LESTER E COX	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PCRMC-COX HEALTH ALLIANCE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1423 N JEFFERSON AVENUE	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65807	ZIPCd

Field	Value	IRS element (for citing)
EIN	300649009	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	LESTER E COX	C CORP	false
INSURANCE COMPANY OF SPRINGFIELD INC
					CAPTIVE INSUR	MO	LESTER E COX	C CORP	false	GRAND PAVILION CORPORATE CENTRE	GRAND CAYMAN	CJ
COX TAXABLE CLOSE CORPORATION
1423 N JEFFERSON	SPRINGFIELD	MO	65802	472573263	MEDICAL CLINIC	MO	COX MED GROUP	C CORP	false
FERRELL-DUNCAN CLINIC INC
1001 E PRIMROSE	SPRINGFIELD	MO	65808	430991578	PHYSICIANS	MO	CTCC	C CORP	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd