2015-08-14T08:38:50-05:00 2014-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-10-01 440577118 LESTER E COX MEDICAL CENTERS % JACOB M MCWAY LEST 4172698811 1423 N JEFFERSON ST Suite SPRINGFIELD MO 65802 JACOB MCWAY SENIOR VP & CFO 4172698811 2015-08-04 true Brian D Todd P00422601 4172698811 2013 2016-03-07 17:11:31Z STEVE EDWARDS 1423 N JEFFERSON ST SPRINGFIELD MO 65802 1533145247 false X WWW.COXHEALTH.COM X 1923 MO THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 29 20 8554 30 3999084 197774 68461532 2509785 1002714972 1031461157 11258214 39434234 9008258 10587729 1091442976 1083992905 1593947 1591995 0 0 401596721 405590091 0 0 546081 594780700 613841869 997971368 1021023955 93471608 62968950 1345753808 1403872850 685529161 729411456 660224647 674461394 X MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION & RESEARCH. false false 670188020 759566612 HOSPITAL SERVICES: AS A COMMUNITY OWNED, NON-PROFIT HOSPITAL, LESTER E. COX MEDICAL CENTERS PROVIDES THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE MANY OF THE MOST VULNERABLE IN OUR COMMUNITIES - THE UNDERINSURED & UNINSURED. COMMUNITY BENEFIT IN FY14 TOTALED $140,043,467 SYSTEM-WIDE IN THESE CATEGORIES: SHORT-FALLS IN REIMBURSEMENT AND CHARITY CARE; COMMUNITY OUTREACH SERVICES INCLUDING COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND IMMUNIZATIONS; HEALTH PROFESSIONALS EDUCATION AND RESEARCH, INCLUDING THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY & SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS & IN-KIND DONATIONS. 215665663 181636759 PHYSICIAN CARE: EMPLOYED PHYSICIANS AT LESTER E. COX MEDICAL CENTERS PLAY AN IMPORTANT ROLE IN ACCESS TO MEDICAL CARE THROUGH THEIR PRACTICE AT RURAL HEALTH CLINICS IN UNDER-SERVED AREAS OF SOUTHWEST MISSOURI. PHYSICIANS WITH COX FAMILY MEDICINE RESIDENCY ARE MAKING A VISIBLE DIFFERENCE IN CARE FOR UNINSURED PATIENTS AS WELL AS PATIENTS COVERED BY MEDICAID. THESE PATIENTS REPRESENT 20% AND 30% PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC RESPECTIVELY. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. LESTER E. COX MEDICAL CENTERS CONTINUES TO PARTNER WITH WAL-MART, AND CURRENTLY HAS 5 PARTNERSHIP CLINICS. 30229715 29339810 HOME CARE: LESTER E. COX MEDICAL CENTERS' HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE HOME CARE AND HOSPICE AND COX HOME SUPPORT DURABLE MEDICAL EQUIPMENT. OXFORD STRIVES TO MEET THE HOME CARE AND HOSPICE NEEDS FOR CLIENTS OF ALL AGES. THEIR SERVICES INCLUDE NURSING CARE, MEDICATION SUPERVISION, IV THERAPY, PERSONAL CARE, HOUSEKEEPING, LAUNDRY, MEAL PREPARATION, SHOPPING, ERRANDS, TRANSPORTATION, COMPANIONSHIP, TELEMONITORING AND LIFELINE PERSONAL EMERGENCY RESPONSE SYSTEM. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 6247350 1591995 60917976 922330748 true true false true false false false false false false true false true false true false false true false false true false false false true false true true true true true true false false false false false false false false true true false false false false true true true true false false true 464 0 true 8554 true true true true CJ false false false true true false false false false X 29 20 true false true false true true true true true false false true true true true true true true true false X JACOB M MCWAY 4172698811 3800 S NATIONAL SPRINGFIELD MO 65807 X JAMES HUTCHESON CHAIRMAN OF THE BOARD 1.0 6.0 X X 0 0 GRANT HADEN 1ST VICE CHAIRMAN OF THE BOARD 1.0 5.0 X X 0 0 JOSEPH TURNER 2ND VICE CHAIRMAN OF THE BOARD 1.0 5.0 X X 0 0 DENNIS HEIM 3RD VICE CHAIRMAN OF THE BOARD 1.0 5.0 X X 0 0 HAL HIGDON BOARD MEMBER 1.0 X 0 0 JACK PRIM BOARD MEMBER 1.0 X 0 0 LARRY HALVERSON MD BOARD MEMBER 40.0 X 123661 0 30049 JEFFERSON TYNES BOARD MEMBER 1.0 X 0 0 PHILLIP LOYD BOARD MEMBER 1.0 7.0 X 0 0 THOMAS AUNER BOARD MEMBER 1.0 X 0 0 CHARLES CHALENDER BOARD MEMBER 1.0 1.0 X 0 0 PIERRE CLOTHIAUX MD BOARD MEMBER 1.0 X 0 0 PATRICIA DIX MD BOARD MEMBER 40.0 X 369303 0 37538 HOWARD FISK BOARD MEMBER 1.0 X 0 0 MARK HASELTINE BOARD MEMBER 1.0 X 0 0 JANICE HARRIS BOARD MEMBER 1.0 6.0 X 0 0 KURT HELLWEG BOARD MEMBER 1.0 X 0 0 LARRY LIPSCOMB BOARD MEMBER 1.0 5.0 X 0 0 ROBERT MCDOWELL BOARD MEMBER 1.0 7.0 X 0 0 JEFFREY GOWER DDS BOARD MEMBER 1.0 X 0 0 JAMES GIBSON BOARD MEMBER 1.0 X 0 0 JERRY JARED BOARD MEMBER 1.0 5.0 X 0 0 RICHARD KISSELL MD BOARD MEMBER 40.0 5.0 X 47243 0 5266 ROBERT MCHAFFEY BOARD MEMBER 1.0 X 0 0 DAVID MANUEL BOARD MEMBER 1.0 X 0 0 ROBERT FULP BOARD MEMBER 1.0 4.0 X 0 0 RONALD PONDS BOARD MEMBER 1.0 5.0 X 0 0 CLIFTON SMART BOARD MEMBER 1.0 X 0 0 DAVID ZOLFAGHARI BOARD MEMBER 1.0 5.0 X 0 0 DONA ELKINS BOARD MEMBER ENDING 10/2013 1.0 3.0 X 0 0 STEVE EDWARDS PRESIDENT & CEO 40.0 10.0 X 1177948 0 243844 JAKE MCWAY SR VP & CFO 40.0 9.0 X 651585 0 133766 KATHY RIGGER BOARD SECRETARY 40.0 5.0 X 56889 0 11932 JOHN DUFF MD SR VP CHIEF CORPORATE SERVICES 40.0 8.0 X 471145 0 164578 RON PRENGER SR VP, CHIEF HOSPITAL OFFICER 40.0 X 278153 0 40436 CHARITY ELMER SR VP & GENERAL COUNSEL 40.0 X 378782 0 88263 ROBERT FERGUSON VP FERRELL DUNCAN CLINIC 40.0 X 293940 0 23570 DANIEL SONTHEIMER MD VP MEDICAL AFFAIRS 40.0 X 407128 0 43710 DAVID TAYLOR VP REGIONAL SERVICES 40.0 X 281066 0 49515 JOHN HURSH VP HUMAN RESOURCES 40.0 1.0 X 259537 0 27991 RODNEY SCHAFFER VP FACILITIES MANAGEMENT 40.0 X 227183 0 18142 KAREN KRAMER VP, CNO 40.0 X 277739 0 42278 BETTY BRESHEARS VP CORPORATE COMPLIANCE 40.0 X 229624 0 23517 BRUCE ROBISON CIO 40.0 X 195160 0 22269 TYLER HEDDEN VP CLINICAL SERVICES 40.0 X 181560 0 22680 BOYD CROCKETT MD PHYSICIAN 40.0 X 569086 0 26187 ARIJIT CHOWDHURY MD PHYSICIAN 40.0 X 485218 0 35372 CARY MARQUIS MD PHYSICIAN 40.0 X 474063 0 43687 ALI HASSAN MD PHYSICIAN 40.0 X 428309 0 19034 LOUIS KRENN MD PHYSICIAN/CMIO 40.0 X 429537 0 26182 ANNE BRETT FORMER PRESIDENT COX COLLEGE X 187160 0 40487 8481019 0 1220293 336 true true false FERRELL DUNCAN CLINIC INC PHYS REMUNERATION 75713784 HC BECK LTD CONSTRUCTION 16803721 BECK KILLIAN A JOINT VENTURE PROJECT MGMT 48374461 SPFD NEUROLOGICAL INSTITUTE PHYS REMUNERATION 15111456 OZARK ANESTHESIA ASSOCIATES ANESTHESIA SERVICES 14839865 75 68175 381874 2059736 2509785 NET PATIENT SERVICE REVENUE 900099 995691267 995691267 NET PATIENT SERVICE - UNRELATED LAB 621500 1029296 1029296 NET PATIENT SERVICE - UNRELATED RETAIL DME 446199 2969788 2969788 CAFETERIA, MEALS & VENDING 722514 5171448 5171448 FITNESS CENTERS 713940 2896410 2896410 23702948 23702948 1031461157 10225697 10225697 262632 262632 0 2046761 1405139 641622 0 641622 641622 476170752 479969 447421878 282938 28748874 197031 28945905 28945905 41945 68175 42387 -442 -442 0 0 LOSS ON INVESTMENT IN EQUITY INVESTEE 900099 -319570 -319570 CHANGE IN INTEREST IN NET ASSETS OF SUBS 900099 10266119 10266119 9946549 1083992905 1027462073 3999084 50021963 X 454257 454257 1137738 1137738 0 0 6936990 3118021 3818969 630510 266498 364012 317928273 281631418 36109405 187450 979972 914385 58298 7289 56782554 49859483 6903720 19351 22331792 19576821 2754971 0 3226019 3226019 571458 571458 117895 117895 0 1300706 1300706 196947112 167020807 29820356 105949 2476948 2100446 376502 16434131 13733832 2665708 34591 21708126 18408439 3299687 0 20655638 20095692 527432 32514 2614681 2217243 397438 0 1570921 1332137 238784 15310013 13966843 1343170 0 36389023 33196425 3192449 149 9077704 8281304 796400 MEDICAL SUPPLIES & DRUGS 145144175 145144175 BAD DEBT 95298581 95298581 STATE PROVIDER TAX 43147201 43147201 LICENSES, DUES, SUBSCRIPTIONS 1547641 1312396 235245 303896 116606 28502 158788 1021023955 922330748 98147126 546081 1275673 1277135 317449444 146720586 0 0 136111963 131288489 0 0 0 0 14780876 16089046 11751088 11983158 8161631 8318318 946337276 576663167 328536091 369674109 307858025 474169034 22462326 27271558 153132997 158589886 25670894 25538561 18562800 32952970 1345753808 1403872850 146395699 199881969 0 0 2236022 3551190 461838869 459278000 0 0 0 0 10515284 12038113 11662390 11161029 52880897 43501155 685529161 729411456 X 623597716 634508141 18219363 21021113 18407568 18932140 660224647 674461394 1345753808 1403872850 X 62968950 -9247672 -39484531 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 73490 false true 44405 117895 false SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH LEGISLATORS, ETC: THE ORGANIZATION CONTRACTED PENMAN & WINTON CONSULTING GROUP AND KELLER MCINTYRE & ASSOCIATES, LOBBYING AND ASSOCIATION MANAGEMENT FIRMS, TO LOBBY ISSUES THAT BENEFIT THE INTERESTS OF THE COMMUNITY, COXHEALTH AND ITS AFFILIATES. SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: MEMBERS OF THE ADMINISTRATIVE STAFF CONTACT LEGISLATORS REGARDING KEY HEALTHCARE ISSUES. ALSO, PORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2014, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $42,874. IN ADDITION, $1,524 OF DUES PAID TO THE SPRINGFIELD AREA CHAMBER OF COMMERCE AND $7 OF DUES PAID TO THE AICPA WERE ATTRIBUTABLE TO LOBBYING. 26733699 26733699 297337693 161573240 135764453 4848038 3691201 1156837 530149506 400890801 129258705 87268340 10507925 76760415 369674109 INT IN NA OF TAX EXEMPT SUBS 158589886 C 158589886 0 INTEREST RATE BASIS SWAP 3669601 EST AMT DUE TO 3RD PARTIES 1770827 SELF INSURANCE CLAIMS PAYABLE 38060727 43501155 936763493 -9247672 -134717809 -143965481 1080728974 3263931 3263931 1083992905 925853068 1428400 1428400 924424668 1300706 95298581 96599287 1021023955 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: $ (37,853,458) DEFINED BENEFIT LOSS 1,382,078 NET ASSETS RELEASED FROM RESTRICTION (1,647,142) RETURN OF CAPITAL (1,300,706) INVESTMENT FEES (95,298,581) BAD DEBT EXPENSE ----------------- $ (134,717,809) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 3,047,076 CHANGE IN INTEREST OF NET ASSETS OF SUBSIDIARIES 1,578,047 TEMPORARILY RESTRICTED CONTRIBUTIONS 67,208 TEMPORARILY & PERMANENTLY RESTRICTED INVEST. RETURN (42,387) SPECIAL EVENTS EXPENSES (1,386,013) RENTAL EXPENSES RECLASSED FROM EXPENSES --------------- $ 3,263,931 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 1,386,013 RENTAL EXPENSES RECLASSED FROM EXPENSES 42,387 SPECIAL EVENTS EXPENSES ---------------- $ 1,428,400 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 95,298,581 BAD DEBT EXPENSE Central America and the Caribbean 1 Program Services CAPTIVE INSURANCE 1208193 Central America and the Caribbean Investments 165448965 1 1 166657158 166657158 true false true true false false WRAP IT UP 48175 41357 6818 6818 400 7680 GOLF TOURNEY 42462 14084 28378 16303 566 1 19483 12734 6749 18 295 10307 110120 68175 41945 18 23121 695 18553 42387 -442 true true X false true X true true false true true 34537245 34537245 0.03730 131261623 106968389 24293234 0.02620 165798868 106968389 58830479 0.06350 16458634 10960601 5498033 0.00590 16653921 11944081 4709840 0.00510 1137738 1137738 0.00120 34250293 22904682 11345611 0.01220 200049161 129873071 70176090 0.07570 false 95298581 17820835 323257890 379541000 -56283110 X true true 3 1 LESTER E COX MEDICAL CENTERS - SOUTH 3801 S NATIONAL AVE SPRINGFIELD MO 65807 WWW.COXHEALTH.COM 500-8 X X X X X 1 2 LESTER E COX MEDICAL CENTERS - NORTH 1423 N JEFFERSON ST SPRINGFIELD MO 65802 WWW.COXHEALTH.COM 500-8 X X X 1 3 MEYER ORTHOPEDIC HOSPITAL 1000 E WALNUT LAWN SPRINGFIELD MO 65807 WWW.COXHEALTH.COM 500-8 X X 1 FACILITY REPORTING GROUP #1 true X X X X X X X X X 12 true true true X HTTP://WWW.COXHEALTH.COM/BODY.CFM?ID=834 X WWW.SWMOCOUNTS.ORG X X X X X X X X X false false true false true 300. true X X X X X true true X X X X X X X true false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY INPUT: THE PUBLIC HEALTH SURVEY WAS SENT TO SERVICE AREA PUBLIC HEALTH NURSES, PUBLIC SCHOOL ADMINISTRATORS AND NURSES, COMMUNITY ORGANIZATION LEADERS AND REGIONAL CLINICAL LEADERS. APPENDIX 5: PUBLIC HEALTH SURVEY SHOWS TO WHICH ORGANIZATIONS THE SURVEY WAS SENT IN AND AROUND THE COXHEALTH SYSTEM AREA. LISTED ON PAGED 106 AND 107 OF THE CHNA ARE THESE INDIVIDUALS WHO RESPONDED TO THE SURVEY. SCHEDULE H, PART V, SECTION B, LINE 4 CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA WAS CONDUCTED FOR THE REPORTING GROUP #1, AS REPORTED ON SCHEDULE H, PART V, SECTION A, INCLUDING LESTER E. COX MEDICAL CENTERS - SOUTH, LESTER E. COX MEDICAL CENTERS - NORTH, AND COX WALNUT LAWN ORTHOPEDIC HOSPITAL. IN ADDITION, COX-MONETT HOSPITAL, INC., A RELATED ORGANIZATION, WAS ALSO INCLUDED IN THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 6 IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS ATTACHED. CHNA IMPLEMENTATION STRATEGY PROGRESS REPORT: CARDIAC KIDS THE CARDIAC KIDS PROGRAM CONTINUES IN THE FOLLOWING TWELVE AREA SCHOOL DISTRICTS. IT IS ALMOST COMPLETELY FUNDED BY GRANTS PROVIDED BY KOHL'S FOUNDATION AND CHILDREN'S MIRACLE NETWORK. -MONETT -ST. LAWRENCE -AURORA -VERONA -MT. VERNON -PURDY -MARIONVILLE -MILLER -SARCOXIE -EXETER -SHELL KNOB -PIERCE CITY OVER THE PAST TWO YEARS, WE HAD 24.5% OF THE STUDENTS PARTICIPATING IN THE CARDIAC KIDS PROGRAM HAVE A POSITIVE LIPID PROFILE RESULT. STUDENTS WERE SCREENED OVER THE PAST TWO YEARS FOR BODY MASS INDEX AND BLOOD PRESSURE: -46% HAD A BODY MASS INDEX OVER THE 85TH PERCENTILE -36.5% WITH A MILD RISK BLOOD PRESSURE -67% OF THE STUDENTS RETESTED FOR A POSITIVE LIPID PROFILE SHOWED IMPROVEMENT OVER THE PAST TWO YEARS, 403 TOTAL PARTICIPANTS (PARENTS AND STUDENTS) ATTENDED CARDIAC FAMILY FUN NIGHTS. HEALTHY FOOD PANTRY COLLABORATIVE (HFPC) DEVELOPMENT THE HFPC HAS MET FORMALLY TWICE THIS YEAR. THE FOCUS CONTINUES TO BE "BRINGING TOGETHER PARTNERS WHO SERVE OUR COMMUNITY IN NEED OF HEALTHY FOOD AND WORKING TOGETHER TO PROMOTE THE MESSAGE ABOUT THE NEEDS OF THIS POPULATION". A STRONG PARTNERSHIP CONTINUES WITH MSU, UNIVERSITY OF MISSOURI-EXTENSION, COUNCIL OF CHURCHES, CENTRAL ASSEMBLY, OZARKS REGIONAL FOOD POLICY COUNCIL, OZARKS FOOD HARVEST, AND INDIVIDUAL PANTRIES. THE FOLLOWING ARE ACCOMPLISHMENTS TO-DATE: -SHARING BY THE PANTRIES OF WAYS TO OBTAIN FRESH PRODUCE AND OTHER FOOD PRODUCTS MORE ECONOMICALLY (COMMUNICATION HAS INCREASED AND IMPROVED BECAUSE OF THE HFPC) -EDUCATION ON HOW TO PREPARE FRESH VEGETABLES AND INCORPORATE THEM INTO THEIR MEALS HAS INCREASED BECAUSE OF THE MSU INTERN PROGRAM AND CONTINUED WORK OF MU EXTENSION -MSU HAS ASSUMED RESPONSIBILITY FOR THE NEWSLETTER, THE PANTRY BUZZ, AND IS HAVING STUDENTS PREPARE THIS DURING THE SEMESTERS THEY ARE AVAILABLE. COXHEALTH DOES DISTRIBUTION. -INCREASE IN THE NUMBER OF PANTRIES REPORTING THEY ARE ALLOWING 'CLIENT CHOICE' FOR FOOD SELECTION. (THIS IS A BEST PRACTICE.) -UPDATED THE INFORMATION ON THE LISTING OF PANTRIES FROM THE COXHEALTH WEBSITE. -CONTINUE TO OFFER THE "HEALTHY FOOD WISH LIST" FOR DISTRIBUTION BY THE PANTRIES (PANTRIES ARE GIVING THE "WISH LIST" TO DONORS SO THE FOODS CONTRIBUTED TO THE PANTRY WILL BE A HEALTHY CHOICE). THE "WISH LIST" IS ALSO AVAILABLE ON THE COXHEALTH WEBSITE. -THE HFPC WAS INCLUDED IN THE "HEALTHY SHELVE" PUBLICATION BY MU INTERDISCIPLINARY CENTER FOR FOOD SECURITY. THE ARTICLE WAS "HFPC: COLLABORATION CREATES OPPORTUNITY". THE HFPC WAS INCLUDED AS A WAY TO ADDRESS ISSUES OF NUTRITION AND CHRONIC DISEASE THROUGH LOCAL FOOD PANTRY SERVICES. COXHEALTH WAS REFERENCED. -HEALTHY COMMUNITY FOOD DRIVE: COLLECTING HEALTHY FOOD FOR LOCAL FOOD PANTRIES FROM NOV. 12-30. 881 POUNDS OF HEALTHY FOOD WAS COLLECTED FROM 16 COXHEALTH LOCATIONS -PROMOTING THE MESSAGE THROUGH, 417 MAGAZINE: NEIGHBORHOODS, WE LOVE: JULY 2015. THE ARTICLE, "FOOD FOR THOUGHT", REFERENCED COXHEALTH AND INCLUDED INFORMATION ABOUT THE HFPC AND THE HEALTHY FOOD WISH LIST. THE ARTICLE WAS VERY WELL DONE. -COXHEALTH MARKETING DEPARTMENT PROVIDED TO CROSSLINES FOOD PANTRY, CANVAS BAGS WITH THE MESSAGE, "100% HEALTHY: PACK THE PANTRIES" TO DISTRIBUTE FOOD TO PARTICIPANTS OF THE PANTRY AND TO BRING IT BACK WHEN RETURNING. COMMUNITY IN MOTION THE COMMUNITY IN MOTION PROGRAM WAS DESIGNED AS A WEIGHT LOSS CHALLENGE THAT INCORPORATED AND COORDINATED MULTIPLE WEIGHT LOSS OFFERINGS THROUGHOUT THE COMMUNITY. THE FOLLOWING IS AN UPDATE ON CURRENT OFFERINGS BY COXHEALTH. MOST OF THESE PROGRAMS ARE FULLY INTEGRATED AND OPERATIONAL, WHILE SOME COMPONENTS OF "HEALTH SCHOOLS, HEALTHY COMMUNITIES" ARE CURRENTLY IN PROGRESS AND BEING DEVELOPED. -COMMITTED TO KIDS + ADOLESCENT WEIGHT MANAGEMENT PROGRAM FOR AGES 11-14 + FAMILY AFFAIR-EACH MEMBER OF THE FAMILY WEIGHS IN, TURNS IN FOOD LOGS, WEARS A PEDOMETER, AND PARTICIPATES IN CLASS EXERCISE, LEARNING SESSIONS, AND DISCUSSIONS -JOURNEYS + 20-WEEK ADULT WEIGHT MANAGEMENT PROGRAM THAT FOCUSES ON YOUR MENTAL, PHYSICAL AND EMOTIONAL HEALTH + INCORPORATES THREE COMPONENTS FOR SUCCESSFUL WEIGHT LOSS AND WEIGHT MAINTENANCE: BEHAVIOR CHANGE, NUTRITION EDUCATION AND MEAL PLANNING, AND ACTIVITY AND EXERCISE PROGRAMS. -LEANER LIFE + DEVELOPS STRATEGIES TO HELP YOU LOSE WEIGHT, CONTINUE HEALTHY LIFESTYLE CHOICES AND MAINTAIN WEIGHT LOSS + MEET OTHERS IN THE SAME SITUATION FOR DISCUSSION, SUPPORT AND WEEK-TO-WEEK ACCOUNTABILITY -HEALTHY SCHOOLS, HEALTHY COMMUNITIES: REDUCE CHILDHOOD OBESITY BY 5% OVER 5 YEARS IN MONETT AND PIERCE CITY SCHOOLS + EXPAND ACCESS TO HEALTHY FOODS: * "HEALTHY MEAL NIGHT" PROGRAM * HEALTHY RETAILER/MENU GUIDE FOR LOCAL BUSINESSES * REVIVAL OF THE MONETT FARMER'S MARKET * HEALTHY FOODS SERVED AT CONCESSIONS * "KIDS IN THE KITCHEN" + EXPAND ACCESS TO PHYSICAL ACTIVITY * COMPLETE STREET PROJECT * GREENWAY IMPROVEMENTS/PROMOTION * EQUIPMENT CHECKOUT PROGRAM AT PARKS * PIERCE CITY AFTER SCHOOL PROGRAM * PIERCE CITY COMMUNITY POOL PROGRAM + INCREASE AWARENESS OF HEALTHY EATING AND PHYSICAL ACTIVITY OPPORTUNITIES * COMMUNITY SURVEY ON HEALTHY LIVING * COMMUNITY SOCIAL MEDIA SITES/COMMUNICATION + BUILD A STRONG, ENGAGED, AND DIVERSE "HEALTHY COMMUNITY PARTNERSHIP" * BIMONTHLY MEETINGS WITH COMMUNITY LEADERS * EXPAND RELATIONSHIPS WITH MINORITIES WITHIN THE COMMUNITY * EXPAND HEALTHY LIVING EFFORTS ALREADY ESTABLISHED + INCREASE HEALTH CARE PROVIDERS' ENGAGEMENT IN HEALTHY LIFESTYLES * HEALTHY LIVING PRESENTATION AT SENIOR LEADERS SEMINAR * HEALTHY LIVING REFERRAL RESOURCES * DISCUSSION OF LIFESTYLE CHOICES WITH PATIENTS -OTHER OBESITY/HEALTHY LIVING OFFERINGS FROM COX FITNESS CENTERS + REPUBLIC MAY DAY 5K RUN IN MAY 2015 + MED MILE KIDS RUN TRAINING IN APRIL 2015 + MEDICAL MILE 5K RUN IN MAY 2015 + GIRLS JUST WANNA RUN RACE IN JULY 2015 + REPUBLIC SENIORFEST IN MAY 2015 + GALLOWAY RUN/WALK TRAINING FOR BASS PRO MARATHON AND HALF MARATHON IN APRIL 2015 + FITLIFE MEDICAL FITNESS PROGRAM SCHEDULE H, PART V, SECTION B, LINE 7 ADDRESSING IDENTIFIED NEEDS: THERE ARE MANY NEEDS IN A SERVICE AREA THE SIZE OF 22 COUNTIES AS THE CHNA ILLUSTRATES. LESTER E. COX MEDICAL CENTERS DOES IN SOME WAY ADDRESS MANY OF THE IMPORTANT ISSUES THAT WERE SUGGESTED THROUGH THE ASSESSMENT STAGE OF THE CHNA. SOME ISSUES UNFORTUNATELY CANNOT BE ADDRESSED BECAUSE OF LIMITED RESOURCES AND OTHERS ARE BEING ADDRESSED OR ARE BETTER SUITED FOR OTHER ORGANIZATIONS. ONE OF THE REASONS OBESITY WAS CHOSEN AS THE SINGLE PRIORITY IS THAT THERE ARE MANY ISSUES IDENTIFIED IN THE CHNA THAT ARE EITHER DIRECTLY OR INDIRECTLY RELATED TO OBESITY. THE FOLLOWING TABLE SHOWS THE IDENTIFIED NEEDS AND A BRIEF REASON FOR PRIORITIZATION. PRIORITIZATION KEY 1. IDENTIFIED PRIORITY FOR ENTIRE SERVICE AREA 2. IMPORTANT ISSUE BEING ADDRESSED BY LESTER E. COX MEDICAL CENTERS IN SOME WAY, BUT DOES NOT RISE TO THE LEVEL OF A TOP PRIORITY 3. LIMITED RESOURCES 4. DIRECT OR INDIRECT RELATIONSHIP TO IDENTIFIED PRIORITY 5. UNCLEAR, AMBIGUOUS, OR ISSUE ADDRESSED BY OTHERS SCHEDULE H, PART V, SECTION B, LINE 10 CRITERIA USED TO DETERMINE 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 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. SCHEDULE H, PART V, SECTION B, LINE 14G MEASURES TO PUBLICIZE THE POLICY: FINANCIAL ASSISTANCE AVAILABILITY IS PROACTIVELY COMMUNICATED TO UNINSURED PATIENTS BY CUSTOMER SERVICE STAFF AND BY OUR EARLY OUT AND BAD DEBT VENDORS; ANYONE RECOGNIZED AS UNINSURED IS TOLD ABOUT THE FA AVAILABILITY AND ENCOURAGED TO PARTICIPATE. 72 SPRINGFIELD INPATIENT PHYSICIANS 3801 S NATIONAL AVE 5TH FL SPRINGFIELD MO 65807 MEDICAL OFFICES ADULT MEDICINE & ENDOCRINOLOGY SPECLST 960 E WALNUT LAWN SUITE 201 SPRINGFIELD MO 65807 CLINIC FAMILY MEDICAL CARE CENTER 1423 N JEFFERSON ST B-100 SPRINGFIELD MO 65802 CLINIC PHYSICIANS FOR WOMEN 3850 S NATIONAL AVE 400 SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER STEEPLECHASE 1530 E REPUBLIC RD SPRINGFIELD MO 65804 CLINIC PEDIATRIC CENTER 3443 S NATIONAL AVE SPRINGFIELD MO 65807 CLINIC REGIONAL PERINATAL CENTER 1000 E PRIMROSE 360 SPRINGFIELD MO 65807 CLINIC SOUTHWEST SPINE & SPORTS MEDICINE 3555 S NATIONAL AVE 302 SPRINGFIELD MO 65807 CLINIC COX FAMILY MEDICINE ASSOCIATES 3850 S NATIONAL AVE 520 SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER NIXA 411 N MCCROSKEY NIXA MO 65714 CLINIC MILNE-SCANLON UROLOGY CLINIC 3800 S NATIONAL 730 SPRINGFIELD MO 65807 CLINIC DIAGNOSTIC CLINIC 3800 S NATIONAL 600 SPRINGFIELD MO 65807 CLINIC FAMILY PRACTICE & OBSTETRICS OF MONETT 815 N LINCOLN STE G MONETT MO 65708 CLINIC NORTHSIDE PEDIATRICS & ADOLESCENTS 1443 N ROBBERSON 200 SPRINGFIELD MO 65802 CLINIC COXHEALTH NEWBORN MEDICINE SPECIALISTS 3801 S NATIONAL AVE SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER WILLOW SPRINGS 816 E MAIN WILLOW SPRINGS MO 65793 CLINIC SUN RIVER ORTHOPAEDICS 3800 S NATIONAL AVE 700 SPRINGFIELD MO 65807 CLINIC COXHEALTH INTERNAL MEDICINE FOR WOMEN 3850 S NATIONAL AVE 700 SPRINGFIELD MO 65807 CLINIC FAMILY & OCCUPATIONAL MEDICINE OF MONETT 2200 E CLEVELAND MONETT MO 65708 CLINIC COX FAMILY MEDICINE OF MONETT 307 W BENTON MONETT MO 65708 CLINIC COXHEALTH CENTER AURORA 106 COMMERCE DRIVE AURORA MO 65605 CLINIC COXHEALTH CENTER SOUTHERN HILLS 2702 E SUNSHINE SPRINGFIELD MO 65804 CLINIC COXHEALTH CENTER ELFINDALE 1429 W SUNSHINE SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER BRANSON 890 HWY 248 BRANSON MO 65616 CLINIC COXHEALTH PEDIATRICS 1000 E PRIMROSE 300 SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER LEBANON 510 E HWY 32 LEBANON MO 65536 CLINIC COXHEALTH CENTER CHESTERFIELD 1925 CHESTERFIELD BLVD SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER WILLARD 304 E JACKSON 5H WILLARD MO 65781 CLINIC COXHEALTH CENTER MOUNTAIN GROVE 1602-A N MAIN ST MOUNTAIN GROVE MO 65711 CLINIC COX SENIOR HEALTH CENTER 1423 N JEFFERSON ST SPRINGFIELD MO 65802 CLINIC COX SENIOR HEALTH CENTER SOUTH 3525 S NATIONAL 207 SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER MARSHFIELD 941 EAST HUBBLE DRIVE MARSHFIELD MO 65706 CLINIC COXHEALTH CENTER MT VERNON 10763 HWY 39 SUITE 200 MT VERNON MO 65712 CLINIC COXHEALTH CENTER OZARK 1741 S 15TH STREET OZARK MO 65721 CLINIC COXHEALTH CENTER CRANE 102 CORTNEY LANE CRANE MO 65633 CLINIC COXHEALTH CENTER REPUBLIC 820 ILLINOIS AVE REPUBLIC MO 65738 CLINIC MONETT SURGICAL ASSOCIATES 801 N LINCOLN MONETT MO 65708 CLINIC COXHEALTH CENTER AVA 806 SW 13TH AVE AVA MO 65608 CLINIC COXHEALTH INPATIENT PSYCHIATRY 1423 N JEFFERSON ST SPRINGFIELD MO 65802 CLINIC COXHEALTH CENTER BUFFALO 119 N ASH BUFFALO MO 65622 CLINIC COXHEALTH CENTER ROGERSVILLE 151 JOHNSTOWN DR ROGERSVILLE MO 65742 CLINIC COXHEALTH CENTER FOR ADDICTIONS 1423 N JEFFERSON ST SPRINGFIELD MO 65802 CLINIC THE CLINIC AT WALMART #0444 3315 S CAMPBELL SPRINGFIELD MO 65807 CLINIC COXHEALTH PEDIATRIC SPECIALTIES 1000 E PRIMROSE 200 SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER SEYMOUR 202 COMMERCIAL SEYMOUR MO 65746 CLINIC COXHEALTH CENTER SHELL KNOB 25376 STATE HWY 39 SUITE 301 SHELL KNOB MO 65747 CLINIC THE CLINIC AT WALMART #0379 2004 W MARLER LANE OZARK MO 65721 CLINIC THE CLINIC AT WALMART #2221 2021 E INDEPENDENCE SPRINGFIELD MO 65804 CLINIC THE CLINIC AT WALMART #1009 1150 US HWY 60 EAST REPUBLIC MO 65738 CLINIC COXHEALTH CENTER CAMPBELL 2750 S CAMPBELL SPRINGFIELD MO 65807 CLINIC PEDIATRIC HOSPITAL AFFILIATES 3801 S NATIONAL AVE 7TH FL SPRINGFIELD MO 65807 CLINIC SPRINGFIELD NEUROLOGICAL AND SPINE 2900 S NATIONAL AVE SPRINGFIELD MO 65804 CLINIC COXHEALTH PSYCHOLOGICAL SERVICES 3800 S NATIONAL 770 SPRINGFIELD MO 65807 CLINIC MARTIN CENTER 3901 S FREMONT SPRINGFIELD MO 65807 CLINIC OZARK HEALTH VENTURES 3550 S NATIONAL AVE SPRINGFIELD MO 65807 CLINIC BONE & JOINT CENTER 3555 S NATIONAL AVE SPRINGFIELD MO 65807 CLINIC FERRELL-DUNCAN CLINIC 1000 E PRIMROSE SPRINGFIELD MO 65807 MEDICAL OFFICES MEYER CENTER FITNESS & REHAB 3545 S NATIONAL AVE SPRINGFIELD MO 65807 FITNESS AND REHAB CENTER COX HYPERBARIC MEDICINE & WOUND CARE 3525 S NATIONAL AVE 101 SPRINGFIELD MO 65807 CLINIC MEDICAL OFFICE BUILDING-COX WALNUT LAWN 3525 S NATIONAL AVE SPRINGFIELD MO 65807 MEDICAL OFFICES TURNER WOMEN & CHILDREN'S CENTER 1000 E PRIMROSE SPRINGFIELD MO 65807 MEDICAL OFFICES WHEELER HEART & VASCULAR 3800 S NATIONAL AVE 700 SPRINGFIELD MO 65807 MEDICAL OFFICES HULSTON CANCER CENTER 3850 S NATIONAL AVE SPRINGFIELD MO 65807 MEDICAL OFFICES MEDICAL TOWERS 1443 N ROBBERSON SPRINGFIELD MO 65802 MEDICAL OFFICES CASSVILLE MEDICAL CARE ASSOCIATES 75 SMITHSON DRIVE SUITE A CASSVILLE MO 65625 CLINIC COXHEALTH INFECTIOUS DISEASES SPECIALTY 3800 S NATIONAL LL100 SPRINGFIELD MO 65807 CLINIC COX CARE MOBILE 3525 S NATIONAL AVE 105 SPRINGFIELD MO 65807 CLINIC THE CLINIC AT WALMART #86 2825 N KANSAS EXPWAY SPRINGFIELD MO 65803 CLINIC SENIOR ADVANTAGE 1000 E WALNUT LAWN SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER CASSVILLE 75 SMITHSON DRIVE STE B CASSVILLE MO 65625 CLINIC COXHEALTH SPECIALTY CLINIC 1001 E PRIMROSE STREET SPRINGFIELD MO 65807 CLINIC PANTHER CLINIC OPERATED BY COXHEALTH 900 N BENTON AVENUE SPRINGFIELD MO 65802 CLINIC 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 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. SCHEDULE 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 PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $95,298,581. 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 $4,709,840. LESTER E. COX MEDICAL CENTERS 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. LESTER E. COX MEDICAL CENTERS CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 5 AND 6 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT STEP-DOWN PROCESS. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE BAD DEBT EXPENSE LISTED ON LINE 2 IS THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2009-2013, APPROXIMATELY 18.7 PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY. 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: 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: 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. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: LESTER E. COX MEDICAL CENTERS HAS PERFORMED AN ENVIRONMENTAL SCAN ANNUALLY SINCE 2006. IN 2012, THE FIRST "COMMUNITY HEALTH NEEDS ASSESSMENT" AS REQUIRED BY THE IRS WAS PUT IN PROCESS. THE ENVIRONMENTAL SCAN AND THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE VERY SIMILAR IN THAT SOME OF THE SAME ELEMENTS ARE PRESENT IN BOTH DOCUMENTS. A PUBLIC PERCEPTION STUDY OF AREA HEADS OF HOUSEHOLDS IS CONDUCTED ANNUALLY. THE MOST RECENT STUDY SURVEYED 876 HOUSEHOLDS IN OUR SERVICE AREA TO DETERMINE "WHAT SERVICES ARE NEEDED." WE ALSO PERFORM A PUBLIC HEALTH SURVEY, WHICH ASKS COMMUNITY LEADERS AND HEALTH PROFESSIONALS WHAT THEIR PRIORITIES ARE AND WHAT HEALTH SERVICES ARE LACKING IN THEIR COMMUNITY. THE PUBLIC HEALTH SURVEY IS SENT TO COUNTY PUBLIC HEALTH DEPARTMENTS, LOCAL AGENCIES, REGIONAL SERVICES CLINICS, MENTAL HEALTH FACILITIES, AND PUBLIC SCHOOLS THROUGHOUT THE TOTAL SERVICE AREA. LESTER E. COX MEDICAL CENTERS REFERENCES UNITED HEALTH FOUNDATION STATE-BY-STATE HEALTH RANKINGS AS WELL AS ROBERT WOOD JOHNSON AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE COUNTY HEALTH RANK FOR HEALTH OUTCOMES AND HEALTH FACTORS. COXHEALTH ALSO REFERENCES "ASSESSING THE HEALTH OF THE COMMUNITY", WHICH IS AN ANALYSIS OF BEHAVIORS AND OUTCOMES FOR THE SPECIFIC COUNTIES OF THE SERVICE AREA BY THE MISSOURI HOSPITAL ASSOCIATION. DEMOGRAPHIC AND ECONOMIC ANALYSIS IS PERFORMED FOR THE 22-COUNTY SERVICE AREA. NIELSEN CLARITAS DEMOGRAPHIC ESTIMATES AND PROJECTIONS ARE USED TO EVALUATE THE CHANGE IN POPULATION CHARACTERISTICS. UNEMPLOYMENT, HOME FORECLOSURE, AND INPATIENT PAYER DATA IS ALSO ASSESSED. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: LESTER E. COX MEDICAL CENTERS USES A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE PROGRAMS OR UNDER THE ORGANIZATION'S POLICY: - AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION IS COMMUNICATED TO PATIENTS THROUGH THE USE OF SIGNAGE AND BROCHURES/INFORMATION PACKETS AVAILABLE AT CHECK-IN LOCATIONS. - LESTER E. COX MEDICAL CENTERS ALSO PROACTIVELY COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND ITS EARLY-OUT VENDOR RESPONSIBLE FOR PATIENT BALANCE COLLECTIONS IS EXPECTED TO PROACTIVELY INFORM SELF PAY PATIENTS OF THE AVAILABILITY WHEN SPEAKING TO THEM ON THE PHONE. - FOR ASSISTANCE UNDER FEDERAL AND STATE PROGRAMS LESTER E. COX MEDICAL CENTERS UTILIZES AN OUTSOURCE ELIGIBILITY VENDOR WHO MEETS WITH SELF PAY INPATIENTS AT THE BEDSIDE TO COMPLETE AN ELIGIBILITY SCREENING, INFORM THE PATIENTS OF POTENTIAL AVAILABILITY, AND WILL WORK WITH THE PATIENT TO HELP THEM THROUGH THE PROCESS. OUTPATIENTS ARE REFERRED TO THE VENDOR AFTER CARE AND THOSE ARE WORKED IN A SIMILAR FASHION WITH THE EXPECTATION THAT THE FIRST CONTACT IS THROUGH MAIL OR PHONE RATHER THAN AT THE BEDSIDE. - WE ALSO PROACTIVELY COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND OUR EARLY-OUT VENDOR RESPONSIBLE FOR PATIENT BALANCE COLLECTIONS IS EXPECTED TO PROACTIVELY INFORM SELF PAY PATIENTS OF THE AVAILABILITY WHEN SPEAKING TO THEM ON THE PHONE. - FOR ASSISTANCE UNDER FEDERAL AND STATE PROGRAMS WE UTILIZE ON OUTSOURCE ELIGIBILITY VENDOR WHO MEETS WITH SELF PAY INPATIENTS AT THE BEDSIDE TO COMPLETE AN ELIGIBILITY SCREENING, INFORM THE PATIENTS OF POTENTIAL AVAILABILITY, AND WILL WORK WITH THE PATIENT TO HELP THEM THROUGH THE PROCESS. OUTPATIENTS ARE REFERRED TO THE VENDOR AFTER CARE AND THOSE ARE WORKED IN A SIMILAR FASHION WITH THE EXPECTATION THAT THE FIRST CONTACT IS THROUGH MAIL OR PHONE RATHER THAN AT THE BEDSIDE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE PRIMARY SERVICE AREA ("PSA") COUNTIES SERVED BY LESTER E. COX MEDICAL CENTERS INCLUDE: BARRY, CHRISTIAN, GREENE, LAWRENCE, STONE, TANEY, WEBSTER, AND WRIGHT (ALL PSA COUNTIES ARE LOCATED IN MISSOURI). THE SECONDARY SERVICE AREA ("SSA") COUNTIES SERVED BY LESTER E. COX MEDICAL CENTERS INCLUDE: BAXTER - AR, BOONE - AR, CEDAR, DADE, DALLAS, DOUGLAS, HICKORY, HOWELL, JASPER, LACLEDE, OZARK, POLK, PULASKI, AND TEXAS (ALL SSA COUNTIES ARE LOCATED IN MISSOURI EXCEPT BOONE AND BAXTER COUNTIES IN ARKANSAS). THE SERVICE AREA HAS EXCEEDED THE ONE MILLION PERSON MARK AND APPROXIMATELY 56% OF THE 22-COUNTY POPULATION IS IN THE EIGHT COUNTY PRIMARY SERVICE AREA. 51% OF THE MARKET IS FEMALE AND ALMOST 19% OF THE MARKET IS FEMALES BETWEEN THE AGES OF 15 AND 44. THE SEGMENT OF THE POPULATION OVER 65 IS PROJECTED TO GROW AT ABOUT A 13% RATE. THE AVERAGE HOUSEHOLD INCOME IS $48,766 IN THE 22-COUNTY SERVICE AREA COMPARED WITH $58,796 FOR THE STATE OF MISSOURI. DIVERSITY IS NEARLY NONEXISTENT IN THE 22-COUNTY MARKET. YEAR-TO-YEAR UNEMPLOYMENT RATES HAVE BEEN DECLINING IN THE AREA. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: LESTER E. COX MEDICAL CENTERS' 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). THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH A COMMUNITY BOARD, HEALTH RELATED AD CAMPAIGNS, PROVISION OF WELLNESS SERVICES AND VACCINATIONS, PROVISION OF CARE FOR INDIGENT SEGMENTS OF THE POPULATION, FUNDING OF CARE QUALIFIED COMMUNITY MEMBERS THROUGH A NOT-FOR-PROFIT FOUNDATION, COMMUNITY EDUCATION CLASSES RELATED TO HEALTH AND WELLNESS, COMMUNITY ADVISORY COUNCILS AND HEALTH IMPROVEMENT EFFORTS IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS, SCHOOL SYSTEMS AND OTHER REGIONAL HEALTH CARE PROVIDERS. A MAJORITY OF LESTER E. COX MEDICAL CENTERS' BOARD IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO PHYSICIANS IN THE COMMUNITY IF THEY QUALIFY. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE, HOME PARENTERAL SERVICES (INFUSION THERAPY) AND HOME SUPPORT (DURABLE MEDICAL EQUIPMENT). OXFORD HEALTHCARE SUPPORTED THE COMMUNITY THROUGH MONTHLY NUTRITION AND FALL PREVENTION SEMINARS AT 20 AREA SENIOR CENTERS THROUGHOUT SOUTHWEST MISSOURI. OXFORD ALSO PROVIDED FREE BONE DENSITY SCREENINGS AT 34 COMMUNITY EVENTS, AND VITAL SIGN SCREENINGS AT MANY MORE. THROUGH AN ANNUAL FAN DRIVE, OXFORD COLLECTED AND DISTRIBUTED MORE THAN 600 BOX FANS TO SENIORS AND THE DISABLED WHO LACK ADEQUATE ACCESS TO COOLING DURING THE SUMMER MONTHS. HOME PARENTERAL SERVICES RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS HPS TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. COXHEALTH HOME CARE SERVICES OF THE MIDWEST SUPPORTS THE COMMUNITY BY PROVIDING IN-HOME PRIVATE DUTY SERVICES, HOME HEALTHCARE AND THERAPY SUPPORT SERVICES, ASSISTANCE TO COXHEALTH SYSTEM IN DEVELOPING AN INTEGRATED HEALTH SYSTEM, AND SERVICE TO MEDICAID PATIENTS. COX-MONETT HOSPITAL SUPPORTS THE MONETT, MISSOURI AND THE SURROUNDING COMMUNITY BY PROVIDING A VARIETY OF SERVICES WHICH INCLUDE UROLOGY, ENT (EAR, NOSE & THROAT), PULMONOLOGY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE & MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY CENTER, GENERAL SURGICAL SERVICES, SAME-DAY SURGERY, DIABETES CENTER, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL-SURGICAL UNIT, PHARMACY AND COMMUNITY WELLNESS. COXHEALTH FOUNDATION SUPPORTS THE COMMUNITY BY RAISING FUNDS TO DISPERSE TO PATIENTS FOR THOSE NEEDS FOR WHICH THEY HAVE NO RESOURCES OR FUNDING, BUT WHICH ARE CRITICAL TO THE PATIENT'S HEALTH AND WELL BEING. COXHEALTH AUXILIARY SUPPORTS THE COMMUNITY THROUGH FINANCIAL AND NON-FINANCIAL MEANS. THE ORGANIZATION PROVIDES SCHOLARSHIPS TO NURSING AND MEDICAL TECHNOLOGY STUDENTS AT COX COLLEGE. IN ADDITION, THE AUXILIARY PROVIDES SLEEP SACKS TO ALL NEWBORNS BORN AT LESTER E. COX MEDICAL CENTERS AND CAR SEATS TO THOSE IN NEED TO ENSURE THE SAFETY OF ANY NEWBORN LEAVING LESTER E. COX MEDICAL CENTERS. IN JANUARY 2013, SKAGGS COMMUNITY HOSPITAL ASSOCIATION D/B/A COX MEDICAL CENTER BRANSON (CMCB) BECAME A PART OF THE COXHEALTH NETWORK. UNDER THE AGREEMENT, A MEMBER SUBSTITUTION MODEL, CMCB CONTINUES TO MAINTAIN ITS OWN HOSPITAL BOARD WHILE BECOMING A SUBSIDIARY OF LESTER E. COX MEDICAL CENTERS. LESTER E. COX MEDICAL CENTERS, AS THE PARENT COMPANY, ASSUMES THE RESPONSIBILITIES PREVIOUSLY HELD BY THE CMCB BOARD OF TRUSTEES. ADDITIONALLY, LESTER E. COX MEDICAL CENTERS WILL HAVE REPRESENTATION ON THE CMCB BOARD AND CMCB WILL HAVE REPRESENTATION ON THE LESTER E. COX MEDICAL CENTERS BOARD. THIS ALLOWS BOTH PARTIES TO ACT TOGETHER AS ONE ENTITY FOR THE PURPOSES OF CONTRACTING, RECRUITMENT AND GROWTH. CMCB HAS BEEN SERVING SOUTHWEST MISSOURI RESIDENTS FOR MORE THAN 62 YEARS AND OFFERS OVER 25 MAJOR SERVICE AREAS. THE HOSPITAL'S AVERAGE DAILY PATIENT CENSUS EXCEEDS 90 WITH 165 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,000 PERSONNEL IS REQUIRED TO OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS. IN THE CURRENT FISCAL YEAR, A NEW PARENT ORGANIZATION OF LESTER E. COX MEDICAL CENTERS, COXHEALTH, WAS ESTABLISHED. IN ADDITION, COX MEDICAL GROUP WAS ESTABLISHED TO PROVIDE ADDITIONAL SERVICES TO THE AREA. true ALZHEIMERS ASSOCIATION 1630 W ELFINDALE SPRINGFIELD MO 65807 133039601 501(C)(3) 11000 COMMUNITY BENEFIT URBAN DISTRICTS ALLIANCE 304 W MCDANIEL SPRINGFIELD MO 65806 431790672 501(C)(3) 10000 COMMUNITY BENEFIT COMMUNITY FOUNDATION OF THE OZARKS 425 E TRAFFICWAY SPRINGFIELD MO 65806 237290968 501(C)(3) 10000 COMMUNITY BENEFIT AMERICAN RED CROSS OF THE OZARKS PO BOX 2088 SPRINGFIELD MO 65801 440563832 501(C)(3) 7500 COMMUNITY BENEFIT GYN CANCERS ALLIANCE 3023 FORT AVE B SPRINGFIELD MO 65807 431943170 501(C)(3) 7500 COMMUNITY BENEFIT NAMI SOUTHWEST MISSOURI 330 N JEFFERSON H SPRINGFIELD MO 65806 431244674 501(C)(3) 6500 COMMUNITY BENEFIT FOODCORE PO BOX 41 ROGERSVILLE MO 65742 271883334 501(C)(3) 6000 COMMUNITY BENEFIT BOYS AND GIRLS CLUB OF THE OZARKS 1460 BEE CREEK RD BRANSON MO 65616 431664669 501(C)(3) 55000 COMMUNITY BENEFIT BREAST CANCER FOUNDATION OF THE OZARKS 330 N JEFFERSON SPRINGFIELD MO 65806 431881450 501(C)(3) 20000 COMMUNITY BENEFIT MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 65102 430898947 501(C)(3) 80397 COMMUNITY BENEFIT AMERICAN DIABETES ASSOCIATION 1944 E SUNSHINE SPRINGFIELD MO 65808 131623888 501(C)(3) 17000 COMMUNITY BENEFIT AMERICAN HEART ASSOCIATION 1950 N STEMMONS FWY STE 5010 DALLAS TX 75207 135613797 501(C)(3) 13300 COMMUNITY BENEFIT JUVENILE DIABETES RESEARCH FOUNDATION 528 W BATTLEFIELD SPRINGFIELD MO 65804 231907729 501(C)(3) 11500 COMMUNITY BENEFIT 13 CHILDREN'S MIRACLE NETWORK - SPECIAL NEEDS FUND 765 204572 CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS 63 106965 CHILDREN'S MIRACLE NETWORK - COMMUNITY GRANTS 100000 361082 CHILDREN'S MIRACLE NETWORK - LESTER COX MC GRANTS 7815 282674 CHILDREN'S MIRACLE NETWORK - OTHER GRANTS 29269 182445 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THROUGH THE CHILDREN'S MIRACLE NETWORK, LESTER E. COX MEDICAL CENTERS DISTRIBUTES FUNDS TO INDIVIDUALS THROUGHOUT THE COMMUNITY. SEE BELOW FOR A SUMMARY OF PROGRAMS THROUGH WHICH FUNDS ARE DISTRIBUTED. DURING FISCAL YEAR 2014, APPROXIMATELY 137,912 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $204,572 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: TRAVEL ASSISTANCE, ORTHOPEDIC BRACES, PRESCRIPTIONS, EYE GLASSES, ETC. FAMILY CARE GRANTS - $106,965 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $361,082 TOTAL *CAREMOBILE PROGRAM - $263,044 *CARDIAC PROGRAM (A PORTION TO COX-MONETT HOSPITAL, INC.) - $64,970 *"NEVER SHAKE A BABY" PROGRAM - $15,303 *BICYCLE SAFETY PROGRAM - $6,965 *WASTED PROGRAM - $5,000 *CAR SEAT SAFETY PROGRAM - $4,700 *WATER SAFETY PROGRAM - $1,100 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $282,674 TOTAL *CHILD LIFE PROGRAM - $122,900 *DEPARTMENTAL DISTRIBUTION GRANTS - $159,774 DISCRETIONARY AND OPEN FUNDS - $182,445 - THESE ARE FUNDS THAT DO NOT FALL INTO ONE OF THE ABOVE CATEGORIES AND CAN INCLUDE OPTIONAL GRANT FUNDING AND OTHERS. THROUGH AMENDMENT 3 OF THE ORGANIZATION'S AGREEMENT WITH MHA MANAGEMENT SERVICES CORPORATION AND INCREASED DISPROPORTIONATE SHARE HOSPITAL PAYMENTS TO ALL MISSOURI HOSPITALS UNDER THE FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM, THE HOSPITAL MADE CHARITABLE CONTRIBUTIONS TO THE MHA CENTER FOR EDUCATION. THESE CONTRIBUTIONS ARE USED FOR FUNDING SCHOLARSHIPS TO MEDICAL, NURSING AND ALLIED HEALTH PROFESSIONALS, AND WORKFORCE INITIATIVES TO ADDRESS THE SHORTAGES OF NURSING AND ALLIED HEALTH PROFESSIONALS. TOTAL CONTRIBUTION RELATING TO THIS AGREEMENT IN FISCAL YEAR 2014 EQUALED $80,397. THE OTHER GRANTS STATED IN PART II ARE MONITORED THROUGH THE USE OF REIMBURSEMENT PROCEDURES IN WHICH THE GRANTEE SUBMITS SUPPORTING DOCUMENTATION FOR EXPENSES. THE DOCUMENTATION IS THEN REVIEWED BY THE ORGANIZATION TO ENSURE IT MEETS THE CRITERIA ACCORDING TO THE GRANT AGREEMENT AND FINALLY A DISBURSEMENT IS MADE BY THE ORGANIZATION. LESTER E. COX MEDICAL CENTERS GIVES TO ORGANIZATIONS IN THE LOCAL COMMUNITY WHICH ALLOWS THE USE OF THE FUNDS TO BE SEEN DIRECTLY. X true true X X X X X false true false false false true false false false STEVE EDWARDS PRESIDENT & CEO 850275 0 162334 0 165339 0 223121 0 20723 0 1421792 0 155171 0 JAKE MCWAY SR VP & CFO 478067 0 80463 0 93055 0 114907 0 18859 0 785351 0 86365 0 LARRY HALVERSON MD BOARD MEMBER 121982 0 0 0 1679 0 23683 0 6366 0 153710 0 0 0 PATRICIA DIX MD BOARD MEMBER 367002 0 0 0 2301 0 25250 0 12288 0 406841 0 0 0 BOYD CROCKETT MD PHYSICIAN 568786 0 0 0 300 0 12495 0 13692 0 595273 0 0 0 ARIJIT CHOWDHURY MD PHYSICIAN 484948 0 0 0 270 0 21685 0 13687 0 520590 0 0 0 CARY MARQUIS MD PHYSICIAN 473763 0 0 0 300 0 29995 0 13692 0 517750 0 0 0 ALI HASSAN MD PHYSICIAN 428069 0 0 0 240 0 12495 0 6539 0 447343 0 0 0 LOUIS KRENN MD PHYSICIAN/CMIO 429267 0 0 0 270 0 12495 0 13687 0 455719 0 0 0 JOHN DUFF MD SR VP CHIEF CORPORATE SERVICES 388076 0 66180 0 16889 0 142336 0 22242 0 635723 0 0 0 RON PRENGER SR VP, CHIEF HOSPITAL OFFICER 267922 0 8941 0 1290 0 30250 0 10186 0 318589 0 0 0 CHARITY ELMER SR VP & GENERAL COUNSEL 355782 0 15243 0 7757 0 69864 0 18399 0 467045 0 0 0 ROBERT FERGUSON VP FERRELL DUNCAN CLINIC 277023 0 15650 0 1267 0 12750 0 10820 0 317510 0 0 0 DANIEL SONTHEIMER MD VP MEDICAL AFFAIRS 342235 0 64443 0 450 0 29993 0 13717 0 450838 0 0 0 DAVID TAYLOR VP REGIONAL SERVICES 257215 0 16375 0 7476 0 35750 0 13765 0 330581 0 0 0 JOHN HURSH VP HUMAN RESOURCES 243901 0 12290 0 3346 0 15442 0 12549 0 287528 0 0 0 RODNEY SCHAFFER VP FACILITIES MANAGEMENT 214405 0 11488 0 1290 0 11359 0 6783 0 245325 0 0 0 KAREN KRAMER VP, CNO 268111 0 8938 0 690 0 30250 0 12028 0 320017 0 0 0 BETTY BRESHEARS VP CORPORATE COMPLIANCE 219823 0 8511 0 1290 0 11481 0 12036 0 253141 0 0 0 BRUCE ROBISON CIO 181976 0 11894 0 1290 0 10086 0 12183 0 217429 0 0 0 TYLER HEDDEN VP CLINICAL SERVICES 174898 0 6392 0 270 0 9078 0 13602 0 204240 0 0 0 ANNE BRETT FORMER PRESIDENT COX COLLEGE 172658 0 12522 0 1980 0 26316 0 14171 0 227647 0 0 0 SCHEDULE J, PART I, LINE 1A INFORMATION REGARDING BENEFITS PROVIDED: MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF STEVE EDWARDS, CEO. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: STEVE EDWARDS, JACOB MCWAY, JOHN DUFF AND CHARITY ELMER PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $210,371. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $155,171, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $84,657. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $86,365, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JOHN DUFF RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $112,086. - CHARITY ELMER RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $43,069. SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION: KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. PHYSICIANS LISTING ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE ALI HASSAN, ARIJIT CHOWDHURY, CARY MARQUIS, LOUIS KRENN AND BOYD CROCKETT. EXECUTIVE LEVEL STAFF ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON A VARIETY OF PERFORMANCE INDICATORS IN QUALITY, CUSTOMER AND EMPLOYEE SATISFACTION AND BUSINESS PERFORMANCE MEASURES. SCHEDULE J, PART II; AND FORM 990, PART VII BOARD MEMBER COMPENSATION: 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. SCHEDULE J, PART II, COLUMN F COMPENSATION REPORTED IN PRIOR FORM 990: 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. A HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 60637AEA6 2013-04-17 215764775 NEW INFRASTRUCTURE/CURRENT REFUNDI false false false B HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 2008-10-15 70000000 NEW INFRASTRUCTURE & EQUIPMENT false false false C HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 60635R4Z7 2008-09-25 157078759 1997 & 2002 BOND RFDING; NEW INFRA false false false D HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 2008-10-15 35000000 NEW INFRASTRUCTURE & EQUIPMENT false false false A 0 0 216033814 0 8495120 0 2222341 0 0 91971611 29708339 83636403 true false false true B 0 0 70469521 0 783050 0 501052 2121540 0 67063878 0 0 2012 false false true true C 0 0 158048460 14962819 2844795 0 1448411 0 0 66262892 72482407 0 2012 true false true true D 0 0 35028548 0 421299 0 271929 803381 0 33531939 0 0 2012 false false true true A false false false false 0.01050 0.01050 false false false true B false false false false 0.00830 0.00830 false false false true C false true false false 0.00930 0.00930 false false false true D false false false false 0.00830 0.00830 false false false true A false true false false false false 0 false 0 false true B false false false true true false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true true false 0 false 0 false true A true B true C true D true SCHEDULE K, PART 11, LINE 3, COLUMNS A, B, C & D SCHEDULE K, PART II, LINE 11, COLUMN C OTHER PROCEEDS SPENT: THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. SCHEDULE K, PART IV, LINE 2C, COLUMNS B, C, D & E & SCHEDULE 2, COLUMN A A HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO 431178966 60637AEA6 2007-02-22 5000000 CAPITAL EQUIPMENT FINANCING false false false A 0 0 5000000 0 0 0 50000 0 0 4950000 0 0 2007 false false true true A false false false false 0.01000 0.01000 false false false true A false false false true false false 0 false 0 false true A true WILLIAM BRESHEARS B BRESHEARS - SEE PART V 23079 WAGES & BENEFITS false VICKIE HOCKENSMITH S EDWARDS - SEE PART V 37941 WAGES & BENEFITS false TERRY HAMMER S EDWARDS - SEE PART V 95080 WAGES & BENEFITS false LISA ESPY K KRAMER - SEE PART V 37465 WAGES false JASON PRENGER R PRENGER - SEE PART V 17332 WAGES & BENEFITS false FAITH SCHAFFER R SCHAFFER - SEE PART V 142953 WAGES & BENEFITS false NICOLE HOLMAN L HALVERSON - SEE PART V 25060 WAGES & BENEFITS false BETTY EDWARDS S EDWARDS - SEE PART V 23953 RETIREMENT BENEFITS false HADEN COWHERD BULLOCK G HADEN - SEE PART V 549672 LEGAL SERVICES false FERRELL DUNCAN CLINIC INC SEE PART V 73897977 PHYSICIAN REMUNERATION false FERRELL DUNCAN BUILDING CO SEE PART V 3330770 BUILDING LEASE false FERRELL DUNCAN BUILDING CO II SEE PART V 1380935 BUILDING LEASE false COX HEALTH SYSTEMS HMO INC SEE PART V 2779145 INSURANCE ADMINISTRATION false SCHEDULE L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: BETTY BRESHEARS' HUSBAND, WILLIAM BRESHEARS, IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, AND BETTY IS VICE PRESIDENT OF CORPORATE COMPLIANCE. STEVE EDWARDS, CEO, HAS THREE FAMILY MEMBERS WHO WORK FOR OR RECEIVE RETIREMENT BENEFITS FROM LESTER E. COX MEDICAL CENTERS. VICKIE HOCKENSMITH IS HIS SISTER, TERRY HAMMER IS HIS BROTHER-IN-LAW, AND BETTY B. EDWARDS IS HIS MOTHER. KAREN KRAMER'S SISTER, LISA ESPY, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND KAREN IS VICE PRESIDENT AND CHIEF NURSING OFFICER. RON PRENGER'S SON, JASON PRENGER, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND RON IS A SENIOR VICE PRESIDENT AND CHIEF HOSPITAL OFFICER. RODNEY SCHAFFER'S SPOUSE, FAITH SCHAFFER, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND RODNEY IS THE VICE PRESIDENT OF FACILITIES MANAGEMENT. LARRY W. HALVERSON'S DAUGHTER, NICOLE HOLMAN, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND LARRY IS A MEMBER OF THE BOARD OF DIRECTORS. GRANT HADEN, FIRST VICE CHAIRMAN OF THE BOARD OF DIRECTORS, IS AN OWNER OF HADEN, COWHERD & BULLOCK, LLC. DAVID ZOLFAGHARI, M.D., BOARD MEMBER, IS ALSO AN OFFICER AND BOARD MEMBER OF FERRELL DUNCAN CLINIC, INC. JAMES GIBSON, M.D., BOARD MEMBER, IS ALSO A BOARD MEMBER OF FERRELL DUNCAN CLINIC, INC. JAMES GIBSON, M.D., BOARD MEMBER, IS ALSO A MANAGING MEMBER OF FERRELL DUNCAN BUILDING CO. PIERRE L. CLOTHIAUX, M.D., BOARD MEMBER, IS ALSO A MANAGING MEMBER OF FERRELL DUNCAN BUILDING CO. II. JERRY G. JARED, BOARD MEMBER, AND JOSEPH W. TURNER, SECOND VICE CHAIRMAN OF THE BOARD OF DIRECTORS, ARE ALSO BOARD MEMBERS OF COX HEALTH SYSTEMS HMO, INC. STEVE EDWARDS, CEO, IS ALSO A BOARD MEMBER OF COX HEALTH SYSTEMS HMO, INC. JERRY G. JARED AND JOSEPH W. TURNER WERE DETERMINED TO BE NON-INDEPENDENT MEMBERS OF LESTER E. COX MEDICAL CENTERS BASED SOLELY ON THEIR ROLE AS COMMON OFFICERS OR DIRECTORS OF LESTER E. COX MEDICAL CENTERS AND COX HEALTH SYSTEMS HMO, INC. COX HEALTH SYSTEMS HMO, INC., IS AN ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY. LESTER E. COX MEDICAL CENTERS VIEWS THE COMMON OFFICERS AND DIRECTORS AS AN IMPORTANT ROLE IN HELPING BOTH ORGANIZATIONS IN ACHIEVING THEIR MISSIONS WHILE SERVING THE COMMUNITY. FORM 990, PART I, QUESTION 6 NUMBER OF VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD. FORM 990, PART III, LINE 4C EXEMPT PURPOSE ACHIEVEMENTS - ADDITIONAL INFORMATION ABOUT HOME CARE: OXFORD SUPPORTS THE COMMUNITY THROUGH THEIR ASSOCIATION SUPPORT (I.E. ALZHEIMER'S ASSOCIATION, DIABETES ASSOCIATION, HEART ASSOCIATION, ETC,) THEY WORK DILIGENTLY TO RAISE FUNDS FOR PATIENTS THROUGH DONATIONS FROM THEIR EMPLOYEES AND A COMMUNITY WIDE FAN DRIVE FOR PATIENTS WITHOUT AIR CONDITIONING. 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. FORM 990, PART III, LINES 4A-4D EXEMPT PURPOSE ACHIEVEMENTS - COMMUNITY BENEFIT REPORT: LESTER E. COX MEDICAL CENTERS IS PROUD TO OFFER NATIONALLY RECOGNIZED QUALITY CARE AND THE LATEST IN MEDICAL TECHNOLOGY AND SERVICES TO IMPROVE OUR COMMUNITY'S HEALTH. DESPITE INNOVATION AND QUALITY, THERE ARE STILL COMMUNITY NEEDS THAT ARE NOT MET THROUGH REGULAR COURSE OF CARE. THAT IS WHY AS A COMMUNITY-OWNED, NOT-FOR-PROFIT HOSPITAL SYSTEM, WE PROVIDE THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE ALL IN OUR COMMUNITIES, INCLUDING SOME OF THE MOST VULNERABLE - THE UNDERINSURED AND UNINSURED. PROGRAMS THAT HELP THE INDIVIDUALS AND FAMILIES OF OUR COMMUNITY ARE AN INVESTMENT IN FRIENDS, FAMILY, AND NEIGHBORS. LESTER E. COX MEDICAL CENTERS DOES THIS THROUGH INITIATIVES LIKE KOHL'S CARDIAC KIDS AND HEALTHY FOOD PANTRY COLLABORATIVE, BUT IS ALSO EVIDENT IN COMMUNITY AND HEALTH CARE EDUCATION, SUPPORT GROUPS, PREVENTIVE SCREENINGS, SPONSORSHIPS, AND DONATIONS. COMMUNITY BENEFIT MEDICARE, MEDICAID AND UNINSURED SUBSIDIES $ 137,611,273 THIS FIGURE INCLUDES THE ESTIMATED UNPAID COSTS OF PROVIDING CARE TO MEDICARE AND MEDICAID PATIENTS AND REPRESENTS THE SHORTFALL BETWEEN THE COST OF PROVIDING CARE AND THE PAYMENTS RECEIVED BY THE GOVERNMENT AND COVERED INDIVIDUALS. ALSO, IT 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 $ 625,468 INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND SERVICES THAT ARE SUBSIDIZED BECAUSE THEY ARE NEEDED IN THE COMMUNITY. EXAMPLES ARE COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, IMMUNIZATIONS, COALITION BUILDING AND SUBSIDY OF HEALTH CARE SERVICES. HEALTH PROFESSIONALS EDUCATION AND RESEARCH $ 541,582 THIS FIGURE IS 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 INCLUDES THE UN-REIMBURSED EXPENSE OF STUDIES ON THERAPEUTIC PROTOCOLS AND RESEARCH. FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS $ 1,265,114 THIS FIGURE INCLUDES CASH AND IN-KIND DONATIONS TO SUPPORT COMMUNITY ORGANIZATIONS, PATIENT ADVOCACY AND EDUCATION, AS WELL AS CONTRIBUTIONS FOR NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS AND EVENT SPONSORSHIPS. TOTAL COMMUNITY BENEFIT: $ 140,043,437 ECONOMIC IMPACT: RESTRICTED FOUNDATION GRANTS $ 3,741,781 THIS FIGURE INCLUDES CASH DONATIONS PAID BY THE COXHEALTH SYSTEM TO SUPPORT COMMUNITY ORGANIZATIONS, PATIENT ADVOCACY AND EDUCATION, AS WELL AS CONTRIBUTIONS FOR NON-FOR-PROFIT COMMUNITY ORGANIZATIONS AND EVENT SPONSORSHIPS. REAL ESTATE AND PROPERTY TAXES $ 984,466 TOTAL REAL ESTATE AND PROPERTY TAXES PAID BY LESTER E. COX MEDICAL CENTERS FOR MEDICAL OFFICE BUILDINGS AND PHYSICIAN OFFICES AND CLINIC. CAPITAL INVESTMENTS $ 125,858,970 AS A NON-PROFIT ORGANIZATION, LESTER E. COX MEDICAL CENTERS 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, SUCH AS MEDICAL OFFICES. PAYROLL & BENEFITS $ 405,590,091 THE COXHEALTH SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN CALENDAR YEAR 2013, LESTER E. COX MEDICAL CENTERS ALONE EMPLOYED APPROXIMATELY 8,844 PEOPLE, AND THE REMAINING COXHEALTH SYSTEM AFFILIATES CARRY THE TOTAL EMPLOYED FIGURE TO OVER 10,000 PEOPLE. THIS DOLLAR AMOUNT INCLUDES THE COST OF PAYROLL AND BENEFITS OF OUR DEDICATED TEAM FOR LESTER E. COX MEDICAL CENTERS. IT ALSO INCLUDES A SIGNIFICANT INVESTMENT ON CONTRACT PERSONNEL IN VARIOUS MEDICAL SPECIALTIES AS WELL AS MONIES TO OTHER PROFESSIONALS WHO RESIDE LOCALLY. TOTAL ECONOMIC IMPACT: $ 536,175,308 TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 676,218,745 FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: BOARD MEMBERS JERRY JARED AND JOSEPH TURNER ALSO HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE ORGANIZATION'S (CMC) BYLAWS DURING THE FISCAL YEAR: SECTION 1: MEMBER CMC SHALL HAVE ONE MEMBER WHICH SHALL BE COXHEALTH, A MISSOURI NONPROFIT CORPORATION ("COXHEALTH") OR ("MEMBER"). SECTION 2: FUNCTIONS THE MEMBER SHALL EXERCISE ITS POWERS AND FULFILL THE RESPONSIBILITIES OF THE MEMBER AS SPECIFIED IN THE ARTICLES OF INCORPORATION OF CMC AND THE BYLAWS. HOWEVER, IN THE EVENT THAT THE MEMBER (OR ITS EXECUTIVE COMMITTEE WHEN ACTING ON BEHALF OF THE BOARD OF THE MEMBER), EITHER VIA A VOTE OR CONSENT ACTION OF THE BOARD OF THE MEMBER, OR THROUGH THE MEMBER'S PRESIDENT AND CEO OR OTHER OFFICERS OR THEIR DESIGNEES TO THE EXTENT THAT THE BOARD OF THE MEMBER HAS DELEGATED TO SUCH OFFICER THE AUTHORITY TO EXERCISE THE APPLICABLE POWER RESERVED TO THE MEMBER, IS CONSIDERING TAKING ACTION ON ONE OR MORE OF THE FOLLOWING ITEMS, THEY SHALL FIRST CONSULT WITH THE BOARD OF DIRECTORS OF CMG ("CMG BOARD"). SECTION 3: POWERS AND RESPONSIBILITIES OF THE MEMBER EXCEPT AS SPECIFIED BELOW OR SET FORTH ELSEWHERE IN THE BYLAWS, THE FOLLOWING RESERVED POWERS MAY BE EXERCISED BY THE MEMBER WITHOUT PRIOR ACTION BY THE BOARD. SAID RESERVED POWERS ARE: (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF CMC; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF CMC AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF CMC; (D) TO APPROVE THE ADOPTION OF AND ANY REVISION TO THE CHARTERS FOR ALL COMMITTEES ESTABLISHED BY THE BOARD; (E) TO APPOINT AND REMOVE THE DIRECTORS OF CMC, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE, SECTION 1 AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND CMC; (F) AFTER CONSULTATION WITH THE BOARD, TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT AND CEO OF CMC; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR CMC AND ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES; (H) TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, MARKETING, LEGAL, CORPORATE, COMPLIANCE, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF CMC IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF CMC; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF CMC OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CMC; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY CMC OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) AFTER RECEIVING INPUT FROM THE BOARD, TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF CMC; (M) APPROVAL OF CMC'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (N) TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY CMC OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (O) TO APPROVE THE SALE OR PURCHASE OF ANY PROPERTY OF CMC HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (P) TO AUTHORIZE AND APPROVE BORROWING MONEY OR ENTERING INTO FINANCIAL GUARANTIES BY CMC, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLICATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF CMC; (Q) TO REQUIRE CMC TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER; (R) TO APPROVE THE TRANSFER OF ASSETS BY CMC TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF CMC WHICH WILL NOT REQUIRE APPROVAL OF THE MEMBER; (S) TO APPROVE THE RATE OF PAYMENT, COMPENSATION OR RENT AND/OR ANY PROVISIONS CONCERNING EXCLUSIVITY WITH RESPECT TO ANY CONTRACT FOR PHYSICIAN SERVICES AND ANY LEASE/TIMESHARE AGREEMENT BETWEEN ANY PHYSICIAN OR PHYSICIAN GROUP, ON THE ONE HAND, AND CMC OR ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY, ON THE OTHER HAND, ALL IN ACCORDANCE WITH SUCH POLICIES AND PROCESSES WHICH MAY BE PROMULGATED FROM TIME TO TIME BY THE MEMBER; (T) TO APPROVE CHANGES TO THE TYPE OF OR RELOCATION OF PHYSICIAN PROFESSIONAL MEDICAL SERVICES OFFERED BY CMC, WHERE THE CHANGE INVOLVES (A) SERVICES OFFERED OR PROVIDED BY CMG PHYSICIANS AND (B) (I) A CHANGE IN VENUE OR PROVIDER STATUS OF THE MEDICAL SERVICE, (II) THE CESSATION OF A PRE-EXISTING MEDICAL SERVICE, OR (III) THE OFFERING OF A NEW MEDICAL SERVICE; (U) TO ENGAGE, APPROVE, AND TO FINALIZE ANY AND ALL CONTRACTS OR AGREEMENTS WITH ANY THIRD PARTY HOSPITAL-BASED PHYSICIAN GROUPS (ANESTHESIOLOGISTS, PATHOLOGISTS, RADIOLOGISTS, OR EMERGENCY MEDICINE PHYSICIANS) THAT WILL RENDER PROFESSIONAL SERVICES TO CMC; (V) TO OVERRIDE AND REVERSE ANY DECISION MADE OR ACTION AUTHORIZED BY THE CMC BOARD TO THE EXTENT THAT SUCH DECISION OR ACTION CONFLICTS WITH A DECISION MADE OR ACTION AUTHORIZED BY THE JOINT OPERATIONS COMMITTEE OF THE MEMBER; (W) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO CMC ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY OR ANY REMOTELY CONTROLLED SUBSIDIARY. ARTICLE FIVE: DIRECTORS, NOMINATIONS, AND APPOINTMENTS SECTION 1: NUMBER AND QUALIFICATIONS OF DIRECTORS THE BOARD SHALL CONSIST OF FIFTEEN (15) DIRECTORS INCLUDING THE CHAIR OF THE BOARD, THE THREE (3) VICE CHAIRS OF THE BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD AND ONE (1) COX BRANSON DIRECTOR SELECTED BY THE MEMBER. THE REMAINING NINE (9) DIRECTORS SHALL BE COMPRISED AS FOLLOWS: PHYSICIAN DIRECTORS APPOINTED AND SUCH OTHER DIRECTORS AS ARE RECOMMENDED BY THE CHAIR OF THE BOARD AND APPROVED BY THE BOARD AS SOON AS PRACTICABLE AFTER EACH ANNUAL MEETING. PRIOR TO THE ANNUAL MEETING, THE NOMINATING COMMITTEE OF THE MEMBER SHALL NOMINATE A SLATE OF PERSONS FOR APPOINTMENT BY THE MEMBER AS DIRECTORS AND OFFICERS AT THE NEXT ANNUAL MEETING. WITH RESPECT TO THE COX BRANSON DIRECTOR, THE NOMINATING COMMITTEE OF THE MEMBER SHALL RECEIVE THE NOMINATION FROM THE COX BRANSON BOARD NO LATER THAN SEPTEMBER 1 OF EACH YEAR AS TO WHICH OF THE TWO (2) COX BRANSON DIRECTORS WHO WILL BE SERVING ON THE COXHEALTH BOARD AFTER THE NEXT ANNUAL MEETING SHOULD BE APPOINTED AS A DIRECTOR OF CMC. THE MEMBER WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. WITH RESPECT TO THE REMAINING THREE (3) PHYSICIAN DIRECTORS OF CMC, THE NOMINATING COMMITTEE SHALL RECEIVE NOMINATIONS FROM THE CMG BOARD NO LATER THAN SEPTEMBER 1 OF EACH YEAR FOR APPOINTMENT AS DIRECTORS OF CMC. THE MEMBER WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. IF FOR ANY REASON A PERSON NOMINATED BY COX BRANSON BOARD OR THE CMG BOARD IS NOT APPOINTED BY THE MEMBER, THE APPLICABLE BOARD HAS THE RIGHT TO NOMINATE ANOTHER PERSON FOR CONSIDERATION. AT THE ANNUAL MEETING, THE CHAIR OF THE BOARD SHALL CALL FOR THE REPORT OF THE NOMINATING COMMITTEE OF THE MEMBER. NOMINATIONS MAY BE MADE FROM THE FLOOR BY ANY DIRECTOR. THE MEMBER SHALL THEREUPON APPOINT DIRECTORS, OFFICERS OF THE BOARD AND OFFICERS OF CMC. FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: PER BYLAW CHANGES MADE DURING THE FISCAL YEAR, COXHEALTH IS NOW THE SOLE MEMBER OF LESTER E. COX MEDICAL CENTERS. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE SOLELY AND SPECIFICALLY RESERVED TO THE MEMBER; (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF CMC; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF CMC AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF CMC; (D) TO APPROVE THE ADOPTION OF AND ANY REVISION TO THE CHARTERS FOR ALL COMMITTEES ESTABLISHED BY THE BOARD; (E) TO APPOINT AND REMOVE THE DIRECTORS OF CMC, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE, SECTION 1 AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND CMC; (F) AFTER CONSULTATION WITH THE BOARD, TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT AND CEO OF CMC; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR CMC AND ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES; (H) TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, MARKETING, LEGAL, CORPORATE, COMPLIANCE, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF CMC IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF CMC; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF CMC OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CMC; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY CMC OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) AFTER RECEIVING INPUT FROM THE BOARD, TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF CMC; (M) APPROVAL OF CMC'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (N) TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY CMC OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (O) TO APPROVE THE SALE OR PURCHASE OF ANY PROPERTY OF CMC HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (P) TO AUTHORIZE AND APPROVE BORROWING MONEY OR ENTERING INTO FINANCIAL GUARANTIES BY CMC, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLICATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF CMC; (Q) TO REQUIRE CMC TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER; (R) TO APPROVE THE TRANSFER OF ASSETS BY CMC TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF CMC WHICH WILL NOT REQUIRE APPROVAL OF THE MEMBER; (S) TO APPROVE THE RATE OF PAYMENT, COMPENSATION OR RENT AND/OR ANY PROVISIONS CONCERNING EXCLUSIVITY WITH RESPECT TO ANY CONTRACT FOR PHYSICIAN SERVICES AND ANY LEASE/TIMESHARE AGREEMENT BETWEEN ANY PHYSICIAN OR PHYSICIAN GROUP, ON THE ONE HAND, AND CMC OR ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY, ON THE OTHER HAND, ALL IN ACCORDANCE WITH SUCH POLICIES AND PROCESSES WHICH MAY BE PROMULGATED FROM TIME TO TIME BY THE MEMBER; (T) TO APPROVE CHANGES TO THE TYPE OF OR RELOCATION OF PHYSICIAN PROFESSIONAL MEDICAL SERVICES OFFERED BY CMC, WHERE THE CHANGE INVOLVES (A) SERVICES OFFERED OR PROVIDED BY CMG PHYSICIANS AND (B) (I) A CHANGE IN VENUE OR PROVIDER STATUS OF THE MEDICAL SERVICE, (II) THE CESSATION OF A PRE-EXISTING MEDICAL SERVICE, OR (III) THE OFFERING OF A NEW MEDICAL SERVICE; (U) TO ENGAGE, APPROVE, AND TO FINALIZE ANY AND ALL CONTRACTS OR AGREEMENTS WITH ANY THIRD PARTY HOSPITAL-BASED PHYSICIAN GROUPS (ANESTHESIOLOGISTS, PATHOLOGISTS, RADIOLOGISTS, OR EMERGENCY MEDICINE PHYSICIANS) THAT WILL RENDER PROFESSIONAL SERVICES TO CMC; (V) TO OVERRIDE AND REVERSE ANY DECISION MADE OR ACTION AUTHORIZED BY THE CMC BOARD TO THE EXTENT THAT SUCH DECISION OR ACTION CONFLICTS WITH A DECISION MADE OR ACTION AUTHORIZED BY THE JOINT OPERATIONS COMMITTEE OF THE MEMBER; (W) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO CMC ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY OR ANY REMOTELY CONTROLLED SUBSIDIARY. 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 CMC DIRECTORS AND OFFICERS TO SUBMIT TO COXHEALTH FOR APPOINTMENT. COXHEALTH WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. IF FOR ANY REASON A NOMINATED PERSON IS NOT APPOINTED BY THE COXHEALTH BOARD, THE CMC BOARD HAS THE RIGHT TO NOMINATE ANOTHER PERSON FOR CONSIDERATION. SEE THE SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS NARRATIVE FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: 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. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: 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 LESTER E. COX MEDICAL CENTERS BYLAWS CONTAIN A CONFLICT OF INTEREST PROVISION TO ENSURE BOARD MEMBERS MAKE DECISIONS THAT ARE CONFLICT FREE, OR IF A CONFLICT IS PRESENT, THAT IT IS FULLY DISCLOSED FOR THE BOARD'S CONSIDERATION. COXHEALTH'S EMPLOYEES AND BOARD MEMBERS MUST AVOID ALL ACTIVITIES, ASSOCIATIONS OR INTERESTS THAT CREATE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST FOR EMPLOYEES MUST BE REPORTED TO THE CORPORATE INTEGRITY DEPARTMENT. A FILE WILL BE MAINTAINED OF ALL REPORTED CONFLICTS OF INTEREST. FOR MEDICAL STAFF MEMBERS, THE CONFLICT OF INTEREST PROCESS MAY BE ACCESSED THROUGH THE MEDICAL STAFF OFFICE. FOR BOARD MEMBERS, THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH A SUB-COMMITTEE OF THE BOARD WITH THE ASSISTANCE OF 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 LESTER E. COX MEDICAL CENTERS. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW POLICY: LESTER E. COX MEDICAL CENTERS 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 EXECUTIVES OF THE ORGANIZATION 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. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: LESTER E. COX MEDICAL CENTERS 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. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: DRS. DIX, KISSELL, AND HALVERSON ARE EMPLOYEES OF COX AS WELL AS MEMBERS OF THE BOARD OF DIRECTORS. THEIR COMPENSATION IS RELATED TO THEIR ROLES AS EMPLOYEES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: $ 104,652,585 PHYSICIAN REMUNERATION 20,323,096 PURCHASED MANAGEMENT SERVICES 17,713,553 OTHER PURCHASED SERVICES 14,761,314 CONSULTING 14,120,013 ANESTHESIA SERVICES 8,925,916 CONTRACTED REPAIRS & MAINTENANCE 5,569,589 PURCHASED LAB SERVICES 5,505,843 BILLING/COLLECTION SERVICES 2,426,278 CONTRACT LABOR 1,726,517 PROFESSIONAL FEES 1,256,790 PHARMACY --------------- $ 196,981,494 FORM 990, PART XI, LINE 9 OTHER CHANGES TO NET ASSETS: $ (1,647,142) RETURN OF CAPITAL (37,853,458) DEFINED BENEFIT PENSION PLAN LOSS 16,069 CHANGE IN BENEFICIAL INTEREST IN TRUST ------------- $ (39,484,531) FORM 990, PART XII, LINE 2C CHANGES TO THE OVERSIGHT PROCESS: COXHEALTH, AS THE MEMBER OF LESTER E. COX MEDICAL CENTERS, NOW SELECTS THE INDEPENDENT ACCOUNTANT USED FOR AUDITS. COX HEALTHPLANS LLC PO BOX 5750 SPRINGFIELD MO 65801 431757075 MANAGEMENT MO 11745839 8722862 COX HMO FERRELL DUNCAN CLINIC 1001 E PRIMROSE SPRINGFIELD MO 65807 542183221 PHYSICIANS MO 0 0 LESTER E COX REGIONAL SERVICES 3800 S NATIONAL SUITE 540 SPRINGFIELD MO 65807 542183222 HEALTHCARE MO 0 0 LESTER E COX OXFORD HEALTHCARE HOME HEALTH AGENCY 3550 S NATIONAL SPRINGFIELD MO 65807 770700975 HOME HEALTH MO 0 0 LESTER E COX COXHEALTH HOME SUPPORT SYSTEMS 2224 W SUNSET SPRINGFIELD MO 65807 542183216 HOME HEALTH MO 0 0 LESTER E COX OB GYN FERRELL DUNCAN CLINIC 1000 E PRIMROSE SPRINGFIELD MO 65807 431878984 PHYSICIANS MO 0 0 LESTER E COX TELERADIOLOGY SERVICES 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 611733996 HEALTHCARE MO 0 0 LESTER E COX COXHEALTH ALLIANCE LLC 3850 S NATIONAL SPRINGFIELD MO 65807 271117213 MANAGEMENT MO 0 0 LESTER E COX SPRINGFIELD NEUROLOGICAL AND SPINE INSTI 2900 S NATIONAL AVE SPRINGFIELD MO 65807 274296628 PHYSICIANS MO 0 0 LESTER E COX TITAN CF LP UBS FUND SVCCAYMAN LTD BOX 852 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1103 364781057 INVESTMENT CJ -597604 92252478 LESTER E COX COX ALTERNATIVE CARE OF THE OZARKS INC PO BOX 10939 SPRINGFIELD MO 65808 431641925 HOME HEALTH MO 501(C)(3) 9 LESTER E COX true COXHEALTH FOUNDATION 3525 S NATIONAL SUITE 204 SPRINGFIELD MO 65807 436810485 FUNDRAISING MO 501(C)(3) 11A I LESTER E COX true COXHEALTH HOME CARE SVCS OF THE MIDWEST 3850 S NATIONAL SPRINGFIELD MO 65807 264781194 HOME HEALTH MO 501(C)(3) 9 LESTER E COX true COX HPS OF THE OZARKS INC 2220 W SUNSET SPRINGFIELD MO 65807 431641927 HOME HEALTH MO 501(C)(3) 9 LESTER E COX true COX-MONETT HOSPITAL INC 801 N LINCOLN MONETT MO 65708 431656689 HOSPITAL MO 501(C)(3) 3 LESTER E COX true COX-MONETT HOSPITAL AUXILIARY 801 N LINCOLE AVE MONETT MO 65708 431852817 FUNDRAISING MO 501(C)(3) 9 LESTER E COX true HEALTH ENRICHMENT SERVICES INC 3801 S NATIONAL SPRINGFIELD MO 65807 363263313 MED SERVICES MO 501(C)(3) 7 LESTER E COX true HEALTHCARE SERVICES OF THE OZARKS INC PO BOX 10939 SPRINGFIELD MO 65808 431641928 HOME HEALTH MO 501(C)(3) 9 LESTER E COX true PRIMROSE PLACE INC 1115 E PRIMROSE SPRINGFIELD MO 65807 431183783 SUPPORT MO 501(C)(3) 11A I LESTER E COX true COXHEALTH AUXILIARY 3801 S NATIONAL SPRINGFIELD MO 65807 431090590 SUPPORT MO 501(C)(3) 9 LESTER E COX true LESTER E COX MED CTRPROF LIAB LOSS FUND 1423 N JEFFERSON SPRINGFIELD MO 65802 366668576 SELF INSURANC MO 501(C)(3) 11A I LESTER E COX true SKAGGS COMMUNITY HOSPITAL ASSOCIATION DBA COX MC BRSN 251 SKAGGS RD BRANSON MO 65616 440584290 HOSPITAL MO 501(C)(3) 3 LESTER E COX true COXHEALTH 1423 N JEFFERSON SPRINGFIELD MO 65802 471087427 HOLDING CO MO 501(C)(3) 11 B II NA false COX MEDICAL GROUP 1423 N JEFFERSON SPRINGFIELD MO 65802 471087566 PHYSICIANS MO 501(C)(3) 9 COXHEALTH false PCRMC-COXHEALTH ALLIANCE LLC 1423 N JEFFERSON SPRINGFIELD MO 65807 300649009 HEALTHCARE MO COXHEALTH ALLI RELATED 0 0 false false 0.60000 COXHEALTH SYSTEMS HMO PO BOX 5750 SPRINGFIELD MO 658015750 431757075 HMO MO LESTER E COX C CORP 4722617 14623629 1.00000 true COX HEALTH SYSTEMS INSURANCE CO 3525 S NATIONAL SUITE 205 SPRINGFIELD MO 65807 431684044 INSURANCE MO COX HMO C CORP 109900937 25039106 1.00000 true MEDICAL DEVELOPMENTS INC 1423 N JEFFERSON SPRINGFIELD MO 65802 431622182 PHARMACY MO LESTER E COX C CORP 4607250 4538722 1.00000 true CTCC ACQUISITION CORPORATION 3850 S NATIONAL AVE SPRINGFIELD MO 65807 472494138 MEDICAL CLINIC MO COX MED GROUP C CORP 0 0 0.00000 false COX TAXABLE CLOSE CORPORATION 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 472573263 MEDICAL CLINIC MO COX MED GROUP C CORP 0 0 0.00000 false INSURANCE CO OF SPRINGFIELD INC GRAND PAVILLION CORPORATE CENTRE GRAND CAYMAN CJ KY1-1102 CAPTIVE INSURANCE CJ LESTER E COX C CORP 1229312 8885618 1.00000 true true true true false false false false false false false true false true false true true true true true MEDICAL DEVELOPMENTS INC A 59440 COST COXHEALTH FOUNDATION C 351874 COST COX-MONETT HOSPITAL INC K 70286 COST MEDICAL DEVELOPMENTS INC K 112217 COST COX HPS OF THE OZARKS INC K 220920 COST COX-MONETT HOSPITAL INC P 865272 COST COX HPS OF THE OZARKS INC P 708608 COST COXHEALTH SYSTEMS HMO P 12906226 COST SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN P 2509613 COST COX-MONETT HOSPITAL INC Q 12238256 COST MEDICAL DEVELOPMENTS INC Q 2096011 COST COX HPS OF THE OZARKS INC Q 1251514 COST COX ALTERNATIVE CARE OF THE OZARKS INC Q 1480353 COST COX HEALTH SYSTEMS HMO INC Q 6620576 COST INSURANCE CO OF SPRINGFIELD INC Q 1173475 COST SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN Q 40134457 COST COX-MONETT HOSPITAL INC R 18063324 COST MEDICAL DEVELOPMENTS INC R 710355 COST SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN R 1621477 COST COXHEALTH FOUNDATION S 2510191 COST COX-MONETT HOSPITAL INC S 1472923 COST MEDICAL DEVELOPMENTS INC S 3415409 COST SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN S 433350 COST