LESTER E COX MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: LESTER E COX MEDICAL CENTER (EIN 44-0577118)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-13
IRS object ID: 201432259349302283
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-13T14:02:17-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	440577118	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LESTER E COX MEDICAL CENTERS	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JACOB M MCWAY	InCareOfName
Name Control	LEST	NameControl
Phone	4172698811	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1423 N JEFFERSON ST	AddressLine1
Address Line2	Suite	AddressLine2
City	SPRINGFIELD	City
State	MO	State
ZIP Code	65802	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JACOB MCWAY	Name
Title	SENIOR VP & CFO	Title
Phone	4172698811	Phone
Date Signed	2014-08-04	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Brian D Todd	Name
Phone	4178658701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	STEVE EDWARDS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1423 N JEFFERSON STREET	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	65802	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1196966112	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.COXHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1923	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	28	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	8673	TotalNbrEmployees
Total Nbr Volunteers	31	TotalNbrVolunteers
Total Gross UBI	2992048	TotalGrossUBI
Net Unrelated Business Txbl Income	412237	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2680250	ContributionsGrantsPriorYear
Contributions Grants Current Year	68461532	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	952617795	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1002714972	ProgramServiceRevenueCY
Investment Income Prior Year	9109712	InvestmentIncomePriorYear
Investment Income Current Year	11258214	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3026667	OtherRevenuePriorYear
Other Revenue Current Year	9008258	OtherRevenueCurrentYear
Total Revenue Prior Year	967434424	TotalRevenuePriorYear
Total Revenue Current Year	1091442976	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1830829	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1593947	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	406861332	SalariesEtcPriorYear
Salaries Etc Current Year	401596721	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	518166	TotalFundrsngExpCurrentYear
Other Expense Prior Year	525556006	OtherExpensePriorYear
Other Expenses Current Year	594780700	OtherExpensesCurrentYear
Total Expenses Prior Year	934248167	TotalExpensesPriorYear
Total Expenses Current Year	997971368	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	33186257	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	93471608	RevenuesLessExpensesCY
Total Assets BOY	1079342042	TotalAssetsBOY
Total Assets EOY	1345753808	TotalAssetsEOY
Total Liabilities BOY	594762251	TotalLiabilitiesBOY
Total Liabilities EOY	685529161	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	484579791	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	660224647	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION & RESEARCH.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	647229653	Expense
Revenue	722563125	Revenue
Description	HOSPITAL SERVICES: AS A COMMUNITY OWNED, NON-PROFIT HOSPITAL, COXHEALTH PROVIDES THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE MANY OF THE MOST VULNERABLE IN OUR COMMUNITIES - THE UNDERINSURED AND UNINSURED. COMMUNITY BENEFIT IN FY13 TOTALED $159,139,008 SYSTEM-WIDE IN THESE CATEGORIES: SHORT-FALLS IN REIMBURSEMENT AND CHARITY CARE; COMMUNITY OUTREACH SERVICES INCLUDING COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND IMMUNIZATIONS; HEALTH PROFESSIONALS EDUCATION AND RESEARCH, INCLUDING THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	207995936	Expense
Revenue	175861160	Revenue
Description	PHYSICIAN CARE: EMPLOYED PHYSICIANS AT COXHEALTH PLAY AN IMPORTANT ROLE IN ACCESS TO MEDICAL CARE THROUGH THEIR PRACTICE AT RURAL HEALTH CLINICS IN UNDER-SERVED AREAS OF SOUTHWEST MISSOURI. PHYSICIANS WITH COX FAMILY MEDICINE RESIDENCY ARE MAKING A VISIBLE DIFFERENCE IN CARE FOR UNINSURED PATIENTS AS WELL AS PATIENTS COVERED BY MEDICAID. THESE PATIENTS REPRESENT 18% AND 38% PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC RESPECTIVELY. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. COXHEALTH CONTINUES TO PARTNER WITH WAL-MART, AND CURRENTLY HAS 5 PARTNERSHIP CLINICS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	35281845	Expense
Revenue	37248220	Revenue
Description	HOME CARE: COXHEALTH'S 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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	8527484	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1593947	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	64050419	TotalOfOtherProgramServiceRev
Total Program Service Expense	899034918	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	453	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8673	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	28	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JACOB M MCWAY	NamePerson
Telephone Number	4172698811	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3800 S NATIONAL	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	65807	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (55 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JAMES W HUTCHESON
CHAIRMAN	1.0	4.0	X	X	0	0	0
GRANT Q HADEN JD
1ST VICE CHAIRMAN	1.0	3.0	X	X	0	0	0
JOSEPH W TURNER JD
2ND VICE CHAIRMAN	1.0	3.0	X	X	0	0	0
DENNIS J HEIM
3RD VICE CHAIRMAN	1.0	3.0	X	X	0	0	0
JERRY G JARED
DIRECTOR	1.0	3.0	X		0	0	0
PATRICIA M DIX MD
DIRECTOR	40.0		X		332209	0	23922
CHARLES T CHALENDER
DIRECTOR	1.0		X		0	0	0
RICHARD W KISSELL MD
DIRECTOR	40.0	3.0	X		172453	0	20466
LARRY W HALVERSON MD
DIRECTOR	40.0		X		158650	0	19722
DONA K ELKINS
DIRECTOR	1.0	3.0	X		0	0	0
RONALD D PONDS
DIRECTOR	1.0	3.0	X		0	0	0
PIERRE L CLOTHIAUX MD
DIRECTOR	1.0		X		0	0	0
LARRY W LIPSCOMB
DIRECTOR	1.0	3.0	X		0	0	0
JEFFREY C GOWER DDS
DIRECTOR	1.0		X		0	0	0
ROBERT C FULP
DIRECTOR	1.0	2.0	X		0	0	0
JANICE K HARRIS
DIRECTOR	1.0	3.0	X		0	0	0
GEORGE O WOOD JD
DIRECTOR ENDING 10/2012	1.0		X		0	0	0
GIL L TROUT
DIRECTOR ENDING 11/2012	1.0		X		0	0	0
BEN A PARNELL
DIRECTOR ENDING 12/2012	1.0		X		0	0	0
ROBERT F MCDOWELL
DIRECTOR BEGINNING 01/2013	1.0	6.0	X		0	0	0
PHILLIP D LOYD
DIRECTOR BEGINNING 01/2013	1.0		X		0	0	0
HAL L HIGDON PHD
DIRECTOR	1.0		X		0	0	0
DAVID ZOLFAGHARI MD
DIRECTOR	1.0	3.0	X		0	0	0
THOMAS Y AUNER
DIRECTOR	1.0		X		0	0	0
HOWARD J FISK
DIRECTOR	1.0		X		0	0	0
MARK J HASELTINE
DIRECTOR	1.0		X		0	0	0
KURT D HELLWEG
DIRECTOR	1.0		X		0	0	0
JACK F PRIM
DIRECTOR	1.0		X		0	0	0
JAMES GIBSON MD
DIRECTOR	1.0		X		0	0	0
CLIFTON M SMART III JD
DIRECTOR	1.0		X		0	0	0
JEFF TYNES
DIRECTOR	1.0		X		0	0	0
JACOB MCWAY
SENIOR VP & CFO	40.0	9.0		X	635317	0	107846
STEVE EDWARDS
CEO	40.0	9.0		X	901555	0	143128
KATHLEEN RIGGER
BOARD SECRETARY BEG 10/2012	40.0	4.0		X	50669	0	23844
LAURIE DUFF
SEC/VP CORP COMM END 10/2012	40.0			X	170994	0	23688
CHARITY ELMER
GENERAL COUNSEL	40.0				340373	0	25200	X
JOHN DUFF MD
VP - ADMINISTRATION COX HOSP	40.0	7.0			493575	0	139088	X
ROBERT FERGUSON
VP - FERRELL DUNCAN CLINIC	40.0				276482	0	23429	X
DAVID TAYLOR
VP - REGIONAL SERVICES	40.0				310955	0	25263	X
RON PRENGER
ADMIN CWL, VP - CLINICAL SVCS	40.0				248609	0	24109	X
JOHN HURSH
VP - HUMAN RESOURCES	40.0	1.0			246983	0	23939	X
RODNEY SCHAFFER
VP - FACILITIES MANAGEMENT	40.0				207357	0	16750	X
PATRICK WALSH
VP - MARKETING & PLANNING	40.0				231974	0	20196	X
KAREN KRAMER
VP - CHIEF NURSING OFFICER	40.0				264465	0	23668	X
DANIEL SONTHEIMER MD
VP - MEDICAL AFFAIRS	40.0				394523	0	25224	X
PETE LEER
VP - CLINIC SERVICES	40.0				178335	0	15709	X
BETTY BRESHEARS
VP - CORPORATE COMPLIANCE	40.0				189535	0	21017	X
ANNE BRETT
PRESIDENT, COX COLLEGE	40.0				187160	0	10780	X
BRUCE ROBISON
CIO	40.0				195159	0	21401	X
MICHAEL PAYNE MD
PHYSICIAN	40.0				490455	0	24604		X
NORMAN TULLIS MD
PHYSICIAN	40.0				481012	0	24004		X
REGGIE GEORGE MD
PHYSICIAN	40.0				473001	0	23900		X
LOUIS KRENN MD
PHYSICIAN	40.0				459951	0	25195		X
BOYD CROCKETT MD
PHYSICIAN	40.0				458905	0	25200		X
ROBERT BEZANSON
FORMER CEO	1.0				392259	0	2266			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8942915	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	903558	TotalOtherCompensation
Number Individuals GT100 K	320	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
FERRELL DUNCAN CLINIC INC
PHYS REMUNERATION	64201464
SPRINGFIELD NEUROLOGICAL INSTIT
PHYS REMUNERATION	14874853
OZARK ANESTHESIA ASSOCIATES
ANESTHESIA SERVICES	13343806
EMERGENCY PHYSICIANS OF SPFD
ER PHYSICIAN SERVICE	12553292
FERRELL DUNCAN BUILDING CO
RENTAL SPACE	3278514

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	66	NumberOfContractorsGT100K
Fundraising Events	93795	FundraisingEvents
Related Organizations	65953218	RelatedOrganizations
All Other Contributions	2414519	AllOtherContributions
Total Contributions	68461532	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	900099	966731787	966731787
NET PATIENT SERVICE - UNRELATED LAB	621500	1023977		1023977
NET PATIENT SERVICE - UNRELATED RETAIL DME	446199	1968071		1968071
CAFETERIA, MEALS & VENDING	722514	4615144	4615144
FITNESS CENTERS	713940	3075344	3075344

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	25300649	TotalRevenueColumn
Related Or Exempt Function Income	25300649	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1002714972	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10257755	TotalRevenueColumn
Exclusion	$10,257,755	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1959903	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1230359	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	729544	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	729544	TotalRevenueColumn
Exclusion	$729,544	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	104974320	Securities
Other	279591	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	104108208	Securities
Other	145244	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	866112	Securities
Other	134347	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1000459	TotalRevenueColumn
Exclusion	$1,000,459	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	20273	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	93795	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	39325	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-19052	TotalRevenueColumn
Exclusion	-$19,052	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
LOSS ON INVESTMENT IN EQUITY INVESTEE	900099	-195317	-$195,317
CHANGE IN INTEREST IN NET ASSETS OF SUBS	900099	8493083	$8,493,083

Field	Value	IRS element (for citing)
Total Other Revenue	8297766	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1091442976	TotalRevenueColumn
Related Or Exempt Function Income	999722924	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2992048	UnrelatedBusinessRevenue
Exclusion	$20,266,472	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	566417	Total
Program Services	566417	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1027530	Total
Program Services	1027530	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6965721	Total
Program Services	3330802	ProgramServices
Management And General	3634919	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	845652	Total
Program Services	318880	ProgramServices
Management And General	526772	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	317819995	Total
Program Services	284852030	ProgramServices
Management And General	32769655	ManagementAndGeneral
Fundraising	198310	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1349840	Total
Program Services	1240761	ProgramServices
Management And General	94908	ManagementAndGeneral
Fundraising	14171	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	52305690	Total
Program Services	46465009	ProgramServices
Management And General	5826849	ManagementAndGeneral
Fundraising	13832	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	22309823	Total
Program Services	19787680	ProgramServices
Management And General	2522143	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3719603	Total
Management And General	3719603	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	574723	Total
Management And General	574723	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	61492	Total
Management And General	61492	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	732190	Total
Management And General	732190	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	175471468	Total
Program Services	141976357	ProgramServices
Management And General	33361034	ManagementAndGeneral
Fundraising	134077	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2189779	Total
Program Services	1772513	ProgramServices
Management And General	417266	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	17929824	Total
Program Services	14475170	ProgramServices
Management And General	3407587	ManagementAndGeneral
Fundraising	47067	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	19469024	Total
Program Services	15759172	ProgramServices
Management And General	3709852	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	20103944	Total
Program Services	19436987	ProgramServices
Management And General	638867	ManagementAndGeneral
Fundraising	28090	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	2529249	Total
Program Services	2047297	ProgramServices
Management And General	481952	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1616549	Total
Program Services	1308513	ProgramServices
Management And General	308036	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14877002	Total
Program Services	13571821	ProgramServices
Management And General	1305181	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	35655449	Total
Program Services	32527208	ProgramServices
Management And General	3128092	ManagementAndGeneral
Fundraising	149	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6462605	Total
Program Services	5895631	ProgramServices
Management And General	566974	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUGS	141193220	141193220
BAD DEBT	107897047	107897047
STATE PROVIDER TAX	41974728	41974728
LICENSES, DUES, SUBSCRIPTIONS	1568575	1269681	298894

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	754229	Total
Program Services	340464	ProgramServices
Management And General	331295	ManagementAndGeneral
Fundraising	82470	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	997971368	Total
Program Services	899034918	ProgramServices
Management And General	98418284	ManagementAndGeneral
Fundraising	518166	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2992003	BOY
EOY	1275673	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	198198345	BOY
EOY	317449444	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	142167801	BOY
EOY	136111963	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	18431693	BOY
EOY	14780876	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10674298	BOY
EOY	11751088	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7233197	BOY
EOY	8161631	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	877606687	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	549070596	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	320519038	BOY
EOY	328536091	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	260779624	BOY
EOY	307858025	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	21244134	BOY
EOY	22462326	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	55156301	BOY
EOY	153132997	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	25820103	BOY
EOY	25670894	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	16125505	BOY
EOY	18562800	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1079342042	BOY
EOY	1345753808	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	210277103	BOY
EOY	146395699	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2807135	BOY
EOY	2236022	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	307144505	BOY
EOY	461838869	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	5092976	BOY
EOY	10515284	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	12674608	BOY
EOY	11662390	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	56765924	BOY
EOY	52880897	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	594762251	BOY
EOY	685529161	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	461821091	BOY
EOY	623597716	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12587233	BOY
EOY	18219363	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10171467	BOY
EOY	18407568	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	484579791	BOY
EOY	660224647	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1079342042	BOY
EOY	1345753808	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	93471608	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	25762121	ReconciliationUnrealizedInvest
Reconcilation Other Changes	56411127	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$39,403	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$22,089	OtherActivitiesAmount
Total Lobbying Expenditures IIB	61492	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DIRECT CONTACT WITH LEGISLATORS, ETC	SCHEDULE C, PART II-B, LINE 1G	THE ORGANIZATION CONTRACTED PENMAN & WINTON CONSULTING GROUP, A LOBBYING AND ASSOCIATION MANAGEMENT FIRM, TO LOBBY ISSUES THAT BENEFIT THE INTERESTS OF THE COMMUNITY, COXHEALTH AND ITS AFFILIATES.
OTHER LOBBYING ACTIVITIES	SCHEDULE C, PART II-B, LINE 1I	MEMBERS OF COXHEALTH'S ADMINISTRATIVE STAFF CONTACT LEGISLATORS REGARDING KEY HEALTHCARE ISSUES. ALSO, PORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2013, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $19,748. IN ADDITION, $2,334 OF DUES PAID TO THE SPRINGFIELD AREA CHAMBER OF COMMERCE AND $7 OF DUES PAID TO THE AICPA WERE ATTRIBUTABLE TO LOBBYING.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26041751	OtherCostOrOtherBasis
Book Value	26041751	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	295700409	OtherCostOrOtherBasis
Depreciation	153452833	Depreciation
Book Value	142247576	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4840360	OtherCostOrOtherBasis
Depreciation	3369841	Depreciation
Book Value	1470519	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	518424628	OtherCostOrOtherBasis
Depreciation	382454115	Depreciation
Book Value	135970513	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32599539	OtherCostOrOtherBasis
Depreciation	9793807	Depreciation
Book Value	22805732	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	328536091	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	INT IN NA OF TAX EXEMPT SUBS	Description
Book Value	153132997	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	153132997	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
INTEREST RATE BASIS SWAP	$7,545,761
EST AMT DUE TO 3RD PARTIES	$2,486,136
SELF INSURANCE CLAIMS PAYABLE	$42,849,000

Field	Value	IRS element (for citing)
Total Of Amounts	52880897	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	1066256671	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	25762121	NetUnrealizedGainsInvestments
Other Revenues	-52218110	OtherRevenues
Revenue Not Rptd F990	-26455989	RevenueNotRptdF990
Revenue Subtotal	1092712660	RevenueSubtotal
Other Revenues Not Included	-1269684	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1269684	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1091442976	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	890611815	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1269684	OtherExpensesIncluded
Expenses Not Rptd F990	1269684	ExpensesNotRptdF990
Expenses Subtotal	889342131	ExpensesSubtotal
Investment Expenses Not Included2	732190	InvestmentExpensesNotIncluded2
Other Expenses Not Included	107897047	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	108629237	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	997971368	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
UNCERTAIN TAX POSITIONS	SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12	SCHEDULE D, PART XI, LINE 2D	$ 56,611,045 DEFINED BENEFIT GAIN 20,756 CHANGE IN BENEFICIAL INTEREST OF TRUST (220,674) RETURN OF CAPITAL (732,190) INVESTMENT FEES (107,897,047) BAD DEBT EXPENSE ----------------- $ (52,218,110)
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1	SCHEDULE D, PART XI, LINE 4B	$ (39,325) SPECIAL EVENTS EXPENSES (1,230,359) RENTAL EXPENSES --------------- $ (1,269,684)
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25	SCHEDULE D, PART XII, LINE 2D	$ 1,230,359 RENTAL EXPENSES 39,325 SPECIAL EVENTS EXPENSES ---------------- $ 1,269,684
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1	SCHEDULE D, PART XII, LINE 4B	$ 107,897,047 BAD DEBT EXPENSE

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	1	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvided
Total Expenditures	1270805	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	1	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Subtotal Amount Spent	1270805	SubtotalAmountSpent
Total Amount Spent	1270805	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	WRAP IT UP	NameOfEvent1
Gross Receipts Event1	57406	GrossReceiptsEvent1
Charitable Contributions Event1	51855	CharitableContributionsEvent1
Gross Revenue Event1	5551	GrossRevenueEvent1
Food And Beverage Event1	5551	FoodAndBeverageEvent1
Entertainment Event1	350	EntertainmentEvent1
Other Direct Expenses Event1	6875	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNEY	NameOfEvent2
Gross Receipts Event2	42598	GrossReceiptsEvent2
Charitable Contributions Event2	28554	CharitableContributionsEvent2
Gross Revenue Event2	14044	GrossRevenueEvent2
Non Cash Prizes Event2	1047	NonCashPrizesEvent2
Rent Facility Costs Event2	14490	RentFacilityCostsEvent2
Other Direct Expenses Event2	526	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	14064	GrossReceiptsOtherEvents
Charitable Contrib Other Events	13386	CharitableContribOtherEvents
Gross Revenue Other Events	678	GrossRevenueOtherEvents
Non Cash Prizes Other Events	247	NonCashPrizesOtherEvents
Food And Beverage Other Events	195	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	10044	OtherDirectExpensesOtherEvents
Gross Receipts Total	114068	GrossReceiptsTotal
Charitable Contributions Total	93795	CharitableContributionsTotal
Gross Revenue Total Events	20273	GrossRevenueTotalEvents
Non Cash Prizes Total Events	1294	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	14490	RentFacilityCostsTotalEvents
Food And Beverage Total Events	5746	FoodAndBeverageTotalEvents
Entertainment Total Events	350	EntertainmentTotalEvents
Other Direct Expenses Total Events	17445	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	39325	DirectExpenseSummaryEvents
Net Income Summary	-19052	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27158990	TotalCommunityBenefitExpense
Net Community Benefit Expense	27158990	NetCommunityBenefitExpense
Percent Of Total Expense	0.03050	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	127812597	TotalCommunityBenefitExpense
Direct Offsetting Revenue	104416313	DirectOffsettingRevenue
Net Community Benefit Expense	23396284	NetCommunityBenefitExpense
Percent Of Total Expense	0.02630	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	154971587	TotalCommunityBenefitExpense
Direct Offsetting Revenue	104416313	DirectOffsettingRevenue
Net Community Benefit Expense	50555274	NetCommunityBenefitExpense
Percent Of Total Expense	0.05680	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	248597	TotalCommunityBenefitExpense
Direct Offsetting Revenue	69187	DirectOffsettingRevenue
Net Community Benefit Expense	179410	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15151541	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11055880	DirectOffsettingRevenue
Net Community Benefit Expense	4095661	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13849020	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9894209	DirectOffsettingRevenue
Net Community Benefit Expense	3954811	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	44512	TotalCommunityBenefitExpense
Net Community Benefit Expense	44512	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1027530	TotalCommunityBenefitExpense
Net Community Benefit Expense	1027530	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30321200	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21019276	DirectOffsettingRevenue
Net Community Benefit Expense	9301924	NetCommunityBenefitExpense
Percent Of Total Expense	0.01050	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	185292787	TotalCommunityBenefitExpense
Direct Offsetting Revenue	125435589	DirectOffsettingRevenue
Net Community Benefit Expense	59857198	NetCommunityBenefitExpense
Percent Of Total Expense	0.06730	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$107,897,047	BadDebtExpenseAmount
Amount Attributable To	19313571	AmountAttributableTo
Amount Reimbursed By Medicare	297950135	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	355796921	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-57846786	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup
LESTER E COX MEDICAL CENTERS - SOUTH
1	3801 S NATIONAL AVE	SPRINGFIELD	MO	65807	X	X	X	X	X	1
LESTER E COX MEDICAL CENTERS - NORTH
2	1423 N JEFFERSON ST	SPRINGFIELD	MO	65802	X			X	X	1
MEYER ORTHOPEDIC HOSPITAL
3	1000 E WALNUT LAWN	SPRINGFIELD	MO	65807	X			X		1

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP #1	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	false	UsesFPGFree
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	72	NumberOfOtherFacilities

Other Facilities OtherFacilities (72 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SPRINGFIELD INPATIENT PHYSICIANS
3801 S NATIONAL AVE 5TH FL	SPRINGFIELD	MO	65807	CLINIC
ADULT MEDICINE & ENDOCRINOLOGY SPECLST
960 E WALNUT LAWN SUITE 201	SPRINGFIELD	MO	65807	CLINIC
FAMILY MEDICAL CARE CENTER
1423 N JEFFERSON ST B-100	SPRINGFIELD	MO	65802	CLINIC
PHYSICIANS FOR WOMEN
3850 S NATIONAL AVE 400	SPRINGFIELD	MO	65807	CLINIC
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY FOR FREE CARE	SCHEDULE H, PART I, LINE 3C	IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THIS POLICY.
PERCENT OF TOTAL EXPENSE	SCHEDULE H, PART I, LINE 7, COLUMN F	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $107,897,047.
SUBSIDIZED SERVICES	SCHEDULE H, PART I, LINE 7G	THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $3,954,811. COXHEALTH PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. COXHEALTH CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
COSTING METHODOLOGY	SCHEDULE H, PART I, LINE 7	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.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A, LINE 4	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: THE HEALTH SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2008-2012, APPROXIMATELY 17.9 PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY.
COMMUNITY BENEFIT	SCHEDULE H, PART III, SECTION B, LINE 8	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
COLLECTION POLICY	SCHEDULE H, PART III, SECTION C, LINE 9B	THE ORGANIZATION WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF ANY AMOUNTS DISCOUNTED AS A RESULT OF AN APPROVED OR PARTIALLY APPROVED REQUEST FOR FINANCIAL ASSISTANCE. BALANCES REMAINING AFTER SUCH DISCOUNTS ARE APPLIED WILL, HOWEVER, BE SUBJECT TO COLLECTION ACTIVITY, INCLUDING LEGAL ACTION. IN ADDITION, THE ORGANIZATION WILL NOT CHARGE INTEREST ON THE BALANCE REMAINING AFTER APPLYING THE FINANCIAL ASSISTANCE DISCOUNT. HOWEVER, THE ORGANIZATION MAY, IN ITS SOLE DISCRETION, CHARGE INTEREST ON THE BALANCE OWED IF 1) THE GUARANTOR DEFAULTS ON HIS OR HER PAYMENT AGREEMENT OR 2) THE BALANCE IS REFERRED TO THE COLLECTION AGENCY FOR COLLECTION.
COMMUNITY INPUT	SCHEDULE H, PART V, SECTION B, LINE 3	COXHEALTH PUBLIC HEALTH SURVEY WAS SENT TO SERVICE AREA PUBLIC HEALTH NURSES, PUBLIC SCHOOL ADMINISTRATORS AND NURSES, COMMUNITY ORGANIZATION LEADERS AND COXHEALTH 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.
CHNA CONDUCTED WITH OTHER HOSPITALS	SCHEDULE H, PART V, SECTION B, LINE 4	THE CHNA WAS CONDUCTED FOR THE COXHEALTH 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.
CHNA AVAILABILITY TO THE PUBLIC	SCHEDULE H, PART V, SECTION B, LINE 5C	THE CHNA WAS ALSO POSTED AT HTTP://WWW.SWMOCOUNTS.ORG.
IMPLEMENTATION STRATEGY	SCHEDULE H, PART V, SECTION B, LINE 6	IN RESPONSE TO THE RESULTS OF COXHEALTH'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS ATTACHED.
ADDRESSING IDENTIFIED NEEDS	SCHEDULE H, PART V, SECTION B, LINE 7	THERE ARE MANY NEEDS IN A SERVICE AREA THE SIZE OF 22-COUNTIES AS THE CHNA ILLUSTRATES. COXHEALTH 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 COXHEALTH 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
CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE CARE	SCHEDULE H, PART V, SECTION B, LINE 10	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.
MEASURES TO PUBLICIZE THE POLICY	SCHEDULE H, PART V, SECTION B, LINE 14G	FINANCIAL ASSISTANCE AVAILABILITY IS PROACTIVELY COMMUNICATED TO UNINSURED PATIENTS BY CUSTOMER SERVICE STAFF AND BY OUR EARLY OUT AND BAD DEBT VENDORS; ANYONE RECOGNIZED AS UNINSURED IS TOLD ABOUT THE FA AVAILABILITY AND ENCOURAGED TO PARTICIPATE.
NEEDS ASSESSMENT		COXHEALTH HAS PERFORMED AN ENVIRONMENTAL SCAN ANNUALLY SINCE 2006. IN 2012, THE FIRST "COMMUNITY HEALTH NEEDS ASSESSMENT" AS REQUIRED BY THE IRS WAS PUT IN PROCESS. THE ENVIRONMENTAL SCAN AND THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE VERY SIMILAR IN THAT SOME OF THE SAME ELEMENTS ARE PRESENT IN BOTH DOCUMENTS. A PUBLIC PERCEPTION STUDY OF AREA HEADS OF HOUSEHOLDS IS CONDUCTED ANNUALLY. THE MOST RECENT STUDY SURVEYED 876 HOUSEHOLDS IN OUR SERVICE AREA TO DETERMINE "WHAT SERVICES ARE NEEDED." WE ALSO PERFORM A PUBLIC HEALTH SURVEY, WHICH ASKS COMMUNITY LEADERS AND HEALTH PROFESSIONALS WHAT THEIR PRIORITIES ARE AND WHAT HEALTH SERVICES ARE LACKING IN THEIR COMMUNITY. THE PUBLIC HEALTH SURVEY IS SENT TO COUNTY PUBLIC HEALTH DEPARTMENTS, LOCAL AGENCIES, REGIONAL SERVICES CLINICS, MENTAL HEALTH FACILITIES, AND PUBLIC SCHOOLS THROUGHOUT THE TOTAL SERVICE AREA. COXHEALTH REFERENCES UNITED HEALTH FOUNDATION STATE-BY-STATE HEALTH RANKINGS AS WELL AS ROBERT WOOD JOHNSON AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE COUNTY HEALTH RANK FOR HEALTH OUTCOMES AND HEALTH FACTORS. COXHEALTH ALSO REFERENCES "ASSESSING THE HEALTH OF THE COMMUNITY", WHICH IS AN ANALYSIS OF BEHAVIORS AND OUTCOMES FOR THE SPECIFIC COUNTIES OF COXHEALTH SERVICE AREA BY THE MISSOURI HOSPITAL ASSOCIATION. DEMOGRAPHIC AND ECONOMIC ANALYSIS IS PERFORMED FOR THE 22-COUNTY SERVICE AREA. NIELSEN CLARITAS DEMOGRAPHIC ESTIMATES AND PROJECTIONS ARE USED TO EVALUATE THE CHANGE IN POPULATION CHARACTERISTICS. UNEMPLOYMENT, HOME FORECLOSURE, AND INPATIENT PAYER DATA IS ALSO ASSESSED.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		COXHEALTH USES A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE PROGRAMS OR UNDER THE ORGANIZATION'S POLICY: - AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION IS COMMUNICATED TO PATIENTS THROUGH THE USE OF SIGNAGE AND BROCHURES/INFORMATION PACKETS AVAILABLE AT CHECK-IN LOCATIONS. - COXHEALTH ALSO PROACTIVELY COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND ITS EARLY-OUT VENDOR RESPONSIBLE FOR PATIENT BALANCE COLLECTIONS IS EXPECTED TO PROACTIVELY INFORM SELF PAY PATIENTS OF THE AVAILABILITY WHEN SPEAKING TO THEM ON THE PHONE. - FOR ASSISTANCE UNDER FEDERAL AND STATE PROGRAMS COXHEALTH UTILIZES AN OUTSOURCE ELIGIBILITY VENDOR WHO MEETS WITH SELF PAY INPATIENTS AT THE BEDSIDE TO COMPLETE AN ELIGIBILITY SCREENING, INFORM THE PATIENTS OF POTENTIAL AVAILABILITY, AND WILL WORK WITH THE PATIENT TO HELP THEM THROUGH THE PROCESS. OUTPATIENTS ARE REFERRED TO THE VENDOR AFTER CARE AND THOSE ARE WORKED IN A SIMILAR FASHION WITH THE EXPECTATION THAT THE FIRST CONTACT IS THROUGH MAIL OR PHONE RATHER THAN AT THE BEDSIDE. - WE ALSO PROACTIVELY COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND OUR EARLY-OUT VENDOR RESPONSIBLE FOR PATIENT BALANCE COLLECTIONS IS EXPECTED TO PROACTIVELY INFORM SELF PAY PATIENTS OF THE AVAILABILITY WHEN SPEAKING TO THEM ON THE PHONE. - FOR ASSISTANCE UNDER FEDERAL AND STATE PROGRAMS WE UTILIZE ON OUTSOURCE ELIGIBILITY VENDOR WHO MEETS WITH SELF PAY INPATIENTS AT THE BEDSIDE TO COMPLETE AN ELIGIBILITY SCREENING, INFORM THE PATIENTS OF POTENTIAL AVAILABILITY, AND WILL WORK WITH THE PATIENT TO HELP THEM THROUGH THE PROCESS. OUTPATIENTS ARE REFERRED TO THE VENDOR AFTER CARE AND THOSE ARE WORKED IN A SIMILAR FASHION WITH THE EXPECTATION THAT THE FIRST CONTACT IS THROUGH MAIL OR PHONE RATHER THAN AT THE BEDSIDE.
COMMUNITY INFORMATION		THE PRIMARY SERVICE AREA ("PSA") COUNTIES SERVED BY COXHEALTH INCLUDE: BARRY, CHRISTIAN, GREENE, LAWRENCE, STONE, TANEY, WEBSTER, AND WRIGHT (ALL PSA COUNTIES ARE LOCATED IN MISSOURI). THE SECONDARY SERVICE AREA ("SSA") COUNTIES SERVED BY COXHEALTH INCLUDE: BAXTER - AR, BOONE - AR, CEDAR, DADE, DALLAS, DOUGLAS, HICKORY, HOWELL, JASPER, LACLEDE, OZARK, POLK, PULASKI, AND TEXAS (ALL SSA COUNTIES ARE LOCATED IN MISSOURI EXCEPT BOONE AND BAXTER COUNTIES IN ARKANSAS). THE SERVICE AREA HAS EXCEEDED THE ONE MILLION PERSON MARK AND APPROXIMATELY 56% OF THE 22-COUNTY POPULATION IS IN THE EIGHT COUNTY PRIMARY SERVICE AREA. 51% OF THE MARKET IS FEMALE AND ALMOST 19% OF THE MARKET IS FEMALES BETWEEN THE AGES OF 15 AND 44. THE SEGMENT OF THE POPULATION OVER 65 IS PROJECTED TO GROW AT ABOUT A 13% RATE. THE AVERAGE HOUSEHOLD INCOME IS $48,766 IN THE 22-COUNTY SERVICE AREA COMPARED WITH $58,796 FOR THE STATE OF MISSOURI. DIVERSITY IS NEARLY NONEXISTENT IN THE 22-COUNTY MARKET. YEAR-TO-YEAR UNEMPLOYMENT RATES HAVE BEEN DECLINING IN THE AREA.
PROMOTION OF COMMUNITY HEALTH		COXHEALTH'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. WE ACTIVELY LIVE THIS MISSION BY PROVIDING QUALITY HEALTH CARE WITH MULTIPLE ACCESS POINTS FOR CARE INCLUDING THREE HOSPITALS AND MORE THAN 60 PHYSICIAN CLINICS (INCLUDING RETAIL CLINICS). IN 2012, THE ENTIRE COXHEALTH AFFILIATED SYSTEM PROVIDED $159,139,008 IN TOTAL COMMUNITY BENEFIT AND $456,140,798 IN TOTAL ECONOMIC IMPACT. A LARGE PORTION IS ATTRIBUTABLE TO COXHEALTH MEDICAL CENTERS. COMMUNITY INVOLVEMENT IS ACHIEVED IN A VARIETY OF WAYS INCLUDING: + CHILDREN'S MIRACLE NETWORK RAISES MORE THAN $1 MILLION ANNUALLY TO MEET THE NEEDS OF CHILDREN AND THEIR FAMILIES. LAST YEAR, CMN SERVED MORE THAN 100,000 CHILDREN IN 32 SOUTHWEST MISSOURI COUNTIES. + COXHEALTH FOUNDATION DISTRIBUTED $1.8 MILLION TO 32 PATIENT SERVICE FUNDS TO SUPPORT PATIENT CARE, FACILITIES, TECHNOLOGY, PROGRAMS AND PREVENTION. + COXHEALTH PROVIDES EXTENSIVE OUTREACH THROUGH FREE OR LOW-COST HEALTH EDUCATION AND HEALTH SCREENINGS YEAR-ROUND, AND SERVES AS THE AMERICAN HEART ASSOCIATION TRAINING CENTER. + COXHEALTH.COM PROVIDES ONLINE HEALTH EDUCATION AND INCORPORATES PODCASTS, HEALTH SURVEYS AND QUIZZES, AS WELL AS A HEALTH LIBRARY. HEALTHSENSE MAGAZINE IS DISTRIBUTED EACH QUARTER TO OVER 160,000 SOUTHWEST MISSOURI RESIDENTS IN PARTNERSHIP WITH GROUPS SUCH AS THE AMERICAN HEART ASSOCIATION AND AMERICAN CANCER SOCIETY. + COXHEALTH SPONSORS COMMUNITY EVENTS PROMOTING HEALTH MESSAGES AND RAISING FUNDS FOR NEEDED HEALTH SERVICES. + COXHEALTH'S BOARD AND ADMINISTRATIVE LEADERS PARTICIPATE IN MANY CIVIC ORGANIZATIONS WHOSE PURPOSE IS TO IMPROVE THE LIVES OF COMMUNITY MEMBERS. EXAMPLES INCLUDE THE UNITED WAY, THE ROTARY CLUB, THE REGIONAL HEALTH COMMISSION AND THE CHAMBER OF COMMERCE. A MAJORITY OF COXHEALTH'S BOARD IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO PHYSICIANS IN THE COMMUNITY IF THEY QUALIFY.
AFFILIATED HEALTH CARE SYSTEM		COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE, HOME PARENTERAL SERVICES (INFUSION THERAPY) AND HOME SUPPORT (DURABLE MEDICAL EQUIPMENT). OXFORD HEALTHCARE SUPPORTED THE COMMUNITY THROUGH MONTHLY NUTRITION AND FALL PREVENTION SEMINARS AT 20 AREA SENIOR CENTERS THROUGHOUT SOUTHWEST MISSOURI. OXFORD ALSO PROVIDED FREE BONE DENSITY SCREENINGS AT 34 COMMUNITY EVENTS, AND VITAL SIGN SCREENINGS AT MANY MORE. THROUGH AN ANNUAL FAN DRIVE, OXFORD COLLECTED AND DISTRIBUTED MORE THAN 600 BOX FANS TO SENIORS AND THE DISABLED WHO LACK ADEQUATE ACCESS TO COOLING DURING THE SUMMER MONTHS. HOME PARENTERAL SERVICES RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS HPS TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. COXHEALTH HOME CARE SERVICES OF THE MIDWEST SUPPORTS THE COMMUNITY BY PROVIDING IN-HOME PRIVATE DUTY SERVICES, HOME HEALTHCARE AND THERAPY SUPPORT SERVICES, ASSISTANCE TO COXHEALTH SYSTEM IN DEVELOPING AN INTEGRATED HEALTH SYSTEM, AND SERVICE TO MEDICAID PATIENTS. COX-MONETT HOSPITAL SUPPORTS THE MONETT, MISSOURI AND THE SURROUNDING COMMUNITY BY PROVIDING A VARIETY OF SERVICES WHICH INCLUDE UROLOGY, ENT (EAR, NOSE & THROAT), PULMONOLOGY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE & MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY CENTER, GENERAL SURGICAL SERVICES, SAME-DAY SURGERY, DIABETES CENTER, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL-SURGICAL UNIT, PHARMACY AND COMMUNITY WELLNESS. COXHEALTH FOUNDATION SUPPORTS THE COMMUNITY BY RAISING FUNDS TO DISPERSE TO PATIENTS FOR THOSE NEEDS FOR WHICH THEY HAVE NO RESOURCES OR FUNDING, BUT WHICH ARE CRITICAL TO THE PATIENT'S HEALTH AND WELL BEING. COXHEALTH AUXILIARY SUPPORTS THE COMMUNITY THROUGH FINANCIAL AND NON-FINANCIAL MEANS. THE ORGANIZATION PROVIDES SCHOLARSHIPS TO NURSING AND MEDICAL TECHNOLOGY STUDENTS AT COX COLLEGE. IN ADDITION, THE AUXILIARY PROVIDES SLEEP SACKS TO ALL NEWBORNS BORN AT COXHEALTH AND CAR SEATS TO THOSE IN NEED TO ENSURE THE SAFETY OF ANY NEWBORN LEAVING COXHEALTH. IN JANUARY 2013, SKAGGS REGIONAL MEDICAL CENTER D/B/A COX MEDICAL CENTER BRANSON (CMCB) BECAME A PART OF THE COXHEALTH GROUP. UNDER THE AGREEMENT, A MEMBER SUBSTITUTION MODEL, CMCB CONTINUES TO MAINTAIN ITS OWN HOSPITAL BOARD WHILE BECOMING A SUBSIDIARY OF COXHEALTH. COXHEALTH, AS THE PARENT COMPANY, ASSUMES THE RESPONSIBILITIES PREVIOUSLY HELD BY THE CMCB BOARD OF TRUSTEES. ADDITIONALLY, COXHEALTH WILL HAVE REPRESENTATION ON THE CMCB BOARD AND CMCB WILL HAVE REPRESENTATION ON THE COXHEALTH 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
2446 E MADRID	SPRINGFIELD	MO	65804	135613797	501(C)(3)	10700	COMMUNITY BENEFIT
AMERICAN DIABETES ASSOCIATION
1944 E SUNSHINE	SPRINGFIELD	MO	65808	131623888	501(C)(3)	10000	COMMUNITY BENEFIT
BOYS AND GIRLS CLUB OF SPRINGFIELD
1410 N FREMONT	SPRINGFIELD	MO	65802	440513659	501(C)(3)	20000	COMMUNITY BENEFIT
BOYS AND GIRLS CLUB OF THE OZARKS
1460 BEE CREEK RD	BRANSON	MO	65616	431664669	501(C)(3)	55000	COMMUNITY BENEFIT
JUVENILE DIABETES RESEARCH FOUNDATION
528 W BATTLEFIELD	SPRINGFIELD	MO	65804	231907729	501(C)(3)	6500	COMMUNITY BENEFIT
NATIONAL MULTIPLE SCLEROSIS
1675 E SEMINOLE	SPRINGFIELD	MO	65804	440613436	501(C)(3)	20000	COMMUNITY BENEFIT
AMERICAN RED CROSS OF THE OZARKS
PO BOX 2088	SPRINGFIELD	MO	65801	440563832	501(C)(3)	10500	COMMUNITY BENEFIT
URBAN DISTRICTS ALLIANCE
304 W MCDANIEL	SPRINGFIELD	MO	65806	431790672	501(C)(3)	10000	COMMUNITY BENEFIT
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	78831	COMMUNITY BENEFIT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
CHILDREN'S MIRACLE NETWORK - SPECIAL NEEDS FUND	1000	209431
CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS	60	65013
CHILDREN'S MIRACLE NETWORK - COMMUNITY GRANTS	109000	365827
CHILDREN'S MIRACLE NETWORK - COXHEALTH GRANTS	17100	270641
CHILDREN'S MIRACLE NETWORK - OTHER GRANTS	500	116618

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	THROUGH THE CHILDREN'S MIRACLE NETWORK, COXHEALTH DISTRIBUTES FUNDS TO INDIVIDUALS THROUGHOUT THE COMMUNITY. SEE BELOW FOR A SUMMARY OF PROGRAMS THROUGH WHICH FUNDS ARE DISTRIBUTED. DURING FISCAL YEAR 2013, APPROXIMATELY 127,660 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $209,431 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: TRAVEL ASSISTANCE, ORTHOPEDIC BRACES, PRESCRIPTIONS, EYE GLASSES, ETC. FAMILY CARE GRANTS - $65,013 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, COXHEALTH HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $365,827 TOTAL CAREMOBILE PROGRAM - $288,075 CARDIAC PROGRAM (A PORTION TO COX-MONETT HOSPITAL, INC.) - $62,155 "NEVER SHAKE A BABY" PROGRAM - $12,917 WASTED PROGRAM - $2,680 COXHEALTH GUARANTEED GRANTS - $270,641 TOTAL CHILD LIFE PROGRAM - $124,272 PEDIATRICS - $146,369 DISCRETIONARY AND OPEN FUNDS - $116,618 - 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 2013 EQUALED $78,831. THE OTHER GRANTS STATED IN PART II ARE MONITORED THROUGH THE USE OF REIMBURSEMENT PROCEDURES IN WHICH THE GRANTEE SUBMITS SUPPORTING DOCUMENTATION FOR EXPENSES. THE DOCUMENTATION IS THEN REVIEWED BY THE ORGANIZATION TO ENSURE IT MEETS THE CRITERIA ACCORDING TO THE GRANT AGREEMENT AND FINALLY A DISBURSEMENT IS MADE BY THE ORGANIZATION. COXHEALTH GIVES TO ORGANIZATIONS IN THE LOCAL COMMUNITY WHICH ALLOWS THE USE OF THE FUNDS TO BE SEEN DIRECTLY.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICIA M DIX MD
DIRECTOR	316908	0	0	0	15301	0	12500	0	11422	0	356131	0	0	0
RICHARD W KISSELL MD
DIRECTOR	153152	0	0	0	19301	0	8899	0	11567	0	192919	0	0	0
JACOB MCWAY
SENIOR VP & CFO	417213	0	110374	0	107730	0	89979	0	17867	0	743163	0	85023	0
STEVE EDWARDS
CEO	630893	0	120585	0	150077	0	123397	0	19731	0	1044683	0	139676	0
LARRY W HALVERSON MD
DIRECTOR	139670	0	0	0	18980	0	8228	0	11494	0	178372	0	0	0
CHARITY ELMER
GENERAL COUNSEL	300752	0	25572	0	14049	0	12500	0	12700	0	365573	0	0	0
JOHN DUFF MD
VP - ADMINISTRATION COX HOSP	333629	0	90783	0	69163	0	117838	0	21250	0	632663	0	34836	0
ROBERT FERGUSON
VP - FERRELL DUNCAN CLINIC	258098	0	17694	0	690	0	12500	0	10929	0	299911	0	0	0
DAVID TAYLOR
VP - REGIONAL SERVICES	287314	0	16133	0	7508	0	12500	0	12763	0	336218	0	0	0
RON PRENGER
ADMIN CWL, VP - CLINICAL SVCS	231596	0	15723	0	1290	0	12500	0	11609	0	272718	0	0	0
JOHN HURSH
VP - HUMAN RESOURCES	231153	0	13850	0	1980	0	12500	0	11439	0	270922	0	0	0
RODNEY SCHAFFER
VP - FACILITIES MANAGEMENT	193889	0	12178	0	1290	0	10416	0	6334	0	224107	0	0	0
PATRICK WALSH
VP - MARKETING & PLANNING	125209	0	8078	0	98687	0	10471	0	9725	0	252170	0	0	0
KAREN KRAMER
VP - CHIEF NURSING OFFICER	231523	0	15379	0	17563	0	12500	0	11168	0	288133	0	0	0
DANIEL SONTHEIMER MD
VP - MEDICAL AFFAIRS	331437	0	62642	0	444	0	12500	0	12724	0	419747	0	0	0
PETE LEER
VP - CLINIC SERVICES	165716	0	11329	0	1290	0	8976	0	6733	0	194044	0	0	0
BETTY BRESHEARS
VP - CORPORATE COMPLIANCE	174575	0	13670	0	1290	0	9812	0	11205	0	210552	0	0	0
ANNE BRETT
PRESIDENT, COX COLLEGE	155790	0	12522	0	18848	0	9448	0	1332	0	197940	0	0	0
BRUCE ROBISON
CIO	181975	0	11894	0	1290	0	10086	0	11315	0	216560	0	0	0
MICHAEL PAYNE MD
PHYSICIAN	488154	0	0	0	2301	0	12500	0	12104	0	515059	0	0	0
NORMAN TULLIS MD
PHYSICIAN	461213	0	0	0	19799	0	12500	0	11504	0	505016	0	0	0
REGGIE GEORGE MD
PHYSICIAN	456201	0	0	0	16800	0	12500	0	11400	0	496901	0	0	0
LOUIS KRENN MD
PHYSICIAN	459681	0	0	0	270	0	12500	0	12695	0	485146	0	0	0
BOYD CROCKETT MD
PHYSICIAN	458606	0	0	0	299	0	12500	0	12700	0	484105	0	0	0
LAURIE DUFF
SEC/VP CORP COMM END 10/2012	160022	0	10972	0	0	0	22998	0	690	0	194682	0	0	0
ROBERT BEZANSON
FORMER CEO	144360	0	247899	0	0	0	0	0	2266	0	394525	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INFORMATION REGARDING BENEFITS PROVIDED	SCHEDULE J, PART I, LINE 1A	MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF STEVE EDWARDS, CEO.
SEVERANCE PAYMENT	SCHEDULE J, PART I, LINE 4A	PATRICK WALSH RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $ 80,453.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B	STEVE EDWARDS, JACOB MCWAY, AND JOHN DUFF PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $110,897. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $139,676, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $77,479. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $85,023, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JOHN DUFF RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $105,338. - JOHN DUFF RECEIVED A 457(F) DISTRIBUTION OF $ 34,836, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990.
COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION	SCHEDULE J, PART I, LINE 6A	KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. PHYSICIANS LISTING ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE MICHAEL PAYNE, NORMAN TULLIS, REGGIE GEORGE, 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.
BOARD MEMBER COMPENSATION	SCHEDULE J, PART II; AND FORM 990, PART VII	NO COMPENSATION WAS PROVIDED FOR RESPONSIBILITIES ASSOCIATED WITH BEING A BOARD DIRECTOR. COMPENSATION REPORTED FOR SEVERAL BOARD MEMBERS LISTED ON SCHEDULE J REPRESENTS EMPLOYEE OR INDEPENDENT CONTRACTOR COMPENSATION UNRELATED TO SERVICE AS A BOARD MEMBER.
COMPENSATION REPORTED IN PRIOR FORM 990	SCHEDULE J, PART II, COLUMN F	COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	CUSIP NumberCUSIPNumber
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
A	431178966	2013-04-17	215754775	NEW INFRASTRUCTURE	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
B	431178966	2008-10-15	105000000	NEW INFRASTRUCTURE	false	false	false	60635R5B9
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
C	431178966	2008-09-25	157078759	1997 & 2002 BOND RFDING; NEW INFRA	false	false	false	60635R4Z7
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF ME
D	431178966	2012-12-03	34635000	REISSUANCE OF SERIES C OF 2008	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Year Of Subst CompletionYearOfSubstCompletion	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	0	215798075	0	0	2222341	0	61538952	0	152036782	false	false	false
B	35000000	105498069	0	1204349	772981	2924921	100595817	0	0	false	false	true	2012	true
C	0	158048460	15115782	2844795	1448411	0	66262892	72482407	0	true	false	true	2012	true
D	0	34635000	0	0	0	0	0	34635000	0	false	false	true	2007	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts	Total Private Business UseTotalPrivateBusinessUse
A	false	false	false	false	0	false	false	false	true
B	false	false	true	false	0	false	false	false	true	true
C	false	true	true	false	0.00100	false	false	false	true	true	0.00100
D	false	false	true	false	0	false	false	false	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
0
A	false	true	false	false	false	false	false	0	false	true
0
B	false	true	false	false	true	false	false	0	false	true
0
C	false	false	false	true	false	false	false	0	false	true
0
D	false	true	false	false	true	false	false	0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true
D	true

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
AMOUNT OF BONDS RETIRED	SCHEDULE K, PART II, LINE 1, COLUMN B	THE AMOUNT RETIRED INCLUDES $365,000 IN PRINCIPAL PAYMENTS MADE ON THE SERIES C PORTION OF THE ISSUE AND $34,635,000 OF THE SERIES 2008C PRINCIPAL THAT WAS REISSUED ON 12/02/2012.
TOTAL PROCEEDS OF ISSUE	SCHEDULE K, PART II, LINE 3, COLUMNS A, B & C	THE TOTAL PROCEEDS OF THE ISSUE EXCEEDED THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 09/30/2013.
OTHER PROCEEDS SPENT	SCHEDULE K, PART II, LINE 11, COLUMN C	THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE.
DATE REBATE COMPUTATION WAS PERFORMED	SCHEDULE K, PART IV, LINE 2C, COLUMN C	A REBATE CALCULATION/ANALYSIS WAS COMPLETED AS OF 09/01/2013.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (15 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
WILLIAM BRESHEARS
B BRESHEARS - SEE PART V	39701	WAGES	false
LAURIE DUFF
J DUFF - SEE PART V	194681	WAGES & BENEFITS	false
JOHN DUFF
L DUFF - SEE PART V	675119	WAGES & BENEFITS	false
VICKI HOCKENSMITH
S EDWARDS - SEE PART V	88253	WAGES	false
TERRY HAMMER
S EDWARDS - SEE PART V	93420	WAGES & BENEFITS	false
LISA ESPY
K KRAMER - SEE PART V	37873	WAGES	false
JASON PRENGER
R PRENGER - SEE PART V	14874	WAGES & BENEFITS	false
FAITH SCHAFFER
R SCHAFFER - SEE PART V	127548	WAGES & BENEFITS	false
NICOLE HALVERSON HOLMAN
L HALVERSON - SEE PART V	25505	WAGES	false
BETTY B EDWARDS
S EDWARDS - SEE PART V	23953	RETIREMENT BENEFITS	false
HADEN COWHERD BULLOCK
G. HADEN - SEE PART V	560349	LEGAL SERVICES	false
COX HEALTH SYSTEMS HMO INC
SEE PART V	2555153	INSURANCE ADMINISTRATION	false
FERRELL DUNCAN CLINIC INC
SEE PART V	71513353	PHYSICIAN REMUNERATION	false
FERRELL DUNCAN BUILDING CO
SEE PART V	3342185	BUILDING LEASE	false
FERRELL DUNCAN BUILDING CO II
SEE PART V	1502103	BUILDING LEASE	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L. PART IV	ReturnReference
Explanation	BETTY BRESHEARS' HUSBAND, WILLIAM BRESHEARS, IS AN EMPLOYEE OF COXHEALTH, AND BETTY IS VICE PRESIDENT OF CORPORATE COMPLIANCE. JOHN DUFF, VP OF ADMINISTRATION AT COXHEALTH, IS MARRIED TO LAURIE DUFF, VP OF CORPORATE COMMUNICATIONS AT COXHEALTH. STEVE EDWARDS, CEO, HAS THREE FAMILY MEMBERS WHO WORK FOR OR RECEIVE RETIREMENT BENEFITS FROM COXHEALTH. VICKI HOCKENSMITH IS HIS SISTER, TERRY HAMMER IS HIS BROTHER-IN-LAW, AND BETTY B. EDWARDS IS HIS MOTHER. KAREN KRAMER'S SISTER, LISA ESPY, IS AN EMPLOYEE AT COXHEALTH, AND KAREN IS VICE PRESIDENT AND CHIEF NURSING OFFICER. RON PRENGER'S SON, JASON PRENGER, IS AN EMPLOYEE AT COXHEALTH, AND RON IS THE VICE PRESIDENT OF CLINICAL SERVICES. RODNEY SCHAFFER'S SPOUSE, FAITH SCHAFFER, IS AN EMPLOYEE AT COXHEALTH, AND RODNEY IS THE VICE PRESIDENT OF FACILITIES MANAGEMENT. LARRY W. HALVERSON'S DAUGHTER, NICOLE HALVERSON HOLMAN, IS AN EMPLOYEE AT COXHEALTH, 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. JERRY G. JARED, JOSEPH W. TURNER, AND DONA K. ELKINS, MEMBERS OF THE BOARD OF DIRECTORS, ARE ALSO BOARD MEMBERS OF COX HEALTH SYSTEMS HMO, INC. STEVE EDWARDS, CEO, IS ALSO A BOARD MEMBER OF COX HEALTH SYSTEMS HMO, INC. JERRY G. JARED AND DONA K. ELKINS WERE DETERMINED TO BE NON-INDEPENDENT MEMBERS OF COXHEALTH BASED SOLELY ON THEIR ROLE AS COMMON OFFICERS OR DIRECTORS OF COXHEALTH AND COX HEALTH SYSTEMS HMO, INC. COX HEALTH SYSTEMS HMO, INC., IS AN ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY. COXHEALTH VIEWS THE COMMON OFFICERS AND DIRECTORS AS AN IMPORTANT ROLE IN HELPING BOTH ORGANIZATIONS IN ACHIEVING THEIR MISSIONS WHILE SERVING THE COMMUNITY. DAVID ZOLFAGHARI, M.D., BOARD MEMBER, IS ALSO AN OFFICER AND BOARD MEMBER OF FERRELL DUNCAN CLINIC, INC. JAMES GIBSON, M.D., BOARD MEMBER, IS ALSO A BOARD MEMBER OF FERRELL DUNCAN CLINIC, INC. JAMES GIBSON, M.D., BOARD MEMBER, IS ALSO A MANAGING MEMBER OF FERRELL DUNCAN BUILDING CO. PIERRE L. CLOTHIAUX, M.D., BOARD MEMBER, IS ALSO A MANAGING MEMBER OF FERRELL DUNCAN BUILDING CO. II.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
NUMBER OF VOLUNTEERS	FORM 990, PART I, QUESTION 6	THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD.
EXEMPT PURPOSE ACHIEVEMENTS - ADDITIONAL INFORMATION ABOUT HOME CARE	FORM 990, PART III, LINE 4C	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.
EXEMPT PURPOSE ACHIEVEMENTS - COMMUNITY BENEFIT REPORT	FORM 990, PART III, LINES 4A-4D	COXHEALTH 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. COXHEALTH 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. THIS REPORT ILLUSTRATES THE COMMUNITY IMPACT COXHEALTH ENTERPRISE HAS MADE FROM OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013. THE COXHEALTH ENTERPRISE INCLUDES HOSPITALS IN SPRINGFIELD, MONETT AND BRANSON, MISSOURI. COX MEDICAL CENTER BRANSON BECAME PART OF THE COXHEALTH ENTERPRISE IN 2013. THIS COXHEALTH ENTERPRISE COMMUNITY IMPACT REPORT REFLECTS COX MEDICAL CENTER BRANSON'S COMMUNITY BENEFIT FROM JANUARY 1, 2013 THROUGH SEPTEMBER 30, 2013. COMMUNITY BENEFIT MEDICARE, MEDICAID AND UNINSURED SUBSIDIES $ 154,632,098 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 $ 1,202,635 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 $ 742,589 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 $ 2,561,686 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: $ 159,139,008 ECONOMIC IMPACT: REAL ESTATE AND PROPERTY TAXES $ 1,521,260 TOTAL REAL ESTATE AND PROPERTY TAXES PAID BY COXHEALTH FOR MEDICAL OFFICE BUILDINGS AND PHYSICIAN OFFICES AND CLINIC. CAPITAL INVESTMENTS $ 83,100,981 AS A NON-PROFIT ORGANIZATION, COXHEALTH REINVESTS ITS REVENUE IN THE SERVICES IT PROVIDES TO THE COMMUNITY, INCLUDING THE COST OF MEDICAL TECHNOLOGY, EQUIPMENT AND SERVICES. THIS AMOUNT INCLUDES THE TOTAL INVESTMENT MADE THROUGH PURCHASING AND LEASING OF MEDICAL EQUIPMENT AND TECHNOLOGY, AS WELL AS RENTAL FACILITIES, SUCH AS MEDICAL OFFICES. PAYROLL & BENEFITS $ 506,324,679 COXHEALTH IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI, AND EMPLOYED APPROXIMATELY 8,844 PEOPLE IN 2012. THIS DOLLAR AMOUNT INCLUDES THE COST OF PAYROLL AND BENEFITS OF OUR DEDICATED TEAM. IT ALSO INCLUDES A SIGNIFICANT INVESTMENT ON CONTRACT PERSONNEL IN VARIOUS MEDICAL SPECIALTIES AS WELL AS MONIES TO OTHER PROFESSIONALS WHO RESIDE LOCALLY. TOTAL ECONOMIC IMPACT: $ 590,946,920 TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 750,085,928
FAMILY/BUSINESS RELATIONSHIPS	FORM 990, PART VI, SECTION A, LINE 2	KEY EMPLOYEE JOHN DUFF AND OFFICER LAURIE DUFF HAVE A FAMILY RELATIONSHIP. BOARD MEMBER DOCTOR PIERRE CLOTHIAUX AND BOARD MEMBER DOCTOR JOHN WOLFE HAVE A BUSINESS RELATIONSHIP.
SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS	FORM 990, PART VI, SECTION A, LINE 4	ARTICLE THREE OF THE BYLAWS WAS AMENDED TO REQUIRE TWO (2) DIRECTORS TO RESIDE IN THE BRANSON, MISSOURI AREA, WHICH IS DEFINED AS THE SKAGGS COMMUNITY HOSPITAL ASSOCIATION (COX MEDICAL CENTER BRANSON) SERVICE AREA. ARTICLE THREE NOW STATES THAT THE DUTY OF APPOINTING A NOMINATING COMMITTEE NOW BELONGS TO THE CHAIRMAN OF THE BOARD. A SECTION WAS ADDED TO ARTICLE THREE ADDRESSING PROPORTIONATE REPRESENTATION FOR COX BRANSON IN THE EVENT THAT THE NUMBER OF SEATS ON THE BOARD IS INCREASED OR DECREASED.
990 REVIEW POLICY	FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, FORM 990 IS FIRST REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE THEY HAVE APPROVED THE DRAFT, A FINAL COPY IS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH THE ONLINE BOARD PORTAL PRIOR TO FILING.
MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	COXHEALTH OFFICERS, DIRECTORS AND KEY EMPLOYEES, AS WELL AS OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE COXHEALTH AFFILIATES, ARE ANNUALLY REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST FOLLOWING THE CORPORATE COMPLIANCE POLICY, SET FORTH BELOW. IN ADDITION, THE COXHEALTH BYLAWS CONTAIN A CONFLICT OF INTEREST PROVISION TO ENSURE BOARD MEMBERS MAKE DECISIONS THAT ARE CONFLICT FREE, OR IF A CONFLICT IS PRESENT, THAT IT IS FULLY DISCLOSED FOR THE BOARD'S CONSIDERATION. COXHEALTH'S EMPLOYEES AND BOARD MEMBERS MUST AVOID ALL ACTIVITIES, ASSOCIATIONS OR INTERESTS THAT CREATE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST FOR EMPLOYEES MUST BE REPORTED TO THE CORPORATE INTEGRITY DEPARTMENT. A FILE WILL BE MAINTAINED OF ALL REPORTED CONFLICTS OF INTEREST. FOR MEDICAL STAFF MEMBERS, THE CONFLICT OF INTEREST PROCESS MAY BE ACCESSED THROUGH THE MEDICAL STAFF OFFICE. FOR BOARD MEMBERS, THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH THE EXECUTIVE OFFICE AND IS DEFINED IN THE BOARD BYLAWS. IF ANY OFFICER OR DIRECTOR IS FOUND TO HAVE A CONFLICT OF INTEREST, SUCH PERSON SHALL NEITHER VOTE NOR USE HIS OR HER INFLUENCE TO AFFECT ANY DECISION RELATING TO THE CONFLICT, AND SUCH PERSON SHOULD NOT BE INCLUDED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION. SUCH PERSON IS PERMITTED TO BRIEFLY STATE HIS OR HER POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS ABOUT IT, IF HIS OR HER KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION. FOR VENDORS, THE POLICY IS DISTRIBUTED AT THEIR FIRST CONTRACT WITH COXHEALTH.
COMPENSATION REVIEW POLICY	FORM 990, PART VI, SECTION B, LINES 15A & 15B	COXHEALTH EMPLOYS A DEFINED GOVERNANCE STRUCTURE AROUND EXECUTIVE COMPENSATION. THE BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE THAT IS CHARGED WITH CARRYING OUT THE FUNCTIONS OF EVALUATING AND SETTING EXECUTIVE COMPENSATION THROUGH FORMAL DOCUMENTED MEETINGS THAT OCCUR SEVERAL TIMES DURING THE YEAR. THE COMPENSATION COMMITTEE UTILIZES A WELL RESPECTED INDEPENDENT EXTERNAL ADVISOR TO PROVIDE THIRD PARTY ASSESSMENT AND RECOMMENDATIONS REGARDING COMPENSATION LEVELS AND BENEFIT PROGRAMS FOR THE TOP THREE EXECUTIVES OF THE ORGANIZATION (THE CEO, CFO AND SVP OF HOSPITALS) TO ENSURE THE COMPENSATION PROGRAM IS COMPETITIVE AND WITHIN FAIR MARKET VALUE. AFTER A FULL REVIEW OF THE DATA AND THOROUGH DISCUSSION THE COMMITTEE MAKES A SELF DETERMINATION OF COMPENSATION LEVELS SET JANUARY 1 OF EACH YEAR. ANNUALLY THE STEPS NECESSARY TO DOCUMENT REBUTTABLE PRESUMPTION ARE TAKEN AND RECORDED. ADDITIONALLY, COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE CEO USING EXTERNAL COMPARABLE DATA FOR ASSESSMENT AND IS PROVIDED TO THE COMPENSATION COMMITTEE FOR REVIEW ON AN ANNUAL BASIS.
DOCUMENT DISCLOSURE	FORM 990, PART VI, SECTION C, LINE 19	COXHEALTH MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR ALL LEGITIMATE BUSINESS PURPOSES AS DETERMINED BY MANAGEMENT. IN ADDITION, AS A CONTINUING DISCLOSURE REQUIREMENT OF CERTAIN DEBT COVENANTS THE ORGANIZATION PROVIDES ITS AUDITED FINANCIAL STATEMENTS AND SPECIFIC QUARTERLY FINANCIAL INFORMATION TO DEFINED REPOSITORIES FOR REVIEW BY PARTIES OR INDIVIDUALS INTERESTED IN THE INFORMATION.
BOARD MEMBER COMPENSATION	FORM 990, PART VII, SECTION A	DRS. DIX, KISSELL, AND HALVERSON ARE EMPLOYEES OF COX AS WELL AS MEMBERS OF THE BOARD OF DIRECTORS. THEY AVERAGE ONE (1) HOUR PER WEEK FOR THEIR SERVICES AS MEMBERS OF THE BOARD OF DIRECTORS. THEIR COMPENSATION IS RELATED TO THEIR ROLES AS EMPLOYEES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	$ 98,499,441 PHYSICIAN REMUNERATION 19,113,444 PURCHASED MANAGEMENT SERVICES 16,013,358 OTHER PURCHASED SERVICES 13,615,375 ANESTHESIA SERVICES 8,446,569 CONTRACTED REPAIRS & MAINTENANCE 5,146,427 BILLING/COLLECTION SERVICES 4,862,166 PURCHASED LABOR 3,879,394 CONSULTING 3,142,699 PROFESSIONAL FEES 1,981,561 CONTRACT LABOR 771,034 PHARMACY --------------- $ 175,471,468
OTHER CHANGES TO NET ASSETS	FORM 990, PART XI, LINE 9	$ (220,674) RETURN OF CAPITAL 56,611,045 DEFINED BENEFIT GAIN 20,756 CHANGE IN BENEFICIAL INTEREST IN TRUST ------------- $ 56,411,127

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
COX HEALTHPLANS LLC
PO BOX 5750	SPRINGFIELD	MO	65801	431757075	MANAGEMENT	MO	11124979	9677112	COX HMO
FERRELL-DUNCAN CLINIC
1001 E PRIMROSE	SPRINGFIELD	MO	65807	542183221	PHYSICIANS	MO	0	0	COXHEALTH
REGIONAL SERVICES
3800 S NATIONAL SUITE 540	SPRINGFIELD	MO	65807	542183222	HEALTHCARE	MO	0	0	COXHEALTH
OXFORD HEALTHCARE HOME HEALTH AGENCY
3550 S NATIONAL	SPRINGFIELD	MO	65807	770700975	HOME HEALTH	MO	0	0	COXHEALTH
COXHEALTH HOME SUPPORT SYSTEMS
2224 W SUNSET	SPRINGFIELD	MO	65807	542183216	HOME HEALTH	MO	0	0	COXHEALTH
OB GYN FERRELL-DUNCAN CLINIC
1000 E PRIMROSE	SPRINGFIELD	MO	65807	431878984	PHYSICIANS	MO	0	0	COXHEALTH
COXHEALTH ALLIANCE LLC
3850 S NATIONAL AVE	SPRINGFIELD	MO	65807	271117213	MANAGEMENT	MO	0	0	COXHEALTH
SPRINGFIELD NEUROLOGICAL AND SPINE INSTI
2900 S NATIONAL AVE	SPRINGFIELD	MO	65807	274296628	PHYSICIANS	MO	0	0	COXHEALTH

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
COX ALTERNATIVE CARE OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641925	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	true
COXHEALTH FOUNDATION
3525 S NATIONAL SUITE 204	SPRINGFIELD	MO	65807	436810485	FUNDRAISING	MO	501(C)(3)	11A I	COXHEALTH	true
COXHEALTH HME CRE SVCS OF THE MDWST INC
3850 S NATIONAL	SPRINGFIELD	MO	65807	264781194	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	true
COX HPS OF THE OZARKS INC
2220 W SUNSET	SPRINGFIELD	MO	65807	431641927	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	true
COX-MONETT HOSPITAL INC
801 N LINCOLN AVE	MONETT	MO	65708	431656689	HOSPITAL	MO	501(C)(3)	3	COXHEALTH	true
COX-MONETT HOSPITAL AUXILIARY
801 N LINCOLN AVE	MONETT	MO	65708	431852817	FUNDRAISING	MO	501(C)(3)	9	COXHEALTH	true
HEALTH ENRICHMENT SERVICES INC
3801 S NATIONAL	SPRINGFIELD	MO	65807	363263313	MED SVC	MO	501(C)(3)	7	COXHEALTH	true
HEALTHCARE SERVICES OF THE OZARKS INC
PO BOX 10939	SPRINGFIELD	MO	65808	431641928	HOME HEALTH	MO	501(C)(3)	9	COXHEALTH	true
PRIMROSE PLACE INC
1115 E PRIMROSE	SPRINGFIELD	MO	65807	431183783	NURSING HOME	MO	501(C)(3)	11A I	COXHEALTH	true
COXHEALTH AUXILIARY
3801 S NATIONAL	SPRINGFIELD	MO	65807	431090590	SUPPORT	MO	501(C)(3)	9	COXHEALTH	true
COX MEDICAL CTR GENPROF LIAB LOSS FUND
1423 N JEFFERSON	SPRINGFIELD	MO	65802	366668576	SELF-INSURANC	MO	501(C)(3)	11A I	COXHEALTH	true
SKAGGS REGIONAL MEDICAL CENTER
D/B/A COX MEDICAL CTR BRANSON	BRANSON	MO	65616	440584290	HOSPITAL	MO	501(C)(3)	3	COXHEALTH	true

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
SKAGGS-COXHEALTH ALLIANCE LLC
27-1117343 SFD MO 65807	SPRINGFIELD	MO	65807	271117343	HEALTHCARE	MO	COXHLTH ALLI	RELATED	0	64196	false	$0	false	0.60000
PCRMC-COXHEALTH ALLIANCE LLC
30-0649009 SFD MO 65807	SPRINGFIELD	MO	65807	300649009	HEALTHCARE	MO	COXHLTH ALLI	RELATED	0	0	false	$0	false	0.60000

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
COX HEALTH SYSTEMS HMO INC
PO BOX 5750	SPRINGFIELD	MO	658015750	431757075	HMO	MO	COXHEALTH	C CORP	5204191	18451294	1.00000	true
COX HEALTH SYSTEMS INSURANCE COMPANY
3525 S NATIONAL SUITE 205	SPRINGFIELD	MO	65807	431684044	INSURANCE	MO	COX HMO	C CORP	102213892	14247189	1.00000	true
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVE	SPRINGFIELD	MO	65802	431622182	PHARMACY	MO	COXHEALTH	C CORP	3383651	3250190	1.00000	true
INSURANCE COMPANY OF SPRINGFIELD INC
					CAPTIVE INSUR		COXHEALTH	C CORP	1259615	6854849	1.00000	true	GRAND PAVILLION CORPORATE CENTRE	GRAND CAYMAN	CJ	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	true	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MEDICAL DEVELOPMENTS INC
A	60649	COST
COXHEALTH FOUNDATION
C	414549	COST
SKAGGS REGIONAL MED CTR DBA COX MED CTR BRNSN
C	65478169	COST
COX HPS OF THE OZARKS INC
I	454981	COST
MEDICAL DEVELOPMENTS INC
K	112217	COST
COX-MONETT HOSPITAL INC
K	179271	COST
COX HPS OF THE OZARKS INC
K	202510	COST
COX-MONETT HOSPITAL INC
P	552809	COST
COX HPS OF THE OZARKS INC
P	395386	COST
COX MEDICAL CENTER - BRANSON
P	909062	COST
INSURANCE COMPANY OF SPRINGFIELD INC
P	1270805	COST
COXHEALTH FOUNDATION
Q	692486	COST
COX-MONETT HOSPITAL INC
Q	10759217	COST
MEDICAL DEVELOPMENTS INC
Q	1529571	COST
COX HPS OF THE OZARKS INC
Q	1112143	COST
COX MEDICAL CENTER - BRANSON
Q	2451153	COST
COX-MONETT HOSPITAL INC
R	16281472	COST
MEDICAL DEVELOPMENTS INC
R	524800	COST
COX MEDICAL CENTER - BRANSON
R	394389	COST
COXHEALTH FOUNDATION
S	145018	COST
COX-MONETT HOSPITAL INC
S	4742196	COST
MEDICAL DEVELOPMENTS INC
S	2652943	COST