COX-MONETT HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COX-MONETT HOSPITAL INC (EIN 43-1656689)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201202289349303125
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T14:25:11-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431656689 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COX-MONETT HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COX- | NameControl |
| Phone | 4172353144 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 N LINCOLN AVE | AddressLine1 |
| City | MONETT | City |
| State | MO | State |
| ZIP Code | 65708 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GENICE MAROC | Name |
| Title | PRESIDENT | Title |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GENICE MAROC | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 N LINCOLN AVE | AddressLine1 |
| City | MONETT | City |
| State | MO | State |
| ZIP Code | 65708 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 34494273 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COXHEALTH.COM | WebSite |
| Year Formation | 1993 | 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 | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 354 | TotalNbrEmployees |
| Total Nbr Volunteers | 18 | TotalNbrVolunteers |
| Total Gross UBI | 211156 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 7496 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 272556 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 95116 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 34018683 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 34286626 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 26096 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3458 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 111470 | OtherRevenuePriorYear |
| Other Revenue Current Year | -30939 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 34428805 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34354261 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 70417 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 103225 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 17538983 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16980936 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17477533 | OtherExpensePriorYear |
| Other Expenses Current Year | 17767052 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 35086933 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34851213 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -658128 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -496952 | RevenuesLessExpensesCY |
| Total Assets BOY | 14848663 | TotalAssetsBOY |
| Total Assets EOY | 13769686 | TotalAssetsEOY |
| Total Liabilities BOY | 8736947 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8154922 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6111716 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5614764 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 13782736 | Expense |
| Revenue | 15928795 | Revenue |
| Description | INPATIENT AND OUTPATIENT SERVICES PROVIDED AT THE MONETT FACILITY MAKE UP THE ORGANIZATION'S LARGEST PROGRAM SERVICE ACTIVITY. USERS ARE ABLE TO SAVE TIME AND MONEY BY SEEING SPECIALISTS IN THEIR COMMUNITY. SERVICES 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3391881 | Expense |
| Revenue | 3920018 | Revenue |
| Description | SERVICES PROVIDED AT THE CASSVILLE CLINIC CREATE THE ORGANIZATION'S SECOND LARGEST PROGRAM SERVICE ACTIVITY. SERVICES INCLUDE FAMILY MEDICINE, LABORATORY, RADIOLOGY, (CT, MRI & MAMMOGRAPHY), AND REHAB SERVICES (PT, OT & SPEECH). | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1079500 | Expense |
| Revenue | 1247585 | Revenue |
| Description | REHABILITATION SERVICES PROVIDED THROUGH COX-MONETT CREATE THE THIRD LARGEST PROGRAM SERVICE ACTIVITY. THE PHYSICIANS IN THIS PRACTICE ARE THE "EXPERTS IN HUMAN MOTION." SERVICES INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, ATHLETIC TRAINING AND SPORTS MEDICINE. WHETHER ONE IS SUFFERING FROM BACK PAIN OR RECOVERING FROM A TOTAL JOINT REPLACEMENT, THERE ARE SERVICES TO GET THE PATIENT BACK ON THEIR FEET QUICKLY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 11230423 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 103225 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 12979072 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 29484540 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | 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 | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 71 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 354 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | false | 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 | false | 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 | JOSHUA POWELL | NamePerson |
| Telephone Number | 4172353144 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 N LINCOLN AVE | AddressLine1 |
| City | MONETT | City |
| State | MO | State |
| ZIP Code | 65708 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JERRY JARED | |||||||
| CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | |
| ROBERT H BEZANSON | |||||||
| VICE CHAIRMAN | 1.0 | X | X | 0 | 798234 | 177729 | |
| GENICE MAROC | |||||||
| PRESIDENT/CEO BEGINNING 5/2011 | 50.0 | X | X | 0 | 0 | 0 | |
| STEVE EDWARDS | |||||||
| SECRETARY | 1.0 | X | X | 0 | 438428 | 103076 | |
| JACOB MCWAY | |||||||
| TREASURER | 1.0 | X | X | 0 | 400669 | 97001 | |
| LOREN BROADDUS MD | |||||||
| DIRECTOR ENDING 11/2010 | 1.0 | X | 0 | 94706 | 0 | ||
| DONA K ELKINS | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| GRANT Q HADEN JD | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| JANICE K HARRIS | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| DENNIS J HEIM | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| JAMES W HUTCHESON | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| RICHARD W KISSELL MD | |||||||
| DIRECTOR | 1.0 | X | 0 | 172019 | 20831 | ||
| LARRY W LIPSCOMB | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| RONALD D PONDS | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| JOHN P SQUIRES | |||||||
| DIRECTOR ENDING 11/2010 | 1.0 | X | 0 | 0 | 0 | ||
| JOSEPH W TURNER JD | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| DAVID ZOLFAGHARI MD | |||||||
| DIRECTOR BEGINNING 11/2010 | 1.0 | X | 0 | 0 | 0 | ||
| CHARLES T CHALENDER | |||||||
| DIRECTOR BEGINNING 11/2010 | 1.0 | X | 0 | 0 | 0 | ||
| LAURIE DUFF | |||||||
| ASSISTANT SECRETARY | 1.0 | X | 0 | 153477 | 17354 | ||
| MARTIN WILLIAMS | |||||||
| CHIEF FINANCIAL OFFICER | 40.0 | X | 96004 | 0 | 13770 | ||
| GREG D JOHNSON | |||||||
| PRESIDENT/CEO ENDING 5/2011 | 50.0 | X | 0 | 145500 | 16792 | ||
| RYAN MILLER | |||||||
| PHARMACIST | 40.0 | 144397 | 0 | 15659 | X | ||
| JOSEPH BLAMEY | |||||||
| DIRECTOR OF RADIOLOGY | 40.0 | 102126 | 0 | 15660 | X | ||
| SANDRA JASTAL | |||||||
| CHEIF NURSING OFFICER | 40.0 | 102798 | 0 | 11339 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 445325 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2203033 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 489211 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| EJW ANESTHESIA SERVICES | |
| ANESTHESIA | 676000 |
| BENJAMIN LEAVITT | |
| HOSPITALIST | 213260 |
| NUCLEAR DIAGNOSIS INC | |
| IMAGING | 209592 |
| MARTIN JONES | |
| ER PHYSICIAN | 127105 |
| BKD LLP | |
| AUDIT/CONSULTING | 125768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 75695 | RelatedOrganizations |
| All Other Contributions | 19421 | AllOtherContributions |
| Noncash Contributions | 5507 | NoncashContributions |
| Total Contributions | 95116 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | 33895937 | 33895937 | |
| OTHER | 900099 | 75183 | 75183 | |
| RETAIL PHARMACY REVENUE | 446110 | 211156 | 211156 | |
| CAFETERIA REVENUE | 722210 | 104350 | 104350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 34286626 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3158 | TotalRevenueColumn |
| Exclusion | $3,158 | 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 | 109073 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 140012 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -30939 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -30939 | TotalRevenueColumn |
| Exclusion | -$30,939 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 300 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 300 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 300 | TotalRevenueColumn |
| Exclusion | $300 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34354261 | TotalRevenueColumn |
| Related Or Exempt Function Income | 34075470 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 211156 | UnrelatedBusinessRevenue |
| Exclusion | -$27,481 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103225 | Total |
| Program Services | 103225 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 109774 | Total |
| Management And General | 109774 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13433217 | Total |
| Program Services | 11629702 | ProgramServices |
| Management And General | 1803515 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 538240 | Total |
| Program Services | 475430 | ProgramServices |
| Management And General | 62810 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1980552 | Total |
| Program Services | 1740277 | ProgramServices |
| Management And General | 240275 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 919153 | Total |
| Program Services | 804202 | ProgramServices |
| Management And General | 114951 | 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 | 2424 | Total |
| Management And General | 2424 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92957 | Total |
| Management And General | 92957 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4446825 | Total |
| Program Services | 2744391 | ProgramServices |
| Management And General | 1702434 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47088 | Total |
| Program Services | 9079 | ProgramServices |
| Management And General | 38009 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1206843 | Total |
| Program Services | 1023746 | ProgramServices |
| Management And General | 183097 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 696989 | Total |
| Program Services | 654882 | ProgramServices |
| Management And General | 42107 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437021 | Total |
| Program Services | 388622 | ProgramServices |
| Management And General | 48399 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62272 | Total |
| Program Services | 29950 | ProgramServices |
| Management And General | 32322 | 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 | 21398 | Total |
| Program Services | 13460 | ProgramServices |
| Management And General | 7938 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6251 | Total |
| Program Services | 5573 | ProgramServices |
| Management And General | 678 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1116766 | Total |
| Program Services | 995583 | ProgramServices |
| Management And General | 121183 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 594508 | Total |
| Program Services | 14796 | ProgramServices |
| Management And General | 579712 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 4718293 | 4718293 | |
| MEDICAL SUPPLIES & DRUGS | 2282708 | 2282708 | |
| STATE PROVIDER TAX | 1778797 | 1778797 | |
| LICENSES, DUES, SUBSCRIPTIONS | 108073 | 38894 | 69179 |
| RECRUITING & RETENTION | 105493 | 674 | 104819 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42346 | Total |
| Program Services | 32256 | ProgramServices |
| Management And General | 10090 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34851213 | Total |
| Program Services | 29484540 | ProgramServices |
| Management And General | 5366673 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314625 | BOY |
| EOY | 22633 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483817 | BOY |
| EOY | 684358 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 560106 | BOY |
| EOY | 415472 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3560548 | BOY |
| EOY | 3569477 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 344648 | BOY |
| EOY | 346743 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62830 | BOY |
| EOY | 46365 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 23212831 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 14658473 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9446482 | BOY |
| EOY | 8554358 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75607 | BOY |
| EOY | 130280 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14848663 | BOY |
| EOY | 13769686 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2112181 | BOY |
| EOY | 1783683 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150467 | BOY |
| EOY | 101921 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6474299 | BOY |
| EOY | 6269318 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8736947 | BOY |
| EOY | 8154922 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5512856 | BOY |
| EOY | 5136716 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 598860 | BOY |
| EOY | 478048 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6111716 | BOY |
| EOY | 5614764 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14848663 | BOY |
| EOY | 13769686 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -496952 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
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 | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $4,562 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 4562 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND MONETT CHAMBER OF COMMERCE IS USED FOR POLITICAL LOBBYING. IN FY 2011, THESE AMOUNTS WERE $4,512 AND $50, RESPECTIVELY. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 149856 | OtherCostOrOtherBasis |
| Book Value | 149856 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14055718 | OtherCostOrOtherBasis |
| Depreciation | 7475006 | Depreciation |
| Book Value | 6580712 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8553520 | OtherCostOrOtherBasis |
| Depreciation | 6951204 | Depreciation |
| Book Value | 1602316 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 453737 | OtherCostOrOtherBasis |
| Depreciation | 232263 | Depreciation |
| Book Value | 221474 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8554358 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST AMT DUE TO 3RD PARTY | $666,869 |
| DUE TO AFFILIATE | $5,602,449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6269318 | TotalOfAmounts |
| Total Revenue | 34354261 | TotalRevenue |
| Total Expenses | 34851213 | TotalExpenses |
| Excess Or Deficit For Year | -496952 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -496952 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 34494273 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 34494273 | RevenueSubtotal |
| Other Revenues Not Included | -140012 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -140012 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 34354261 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 34991225 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 140012 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 140012 | ExpensesNotRptdF990 |
| Expenses Subtotal | 34851213 | ExpensesSubtotal |
| Total Expenses Per Form990 | 34851213 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 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. |
| RECONCILING ITEMS | SCHEDULE D, PART XII, LINE 4B AND PART XIII, LINE 2D | $ 140,012 RENTAL EXPENSES RECLASSIFIED TO OFFSET RENTAL REVENUE |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1094467 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1094467 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03620 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7338922 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6256866 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1082056 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03580 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8433389 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6256866 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2176523 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07200 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 311611 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 86416 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 225195 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2460233 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1484020 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 976213 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03230 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 103225 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 103225 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2875069 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1570436 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1304633 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04310 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11308458 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7827302 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3481156 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11510 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,936,295 | BadDebtExpenseAmount |
| Amount Attributable To | 333043 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 10459304 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10181234 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 278070 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COX-MONETT HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 N LINCOLN AVE | AddressLine1 |
| City | MONETT | City |
| State | MO | State |
| ZIP Code | 65708 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COX-MONETT HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| COX REHAB | ||||
| 700 E CLEVELAND AVE | MONETT | MO | 65708 | REHABILITATION |
| COX HEALTH CENTER - CASSVILLE | ||||
| 75 SMITHSON DRIVE SUITE B | CASSVILLE | MO | 65625 | RURAL HEALTH CLINIC |
| CASSVILLE MEDICAL CARE ASSOCIATES | ||||
| 75 SMITHSON DRIVE SUITE A | CASSVILLE | MO | 65625 | RURAL HEALTH CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ELIGIBILITY FOR FREE CARE | SCHEDULE H, PART I, LINE 3C | IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THIS POLICY. |
| PERCENT OF TOTAL EXPENSE | SCHEDULE H, PART I, LINE 7, COLUMN F | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 ($34,984,110) WAS REDUCED BY BAD DEBT EXPENSE ($4,718,293). |
| 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 $976,213. COX-MONETT HOSPITAL PROVIDES PRIMARY CARE SERVICES TO THE CASSVILLE COMMUNITY AT THE CENTER. THESE SERVICES ARE PROVIDED IN A RURAL AREA WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. |
| COSTING METHODOLOGY | SCHEDULE H, PART I, LINE 7G | THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON WORKSHEET 1. ON OTHER IRS WORKSHEETS, A COSTING SYSTEM WAS USED USING ALL PATIENT SEGMENTS. COST COMPUTED ON IRS WORKSHEETS 3 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 HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL 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 HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE ORGANIZATION CALCULATED BAD DEBT AT COST BY TAKING THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TIMES THE RATIO OF PATIENT CARE COST TO CHARGES USED FOR SCHEDULE H, PART I CALCULATIONS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2009, APPROXIMATELY 18.6 PERCENT OF THE POPULATION LIVING IN BARRY AND LAWRENCE COUNTIES WERE 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. |
| NEEDS ASSESSMENT | IN 2012, THE FIRST "COMMUNITY HEALTH NEEDS ASSESSMENT" AS REQUIRED BY THE IRS WAS PUT IN PROCESS, ALONG WITH A PUBLIC PERCEPTION STUDY OF AREA HEADS OF HOUSEHOLDS. THE MOST RECENT STUDY SURVEYED 876 HOUSEHOLDS IN THE COXHEALTH SERVICE AREA (119 RESPONDENTS FROM BARRY & LAWRENCE COUNTIES) 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, PUBLIC SCHOOLS THROUGHOUT THE TOTAL SERVICE AREA. COX MONETT 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 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 | INDIVIDUALS RESIDING WITHIN THE COX MONETT SERVICE AREA WHO ARE UNINSURED OR MEDICALLY INDIGENT AND UNABLE TO PAY FOR MEDICALLY NECESSARY MEDICAL SERVICES MAY QUALIFY FOR A REDUCTION IN THEIR BILL, DEPENDING ON THEIR FINANCIAL STATUS. UNINSURED PATIENTS ARE PROVIDED A FINANCIAL ASSISTANCE PACKET AT THE TIME OF REGISTRATION. COX MONETT ALSO PROVIDES NOTIFICATION REGARDING FINANCIAL ASSISTANCE FOR ALL SELF-PAY PATIENTS ON THEIR BILLING STATEMENTS. HOSPITAL STAFF VISITS SELF-PAY PATIENTS DURING THEIR HOSPITALIZATION TO DETERMINE IF THEY MIGHT BE ELIGIBLE FOR MEDICAID COVERAGE, COBRA OR OTHER FEDERAL ASSISTANCE AND HELPS WITH THE APPLICATION PROCESS. PATIENTS WHO ARE NOT ELIGIBLE FOR THESE PROGRAMS ARE CONTACTED BY A FINANCIAL COUNSELOR WHO CAN PROVIDE ASSISTANCE IN COMPLETING THE HOSPITAL'S ASSISTANCE PROGRAM. ELIGIBILITY ASSISTANCE INFORMATION IS ALSO AVAILABLE AT THE COXHEALTH WEBSITE, WWW.COXHEALTH.COM. | |
| COMMUNITY INFORMATION | THE PRIMARY SERVICE AREA ("PSA") COUNTIES SERVED BY COX MONETT INCLUDE: BARRY, LAWRENCE & NEWTON COUNTIES (ALL LOCATED IN MISSOURI). THE TOTAL POPULATION OF THE SERVICE AREA IS 129,639. THE AVERAGE HOUSEHOLD INCOME IS $37,677 COMPARED WITH $58,796 FOR THE STATE OF MISSOURI. 9% OF BARRY COUNTY IS HISPANIC OR LATINO, VERSUS 4% IN NEWTON AND 6% IN LAWRENCE. 50% OF THE MARKET IS FEMALE AND 14% OF THE PEOPLE WHO LIVE THE IN THE SERVICE AREA ARE BETWEEN THE AGES OF 45-54. THE SERVICE AREA IS ESTIMATED TO ONLY GROW 3-4% IN THE NEXT TEN YEARS. 66% OF PEOPLE LIVING IN OUR SERVICE AREA LIVE IN A RURAL AREA AND 4.1% OF PEOPLE WHO LIVE IN BARRY COUNTY ARE NOT PROFICIENT IN ENGLISH. THE UNINSURED ACCOUNT FOR 18.5% COMPARED WITH 15.2% FOR THE STATE OF MISSOURI. | |
| PROMOTION OF COMMUNITY HEALTH | COX-MONETT HOSPITAL'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 (HOSPITAL IN MONETT AND PHYSICIAN CLINICS IN SIX LOCATIONS WITHIN OUR SERVICE AREA). OUR GOAL IS TO PROVIDE QUALITY, AFFORDABLE CARE TO THE COMMUNITIES WE SERVE. COMMUNITY INVOLVEMENT IS ACHIEVED IN A VARIETY OF WAYS INCLUDING: - THE AVERAGE OBESITY RATE IN OUR SERVICE AREA IS 30%, COMPARED TO THE STATE AVERAGE OF 31.1%. COX MONETT OFFERS A WIDE-RANGE OF WELLNESS CLASSES FOR THE ENTIRE FAMILY. JOURNEYS IS A 20-WEEK ADULT WEIGHT MANAGEMENT PROGRAM TAUGHT BY CERTIFIED FITNESS TRAINERS, A REGISTERED DIETITIAN A LICENSED PSYCHOLOGIST. - CARDIAC KIDS IS A FREE CARDIOVASCULAR SCREENING PROGRAM AVAILABLE TO ALL FIFTH GRADE CHILDREN LIVING IN THE SERVICE AREA AND BEYOND. PARTIALLY FUNDED THROUGH THE CHILDREN'S MIRACLE NETWORK, THIS PROGRAM SCREENS CHILDREN WHO MIGHT BE AT RISK FOR HEART DISEASE. SINCE STARTING THE PROGRAM IN 2003, OVER 40% OF CHILDREN WERE IDENTIFIED AT RISK. - COX MONETT PROVIDES EXTENSIVE OUTREACH THROUGH FREE OR LOW-COST HEALTH EDUCATION AND HEALTH SCREENINGS YEAR-ROUND. EXAMPLES INCLUDE A FREE HEART HEALTHY FAIR IN FEBRUARY AND A FREE DIABETES SCREENING IN NOVEMBER. - 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. - COX MONETT SPONSORS COMMUNITY EVENTS PROMOTING HEALTH MESSAGES AND RAISING FUNDS FOR NEEDED HEALTH SERVICES. - COX MONETT'S ADMINISTRATIVE LEADERS PARTICIPATE IN MANY CIVIC ORGANIZATIONS WHOSE PURPOSE IS TO IMPROVE THE LIVES OF COMMUNITY MEMBERS. EXAMPLES INCLUDE THE MONETT SCHOOL BOARD, MONETT MAIN STREET AND THE CHAMBER OF COMMERCE. - DINING FOR DIABETES IS A YEARLY EVENT THAT RAISES MONEY FOR THE COX MONETT DIABETES CENTER. LAST YEAR, THE EVENT RAISED OVER $42,000 TO HELP PEOPLE WHO CANNOT AFFORD THE COST OF THE DISEASE. - COX MONETT'S RESPONSE TO THE MAY 2011 JOPLIN TORNADO WAS SWIFT AND COMPREHENSIVE. WE IMMEDIATELY PROVIDED MANPOWER AND SUPPLIES TO THE JOPLIN HOSPITALS. IN 2011, COX MONETT WAS AWARDED A GRANT THAT PROVIDES CHILDREN DIAGNOSED WITH ASTHMA SUPPLIES, EDUCATIONAL MATERIALS AND COUNSELING WITH A CERTIFIED ASTHMA EDUCATOR. CHILDREN IDENTIFIED WITH ASTHMA THROUGH THE SCHOOL PROGRAM ARE THEN REFERRED TO A PEDIATRIC PULMONOLOGIST. THE PROGRAM IS OFFERED TO SCHOOL-AGE CHILDREN IN OUR SERVICE AREA AND AT NO CHARGE. GOALS OF THE PROGRAM INCLUDE: - SELF-MANAGEMENT SKILLS - PROPER MEDICATION/DELIVERY TECHNIQUES - DEVELOP PATIENT/FAMILY/PHYSICIAN PARTNERSHIPS - ASSESS, TREAT AND MONITOR ASTHMA - MANAGE ASTHMA EXACERBATIONS - HOME ENVIRONMENT CHECKS - HOW TO USE PEAK FLOW METER AND UNDERSTAND RESULTS ACCORDING TO THE MISSOURI HOSPITAL ASSOCIATION'S "ASSESSING THE HEALTH OF OUR COMMUNITIES" REPORT, ER VISITS RELATED TO ASTHMA ARE ON THE RISE. COX MONETT SUPPORTS THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE BY PROVIDING WHEELCHAIRS FOR THE "SURVIVOR'S" TO RIDE IN FOR THE FIRST LAP. | |
| AFFILIATED HEALTH CARE SYSTEM | COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE, HOME PARENTERAL SERVICES (INFUSION THERAPY) AND HOME SUPPORT (DURABLE MEDICAL EQUIPMENT). OXFORD HEALTHCARE SUPPORTED THE COMMUNITY THROUGH MONTHLY NUTRITION AND FALL PREVENTION SEMINARS AT 20 AREA SENIOR CENTERS THROUGHOUT SOUTHWEST MISSOURI. OXFORD ALSO PROVIDED FREE BONE DENSITY SCREENINGS AT 34 COMMUNITY EVENTS, AND VITAL SIGN SCREENINGS AT MANY MORE. THROUGH AN ANNUAL FAN DRIVE, OXFORD COLLECTED AND DISTRIBUTED MORE THAN 600 BOX FANS TO SENIORS AND THE DISABLED WHO LACK ADEQUATE ACCESS TO COOLING DURING THE SUMMER MONTHS. DURING THE JOPLIN TORNADO AFTERMATH, OXFORD STAFF SET UP AND MANNED FIRST AID TENTS IN THE AFFECTED AREAS FOR 2 WEEKS, TENDING TO SURVIVORS AND CLEAN-UP CREWS. IN ADDITION TO PROVIDING FREE TREATMENT FOR MINOR INJURIES, THESE VOLUNTEER STAFFED FACILITIES AND ADMINISTERED MORE THAN 1,000 TETANUS SHOTS. OXFORD EMPLOYEES ADDITIONALLY COLLECTED FOOD AND CLOTHING TO BE DISTRIBUTED IN THE AFFECTED AREAS. HOME PARENTERAL SERVICES RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS HPS TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. COXHEALTH HOME CARE SERVICES OF THE MIDWEST SUPPORTS THE COMMUNITY BY PROVIDING IN-HOME PRIVATE DUTY SERVICES, HOME HEALTHCARE AND THERAPY SUPPORT SERVICES, ASSISTANCE TO COXHEALTH SYSTEM IN DEVELOPING AN INTEGRATED HEALTH SYSTEM, AND SERVICE TO MEDICAID PATIENTS. LESTER E. COX MEDICAL CENTERS (COXHEALTH) SUPPORTS THE SPRINGFIELD, 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 RAISES FUNDS TO DISPERSE TO PATIENTS FOR THOSE NEEDS FOR WHICH THEY HAVE NO RESOURCES OR FUNDING, BUT WHICH ARE CRITICAL TO THE PATIENTS HEALTH AND WELL BEING. COXHEALTH AUXILIARY SUPPORTS THE COMMUNITY THROUGH FINANCIAL AND NON-FINANCIAL MEANS. THE ORGANIZATION PROVIDES SCHOLARSHIPS TO NURSING AND MEDICAL TECHNOLOGY STUDENTS AT COX COLLEGE. IN ADDITION, THE AUXILIARY PROVIDES SLEEP SACKS TO ALL NEWBORNS BORN AT COXHEALTH AND CAR SEATS TO THOSE IN NEED TO ENSURE THE SAFETY OF ANY NEWBORN LEAVING COXHEALTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OZARK REGIONAL YMCA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 417 S JEFFERSON | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 65806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 440545283 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 100000 | AmountOfCashGrant |
| Purpose Of Grant | COMMUNITY BENEFIT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING USE OF GRANT FUNDS | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE USE OF GRANT FUNDS TO THE YMCA IS ACTIVELY MONITORED BY COX-MONETT HOSPITAL THROUGH AN EMPLOYEE WHO IS A MEMBER OF THE YMCA'S BOARD OF DIRECTORS. THE USE OF GRANT FUNDS CAN ALSO BE VISUALLY MONITORED BY THE ORGANIZATION BY VISITING THE YMCA AND VERIFYING THAT SUBSTANTIAL PROGRESS IS BEING MADE AS THE CONTRACT STIPULATES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | 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 | false | 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 (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT H BEZANSON | ||||||||||||
| 0 | 615229 | 0 | 0 | 0 | 183005 | 0 | 165983 | 0 | 11746 | 0 | 975963 | 157147 |
| STEVE EDWARDS | ||||||||||||
| 0 | 430955 | 0 | 0 | 0 | 7473 | 0 | 89940 | 0 | 13136 | 0 | 541504 | |
| JACOB MCWAY | ||||||||||||
| 0 | 336651 | 0 | 0 | 0 | 64018 | 0 | 83890 | 0 | 13111 | 0 | 497670 | 41228 |
| RICHARD W KISSELL MD | ||||||||||||
| 0 | 170039 | 0 | 0 | 0 | 1980 | 0 | 9026 | 0 | 11805 | 0 | 192850 | |
| LAURIE DUFF | ||||||||||||
| 0 | 152787 | 0 | 0 | 0 | 690 | 0 | 7851 | 0 | 9503 | 0 | 170831 | |
| GREG D JOHNSON | ||||||||||||
| 0 | 143508 | 0 | 0 | 0 | 1992 | 0 | 7104 | 0 | 9688 | 0 | 162292 | |
| RYAN MILLER | ||||||||||||
| 144138 | 0 | 0 | 0 | 259 | 0 | 7377 | 0 | 8282 | 0 | 160056 | 0 | |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | ROBERT BEZANSON, STEVE EDWARDS, AND JACOB MCWAY PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN THROUGH LESTER E. COX MEDICAL CENTERS. - ROBERT BEZANSON RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $153,733 - ROBERT BEZANSON RECEIVED A 457(F) DISTRIBUTION OF $157,147, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $ 77,690 - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $71,640 - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $ 41,228, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. |
| 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 O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| TOTAL NUMBER OF VOLUNTEERS | FORM 990, PART I, LINE 6 | THE TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS. |
| EXEMPT PURPOSE ACHIEVEMENTS | FORM 990, PART III, LINE 4D | COX-MONETT HOSPITAL EMBRACES A MISSION STATEMENT AND BY-LAWS THAT REFLECT A COMMITMENT TO CHARITABLE PURPOSE AND COMMUNITY BENEFIT. COX-MONETT PROVIDES MANY SERVICES TO THE COMMUNITY FREE OF CHARGE OR WITH LITTLE FINANCIAL GAIN. OUR GOAL IS TO KEEP OUR COMMUNITY HEALTHY. THE FOLLOWING IS A LIST OF SERVICES PROVIDED TO THE MONETT COMMUNITY DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2011. ADDITIONALLY, THE SUBSIDIES NOTED BELOW ARE CALCULATED USING INTERNAL COST ACCOUNTING METHODS RATHER THAN THE IRS WORKSHEETS FOR SCHEDULE H. SEE SCHEDULE H FOR THE COMPUTATION OF THESE SUBSIDIES USING THE SCHEDULE H WORKSHEETS. *PARTICIPATED IN THE MEDICAID PROGRAM WITH UNREIMBURSED COST OF CARING FOR PATIENTS AND PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED CARE SERVICES. SEE SCHEDULE H FOR AMOUNTS RELATED TO THESE SERVICES. *WORKED WITH THE CHILDREN'S MIRACLE NETWORK OF COXHEALTH TO PROVIDE IMMUNIZATIONS AND PRIMARY CARE SERVICES TO CHILDREN THROUGH THE C.A.R.E. MOBILE. THE MOBILE CLINIC VISITS COX MONETT ONE DAY A WEEK AND PARENTS WHO TAKE ADVANTAGE OF THIS FREE SERVICE DO NOT HAVE ACCESS TO CARE OR TRANSPORTATION. THE MOBILE PEDIATRIC CLINIC SEES AN AVERAGE OF 25-30 PATIENTS PER DAY IN MONETT. *RENDERED HEALTH CARE SERVICES AND EDUCATIONAL SERVICES THAT ARE SPECIFICALLY DESIGNED TO IMPROVE COMMUNITY HEALTH ARE AS FOLLOWS: -COMMUNITY WELLNESS SERVICES. -TUITION REIMBURSEMENT FOR STAFF WANTING TO CONTINUE THEIR EDUCATION. *ENCOURAGE AND PROVIDE OPPORTUNITIES FOR VOLUNTEER EFFORTS TO SERVE IN THE COMMUNITY. MANY EMPLOYEES SERVE ON LOCAL NOT-FOR-PROFIT BOARDS AND ARE INVOLVED IN VARIOUS COMMUNITY ORGANIZATIONS AND ARE ASKED OFTEN TO SPEAK ON HEALTH-RELATED TOPICS. *OPERATE 24-HOUR EMERGENCY CENTER. ER VISITS TOTALED 14,167. *PROVIDE MANY COMMUNITY HEALTH AND EDUCATION PROGRAMS AND PROJECT SPECIFICALLY DESIGNED TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY AT NO CHARGE OR AT A REDUCED RATE. -FREE DIABETES SCREENINGS/EDUCATION EVENTS (ALSO FOR HISPANIC COMMUNITY). -FREE ADVANCE DIRECTIVES CLINIC -FLU SHOTS FOR SENIORS, BUSINESSES AND COMMUNITY (DRIVE-THROUGH CLINIC) -MAMMOGRAPHY -CHOLESTEROL, BLOOD SUGAR AND BLOOD PRESSURE SCREENINGS -COMMUNITY HEALTH FAIR -OB CLASSES (PARENTS, SIBLINGS AND NEW PARENTS) -BREASTFEEDING/CHILDBIRTH CLASSES -PROVIDE SPACE IN HOSPITAL AT NO CHARGE FOR LOCAL SUPPORT GROUPS TO MEET (BREAST CANCER AND PARKINSON'S). *IN FISCAL YEAR 2011, BIRTHS TOTALED 282. COMBINED RADIOLOGY TESTS TOTALED 16,078, INPATIENT AND OUTPATIENT SURGERIES TOTALED 1,111. *THE HOSPITAL OWNS AND OPERATES A RURAL HEALTH CLINIC IN CASSVILLE AND PHYSICIAN OFFICE VISITS TOTALED 14,047 AND THEY ALSO SPONSOR A YEARLY FREE HEALTH FAIR. ALL RADIOLOGICAL SERVICES TOTALED 3,403. CASSVILLE REHAB HAD 3,331 VISITS AND PROCEDURES PERFORMED. |
| MEMBERS AND SHAREHOLDERS | FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B | PER ARTICLE 1, SECTION 1 OF THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS SHALL CONSIST OF THE LESTER E. COX MEDICAL CENTERS EXECUTIVE COMMITTEE, PLUS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND DIRECTORS SHALL BE CHOSEN BY THE EXECUTIVE COMMITTEE OF COX HEALTH SYSTEMS. ARTICLE 10 GIVES THE ORGANIZATION'S SOLE MEMBER, LESTER E. COX MEDICAL CENTERS, APPROVAL POWER OVER ANY AMENDMENTS TO THE CORPORATION'S BYLAWS AND/OR ARTICLES OF INCORPORATION, AND ANY ACTION THAT WOULD CAUSE A MERGER, CONSOLIDATION, OR VOLUNTARY DISSOLUTION OF THE CORPORATION. |
| MEETING DOCUMENTATION | FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION'S GOVERNING BODY DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| 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 PROVIDED TO THE BOARD OF DIRECTORS THROUGH THE ONLINE BOARD PORTAL. |
| 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, AS STATED BELOW: 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. FOR VENDORS, THE POLICY IS DISTRIBUTED AT THEIR FIRST CONTRACT WITH COXHEALTH. |
| PRESIDENT'S COMPENSATION REVIEW | FORM 990, PART VI, LINE 15A | THE PRESIDENT'S COMPENSATION IS PERIODICALLY REVIEWED BY AN INDEPENDENT CONSULTANT USING COMPARABILITY DATA. THE CONSULTANT'S RECOMMENDATIONS ARE PRESENTED TO AND DISCUSSED WITH THE BOARD OF DIRECTORS. THIS REVIEW IS DOCUMENTED IN BOARD MINUTES. |
| DOCUMENT DISCLOSURE | FORM 990, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT). APPROVED DOCUMENTS CAN BE VIEWED AT THE COX-MONETT HOSPITAL ADMINISTRATIVE OFFICES. |
| HOURS FOR RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A, COLUMN B | THE FOLLOWING DIRECTORS SERVE ON THE BOARD OF COXHEALTH FOUNDATION, A RELATED ORGANIZATION, AND AVERAGE ONE HOUR OF SERVICE PER WEEK: JOSEPH TURNER LARRY LIPSCOMB THE FOLLOWING OFFICERS AND DIRECTORS SERVE ON THE BOARD OF COXHEALTH AUXILIARY, A RELATED ORGANIZATION, AND AVERAGE ONE HOUR OF SERVICE PER WEEK: LAURIE DUFF JANICE HARRIS ROBERT BEZANSON THE FOLLOWING OFFICERS AND DIRECTORS SERVE ON THE BOARDS OF COX ALTERNATIVE CARE OF THE OZARKS, INC., COXHEALTH HOME CARE SERVICES OF THE MIDWEST, INC., HEALTHCARE SERVICES OF THE OZARKS, INC., COX HPS OF THE OZARKS, INC., EACH A RELATED ORGANIZATION. EACH INDIVIDUAL AVERAGES ONE HOUR OF SERVICE PER WEEK FOR EACH ORGANIZATION: LOREN BROADDUS JACOB MCWAY DONA ELKINS LARRY LIPSCOMB GRANT HADEN STEVE EDWARDS DENNIS HEIM JOSEPH TURNER JAMES HUTCHESON JANICE HARRIS JERRY JARED RONALD PONDS RICHARD KISSELL CHARLES CHALENDER JOHN SQUIRES DAVID ZOLFAGHARI ROBERT BEZANSON LAURIE DUFF (OFFICER ONLY) THE FOLLOWING OFFICERS AND DIRECTORS SERVE ON THE BOARD OF PRIMROSE PLACE, INC., A RELATED ORGANIZATION, AND AVERAGE ONE HOUR OF SERVICE PER WEEK: ROBERT BEZANSON STEVE EDWARDS JACOB MCWAY JERRY JARED LAURIE DUFF (OFFICER ONLY) THE FOLLOWING OFFICERS AND DIRECTORS SERVE ON THE BOARDS OF LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION. EACH DIRECTOR AVERAGES ONE HOUR OF SERVICE PER WEEK AND EACH OFFICER AVERAGES 40 HOURS OF SERVICE PER WEEK: DIRECTORS --------------------------------- LOREN BROADDUS LARRY LIPSCOMB DONA ELKINS GRANT HADEN DENNIS HEIM JAMES HUTCHESON JERRY JARED RICHARD KISSELL (AVERAGES 40 HRS AS A PHYSICIAN) JOHN SQUIRES DAVID ZOLFAGHARI CHARLES CHALENDER RONALD PONDS JANICE HARRIS JOSEPH TURNER OFFICERS --------------------------------- ROBERT BEZANSON STEVE EDWARDS JACOB MCWAY LAURIE DUFF |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| LESTER E COX MEDICAL CENTERS | |||||||||
| 1423 N JEFFERSON ST | SPRINGFIELD | MO | 65802 | 440577118 | HOSPITAL | MO | 501(C)(3) | 3 | NA |
| COX ALTERNATIVE CARE OF THE OZARKS INC | |||||||||
| PO BOX 10939 | SPRINGFIELD | MO | 65808 | 431641925 | HOME HEALTH | MO | 501(C)(3) | 9 | NA |
| COXHEALTH FOUNDATION | |||||||||
| 3525 S NATIONAL SUITE 204 | SPRINGFIELD | MO | 65807 | 436810485 | FUNDRAISING | MO | 501(C)(3) | 11A I | NA |
| COXHEALTH HME CRE SVCS OF THE MDWST INC | |||||||||
| 3850 S NATIONAL | SPRINGFIELD | MO | 65807 | 264781194 | HOME HEALTH | MO | 501(C)(3) | 9 | NA |
| COX HPS OF THE OZARKS INC | |||||||||
| 2220 W SUNSET | SPRINGFIELD | MO | 65807 | 431641927 | HOME HEALTH | MO | 501(C)(3) | 9 | NA |
| COX-MONETT HOSPITAL AUXILIARY | |||||||||
| 801 N LINCOLN AVE | MONETT | MO | 65708 | 431852817 | FUNDRAISING | MO | 501(C)(3) | 9 | NA |
| HEALTH ENRICHMENT SERVICES INC | |||||||||
| 3801 S NATIONAL | SPRINGFIELD | MO | 65807 | 363263313 | MED SVC | MO | 501(C)(3) | 7 | NA |
| HEALTHCARE SERVICES OF THE OZARKS INC | |||||||||
| PO BOX 10939 | SPRINGFIELD | MO | 65808 | 431641928 | HOME HEALTH | MO | 501(C)(3) | 9 | NA |
| PRIMROSE PLACE INC | |||||||||
| 1115 E PRIMROSE | SPRINGFIELD | MO | 65807 | 431183783 | NURSING HOME | MO | 501(C)(3) | 11A I | NA |
| COXHEALTH AUXILIARY | |||||||||
| 3801 S NATIONAL | SPRINGFIELD | MO | 65807 | 431090590 | SUPPORT | MO | 501(C)(3) | 9 | NA |
| COX MEDICAL CTR GENPROF LIAB LOSS FUND | |||||||||
| 1423 N JEFFERSON | SPRINGFIELD | MO | 65802 | 366668576 | SELF-INSURAN | MO | 501(C)(3) | 11A I | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|---|---|---|---|
| SKAGGS-COX HEALTH ALLIANCELLC | ||||||||
| SFD MO 65807 | SPRINGFIELD | MO | 65807 | 271117343 | HEALTHCARE | MO | NA | N/A |
| PCRMC-COX HEALTH ALLIANCELLC | ||||||||
| SFD MO 65802 | SPRINGFIELD | MO | 65802 | 300649009 | HEALTHCARE | MO | NA | N/A |
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 | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COX HEALTH SYSTEMS HMO & SUBS | |||||||||||||
| PO BOX 5750 | SPRINGFIELD | MO | 65801 | 431757075 | HMO | MO | NA | C CORP | |||||
| COX HEALTH SYSTEMS INSURANCE COMPANY | |||||||||||||
| 3525 S NATIONAL SUITE 205 | SPRINGFIELD | MO | 65807 | 431684044 | INSURANCE | MO | NA | C CORP | |||||
| MEDICAL DEVELOPMENTS INC | |||||||||||||
| 1423 N JEFFERSON AVE | SPRINGFIELD | MO | 65802 | 431622182 | PHARMACY | MO | NA | C CORP | |||||
| INSURANCE COMPANY OF SPRINGFIELD INC | |||||||||||||
| CAPTIVE INSUR | NA | C CORP | GRAND PAVILION CORPORATE CENTRE | GRAND CAYMAN, CJ | CJ | KY1-1102 | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | 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 | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |