2012-08-15T14:25:11-05:00 2011-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-10-01 431656689 COX-MONETT HOSPITAL INC COX- 4172353144 801 N LINCOLN AVE MONETT MO 65708 GENICE MAROC 2012-08-15 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z GENICE MAROC 801 N LINCOLN AVE MONETT MO 65708 34494273 false X WWW.COXHEALTH.COM 1993 MO THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 16 8 354 18 211156 7496 272556 95116 34018683 34286626 26096 3458 111470 -30939 34428805 34354261 70417 103225 0 0 17538983 16980936 0 0 0 17477533 17767052 35086933 34851213 -658128 -496952 14848663 13769686 8736947 8154922 6111716 5614764 X TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. false false 13782736 15928795 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. 3391881 3920018 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). 1079500 1247585 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. 11230423 103225 12979072 29484540 true true false true false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false false true 71 0 true 354 true true true false false false false false false false false false X 16 8 false false false false true true true true false false false true true true true true true true false false X JOSHUA POWELL 4172353144 801 N LINCOLN AVE MONETT MO 65708 X JERRY JARED 1.0 X X 0 0 0 ROBERT H BEZANSON 1.0 X X 0 798234 177729 GENICE MAROC 50.0 X X 0 0 0 STEVE EDWARDS 1.0 X X 0 438428 103076 JACOB MCWAY 1.0 X X 0 400669 97001 LOREN BROADDUS MD 1.0 X 0 94706 0 DONA K ELKINS 1.0 X 0 0 0 GRANT Q HADEN JD 1.0 X 0 0 0 JANICE K HARRIS 1.0 X 0 0 0 DENNIS J HEIM 1.0 X 0 0 0 JAMES W HUTCHESON 1.0 X 0 0 0 RICHARD W KISSELL MD 1.0 X 0 172019 20831 LARRY W LIPSCOMB 1.0 X 0 0 0 RONALD D PONDS 1.0 X 0 0 0 JOHN P SQUIRES 1.0 X 0 0 0 JOSEPH W TURNER JD 1.0 X 0 0 0 DAVID ZOLFAGHARI MD 1.0 X 0 0 0 CHARLES T CHALENDER 1.0 X 0 0 0 LAURIE DUFF 1.0 X 0 153477 17354 MARTIN WILLIAMS 40.0 X 96004 0 13770 GREG D JOHNSON 50.0 X 0 145500 16792 RYAN MILLER 40.0 X 144397 0 15659 JOSEPH BLAMEY 40.0 X 102126 0 15660 SANDRA JASTAL 40.0 X 102798 0 11339 445325 2203033 489211 3 false true false EJW ANESTHESIA SERVICES ANESTHESIA 676000 BENJAMIN LEAVITT HOSPITALIST 213260 NUCLEAR DIAGNOSIS INC IMAGING 209592 MARTIN JONES ER PHYSICIAN 127105 BKD LLP AUDIT/CONSULTING 125768 5 75695 19421 5507 95116 NET PATIENT SERVICE REVENUE 900099 33895937 33895937 OTHER 900099 75183 75183 RETAIL PHARMACY REVENUE 446110 211156 211156 CAFETERIA REVENUE 722210 104350 104350 34286626 3158 3158 0 0 109073 140012 -30939 -30939 -30939 300 300 300 300 0 0 0 0 34354261 34075470 211156 -27481 103225 103225 0 0 0 109774 109774 0 13433217 11629702 1803515 538240 475430 62810 1980552 1740277 240275 919153 804202 114951 0 2424 2424 92957 92957 0 0 0 4446825 2744391 1702434 47088 9079 38009 1206843 1023746 183097 696989 654882 42107 0 437021 388622 48399 62272 29950 32322 0 21398 13460 7938 6251 5573 678 0 1116766 995583 121183 594508 14796 579712 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 42346 32256 10090 34851213 29484540 5366673 0 314625 22633 483817 684358 560106 415472 3560548 3569477 344648 346743 62830 46365 23212831 14658473 9446482 8554358 75607 130280 14848663 13769686 2112181 1783683 150467 101921 6474299 6269318 8736947 8154922 X 5512856 5136716 598860 478048 6111716 5614764 14848663 13769686 -496952 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4562 4562 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I 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. 149856 149856 14055718 7475006 6580712 8553520 6951204 1602316 453737 232263 221474 8554358 0 EST AMT DUE TO 3RD PARTY 666869 DUE TO AFFILIATE 5602449 6269318 34354261 34851213 -496952 -496952 34494273 34494273 -140012 -140012 34354261 34991225 140012 140012 34851213 34851213 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 true true X false true X true true true false true true 1094467 1094467 0.03620 7338922 6256866 1082056 0.03580 8433389 6256866 2176523 0.07200 311611 86416 225195 0.00740 2460233 1484020 976213 0.03230 103225 103225 0.00340 2875069 1570436 1304633 0.04310 11308458 7827302 3481156 0.11510 false 1936295 333043 10459304 10181234 278070 X true true 1 1 COX-MONETT HOSPITAL INC

801 N LINCOLN AVE MONETT MO 65708

X X X X COX-MONETT HOSPITAL INC 1 3 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 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. true OZARK REGIONAL YMCA 417 S JEFFERSON SPRINGFIELD MO 65806 440545283 501(C)(3) 100000 COMMUNITY BENEFIT 1 0 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 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. X X X false true false false false false false false false 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 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. 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 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 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 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 GRAND PAVILION CORPORATE CENTRE GRAND CAYMAN, CJ CJ KY1-1102 CAPTIVE INSUR CJ NA C CORP false false true false false false false false true false true true true true true true false false