2026-08-14T12:40:06+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 910 E ST LOUIS 200 PO BOX 1190 SPRINGFIELD MO 658062523 990 2024-10-01 440584290 SKAGGS COMMUNITY HOSPITAL ASSOCIATION SKAG 4173357000 525 BRANSON LANDING BOULEVARD BRANSON MO 65615 WILLIAM MAHONEY PRESIDENT 4173357000 2026-08-14 true true KRYSTAL CREACH P01248198 4178658701 2026-08-14 2024 2025-03-06 01:10:19Z COX MEDICAL CENTER BRANSON WILLIAM MAHONEY 525 BRANSON LANDING BOULEVARD BRANSON MO 65615 336233796 false X WWW.COXHEALTH.COM X 1950 MO IMPROVES LIVES VIA EDUCATION, PREVENTION, AND ADVOCACY; BY THE USE OF TECHNOLOGY; AND BY PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY. 15 8 1980 9 96747 0 7847200 58938 284461531 301858738 7550981 13061979 0 0 299859712 314979655 30180 38273 0 121188973 130783424 0 0 147140521 159828279 268359674 290649976 31500038 24329679 355221326 392973640 97204278 110389687 258017048 282583953 THE HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. false false 241368930 38273 269828420 HOSPITAL SERVICES - COX MEDICAL CENTER BRANSON PROVIDES THE FOLLOWING AREAS OF SERVICE: CANCER, CARDIAC, DIABETES AND ENDOCRINOLOGY, EAR NOSE AND THROAT, EMERGENCY, URGENT CARE, FAMILY MEDICINE, IMAGING AND RADIOLOGY, LABORATORY AND PATHOLOGY, NEPHROLOGY AND DIALYSIS, NEUROLOGY, OCCUPATIONAL HEALTH, ORTHOPEDICS, PEDIATRICS, PSYCHIATRY, PULMONOLOGY/CRITICAL CARE, REHABILITATION AND THERAPY, RHEUMATOLOGY, SLEEP DISORDER CENTER, SOCIAL SERVICES, SURGERY, UROLOGY, WOMEN'S SERVICES AND WOUND CARE. 28651998 0 32030318 CLINIC SERVICES - CLINIC SERVICES INCLUDE FAMILY MEDICINE, OB-GYN SERVICES, GENERAL SURGERY, INTERNAL MEDICINE, INFECTIOUS DISEASE TREATMENT AND PULMONOLOGY. COORDINATION OF CARE IS ENHANCED BY A PHYSICIAN LIAISON. 270020928 true true false true false 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 true false false false false false true true false false false false true 0 0 1980 true true true false false false false false false false false false false false X 15 8 true false false false true true true true true false false false true true true true true true true true false false X JAKE MCWAY 4173357789 525 BRANSON LANDING BOULEVARD BRANSON MO 65615 JOE LOTH 1ST VICE CHAIR 1.0 0 X X 0 0 0 MAX D BUETOW PRESIDENT & CEO 1.0 47.0 X X 0 1641774 335476 PAMELA YANCEY 2ND VICE CHAIR 1.0 1.0 X X 0 0 0 RANDY BRASHERS CHAIR 1.0 0 X X 0 0 0 AMANDA HEDGPETH BOARD MEMBER 1.0 41.0 X 0 803042 128223 AMY WESTCOTT BOARD MEMBER 1.0 0 X 0 0 0 BILL W JONES BOARD MEMBER 1.0 2.0 X 0 0 0 BRAD SWOFFORD BOARD MEMBER 1.0 0 X 0 0 0 CODY B HOEFLICKER BOARD MEMBER 40.0 0 X 487758 0 34204 CODY HIRSCHI BOARD MEMBER 1.0 0 X 0 0 0 HOLLY WHERRY BOARD MEMBER 40.0 0 X 212775 0 17687 J TRAVIS BRAWNER BOARD MEMBER 1.0 0 X 72000 0 0 ROBERT COX BOARD MEMBER 1.0 1.0 X 0 0 0 SUE HEAD BOARD MEMBER 1.0 0 X 0 0 0 TIMOTHY L JONES BOARD MEMBER 1.0 41.0 X 0 841813 129282 ERIKA GETTLING SECRETARY 40.0 0 X 56246 0 10896 JACOB M MCWAY EVP, COXHEALTH CFO 1.0 47.0 X 0 1291822 237764 WILLIAM MAHONEY PRESIDENT CMCB - SENIOR VICE PRESIDENT CHG 40.0 0 X 771567 0 89990 ANDREA R LONG DEPUTY GENERAL COUNSEL 40.0 0 X 185903 0 10298 CHAD EFRID CHIEF OF MEDICAL STAFF 40.0 0 X 1523719 0 33947 LORI L CANTRELL VICE PRESIDENT OF FINANCE HOSPITALS & ACCOUNTING 40.0 0 X 280791 0 29424 MATTHEW P TURNER VICE PRESIDENT OF OPERATIONS 40.0 0 X 230477 0 28406 TOM TRENT ASSOC CHIEF MEDICAL OFFICER 40.0 0 X 245521 0 23476 TRINA D HARGIS VICE PRESIDENT OF NURSING - CHG 40.0 0 X 234212 0 22700 LANCE BORUP PHYSICIAN 40.0 0 X 1124541 0 54568 MENFIL ORELLANA-BARRIOS PHYSICIAN 40.0 0 X 1033598 0 34215 NARIN ARUNAKUL PHYSICIAN 40.0 0 X 1167234 0 32783 PATRICK FINKBONE PHYSICIAN 40.0 0 X 1552046 0 33947 ROBBIE MANGALASSERIL PHYSICIAN 40.0 0 X 1047958 0 32468 STEVE EDWARDS FORMER PRESIDENT & CEO 0.0 0.0 X 0 622051 33675 10226346 5200502 1353429 198 true true false 360 DEGREE MEDICINE 800 STATE HWY 248 STE 2E BRANSON MO 65616 CONTRACT LABOR 6311291 HEALTHTRUST WORKFORCE SOLUTION PO BOX 742697 ATLANTA GA 30374 CONTRACT LABOR 2646451 MPLT HEALTHCARE LLC 5810 CORAL RIDGE DR STE 250 CORAL SPRINGS FL 33076 PHYSICIAN SERVICES/LOCUM 1671404 COMPHEALTH PO BOX 972651 DALLAS TX 75387 CONTRACT LABOR 1253013 DYNAMIC CONSTRUCTION SYSTEMS PO BOX 14198 SPRINGFIELD MO 65814 CONSTRUCTION 886367 15 23292 35646 58938 NET PATIENT SERVICE REVENUE 624100 282935425 282935425 PHARMACY REVENUE 456110 15419681 15419681 CAFETERIA 722514 1635969 1635969 FITNESS CENTER 624100 598487 598487 LAB REVENUE 621500 172877 76130 96747 1096299 1096299 0 0 301858738 8016586 8016586 0 0 25356647 942887 20872719 381422 4483928 561465 5045393 5045393 0 0 0 0 0 314979655 301761991 96747 13061979 X 38273 38273 4601997 2907998 1693999 168111 168111 105580457 92041552 13538905 2963725 2920830 42895 10530747 10063815 466932 6938387 6597190 341197 2886 2886 42335 42335 99129 99129 69641896 67166795 2475101 0 56064 51431 4633 3058177 2762708 295469 1000878 918168 82710 2330295 2137726 192569 645658 592303 53355 200150 199282 868 2880145 2642138 238007 8131450 7459490 671960 3205073 2940215 264858 MEDICAL SUPPLIES & DRUGS 58807785 58807785 STATE PROVIDER TAX 7925675 7925675 REPAIRS AND MAINTENANCE 1266060 1161436 104624 LICENSES, DUES, SUBSCRIPTIONS 534623 518007 16616 0 0 0 0 290649976 270020928 20629048 0 617361 661058 101344367 95801050 866311 0 31042510 39562399 0 0 0 0 3457675 3604440 820235 1965520 199668241 90948707 112101233 108719534 89260861 127888349 10420240 10964851 0 551500 551500 4739033 3254939 355221326 392973640 15214028 13012532 66232380 65520225 0 0 1064589 654271 14693281 31202659 97204278 110389687 X 247613237 271635531 10403811 10948422 258017048 282583953 355221326 392973640 X 24329679 -319319 556545 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13559 13559 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAID DUES OF $47,080 TO THE MISSOURI HOSPITAL ASSOCIATION , OF WHICH $13,559 (28.8%) IS ATTRIBUTABLE TO LOBBYING PURPOSES. 8827862 8827862 90518632 30938807 59579825 1454390 1285830 168560 88146622 53759672 34386950 10720735 4964398 5756337 108719534 FEDERAL INCOME TAXES DUE TO THIRD PARTY 14516000 DUE TO RELATED PARTY 10496187 ESTIMATED INSURANCE COSTS 5766115 ROU LIABILITY 424357 31202659 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X false true X true true false true true 9701183 0 9701183 0.03338 41805706 45441861 0 0.0 0 0 0 0.0 0 0 51506889 45441861 9701183 0.03338 3043 0 3043 0.00001 581376 97651 483725 0.00166 20438700 10040767 10397933 0.03577 0 0 0 0.0 36656 0 36656 0.00013 0 0 21059775 10138418 10921357 0.03758 0 0 72566664 55580279 20622540 0.07095 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 22435224 3107279 127995435 150192545 -22197110 X true true 1 1 SKAGGS COMMUNITY HEALTH CENTER 251 SKAGGS ROAD BRANSON MO 65616 WWW.SKAGGS.NET 52-57 X X X 1 1 1 false false true X X X X X X X X X 24 true false true true X HTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ (SEE STATEMENT) X X true 24 true HTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ false true X 0 300.0 X X X X X true true X X X true X HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY 1, 1 FACILITY 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. COXHEALTH MEDICAL CENTER BRANSON TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED THROUGH THE 2025 BRANSON COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE CHNA INCORPORATED QUALITATIVE INPUT FROM PARTNER AGENCY SURVEYS AND COMMUNITY SURVEYS, AS WELL AS FEEDBACK FROM BRANSON COMMUNITY PARTNERS AND RESIDENTS. COXHEALTH ALSO COLLABORATED WITH THE OHC STEERING COMMITTEE AND BRANSON COMMUNITY REPRESENTATIVES IN CONNECTION WITH DATA COLLECTION, RESOURCE SHARING, AND PREPARATION OF THE CHNA REPORT. PUBLIC HEALTH PERSPECTIVES WERE REFLECTED THROUGH IDENTIFIED BRANSON COMMUNITY ORGANIZATIONS INCLUDING TANEY COUNTY HEALTH DEPARTMENT AND STONE COUNTY HEALTH DEPARTMENT. IN ADDITION, ON FEBRUARY 4, 2025, THE BRANSON COMMUNITY CONVENED A PRIORITIZATION MEETING DURING THE OWNIT MEETING, WITH PARTNER AGENCIES FROM THROUGHOUT STONE AND TANEY COUNTIES PARTICIPATING. MEETING PARTICIPANTS USED A MENTIMETER SURVEY TO RANK THE TOP HEALTH PRIORITIES BASED ON "ABILITY TO IMPACT "LEVEL OF HARM." THE CHNA PROCESS ALSO CONSIDERED THE NEEDS OF VULNERABLE POPULATIONS IN THE COMMUNITY, INCLUDING PEOPLE IN POVERTY, MINORITIES, THE ELDERLY, AND MEDICALLY UNDERSERVED GROUPS AFFECTED BY ACCESS BARRIERS AND PROVIDER SHORTAGES. THESE POPULATIONS WERE CONSIDERED THROUGH COMMUNITY AND PARTNER AGENCY INPUT, PUBLIC HEALTH PARTICIPATION, REVIEW OF SECONDARY DATA, AND USE OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION SOCIAL VULNERABILITY INDEX. SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY 1, 1 FACILITY 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL ORGANIZATIONS: - STONE COUNTY HEALTH DEPARTMENT - TANEY COUNTY HEALTH DEPARTMENT SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY 1, 1 FACILITY 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. PRINTED COPIES ARE AVAILABLE BY REQUEST THROUGH HOSPITAL AND PUBLIC HEALTH PARTNERS. ELECTRONIC AND PRINTABLE VERSIONS ARE AVAILABLE AT COXHEALTH.COM AND OZARKSHEALTHCOMMISSION.ORG. NEWS RELEASE WAS HELD TO ENCOURAGE MEDIA COVERAGE WITH LINKS TO THE REPORT AND KEY MESSAGES FOR THE PUBLIC. CHNA OTHER WEBSITES: HTTP://WWW.OZARKSHEALTHCOMMISSION.ORG HTTP://WWW.STONECOUNTYHEALTHDEPARTMENT.COM HTTP://WWW.TANEYCOHEALTH.ORG SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY 1, 1 FACILITY 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. COXHEALTH BRANSON'S 2025 BRANSON COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION PLAN IDENTIFIES THE BRANSON COMMUNITY AS INCLUDING STONE AND TANEY COUNTIES AND IDENTIFIES MENTAL/BEHAVIORAL HEALTH, HEART HEALTH, AND DIABETES AS PRIORITY HEALTH NEEDS, WITH RELATED SOCIAL DETERMINANTS/SOCIAL DRIVERS OF HEALTH CONSIDERED AS CROSS-CUTTING FACTORS AFFECTING COMMUNITY HEALTH OUTCOMES. THE HOSPITAL FACILITY IS ADDRESSING THESE IDENTIFIED NEEDS THROUGH THE OBJECTIVES AND TACTICS INCLUDED IN THE IMPLEMENTATION PLAN. PROGRESS ON THE COMMUNITY HEALTH IMPROVEMENT PLAN OBJECTIVES AND TACTICS IS TRACKED THROUGH A CHIP SCORECARD. TO ADDRESS MENTAL AND BEHAVIORAL HEALTH NEEDS, COXHEALTH BRANSON IS WORKING TO REDUCE BARRIERS TO BEHAVIORAL HEALTH CARE, INCLUDING EFFORTS TO PROMOTE STIGMA REDUCTION RELATED TO MENTAL HEALTH AND SUBSTANCE USE. THE IMPLEMENTATION PLAN DESCRIBES EDUCATION AND AWARENESS EFFORTS, TRAINING PROGRAMS, THE USE OF PERSON-FIRST LANGUAGE, AND COMMUNITY ENGAGEMENT IN STIGMA REDUCTION EFFORTS. TO SUPPORT HEART HEALTH AND CHRONIC DISEASE PREVENTION, THE HOSPITAL FACILITY IS ADDRESSING TOBACCO AND VAPE USE BY EQUIPPING CLINICIANS WITH TOOLS, EDUCATION, AND TRAINING TO ACKNOWLEDGE TOBACCO AND VAPE USE AND OFFER APPROPRIATE SUPPORT AND RESOURCES. THESE EFFORTS ARE INTENDED TO FACILITATE CESSATION CONVERSATIONS AND CONNECT PATIENTS WITH EVIDENCE-BASED CESSATION PROGRAMS, COUNSELING, SUPPORT GROUPS, AND MEDICATION ASSISTANCE, AS APPROPRIATE. TO ADDRESS DIABETES, HEART HEALTH, AND OTHER CHRONIC DISEASE MANAGEMENT NEEDS, COXHEALTH BRANSON IS IMPLEMENTING TACTICS TO REFER PATIENTS TO CHRONIC DISEASE SELF-MANAGEMENT EDUCATION, ENROLL PATIENTS IN CARE MANAGEMENT PROGRAMS, AND ENGAGE PATIENTS IN MEDICATION THERAPY MANAGEMENT. THE IMPLEMENTATION PLAN DESCRIBES CHRONIC DISEASE SELF-MANAGEMENT EDUCATION AS SUPPORTING PATIENTS IN MANAGING CONDITIONS SUCH AS DIABETES AND HEART DISEASE. THE IMPLEMENTATION PLAN ALSO RECOGNIZES SOCIAL DETERMINANTS/SOCIAL DRIVERS OF HEALTH, INCLUDING ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, HEALTH CARE ACCESS AND QUALITY, NEIGHBORHOOD AND BUILT ENVIRONMENT, AND SOCIAL AND COMMUNITY CONTEXT. COXHEALTH BRANSON CONSIDERS THESE FACTORS IN CONNECTION WITH THE IDENTIFIED PRIORITY NEEDS AND RELATED COMMUNITY HEALTH IMPROVEMENT ACTIVITIES. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY 1, 1 FACILITY 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. MEDICAL HARDSHIP MAY ALSO BE USED TO DETERMINE FINANCIAL ELIGIBILITY. COXHEALTH SHALL MAKE A DECISION ABOUT A PATIENT/GUARANTOR'S MEDICAL HARDSHIP BY REVIEWING THE FINANCIAL ASSISTANCE APPLICATION, INCLUDING ACCOMPANYING FINANCIAL DOCUMENTATION, IN ADDITION TO OTHER RELEVANT DOCUMENTATION THAT SUPPORTS THE MEDICAL HARDSHIP OF THE PATIENT. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY 1, 2 FACILITY 1, 2 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. 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 THE POLICY. SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY 1, 1 FACILITY 1, 1 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION. FINANCIAL ASSISTANCE AVAILABILITY IS PROACTIVELY COMMUNICATED TO UNINSURED PATIENTS BY CUSTOMER SERVICE STAFF AND BY OUR EARLY OUT AND BAD DEBT VENDORS; ANYONE RECOGNIZED AS UNINSURED IS TOLD ABOUT THE FA AVAILABILITY AND ENCOURAGED TO PARTICIPATE. 24 COXHEALTH CARDIOLOGY 1150 STATE HWY 248 STE 200 BRANSON MO 65616 CLINIC COX HYPERBARIC MEDICINE & WOUND CARE BRA 101 SKAGGS RD STE 103 BRANSON MO 65616 CLINIC COXHEALTH CENTER BRANSON WEST 18452 BUSINESS HWY 13 BRANSON WEST MO 65737 CLINIC COXHEALTH CENTER FORSYTH 13852 US HWY 160 FORSYTH MO 65653 CLINIC COXHEALTH DIABETES & ENDOCRINOLOGY CLINIC 1601 BRANSON HILLS PKWY SUITE 110 BRANSON MO 65616 CLINIC COXHEALTH FAMILY MEDICINE & OB 525 BRANSON LANDING BLVD SUITE 508 BRANSON MO 65616 CLINIC COXHEALTH BRANSON HOSPITALIST 525 BRANSON LANDING BLVD SUITE 201A BRANSON MO 65616 CLINIC COXHEALTH OCCUPATIONAL MEDICINE BRANSON 1601 BRANSON HILLS PKWY SUITE 120 BRANSON MO 65616 CLINIC COXHEALTH ORTHOPEDICS 121 CAHILL ROAD SUITE 206 BRANSON MO 65616 CLINIC COXHEALTH PAIN & NEUROLOGY 121 CAHILL ROAD SUITE 204 BRANSON MO 65616 CLINIC COXHEALTH PHYSICAL MEDICINE & REHABILITATION 525 BRANSON LANDING BLVD SUITE 401 BRANSON MO 65616 CLINIC COXHEALTH PULMONOLOGY & SLEEP MEDICINE 525 BRANSON LANDING BLVD SUITE 306 BRANSON MO 65616 CLINIC COXHEALTH INFECTIOUS DISEASE AND RHEUMATOLOGY 525 BRANSON LANDING BLVD SUITE 301 BRANSON MO 65616 CLINIC COXHEALTH URGENT CARE - BRANSON 525 BRANSON LANDING BLVD SUITE 100 BRANSON MO 65616 CLINIC COXHEALTH WOMEN'S CENTER BRANSON 525 BRANSON LANDING BLVD SUITE 408 BRANSON MO 65616 CLINIC MARY'S WELL HOUSE 5136 STATE HWY 265 BRANSON MO 65616 PHYSICIAN CLINIC FITNESS CENTER BRANSON 1501 BRANSON HILLS PKWY BRANSON MO 65616 FITNESS CENTER FDC UROLOGYGI 525 BRANSON LANDING BLVD SUITE 307 BRANSON MO 65616 CLINIC COXHEALTH PEDIATRIC SPECIALTIES BRANSON 525 BRANSON LANDING SUITE 501 BRANSON MO 65616 CLINIC COXHEALTH PSYCHIATRY SERVICES 525 BRANSON LANDING BLVD SUITE 508A BRANSON MO 65616 CLINIC COXHEALTH SURGICAL SERVICES 525 BRANSON LANDING BLVD SUITE 307 BRANSON MO 65616 CLINIC COXHEALTH BRANSON HILLS CLINIC 1601 BRANSON HILLS PKWY SUITE 100 BRANSON MO 65616 CLINIC COXHEALTH CANCER CENTER BRANSON 525 BRANSON LANDING BLVD SUITE 101 BRANSON MO 65616 CLINIC COXHEALTH URGENT CARE BRANSON HILLS 1601 BRANSON HILLS PKWY SUITE 130 BRANSON MO 65616 URGENT CARE SCHEDULE H, PART I, LINE 3C ELIGIBILITY FOR FREE CARE IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THIS POLICY. SCHEDULE H, PART I, LINE 7 COST TO CHARGE RATIO THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEET 1 AND 3. WORKSHEET 6 USED INTERNAL COST CALCULATIONS. SCHEDULE H, PART I, LINE 7 SUBSIDIZED SERVICES THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $10,397,933. COX MEDICAL CENTER BRANSON PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. COX MEDICAL CENTER BRANSON CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. SCHEDULE H, PART I, LINE 7 PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT PREPARED BY RELATED ORGANIZATION COXHEALTH SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014- 09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND IN THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE." SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE HOSPITAL IS DESIGNATED BY MEDICARE AS A SOLE COMMUNITY HOSPITAL AND AS SUCH, IS THE SOLE SOURCE OF HOSPITAL CARE WITHIN A 35-MILE RADIUS. AS A LARGE RURAL HOSPITAL, MINIMUM STAFFING MUST BE MAINTAINED REGARDLESS OF SWINGS IN PATIENT VOLUME. WITHOUT THE HOSPITAL, MEDICARE PATIENTS WOULD NEED TO TRAVEL SIGNIFICANT DISTANCES TO RECEIVE HOSPITAL CARE. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THE ORGANIZATION WILL NOT PURSUE LEGAL ACTION FOR NONPAYMENT OF ANY AMOUNTS DISCOUNTED AS A RESULT OF AN APPROVED OR PARTIALLY APPROVED REQUEST FOR FINANCIAL ASSISTANCE. BALANCES REMAINING AFTER SUCH DISCOUNTS ARE APPLIED WILL, HOWEVER, BE SUBJECT TO COLLECTION ACTIVITY, INCLUDING LEGAL ACTION. IN ADDITION, THE ORGANIZATION WILL NOT CHARGE INTEREST ON THE BALANCE REMAINING AFTER APPLYING THE FINANCIAL ASSISTANCE DISCOUNT. HOWEVER, THE ORGANIZATION MAY, IN ITS SOLE DISCRETION, CHARGE INTEREST ON THE BALANCE OWED IF 1) THE GUARANTOR DEFAULTS ON HIS OR HER PAYMENT AGREEMENT OR 2) THE BALANCE IS REFERRED TO THE COLLECTION AGENCY FOR COLLECTION. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE 1 - SKAGGS COMMUNITY HEALTH CENTER: LINE 16A URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE 1 - SKAGGS COMMUNITY HEALTH CENTER: LINE 16B URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE 1 - SKAGGS COMMUNITY HEALTH CENTER: LINE 16C URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT COXHEALTH MEDICAL CENTER BRANSON ASSESSES THE HEALTH CARE NEEDS OF THE BRANSON COMMUNITY THROUGH A RECURRING, COLLABORATIVE NEEDS ASSESSMENT AND IMPROVEMENT PLANNING PROCESS, IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B. COXHEALTH PARTICIPATES WITH THE OZARKS HEALTH COMMISSION (OHC), LOCAL PUBLIC HEALTH AGENCIES, HOSPITAL SYSTEMS, PUBLIC HEALTH ENTITIES, AND COMMUNITY HEALTH ORGANIZATIONS IN A REGIONAL CHNA PROCESS. THESE PARTNERS HAVE WORKED TOGETHER SINCE 2016 TO ISSUE CHNAS EVERY THREE YEARS, AND THE 2025 ASSESSMENT INCLUDED BOTH COMMUNITY-LEVEL AND REGIONAL SNAPSHOTS. THE BRANSON COMMUNITY IS COMPRISED OF TANEY AND STONE COUNTIES AND IS SERVED BY COXHEALTH MEDICAL CENTER BRANSON, TANEY COUNTY HEALTH DEPARTMENT, AND STONE COUNTY HEALTH DEPARTMENT. THE 2025 NEEDS ASSESSMENT COMBINED QUALITATIVE INPUT FROM PARTNER AGENCY AND COMMUNITY SURVEYS WITH SECONDARY DATA, AND BRANSON COMMUNITY PARTNERS AND RESIDENTS CONTRIBUTED FEEDBACK. THE ASSESSMENT ALSO CONSIDERED VULNERABLE POPULATIONS, INCLUDING PEOPLE IN POVERTY, MINORITIES, AND THE ELDERLY, AND OHC USED THE CDC SOCIAL VULNERABILITY INDEX, BASED ON U.S. CENSUS AND AMERICAN COMMUNITY SURVEY DATA, TO IDENTIFY VULNERABLE GROUPS. THE BRANSON COMMUNITY'S OVERALL SVI SCORE WAS 0.67, COMPARED WITH 0.44 FOR THE STATE AND 0.58 NATIONALLY. AS PART OF THE PRIORITIZATION PROCESS, DATA WAS PRESENTED AT A FEBRUARY 4, 2025 OWNIT MEETING ATTENDED BY PARTNER AGENCIES FROM STONE AND TANEY COUNTIES. PARTICIPANTS USED A MENTIMETER SURVEY TO RANK TOP PRIORITIES BASED ON "ABILITY TO IMPACT "LEVEL OF HARM". THE 2025 CHNA IDENTIFIED MENTAL/BEHAVIORAL HEALTH, HEART HEALTH, AND DIABETES AS THE TOP PRIORITIES. COXHEALTH MEDICAL CENTER BRANSON USES THE RESULTING COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO TRANSLATE ASSESSED NEEDS INTO OBJECTIVES AND TACTICS. THE IMPROVEMENT PLAN DESCRIBES A PROCESS THAT INCLUDES CHNA DEVELOPMENT, PRIORITIZATION BY KEY STAKEHOLDERS, IMPLEMENTATION PLANNING USING EVIDENCE-BASED OBJECTIVES AND TACTICS, AND APPROVAL BY LEADERSHIP AND THE BOARD. PROGRESS IS CONTINUALLY TRACKED AND EVALUATED THROUGH THE CHIP SCORECARD. THE CHIP ADDRESSES SOCIAL DRIVERS OF HEALTH AND INTEGRATES HEALTHCARE, PUBLIC HEALTH, AND COMMUNITY PARTNERS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE LESTER E. COX MEDICAL CENTERS, PARENT ORGANIZATION, USES A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE PROGRAMS OR UNDER THE ORGANIZATION'S POLICY: - AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION IS COMMUNICATED TO PATIENTS THROUGH THE USE OF SIGNAGE AND BROCHURES/INFORMATION PACKETS AVAILABLE AT CHECK-IN LOCATIONS. - LESTER E. COX MEDICAL CENTERS ALSO PROACTIVELY COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND ITS EARLY-OUT VENDOR RESPONSIBLE FOR PATIENT BALANCE COLLECTIONS IS EXPECTED TO PROACTIVELY INFORM SELF PAY PATIENTS OF THE AVAILABILITY WHEN SPEAKING TO THEM ON THE PHONE. - FOR ASSISTANCE UNDER FEDERAL AND STATE PROGRAMS LESTER E. COX MEDICAL CENTERS UTILIZES AN OUTSOURCE ELIGIBILITY VENDOR WHO MEETS WITH SELF PAY INPATIENTS AT THE BEDSIDE TO COMPLETE AN ELIGIBILITY SCREENING, INFORM THE PATIENTS OF POTENTIAL AVAILABILITY, AND WILL WORK WITH THE PATIENT TO HELP THEM THROUGH THE PROCESS. OUTPATIENTS ARE REFERRED TO THE VENDOR AFTER CARE AND THOSE ARE WORKED IN A SIMILAR FASHION WITH THE EXPECTATION THAT THE FIRST CONTACT IS THROUGH MAIL OR PHONE RATHER THAN AT THE BEDSIDE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION CMCB CONSIDERS TANEY AND STONE COUNTIES AS ITS PRIMARY SERVICE AREA WITH CHRISTIAN COUNTY, BOONE COUNTY AND PARTS OF CARROLL COUNTY IN NORTHERN ARKANSAS AS ITS SECONDARY SERVICE AREA. THE TOTAL POPULATION OF ZIP CODES SERVED BY CMCB IS APPROXIMITELY 144,000. THE PROJECTED POPULATION GROWTH IN THESE AREAS, ESPECIALLY THE CONTINUING MIGRATION INTO THE AREA OF RETIREES, IS A SIGNIFICANT FACTOR IN THE EVER-INCREASING NEED FOR HIGH-TECH MEDICAL SERVICES. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CMCB HAS A 15-MEMBER BOARD OF DIRECTORS. SEVERAL THOUSANDS OF DOLLARS ARE SPENT EACH YEAR OFFERING FREE LOW-COST SCREENINGS TO THE COMMUNITY AND EDUCATIONAL PROGRAMS. CMCB PHYSICIANS AND STAFF ARE COMMITTED TO EDUCATING THE COMMUNITY TO HELP ENSURE A HEALTHIER FUTURE. CPR CLASSES, SMOKING CESSATION CLASSES, PRENATAL CLASSES, ETC. ARE ALL FOCUSED ON GIVING OUR COMMUNITY MEMBERS THE RESOURCES THEY NEED TO MAKE INFORMED DECISIONS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM CMCB IS PART OF THE COXHEALTH SYSTEM, WHICH INCLUDES THE FOLLOWING: LESTER E. COX MEDICAL CENTERS, WHICH OPERATES AS AN INTEGRATED DELIVERY SYSTEM INCLUDING FOUR HOSPITALS, A SURGICAL CENTER, AN INPATIENT REHABILITATION FACILITY, HOME CARE COMPANIES, PHYSICIAN SERVICES, MENTAL HEALTH SERVICES, INSURANCE COMPANIES AND A FOUNDATION. THE HEALTH SYSTEM PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE, INPATIENT REHABILITATION, HOME CARE, PHYSICIAN SERVICES AND HEALTH INSURANCE PRODUCTS TO PATIENTS AND EMPLOYERS IN SPRINGFIELD, MISSOURI, AND THE SURROUNDING SOUTHWEST MISSOURI AREA. COXHEALTH IS THE PARENT OF LESTER E. COX MEDICAL CENTERS AND ITS WHOLLY OWNED SUBSIDIARIES PLUS CERTAIN AFFILIATED NOT-FOR-PROFIT ENTITIES AND IS COLLECTIVELY REFERRED TO AS COXHEALTH. COXHEALTH (THE HEALTH SYSTEM) OPERATES AS AN INTEGRATED DELIVERY SYSTEM INCLUDING FOUR HOSPITALS, A SURGICAL CENTER, AN INPATIENT REHABILITATION FACILITY, HOME CARE COMPANIES, PHYSICIAN SERVICES, MENTAL HEALTH SERVICES, INSURANCE COMPANIES AND A FOUNDATION. COXHEALTH'S HOME CARE SERVICES ARE PROVIDED BY COXHEALTH AT HOME AND INCLUDE HOME HEALTH SERVICES, INFUSION THERAPY AND DURABLE MEDICAL EQUIPMENT. COXHEALTH AT HOME SUPPORTED THE COMMUNITY THROUGH MONTHLY NUTRITION AND FALL PREVENTION SEMINARS AT 20 AREA SENIOR CENTERS THROUGHOUT SOUTHWEST MISSOURI. THEY ALSO PROVIDED FREE BONE DENSITY SCREENINGS AT 34 COMMUNITY EVENTS, AND VITAL SIGN SCREENINGS AT MANY MORE. THROUGH AN ANNUAL FAN DRIVE, COXHEALTH AT HOME COLLECTED AND DISTRIBUTED BOX FANS TO SENIORS AND THE DISABLED WHO LACK ADEQUATE ACCESS TO COOLING DURING THE SUMMER MONTHS. INFUSION THERAPY RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS US TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. ASSISTANCE TO COXHEALTH SYSTEM IN DEVELOPING AN INTEGRATED HEALTH SYSTEM, AND SERVICE TO MEDICAID PATIENTS. COX-MONETT HOSPITAL SUPPORTS THE MONETT, MISSOURI AND SURROUNDING COMMUNITY BY PROVIDING A VARIETY OF SERVICES WHICH INCLUDE UROLOGY, ENT (EAR, NOSE AND THROAT), PULMONOLOGY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE AND MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY CENTER, GENERAL SURGICAL SERVICES, SAME-DAY SURGERY, DIABETES CENTER, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL-SURGICAL UNIT, URGENT CARE, PHARMACY AND COMMUNITY WELLNESS. COXHEALTH FOUNDATION SUPPORTS THE COMMUNITY BY RAISING FUNDS TO DISPERSE TO PATIENTS FOR THOSE NEEDS FOR WHICH THEY HAVE NO RESOURCES OR FUNDING, BUT WHICH ARE CRITICAL TO THE PATIENT'S HEALTH AND WELL BEING. SKAGGS COMMUNITY HOSPITAL ASSOCIATION D/B/A COX MEDICAL CENTER BRANSON (CMCB) HAS BEE SERVING SOUTHWEST MISSOURI RESIDENTS FOR MORE THAN 63 YEARS AND OFFERS OVER 25 MAJOR SERVICE AREAS. THE HOSPITAL'S AVERAGE DAILY PATIENT CENSUS EXCEEDS 85 WITH 165 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,100 PERSONNEL IS REQUIRED TO OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS. COXHEALTH ADDED A FOURTH HOSPITAL IN 2018, COX BARTON COUNTY HOSPITAL (COX BARTON COUNTY). THE FACILITY WAS A COUNTY HOSPITAL OWNED AND OPERATED BY BARTON COUNTY MEMORIAL HOSPITAL (BCMH). IT WAS BUILT IN 2007 AND IS A 25-BED CRITICAL ACCESS HOSPITAL IN LAMAR, MISSOURI OFFERING AN EMERGENCY DEPARTMENT, AS WELL AS SPECIALIZED CARE IN DIABETES, CARDIOLOGY, ORTHOPEDICS AND SPORTS MEDICINE, NEUROLOGY, WOMEN'S HEALTH AND MORE. IN OCTOBER 2017, COXHEALTH SIGNED A LETTER OF INTENT WITH BCMH TO ACQUIRE ITS OPERATION AND TO LEASE ITS PROPERTY. BCMH WAS STRUGGLING AS A RURAL HOSPITAL TO KEEP UP WITH DECLINING REVENUE. COXHEALTH'S ACQUISITION ALLOWS FOR THE PATIENTS PREVIOUSLY SERVED BY BCMH TO BECOME A PART OF THE COXHEALTH SYSTEM. COX BARTON COUNTY WILL CONTINUE THE SERVICES PREVIOUSLY PROVIDED BY BCMH AND INTENDS TO EXPAND THESE SERVICES FURTHER IN THE FUTURE AS WELL. true MHA HEALTH INSTITUTE PO BOX 60 JEFFERSON CITY MO 651020060 438998749 501(C)(3) 22025 SUPPORT 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS GRANTS PAID TO MHA HEALTH INSTITUTE ARE PROCESSED AND REVIEWED THROUGH THE ORGANIZATON'S FRA PAYMENTS. false true false false false false false false MAX D BUETOW PRESIDENT & CEO 0 1131935 0 454236 0 55603 0 319300 0 16176 0 1977250 0 24951 AMANDA HEDGPETH BOARD MEMBER 0 620419 0 176259 0 6364 0 127552 0 671 0 931265 0 0 CODY B HOEFLICKER BOARD MEMBER 465425 0 21523 0 810 0 16675 0 17529 0 521962 0 0 0 TIMOTHY L JONES BOARD MEMBER 0 599383 0 167625 0 74805 0 112511 0 16771 0 971095 0 41525 HOLLY WHERRY BOARD MEMBER 188570 0 787 0 23418 0 8972 0 8715 0 230462 0 0 0 STEVE EDWARDS FORMER PRESIDENT & CEO 0 313523 0 0 0 308528 0 17250 0 16425 0 655726 0 308528 WILLIAM MAHONEY PRESIDENT CMCB - SENIOR VICE PRESIDENT CHG 562621 0 124818 0 84128 0 72718 0 17272 0 861557 0 52947 0 JACOB M MCWAY EVP, COXHEALTH CFO 0 822771 0 245588 0 223463 0 217234 0 20530 0 1529586 0 174788 LORI L CANTRELL VICE PRESIDENT OF FINANCE HOSPITALS & ACCOUNTING 244486 0 35615 0 690 0 14476 0 14948 0 310215 0 0 0 CHAD EFRID CHIEF OF MEDICAL STAFF 1445397 0 54872 0 23450 0 16675 0 17272 0 1557666 0 0 0 TRINA D HARGIS VICE PRESIDENT OF NURSING - CHG 204820 0 28702 0 690 0 11223 0 11477 0 256912 0 0 0 ANDREA R LONG DEPUTY GENERAL COUNSEL 174720 0 10913 0 270 0 9703 0 595 0 196201 0 0 0 TOM TRENT ASSOC CHIEF MEDICAL OFFICER 230371 0 15150 0 0 0 13172 0 10304 0 268997 0 0 0 MATTHEW P TURNER VICE PRESIDENT OF OPERATIONS 197915 0 32292 0 270 0 12261 0 16145 0 258883 0 0 0 NARIN ARUNAKUL PHYSICIAN 1122254 0 20000 0 24980 0 17250 0 15533 0 1200017 0 0 0 PATRICK FINKBONE PHYSICIAN 1494872 0 56874 0 300 0 16675 0 17272 0 1585993 0 0 0 ROBBIE MANGALASSERIL PHYSICIAN 1004658 0 20000 0 23300 0 15196 0 17272 0 1080426 0 0 0 MENFIL ORELLANA-BARRIOS PHYSICIAN 990298 0 20000 0 23300 0 16675 0 17540 0 1067813 0 0 0 LANCE BORUP PHYSICIAN 1090547 0 33994 0 0 0 38500 0 16068 0 1179109 0 0 0 SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES A RELATED ENTITY, COXHEALTH, INCLUDES MONTHLY SOCIAL CLUB DUES IN THE TAXABLE COMPENSATION OF JAKE MCWAY, CFO. SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION COXHEALTH, A RELATED PARTY OF THE ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE COXHEALTH TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN STEVE EDWARDS, MAX BUETOW, JACOB MCWAY, WILLIAM MAHONEY, TIMOTHY L JONES, AND AMANDA HEDGPETH PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS: -STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $308,528, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $199,984. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $174,788, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $302,625. - MAX BUETOW RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $24,951, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - WILLIAM MAHONEY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $59,558. - WILLIAM MAHONEY RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $52,947, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - TIMOTHY L JONES RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $95,261. - TIMOTHY L JONES RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $41,525, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - AMANDA HEDGPETH RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $110,878. SCHEDULE J, PART II BOARD MEMBER COMPENSATION NO COMPENSATION WAS PROVIDED FOR RESPONSIBILITIES ASSOCIATED WITH BEING A BOARD DIRECTOR. COMPENSATION REPORTED FOR SEVERAL BOARD MEMBERS LISTED ON SCHEDULE J REPRESENTS EMPLOYEE OR INDEPENDENT CONTRACTOR COMPENSATION UNRELATED TO SERVICE AS A BOARD MEMBER. SCHEDULE J, PART II, COLUMN (F) COMPENSATION REPORTED ON PRIOR FORM 990 COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. JIM BRAWNER FATHER OF J. TRAVIS BRAWNER, BOARD MEMBER 69673 WAGES false STACI REED SISTER-IN-LAW OF JOE LOTH, BOARD MEMBER 98438 WAGES false FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION VISION: THE HOSPITAL'S VISION IS TO BE THE BEST FOR THOSE WHO NEED US. WE VALUE SAFETY, COMPASSION, RESPECT AND INTEGRITY. THE HOSPITAL HAS BEEN SERVING SOUTHWEST MISSOURI FOR MORE THAN 65 YEARS AND OFFERS OVER 25 MAJOR SERVICE AREAS. THE HOSPITAL'S AVERAGE DAILY PATIENT CENSUS EXCEEDS 80 PATIENTS WITH 157 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,100 PERSONNEL OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS. FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION IVANTAGE HEALTH ANALYTICS RECOGNIZED COX MEDICAL CENTER BRANSON FOR OVERALL EXCELLENCE IN OUTCOMES AMONG ALL ACUTE CARE HOSPITALS IN THE NATION, AND AS ONE OF SEVEN RURAL MISSOURI HOSPITALS FOR EXCELLENCE IN QUALITY, ACCORDING TO ITS HOSPITAL STRENGTH INDEX. COX MEDICAL CENTER BRANSON EACH RECEIVED A 4-STAR RATING FROM HOSPITAL COMPARE STAR RATINGS, AS DETERMINED BY QUALITY, SAFETY AND PATIENT EXPERIENCE DATA REPORTED TO THE CENTERS FOR MEDICARE; MEDICAID SERVICES. COX MEDICAL CENTER BRANSON RECEIVED HIGH PATIENT SAFETY AND PATIENT OUTCOMES SCORES FROM CONSUMER REPORTS. COX MEDICAL CENTER BRANSON IS AMONG A SELECT FEW HEALTH SYSTEMS IN THE NATION TO RECEIVE THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD. COX MEDICAL CENTER BRANSON HAS BEEN NAMED TO THE TARGET: STROKE HONOR ROLL ELITE LIST. COX MEDICAL CENTER BRANSON IS A LEVEL 2 STROKE CENTER. COX MEDICAL CENTER BRANSON'S IMPLEMENTED CENTERING PREGNANCY -A PILOT GROUP PROGRAM FOR PRENATAL CARE. THE NATIONAL PROGRAM CAME TO BRANSON IN JUNE 2016 THROUGH FUNDING FROM THE MARCH OF DIMES AND SKAGGS FOUNDATION. THE CONCEPT OF CENTERING PREGNANCY IS A MODEL OF CARE THAT LOOKS A LOT DIFFERENT FROM TRADITIONAL PRENATAL VISITS, WHICH ARE OFTEN BRIEF AND ONE-ON-ONE WITH A WOMAN'S HEALTHCARE PROVIDER. IN THE NEW PROGRAM, EXPECTANT MOMS SKIP THE WAITING ROOM AND HAVE APPOINTMENTS THE SAME DAY AND TIME EACH MONTH IN SUPPORT-GROUP STYLE. THE OPEN FORUM ALLOWS MOMS TO SUPPORT EACH OTHER BY SHARING THEIR PREGNANCY WORRIES AND EXCITEMENT. FORM 990, PART IV, LINE 24A TAX EXEMPT BONDS LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, REPORTS BONDS RELATED TO COX BRANSON ON ITS FORM 990, SCHEDULE K. AN ALLOCATION OF COX BRANSON'S PORTION OF RELATED BONDS IS REPORTED ON PART X, LINE 20. FORM 990, PART VI, LINE 2 BUSINESS RELATIONSHIPS BOARD MEMBERS WHO RECEIVE COMPENSATION, OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED BY COXHEALTH AND ITS AFFILIATES AND THEREFORE SHARE A BUSINESS RELATIONSHIP. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE ORGANIZATION HAS ONLY ONE MEMBER -COXHEALTH FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE FOLLOWING RESERVED POWERS MAY BE EXERCISED BY THE PARENT WITHOUT PRIOR ACTION BY THE BOARD. SAID RESERVED POWERS ARE: (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF COX BRANSON; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF COX BRANSON AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF COX BRANSON: (D) TO APPROVE THE ADOPTION OF AND ANY REVISION TO THE CHARTERS FOR ALL COMMITTEES ESTABLISHED BY THE BOARD; (E) TO APPOINT AND REMOVE THE DIRECTORS OF COX BRANSON, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE OF THE BYLAWS, AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND COX BRANSONT; (F) TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF COX BRANSON; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR COX BRANSON AND ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES; (H) TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, MARKETING, LEGAL, CORPORATE COMPLIANCE, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF COX BRANSON IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF COX BRANSON; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF COX BRANSON OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF COX-BRANSON; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY COX BRANSON OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF COX BRANSON; (M) APPROVAL OF COX BRANSON'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (N) TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY COX BRANSON OF REALPROPERTY OR ANY INTEREST IN REAL PROPERTY HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (O) TO APPROVE THE SALE OR PURCHASE OF ANY PROPERTY OF COX BRANSON HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (P) TO AUTHORIZE AND APPROVE BORROWING MONEY OR ENTERING INTO FINANCIAL GUARANTIES BY COX BRANSON, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF COX BRANSON; (Q) TO REQUIRE COX BRANSON TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER AND/OR PARENT; (R) TO APPROVE THE TRANSFER OF ASSETS BY COX BRANSON TO ANY ENTITY OTHER THAN THE MEMBER AND/OR PARENT, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF COX BRANSON WHICH WILL NOT REQUIRE APPROVAL OF THE PARENT; (S) TO APPROVE THE RATE OF PAYMENT, COMPENSATION OR RENT AND/OR ANY PROVISIONS CONCERNING EXCLUSIVITY WITH RESPECT TO ANY CONTRACT FOR PHYSICIAN SERVICES AND ANY LEASE/TIMESHARE AGREEMENT BETWEEN ANY PHYSICIAN OR PHYSICIAN GROUP, ON THE ONE HAND, AND COX BRANSON OR ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY, ON THE OTHER HAND, ALL IN ACCORDANCE WITH SUCH POLICIES AND PROCESSES WHICH MAY BE PROMULGATED FROM TIME TO TIME BY THE MEMBER AND/OR PARENT; (T) TO APPROVE CHANGES TO THE TYPE OF OR RELOCATION OF PHYSICIAN PROFESSIONAL MEDICAL SERVICES OFFERED BY COX BRANSON, WHERE THE CHANGE INVOLVES (A) SERVICES OFFERED OR PROVIDED BY CMG PHYSICIANS (AS DEFINED IN THE MEMBER'S BYLAWS) AND (B)(I) A CHANGE IN VENUE OR PROVIDER STATUS OF THE MEDICAL SERVICE, (II) THE CESSATION OF A PRE-EXISTING MEDICAL SERVICE, OR (III) THE OFFERING OF A NEW MEDICAL SERVICE; (U) TO ENGAGE, APPROVE, AND TO FINALIZE ANY AND ALL CONTRACTS OR AGREEMENTS WITH ANY THIRD PARTY HOSPITAL-BASED PHYSICIAN GROUPS (ANESTHESIOLOGISTS, PATHOLOGISTS, RADIOLOGISTS, OR EMERGENCY MEDICINE PHYSICIANS) THAT WILL RENDER PROFESSIONAL SERVICES TO COX BRANSON; (V) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED WHICH ARE RESERVED TO THE MEMBERS WITH RESPECT TO COX BRANSON ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY. (W) TO CONTRACT ON BEHALF OF COX BRANSON WITH RESPECT TO ANY MATTER THAT IMPACTS ONE OR MORE OF MEMBER'S SUBSIDIARIES OR WHERE MEMBER DETERMINES IN ITS DISCRETION THAT CONTRACTING ON BEHALF OF ITSELF AND SOME OR ALL OF ITS SUBSIDIARIES IS IN THE BEST INTEREST OF THE HEALTH SYSTEM. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. WHILE THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS, IT IS THE MEMBERS OF THE FINANCE COMMITTEE THAT GO THROUGH AND REVIEW THE RETURN IN DETAIL. UPON RECEIVING THE APPROVAL OF THE BOARD OF DIRECTORS, THE DRAFT IS THEN FINALIZED AND SUBMITTED TO THE IRS. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY COXHEALTH OFFICERS, DIRECTORS AND KEY EMPLOYEES, AS WELL AS OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE COXHEALTH AFFILIATES AND/OR COMMITTEES WITH DELEGATED AUTHORITY TO MAKE DECISIONS, ARE ANNUALLY REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST FOLLOWING THE POLICY, SET FORTH BELOW. THE POLICY REQUIRES THAT BOARD MEMBERS MAKE DECISIONS THAT ARE CONFLICT FREE, OR IF A CONFLICT IS PRESENT, THAT IT IS FULLY DISCLOSED FOR THE BOARD'S CONSIDERATION. COXHEALTH'S EMPLOYEES AND BOARD MEMBERS MUST AVOID ALL ACTIVITIES, ASSOCIATIONS OR INTERESTS THAT CREATE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST FOR EMPLOYEES MUST BE REPORTED TO THE CORPORATE INTEGRITY DEPARTMENT. A FILE WILL BE MAINTAINED OF ALL REPORTED CONFLICTS OF INTEREST. FOR MEDICAL STAFF MEMBERS, THE CONFLICT OF INTEREST PROCESS MAY BE ACCESSED THROUGH THE MEDICAL STAFF OFFICE. FOR BOARD MEMBERS, THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH THE GOVERNANCE SUBCOMMITTEE OF COXHEALTH WITH THE ASSISTANCE OF THE EXECUTIVE OFFICE AND IS DEFINED IN THE CHARTER OF THE GOVERNANCE SUB-COMMITTEE. IF ANY OFFICER OR DIRECTOR IS FOUND TO HAVE A CONFLICT OF INTEREST, SUCH PERSON SHALL NEITHER VOTE NOR USE HIS OR HER INFLUENCE TO AFFECT ANY DECISION RELATING TO THE CONFLICT, AND SUCH PERSON SHOULD NOT BE INCLUDED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION. SUCH PERSON IS PERMITTED TO BRIEFLY STATE HIS OR HER POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS ABOUT IT, IF HIS OR HER KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL COXHEALTH EMPLOYS A DEFINED GOVERNANCE STRUCTURE AROUND EXECUTIVE COMPENSATION. THE BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE THAT IS CHARGED WITH CARRYING OUT THE FUNCTIONS OF EVALUATING AND SETTING EXECUTIVE COMPENSATION THROUGH FORMAL DOCUMENTED MEETINGS THAT OCCUR SEVERAL TIMES DURING THE YEAR. THE COMPENSATION COMMITTEE UTILIZES A WELL RESPECTED INDEPENDENT EXTERNAL ADVISOR TO PROVIDE THIRD PARTY ASSESSMENT AND RECOMMENDATIONS REGARDING COMPENSATION LEVELS AND BENEFIT PROGRAMS FOR THE TOP THREE EXECUTIVES TIERS OF THE ORGANIZATION; THE CEO, CFO AND SENIOR VPS TO ENSURE THE COMPENSATION PROGRAM IS COMPETITIVE AND WITHIN FAIR MARKET VALUE. AFTER A FULL REVIEW OF THE DATA AND THOROUGH DISCUSSION THE COMMITTEE MAKES A SELF DETERMINATION OF COMPENSATION LEVELS SET JANUARY OF EACH YEAR. ANNUALLY THE STEPS NECESSARY TO DOCUMENT REBUTTABLE PRESUMPTION ARE TAKEN AND RECORDED. ADDITIONALLY, COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE CEO USING EXTERNAL COMPARABLE DATA FOR ASSESSMENT AND IS PROVIDED TO THE COMPENSATION COMMITTEE FOR REVIEW ON AN ANNUAL BASIS. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION HOLLY WHERRY, MAX BUETOW, J. TRAVIS BRAWNER, CODY HOEFLICKER, TIMOTHY L JONES, AND AMANDA HEDGPETH ARE RECEIVING COMPENSATION RELATED TO THEIR ROLES AS EMPLOYEES UNDER COXHEALTH AND RELATED AFFILIATES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE OTHER REVENUE - TOTAL REVENUE: 1096299, RELATED OR EXEMPT FUNCTION REVENUE: 1096299, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART IX, LINE 11G OTHER FEES PURCHASED SERVICES - TOTAL EXPENSE: 47314189, PROGRAM SERVICE EXPENSE: 47217359, MANAGEMENT AND GENERAL EXPENSES: 96830, FUNDRAISING EXPENSES: ; CONTRACTED LABOR - TOTAL EXPENSE: 15759271, PROGRAM SERVICE EXPENSE: 15493605, MANAGEMENT AND GENERAL EXPENSES: 265666, FUNDRAISING EXPENSES: ; OTHER CONTRACTED SERVICES - TOTAL EXPENSE: 2697213, PROGRAM SERVICE EXPENSE: 951285, MANAGEMENT AND GENERAL EXPENSES: 1745928, FUNDRAISING EXPENSES: ; CONTRACTED RADIOLOGY SERVICE - TOTAL EXPENSE: 1637777, PROGRAM SERVICE EXPENSE: 1637777, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; CONTRACTED LAUNDRY SERVICES - TOTAL EXPENSE: 859238, PROGRAM SERVICE EXPENSE: 788233, MANAGEMENT AND GENERAL EXPENSES: 71005, FUNDRAISING EXPENSES: ; CONTRACT EQUIPMENT SERVICES - TOTAL EXPENSE: 520895, PROGRAM SERVICE EXPENSE: 477850, MANAGEMENT AND GENERAL EXPENSES: 43045, FUNDRAISING EXPENSES: ; CONTRACTED LAB SERVICES - TOTAL EXPENSE: 267775, PROGRAM SERVICE EXPENSE: 267775, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; CONTRACTED COLLECTION SERVICES - TOTAL EXPENSE: 234737, PROGRAM SERVICE EXPENSE: 0, MANAGEMENT AND GENERAL EXPENSES: 234737, FUNDRAISING EXPENSES: ; CONSULTING SERVICES - TOTAL EXPENSE: 166627, PROGRAM SERVICE EXPENSE: 152857, MANAGEMENT AND GENERAL EXPENSES: 13770, FUNDRAISING EXPENSES: ; CONTRACTED MEDICAL DIRECTOR - TOTAL EXPENSE: 122392, PROGRAM SERVICE EXPENSE: 122392, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; CONTRACTED COURIER SERVICES - TOTAL EXPENSE: 46433, PROGRAM SERVICE EXPENSE: 42596, MANAGEMENT AND GENERAL EXPENSES: 3837, FUNDRAISING EXPENSES: ; OTHER FEES - TOTAL EXPENSE: 11924, PROGRAM SERVICE EXPENSE: 11924, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; CONTRACTED BILLING SERVICES - TOTAL EXPENSE: 3425, PROGRAM SERVICE EXPENSE: 3142, MANAGEMENT AND GENERAL EXPENSES: 283, FUNDRAISING EXPENSES: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN BENEFICIAL INTEREST IN TRUST - 544611; TRANSFER FROM AFFILIATE - 11934; TOTAL - 556545; SKAGGS EMERGENCY PHYSICIANS PO BOX 650 BRANSON MO 65615 352275232 BILLING MO CMCB BRANSON HEART CENTER PO BOX 650 BRANSON MO 65615 300497209 BILLING MO CMCB SKAGGS OCCUPATIONAL HEALTH PO BOX 650 BRANSON MO 65615 383774737 BILLING MO CMCB BRANSON FAMILY MEDICINE CLINIC PO BOX 650 BRANSON MO 65615 322331834 BILLING MO CMCB BRANSON ORTHONEURO CENTER LLC PO BOX 650 BRANSON MO 65615 171952089 MED BLDG MO CMCB COXHEALTH FOUNDATION 3525 S NATIONAL SUITE 204 SPRINGFIELD MO 65807 436810485 FUNDRAISING MO 501(C)(3) TYPE I LESTER E COX false COX-MONETT HOSPITAL INC 801 LINCOLN AVE MONETT MO 65708 431656689 HOSPITAL MO 501(C)(3) 3 COXHEALTH false COX HPS OZKS INC DBA COXHEALTH AT HOME 2220 W SUNSET SPRINGFIELD MO 65807 431641927 HOME HEALTH MO 501(C)(3) 10 COXHEALTH false HC SVCS OZARKS INC DBA COXHEALTH AT HOME PO BOX 10939 SPRINGFIELD MO 65808 431641928 HOME HEALTH MO 501(C)(3) 10 COXHEALTH false LESTER E COX MEDICAL CENTERS 1423 N JEFFERSON ST SPRINGFIELD MO 65802 440577118 HOSPITAL MO 501(C)(3) 3 COXHEALTH false COXHEALTH 1423 N JEFFERSON ST SPRINGFIELD MO 65802 471087427 HOLDING CO MO 501(C)(3) TYPE II NA false COX MEDICAL GROUP 1423 N JEFFERSON ST SPRINGFIELD MO 65802 411087566 PHYSICIANS MO 501(C)(3) TYPE I LESTER E COX false COXHEALTH SYSTEMS HMO PO BOX 6750 SPRINGFIELD MO 65801 431757075 HMO MO 501(C)(4) LESTER E COX false COXHEALTH SYSTEMS INSURANCE COMPANY PO BOX 5750 SPRINGFIELD MO 65801 431684044 INSURANCE MO 501(C)(4) LESTER E COX false COX MEDICAL GROUP CLINICS 3801 S NATIONAL SPRINGFIELD MO 65807 371830627 HEALTHCARE MO 501(C)(3) 10 COXHEALTH false COX BARTON COUNTY HOSPITAL 29 NW 1ST LANE LAMAR MO 64759 823300758 HOSPITAL MO 501(C)(3) 3 COXHEALTH false COXHEALTH RISK SOLUTIONS GRAND PAVILION CORPORATE CENTRE CJ CAPTIVE INSURANCE CJ LESTER E COX C CORPORATION false COX TAXABLE CLOSE CORPORATION 1423 N JEFFERSON SPINGFIELD MO 65802 472573263 MEDICAL CLINIC MO COX MED GROUP C CORPORATION false FERREL-DUNCAN CLINIC 1001 E PRIMROSE SPRINGFIELD MO 65808 430997578 PHYSICIANS MO CTCC C CORPORATION false false false true false false false false false false true false false false false false true true true true