2026-08-14T12:44:59+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 910 E ST LOUIS 200 PO BOX 1190 SPRINGFIELD MO 658062523 990 2024-10-01 431656689 COX-MONETT HOSPITAL INC COX- 4172353144 1000 E US HWY 60 MONETT MO 65708 JAKE MCWAY CFO 4172353144 2026-08-14 true true KRYSTAL CREACH P01248198 4178658701 2026-08-14 2024 2025-03-06 01:10:19Z ANDREA MCKAY 1000 E US HWY 60 MONETT MO 65708 76668527 false X WWW.COXHEALTH.COM X 1993 MO THE ORGANIZATION PROVIDES QUALITY HEALTHCARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 6 4 625 6 493966 0 153455 274558 69687575 75073859 1121457 1315109 2928 5001 70965415 76668527 38459 39276 0 32280325 35959517 0 0 32937573 34547409 65256357 70546202 5709058 6122325 97555229 104150790 43407445 43735877 54147784 60414913 X TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. false false 26410101 39276 36777553 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 PULMONOLOGY, ENT (EAR, NOSE AND THROAT), ORTHOPEDICS, CARDIOLOGY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE, ULTRASOUND AND 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. 10635954 0 14650075 SERVICES PROVIDED AT THE HOSPITAL'S NETWORK OF RURAL HEALTH CLINICS MAKE UP THE SECOND LARGEST PROGRAM SERVICE ACTIVITY. DURING THE YEAR THESE CLINICS SAW 50,742 PATIENT VISITS. 1894280 0 2609201 REHABILITATION SERVICES PROVIDED THROUGH COX-MONETT CREATE THE THIRD LARGEST PROGRAM SERVICE ACTIVITY. THE TEAM MEMBERS AT THIS FACILITY 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. 15563283 0 21437030 EXEMPT PURPOSE ACHIEVEMENTS: 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, 2025. 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. *RENDERED HEALTH CARE SERVICES AND EDUCATIONAL SERVICES SPECIFICALLY DESIGNED TO IMPROVE COMMUNITY HEALTH ARE AS FOLLOWS: -COMMUNITY WELLNESS SERVICES: COX MONETT TEAMED UP WITH THE MISSOURI EXTENSION OFFICE TO OFFER A NEW PRE-DIABETES PROGRAM. ONE IN THREE ADULTS ARE PRE-DIABETIC, AND 90 PERCENT ARE UNAWARE. THE PROGRAM CAN REDUCE THEIR RISK OF GETTING TYPE 2 DIABETES BY 58 PERCENT. THE GOAL OF THE PROGRAM IS TO HELP PARTICIPANTS LOSE 5-7 PERCENT OF THEIR BODYWEIGHT AND WORK UP TO 150 MINUTES OF PHYSICAL ACTIVITY PER WEEK BY THE END OF THE 12-MONTH COURSE. THE PROGRAM ALSO FUNCTIONS AS A SUPPORT GROUP, WHERE MEMBERS CAN WORK TOGETHER TO SHARE INFORMATION. -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 15,776. *PROVIDE MANY COMMUNITY HEALTH AND EDUCATION PROGRAMS AND PROJECTS SPECIFICALLY DESIGNED TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY AT NO CHARGE OR AT A REDUCED RATE, SUCH AS: - COMMUNITY HEALTH FAIR, INCLUDING CHOLESTEROL, BLOOD SUGAR AND BLOOD PRESSURE SCREENINGS. VOLUNTEERS OPERATE A FIRST-AID STATION AT MONETT'S FIRST ON FRONT EVENTS. EMPLOYEES PARTICIPATE IN THE COXHEALTH DIAPER DRIVE AND DONATE THE ITEMS TO A LOCAL COMMUNITY KITCHEN AND PANTRY *COMBINED RADIOLOGY TESTS TOTALED 29,551, INPATIENT AND OUTPATIENT SURGERIES TOTALED 1,508. *THE HOSPITAL OWNS FIVE RURAL HEALTH CLINICS IN MONETT AND THE SURROUNDING COMMUNITIES AND PHYSICIAN OFFICE VISITS TOTALED 50,742. 15563283 21437030 54503618 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false true false false false false true 0 0 625 true true true false false false false false false false false false false false X 6 4 false false false false true true true true true false false false true true true true true true true false false false X JOSHUA POWELL 4172353144 1000 E US HWY 60 MONETT MO 65708 HAL L HIGDON CHAIR 1.0 5.0 X X 0 0 0 BRAD E ERWIN BOARD MEMBER 1.0 5.0 X 0 0 0 JEFFERSON M TYNES BOARD MEMBER 1.0 5.0 X 0 0 0 LARRY W LIPSCOMB BOARD MEMBER 1.0 5.0 X 0 0 0 ROBERT C FULP BOARD MEMBER 1.0 5.0 X 0 0 0 SALLY HARGIS BOARD MEMBER 1.0 5.0 X 0 0 0 ANDREA MCKAY PRESIDENT 20.0 20.0 X 178556 178557 32198 JACOB M MCWAY EVP, COXHEALTH CFO 1.0 47.0 X 0 1291822 237764 MAX D BUETOW PRESIDENT & CEO 1.0 47.0 X 0 1641774 335476 VICKIE J NELSON SECRETARY 1.0 44.0 X 0 76966 11837 ALI H AMRO PHYSICIAN 40.0 0 X 770377 0 27799 LAWRENCE DYBEDOCK PHYSICIAN 40.0 0 X 398126 0 24489 MEGAN A CARTER PHYSICIAN 40.0 0 X 402504 0 26061 STEPHEN HUDSON PHYSICIAN 40.0 0 X 467693 0 33357 WILLIAM W GOODMAN PHYSICIAN 40.0 0 X 488898 0 17272 STEVE EDWARDS FORMER PRESIDENT & CEO 0.0 0.0 X 0 622051 33675 2706154 3811170 779928 50 true true false 360 DEGREE MEDICINE 800 STATE HWY 248 STE 2E BRANSON MO 65616 PHYSICIAN SERVICES 1189250 BRYAN TELEMEDICINE 5733 S 34TH STE 500 LINCOLN NE 68516 TELEMEDICINE SERVICES 218186 HEALTHTRUST WORKFORCE SOLUTION PO BOX 742697 ATLANTA GA 30374 CONTRACT LABOR 171988 3 274558 274558 NET PATIENT SERVICE REVENUE 624100 70955178 70955178 RETAIL PHARMACY REVENUE 456110 3870943 3376977 493966 OTHER REVENUE 900099 247738 247738 0 0 0 0 75073859 1315109 1315109 5001 5001 0 5001 5001 0 0 0 0 0 0 0 76668527 74579893 493966 1320110 X 39276 39276 194655 194655 30093281 28920121 1173160 1013221 976218 37003 2698088 2584752 113336 1960272 1872741 87531 9384 9384 16282603 6267743 10014860 0 12414 4779 7635 607937 234631 373306 446061 171704 274357 775111 298367 476744 209421 80613 128808 6316 2431 3885 1460243 562099 898144 2980138 1147159 1832979 310507 119525 190982 MEDICAL SUPPLIES & DRUGS 9116557 9116557 STATE PROVIDER TAX 1963577 1963577 REPAIRS & MAINTENANCE 263318 101360 161958 LICENSES, DUES, SUBSCRIPTION 77151 29698 47453 26671 10267 16404 0 70546202 54503618 16042584 0 238745 290254 25407133 34233292 7271182 10008368 0 0 0 0 634788 636582 147405 377506 62824811 24892526 40697783 37932285 0 0 23158193 20672503 97555229 104150790 2990315 3064542 36796122 35480122 0 0 3621008 5191213 43407445 43735877 X 54147784 60414913 54147784 60414913 97555229 104150790 X 6122325 144804 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9626 9626 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION IS USED FOR LOBBYING PURPOSES. IN FY 2025, THIS AMOUNT WAS $9,626. 791024 791024 27699426 9244628 18454798 38706 38706 0 30537599 13707295 16830304 3758056 1901897 1856159 37932285 DUE FROM AFFILIATE 18385367 DUE FROM THIRD-PARTY PAYERS 1537058 ROU ASSET 515150 DEPOSITS 168359 OTHER RECEIVABLES 66569 20672503 FEDERAL INCOME TAXES EST AMT DUE TO 3RD PARTY 3435000 ESTIMATED INSURANCE COSTS 1241062 ROU LIABILITY 515151 5191213 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 true false true true 2234861 0 2234861 0.03168 11603666 7878213 3725453 0.05281 0 0 0 0.0 0 0 13838527 7878213 5960314 0.08449 0 0 0 0.0 0 0 0 0.0 13688179 7646910 6041269 0.08564 53406 0 53406 0.00076 39276 0 39276 0.00056 0 0 13780861 7646910 6133951 0.08695 0 0 27619388 15525123 12094265 0.17144 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 8193796 1286426 31491598 30167737 1323861 X true true 1 1 COX-MONETT HOSPITAL INC 1000 E US HIGHWAY 60 MONETT MO 65708 WWW.COXHEALTH.COM 389-32 X X X X 1 1 1 false false true X X X X X X X X X 24 true true 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 - COX-MONETT HOSPITAL, INC. THE HOSPITAL FACILITY OBTAINED INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED THROUGH THE 2025 MONETT COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE COMMUNITY SERVED INCLUDES LAWRENCE AND BARRY COUNTIES, MISSOURI, AND INCLUDES THE SERVICE AREAS OF MERCY HOSPITAL CASSVILLE, MERCY HOSPITAL AURORA, COXHEALTH HOSPITAL MONETT, THE BARRY COUNTY HEALTH DEPARTMENT, AND THE LAWRENCE COUNTY HEALTH DEPARTMENT. THE CHNA PROCESS WAS GUIDED BY A STEERING COMMITTEE WORKING GROUP REPRESENTED BY THE LAWRENCE COUNTY HEALTH DEPARTMENT, COXHEALTH SYSTEM, AND MERCY. THE WORKING GROUP IDENTIFIED PRIORITY HEALTH ISSUES, ANALYZED QUANTITATIVE AND QUALITATIVE DATA, AND GUIDED THE PRIORITIZATION PROCESS FOR THE LARGER GROUP OF COMMUNITY PARTNERS. THE PROCESS INCLUDED A SPECIAL MEETING OF COMMUNITY STAKEHOLDERS AND PARTNERS TO ASSESS AND PRIORITIZE IDENTIFIED HEALTH ISSUES USING PRIMARY AND SECONDARY DATA SOURCES AND TO FURTHER INCORPORATE COMMUNITY FEEDBACK. ON JANUARY 7, 2025, THE MONETT COMMUNITY CONVENED A VIRTUAL STAKEHOLDER MEETING WITH 61 COMMUNITY PARTNERS AND COLLABORATORS. PARTICIPANTS REPRESENTED HEALTH CARE, EDUCATION, PUBLIC HEALTH, LIBRARIES, LAW ENFORCEMENT, COMMUNITY-BASED ORGANIZATIONS, AND COURT SYSTEMS. REPRESENTATIVES OF PUBLIC AGENCIES, NONPROFIT ORGANIZATIONS, LOCAL COLLABORATIVES, COALITIONS, AND COMMUNITY LEADERS WERE INVITED TO PARTICIPATE. DURING THE MEETING, WORKING GROUP REPRESENTATIVES PRESENTED HEALTH ISSUES, HIGHLIGHTED COMMUNITY INPUT, AND REVIEWED RELATED HEALTH FACTORS AND OUTCOMES FOR WHICH THE MONETT COMMUNITY HAD WORSE RATES THAN THE OHC REGION, MISSOURI, OR THE NATION. THE INPUT PROCESS REFLECTED THE NEEDS OF THE BROADER COMMUNITY, INCLUDING POPULATIONS AND GROUPS IDENTIFIED IN THE CHNA AS EXPERIENCING OR POTENTIALLY EXPERIENCING HEALTH DISPARITIES OR BARRIERS TO CARE. THESE INCLUDED THE LARGELY RURAL POPULATION, HISPANIC RESIDENTS, OLDER ADULTS, RESIDENTS LIVING WITH A DISABILITY, AND RESIDENTS FACING FINANCIAL OR SCHEDULING BARRIERS TO OBTAINING CARE. THE HOSPITAL FACILITY CONSIDERED THIS INPUT, TOGETHER WITH PRIMARY, SECONDARY, QUANTITATIVE, AND QUALITATIVE DATA, IN ASSESSING AND PRIORITIZING COMMUNITY HEALTH NEEDS, CONSISTENT WITH SCHEDULE H GUIDANCE TO SUMMARIZE THE METHODS AND TIME PERIOD OF CONSULTATION, THE ORGANIZATIONS PROVIDING INPUT, AND THE POPULATIONS REPRESENTED. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY 1, 1 FACILITY 1, 1 - COX-MONETT HOSPITAL, INC. THE HOSPITAL FACILITY CONDUCTED ITS 2025 MONETT COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVELY WITH OTHER HOSPITAL FACILITIES. THE COLLABORATING HOSPITALS ARE AS FOLLOWS: - COXHEALTH HOSPITAL MONETT - MERCY HOSPITAL CASSVILLE - MERCY HOSPITAL AURORA SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY 1, 1 FACILITY 1, 1 - COX-MONETT HOSPITAL, INC. THE CHNA WAS ALSO CONDUCTED WITH LOCAL PUBLIC HEALTH AGENCIES ARE AS FOLLOWS: - BURRELL BEHAVIORAL HEALTH - BARRY COUNTY HEALTH DEPARTMENT - LAWRENCE COUNTY HEALTH DEPARTMENT - MONETT PUBLIC SCHOOLS - CLARK COMMUNITY MENTAL HEALTH CENTER - SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY 1, 1 FACILITY 1, 1 - COX-MONETT HOSPITAL, INC. 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 WEBSITE: HTTP://WWW.OZARKSHEALTHCOMMISSION.ORG HTTP://WWW.MERCY.NET HTTP://WWW.COXHEALTH.COM SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY 1, 1 FACILITY 1, 1 - COX-MONETT HOSPITAL, INC. THE 2025 MONETT CHNA PRIORITIZED THREE SIGNIFICANT HEALTH NEEDS: MENTAL/BEHAVIORAL HEALTH, HEART HEALTH, AND DIABETES. THE HOSPITAL FACILITY IS ADDRESSING THESE NEEDS THROUGH A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)/IMPLEMENTATION PLAN FRAMEWORK THAT WILL BE USED TO INFORM PUBLIC HEALTH AND HEALTH CARE INITIATIVES AND IS INTENDED TO GUIDE WORK OVER THE FOLLOWING THREE YEARS. FOR MENTAL/BEHAVIORAL HEALTH, THE IMPLEMENTATION PLAN INCLUDES STRATEGIES TO REDUCE BARRIERS TO BEHAVIORAL HEALTH CARE, INCLUDING PROMOTING STIGMA REDUCTION RELATED TO MENTAL HEALTH AND SUBSTANCE USE. FOR HEART HEALTH AND DIABETES, THE PLAN FOCUSES ON IMPROVING CHRONIC DISEASE MANAGEMENT THROUGH REFERRALS TO CHRONIC DISEASE SELF-MANAGEMENT EDUCATION, ENROLLMENT IN CARE MANAGEMENT PROGRAMS, AND ENGAGEMENT IN MEDICATION THERAPY MANAGEMENT. AS A SUPPORTING CHRONIC DISEASE PREVENTION STRATEGY (RELEVANT TO HEART HEALTH AND DIABETES RISK REDUCTION), THE PLAN ALSO INCLUDES AN OBJECTIVE TO DECREASE TOBACCO AND VAPE USE RATES AND TO EQUIP CLINICIANS WITH TOOLS, EDUCATION, AND/OR TRAINING TO IDENTIFY TOBACCO AND VAPE USE AND OFFER SUPPORT/RESOURCES, NOTING THAT TOBACCO USE CONTRIBUTES TO CARDIOVASCULAR DISEASE AND DIABETES. IMPLEMENTATION OF THE PLAN RELIES ON COLLABORATION AMONG HEALTHCARE PROVIDERS, PUBLIC HEALTH AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS. PROGRESS TOWARD CHIP GOALS IS CONTINUALLY TRACKED AND EVALUATED, AND ADVANCEMENT IS REFLECTED ON THE CHIP SCORECARD. THE CHNA AND IMPROVEMENT PLAN MATERIALS PROVIDED DO NOT IDENTIFY ANY PRIORITIZED SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY 1, 1 FACILITY 1, 1 - COX-MONETT HOSPITAL, INC. 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 - COX-MONETT HOSPITAL, INC. 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 - COX-MONETT HOSPITAL, INC. 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. 9 COXHEALTH MONETT CLINIC 1000 E US HIGHWAY 60 MONETT MO 65708 RURAL HEALTH CLINIC COX REHAB AND SPORTS MEDICINE 700 E CLEVELAND AVENUE MONETT MO 65708 REHABILITATION COX MONETT URGENT CARE 2200 E CLEVELAND AVENUE MONETT MO 65708 URGENT CARE COXHEALTH SURGERY MONETT 1000 E US HIGHWAY 60 MONETT MO 65708 CLINIC-GENERAL SURGERY COXHEALTH CASSVILLE 75 SMITHSON DRIVE SUITE A CASSVILLE MO 65625 RURAL HEALTH CLINIC COXHEALTH CENTER MT VERNON 10763 HWY 39 SUITE 200 MT VERNON MO 65712 RURAL HEALTH CLINIC COXHEALTH CENTER AURORA 106 COMMERCE DRIVE AURORA MO 65605 RURAL HEALTH CLINIC COXHEALTH CENTER CRANE 102 CORTNEY LANE CRANE MO 65633 RURAL HEALTH CLINIC COXHEALTH CENTER CASSVILLE 75 SMITHSON DRIVE SUITE B CASSVILLE MO 65625 OUTPATIENT SERVICES 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 THE POLICY. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OFCOST ON IRS WORKSHEETS 1 AND 3. THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USINGTOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A). SCHEDULE H, PART I, LINE 7 PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER FORM 990. SCHEDULE H, PART I, LINE 7G SUBSIDIZED SERVICES THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTER (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $6,041,268. 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. 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 THE 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 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 - COX-MONETT HOSPITAL, INC: LINE 16A URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE 1 - COX-MONETT HOSPITAL, INC: 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 - COX-MONETT HOSPITAL, INC: LINE 16C URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT THE ORGANIZATION ASSESSES COMMUNITY HEALTH CARE NEEDS ON AN ONGOING, STRUCTURED CYCLE THROUGH A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COORDINATED THROUGH THE OZARKS HEALTH COMMISSION (OHC), A REGIONAL COLLABORATION OF HOSPITAL SYSTEMS, LOCAL PUBLIC HEALTH AGENCIES, AND OTHER HEALTH CARE/COMMUNITY PARTNERS. SINCE 2016, OHC PARTNERS HAVE WORKED TOGETHER TO RELEASE COMPREHENSIVE CHNAS EVERY THREE YEARS, INCLUDING COMMUNITY-LEVEL REPORTS IN 2016, 2019, 2022, AND 2025. FOR PURPOSES OF THE 2025 MONETT CHNA, THE MONETT COMMUNITY INCLUDES BARRY AND LAWRENCE COUNTIES AND ENCOMPASSES THE SERVICE AREAS OF MERCY HOSPITAL CASSVILLE, MERCY HOSPITAL AURORA, COXHEALTH HOSPITAL MONETT, THE BARRY COUNTY HEALTH DEPARTMENT, AND THE LAWRENCE COUNTY HEALTH DEPARTMENT. THE NEEDS ASSESSMENT APPROACH IS DATA-DRIVEN AND INCORPORATES BOTH QUANTITATIVE AND QUALITATIVE INFORMATION USING PRIMARY AND SECONDARY DATA SOURCES. THE 2025 MONETT IMPROVEMENT PLAN FURTHER DESCRIBES THAT NEEDS ARE ASSESSED USING COUNTY-LEVEL PUBLIC HEALTH DATA, MISSOURI HOSPITAL ASSOCIATION DATA, AND COMMUNITY STAKEHOLDER/MEMBER INPUT GATHERED THROUGH INTERVIEWS, FOCUS GROUPS, AND SURVEYS. COMMUNITY INPUT IS INTEGRATED INTO NEEDS IDENTIFICATION AND PRIORITIZATION. THE MONETT COMMUNITY CONVENED A STAKEHOLDER MEETING TO ASSESS AND PRIORITIZE IDENTIFIED HEALTH ISSUES AND INCORPORATE COMMUNITY FEEDBACK; ON JANUARY 7, 2025, 61 COMMUNITY PARTNERS AND COLLABORATORS PARTICIPATED, REPRESENTING HEALTH CARE, EDUCATION, PUBLIC HEALTH, LIBRARIES, LAW ENFORCEMENT, COMMUNITY-BASED ORGANIZATIONS, AND COURT SYSTEMS. THE IMPROVEMENT PLAN ALSO EXPLAINS THAT A DIVERSE GROUP OF LOCAL STAKEHOLDERS USED PUBLIC HEALTH DATA, HOSPITAL DATA, COMMUNITY FEEDBACK, AND SURVEY DATA TO PRIORITIZE ISSUES BASED ON FEASIBILITY OF CHANGE AND COMMUNITY READINESS. THROUGH THIS ASSESSMENT AND PRIORITIZATION PROCESS, THE 2025 MONETT CHNA IDENTIFIED THREE TOP COMMUNITY HEALTH PRIORITIES: MENTAL/BEHAVIORAL HEALTH, HEART HEALTH, AND DIABETES. THE ORGANIZATION AND ITS PARTNERS USE CHNA RESULTS TO INFORM PUBLIC HEALTH AND HEALTH CARE INITIATIVES AND TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS (CHIPS)/IMPLEMENTATION PLANS WITH OBJECTIVES AND TACTICS. THE IMPROVEMENT PLAN DESCRIBES A STRUCTURED IMPLEMENTATION PLANNING AND APPROVAL PROCESS, INCLUDING LEADERSHIP/BOARD APPROVAL, AND STATES THAT PROGRESS IS CONTINUALLY TRACKED AND EVALUATED WITH ADVANCEMENT REFLECTED ON THE CHIP SCORECARD. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE COXHEALTH SYSTEM 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. - THE COXHEALTH SYSTEM 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 THE COXHEALTH SYSTEM 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 THE PRIMARY SERVICE AREA (PSA) COUNTIES SERVED BY THE COXHEALTH SYSTEM INCLUDE: BARRY, BARTON, CHRISTIAN, GREENE, LAWRENCE, STONE, TANEY, AND WEBSTER (ALL PSA COUNTIES ARE LOCATED IN MISSOURI). THE SECONDARY SERVICE AREA (SSA) COUNTIES SERVED BY THE COXHEALTH SYSTEM INCLUDE: BAXTER - AR, BOONE - AR, CARROLL - AR, CEDAR, DADE, DALLAS, DOUGLAS, HICKORY, HOWELL, LACLEDE, MARION - AR, OREGON, OZARK, POLK, PULASKI, TEXAS, AND WRIGHT (ALL SSA COUNTIES ARE LOCATED IN MISSOURI EXCEPT BAXTER, BOONE, CARROLL, AND MARION COUNTIES IN ARKANSAS). THE TOTAL POPULATION IN THE SERVICE AREA IS APPROACHING THE ONE MILLION AND APPROXIMATELY 58% OF THE TOTAL 25-COUNTY POPULATION IS IN THE SEVEN COUNTY PRIMARY SERVICE AREA. SLIGHTLY MORE THAN 50% OF THE MARKET IS FEMALE AND ALMOST NEARLY 18% OF THE SERVICE AREA IS FEMALE BETWEEN THE AGES OF 15 AND 44. THE SEGMENT OF THE POPULATION OVER THE AGE OF 65 IS ALMOST 20% OF THE TOTAL POPULATION AND IS PROJECTED TO INCREASE 12% BETWEEN 2020 AND 2025. THE AVERAGE HOUSEHOLD INCOME IS $64,665 IN THE TOTAL 25-COUNTY SERVICE AREA COMPARED WITH $79,915 FOR THE STATE OF MISSOURI. DIVERSITY IS VERY LOW IN THE 24-COUNTY SERVICE AREA AS 91% OF THE POPULATION IS WHITE ALONE. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH COX MONETT HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE ACTIVELY LIVE THIS MISSION BY PROVIDING QUALITY, AFFORDABLE HEALTH CARE TO THE COMMUNITIES WE SERVE. COMMUNITY INVOLVEMENT INCLUDES SUPPORTING ORGANIZATIONS THAT ALIGN WITH OUR MISSION, VISION AND VALUES. WE WERE ABLE TO ACHIEVE THIS IN THE FOLLOWING WAYS, INCLUDING COLLABORATING WITH THE MISSOURI EXTENSION OFFICE TO OFFER A PRE-DIABETES PROGRAM. THIS PROGRAM TEACHES PARTICIPANTS HOW TO LIVE A HEALTHY LIFESTYLE. THE LIVE WELL WELLNESS SCREENING IS OFFERED TO THE COMMUNITY WITH LAB SCREENINGS AND OTHER SERVICES AVAILABLE AT A SIGNIFICANTLY REDUCED COST. COX MONETT PARTNERS WITH THE BREAST CANCER FOUNDATION OF THE OZARKS TO OFFER FREE SCREENING MAMMOGRAMS FOR THE UNINSURED OR UNDERINSURED. COX MONETT STAFF VOLUNTEER TO WORK AT A FIRST AID STATION DURING FIRST ON FRONT, A MUSIC FESTIVAL OFFERD DURING THE SUMMER MONTHS IN DOWNTOWN MONETT. COX MONETT'S ADMINISTRATIVE LEADERS PARTICIPATE IN MANY CIVIC ORGANIZATIONS WHOSE PURPOSE IS TO IMPROVE THE LIVES OF COMMUNITY MEMBERS. EXAMPLES INCLUDE THE MONETT CHAMBER OF COMMERCE. DINING FOR DIABETES IS A YEARLY EVENT THAT RAISES MONEY FOR PATIENTS IN THE COMMUNITY WHO CANNOT AFFORD THE COST OF THE DISEASE. THE EVENT RAISES FUNDS TO HELP PATIENTS WITH SUPPLIES AND EQUIPMENT NEEDED, TRAVEL TO/FROM APPOINTMENTS, AND DISEASE MANAGEMENT EDUCATION. LAST YEAR, THE EVENT RAISED OVER $100,000. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM AFFILIATED HEALTH CARE SYSTEM: COXHEALTH IS THE PARENT OF LESTER E. COX MEDICAL CENTERS AND ITS WHOLLY OWNED AND/OR CONTROLLED 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 BEEN 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. false true false false false false false false false STEVE EDWARDS FORMER PRESIDENT & CEO 0 313523 0 0 0 308528 0 17250 0 16425 0 655726 0 308528 MAX D BUETOW PRESIDENT & CEO 0 1131935 0 454236 0 55603 0 319300 0 16176 0 1977250 0 24951 ANDREA MCKAY PRESIDENT 149557 149559 23354 23353 5645 5645 8625 8625 7474 7474 194655 194656 0 0 JACOB M MCWAY EVP, COXHEALTH CFO 0 822771 0 245588 0 223463 0 217234 0 20530 0 1529586 0 174788 ALI H AMRO PHYSICIAN 770137 0 0 0 240 0 16675 0 11124 0 798176 0 0 0 MEGAN A CARTER PHYSICIAN 401814 0 0 0 690 0 17250 0 8811 0 428565 0 0 0 LAWRENCE DYBEDOCK PHYSICIAN 387742 0 9094 0 1290 0 9529 0 14960 0 422615 0 0 0 WILLIAM W GOODMAN PHYSICIAN 486918 0 0 0 1980 0 0 0 17272 0 506170 0 0 0 STEPHEN HUDSON PHYSICIAN 466403 0 0 0 1290 0 17250 0 16107 0 501050 0 0 0 SCHEDULE J, PART I, LINE 1A HEALTH AND 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, AND JACOB MCWAY 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. 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. FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES (EXPENSES $ 15,563,283 INCLUDING GRANTS OF $ 0)(REVENUE $ 21,437,030) EXEMPT PURPOSE ACHIEVEMENTS: 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, 2025. 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. *RENDERED HEALTH CARE SERVICES AND EDUCATIONAL SERVICES SPECIFICALLY DESIGNED TO IMPROVE COMMUNITY HEALTH ARE AS FOLLOWS: -COMMUNITY WELLNESS SERVICES: COX MONETT TEAMED UP WITH THE MISSOURI EXTENSION OFFICE TO OFFER A NEW PRE-DIABETES PROGRAM. ONE IN THREE ADULTS ARE PRE-DIABETIC, AND 90 PERCENT ARE UNAWARE. THE PROGRAM CAN REDUCE THEIR RISK OF GETTING TYPE 2 DIABETES BY 58 PERCENT. THE GOAL OF THE PROGRAM IS TO HELP PARTICIPANTS LOSE 5-7 PERCENT OF THEIR BODYWEIGHT AND WORK UP TO 150 MINUTES OF PHYSICAL ACTIVITY PER WEEK BY THE END OF THE 12-MONTH COURSE. THE PROGRAM ALSO FUNCTIONS AS A SUPPORT GROUP, WHERE MEMBERS CAN WORK TOGETHER TO SHARE INFORMATION. -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 15,776. *PROVIDE MANY COMMUNITY HEALTH AND EDUCATION PROGRAMS AND PROJECTS SPECIFICALLY DESIGNED TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY AT NO CHARGE OR AT A REDUCED RATE, SUCH AS: - COMMUNITY HEALTH FAIR, INCLUDING CHOLESTEROL, BLOOD SUGAR AND BLOOD PRESSURE SCREENINGS. VOLUNTEERS OPERATE A FIRST-AID STATION AT MONETT'S FIRST ON FRONT EVENTS. EMPLOYEES PARTICIPATE IN THE COXHEALTH DIAPER DRIVE AND DONATE THE ITEMS TO A LOCAL COMMUNITY KITCHEN AND PANTRY *COMBINED RADIOLOGY TESTS TOTALED 29,551, INPATIENT AND OUTPATIENT SURGERIES TOTALED 1,508. *THE HOSPITAL OWNS FIVE RURAL HEALTH CLINICS IN MONETT AND THE SURROUNDING COMMUNITIES AND PHYSICIAN OFFICE VISITS TOTALED 50,742. FORM 990, PART IV, LINE 24A TAX EXEMPT BONDS LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, REPORTS BONDS RELATED TO COX-MONETT ON ITS FORM 990, SCHEDULE K. AN ALLOCATION OF COX-MONETT'S PORTION OF RELATED BONDS IS REPORTED ON PART X, LINE 20. FORM 990, PART VI, LINE 8B MEETING DOCUMENTATION THE ORGANIZATION'S GOVERNING BODY DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS COX-MONETT SHALL HAVE ONE MEMBER WHICH SHALL BE 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 COXMONETT; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF COX-MONETT AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF COX-MONETT; (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-MONETT, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE OF THE BYLAWS, AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND COX-MONETT; (F) TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF COX-MONETT; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR COX-MONETT 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-MONETT IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF COX-MONETT; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF COX-MONETT OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF COX-MONETT; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY COX-MONETT OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF COXMONETT; (M) APPROVAL OF COX-MONETT'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-MONETT OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (O) TO APPROVE THE SALE OR PURCHASE OF ANY PROPERTY OF COX-MONETT 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-MONETT, 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-MONETT; (Q) TO REQUIRE COX-MONETT TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER AND/OR PARENT; (R) TO APPROVE THE TRANSFER OF ASSETS BY COX-MONETT TO ANY ENTITY OTHER THAN THE MEMBER AND/OR PARENT, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF COX-MONETT 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-MONETT 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-MONETT, 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-MONETT; (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-MONETT 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 MONETT 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. 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. 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 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 MEMBER THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH THE GOVERNANCE SUB-COMMITTEE 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 EXECUTIVES OF THE ORGANIZATION TO ENSURE THE COMPENSATION PROGRAM IS COMPETITIVE AND WITHIN FAIR MARKET VALUE. AFTER A FULL REVIEW OF THE DATA AND THOROUGH DISCUSSION THE COMMITTEE MAKES A SELF DETERMINATION OF COMPENSATION LEVELS SET JANUARY 1 OF EACH YEAR. ANNUALLY THE STEPS NECESSARY TO DOCUMENT REBUTTABLE PRESUMPTION ARE TAKEN AND RECORDED. ADDITIONALLY, COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE SYSTEM 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 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. FORM 990, PART IX, LINE 11G OTHER FEES PURCHASED SERVICES - TOTAL EXPENSE: 13018302, PROGRAM SERVICE EXPENSE: 5011201, MANAGEMENT AND GENERAL EXPENSES: 8007101, FUNDRAISING EXPENSES: ; PHYSICIAN SERVICES - TOTAL EXPENSE: 1907960, PROGRAM SERVICE EXPENSE: 734440, MANAGEMENT AND GENERAL EXPENSES: 1173520, FUNDRAISING EXPENSES: ; PHARMACY SERVICES - TOTAL EXPENSE: 598221, PROGRAM SERVICE EXPENSE: 230276, MANAGEMENT AND GENERAL EXPENSES: 367945, FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: 258335, PROGRAM SERVICE EXPENSE: 99442, MANAGEMENT AND GENERAL EXPENSES: 158893, FUNDRAISING EXPENSES: ; HOUSEKEEPING SERVICES - TOTAL EXPENSE: 166894, PROGRAM SERVICE EXPENSE: 64243, MANAGEMENT AND GENERAL EXPENSES: 102651, FUNDRAISING EXPENSES: ; RADIOLOGY SERVICES - TOTAL EXPENSE: 134060, PROGRAM SERVICE EXPENSE: 51604, MANAGEMENT AND GENERAL EXPENSES: 82456, FUNDRAISING EXPENSES: ; LAUNDRY SERVICES - TOTAL EXPENSE: 84726, PROGRAM SERVICE EXPENSE: 32614, MANAGEMENT AND GENERAL EXPENSES: 52112, FUNDRAISING EXPENSES: ; LAB SERVICES - TOTAL EXPENSE: 54734, PROGRAM SERVICE EXPENSE: 21069, MANAGEMENT AND GENERAL EXPENSES: 33665, FUNDRAISING EXPENSES: ; BILLING SERVICES - TOTAL EXPENSE: 37443, PROGRAM SERVICE EXPENSE: 14413, MANAGEMENT AND GENERAL EXPENSES: 23030, FUNDRAISING EXPENSES: ; COURIER SERVICES - TOTAL EXPENSE: 21928, PROGRAM SERVICE EXPENSE: 8441, MANAGEMENT AND GENERAL EXPENSES: 13487, FUNDRAISING EXPENSES: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER FROM AFFILIATES - 144804; TOTAL - 144804; LESTER E COX MEDICAL CENTERS 1423 N JEFFERSON ST SPRINGFIELD MO 65802 440577118 HOSPITAL MO 501(C)(3) 3 COXHEALTH false COXHEALTH FOUNDATION 3525 S NATIONAL SUITE 204 SPRINGFIELD MO 65807 436810485 FUNDRAISING MO 501(C)(3) TYPE I LESTER E COX false COX HPS OZKS 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 SKAGGS COMMUNITY HOSPITAL ASSOCIATION 525 BRANSON LANDING BOULEVARD BRANSON MO 65616 440584290 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 471087566 PHYSICIANS MO 501(C)(3) TYPE I LESTER E COX false COXHEALTH SYSTEMS HMO PO BOX 5750 SPRINGFIELD MO 65802 431757075 HMO 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 HEALTH SYSTEMS INSURANCE COMPANY PO BOX 5750 SPRINGFIELD MO 65801 431684044 INSURANCE MO 501(C)(4) LESTER E COX false COX BARTON COUNTY HOSPITAL 1423 N JEFFERSON SPRINGFIELD MO 65802 823300758 HOSPITAL MO 501(C)(3) 3 COXHEALTH false COXHEALTH RISK SOLUTIONS GRAND PAVILION CORPORATE CENTRE GRAND CAYMAN CJ KY1110 CAPTIVE INSURANCE CJ LESTER E COX C CORPORATION false COX TAXABLE CLOSE CORPORATION 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 472573263 MEDICAL CLINIC MO COX MED GROUP C CORPORATION false FERRELL-DUNCAN CLINIC INC 1001 E PRIMROSE SPRINGFIELD MO 65808 430991578 PHYSICIANS MO COX TAX CLOSE C CORPORATION false false false true true false false false false false true false false false false false true true false true