COX BARTON COUNTY HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
COX BARTON COUNTY HOSPITAL (EIN 82-3300758)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-14
IRS object ID
202642269349302564
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-14T12:29:17+00:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS MAZARS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200 PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN823300758EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COX BARTON COUNTY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOXBBusinessNameControlTxt
Phone4176815100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line129 NW 1ST LANEAddressLine1Txt
CityLAMARCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64759ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACOB MCWAYPersonNm
Person TitleCOXHEALTH CFOPersonTitleTxt
Phone4176815100PhoneNum
Signature2026-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRYSTAL CREACHPreparerPersonNm
PTINP01248198PTIN
Phone4178658701PhoneNum
Preparation2026-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREA MCKAYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line129 NW 1ST LANEAddressLine1Txt
CityLAMARCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64759ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$33,732,889GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COXHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee319TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$192,842TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$47,863PYContributionsGrantsAmt
CY Contributions Grants$13,890CYContributionsGrantsAmt
PY Program Service Revenue$32,805,727PYProgramServiceRevenueAmt
CY Program Service Revenue$33,545,071CYProgramServiceRevenueAmt
PY Investment Income$185,479PYInvestmentIncomeAmt
CY Investment Income$172,424CYInvestmentIncomeAmt
PY Other Revenue$900PYOtherRevenueAmt
CY Other Revenue$1,504CYOtherRevenueAmt
PY Total Revenue$33,039,969PYTotalRevenueAmt
CY Total Revenue$33,732,889CYTotalRevenueAmt
PY Grants And Similar Paid$36,221PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,506CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,123,321PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$18,544,525CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,899,642PYOtherExpensesAmt
CY Other Expenses$13,203,038CYOtherExpensesAmt
PY Total Expenses$30,059,184PYTotalExpensesAmt
CY Total Expenses$31,750,069CYTotalExpensesAmt
PY Revenues Less Expenses$2,980,785PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,982,820CYRevenuesLessExpensesAmt
Total Assets BOY$26,814,488TotalAssetsBOYAmt
Total Assets EOY$28,242,871TotalAssetsEOYAmt
Total Liabilities BOY$16,935,203TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,380,766TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,879,285NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,862,105NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$23,267,951ExpenseAmt
Grant$2,506GrantAmt
Revenue$27,696,163RevenueAmt
DescINPATIENT AND OUTPATIENT SERVICES PROVIDED AT THE HOSPITAL 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 GENERAL SURGERY, RADIOLOGY (X-RAY, CT, MRI, NUCLEAR MEDICINE, ULTRASOUND, AND MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY DEPARTMENT, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL SURGICAL UNIT, PHARMACY AND COMMUNITY WELLNESS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,913,753ExpenseAmt
Grant$0GrantAmt
Revenue$5,848,908RevenueAmt
DescSERVICES PROVIDED AT THE HOSPITAL'S RURAL HEALTH CLINIC LOCATIONS MAKE UP THE SECOND LARGEST PROGRAM SERVICE ACTIVITY. DURING THE YEAR THESE CLINICS SAW 21,304 PATIENT VISITS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$28,181,704TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee319EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOSHUA POWELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4176815100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line129 NW 1ST LANEAddressLine1Txt
CityLAMARCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64759ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HAL L HIGDON
CHAIR1.05.0Yes (X)Yes (X)$0$0$0
BRAD E ERWIN
BOARD MEMBER1.05.0Yes (X)$0$0$0
JEFFERSON M TYNES
BOARD MEMBER1.05.0Yes (X)$0$0$0
LARRY W LIPSCOMB
BOARD MEMBER1.05.0Yes (X)$0$0$0
ROBERT C FULP
BOARD MEMBER1.05.0Yes (X)$0$0$0
SALLY HARGIS
BOARD MEMBER1.05.0Yes (X)$0$0$0
ANDREA MCKAY
PRESIDENT20.020.0Yes (X)$178,557$178,556$32,198
JACOB M MCWAY
EVP, COXHEALTH CFO1.047.0Yes (X)$0$1,291,822$237,764
MAX D BUETOW
PRESIDENT & CEO1.047.0Yes (X)$0$1,641,774$335,476
VICKIE J NELSON
SECRETARY1.044.0Yes (X)$0$76,966$11,837
CLINTON LOY JR
PHYSICIAN40.00$370,498$0$17,540Yes (X)
CLINTON R LOY
PHYSICIAN40.00$490,357$0$34,522Yes (X)
DAVID M STEELE
PHYSICIAN40.00$464,388$0$33,369Yes (X)
JOSHUA WILLIAMS
PHYSICIAN40.00$353,850$0$32,426Yes (X)
MICHELLE PANNELL
PHYSICIAN40.00$354,628$0$29,151Yes (X)
CHRISTOPHER WYATT
FORMER PRESIDENT0.00$184,311$0$17,109Yes (X)
STEVE EDWARDS
FORMER PRESIDENT & CEO0.00.0$0$622,051$33,675Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,396,589TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,811,169TotReportableCompRltdOrgAmt
Total Other Compensation$815,067TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K30IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
BAXLEY ANESTHETICS
10850 COUNTY LN 253WEBB CITYMO64870ANESTHESIA SERVICES$412,680
SHARED MEDICAL SERVICES
209 LIMESTONE PASSCOTTAGE GROVEWI53527MRI SERVICES$222,800
BRYAN TELEMEDICINE
5733 S 34THLINCOLNNE68516TELEMEDICINE SERVICES$208,924STE 500
PREMIER SPECIALTY NETWORK
3610 BUTTONWOOD DRCOLUMBIAMO65201PHYSICIAN SERVICES$192,714STE 200
HEALTHTRUST WORKFORCE SOLUTION
PO BOX 742697ATLANTAGA30374CONTRACT LABOR$176,289
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$10,022RelatedOrganizationsAmt
All Other Contributions$3,868AllOtherContributionsAmt
Total Contributions$13,890TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE624100$30,406,132$30,406,132
PHARMACY REVENUE456110$1,829,826$1,636,984$192,842
OTHER REVENUE900099$1,210,511$1,210,511
CAFETERIA REVENUE722514$98,602$98,602

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$33,545,071TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,424TotalRevenueColumnAmt
Exclusion$172,424ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,504RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,504RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,504TotalRevenueColumnAmt
Exclusion$1,504ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,732,889TotalRevenueColumnAmt
Related Or Exempt Func Income$33,352,229RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$192,842UnrelatedBusinessRevenueAmt
Exclusion$173,928ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,506TotalAmt
Program Services$2,506ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$194,656TotalAmt
Management And General$194,656ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$201,420TotalAmt
Management And General$201,420ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,946,601TotalAmt
Program Services$13,425,724ProgramServicesAmt
Management And General$1,520,877ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$484,796TotalAmt
Program Services$476,565ProgramServicesAmt
Management And General$8,231ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,730,705TotalAmt
Program Services$1,677,150ProgramServicesAmt
Management And General$53,555ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$986,347TotalAmt
Program Services$944,680ProgramServicesAmt
Management And General$41,667ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,384TotalAmt
Management And General$9,384ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,309,013TotalAmt
Program Services$6,196,647ProgramServicesAmt
Management And General$1,112,366ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$708TotalAmt
Program Services$566ProgramServicesAmt
Management And General$142ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$115,888TotalAmt
Program Services$92,655ProgramServicesAmt
Management And General$23,233ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$175,508TotalAmt
Program Services$140,317ProgramServicesAmt
Management And General$35,191ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$548,462TotalAmt
Program Services$438,491ProgramServicesAmt
Management And General$109,971ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$38,777TotalAmt
Program Services$31,002ProgramServicesAmt
Management And General$7,775ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,447TotalAmt
Program Services$1,956ProgramServicesAmt
Management And General$491ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$250,494TotalAmt
Program Services$200,268ProgramServicesAmt
Management And General$50,226ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$923,673TotalAmt
Program Services$738,469ProgramServicesAmt
Management And General$185,204ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$2,837,989$2,837,989
PROVIDER TAX$920,989$920,989
LICENSES, DUES, SUBSCRIPTION$68,478$54,748$13,730
RECRUITMENT AND RETENTION$1,228$982$246

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,750,069TotalAmt
Program Services$28,181,704ProgramServicesAmt
Management And General$3,568,365ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,240BOYAmt
EOY$1,240EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,674,518BOYAmt
EOY$4,950,501EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,012,027BOYAmt
EOY$4,316,050EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$260,681BOYAmt
EOY$237,735EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$135,031BOYAmt
EOY$91,493EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,528,750LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,589,560LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,183,555BOYAmt
EOY$11,939,190EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,547,436BOYAmt
EOY$6,706,662EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,814,488BOYAmt
EOY$28,242,871EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,533,374BOYAmt
EOY$1,561,924EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$12,018,641BOYAmt
EOY$11,612,511EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,383,188BOYAmt
EOY$3,206,331EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,935,203BOYAmt
EOY$16,380,766EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,879,285BOYAmt
EOY$11,862,105EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,879,285BOYAmt
EOY$11,862,105EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,814,488BOYAmt
EOY$28,242,871EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,982,820ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$6,895OtherActivitiesAmt
Total Lobbying Expenditures$6,895TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationPORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION (MHA) ARE USED FOR LOBBYING PURPOSES. FOR THE FISCAL YEAR 2025, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $6,895.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$180,776OtherCostOrOtherBasisAmt
Book Value$180,776BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,046,638OtherCostOrOtherBasisAmt
Depreciation$2,666,492DepreciationAmt
Book Value$9,380,146BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,227,597OtherCostOrOtherBasisAmt
Depreciation$3,920,138DepreciationAmt
Book Value$2,307,459BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,739OtherCostOrOtherBasisAmt
Depreciation$2,930DepreciationAmt
Book Value$70,809BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,939,190TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DEFERRED ASSET$3,934,151
DUE FROM AFFILIATE$1,417,787
OTHER RECEIVABLES$1,147,724
DUE FROM 3RD PARTY$207,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,706,662TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
FEDERAL INCOME TAXES
DUE TO 3RD PARTY$2,711,000
ESTIMATED INSURANCE COSTS$495,331
DUE TO AFFILIATEDUE TO AFFILIATE
FieldValueIRS element (for citing)
Total Liability$3,206,331TotalLiabilityAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONSFormAndLineReferenceDesc
ExplanationMANAGEMENT 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CarefalseFPGReferenceFreeCareInd
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$926,495TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$926,495NetCommunityBenefitExpnsAmt
Total Expense0.02918TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,649,180TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,005,278DirectOffsettingRevenueAmt
Net Community Benefit Expns$643,902NetCommunityBenefitExpnsAmt
Total Expense0.02028TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$7,575,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,005,278DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,570,397NetCommunityBenefitExpnsAmt
Total Expense0.04946TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,051,905TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,666,965DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,384,940NetCommunityBenefitExpnsAmt
Total Expense0.07512TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,021TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,021NetCommunityBenefitExpnsAmt
Total Expense0.00104TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,506TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,506NetCommunityBenefitExpnsAmt
Total Expense0.00008TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,087,432TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,666,965DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,420,467NetCommunityBenefitExpnsAmt
Total Expense0.07624TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$12,663,107TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,672,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,990,864NetCommunityBenefitExpnsAmt
Total Expense0.12570TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$2,738,911BadDebtExpenseAmt
Bad Debt Expense Attributable$375,231BadDebtExpenseAttributableAmt
Reimbursed By Medicare$15,809,531ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,686,791CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$122,740MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COX BARTON COUNTY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line129 NW 1ST LANEAddressLine1Txt
CityLAMARCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64759ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.COXHEALTH.COMWebsiteAddressTxt
State License247-4StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line11BusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/OwnWebsiteURLTxt
Other Website URL(SEE STATEMENT)OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.COXHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY 1, 1FACILITY 1, 1 - COX BARTON COUNTY HOSPITAL. THE CHNA SOLICITED INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED THROUGH COMMUNITY SURVEY RESPONSES, QUALITATIVE COMMUNITY FEEDBACK, AND A STRUCTURED COMMUNITY PARTNER PRIORITIZATION PROCESS. THE ASSESSMENT WAS CONDUCTED THROUGH A HEALTH EQUITY LENS, WITH ATTENTION TO POPULATIONS DISPROPORTIONATELY AFFECTED BY HEALTH DISPARITIES, INCLUDING RESIDENTS OF RURAL AREAS, PEOPLE EXPERIENCING POVERTY, RACIAL AND ETHNIC MINORITY GROUPS, AND OLDER ADULTS. COMMUNITY INPUT WAS GATHERED THROUGH SURVEY DATA AND OPEN-ENDED RESPONSES THAT IDENTIFIED LOCAL BARRIERS TO HEALTH AND HEALTH CARE ACCESS, INCLUDING COST CONCERNS, DIFFICULTY OBTAINING TIMELY APPOINTMENTS, LACK OF PROVIDERS, SCHEDULING ISSUES, AND INSURANCE-RELATED BARRIERS. THE CHNA PROCESS ALSO INCLUDED A STEERING COMMITTEE/WORK GROUP REPRESENTED BY THE JOPLIN HEALTH DEPARTMENT, JASPER COUNTY HEALTH DEPARTMENT, FREEMAN HEALTH SYSTEM, AND MERCY. THIS GROUP REVIEWED QUANTITATIVE AND QUALITATIVE DATA, APPLIED A SOCIAL DETERMINANTS OF HEALTH FRAMEWORK, AND HELPED GUIDE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH ISSUES. TO FURTHER INCORPORATE COMMUNITY PARTNER INPUT, THE TRI-STATE COMMUNITY HEALTH COLLABORATIVE CONVENED A SPECIAL PRIORITIZATION MEETING. REPRESENTATIVES FROM PUBLIC AGENCIES, NONPROFIT ORGANIZATIONS, LOCAL COLLABORATIVES AND COALITIONS, COLLABORATIVE MEMBERS, AND COMMUNITY LEADERS WERE INVITED TO PARTICIPATE. ON OCTOBER 11, 2024, 47 COMMUNITY PARTNERS AND COLLABORATORS PARTICIPATED IN A HYBRID IN-PERSON/VIRTUAL MEETING, REPRESENTING SECTORS INCLUDING HEALTH CARE, EDUCATION, PUBLIC HEALTH, LIBRARIES, LAW ENFORCEMENT, COMMUNITY-BASED ORGANIZATIONS, AND COURT SYSTEMS. PARTICIPANTS REVIEWED THE IDENTIFIED HEALTH ISSUES, ENGAGED IN OPEN DISCUSSION, AND USED AN ANONYMOUS ELECTRONIC LIVE VOTE, BASED ON A SIMPLIFIED PRIORITIZATION MATRIX, TO HELP ELEVATE THE TOP COMMUNITY HEALTH PRIORITIES.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY 1, 1FACILITY 1, 1 - COX BARTON COUNTY HOSPITAL. THE BARTON COUNTY CHNA WAS CONDUCTED AS PART OF A JOINT "TRI-STATE COMMUNITY" ASSESSMENT COVERING A 10-COUNTY REGION THAT INCLUDES THREE HOSPITAL SYSTEMS-COXHEALTH, FREEMAN HEALTH SYSTEM, AND MERCY-REFLECTING A COLLABORATIVE APPROACH WITH OTHER HOSPITAL FACILITIES RATHER THAN A SINGLE-FACILITY-ONLY CHNA. THE COLLABORATING HOSPITALS ARE AS FOLLOWS: COXHEALTH - COX BARTON COUNTY HOSPITAL FREEMAN HEALTH SYSTEM - FREEMAN WEST HOSPITAL - FREEMAN NEOSHO HOSPITAL - FREEMAN FORT SCOTT HOSPITAL MERCY - MERCY HOSPITAL JOPLIN - MERCY HOSPITAL CARTHAGE - MERCY HOSPITAL COLUMBUS - MERCY HOSPITAL PITTSBURG - MERCY SPECIALTY HOSPITAL OF SOUTHEAST KANSAS
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY 1, 1FACILITY 1, 1 - COX BARTON COUNTY HOSPITAL. THE COLLABORATING ORGANIZATIONS OTHER THAN HOSPITALS ARE AS FOLLOWS: - COXHEALTH CLINICS - FREEMAN CLINICS - OZARK CENTER - MERCY-GOHEALTH - MERCY CLINICS THE COLLABORATING LOCAL PUBLIC HEALTH AGENCIES ARE AS FOLLOWS: - JOPLIN CITY HEALTH DEPARTMENT - JASPER COUNTY HEALTH DEPARTMENT - NEWTON COUNTY HEALTH DEPARTMENT - MCDONALD COUNTY HEALTH DEPARTMENT - BARTON COUNTY HEALTH DEPARTMENT - VERNON COUNTY HEALTH DEPARTMENT - CHEROKEE COUNTY HEALTH DEPARTMENT - CRAWFORD COUNTY HEALTH DEPARTMENT - LABETTE COUNTY HEALTH DEPARTMENT - DELAWARE COUNTY HEALTH DEPARTMENT - OTTAWA COUNTY HEALTH DEPARTMENT
SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY 1, 1FACILITY 1, 1 - COX BARTON COUNTY HOSPITAL. 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.MERCY.NET HTTP://WWW.COXHEALTH.COM HTTP://WWW.FREEMANHEALTH.COM
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY 1, 1FACILITY 1, 1 - COX BARTON COUNTY HOSPITAL. THE BARTON COUNTY IMPROVEMENT PLAN (COMMUNITY HEALTH IMPROVEMENT PLAN/CHIP) IDENTIFIES BARTON COUNTY/TRI-STATE PRIORITIES AS MENTAL/BEHAVIORAL HEALTH, HEART HEALTH, AND DIABETES. THE PLAN STATES OHC PARTNERS USE THE SOCIOECOLOGICAL MODEL AND A BLEND OF UPSTREAM AND DOWNSTREAM INTERVENTIONS, AND DESCRIBES THE CHIP PROCESS AS CHNA, PRIORITIZATION, IMPLEMENTATION PLANNING, AND APPROVAL. BARTON COUNTY BOARD APPROVAL DATES REFLECTED IN THE PLAN ARE APRIL 17, 2025 FOR CHNA PRIORITY HEALTH ISSUES AND JULY 17, 2025 FOR COMMUNITY HEALTH IMPROVEMENT PLAN OBJECTIVES. THE PLAN STATES THAT PROGRESS IS CONTINUALLY TRACKED AND EVALUATED AND REFLECTED ON THE CHIP SCORECARD. 1. BEHAVIORAL HEALTH (MENTAL/BEHAVIORAL HEALTH PRIORITY) THE PLAN INCLUDES AN OBJECTIVE TO REDUCE BARRIERS TO BEHAVIORAL HEALTH CARE. ONE STRATEGY TO SUPPORT THIS OBJECTIVE IS TO PROMOTE STIGMA REDUCTION RELATED TO MENTAL HEALTH AND SUBSTANCE USE, INCLUDING EDUCATION AND AWARENESS EFFORTS; TRAINING PROGRAMS USING MOTIVATIONAL INTERVIEWING AND LIVED EXPERIENCE; USE OF PERSON-FIRST LANGUAGE; AND COMMUNITY ENGAGEMENT IN STIGMA REDUCTION. 2. TOBACCO/VAPE USE (RISK FACTOR RELEVANT TO CHRONIC DISEASE PRIORITIES) THE PLAN INCLUDES AN OBJECTIVE TO DECREASE TOBACCO AND VAPE USE RATES. THE PLAN'S STRATEGY INCLUDES EQUIPPING CLINICIANS WITH TOOLS, EDUCATION, AND/OR TRAINING TO ACKNOWLEDGE TOBACCO AND VAPE USE AND OFFER APPROPRIATE SUPPORT AND RESOURCES, INCLUDING FACILITATING CESSATION CONVERSATIONS, CONNECTING PATIENTS WITH EVIDENCE-BASED CESSATION PROGRAMS, AND REFERRING PATIENTS TO COUNSELING, SUPPORT GROUPS, AND MEDICATION ASSISTANCE. 3. CHRONIC DISEASE MANAGEMENT (HEART HEALTH AND DIABETES PRIORITIES) THE PLAN INCLUDES AN OBJECTIVE TO IMPROVE CHRONIC DISEASE MANAGEMENT. STRATEGIES DESCRIBED INCLUDE REFERRING PATIENTS FOR CHRONIC DISEASE SELF-MANAGEMENT EDUCATION, ENROLLING PATIENTS IN CARE MANAGEMENT PROGRAMS, AND ENGAGING PATIENTS IN MEDICATION THERAPY MANAGEMENT.
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY 1, 1FACILITY 1, 1 - COX BARTON COUNTY HOSPITAL. 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, 2FACILITY 1, 2 - COX BARTON COUNTY HOSPITAL. 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.
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY 1, 1FACILITY 1, 1 - COX BARTON COUNTY HOSPITAL. 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 FAP AVAILABILITY AND ENCOURAGED TO PARTICIPATE.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
MEDICAL ONE CLINIC
29 NW 1ST LANELAMARMO64759RURAL HEALTH CLINIC
GOLDEN CITY CLINIC
403 MAIN STGOLDEN CITYMO64748RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGYTHE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3.
SCHEDULE H, PART I, LINE 7 PERCENT OF TOTAL EXPENSETHE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A).
SCHEDULE H, PART I, LINE 3C ELIGIBILITY FOR FREE CAREIN 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 7G SUBSIDIZED SERVICESTHE 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 $2,384,941. COX BARTON COUNTY HOSPITAL PROVIDES PRIMARY CARE SERVICES TO GOLDEN CITY AND LAMAR 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 ORGANIZATIONCOXHEALTH
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNTTHE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'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 METHODOLOGYTHE 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 FOOTNOTETHE 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 COSTSSERVING 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 ASSISTANCETHE 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 WEBSITE1 - COX BARTON COUNTY HOSPITAL: LINE 16A URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE1 - COX BARTON COUNTY HOSPITAL: LINE 16B URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE1 - COX BARTON COUNTY HOSPITAL: LINE 16C URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENTAS PART OF ITS COMMUNITY NEEDS ASSESSMENT APPROACH, THE ORGANIZATION PARTICIPATES IN THE TRI-STATE COMMUNITY CHNA PROCESS, WHICH DEFINES THE COMMUNITY SERVED AS A 10-COUNTY REGION ACROSS MISSOURI, KANSAS, AND OKLAHOMA AND EVALUATES NEEDS USING A HEALTH EQUITY LENS AND A SOCIAL DETERMINANTS OF HEALTH (SDOH) FRAMEWORK. IN CONDUCTING THIS ASSESSMENT, THE CHNA RELIED ON MULTIPLE SOURCES OF INFORMATION --PARTNER AND COMMUNITY SURVEY RESPONSE DATA (INCLUDING QUALITATIVE FEEDBACK), PUBLIC HEALTH DATA, AND SECONDARY INDICATORS --TO IDENTIFY HEALTH ISSUES AND ASSESS BARRIERS AND CONTRIBUTING FACTORS. THE CHNA ANALYSIS AND PRIORITIZATION WORK WAS ORGANIZED THROUGH A STEERING COMMITTEE/WORK GROUP REPRESENTED BY LOCAL HEALTH DEPARTMENTS AND HEALTH SYSTEMS, WHICH MET DURING SEPTEMBER -OCTOBER 2024 TO REVIEW DATA, IDENTIFY PRIORITY ISSUES, AND SUPPORT THE PRIORITIZATION PROCESS. THE TRI-STATE COMMUNITY HEALTH COLLABORATIVE THEN CONVENED A HYBRID PRIORITIZATION MEETING ON OCTOBER 11, 2024 WITH 47 COMMUNITY PARTNERS ACROSS MULTIPLE SECTORS TO DISCUSS THE IDENTIFIED ISSUES AND PRIORITIZE THEM USING AN ANONYMOUS ELECTRONIC VOTE INFORMED BY A HANLON METHOD -BASED MATRIX (CRITERIA INCLUDING SIZE/SERIOUSNESS, FEASIBILITY, DISPARITIES, AVAILABLE EXPERTISE, AND IMPORTANCE TO THE COMMUNITY). THE RESULTING TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED THROUGH THIS PROCESS WERE CHRONIC DISEASE, BEHAVIORAL HEALTH, AND NUTRITION AND PHYSICAL ACTIVITY. IN ADDITION TO THE FORMAL CHNA, THE CHNA REPORT EVIDENCES ONGOING MECHANISMS FOR CONTINUED COMMUNITY NEEDS ASSESSMENT AND TRANSPARENCY, INCLUDING DISSEMINATION OF THE REGIONAL AND COMMUNITY-LEVEL REPORTS VIA WEBSITES, PRINTED COPIES AVAILABLE BY REQUEST THROUGH HEALTH CARE PARTNERS AND LOCAL PUBLIC HEALTH AGENCIES, AND ANNOUNCEMENTS THROUGH SOCIAL MEDIA CHANNELS, AS WELL AS AN "ACCESS DATA" PATHWAY TO VIEW UNDERLYING DATA BEYOND THE NARRATIVE REPORT. THE CHNA ALSO NOTES THAT INITIATIVES INFORMED BY THE ASSESSMENT WILL BE OUTLINED IN A FORTHCOMING COMMUNITY HEALTH IMPROVEMENT PLAN, REFLECTING CONTINUED MULTI-PARTNER PLANNING FOLLOWING THE NEEDS ASSESSMENT. THIS APPROACH ALIGNS WITH CHNA ASSESSMENT CONCEPTS THAT INCLUDE DEFINING THE COMMUNITY SERVED, ASSESSING HEALTH NEEDS, PRIORITIZING SIGNIFICANT NEEDS, IDENTIFYING RESOURCES AND MEASURES TO ADDRESS NEEDS, AND DOCUMENTING THE PROCESS.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCECOX BARTON COUNTY HOSPITAL 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. - COX BARTON COUNTY HOSPITAL 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 COX BARTON COUNTY HOSPITAL 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 INFORMATIONCOX BARTON COUNTY HOSPITAL IS PART OF THE CHNA-DEFINED TRI-STATE COMMUNITY SERVICE AREA, A 10-COUNTY, THREE-STATE REGION DEFINED IN PARTNERSHIP WITH MULTIPLE HOSPITAL SYSTEMS AND LOCAL PUBLIC HEALTH DEPARTMENTS. THE TRI-STATE COMMUNITY SERVICE AREA INCLUDES VERNON, BARTON, JASPER, NEWTON, AND MCDONALD COUNTIES IN MISSOURI; CRAWFORD, CHEROKEE, AND LABETTE COUNTIES IN KANSAS; AND OTTAWA AND DELAWARE COUNTIES IN OKLAHOMA. THE TRI-STATE COMMUNITY IS A LARGELY RURAL REGION WITH APPROXIMATELY 53% OF RESIDENTS LIVING IN RURAL AREAS. SEVEN OF THE 10 COUNTIES IN THE SERVICE AREA ARE CLASSIFIED AS MORE THAN 50% RURAL, INCLUDING THREE COUNTIES THAT ARE MORE THAN 99% RURAL. THE DEMOGRAPHIC PROFILE IS PREDOMINANTLY WHITE AT 82%. AGE COMPOSITION IN THE TRI-STATE COMMUNITY IS APPROXIMATELY 24% UNDER AGE 18, 58% AGES 18-64, AND 18% OVER AGE 65; APPROXIMATELY 17% OF RESIDENTS ARE LIVING WITH A DISABILITY. SOCIOECONOMIC AND HOUSEHOLD CHARACTERISTICS DESCRIBED IN THE CHNA INCLUDE A POVERTY RATE OF 18% AND AN UNEMPLOYMENT RATE OF 4%. APPROXIMATELY 14% OF RESIDENTS DO NOT HAVE HEALTH INSURANCE. HOUSING-RELATED CHARACTERISTICS INCLUDE APPROXIMATELY 15% OF HOUSEHOLDS WITH ONE OR MORE SEVERE HOUSING PROBLEMS, 3.3% OF HOUSING UNITS DESCRIBED AS OVERCROWDED, AND APPROXIMATELY 15% OF HOUSEHOLDS THAT INCLUDE SENIORS LIVING ALONE.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTHCOX BARTON COUNTY HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTHCARE, EDUCATION AND RESEARCH. WE ACTIVELY LIVE THIS MISSION BY PROVIDING QUALITY HEALTH CARE WITH A HOSPITAL IN LAMAR AND TWO ACCESS POINTS TO RURAL HEALTH CLINICS WITHIN OUR SERVICE AREA. OUR GOAL IS TO PROVIDE QUALITY, AFFORDABLE HEALTHCARE TO THE COMMUNITIES WE SERVE. COMMUNITY INVOLVEMENT IS ACHIEVED IN A VARIETY OF WAYS. TO ADDRESS THE ABOVE AVERAGE OBESITY RATE (32%) COMPARED TO THE STATE AVERAGE (30%) COX BARTON COUNTY HOSPITAL PARTNERS WITH THE BARTON COUNTY HEALTH DEPARTMENT TO PROVIDE PROGRAMS AND CHALLENGES IN HEALTHY LIVING AS WELL AS A FREE DIABETES SELF MANAGEMENT PROGRAM. OUR REGISTERED DIETITIAN PROVIDES EDUCATION AT SCHOOL HEALTH FAIRS, CARDIAC REHABILITATION PROGRAM, AND IN COMMUNITY SUPPORT GROUPS. BECAUSE OF COVID-19, WE HAVE HAD TO MODIFY OR MOVE TO AN ONLINE FORMAT MANY OF OUR COMMUNITY EVENTS. PRIOR TO COVID-19, COX BARTON COUNTY PROVIDED AN ANNUAL COMMUNITY HEALTH FAIR WITH MULTIPLE FREE SCREENINGS AND HEALTH EDUCATION FOR THE COMMUNITY. COX BARTON COUNTY PROVIDES OUTREACH THROUGH FREE OR LOW COST HEALTH EDUCATION AND SCREENINGS TO LOCAL BUSINESSES. COX BARTON COUNTY HOSTS A MONTHLY DIABETES SUPPORT GROUP AT NO COST TO ATTENDEES. OUR CLINIC PROVIDERS PROVIDED FREE PHYSICALS TO SIX AREA SCHOOLS. WE PARTNER WITH THE BREAST CANCER FOUNDATION OF THE OZARKS TO PROVIDE MAMMOGRAMS AT LITTLE TO NO COST. COX BARTON COUNTY HOSPITAL PARTNERS WITH THE BARTON COUNTY HEALTH DEPARTMENT TO PROVIDE WOMEN'S HEALTH SERVICES THROUGH THE SHOW ME HEALTHY WOMEN PROGRAM. HOSPITAL EMPLOYEES PROVIDE TWICE MONTHLY BLOOD PRESSURE CHECKS AT THE SENIOR CITIZENS CENTER. HEALTHY FOOD DONATIONS ARE PROVIDED ON A MONTHLY BASIS TO A LOCAL AGENCY THAT PROVIDES SUMMER AND AFTER SCHOOL PROGRAMS TO CHILDREN. COX BARTON COUNTY HOSPITAL ALSO PARTNERS WITH THE TRUMAN AREA TRANSPORTATION SYSTEM TO PROVIDE TRANSPORTATION TO LOCAL RESIDENTS FOR HEALTHCARE APPOINTMENTS AND OTHER NEEDS. COX BARTON LEADERS PARTICIPATE IN CIVIC ORGANIZATIONS AND ARE ELECTED AS MEMBERS OF BOARDS WHOSE PURPOSE IS TO IMPROVE THE LIVES OF COMMUNITY MEMBERS. EXAMPLES INCLUDE ROTARY, CHAMBER OF COMMERCE, AND MANY OTHER LOCAL BOARDS.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMCOXHEALTH 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 OXFORD HEALTHCARE, HOME PARENTERAL SERVICES (INFUSION THERAPY) AND HOME SUPPORT (DURABLE MEDICAL EQUIPMENT). COXHEALTH AT HOME SUPPORTED THE COMMUNITY THROUGH MONTHLY NUTRITION AND FALL PREVENTION SEMINARS AT 20 AREA SENIOR CENTERS THROUGHOUT SOUTHWEST MISSOURI. OXFORD ALSO PROVIDED FREE BONE DENSITY SCREENINGS AT 34 COMMUNITY EVENTS, AND VITAL SIGN SCREENINGS AT MANY MORE. INFUSION THERAPY RECEIVED A SECOND GRANT AWARD FROM THE MISSOURI FOUNDATION FOR HEALTH ORGANIZATION. THIS GRANT ALLOWS HPS TO SERVE PATIENTS THAT FALL THROUGH THE CRACKS DUE TO HAVING NO REIMBURSEMENT OF ANY KIND, SERVING PATIENTS THROUGHOUT SOUTHERN MISSOURI. 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, 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. IN JANUARY 2013, SKAGGS COMMUNITY HOSPITAL ASSOCIATION D/B/A COX MEDICAL CENTER BRANSON (CMCB) BECAME A PART OF THE COXHEALTH NETWORK. UNDER THE AGREEMENT, A MEMBER SUBSTITUTION MODEL, CMCB CONTINUES TO MAINTAIN ITS OWN HOSPITAL BOARD WHILE BECOMING A SUBSIDIARY OF COXHEALTH. COXHEALTH, AS THE PARENT COMPANY, ASSUMES THE RESPONSIBILITIES PREVIOUSLY HELD BY THE CMCB BOARD OF TRUSTEES. THE CMCB BOARD WILL HAVE REPRESENTATION ON THE COXHEALTH BOARD. THIS ALLOWS BOTH PARTIES TO ACT TOGETHER AS ONE ENTITY FOR THE PURPOSES OF CONTRACTING, RECRUITMENT AND GROWTH. CMCB HAS BEEN SERVING SOUTHWEST MISSOURI RESIDENTS FOR MORE THAN 63 YEARS AND OFFERS OVER 25 MAJOR SERVICE AREAS. THE HOSPITAL'S AVERAGE DAILY PATIENT CENSUS EXCEEDS 90 WITH 165 LICENSED HOSPITAL BEDS. A STAFF OF OVER 1,000 PERSONNEL IS REQUIRED TO OPERATE THE HOSPITAL AND ITS NUMEROUS CLINICS. 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. TO COMPLETE THE TRANSACTION, COXHEALTH FORMED TWO ENTITIES, COX BARTON COUNTY HOSPITAL, A MISSOURI NONPROFIT CORPORATION, AND CBCH, LLC, A MISSOURI LIMITED LIABILITY COMPANY. BOTH ENTITIES HAVE THE SAME CORPORATE PARENT, COXHEALTH, WHICH IS A MISSOURI NONPROFIT CORPORATION. THE OPERATION AND ASSETS OF THE HOSPITAL HAVE BEEN HELD BY CBCH, LLC SINCE JANUARY 1, 2018 AND WILL BE TRANSFERRED TO COX BARTON COUNTY HOSPITAL EFFECTIVE OCTOBER 1, 2019.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVE EDWARDS
FORMER PRESIDENT & CEO$0$313,523$0$0$0$308,528$0$17,250$0$16,425$0$655,726$0$308,528
CHRISTOPHER WYATT
FORMER PRESIDENT$164,067$0$19,240$0$1,004$0$4,164$0$12,945$0$201,420$0$0$0
MAX D BUETOW
PRESIDENT & CEO$0$1,131,935$0$454,236$0$55,603$0$319,300$0$16,176$0$1,977,250$0$24,951
ANDREA MCKAY
PRESIDENT$149,559$149,557$23,353$23,354$5,645$5,645$8,625$8,625$7,474$7,474$194,656$194,655$0$0
JACOB M MCWAY
EVP, COXHEALTH CFO$0$822,771$0$245,588$0$223,463$0$217,234$0$20,530$0$1,529,586$0$174,788
CLINTON R LOY
PHYSICIAN$478,083$0$10,294$0$1,980$0$17,250$0$17,272$0$524,879$0$0$0
DAVID M STEELE
PHYSICIAN$448,400$0$12,178$0$3,810$0$16,097$0$17,272$0$497,757$0$0$0
CLINTON LOY JR
PHYSICIAN$349,675$0$0$0$20,823$0$0$0$17,540$0$388,038$0$0$0
MICHELLE PANNELL
PHYSICIAN$346,553$0$7,775$0$300$0$16,675$0$12,476$0$383,779$0$0$0
JOSHUA WILLIAMS
PHYSICIAN$351,809$0$1,801$0$240$0$16,675$0$15,751$0$386,276$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSTEVE 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 I, LINE 1A HEALTH AND SOCIAL CLUB DUESA RELATED ENTITY, COXHEALTH, INCLUDES MONTHLY SOCIAL CLUB DUES IN THE TAXABLE COMPENSATION OF JAKE MCWAY, CFO.
SCHEDULE J, PART I, LINE 3 ESTABLISHMENT OF TOP MANAGEMENT OFFICIAL COMPENSATIONCOXHEALTH, 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 II BOARD MEMBER COMPENSATIONNO 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 990COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6 VOLUNTEERSTHE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD.
FORM 990, PART VI, LINE 8B COMMITTEE AUTHORITYTHE 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 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONSOFFICERS 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 STOCKHOLDERSCOX-BARTON COUNTY SHALL HAVE ONE MEMBER WHICH SHALL BE COXHEALTH.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODYTHE 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-BARTON COUNTY; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF COX-BARTON COUNTY AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF COX-BARTON COUNTY; (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-BARTON COUNTY, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE OF THE BYLAWS, AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND COX-BARTON COUNTY; (F) TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF COX-BARTON COUNTY; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR COX-BARTON COUNTY 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 COXBARTON COUNTY IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF COX-BARTON COUNTY; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF COX-BARTON COUNTY OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF COX-BARTON COUNTY; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY COX-BARTON COUNTY OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF COXBARTON COUNTY; (M) APPROVAL OF COX-BARTON COUNTY'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-BARTON COUNTY 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-BARTON COUNTY 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-BARTON COUNTY, 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 COXBARTON COUNTY; (Q) TO REQUIRE COX-BARTON COUNTY TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER AND/OR PARENT; (R) TO APPROVE THE TRANSFER OF ASSETS BY COX-BARTON COUNTY TO ANY ENTITY OTHER THAN THE MEMBER AND/OR PARENT, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF COX-BARTON COUNTY 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-BARTON COUNTY 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-BARTON COUNTY, 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-BARTON COUNTY; (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-BARTON COUNTY 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 BARTON COUNTY 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 BODYTHE 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 POLICYCOXHEALTH 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 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 OFFICIALCOXHEALTH 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 PUBLICGOVERNING 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 BARTON COUNTY HOSPITAL ADMINISTRATIVE OFFICES.
FORM 990, PART IX, LINE 11G OTHER FEESPURCHASED SERVICES - TOTAL EXPENSE: 5242055, PROGRAM SERVICE EXPENSE: 4190980, MANAGEMENT AND GENERAL EXPENSES: 1051075, FUNDRAISING EXPENSES: ; PHYSICIAN RENUMERATION - TOTAL EXPENSE: 606929, PROGRAM SERVICE EXPENSE: 606929, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; ANESTHESIA SERVICES - TOTAL EXPENSE: 412680, PROGRAM SERVICE EXPENSE: 412680, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; OUTSIDE RADIOLOGY - TOTAL EXPENSE: 318701, PROGRAM SERVICE EXPENSE: 318701, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; PHARMACY SERVICES - TOTAL EXPENSE: 272885, PROGRAM SERVICE EXPENSE: 272885, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 205822, PROGRAM SERVICE EXPENSE: 164553, MANAGEMENT AND GENERAL EXPENSES: 41269, FUNDRAISING EXPENSES: ; MEDICAL DIRECTOR - TOTAL EXPENSE: 100373, PROGRAM SERVICE EXPENSE: 100373, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; EQUIPMENT SERVICES - TOTAL EXPENSE: 63779, PROGRAM SERVICE EXPENSE: 50991, MANAGEMENT AND GENERAL EXPENSES: 12788, FUNDRAISING EXPENSES: ; CONSULTING SERVICES - TOTAL EXPENSE: 35519, PROGRAM SERVICE EXPENSE: 28397, MANAGEMENT AND GENERAL EXPENSES: 7122, FUNDRAISING EXPENSES: ; COURIER SERVICES - TOTAL EXPENSE: 28215, PROGRAM SERVICE EXPENSE: 28215, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; BILLING SERVICES - TOTAL EXPENSE: 15720, PROGRAM SERVICE EXPENSE: 15720, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; LAUNDRY SERVICES - TOTAL EXPENSE: 4704, PROGRAM SERVICE EXPENSE: 4704, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; OUTSIDE LAB - TOTAL EXPENSE: 1072, PROGRAM SERVICE EXPENSE: 1072, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; OTHER FEES - TOTAL EXPENSE: 559, PROGRAM SERVICE EXPENSE: 447, MANAGEMENT AND GENERAL EXPENSES: 112, FUNDRAISING EXPENSES: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COXHEALTH FOUNDATION
3525 S NATIONALSUITE 204SPRINGFIELDMO65807436810485FUNDRAISINGMO501(C)(3)TYPE ILESTER E COXfalse
COX HPS OZKS INC DBA COXHEALTH AT HOME
2220 W SUNSETSPRINGFIELDMO65807431641927HOME HEALTHMO501(C)(3)10COXHEALTHfalse
COX-MONETT HOSPITAL INC
1000 E US HIGHWAY 60MONETTMO65708431656689HOSPITALMO501(C)(3)3COXHEALTHfalse
COXHEALTH SYSTEMS HMO
PO BOX 5750SPRINGFIELDMO658015750431757075HMOMO501(C)(4)LESTER E COXfalse
COX MEDICAL GROUP CLINICS
3801 S NATIONALSPRINGFIELDMO65807371830627HEALTHCAREMO501(C)(3)10COXHEALTHfalse
COX HEALTH SYSTEMS INSURANCE COMPANY
PO BOX 5750SPRINGFIELDMO65801431684044INSURANCEMO501(C)(4)LESTER E COXfalse
HC SVCS OZARKS INC DBA COXHEALTH AT HOME
PO BOX 10939SPRINGFIELDMO65808431641928HOME HEALTHMO501(C)(3)10COXHEALTHfalse
SKAGGS COMM HOSP ASSOC (COX MC BRANSON) DBA COX MC BRANSON
525 BRANSONBRANSONMO65616440584290HOSPITALMO501(C)(3)3COXHEALTHfalse
LESTER E COX MEDICAL CENTER
1423 N JEFFERSON AVESPRINGFIELDMO65802440577118HOSPITALMO501(C)(3)3COXHEALTHfalse
COX MEDICAL GROUP
1423 N JEFFERSON AVESPRINGFIELDMO65802471087566PHYSICIANSMO501(C)(3)TYPE ILESTER E COXfalse
COXHEALTH
1423 N JEFFERSON AVESPRINGFIELDMO65802471087427HOLDING COMO501(C)(3)TYPE IINAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
COX TAXABLE CLOSE CORPORATION
1423 N JEFFERSONSPRINGFIELDMO65802472573263MEDICAL CLINICMOCOX MED GROUPC CORPORATIONfalse
COXHEALTH RISK SOLUTIONS
CAPTIVE INSURANCELESTER E COXC CORPORATIONfalseGRAND PAVILION CORPORATE CENTREGRAND CAYMANCJKY1110CJ
FERRELL DUNCAN CLINIC INC
1001 PRIMROSE AVESPRINGFIELDMO65807430991578PHYSICIANSMOCTCCC CORPORATIONfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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