2026-08-14T13:16:19+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 910 E ST LOUIS 200 PO BOX 1190 SPRINGFIELD MO 658062523 990 2024-10-01 440577118 LESTER E COX MEDICAL CENTERS LEST 4172693000 1423 N JEFFERSON SPRINGFIELD MO 65802 MAX BUETOW PRESIDENT AND CEO 4172693000 2026-08-14 true KRYSTAL CREACH P01248198 4178658701 2026-08-14 2024 2025-03-06 01:10:19Z MAX BUETOW 1423 N JEFFERSON SPRINGFIELD MO 65802 2313068861 false X WWW.COXHEALTH.COM X 1923 MO THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 6 4 10696 6 10753321 1091554 10152147 6548395 1772645515 1875048624 44569422 72261436 3027682 7078100 1830394766 1960936555 1979951 2463188 0 710994045 865398328 0 680635 1057460592 1055879880 1770434588 1923741396 59960178 37195159 2055262059 2112797427 803779952 793094912 1251482107 1319702515 MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTHCARE, EDUCATION AND RESEARCH. false false 1210774902 2583451 1583686131 HOSPITAL SERVICES: AS A COMMUNITY OWNED, NON-PROFIT HOSPITAL, LESTER E. COX MEDICAL CENTERS PROVIDES THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE MANY OF THE MOST VULNERABLE IN OUR COMMUNITIES - THE UNDERINSURED AND UNINSURED. COMMUNITY BENEFIT TOTALED $1,533,028,300 SYSTEM-WIDE IN THESE CATEGORIES: SHORT-FALLS IN REIMBURSEMENT AND CHARITY CARE; COMMUNITY OUTREACH SERVICES INCLUDING COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND IMMUNIZATIONS; HEALTH PROFESSIONALS EDUCATION AND RESEARCH, INCLUDING THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS. THE HOSPITAL ALSO OPERATES COX COLLEGE, A PRIVATE, NON-PROFIT SINGLE PURPOSE COLLEGE ACCREDITED TO PROVIDE ACADEMIC PROGRAMMING IN A VARIETY OF ALLIED HEALTH FIELDS. 503030269 0 291362493 PHYSICIAN CARE: EMPLOYED PHYSICIANS AT LESTER E. COX MEDICAL CENTER PLAY AN IMPORTANT ROLE IN ACCESS TO MEDICAL CARE THROUGH THEIR PRACTICE AT RURAL HEALTH CLINICS IN UNDER-SERVED AREAS OF SOUTHWEST MISSOURI. PHYSICIANS WITH COX FAMILY MEDICINE RESIDENCY ARE MAKING A VISIBLE DIFFERENCE IN CARE FOR UNINSURED PATIENTS AS WELL AS PATIENTS COVERED BY MEDICAID. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. LESTER E. COX MEDICAL CENTERS CONTINUES TO ADD SUPER CLINICS BRINGING ADVANCED CARE TO THE PATIENT INCLUDING PHYSICAL THERAPY, IMAGING AND PHARMACY SERVICES WITHIN THE CLINIC. COXHEALTH HAS ALSO INVESTED IN TELEMEDICINE INFRASTRUCTURE TO FURTHER EXPAND ITS ABILITY TO OFFER COST EFFECTIVE AND CONVENIENT CARE TO OUR COMMUNITY. 1713805171 true true false true false false false false false true true true false false true false false true false false true false false false false false true true true true true true false false false false false false false false true true false false false false true true true true true false true X 497 0 true 10696 true true true true CJ false false false true true false false false false true false X 6 4 true false false false true true true true true false false false true true true true true true true true false false X JACOB M MCWAY 4172698811 3800 S NATIONAL SPRINGFIELD MO 65807 HAL L HIGDON CHAIR 1.0 5.0 X X 0 0 0 JEFFERSON M TYNES 2ND VICE CHAIR 1.0 5.0 X X 0 0 0 SALLY HARGIS 1ST VICE CHAIR 1.0 5.0 X X 0 0 0 BRAD E ERWIN 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 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 ASHLEY CASAD PRESIDENT, SHG 40.0 0 X 500453 0 28284 BETH POLIVKA SVP, CNO 40.0 0 X 379911 0 25720 ELLEN HAMMOCK VP, CMG 40.0 0 X 292217 0 22374 JEFF HAWKINS VP, CLINICAL SERVICES 40.0 0 X 308610 0 24505 JOHNATHAN SHAMEL SVP, CMG 40.0 0 X 416337 0 32851 SHAWN USERY SVP, CMO 40.0 0 X 666584 0 25301 GREGORY S STAMPS PHYSICIAN 40.0 0 X 864723 0 32783 KARIM WELAYA PHYSICIAN 40.0 0 X 895916 0 58032 LOUIS P KRENN PHYSICIAN 40.0 0 X 462210 0 28009 MIMI PROPST PHYSICIAN 40.0 0 X 812552 0 23076 RAJESH BANDERUDRAPPAGARI PHYSICIAN 40.0 0 X 762274 0 63547 STEVE EDWARDS FORMER PRESIDENT & CEO 0.0 0.0 X 0 622051 33675 6361787 3632613 983234 1452 true true false MPLT HEALTHCARE LLC 5810 CORAL RIDGE DR STE 250 CORAL SPRINGS FL 33076 PHYS SERVICES/LOCUM 14679884 SPFD NEUROLOGICAL INSTITUTE 1411 E PRIMROSE STE 100 SPRINGFIELD MO 65804 PHYS REMUNERATION 14170975 INTELLIHARTX LLC 401 S MAIN ST STE 200 FINDLAY OH 45840 ACCOUNT COLLECTIONS 12820226 OZARK ANESTHESIA ASSOCIATES 1000 E PRIMROSE STE 520 SPRINGFIELD MO 65807 ANESTHESIA SERVICES 12074758 MEDSYS GROUP LLC 5465 LEGACY DR STE 550 PLANO TX 75024 CONTRACT LABOR 8588580 105 375104 6173291 6548395 NET PATIENT SERVICE REVENUE 624100 1766059431 1766059431 PHARMACY 456110 74016936 74016936 TUITION AND FEES 611600 10831581 10831581 NET PATIENT SERVICE-UNRELATED RETAIL D 446199 6308777 6308777 NET PATIENT SERVICE-UNRELATED LAB 621511 4454246 4454246 13377653 13377653 0 0 1875048624 16565351 16565351 7194299 629230 6565069 0 6565069 6565069 406695602 33890 350950710 82697 55744892 -48807 55696085 55696085 158972 469669 -310697 -310697 GAIN ON INVESTMENT IN EQUITY INVESTEE 523999 823728 -9702 833430 0 0 0 0 823728 1960936555 1864285601 10753321 79349238 X 147395 147395 2315793 2315793 2723147 2031262 691885 279356 138588 140768 725171411 655906107 68953848 311456 25083329 22667390 2402566 13373 63862827 57755739 6107088 48278258 43629801 4625660 22797 12819 12819 156741 156741 238465 238465 1598791 1598791 439013052 343277381 95701121 34550 139627 79106 22109 38412 16249376 12225561 3924885 98930 12704150 9929141 2775009 22658485 18200904 4457581 1874653 1452116 405840 16697 198471 155023 43326 122 17520171 15983101 1537070 45094172 41125861 3955011 13300 37080154 28980616 8099538 MEDICAL SUPPLIES & DRUGS 394803812 394803812 STATE PROVIDER TAX 50815511 50815511 REPAIRS AND MAINTENANCE 9682325 7567383 2114942 FEMA RESERVE 2773522 2167693 605829 3265583 2449887 684698 130998 1923741396 1713805171 209255590 680635 5836720 7049207 66192830 65953480 215481633 266236443 0 0 0 0 36967468 39705333 28901000 23104353 20472586 12405564 1253340224 730286363 542617102 523053861 553720100 536791768 382646964 468079462 76559660 49175904 25263742 25263742 100602254 95978310 2055262059 2112797427 182031028 148856407 11158185 6824460 447388480 436674861 0 0 30295597 26526893 5327375 5034369 127579287 169177922 803779952 793094912 X 1209317552 1270256646 42164555 49445869 1251482107 1319702515 2055262059 2112797427 X 37195159 34417064 -3391815 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 168173 false true 70292 238465 false SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH LEGISLATORS, ETC THE ORGANIZATION CONTRACTED WINTON POLICY GROUP AND MERCHANT MCINTYRE & ASSOCIATES, LOBBYING AND ASSOCIATION MANAGEMENT FIRMS, TO LOBBY ISSUES THAT BENEFIT THE INTERESTS OF THE COMMUNITY, COXHEALTH AND ITS AFFILIATES. SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY MEMBERS OF THE ADMINISTRATIVE STAFF CONTACT LEGISLATORS REGARDING KEY HEALTHCARE ISSUES. ALSO, PORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2025, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $70,292. 8727287 1797472 238454 0 571635 0 10191578 8487254 420865 206029 0 386861 0 8727287 8158191 521369 202858 0 395164 0 8487254 8434210 621805 193160 0 1090984 0 8158191 4429596 4232438 135287 0 363111 0 8434210 0.0 0.4679 0.5321 false true true 43868544 43868544 504963562 279807519 225156043 6068821 3051946 3016875 650927409 432188765 218738644 47511888 15238133 32273755 523053861 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVEST IN NON-PTS CORPS 240452345 C INVESTMENTS IN PARTNERSHIPS 223443155 C INVEST IN WHOLLY OWNED C-CORP 4183962 C 468079462 FEDERAL INCOME TAXES SELF INSURANCE CLAIMS PAYABLE 71305095 EST AMT DUE TO 3RD PARTIES 70549000 DUE TO AFFILIATES 27323827 OTHER LIABILITIES 169177922 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS COXHEALTH FOUNDATION, A RELATED ORGANIZATION, HOLDS ENDOWMENT FUNDS WHICH INCLUDE MONIES DONATED TO BE USED FOR SPECIFIC EXPENSES, AND THE INCOME FROM EACH FUND IS TO BE SPENT ON SPECIFIC SERVICES AND PROGRAM FUNCTIONS ON A FUND-BY-FUND BASIS. ENDOWMENT FUNDS HELD BY THE FOUNDATION ARE INTENDED FOR BUT NOT LIMITED TO EXPENDITURES RELATING TO CANCER SERVICES, HEALTH EDUCATION, PURCHASE OF EQUIPMENT AND INDIGENT CARE. THESE SERVICES AND FUNCTIONS BENEFIT COXHEALTH AND ITS AFFILIATES. SCHEDULE D, PART V, LINE 1B, COLUMN A INCLUDES AN AMOUNT REPRESENTING THE BALANCE OF FUNDS THAT ARE HELD FOR THE BENEFIT OF COX COLLEGE, A RELATED ENTITY. THESE FUNDS WERE TRANSFERRED TO LESTER E. COX MEDICAL CENTERS DURING FISCAL YEAR ENDING 9/30/2022. CENTRAL AMERICA AND THE CARIBBEAN 0 1 INVESTMENTS CAPTIVE INSURANCE 11278957 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 244260314 0 1 0 0 0 1 255539271 0 255539271 true false true true false false SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS CENTRAL AMERICA AND THE CARIBBEAN-OTHER: THE AMOUNT OF PROGRAM SERVICE EXPENDITURES REPORTED ON LINE 1 ARE REPORTED BASED ON THE AMOUNTS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF COXHEALTH RISK SOLUTIONS,THE CAPTIVE INSURANCE COMPANY. THESE AUDITED FINANCIAL STATEMENTS USED GENERALLY ACCEPTED ACCOUNTING PRINCIPLES ESTABLISHED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. true true X false true X true true true false true true 37353603 37353603 0.01942 342174103 279879017 62295086 0.03238 0 0.0 0 0 379527706 279879017 99648689 0.05180 188808 188808 0.00010 23118022 14283342 8834680 0.00459 5379410 3527952 1851458 0.00096 0 0.0 1819063 1819063 0.00095 0 0 30505303 17811294 12694009 0.00660 0 0 410033009 297690311 112342698 0.05840 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 111760497 11734852 738872771 930992093 -192119322 X true true 3 1 LESTER E COX MEDICAL CENTERS-NORTH 1423 N JEFFERSON ST SPRINGFIELD MO 65802 WWW.COXHEALTH.COM 500 X X X 1 2 MEYER ORTHOPEDIC HOSPITAL 1000 E WALNUT LAWN SPRINGFIELD MO 65807 WWW.COXHEALTH.COM 500 X X 1 3 LESTER E COX MEDICAL CENTERS-SOUTH 3801 S NATIONAL AVE SPRINGFIELD MO 65807 WWW.COXHEALTH.COM 500 X X X X X 1 1 3 false false true X X X X X X X X X 24 true true true true X HTTP://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 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 - REPORTING GROUP #1. IN CONDUCTING THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED. THE CHNA DESCRIBES A COLLABORATIVE REGIONAL PROCESS THROUGH THE OZARKS HEALTH COMMISSION INVOLVING HOSPITAL SYSTEMS, LOCAL PUBLIC HEALTH AGENCIES, AND OTHER HEALTH CARE AND COMMUNITY PARTNERS TO IDENTIFY COMMUNITY HEALTH NEEDS AND DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS ADDRESSING AREAS OF NEED AND DISPARITIES. THE CHNA PROCESS INCORPORATED INPUT FROM COMMUNITY PARTNERS AND RESIDENTS, INCLUDING COMMUNITY SURVEY FEEDBACK, COMMUNITY PARTNER PERSPECTIVES, AND COMMUNITY LEADER INPUT. SURVEY RESPONSES REFLECTED COMMUNITY-IDENTIFIED BARRIERS SUCH AS THE COST OF MEDICAL CARE, SERVICES NOT COVERED BY INSURANCE, MEDICATION COSTS, AND UNSTABLE LIVING CONDITIONS AFFECTING HEALTH AND NUTRITION. THE CHNA ALSO INCLUDED INPUT FROM COMMUNITY PARTNERS AND LEADERS REGARDING COMPETING BASIC NEEDS, ACCESS TO CARE, STIGMA, AND THE IMPORTANCE OF CREATING WELCOMING ENVIRONMENTS FOR INDIVIDUALS SEEKING HEALTH CARE SERVICES. COMMUNITY PARTNERS WERE INVITED TO REVIEW THE CHNA AREAS OF FOCUS AND IDENTIFY POPULATIONS MOST VULNERABLE TO THE IDENTIFIED HEALTH NEEDS, INCLUDING MENTAL HEALTH AND HEART HEALTH CONDITIONS. IN THAT PROCESS, PARTNERS CALLED ATTENTION TO VULNERABLE AND UNDERSERVED POPULATIONS, INCLUDING POSTPARTUM WOMEN, LGBTQ+ INDIVIDUALS, PERSONS EXPERIENCING POVERTY, AND PERSONS WHO ARE UNSHELTERED OR UNHOUSED. THE CHNA ALSO CONSIDERED DEMOGRAPHIC AND DISPARITY INFORMATION, INCLUDING RACE AND ETHNICITY DATA, BARRIERS EXPERIENCED BY HISTORICALLY MARGINALIZED POPULATIONS, AND MENTAL HEALTH DISPARITIES AFFECTING BLACK INDIVIDUALS IN THE COMMUNITY. THE CHNA ACKNOWLEDGES THE CONTRIBUTIONS OF COMMUNITY PARTNERS AND RESIDENTS THROUGH THEIR FEEDBACK. THE COMMUNITY-LEVEL CHNA FURTHER NOTES THAT DETAILED INFORMATION ABOUT DATA COLLECTION IS INCLUDED IN THE OHC REGIONAL REPORT. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY 1, 1 FACILITY 1, 1 - REPORTING GROUP #1. THE CHNA WAS CONDUCTED COLLABORATIVELY WITH ONE OR MORE OTHER HOSPITAL FACILITIES/HEALTH SYSTEMS THROUGH THE OZARKS HEALTH COMMISSION (OHC). THE SPRINGFIELD COMMUNITY SERVICE AREA INCLUDES MERCY HOSPITAL SPRINGFIELD AND COXHEALTH, REFLECTING MULTI-HOSPITAL PARTICIPATION IN THE CHNA PROCESS. SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY 1, 1 FACILITY 1, 1 - REPORTING GROUP #1. THE CHNA WAS ALSO CONDUCTED WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES, INCLUDING LOCAL PUBLIC HEALTH AGENCIES AND OTHER PARTNERS COLLABORATING THROUGH THE OZARKS HEALTH COMMISSION (OHC). THE SPRINGFIELD COMMUNITY SERVICE AREA IDENTIFIES THE FOLLOWING PARTNERS AND THE CHNA ACKNOWLEDGES COLLABORATION THROUGH THE OHC STEERING COMMITTEE. - SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT - CHRISTIAN COUNTY HEALTH DEPARTMENT - WEBSTER COUNTY HEALTH UNIT - BURRELL BEHAVIORAL HEALTH SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY 1, 1 FACILITY 1, 1 - REPORTING GROUP #1. PRINTED COPIES ARE AVAILABLE BY REQUEST THROUGH HOSPITAL OR PUBLIC HEALTH PARTNERS OR AT OZARKSHEALTHCOMMISSION.ORG AND NEWS RELEASE WAS SENT OUT 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 SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY 1, 1 FACILITY 1, 1 - REPORTING GROUP #1. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IDENTIFIED MENTAL HEALTH, HEART HEALTH, AND DIABETES AS THE MOST SIGNIFICANT HEALTH NEEDS WITHIN ITS SERVICE AREA. IN RESPONSE, THE HOSPITAL ADOPTED A COMMUNITY HEALTH IMPROVEMENT PLAN THAT ESTABLISHES EVIDENCE-BASED STRATEGIES AND COLLABORATIVE COMMUNITY INITIATIVES DESIGNED TO IMPROVE HEALTH OUTCOMES IN EACH OF THESE PRIORITY AREAS. TO ADDRESS MENTAL HEALTH NEEDS, THE HOSPITAL WORKS WITH COMMUNITY PARTNERS TO IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS, PROMOTE COMMUNITY EDUCATION AND AWARENESS, AND CONNECT INDIVIDUALS WITH APPROPRIATE TREATMENT AND SUPPORT RESOURCES. THESE EFFORTS ARE INTENDED TO REDUCE BARRIERS TO CARE AND CREATE A MORE SUPPORTIVE ENVIRONMENT FOR INDIVIDUALS SEEKING BEHAVIORAL HEALTH SERVICES. TO IMPROVE HEART HEALTH, THE HOSPITAL SUPPORTS PROGRAMS THAT PROMOTE PREVENTION, EARLY INTERVENTION, PATIENT EDUCATION, AND SELF-MANAGEMENT OF CHRONIC CONDITIONS ASSOCIATED WITH CARDIOVASCULAR DISEASE. STRATEGIES INCLUDE CARE MANAGEMENT SERVICES, PATIENT ENGAGEMENT INITIATIVES, MEDICATION THERAPY MANAGEMENT, AND COMMUNITY-BASED EFFORTS THAT ENCOURAGE HEALTHY LIFESTYLE BEHAVIORS AND IMPROVED ACCESS TO HEALTHCARE SERVICES. TO ADDRESS DIABETES, THE HOSPITAL PROVIDES AND SUPPORTS CHRONIC DISEASE SELF-MANAGEMENT EDUCATION, CARE COORDINATION, AND MEDICATION MANAGEMENT PROGRAMS DESIGNED TO HELP INDIVIDUALS BETTER MANAGE THEIR CONDITION AND REDUCE COMPLICATIONS. THESE INITIATIVES FOCUS ON IMPROVING PATIENT KNOWLEDGE, TREATMENT ADHERENCE, HEALTH OUTCOMES, AND OVERALL QUALITY OF LIFE. THE HOSPITAL FACILITY COLLABORATES WITH PUBLIC HEALTH AGENCIES, HEALTHCARE PROVIDERS, AND COMMUNITY ORGANIZATIONS THROUGHOUT THE REGION TO IMPLEMENT THESE INITIATIVES AND ADDRESS UNDERLYING SOCIAL DRIVERS OF HEALTH THAT AFFECT HEALTH OUTCOMES. PROGRESS TOWARD COMMUNITY HEALTH IMPROVEMENT PLAN OBJECTIVES IS ROUTINELY MONITORED AND EVALUATED TO ENSURE RESOURCES ARE DIRECTED TOWARD THE IDENTIFIED PRIORITY NEEDS AND TO PROMOTE MEASURABLE IMPROVEMENTS IN COMMUNITY HEALTH. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY 1, 1 FACILITY 1, 1 - REPORTING GROUP #1. 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 13 FACILITY 1, 1 FACILITY 1, 1 - REPORTING GROUP #1. 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 16 FACILITY 1, 1 FACILITY 1, 1 - REPORTING GROUP #1. 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. 106 FAMILY MEDICAL CARE CENTER 3800 S NATIONAL AVE SUITE 700 SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER STEEPLECHASE 1530 E REPUBLIC ROAD SPRINGFIELD MO 65804 CLINIC PEDIATRIC CENTER 3443 S NATIONAL SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER WILLOW SPRINGS 816 E MAIN WILLOW SPRINGS MO 65793 CLINIC COXHEALTH PEDIATRICS 1000 E PRIMROSE 300 SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER LEBANON 510 E HWY 32 LEBANON MO 65536 CLINIC COXHEALTH CENTER CHESTERFIELD 3805 S KANSAS EXPRESSWAY SUITE B SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER WILLARD 304 E JACKSON 5H WILLARD MO 65781 CLINIC COXHEALTH CENTER MOUNTAIN GROVE 1602-A NORTH MAIN STREET MOUNTAIN GROVE MO 65711 CLINIC COXHEALTH CENTER MARSHFIELD 1245 BANNING STREET MARSHFIELD MO 65706 CLINIC COXHEALTH CENTER ROGERSVILLE 151 JOHNSTOWN DRIVE ROGERSVILLE MO 65742 CLINIC COXHEALTH INPATIENT PSYCHIATRY 1423 N JEFFERSON STREET SPRINGFIELD MO 65802 CLINIC COXHEALTH CENTER SEYMOUR 202 COMMERCIAL SEYMOUR MO 65746 CLINIC COXHEALTH CENTER CAMPBELL 2750 S CAMPBELL SPRINGFIELD MO 65807 CLINIC COXHEALTH PSYCHOLOGICAL SERVICES 3525 S NATIONAL AVENUE SUITE 206 SPRINGFIELD MO 65807 CLINIC COXHEALTH PEDIATRIC SURGICAL SPECIALTIES 1011 E MONTCLAIR SPRINGFIELD MO 65807 CLINIC COXHEALTH OCCUPATIONAL MEDICINE 1499 N ROBBERSON AVE K500 SPRINGFIELD MO 65802 CLINIC COXHEALTH PEDIATRIC PLACE 3850 S NATIONAL AVENUE SUITE 400 SPRINGFIELD MO 65807 CLINIC COXHEALTH SKIN CARE 1530 E REPUBLIC ROAD SPRINGFIELD MO 65804 CLINIC GLYCEMIC MANAGEMENT SERVICES 3801 S NATIONAL AVENUE SPRINGFIELD MO 65807 CLINIC COXHEALTH VEIN CENTER 3555 SNATIONAL AVE SUITE 502 SPRINGFIELD MO 65807 CLINIC COXHEALTH URGENT CARE LEBANON 1216 DEADRA DRIVE LEBANON MO 65536 URGENT CARE COXHEALTH NIXA CLINIC 501 N OLD WILDERNESS ROAD NIXA MO 65714 CLINIC COXHEALTH URGENT CARE NIXA 501 N OLD WILDERNESS ROAD NIXA MO 65714 URGENT CARE COXHEALTH OZARK CLINIC 5100 N TOWNE CENTRE DRIVE OZARK MO 65721 CLINIC COXHEALTH URGENT CARE OZARK 5100 N TOWNE CENTRE DRIVE OZARK MO 65721 URGENT CARE COXHEALTH REPUBLIC 3203 E OLD STONE AVENUE REPUBLIC MO 65738 CLINIC COXHEALTH EAST BATTLEFIELD CLINIC 3525 E BATTLEFIELD ROAD SPRINGFIELD MO 65809 CLINIC MEYER CENTER FITNESS AND REHAB 3545 S NATIONAL AVE SPRINGFIELD MO 65807 FITNESS AND REHAB CENTER MEDICAL OFFICE BUILDING-MORH 3525 S NATIONAL AVE SPRINGFIELD MO 65807 MEDICAL OFFICES TURNER WOMEN AND CHILDREN'S CENTER 1000 E PRIMROSE SPRINGFIELD MO 65807 MEDICAL OFFICES WHEELER HEART AND VASCULAR 3800 S NATIONAL AVE 700 SPRINGFIELD MO 65807 MEDICAL OFFICES HULSTON CANCER CENTER 3850 S NATIONAL AVE SPRINGFIELD MO 65807 MEDICAL OFFICES MEDICAL TOWERS 1443 N ROBBERSON SPRINGFIELD MO 65802 MEDICAL OFFICES RADIATION ONCOLOGY 3850 S NATIONAL AVENUE SPRINGFIELD MO 65807 CLINIC NORTHSIDE PEDIATRICS & ADOLESCENTS 1443 N ROBBERSON 200 SPRINGFIELD MO 65802 CLINIC COXHEALTH CENTER SOUTHERN HILLS 2702 E SUNSHINE SPRINGFIELD MO 65804 CLINIC COXHEALTH PLASTIC SURGERY 3555 S NATIONAL AVENUE SUITE 500 SPRINGFIELD MO 65807 CLINIC COXHEALTH WEIGHT LOSS & ADVANCED SURGERY CENTER 1001 E PRIMROSE STREET SPRINGFIELD MO 65807 CLINIC COX HYPERBARIC MEDICINE & WOUND CARE 3525 S NATIONAL 101 SPRINGFIELD MO 65807 CLINIC COXHEALTH GASTROENTEROLOGY 3901 S FREMONT AVENUE 4TH FLOOR SPRINGFIELD MO 65807 CLINIC FDC UROLOGY 1001 E PRIMROSE STREET SPRINGFIELD MO 65807 CLINIC COXHEALTH GENERAL SURGERY 1001 E PRIMROSE STREET SPRINGFIELD MO 65807 CLINIC COXHEALTH COLORECTAL SURGERY 1001 E PRIMROSE STREET SPRINGFIELD MO 65807 CLINIC COXHEALTH MED SPA 3555 S NATIONAL AVENUE SUITE 501 SPRINGFIELD MO 65807 CLINIC FDC ORTHOPEDIC SURGERY 3555 S NATIONAL AVENUE 2ND 3RD FLOO R SPRINGFIELD MO 65807 CLINIC FDC PHYSICAL MEDICINE AND REHABILITATION 3555 S NATIONAL AVENUE 3RD FLOOR SPRINGFIELD MO 65807 CLINIC FDC SPORTS MEDICINE 3555 S NATIONAL AVENUE 1ST FLOOR SPRINGFIELD MO 65807 CLINIC COXHEALTH VASCULAR SURGERY & MEDICINE 3800 S NATIONAL AVENUE SUITE 160 SPRINGFIELD MO 65807 CLINIC COXHEALTH CARDIOVASCULAR SERVICES 3800 S NATIONAL AVENUE SUITE 400 SPRINGFIELD MO 65807 CLINIC COXHEALTH RHEUMATOLOGY 3555 S NATIONAL AVENUE SUITE 102 SPRINGFIELD MO 65807 CLINIC ADULT MEDICINE & ENDOCRINOLOGY SPECIALISTS 960 E WALNUT LAWN SUITE 201 SPRINGFIELD MO 65807 CLINIC COXHEALTH PHYSICIANS FOR WOMEN 1000 E PRIMROSE SUITE 210 SPRINGFIELD MO 65807 CLINIC COXHEALTH PRIMROSE OBGYN 1000 E PRIMROSE SUITE 270 SPRINGFIELD MO 65807 CLINIC REGIONAL PERINATAL CENTER 1000 E PRIMROSE 360 SPRINGFIELD MO 65807 CLINIC COXHEALTH PEDIATRIC SPECIALTIES 1011 E MONTCLAIR SPRINGFIELD MO 65807 CLINIC RS POST ACUTE CARE 3525 S NATIONAL SPRINGFIELD MO 65808 CLINIC THE BREAST CARE SURGEONS AT COXHEALTH 3850 S NATIONAL AVENUE SUITE 320 SPRINGFIELD MO 65808 CLINIC COXHEALTH CENTER FOR RECOVERY 1423 N JEFFERSON STREET SPRINGFIELD MO 65802 CLINIC COXHEALTH ADVANTAGE CARE CLINIC 1819 S NATIONAL AVE SPRINGFIELD MO 65804 CLINIC COXHEALTH URGENT CARE SUNSHINE AND NATIONAL 1819 S NATIONAL AVE SPRINGFIELD MO 65804 URGENT CARE COXHEALTH PULMONOLOGY & SLEEP MEDICINE CLINIC 3800 S NATIONAL AVENUE SUITE 510 SPRINGFIELD MO 65807 CLINIC COXHEALTH TRAUMA & ACUTE CARE SURGERY CLINIC 3800 S NATIONAL AVE 600 SPRINGFIELD MO 65807 CLINIC INTERVENTIONAL PAIN MANAGEMENT 1001 E PRIMROSE ST SPRINGFIELD MO 65807 CLINIC FDC NEUROLOGY 3801 S NATIONAL AVENUE SUITE 900 SPRINGFIELD MO 65807 CLINIC COXHEALTH DERMATOLOGY 1925 W CHESTERFIELD BLVD SPRINGFIELD MO 65807 CLINIC COXHEALTH ALLERGY ASTHMA AND IMMUNOLOGY 1001 E PRIMROSE STREET SPRINGFIELD MO 65807 CLINIC COXHEALTH MEDICAL ONCOLOGY 3850 S NATIONAL AVENUE SUITE 520 SPRINGFIELD MO 65807 CLINIC FDC GYNECOLOGICAL ONCOLOGY 3850 S NATIONAL AVENUE SUITE 700 SPRINGFIELD MO 65807 CLINIC COXHEALTH INFECTIOUS DISEASES SPECIALTY CLINIC 3800 S NATIONAL LL100 SPRINGFIELD MO 65807 CLINIC COXHEALTH FAMILY MEDICINE 1001 E PRIMROSE STREET SPRINGFIELD MO 65807 CLINIC COXHEALTH URGENT CARE EAST BATTLEFIELD 3525 EAST BATTLEFIELD RD SPRINGFIELD MO 65809 URGENT CARE MARTIN CENTER 3801 S FREMONT SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER CRANE 102 CORTNEY LN CRANE MO 65633 CLINIC COXHEALTH CENTER FORSYTH 13852 US HWY 160 FORSYTH MO 65653 CLINIC COXHEALTH CENTER MT VERNON 10763 HWY 39 STE 200 MT VERNON MO 65712 CLINIC COXHEALTH HARRISON CLINIC 1401 HWY 65 NORTH STE 200 HARRISION AR 72601 CLINIC COXHEALTH NEPHROLOGY CLINIC 3525 S NATIONAL AVE STE 207 SPRINGFIELD MO 65807 CLINIC COXHEALTH WORK INJURY THERAPY CLINIC 3555 S NATIONAL AVE STE 102 SPRINGFIELD MO 65807 CLINIC COXHEALTH ADULT & PEDIATRIC URGENT CARE 1000 E PRIMROSE STE 170 SPRINGFIELD MO 65807 URGENT CARE COXHEALTH FITNESS CENTER REPUBLIC 711 E MILLER RD REPUBLIC MO 65738 FITNESS CENTER OZARK NEURO REHAB CENTER 3550 S NATIONAL AVE STE 200 SPRINGFIELD MO 65807 CLINIC COXHEALTH CENTER FOR PROSTHETICS THOTICS 2224 W SUNSET ST SPRINGFIELD MO 65807 CLINIC COX NORTH THERAPY SERVICES 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 CLINIC COXHEALTH FITNESS CENTER NORTH 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 FITNESS CENTER COXHEALTH SLEEP DISORDERS CENTER 3800 S NATIONAL AVE STE LL150 SPRINGFIELD MO 65807 CLINIC COXHEALTH NIXA THERAPY SERVICES 501 N OLD WILDERNESS RD NIXA MO 65714 CLINIC COXHEALTH FD RADIOLOGY 1001 E PRIMROSE ST SPRINGFIELD MO 65807 CLINIC COXHEALTH EAR NOSE AND THROAT 1001 E PRIMROSE ST FLOOR 3 SPRINGFIELD MO 65807 CLINIC INTERVENTIONAL PAIN MANAGEMENT 3555 S NATIONAL AVE STE 301 SPRINGFIELD MO 65807 CLINIC COXHEALTH EAST BATTLEFIELD THERAPY SERVICES 3525 E BATTLEFIELD SPRINGFIELD MO 65809 CLINIC THE WOMENS CENTER 1000 E PRIMROSE STE 110 SPRINGFIELD MO 65807 CLINIC COXHEALTH SPINE CARE CLINIC 3801 S NATIONAL AVE STE 900 SPRINGFIELD MO 65807 CLINIC COXHEALTH OZARK THERAPY SERVICES 5100 N TOWNE CENTRE DR OZARK MO 65721 CLINIC COXHEALTH INTERNAL MEDICINE 1001 E PRIMROSE 4TH FLOOR SPRINGFIELD MO 65807 CLINIC COXHEALTH AUDIOLOGY 1001 E PRIMROSE ST 3RD FLOOR SPRINGFIELD MO 65807 CLINIC OZARK DIALYSIS SERVICES HOME PROGRAM 3525 S NATIONAL AVE SPRINGFIELD MO 65807 CLINIC BREAST CARE CLINIC 3850 S NATIONAL AVE STE 300 SPRINGFIELD MO 65807 CLINIC OZARK DIALYSIS SERVICES KEARNEY 1007 E KEARNEY ST SPRINGFIELD MO 65803 CLINIC COXHEALTH MARSHFIELD THERAPY SERVICES 1245 BANNING ST MARSHFIELD MO 65706 CLINIC COXHEALTH BONE & JOINT CENTER RADIOLOGY 3555 S NATIONAL AVE FLOOR 1 SPRINGFIELD MO 65807 CLINIC COX NORTH RADIOLOGY 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 CLINIC OZARK DIALYSIS SERVICES NATIONAL 3525 S NATIONAL AVE STE 102 SPRINGFIELD MO 65807 CLINIC MEYER CENTER PELVIC HEALTH AND WELLNESS 3535 S NATIONAL AVE SPRINGFIELD MO 65807 CLINIC MEYER ORTHOPEDIC & SURGICAL HOSPITAL RADIOLOGY 3535 S NATIONAL AVE FLOOR 1 SPRINGFIELD MO 65807 CLINIC MEYER CENTER OUTPATIENT THERAPY SERVICES 3545 S NATIONAL AVE SPRINGFIELD MO 65807 CLINIC 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 OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 5 AND 6 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT STEP-DOWN PROCESS. SCHEDULE H, PART I, LINE 7 PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990. SCHEDULE H, PART I, LINE 7G SUBSIDIZED SERVICES THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $1,851,458. LESTER E. COX MEDICAL CENTERS PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. LESTER E. COX MEDICAL CENTERS CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. 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 DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2020-2024, APPROXIMATELY 10.5% PERCENT OF GREENE COUNTY WAS CONSIDERED TO LIVE IN POVERTY. 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 ON 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 - LESTER E COX MEDICAL CENTERS-SOUTH: LINE 16A URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE 1 - LESTER E COX MEDICAL CENTERS-SOUTH: 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 - LESTER E COX MEDICAL CENTERS-SOUTH: LINE 16C URL: HTTPS://WWW.COXHEALTH.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COORDINATED THROUGH THE OZARKS HEALTH COMMISSION (OHC), A REGIONAL COLLABORATION AMONG HOSPITAL SYSTEMS, LOCAL PUBLIC HEALTH AGENCIES, AND OTHER HEALTH CARE AND COMMUNITY PARTNERS. FOR THE SPRINGFIELD COMMUNITY, THE CHNA DEFINES THE SERVICE AREA AS CHRISTIAN, GREENE, AND WEBSTER COUNTIES IN MISSOURI AND IDENTIFIES PARTICIPATING/SERVICE-AREA ORGANIZATIONS INCLUDING MERCY HOSPITAL SPRINGFIELD, COXHEALTH, SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT, CHRISTIAN COUNTY HEALTH DEPARTMENT, WEBSTER COUNTY HEALTH UNIT, AND BURRELL BEHAVIORAL HEALTH. THE NEEDS ASSESSMENT DRAWS ON COMMUNITY-LEVEL DATA AND POPULATION/DEMOGRAPHIC INDICATORS TO DESCRIBE THE COMMUNITY SERVED AND IDENTIFY DISPARITIES, AND IT INCORPORATES COMMUNITY INPUT, INCLUDING COMMUNITY SURVEY RESPONSES AND FEEDBACK FROM COMMUNITY PARTNERS AND LEADERS. COMMUNITY PARTNERS WERE ALSO INVITED TO REVIEW THE CHNA AREAS OF FOCUS AND IDENTIFY POPULATIONS MOST VULNERABLE TO THE PRIORITY CONDITIONS. BASED ON THE ASSESSMENT OF PREVALENCE AND AFFECTED POPULATIONS, THE 2025 CHNA IDENTIFIED MENTAL HEALTH AND HEART HEALTH AS THE SPRINGFIELD COMMUNITY'S PRIORITY AREAS. CHNA RESULTS ARE USED BY PARTNERS TO INFORM COMMUNITY HEALTH IMPROVEMENT PLANS (CHIPS) AND FUTURE PUBLIC HEALTH AND HEALTH CARE INITIATIVES TARGETING IDENTIFIED NEEDS AND DISPARITIES. THE COMMUNITY-LEVEL CHNA NOTES THAT DETAILED INFORMATION ABOUT DATA COLLECTION IS INCLUDED IN THE OHC REGIONAL REPORT. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE LESTER E. COX MEDICAL CENTERS USES A VARIETY OF METHODS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE PROGRAMS OR UNDER THE ORGANIZATION'S POLICY: - AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION IS COMMUNICATED TO PATIENTS THROUGH THE USE OF SIGNAGE AND BROCHURES/INFORMATION PACKETS AVAILABLE AT CHECK-IN LOCATIONS. - LESTER E. COX MEDICAL CENTERS ALSO PROACTIVELY COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT BILLS AND STATEMENTS; AND ITS EARLY-OUT VENDOR RESPONSIBLE FOR PATIENT BALANCE COLLECTIONS IS EXPECTED TO PROACTIVELY INFORM SELF PAY PATIENTS OF THE AVAILABILITY WHEN SPEAKING TO THEM ON THE PHONE. - FOR ASSISTANCE UNDER FEDERAL AND STATE PROGRAMS LESTER E. COX MEDICAL CENTERS UTILIZES AN OUTSOURCE ELIGIBILITY VENDOR WHO MEETS WITH SELF PAY INPATIENTS AT THE BEDSIDE TO COMPLETE AN ELIGIBILITY SCREENING, INFORM THE PATIENTS OF POTENTIAL AVAILABILITY, AND WILL WORK WITH THE PATIENT TO HELP THEM THROUGH THE PROCESS. OUTPATIENTS ARE REFERRED TO THE VENDOR AFTER CARE AND THOSE ARE WORKED IN A SIMILAR FASHION WITH THE EXPECTATION THAT THE FIRST CONTACT IS THROUGH MAIL OR PHONE RATHER THAN AT THE BEDSIDE SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION THE PRIMARY SERVICE AREA (PSA) COUNTIES SERVED BY LESTER E. COX MEDICAL CENTERS INCLUDE: BARRY, CHRISTIAN, GREENE, LAWRENCE, STONE, TANEY, AND WEBSTER (ALL PSA COUNTIES ARE LOCATED IN MISSOURI). THE SECONDARY SERVICE AREA (SSA) COUNTIES SERVED BY LESTER E. COX MEDICAL CENTERS INCLUDE: BARTON, 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 OVER 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 SLIGHTLY MORE THAN 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 25-COUNTY SERVICE AREA AS 91% OF THE POPULATION IS WHITE ALONE. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH LESTER E. COX MEDICAL CENTERS' MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. WE ACTIVELY LIVE THIS MISSION BY PROVIDING QUALITY HEALTH CARE WITH MULTIPLE ACCESS POINTS FOR CARE INCLUDING THREE HOSPITALS AND MORE THAN 60 PHYSICIAN CLINICS (INCLUDING RETAIL CLINICS). THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH A COMMUNITY BOARD, HEALTH RELATED AD CAMPAIGNS, PROVISION OF WELLNESS SERVICES AND VACCINATIONS, PROVISION OF CARE FOR INDIGENT SEGMENTS OF THE POPULATION, FUNDING OF CARE QUALIFIED COMMUNITY MEMBERS THROUGH A NOT-FOR-PROFIT FOUNDATION, COMMUNITY EDUCATION CLASSES RELATED TO HEALTH AND WELLNESS, COMMUNITY ADVISORY COUNCILS AND HEALTH IMPROVEMENT EFFORTS IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS, SCHOOL SYSTEMS AND OTHER REGIONAL HEALTH CARE PROVIDERS. A MAJORITY OF LESTER E. COX MEDICAL CENTERS' BOARD IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO PHYSICIANS IN THE COMMUNITY IF THEY QUALIFY. SCHEDULE H, PART VI, LINE 6 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 AND DURABLE MEDICAL EQUIPMENT. COXHEALTH AT HOME SUPPORTS OUR COMMUNITY BY PROVIDING ONGOING COMMUNITY EDUCATION AROUND THE NATURE OF OUR SERVICES, ACCESS TO CARE, AND DISEASE SPECIFIC SUBJECT MATTER IMPACTING SENIORS AND FAMILIES THROUGH VARYING PARTNERING EVENTS. EXAMPLES INCLUDE HOLIDAY EVENTS AT LOCAL NURSING HOMES, MUSIC AND ACTIVITY SESSIONS AT VARYING LOCAL ASSISTED LIVING FACILITIES, BINGO AT LOCAL FACILITIES FOR SOCIAL INTERACTION, AND PARTNERSHIP WITH THE GREENE COUNTY PARK BOARD FOR DEDICATED GARDEN SPACE. CHAH PARTNERS WITH THE GREENE COUNTY TAX BOARD TO PROVIDE LIFELINE SERVICES FOR SENIOR 65 AND OLDER WHO ARE AT A RISK FOR FALLS PROMOTING SAFETY AND HOME INDEPENDENCE. 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. IN OCTOBER 2017, COXHEALTH SIGNED A LETTER OF INTENT WITH BCMH TO ACQUIRE ITS OPERATION AND TO LEASE ITS PROPERTY. BCMH WAS STRUGGLING AS A RURAL HOSPITAL TO KEEP UP WITH DECLINING REVENUE. COXHEALTH'S ACQUISITION ALLOWS FOR THE PATIENTS PREVIOUSLY SERVED BY BCMH TO BECOME A PART OF THE COXHEALTH SYSTEM. COX BARTON COUNTY WILL CONTINUE THE SERVICES PREVIOUSLY PROVIDED BY BCMH AND INTENDS TO EXPAND THESE SERVICES FURTHER IN THE FUTURE AS WELL. true MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 65102 430898947 501(C)(3) 147395 COMMUNITY BENEFIT 1 0 CHILDREN'S MIRACLE NETWORK - SPECIAL NEEDS GRANTS 1765 178700 CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS 40 78862 CHILDREN'S MIRACLE NETWORK - COMMUNITY OUTREACH GRANTS 435412 182812 CHILDREN'S MIRACLE NETWORK - LESTER E MC GRANTS 33004 793964 CHILDREN'S MIRACLE NETWORK - OTHER GRANTS 37651 703829 TUITION DISCOUNTS 241 377626 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS THROUGH THE CHILDREN'S MIRACLE NETWORK, LESTER E. COX MEDICAL CENTERS DISTRIBUTES FUNDS TO INDIVIDUALS THROUGHOUT THE COMMUNITY. SEE BELOW FOR A SUMMARY OF PROGRAMS THROUGH WHICH FUNDS ARE DISTRIBUTED. DURING FISCAL YEAR 2025, MORE THAN 91,000 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $178,700 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: *KIDS CHECKS - $88,355 *MEAL TRAYS - $71,500 *MEAL VOUCHERS - $8,265 *GIFT CARDS - $10,580 FAMILY CARE GRANTS - $78,862 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $182,812 TOTAL *CARDIAC PROGRAM (A PORTION TO COX- MONETT HOSPITAL, INC.) - $22,684 *"NEVER SHAKE A BABY" PROGRAM - $26,250 *TEEN DRIVING (WASTED PROGRAM) - $7,250 *BICYCLE SAFETY PROGRAM - $25,400 *WATER SAFETY PROGRAM - $16,950 *CAR SEAT SAFETY PROGRAM - $18,056 *FIREARM SAFETY - $21,222 *INFANT SLEEP & SAFETY - $15,250 *FARM SAFETY PROGRAM - $17,500 *HOME SAFETY PROGRAM - $12,250 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $793,965 TOTAL *CHILD LIFE PROGRAM - $180,941 *C.A.R.E. MOBILE - $613,024 DISCRETIONARY AND OPEN FUNDS - $703,829 - THESE ARE FUNDS THAT DO NOT FALL INTO ONE OF THE ABOVE CATEGORIES AND INCLUDES FUNDS TO DEPARTMENTS FOR EQUIPMENT AND OTHER THERAPEUTIC ITEMS FOR CHILDREN. THE FUNDS ARE AS FOLLOWS: PEDIATRICS - $192,820 RESPIRATORY CARE - $84,163 LABOR AND DELIVERY - $147,043 BRANSON MATERNITY - $7,519 CASE MANAGEMENT SOUTH - $5,958 OUTPATIENT NEURO THERAPY - $29,135 NICU - $99,205 WOMEN AND NEWBORN - $124,994 CHILD-ADOLESCENT PSYCHIATRY - $12,992 THE ORGANIZATION ALSO PROVIDED SUPPORT OF OTHER LOCAL ORGANIZATIONS THROUGH SPONSORSHIPS AS PART OF THEIR COMMUNITY BUILDING ACTIVITIES. THE USE OF THE FUNDS CAN BE SEEN AT EVENTS AND IN COMMUNITY PROJECTS. STUDENTS MUST MEET THE ELIGIBILITY REQUIREMENTS SPECIFIED IN THE APPLICABLE SCHOLARSHIP IN ORDER TO BE CONSIDERED FOR AWARD. THESE REQUIREMENTS INCLUDE SUCH THINGS AS GRADE POINT AVERAGES, ECONOMIC NEED, ENROLLMENT IN A PARTICULAR PROGRAM, ETC. AS APPLICABLE, THE COLLEGE FOLLOWS FEDERAL, STATE, AND INSTITUTIONAL GUIDELINES FOR AWARDS 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 JACOB M MCWAY EVP, COXHEALTH CFO 0 822771 0 245588 0 223463 0 217234 0 20530 0 1529586 0 174788 BETH POLIVKA SVP, CNO 313373 0 65848 0 690 0 17250 0 8470 0 405631 0 0 0 JOHNATHAN SHAMEL SVP, CMG 322431 0 70652 0 23254 0 16675 0 16176 0 449188 0 0 0 SHAWN USERY SVP, CMO 553634 0 112650 0 300 0 8625 0 16676 0 691885 0 0 0 JEFF HAWKINS VP, CLINICAL SERVICES 265089 0 41541 0 1980 0 15694 0 8811 0 333115 0 0 0 ASHLEY CASAD PRESIDENT, SHG 414293 0 85890 0 270 0 16675 0 11609 0 528737 0 0 0 ELLEN HAMMOCK VP, CMG 252921 0 38846 0 450 0 8973 0 13401 0 314591 0 0 0 KARIM WELAYA PHYSICIAN 882101 0 13653 0 162 0 36612 0 21420 0 953948 0 0 0 LOUIS P KRENN PHYSICIAN 409136 0 52884 0 190 0 17250 0 10759 0 490219 0 0 0 MIMI PROPST PHYSICIAN 775873 0 36409 0 270 0 6900 0 16176 0 835628 0 0 0 RAJESH BANDERUDRAPPAGARI PHYSICIAN 758861 0 3413 0 0 0 46000 0 17547 0 825821 0 0 0 GREGORY S STAMPS PHYSICIAN 839770 0 0 0 24953 0 17250 0 15533 0 897506 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 - 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 IN 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. A HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO 431178966 60637AHS4 2015-04-22 142209927 REFINANCE 80% 2008A false false false B HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO 431178966 60635R5B9 2012-12-03 34635000 NEW INFRASTRUCTURE & EQUIPMENT false false false C HEALTH & EDUCATIONAL FACILITIES-AUTH STATE OF MO 431178966 60637AEA6 2013-04-17 215764755 NEW INFRASTRUCTURE false false false D HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO 431178966 60637ANY4 2019-04-17 132217208 NEW INFRASTRUCTURE & EQUIPMENT false false false A 12245000 0 142209927 0 0 0 1385435 0 0 0 140824492 0 2015 false true true true B 4775000 0 34635000 0 0 0 0 0 0 0 34635000 0 2012 true false true true C 11675000 0 216278348 0 18784325 0 2272111 0 0 195221912 0 0 2015 false false true true D 4470000 0 133868486 0 5878142 0 1335157 0 0 96640529 30000000 0 2021 false true true true A false true false false false false 0.0 0.0 0.0 false false 0 false true B false true false false false false 0.0 0.0 0.0 false false 0 false true C false true true true false false 0.0 0.0 0.0 false false 0 false true D false true false false false false 0.0 0.0 0.0 false false 0 false true A false false false true false false 0 false false false 0 false false true B false false false true true false 0 false false false 0 false false true C false false false true false false 0 false false false 0 false false true D false false false true false false 0 false false false 0 false false true A true B true C true D true SCHEDULE K, PART II, LINE 3 GROUP 1 - COLUMNS B, C, & D, GROUP 2 - COLUMNS A & B THE TOTAL PROCEEDS OF THE ISSUE EXCEEDED THE ISSUE PRICE BY THE INVESTMENT EARNINGS AS OF 09/30/2025. SCHEDULE K, PART II, LINE 11 GROUP 1 - COLUMNS B & D, GROUP 2 - COLUMN A THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. SCHEDULE K, PART IV, LINE 2C REBATE COMPUTATION THE REBATE COMPUTATION WAS LAST PERFORMED AS OF THE DATES SHOWN ON SCHEDULE K, PART IV, LINE 2C FOR EACH BOND. NO FUTURE COMPUTATIONS ARE REQUIRED SO LONG AS THE CORPORATION DOES NOT SET ASIDE MONEY IN ANY FUND OR ACCOUNT IN EXCESS OF AN AMOUNT NEEDED TO PAY DEBT SERVICE ON THE BONDS WITHIN ANY GIVEN TWELVE-MONTH PERIOD SCHEDULE K, PART IV, LINE 2C COLUMN A ISSUER NAME: HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 04/30/2020 SCHEDULE K, PART IV, LINE 2C COLUMN B ISSUER NAME: HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 11/20/2018 SCHEDULE K, PART IV, LINE 2C COLUMN C ISSUER NAME: HEALTH & EDUCATIONAL FACILITIES-AUTH STATE OF MO THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 03/20/2018 SCHEDULE K, PART IV, LINE 2C COLUMN D ISSUER NAME: HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 11/07/2022 SCHEDULE K, PART IV, LINE 2C COLUMN A ISSUER NAME: HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 03/20/2018 A HEALTH & EDUCATIONAL FACILITIES AUTH-STATE OF MO 431178966 60636G1A8 2013-12-18 70000000 NEW INFRASTRUCTURE & EQUIPMENT false false false A 600000 0 70000000 0 0 0 0 0 0 0 70000000 0 2013 true false true true A false true false false false false 0.0 0.0 0.0 false false 0 false true A false false false true true false 0 false false false 0 false false true A true COLTON NELSON SON OF VICKIE NELSON, SECRETARY OF BOARD 71829 WAGES false SABRINA NELSON DAUGHTER IN LAW OF VICKIE NELSON, SECRETARY OF BOARD 47448 WAGES false JEFFERSON TYNES 2ND VICE CHAIR 176941 BUSINESS RELATIONSHIP - SUPPLIES false JONATHAN FULP SON OF ROBERT FULP, BOARD MEMBER 13258 WAGES false TY NELSON GRANDSON OF VICKIE NELSON, SECRETARY OF BOARD 15494 WAGES false FORM 990, PART III, LINES 4A- 4B - EXEMPT PURPOSE ACHIEVEMENTS - COMMUNITY BENEFIT REPORT LESTER E. COX MEDICAL CENTERS IS PROUD TO OFFER NATIONALLY RECOGNIZED QUALITY CARE AND THE LATEST IN MEDICAL TECHNOLOGY AND SERVICES TO IMPROVE OUR COMMUNITY'S HEALTH. DESPITE INNOVATION AND QUALITY, THERE ARE STILL COMMUNITY NEEDS THAT ARE NOT MET THROUGH REGULAR COURSE OF CARE. THAT IS WHY AS A COMMUNITY-OWNED, NOT-FORPROFIT HOSPITAL SYSTEM, WE PROVIDE THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE ALL IN OUR COMMUNITIES, INCLUDING SOME OF THE MOST VULNERABLE - THE UNDERINSURED AND UNINSURED. PROGRAMS THAT HELP THE INDIVIDUALS AND FAMILIES OF OUR COMMUNITY ARE AN INVESTMENT IN FRIENDS, FAMILY, AND NEIGHBORS. LESTER E. C MEDICAL CENTERS DOES THIS THROUGH INITIATIVES LIKE AMANDA BELLE FARM, KOHLS CARDIAC KIDS AND HEALTHY FOOD PANTRY COLLABORATIVE, BUT IS ALSO EVIDENT IN COMMUNITY AND HEALTH CARE EDUCATION, SUPPORT GROUPS, PREVENTIVE SCREENINGS, SPONSORSHIPS, AND DONATIONS. COMMUNITY BENEFIT MEDICARE, MEDICAID AND UNINSURED SUBSIDIES $ 274,522,703 CMC $ 316,842,580 SYSTEM-WIDE THIS FIGURE INCLUDES THE ESTIMATED UNPAID COSTS OF PROVIDING C TO MEDICARE AND MEDICAID PATIENTS AND REPRESENTS THE SHORTFALL BETWEEN THE COST OF PROVIDING CARE AND THE PAYMENTS RECEIVED BY THE GOVERNMENT AND COVERED INDIVIDUALS. ALSO, IT INCLUDES THE ESTIMATED UNPAID COST OF PROVIDING FREE OR DISCOUNTED CARE TO PERSONS WHO CANNOT AFFORD TO PAY FOR ANY OR ALL OF THE SERVICES THEY RECEIVE AND WHO ARE NOT ELIGIBLE FOR PUBLIC PROGRAMS. COMMUNITY OUTREACH SERVICES $ 188,808 CMC $ 193,113 SYSTEM-WIDE INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND SERVICES THAT ARE SUBSIDIZED BECAUSE THEY ARE NEEDED THE COMMUNITY. EXAMPLES ARE COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, IMMUNIZATIONS, COALITION BUILDING AND SUBSIDY OF HEALTH CARE SERVICES. HEALTH PROFESSIONALS EDUCATION AND RESEARCH $ 1,692,170 CMC $ 2,030,800 SYSTEM-WIDE THIS FIGURE IS THE COST OF PROVIDING CLINICAL PLACEMENTS FOR PHYSICIANS AND OTHER HEALTH PROFESSIONALS PLUS THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS. IT INCLUDES THE UN-REIMBURSED EXPENSE OF STUDIES ON THERAPEUTIC PROTOCOLS AND RESEARCH. FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS $ 1,819,063 CMC $ 1,833,694 SYSTEM-WIDE THIS FIGURE INCLUDES CASH AND IN-KIND DONATIONS TO SUPPORT COMMUNITY ORGANIZATIONS, PATIENT ADVOCACY AND EDUCATION, AS WELL AS CONTRIBUTIONS FOR NOT FOR- PROFIT COMMUNITY ORGANIZATIONS AND EVENT SPONSORSHIPS. TOTAL COMMUNITY BENEFIT: $ 278,222,744 CMC $ 320,900,187 SYSTEM-WIDE ECONOMIC IMPACT RESTRICTED FOUNDATION GRANTS $ 6,965,350 CMC $ 6,965,350 SYSTEM-WIDE THIS FIGURE INCLUDES GRANTS TO ORGANIZATIONS IN THE COMMUNITY FOR SPECIFIC RESTRICTED REQUESTS. REAL ESTATE AND PROPERTY TAXES $ 2,819,112 CMC $ 2,923,908 SYSTEM-WIDE TOTAL REAL ESTATE AND PROPERTY TAXES PAID BY LESTER E. COX MEDICAL CENTERS FOR MEDICAL OFFICE BUILDINGS AND PHYSICIAN OFFICES AND CLINIC. CAPITAL INVESTMENTS $ 92,707,040 CMC $ 124,029,171 SYSTEM-WIDE AS A NON-PROFIT ORGANIZATION, LESTER E. COX MEDICAL CENTERS REINVESTS ITS REVENUE IN THE SERVICES IT PROVIDES TO THE COMMUNITY INCLUDING THE COST OF MEDICAL TECHNOLOGY, EQUIPMENT AND SERVICES. THIS AMOUNT INCLUDES THE TOTAL INVESTMENT MADE THROUGH PURCHASING AND LEASING OF MEDICAL EQUIPMENT AND TECHNOLOGY, AS WELL AS RENTAL FACILITIES, SUCH AS MEDICAL OFFICES. PAYROLL & BENEFITS $ 864,738,911 CMC $ 1,078,209,684 SYSTEM-WIDE THE COXHEALTH SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN FISCAL YEAR 2025, LESTER E. COX MEDICAL CENTERS ALONE EMPLOYED NEARLY 12,320 PEOPLE, AND THE REMAINING COXHEALTH SYSTEM AFFILIATES CARRY THE TOTAL EMPLOYED FIGURE TO 19,373 PEOPLE. THIS DOLLAR AMOUNT INCLUDES THE COST OF PAYROLL AND BENEFITS OF OUR DEDICATED TEAM FOR LESTER E. COX MEDICAL CENTERS. IT ALSO INCLUDES A SIGNIFICANT INVESTMENT ON CONTRACT PERSONNEL IN VARIOUS MEDICAL SPECIALTIES AS WELL AS MONIES TO OTHER PROFESSIONALS WHO RESIDE LOCALLY. TOTAL ECONOMIC IMPACT: $ 967,230,413 CMC $ 1,212,128,113 SYSTEM-WIDE TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 1,245,453,157 CMC $ 1,533,028,300 SYSTEM-WIDE FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS LESTER E COX MEDICAL CENTERS SHALL HAVE ONE MEMBER WHICH SHALL BE COXHEALTH. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE SOLELY & SPECIFICALLY RESERVED TO THE MEMBER; (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF CMC; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF CMC AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF CMC; (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 CMC, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE, SECTION 1 AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND CMC; (F) AFTER CONSULTATION WITH THE BOARD, TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF CMC; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR CMC 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 CMC IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF CMC; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF CMC OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CMC; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY CMC OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) AFTER RECEIVING INPUT FROM THE BOARD, TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF CMC; (M) APPROVAL OF CMC'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 CMC 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 CMC 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 CMC, 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 CMC; (Q) TO REQUIRE CMC TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER; (R) TO APPROVE THE TRANSFER OF ASSETS BY CMC TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF CMC WHICH WILL NOT REQUIRE APPROVAL OF THE MEMBER; (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 CMC 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; (T) TO APPROVE CHANGES TO THE TYPE OF OR RELOCATION OF PHYSICIAN PROFESSIONAL MEDICAL SERVICES OFFERED BY CMC, WHERE THE CHANGE INVOLVES (A) SERVICES OFFERED OR PROVIDED BY CMG PHYSICIANS 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 CMC; (V) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO CMC 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 ANY REMOTELY CONTROLLED SUBSIDIARY. THE BOARD SHALL BE ELECTED BY THE MEMBER. PRIOR TO THE ANNUAL MEETING, THE BOARD SHALL NOMINATE A SLATE OF PERSONS FOR ELECTION AS CMC DIRECTORS AND OFFICERS TO SUBMIT TO COXHEALTH FOR APPOINTMENT. COXHEALTH WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT; (W) TO CONTRACT ON BEHALF OF CMC 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 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS SUBJECT TO THE POWERS AND RESPONSIBILITIES RESERVED TO THE MEMBER PURSUANT TO THESE BYLAWS (INCLUDING WITHOUT LIMITATION IN ARTICLE TWO, SECTION 3) AND THE ARTICLES OF INCORPORATION, THE BOARD SHALL HAVE GENERAL CHARGE OF THE BUSINESS AND AFFAIRS OF CMC AND MAY DO AND PERFORM ALL ACTS NECESSARY TO CARRY OUT ITS PURPOSES AND, WHEN NOT OTHERWISE PROVIDED, IN SUCH WAY AS THE BOARD SHALL DEEM BEST. THE BOARD MAY PROVIDE FOR BUILDING, EQUIPPING AND FURNISHING ALL NECESSARY BUILDINGS. THE BOARD MAY BORROW MONEY AND PROVIDE FOR THE REPAYMENT OF SUCH AND FOR SECURING THE SAME BY DEED OF TRUST, OR OTHER LIEN, ON ANY PROPERTY OWNED BY CMC OR OTHERWISE, AND MAY PROVIDE FOR THE EXECUTION OF ALL NECESSARY OR PROPER INSTRUMENTS OF ANY KIND FOR THAT PURPOSE. THE BOARD MAY ACCEPT CONTRIBUTIONS OF EVERY KIND AND CONVEYANCES OF PROPERTY OF ALL KINDS TO CMC. THE BOARD MAY PROVIDE FOR PROCURING ALL NECESSARY OR PROPER FUNDS AND PROVIDE FOR ALL EXPENDITURES. THE ENUMERATION OF THE ABOVE POWERS OF THE BOARD SHALL NOT IN ANY WAY LIMIT ITS GENERAL POWERS, BUT SAID BOARD SHALL DO AND PERFORM ANY AND ALL ACTS DEEMED BY IT DESIRABLE TO CARRY OUT THE PURPOSES OF CMC AS EXPRESSED IN ITS ARTICLES OF INCORPORATION WITHOUT LIMITATION, EXCEPT AS MAY BE PROVIDED BY THESE BYLAWS. 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 PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH THE ONLINE BOARD PORTAL PRIOR TO FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY COXHEALTH OFFICERS, DIRECTORS AND KEY EMPLOYEES, AS WELL AS OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE COXHEALTH AFFILIATES AND/OR COMMITTEES WITH DELEGATED AUTHORITY TO MAKE DECISIONS, ARE ANNUALLY REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST FOLLOWING THE POLICY, SET FORTH BELOW. THE POLICY REQUIRES THAT BOARD MEMBERS MAKE DECISIONS THAT ARE CONFLICT FREE, OR IF A CONFLICT IS PRESENT, THAT IT IS FULLY DISCLOSED FOR THE BOARD'S CONSIDERATION. COXHEALTH'S EMPLOYEES AND BOARD MEMBERS MUST AVOID ALL ACTIVITIES, ASSOCIATIONS OR INTERESTS THAT CREATE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST FOR EMPLOYEES MUST BE REPORTED TO THE CORPORATE INTEGRITY DEPARTMENT. A FILE WILL BE MAINTAINED OF ALL REPORTED CONFLICTS OF INTEREST. FOR MEDICAL STAFF MEMBERS, THE CONFLICT OF INTEREST PROCESS MAY BE ACCESSED THROUGH THE MEDICAL STAFF OFFICE. FOR BOARD MEMBERS, THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH THE GOVERNANCE 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 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 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE CEO USING EXTERNAL COMPARABLE DATA FOR ASSESSMENT AND IS PROVIDED TO THE COMPENSATION COMMITTEE FOR REVIEW ON AN ANNUAL BASIS. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC LESTER E. COX MEDICAL CENTERS MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR ALL LEGITIMATE BUSINESS PURPOSES AS DETERMINED BY MANAGEMENT. IN ADDITION, AS A CONTINUING DISCLOSURE REQUIREMENT OF CERTAIN DEBT COVENANTS THE ORGANIZATION PROVIDES ITS AUDITED FINANCIAL STATEMENTS AND SPECIFIC QUARTERLY FINANCIAL INFORMATION TO DEFINED REPOSITORIES FOR REVIEW BY PARTIES OR INDIVIDUALS INTERESTED IN THE INFORMATION. FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE OTHER PROGRAM SERVICE REVENUE - TOTAL REVENUE: 13377653, RELATED OR EXEMPT FUNCTION REVENUE: 13377653, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART IX, LINE 11G OTHER FEES PURCHASED AFFILIATE SERVICES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: 68079770, FUNDRAISING EXPENSES: 0; PHYSICAL REMUNERATION - TOTAL EXPENSE: 77828612, PROGRAM SERVICE EXPENSE: 60828256, MANAGEMENT AND GENERAL EXPENSES: 17000356, FUNDRAISING EXPENSES: 0; ANESTHESIA SERVICES - TOTAL EXPENSE: 14638127, PROGRAM SERVICE EXPENSE: 11440673, MANAGEMENT AND GENERAL EXPENSES: 3197454, FUNDRAISING EXPENSES: 0; CONTRACT LABOR - TOTAL EXPENSE: 9601716, PROGRAM SERVICE EXPENSE: 7504382, MANAGEMENT AND GENERAL EXPENSES: 2097334, FUNDRAISING EXPENSES: 0; PURCHASED LAB SERVICES - TOTAL EXPENSE: 5993558, PROGRAM SERVICE EXPENSE: 4684366, MANAGEMENT AND GENERAL EXPENSES: 1309192, FUNDRAISING EXPENSES: 0; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 5335615, PROGRAM SERVICE EXPENSE: 4329513, MANAGEMENT AND GENERAL EXPENSES: 971552, FUNDRAISING EXPENSES: 34550; CONSULTING - TOTAL EXPENSE: 3781271, PROGRAM SERVICE EXPENSE: 2955316, MANAGEMENT AND GENERAL EXPENSES: 825955, FUNDRAISING EXPENSES: 0; HOUSEKEEPING SERVICES - TOTAL EXPENSE: 3397274, PROGRAM SERVICE EXPENSE: 2655196, MANAGEMENT AND GENERAL EXPENSES: 742078, FUNDRAISING EXPENSES: 0; RADIOLOGY - TOTAL EXPENSE: 2750899, PROGRAM SERVICE EXPENSE: 2150011, MANAGEMENT AND GENERAL EXPENSES: 600888, FUNDRAISING EXPENSES: 0; BILLING/COLLECTION SERVICES - TOTAL EXPENSE: 2217463, PROGRAM SERVICE EXPENSE: 1733095, MANAGEMENT AND GENERAL EXPENSES: 484368, FUNDRAISING EXPENSES: 0; MEDICAL DIRECTOR - TOTAL EXPENSE: 1296922, PROGRAM SERVICE EXPENSE: 1013631, MANAGEMENT AND GENERAL EXPENSES: 283291, FUNDRAISING EXPENSES: 0; SPECIAL SERVICES - TOTAL EXPENSE: 278005, PROGRAM SERVICE EXPENSE: 217279, MANAGEMENT AND GENERAL EXPENSES: 60726, FUNDRAISING EXPENSES: 0; COURIER - TOTAL EXPENSE: 220464, PROGRAM SERVICE EXPENSE: 172307, MANAGEMENT AND GENERAL EXPENSES: 48157, FUNDRAISING EXPENSES: 0; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER FROM AFFILIATE - 25973500; CHANGE IN BENEFICIAL INTEREST IN TRUST - -27386; CHANGE IN NET ASSETS OF SUBSIDIARIES - -29337929; TOTAL - -3391815; FERRELL DUNCAN CLINIC 1001 E PRIMROSE SPRINGFIELD MO 65807 542183221 PHYSICIANS MO 0 0 LESTER E COX OXFORD HEALTHCARE HOME HEALTH AGENCY 3550 S NATIONAL SPRINGFIELD MO 65807 770700975 HOME HEALTH MO 0 0 LESTER E COX REGIONAL SERVICES 3800 S NATIONAL SUITE 540 SPRINGFIELD MO 65807 542183222 HEALTHCARE MO 0 0 LESTER E COX OB GYN FERRELL DUNCAN CLINIC 1000 E PRIMROSE SPRINGFIELD MO 65807 431878984 PHYSICIANS MO 0 0 LESTER E COX COXHEALTH HOME SUPPORT SYSTEMS 2224 E SUNSET SPRINGFIELD MO 65807 542183216 HOME HEALTH MO 0 0 LESTER E COX SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE 2900 S NATIONAL AVE SPRINGFIELD MO 65807 274296628 PHYSICIANS MO 0 0 LESTER E COX FERRELL DUNCAN CLINIC BRANSON 251 SKAGGS ROAD BRANSON MO 65616 464039135 PHYSICIANS MO 0 0 LESTER E COX TRIPLE STARS PROPERTIES LLC 901 ST LOUIS STREET SUITE 600 SPRINGFIELD MO 65807 271117213 MANAGEMENT MO 0 0 LESTER E COX COXHEALTH INNOVATIONS LLC 3850 S NATIONAL SPRINGFIELD MO 65807 271117213 MANAGEMENT MO 0 0 LESTER E COX COXHEALTH FOUNDATION 3525 S NATIONAL SUITE 204 SPRINGFIELD MO 65807 436810485 FUNDRAISING MO 501(C)(3) TYPE I LESTER E COX true COX-MONETT HOSPITAL INC 801 N LINCOLN MONETT MO 65708 431656689 HOSPITAL MO 501(C)(3) 3 COXHEALTH false COX HPS OZARKS INC DBA COXHEALTH AT HOME 2220 W SUNSET SPRINGFIELD MO 65807 431641927 HOME HEALTH MO 501(C)(3) 10 COXHEALTH false HC SVCS OZARKS INC DBA COXHEALTH AT HOME PO BOX 10939 SPRINGFIELD MO 65808 431641928 HOME HEALTH MO 501(C)(3) 10 HPS OF OZARK true SKAGGS COMM HOSP ASSOC (COX MC BRANSON) 525 BRANSON LANDING BOULEVARD BRANSON MO 65616 440584290 HOSPITAL MO 501(C)(3) 3 COXHEALTH false COXHEALTH 1423 N JEFFERSON SPRINGFIELD MO 65802 471087427 HOLDING CO MO 501(C)(3) TYPE II NA false COX MEDICAL GROUP 1423 N JEFFERSON SPRINGFIELD MO 65802 471087566 PHYSICIANS MO 501(C)(3) TYPE I LESTER E COX true COXHEALTH SYSTEMS HMO PO BOX 5750 SPRINGFIELD MO 65801 431757075 HMO MO 501(C)(4) LESTER E COX true COX BARTON COUNTY HOSPITAL 1423 N JEFFERSON SPRINGFIELD MO 65802 823300758 HOSPITAL MO 501(C)(3) 3 COXHEALTH 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 true ALLIANCE FOR HEALTHCARE EDUCATION 3850 S NATIONAL AVE STE 500 SPRINGFIELD MO 65807 933825616 COLLABORATIVE EDUCATION MO 501(C)(3) TYPE I NA false COX TAXABLE CLOSE CORPORATION 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 472573263 MEDICAL CLINICS MO COX MED GROUP C CORPORATION 0 0 false FERRELL-DUNCAN CLINIC INC 1001 E PRIMROSE SPRINGFIELD MO 65808 430991578 PHYSICIANS MO LESTER E COX C CORPORATION 0 0 1 true COXHEALTH RISK SOLUTIONS GRAND PAVILION CORPORATE CENTRE KY GRAND CAYMAN CJ 1 CAPTIVE INSURANCE CJ LESTER E COX C CORPORATION 11278957 56100713 1 true false true true false false false false false false true true false false false false true true true true COXHEALTH FOUNDATION C 375104 COST COXHEALTH RISK SOLUTIONS P 12713959 COST COX HPS OZARKS INC DBA COXHEALTH AT HOME P 4353891 COST COX HPS OZARKS INC DBA COXHEALTH AT HOME Q 7181427 COST COXHEALTH SYSTEMS HMO S 3145998 COST COXHEALTH FOUNDATION S 303798 COST