Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014
BCheck if applicable:
CName of organization
LESTER E COX MEDICAL CENTERS
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1423 N JEFFERSON ST
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SPRINGFIELD, MO65802
D Employer identification number

44-0577118
E Telephone number

G Gross receipts $ 1,533,145,247
F Name and address of principal officer:
STEVE EDWARDS
1423 N JEFFERSON ST
SPRINGFIELD,MO65802
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.COXHEALTH.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1923
M State of legal domicile: MO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION PROVIDES QUALITY HEALTH CARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 29
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 20
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 8,554
6 Total number of volunteers (estimate if necessary) ............. 6 30
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 3,999,084
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 197,774
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 68,461,532 2,509,785
9 Program service revenue (Part VIII, line 2g) ......... 1,002,714,972 1,031,461,157
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 11,258,214 39,434,234
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 9,008,258 10,587,729
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,091,442,976 1,083,992,905
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,593,947 1,591,995
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 401,596,721 405,590,091
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet546,081    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 594,780,700 613,841,869
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 997,971,368 1,021,023,955
19 Revenue less expenses. Subtract line 18 from line 12....... 93,471,608 62,968,950
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,345,753,808 1,403,872,850
21 Total liabilities (Part X, line 26)............. 685,529,161 729,411,456
22 Net assets or fund balances. Subtract line 21 from line 20..... 660,224,647 674,461,394
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION & RESEARCH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 670,188,020 including grants of $   ) (Revenue $ 759,566,612 )
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 & UNINSURED. COMMUNITY BENEFIT IN FY14 TOTALED $140,043,467 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 & SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS & IN-KIND DONATIONS.
4b (Code:   ) (Expenses $ 215,665,663 including grants of $   ) (Revenue $ 181,636,759 )
PHYSICIAN CARE: EMPLOYED PHYSICIANS AT LESTER E. COX MEDICAL CENTERS 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. THESE PATIENTS REPRESENT 20% AND 30% PERCENT OF TOTAL PATIENTS SEEN IN THE CLINIC RESPECTIVELY. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. LESTER E. COX MEDICAL CENTERS CONTINUES TO PARTNER WITH WAL-MART, AND CURRENTLY HAS 5 PARTNERSHIP CLINICS.
4c (Code:   ) (Expenses $ 30,229,715 including grants of $   ) (Revenue $ 29,339,810 )
HOME CARE: LESTER E. COX MEDICAL CENTERS' HOME CARE SERVICES ARE PROVIDED BY OXFORD HEALTHCARE HOME CARE AND HOSPICE AND COX HOME SUPPORT DURABLE MEDICAL EQUIPMENT. OXFORD STRIVES TO MEET THE HOME CARE AND HOSPICE NEEDS FOR CLIENTS OF ALL AGES. THEIR SERVICES INCLUDE NURSING CARE, MEDICATION SUPERVISION, IV THERAPY, PERSONAL CARE, HOUSEKEEPING, LAUNDRY, MEAL PREPARATION, SHOPPING, ERRANDS, TRANSPORTATION, COMPANIONSHIP, TELEMONITORING AND LIFELINE PERSONAL EMERGENCY RESPONSE SYSTEM. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
4d Other program services (Describe in Schedule O.)
(Expenses $ 6,247,350 including grants of $ 1,591,995 ) (Revenue $ 60,917,976 )
4e Total program service expensesMediumBullet922,330,748
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
464
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
8,554
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
29
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
20
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJACOB M MCWAY3800 S NATIONALSPRINGFIELDMO65807 (417) 269-8811
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JAMES HUTCHESON........................................................................
CHAIRMAN OF THE BOARD
 1.0
.......................6.0 		X   X       0 0  
(2) GRANT HADEN........................................................................
1ST VICE CHAIRMAN OF THE BOARD
 1.0
.......................5.0 		X   X       0 0  
(3) JOSEPH TURNER........................................................................
2ND VICE CHAIRMAN OF THE BOARD
 1.0
.......................5.0 		X   X       0 0  
(4) DENNIS HEIM........................................................................
3RD VICE CHAIRMAN OF THE BOARD
 1.0
.......................5.0 		X   X       0 0  
(5) HAL HIGDON........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(6) JACK PRIM........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(7) LARRY HALVERSON MD........................................................................
BOARD MEMBER
 40.0
.......................   		X           123,661 0 30,049
(8) JEFFERSON TYNES........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(9) PHILLIP LOYD........................................................................
BOARD MEMBER
 1.0
.......................7.0 		X           0 0  
(10) THOMAS AUNER........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(11) CHARLES CHALENDER........................................................................
BOARD MEMBER
 1.0
.......................1.0 		X           0 0  
(12) PIERRE CLOTHIAUX MD........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(13) PATRICIA DIX MD........................................................................
BOARD MEMBER
 40.0
.......................   		X           369,303 0 37,538
(14) HOWARD FISK........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(15) MARK HASELTINE........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(16) JANICE HARRIS........................................................................
BOARD MEMBER
 1.0
.......................6.0 		X           0 0  
(17) KURT HELLWEG........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) LARRY LIPSCOMB........................................................................
BOARD MEMBER
 1.0
.......................5.0 		X           0 0  
(19) ROBERT MCDOWELL........................................................................
BOARD MEMBER
 1.0
.......................7.0 		X           0 0  
(20) JEFFREY GOWER DDS........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(21) JAMES GIBSON........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(22) JERRY JARED........................................................................
BOARD MEMBER
 1.0
.......................5.0 		X           0 0  
(23) RICHARD KISSELL MD........................................................................
BOARD MEMBER
 40.0
.......................5.0 		X           47,243 0 5,266
(24) ROBERT MCHAFFEY........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(25) DAVID MANUEL........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(26) ROBERT FULP........................................................................
BOARD MEMBER
 1.0
.......................4.0 		X           0 0  
(27) RONALD PONDS........................................................................
BOARD MEMBER
 1.0
.......................5.0 		X           0 0  
(28) CLIFTON SMART........................................................................
BOARD MEMBER
 1.0
.......................   		X           0 0  
(29) DAVID ZOLFAGHARI........................................................................
BOARD MEMBER
 1.0
.......................5.0 		X           0 0  
(30) DONA ELKINS........................................................................
BOARD MEMBER ENDING 10/2013
 1.0
.......................3.0 		X           0 0  
(31) STEVE EDWARDS........................................................................
PRESIDENT & CEO
 40.0
.......................10.0 		    X       1,177,948 0 243,844
(32) JAKE MCWAY........................................................................
SR VP & CFO
 40.0
.......................9.0 		    X       651,585 0 133,766
(33) KATHY RIGGER........................................................................
BOARD SECRETARY
 40.0
.......................5.0 		    X       56,889 0 11,932
(34) JOHN DUFF MD........................................................................
SR VP CHIEF CORPORATE SERVICES
 40.0
.......................8.0 		      X     471,145 0 164,578
(35) RON PRENGER........................................................................
SR VP, CHIEF HOSPITAL OFFICER
 40.0
.......................   		      X     278,153 0 40,436
(36) CHARITY ELMER........................................................................
SR VP & GENERAL COUNSEL
 40.0
.......................   		      X     378,782 0 88,263
(37) ROBERT FERGUSON........................................................................
VP FERRELL DUNCAN CLINIC
 40.0
.......................   		      X     293,940 0 23,570
(38) DANIEL SONTHEIMER MD........................................................................
VP MEDICAL AFFAIRS
 40.0
.......................   		      X     407,128 0 43,710
(39) DAVID TAYLOR........................................................................
VP REGIONAL SERVICES
 40.0
.......................   		      X     281,066 0 49,515
(40) JOHN HURSH........................................................................
VP HUMAN RESOURCES
 40.0
.......................1.0 		      X     259,537 0 27,991
(41) RODNEY SCHAFFER........................................................................
VP FACILITIES MANAGEMENT
 40.0
.......................   		      X     227,183 0 18,142
(42) KAREN KRAMER........................................................................
VP, CNO
 40.0
.......................   		      X     277,739 0 42,278
(43) BETTY BRESHEARS........................................................................
VP CORPORATE COMPLIANCE
 40.0
.......................   		      X     229,624 0 23,517
(44) BRUCE ROBISON........................................................................
CIO
 40.0
.......................   		      X     195,160 0 22,269
(45) TYLER HEDDEN........................................................................
VP CLINICAL SERVICES
 40.0
.......................   		      X     181,560 0 22,680
(46) BOYD CROCKETT MD........................................................................
PHYSICIAN
 40.0
.......................   		        X   569,086 0 26,187
(47) ARIJIT CHOWDHURY MD........................................................................
PHYSICIAN
 40.0
.......................   		        X   485,218 0 35,372
(48) CARY MARQUIS MD........................................................................
PHYSICIAN
 40.0
.......................   		        X   474,063 0 43,687
(49) ALI HASSAN MD........................................................................
PHYSICIAN
 40.0
.......................   		        X   428,309 0 19,034
(50) LOUIS KRENN MD........................................................................
PHYSICIAN/CMIO
 40.0
.......................   		        X   429,537 0 26,182
(51) ANNE BRETT........................................................................
FORMER PRESIDENT COX COLLEGE
  
.......................   		          X 187,160 0 40,487
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 8,481,019 0 1,220,293
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet336
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
FERRELL DUNCAN CLINIC INC,   PHYS REMUNERATION 75,713,784
HC BECK LTD,   CONSTRUCTION 16,803,721
BECK KILLIAN A JOINT VENTURE,   PROJECT MGMT 48,374,461
SPFD NEUROLOGICAL INSTITUTE,   PHYS REMUNERATION 15,111,456
OZARK ANESTHESIA ASSOCIATES,   ANESTHESIA SERVICES 14,839,865
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet75
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 68,175
d Related organizations...1d 381,874
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,059,736
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 2,509,785
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 900099 995,691,267 995,691,267    
b NET PATIENT SERVICE - UNRELATED LAB 621500 1,029,296   1,029,296  
c NET PATIENT SERVICE - UNRELATED RETAIL DME 446199 2,969,788   2,969,788  
d CAFETERIA, MEALS & VENDING 722514 5,171,448 5,171,448    
e FITNESS CENTERS 713940 2,896,410 2,896,410    
f All other program service revenue . 23,702,948 23,702,948    
g Total. Add lines 2a–2f........MediumBullet 1,031,461,157
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 10,225,697     10,225,697
4 Income from investment of tax-exempt bond proceeds..MediumBullet 262,632     262,632
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 2,046,761  
b Less: rental expenses 1,405,139  
c Rental income or (loss) 641,622 0
d Net rental income or (loss).......MediumBullet 641,622     641,622
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 476,170,752 479,969
b Less: cost or other basis and sales expenses 447,421,878 282,938
c Gain or (loss) 28,748,874 197,031
d Net gain or (loss)..........MediumBullet 28,945,905     28,945,905
8a Gross income from fundraising events (not including
$ 68,175
of contributions reported on line 1c). See Part IV, line 18 ..
a 41,945
b Less: direct expenses ...b 42,387
c Net income or (loss) from fundraising events..MediumBullet -442   -442
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a LOSS ON INVESTMENT IN EQUITY INVESTEE 900099 -319,570     -319,570
b CHANGE IN INTEREST IN NET ASSETS OF SUBS 900099 10,266,119     10,266,119
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 9,946,549
12 Total revenue. See Instructions......MediumBullet 1,083,992,905 1,027,462,073 3,999,084 50,021,963
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 454,257 454,257
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 1,137,738 1,137,738
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 6,936,990 3,118,021 3,818,969  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 630,510 266,498 364,012  
7 Other salaries and wages 317,928,273 281,631,418 36,109,405 187,450
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 979,972 914,385 58,298 7,289
9 Other employee benefits ....... 56,782,554 49,859,483 6,903,720 19,351
10 Payroll taxes ........... 22,331,792 19,576,821 2,754,971  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 3,226,019   3,226,019  
c Accounting ........... 571,458   571,458  
d Lobbying ........... 117,895   117,895  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 1,300,706   1,300,706  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 196,947,112 167,020,807 29,820,356 105,949
12 Advertising and promotion .... 2,476,948 2,100,446 376,502  
13 Office expenses ....... 16,434,131 13,733,832 2,665,708 34,591
14 Information technology ...... 21,708,126 18,408,439 3,299,687  
15 Royalties .. 0      
16 Occupancy ........... 20,655,638 20,095,692 527,432 32,514
17 Travel ............ 2,614,681 2,217,243 397,438  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,570,921 1,332,137 238,784  
20 Interest ........... 15,310,013 13,966,843 1,343,170  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 36,389,023 33,196,425 3,192,449 149
23 Insurance .............. 9,077,704 8,281,304 796,400  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES & DRUGS 145,144,175 145,144,175    
b BAD DEBT 95,298,581 95,298,581    
c STATE PROVIDER TAX 43,147,201 43,147,201    
d LICENSES, DUES, SUBSCRIPTIONS 1,547,641 1,312,396 235,245  
e All other expenses 303,896 116,606 28,502 158,788
25 Total functional expenses. Add lines 1 through 24e 1,021,023,955 922,330,748 98,147,126 546,081
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 1,275,673 1 1,277,135
2 Savings and temporary cash investments ......... 317,449,444 2 146,720,586
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 136,111,963 4 131,288,489
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 14,780,876 7 16,089,046
8 Inventories for sale or use .............. 11,751,088 8 11,983,158
9 Prepaid expenses and deferred charges .......... 8,161,631 9 8,318,318
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 946,337,276
b Less: accumulated depreciation ..... 10b 576,663,167 328,536,091 10c 369,674,109
11 Investments—publicly traded securities .......... 307,858,025 11 474,169,034
12 Investments—other securities. See Part IV, line 11 ..... 22,462,326 12 27,271,558
13 Investments—program-related. See Part IV, line 11 ..... 153,132,997 13 158,589,886
14 Intangible assets ............... 25,670,894 14 25,538,561
15 Other assets. See Part IV, line 11 ........... 18,562,800 15 32,952,970
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,345,753,808 16 1,403,872,850
Liabilities 17 Accounts payable and accrued expenses ......... 146,395,699 17 199,881,969
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 2,236,022 19 3,551,190
20 Tax-exempt bond liabilities ............. 461,838,869 20 459,278,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 10,515,284 23 12,038,113
24 Unsecured notes and loans payable to unrelated third parties .... 11,662,390 24 11,161,029
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 52,880,897 25 43,501,155
26 Total liabilities. Add lines 17 through 25......... 685,529,161 26 729,411,456
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 623,597,716 27 634,508,141
28 Temporarily restricted net assets ........... 18,219,363 28 21,021,113
29 Permanently restricted net assets ........... 18,407,568 29 18,932,140
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 660,224,647 33 674,461,394
34 Total liabilities and net assets/fund balances ........ 1,345,753,808 34 1,403,872,850
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,083,992,905
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,021,023,955
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
62,968,950
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
660,224,647
5
Net unrealized gains (losses) on investments ...............
5
-9,247,672
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-39,484,531
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
674,461,394
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
LESTER E COX MEDICAL CENTERS
  		Employer identification number

44-0577118
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
LESTER E COX MEDICAL CENTERS
  		Employer identification number

44-0577118
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
LESTER E COX MEDICAL CENTERS
  		Employer identification number

44-0577118
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
73,490
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
44,405
j
Total. Add lines 1c through 1i ...............................
117,895
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH LEGISLATORS, ETC: THE ORGANIZATION CONTRACTED PENMAN & WINTON CONSULTING GROUP AND KELLER 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 1I OTHER LOBBYING ACTIVITIES: MEMBERS OF THE ADMINISTRATIVE STAFF CONTACT LEGISLATORS REGARDING KEY HEALTHCARE ISSUES. ALSO, PORTIONS OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2014, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $42,874. IN ADDITION, $1,524 OF DUES PAID TO THE SPRINGFIELD AREA CHAMBER OF COMMERCE AND $7 OF DUES PAID TO THE AICPA WERE ATTRIBUTABLE TO LOBBYING.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   26,733,699 26,733,699
b Buildings ................   297,337,693 161,573,240 135,764,453
c Leasehold improvements ............   4,848,038 3,691,201 1,156,837
d Equipment ................   530,149,506 400,890,801 129,258,705
e Other .................   87,268,340 10,507,925 76,760,415
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 369,674,109
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) INT IN NA OF TAX EXEMPT SUBS 158,589,886 C








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 158,589,886
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
INTEREST RATE BASIS SWAP 3,669,601
EST AMT DUE TO 3RD PARTIES 1,770,827
SELF INSURANCE CLAIMS PAYABLE 38,060,727






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 43,501,155
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 936,763,493
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -9,247,672
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d -134,717,809
e Add lines 2a through 2d ..................... 2e -143,965,481
3 Subtract line 2e from line 1..................... 3 1,080,728,974
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 3,263,931
c Add lines 4a and 4b....................... 4c 3,263,931
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,083,992,905
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 925,853,068
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 1,428,400
e Add lines 2a through 2d...................... 2e 1,428,400
3 Subtract line 2e from line 1..................... 3 924,424,668
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 1,300,706
b Other (Describe in Part XIII.) ............ 4b 95,298,581
c Add lines 4a and 4b....................... 4c 96,599,287
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,021,023,955
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
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 XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (37,853,458) DEFINED BENEFIT LOSS 1,382,078 NET ASSETS RELEASED FROM RESTRICTION (1,647,142) RETURN OF CAPITAL (1,300,706) INVESTMENT FEES (95,298,581) BAD DEBT EXPENSE ----------------- $ (134,717,809)
SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 3,047,076 CHANGE IN INTEREST OF NET ASSETS OF SUBSIDIARIES 1,578,047 TEMPORARILY RESTRICTED CONTRIBUTIONS 67,208 TEMPORARILY & PERMANENTLY RESTRICTED INVEST. RETURN (42,387) SPECIAL EVENTS EXPENSES (1,386,013) RENTAL EXPENSES RECLASSED FROM EXPENSES --------------- $ 3,263,931
SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 1,386,013 RENTAL EXPENSES RECLASSED FROM EXPENSES 42,387 SPECIAL EVENTS EXPENSES ---------------- $ 1,428,400
SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 95,298,581 BAD DEBT EXPENSE
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean   1 Program Services CAPTIVE INSURANCE 1,208,193
Central America and the Caribbean     Investments   165,448,965
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....   1 166,657,158
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)   1 166,657,158
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

WRAP IT UP
(event type) 		(b) Event #2

GOLF TOURNEY
(event type) 		(c) Other events

1
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 48,175 42,462 19,483 110,120
2 Less: Contributions . . 41,357 14,084 12,734 68,175
3 Gross income (line 1
minus line 2) . . . 		6,818 28,378 6,749 41,945
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .     18 18
6 Rent/facility costs . . 6,818 16,303   23,121
7 Food and beverages .        
8 Entertainment . . . 400   295 695
9 Other direct expenses . 7,680 566 10,307 18,553
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 42,387
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -442
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
 
No
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    34,537,245   34,537,245 3.730 %
b Medicaid (from Worksheet 3,
column a) .... 		    131,261,623 106,968,389 24,293,234 2.620 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    165,798,868 106,968,389 58,830,479 6.350 %
Other Benefits
            
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    16,458,634 10,960,601 5,498,033 0.590 %
g Subsidized health services
(from Worksheet 6) .. 		    16,653,921 11,944,081 4,709,840 0.510 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    1,137,738   1,137,738 0.120 %
j Total. Other Benefits ..     34,250,293 22,904,682 11,345,611 1.220 %
k Total. Add lines 7d and 7j .     200,049,161 129,873,071 70,176,090 7.570 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
95,298,581
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
17,820,835
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
323,257,890
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
379,541,000
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-56,283,110
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?3
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 LESTER E COX MEDICAL CENTERS - SOUTH
3801 S NATIONAL AVE
SPRINGFIELD,MO65807
WWW.COXHEALTH.COM
500-8 		X X X X     X     1
2 LESTER E COX MEDICAL CENTERS - NORTH
1423 N JEFFERSON ST
SPRINGFIELD,MO65802
WWW.COXHEALTH.COM
500-8 		X     X     X     1
3 MEYER ORTHOPEDIC HOSPITAL
1000 E WALNUT LAWN
SPRINGFIELD,MO65807
WWW.COXHEALTH.COM
500-8 		X     X           1
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP #1
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		 
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10   No
If "Yes," indicate the FPG family income limit for eligibility for free care:   %
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY INPUT: THE PUBLIC HEALTH SURVEY WAS SENT TO SERVICE AREA PUBLIC HEALTH NURSES, PUBLIC SCHOOL ADMINISTRATORS AND NURSES, COMMUNITY ORGANIZATION LEADERS AND REGIONAL CLINICAL LEADERS. APPENDIX 5: PUBLIC HEALTH SURVEY SHOWS TO WHICH ORGANIZATIONS THE SURVEY WAS SENT IN AND AROUND THE COXHEALTH SYSTEM AREA. LISTED ON PAGED 106 AND 107 OF THE CHNA ARE THESE INDIVIDUALS WHO RESPONDED TO THE SURVEY.
SCHEDULE H, PART V, SECTION B, LINE 4 CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA WAS CONDUCTED FOR THE REPORTING GROUP #1, AS REPORTED ON SCHEDULE H, PART V, SECTION A, INCLUDING LESTER E. COX MEDICAL CENTERS - SOUTH, LESTER E. COX MEDICAL CENTERS - NORTH, AND COX WALNUT LAWN ORTHOPEDIC HOSPITAL. IN ADDITION, COX-MONETT HOSPITAL, INC., A RELATED ORGANIZATION, WAS ALSO INCLUDED IN THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 6 IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS ATTACHED. CHNA IMPLEMENTATION STRATEGY PROGRESS REPORT: CARDIAC KIDS THE CARDIAC KIDS PROGRAM CONTINUES IN THE FOLLOWING TWELVE AREA SCHOOL DISTRICTS. IT IS ALMOST COMPLETELY FUNDED BY GRANTS PROVIDED BY KOHL'S FOUNDATION AND CHILDREN'S MIRACLE NETWORK. -MONETT -ST. LAWRENCE -AURORA -VERONA -MT. VERNON -PURDY -MARIONVILLE -MILLER -SARCOXIE -EXETER -SHELL KNOB -PIERCE CITY OVER THE PAST TWO YEARS, WE HAD 24.5% OF THE STUDENTS PARTICIPATING IN THE CARDIAC KIDS PROGRAM HAVE A POSITIVE LIPID PROFILE RESULT. STUDENTS WERE SCREENED OVER THE PAST TWO YEARS FOR BODY MASS INDEX AND BLOOD PRESSURE: -46% HAD A BODY MASS INDEX OVER THE 85TH PERCENTILE -36.5% WITH A MILD RISK BLOOD PRESSURE -67% OF THE STUDENTS RETESTED FOR A POSITIVE LIPID PROFILE SHOWED IMPROVEMENT OVER THE PAST TWO YEARS, 403 TOTAL PARTICIPANTS (PARENTS AND STUDENTS) ATTENDED CARDIAC FAMILY FUN NIGHTS. HEALTHY FOOD PANTRY COLLABORATIVE (HFPC) DEVELOPMENT THE HFPC HAS MET FORMALLY TWICE THIS YEAR. THE FOCUS CONTINUES TO BE "BRINGING TOGETHER PARTNERS WHO SERVE OUR COMMUNITY IN NEED OF HEALTHY FOOD AND WORKING TOGETHER TO PROMOTE THE MESSAGE ABOUT THE NEEDS OF THIS POPULATION". A STRONG PARTNERSHIP CONTINUES WITH MSU, UNIVERSITY OF MISSOURI-EXTENSION, COUNCIL OF CHURCHES, CENTRAL ASSEMBLY, OZARKS REGIONAL FOOD POLICY COUNCIL, OZARKS FOOD HARVEST, AND INDIVIDUAL PANTRIES. THE FOLLOWING ARE ACCOMPLISHMENTS TO-DATE: -SHARING BY THE PANTRIES OF WAYS TO OBTAIN FRESH PRODUCE AND OTHER FOOD PRODUCTS MORE ECONOMICALLY (COMMUNICATION HAS INCREASED AND IMPROVED BECAUSE OF THE HFPC) -EDUCATION ON HOW TO PREPARE FRESH VEGETABLES AND INCORPORATE THEM INTO THEIR MEALS HAS INCREASED BECAUSE OF THE MSU INTERN PROGRAM AND CONTINUED WORK OF MU EXTENSION -MSU HAS ASSUMED RESPONSIBILITY FOR THE NEWSLETTER, THE PANTRY BUZZ, AND IS HAVING STUDENTS PREPARE THIS DURING THE SEMESTERS THEY ARE AVAILABLE. COXHEALTH DOES DISTRIBUTION. -INCREASE IN THE NUMBER OF PANTRIES REPORTING THEY ARE ALLOWING 'CLIENT CHOICE' FOR FOOD SELECTION. (THIS IS A BEST PRACTICE.) -UPDATED THE INFORMATION ON THE LISTING OF PANTRIES FROM THE COXHEALTH WEBSITE. -CONTINUE TO OFFER THE "HEALTHY FOOD WISH LIST" FOR DISTRIBUTION BY THE PANTRIES (PANTRIES ARE GIVING THE "WISH LIST" TO DONORS SO THE FOODS CONTRIBUTED TO THE PANTRY WILL BE A HEALTHY CHOICE). THE "WISH LIST" IS ALSO AVAILABLE ON THE COXHEALTH WEBSITE. -THE HFPC WAS INCLUDED IN THE "HEALTHY SHELVE" PUBLICATION BY MU INTERDISCIPLINARY CENTER FOR FOOD SECURITY. THE ARTICLE WAS "HFPC: COLLABORATION CREATES OPPORTUNITY". THE HFPC WAS INCLUDED AS A WAY TO ADDRESS ISSUES OF NUTRITION AND CHRONIC DISEASE THROUGH LOCAL FOOD PANTRY SERVICES. COXHEALTH WAS REFERENCED. -HEALTHY COMMUNITY FOOD DRIVE: COLLECTING HEALTHY FOOD FOR LOCAL FOOD PANTRIES FROM NOV. 12-30. 881 POUNDS OF HEALTHY FOOD WAS COLLECTED FROM 16 COXHEALTH LOCATIONS -PROMOTING THE MESSAGE THROUGH, 417 MAGAZINE: NEIGHBORHOODS, WE LOVE: JULY 2015. THE ARTICLE, "FOOD FOR THOUGHT", REFERENCED COXHEALTH AND INCLUDED INFORMATION ABOUT THE HFPC AND THE HEALTHY FOOD WISH LIST. THE ARTICLE WAS VERY WELL DONE. -COXHEALTH MARKETING DEPARTMENT PROVIDED TO CROSSLINES FOOD PANTRY, CANVAS BAGS WITH THE MESSAGE, "100% HEALTHY: PACK THE PANTRIES" TO DISTRIBUTE FOOD TO PARTICIPANTS OF THE PANTRY AND TO BRING IT BACK WHEN RETURNING. COMMUNITY IN MOTION THE COMMUNITY IN MOTION PROGRAM WAS DESIGNED AS A WEIGHT LOSS CHALLENGE THAT INCORPORATED AND COORDINATED MULTIPLE WEIGHT LOSS OFFERINGS THROUGHOUT THE COMMUNITY. THE FOLLOWING IS AN UPDATE ON CURRENT OFFERINGS BY COXHEALTH. MOST OF THESE PROGRAMS ARE FULLY INTEGRATED AND OPERATIONAL, WHILE SOME COMPONENTS OF "HEALTH SCHOOLS, HEALTHY COMMUNITIES" ARE CURRENTLY IN PROGRESS AND BEING DEVELOPED. -COMMITTED TO KIDS + ADOLESCENT WEIGHT MANAGEMENT PROGRAM FOR AGES 11-14 + FAMILY AFFAIR-EACH MEMBER OF THE FAMILY WEIGHS IN, TURNS IN FOOD LOGS, WEARS A PEDOMETER, AND PARTICIPATES IN CLASS EXERCISE, LEARNING SESSIONS, AND DISCUSSIONS -JOURNEYS + 20-WEEK ADULT WEIGHT MANAGEMENT PROGRAM THAT FOCUSES ON YOUR MENTAL, PHYSICAL AND EMOTIONAL HEALTH + INCORPORATES THREE COMPONENTS FOR SUCCESSFUL WEIGHT LOSS AND WEIGHT MAINTENANCE: BEHAVIOR CHANGE, NUTRITION EDUCATION AND MEAL PLANNING, AND ACTIVITY AND EXERCISE PROGRAMS. -LEANER LIFE + DEVELOPS STRATEGIES TO HELP YOU LOSE WEIGHT, CONTINUE HEALTHY LIFESTYLE CHOICES AND MAINTAIN WEIGHT LOSS + MEET OTHERS IN THE SAME SITUATION FOR DISCUSSION, SUPPORT AND WEEK-TO-WEEK ACCOUNTABILITY -HEALTHY SCHOOLS, HEALTHY COMMUNITIES: REDUCE CHILDHOOD OBESITY BY 5% OVER 5 YEARS IN MONETT AND PIERCE CITY SCHOOLS + EXPAND ACCESS TO HEALTHY FOODS: * "HEALTHY MEAL NIGHT" PROGRAM * HEALTHY RETAILER/MENU GUIDE FOR LOCAL BUSINESSES * REVIVAL OF THE MONETT FARMER'S MARKET * HEALTHY FOODS SERVED AT CONCESSIONS * "KIDS IN THE KITCHEN" + EXPAND ACCESS TO PHYSICAL ACTIVITY * COMPLETE STREET PROJECT * GREENWAY IMPROVEMENTS/PROMOTION * EQUIPMENT CHECKOUT PROGRAM AT PARKS * PIERCE CITY AFTER SCHOOL PROGRAM * PIERCE CITY COMMUNITY POOL PROGRAM + INCREASE AWARENESS OF HEALTHY EATING AND PHYSICAL ACTIVITY OPPORTUNITIES * COMMUNITY SURVEY ON HEALTHY LIVING * COMMUNITY SOCIAL MEDIA SITES/COMMUNICATION + BUILD A STRONG, ENGAGED, AND DIVERSE "HEALTHY COMMUNITY PARTNERSHIP" * BIMONTHLY MEETINGS WITH COMMUNITY LEADERS * EXPAND RELATIONSHIPS WITH MINORITIES WITHIN THE COMMUNITY * EXPAND HEALTHY LIVING EFFORTS ALREADY ESTABLISHED + INCREASE HEALTH CARE PROVIDERS' ENGAGEMENT IN HEALTHY LIFESTYLES * HEALTHY LIVING PRESENTATION AT SENIOR LEADERS SEMINAR * HEALTHY LIVING REFERRAL RESOURCES * DISCUSSION OF LIFESTYLE CHOICES WITH PATIENTS -OTHER OBESITY/HEALTHY LIVING OFFERINGS FROM COX FITNESS CENTERS + REPUBLIC MAY DAY 5K RUN IN MAY 2015 + MED MILE KIDS RUN TRAINING IN APRIL 2015 + MEDICAL MILE 5K RUN IN MAY 2015 + GIRLS JUST WANNA RUN RACE IN JULY 2015 + REPUBLIC SENIORFEST IN MAY 2015 + GALLOWAY RUN/WALK TRAINING FOR BASS PRO MARATHON AND HALF MARATHON IN APRIL 2015 + FITLIFE MEDICAL FITNESS PROGRAM
SCHEDULE H, PART V, SECTION B, LINE 7 ADDRESSING IDENTIFIED NEEDS: THERE ARE MANY NEEDS IN A SERVICE AREA THE SIZE OF 22 COUNTIES AS THE CHNA ILLUSTRATES. LESTER E. COX MEDICAL CENTERS DOES IN SOME WAY ADDRESS MANY OF THE IMPORTANT ISSUES THAT WERE SUGGESTED THROUGH THE ASSESSMENT STAGE OF THE CHNA. SOME ISSUES UNFORTUNATELY CANNOT BE ADDRESSED BECAUSE OF LIMITED RESOURCES AND OTHERS ARE BEING ADDRESSED OR ARE BETTER SUITED FOR OTHER ORGANIZATIONS. ONE OF THE REASONS OBESITY WAS CHOSEN AS THE SINGLE PRIORITY IS THAT THERE ARE MANY ISSUES IDENTIFIED IN THE CHNA THAT ARE EITHER DIRECTLY OR INDIRECTLY RELATED TO OBESITY. THE FOLLOWING TABLE SHOWS THE IDENTIFIED NEEDS AND A BRIEF REASON FOR PRIORITIZATION. PRIORITIZATION KEY 1. IDENTIFIED PRIORITY FOR ENTIRE SERVICE AREA 2. IMPORTANT ISSUE BEING ADDRESSED BY LESTER E. COX MEDICAL CENTERS IN SOME WAY, BUT DOES NOT RISE TO THE LEVEL OF A TOP PRIORITY 3. LIMITED RESOURCES 4. DIRECT OR INDIRECT RELATIONSHIP TO IDENTIFIED PRIORITY 5. UNCLEAR, AMBIGUOUS, OR ISSUE ADDRESSED BY OTHERS
SCHEDULE H, PART V, SECTION B, LINE 10 CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE CARE: IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THIS POLICY.
SCHEDULE H, PART V, SECTION B, LINE 14G MEASURES TO PUBLICIZE THE POLICY: 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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?72
Name and address Type of Facility (describe)
1 SPRINGFIELD INPATIENT PHYSICIANS
3801 S NATIONAL AVE 5TH FL
SPRINGFIELD,MO65807 		MEDICAL OFFICES
2 ADULT MEDICINE & ENDOCRINOLOGY SPECLST
960 E WALNUT LAWN SUITE 201
SPRINGFIELD,MO65807 		CLINIC
3 FAMILY MEDICAL CARE CENTER
1423 N JEFFERSON ST B-100
SPRINGFIELD,MO65802 		CLINIC
4 PHYSICIANS FOR WOMEN
3850 S NATIONAL AVE 400
SPRINGFIELD,MO65807 		CLINIC
5 COXHEALTH CENTER STEEPLECHASE
1530 E REPUBLIC RD
SPRINGFIELD,MO65804 		CLINIC
6 PEDIATRIC CENTER
3443 S NATIONAL AVE
SPRINGFIELD,MO65807 		CLINIC
7 REGIONAL PERINATAL CENTER
1000 E PRIMROSE 360
SPRINGFIELD,MO65807 		CLINIC
8 SOUTHWEST SPINE & SPORTS MEDICINE
3555 S NATIONAL AVE 302
SPRINGFIELD,MO65807 		CLINIC
9 COX FAMILY MEDICINE ASSOCIATES
3850 S NATIONAL AVE 520
SPRINGFIELD,MO65807 		CLINIC
10 COXHEALTH CENTER NIXA
411 N MCCROSKEY
NIXA,MO65714 		CLINIC
11 MILNE-SCANLON UROLOGY CLINIC
3800 S NATIONAL 730
SPRINGFIELD,MO65807 		CLINIC
12 DIAGNOSTIC CLINIC
3800 S NATIONAL 600
SPRINGFIELD,MO65807 		CLINIC
13 FAMILY PRACTICE & OBSTETRICS OF MONETT
815 N LINCOLN STE G
MONETT,MO65708 		CLINIC
14 NORTHSIDE PEDIATRICS & ADOLESCENTS
1443 N ROBBERSON 200
SPRINGFIELD,MO65802 		CLINIC
15 COXHEALTH NEWBORN MEDICINE SPECIALISTS
3801 S NATIONAL AVE
SPRINGFIELD,MO65807 		CLINIC
16 COXHEALTH CENTER WILLOW SPRINGS
816 E MAIN
WILLOW SPRINGS,MO65793 		CLINIC
17 SUN RIVER ORTHOPAEDICS
3800 S NATIONAL AVE 700
SPRINGFIELD,MO65807 		CLINIC
18 COXHEALTH INTERNAL MEDICINE FOR WOMEN
3850 S NATIONAL AVE 700
SPRINGFIELD,MO65807 		CLINIC
19 FAMILY & OCCUPATIONAL MEDICINE OF MONETT
2200 E CLEVELAND
MONETT,MO65708 		CLINIC
20 COX FAMILY MEDICINE OF MONETT
307 W BENTON
MONETT,MO65708 		CLINIC
21 COXHEALTH CENTER AURORA
106 COMMERCE DRIVE
AURORA,MO65605 		CLINIC
22 COXHEALTH CENTER SOUTHERN HILLS
2702 E SUNSHINE
SPRINGFIELD,MO65804 		CLINIC
23 COXHEALTH CENTER ELFINDALE
1429 W SUNSHINE
SPRINGFIELD,MO65807 		CLINIC
24 COXHEALTH CENTER BRANSON
890 HWY 248
BRANSON,MO65616 		CLINIC
25 COXHEALTH PEDIATRICS
1000 E PRIMROSE 300
SPRINGFIELD,MO65807 		CLINIC
26 COXHEALTH CENTER LEBANON
510 E HWY 32
LEBANON,MO65536 		CLINIC
27 COXHEALTH CENTER CHESTERFIELD
1925 CHESTERFIELD BLVD
SPRINGFIELD,MO65807 		CLINIC
28 COXHEALTH CENTER WILLARD
304 E JACKSON 5H
WILLARD,MO65781 		CLINIC
29 COXHEALTH CENTER MOUNTAIN GROVE
1602-A N MAIN ST
MOUNTAIN GROVE,MO65711 		CLINIC
30 COX SENIOR HEALTH CENTER
1423 N JEFFERSON ST
SPRINGFIELD,MO65802 		CLINIC
31 COX SENIOR HEALTH CENTER SOUTH
3525 S NATIONAL 207
SPRINGFIELD,MO65807 		CLINIC
32 COXHEALTH CENTER MARSHFIELD
941 EAST HUBBLE DRIVE
MARSHFIELD,MO65706 		CLINIC
33 COXHEALTH CENTER MT VERNON
10763 HWY 39 SUITE 200
MT VERNON,MO65712 		CLINIC
34 COXHEALTH CENTER OZARK
1741 S 15TH STREET
OZARK,MO65721 		CLINIC
35 COXHEALTH CENTER CRANE
102 CORTNEY LANE
CRANE,MO65633 		CLINIC
36 COXHEALTH CENTER REPUBLIC
820 ILLINOIS AVE
REPUBLIC,MO65738 		CLINIC
37 MONETT SURGICAL ASSOCIATES
801 N LINCOLN
MONETT,MO65708 		CLINIC
38 COXHEALTH CENTER AVA
806 SW 13TH AVE
AVA,MO65608 		CLINIC
39 COXHEALTH INPATIENT PSYCHIATRY
1423 N JEFFERSON ST
SPRINGFIELD,MO65802 		CLINIC
40 COXHEALTH CENTER BUFFALO
119 N ASH
BUFFALO,MO65622 		CLINIC
41 COXHEALTH CENTER ROGERSVILLE
151 JOHNSTOWN DR
ROGERSVILLE,MO65742 		CLINIC
42 COXHEALTH CENTER FOR ADDICTIONS
1423 N JEFFERSON ST
SPRINGFIELD,MO65802 		CLINIC
43 THE CLINIC AT WALMART #0444
3315 S CAMPBELL
SPRINGFIELD,MO65807 		CLINIC
44 COXHEALTH PEDIATRIC SPECIALTIES
1000 E PRIMROSE 200
SPRINGFIELD,MO65807 		CLINIC
45 COXHEALTH CENTER SEYMOUR
202 COMMERCIAL
SEYMOUR,MO65746 		CLINIC
46 COXHEALTH CENTER SHELL KNOB
25376 STATE HWY 39 SUITE 301
SHELL KNOB,MO65747 		CLINIC
47 THE CLINIC AT WALMART #0379
2004 W MARLER LANE
OZARK,MO65721 		CLINIC
48 THE CLINIC AT WALMART #2221
2021 E INDEPENDENCE
SPRINGFIELD,MO65804 		CLINIC
49 THE CLINIC AT WALMART #1009
1150 US HWY 60 EAST
REPUBLIC,MO65738 		CLINIC
50 COXHEALTH CENTER CAMPBELL
2750 S CAMPBELL
SPRINGFIELD,MO65807 		CLINIC
51 PEDIATRIC HOSPITAL AFFILIATES
3801 S NATIONAL AVE 7TH FL
SPRINGFIELD,MO65807 		CLINIC
52 SPRINGFIELD NEUROLOGICAL AND SPINE
2900 S NATIONAL AVE
SPRINGFIELD,MO65804 		CLINIC
53 COXHEALTH PSYCHOLOGICAL SERVICES
3800 S NATIONAL 770
SPRINGFIELD,MO65807 		CLINIC
54 MARTIN CENTER
3901 S FREMONT
SPRINGFIELD,MO65807 		CLINIC
55 OZARK HEALTH VENTURES
3550 S NATIONAL AVE
SPRINGFIELD,MO65807 		CLINIC
56 BONE & JOINT CENTER
3555 S NATIONAL AVE
SPRINGFIELD,MO65807 		CLINIC
57 FERRELL-DUNCAN CLINIC
1000 E PRIMROSE
SPRINGFIELD,MO65807 		MEDICAL OFFICES
58 MEYER CENTER FITNESS & REHAB
3545 S NATIONAL AVE
SPRINGFIELD,MO65807 		FITNESS AND REHAB CENTER
59 COX HYPERBARIC MEDICINE & WOUND CARE
3525 S NATIONAL AVE 101
SPRINGFIELD,MO65807 		CLINIC
60 MEDICAL OFFICE BUILDING-COX WALNUT LAWN
3525 S NATIONAL AVE
SPRINGFIELD,MO65807 		MEDICAL OFFICES
61 TURNER WOMEN & CHILDREN'S CENTER
1000 E PRIMROSE
SPRINGFIELD,MO65807 		MEDICAL OFFICES
62 WHEELER HEART & VASCULAR
3800 S NATIONAL AVE 700
SPRINGFIELD,MO65807 		MEDICAL OFFICES
63 HULSTON CANCER CENTER
3850 S NATIONAL AVE
SPRINGFIELD,MO65807 		MEDICAL OFFICES
64 MEDICAL TOWERS
1443 N ROBBERSON
SPRINGFIELD,MO65802 		MEDICAL OFFICES
65 CASSVILLE MEDICAL CARE ASSOCIATES
75 SMITHSON DRIVE SUITE A
CASSVILLE,MO65625 		CLINIC
66 COXHEALTH INFECTIOUS DISEASES SPECIALTY
3800 S NATIONAL LL100
SPRINGFIELD,MO65807 		CLINIC
67 COX CARE MOBILE
3525 S NATIONAL AVE 105
SPRINGFIELD,MO65807 		CLINIC
68 THE CLINIC AT WALMART #86
2825 N KANSAS EXPWAY
SPRINGFIELD,MO65803 		CLINIC
69 SENIOR ADVANTAGE
1000 E WALNUT LAWN
SPRINGFIELD,MO65807 		CLINIC
70 COXHEALTH CENTER CASSVILLE
75 SMITHSON DRIVE STE B
CASSVILLE,MO65625 		CLINIC
71 COXHEALTH SPECIALTY CLINIC
1001 E PRIMROSE STREET
SPRINGFIELD,MO65807 		CLINIC
72 PANTHER CLINIC OPERATED BY COXHEALTH
900 N BENTON AVENUE
SPRINGFIELD,MO65802 		CLINIC
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY INPUT: THE PUBLIC HEALTH SURVEY WAS SENT TO SERVICE AREA PUBLIC HEALTH NURSES, PUBLIC SCHOOL ADMINISTRATORS AND NURSES, COMMUNITY ORGANIZATION LEADERS AND REGIONAL CLINICAL LEADERS. APPENDIX 5: PUBLIC HEALTH SURVEY SHOWS TO WHICH ORGANIZATIONS THE SURVEY WAS SENT IN AND AROUND THE COXHEALTH SYSTEM AREA. LISTED ON PAGED 106 AND 107 OF THE CHNA ARE THESE INDIVIDUALS WHO RESPONDED TO THE SURVEY.
SCHEDULE H, PART V, SECTION B, LINE 4 CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA WAS CONDUCTED FOR THE REPORTING GROUP #1, AS REPORTED ON SCHEDULE H, PART V, SECTION A, INCLUDING LESTER E. COX MEDICAL CENTERS - SOUTH, LESTER E. COX MEDICAL CENTERS - NORTH, AND COX WALNUT LAWN ORTHOPEDIC HOSPITAL. IN ADDITION, COX-MONETT HOSPITAL, INC., A RELATED ORGANIZATION, WAS ALSO INCLUDED IN THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 6 IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS ATTACHED. CHNA IMPLEMENTATION STRATEGY PROGRESS REPORT: CARDIAC KIDS THE CARDIAC KIDS PROGRAM CONTINUES IN THE FOLLOWING TWELVE AREA SCHOOL DISTRICTS. IT IS ALMOST COMPLETELY FUNDED BY GRANTS PROVIDED BY KOHL'S FOUNDATION AND CHILDREN'S MIRACLE NETWORK. -MONETT -ST. LAWRENCE -AURORA -VERONA -MT. VERNON -PURDY -MARIONVILLE -MILLER -SARCOXIE -EXETER -SHELL KNOB -PIERCE CITY OVER THE PAST TWO YEARS, WE HAD 24.5% OF THE STUDENTS PARTICIPATING IN THE CARDIAC KIDS PROGRAM HAVE A POSITIVE LIPID PROFILE RESULT. STUDENTS WERE SCREENED OVER THE PAST TWO YEARS FOR BODY MASS INDEX AND BLOOD PRESSURE: -46% HAD A BODY MASS INDEX OVER THE 85TH PERCENTILE -36.5% WITH A MILD RISK BLOOD PRESSURE -67% OF THE STUDENTS RETESTED FOR A POSITIVE LIPID PROFILE SHOWED IMPROVEMENT OVER THE PAST TWO YEARS, 403 TOTAL PARTICIPANTS (PARENTS AND STUDENTS) ATTENDED CARDIAC FAMILY FUN NIGHTS. HEALTHY FOOD PANTRY COLLABORATIVE (HFPC) DEVELOPMENT THE HFPC HAS MET FORMALLY TWICE THIS YEAR. THE FOCUS CONTINUES TO BE "BRINGING TOGETHER PARTNERS WHO SERVE OUR COMMUNITY IN NEED OF HEALTHY FOOD AND WORKING TOGETHER TO PROMOTE THE MESSAGE ABOUT THE NEEDS OF THIS POPULATION". A STRONG PARTNERSHIP CONTINUES WITH MSU, UNIVERSITY OF MISSOURI-EXTENSION, COUNCIL OF CHURCHES, CENTRAL ASSEMBLY, OZARKS REGIONAL FOOD POLICY COUNCIL, OZARKS FOOD HARVEST, AND INDIVIDUAL PANTRIES. THE FOLLOWING ARE ACCOMPLISHMENTS TO-DATE: -SHARING BY THE PANTRIES OF WAYS TO OBTAIN FRESH PRODUCE AND OTHER FOOD PRODUCTS MORE ECONOMICALLY (COMMUNICATION HAS INCREASED AND IMPROVED BECAUSE OF THE HFPC) -EDUCATION ON HOW TO PREPARE FRESH VEGETABLES AND INCORPORATE THEM INTO THEIR MEALS HAS INCREASED BECAUSE OF THE MSU INTERN PROGRAM AND CONTINUED WORK OF MU EXTENSION -MSU HAS ASSUMED RESPONSIBILITY FOR THE NEWSLETTER, THE PANTRY BUZZ, AND IS HAVING STUDENTS PREPARE THIS DURING THE SEMESTERS THEY ARE AVAILABLE. COXHEALTH DOES DISTRIBUTION. -INCREASE IN THE NUMBER OF PANTRIES REPORTING THEY ARE ALLOWING 'CLIENT CHOICE' FOR FOOD SELECTION. (THIS IS A BEST PRACTICE.) -UPDATED THE INFORMATION ON THE LISTING OF PANTRIES FROM THE COXHEALTH WEBSITE. -CONTINUE TO OFFER THE "HEALTHY FOOD WISH LIST" FOR DISTRIBUTION BY THE PANTRIES (PANTRIES ARE GIVING THE "WISH LIST" TO DONORS SO THE FOODS CONTRIBUTED TO THE PANTRY WILL BE A HEALTHY CHOICE). THE "WISH LIST" IS ALSO AVAILABLE ON THE COXHEALTH WEBSITE. -THE HFPC WAS INCLUDED IN THE "HEALTHY SHELVE" PUBLICATION BY MU INTERDISCIPLINARY CENTER FOR FOOD SECURITY. THE ARTICLE WAS "HFPC: COLLABORATION CREATES OPPORTUNITY". THE HFPC WAS INCLUDED AS A WAY TO ADDRESS ISSUES OF NUTRITION AND CHRONIC DISEASE THROUGH LOCAL FOOD PANTRY SERVICES. COXHEALTH WAS REFERENCED. -HEALTHY COMMUNITY FOOD DRIVE: COLLECTING HEALTHY FOOD FOR LOCAL FOOD PANTRIES FROM NOV. 12-30. 881 POUNDS OF HEALTHY FOOD WAS COLLECTED FROM 16 COXHEALTH LOCATIONS -PROMOTING THE MESSAGE THROUGH, 417 MAGAZINE: NEIGHBORHOODS, WE LOVE: JULY 2015. THE ARTICLE, "FOOD FOR THOUGHT", REFERENCED COXHEALTH AND INCLUDED INFORMATION ABOUT THE HFPC AND THE HEALTHY FOOD WISH LIST. THE ARTICLE WAS VERY WELL DONE. -COXHEALTH MARKETING DEPARTMENT PROVIDED TO CROSSLINES FOOD PANTRY, CANVAS BAGS WITH THE MESSAGE, "100% HEALTHY: PACK THE PANTRIES" TO DISTRIBUTE FOOD TO PARTICIPANTS OF THE PANTRY AND TO BRING IT BACK WHEN RETURNING. COMMUNITY IN MOTION THE COMMUNITY IN MOTION PROGRAM WAS DESIGNED AS A WEIGHT LOSS CHALLENGE THAT INCORPORATED AND COORDINATED MULTIPLE WEIGHT LOSS OFFERINGS THROUGHOUT THE COMMUNITY. THE FOLLOWING IS AN UPDATE ON CURRENT OFFERINGS BY COXHEALTH. MOST OF THESE PROGRAMS ARE FULLY INTEGRATED AND OPERATIONAL, WHILE SOME COMPONENTS OF "HEALTH SCHOOLS, HEALTHY COMMUNITIES" ARE CURRENTLY IN PROGRESS AND BEING DEVELOPED. -COMMITTED TO KIDS + ADOLESCENT WEIGHT MANAGEMENT PROGRAM FOR AGES 11-14 + FAMILY AFFAIR-EACH MEMBER OF THE FAMILY WEIGHS IN, TURNS IN FOOD LOGS, WEARS A PEDOMETER, AND PARTICIPATES IN CLASS EXERCISE, LEARNING SESSIONS, AND DISCUSSIONS -JOURNEYS + 20-WEEK ADULT WEIGHT MANAGEMENT PROGRAM THAT FOCUSES ON YOUR MENTAL, PHYSICAL AND EMOTIONAL HEALTH + INCORPORATES THREE COMPONENTS FOR SUCCESSFUL WEIGHT LOSS AND WEIGHT MAINTENANCE: BEHAVIOR CHANGE, NUTRITION EDUCATION AND MEAL PLANNING, AND ACTIVITY AND EXERCISE PROGRAMS. -LEANER LIFE + DEVELOPS STRATEGIES TO HELP YOU LOSE WEIGHT, CONTINUE HEALTHY LIFESTYLE CHOICES AND MAINTAIN WEIGHT LOSS + MEET OTHERS IN THE SAME SITUATION FOR DISCUSSION, SUPPORT AND WEEK-TO-WEEK ACCOUNTABILITY -HEALTHY SCHOOLS, HEALTHY COMMUNITIES: REDUCE CHILDHOOD OBESITY BY 5% OVER 5 YEARS IN MONETT AND PIERCE CITY SCHOOLS + EXPAND ACCESS TO HEALTHY FOODS: * "HEALTHY MEAL NIGHT" PROGRAM * HEALTHY RETAILER/MENU GUIDE FOR LOCAL BUSINESSES * REVIVAL OF THE MONETT FARMER'S MARKET * HEALTHY FOODS SERVED AT CONCESSIONS * "KIDS IN THE KITCHEN" + EXPAND ACCESS TO PHYSICAL ACTIVITY * COMPLETE STREET PROJECT * GREENWAY IMPROVEMENTS/PROMOTION * EQUIPMENT CHECKOUT PROGRAM AT PARKS * PIERCE CITY AFTER SCHOOL PROGRAM * PIERCE CITY COMMUNITY POOL PROGRAM + INCREASE AWARENESS OF HEALTHY EATING AND PHYSICAL ACTIVITY OPPORTUNITIES * COMMUNITY SURVEY ON HEALTHY LIVING * COMMUNITY SOCIAL MEDIA SITES/COMMUNICATION + BUILD A STRONG, ENGAGED, AND DIVERSE "HEALTHY COMMUNITY PARTNERSHIP" * BIMONTHLY MEETINGS WITH COMMUNITY LEADERS * EXPAND RELATIONSHIPS WITH MINORITIES WITHIN THE COMMUNITY * EXPAND HEALTHY LIVING EFFORTS ALREADY ESTABLISHED + INCREASE HEALTH CARE PROVIDERS' ENGAGEMENT IN HEALTHY LIFESTYLES * HEALTHY LIVING PRESENTATION AT SENIOR LEADERS SEMINAR * HEALTHY LIVING REFERRAL RESOURCES * DISCUSSION OF LIFESTYLE CHOICES WITH PATIENTS -OTHER OBESITY/HEALTHY LIVING OFFERINGS FROM COX FITNESS CENTERS + REPUBLIC MAY DAY 5K RUN IN MAY 2015 + MED MILE KIDS RUN TRAINING IN APRIL 2015 + MEDICAL MILE 5K RUN IN MAY 2015 + GIRLS JUST WANNA RUN RACE IN JULY 2015 + REPUBLIC SENIORFEST IN MAY 2015 + GALLOWAY RUN/WALK TRAINING FOR BASS PRO MARATHON AND HALF MARATHON IN APRIL 2015 + FITLIFE MEDICAL FITNESS PROGRAM
SCHEDULE H, PART V, SECTION B, LINE 7 ADDRESSING IDENTIFIED NEEDS: THERE ARE MANY NEEDS IN A SERVICE AREA THE SIZE OF 22 COUNTIES AS THE CHNA ILLUSTRATES. LESTER E. COX MEDICAL CENTERS DOES IN SOME WAY ADDRESS MANY OF THE IMPORTANT ISSUES THAT WERE SUGGESTED THROUGH THE ASSESSMENT STAGE OF THE CHNA. SOME ISSUES UNFORTUNATELY CANNOT BE ADDRESSED BECAUSE OF LIMITED RESOURCES AND OTHERS ARE BEING ADDRESSED OR ARE BETTER SUITED FOR OTHER ORGANIZATIONS. ONE OF THE REASONS OBESITY WAS CHOSEN AS THE SINGLE PRIORITY IS THAT THERE ARE MANY ISSUES IDENTIFIED IN THE CHNA THAT ARE EITHER DIRECTLY OR INDIRECTLY RELATED TO OBESITY. THE FOLLOWING TABLE SHOWS THE IDENTIFIED NEEDS AND A BRIEF REASON FOR PRIORITIZATION. PRIORITIZATION KEY 1. IDENTIFIED PRIORITY FOR ENTIRE SERVICE AREA 2. IMPORTANT ISSUE BEING ADDRESSED BY LESTER E. COX MEDICAL CENTERS IN SOME WAY, BUT DOES NOT RISE TO THE LEVEL OF A TOP PRIORITY 3. LIMITED RESOURCES 4. DIRECT OR INDIRECT RELATIONSHIP TO IDENTIFIED PRIORITY 5. UNCLEAR, AMBIGUOUS, OR ISSUE ADDRESSED BY OTHERS
SCHEDULE H, PART V, SECTION B, LINE 10 CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE CARE: IN GENERAL, THE ORGANIZATION'S CHARITY CARE POLICY DOES NOT PROVIDE FOR DISCOUNTS OF 100%. THEREFORE, IT IS EXPECTED THAT THE PATIENT OR GUARANTOR WILL HOLD A RESPONSIBILITY FOR PAYMENT OF AT LEAST A PORTION OF THE SERVICES, REGARDLESS OF THE LEVEL OF ELIGIBILITY. IT IS OUR INTENTION TO WORK WITH INDIVIDUALS ON THEIR OUT-OF-POCKET RESPONSIBILITY TO ESTABLISH FEASIBLE MONTHLY PAYMENTS WHEN NECESSARY. IN THE EVENT THAT A PATIENT OR GUARANTOR IS DETERMINED TO HAVE NO MEANS OF PAYING THE AMOUNT INDICATED AS THEIR RESPONSIBILITY DUE TO EXTENUATING CIRCUMSTANCES, CONSIDERATION MAY BE GIVEN TO WAIVING DEDUCTIBLES AND/OR INCREASING THE DISCOUNT AMOUNT UP TO A 100% DISCOUNT OF THE PATIENT PORTION. THESE EXTENUATING CASES ARE SUBJECT TO THE DISCRETION AND APPROVAL OF THE PFS DIRECTOR AND/OR THE CHIEF FINANCIAL OFFICER WITHIN THE APPROVAL LIMITS DEFINED AT THE END OF THIS POLICY.
SCHEDULE H, PART V, SECTION B, LINE 14G MEASURES TO PUBLICIZE THE POLICY: 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.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number
44-0577118
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ALZHEIMERS ASSOCIATION
1630 W ELFINDALE
SPRINGFIELD,MO65807 		13-3039601 501(C)(3) 11,000       COMMUNITY BENEFIT
(2) URBAN DISTRICTS ALLIANCE
304 W MCDANIEL
SPRINGFIELD,MO65806 		43-1790672 501(C)(3) 10,000       COMMUNITY BENEFIT
(3) COMMUNITY FOUNDATION OF THE OZARKS
425 E TRAFFICWAY
SPRINGFIELD,MO65806 		23-7290968 501(C)(3) 10,000       COMMUNITY BENEFIT
(4) AMERICAN RED CROSS OF THE OZARKS
PO BOX 2088
SPRINGFIELD,MO65801 		44-0563832 501(C)(3) 7,500       COMMUNITY BENEFIT
(5) GYN CANCERS ALLIANCE
3023 FORT AVE B
SPRINGFIELD,MO65807 		43-1943170 501(C)(3) 7,500       COMMUNITY BENEFIT
(6) NAMI SOUTHWEST MISSOURI
330 N JEFFERSON H
SPRINGFIELD,MO65806 		43-1244674 501(C)(3) 6,500       COMMUNITY BENEFIT
(7) FOODCORE
PO BOX 41
ROGERSVILLE,MO65742 		27-1883334 501(C)(3) 6,000       COMMUNITY BENEFIT
(8) BOYS AND GIRLS CLUB OF THE OZARKS
1460 BEE CREEK RD
BRANSON,MO65616 		43-1664669 501(C)(3) 55,000       COMMUNITY BENEFIT
(9) BREAST CANCER FOUNDATION OF THE OZARKS
330 N JEFFERSON
SPRINGFIELD,MO65806 		43-1881450 501(C)(3) 20,000       COMMUNITY BENEFIT
(10) MHA CENTER FOR EDUCATION
PO BOX 60
JEFFERSON CITY,MO65102 		43-0898947 501(C)(3) 80,397       COMMUNITY BENEFIT
(11) AMERICAN DIABETES ASSOCIATION
1944 E SUNSHINE
SPRINGFIELD,MO65808 		13-1623888 501(C)(3) 17,000       COMMUNITY BENEFIT
(12) AMERICAN HEART ASSOCIATION
1950 N STEMMONS FWY STE 5010
DALLAS,TX75207 		13-5613797 501(C)(3) 13,300       COMMUNITY BENEFIT
(13) JUVENILE DIABETES RESEARCH FOUNDATION
528 W BATTLEFIELD
SPRINGFIELD,MO65804 		23-1907729 501(C)(3) 11,500       COMMUNITY BENEFIT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
13
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) CHILDREN'S MIRACLE NETWORK - SPECIAL NEEDS FUND 765 204,572      
(2) CHILDREN'S MIRACLE NETWORK - FAMILY CARE GRANTS 63 106,965      
(3) CHILDREN'S MIRACLE NETWORK - COMMUNITY GRANTS 100000 361,082      
(4) CHILDREN'S MIRACLE NETWORK - LESTER COX MC GRANTS 7815 282,674      
(5) CHILDREN'S MIRACLE NETWORK - OTHER GRANTS 29269 182,445      




Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: 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 2014, APPROXIMATELY 137,912 CHILDREN WERE SERVED: SPECIAL NEEDS FUND - $204,572 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: TRAVEL ASSISTANCE, ORTHOPEDIC BRACES, PRESCRIPTIONS, EYE GLASSES, ETC. FAMILY CARE GRANTS - $106,965 - DIRECT FINANCIAL ASSISTANCE TO FAMILIES, WHICH INCLUDES: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY BILLS, HOSPITAL BILLS, ETC. COMMUNITY GUARANTEED GRANTS - $361,082 TOTAL *CAREMOBILE PROGRAM - $263,044 *CARDIAC PROGRAM (A PORTION TO COX-MONETT HOSPITAL, INC.) - $64,970 *"NEVER SHAKE A BABY" PROGRAM - $15,303 *BICYCLE SAFETY PROGRAM - $6,965 *WASTED PROGRAM - $5,000 *CAR SEAT SAFETY PROGRAM - $4,700 *WATER SAFETY PROGRAM - $1,100 LESTER E. COX MEDICAL CENTERS GUARANTEED GRANTS - $282,674 TOTAL *CHILD LIFE PROGRAM - $122,900 *DEPARTMENTAL DISTRIBUTION GRANTS - $159,774 DISCRETIONARY AND OPEN FUNDS - $182,445 - THESE ARE FUNDS THAT DO NOT FALL INTO ONE OF THE ABOVE CATEGORIES AND CAN INCLUDE OPTIONAL GRANT FUNDING AND OTHERS. THROUGH AMENDMENT 3 OF THE ORGANIZATION'S AGREEMENT WITH MHA MANAGEMENT SERVICES CORPORATION AND INCREASED DISPROPORTIONATE SHARE HOSPITAL PAYMENTS TO ALL MISSOURI HOSPITALS UNDER THE FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM, THE HOSPITAL MADE CHARITABLE CONTRIBUTIONS TO THE MHA CENTER FOR EDUCATION. THESE CONTRIBUTIONS ARE USED FOR FUNDING SCHOLARSHIPS TO MEDICAL, NURSING AND ALLIED HEALTH PROFESSIONALS, AND WORKFORCE INITIATIVES TO ADDRESS THE SHORTAGES OF NURSING AND ALLIED HEALTH PROFESSIONALS. TOTAL CONTRIBUTION RELATING TO THIS AGREEMENT IN FISCAL YEAR 2014 EQUALED $80,397. THE OTHER GRANTS STATED IN PART II ARE MONITORED THROUGH THE USE OF REIMBURSEMENT PROCEDURES IN WHICH THE GRANTEE SUBMITS SUPPORTING DOCUMENTATION FOR EXPENSES. THE DOCUMENTATION IS THEN REVIEWED BY THE ORGANIZATION TO ENSURE IT MEETS THE CRITERIA ACCORDING TO THE GRANT AGREEMENT AND FINALLY A DISBURSEMENT IS MADE BY THE ORGANIZATION. LESTER E. COX MEDICAL CENTERS GIVES TO ORGANIZATIONS IN THE LOCAL COMMUNITY WHICH ALLOWS THE USE OF THE FUNDS TO BE SEEN DIRECTLY.
Schedule I (Form 990) 2013


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)STEVE EDWARDSPRESIDENT & CEO (i)
(ii)		 850,275
0 		162,334
0 		165,339
0 		223,121
0 		20,723
0 		1,421,792
0 		155,171
0
(2)JAKE MCWAYSR VP & CFO (i)
(ii)		 478,067
0 		80,463
0 		93,055
0 		114,907
0 		18,859
0 		785,351
0 		86,365
0
(3)LARRY HALVERSON MDBOARD MEMBER (i)
(ii)		 121,982
0 		0
0 		1,679
0 		23,683
0 		6,366
0 		153,710
0 		0
0
(4)PATRICIA DIX MDBOARD MEMBER (i)
(ii)		 367,002
0 		0
0 		2,301
0 		25,250
0 		12,288
0 		406,841
0 		0
0
(5)BOYD CROCKETT MDPHYSICIAN (i)
(ii)		 568,786
0 		0
0 		300
0 		12,495
0 		13,692
0 		595,273
0 		0
0
(6)ARIJIT CHOWDHURY MDPHYSICIAN (i)
(ii)		 484,948
0 		0
0 		270
0 		21,685
0 		13,687
0 		520,590
0 		0
0
(7)CARY MARQUIS MDPHYSICIAN (i)
(ii)		 473,763
0 		0
0 		300
0 		29,995
0 		13,692
0 		517,750
0 		0
0
(8)ALI HASSAN MDPHYSICIAN (i)
(ii)		 428,069
0 		0
0 		240
0 		12,495
0 		6,539
0 		447,343
0 		0
0
(9)LOUIS KRENN MDPHYSICIAN/CMIO (i)
(ii)		 429,267
0 		0
0 		270
0 		12,495
0 		13,687
0 		455,719
0 		0
0
(10)JOHN DUFF MDSR VP CHIEF CORPORATE SERVICES (i)
(ii)		 388,076
0 		66,180
0 		16,889
0 		142,336
0 		22,242
0 		635,723
0 		0
0
(11)RON PRENGERSR VP, CHIEF HOSPITAL OFFICER (i)
(ii)		 267,922
0 		8,941
0 		1,290
0 		30,250
0 		10,186
0 		318,589
0 		0
0
(12)CHARITY ELMERSR VP & GENERAL COUNSEL (i)
(ii)		 355,782
0 		15,243
0 		7,757
0 		69,864
0 		18,399
0 		467,045
0 		0
0
(13)ROBERT FERGUSONVP FERRELL DUNCAN CLINIC (i)
(ii)		 277,023
0 		15,650
0 		1,267
0 		12,750
0 		10,820
0 		317,510
0 		0
0
(14)DANIEL SONTHEIMER MDVP MEDICAL AFFAIRS (i)
(ii)		 342,235
0 		64,443
0 		450
0 		29,993
0 		13,717
0 		450,838
0 		0
0
(15)DAVID TAYLORVP REGIONAL SERVICES (i)
(ii)		 257,215
0 		16,375
0 		7,476
0 		35,750
0 		13,765
0 		330,581
0 		0
0
(16)JOHN HURSHVP HUMAN RESOURCES (i)
(ii)		 243,901
0 		12,290
0 		3,346
0 		15,442
0 		12,549
0 		287,528
0 		0
0
(17)RODNEY SCHAFFERVP FACILITIES MANAGEMENT (i)
(ii)		 214,405
0 		11,488
0 		1,290
0 		11,359
0 		6,783
0 		245,325
0 		0
0
(18)KAREN KRAMERVP, CNO (i)
(ii)		 268,111
0 		8,938
0 		690
0 		30,250
0 		12,028
0 		320,017
0 		0
0
(19)BETTY BRESHEARSVP CORPORATE COMPLIANCE (i)
(ii)		 219,823
0 		8,511
0 		1,290
0 		11,481
0 		12,036
0 		253,141
0 		0
0
(20)BRUCE ROBISONCIO (i)
(ii)		 181,976
0 		11,894
0 		1,290
0 		10,086
0 		12,183
0 		217,429
0 		0
0
(21)TYLER HEDDENVP CLINICAL SERVICES (i)
(ii)		 174,898
0 		6,392
0 		270
0 		9,078
0 		13,602
0 		204,240
0 		0
0
(22)ANNE BRETTFORMER PRESIDENT COX COLLEGE (i)
(ii)		 172,658
0 		12,522
0 		1,980
0 		26,316
0 		14,171
0 		227,647
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PART I, LINE 1A INFORMATION REGARDING BENEFITS PROVIDED: MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF STEVE EDWARDS, CEO.
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: STEVE EDWARDS, JACOB MCWAY, JOHN DUFF AND CHARITY ELMER PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS. - STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $210,371. - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $155,171, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $84,657. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $86,365, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JOHN DUFF RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $112,086. - CHARITY ELMER RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $43,069.
SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION: KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. PHYSICIANS LISTING ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE ALI HASSAN, ARIJIT CHOWDHURY, CARY MARQUIS, LOUIS KRENN AND BOYD CROCKETT. EXECUTIVE LEVEL STAFF ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON A VARIETY OF PERFORMANCE INDICATORS IN QUALITY, CUSTOMER AND EMPLOYEE SATISFACTION AND BUSINESS PERFORMANCE MEASURES.
SCHEDULE J, PART II; AND FORM 990, PART VII 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.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number
44-0577118
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966 60637AEA6 04-17-2013 215,764,775 NEW INFRASTRUCTURE/CURRENT REFUNDI   X   X   X
B HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966   10-15-2008 70,000,000 NEW INFRASTRUCTURE & EQUIPMENT   X   X   X
C HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966 60635R4Z7 09-25-2008 157,078,759 1997 & 2002 BOND RFDING; NEW INFRA   X   X   X
D HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966   10-15-2008 35,000,000 NEW INFRASTRUCTURE & EQUIPMENT   X   X   X
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966 60637AEA6 02-22-2007 5,000,000 CAPITAL EQUIPMENT FINANCING   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 216,033,814 70,469,521 158,048,460 35,028,548
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 14,962,819 0
5 Capitalized interest from proceeds . . . . . . . . . . . 8,495,120 783,050 2,844,795 421,299
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 2,222,341 501,052 1,448,411 271,929
8 Credit enhancement from proceeds . . . . . . . . . . . 0 2,121,540 0 803,381
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 91,971,611 67,063,878 66,262,892 33,531,939
11 Other spent proceeds . . . . . . . . . . . . . . 29,708,339 0 72,482,407 0
12 Other unspent proceeds . . . . . . . . . . . . . . 83,636,403 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2012 2012 2012 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X X     X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 1.050 % 0.830 % 0.930 % 0.830 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 1.050 % 0.830 % 0.930 % 0.830 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X     X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X X   X   X  
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART 11, LINE 3, COLUMNS A, B, C & D  
SCHEDULE K, PART II, LINE 11, COLUMN C OTHER PROCEEDS SPENT: THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE.
SCHEDULE K, PART IV, LINE 2C, COLUMNS B, C, D & E & SCHEDULE 2, COLUMN A  
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number
44-0577118
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966 60637AEA6 04-17-2013 215,764,775 NEW INFRASTRUCTURE/CURRENT REFUNDI   X   X   X
B HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966   10-15-2008 70,000,000 NEW INFRASTRUCTURE & EQUIPMENT   X   X   X
C HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966 60635R4Z7 09-25-2008 157,078,759 1997 & 2002 BOND RFDING; NEW INFRA   X   X   X
D HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966   10-15-2008 35,000,000 NEW INFRASTRUCTURE & EQUIPMENT   X   X   X
HEALTH & EDUCATIONAL FACILITIES AUTH - STATE OF MO
  		43-1178966 60637AEA6 02-22-2007 5,000,000 CAPITAL EQUIPMENT FINANCING   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 216,033,814 70,469,521 158,048,460 35,028,548
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 14,962,819 0
5 Capitalized interest from proceeds . . . . . . . . . . . 8,495,120 783,050 2,844,795 421,299
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 2,222,341 501,052 1,448,411 271,929
8 Credit enhancement from proceeds . . . . . . . . . . . 0 2,121,540 0 803,381
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 91,971,611 67,063,878 66,262,892 33,531,939
11 Other spent proceeds . . . . . . . . . . . . . . 29,708,339 0 72,482,407 0
12 Other unspent proceeds . . . . . . . . . . . . . . 83,636,403 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2012 2012 2012 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X X     X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 1.050 % 0.830 % 0.930 % 0.830 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 1.050 % 0.830 % 0.930 % 0.830 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X     X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X X   X   X  
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART 11, LINE 3, COLUMNS A, B, C & D  
SCHEDULE K, PART II, LINE 11, COLUMN C OTHER PROCEEDS SPENT: THE OTHER SPENT PROCEEDS RELATE TO THE CURRENT REFUNDING PROCEEDS OF THE ISSUE.
SCHEDULE K, PART IV, LINE 2C, COLUMNS B, C, D & E & SCHEDULE 2, COLUMN A  
Schedule K (Form 990) 2013

Additional Data


Software ID:  
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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) WILLIAM BRESHEARS B BRESHEARS - SEE PART V 23,079 WAGES & BENEFITS   No
(2) VICKIE HOCKENSMITH S EDWARDS - SEE PART V 37,941 WAGES & BENEFITS   No
(3) TERRY HAMMER S EDWARDS - SEE PART V 95,080 WAGES & BENEFITS   No
(4) LISA ESPY K KRAMER - SEE PART V 37,465 WAGES   No
(5) JASON PRENGER R PRENGER - SEE PART V 17,332 WAGES & BENEFITS   No
(6) FAITH SCHAFFER R SCHAFFER - SEE PART V 142,953 WAGES & BENEFITS   No
(7) NICOLE HOLMAN L HALVERSON - SEE PART V 25,060 WAGES & BENEFITS   No
(8) BETTY EDWARDS S EDWARDS - SEE PART V 23,953 RETIREMENT BENEFITS   No
(9) HADEN COWHERD BULLOCK G HADEN - SEE PART V 549,672 LEGAL SERVICES   No
(10) FERRELL DUNCAN CLINIC INC SEE PART V 73,897,977 PHYSICIAN REMUNERATION   No
(11) FERRELL DUNCAN BUILDING CO SEE PART V 3,330,770 BUILDING LEASE   No
(12) FERRELL DUNCAN BUILDING CO II SEE PART V 1,380,935 BUILDING LEASE   No
(13) COX HEALTH SYSTEMS HMO INC SEE PART V 2,779,145 INSURANCE ADMINISTRATION   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: BETTY BRESHEARS' HUSBAND, WILLIAM BRESHEARS, IS AN EMPLOYEE OF LESTER E. COX MEDICAL CENTERS, AND BETTY IS VICE PRESIDENT OF CORPORATE COMPLIANCE. STEVE EDWARDS, CEO, HAS THREE FAMILY MEMBERS WHO WORK FOR OR RECEIVE RETIREMENT BENEFITS FROM LESTER E. COX MEDICAL CENTERS. VICKIE HOCKENSMITH IS HIS SISTER, TERRY HAMMER IS HIS BROTHER-IN-LAW, AND BETTY B. EDWARDS IS HIS MOTHER. KAREN KRAMER'S SISTER, LISA ESPY, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND KAREN IS VICE PRESIDENT AND CHIEF NURSING OFFICER. RON PRENGER'S SON, JASON PRENGER, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND RON IS A SENIOR VICE PRESIDENT AND CHIEF HOSPITAL OFFICER. RODNEY SCHAFFER'S SPOUSE, FAITH SCHAFFER, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND RODNEY IS THE VICE PRESIDENT OF FACILITIES MANAGEMENT. LARRY W. HALVERSON'S DAUGHTER, NICOLE HOLMAN, IS AN EMPLOYEE AT LESTER E. COX MEDICAL CENTERS, AND LARRY IS A MEMBER OF THE BOARD OF DIRECTORS. GRANT HADEN, FIRST VICE CHAIRMAN OF THE BOARD OF DIRECTORS, IS AN OWNER OF HADEN, COWHERD & BULLOCK, LLC. DAVID ZOLFAGHARI, M.D., BOARD MEMBER, IS ALSO AN OFFICER AND BOARD MEMBER OF FERRELL DUNCAN CLINIC, INC. JAMES GIBSON, M.D., BOARD MEMBER, IS ALSO A BOARD MEMBER OF FERRELL DUNCAN CLINIC, INC. JAMES GIBSON, M.D., BOARD MEMBER, IS ALSO A MANAGING MEMBER OF FERRELL DUNCAN BUILDING CO. PIERRE L. CLOTHIAUX, M.D., BOARD MEMBER, IS ALSO A MANAGING MEMBER OF FERRELL DUNCAN BUILDING CO. II. JERRY G. JARED, BOARD MEMBER, AND JOSEPH W. TURNER, SECOND VICE CHAIRMAN OF THE BOARD OF DIRECTORS, ARE ALSO BOARD MEMBERS OF COX HEALTH SYSTEMS HMO, INC. STEVE EDWARDS, CEO, IS ALSO A BOARD MEMBER OF COX HEALTH SYSTEMS HMO, INC. JERRY G. JARED AND JOSEPH W. TURNER WERE DETERMINED TO BE NON-INDEPENDENT MEMBERS OF LESTER E. COX MEDICAL CENTERS BASED SOLELY ON THEIR ROLE AS COMMON OFFICERS OR DIRECTORS OF LESTER E. COX MEDICAL CENTERS AND COX HEALTH SYSTEMS HMO, INC. COX HEALTH SYSTEMS HMO, INC., IS AN ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY. LESTER E. COX MEDICAL CENTERS VIEWS THE COMMON OFFICERS AND DIRECTORS AS AN IMPORTANT ROLE IN HELPING BOTH ORGANIZATIONS IN ACHIEVING THEIR MISSIONS WHILE SERVING THE COMMUNITY.
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Return Reference Explanation
FORM 990, PART I, QUESTION 6 NUMBER OF VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD.
FORM 990, PART III, LINE 4C EXEMPT PURPOSE ACHIEVEMENTS - ADDITIONAL INFORMATION ABOUT HOME CARE: OXFORD SUPPORTS THE COMMUNITY THROUGH THEIR ASSOCIATION SUPPORT (I.E. ALZHEIMER'S ASSOCIATION, DIABETES ASSOCIATION, HEART ASSOCIATION, ETC,) THEY WORK DILIGENTLY TO RAISE FUNDS FOR PATIENTS THROUGH DONATIONS FROM THEIR EMPLOYEES AND A COMMUNITY WIDE FAN DRIVE FOR PATIENTS WITHOUT AIR CONDITIONING. HOME SUPPORT HAS PROVIDED DURABLE MEDICAL EQUIPMENT AND SERVICES TO PATIENTS IN SOUTHWEST MISSOURI FOR OVER 30 YEARS AND AS THE COMPANY HAS GROWN IT HAS STEADILY BECOME MORE INVOLVED IN AN EFFORT TO BETTER MEET THE NEEDS OF THE COMMUNITY AS A WHOLE. THE STAFF SUPPORT THEIR PATIENTS AND FAMILIES IN MANY WAYS BY CONTACTING HOME HEALTH CARE AGENCIES, DIVISION OF AGING AND OTHER LOCAL CHARITIES. THEY REGULARLY DONATE MEDICAL EQUIPMENT TO CONVOY OF HOPE AND OTHER AGENCIES THAT SUPPORT DISASTER AND RELIEF EFFORTS BOTH LOCALLY AND ABROAD. COMMUNITY BENEFIT ACTIVITIES INCLUDE DONATED EMPLOYEE TIME AND PARTS TO INSTALL AN OVERHEAD LIFT FOR AN ORGANIZATION CALLED "HORSES OF HOPE" THAT AIDS IN HELPING DISABLED PATIENTS RIDE HORSES.
FORM 990, PART III, LINES 4A-4D 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-FOR-PROFIT 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. COX MEDICAL CENTERS DOES THIS THROUGH INITIATIVES LIKE KOHL'S 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 $ 137,611,273 THIS FIGURE INCLUDES THE ESTIMATED UNPAID COSTS OF PROVIDING CARE 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 $ 625,468 INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND SERVICES THAT ARE SUBSIDIZED BECAUSE THEY ARE NEEDED IN THE COMMUNITY. EXAMPLES ARE COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, IMMUNIZATIONS, COALITION BUILDING AND SUBSIDY OF HEALTH CARE SERVICES. HEALTH PROFESSIONALS EDUCATION AND RESEARCH $ 541,582 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 $ 1,265,114 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: $ 140,043,437 ECONOMIC IMPACT: RESTRICTED FOUNDATION GRANTS $ 3,741,781 THIS FIGURE INCLUDES CASH DONATIONS PAID BY THE COXHEALTH SYSTEM TO SUPPORT COMMUNITY ORGANIZATIONS, PATIENT ADVOCACY AND EDUCATION, AS WELL AS CONTRIBUTIONS FOR NON-FOR-PROFIT COMMUNITY ORGANIZATIONS AND EVENT SPONSORSHIPS. REAL ESTATE AND PROPERTY TAXES $ 984,466 TOTAL REAL ESTATE AND PROPERTY TAXES PAID BY LESTER E. COX MEDICAL CENTERS FOR MEDICAL OFFICE BUILDINGS AND PHYSICIAN OFFICES AND CLINIC. CAPITAL INVESTMENTS $ 125,858,970 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 $ 405,590,091 THE COXHEALTH SYSTEM IS ONE OF THE LARGEST EMPLOYERS IN SOUTHWEST MISSOURI. IN CALENDAR YEAR 2013, LESTER E. COX MEDICAL CENTERS ALONE EMPLOYED APPROXIMATELY 8,844 PEOPLE, AND THE REMAINING COXHEALTH SYSTEM AFFILIATES CARRY THE TOTAL EMPLOYED FIGURE TO OVER 10,000 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: $ 536,175,308 TOTAL CONTRIBUTIONS TO THE COMMUNITY: $ 676,218,745
FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: BOARD MEMBERS JERRY JARED AND JOSEPH TURNER ALSO HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE ORGANIZATION'S (CMC) BYLAWS DURING THE FISCAL YEAR: SECTION 1: MEMBER CMC SHALL HAVE ONE MEMBER WHICH SHALL BE COXHEALTH, A MISSOURI NONPROFIT CORPORATION ("COXHEALTH") OR ("MEMBER"). SECTION 2: FUNCTIONS THE MEMBER SHALL EXERCISE ITS POWERS AND FULFILL THE RESPONSIBILITIES OF THE MEMBER AS SPECIFIED IN THE ARTICLES OF INCORPORATION OF CMC AND THE BYLAWS. HOWEVER, IN THE EVENT THAT THE MEMBER (OR ITS EXECUTIVE COMMITTEE WHEN ACTING ON BEHALF OF THE BOARD OF THE MEMBER), EITHER VIA A VOTE OR CONSENT ACTION OF THE BOARD OF THE MEMBER, OR THROUGH THE MEMBER'S PRESIDENT AND CEO OR OTHER OFFICERS OR THEIR DESIGNEES TO THE EXTENT THAT THE BOARD OF THE MEMBER HAS DELEGATED TO SUCH OFFICER THE AUTHORITY TO EXERCISE THE APPLICABLE POWER RESERVED TO THE MEMBER, IS CONSIDERING TAKING ACTION ON ONE OR MORE OF THE FOLLOWING ITEMS, THEY SHALL FIRST CONSULT WITH THE BOARD OF DIRECTORS OF CMG ("CMG BOARD"). SECTION 3: POWERS AND RESPONSIBILITIES OF THE MEMBER EXCEPT AS SPECIFIED BELOW OR SET FORTH ELSEWHERE IN THE BYLAWS, THE FOLLOWING RESERVED POWERS MAY BE EXERCISED BY THE MEMBER WITHOUT PRIOR ACTION BY THE BOARD. SAID RESERVED POWERS ARE: (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 AND CEO 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 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 OBLICATED 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 OVERRIDE AND REVERSE ANY DECISION MADE OR ACTION AUTHORIZED BY THE CMC BOARD TO THE EXTENT THAT SUCH DECISION OR ACTION CONFLICTS WITH A DECISION MADE OR ACTION AUTHORIZED BY THE JOINT OPERATIONS COMMITTEE OF THE MEMBER; (W) 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. ARTICLE FIVE: DIRECTORS, NOMINATIONS, AND APPOINTMENTS SECTION 1: NUMBER AND QUALIFICATIONS OF DIRECTORS THE BOARD SHALL CONSIST OF FIFTEEN (15) DIRECTORS INCLUDING THE CHAIR OF THE BOARD, THE THREE (3) VICE CHAIRS OF THE BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD AND ONE (1) COX BRANSON DIRECTOR SELECTED BY THE MEMBER. THE REMAINING NINE (9) DIRECTORS SHALL BE COMPRISED AS FOLLOWS: PHYSICIAN DIRECTORS APPOINTED AND SUCH OTHER DIRECTORS AS ARE RECOMMENDED BY THE CHAIR OF THE BOARD AND APPROVED BY THE BOARD AS SOON AS PRACTICABLE AFTER EACH ANNUAL MEETING. PRIOR TO THE ANNUAL MEETING, THE NOMINATING COMMITTEE OF THE MEMBER SHALL NOMINATE A SLATE OF PERSONS FOR APPOINTMENT BY THE MEMBER AS DIRECTORS AND OFFICERS AT THE NEXT ANNUAL MEETING. WITH RESPECT TO THE COX BRANSON DIRECTOR, THE NOMINATING COMMITTEE OF THE MEMBER SHALL RECEIVE THE NOMINATION FROM THE COX BRANSON BOARD NO LATER THAN SEPTEMBER 1 OF EACH YEAR AS TO WHICH OF THE TWO (2) COX BRANSON DIRECTORS WHO WILL BE SERVING ON THE COXHEALTH BOARD AFTER THE NEXT ANNUAL MEETING SHOULD BE APPOINTED AS A DIRECTOR OF CMC. THE MEMBER WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. WITH RESPECT TO THE REMAINING THREE (3) PHYSICIAN DIRECTORS OF CMC, THE NOMINATING COMMITTEE SHALL RECEIVE NOMINATIONS FROM THE CMG BOARD NO LATER THAN SEPTEMBER 1 OF EACH YEAR FOR APPOINTMENT AS DIRECTORS OF CMC. THE MEMBER WILL ACT IN GOOD FAITH AND NOT UNREASONABLY WITHHOLD APPOINTMENT. IF FOR ANY REASON A PERSON NOMINATED BY COX BRANSON BOARD OR THE CMG BOARD IS NOT APPOINTED BY THE MEMBER, THE APPLICABLE BOARD HAS THE RIGHT TO NOMINATE ANOTHER PERSON FOR CONSIDERATION. AT THE ANNUAL MEETING, THE CHAIR OF THE BOARD SHALL CALL FOR THE REPORT OF THE NOMINATING COMMITTEE OF THE MEMBER. NOMINATIONS MAY BE MADE FROM THE FLOOR BY ANY DIRECTOR. THE MEMBER SHALL THEREUPON APPOINT DIRECTORS, OFFICERS OF THE BOARD AND OFFICERS OF CMC.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: PER BYLAW CHANGES MADE DURING THE FISCAL YEAR, COXHEALTH IS NOW THE SOLE MEMBER OF LESTER E. COX MEDICAL CENTERS. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE SOLELY AND 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 AND CEO 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 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 OBLICATED 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 OVERRIDE AND REVERSE ANY DECISION MADE OR ACTION AUTHORIZED BY THE CMC BOARD TO THE EXTENT THAT SUCH DECISION OR ACTION CONFLICTS WITH A DECISION MADE OR ACTION AUTHORIZED BY THE JOINT OPERATIONS COMMITTEE OF THE MEMBER; (W) 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. NO LATER THAN SEPTEMBER 1 OF EACH YEAR, 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. IF FOR ANY REASON A NOMINATED PERSON IS NOT APPOINTED BY THE COXHEALTH BOARD, THE CMC BOARD HAS THE RIGHT TO NOMINATE ANOTHER PERSON FOR CONSIDERATION. SEE THE SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS NARRATIVE FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: 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, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: COXHEALTH OFFICERS, DIRECTORS AND KEY EMPLOYEES, AS WELL AS OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE COXHEALTH AFFILIATES, ARE ANNUALLY REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST FOLLOWING THE CORPORATE COMPLIANCE POLICY, SET FORTH BELOW. IN ADDITION, THE LESTER E. COX MEDICAL CENTERS BYLAWS CONTAIN A CONFLICT OF INTEREST PROVISION TO ENSURE 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 A SUB-COMMITTEE OF THE BOARD WITH THE ASSISTANCE OF THE EXECUTIVE OFFICE AND IS DEFINED IN THE BOARD BYLAWS. 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. FOR VENDORS, THE POLICY IS DISTRIBUTED AT THEIR FIRST CONTRACT WITH LESTER E. COX MEDICAL CENTERS.
FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW POLICY: LESTER E. COX MEDICAL CENTERS 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, SECTION C, LINE 19 DOCUMENT DISCLOSURE: 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 VII, SECTION A BOARD MEMBER COMPENSATION: DRS. DIX, KISSELL, AND HALVERSON ARE EMPLOYEES OF COX AS WELL AS MEMBERS OF THE BOARD OF DIRECTORS. THEIR COMPENSATION IS RELATED TO THEIR ROLES AS EMPLOYEES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS.
FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: $ 104,652,585 PHYSICIAN REMUNERATION 20,323,096 PURCHASED MANAGEMENT SERVICES 17,713,553 OTHER PURCHASED SERVICES 14,761,314 CONSULTING 14,120,013 ANESTHESIA SERVICES 8,925,916 CONTRACTED REPAIRS & MAINTENANCE 5,569,589 PURCHASED LAB SERVICES 5,505,843 BILLING/COLLECTION SERVICES 2,426,278 CONTRACT LABOR 1,726,517 PROFESSIONAL FEES 1,256,790 PHARMACY --------------- $ 196,981,494
FORM 990, PART XI, LINE 9 OTHER CHANGES TO NET ASSETS: $ (1,647,142) RETURN OF CAPITAL (37,853,458) DEFINED BENEFIT PENSION PLAN LOSS 16,069 CHANGE IN BENEFICIAL INTEREST IN TRUST ------------- $ (39,484,531)
FORM 990, PART XII, LINE 2C CHANGES TO THE OVERSIGHT PROCESS: COXHEALTH, AS THE MEMBER OF LESTER E. COX MEDICAL CENTERS, NOW SELECTS THE INDEPENDENT ACCOUNTANT USED FOR AUDITS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LESTER E COX MEDICAL CENTERS
 
Employer identification number

44-0577118
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) COX HEALTHPLANS LLC
PO BOX 5750
SPRINGFIELD,MO65801
43-1757075 		MANAGEMENT MO 11,745,839 8,722,862 COX HMO
 
(2) FERRELL DUNCAN CLINIC
1001 E PRIMROSE
SPRINGFIELD,MO65807
54-2183221 		PHYSICIANS MO 0 0 LESTER E COX
 
(3) REGIONAL SERVICES
3800 S NATIONAL SUITE 540
SPRINGFIELD,MO65807
54-2183222 		HEALTHCARE MO 0 0 LESTER E COX
 
(4) OXFORD HEALTHCARE HOME HEALTH AGENCY
3550 S NATIONAL
SPRINGFIELD,MO65807
77-0700975 		HOME HEALTH MO 0 0 LESTER E COX
 
(5) COXHEALTH HOME SUPPORT SYSTEMS
2224 W SUNSET
SPRINGFIELD,MO65807
54-2183216 		HOME HEALTH MO 0 0 LESTER E COX
 
(6) OB GYN FERRELL DUNCAN CLINIC
1000 E PRIMROSE
SPRINGFIELD,MO65807
43-1878984 		PHYSICIANS MO 0 0 LESTER E COX
 
(7) TELERADIOLOGY SERVICES
1423 N JEFFERSON AVE
SPRINGFIELD,MO65802
61-1733996 		HEALTHCARE MO 0 0 LESTER E COX
 
(8) COXHEALTH ALLIANCE LLC
3850 S NATIONAL
SPRINGFIELD,MO65807
27-1117213 		MANAGEMENT MO 0 0 LESTER E COX
 
(9) SPRINGFIELD NEUROLOGICAL AND SPINE INSTI
2900 S NATIONAL AVE
SPRINGFIELD,MO65807
27-4296628 		PHYSICIANS MO 0 0 LESTER E COX
 
(10) TITAN CF LP
UBS FUND SVCCAYMAN LTD BOX 852
GRAND CAYMAN,CAYMAN ISLANDSKY1-1103
CJ
36-4781057 		INVESTMENT CJ -597,604 92,252,478 LESTER E COX
 
Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) COX ALTERNATIVE CARE OF THE OZARKS INC

PO BOX 10939

SPRINGFIELD,MO65808
43-1641925 		HOME HEALTH MO 501(C)(3) 9 LESTER E COX
 
Yes
 
(2) COXHEALTH FOUNDATION

3525 S NATIONAL SUITE 204

SPRINGFIELD,MO65807
43-6810485 		FUNDRAISING MO 501(C)(3) 11A I LESTER E COX
 
Yes
 
(3) COXHEALTH HOME CARE SVCS OF THE MIDWEST

3850 S NATIONAL

SPRINGFIELD,MO65807
26-4781194 		HOME HEALTH MO 501(C)(3) 9 LESTER E COX
 
Yes
 
(4) COX HPS OF THE OZARKS INC

2220 W SUNSET

SPRINGFIELD,MO65807
43-1641927 		HOME HEALTH MO 501(C)(3) 9 LESTER E COX
 
Yes
 
(5) COX-MONETT HOSPITAL INC

801 N LINCOLN

MONETT,MO65708
43-1656689 		HOSPITAL MO 501(C)(3) 3 LESTER E COX
 
Yes
 
(6) COX-MONETT HOSPITAL AUXILIARY

801 N LINCOLE AVE

MONETT,MO65708
43-1852817 		FUNDRAISING MO 501(C)(3) 9 LESTER E COX
 
Yes
 
(7) HEALTH ENRICHMENT SERVICES INC

3801 S NATIONAL

SPRINGFIELD,MO65807
36-3263313 		MED SERVICES MO 501(C)(3) 7 LESTER E COX
 
Yes
 
(8) HEALTHCARE SERVICES OF THE OZARKS INC

PO BOX 10939

SPRINGFIELD,MO65808
43-1641928 		HOME HEALTH MO 501(C)(3) 9 LESTER E COX
 
Yes
 
(9) PRIMROSE PLACE INC

1115 E PRIMROSE

SPRINGFIELD,MO65807
43-1183783 		SUPPORT MO 501(C)(3) 11A I LESTER E COX
 
Yes
 
(10) COXHEALTH AUXILIARY

3801 S NATIONAL

SPRINGFIELD,MO65807
43-1090590 		SUPPORT MO 501(C)(3) 9 LESTER E COX
 
Yes
 
(11) LESTER E COX MED CTRPROF LIAB LOSS FUND

1423 N JEFFERSON

SPRINGFIELD,MO65802
36-6668576 		SELF INSURANC MO 501(C)(3) 11A I LESTER E COX
 
Yes
 
(12) SKAGGS COMMUNITY HOSPITAL ASSOCIATION

DBA COX MC BRSN 251 SKAGGS RD

BRANSON,MO65616
44-0584290 		HOSPITAL MO 501(C)(3) 3 LESTER E COX
 
Yes
 
(13) COXHEALTH

1423 N JEFFERSON

SPRINGFIELD,MO65802
47-1087427 		HOLDING CO MO 501(C)(3) 11 B II NA
 
 
No
(14) COX MEDICAL GROUP

1423 N JEFFERSON

SPRINGFIELD,MO65802
47-1087566 		PHYSICIANS MO 501(C)(3) 9 COXHEALTH
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) PCRMC-COXHEALTH ALLIANCE LLC

1423 N JEFFERSON
SPRINGFIELD,MO65807
30-0649009 		HEALTHCARE MO COXHEALTH ALLI
  		RELATED 0 0   No     No 60.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) COXHEALTH SYSTEMS HMO

PO BOX 5750
SPRINGFIELD,MO658015750
43-1757075 		HMO MO LESTER E COX
  		C CORP 4,722,617 14,623,629 100.000 % Yes  
(2) COX HEALTH SYSTEMS INSURANCE CO

3525 S NATIONAL SUITE 205
SPRINGFIELD,MO65807
43-1684044 		INSURANCE MO COX HMO
  		C CORP 109,900,937 25,039,106 100.000 % Yes  
(3) MEDICAL DEVELOPMENTS INC

1423 N JEFFERSON
SPRINGFIELD,MO65802
43-1622182 		PHARMACY MO LESTER E COX
  		C CORP 4,607,250 4,538,722 100.000 % Yes  
(4) CTCC ACQUISITION CORPORATION

3850 S NATIONAL AVE
SPRINGFIELD,MO65807
47-2494138 		MEDICAL CLINIC MO COX MED GROUP
  		C CORP 0 0 0 %   No
(5) COX TAXABLE CLOSE CORPORATION

1423 N JEFFERSON AVE
SPRINGFIELD,MO65802
47-2573263 		MEDICAL CLINIC MO COX MED GROUP
  		C CORP 0 0 0 %   No
(6) INSURANCE CO OF SPRINGFIELD INC

GRAND PAVILLION CORPORATE CENTRE
GRAND CAYMAN   KY1-1102
CJ
CAPTIVE INSURANCE CJ LESTER E COX
  		C CORP 1,229,312 8,885,618 100.000 % Yes  


Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) MEDICAL DEVELOPMENTS INC

 A 59,440 COST
(2) COXHEALTH FOUNDATION

 C 351,874 COST
(3) COX-MONETT HOSPITAL INC

 K 70,286 COST
(4) MEDICAL DEVELOPMENTS INC

 K 112,217 COST
(5) COX HPS OF THE OZARKS INC

 K 220,920 COST
(6) COX-MONETT HOSPITAL INC

 P 865,272 COST
(7) COX HPS OF THE OZARKS INC

 P 708,608 COST
(8) COXHEALTH SYSTEMS HMO

 P 12,906,226 COST
(9) SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN

 P 2,509,613 COST
(10) COX-MONETT HOSPITAL INC

 Q 12,238,256 COST
(11) MEDICAL DEVELOPMENTS INC

 Q 2,096,011 COST
(12) COX HPS OF THE OZARKS INC

 Q 1,251,514 COST
(13) COX ALTERNATIVE CARE OF THE OZARKS INC

 Q 1,480,353 COST
(14) COX HEALTH SYSTEMS HMO INC

 Q 6,620,576 COST
(15) INSURANCE CO OF SPRINGFIELD INC

 Q 1,173,475 COST
(16) SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN

 Q 40,134,457 COST
(17) COX-MONETT HOSPITAL INC

 R 18,063,324 COST
(18) MEDICAL DEVELOPMENTS INC

 R 710,355 COST
(19) SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN

 R 1,621,477 COST
(20) COXHEALTH FOUNDATION

 S 2,510,191 COST
(21) COX-MONETT HOSPITAL INC

 S 1,472,923 COST
(22) MEDICAL DEVELOPMENTS INC

 S 3,415,409 COST
(23) SKAGGS COMM HOSP ASSOC DBA COX MED CTR BRNSN

 S 433,350 COST
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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