Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $73,781

• 1d · Related organizations

  $208,192

• 1e · Government grants (contributions)

  $66,226,591

• 1f · All other contributions, gifts and grants

  $6,047,505

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $1,549,429,919 · related or exempt $1,549,429,919

• 2b · Program service revenue: NET PATIENT SERVICE-UNRELATED LAB

  total $862,423 · unrelated business $862,423

• 2c · Program service revenue: NET PATIENT SERVICE-UNRELATED RETAIL D

  total $4,535,296 · unrelated business $4,535,296

• 2d · Program service revenue: TUITION AND FEES

  total $12,482,991 · related or exempt $12,482,991

• 2e · Program service revenue: FITNESS CENTERS

  total $2,179,572 · related or exempt $2,179,572

• 2f · All other program service revenue

  total $44,875,240 · related or exempt $44,875,240 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $34,818,921 · excluded $34,818,921

• 6a · Gross rents

  real property $2,008,391

• 6b · Less rental expenses

  real property $899,677

• 6c · Rental income or loss

  real property $1,108,714 · personal property $0

• 6d · Net rental income or loss

  total $1,108,714 · excluded $1,108,714

• 7a · Gross sales of assets other than inventory

  securities $259,206,080 · other assets $897,334

• 7b · Less cost or other basis and sales expenses

  securities $270,225,341 · other assets $303,355

• 7c · Gain or loss

  securities -$11,019,261 · other assets $593,979

• 7d · Net gain or loss

  total -$10,425,282 · excluded -$10,425,282

• 8a · Fundraising events: gross income

  $14,024

• 8a · Fundraising events: contributions included on line 1c

  $73,781

• 8b · Fundraising events: direct expenses

  $24,089

• 8c · Net income from fundraising events

  total -$10,065 · excluded -$10,065

• 10a · Gross sales of inventory

  $260,767

• 10b · Cost of goods sold

  $404,349

• 10c · Net income from sales of inventory

  total -$143,582 · excluded -$143,582

• 11a · Other revenue: LOSS ON INVESTMENT IN EQUITY INVESTEE

  total -$227,928 · excluded -$227,928

• 11b · Other revenue: RECOGNITION OF LOSS ON PENSION SETTLEMENT

  total -$72,287,552 · excluded -$72,287,552

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  -$72,515,480

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $160,278 · program services $160,278

• 2 · Grants to domestic individuals

  total $1,552,964 · program services $1,552,964

• 5 · Compensation of officers, directors and key employees

  total $2,420,730 · program services $1,871,628 · management and general $549,102

• 6 · Compensation of disqualified persons

  total $1,047,431 · program services $156,520 · management and general $890,911

• 7 · Other salaries and wages

  total $548,571,965 · program services $419,575,869 · management and general $128,721,139 · fundraising $274,957

• 8 · Pension plan contributions

  total $31,008,979 · program services $23,723,991 · management and general $7,274,621 · fundraising $10,367

• 9 · Other employee benefits

  total $45,941,891 · program services $40,851,375 · management and general $5,090,456 · fundraising $60

• 10 · Payroll taxes

  total $42,440,282 · program services $32,418,137 · management and general $10,002,894 · fundraising $19,251

• 11b · Fees: legal

  total $9,533 · management and general $9,533

• 11c · Fees: accounting

  total $113,939 · management and general $113,939

• 11d · Fees: lobbying

  total $177,312 · management and general $177,312

• 11f · Fees: investment management

  total $1,058,141 · management and general $1,058,141

• 11g · Fees: other

  total $451,569,485 · program services $345,208,526 · management and general $106,339,733 · fundraising $21,226

• 12 · Advertising and promotion

  total $514,343 · program services $393,061 · management and general $121,282

• 13 · Office expenses

  total $22,789,568 · program services $17,268,179 · management and general $5,482,293 · fundraising $39,096

• 14 · Information technology

  total $15,351,269 · program services $11,731,435 · management and general $3,619,834

• 16 · Occupancy

  total $21,477,188 · program services $17,100,393 · management and general $4,376,795

• 17 · Travel

  total $2,481,911 · program services $1,896,676 · management and general $585,235

• 19 · Conferences, conventions and meetings

  total $297,432 · program services $227,297 · management and general $70,135

• 20 · Interest

  total $19,155,878 · program services $17,475,305 · management and general $1,680,573

• 22 · Depreciation, depletion and amortization

  total $46,285,333 · program services $42,216,429 · management and general $4,059,889 · fundraising $9,015

• 23 · Insurance

  total $8,279,935 · program services $6,327,523 · management and general $1,952,412

• 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

  total $283,407,267 · program services $283,407,267

• 24b · Other expenses: STATE PROVIDER TAX

  total $53,985,637 · program services $53,985,637

• 24c · Other expenses: LICENSES, DUES, SUBSCRIPTION

  total $1,511,822 · program services $1,155,334 · management and general $356,488

• 24d · Other expenses: MISCELLANEOUS

  total $10,307,931 · program services $7,364,269 · management and general $2,690,563 · fundraising $253,099

• 24e · All other expenses

  total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $10,440,298 · end of year $2,819,309

• 2 · Savings and temporary cash investments

  beginning of year $130,778,407 · end of year $152,868,578

• 4 · Accounts receivable

  beginning of year $183,725,059 · end of year $201,882,275

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $22,289,306 · end of year $24,146,907

• 8 · Inventories for sale or use

  beginning of year $22,401,792 · end of year $23,931,092

• 9 · Prepaid expenses and deferred charges

  beginning of year $19,815,373 · end of year $41,581,550

• 10a · Land, buildings and equipment: cost or other basis

  $1,227,292,495

• 10b · Land, buildings and equipment: accumulated depreciation

  $735,295,521

• 10c · Land, buildings and equipment, net

  beginning of year $506,984,173 · end of year $491,996,974

• 11 · Investments: publicly traded securities

  beginning of year $445,526,039 · end of year $486,325,002

• 12 · Investments: other securities

  beginning of year $257,224,134 · end of year $299,114,927

• 13 · Investments: program-related

  beginning of year $63,105,306 · end of year $69,536,454

• 14 · Intangible assets

  beginning of year $25,263,742 · end of year $25,263,742

• 15 · Other assets

  beginning of year $155,394,185 · end of year $112,885,394

• 17 · Accounts payable and accrued expenses

  beginning of year $199,348,228 · end of year $174,725,703

• 18 · Grants payable

  beginning of year $0

• 19 · Deferred revenue

  beginning of year $11,805,606 · end of year $12,499,381

• 20 · Tax-exempt bond liabilities

  beginning of year $464,953,017 · end of year $456,215,915

• 21 · Escrow or custodial account liability

  beginning of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $34,319,344 · end of year $28,765,259

• 24 · Unsecured notes and loans payable

  beginning of year $6,383,594 · end of year $5,757,770

• 25 · Other liabilities

  beginning of year $79,416,303 · end of year $80,275,258

• 27 · Net assets without donor restrictions

  beginning of year $1,009,022,536 · end of year $1,132,883,080

• 28 · Net assets with donor restrictions

  beginning of year $37,699,186 · end of year $41,229,838

• 29 · Capital stock, trust principal or current funds

  beginning of year $0

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  beginning of year $0

• 31 · Retained earnings, endowment or other funds

  beginning of year $0

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Health or social club dues or initiation fees

MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF STEVE EDWARDS, FORMER CEO, AND JAKE MCWAY, CFO.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

STEVE EDWARDS, MAX BEUTOW, JACOB MCWAY, AND DAVID STRONG PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS: -STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $125,188. -STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $307,491, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $174,270. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $97,178, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $172,368. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $13,455. - DAVID STRONG RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF $44,194 WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A FORM 990.

Schedule J, Part I, Line 6a Compensation contingent on 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 LISTED ON PART VII THAT ARE SUBJECT TO THESE COMPENSATION ARRANGEMENTS ARE GREGORY STAMPS, LOUIS KRENN, MIMI PROPST, KARIM WELAYA, AND KATHRYN CAMERON. 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 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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• FERRELL DUNCAN CLINIC

  PHYSICIANS · MO

  Directly controlled by LESTER E COX

• OXFORD HEALTHCARE HOME HEALTH AGENCY

  HOME HEALTH · MO

  Directly controlled by LESTER E COX

• REGIONAL SERVICES

  HEALTHCARE · MO

  Directly controlled by LESTER E COX

• OB GYN FERRELL DUNCAN CLINIC

  PHYSICIANS · MO

  Directly controlled by LESTER E COX

• COXHEALTH HOME SUPPORT SYSTEMS

  HOME HEALTH · MO

  Directly controlled by LESTER E COX

• SPRINGFIELD NEUROLOGICAL AND SPINE INSTI

  PHYSICIANS · MO

  Directly controlled by LESTER E COX

• FERRELL DUNCAN CLINIC BRANSON

  PHYSICIANS · MO

  Directly controlled by LESTER E COX

• TRIPLE STARS PROPERTIES LLC

  MANAGEMENT · MO

  Directly controlled by LESTER E COX

• COXHEALTH INNOVATIONS LLC

  MANAGEMENT · MO

  Directly controlled by LESTER E COX

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• MEDICAL DEVELOPMENTS INC

  C Corporation · PHARMACY · MO · 100% owned · share of income $4,049,817 · share of assets $8,282,597 · controlled entity

  Directly controlled by LESTER E XCOX

• COX TAXABLE CLOSE CORPORATION

  C Corporation · MEDICAL CLINICS · MO

  Directly controlled by COX MED GROUP

• FERRELL-DUNCAN CLINIC INC

  C Corporation · PHYSICIANS · MO

  Directly controlled by CTCC

• COXHEALTH RISK SOLUTIONS

  C Corporation · CAPTIVE INSURANCE · CJ · 100% owned · share of income $9,859,857 · share of assets $24,297,529 · controlled entity

  Directly controlled by LESTER E COX