Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
EIN 43-1656689 • 501(c)3 • Monett, MO
Profile
To improve the health of the communities we serve through quality health care, education and research.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
Liabilities / Revenue
66th percentile
Higher debt load relative to revenue than 66% of similar nonprofits.
Net Margin
59th percentile
Higher net margin than 59% of similar nonprofits.
Top Officer Pay
95th percentile
Higher top officer pay than 95% of similar nonprofits.
Top officer pay equals 2.7% of source-year revenue.
Asset Growth
55th percentile
Faster asset growth than 55% of similar nonprofits.
Revenue Growth
34th percentile
Faster revenue growth than 34% of similar nonprofits.
Assets
Up$97,555,229
Up $6,504,526 (+7.1%) from 2023
Liabilities
Down$43,407,445
Down $203,531 (-0.5%) from 2023
Net Assets
Up$54,147,784
Up $6,708,057 (+14%) from 2023
Revenue
Up$70,965,415
Up $1,664,649 (+2.4%) from 2023
Expenses
Up$65,256,357
Up $2,332,338 (+3.7%) from 2023
Net Income
Down$5,709,058
Down $667,689 (-10%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To improve the health of the communities we serve through quality health care, education and research.
The organization provides quality healthcare, education and research in order to improve the health of the communities it serves.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $42,631,481 | $40,697,783 | ▼ $1,933,698 |
| Savings and Temporary Cash Investments | $17,168,679 | $25,407,133 | ▲ $8,238,454 |
| Accounts Receivable | $7,273,168 | $7,271,182 | ▼ $1,986 |
| Inventories for Sale or Use | $438,094 | $634,788 | ▲ $196,694 |
| Cash and Non-Interest-Bearing Accounts | $198,897 | $238,745 | ▲ $39,848 |
| Prepaid Expenses and Deferred Charges | $64,658 | $147,405 | ▲ $82,747 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $91,050,703 | $97,555,229 | ▲ $6,504,526 |
| Other Assets Total | $23,275,726 | $23,158,193 | ▼ $117,533 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $36,948,311 | $36,796,122 | ▼ $152,189 |
| Other Liabilities | $3,676,956 | $3,621,008 | ▼ $55,948 |
| Accounts Payable and Accrued Expenses | $2,985,709 | $2,990,315 | ▲ $4,606 |
| Deferred Revenue | $0 | - | - |
| Total Liabilities | $43,610,976 | $43,407,445 | ▼ $203,531 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $47,439,727 | $54,147,784 | ▲ $6,708,057 |
| Total Net Assets Fund Balance | $47,439,727 | $54,147,784 | ▲ $6,708,057 |
| Total Liabilities and Net Assets / Fund Balance | $91,050,703 | $97,555,229 | ▲ $6,504,526 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $18,295,582 | $12,254,731 | $30,550,313 |
| Buildings | $19,348,335 | $8,308,095 | $27,656,430 |
| Other Land Buildings | $2,262,842 | $1,507,039 | $3,769,881 |
| Land | $791,024 | - | $791,024 |
| Leasehold Improvements | $0 | $38,706 | $38,706 |
| Other Assets Org | $63,770 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Ali H Amro | Physician | FT | $831,450 | $72,077 | $903,527 |
| Stephen Hudson | Physician | FT | $497,000 | $35,395 | $532,395 |
| William W Goodman | Physician | FT | $499,272 | $19,558 | $518,830 |
| Megan A Carter | Physician | FT | $373,882 | $26,205 | $400,087 |
| David L Matlock | Physician | FT | $372,056 | $12,465 | $384,521 |
| Andrea Mckay | President | PT | $132,170 | $35,937 | $168,107 |
| Darren Bass | Former President | - | $89,879 | $56,070 | $145,949 |
| Vickie J Nelson | Secretary | - | - | $91,788 | $91,788 |
| Name | Title |
|---|---|
| Hal L Higdon | Chair |
| Steve Edwards | Former President & CEO |
| Max D Buetow | President & CEO |
| Brad E Erwin | Board Member |
| Jefferson M Tynes | Board Member |
| Larry W Lipscomb | Board Member |
| Robert C Fulp | Board Member |
| Sally Hargis | Board Member |
| Jacob M Mcway | Evp, Coxhealth CFO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ferrell Duncan INC | Physician Services | 1001 E PRIMROSE ST, Springfield, MO 65807 | $1,212,979 |
| Shiftwise | Staffing | PO BOX 70870, St Paul, MN 55170-9705 | $600,365 |
| Baxley Anesthetics | Anesthesia Services | 10850 COUNTY LN 253, Webb City, MO 64870 | $536,097 |
| Johnson Vorhees And Martucci | Legal Services | 444 S CAMPBELL AVE, Springfield, MO 65806 | $400,000 |
| 360 Degree Medicine | Staffing | 800 STATE HWY 248 STE 2E, Branson, MO 65616 | $394,375 |
| Line Item | Amount |
|---|---|
| Other Expenses | $32,937,573 |
| Salaries, Compensation, and Employee Benefits | $32,280,325 |
| Grants and Similar Amounts Paid | $38,459 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $25,829,512 | $1,166,303 | - | $26,995,815 |
| Fees for Services Other | $7,704,828 | $7,879,771 | $0 | $15,584,599 |
| Depreciation Depletion | $1,520,185 | $1,554,701 | - | $3,074,886 |
| Other Employee Benefits | $2,138,402 | $111,130 | - | $2,249,532 |
| Payroll Taxes | $1,705,885 | $96,167 | - | $1,802,052 |
| Interest | $736,352 | $753,072 | - | $1,489,424 |
| Office Expenses | $597,282 | $609,826 | - | $1,207,108 |
| Pension Plan Contributions | $883,877 | $34,993 | - | $918,870 |
| Occupancy | $384,930 | $393,671 | - | $778,601 |
| Information Technology | $187,626 | $191,887 | - | $379,513 |
| Insurance | $126,694 | $129,571 | - | $256,265 |
| Travel | $109,576 | $112,064 | - | $221,640 |
| Current Officers, Directors, Trustees, and Key Employees | - | $168,107 | - | $168,107 |
| Comp Disqual Persons | - | $145,949 | - | $145,949 |
| Other Expenses | $49,298 | $50,417 | - | $99,715 |
| Grants to Domestic Orgs | $38,459 | - | - | $38,459 |
| All Other Expenses | $9,500 | $9,716 | $0 | $19,216 |
| Fees for Services Accounting | - | $13,991 | - | $13,991 |
| Advertising | $4,903 | $5,014 | - | $9,917 |
| Conferences and Meetings | $3,724 | $3,809 | - | $7,533 |
| Fees for Services Legal | - | $95 | - | $95 |
| Total Functional Expenses | $51,710,630 | $13,545,727 | $0 | $65,256,357 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Coxhealth Foundation | Springfield, MO | 501(c)(3) | Support | $38,459 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Est Amt Due to 3rd Party | $2,172,048 |
| Estimated Insurance Costs | $1,448,960 |
“The organization's governing body does not have any committees with the authority to act on behalf of the governing body.”
“Cox-monett shall have one member which shall be coxhealth.”
“The following reserved powers may be exercised by the parent without prior action by the board. Said reserved powers are: (a) to establish and change the business purposes, mission, vision or values of coxmonett; (b) to approve amendments to the articles of incorporation of cox-monett as provided therein; (c) to approve amendments to the bylaws of cox-monett; (d) to approve the adoption of and any revision to the charters for all committees established by the board; (e) to appoint and remove the directors of cox-monett, subject to the requirements of article five of the bylaws, and to appoint and remove the officers of the board and cox-monett; (f) to approve the appointment and removal of the president of cox-monett; (g) to appoint the auditor and the corporate counsel for cox-monett and its controlled subsidiaries or remotely controlled subsidiaries; (h) to establish centralized employee benefit, insurance, investment, financing, marketing, legal, corporate compliance, performance assessment and improvement and other operational and support programs; to require the participation of cox-monett in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of cox-monett; (i) to approve the merger, consolidation or dissolution of cox-monett or the sale of all or substantially all of the assets of cox-monett; (j) to approve the formation of a controlled subsidiary or a remotely controlled subsidiary; (k) to approve the acquisition or disposition by cox-monett of another legal entity or an interest in another legal entity; (l) to approve the strategic plan and the operating and capital budgets of coxmonett; (m) approval of cox-monett's unbudgeted debt and capital expenditures of one hundred thousand dollars ($100,000) or greater; (n) to authorize or approve the acquisition or disposition by cox-monett of real property or any interest in real property having a value of one hundred thousand dollars ($100,000) or greater; (o) to approve the sale or purchase of any property of cox-monett having a value of one hundred thousand dollars ($100,000) or greater; (p) to authorize and approve borrowing money or entering into financial guaranties by cox-monett, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of cox-monett; (q) to require cox-monett to transfer assets, including but not limited to cash, to the member and/or parent; (r) to approve the transfer of assets by cox-monett to any entity other than the member and/or parent, other than transfers made in the ordinary course of operations of cox-monett which will not require approval of the parent; (s) to approve the rate of payment, compensation or rent and/or any provisions concerning exclusivity with respect to any contract for physician services and any lease/timeshare agreement between any physician or physician group, on the one hand, and cox-monett or any controlled subsidiary or remotely controlled subsidiary, on the other hand, all in accordance with such policies and processes which may be promulgated from time to time by the member and/or parent; (t) to approve changes to the type of or relocation of physician professional medical services offered by cox-monett, where the change involves (a) services offered or provided by cmg physicians (as defined in the member's bylaws) and (b)(i) a change in venue or provider status of the medical service, (ii) the cessation of a pre-existing medical service, or (iii) the offering of a new medical service; (u) to engage, approve, and to finalize any and all contracts or agreements with any third party hospital-based physician groups (anesthesiologists, pathologists, radiologists, or emergency medicine physicians) that will render professional services to cox-monett; (v) to determine the extent to which and the manner in which the powers described whi”
“The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, form 990 is first reviewed by members of top management. Once they have approved the draft, a final copy is provided to the board of directors through the online board portal.”
“Coxhealth officers, directors and key employees, as well as officers, directors, and key employees of the coxhealth affiliates and/or committees with delegated authority to make decisions, are annually required to disclose potential conflicts of interest following the corporate compliance policy, as stated below: coxhealth's employees and board members must avoid all activities, associations or interests that create a conflict of interest. Conflicts of interest for employees must be reported to the corporate integrity department. A file will be maintained of all reported conflicts of interest. For medical staff members, the conflict of interest process may be accessed through the medical staff office. For board member the conflict of interest process is handled through the governance sub-committee of coxhealth with the assistance of the executive office and is defined in the charter of the governance sub-committee. If any officer or director is found to have a conflict of interest, such person shall neither vote nor use his or her influence to affect any decision relating to the conflict, and such person should not be included in determining whether a quorum participated in the decision. Such person is permitted to briefly state his or her position on the matter, and answer pertinent questions about it, if his or her knowledge or expertise could assist those participating in the decision.”
“Coxhealth employs a defined governance structure around executive compensation. The board of directors maintains a compensation committee that is charged with carrying out the functions of evaluating and setting executive compensation through formal documented meetings that occur several times during the year. The compensation committee utilizes a well respected independent external advisor to provide third party assessment and recommendations regarding compensation levels and benefit programs for the top executives of the organization to ensure the compensation program is competitive and within fair market value. After a full review of the data and thorough discussion the committee makes a self determination of compensation levels set january 1 of each year. Annually the steps necessary to document rebuttable presumption are taken and recorded. Additionally, compensation levels for the vice president tier of management is overseen by the system ceo using external comparable data for assessment and is provided to the compensation committee for review on an annual basis.”
“Governing documents, conflict of interest policy and financial statements are made available upon written request for a legitimate business purpose (as determined by top management). Approved documents can be viewed at the cox monett hospital administrative offices.”
“(Expenses $ 13,698,900 including grants of $ 0)(Revenue $ 18,461,255) EXEMPT PURPOSE ACHIEVEMENTS: COX-MONETT HOSPITAL EMBRACES A MISSION STATEMENT AND BY-LAWS THAT REFLECT A COMMITMENT TO CHARITABLE PURPOSE AND COMMUNITY BENEFIT. COX-MONETT PROVIDES MANY SERVICES TO THE COMMUNITY FREE OF CHARGE OR WITH LITTLE FINANCIAL GAIN. OUR GOAL IS TO KEEP OUR COMMUNITY HEALTHY. THE FOLLOWING IS A LIST OF SERVICES PROVIDED TO THE MONETT COMMUNITY DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2024. ADDITIONALLY, THE SUBSIDIES NOTED BELOW ARE CALCULATED USING INTERNAL COST ACCOUNTING METHODS RATHER THAN THE IRS WORKSHEETS FOR SCHEDULE H. SEE SCHEDULE H FOR THE COMPUTATION OF THESE SUBSIDIES USING THE SCHEDULE H WORKSHEETS. *PARTICIPATED IN THE MEDICAID PROGRAM WITH UNREIMBURSED COST OF CARING FOR PATIENTS AND PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED CARE SERVICES. SEE SCHEDULE H FOR AMOUNTS RELATED TO THESE SERVICES. *RENDERED HEALTH CARE SERVICES AND EDUCATIONAL SERVICES SPECIFICALLY DESIGNED TO IMPROVE COMMUNITY HEALTH ARE AS FOLLOWS: -COMMUNITY WELLNESS SERVICES: COX MONETT TEAMED UP WITH THE MISSOURI EXTENSION OFFICE TO OFFER A NEW PRE-DIABETES PROGRAM. ONE IN THREE ADULTS ARE PRE-DIABETIC, AND 90 PERCENT ARE UNAWARE. THE PROGRAM CAN REDUCE THEIR RISK OF GETTING TYPE 2 DIABETES BY 58 PERCENT. THE GOAL OF THE PROGRAM IS TO HELP PARTICIPANTS LOSE 5-7 PERCENT OF THEIR BODYWEIGHT AND WORK UP TO 150 MINUTES OF PHYSICAL ACTIVITY PER WEEK BY THE END OF THE 12-MONTH COURSE. THE PROGRAM ALSO FUNCTIONS AS A SUPPORT GROUP, WHERE MEMBERS CAN WORK TOGETHER TO SHARE INFORMATION. -TUITION REIMBURSEMENT FOR STAFF WANTING TO CONTINUE THEIR EDUCATION. *ENCOURAGE AND PROVIDE OPPORTUNITIES FOR VOLUNTEER EFFORTS TO SERVE IN THE COMMUNITY. MANY EMPLOYEES SERVE ON LOCAL NOT-FOR-PROFIT BOARDS AND ARE INVOLVED IN VARIOUS COMMUNITY ORGANIZATIONS AND ARE ASKED OFTEN TO SPEAK ON HEALTH-RELATED TOPICS. *OPERATE 24-HOUR EMERGENCY CENTER. ER VISITS TOTALED 15,866. *PROVIDE MANY COMMUNITY HEALTH AND EDUCATION PROGRAMS AND PROJECTS SPECIFICALLY DESIGNED TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY AT NO CHARGE OR AT A REDUCED RATE, SUCH AS: - COMMUNITY HEALTH FAIR, INCLUDING CHOLESTEROL, BLOOD SUGAR AND BLOOD PRESSURE SCREENINGS. VOLUNTEERS OPERATE A FIRST-AID STATION AT MONETT'S FIRST ON FRONT EVENTS. EMPLOYEES PARTICIPATE IN THE COXHEALTH DIAPER DRIVE AND DONATE THE ITEMS TO A LOCAL COMMUNITY KITCHEN AND PANTRY *COMBINED RADIOLOGY TESTS TOTALED 28,459, INPATIENT AND OUTPATIENT SURGERIES TOTALED 1,635. *THE HOSPITAL OWNS SIX RURAL HEALTH CLINICS IN MONETT AND THE SURROUNDING COMMUNITIES AND PHYSICIAN OFFICE VISITS TOTALED 50,764.”
“Lester e. Cox medical centers, a related organization, reports bonds related to cox-monett on its form 990, schedule k. An allocation of cox-monett's portion of related bonds is reported on part x, line 20.”
“Lester e. Cox medical centers, a related organization, files all required w-2's for the health system. The number reported on form 990, part v, line 2a represents the number of w-2's filed on behalf of the organization.”
“PURCHASED SERVICES - Total Expense: 10937211, Program Service Expense: 5407219, Management and General Expenses: 5529992, Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 3178784, Program Service Expense: 1571551, Management and General Expenses: 1607233, Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 464987, Program Service Expense: 229884, Management and General Expenses: 235103, Fundraising Expenses: ; RADIOLOGY SERVICES - Total Expense: 446386, Program Service Expense: 220688, Management and General Expenses: 225698, Fundraising Expenses: ; HOUSEKEEPING SERVICES - Total Expense: 180500, Program Service Expense: 89237, Management and General Expenses: 91263, Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 178925, Program Service Expense: 88458, Management and General Expenses: 90467, Fundraising Expenses: ; LAUNDRY SERVICES - Total Expense: 127204, Program Service Expense: 62888, Management and General Expenses: 64316, Fundraising Expenses: ; BILLING SERVICES - Total Expense: 34316, Program Service Expense: 16965, Management and General Expenses: 17351, Fundraising Expenses: ; COURIER SERVICES - Total Expense: 20488, Program Service Expense: 10129, Management and General Expenses: 10359, Fundraising Expenses: ; LAB SERVICES - Total Expense: 15798, Program Service Expense: 7809, Management and General Expenses: 7989, Fundraising Expenses: ;”
“Transfer to affiliates - 998999;”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2985709 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2990315 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 7273168 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 7271182 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | THE ORGANIZATION PROVIDES QUALITY HEALTHCARE, EDUCATION AND RESEARCH IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 5014 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 4903 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 9917 |
| IRS990/AllOtherContributionsAmt | 0 | 69676 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 9716 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 9500 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 19216 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JOSHUA POWELL |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4172353144 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1000 E US Hwy 60 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Monett |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 65708 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 198897 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 238745 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 9 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 168107 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 168107 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 145949 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 145949 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 3809 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 3724 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 7533 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1212979 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 600365 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 536097 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 400000 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 394375 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1001 E PRIMROSE ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 70870 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 10850 COUNTY LN 253 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 444 S CAMPBELL AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 800 STATE HWY 248 STE 2E |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SPRINGFIELD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | ST PAUL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | WEBB CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SPRINGFIELD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BRANSON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 65807 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 551709705 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 64870 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 65806 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 65616 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | FERRELL DUNCAN INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | SHIFTWISE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | BAXLEY ANESTHETICS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | JOHNSON VORHEES AND MARTUCCI |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | 360 DEGREE MEDICINE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PHYSICIAN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ANESTHESIA SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LEGAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | STAFFING |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 153455 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 38459 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1121457 |
| IRS990/CYOtherExpensesAmt | 0 | 32937573 |
| IRS990/CYOtherRevenueAmt | 0 | 2928 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 69687575 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 5709058 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 32280325 |
| IRS990/CYTotalExpensesAmt | 0 | 65256357 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 70965415 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1554701 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1520185 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3074886 |
| IRS990/Desc | 0 | INPATIENT AND OUTPATIENT SERVICES PROVIDED AT THE MONETT FACILITY MAKE UP THE ORGANIZATION'S LARGEST PROGRAM SERVICE ACTIVITY. USERS ARE ABLE TO SAVE TIME AND MONEY BY SEEING SPECIALISTS IN THEIR COMMUNITY. SERVICES INCLUDE PULMONOLOGY, ENT (EAR, NOSE AND THROAT), ORTHOPEDICS, CARDIOLOGY, OBSTETRICS, RADIOLOGY (CT, MRI, NUCLEAR MEDICINE, ULTRASOUND AND MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY CENTER, GENERAL SURGICAL SERVICES, SAME-DAY SURGERY, DIABETES CENTER, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL-SURGICAL UNIT, PHARMACY AND COMMUNITY WELLNESS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 578 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 25079908 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 13991 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 13991 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 95 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 95 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 7879771 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 7704828 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 15584599 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 48.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 45.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 24381 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 221113 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 305452 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 11742 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 33250 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 12107 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 25515 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 34105 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 17605 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 12064 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 34105 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | HAL L HIGDON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | BRAD E ERWIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JEFFERSON M TYNES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | LARRY W LIPSCOMB |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ROBERT C FULP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SALLY HARGIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ANDREA MCKAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JACOB M MCWAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MAX D BUETOW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | VICKIE J NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Ali H Amro |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | David L Matlock |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Megan A Carter |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Stephen Hudson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | William W Goodman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DARREN BASS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | STEVE EDWARDS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 155917 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 870277 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 372414 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 374572 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 498290 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 501225 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 133885 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 155917 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 1311928 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 1617479 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 80046 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 718423 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | EVP, COXHEALTH CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | FORMER PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | FORMER PRESIDENT & CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1993 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 10 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GrantAmt | 0 | 38459 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 38459 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 38459 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 10 |
| IRS990/GrossReceiptsAmt | 0 | 70965415 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 2928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 52 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 191887 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 187626 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 379513 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 129571 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 126694 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 256265 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 753072 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 736352 |
| IRS990/InterestGrp/TotalAmt | 0 | 1489424 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 438094 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 634788 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1121447 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1121447 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 22108571 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 42631481 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 40697783 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 62806354 |
| IRS990/LegalDomicileStateCd | 0 | MO |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 47439727 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 54147784 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 10 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 10 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 2928 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 2928 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 47439727 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 54147784 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 393671 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 384930 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 778601 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 609826 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 597282 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1207108 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 23275726 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 23158193 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 998999 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 111130 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2138402 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2249532 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES & DRUGS |
| IRS990/OtherExpensesGrp/Desc | 1 | STATE PROVIDER TAX |
| IRS990/OtherExpensesGrp/Desc | 2 | RECRUITING & RETENTION |
| IRS990/OtherExpensesGrp/Desc | 3 | LICENSES, DUES, SUBSCRIPTION |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 115473 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 50417 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 7741566 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1825121 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 112910 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 49298 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 7741566 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1825121 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 228383 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 99715 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 3676956 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 3621008 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1166303 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 25829512 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 26995815 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 96167 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1705885 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1802052 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 34993 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 883877 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 918870 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 64658 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 147405 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | ANDREA MCKAY |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 446610 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | RETAIL PHARMACY REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | OTHER REVENUE |
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