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Nonprofit · EIN 44-0577118

LESTER E COX MEDICAL CENTER

Also known as REGIONAL SERVICES

Tax-exempt · SPRINGFIELD, MO 65802

Financials

$1.6B$1.6B2022$1.8B$1.8B2023$2B$1.9B2024
Revenue Expenses · by fiscal year end
Financials of LESTER E COX MEDICAL CENTER by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
September 30, 2025990$1,960,936,555$1,923,741,396$37,195,159$2,112,797,427$793,094,912$1,319,702,515
September 30, 2024990$1,830,394,766$1,770,434,588$59,960,178$2,055,262,059$803,779,952$1,251,482,107
September 30, 2023990$1,639,754,736$1,611,918,444$27,836,292$1,932,352,204$758,239,286$1,174,112,918
Financial details: 990 for the year ended September 30, 2025

Revenue

Contributions, gifts and grants
$6,548,395
Program service revenue
$1,875,048,624
Investment income
$72,261,436
Net rental income
$6,565,069
Net gain from sales of assets
$55,696,085
Net income from sales of inventory
-$310,697
Other revenue
$7,078,100

Expenses

Grants and similar amounts paid
$2,463,188
Compensation of officers, directors and key employees
$2,723,147
Other salaries and wages
$725,171,411
Salaries, compensation and benefits (total)
$865,398,328
Professional fundraising fees
$0
Legal fees
$12,819
Accounting fees
$156,741
Occupancy
$22,658,485
Travel
$1,874,653
Depreciation
$45,094,172
Program services (functional)
$1,713,805,171
Management and general (functional)
$209,255,590
Fundraising (functional)
$680,635

Balance sheet and other

Total assets, start of year
$2,055,262,059
Total assets, end of year
$2,112,797,427
Total liabilities, end of year
$793,094,912
Net assets, end of year
$1,319,702,515
Land, buildings and equipment
$523,053,861
Publicly traded securities
$536,791,768
Net assets without donor restrictions
$1,270,256,646
Net assets with donor restrictions
$49,445,869
Gross unrelated business income
$10,753,321
Gross receipts
$2,313,068,861
Employees
10,696
Volunteers
6
Year formed
1923
State of legal domicile
MO

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended September 30, 2025, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
MAX D BUETOWPRESIDENT & CEO
Officer
1$0$1,641,774$335,476
JACOB M MCWAYEVP, COXHEALTH CFO
Officer
1$0$1,291,822$237,764
KARIM WELAYAPHYSICIAN
Highest-paid employee
40$895,916$0$58,032
GREGORY S STAMPSPHYSICIAN
Highest-paid employee
40$864,723$0$32,783
MIMI PROPSTPHYSICIAN
Highest-paid employee
40$812,552$0$23,076
RAJESH BANDERUDRAPPAGARIPHYSICIAN
Highest-paid employee
40$762,274$0$63,547
SHAWN USERYSVP, CMO
Key employee
40$666,584$0$25,301
STEVE EDWARDSFORMER PRESIDENT & CEO
Former
0$0$622,051$33,675
ASHLEY CASADPRESIDENT, SHG
Key employee
40$500,453$0$28,284
LOUIS P KRENNPHYSICIAN
Highest-paid employee
40$462,210$0$28,009
JOHNATHAN SHAMELSVP, CMG
Key employee
40$416,337$0$32,851
BETH POLIVKASVP, CNO
Key employee
40$379,911$0$25,720
JEFF HAWKINSVP, CLINICAL SERVICES
Key employee
40$308,610$0$24,505
ELLEN HAMMOCKVP, CMG
Key employee
40$292,217$0$22,374
VICKIE J NELSONSECRETARY
Officer
1$0$76,966$11,837
6 more people on this return
NameTitleHours / weekCompensation
HAL L HIGDONCHAIR
Trustee or director, Officer
1$0
JEFFERSON M TYNES2ND VICE CHAIR
Trustee or director, Officer
1$0
SALLY HARGIS1ST VICE CHAIR
Trustee or director, Officer
1$0
BRAD E ERWINBOARD MEMBER
Trustee or director
1$0
LARRY W LIPSCOMBBOARD MEMBER
Trustee or director
1$0
ROBERT C FULPBOARD MEMBER
Trustee or director
1$0
990 for the year ended September 30, 2024: 24 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
MAX D BUETOWPRESIDENT & CEO
Officer
1$0$1,617,479$305,452
JACOB M MCWAYEVP, COXHEALTH CFO
Officer
1$0$1,311,928$221,113
Karim WelayaPHYSICIAN
Highest-paid employee
40$1,014,319$0$33,805
Louis KrennPHYSICIAN
Highest-paid employee
40$956,238$0$33,805
Mimi PropstPHYSICIAN
Highest-paid employee
40$822,105$0$22,611
Rajesh BanderudrappagariPHYSICIAN
Highest-paid employee
40$790,118$0$37,679
Gregory StampsPHYSICIAN
Highest-paid employee
40$763,815$0$24,874
STEVE EDWARDSFORMER PRESIDENT & CEO
Former
0$0$718,423$34,105
SHAWN USERY MDSVP, CMO
Key employee
40$635,446$0$25,855
ASHLEY CASADPRESIDENT, SHG
Key employee
40$413,347$0$24,206
JONATHAN B SHAMELSVP, CMG
Key employee
40$393,115$0$32,211
BETH G POLIVKASVP, CNO
Key employee
40$362,495$0$28,774
JEFF HAWKINSVP, CLINICAL SERVICES
Key employee
40$322,004$0$25,108
ELLEN HAMMOCKVP, CMG
Key employee
40$306,296$0$22,402
KAREN KRAMERFORMER SVP, PRES SPRINGFIELD HOSP
Former
0$233,712$0$43,414
DARREN BASSVP, CLINICAL SERVICES
Key employee
40$0$133,885$12,064
DAVID STRONGFORMER VP, HOSPITAL REVENUE
Former
0$57,647$57,647$0
VICKIE J NELSONSECRETARY
Officer
1$0$80,046$11,742
HAL L HIGDONCHAIR
Trustee or director, Officer
1$0$0$0
BRAD E ERWINBOARD MEMBER
Trustee or director
1$0$0$0
JEFFERSON M TYNESBOARD MEMBER
Trustee or director
1$0$0$0
LARRY W LIPSCOMBBOARD MEMBER
Trustee or director
1$0$0$0
ROBERT C FULPBOARD MEMBER
Trustee or director
1$0$0$0
SALLY HARGISBOARD MEMBER
Trustee or director
1$0$0$0
990 for the year ended September 30, 2023: 35 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
STEVE EDWARDSFORMER PRESIDENT & CEO
Former
0$0$1,720,045$161,696
IBRAHIM ABE ABDALLA MDBOARD MEMBER
Trustee or director
1$0$1,558,729$51,778
JACOB MCWAYEVP, COXHEALTH CFO
Officer
1$0$1,026,750$231,057
MAX BUETOWPRESIDENT & CEO
Trustee or director, Officer
1$0$809,328$218,005
LOUIS KRENNPHYSICIAN
Highest-paid employee
40$867,324$0$32,938
KARIM WELAYAPHYSICIAN
Highest-paid employee
40$820,627$0$23,619
MIMI PROPSTPHYSICIAN
Highest-paid employee
40$760,732$0$31,540
GREGORY STAMPSPHYSICIAN
Highest-paid employee
40$638,761$0$51,727
KATHRYN CAMERONPHYSICIAN
Highest-paid employee
40$604,519$0$32,908
SHAWN USERYSVP, CMO
Key employee
40$516,451$0$32,651
JULIA FLAX MDBOARD MEMBER
Trustee or director
40$453,137$0$48,797
HOWARD JARVIS MDBOARD MEMBER
Trustee or director
1$0$438,389$44,748
KAREN KRAMERFORMER SVP, PRES SPRINGFIELD HOSP
Former
0$380,339$0$49,540
DAVID STRONGFORMER VP, HOSPITAL REVENUE
Former
0$168,485$168,485$56,919
DARREN BASSVP, CLINICAL SERVICES
Key employee
40$0$277,627$51,269
JEFF HAWKINSVP, CLINICAL SERVICES
Key employee
40$263,459$0$22,502
JONATHAN SHAMELSVP, CMG
Key employee
40$249,283$0$29,497
ASHLEY CASADPRESIDENT, SHG
Key employee
40$251,971$0$21,004
ELLEN HAMMOCKVP, CMG
Key employee
40$248,967$0$20,726
BETH POLIVKASVP, CNO
Key employee
40$253,470$0$8,815
GENICE MAROCFORMER VP CLINICAL SERVICES
Former
0$241,014$0$8,311
VICKIE NELSONSECRETARY
Officer
1$0$70,920$11,491
HAL HIGDON1ST VICE CHAIR
Trustee or director, Officer
1$0$0$0
JEFFERSON TYNES3RD VICE CHAIR
Trustee or director, Officer
1$0$0$0
ROBERT FULPCHAIR
Trustee or director, Officer
1$0$0$0
SALLY HARGIS2ND VICE CHAIR
Trustee or director, Officer
1$0$0$0
BRIAN JAREDBOARD MEMBER
Trustee or director
1$0$0$0
CHARLES CHUCK CHALENDERBOARD MEMBER
Trustee or director
1$0$0$0
JAMES HUTCHESONBOARD MEMBER
Trustee or director
1$0$0$0
JAN BAUMGARTNERBOARD MEMBER
Trustee or director
1$0$0$0
JOSEPH TURNERBOARD MEMBER
Trustee or director
1$0$0$0
KRYSTAL RUSSELLBOARD MEMBER
Trustee or director
1$0$0$0
KURT HELLWEGBOARD MEMBER
Trustee or director
1$0$0$0
PHILLIP LOYDBOARD MEMBER
Trustee or director
1$0$0$0
ROBERT COXBOARD MEMBER
Trustee or director
1$0$0$0

Address and contacts

Address (IRS master file)
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
In care of
% JACOB M MCWAY
Principal officer (990 for 2024)
MAX BUETOW, 1423 N JEFFERSON, SPRINGFIELD, MO 65802
Signed the 990
MAX BUETOW, PRESIDENT AND CEO
Phone
(417) 269-3000
Return prepared by
FORVIS MAZARS LLP

Mission

MISSION: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTHCARE, EDUCATION AND RESEARCH.

990 for the year ended September 30, 2025

Program accomplishments

  • HOSPITAL SERVICES: AS A COMMUNITY OWNED, NON-PROFIT HOSPITAL, LESTER E. COX MEDICAL CENTERS PROVIDES THE KIND OF CARE AND PROGRAMS THAT ARE NEEDED TO SERVE MANY OF THE MOST VULNERABLE IN OUR COMMUNITIES - THE UNDERINSURED AND UNINSURED. COMMUNITY BENEFIT TOTALED $1,533,028,300 SYSTEM-WIDE IN THESE CATEGORIES: SHORT-FALLS IN REIMBURSEMENT AND CHARITY CARE; COMMUNITY OUTREACH SERVICES INCLUDING COMMUNITY EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND IMMUNIZATIONS; HEALTH PROFESSIONALS EDUCATION AND RESEARCH, INCLUDING THE UN-REIMBURSED COST OF COX FAMILY MEDICINE RESIDENCY AND SCHOOLS OF ALLIED HEALTH PROFESSIONS; AND FOUNDATION GRANTS, FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS. THE HOSPITAL ALSO OPERATES COX COLLEGE, A PRIVATE, NON-PROFIT SINGLE PURPOSE COLLEGE ACCREDITED TO PROVIDE ACADEMIC PROGRAMMING IN A VARIETY OF ALLIED HEALTH FIELDS.
    Expenses $1,210,774,902 · grants $2,583,451 · revenue $1,583,686,131
  • PHYSICIAN CARE: EMPLOYED PHYSICIANS AT LESTER E. COX MEDICAL CENTER PLAY AN IMPORTANT ROLE IN ACCESS TO MEDICAL CARE THROUGH THEIR PRACTICE AT RURAL HEALTH CLINICS IN UNDER-SERVED AREAS OF SOUTHWEST MISSOURI. PHYSICIANS WITH COX FAMILY MEDICINE RESIDENCY ARE MAKING A VISIBLE DIFFERENCE IN CARE FOR UNINSURED PATIENTS AS WELL AS PATIENTS COVERED BY MEDICAID. AFFORDABLE, CONVENIENT CARE IS ALSO PROVIDED IN OUR RETAIL CLINICS. LESTER E. COX MEDICAL CENTERS CONTINUES TO ADD SUPER CLINICS BRINGING ADVANCED CARE TO THE PATIENT INCLUDING PHYSICAL THERAPY, IMAGING AND PHARMACY SERVICES WITHIN THE CLINIC. COXHEALTH HAS ALSO INVESTED IN TELEMEDICINE INFRASTRUCTURE TO FURTHER EXPAND ITS ABILITY TO OFFER COST EFFECTIVE AND CONVENIENT CARE TO OUR COMMUNITY.
    Expenses $503,030,269 · revenue $291,362,493

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in September, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025September 30, 2026February 15, 2027Not due yet
2024September 30, 2025February 16, 2026990 on file
2023September 30, 2024February 17, 2025990 on file

IRS record

EIN
44-0577118
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Hospital or medical research organization
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
1944
Accounting year ends
September
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E220)
Assets (IRS master file)
$2,112,797,427
Income (IRS master file)
$2,313,068,861

Filing history

FormYear endedRevenueExpensesAssetsReturn
990September 2025$1,960,936,555$1,923,741,396$2,112,797,427XML
990-TSeptember 2025–––IRS
990September 2024$1,830,394,766$1,770,434,588$2,055,262,059XML
990-TSeptember 2024–––IRS
990September 2023$1,639,754,736$1,611,918,444$1,932,352,204XML
990-TSeptember 2023–––IRS
990September 2022$1,579,841,659$1,491,924,122$1,842,947,814IRS
990-TSeptember 2022–––IRS
990September 2021–––IRS
990-TSeptember 2021–––IRS
990September 2020–––IRS
990September 2019–––IRS
990September 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 44-0577118).

Questions about LESTER E COX MEDICAL CENTER

What is the EIN of LESTER E COX MEDICAL CENTER?
The employer identification number (EIN) of LESTER E COX MEDICAL CENTER is 44-0577118.
Is LESTER E COX MEDICAL CENTER tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1944.
Are donations to LESTER E COX MEDICAL CENTER tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does LESTER E COX MEDICAL CENTER file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of LESTER E COX MEDICAL CENTER due?
The return for tax year 2025 (the year ending September 30, 2026) is due February 15, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
When did LESTER E COX MEDICAL CENTER last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended September 2025.
Who is the principal officer of LESTER E COX MEDICAL CENTER?
The 990 for the year ended September 30, 2025 names MAX BUETOW.
Who are the officers and directors of LESTER E COX MEDICAL CENTER?
The 990 for the year ended September 30, 2025 lists 21 people; 11 received compensation from the organization.
How much revenue does LESTER E COX MEDICAL CENTER have?
On its 990 for the year ended September 30, 2025 it reported revenue of $1,960,936,555, expenses of $1,923,741,396 and total assets of $2,112,797,427 at year end.

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