Lester E Cox Medical Centers
Lester E Cox Medical Centers reported $1.96 billion in revenue and $1.92 billion in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $89.09 went to program services, $10.88 to management and general costs and $0.03 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.6% of the total. The highest compensation it reported for one person was $1,977,250 (PRESIDENT & CEO). 1,452 people received more than $100,000 in reportable compensation. Revenue rose 58% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $1.92BFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $1.96BThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 89.1% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 10.9% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.10 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.3% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 95.6% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,977,250 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.10% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 1,452 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 8.2 | 6.6 |
| Independent voting board members Part VI 1a–1b | 4 of 6 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHospital 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…
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…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PRESIDENT & CEO Officer, 1.0 hrs/week | $0 | $1,641,774 | $335,476 | $1,977,250 |
| EVP, COXHEALTH CFO Officer, 1.0 hrs/week | $0 | $1,291,822 | $237,764 | $1,529,586 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $895,916 | $0 | $58,032 | $953,948 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $864,723 | $0 | $32,783 | $897,506 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $812,552 | $0 | $23,076 | $835,628 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $762,274 | $0 | $63,547 | $825,821 |
| SVP, CMO Key employee, 40.0 hrs/week | $666,584 | $0 | $25,301 | $691,885 |
| FORMER PRESIDENT & CEO Former, 0.0 hrs/week | $0 | $622,051 | $33,675 | $655,726 |
1,452 people received more than $100,000 in reportable compensation from Lester E Cox Medical Centers (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.7M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b6 · 4 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 510,696
- Volunteers Part I, line 66
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| MPLT HEALTHCARE LLC Phys services/locum | $14,679,884 |
| SPFD NEUROLOGICAL INSTITUTE Phys remuneration | $14,170,975 |
| INTELLIHARTX LLC Account collections | $12,820,226 |
| OZARK ANESTHESIA ASSOCIATES Anesthesia services | $12,074,758 |
| MEDSYS GROUP LLC Contract labor | $8,588,580 |
Individuals listed as contractors are left out. 105 contractors were paid more than $100,000 in all.
Private foundation grants it received
3 private foundations reported grants to Lester E Cox Medical Centers totaling $25,949 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Lester E Cox Medical Centers's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Lester E Cox Medical Centers, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Lester E Cox Medical Centers spent in FY2025, $89.09 went to programs. The full breakdown, from its IRS Form 990:
Embed on your site
Similar-sized charities in this cause
- Corewell HealthGrand Rapids, MI · revenue $1.96B · programs 98.3% · 2024
- York HospitalYork, PA · revenue $1.97B · programs 74.4% · FY2025
- Saint Francis HospitalTulsa, OK · revenue $1.95B · programs 84.7% · FY2025
- Methodist Healthcare-Memphis HospitalsMemphis, TN · revenue $1.97B · programs 93.6% · 2024
- Kaleida HealthBuffalo, NY · revenue $1.95B · programs 90.4% · 2024
Questions people ask
How much of Lester E Cox Medical Centers's spending goes to programs?
In the fiscal year ending September 30, 2025, Lester E Cox Medical Centers reported that 89.1% of its $1.92 billion in expenses went to program services, 10.9% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Lester E Cox Medical Centers pay its top executive?
The largest total compensation Lester E Cox Medical Centers reported for one person in the fiscal year ending September 30, 2025 was $1,977,250, for the role of PRESIDENT & CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Lester E Cox Medical Centers get its money?
Of $1.96 billion in revenue in the fiscal year ending September 30, 2025, 0.3% came from contributions and grants and 95.6% from program service revenue (Form 990, Part VIII).
Is Lester E Cox Medical Centers a registered charity?
The IRS lists EIN 44-0577118 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202642269349302629 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202532269349300348 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202442279349303254 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202332269349302353 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202212229349302166 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202112259349302161 · read the filing
All filings for EIN 44-0577118: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.