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Short-term acute care hospital · Springfield, Missouri · 771 beds · CMS certification number 260040

Cox Medical Centers

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 12, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$1.8B
$1,762,535,748 · G-3 line 3
Operating expenses
$1.9B
$1,883,874,656 · G-3 line 4
Result from patient care
−$121.3M
−$121,338,908 · G-3 line 5
Margin on patient care
−6.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $256.0M in its first year on file (1996) to $1.8B in 2025.
  • Its result from patient care: −$69.2M (2023), −$79.8M (2024), −$121.3M (2025).
  • None of the 5 short-term acute care hospital peers below with a margin on file reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 7.1% of its inpatient days and Medicare for 16.6%.
  • COXHEALTH holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
settled with audit
$256.0M
$247.9M
1997
reopened
$306.5M
$296.2M
1998
reopened
$328.4M
$333.1M
1999
reopened
$371.8M
$386.9M
2000
reopened
$406.8M
$419.8M
2001
reopened
$436.9M
$441.2M
2002
reopened
$488.9M
$498.9M
2003
reopened
$512.8M
$543.1M
2004
reopened
$578.7M
$585.2M
2005
reopened
$618.8M
$642.1M
2006
reopened
$666.0M
$685.7M
2007
reopened
$710.8M
$722.6M
2008
reopened
$755.3M
$755.1M
2009
reopened
$771.2M
$779.0M
2010
reopened
$793.3M
$818.9M
2011
reopened
$822.5M
$837.0M
2012
reopened
$843.2M
$857.1M
2013
reopened
$858.3M
$890.6M
2014
reopened
$898.4M
$925.9M
2015
reopened
$918.9M
$931.5M
2016
reopened
$951.4M
$970.0M
2017
reopened
$1.0B
$1.0B
2018
reopened
$1.1B
$1.1B
2019
reopened
$1.2B
$1.2B
2020
settled with audit
$1.2B
$1.2B
2021
reopened
$1.3B
$1.4B
2022
settled with audit
$1.4B
$1.5B
2023
as submitted
$1.5B
$1.6B
2024
as submitted
$1.7B
$1.8B
2025
as submitted
$1.8B
$1.9B

Beside its peers

Short-term acute care hospitals in Missouri with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Cox Medical Centers771$1,762,535,748$1,883,874,656−6.9%
Barnes-Jewish Hospital, St. Louis1,329$3,820,818,547$3,709,677,4972.9%
Mercy Hospital St. Louis, St. Louis782$1,574,806,278$1,414,513,28310.2%
Mercy Hospital South, Saint Louis748$658,639,494$633,817,3123.8%
Mercy Hospital Springfield, Springfield621$1,372,051,750$1,223,349,34510.8%
University of Missouri Health Care, Columbia657$1,861,752,622$1,842,475,7981.0%

Patients and payers

Discharges
32,655
S-3 line 14, col 15
Inpatient days
176,737
S-3 line 14, col 8
Beds in use, on an average day
485.5
days ÷ days in year
Occupancy
62.8%
days ÷ bed days
Medicare share of days
16.6%
S-3 cols 6 ÷ 8
Medicaid share of days
7.1%
S-3 cols 7 ÷ 8

Who owns it

  • COXHEALTH100%

Related organizations on its own cost report: ENTERPRISE LAUN, laundry service; COXHEALTH HO, home office; COX MONETT HOSP, hospital; COX MEDICAL CEN, hospital; COX BARTON COUN, hospital.

Other hospitals with the same owner: Cox Medical Center Branson (MO), Cox Barton County Hospital (MO), Cox Monett Hospital (MO).

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Community benefit, as filed

Community benefit is filed on IRS Form 990 Schedule H by LESTER E COX MEDICAL CENTERS (employer identification number 440577118) for tax year 2022, once for the 3 hospital facilities the return lists, this hospital among them. The return does not divide it among them.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 260040. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 12, 2026.