Missouri · Nonprofit
LESTER E COX MEDICAL CENTERS
LESTER E COX MEDICAL CENTERS (Missouri) receives grants from 13 organizations whose IRS filings report $2,393,153 to it, the largest being LEWIS W HYER TR ($1,441,116). 8 of them have funded it in more than one year.
- Revenue FY2025
- $2.0B
- Funders on record
- 13
- Grants received
- $2.4M
- Net assets
- $1.3B
What Lester E Cox Medical Centers does
Mission
Mission: to improve the health of the communities we serve through quality healthcare, education and research.
As stated on its FY2025 Form 990.
Programs
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.
$1,210,774,902 spentof which $2,583,451 as grants$1,583,686,131 earned by the program71% of program spendingPhysician 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.
$503,030,269 spent$291,362,493 earned by the program29% of program spending
The 2 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $1,713,805,171.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $1.7B to $1.9B (+12%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2020 2% · 2021 2% · 2022 5% · 2023 4% · 2024 0%. Grants only. Government contracts and fees sit inside program revenue.
0% of LESTER E COX MEDICAL CENTERS’s revenue is contributions — about as donation-reliant as the typical peer (1% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Max D Buetow
President & CEO
Board chair
Hal L Higdon
Chair
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base held at 5 funders, grant income rose $154k → $551k.
2 of 13 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 8% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
Left out of every figure on this page: $7.1M from 2 payers (the payer shares this organization's board, largest Coxhealth Foundation). These are real filings, and they are not money LESTER E COX MEDICAL CENTERS raised.
From the IRS filings of LESTER E COX MEDICAL CENTERS’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
LESTER E COX MEDICAL CENTERS leans on a few funders — its largest provides 60% of grant income and the top three 82%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
88% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund LESTER E COX MEDICAL CENTERS.
Largest funder’s share by year: 2017 39% · 2018 29% · 2019 52% · 2020 26% · 2021 32% · 2022 38% · 2023 89% — growing more concentrated.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
40% of LESTER E COX MEDICAL CENTERS's funders are still giving 3 years after their first grant; 62% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
LESTER E COX MEDICAL CENTERS draws 83% of its grant income from funders outside Missouri, across 7 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $203k arriving through sponsors registered in 2 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
LESTER E COX MEDICAL CENTERS is better cushioned than half of the 1,241 health nonprofits its size.
this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025
Government funding LESTER E COX MEDICAL CENTERS receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $16.9M on record.
- Department of Health and Human Services$7.7M
- Department of Commerce$4.1M
- Department of Education$3.4M
- Department of Justice$743k
- Department of Veterans Affairs$616k
- Department of Agriculture$356k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like LESTER E COX MEDICAL CENTERS
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Missouri
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
89% of spending goes to programs.
Governance
Footprint & structure
Part of a family of 24 related entities
- Ferrell Duncan Clinic · disregarded
- Oxford Healthcare Home Health Agency · disregarded
- Regional Services · disregarded
- Ob Gyn Ferrell Duncan Clinic · disregarded
- Coxhealth Home Support Systems · disregarded
Screen this organization
A dated, signed PDF of the compliance screen for LESTER E COX MEDICAL CENTERS: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds LESTER E COX MEDICAL CENTERS?
- LESTER E COX MEDICAL CENTERS (Missouri) receives grants from 13 organizations whose IRS filings report $2,393,153 to it, the largest being LEWIS W HYER TR ($1,441,116). 8 of them have funded it in more than one year.
- How many funders does LESTER E COX MEDICAL CENTERS have?
- IRS filings report 13 organizations giving $2,393,153 in grants to LESTER E COX MEDICAL CENTERS, 8 of which have funded it in more than one year.
- Who is the largest funder of LESTER E COX MEDICAL CENTERS?
- LEWIS W HYER TR is the largest funder on record, with $1,441,116 in grants. The full list of funders is on this page.
- How can an organization like LESTER E COX MEDICAL CENTERS find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Missouri. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 13 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing