preload preload preload

CMH & CoxHealth FAQ

Questions & Answers

Why is CoxHealth entering into an affiliation agreement with CMH?

One of CoxHealth’s key strategies is to strategically expand our footprint by exploring collaborative relationships with other health systems. Joining with CMH is of strategic importance to us. We believe a partnership with CMH would continue to strengthen both systems and lead to many positive outcomes.

Additionally, CMH would be an outstanding partner with quality services, operations and personnel; an innovative care delivery model with hospitals, physicians, long-term care facilities and clinics; and a history of profitability and growth. This partnership would bring the breadth of CoxHealth’s resources to bear with CMH’s commitment and demonstrated success with clinical quality and business performance to enhance both systems.

Why did CMH decide to partner with CoxHealth?

CoxHealth and CMH are both strong systems, their strengths complement each other, and we are stronger together. Joining forces creates tremendous opportunities that will benefit our patients:

Access to capital funding provided in the partnership will allow CMH to continue to expand, provide new services for the communities it serves and update hospital facilities.

Working together we can combine purchase power and reduce operating costs.

With physician shortages looming in the immediate future, partnering with a system that has graduate medical education and a medical school affiliation strengthens future recruitment.

Joining a locally-governed system allows continued autonomy for CMH and the financial strength of a larger partner.

This partnership would better position CMH to handle changes such as value-based reimbursement, decreasing reimbursement and government-mandated payment redesign (bundled payments). To survive under such payment redesign requires that organizations come together to operate more efficiently and to consolidate quality efforts.

The cultures of the two organizations align, since both systems are focused on community and local decision-making.

By partnering with CoxHealth, CMH ensures long-term local governance of CMH and ensures the future strength and sustainability of CMH. Together we provide local, quality health care for our southwest Missouri communities.

What does the signing of a letter of intent mean?

A letter of intent is a non-binding agreement that allows CoxHealth and CMH to move forward as the organizations pursue an affiliation agreement.

What happens next?

Both health systems will exercise due diligence, examining all aspects of the proposed affiliation. This phase will also include the negotiation of a final agreement between the organizations. Certain governmental approvals may also be required. The parties will negotiate and work toward executing final agreements as soon as possible with a goal of closing mid-2017.

How will this affiliation impact the existing CMH staff and physicians?

We value the engaged and committed medical staff and employees who have made CMH the vital institution it is today. CMH has cultivated an extremely talented workforce of physicians and employees. We will continue to need high quality personnel as we work to expand care in our region. Because of the ongoing growth in health care, existing CMH employees in good standing can expect to continue growing with us as an integral part of the health system. Additionally, we will assist with recruiting new talent, including primary and specialty care physicians.

Will the leadership structure at CMH change?

The affiliation proposal outlines board governance, leadership, community priorities/rights, financial commitments and cost and efficiency improvements. CoxHealth’s approach to similar agreements is to limit disruptions to the operations of the organizations we partner with and approach changes in a measured and thoughtful manner.

Will CMH still accept my insurance?

CMH has no intention to disrupt or cancel any of our health insurance contracts. For more insurance questions, please call 800-326-0508 or 417-328-6508.

If CMH is a tax district with elected board members, how can they change the board make-up without voter approval?

Your elected representatives on the hospital board of directors can make any decision concerning the management of the hospital or affiliation with other health systems.

What would CoxHealth’s investment in CMH and the community be if this agreement is approved?

CoxHealth is committed to making significant investments in CMH and in the communities it serves. Our intention would be to support and expand services in the region.

Capital investments could include hospital expansion and renovations for areas such as ICU, emergency department and other clinical areas; general refurbishment of facilities, technology and more. We also are committed to making contributions to support CMH’s work to improve the health of residents in the Bolivar area and surrounding counties; and encouraging residents of the CMH service area and children of CMH employees to consider the medical field as a career. 

How will this affiliation affect health care in the area?

We anticipate that CMH joining with CoxHealth will affect health care in the area in positive ways.

This partnership helps us to create a new model of health care: With the Affordable Care Act and other financial challenges, we can work together to reshape health care, creating a greater focus on prevention, screening, wellness and chronic care management.

According to the Missouri Hospital Association, more than 50 hospitals in Missouri are considered to be vulnerable to closure due to financial risk; nearly all of those are rural hospitals. While CMH financially strong, this relationship further strengthens and secures our united future.

What can you tell us about CMH?

CMH is an integrated health system located in Bolivar, Missouri, and serves Benton, Cedar, Dade, Dallas, Hickory, northern Greene, Polk, St. Clair counties. In addition to hospital services, CMH includes:

  • 86-bed Citizens Memorial Hospital
  • 25-bed Ellett Memorial Hospital in Appleton City (management agreement)
  • 7 long-term care facilities with 727 licensed beds
  • 32+ primary and specialty care clinics
  • 5 independent living communities
  • Assisted living facility
  • Residential care facility
  • 5 ambulance stations
  • Home care services including home medical equipment, home health, hospice, homemaker plus and health transit
  • Senior health center

CMH has a workforce of 1,990 employees, 91 providers and 360 volunteers.

CMH has 18,830 annual ED visits and 3,740 annual surgery cases.

Has CMH earned any recent noteworthy awards?

CMH has consistently earned excellent CMS Core Measure Scores for quality care. CMH is a two-time Missouri Quality Award winner. The system has received a Davies Award for Excellence in Health Information, recognized as one of the nation’s Most Wired hospitals for 12 consecutive years, and has reached HIMSS Stage 7 out of 8 stages in the electronic medical record adoption model. Additionally, the system earned a Primaris Nursing Home Quality Award. CMH is one of the 10 largest employers in southwest Missouri and has been recognized as one of the 12 fastest growing companies in southwest Missouri (Springfield Business Journal Dynamic Dozen) for eight consecutive years. CMH also received the SBJ Business Class award and earned the SBJ Economic Impact Award in the 30+ years category.

Has CoxHealth ever formed a partnership with another health system, similar to what is being considered with CMH?

Yes. In 1993, CoxHealth purchased what was then known as St. Vincent’s Hospital in Monett, now Cox Monett. After the purchase was complete, CoxHealth added services including obstetrics and orthopedics.

In 1998, CoxHealth purchased the Springfield locations of Columbia HCA, a for-profit health system. This purchase included what is now Meyer Orthopedic and Rehabilitation Hospital. After significant investment, this facility was updated and converted into the first dedicated orthopedic and rehabilitation hospital in Springfield.

In January 2013, CoxHealth and Skaggs Regional Medical Center, now Cox Medical Center Branson, announced a strategic partnership that led to capital improvements, a successful physician recruitment effort and significant investments in the health and wellness of Tri-Lakes’ residents. 

Questions or concerns? We understand. Feel free to reach out to us on our Facebook page, website, 417-328-6010 or at infocenter@citizensmemorial.com. We’re happy to help!

Hospital 417-328-6000

Infocenter 417-328-6010, or 1-888-328-6010

infocenter@citizensmemorial.com

1500 North Oakland, Bolivar, Missouri 65613

© 2017 Citizens Memorial Healthcare

CMH & CoxHealth FAQ

Questions & Answers

Why is CoxHealth entering into an affiliation agreement with CMH?

One of CoxHealth’s key strategies is to strategically expand our footprint by exploring collaborative relationships with other health systems. Joining with CMH is of strategic importance to us. We believe a partnership with CMH would continue to strengthen both systems and lead to many positive outcomes.

Additionally, CMH would be an outstanding partner with quality services, operations and personnel; an innovative care delivery model with hospitals, physicians, long-term care facilities and clinics; and a history of profitability and growth. This partnership would bring the breadth of CoxHealth’s resources to bear with CMH’s commitment and demonstrated success with clinical quality and business performance to enhance both systems.

Why did CMH decide to partner with CoxHealth?

CoxHealth and CMH are both strong systems, their strengths complement each other, and we are stronger together. Joining forces creates tremendous opportunities that will benefit our patients:

Access to capital funding provided in the partnership will allow CMH to continue to expand, provide new services for the communities it serves and update hospital facilities.

Working together we can combine purchase power and reduce operating costs.

With physician shortages looming in the immediate future, partnering with a system that has graduate medical education and a medical school affiliation strengthens future recruitment.

Joining a locally-governed system allows continued autonomy for CMH and the financial strength of a larger partner.

This partnership would better position CMH to handle changes such as value-based reimbursement, decreasing reimbursement and government-mandated payment redesign (bundled payments). To survive under such payment redesign requires that organizations come together to operate more efficiently and to consolidate quality efforts.

The cultures of the two organizations align, since both systems are focused on community and local decision-making.

By partnering with CoxHealth, CMH ensures long-term local governance of CMH and ensures the future strength and sustainability of CMH. Together we provide local, quality health care for our southwest Missouri communities.

What does the signing of a letter of intent mean?

A letter of intent is a non-binding agreement that allows CoxHealth and CMH to move forward as the organizations pursue an affiliation agreement.

What happens next?

Both health systems will exercise due diligence, examining all aspects of the proposed affiliation. This phase will also include the negotiation of a final agreement between the organizations. Certain governmental approvals may also be required. The parties will negotiate and work toward executing final agreements as soon as possible with a goal of closing mid-2017.

How will this affiliation impact the existing CMH staff and physicians?

We value the engaged and committed medical staff and employees who have made CMH the vital institution it is today. CMH has cultivated an extremely talented workforce of physicians and employees. We will continue to need high quality personnel as we work to expand care in our region. Because of the ongoing growth in health care, existing CMH employees in good standing can expect to continue growing with us as an integral part of the health system. Additionally, we will assist with recruiting new talent, including primary and specialty care physicians.

Will the leadership structure at CMH change?

The affiliation proposal outlines board governance, leadership, community priorities/rights, financial commitments and cost and efficiency improvements. CoxHealth’s approach to similar agreements is to limit disruptions to the operations of the organizations we partner with and approach changes in a measured and thoughtful manner.

Will CMH still accept my insurance?

CMH has no intention to disrupt or cancel any of our health insurance contracts. For more insurance questions, please call 800-326-0508 or 417-328-6508.

If CMH is a tax district with elected board members, how can they change the board make-up without voter approval?

Your elected representatives on the hospital board of directors can make any decision concerning the management of the hospital or affiliation with other health systems.

What would CoxHealth’s investment in CMH and the community be if this agreement is approved?

CoxHealth is committed to making significant investments in CMH and in the communities it serves. Our intention would be to support and expand services in the region.

Capital investments could include hospital expansion and renovations for areas such as ICU, emergency department and other clinical areas; general refurbishment of facilities, technology and more. We also are committed to making contributions to support CMH’s work to improve the health of residents in the Bolivar area and surrounding counties; and encouraging residents of the CMH service area and children of CMH employees to consider the medical field as a career. 

How will this affiliation affect health care in the area?

We anticipate that CMH joining with CoxHealth will affect health care in the area in positive ways.

This partnership helps us to create a new model of health care: With the Affordable Care Act and other financial challenges, we can work together to reshape health care, creating a greater focus on prevention, screening, wellness and chronic care management.

According to the Missouri Hospital Association, more than 50 hospitals in Missouri are considered to be vulnerable to closure due to financial risk; nearly all of those are rural hospitals. While CMH financially strong, this relationship further strengthens and secures our united future.

What can you tell us about CMH?

CMH is an integrated health system located in Bolivar, Missouri, and serves Benton, Cedar, Dade, Dallas, Hickory, northern Greene, Polk, St. Clair counties. In addition to hospital services, CMH includes:

  • 86-bed Citizens Memorial Hospital
  • 25-bed Ellett Memorial Hospital in Appleton City (management agreement)
  • 7 long-term care facilities with 727 licensed beds
  • 32+ primary and specialty care clinics
  • 5 independent living communities
  • Assisted living facility
  • Residential care facility
  • 5 ambulance stations
  • Home care services including home medical equipment, home health, hospice, homemaker plus and health transit
  • Senior health center

CMH has a workforce of 1,990 employees, 91 providers and 360 volunteers.

CMH has 18,830 annual ED visits and 3,740 annual surgery cases.

Has CMH earned any recent noteworthy awards?

CMH has consistently earned excellent CMS Core Measure Scores for quality care. CMH is a two-time Missouri Quality Award winner. The system has received a Davies Award for Excellence in Health Information, recognized as one of the nation’s Most Wired hospitals for 12 consecutive years, and has reached HIMSS Stage 7 out of 8 stages in the electronic medical record adoption model. Additionally, the system earned a Primaris Nursing Home Quality Award. CMH is one of the 10 largest employers in southwest Missouri and has been recognized as one of the 12 fastest growing companies in southwest Missouri (Springfield Business Journal Dynamic Dozen) for eight consecutive years. CMH also received the SBJ Business Class award and earned the SBJ Economic Impact Award in the 30+ years category.

Has CoxHealth ever formed a partnership with another health system, similar to what is being considered with CMH?

Yes. In 1993, CoxHealth purchased what was then known as St. Vincent’s Hospital in Monett, now Cox Monett. After the purchase was complete, CoxHealth added services including obstetrics and orthopedics.

In 1998, CoxHealth purchased the Springfield locations of Columbia HCA, a for-profit health system. This purchase included what is now Meyer Orthopedic and Rehabilitation Hospital. After significant investment, this facility was updated and converted into the first dedicated orthopedic and rehabilitation hospital in Springfield.

In January 2013, CoxHealth and Skaggs Regional Medical Center, now Cox Medical Center Branson, announced a strategic partnership that led to capital improvements, a successful physician recruitment effort and significant investments in the health and wellness of Tri-Lakes’ residents. 

Questions or concerns? We understand. Feel free to reach out to us on our Facebook page, website, 417-328-6010 or at infocenter@citizensmemorial.com. We’re happy to help!