COX HEALTH SYSTEMS HMO INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
COX HEALTH SYSTEMS HMO INC (EIN 43-1757075)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-01
IRS object ID
202403069349302860
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-01T15:42:45+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E St Louis 200 PO Box 1190AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431757075EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cox Health Systems HMO IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOXHBusinessNameControlTxt
Phone4172692900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5750AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER HENDERSONPersonNm
Person TitleCFOPersonTitleTxt
Signature2024-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum
Preparation2024-11-01PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1MATTHEW AUGBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5750AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$57,413,695GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressHTTP://WWW.COXHEALTHPLANS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionENGAGED IN PROMOTING THE COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITY BY PROVIDING LOW-COST, HIGH-QUALITY, HMO OPTION TO ALL INDIVIDUALS, INCLUDING AN UNDERSERVING POPULATION.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$12,572,234PYProgramServiceRevenueAmt
CY Program Service Revenue$57,065,055CYProgramServiceRevenueAmt
PY Investment Income$36,449PYInvestmentIncomeAmt
CY Investment Income$348,640CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,608,683PYTotalRevenueAmt
CY Total Revenue$57,413,695CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$41,491,991CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,079,092PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,777,388CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,005,691PYOtherExpensesAmt
CY Other Expenses$8,259,431CYOtherExpensesAmt
PY Total Expenses$11,084,783PYTotalExpensesAmt
CY Total Expenses$56,528,810CYTotalExpensesAmt
PY Revenues Less Expenses$1,523,900PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$884,885CYRevenuesLessExpensesAmt
Total Assets BOY$44,488,230TotalAssetsBOYAmt
Total Assets EOY$60,085,046TotalAssetsEOYAmt
Total Liabilities BOY$9,393,707TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,054,692TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,094,523NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$45,030,354NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SUPPORT HEALTH IMPROVEMENT IN THE COMMUNITIES WE SERVE BY OFFERING COMPETITIVE INSURANCE PRODUCTS BASED ON QUALITY OUTCOMES AND EVIDENCED BASED HEALTHCARE.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$41,888,175ExpenseAmt
Grant$0GrantAmt
Revenue$43,320,191RevenueAmt
DescCOX HMO PROVIDES A MEDICARE ADVANTAGE PLAN FOR INDIVIDUALS. THE COMPANY SERVES APPROXIMATELY 4,000 PEOPLE ACROSS THE PRIMARY SERVICE ARE, WHICH CONSISTS OF 7 COUNTIES IN SOUTHWEST MISSOURI. THE PLAN IS AN HMO AND PROVIDES A COMMUNITY BENEFIT DUE TO THEIR LOW COST, THEIR AVAILABILITY IN THE COMMUNITY AND THEIR ROLE IN COX HEALTH SYSTEM'S IMPROVING OF THE HEALTH OF THE COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,052,566ExpenseAmt
Grant$0GrantAmt
Revenue$10,396,230RevenueAmt
DescCOX HMO PROVIDES OPERATIONAL SUPPORT SERVICES TO ITS WHOLLY OWNED SUBSIDIARY CHSIC. SUCH ADMINISTRATIVE SERVICES PROVIDED TO CHSIC INCLUDE COMPREHENSIVE ADMINISTRATIVE SERVICES, FINANCIAL AND MANAGERIAL SERVICES, PREMIUM PROCESSING, CLAIMS MANAGEMENT AND PROVIDER NETWORK ADMINISTRATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,237,940ExpenseAmt
Revenue$3,348,634RevenueAmt
DescCOX HMO SERVES AS THE THIRD PARTY ADMINISTRATOR (TPA) FOR COX HEALTH SYSTEMS HOSPITALS' SELF-FUNDED EMPLOYEE HEALTH PLAN. THE CHS HOSPITALS' SELF-FUNDED PLAN COVERS APPROXIMATELY 14,400 MEMBERS INCLUDING EMPLOYEES AND DEPENDENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$55,178,681TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1409IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNFIER HENDERSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4172692900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CFO PO BOX 5750AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Mark Costley
Chairman/Director1.01.0Yes (X)Yes (X)$0$0$0
Max D Buetow
Vice Chair/Director1.039.0Yes (X)Yes (X)$0$1,612,240$319,439
Bill W Jones
Director1.01.0Yes (X)$0$0$0
Bryan A Finke
Director Beg 9/231.039.0Yes (X)$0$589,506$36,253
Janice K Harris
Director1.01.0Yes (X)$0$0$0
Jerry G Jared
Director1.01.0Yes (X)$0$0$0
John B Singleton
Director1.01.0Yes (X)$0$0$0
Norman J Mechlin
Director End 9/231.039.0Yes (X)$0$257,532$30,878
Rita M Needham
Director1.01.0Yes (X)$0$0$0
Timothy L Jones
Director1.039.0Yes (X)$0$740,715$137,559
Jennifer Henderson
Chief Financial Officer Beg 8/2320.020.0Yes (X)$111,408$0$17,233
Jennifer Webb
Secretary20.020.0Yes (X)$55,034$0$14,157
Lisa Odom
Chief Financial Officer End 6/2320.020.0Yes (X)$148,349$0$19,692
Matt Aug
Chief Executive Officer20.020.0Yes (X)$450,605$0$25,273
Susan Sanchez
Chief Information Officer20.020.0Yes (X)$176,373$0$15,528
Bart Stead
VP of Marketing40.00$142,817$0$20,039Yes (X)
Daniel O'connell
VP of Health Services40.00$146,874$0$18,705Yes (X)
Tamara Thomas
Underwriting Manager40.00$100,803$0$13,801Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,332,263TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,199,992TotReportableCompRltdOrgAmt
Total Other Compensation$668,557TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BroadPath LLC
Lockbox 208345DallasTX753208345CONTRACT STAFF$581,525
Episource LLC
PO Box 102478PasadenaCA91189ACA AND MA CLAIMS SUBMISSION AND RISK CONSULTING$390,840
Lewis & Ellis Inc
P O Box 851857RichardsonTX750851857ACTUARIAL$363,250
CoxHealth Network
3805 S Kansas Expressway Ste ASpringfieldMO65807CARE MANAGEMENT SERVICES$235,472
CDW Direct
P O Box 75723ChicagoIL606755723CYBER SECURITY$166,046
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PREMIUM INCOME524114$43,674,352$43,674,352
ADMINISTRATIVE SERVICES561000$13,390,703$13,390,703

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$57,065,055TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$348,640TotalRevenueColumnAmt
Exclusion$348,640ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,413,695TotalRevenueColumnAmt
Related Or Exempt Func Income$57,065,055RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$348,640ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$41,491,991TotalAmt
Program Services$41,491,991ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,474,007TotalAmt
Program Services$4,991,334ProgramServicesAmt
Management And General$482,673ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$223,428TotalAmt
Program Services$203,727ProgramServicesAmt
Management And General$19,701ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$707,452TotalAmt
Program Services$645,072ProgramServicesAmt
Management And General$62,380ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$372,501TotalAmt
Program Services$339,656ProgramServicesAmt
Management And General$32,845ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$145,193TotalAmt
Management And General$145,193ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$398,470TotalAmt
Program Services$398,470ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,943,574TotalAmt
Program Services$3,685,862ProgramServicesAmt
Management And General$257,712ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$137,685TotalAmt
Program Services$125,545ProgramServicesAmt
Management And General$12,140ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$832,399TotalAmt
Program Services$741,990ProgramServicesAmt
Management And General$90,409ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,891,667TotalAmt
Program Services$1,724,869ProgramServicesAmt
Management And General$166,798ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$311,668TotalAmt
Program Services$284,187ProgramServicesAmt
Management And General$27,481ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,426TotalAmt
Program Services$12,242ProgramServicesAmt
Management And General$1,184ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,976TotalAmt
Program Services$2,714ProgramServicesAmt
Management And General$262ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$21TotalAmt
Program Services$19ProgramServicesAmt
Management And General$2ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$302,835TotalAmt
Program Services$276,132ProgramServicesAmt
Management And General$26,703ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$133,659TotalAmt
Program Services$121,874ProgramServicesAmt
Management And General$11,785ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS$75,144$68,518$6,626
LICENSES, DUES, SUBSCRIPTION$70,714$64,479$6,235

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$56,528,810TotalAmt
Program Services$55,178,681ProgramServicesAmt
Management And General$1,350,129ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,965BOYAmt
EOY$1,954EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,306,976BOYAmt
EOY$21,780,026EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$761,661BOYAmt
EOY$2,747,238EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,351,898BOYAmt
EOY$1,470,149EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,193,970LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,862,442LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$266,537BOYAmt
EOY$331,528EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$26,035,459BOYAmt
EOY$29,067,435EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,763,734BOYAmt
EOY$4,686,716EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,488,230BOYAmt
EOY$60,085,046EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,035,780BOYAmt
EOY$3,359,940EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$764,855BOYAmt
EOY$455,219EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,593,072BOYAmt
EOY$11,239,533EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,393,707BOYAmt
EOY$15,054,692EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$14,104,392BOYAmt
EOY$20,108,704EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$10,601,073BOYAmt
EOY$10,601,073EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$10,389,058BOYAmt
EOY$14,320,577EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,094,523BOYAmt
EOY$45,030,354EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,488,230BOYAmt
EOY$60,085,046EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$884,885ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$9,050,946OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$170,842OtherCostOrOtherBasisAmt
Depreciation$167,722DepreciationAmt
Book Value$3,120BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,023,128OtherCostOrOtherBasisAmt
Depreciation$2,694,720DepreciationAmt
Book Value$328,408BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$331,528TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN CHSICDesc
Book Value$29,067,435BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$29,067,435TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$4,118,614
RIGHT OF USE ASSETS$568,102
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,686,716TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$2,338,779
HEALTH POLICY RESERVES$8,300,000
OTHER PAYABLES$600,754
FieldValueIRS element (for citing)
Total Liability$11,239,533TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$43,956,585TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$43,956,585RevenueSubtotalAmt
Other Revenues Not Included$13,457,110OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$13,457,110RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$57,413,695TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$47,020,384TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$4,004,323OtherExpensesIncludedAmt
Expenses Not Reported$4,004,323ExpensesNotReportedAmt
Expenses Subtotal$43,016,061ExpensesSubtotalAmt
Other Expenses Not Included$13,512,749OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$13,512,749ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$56,528,810TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONSEFFECTIVE JANUARY 1, 2015, THE COMPANY ELECTED 501(C) NONPROFIT TAX-EXEMPT STATUS. AS A RESULT OF THIS ELECTION, THE COMPANY IS NO LONGER SUBJECT TO INCOME TAXES AT THE ENTITY LEVEL. THE COMPANY FILES A CONSOLIDATED INFORMATIONAL TAX RETURN (990) WITH ITS SUBSIDIARY, COX HEALTHPLANS, LLC. THE COMPANY IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2023 OR 2022.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsCOX HEALTHPLANS, LLC REVENUE - 17461433 ELIMINATED REVENUE OF COX HEALTHPLANS, LLC - -4004323
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990ELIMINATED FEES PAID TO LLC FROM HMO - 4004323
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsCOX HEALTHPLANS, LLC EXPENSES - 13512749

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Max D Buetow
Vice Chair/Director$0$1,055,370$0$556,570$0$300$0$303,741$0$15,699$0$1,931,679$0$0
Norman J Mechlin
Director End 9/23$0$257,532$0$0$0$0$0$15,779$0$15,100$0$288,410$0$0
Timothy L Jones
Director$0$517,049$0$174,477$0$49,188$0$121,860$0$15,699$0$878,273$0$39,314
Bryan A Finke
Director Beg 9/23$0$589,506$0$0$0$0$0$26,990$0$9,263$0$625,759$0$0
Lisa Odom
Chief Financial Officer End 6/23$112,407$0$35,605$0$337$0$7,841$0$11,851$0$168,041$0$0$0
Matt Aug
Chief Executive Officer$346,547$0$103,608$0$450$0$16,200$0$9,073$0$475,878$0$0$0
Susan Sanchez
Chief Information Officer$166,132$0$8,261$0$1,980$0$6,582$0$8,946$0$191,901$0$0$0
Daniel O'connell
VP of Health Services$139,523$0$6,929$0$422$0$1,566$0$17,139$0$165,579$0$0$0
Bart Stead
VP of Marketing$135,351$0$6,392$0$1,074$0$7,469$0$12,570$0$162,856$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationLESTER E. COX MEDICAL CENTERS, A RELATED PARTY OF THE ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE COXHEALTH TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planMAX BEUTOW AND TIMOTHY JONES PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS: - TIMOTHY JONES RECEIVED A 457(F) DISTRIBUTION OF $39,314, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED A 457(F) CONTRIBUTION OF $273,241 - TIMOTHY JONES RECEIVED A 457(F) CONTRIBUTION OF $82,860
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organizationKEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. THE PHYSICIAN LISTED ON PART VII THAT IS SUBJECT TO THESE COMPENSATION ARRANGEMENTS IS TIMOTHY JONES. EXECUTIVE LEVEL STAFF ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON A VARIETY OF PERFORMANCE INDICATORS IN QUALITY, CUSTOMER AND EMPLOYEE SATISFACTION AND BUSINESS PERFORMANCE MEASURES.
Schedule J, Part II, Column (F) COMPENSATION REPORTED ON PRIOR FORM 990AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F, WERE REPORTED ON A PRIOR FORM 990 OF LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION. COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. DURING CALENDAR YEAR 2023, THERE WAS ONE AMOUNT FOR $39,314 DISTRIBUTED TO TIMOTHY JONES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 2 New program servicesBeginning, January 1, 2023 Cox HMO offered a Medicare Advantage Plan covering medical, pharmacy, dental, and vision services.
Form 990, Part VI, Line 15 COMPENSATION REVIEWCOXHEALTH EMPLOYS A DEFINED GOVERNANCE STRUCTURE AROUND EXECUTIVE COMPENSATION. THE BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE THAT IS CHARGED WITH CARRYING OUT THE FUNCTIONS OF EVALUATING AND SETTING EXECUTIVE COMPENSATION THROUGH FORMAL DOCUMENTED MEETINGS THAT OCCUR SEVERAL TIMES DURING THE YEAR. THE COMPENSATION COMMITTEE UTILIZES A WELL RESPECTED INDEPENDENT EXTERNAL ADVISOR TO PROVIDE THIRD PARTY ASSESSMENT AND RECOMMENDATIONS REGARDING COMPENSATION LEVELS AND BENEFIT PROGRAMS FOR THE TOP EXECUTIVES OF THE ORGANIZATION TO ENSURE THE COMPENSATION PROGRAM IS COMPETITIVE AND WITHIN FAIR MARKET VALUE. AFTER A FULL REVIEW OF THE DATA AND THOROUGH DISCUSSION THE COMMITTEE MAKES A SELF DETERMINATION OF COMPENSATION LEVELS SET JANUARY 1 OF EACH YEAR. ANNUALLY THE STEPS NECESSARY TO DOCUMENT REBUTTABLE PRESUMPTION ARE TAKEN AND RECORDED. ADDITIONALLY, COMPENSATION LEVELS FOR THE VICE PRESIDENT TIER OF MANAGEMENT IS OVERSEEN BY THE CEO USING EXTERNAL COMPARABLE DATA FOR ASSESSMENT AND IS PROVIDED TO THE COMPENSATION COMMITTEE FOR REVIEW ON AN ANNUAL BASIS.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsMAX BUETOW SERVES AS THE PRESIDENT AND CEO, AND MARK COSTLEY, NORMAN MECHLIN, BRYAN FINKE, AND TIM JONES ARE ALL EMPLOYED BY LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION. NO COMPENSATION WAS PROVIDED FOR RESPONSIBILITIES ASSOCIATED WITH BEING A BOARD DIRECTOR. COMPENSATION REPORTED FOR BOARD MEMBERS LISTED ON FORM 990, PART VII, AND SCHEDULE J REPRESENTS EMPLOYEE OR INDEPENDENT CONTRACTOR COMPENSATION UNRELATED TO SERVICE AS A BOARD MEMBER. - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE MEMBER IS LESTER E. COX MEDICAL CENTERS (MEMBER), A RELATED ORGANIZATION AND SUBSIDIARY OF COXHEALTH (PARENT), ANOTHER RELATED ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE BOARD SHALL CONSIST OF NO LESS THAN EIGHT (8) AND NO MORE THAN TWENTY-ONE (21) DIRECTORS, EACH OF WHOM SHALL BE APPOINTED BY COXHEALTH (PARENT). ONE (1) DIRECTOR SHALL RESIDE IN THE BRANSON, MISSOURI AREA, WHICH IS DEFINED AS THE SKAGGS COMMUNITY HOSPITAL ASSOCIATION D/B/A COX MEDICAL CENTER BRANSON (CMCB) SERVICE AREA INCLUDING STONE AND TANEY COUNTIES (CMCB DIRECTOR). THE BOARD SHALL RECEIVE NOMINATIONS FROM THE CMCB BOARD PRIOR TO THE ANNUAL MEETING FOR ELECTION AS DIRECTOR. THE BOARD OF DIRECTORS OF COX MEDICAL GROUP (CMG) SHALL NOMINATE TWO (2) PHYSICIANS TO SERVE ON THE BOARD (EACH A CMG DIRECTOR). ONE CMG DIRECTOR SHALL BE EMPLOYED BY FERRELL-DUNCAN CLINIC, INC. AND THE OTHER SHALL BE EMPLOYED BY LESTER E. COX MEDICAL CENTERS (MEMBER), EMPLOYED BY CMG, OR EMPLOYED BY MEMBER AND LEASED TO CMG. THE PARENT SHALL RECEIVE NOMINATIONS FROM THE CMG BOARD PRIOR TO THE ANNUAL MEETING AT WHICH DIRECTORS ARE ELECTED.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE BYLAWS ARE REVIEWED BY THE PRESIDENT AND CEO OF COXHEALTH (PARENT) OR HIS/HER DESIGNEE TOGETHER WITH THE GENERAL COUNSEL, AT LEAST EVERY THREE (3) YEARS. THE PARENT MAY ADOPT, AMEND AND REPEAL THE BYLAWS, SUBJECT TO ANY LIMITATIONS SET FORTH IN THE BYLAWS, AT ANY MEETING, PROVIDED THAT A COPY OF THE BYLAWS TO BE CONSIDERED AT THE MEETING ACCOMPANIES THE NOTICE THEREOF. EXCEPT AS SPECIFIED BELOW OR AS SET FORTH ELSEWHERE IN THE BYLAWS, THE FOLLOWING RESERVED POWERS MAY BE EXERCISED BY THE PARENT WITHOUT PRIOR ACTION BY THE BOARD. SAID RESERVED POWERS ARE: (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF THE CORPORATION; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF ACCEPTANCE OF THE CORPORATION AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION; (D) TO APPROVE THE ADOPTION OF AND ANY REVISION TO THE CHARTERS FOR ALL COMMITTEES ESTABLISHED BY THE BOARD; (E) TO APPOINT AND REMOVE THE DIRECTORS OF THE CORPORATION, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE, AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND THE CORPORATION; (F) TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR THE CORPORATION AND ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES SO LONG AS SUCH APPOINTMENT IS CONSISTENT WITH ALL APPLICABLE LAWS AND REGULATIONS, INCLUDING MISSOURI DEPARTMENT OF COMMERCE AND INSURANCE REGULATIONS AND GUIDELINES; (H) TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, MARKETING, LEGAL, CORPORATE COMPLIANCE, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (M) APPROVAL OF THE CORPORATION'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (N) TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (O) TO APPROVE THE SALE OR PURCHASE OF ANY PROPERTY OF THE CORPORATION HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (P) TO AUTHORIZE AND APPROVE BORROWING MONEY OR ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION; (Q) TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER AND/ OR PARENT, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE APPROVAL OF THE PARENT; (R) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE PARENT WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY OR ANY REMOTELY CONTROLLED SUBSIDIARY.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION. THE FORM 990 IS PROVIDED TO THE DIRECTOR OF ACCOUNTING AND CFO FOR A DETAILED REVIEW TO ENSURE ACCURACY. A COPY IS THEN PROVIDED TO THE CEO AND GOVERNING BODY FOR REVIEW PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policyCOXHEALTH OFFICERS, DIRECTORS AND KEY EMPLOYEES, AS WELL AS OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE COXHEALTH AFFILIATES AND/OR COMMITTEES WITH DELEGATED AUTHORITY TO MAKE DECISIONS, ARE ANNUALLY REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST FOLLOWING THE POLICY SET FORTH BELOW. THE POLICY REQUIRES THAT BOARD MEMBERS MAKE DECISIONS THAT ARE CONFLICT FREE, OR IF A CONFLICT IS PRESENT, THAT IT IS FULLY DISCLOSED FOR THE BOARD'S CONSIDERATION. COXHEALTH'S EMPLOYEES AND BOARD MEMBERS MUST AVOID ALL ACTIVITIES, ASSOCIATIONS OR INTERESTS THAT CREATE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST FOR EMPLOYEES MUST BE REPORTED TO THE CORPORATE INTEGRITY DEPARTMENT. A FILE WILL BE MAINTAINED OF ALL REPORTED CONFLICTS OF INTEREST. FOR MEDICAL STAFF MEMBERS, THE CONFLICT OF INTEREST PROCESS MAY BE ACCESSED THROUGH THE MEDICAL STAFF OFFICE. FOR BOARD MEMBERS, THE CONFLICT OF INTEREST PROCESS IS HANDLED THROUGH THE GOVERNANCE SUB COMMITTEE OF THE BOARD WITH THE ASSISTANCE OF THE EXECUTIVE OFFICE AND IS DEFINED IN THE CHARTER OF THE GOVERNANCE SUB-COMMITTEE. IF ANY OFFICER OR DIRECTOR IS FOUND TO HAVE A CONFLICT OF INTEREST, SUCH PERSON SHALL NEITHER VOTE NOR USE HIS OR HER INFLUENCE TO AFFECT ANY DECISION RELATING TO THE CONFLICT, AND SUCH PERSON SHOULD NOT BE INCLUDED IN DETERMINING WHETHER A QUORUM PARTICIPATED IN THE DECISION. SUCH PERSON IS PERMITTED TO BRIEFLY STATE HIS OR HER POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS ABOUT IT, IF HIS OR HER KNOWLEDGE OR EXPERTISE COULD ASSIST THOSE PARTICIPATING IN THE DECISION. FOR VENDORS, THE POLICY IS DISTRIBUTED WITH THEIR INITIAL CONTRACT WITH COXHEALTH.
Form 990, Part VI, Line 19 Required documents available to the publicCOX HEALTH SYSTEMS HMO'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR PUBLIC INSPECTION AS AN ATTACHMENT TO THE APPLICATION FOR RECOGNITION OF EXEMPTION.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCAPITAL CONTRIBUTIONS - 6004313; CHANGE IN NONADMITTED ASSETS - -408173; CHANGE IN EQUITY OF AFFILIATES - 3454806;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1COX HEALTHPLANS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13200 S NATIONAL BLDG BAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65807ZIPCd
FieldValueIRS element (for citing)
EIN431754751EIN
Primary ActivitiesMANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Total Income$17,395,026TotalIncomeAmt
End Of Year Assets$20,017,907EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COX HMOBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
COX HEALTH SYSTEMS INSURANCE COMPANY
3200 S NATIONAL BUILDING BSPRINGFIELDMO65807431684044INSURANCEMO501(c)(4)COX HMOYes (true)
LESTER E COX MEDICAL CENTERS
1423 N JEFFERSONSPRINGFIELDMO65802440577118HOSPITALMO501(c)(3)COXHEALTHfalse3
COXHEALTH FOUNDATION
3525 S NATIONAL SUITE 204SPRINGFIELDMO65807436810485FUNDRAISINGMO501(c)(3)LESTER E COXfalseType I
COX HPS OF THE OZARKS INC
2220 W SUNSETSPRINGFIELDMO65807431641927HOME HEALTHMO501(c)(3)LESTER E COXfalse10
COX-MONETT HOSPITAL INC
801 N LINCOLN AVEMONETTMO65708431656689HOSPITALMO501(c)(3)LESTER E COXfalse3
HC SVCS OZARKS INC DBA COXHEALTH AT HOME
PO BOX 10939SPRINGFIELDMO65808431641928HOME HEALTHMO501(c)(3)LESTER E COXfalse10
PRIMROSE PLACE INC
1115 E PRIMROSESPRINGFIELDMO65807431183783SUPPORTMO501(c)(3)LESTER E COXfalseType I
COX MEDICAL CTR GENPROF LIAB LOSS FUND
1423 N JEFFERSONSPRINGFIELDMO65802366668576SELF-INSURANCEMO501(c)(3)LESTER E COXfalseType I
SKAGGS COMM HOSP ASSOC (COX MC BRANSON)
525 BRANSON LANDING BOULEVARDBRANSONMO65616440584290HOSPITALMO501(c)(3)LESTER E COXfalse3
COXHEALTH
1423 N JEFFERSONSPRINGFIELDMO65802471087427HOLDING COMPANYMO501(c)(3)NAfalseType II
COX MEDICAL GROUP
1423 N JEFFERSONSPRINGFIELDMO65802471087566PHYSICIANSMO501(c)(3)COXHEALTHfalse10
COX MEDICAL GROUP CLINICS
3801 S NATIONALSPRINGFIELDMO65807371830627HEALTHCAREMO501(c)(3)COXHEALTHfalse10
COX BARTON COUNTY HOSPITAL
1423 N JEFFERSONSPRINGFIELDMO65802823300758HOSPITALMO501(c)(3)COXHEALTHfalse3

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEDICAL DEVELOPMENTS INC
1423 N JEFFERSON AVESPRINGFIELDMO65802431622182PHARMACYMOLESTER E COXC Corporationfalse
INSURANCE COMPANY OF SPRINGFIELD INC
CAPTIVE INSURANCELESTER E COXC CorporationfalseGRAND PAVILION CORPORATE CENTREGRAND CAYMANCJKY1110CJ
COX TAXABLE CLOSE CORPORATION
1423 N JEFFERSON AVESPRINGFIELDMO65802472573263MEDICAL CLINICMOCOX MED GROUPC Corporationfalse
FERRELL-DUNCAN CLINIC INC
1001 E PRIMROSESPRINGFIELDMO65808430991578PHYSICIANSMOCTCCC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COX HEALTH SYSTEMS INSURANCE COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$10,115,488InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

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