Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $112,707

• 1f · All other contributions, gifts and grants

  $509,361

• 2a · Program service revenue: PURCHASED SERVICES

  total $307,275,833 · related or exempt $307,275,833

• 2b · Program service revenue: NETWORK FEES

  total $391,757 · related or exempt $391,757

• 2c · Program service revenue: OTHER REVENUE

  total $6,169,995 · related or exempt $6,169,995

• 2d · Program service revenue: RENTAL INCOME

  total $250,277 · related or exempt $250,277

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $8,407,557 · excluded $8,407,557

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7c · Gain or loss

  securities $0 · other assets $0

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $254,590 · program services $254,590

• 5 · Compensation of officers, directors and key employees

  total $13,790,071 · program services $1,652,518 · management and general $12,137,553

• 6 · Compensation of disqualified persons

  total $752,528 · management and general $752,528

• 7 · Other salaries and wages

  total $126,104,476 · program services $124,114,225 · management and general $1,990,251

• 8 · Pension plan contributions

  total $3,112,299 · program services $2,986,921 · management and general $125,378

• 9 · Other employee benefits

  total $14,539,147 · program services $13,336,211 · management and general $1,202,936

• 10 · Payroll taxes

  total $9,468,760 · program services $8,546,405 · management and general $922,355

• 11b · Fees: legal

  total $2,871,903 · management and general $2,871,903

• 11c · Fees: accounting

  total $912,314 · management and general $912,314

• 11g · Fees: other

  total $82,509,129 · program services $63,721,016 · management and general $18,788,113 · fundraising $0

• 12 · Advertising and promotion

  total $2,384,899 · program services $1,841,835 · management and general $543,064

• 13 · Office expenses

  total $11,836,745 · program services $9,141,406 · management and general $2,695,339

• 14 · Information technology

  total $41,625,438 · program services $32,146,930 · management and general $9,478,508

• 16 · Occupancy

  total $1,312,803 · program services $1,013,865 · management and general $298,938

• 17 · Travel

  total $1,834,073 · program services $1,416,437 · management and general $417,636

• 19 · Conferences, conventions and meetings

  total $297,850 · program services $230,027 · management and general $67,823

• 20 · Interest

  total $389,975 · program services $355,762 · management and general $34,213

• 22 · Depreciation, depletion and amortization

  total $3,102,953 · program services $2,830,726 · management and general $272,227

• 23 · Insurance

  total $1,264,242 · program services $976,362 · management and general $287,880

• 24a · Other expenses: REPAIRS & MAINTENANCE

  total $2,097,289 · program services $1,619,716 · management and general $477,573

• 24b · Other expenses: RECRUITMENT AND RETENTION

  total $1,231,057 · program services $950,734 · management and general $280,323

• 24c · Other expenses: LICENSES, DUES, SUBSCRIPTION

  total $1,016,436 · program services $784,984 · management and general $231,452

• 24e · All other expenses

  total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $85,117,745 · end of year $195,146,198

• 3 · Pledges and grants receivable

  beginning of year $491,381 · end of year $508,381

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 10a · Land, buildings and equipment: cost or other basis

  $0

• 10b · Land, buildings and equipment: accumulated depreciation

  $0

• 10c · Land, buildings and equipment, net

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $1,462,875,346 · end of year $1,573,158,316

• 15 · Other assets

  beginning of year $0 · end of year $0

• 17 · Accounts payable and accrued expenses

  end of year $18,000

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $17,571,288 · end of year $24,542,279

• 27 · Net assets without donor restrictions

  beginning of year $1,480,771,451 · end of year $1,691,675,895

• 28 · Net assets with donor restrictions

  beginning of year $50,141,733 · end of year $52,576,721

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Health or social club dues or initiation fees

MONTHLY SOCIAL CLUB DUES ARE INCLUDED IN THE TAXABLE COMPENSATION OF JAKE MCWAY, CFO, AND MAX BUETOW, CEO.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

STEVE EDWARDS, MAX BEUTOW, JACOB MCWAY, CHARITY ELMER, TIM JONES AND AMANDA HEDGPETH PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS: -STEVE EDWARDS RECEIVED AN EXECUTIVE 457(F) DISTRIBUTION OF 292,665, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - JACOB MCWAY RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $183,749. - JACOB MCWAY RECEIVED A 457(F) DISTRIBUTION OF $153,057, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $273,241. - CHARITY ELMER RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $123,494. - CHARITY ELMER RECEIVED A 457(F) DISTRIBUTION OF $96,221, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990 - TIM JONES RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $82,860. - TIM JONES RECEIVED A 457(F) DISTRIBUTION OF $39,314, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990 - AMANDA HEDGPETH RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION OF $107,009.

Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization

KEY 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. 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 I, Line 3 CEO COMPENSATION DETERMINATION

LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO THROUGH THE USE OF: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Schedule J, Part II BOARD MEMBER COMPENSATION

NO COMPENSATION WAS PROVIDED FOR RESPONSIBILITES ASSOCATED WITH BEING A BOARD DIRECTOR. COMPENSATION REPORTED FOR SEVERAL BOARD MEMBERS LISTED ON SCHEDULE J REPRESENTS EMPLOYEE OR INDEPENDENT CONTRACTOR COMPENSATION UNRELATED TO SERVICE AS A BOARD MEMBER.

Schedule J, Part II, Column (F) COMPENSATION REPORTED IN PRIOR FORM 990

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• COXHEALTH ACCOUNTABLE CARE LLC

  ACO · MO · income $0 · assets $0

  Directly controlled by COXHEALTH

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• MEDICAL DEVELOPMENTS INC

  C Corporation · PHARMACY · MO · controlled entity

  Directly controlled by LESTER E COX

• COX TAXABLE CLOSE CORPORATION

  C Corporation · MEDICAL CLINIC · MO · controlled entity

  Directly controlled by COX MED GROUP

• COXHEALTH RISK SOLUTIONS

  C Corporation · CAPTIVE INSURANCE · CJ · controlled entity

  Directly controlled by LESTER E COX

• FERRELL DUNCAN CLINIC INC

  C Corporation · PHYSICIANS · MO · controlled entity

  Directly controlled by CTCC