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Nonprofiteer
← COX HEALTH SYSTEMS HMO INC

Form 990 for tax year 2023

Filed by COX HEALTH SYSTEMS HMO INC.

Totals

Total revenue
$57,413,695
Total expenses
$56,528,810
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$57,065,055
Investment income
$348,640
Other revenue
$0
Total assets, end of year
$60,085,046
Total liabilities, end of year
$15,054,692
Net assets or fund balances, end of year
$45,030,354
Program services expenses (Part IX)
$55,178,681
Management and general expenses
$1,350,129
Fundraising expenses
$0
Program service expenses (Part III)
$55,178,681

Program services were 97.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Mark Costley

    Chairman/Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Max D Buetow

    Vice Chair/Director

    Total calculated
    $1,931,679
    From this org
    $0
    From related orgs
    $1,612,240
    Other
    $319,439
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,055,370 related
    Bonus
    $0 + $556,570 related
    Other
    $0 + $300 related
    Deferred
    $0 + $303,741 related
    Nontaxable benefits
    $0 + $15,699 related
    Filer's total
    $0 + $1,931,679 related

  • Bill W Jones

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Bryan A Finke

    Director Beg 9/23

    Total calculated
    $625,759
    From this org
    $0
    From related orgs
    $589,506
    Other
    $36,253
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $589,506 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $26,990 related
    Nontaxable benefits
    $0 + $9,263 related
    Filer's total
    $0 + $625,759 related

  • Janice K Harris

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jerry G Jared

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • John B Singleton

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Norman J Mechlin

    Director End 9/23

    Total calculated
    $288,410
    From this org
    $0
    From related orgs
    $257,532
    Other
    $30,878
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,532 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $15,779 related
    Nontaxable benefits
    $0 + $15,100 related
    Filer's total
    $0 + $288,410 related

  • Rita M Needham

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Timothy L Jones

    Director

    Total calculated
    $878,274
    From this org
    $0
    From related orgs
    $740,715
    Other
    $137,559
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $517,049 related
    Bonus
    $0 + $174,477 related
    Other
    $0 + $49,188 related
    Deferred
    $0 + $121,860 related
    Nontaxable benefits
    $0 + $15,699 related
    Filer's total
    $0 + $878,273 related

  • Jennifer Henderson

    Chief Financial Officer Beg 8/23

    Total calculated
    $128,641
    From this org
    $111,408
    From related orgs
    $0
    Other
    $17,233
    Hours/week
    20 + 20 related

  • Jennifer Webb

    Secretary

    Total calculated
    $69,191
    From this org
    $55,034
    From related orgs
    $0
    Other
    $14,157
    Hours/week
    20 + 20 related

  • Lisa Odom

    Chief Financial Officer End 6/23

    Total calculated
    $168,041
    From this org
    $148,349
    From related orgs
    $0
    Other
    $19,692
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $112,407
    Bonus
    $35,605
    Other
    $337
    Deferred
    $7,841
    Nontaxable benefits
    $11,851
    Filer's total
    $168,041

  • Matt Aug

    Chief Executive Officer

    Total calculated
    $475,878
    From this org
    $450,605
    From related orgs
    $0
    Other
    $25,273
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $346,547
    Bonus
    $103,608
    Other
    $450
    Deferred
    $16,200
    Nontaxable benefits
    $9,073
    Filer's total
    $475,878

  • Susan Sanchez

    Chief Information Officer

    Total calculated
    $191,901
    From this org
    $176,373
    From related orgs
    $0
    Other
    $15,528
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $166,132
    Bonus
    $8,261
    Other
    $1,980
    Deferred
    $6,582
    Nontaxable benefits
    $8,946
    Filer's total
    $191,901

  • Bart Stead

    VP of Marketing

    Total calculated
    $162,856
    From this org
    $142,817
    From related orgs
    $0
    Other
    $20,039
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,351
    Bonus
    $6,392
    Other
    $1,074
    Deferred
    $7,469
    Nontaxable benefits
    $12,570
    Filer's total
    $162,856

  • Daniel O'connell

    VP of Health Services

    Total calculated
    $165,579
    From this org
    $146,874
    From related orgs
    $0
    Other
    $18,705
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,523
    Bonus
    $6,929
    Other
    $422
    Deferred
    $1,566
    Nontaxable benefits
    $17,139
    Filer's total
    $165,579

  • Tamara Thomas

    Underwriting Manager

    Total calculated
    $114,604
    From this org
    $100,803
    From related orgs
    $0
    Other
    $13,801
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
LESTER 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 plan
MAX 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 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. 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 990
AMOUNTS 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

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

  • COX HEALTHPLANS LLC

    MANAGEMENT · MO · income $17,395,026 · assets $20,017,907

    Directly controlled by COX HMO

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
1 November 2024
IRS schema version
2023v5.1
Source object
202403069349302860

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