Totals
- Total revenue
- $12,608,683
- Total expenses
- $11,084,783
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $12,572,234
- Investment income
- $36,449
- Other revenue
- $0
- Total assets, end of year
- $44,488,230
- Total liabilities, end of year
- $9,393,707
- Net assets or fund balances, end of year
- $35,094,523
- Program services expenses (Part IX)
- $10,167,559
- Management and general expenses
- $917,224
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $10,167,559
Program services were 91.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: ADMINISTRATIVE SERVICES
total $12,572,234 · related or exempt $12,572,234
-
3 · Investment income
total $36,449 · excluded $36,449
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $0
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $4,731,646 · program services $4,335,390 · management and general $396,256
-
8 · Pension plan contributions
total $194,310 · program services $178,037 · management and general $16,273
-
9 · Other employee benefits
total $834,414 · program services $764,535 · management and general $69,879
-
10 · Payroll taxes
total $318,722 · program services $292,030 · management and general $26,692
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $94,097 · management and general $94,097
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $373,902 · program services $373,902
-
11g · Fees: other
total $1,514,357 · program services $1,453,521 · management and general $60,836
-
12 · Advertising and promotion
total $126,501 · program services $115,907 · management and general $10,594
-
13 · Office expenses
total $723,795 · program services $663,180 · management and general $60,615
-
14 · Information technology
total $1,389,303 · program services $1,272,955 · management and general $116,348
-
15 · Royalties
total $0
-
16 · Occupancy
total $298,383 · program services $273,395 · management and general $24,988
-
17 · Travel
total $7,545 · program services $6,913 · management and general $632
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $89 · program services $82 · management and general $7
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $229,244 · program services $210,046 · management and general $19,198
-
23 · Insurance
total $136,746 · program services $125,294 · management and general $11,452
-
24a · Other expenses: MISCELLANEOUS
total $59,233 · program services $54,272 · management and general $4,961
-
24b · Other expenses: LICENSES, DUES, SUBSCRIPTIONS
total $52,496 · program services $48,100 · management and general $4,396
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $254 · end of year $1,965
-
2 · Savings and temporary cash investments
beginning of year $11,360,226 · end of year $11,306,976
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $797,451 · end of year $761,661
-
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
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $0 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $510,487 · end of year $1,351,898
-
10a · Land, buildings and equipment: cost or other basis
$8,215,960
-
10b · Land, buildings and equipment: accumulated depreciation
$7,949,423
-
10c · Land, buildings and equipment, net
beginning of year $139,044 · end of year $266,537
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $23,049,451 · end of year $26,035,459
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $1,761,779 · end of year $4,763,734
-
17 · Accounts payable and accrued expenses
beginning of year $1,136,799 · end of year $1,035,780
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $0 · end of year $0
-
24 · Unsecured notes and loans payable
beginning of year $527,218 · end of year $764,855
-
25 · Other liabilities
beginning of year $827,820 · end of year $7,593,072
-
29 · Capital stock, trust principal or current funds
beginning of year $14,103,174 · end of year $14,104,392
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $10,601,073 · end of year $10,601,073
-
31 · Retained earnings, endowment or other funds
beginning of year $10,422,608 · end of year $10,389,058
Mission and programs · 2022
Mission
TO SUPPORT HEALTH IMPROVEMENT IN THE COMMUNITIES WE SERVE BY OFFERING COMPETITIVE INSURANCE PRODUCTS BASED ON QUALITY OUTCOMES AND EVIDENCED BASED HEALTHCARE.
Activities or mission (Part I)
ENGAGED 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.
-
COX 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.
Expenses $6,643,857 · Revenue $9,390,107
-
COX 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.
Expenses $3,523,702 · Revenue $3,182,127
As filed on the 2022 return.
Listed in Part VII
-
Mr Steven EdwardsMR STEVEN EDWARDS
VICE CHAIR/DIRECTOR END 05/22
- Total calculated
- $2,284,599
- From this org
- $0
- From related orgs
- $1,860,483
- Other
- $424,116
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $1,412,554 related
- Bonus
- $0 + $140,438 related
- Other
- $0 + $307,491 related
- Deferred
- $0 + $414,960 related
- Nontaxable benefits
- $0 + $9,156 related
- Filer's total
- $0 + $2,284,599 related
-
Max BuetowMAX BUETOW
VICE CHAIR/DIRECTOR BEG 06/22
- Total calculated
- $1,375,604
- From this org
- $0
- From related orgs
- $1,310,002
- Other
- $65,602
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $809,328 related
- Bonus
- $0 + $201,493 related
- Other
- $0 + $299,181 related
- Deferred
- $0 + $63,787 related
- Nontaxable benefits
- $0 + $1,815 related
- Filer's total
- $0 + $1,375,604 related
-
Dr Timothy JonesDR TIMOTHY JONES
DIRECTOR
- Total calculated
- $655,747
- From this org
- $0
- From related orgs
- $562,697
- Other
- $93,050
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $472,239 related
- Bonus
- $0 + $35,826 related
- Other
- $0 + $54,632 related
- Deferred
- $0 + $75,750 related
- Nontaxable benefits
- $0 + $17,300 related
- Filer's total
- $0 + $655,747 related
-
Dr Norman J MechlinDR NORMAN J MECHLIN
DIRECTOR
- Total calculated
- $421,417
- From this org
- $0
- From related orgs
- $382,332
- Other
- $39,085
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $382,332 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $23,415 related
- Nontaxable benefits
- $0 + $15,670 related
- Filer's total
- $0 + $421,417 related
-
Mr Matthew AugMR MATTHEW AUG
CHIEF EXECUTIVE OFFICER
- Total calculated
- $405,371
- From this org
- $0
- From related orgs
- $380,551
- Other
- $24,820
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $0 + $328,781 related
- Bonus
- $0 + $51,320 related
- Other
- $0 + $450 related
- Deferred
- $0 + $14,825 related
- Nontaxable benefits
- $0 + $9,995 related
- Filer's total
- $0 + $405,371 related
-
Mrs Lisa OdomMRS LISA ODOM
CHIEF FINANCIAL OFFICER
- Total calculated
- $201,375
- From this org
- $0
- From related orgs
- $176,249
- Other
- $25,126
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $0 + $147,797 related
- Bonus
- $0 + $27,762 related
- Other
- $0 + $690 related
- Deferred
- $0 + $9,523 related
- Nontaxable benefits
- $0 + $15,603 related
- Filer's total
- $0 + $201,375 related
-
Ms Susan ButtsMS SUSAN BUTTS
CHIEF INFORMATION OFFICER
- Total calculated
- $177,494
- From this org
- $0
- From related orgs
- $162,221
- Other
- $15,273
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $0 + $160,241 related
- Bonus
- $0
- Other
- $0 + $1,980 related
- Deferred
- $0 + $4,955 related
- Nontaxable benefits
- $0 + $10,318 related
- Filer's total
- $0 + $177,494 related
-
Daniel O'ConnellDANIEL O'CONNELL
VP OF HEALTH SERVICES
- Total calculated
- $143,709
- From this org
- $129,994
- From related orgs
- $0
- Other
- $13,715
- Hours/week
- 40
-
Bart SteadBART STEAD
VP OF MARKETING
- Total calculated
- $135,482
- From this org
- $119,730
- From related orgs
- $0
- Other
- $15,752
- Hours/week
- 40
-
Ms Loree LinesMS LOREE LINES
SECRETARY
- Total calculated
- $43,545
- From this org
- $0
- From related orgs
- $32,818
- Other
- $10,727
- Hours/week
- 20 + 20 related
-
Dr Mark CostleyDR MARK COSTLEY
CHAIRMAN/DIRECTOR
- Total calculated
- $2,600
- From this org
- $0
- From related orgs
- $2,600
- Other
- $0
- Hours/week
- 1 + 1 related
-
Mr John Brent SingletonMR JOHN BRENT SINGLETON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Ms Rita M NeedhamMS RITA M NEEDHAM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Mr Jerry JaredMR JERRY JARED
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Janice HarrisJANICE HARRIS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Bill JonesBILL JONES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
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
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
- 6a · Pay contingent on this organization's net earnings
- 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
- ESTABLISHMENT OF TOP MANAGEMENT OFFICIAL 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: STEVE EDWARDS, MAX BEUTOW AND TIMOTHY JONES PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS: - STEVE EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $307,491, WHICH WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED A 457(F) CONTRIBUTION OF $172,368 - TIMOTHY JONES RECEIVED A 457(F) CONTRIBUTION OF $53,942
- 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 2022, THERE WERE NO AMOUNTS REQUIRED TO BE REPORTED.
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.
-
COX HEALTH SYSTEMS INSURANCE COMPANY
501(C)(4) · INSURANCE · MO · controlled entity
Directly controlled by COX HMO
-
501(C)(3) · HOSPITAL · MO
Directly controlled by COXHEALTH
-
501(C)3 · FUNDRAISING · MO
Directly controlled by LESTER E COX
-
501(C)3 · HOME HEALTH · MO
Directly controlled by LESTER E COX
-
501(C)3 · HOSPITAL · MO
Directly controlled by LESTER E COX
-
HEALTH ENRICHMENT SERVICES INC
501(C)3 · MED SERVICES · MO
Directly controlled by LESTER E COX
-
HC SVCS OZARKS INC DBA COXHEALTH AT HOME
501(C)(3) · HOME HEALTH · MO
Directly controlled by LESTER E COX
-
501(C)(3) · SUPPORT · MO
Directly controlled by LESTER E COX
-
COX MEDICAL CTR GENPROF LIAB LOSS FUND
501(C)(3) · SELF-INSURANC · MO
Directly controlled by LESTER E COX
-
SKAGGS COMM HOSP ASSOC (COX MC BRANSON)
501(C)(3) · HOSPITAL · MO
Directly controlled by LESTER E COX
-
501(C)(3) · HOLDING COMPA · MO
Directly controlled by NA
-
501(C)(3) · PHYSICIANS · MO
Directly controlled by COXHEALTH
-
501(C)(3) · HEALTHCARE · MO
Directly controlled by COXHEALTH
-
501(C)(3) · HOSPITAL · MO
Directly controlled by COXHEALTH
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 $12,584,234 · assets $16,534,216
Directly controlled by COX HMO
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
MEDICAL DEVELOPMENTS INC
C CORP · PHARMACY · MO
Directly controlled by LESTER E COX
-
INSURANCE COMPANY OF SPRINGFIELD INC
C CORP · CAPTIVE INSUR · CJ
Directly controlled by LESTER E COX
-
COX TAXABLE CLOSE CORPORATION
C CORP · MEDICAL CLINI · MO
Directly controlled by COX MED GROUP
-
FERRELL-DUNCAN CLINIC INC
C CORP · PHYSICIANS · MO
Directly controlled by CTCC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 May 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323199349310327
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