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Nonprofiteer
← COX HEALTH SYSTEMS INSURANCE COMPANY

Form 990 for tax year 2024

Filed by COX HEALTH SYSTEMS INSURANCE COMPANY.

Totals

Total revenue
$211,831,984
Total expenses
$216,784,417
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$209,541,597
Investment income
$2,290,387
Other revenue
$0
Total assets, end of year
$62,784,214
Total liabilities, end of year
$38,356,941
Net assets or fund balances, end of year
$24,427,273
Program services expenses (Part IX)
$204,753,697
Management and general expenses
$12,030,720
Fundraising expenses
$0
Program service expenses (Part III)
$204,753,697

Program services were 94.5% 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: PREMIUM INCOME

    total $209,541,597 · related or exempt $209,541,597

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $2,435,783 · excluded $2,435,783

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $16,984,946

  • 7b · Less cost or other basis and sales expenses

    securities $17,130,342

  • 7c · Gain or loss

    securities -$145,396 · other assets $0

  • 7d · Net gain or loss

    total -$145,396 · excluded -$145,396

  • 8c · Net income from fundraising events

    total $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.

  • 4 · Benefits paid to or for members

    total $197,723,797 · program services $197,723,797

  • 11a · Fees: management

    total $11,940,812 · management and general $11,940,812

  • 11g · Fees: other

    total $5,419,373 · program services $5,419,373 · management and general $0 · fundraising $0

  • 20 · Interest

    total $89,908 · management and general $89,908

  • 24a · Other expenses: PREMIUM TAX

    total $1,522,048 · program services $1,522,048

  • 24b · Other expenses: PCORI FEE

    total $88,234 · program services $88,234

  • 24e · All other expenses

    total $245 · program services $245 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $27,058 · end of year $27,058

  • 2 · Savings and temporary cash investments

    beginning of year $25,477,644 · end of year $26,457,857

  • 4 · Accounts receivable

    beginning of year $6,062,665 · end of year $8,765,379

  • 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

  • 11 · Investments: publicly traded securities

    beginning of year $26,441,801 · end of year $27,533,920

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $668,657 · end of year $1,697,437

  • 19 · Deferred revenue

    beginning of year $3,453,564 · end of year $4,022,628

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $24,819,513 · end of year $32,636,876

  • 29 · Capital stock, trust principal or current funds

    beginning of year $800,000 · end of year $800,000

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $39,189,682 · end of year $39,189,682

  • 31 · Retained earnings, endowment or other funds

    beginning of year -$10,922,248 · end of year -$15,562,409

Mission and programs · 2024

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 PEOPLE OF THE COMMUNITY BY PROVIDING LOW-COST, HIGH-QUALITY HEALTH PLANS TO AN UNDERSERVED POPULATION.

  • THE COMPANY (CHSIC) PROVIDES GROUP AND INDIVIDUAL HEALTH INSURANCE POLICIES. IT HAS BEEN ARRANGING HEALTH CARE SERVICES THROUGH THE OPERATION OF HEALTH PLANS SINCE ITS INCEPTION IN 1994. CHSIC SERVES APPROXIMATELY 34,000 PEOPLE ACROSS THE STATE OF MISSOURI AND MOST ARE IN ITS PRIMARY SERVICE AREA, WHICH CONSISTS OF THE 26 COUNTIES IN SOUTHWEST MISSOURI. CHSIC'S HEALTH PLANS ARE EPO AND PPO PLANS, AND THEY PROVIDE A COMMUNITY BENEFIT DUE TO THEIR LOW COST, THEIR AVAILABILITY TO ALL IN THE COMMUNITY AND THEIR ROLE IN COX HEALTH SYSTEM'S IMPROVING OF THE HEALTH OF THE COMMUNITY.

    Expenses $204,753,697 · Revenue $209,541,597

As filed on the 2024 return.

Listed in Part VII

  • Mark Clifford Costley

    Chairman/Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Matt Aug

    Chief Executive Officer

    Total calculated
    $453,788
    From this org
    $0
    From related orgs
    $428,105
    Other
    $25,683
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $365,390 related
    Bonus
    $0 + $56,034 related
    Other
    $0 + $6,681 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $8,433 related
    Filer's total
    $0 + $453,788 related

  • Max D Buetow

    VICE CHAIR/ DIRECTOR

    Total calculated
    $1,999,735
    From this org
    $0
    From related orgs
    $1,641,774
    Other
    $357,961
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,154,105 related
    Bonus
    $0 + $454,236 related
    Other
    $0 + $33,433 related
    Deferred
    $0 + $341,470 related
    Nontaxable benefits
    $0 + $16,491 related
    Filer's total
    $0 + $1,999,735 related

  • Bill W Jones

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Bryan A Finke

    DIRECTOR

    Total calculated
    $593,091
    From this org
    $0
    From related orgs
    $577,085
    Other
    $16,006
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $560,780 related
    Bonus
    $0 + $16,305 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $16,006 related
    Filer's total
    $0 + $593,091 related

  • Gregory S Snyder

    Director- Begin 7/24

    Total calculated
    $0
    Hours/week
    1 + 1 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- End 1/24

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Rita M Needham

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Timothy L Jones

    DIRECTOR

    Total calculated
    $899,012
    From this org
    $0
    From related orgs
    $841,813
    Other
    $57,199
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $631,973 related
    Bonus
    $0 + $167,625 related
    Other
    $0 + $42,215 related
    Deferred
    $0 + $40,250 related
    Nontaxable benefits
    $0 + $16,949 related
    Filer's total
    $0 + $899,012 related

  • Jaimie Corder

    Secretary

    Total calculated
    $40,614
    From this org
    $0
    From related orgs
    $33,635
    Other
    $6,979
    Hours/week
    1 + 1 related

  • Jennifer Henderson

    Chief Financial Officer

    Total calculated
    $158,727
    From this org
    $0
    From related orgs
    $138,895
    Other
    $19,832
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $130,649 related
    Bonus
    $0 + $7,980 related
    Other
    $0 + $266 related
    Deferred
    $0 + $7,215 related
    Nontaxable benefits
    $0 + $12,617 related
    Filer's total
    $0 + $158,727 related

  • Susan Sanchez Butts

    Chief Information Officer

    Total calculated
    $201,451
    From this org
    $0
    From related orgs
    $185,011
    Other
    $16,440
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $170,423 related
    Bonus
    $0 + $12,608 related
    Other
    $0 + $1,980 related
    Deferred
    $0 + $8,111 related
    Nontaxable benefits
    $0 + $8,329 related
    Filer's total
    $0 + $201,451 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 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: -MAX BUETOW RECEIVED A 457(F) DISTRIBUTION OF $24,951 -TIMOTHY JONES RECEIVED A 457(F) DISTRIBUTION OF $41,525 BOTH DISTRIBUTIONS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED A 457(F) CONTRIBUTION OF $302,625 - TIMOTHY JONES RECEIVED A 457(F) CONTRIBUTION OF $95,261
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.

Related corporations and trusts

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

  • INSURANCE COMPANY OF SPRINGFIELD INC

    C Corporation · CAPTIVE INSURANCE · CJ

    Directly controlled by LESTER E COX

  • COX TAXABLE CLOSE CORPORATION

    C Corporation · MEDICAL CLINIC · MO

    Directly controlled by COX MED GROUP

  • FERRELL-DUNCAN CLINIC INC

    C Corporation · PHYSICIANS · MO

    Directly controlled by CTCC

Provenance

Return type
form_990
Tax year
2024
Filed
31 October 2025
IRS schema version
2024v5.1
Source object
202533049349300438

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