Civic Intelligence

Cox Hps of the Ozarks Inc

EIN 43-1641927 • 501(c)3 • Springfield, MO

Profile

To provide high quality care and set the standards of excellence for those we serve.

2240 W Sunset Suite 104Springfield, MO 65807

coxhealthathome.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

71st percentile

0.46x

Higher debt load relative to assets than 71% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

60th percentile

0.40x

Higher debt load relative to revenue than 60% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

6th percentile

-38%

Higher net margin than 6% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

97th percentile

$1,922,931

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 12.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

2nd percentile

-57%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

2nd percentile

-65%

Faster revenue growth than 2% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$14,061,160

Down $18,369,624 (-57%) from 2023

Liabilities

Down

$6,441,877

Down $11,962,333 (-65%) from 2023

Net Assets

Down

$7,619,283

Down $6,407,291 (-46%) from 2023

Revenue

Down

$16,071,639

Down $30,058,294 (-65%) from 2023

Expenses

Down

$22,201,297

Down $27,946,611 (-56%) from 2023

Net Income

Down

-$6,129,658

Down $2,111,683 (-53%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $17,513,834Liabilities 2010: $2,200,185Net Assets 2010: $15,313,6492010Assets 2011: $17,475,027Liabilities 2011: $1,944,345Net Assets 2011: $15,530,6822011Assets 2012: $18,523,265Liabilities 2012: $2,261,653Net Assets 2012: $16,261,6122012Assets 2013: $18,938,104Liabilities 2013: $1,808,472Net Assets 2013: $17,129,6322013Assets 2014: $19,945,762Liabilities 2014: $1,737,306Net Assets 2014: $18,208,4562014Assets 2015: $20,584,249Liabilities 2015: $2,052,632Net Assets 2015: $18,531,6172015Assets 2016: $22,634,426Liabilities 2016: $2,421,279Net Assets 2016: $20,213,1472016Assets 2017: $24,185,799Liabilities 2017: $2,568,793Net Assets 2017: $21,617,0062017Assets 2018: $24,665,701Liabilities 2018: $2,674,601Net Assets 2018: $21,991,1002018Assets 2019: $25,131,248Liabilities 2019: $3,505,887Net Assets 2019: $21,625,3612019Assets 2020: $44,934,069Liabilities 2020: $14,694,351Net Assets 2020: $30,239,7182020Assets 2021: $39,520,152Liabilities 2021: $12,198,823Net Assets 2021: $27,321,3292021Assets 2022: $36,119,889Liabilities 2022: $16,863,186Net Assets 2022: $19,256,7032022Assets 2023: $32,430,784Liabilities 2023: $18,404,210Net Assets 2023: $14,026,5742023Assets 2024: $14,061,160Liabilities 2024: $6,441,877Net Assets 2024: $7,619,2832024

Highlighted filing

2024

Assets$14,061,160
Liabilities$6,441,877
Net Assets$7,619,283

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $10,517,6722010Expenses 2011: $13,633,5082011Revenue 2012: $15,983,811Expenses 2012: $15,292,721Net Income 2012: $691,0902012Revenue 2013: $19,187,825Expenses 2013: $18,205,274Net Income 2013: $982,5512013Revenue 2014: $21,231,540Expenses 2014: $20,205,161Net Income 2014: $1,026,3792014Revenue 2015: $20,619,776Expenses 2015: $20,286,037Net Income 2015: $333,7392015Revenue 2016: $24,784,240Expenses 2016: $23,161,597Net Income 2016: $1,622,6432016Revenue 2017: $27,939,778Expenses 2017: $26,419,499Net Income 2017: $1,520,2792017Revenue 2018: $33,695,102Expenses 2018: $33,225,157Net Income 2018: $469,9452018Revenue 2019: $37,436,715Expenses 2019: $37,950,464Net Income 2019: -$513,7492019Revenue 2020: $53,198,046Expenses 2020: $58,976,228Net Income 2020: -$5,778,1822020Revenue 2021: $53,397,148Expenses 2021: $55,124,328Net Income 2021: -$1,727,1802021Revenue 2022: $50,211,766Expenses 2022: $56,312,022Net Income 2022: -$6,100,2562022Revenue 2023: $46,129,933Expenses 2023: $50,147,908Net Income 2023: -$4,017,9752023Revenue 2024: $16,071,639Expenses 2024: $22,201,297Net Income 2024: -$6,129,6582024

Highlighted filing

2024

Revenue$16,071,639
Expenses$22,201,297
Net Income-$6,129,658

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$14.1$6.44$7.62$16.1$22.2$6.13
2023Detailed filing. Detailed filing data is available for this year.$32.4$18.4$14.0$46.1$50.1$4.02
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.1$16.9$19.3$50.2$56.3$6.10
2021Detailed filing. Detailed filing data is available for this year.$39.5$12.2$27.3$53.4$55.1$1.73
2020Detailed filing. Detailed filing data is available for this year.$44.9$14.7$30.2$53.2$59.0$5.78
2019Detailed filing. Detailed filing data is available for this year.$25.1$3.51$21.6$37.4$38.0$0.51
2018Detailed filing. Detailed filing data is available for this year.$24.7$2.67$22.0$33.7$33.2$0.47
2017Detailed filing. Detailed filing data is available for this year.$24.2$2.57$21.6$27.9$26.4$1.52
2016Detailed filing. Detailed filing data is available for this year.$22.6$2.42$20.2$24.8$23.2$1.62
2015Detailed filing. Detailed filing data is available for this year.$20.6$2.05$18.5$20.6$20.3$0.33
2014Detailed filing. Detailed filing data is available for this year.$19.9$1.74$18.2$21.2$20.2$1.03
2013Summary only. Only limited summary data is available for this year.$18.9$1.81$17.1$19.2$18.2$0.98
2012Summary only. Only limited summary data is available for this year.$18.5$2.26$16.3$16.0$15.3$0.69
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.5$1.94$15.5$13.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.5$2.20$15.3$10.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$29,190,651
Mission and Program Overview

Mission

To provide high quality care and set the standards of excellence for those we serve.

The organization provides high-tech homecare services that allow patients to receive hospital level of care at home.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$18,557,263$5,725,245▼ $12,832,018
Land, Buildings, and Equipment, Net$3,596,888$3,293,327▼ $303,561
Accounts Receivable$5,069,002$2,863,409▼ $2,205,593
Cash and Non-Interest-Bearing Accounts$2,756,209$1,889,936▼ $866,273
Prepaid Expenses and Deferred Charges$74,334$132,694▲ $58,360
Pledges and Grants Receivable$103,609$103,609→ $0
Inventories for Sale or Use$1,363,458$52,940▼ $1,310,518
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$32,430,784$14,061,160▼ $18,369,624
Other Assets Total$910,021$0▼ $910,021
Liabilities
Other Liabilities$14,677,232$4,200,860▼ $10,476,372
Accounts Payable and Accrued Expenses$3,726,978$2,241,017▼ $1,485,961
Total Liabilities$18,404,210$6,441,877▼ $11,962,333
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$14,018,219$7,610,928▼ $6,407,291
Net Assets With Donor Restrictions$8,355$8,355→ $0
Total Net Assets Fund Balance$14,026,574$7,619,283▼ $6,407,291
Total Liabilities and Net Assets / Fund Balance$32,430,784$14,061,160▼ $18,369,624

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$135,516$7,529,213$7,664,729
Buildings$2,658,977$1,419,422$4,078,399
Land$497,334-$497,334
Leasehold Improvements$1,500$2,787$4,287
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Johnathan HathcockPhysical TherapistFT$188,292$10,442$198,734
Aileen CabasiPhysical TherapistFT$130,620$44,224$174,844
Kimberly SiskAdmin Director Clinical ServicesFT$146,164$28,670$174,834
Christina SkoubyPhysical TherapistFT$131,273$34,176$165,449
Shallina GoodnightExecutive DirectorFT$137,174$12,694$149,868
Vickie J NelsonSecretary--$91,788$91,788

Board Members and Trustees

NameTitle
Hal L HigdonChair
Steve EdwardsFormer President & CEO
James R FarmerPresident
Max D BuetowPresident & CEO
Brad E ErwinBoard Member
Jefferson M TynesBoard Member
Larry W LipscombBoard Member
Robert C FulpBoard Member
Sally HargisBoard Member
Jacob M McwayEvp, Coxhealth CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$4,756
Program Service Revenue
$16,030,807
Investment Income
$36,076
Other Revenue
$0
All Other Contributions
$4,756
Change in Net Assets
$-6,129,658
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$18,374,889
Other Expenses$3,826,129
Grants and Similar Amounts Paid$279
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,708,486$2,487,250-$14,195,736
Other Employee Benefits$2,479,211$526,662-$3,005,873
Fees for Services Other$965,077$233,539$0$1,198,616
Payroll Taxes$879,463$186,825-$1,066,288
Office Expenses$581,455$150,653-$732,108
Insurance$518,665$125,512-$644,177
Travel$270,550$65,470-$336,020
Information Technology$180,632$43,711-$224,343
Occupancy$158,649$38,391-$197,040
Depreciation Depletion$148,297$35,886-$184,183
All Other Expenses$106,524$25,778$0$132,302
Pension Plan Contributions$88,246$18,746-$106,992
Fees for Services Accounting-$24,840-$24,840
Advertising$19,693$4,766-$24,459
Conferences and Meetings$11,520$2,788-$14,308
Other Expenses$13,048$7,213-$13,048
Fees for Service Investment Mgmnt Fees$1,275$308-$1,583
Grants to Domestic Orgs$279--$279
Total Functional Expenses$18,210,863$3,990,434$0$22,201,297
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$2,219,440
Other Liabilites$1,684,602
Est Self Insurance Costs$296,818
Fema Reconciliation Reserve-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

OFFICERS AND KEY EMPLOYEES ARE EMPLOYED BY COXHEALTH AND ITS AFFILIATES AND THEREFORE SHARE A - Business relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

Per article ii, section i of the organization's bylaws, the corporation shall have one class of members who shall be the coxhealth governing board members. In addition, the hps board is comprised of and chosen by the coxhealth board and members of coxhealth top management.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Lester e. Cox medical centers (coxhealth) board of directors has election power over the healthcare services of the ozarks, inc. Board. Also, the bylaws state that any repeal or amendment of the bylaws require an affirmative vote of the member (lester e. Cox medical centers

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, form 990 is first reviewed by members of top management. Once they have approved the draft, a final copy is provided to the board of directors through the online board portal.

Form 990, Part VI, Line 12C Conflict of interest policy

Coxhealth 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 coxhealth 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.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

Coxhealth 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 senior vice president and vice president tiers 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 19 Required documents available to the public

Governing documents, conflict of interest policy and financial statements are made available upon written request for a legitimate business purpose (as determined by top management). All requested documents will be mailed.

Filing and Contact Details

Filer

Filer Name
Cox Hps of the Ozarks Inc
EIN
43-1641927
Phone
4172690650
Address
2240 W SUNSET SUITE 104, SPRINGFIELD, MO 65807
Doing Business As
Coxhealth at Home

Signing Officer

Name
David Raney
Title
Vice President
Phone
4172690650
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
1993
Legal Domicile
Mo
Voting Board Members
6
Independent Board Members
5
Employees
536
Volunteers
37

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Brian Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A PROGRAM SERVICE ACCOMPLISHMENTS

Home parenteral services works with various organizations to provide charity care to the community, including the medicaid population. Services are often donated to individuals, including medicaid recipients, unable to pay for treatment and supplies in springfield and surrounding areas.

Form 990, Part III, Line 3 Significant changes in program services

Cox hps of the ozarks, inc. Transferred ownership of its specialty/home infusion pharmacy to lester e cox medical centers effective 11/1/2023.

Form 990, Part V, Line 2A W-2 COMPENSATION

The organization's president receives w-2 compensation through lester e. Cox medical centers, a related organization, for their work which is performed mostly for the benefit of cox hps of the ozarks, inc. This compensation is approved via the coxhealth board, as described in the narrative for part vi, section b, line 15a.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Unrealized Gains & Losses - -243720;

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

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IRS990/Form990PartVIISectionAGrp/PersonNm14Shallina Goodnight
IRS990/Form990PartVIISectionAGrp/PersonNm15STEVE EDWARDS
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IRS990/Form990PartVIISectionAGrp/TitleTxt12Physical Therapist
IRS990/Form990PartVIISectionAGrp/TitleTxt13Admin Director Clinical Services
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