Civic Intelligence

Cox Health Systems Hmo Inc

990 • Fiscal year 2015 • EIN 43-1757075

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 15, 2016

Organization ProfileWWW.COXHEALTHPLANS.COM
PO Box 5750Springfield, MO 65801

(417) 269-2900

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

22nd percentile

0.06x

Higher debt load relative to assets than 22% of similar nonprofits.

2015 filings • 501(c)4 • $25M-$50M nonprofits • Source year 2015

Liabilities / Revenue

27th percentile

0.12x

Higher debt load relative to revenue than 27% of similar nonprofits.

2015 filings • 501(c)4 • $25M-$50M nonprofits • Source year 2015

Net Margin

76th percentile

23%

Higher net margin than 76% of similar nonprofits.

2015 filings • 501(c)4 • $25M-$50M nonprofits • Source year 2015

Top Officer Pay

98th percentile

$1,615,862

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 11.3% of source-year revenue.

2015 filings • $25M-$50M nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Balance Sheet
Liabilities / Assets22nd percentile

Assets

$31,495,025

No earlier filing loaded for comparison.

Net Assets

$29,736,203

No earlier filing loaded for comparison.

Liabilities

$1,758,822

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue27th percentileNet Margin76th percentile

Revenue

$14,273,719

No earlier filing loaded for comparison.

Expenses

$11,031,823

No earlier filing loaded for comparison.

Net Income

$3,241,896

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80M$60M$40M$20M$0Assets 2015: $31,495,025Liabilities 2015: $1,758,822Net Assets 2015: $29,736,2032015Assets 2016: $29,821,851Liabilities 2016: $1,708,742Net Assets 2016: $28,113,1092016Assets 2017: $26,717,827Liabilities 2017: $4,689,756Net Assets 2017: $22,028,0712017Assets 2018: $24,147,687Liabilities 2018: $1,527,601Net Assets 2018: $22,620,0862018Assets 2019: $27,531,072Liabilities 2019: $1,371,694Net Assets 2019: $26,159,3782019Assets 2020: $38,030,084Liabilities 2020: $4,075,083Net Assets 2020: $33,955,0012020Assets 2021: $37,618,692Liabilities 2021: $2,491,837Net Assets 2021: $35,126,8552021Assets 2022: $44,488,230Liabilities 2022: $9,393,707Net Assets 2022: $35,094,5232022Assets 2023: $60,085,046Liabilities 2023: $15,054,692Net Assets 2023: $45,030,3542023Assets 2024: $63,956,103Liabilities 2024: $14,998,507Net Assets 2024: $48,957,5962024

Highlighted filing

2015

Assets$31,495,025
Liabilities$1,758,822
Net Assets$29,736,203
Open 2015 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$80M$60M$40M$20M$0Revenue 2015: $14,273,719Expenses 2015: $11,031,823Net Income 2015: $3,241,8962015Revenue 2016: $13,463,453Expenses 2016: $9,334,304Net Income 2016: $4,129,1492016Revenue 2017: $14,199,068Expenses 2017: $9,678,548Net Income 2017: $4,520,5202017Revenue 2018: $14,377,297Expenses 2018: $8,904,001Net Income 2018: $5,473,2962018Revenue 2019: $12,281,314Expenses 2019: $9,106,257Net Income 2019: $3,175,0572019Revenue 2020: $13,048,850Expenses 2020: $9,132,065Net Income 2020: $3,916,7852020Revenue 2021: $12,571,299Expenses 2021: $9,986,839Net Income 2021: $2,584,4602021Revenue 2022: $12,608,683Expenses 2022: $11,084,783Net Income 2022: $1,523,9002022Revenue 2023: $57,413,695Expenses 2023: $56,528,810Net Income 2023: $884,8852023Revenue 2024: $60,268,895Expenses 2024: $58,186,333Net Income 2024: $2,082,5622024

Highlighted filing

2015

Revenue$14,273,719
Expenses$11,031,823
Net Income$3,241,896
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 15, 2016
Return Version
2015v2.1
Gross Receipts
$14,273,719
Mission and Program Overview

Mission

To support health improvement in the communities we serve by offering competitive insurance products based on quality outcomes and evidenced based healthcare.

Engaged in promoting the common good and general welfare of the community by providing a low-cost, high-quality hmo option to all individuals, including an underserved population.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pd in Cap Srpls Land Bldg Eqp Fund$1,356,113$20,605,010▲ $19,248,897
Investments Other Securities$14,634,340$17,498,070▲ $2,863,730
Cap Stk Tr Prin Current Funds$13,421,532$14,063,160▲ $641,628
Cash and Non-Interest-Bearing Accounts$6,940,857$5,659,068▼ $1,281,789
Savings and Temporary Cash Investments$4,568,275$5,568,674▲ $1,000,399
Accounts Receivable$1,361,885$1,651,895▲ $290,010
Land, Buildings, and Equipment, Net$589,279$588,035▼ $1,244
Prepaid Expenses and Deferred Charges$528,058$529,283▲ $1,225
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$11,980,440$-4,931,967▼ $16,912,407
Total Assets$28,622,694$31,495,025▲ $2,872,331
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$1,381,914$1,536,644▲ $154,730
Other Liabilities$414,928$221,739▼ $193,189
Deferred Revenue$67,767$439▼ $67,328
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,864,609$1,758,822▼ $105,787
Net Assets / Fund Balance
Total Net Assets Fund Balance$26,758,085$29,736,203▲ $2,978,118
Total Liabilities and Net Assets / Fund Balance$28,622,694$31,495,025▲ $2,872,331

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$448,832$6,774,010$7,222,842
Leasehold Improvements$139,203-$139,203
Other Securities$17,498,070--
Compensation and Service Providers
Top Officer Pay98th percentile

Employees

NameTitleFull / Part TimeOtherTotal
Susan ButtsChief Information OfficerPT$139,316$139,316
DANIEL O'CONNELLDirector of Medical ManagementPT$109,102$109,102

Board Members and Trustees

NameTitle
Dr Mark CostleyChairman/director
Mr Steven D EdwardsVice Chairman/director
Dr James H CeaserDirector
Mr Chris W NattingerDirector
Mr Jerry G JaredDirector
Mr Joseph W TurnerDirector
Mr Kenneth E MeyerDirector
Mr Larry SchmittDirector
Ms Rita M NeedhamDirector
Matthew AugChief Executive Officer
John D GambleChief Financial Officer
Jeff BondRetired CEO

Highest Paid Contractors

ContractorServicesLocationCompensation
Trizetto Group INCHealthcare It Svc12250 WEBER HILL ROAD SUITE 100, St Louis, MO 63127$409,549
CatamaranPharmacy Services1600 MCCONNOR PARKWAY FLOOR 1, Schaumburg, IL 60173$379,601
Ozark Mailing Service LLCMailing2804 NORTH OAK GROVE AVENUE, Springfield, MO 65803$251,143
MillimanConsulting500 NORTH BROADWAY SUITE 1750, St Louis, MO 63102$232,643
Ernst Young US LLPTax Consulting190 CARONDELET PLAZA DRIVE, St Louis, MO 63105$171,385
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$14,243,941
Investment Income
$29,778
Other Revenue
$0
Change in Net Assets
$3,241,896

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,271,696
Revenue Not Reported on Financial Statements
$2,023
Other Revenue Adjustments
$2,023
Total Revenue per Audited Statements
$14,271,696
Total Revenue per Form 990
$14,273,719
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,105,229
Other Expenses$4,607,581
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,153,367$788,342-$3,941,709
Benefits to Members$1,319,013--$1,319,013
Other Employee Benefits$930,816$232,704-$1,163,520
Information Technology$824,401$206,100-$1,030,501
Fees for Services Other$52,131$629,216-$681,347
Office Expenses$483,848$120,962-$604,810
Insurance$319,035$79,759-$398,794
Fees for Services Accounting-$375,724-$375,724
Depreciation Depletion$294,730$73,682-$368,412
Occupancy$288,471$72,118-$360,589
Advertising$128,910$32,228-$161,138
All Other Expenses$44,298$11,074-$55,372
Fees for Services Legal-$53,084-$53,084
Travel$32,602$8,150-$40,752
Conferences and Meetings$6,605$1,651-$8,256
Other Expenses$1,704$426-$2,130
Interest-$2,059-$2,059
Total Functional Expenses$8,342,979$2,688,844$0$11,031,823

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$11,031,823
Expenses per Audited Statements$11,029,800
Total Expenses per Audited Statements$11,029,800
Expenses Not Reported on Financial Statements$2,023
Other Expense Adjustments$2,023
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
Subject to proxy tax
No
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
Claims and Claims Payable$221,739
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“2000 shares class h common stock - one member which is cox health systems”

Form 990, Part VI, Section B, Line 11B

“The form 990 is provided to the director of accounting and cfo for a detailed review. The form information is cross-checked with company financial records to ensure accuracy. A copy is also provided to the ceo and governing body for review prior to filing.”

Form 990, Part VI, Section B, Line 12C

“All officers and board members are required annually to review and sign conflict of interest disclosures.”

Form 990, Part VI, Section B, Line 15A

“Reviewed by the cfo of cox health systems annually. Form 990, part vi, section b, line 15b reviewed by the president of cox healthplans annually.”

Form 990, Part VI, Section C, Line 18

“These documents will be available upon request.”

Form 990, Part VI, Section C, Line 19

“Cox health systems hmo's governing documents and conflict of interest policy are available for public inspection as an attachment to the application for recognition of exemption.”

Filing and Contact Details

Filer

Filer Name
Cox Health Systems Hmo Inc
EIN
43-1757075
In Care Of
% LISA ODOM CFO
Phone
4172692900
Address
PO BOX 5750, SPRINGFIELD, MO 65801

Signing Officer

Name
Matthew Aug
Title
President
Phone
4172693000
Signed
2016-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Aug
Formed
1996
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
6
Employees
0
Volunteers
6

Preparer

Firm
Bkd Llp
Address
200 E Main St Suite 700, Fort Wayne, IN 46802
Preparer
Joyce A Dulworth
Phone
2604604000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

“Insured lives with hmo plans were transferred throughout the year upon contract renewal to chsic plans to close down the hmo plans. As of 1/1/16 all remaining members with hmo plans were transferred to new plans in chsic.”

Form 990, Part X

“Effective January 1, 2015, the Company elected 501(c) nonprofit tax-exempt status. The balance sheet is being presented with the amounts that would have been entered on the 2014 Form 990 according to the IRS instructions.”

Form 990, Part XI, Line 9

“Issuance of shares $ 641,628 changes in deferred taxes $ (5,731) changes in nonadmitted assets $(949,217) changes in equity of affiliates $ 628,276 dividends paid $(114,586) difference in elimination entries $(464,148) total $(263,778)”

Financial Statement Notes

Asc 740 Footnote

“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.”

Part XI, Line 4B

“INTEREST EXPENSE $ 2,023”

Part XII, Line 4B

“INTEREST EXPENSE $ 2,023”

Raw XML AppendixShowing 400 of 1,009 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0COX HMO'S PRIMARY ACTIVITY HAS BEEN ARRANGING HEALTH CARE SERVICES THROUGH THE OPERATION OF AN HMO SINCE 1997. COX HMO HAS SERVED UP TO 400 PEOPLE IN ITS SERVICE AREA WHICH CONSISTS OF 26 COUNTIES IN THE STATE OF MISSOURI. COX HMO IS NO LONGER WRITING BUSINESS AND ALL ACTIVITIES AND PLAN OFFERINGS WILL BE CONDUCTED OUT OF THE RELATED COMPANY, COX HEALTH SYSTEMS INSURANCE COMPANY (CHSIC). AS OF DECEMBER 2015, MEMBERSHIP CONSISTED OF 88 PEOPLE.
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IRS990/Form990PartVIISectionAGrp/PersonNm1DR JAMES H CEASER
IRS990/Form990PartVIISectionAGrp/PersonNm2DR MARK COSTLEY
IRS990/Form990PartVIISectionAGrp/PersonNm3MS RITA M NEEDHAM
IRS990/Form990PartVIISectionAGrp/PersonNm4MR JOSEPH W TURNER
IRS990/Form990PartVIISectionAGrp/PersonNm5MR JERRY G JARED
IRS990/Form990PartVIISectionAGrp/PersonNm6MR KENNETH E MEYER
IRS990/Form990PartVIISectionAGrp/PersonNm7MR CHRIS W NATTINGER
IRS990/Form990PartVIISectionAGrp/PersonNm8MR LARRY SCHMITT
IRS990/Form990PartVIISectionAGrp/PersonNm9MATTHEW AUG
IRS990/Form990PartVIISectionAGrp/PersonNm10JOHN D GAMBLE
IRS990/Form990PartVIISectionAGrp/PersonNm11SUSAN BUTTS
IRS990/Form990PartVIISectionAGrp/PersonNm12DANIEL O'CONNELL
IRS990/Form990PartVIISectionAGrp/PersonNm13JEFF BOND
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IRS990/Form990PartVIISectionAGrp/TitleTxt0VICE CHAIRMAN/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2CHAIRMAN/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt10CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt11CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR OF MEDICAL MANAGEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt13RETIRED CEO
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IRS990/MembersOrStockholdersInd0true
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IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO SUPPORT HEALTH IMPROVEMENT IN THE COMMUNITIES WE SERVE BY OFFERING COMPETITIVE INSURANCE PRODUCTS BASED ON QUALITY OUTCOMES AND EVIDENCED BASED HEALTHCARE.
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IRS990/OccupancyGrp/ProgramServicesAmt0288471
IRS990/OccupancyGrp/TotalAmt0360589
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IRS990/OfficeExpensesGrp/ProgramServicesAmt0483848
IRS990/OfficeExpensesGrp/TotalAmt0604810
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IRS990/OperateHospitalInd0false
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IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0930816
IRS990/OtherEmployeeBenefitsGrp/TotalAmt01163520
IRS990/OtherExpensesGrp/Desc0FEDERAL INCOME TAXES
IRS990/OtherExpensesGrp/Desc1OTHER EXPENSES
IRS990/OtherExpensesGrp/Desc2PROPERTY TAXES
IRS990/OtherExpensesGrp/Desc3SALES TAXES
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1426
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IRS990/OtherExpensesGrp/ProgramServicesAmt11406
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IRS990/OtherExpensesGrp/TotalAmt27827
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt112525630
IRS990/ProgSrvcAccomActy2Grp/Desc0COX 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.
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IRS990/ProgSrvcAccomActy3Grp/Desc0COX 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 12,500 MEMBERS INCLUDING EMPLOYEES AND DEPENDENTS.
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Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$31,495,025
Liabilities
$1,758,822
Net assets
$29,736,203
Revenue
$14,273,719
Expenses
$11,031,823
Net income
$3,241,896
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$64.0$15.0$49.0$60.3$58.2$2.08
2023Detailed filing. Detailed filing data is available for this year.$60.1$15.1$45.0$57.4$56.5$0.88
2022Detailed filing. Detailed filing data is available for this year.$44.5$9.39$35.1$12.6$11.1$1.52
2021Detailed filing. Detailed filing data is available for this year.$37.6$2.49$35.1$12.6$9.99$2.58
2020Detailed filing. Detailed filing data is available for this year.$38.0$4.08$34.0$13.0$9.13$3.92
2019Detailed filing. Detailed filing data is available for this year.$27.5$1.37$26.2$12.3$9.11$3.18
2018Detailed filing. Detailed filing data is available for this year.$24.1$1.53$22.6$14.4$8.90$5.47
2017Detailed filing. Detailed filing data is available for this year.$26.7$4.69$22.0$14.2$9.68$4.52
2016Detailed filing. Detailed filing data is available for this year.$29.8$1.71$28.1$13.5$9.33$4.13
2015Detailed filing. Detailed filing data is available for this year.$31.5$1.76$29.7$14.3$11.0$3.24