Civic Intelligence

Coxhealth

990 • Fiscal year 2016 • EIN 47-1087427

Oct 01, 2015 to Sep 30, 2016 • Filed on Apr 24, 2017

1423 N JeffersonSpringfield, MO 65802

(417) 269-3000

Siviq Scores

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

Liabilities / Assets

2nd percentile

0.00x

Higher debt load relative to assets than 2% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

2nd percentile

0.01x

Higher debt load relative to revenue than 2% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

100th percentile

100%

Higher net margin than 100% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

78th percentile

$1,615,862

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 3.3% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

74th percentile

7.3%

Faster asset growth than 74% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

1st percentile

-93%

Faster revenue growth than 1% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Assets

Up

$712,614,000

Up $48,698,097 (+7.3%) from 2015

Net Assets

Up

$712,204,715

Up $48,288,812 (+7.3%) from 2015

Liabilities

Up

$409,285

Up $409,285 from 2015

Revenue

Down

$48,770,120

Down $615,073,760 (-93%) from 2015

Expenses

Flat

$0

Flat from 2015

Net Income

Down

$48,770,120

Down $615,073,760 (-93%) from 2015

Historical Trend

Balance Sheet Trend

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

$2.0B$1.5B$1.0B$500M$0Assets 2014: $1Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $663,915,903Liabilities 2015: $0Net Assets 2015: $663,915,9032015Assets 2016: $712,614,000Liabilities 2016: $409,285Net Assets 2016: $712,204,7152016Assets 2017: $814,303,892Liabilities 2017: $818,605Net Assets 2017: $813,485,2872017Assets 2018: $927,445,492Liabilities 2018: $23,451,123Net Assets 2018: $903,994,3692018Assets 2019: $965,206,797Liabilities 2019: $21,018,970Net Assets 2019: $944,187,8272019Assets 2020: $970,222,612Liabilities 2020: $955,183Net Assets 2020: $969,267,4292020Assets 2021: $1,262,668,637Liabilities 2021: $954,765Net Assets 2021: $1,261,713,8722021Assets 2022: $1,313,528,296Liabilities 2022: $1,419,088Net Assets 2022: $1,312,109,2082022Assets 2023: $1,548,484,472Liabilities 2023: $17,571,288Net Assets 2023: $1,530,913,1842023Assets 2024: $1,768,812,895Liabilities 2024: $24,560,279Net Assets 2024: $1,744,252,6162024

Highlighted filing

2016

Assets$712,614,000
Liabilities$409,285
Net Assets$712,204,715

Operations Trend

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

$800M$600M$400M$200M$0Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $663,843,880Expenses 2015: $0Net Income 2015: $663,843,8802015Revenue 2016: $48,770,120Expenses 2016: $0Net Income 2016: $48,770,1202016Revenue 2017: $101,690,000Expenses 2017: $0Net Income 2017: $101,690,0002017Revenue 2018: $108,751,146Expenses 2018: $18,096,008Net Income 2018: $90,655,1382018Revenue 2019: $62,565,602Expenses 2019: $22,372,144Net Income 2019: $40,193,4582019Revenue 2020: $196,417,581Expenses 2020: $196,416,070Net Income 2020: $1,5112020Revenue 2021: $192,397,266Expenses 2021: $192,397,266Net Income 2021: $02021Revenue 2022: $216,888,008Expenses 2022: $216,888,008Net Income 2022: $02022Revenue 2023: $257,890,305Expenses 2023: $256,068,986Net Income 2023: $1,821,3192023Revenue 2024: $323,117,487Expenses 2024: $322,708,977Net Income 2024: $408,5102024

Highlighted filing

2016

Revenue$48,770,120
Expenses$0
Net Income$48,770,120
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Apr 24, 2017
Return Version
2015v3.0
Gross Receipts
$48,770,120
Mission and Program Overview

Mission

Mission: to improve the health of the communities we serve through quality health care, education and research.

Supporting organization for lester e cox medical centers and cox medical group.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$663,843,880$712,614,000▲ $48,770,120
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
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 Other Securities$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$663,915,903$712,614,000▲ $48,698,097
Other Assets Total$72,023$0▼ $72,023
Liabilities
Other Liabilities$0$409,285▲ $409,285
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$409,285▲ $409,285
Net Assets / Fund Balance
Unrestricted Net Assets$627,308,470$673,862,182▲ $46,553,712
Temporarily Rstr Net Assets$18,338,781$19,562,781▲ $1,224,000
Permanently Rstr Net Assets$18,268,652$18,779,752▲ $511,100
Total Net Assets Fund Balance$663,915,903$712,204,715▲ $48,288,812
Total Liabilities and Net Assets / Fund Balance$663,915,903$712,614,000▲ $48,698,097

Asset Categories

AssetBook ValueDepreciationBasis
Investment Program Related Org$712,614,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Steve EdwardsPresident and CEOFT$936,243$679,619$1,615,862
John Duff MdFormer Sr VP Chief Corp Svcs-$290,268$779,306$1,069,574
Jacob McwaySr VP and CFOFT$543,290$365,825$909,115
Charity ElmerSr VP and General CounselFT$396,518$149,060$545,578
David TaylorVP Support ServicesFT$271,944$66,755$338,699
Rod SchafferVP Facilities ManagementFT$236,846$37,896$274,742
John HurshFormer VP Human Resources-$186,562$47,288$233,850
Bruce RobisonCIOFT$195,671$36,723$232,394
Betty BreshearsVP Corporate ComplianceFT$187,526$34,521$222,047
Kathy RiggerBoard SecretaryPT-$67,287$67,287

Board Members and Trustees

NameTitle
Joseph TurnerChairman of the Board
Timothy Jones DoJoc Chair
Grant Q Haden1st Vice Chairman of the Board
Dennis J Heim2nd Vice Chairman of the Board
Charles T Chalendar3rd Vice Chairman of the Board
Carol TaylorBoard Member
David ManuelBoard Member
David ZolfaghariBoard Member
Hal HigdonBoard Member
Howard FiskBoard Member
Howard Jarvis MdBoard Member
Jack PrimBoard Member
James Gibson MdBoard Member
James HutchesonBoard Member
Janice HarrisBoard Member
Jefferson TynesBoard Member
Jerry JaredBoard Member
Julia Flax MdBoard Member
Kurt HellwegBoard Member
Larry LipscombBoard Member
Mark HaseltineBoard Member
Patricia Dix MdBoard Member
Phillip LoydBoard Member
Pierre Clothiaux MdBoard Member
Robert FulpBoard Member
Robert MahaffeyBoard Member
Robert McdowellBoard Member
Ron PondsBoard Member
Thomas AunerBoard Member
James AndersonVP Marketing-public Affairs
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$48,770,120
Change in Net Assets
$48,770,120

Audited Revenue Reconciliation

Revenue per Audited Statements
$47,035,020
Revenue Not Reported on Financial Statements
$1,735,100
Revenue Not Reported on Form 990
$2,228,655
Other Revenue Adjustments
$1,735,100
Total Revenue per Audited Statements
$49,263,675
Total Revenue per Form 990
$48,770,120
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Form 990$2,709,963
Total Expenses per Audited Statements$2,709,963
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
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
Due to Affiliate$409,285
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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 V, Line 2A & Part VII, Section A, Column D

W-2 compensation: the organization's ceo, cfo, and several corporate key employees receive w-2 compensation issued by lester e. Cox medical centers, a related organization, for their work which is performed mostly for the benefit of coxhealth. This compensation is approved via the coxhealth board, as described in the narrative for part vi, section b, lines 15a & 15b.

Form 990, Part VI, Section A, Line 2

Business relationships: board members jerry jared, joseph turner, and grant haden have a business relationship.

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

990 review policy: 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 prior to filing.

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

Monitoring compliance with 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 the board 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. For vendors, the policy is distributed with their initial contract with coxhealth.

Form 990, Part VI, Section B, Lines 15A & 15B

Compensation review policy: 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 vice president tier 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, Section C, Line 19

Document disclosure: coxhealth makes available its governing documents, conflict of interest policy and financial statements available for all legitimate business purposes as determined by management. In addition, as a continuing disclosure requirement of certain debt covenants the organization provides its audited financial statements and specific quarterly financial information to defined repositories for review by parties or individuals interested in the information.

Form 990, Part VII, Section A

Board member compensation: drs. Clothiaux, dix, flax, gibson and zolfaghari are compensated related to their roles as employees under coxhealth and related affiliates. No board members receive compensation for their duties as board members.

Filing and Contact Details

Filer

Filer Name
Coxhealth
EIN
47-1087427
In Care Of
% JACOB MCWAY
Phone
4172693000
Address
1423 N JEFFERSON, SPRINGFIELD, MO 65802

Signing Officer

Name
Jacob Mcway
Title
Sr VP and CFO
Signed
2017-04-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steve Edwards
Formed
2013
Legal Domicile
Mo
Voting Board Members
28
Independent Board Members
23
Employees
0
Volunteers
31

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Question 6

Number of volunteers: the organization's board of directors is a volunteer board.

Form 990, Part XI, Line 9

Other changes in net assets include the following: $ (481,308) intercompany purchased service transfers

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.

Schedule D, Part XI, Line 2D

Amounts included on line 1, but not on form 990, part viii, line 12: $ 2,228,655 affiliate revenue included in audit total revenue

Schedule D, Part XI, Line 4B

Amounts included on form 990, part viii, line 12, but not on line 1: $ 1,224,000 temporarily restricted change in net assets of subs 511,100 permanently restricted change in net assets of subs ------------- $ 1,735,100

Schedule D, Part XII, Line 2D

Amounts included on line 1, but not on form 990, part ix, line 25: $ 2,709,963 affiliate expenses included in audit total expenses

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IRS990/Form990PartVIISectionAGrp/PersonNm1GRANT Q HADEN
IRS990/Form990PartVIISectionAGrp/PersonNm2JOSEPH TURNER
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IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt11ST VICE CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt2CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt32ND VICE CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt103RD VICE CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt14BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt15BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt16BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt17BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt18BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt19BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt20BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt21BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt22BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt23BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt24BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt25BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt26BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt27BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt28PRESIDENT AND CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt29SR VP AND CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt30BOARD SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt31VP SUPPORT SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt32SR VP AND GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt33JOC CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt34VP FACILITIES MANAGEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt35CIO
IRS990/Form990PartVIISectionAGrp/TitleTxt36VP CORPORATE COMPLIANCE

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