Civic Intelligence

Coxhealth

990 • Fiscal year 2021 • EIN 47-1087427

Oct 01, 2020 to Sep 30, 2021 • Filed on Jun 02, 2022

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

3rd percentile

0.00x

Higher debt load relative to assets than 3% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Liabilities / Revenue

3rd percentile

0.00x

Higher debt load relative to revenue than 3% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Net Margin

12th percentile

0.0%

Higher net margin than 12% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Top Officer Pay

69th percentile

$2,717,716

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Asset Growth

84th percentile

30%

Faster asset growth than 84% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2020 to 2021

Revenue Growth

14th percentile

-2.0%

Faster revenue growth than 14% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2020 to 2021

Assets

Up

$1,262,668,637

Up $292,446,025 (+30%) from 2020

Net Assets

Up

$1,261,713,872

Up $292,446,443 (+30%) from 2020

Liabilities

Down

$954,765

Down $418 (-0.0%) from 2020

Revenue

Down

$192,397,266

Down $4,020,315 (-2.0%) from 2020

Expenses

Down

$192,397,266

Down $4,018,804 (-2.0%) from 2020

Net Income

Down

$0

Down $1,511 (-100%) from 2020

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

2021

Assets$1,262,668,637
Liabilities$954,765
Net Assets$1,261,713,872

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

2021

Revenue$192,397,266
Expenses$192,397,266
Net Income$0
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Jun 2, 2022
Return Version
2020v4.1
Gross Receipts
$192,397,266
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$970,222,612$1,262,668,637▲ $292,446,025
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$0→ $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$970,222,612$1,262,668,637▲ $292,446,025
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$955,183$954,765▼ $418
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$955,183$954,765▼ $418
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$921,544,577$1,212,458,783▲ $290,914,206
Net Assets With Donor Restrictions$47,722,852$49,255,089▲ $1,532,237
Total Net Assets Fund Balance$969,267,429$1,261,713,872▲ $292,446,443
Total Liabilities and Net Assets / Fund Balance$970,222,612$1,262,668,637▲ $292,446,025
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Steve EdwardsPresident and CEOFT$1,186,103$1,531,613$2,717,716
Jacob McwayExecutive VP and CFOFT$659,023$485,976$1,144,999
Charity ElmerExec VP and General CounselFT$497,425$313,818$811,243
Ron PrengerExec VP and COOFT$540,040$135,622$675,662
Staci Rogers NiemothJoc ChairFT$560,300$33,999$594,299
David TaylorCorporate VPFT$316,527$68,400$384,927
Max BuetowExec VP, COOFT$259,237$69,765$329,002
David RaneyVP Coxhealth NetworkFT$278,535$49,205$327,740
Rodney SchafferVP Facilities MgmtFT$254,271$46,785$301,056
Jann HollandVP MarketingFT$254,478$45,309$299,787
Andrew HedgpethVP HrFT$253,903$41,254$295,157
Sarah Abigail CraigmyleVP Corporate ComplianceFT$173,716$9,021$182,737
Vickie NelsonSecretaryFT$68,887$11,406$80,293

Board Members and Trustees

NameTitle
Charles Chuck ChalenderChair of the Board
Robert Fulp1st Vice Chair of the Board
Hal Higdon2nd Vice Chair of the Board
Sally Hargis3rd Vice Chair of the Board
Brad ErwinBoard Member
Brian JaredBoard Member
Carol TaylorBoard Member
David Zolfaghari MdBoard Member
Dennis HeimBoard Member
Howard FiskBoard Member
Howard Jarvis MdBoard Member
Ibrahim Abdalla MdBoard Member
James Gibson MdBoard Member
James HutchesonBoard Member
Jan BaumgartnerBoard Member
Janice HarrisBoard Member
Jefferson TynesBoard Member
Joseph TurnerBoard Member
Julia Flax MdBoard Member
Krystal RussellBoard Member
Kurt HellwegBoard Member
Larry LipscombBoard Member
Patricia Dix MdBoard Member
Phillip LoydBoard Member
Robert McdowellBoard Member
Thomas AunerBoard Member
Timothy CloydBoard Member
Robin RobesonBoard Memeber
Revenue and Support

Revenue Composition

Contributions and Grants
$677,008
Program Service Revenue
$191,416,772
Investment Income
$303,486
Other Revenue
$0
All Other Contributions
$94,175
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$108,830,795
Salaries, Compensation, and Employee Benefits$83,555,721
Grants and Similar Amounts Paid$10,750
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$58,571,871$5,632,767-$64,204,638
Other Salaries and Wages$62,617,531--$62,617,531
Information Technology$20,926,201$2,012,441-$22,938,642
Office Expenses$8,118,908$841,120-$8,960,028
Current Officers, Directors, Trustees, and Key Employees-$8,144,618-$8,144,618
Other Employee Benefits$5,975,995$297,454-$6,273,449
Payroll Taxes$4,214,113$358,691-$4,572,804
Depreciation Depletion$3,221,036$309,762-$3,530,798
Fees for Services Legal-$2,783,060-$2,783,060
Advertising$2,059,346$198,044-$2,257,390
Pension Plan Contributions$1,947,319--$1,947,319
Occupancy$462,839$44,511-$507,350
Insurance$401,935$38,653-$440,588
Fees for Services Accounting-$401,722-$401,722
Travel$201,701$19,397-$221,098
Other Expenses$190,803$18,349-$209,152
Conferences and Meetings$57,207$5,502-$62,709
Interest$28,577$2,748-$31,325
Grants to Domestic Orgs$10,750--$10,750
Total Functional Expenses$171,088,198$21,309,068$0$192,397,266
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Branson Lakes Area Chamber of CommerceBranson, MO501(c)(6)Comm Benefit$5,750
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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$954,765
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
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. Lester e. Cox medical centers, a related organization, files all required w-2's for the health system. The number reported on form 990, part v, line 2a represents the number of w-2's filed on behalf of the organization.

Form 990, Part VI, Section A, Line 2

Business relationships: board members jan baumgartner, larry lipscomb and robert fulp have a business relationship. Board members thomas auner and timothy cloyd have a business relationship. Board members who receive compensation, officers, and key employees are employed by coxhealth and its affiliates and therefore share 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, Line 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 system 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. Jarvis, dix, flax, abdalla, 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
Exec VP and CFO
Phone
4178317283
Signed
2022-06-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Max Buetow
Formed
2013
Legal Domicile
Mo
Voting Board Members
28
Independent Board Members
22
Employees
0
Volunteers
31

Preparer

Firm
Forvis 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, Line 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: $ 292,446,445 change in interest in subsidiary

Form 990 Part IX Line 11G

Description:management services total fees:29318644

Form 990 Part IX Line 11G

Description:equipment services total fees:11429841

Form 990 Part IX Line 11G

Description:collection services total fees:9363820

Form 990 Part IX Line 11G

Description:consulting services total fees:7939384

Form 990 Part IX Line 11G

Description:contract labor total fees:3520984

Form 990 Part IX Line 11G

Description:other professional fees total fees:1312187

Form 990 Part IX Line 11G

Description:billing total fees:533778

Form 990 Part IX Line 11G

Description:medical director fees total fees:532291

Form 990 Part IX Line 11G

Description:medical transcription services total fees:209945

Form 990 Part IX Line 11G

Description:housekeeping services total fees:22278

Form 990 Part IX Line 11G

Description:courier services total fees:9472

Form 990 Part IX Line 11G

Description:outside lab services total fees:7313

Form 990 Part IX Line 11G

Description:professional fees total fees:2601

Form 990 Part IX Line 11G

Description:laundry services total fees:2055

Form 990 Part IX Line 11G

Description:physician renumeration total fees:45

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/TitleTxt0PRESIDENT AND CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt3EXECUTIVE VP AND CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt4EXEC VP AND GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt5EXEC VP AND COO
IRS990/Form990PartVIISectionAGrp/TitleTxt6JOC CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10CORPORATE VP
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt12EXEC VP, COO

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