Civic Intelligence

Cox Medical Group

990 • Fiscal year 2017 • EIN 47-1087566

Oct 01, 2016 to Sep 30, 2017 • Filed on Jan 18, 2018

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

98th percentile

1.77x

Higher debt load relative to assets than 98% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2017

Net Margin

100th percentile

100%

Higher net margin than 100% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

100th percentile

$1,809,435

Higher top officer pay than 100% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

4th percentile

-26%

Faster asset growth than 4% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2016 to 2017

Assets

Flat

$1,159,004

Flat from 2017

Net Assets

Flat

-$892,804

Flat from 2017

Liabilities

Flat

$2,051,808

Flat from 2017

Revenue

Flat

-$404,447

Flat from 2017

Expenses

Flat

$0

Flat from 2017

Net Income

Flat

-$404,447

Flat from 2017

Historical Trend

Balance Sheet Trend

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

$10M$5.0M$0-$5.0M-$10MAssets 2015: $1,593,765Liabilities 2015: $1,751,751Net Assets 2015: -$157,9862015Assets 2016: $1,563,452Liabilities 2016: $1,708,261Net Assets 2016: -$144,8092016Assets 2017: $1,159,004Liabilities 2017: $2,051,808Net Assets 2017: -$892,8042017Assets 2017: $1,159,004Liabilities 2017: $2,051,808Net Assets 2017: -$892,8042017Assets 2018: $0Liabilities 2018: $2,410,030Net Assets 2018: -$2,410,0302018Assets 2019: $0Liabilities 2019: $2,996,946Net Assets 2019: -$2,996,9462019Assets 2020: $0Liabilities 2020: $3,873,885Net Assets 2020: -$3,873,8852020Assets 2021: $0Liabilities 2021: $4,673,589Net Assets 2021: -$4,673,5892021Assets 2022: $0Liabilities 2022: $5,747,388Net Assets 2022: -$5,747,3882022Assets 2023: $0Liabilities 2023: $6,969,525Net Assets 2023: -$6,969,5252023Assets 2024: $0Liabilities 2024: $7,989,732Net Assets 2024: -$7,989,7322024

Highlighted filing

2017

Assets$1,159,004
Liabilities$2,051,808
Net Assets-$892,804

Operations Trend

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

$500K$0-$500K-$1.0M-$1.5MRevenue 2015: $121,955Expenses 2015: $0Net Income 2015: $121,9552015Revenue 2016: $356,765Expenses 2016: $0Net Income 2016: $356,7652016Revenue 2017: -$404,447Expenses 2017: $0Net Income 2017: -$404,4472017Revenue 2017: -$404,447Expenses 2017: $0Net Income 2017: -$404,4472017Revenue 2018: -$1,161,226Expenses 2018: $0Net Income 2018: -$1,161,2262018Revenue 2019: -$243,707Expenses 2019: $0Net Income 2019: -$243,7072019Revenue 2020: -$320,609Expenses 2020: $0Net Income 2020: -$320,6092020Revenue 2021: -$59,217Expenses 2021: $0Net Income 2021: -$59,2172021Revenue 2022: -$164,117Expenses 2022: $0Net Income 2022: -$164,1172022Revenue 2023: $0Expenses 2023: $314,224Net Income 2023: -$314,2242023Revenue 2024: $0Expenses 2024: $383,733Net Income 2024: -$383,7332024

Highlighted filing

2017

Revenue-$404,447
Expenses$0
Net Income-$404,447
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Jan 18, 2018
Return Version
2016v3.1
Gross Receipts
$0
Mission and Program Overview

Mission

NONE

To provide high quality, cost effective medical care and other health care and health education services to the community. See schedule o for additional information.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$1,563,452$1,159,004▼ $404,448
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$1,563,452$1,159,004▼ $404,448
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$1,708,261$2,051,808▲ $343,547
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$1,708,261$2,051,808▲ $343,547
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-144,809$-892,804▼ $747,995
Total Net Assets Fund Balance$-144,809$-892,804▼ $747,995
Total Liabilities and Net Assets / Fund Balance$1,563,452$1,159,004▼ $404,448

Asset Categories

AssetBook ValueDepreciationBasis
Investment Program Related Org$1,159,004--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Damaris CrowSecretary$65,259$65,259

Board Members and Trustees

NameTitle
Mary Duff MdChair
James Ceaser MdPresident
Mark Entrup DoVice-chair
Brian Clonts MdDirector
Carl Price MdDirector
David Zolfaghari MdDirector
Howard JarvisDirector
Jeffrey Fenwick MdDirector
Louis Krenn MdDirector
Rachelle Derrough MdDirector
Ron PrengerDirector
Shannon Kelly MdDirector
Steve EdwardsDirector/coxhealth CEO
Jacob McwayCoxhealth CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$-404,447
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-404,447
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
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 Affiliates$2,051,808
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
No
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, Section A, Line 2

BUSINESS RELATIONSHIP: Board members who receive compensation and officers are employed by coxhealth and its affiliates and therefore share a business relationship. MARY DUFF, CARL PRICE AND DAVID ZOLFAGHARI ARE ALL MEMBERS OF FERRELL DUNCAN BUILDING COMPANY.

Form 990, Part VI, Section A, Lines 6, 7A, and 7B

Members, stockholders, or other persons: per the cox medical group bylaws, coxhealth is the sole member of the organization. The following corporate powers and responsibilities shall be solely and specifically reserved to the member; (a) to establish and change the business purposes, mission, vision or values of cmg including cmg's charity care treatment policies, conflict of interest policies, and policies regarding participation in governmental programs; (b) to approve amendments to the articles of incorporation of cmg as provided therein; (c) to approve amendments to the bylaws of cmg; (d) to approve the adoption of and any revision to the charters for all committees established by the board; (e) to appoint and remove the interim directors of cmg, officers of the cmg interim board, and the interim officers of cmg; (f) to appoint and remove the directors of cmg and the officers of cmg and the cmg board provided, however, that the removal of a physician director of cmg must be approved by a majority of the unaffected physician directors unless the physician director has been accused of a crime involving moral turpitude (e.g. Theft, fraud, embezzlement, or similar crime of dishonesty), a felony or has acted in any other manner that the member determines in its sole good faith discretion warrants the physician director's removal from the cmg board in which case majority approval from the unaffected physician directors shall not be required; (g) to appoint a president of cmg, provided, however, that such appointment must be approved by a majority of the physician directors of cmg; (h) to remove the president of cmg after consultation with the cmg board and receiving a non-binding recommendation from the physician directors of cmg with the understanding that member has no obligation to follow the recommendation; (i) to appoint the auditor and the corporate counsel for cmg and its controlled subsidiaries or remotely controlled subsidiaries; (j) to establish centralized employee benefit, insurance, investment, financing, marketing, legal, corporate compliance, performance assessment and improvement and other operational and support programs; to require the participation of cmg in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of cmg; (k) to approve the merger, consolidation or dissolution of cmg or the sale of all or substantially all of the assets of cmg; (l) to approve the formation, acquisition, or disposition of a controlled subsidiary or a remotely controlled subsidiary of cmg; provided, however, that the formation of any such subsidiary that will employ medical professionals must be approved by a majority of the physician directors of cmg; (m) to approve the acquisition or disposition by cmg of another legal entity or an interest in another legal entity; (n) after receiving input from the cmg board, to approve the strategic plan and the operating, construction and capital budgets of cmg; (o) approval of cmg's unbudgeted debt and capital expenditures of one hundred thousand dollars ($100,000) or greater; (p) to authorize or approve the acquisition or disposition by cmg of real property or any interest in real property; (q) to approve the sale or lease for a term in excess of three (3) years of any property of cmg having a value of one hundred thousand dollars ($100,000) or greater; (r) approval of contracts in excess of one hundred thousand dollars ($100,000) or with a term greater than one (1) year in accordance with such policies and processes which may be promulgated from time to time by the member; (s) to authorize and approve borrowing money or entering into financial guaranties by cmg, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of cmg; (t) to require cmg to transfer assets, including but not limited to cash, to th

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

Form 990 review process: 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, the 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 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 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. For vendors, the policy is distributed with their initial contract with coxhealth.

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

President compensation review policy: ferrell-duncan clinic inc., a related party of the organization, establishes the compensation of the cox medical group top management official. The compensation is periodically reviewed by an independent consultant using comparability data. The consultant's recommendations are presented to coxhealth's compensation compliance committee with ultimate approval by the coxhealth board compensation committee which has delegated responsibility to approve certain compensation arrangements such as the president of cmg. The committee follows rebuttable presumption procedures in approving the fair market value and commercial reasonableness of the compensation proposed. The review is documented in the committee's minutes.

Form 990, Part VI, Section C, Line 19

Document disclosure: cox medical group makes available its governing documents, conflict of interest policy and financial statements available 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: jeffrey fenwick, mark entrup, shannon kelly, steve edwards, jacob mcway, damaris crow, rachelle derrough, louis krenn, ron prenger, james ceaser, mary duff, carl price, david zolfaghari, and brian clonts are receiving compensation 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
Cox Medical Group
EIN
47-1087566
In Care Of
% JACOB M MCWAY
Phone
4172693000
Address
1423 N JEFFERSON, SPRINGFIELD, MO 65802

Signing Officer

Name
Jacob Mcway
Title
CFO
Signed
2018-01-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Ceaser Md
Formed
2013
Legal Domicile
Mo
Voting Board Members
12
Independent Board Members
1
Employees
0
Volunteers
12

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, Line 1

Organization's mission: the corporation is organized and shall be operated exclusively for charitable, educational or scientific purposes within the meaning of section 501(c)(3) of the internal revenue code of 1986, as amended, or the corresponding provision of any future united states internal revenue law and in furtherance of those purposes the corporation may: a) provide high quality, cost effective medical care and other health care and health education services to the community; b) establish, equip, promote, develop, encourage, own, conduct, manage and maintain one or more medical clinics or other institutions with permanent health service facilities for the diagnosis and treatment of patients and provide such medical services as may be required by patients; c) conduct educational activities related to care of the sick and injured or the promotion of health; d) develop efficient and practical arrangements for providing health services; e) foster the teaching and research functions at its facilities in cooperation with other health services and educational institutions; f) raise gifts, bequests, donations and other funds from the public and from all other sources available for the corporation's purposes; receive and maintain such funds and expend principal and income therefrom in support of or in furtherance of the corporation's charitable purposes; and g) engage in any other lawful activity within the purposes and powers for which a public benefit corporation may be organized under the missouri nonprofit corporation act all in support of or in furtherance of the charitable, educational and scientific purposes of the corporation.

Form 990, Part XI, Line 9

Other changes in net assets: $ (343,548) 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.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0UNCERTAIN 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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