Civic Intelligence

Cox Medical Group

990 • Fiscal year 2021 • EIN 47-1087566

Oct 01, 2020 to Sep 30, 2021 • Filed on Feb 03, 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

Score unavailable

No value available

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

Source year 2021

Liabilities / Revenue

Score unavailable

No value available

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

Source year 2021

Net Margin

100th percentile

100%

Higher net margin than 100% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Top Officer Pay

100th percentile

$2,717,716

Higher top officer pay than 100% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

Score unavailable

No value available

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

Annualized from 2020 to 2021

Revenue Growth

Score unavailable

No value available

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

Annualized from 2020 to 2021

Assets

Flat

$0

Flat from 2020

Net Assets

Down

-$4,673,589

Down $799,704 (-21%) from 2020

Liabilities

Up

$4,673,589

Up $799,704 (+21%) from 2020

Revenue

Up

-$59,217

Up $261,392 (+82%) from 2020

Expenses

Flat

$0

Flat from 2020

Net Income

Up

-$59,217

Up $261,392 (+82%) from 2020

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 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

2021

Assets$0
Liabilities$4,673,589
Net Assets-$4,673,589

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 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

2021

Revenue-$59,217
Expenses$0
Net Income-$59,217
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Feb 3, 2022
Return Version
2020v4.1
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
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 Program Related$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
Other Assets Total$0$0→ $0
Total Assets$0$0→ $0
Liabilities
Other Liabilities$3,873,885$4,673,589▲ $799,704
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$3,873,885$4,673,589▲ $799,704
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-3,873,885$-4,673,589▼ $799,704
Total Net Assets Fund Balance$-3,873,885$-4,673,589▼ $799,704
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers

Employees

NameTitleOtherTotal
Damaris CrowSecretary$71,694$71,694

Board Members and Trustees

NameTitle
Mark EntrupChair
Timothy JonesPresident CMG
Howard JarvisVice Chair
Carl PriceBoard Member
David ZolfghariBoard Member
Jeffery FenwickBoard Member
Louis KrennBoard Member
Mary DuffBoard Member
Robin TrotmanBoard Member
Ron PrengerBoard Member
Shawn UseryBoard Member
Steve EdwardsBoard Member
Steven NewboldBoard Member
Brian Clonts MdDirector
Jacob McwayCoxhealth CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$-59,217
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-59,217
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$4,047,834
Net Assets of Subs$625,755
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
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, jeffery fenwick and david zolfghari are all members of ferrell duncan building company.

Form 990, Part VI, Section A, Line 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 shallbe 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 boardand 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 the

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 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 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, Line Section A

Board member compensation: jeffery fenwick, mark entrup, steve edwards, robin trotman, howard jarvis, ron prenger, mary duff, carl price, shawn usery, david zolfaghari, brian clonts, louis krenn, and steven newbold 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
Phone
4178317283
Signed
2022-02-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Timothy Jones
Formed
2013
Legal Domicile
Mo
Voting Board Members
13
Independent Board Members
0
Employees
2
Volunteers
13

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 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 V, Line 2

Number of employees reported on form w-3: 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 XI, Line 9

Other changes in net assets: $ (740,487) intercompany purchased services 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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