2025-10-31T13:14:20+00:00 2024-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-01-01 431757075 Cox Health Systems HMO Inc COXH 4172692900 PO BOX 5750 SPRINGFIELD MO 65801 JENNIFER HENDERSON CFO 2025-10-31 true Brian Todd P00422601 4178658701 2025-10-27 2024 2025-03-06 01:10:19Z MATTHEW AUG PO BOX 5750 SPRINGFIELD MO 65801 60268895 false X HTTP://WWW.COXHEALTHPLANS.COM X 1996 MO ENGAGED IN PROMOTING THE COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITY BY PROVIDING LOW-COST, HIGH-QUALITY, HMO OPTION TO ALL INDIVIDUALS, INCLUDING AN UNDERSERVING POPULATION. 9 6 0 6 0 0 57065055 59717133 348640 551762 0 57413695 60268895 0 41491991 41897948 6777388 7397593 0 0 8259431 8890792 56528810 58186333 884885 2082562 60085046 63956103 15054692 14998507 45030354 48957596 TO SUPPORT HEALTH IMPROVEMENT IN THE COMMUNITIES WE SERVE BY OFFERING COMPETITIVE INSURANCE PRODUCTS BASED ON QUALITY OUTCOMES AND EVIDENCED BASED HEALTHCARE. false false 39237973 41825850 COX HMO PROVIDES A MEDICARE ADVANTAGE PLAN FOR INDIVIDUALS. THE COMPANY SERVES APPROXIMATELY 4,000 PEOPLE ACROSS THE PRIMARY SERVICE ARE, WHICH CONSISTS OF 7 COUNTIES IN SOUTHWEST MISSOURI. THE PLAN IS AN HMO AND PROVIDES A COMMUNITY BENEFIT DUE TO THEIR LOW COST, THEIR AVAILABILITY IN THE COMMUNITY AND THEIR ROLE IN COX HEALTH SYSTEM'S IMPROVING OF THE HEALTH OF THE COMMUNITY. 13506961 14398627 COX 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. 3277301 3492656 COX 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 16,000 MEMBERS INCLUDING EMPLOYEES AND DEPENDENTS. 56022235 false false false false false false false false false false true true false true true true true true false false false false false false false false false false false true false false false false false false false false false false false false false false true true true true false false true X 1509 125 true 0 false false false false false false false false X 9 6 true false false false true true true true true false false false true true true true true true false false false false X JENNFIER HENDERSON 4172692900 CFO PO BOX 5750 SPRINGFIELD MO 65801 Mark Clifford Costley Chairman/Director 1.0 1.0 X X 0 0 0 Max D Buetow Vice Chair/Director 1.0 39.0 X X 0 1641774 357961 Bill W Jones Director 1.0 1.0 X 0 0 0 Bryan A Finke Director 1.0 39.0 X 0 577085 16006 Gregory S Snyder Director- Begin 7/24 1.0 1.0 X 0 0 0 Janice K Harris Director 1.0 1.0 X 0 0 0 Jerry G Jared Director 1.0 1.0 X 0 0 0 John B Singleton Director- End 1/24 1.0 1.0 X 0 0 0 Rita M Needham Director 1.0 1.0 X 0 0 0 Timothy L Jones Director 1.0 39.0 X 0 841813 57199 Jaimie Corder Secretary 1.0 1.0 X 33635 0 6979 Jennifer Henderson Chief Financial Officer 20.0 20.0 X 138895 0 19832 Matt Aug Chief Executive Officer 39.0 1.0 X 428105 0 25683 Susan Sanchez Butts Chief Information Officer 20.0 20.0 X 185011 0 16440 Bart Stead VP of Marketing 40.0 0 X 157977 0 21684 Cynthia Major Director, Claims 40.0 0 X 109056 0 3492 Daniel O'connell VP of Health Services 40.0 0 X 152882 0 18494 Jo A Thompson DIRECTOR 40.0 0 X 111233 0 13734 Tamara Thomas Underwriting Manager 40.0 0 X 103983 0 13374 1420777 3060672 570878 8 false true false Sunshine Senior Services LLC 3320 Rue Royale St Ste 1 St Charles MO 63301 Broker commissions 1583578 Lewis & Ellis Inc P O Box 851857 Richardson TX 750851857 Professional services 554395 BroadPath LLC Lockbox 208345 Dallas TX 753208345 Contract staff 494377 Episource LLC PO Box 102478 Pasadena CA 91189 ACA and MA Claims submission and Risk consulting 426064 Softheon Inc Attn Accounts Receivable 1500 Stony Brook Road CEWIT RD Pa Stony Brook NY 11794 Software & services? 367882 10 0 PREMIUM INCOME 524114 41751201 41751201 ADMINISTRATIVE SERVICES 561000 17965932 17965932 0 0 0 0 59717133 551762 551762 0 0 0 0 0 0 0 0 0 0 60268895 59717133 0 551762 41897948 41897948 854580 854580 5254603 4753999 500604 206013 186098 19915 674054 615318 58736 408343 374500 33843 120680 120680 380845 380845 4319542 4081171 238371 0 98530 90364 8166 692365 634904 57461 2112659 1937566 175093 334890 307135 27755 26110 23946 2164 7256 6655 601 657 603 54 346532 317812 28720 155443 142560 12883 MISCELLANEOUS 192181 176254 15927 LICENSES, DUES, SUBSCRIPTION 103102 94557 8545 0 0 0 0 58186333 56022235 2164098 0 1954 8592 21780026 30396060 2747238 2610573 0 0 0 0 1470149 1319954 3283664 3074033 331528 209631 29067435 24396841 0 4686716 5014452 60085046 63956103 3359940 2221209 0 0 455219 140130 11239533 12637168 15054692 14998507 X 20108704 26510360 10601073 10603073 14320577 11844163 45030354 48957596 60085046 63956103 X 2082562 1844680 X false true true false 170842 170842 3112822 3074033 38789 209631 Closely-held equity interests Financial derivatives INVESTMENT IN CHSIC 24396841 C 24396841 DUE FROM RELATED PARTIES 4210162 RIGHT OF USE ASSETS 252583 Accured Interest 1686 Reinsurance Receivable 550021 5014452 Federal Income Taxes DUE TO RELATED PARTIES 2975914 HEALTH POLICY RESERVES 9350000 OTHER PAYABLES 311254 12637168 42149729 0 0 42149729 18119166 18119166 60268895 46886600 3830303 3830303 43056297 15130036 15130036 58186333 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS EFFECTIVE JANUARY 1, 2015, THE COMPANY ELECTED 501(C) NONPROFIT TAX-EXEMPT STATUS. AS A RESULT OF THIS ELECTION, THE COMPANY IS NO LONGER SUBJECT TO INCOME TAXES AT THE ENTITY LEVEL. THE COMPANY FILES A CONSOLIDATED INFORMATIONAL TAX RETURN (990) WITH ITS SUBSIDIARY, COX HEALTHPLANS, LLC. THE COMPANY IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2024 OR 2023. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements COX HEALTHPLANS LLC REVENUE - 21949469 ELIMINATED REVENUE - -3830303 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 ELIMINATED FEES PAID TO LLC FROM HMO - 3830303 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements COX HEALTHPLANS LLC EXPENSES - 15130036 false true false false false true false false false Max D Buetow Vice Chair/Director 0 1154105 0 454236 0 33433 0 341470 0 16491 0 1999735 0 24951 Bryan A Finke Director 0 560780 0 16305 0 0 0 0 0 16006 0 593091 0 0 Timothy L Jones Director 0 631973 0 167625 0 42215 0 40250 0 16949 0 899012 0 41525 Matt Aug Chief Executive Officer 365390 0 56034 0 6681 0 17250 0 8433 0 453788 0 0 0 Jennifer Henderson Chief Financial Officer 130649 0 7980 0 266 0 7215 0 12617 0 158727 0 0 0 Susan Sanchez Butts Chief Information Officer 170423 0 12608 0 1980 0 8111 0 8329 0 201451 0 0 0 Daniel O'connell VP of Health Services 141885 0 10574 0 423 0 1614 0 16880 0 171376 0 0 0 Bart Stead VP of Marketing 146623 0 10170 0 1184 0 8189 0 13495 0 179661 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation LESTER E. COX MEDICAL CENTERS, A RELATED PARTY OF THE ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE COXHEALTH TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan MAX BEUTOW AND TIMOTHY JONES PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN WITH LESTER E. COX MEDICAL CENTERS: -MAX BUETOW RECEIVED A 457(F) DISTRIBUTION OF $24,951, -TIMOTHY JONES RECEIVED A 457(F) DISTRIBUTION OF $41,525, BOTH DISTRIBUTIONS WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. - MAX BUETOW RECEIVED A 457(F) CONTRIBUTION OF $302,625 - TIMOTHY JONES RECEIVED A 457(F) CONTRIBUTION OF $95,261 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization KEY EMPLOYEES HAVE NET EARNINGS AS ONE COMPONENT OF A BALANCED SCORECARD METRIC CONTAINED WITHIN A BONUS PROGRAM. EMPLOYED PHYSICIANS ARE PAID BASED ON A SALARY, A FORMULA USING COLLECTIONS AND EXPENSES, AN AMOUNT PER RVU, OR A COMBINATION OF THESE. THE PHYSICIAN LISTED ON PART VII THAT IS SUBJECT TO THESE COMPENSATION ARRANGEMENTS IS TIMOTHY JONES. EXECUTIVE LEVEL STAFF ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON A VARIETY OF PERFORMANCE INDICATORS IN QUALITY, CUSTOMER AND EMPLOYEE SATISFACTION AND BUSINESS PERFORMANCE MEASURES. Schedule J, Part II, Column (F) COMPENSATION REPORTED ON PRIOR FORM 990 AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F, WERE REPORTED ON A PRIOR FORM 990 OF LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION. COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. DURING CALENDAR YEAR 2024, THERE WAS ONE AMOUNT FOR $41,525 DISTRIBUTED TO TIMOTHY JONES. Form 990, Part V, Line 2a 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 OF REPORTED ON FORM 990, PART V, LINE 2A REPRESENTS THE NUMBER OF W-2S FILED ON BEHALF OF THE ORGANIZATION. Form 990, Part VI, Line 15 COMPENSATION REVIEW 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, Line 2 Family/business relationships amongst interested persons MAX BUETOW SERVES AS THE PRESIDENT AND CEO, BRYAN FINKE AND TIM JONES ARE EMPLOYED BY LESTER E. COX MEDICAL CENTERS, A RELATED ORGANIZATION. NO COMPENSATION WAS PROVIDED FOR RESPONSIBILITIES ASSOCIATED WITH BEING A BOARD DIRECTOR. COMPENSATION REPORTED FOR BOARD MEMBERS LISTED ON FORM 990, PART VII, AND SCHEDULE J REPRESENTS EMPLOYEE OR INDEPENDENT CONTRACTOR COMPENSATION UNRELATED TO SERVICE AS A BOARD MEMBER. - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE MEMBER IS LESTER E. COX MEDICAL CENTERS (MEMBER), A RELATED ORGANIZATION AND SUBSIDIARY OF COXHEALTH (PARENT), ANOTHER RELATED ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD SHALL CONSIST OF NO LESS THAN EIGHT (8) AND NO MORE THAN TWENTY-ONE (21) DIRECTORS, EACH OF WHOM SHALL BE APPOINTED BY COXHEALTH (PARENT). ONE (1) DIRECTOR SHALL RESIDE IN THE BRANSON, MISSOURI AREA, WHICH IS DEFINED AS THE SKAGGS COMMUNITY HOSPITAL ASSOCIATION D/B/A COX MEDICAL CENTER BRANSON (CMCB) SERVICE AREA INCLUDING STONE AND TANEY COUNTIES (CMCB DIRECTOR). THE BOARD SHALL RECEIVE NOMINATIONS FROM THE CMCB BOARD PRIOR TO THE ANNUAL MEETING FOR ELECTION AS DIRECTOR. THE BOARD OF DIRECTORS OF COX MEDICAL GROUP (CMG) SHALL NOMINATE TWO (2) PHYSICIANS TO SERVE ON THE BOARD (EACH A CMG DIRECTOR). ONE CMG DIRECTOR SHALL BE EMPLOYED BY FERRELL-DUNCAN CLINIC, INC. AND THE OTHER SHALL BE EMPLOYED BY LESTER E. COX MEDICAL CENTERS (MEMBER), EMPLOYED BY CMG, OR EMPLOYED BY MEMBER AND LEASED TO CMG. THE PARENT SHALL RECEIVE NOMINATIONS FROM THE CMG BOARD PRIOR TO THE ANNUAL MEETING AT WHICH DIRECTORS ARE ELECTED. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders HE BYLAWS ARE REVIEWED BY THE PRESIDENT AND CEO OF COXHEALTH (PARENT) OR HIS/HER DESIGNEE TOGETHER WITH THE GENERAL COUNSEL, AT LEAST EVERY THREE (3) YEARS. THE PARENT MAY ADOPT, AMEND AND REPEAL THE BYLAWS, SUBJECT TO ANY LIMITATIONS SET FORTH IN THE BYLAWS, AT ANY MEETING, PROVIDED THAT A COPY OF THE BYLAWS TO BE CONSIDERED AT THE MEETING ACCOMPANIES THE NOTICE THEREOF. EXCEPT AS SPECIFIED BELOW OR AS SET FORTH ELSEWHERE IN THE BYLAWS, THE FOLLOWING RESERVED POWERS MAY BE EXERCISED BY THE PARENT WITHOUT PRIOR ACTION BY THE BOARD. SAID RESERVED POWERS ARE: (A) TO ESTABLISH AND CHANGE THE BUSINESS PURPOSES, MISSION, VISION OR VALUES OF THE CORPORATION; (B) TO APPROVE AMENDMENTS TO THE ARTICLES OF ACCEPTANCE OF THE CORPORATION AS PROVIDED THEREIN; (C) TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION; (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 DIRECTORS OF THE CORPORATION, SUBJECT TO THE REQUIREMENTS OF ARTICLE FIVE, AND TO APPOINT AND REMOVE THE OFFICERS OF THE BOARD AND THE CORPORATION; (F) TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION; (G) TO APPOINT THE AUDITOR AND THE CORPORATE COUNSEL FOR THE CORPORATION AND ITS CONTROLLED SUBSIDIARIES OR REMOTELY CONTROLLED SUBSIDIARIES SO LONG AS SUCH APPOINTMENT IS CONSISTENT WITH ALL APPLICABLE LAWS AND REGULATIONS, INCLUDING MISSOURI DEPARTMENT OF COMMERCE AND INSURANCE REGULATIONS AND GUIDELINES; (H) 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 THE CORPORATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION; (I) TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (J) TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; (K) TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; (L) TO APPROVE THE STRATEGIC PLAN AND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (M) APPROVAL OF THE CORPORATION'S UNBUDGETED DEBT AND CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (N) TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (O) TO APPROVE THE SALE OR PURCHASE OF ANY PROPERTY OF THE CORPORATION HAVING A VALUE OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; (P) TO AUTHORIZE AND APPROVE BORROWING MONEY OR ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, 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 THE CORPORATION; (Q) TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER AND/ OR PARENT, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE APPROVAL OF THE PARENT; (R) TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE PARENT WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY OR REMOTELY CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY OR ANY REMOTELY CONTROLLED SUBSIDIARY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION. THE FORM 990 IS PROVIDED TO THE DIRECTOR OF ACCOUNTING AND CFO FOR A DETAILED REVIEW TO ENSURE ACCURACY. A COPY IS THEN PROVIDED TO THE CEO AND GOVERNING BODY FOR REVIEW PRIOR TO FILING. Form 990, Part VI, Line 12c 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, Line 19 Required documents available to the public 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. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CAPITAL CONTRIBUTIONS - 6403657; CHANGE IN NONADMITTED ASSETS - 518707; CHANGE IN EQUITY OF AFFILIATES - -5077684; Total - 1844680; COX HEALTHPLANS LLC 3200 S NATIONAL BLDG B SPRINGFIELD MO 65807 431754751 MANAGEMENT MO 21796235 25903282 COX HMO COX HEALTH SYSTEMS INSURANCE COMPANY 3200 S NATIONAL BUILDING B SPRINGFIELD MO 65807 431684044 INSURANCE MO 501(c)(4) COX HMO true LESTER E COX MEDICAL CENTERS 1423 N JEFFERSON SPRINGFIELD MO 65802 440577118 HOSPITAL MO 501(c)(3) 3 COXHEALTH false COXHEALTH FOUNDATION 3525 S NATIONAL SUITE 204 SPRINGFIELD MO 65807 436810485 FUNDRAISING MO 501(c)(3) Type I LESTER E COX false COX HPS OF THE OZARKS INC 2220 W SUNSET SPRINGFIELD MO 65807 431641927 HOME HEALTH MO 501(c)(3) 10 COXHEALTH false COX-MONETT HOSPITAL INC 801 N LINCOLN AVE MONETT MO 65708 431656689 HOSPITAL MO 501(c)(3) 3 COXHEALTH false HC SVCS OZARKS INC DBA COXHEALTH AT HOME PO BOX 10939 SPRINGFIELD MO 65808 431641928 HOME HEALTH MO 501(c)(3) 10 COXHEALTH false SKAGGS COMM HOSP ASSOC (COX MC BRANSON) 525 BRANSON LANDING BOULEVARD BRANSON MO 65616 440584290 HOSPITAL MO 501(c)(3) 3 COXHEALTH false COXHEALTH 1423 N JEFFERSON SPRINGFIELD MO 65802 471087427 HOLDING COMPANY MO 501(c)(3) Type II NA false COX MEDICAL GROUP 1423 N JEFFERSON SPRINGFIELD MO 65802 471087566 PHYSICIANS MO 501(c)(3) Type I LESTER E COX false COX MEDICAL GROUP CLINICS 3801 S NATIONAL SPRINGFIELD MO 65807 371830627 HEALTHCARE MO 501(c)(3) 10 COXHEALTH false COX BARTON COUNTY HOSPITAL 1423 N JEFFERSON SPRINGFIELD MO 65802 823300758 HOSPITAL MO 501(c)(3) 3 COXHEALTH false INSURANCE COMPANY OF SPRINGFIELD INC GRAND PAVILION CORPORATE CENTRE GRAND CAYMAN CJ KY1110 CAPTIVE INSURANCE CJ LESTER E COX C Corporation false COX TAXABLE CLOSE CORPORATION 1423 N JEFFERSON AVE SPRINGFIELD MO 65802 472573263 MEDICAL CLINIC MO COX MED GROUP C Corporation false FERRELL-DUNCAN CLINIC INC 1001 E PRIMROSE SPRINGFIELD MO 65808 430991578 PHYSICIANS MO CTCC C Corporation false false false true true true false false false false false false true false true true true false false false COX HEALTH SYSTEMS INSURANCE COMPANY L 14432234 FMV