2025-10-31T09:20:27+00:00 2024-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-01-01 431684044 COX HEALTH SYSTEMS INSURANCE COMPANY 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 228962326 false X HTTP://WWW.COXHEALTHPLANS.COM X 1994 MO ENGAGED IN PROMOTING THE COMMON GOOD AND GENERAL WELFARE OF THE PEOPLE OF THE COMMUNITY BY PROVIDING LOW-COST, HIGH-QUALITY HEALTH PLANS TO AN UNDERSERVED POPULATION. 9 6 0 6 0 0 149529223 209541597 1224975 2290387 0 150754198 211831984 0 134292977 197723797 0 0 0 13103016 19060620 147395993 216784417 3358205 -4952433 58009168 62784214 28941734 38356941 29067434 24427273 TO SUPPORT HEALTH IMPROVEMENT IN THE COMMUNITIES WE SERVE BY OFFERING COMPETITIVE INSURANCE PRODUCTS BASED ON QUALITY OUTCOMES AND EVIDENCED BASED HEALTHCARE. false false 204753697 209541597 THE COMPANY (CHSIC) PROVIDES GROUP AND INDIVIDUAL HEALTH INSURANCE POLICIES. IT HAS BEEN ARRANGING HEALTH CARE SERVICES THROUGH THE OPERATION OF HEALTH PLANS SINCE ITS INCEPTION IN 1994. CHSIC SERVES APPROXIMATELY 34,000 PEOPLE ACROSS THE STATE OF MISSOURI AND MOST ARE IN ITS PRIMARY SERVICE AREA, WHICH CONSISTS OF THE 26 COUNTIES IN SOUTHWEST MISSOURI. CHSIC'S HEALTH PLANS ARE EPO AND PPO PLANS, AND THEY PROVIDE A COMMUNITY BENEFIT DUE TO THEIR LOW COST, THEIR AVAILABILITY TO ALL IN THE COMMUNITY AND THEIR ROLE IN COX HEALTH SYSTEM'S IMPROVING OF THE HEALTH OF THE COMMUNITY. 204753697 false false false false false false false false false false false false false false 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 false true false false false false true 0 0 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 JENNIFER HENDERSON 4172692900 CFO PO BOX 5750 SPRINGFIELD MO 65801 Mark Clifford Costley Chairman/Director 1.0 1.0 X X 0 0 0 Matt Aug Chief Executive Officer 1.0 39.0 X X 0 428105 25683 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 0 33635 6979 Jennifer Henderson Chief Financial Officer 20.0 20.0 X 0 138895 19832 Susan Sanchez Butts Chief Information Officer 20.0 20.0 X 0 185011 16440 0 3846318 500100 0 false true false Hometown Benefits Group 2769 W Lark St Suite D Springfield MO 65807 Broker commissions 870989 Higginbotham Insurance Agency Inc 500 W 13th St Ft Worth TX 76102 Broker commissions 737328 Barker Phillips Jackson P O BOX 4207 SPRINGFIELD MO 658084207 Broker commissions 666780 Ollis and Company P O BOX 10346 SPRINGFIELD MO 65808 Broker commissions 581926 Zelis Claims Integrity LLC P O Box 412162 Boston MA 022412162 Clinical bill review & audit 532190 14 0 PREMIUM INCOME 524114 209541597 209541597 0 0 0 0 209541597 2435783 2435783 0 0 16984946 17130342 -145396 0 -145396 -145396 0 0 0 0 0 0 211831984 209541597 0 2290387 197723797 197723797 11940812 11940812 5419373 5419373 0 0 89908 89908 PREMIUM TAX 1522048 1522048 PCORI FEE 88234 88234 245 245 0 0 216784417 204753697 12030720 0 27058 27058 25477644 26457857 6062665 8765379 0 0 0 0 0 0 0 0 26441801 27533920 0 0 0 0 58009168 62784214 668657 1697437 3453564 4022628 0 0 24819513 32636876 28941734 38356941 800000 800000 39189682 39189682 -10922248 -15562409 29067434 24427273 58009168 62784214 X -4952433 21617 290655 X false true true false Federal Income Taxes CLAIMS AND CLAIMS PAYABLE 29534262 DUE TO RELATED PARTIES 1317214 PLOICY RESERVE 1785400 32636876 211853601 21617 0 21617 211831984 0 0 211831984 216784417 0 0 216784417 0 0 216784417 Schedule D, Part XI, 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 IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2024 AND 2023. false true false false false false false false false Matt Aug Chief Executive Officer 0 365390 0 56034 0 6681 0 17250 0 8433 0 453788 0 0 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 Jennifer Henderson Chief Financial Officer 0 130649 0 7980 0 266 0 7215 0 12617 0 158727 0 0 Susan Sanchez Butts Chief Information Officer 0 170423 0 12608 0 1980 0 8111 0 8329 0 201451 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 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 2023, THERE WAS ONE AMOUNT FOR $39,314 DISTRIBUTED TO TIMOTHY JONES. Form 990, Part VI, Line 15a 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 ASSESSMENTS ARE 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 STOCKHOLDER IS COX HEALTH SYSTEMS HMO, INC., A 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, WHO SHALL BE ELECTED AT THE ANNUAL MEETING OF THE STOCKHOLDER, COX HEALTH SYSTEMS HMO, INC. 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 BOARD 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 ALTERATIONS, AMENDMENTS, OR REPEALS OF THE BYLAWS MAY BE MADE BY A MAJORITY OF THE STOCKHOLDERS ENTITLED TO VOTE AT ANY MEETING. 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 INSURANCE COMPANY'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 CHANGE IN NONADMITTED ASSETS - 290655; Total - 290655; COX HEALTH SYSTEMS HMO INC PO BOX 5750 SPRINGFIELD MO 65801 431757075 INSURANCE MO 501(c)(4) COXHEALTH false 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 COXHEALTH 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 BLVD BRANSON MO 65616 440584290 HOSPITAL MO 501(c)(3) 3 COXHEALTH false COXHEALTH 471087427 HOLDING COMPANY MO 501(c)(3) Type II NA false COX MEDICAL GROUP 1423 N JEFFERSON SPRINGFIELD MO 65802 471087566 PHYSCIANS 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 PAVILLION CORPORATE CENTRE GRAND CAYMAN CJ KY111 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 true true true false false false