Cox Health Systems HMO Inc

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1996

Legal Domicile

Phone

4172692900

Tax Period

2023-01-01 to 2023-12-31

Cox Health Systems HMO Inc, founded in 1996, is a mid-sized nonprofit in the Health Care sector that reported $57.4M in total revenue in fiscal year 2023. Revenue surged 355% from the prior year, signaling strong growth momentum.

Mission

TO SUPPORT HEALTH IMPROVEMENT IN THE COMMUNITIES WE SERVE BY OFFERING COMPETITIVE INSURANCE PRODUCTS BASED ON QUALITY OUTCOMES AND EVIDENCED BASED HEALTHCARE.

Program Service Accomplishments

Program 1

Expenses: $41,888,175 Revenue: $43,320,191

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.

Program 2

Expenses: $10,052,566 Revenue: $10,396,230

COX HMO PROVIDES OPERATIONAL SUPPORT SERVICES TO ITS WHOLLY OWNED SUBSIDIARY CHSIC. SUCH ADMINISTRATIVE SERVICES PROVIDED TO CHSIC INCLUDE COMPREHENSIVE ADMINISTRATIVE SERVICES, FINANCIAL AND...

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.

Program 3

Expenses: $3,237,940 Revenue: $3,348,634

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 14,400 MEMBERS...

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 14,400 MEMBERS INCLUDING EMPLOYEES AND DEPENDENTS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $57,065,055

Investment Income $348,640

Other Revenue $0

TOTAL REVENUE $57,413,695

Expense Breakdown

Grants Paid $0

Salaries & Benefits $6,777,388

Fundraising Expenses $0

Program Expenses $55,178,681

Other Expenses $8,259,431

TOTAL EXPENSES $56,528,810

Year-over-Year Comparison

	2023	2022	Change
Revenue	$57,413,695	$12,608,683	+3.6%
Expenses	$56,528,810	$11,084,783	+4.1%
Net Income	$884,885	$1,523,900	-0.4%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$2,965,331

Total Directors

$3,724,122

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
N/A	Chairman/Director	1.0	Officer Director	$0	$0	$0
N/A	Vice Chair/Director	1.0	Officer Director	$0	$319,439	$1,931,679
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director Beg 9/23	1.0	Director	$0	$36,253	$625,759
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director End 9/23	1.0	Director	$0	$30,878	$288,410
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$137,559	$878,274
N/A	Chief Financial Officer Beg 8/23	20.0	Officer	$111,408	$17,233	$128,641
N/A	Secretary	20.0	Officer	$55,034	$14,157	$69,191
N/A	Chief Financial Officer End 6/23	20.0	Officer	$148,349	$19,692	$168,041
N/A	Chief Executive Officer	20.0	Officer	$450,605	$25,273	$475,878
N/A	Chief Information Officer	20.0	Officer	$176,373	$15,528	$191,901
N/A	VP of Marketing	40.0	Highest	$142,817	$20,039	$162,856
N/A	VP of Health Services	40.0	Highest	$146,874	$18,705	$165,579
N/A	Underwriting Manager	40.0	Highest	$100,803	$13,801	$114,604

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$57,413,695	$56,528,810	$60,085,046	$884,885
2022	$12,608,683	$11,084,783	$44,488,230	$1,523,900
2021	$12,571,299	$9,986,839	$37,618,692	$2,584,460
2020	$13,048,850	$9,132,065	$38,030,084	$3,916,785
2019	$12,281,314	$9,106,257	$27,531,072	$3,175,057
2018	$14,377,297	$8,904,001	$24,147,687	$5,473,296