Cox Health Systems Insurance Company
Springfield, MO 65807 · IRS data through FY2024
Revenue, expenses and net assets
Revenue Expenses Net assets
| Tax year | Revenue | Expenses | Net assets |
|---|---|---|---|
| FY2024 | $211,831,984 | $216,784,417 | $24,427,273 |
| FY2023 | $150,754,198 | $147,395,993 | $29,067,434 |
| FY2022 | $140,760,397 | $137,774,389 | $26,035,459 |
| FY2021 | $137,904,727 | $139,318,809 | $23,049,451 |
| FY2020 | $143,892,285 | $140,014,639 | $24,462,056 |
| FY2019 | $133,375,725 | $133,023,442 | $20,583,863 |
| FY2018 | $154,013,219 | $158,965,290 | $18,719,631 |
| FY2017 | $142,004,850 | $156,639,645 | $18,104,019 |
| FY2016 | $132,123,393 | $138,288,338 | $14,716,586 |
| FY2015 | $125,290,660 | $125,403,721 | $17,503,346 |
Form 990 filings
The returns filed by Cox Health Systems Insurance Company (EIN 43-1684044), including Form 990 PDFs and e-file data by year, are available in ProPublica's Nonprofit Explorer. The figures on this page come from IRS data files built from those returns.
Where the revenue came from
| Source | Amount | % of revenue |
|---|---|---|
| Contributions & grants | $0 | 0% |
| Program service revenue | $209,541,597 | 99% |
| Other revenue | $2,290,387 | 1% |
Where the money was spent
| Category | Amount | % of expenses |
|---|---|---|
| Program services | $204,753,697 | 94% |
| Management & general | $12,030,720 | 6% |
| Fundraising | $0 | 0% |
What the numbers show
- Program service revenue made up 99% of total revenue in FY2024.
- Program services accounted for 94% of functional expenses, management & general 6%, and fundraising 0%.
- 94% of functional expenses went to program services in FY2024. That is higher than 90.3% of 176 Health Care organizations in MO.
- Net assets covered about 1.4 months of expenses at the end of the reporting year. That puts it in the 17th percentile among 502 Health Care organizations in MO.
- Total revenue was higher than 89.3% of 521 Health Care organizations in MO.
- Total revenue rose from $125,290,660 in FY2015 to $211,831,984 in FY2024. Revenue increased in 7 and decreased in 2 of 9 year-over-year comparisons.
- Expenses exceeded revenue in 6 of 10 reported years (FY2015, FY2016, FY2017, FY2018, FY2021, FY2024).
- Net assets grew from $17,503,346 to $24,427,273 between FY2015 and FY2024.
Figures compared against other organizations of the same NTEE program area in the same state. See the methodology page for how these are calculated and the guide to reading nonprofit financials for their limits.
About this organization
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.
IRS status
| Ruling year | 2015 |
| Subsection | 501(c)(4) |
| Program area (NTEE) | E31 — Health Care (in MO) |
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Source: Internal Revenue Service — Exempt Organizations Business Master File (downloaded November 4, 2026), Statistics of Income extracts, Form 990 e-file data, Publication 78 and the Automatic Revocation list. Figures are as reported by the organization; IRS processing may adjust them. This is not a charity rating and not tax advice. Confirm deductibility in IRS Tax Exempt Organization Search.
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