Civic Intelligence

Coxhealth

EIN 47-1087427 • 501(c)3 • Springfield, MO

Profile

Mission: to improve the health of the communities we serve through quality health care, education and research.

1423 N JeffersonSpringfield, MO 65802

www.coxhealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

9th percentile

0.01x

Higher debt load relative to assets than 9% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

11th percentile

0.08x

Higher debt load relative to revenue than 11% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

22nd percentile

0.1%

Higher net margin than 22% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

49th percentile

$1,922,931

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

79th percentile

14%

Faster asset growth than 79% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

81st percentile

25%

Faster revenue growth than 81% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,768,812,895

Up $220,328,423 (+14%) from 2023

Liabilities

Up

$24,560,279

Up $6,988,991 (+40%) from 2023

Net Assets

Up

$1,744,252,616

Up $213,339,432 (+14%) from 2023

Revenue

Up

$323,117,487

Up $65,227,182 (+25%) from 2023

Expenses

Up

$322,708,977

Up $66,639,991 (+26%) from 2023

Net Income

Down

$408,510

Down $1,412,809 (-78%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0B$1.5B$1.0B$500M$0Assets 2014: $1Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $663,915,903Liabilities 2015: $0Net Assets 2015: $663,915,9032015Assets 2016: $712,614,000Liabilities 2016: $409,285Net Assets 2016: $712,204,7152016Assets 2017: $814,303,892Liabilities 2017: $818,605Net Assets 2017: $813,485,2872017Assets 2018: $927,445,492Liabilities 2018: $23,451,123Net Assets 2018: $903,994,3692018Assets 2019: $965,206,797Liabilities 2019: $21,018,970Net Assets 2019: $944,187,8272019Assets 2020: $970,222,612Liabilities 2020: $955,183Net Assets 2020: $969,267,4292020Assets 2021: $1,262,668,637Liabilities 2021: $954,765Net Assets 2021: $1,261,713,8722021Assets 2022: $1,313,528,296Liabilities 2022: $1,419,088Net Assets 2022: $1,312,109,2082022Assets 2023: $1,548,484,472Liabilities 2023: $17,571,288Net Assets 2023: $1,530,913,1842023Assets 2024: $1,768,812,895Liabilities 2024: $24,560,279Net Assets 2024: $1,744,252,6162024

Highlighted filing

2024

Assets$1,768,812,895
Liabilities$24,560,279
Net Assets$1,744,252,616

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$800M$600M$400M$200M$0Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $663,843,880Expenses 2015: $0Net Income 2015: $663,843,8802015Revenue 2016: $48,770,120Expenses 2016: $0Net Income 2016: $48,770,1202016Revenue 2017: $101,690,000Expenses 2017: $0Net Income 2017: $101,690,0002017Revenue 2018: $108,751,146Expenses 2018: $18,096,008Net Income 2018: $90,655,1382018Revenue 2019: $62,565,602Expenses 2019: $22,372,144Net Income 2019: $40,193,4582019Revenue 2020: $196,417,581Expenses 2020: $196,416,070Net Income 2020: $1,5112020Revenue 2021: $192,397,266Expenses 2021: $192,397,266Net Income 2021: $02021Revenue 2022: $216,888,008Expenses 2022: $216,888,008Net Income 2022: $02022Revenue 2023: $257,890,305Expenses 2023: $256,068,986Net Income 2023: $1,821,3192023Revenue 2024: $323,117,487Expenses 2024: $322,708,977Net Income 2024: $408,5102024

Highlighted filing

2024

Revenue$323,117,487
Expenses$322,708,977
Net Income$408,510

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,769$24.6$1,744$323$323$0.41
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,548$17.6$1,531$258$256$1.82
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,314$1.42$1,312$217$217$0.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,263$0.95$1,262$192$192$0.00
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$970$0.96$969$196$196$0.00
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$965$21.0$944$62.6$22.4$40.2
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$927$23.5$904$109$18.1$90.7
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$814$0.82$813$102$0.00$102
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$713$0.41$712$48.8$0.00$48.8
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$664$0.00$664$664$0.00$664
2014Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$323,117,487
Mission and Program Overview

Mission

Mission: to improve the health of the communities we serve through quality health care, education and research.

Supporting organization for lester e cox medical centers, cox monett hospital, cox barton county hospital, and skaggs community hospital association.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$1,462,875,346$1,573,158,316▲ $110,282,970
Savings and Temporary Cash Investments$85,117,745$195,146,198▲ $110,028,453
Pledges and Grants Receivable$491,381$508,381▲ $17,000
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,548,484,472$1,768,812,895▲ $220,328,423
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$17,571,288$24,542,279▲ $6,970,991
Accounts Payable and Accrued Expenses-$18,000-
Total Liabilities$17,571,288$24,560,279▲ $6,988,991
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,480,771,451$1,691,675,895▲ $210,904,444
Net Assets With Donor Restrictions$50,141,733$52,576,721▲ $2,434,988
Total Net Assets Fund Balance$1,530,913,184$1,744,252,616▲ $213,339,432
Total Liabilities and Net Assets / Fund Balance$1,548,484,472$1,768,812,895▲ $220,328,423

Asset Categories

AssetBook ValueDepreciationBasis
Investment Program Related Org$1,573,158,316--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Max D BuetowPresident & CEOFT$1,041,070$881,861$1,922,931
Jacob M McwayEvp, Coxhealth CFOFT$769,096$763,945$1,533,041
Charity R ElmerEvp, General CounselFT$557,978$548,640$1,106,618
Timothy L Jones DoPresident CMG-$543,048$361,536$904,584
Amanda B HedgpethEvp, COOFT$582,612$315,708$898,320
Steve EdwardsFormer President & CEO-$218,675$533,853$752,528
Cheryl a HertelVP, CIOFT$610,996$129,079$740,075
Ron J PrengerExec VP/COO End 10/23FT$505,090$190,118$695,208
Staci D Rogers MdJoc ChairFT$478,612$168,639$647,251
Nana Gaisie MdBoard MemberFT$519,864$53,965$573,829
Daphne R Lemon MdBoard MemberFT$510,508$42,872$553,380
Susan E Graves MdBoard MemberFT$490,513$34,795$525,308
Andrew HedgpethVP, HrFT$365,023$89,134$454,157
George P Murfee IiiChief Technology OfficerFT$341,706$90,512$432,218
David TaylorCorporate VPFT$304,052$123,020$427,072
John D RaneyVP, Coxhealth NetworkFT$326,913$87,413$414,326
Rodney E SchafferVP, Facilities ManagementFT$296,915$78,272$375,187
Jann M HollandVP, MarketingFT$276,383$80,763$357,146
John D ChastainVP Rev Cycle/financeFT$248,988$47,617$296,605
Deanna M MaplesVP, ACCTING END 02/24; SR ADVISORFT$208,994$76,112$285,106
Sarah a CraigmyleVP, Corporate ComplianceFT$221,856$62,240$284,096
Teresa CoyanVP of Government RelationsFT$219,719$52,106$271,825
Vickie J NelsonSecretaryFT$80,046$11,742$91,788

Board Members and Trustees

NameTitle
Robert C FulpChair
Hal L Higdon1st Vice Chair
Sally Hargis2nd Vice Chair
Jefferson M Tynes3rd Vice Chair
Brad E ErwinBoard Member
Brian R JaredBoard Member
Carol a TaylorBoard Member
Charles Chuck ChalenderBoard Member
Dennis J HeimBoard Member
Howard E Jarvis IiiBoard Member
Howard FiskBoard Member
Ibrahim Abdalla MdBoard Member
James W HutchesonBoard Member
Jan M BaumgartnerBoard Member
Joseph W TurnerBoard Member
Julia L Flax MdBoard Member
Krystal L RussellBoard Member
Kurt D HellwegBoard Member
Larry W LipscombBoard Member
Robert CoxBoard Member
Stuart LipscombBoard Member
Robin E RobesonBoard Member End 09/24
Phillip D LoydBoard Member End 10/23
Revenue and Support

Revenue Composition

Contributions and Grants
$622,068
Program Service Revenue
$314,087,862
Investment Income
$8,407,557
Other Revenue
$0
All Other Contributions
$509,361
Change in Net Assets
$408,510
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$167,767,281
Other Expenses$154,687,106
Grants and Similar Amounts Paid$254,590
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$124,114,225$1,990,251-$126,104,476
Fees for Services Other$63,721,016$18,788,113$0$82,509,129
Information Technology$32,146,930$9,478,508-$41,625,438
Other Employee Benefits$13,336,211$1,202,936-$14,539,147
Current Officers, Directors, Trustees, and Key Employees$1,652,518$12,137,553-$13,790,071
Office Expenses$9,141,406$2,695,339-$11,836,745
Payroll Taxes$8,546,405$922,355-$9,468,760
Pension Plan Contributions$2,986,921$125,378-$3,112,299
Depreciation Depletion$2,830,726$272,227-$3,102,953
Fees for Services Legal-$2,871,903-$2,871,903
Advertising$1,841,835$543,064-$2,384,899
Travel$1,416,437$417,636-$1,834,073
Occupancy$1,013,865$298,938-$1,312,803
Insurance$976,362$287,880-$1,264,242
Other Expenses$784,984$231,452-$1,016,436
Fees for Services Accounting-$912,314-$912,314
Comp Disqual Persons-$752,528-$752,528
Interest$355,762$34,213-$389,975
Conferences and Meetings$230,027$67,823-$297,850
Grants to Domestic Orgs$254,590--$254,590
Total Functional Expenses$267,920,670$54,788,307$0$322,708,977
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Spouse of Staci Rogers, Joc ChairWagesNo$160,044
-Son of Vickie Nelson, Board SecretaryWagesNo$69,839
-Daughter-in-law of Vickie Nelson, Board SecretaryWagesNo$42,413
-Daughter of Susan Graves Board MemberWagesNo$23,439

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 Affiliate$24,542,279
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
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

HAL HIGDON, HOWARD FISK - Business relationship, IBRAHIM ABDALLA, DAPHNE LEMON AND HOWARD JARVIS - Business relationship, JAN BAUMGARTNER, ROBERT FULP, LARRY LIPSCOMB - Business relationship, SARA HARGIS, DAPHNE LEMON - Business relationship, JOSEPH TURNER, ROBERT FULP - Business relationship, JAMES HUTCHESON, LARRY LIPSCOMB - Business relationship, AMANDA HEDGPETH AND ANDREW HEDGPETH - Family relationship, KURT HELLWEG, ROBIN ROBESON - Business relationship

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 accounting department of the organization. Prior to filing, 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, 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 subcommittee 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.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

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 senior vice president and vice president tiers 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 15B Process to establish compensation of other employees

Compensation levels for the senior vice president and vice president tiers 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 19 Required documents available to the public

Coxhealth makes available its governing documents, conflict of interest policy and financial statements available for 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, Section A BOARD MEMBER COMPENSATION

Drs. Abdalla, gaisie, flax, jarvis, graves, and lemon are compensated related to their roles as employees under coxhealth and related affiliates. No board member receives compensation for their duties as board members.

Filing and Contact Details

Filer

Filer Name
Coxhealth
EIN
47-1087427
Phone
4172693000
Address
1423 N JEFFERSON, SPRINGFIELD, MO 65802

Signing Officer

Name
Jacob Mcway
Title
CFO
Phone
4172693000
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
2013
Legal Domicile
Mo
Voting Board Members
24
Independent Board Members
17
Employees
0
Volunteers
21

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Brian Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 6 VOLUNTEERS

The organization's board of directors is a volunteer board.

Form 990, Part V, Line 2A W-2 COMPENSATION

The organization's ceo, cfo, and several corporate key employees receive w-2 compensation issued by lester e. Cox medical centers, a related organization, for their work which is performed mostly for the benefit of coxhealth. This compensation is approved via the coxhealth board, as described in the narrative for part vi, section b, lines 15a & 15b. 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 IX, Line 11G Other Fees

COLLECTION SERVICES - Total Expense: 22694881, Program Service Expense: 17527041, Management and General Expenses: 5167840, Fundraising Expenses: ; MANAGEMENT SERVICES - Total Expense: 22681398, Program Service Expense: 17516628, Management and General Expenses: 5164770, Fundraising Expenses: ; EQUIPMENT SERVICES - Total Expense: 16233155, Program Service Expense: 12536711, Management and General Expenses: 3696444, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 11732611, Program Service Expense: 9060984, Management and General Expenses: 2671627, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 4237226, Program Service Expense: 3272369, Management and General Expenses: 964857, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 2753667, Program Service Expense: 2126631, Management and General Expenses: 627036, Fundraising Expenses: ; OUTSIDE BILLING - Total Expense: 1570925, Program Service Expense: 1213211, Management and General Expenses: 357714, Fundraising Expenses: ; OUTSIDE LABORATORY - Total Expense: 246936, Program Service Expense: 190706, Management and General Expenses: 56230, Fundraising Expenses: ; OTHER PROFESSIONAL SERVICES - Total Expense: 226221, Program Service Expense: 174708, Management and General Expenses: 51513, Fundraising Expenses: ; HOUSEKEEPING - Total Expense: 56464, Program Service Expense: 43607, Management and General Expenses: 12857, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 55530, Program Service Expense: 42885, Management and General Expenses: 12645, Fundraising Expenses: ; COURIER - Total Expense: 19903, Program Service Expense: 15371, Management and General Expenses: 4532, Fundraising Expenses: ; RADIOLOGY - Total Expense: 212, Program Service Expense: 164, Management and General Expenses: 48, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Change in interest in subsidiary - xxx-xx-xxxx; transfer from affiliates - xxx-xx-xxxx;

Financial Statement Notes

Schedule D, Part X, Line 2

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.

Raw XML AppendixShowing 400 of 1,517 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0IN ADDITION TO HOSPITAL AND CLINIC SERVICES, COXHEALTH LIVES ITS MISSION BY PROVIDING COMPREHENSIVE SUPPORT FOR A SUITE OF ENTITIES DEDICATED TO IMPROVING THE HEALTH -- AND THE LIVES -- OF OUR NEIGHBORS THROUGHOUT THE REGION. SPECIFIC DETAILS CAN BE FOUND ON THE 990 RETURNS OF THESE ENTITIES, INCLUDING LESTER E. COX MEDICAL CENTERS.
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