Civic Intelligence

Cox Barton County Hospital

EIN 82-3300758 • 501(c)3 • Lamar, MO

Profile

To improve the health of the communities we serve through quality health care, education and research.

29 NW 1st LaneLamar, MO 64759

www.coxhealth.com

Siviq Scores

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

Liabilities / Assets

80th percentile

0.63x

Higher debt load relative to assets than 80% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

66th percentile

0.51x

Higher debt load relative to revenue than 66% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

61st percentile

9.0%

Higher net margin than 61% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

44th percentile

4.0%

Faster asset growth than 44% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

33rd percentile

0.2%

Faster revenue growth than 33% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$26,814,488

Up $1,028,203 (+4.0%) from 2023

Liabilities

Down

$16,935,203

Down $1,727,697 (-9.3%) from 2023

Net Assets

Up

$9,879,285

Up $2,755,900 (+39%) from 2023

Revenue

Up

$33,039,969

Up $58,588 (+0.2%) from 2023

Expenses

Up

$30,059,184

Up $2,217,220 (+8.0%) from 2023

Net Income

Down

$2,980,785

Down $2,158,632 (-42%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0-$10MAssets 2020: $24,876,985Liabilities 2020: $25,903,145Net Assets 2020: -$1,026,1602020Assets 2021: $23,011,336Liabilities 2021: $22,914,522Net Assets 2021: $96,8142021Assets 2022: $24,409,566Liabilities 2022: $21,950,160Net Assets 2022: $2,459,4062022Assets 2023: $25,786,285Liabilities 2023: $18,662,900Net Assets 2023: $7,123,3852023Assets 2024: $26,814,488Liabilities 2024: $16,935,203Net Assets 2024: $9,879,2852024

Highlighted filing

2024

Assets$26,814,488
Liabilities$16,935,203
Net Assets$9,879,285

Operations Trend

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

$40M$30M$20M$10M$0-$10MRevenue 2020: $22,841,195Expenses 2020: $23,031,715Net Income 2020: -$190,5202020Revenue 2021: $26,433,658Expenses 2021: $25,310,684Net Income 2021: $1,122,9742021Revenue 2022: $28,146,211Expenses 2022: $25,783,619Net Income 2022: $2,362,5922022Revenue 2023: $32,981,381Expenses 2023: $27,841,964Net Income 2023: $5,139,4172023Revenue 2024: $33,039,969Expenses 2024: $30,059,184Net Income 2024: $2,980,7852024

Highlighted filing

2024

Revenue$33,039,969
Expenses$30,059,184
Net Income$2,980,785

Filings

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
$33,039,969
Mission and Program Overview

Mission

To improve the health of the communities we serve through quality health care, education and research.

The organization provides quality health care, education and research in order to improve the health of the communities it serves.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$12,187,246$12,183,555▼ $3,691
Savings and Temporary Cash Investments$4,534,102$4,674,518▲ $140,416
Accounts Receivable$3,642,856$4,012,027▲ $369,171
Inventories for Sale or Use$376,848$260,681▼ $116,167
Prepaid Expenses and Deferred Charges$58,606$135,031▲ $76,425
Cash and Non-Interest-Bearing Accounts$1,240$1,240→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$25,786,285$26,814,488▲ $1,028,203
Other Assets Total$4,985,387$5,547,436▲ $562,049
Liabilities
Mortgage Notes Payable Secured by Investment Property$12,416,378$12,018,641▼ $397,737
Other Liabilities$4,721,617$3,383,188▼ $1,338,429
Accounts Payable and Accrued Expenses$1,524,905$1,533,374▲ $8,469
Deferred Revenue$0--
Total Liabilities$18,662,900$16,935,203▼ $1,727,697
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,123,385$9,879,285▲ $2,755,900
Total Net Assets Fund Balance$7,123,385$9,879,285▲ $2,755,900
Total Liabilities and Net Assets / Fund Balance$25,786,285$26,814,488▲ $1,028,203

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$9,708,752$2,303,304$12,012,056
Equipment$2,095,134$3,337,396$5,432,530
Other Land Buildings$198,893$2,374$201,267
Land$180,776-$180,776
Other Assets Org$3,331,635--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Clinton R LoyPhysicianFT$476,982$36,085$513,067
David M SteelePhysicianFT$428,524$29,665$458,189
Jeremy L SturgellPhysicianFT$307,542$48,644$356,186
Jonathan EtheridgePhysicianFT$321,415$34,405$355,820
John WillisPhysicianFT$295,811$33,201$329,012
Christopher B WyattFormer President-$194,660$65,259$259,919
Andrea MckayPresidentPT$132,169$35,939$168,108
Vickie J NelsonSecretary--$91,788$91,788

Board Members and Trustees

NameTitle
Hal L HigdonChair
Steve EdwardsFormer President & CEO
Max D BuetowPresident & CEO
Brad E ErwinBoard Member
Jefferson M TynesBoard Member
Larry W LipscombBoard Member
Robert C FulpBoard Member
Sally HargisBoard Member
Jacob M McwayEvp, Coxhealth CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
ShiftwiseStaffingPO BOX 70870, St Paul, MN 55170-9705$629,129
Bryan TelemedicineTelemedicine Services2222 16TH ST STE 401A, Lincoln, NE 65802$278,595
Baxley AnestheticsAnesthesia Services10850 COUNTY LN 253, Webb City, MO 64870$266,117
Shared Medical ServicesMri Services209 LIMESTONE PASS, Cottage Groce, WI 53527$196,815
Premier Specialty NetworkPhysician Services3610 BUTTONWOOD DR STE 200, Columbia, MO 65201$146,124
Revenue and Support

Revenue Composition

Contributions and Grants
$47,863
Program Service Revenue
$32,805,727
Investment Income
$185,479
Other Revenue
$900
Change in Net Assets
$2,980,785
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$17,123,321
Other Expenses$12,899,642
Grants and Similar Amounts Paid$36,221
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,263,671$1,612,742-$13,876,413
Fees for Services Other$5,257,410$853,101$0$6,110,511
Other Employee Benefits$1,400,806$57,483-$1,458,289
Payroll Taxes$895,913$54,821-$950,734
Depreciation Depletion$682,591$175,400-$857,991
Occupancy$527,389$135,520-$662,909
Office Expenses$513,528$129,090-$642,618
Insurance$326,854$83,989-$410,843
Pension Plan Contributions$397,786$12,072-$409,858
Comp Disqual Persons-$259,919-$259,919
Interest$205,962$52,925-$258,887
Information Technology$152,634$39,221-$191,855
Current Officers, Directors, Trustees, and Key Employees-$168,108-$168,108
Other Expenses$46,305$11,899-$58,204
Travel$40,817$10,489-$51,306
Grants to Domestic Orgs$36,221--$36,221
Fees for Services Accounting-$12,491-$12,491
All Other Expenses$6,296$1,618$0$7,914
Advertising$5,033$1,293-$6,326
Conferences and Meetings$1,661$427-$2,088
Total Functional Expenses$26,333,708$3,725,476$0$30,059,184
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
Yes
Insider Transactions and Loans

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 3rd Party$2,100,000
Estimated Insurance Costs$1,043,164
Due to Affiliate$240,024
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
No
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 8B

The organization's governing body does not have any committees with the authority to act on behalf of the governing body.

Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS

Officers and key employees are employed by coxhealth and its affiliates and therefore share a business relationship.

Form 990, Part VI, Line 6 Classes of members or stockholders

Cox-barton county shall have one member which shall be coxhealth.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

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 cox-barton county; (b) to approve amendments to the articles of incorporation of cox-barton county as provided therein; (c) to approve amendments to the bylaws of cox-barton county; (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 cox-barton county, subject to the requirements of article five of the bylaws, and to appoint and remove the officers of the board and cox-barton county; (f) to approve the appointment and removal of the president of cox-barton county; (g) to appoint the auditor and the corporate counsel for cox-barton county and its controlled subsidiaries or remotely controlled subsidiaries; (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 coxbarton county in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of cox-barton county; (i) to approve the merger, consolidation or dissolution of cox-barton county or the sale of all or substantially all of the assets of cox-barton county; (j) to approve the formation of a controlled subsidiary or a remotely controlled subsidiary; (k) to approve the acquisition or disposition by cox-barton county of another legal entity or an interest in another legal entity; (l) to approve the strategic plan and the operating and capital budgets of coxbarton county; (m) approval of cox-barton county'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 cox-barton county 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 cox-barton county 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 cox-barton county, 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 coxbarton county; (q) to require cox-barton county to transfer assets, including but not limited to cash, to the member and/or parent; (r) to approve the transfer of assets by cox-barton county to any entity other than the member and/or parent, other than transfers made in the ordinary course of operations of cox-barton county which will not require approval of the parent; (s) to approve the rate of payment, compensation or rent and/or any provisions concerning exclusivity with respect to any contract for physician services and any lease/timeshare agreement between any physician or physician group, on the one hand, and cox-barton county or any controlled subsidiary or remotely controlled subsidiary, on the other hand, all in accordance with such policies and processes which may be promulgated from time to time by the member and/or parent; (t) to approve changes to the type of or relocation of physician professional medical services offered by cox-barton county, where the change involves (a) services offered or provided by cmg physicians (as defined in the member's bylaws) and (b)(i) a change in venue or provider status of the medical service, (ii) the cessation of a pre-existing medical service, or (iii) the offering of a new medical service; (u) to engage, approve, and to finalize any and all contracts or agreements with any third party hospital-based physician groups (anesthesiologists, pathologists, radiologists, or emergency

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.

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 corporate compliance policy, as stated below: 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 member the conflict of interest process is handled through the governance subcommittee of coxhealth 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 vice president tier of management is overseen by the system 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

Governing documents, conflict of interest policy and financial statements are made available upon written request for a legitimate business purpose (as determined by top management). Approved documents can be viewed at the cox barton county hospital administrative offices.

Filing and Contact Details

Filer

Filer Name
Cox Barton County Hospital
EIN
82-3300758
Phone
4176815100
Address
29 NW 1ST LANE, LAMAR, MO 64759

Signing Officer

Name
Jacob Mcway
Title
Coxhealth CFO
Phone
4176815100
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
2017
Legal Domicile
Mo
Voting Board Members
6
Independent Board Members
5
Employees
261
Volunteers
6

Preparer

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

Additional Explanations

Form 990, Part I, Line 6

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

Form 990, Part V, Line 2A

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

PURCHASED SERVICES - Total Expense: 3711994, Program Service Expense: 2953145, Management and General Expenses: 758849, Fundraising Expenses: ; PHYSICIAN RENUMERATION - Total Expense: 1099084, Program Service Expense: 1099084, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 380258, Program Service Expense: 302521, Management and General Expenses: 77737, Fundraising Expenses: ; ANESTHESIA SERVICES - Total Expense: 309313, Program Service Expense: 309313, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE RADIOLOGY - Total Expense: 293007, Program Service Expense: 293007, Management and General Expenses: , Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 110724, Program Service Expense: 110724, Management and General Expenses: , Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 63979, Program Service Expense: 63979, Management and General Expenses: , Fundraising Expenses: ; EQUIPMENT SERVICES - Total Expense: 56799, Program Service Expense: 45187, Management and General Expenses: 11612, Fundraising Expenses: ; COURIER SERVICES - Total Expense: 28555, Program Service Expense: 28555, Management and General Expenses: , Fundraising Expenses: ; BILLING SERVICES - Total Expense: 24253, Program Service Expense: 24253, Management and General Expenses: , Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 23538, Program Service Expense: 18726, Management and General Expenses: 4812, Fundraising Expenses: ; LAUNDRY SERVICES - Total Expense: 5774, Program Service Expense: 5774, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE LAB - Total Expense: 2787, Program Service Expense: 2787, Management and General Expenses: , Fundraising Expenses: ; OTHER FEES - Total Expense: 446, Program Service Expense: 355, Management and General Expenses: 91, Fundraising Expenses: ;

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

Transfers to affiliates - -224885;

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.

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