CoxHealth

What it reported doing in 2024

Exempt purpose achievements: cox-monett hospital embraces a mission statement and by-laws that reflect a commitment to charitable purpose and community benefit. Cox-monett provides many services to the community free of charge or with little financial gain. Our goal is to keep our community healthy. The following is a list of services provided to the monett community during the fiscal year ending september 30, 2025. Additionally, the subsidies noted below are calculated using internal cost accounting methods rather than the IRS worksheets for schedule h. See schedule h for the computation of these subsidies using the schedule h worksheets. *participated in the medicaid program with unreimbursed cost of caring for patients and provided charity care and other uncompensated care services. See schedule h for amounts related to these services. *rendered health care services and educational services specifically designed to improve community health are as follows: -community wellness services: cox monett teamed up with the Missouri extension office to offer a new pre-diabetes program. One in three adults are pre-diabetic, and 90 percent are unaware. The program can reduce their risk of getting type 2 diabetes by 58 percent. The goal of the program is to help participants lose 5-7 percent of their bodyweight and work up to 150 minutes of physical activity per week by the end of the 12-month course. The program also functions as a support group, where members can work together to share information. -tuition reimbursement for staff wanting to continue their education. *encourage and provide opportunities for volunteer efforts to serve in the community. Many employees serve on local not-for-profit boards and are involved in various community organizations and are asked often to speak on health-related topics. *operate 24-hour emergency center. Er visits totaled 15,776. *provide many community health and education programs and projects specifically designed to improve the health status of our community at no charge or at a reduced rate, such as: - community health fair, including cholesterol, blood sugar and blood pressure screenings. Volunteers operate a first-aid station at monett's first on front events. Employees participate in the coxhealth diaper drive and donate the items to a local community kitchen and pantry *combined radiology tests totaled 29,551, inpatient and outpatient surgeries totaled 1,508. *the hospital owns five rural health clinics in monett and the surrounding communities and physician office visits totaled 50,742.

Financial Efficiency

• Mission deployment rate: 71.6%; rating input score 72
• Program expense ratio: 77.3%; rating input score 77
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 8%; rating input score 67; 67th percentile among comparable filings
• Total-asset coverage ratio: 1.48; rating input score 53; 53rd percentile among comparable filings
• Liabilities to assets ratio: 0.42; rating input score 43; 43rd percentile among comparable filings
• Officer compensation ratio: 4.9%; rating input score 17; 17th percentile among comparable filings

Growth

• Program expense growth: 5.9% per year; rating input score 100; 48th percentile among comparable filings
• Revenue growth: 6.1% per year; rating input score 100; 53rd percentile among comparable filings
• Asset growth: 15.3% per year; rating input score 100; 87th percentile among comparable filings