CoxHealth
Legal name: Skaggs Community Hospital Association
Nonprofit profile at a glance
- EIN
- 440584290
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Branson, MO, USA
- Phone
- 417-269-3000
- Rating
- 73
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $314,979,655
- Expenses
- $290,649,976
- Assets
- $392,973,640
- Liabilities
- $110,389,687
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
30 people listed
Executive titles in this filing
- MAX D BUETOW (PRESIDENT & CEO)
- WILLIAM MAHONEY (PRESIDENT CMCB - SENIOR VICE PRESIDENT CHG)
- LORI L CANTRELL (VICE PRESIDENT OF FINANCE HOSPITALS & ACCOUNTING)
- MATTHEW P TURNER (VICE PRESIDENT OF OPERATIONS)
- TRINA D HARGIS (VICE PRESIDENT OF NURSING - CHG)
- STEVE EDWARDS (FORMER PRESIDENT & CEO)
Highest reported compensation
- MAX D BUETOW (PRESIDENT & CEO): $1,977,250 total reported compensation
- PATRICK FINKBONE (PHYSICIAN): $1,585,993 total reported compensation
- CHAD EFRID (CHIEF OF MEDICAL STAFF): $1,557,666 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
We are dedicated to providing high-quality health care to our community. CoxHealth is the region’s leading not-for-profit health system, serving 25 counties through six hospitals and more than 100 clinics. Our Mission, Vision, and Values At CoxHealth, our mission is to improve the health of the communities we serve by delivering high-quality, compassionate care grounded in safety, respect, and integrity. Our Mission. At CoxHealth, our mission is to improve the health of the communities we serve by delivering high-quality, compassionate care grounded in safety, respect, and integrity. Our Mission To improve the health of the communities we serve. Backed by over 14,000 dedicated employees—including physicians, nurse practitioners, and physician...
What it reported doing in 2024
Hospital services - cox medical center branson provides the following areas of service: cancer, cardiac, diabetes and endocrinology, ear nose and throat, emergency, urgent care, family medicine, imaging and radiology, laboratory and pathology, nephrology and dialysis, neurology, occupational health, orthopedics, pediatrics, psychiatry, pulmonology/critical care, rehabilitation and therapy, rheumatology, sleep disorder center, social services, surgery, urology, women's services and wound care.
Operating model
- Revenue model
- Other-operating. 97% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.
Rating breakdown
- Financial Efficiency: 79
- Transparency & Controls: 63
- Accountability: 73
- Sustainability: 56
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 87.5%; rating input score 87
- Program expense ratio: 92.9%; rating input score 93
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 91.7%; rating input score 92; 8th 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: 57.5%; rating input score 58; 12th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 53.3%; rating input score 53; 14th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 7.7%; rating input score 66; 66th percentile among comparable filings
- Total-asset coverage ratio: 1.35; rating input score 50; 50th percentile among comparable filings
- Liabilities to assets ratio: 0.28; rating input score 58; 58th percentile among comparable filings
- Officer compensation ratio: 4%; rating input score 26; 26th percentile among comparable filings
Growth
- Program expense growth: 4.3% per year; rating input score 100; 34th percentile among comparable filings
- Revenue growth: 3.7% per year; rating input score 100; 29th percentile among comparable filings
- Asset growth: 7.8% per year; rating input score 100; 57th percentile among comparable filings
Details
- What they do: 8 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 87.5% of revenue deployed · 92.9% of spending went to programs
- Governance: 8 of 15 board members independent · 9 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $270M in reported program spending
- Leadership: top reported pay $2M · 30 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $12.8M reported
- Consistency: 34 of 35 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, grants, and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 17 filed money-flow records
- Related organizations: 19 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Independent voting board scored 53/100.
- Review — Transparency & Controls: Grant itemization coverage scored 58/100.
- Review — Sustainability: Total-asset coverage ratio scored 50/100.
- High — Sustainability: Officer compensation ratio scored 26/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- Review — Sustainability: Liabilities to assets ratio scored 58/100.