Coxhealth FY2020 filing

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

Form 990 Part I, line 1, FY2020. The organization’s own words, as filed with the IRS. Find it at the IRS (EIN 47-1087427) · Dispute this line
501(c)(3) charity; gifts are tax-deductible.
90¢ of each $1 spent went to programs.
$6.2M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2020 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
The IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
The latest return is for FY2025, 1 tax year back.
IRS e-file · Filing history
Surplus or deficit
5 of 6
filings with a surplus
Average surplus $371K a year · 0.1% of revenue · last 6 filings
A surplus in 5 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
90%
of spending
90% of spending went to programs.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$6.2M
to officers and key staff · 3% of spending
Pay to officers and key staff is 3% of spending.
Part VII, Section A
Named funders
2
named funders · $90K
2 funders name it on their filings.
Funders’ Sch. I, 990-PF
Liabilities
$955K
0.1% of total assets
Liabilities are 0.1% of assets.
Pt X · Ln 26
Independent board members
21
of 27 voting members
21 of 27 voting members are independent.
Pt VI · Ln 1a–1b
Revenue
$196.4M
Spent
$196.4M
To programs
90%
Net assets
$969.3M
By yearFY2020–FY2025
Revenue
$196.4M
FY2020
Tap a bar for its year
Revenue by fiscal year
FY2020$196.4M
FY2021$192.4M
FY2022$216.9M
FY2023$257.9M
FY2024$323.1M
FY2025$394.6M
Expenses
$196.4M
FY2020
Tap a bar for its year
Expenses by fiscal year
FY2020$196.4M
FY2021$192.4M
FY2022$216.9M
FY2023$256.1M
FY2024$322.7M
FY2025$394.6M
Net assets
$969.3M
FY2020
Tap a bar for its year
Net assets by fiscal year
FY2020$969.3M
FY2021$1.3B
FY2022$1.3B
FY2023$1.5B
FY2024$1.7B
FY2025$1.8B

From the FY2020 Form 990 (year ending September 2020) · figures checked against the IRS filing · see the original

You’re viewing the FY2020 filing — not the latest on file. See the latest (FY2025) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Mar 2015.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

90 cents of each dollar spent went to programs.

Program services 90% · $176.2M Management & general 10% · $20.2M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

40 people listed on the 990; $6.2M paid to officers and key staff (Part VII, Section A).

Part VII, Section A · reportable compensation · most recent filed roster (FY2019); the FY2020 filing did not itemize Part VII
President and CEO
$1,561,509Pt VII · Sec A
Executive VP and CFO
$926,165Pt VII · Sec A
$679,099Pt VII · Sec A
Exec VP and General Counsel
$650,302Pt VII · Sec A
Exec VP and COO
$537,286Pt VII · Sec A
Corporate VP
$328,510Pt VII · Sec A
VP Coxhealth Network
$291,019Pt VII · Sec A
VP Facilities Mgmt
$271,604Pt VII · Sec A

Max D Buetow’s $1.6M as President & CEO is at the 76th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Steve Edwards$622,051$718,423$1,720,045$1,973,321$2,398,016$1,561,509
Max D Buetow$1,641,774$1,617,479————
Jacob M McWay$1,291,822$1,311,928————
Jacob McWay——$1,026,750$986,042$938,444$926,165
Charity R Elmer—$947,511————
Charity Elmer$941,610—$760,155$739,863$666,702$650,302
Timothy L Jones$841,813—————
Max Buetow——$809,328$364,546$276,913—

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Coxhealth executive salaries →

Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides comprehensive administrative and operational support to a network of hospitals, medical groups, and healthcare entities dedicated to improving regional community health.

Questions for Coxhealth

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1 program · $176.2M · in their own filed words · FY2019
01

Provide the administrative and functional support for subordinate entities to improve the health of the community. Specific details can be found on the 990 returns of these entities, including lester e. Cox medical centers and cox medical group.

Form 990 Part III, line 4, FY2019. The organization’s own words, as filed with the IRS. Find it at the IRS (EIN 47-1087427) · Dispute this line
$176.2Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2024
Total grants receivedfrom 2 funders$90K
Grants paid · 5 grants · $309K · 2019–2021
Burrell INCMO · FY2021$118,000
Branson Chamber of CommerceMO · FY2021$7,500
Branson Chamber of CommerceMO · FY2020$5,750
Coxhealth FoundationMO · FY2019$167,844
Branson Chamber of CommerceMO · FY2019$10,000

Federal money

Single Audit · Federal Audit Clearinghouse · money spent from federal programs
Year ending Sep 2025 · $9.7M federal money spent
Federal Direct Student LoansDepartment of Education · ALN 84.268 · Direct$6.0M
Federal Pell Grant ProgramDepartment of Education · ALN 84.063 · Direct$956K
Coronavirus State and Local Fiscal Recovery FundsDepartment of the Treasury · ALN 21.027 · Through The Curators of the University of Missouri and 1 more$941K
Economic Adjustment AssistanceDepartment of Commerce · ALN 11.307 · Through Missouri Chamber Foundation$539K
Telehealth ProgramsDepartment of Health and Human Services · ALN 93.211 · Direct$370K

Plus 8 smaller programs.

The auditor reported no findings.

Year ending Sep 2024 · $12.3M federal money spent
Federal Direct Student LoansDepartment of Education · ALN 84.268 · Direct$7.0M
Coronavirus State and Local Fiscal Recovery FundsDepartment of the Treasury · ALN 21.027 · Through The Curators of the University of Missouri and 1 more$2.9M
Federal Pell Grant ProgramDepartment of Education · ALN 84.063 · Direct$1.2M
Primary Care Training and EnhancementDepartment of Health and Human Services · ALN 93.884 · Direct$433K
Rural Telemedicine GrantsDepartment of Health and Human Services · ALN 93.211 · Direct$371K

Plus 6 smaller programs.

The auditor reported no findings.

Year ending Sep 2023 · $60.6M federal money spent
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$25.1M
Disaster Grants - Public Assistance (presidentially Declared Disasters)Department of Homeland Security · ALN 97.036 · Through State of Missouri Emergency Management Agency$25.0M
Federal Direct Student LoansDepartment of Education · ALN 84.268 · Direct$6.7M
Federal Pell Grant ProgramDepartment of Education · ALN 84.063 · Direct$1.1M
Education Stabilization FundDepartment of Education · ALN 84.425 · Direct$701K

Plus 14 smaller programs.

The auditor reported 1 finding: a weakness in money controls, questioned costs.

Year ending Sep 2022 · $154.3M federal money spent
Disaster Grants - Public Assistance (presidentially Declared Disasters)Department of Homeland Security · ALN 97.036 · Through State of Missouri Emergency Management Agency$120.6M
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$19.8M
Federal Direct Student LoansDepartment of Education · ALN 84.268 · Direct$7.3M
Education Stabilization FundDepartment of Education · ALN 84.425 · Direct$1.3M
Economic Adjustment AssistanceDepartment of Commerce · ALN 11.307 · Direct$1.2M

Plus 16 smaller programs.

The auditor reported no findings.

By the numbers

The FY2020 990, line by line.

1The main four
Money inPt VIII
$196.4M
Ln 12
Fees for servicesLn 2g$195.1M
Gifts and grantsLn 1h$738K
Investment incomeLn 3$539K
Money outPt IX
$196.4M
Ln 25
Programscol B$176.2M
Managementcol C$20.2M
Owns and owesPt X
$969.3M
net assets · Ln 32
Total assetsLn 16$970.2M
LiabilitiesLn 26$955K
PeoplePt VI, VII
40
listed · VII A
PaidVII A13
Voting boardVI 1a27
IndependentVI 1b21
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$738K
Government grantsLn 1e$53K
Fees for servicesLn 2g$195.1M
Investment incomeLn 3$539K
Gains on assetsLn 7$0
Total revenueLn 12$196.4M
Assets in detailPt X, end of year
InvestmentsLn 11–13$970.2M
Total assetsLn 16$970.2M
LiabilitiesLn 26$955K
Net assetsLn 32$969.3M
OperationsPt I, VI
EmployeesI 53,717
VolunteersI 621
Fiscal year endsHeaderSeptember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY20End FY20
Cash and savingsLn 1–2$1.7M$0
InvestmentsLn 11–13$946.2M$970.2M
Land, buildings, equipmentLn 10c$12.4M$0
Total assetsLn 16$965.2M$970.2M
LiabilitiesLn 26$21.0M$955K
Net assetsLn 32$944.2M$969.3M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$184K$184K
Grants to domestic individualsLn 2$0
Grants and assistance to foreign recipientsLn 3$0
Benefits paid to or for membersLn 4$0
Pay of officers and key staff (Part IX, line 5)Ln 5$7.1M$7.1M
Pay of disqualified personsLn 6$0
Other salaries and wagesLn 7$66.2M$66.2M
Pension plan contributionsLn 8$2.4M$2.4M
Other employee benefitsLn 9$8.8M$8.2M$571K
Payroll taxesLn 10$4.8M$4.4M$412K
Management feesLn 11a$0
Legal feesLn 11b$2.5M$2.5M
Accounting feesLn 11c$455K$455K
Lobbying feesLn 11d$0
Professional fundraising feesLn 11e$0
Investment management feesLn 11f$0
Other fees for servicesLn 11g$61.8M$56.4M$5.4M
Advertising and promotionLn 12$1.9M$1.8M$168K
Office expensesLn 13$8.6M$7.8M$834K
Information technologyLn 14$22.8M$20.8M$2.0M
RoyaltiesLn 15$0
OccupancyLn 16$643K$587K$56K
TravelLn 17$483K$441K$42K
Travel and entertainment for public officialsLn 18$0
Conferences, conventions and meetingsLn 19$239K$218K$21K
InterestLn 20$51K$46K$4K
Payments to affiliatesLn 21$0
Depreciation, depletion and amortizationLn 22$4.6M$4.2M$401K
InsuranceLn 23$838K$765K$74K
Other expenses (24a–d)Ln 24$2.1M$1.9M$184K
Total functional expensesLn 25$196.4M$176.2M$20.2M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 LatestFiled with the IRS Aug 14, 2026 $394.6M$394.6M−$3K$1.8B 990 PDF
FY2024Filed with the IRS Aug 14, 2025 $323.1M$322.7M$409K$1.7B 990 PDF
FY2023Filed with the IRS Aug 14, 2024 $257.9M$256.1M$1.8M$1.5B 990 PDF
FY2022Filed with the IRS Aug 14, 2023 $216.9M$216.9M$0$1.3B 990 PDF
FY2021Filed with the IRS Aug 10, 2022 $192.4M$192.4M$0$1.3B 990 PDF
FY2020 ViewingFiled with the IRS Aug 10, 2021 $196.4M$196.4M$2K$969.3M 990 PDF

Schedules filed Part IV

A · Public support I · Grants J · Pay O · Explanations
See the full FY2020 990
Part I · Summary $196,417,581 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $47,599$738,357
I-9 Program service revenuePrior year $23,471,018$195,140,339
I-10 Investment incomePrior year $31,825$538,885
I-11 Other revenuePrior year $39,015,160$0
I-12 Total revenuePrior year $62,565,602$196,417,581
I-13 Grants and similar amounts paidPrior year $0$183,594
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $13,690,293$89,253,492
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $8,681,851$106,978,984
I-18 Total expensesPrior year $22,372,144$196,416,070
I-19 Revenue less expensesPrior year $40,193,458$1,511
Part VI · Governance 21 of 27 board members independent, 1 to look at
VI-1a Voting members of the governing body27
VI-1b Independent voting members21
VI-2 Family or business relationship among officers or directorsYes
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $196,417,581 across 11 lines filed
VIII-1d Related organizations$677,749
VIII-1e Government grants$52,600
VIII-1f All other contributions, gifts and grants$8,008
VIII-1h Total contributions, gifts and grants$738,357
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $195,140,339$195,140,339
VIII-3 Investment incomeExcluded from tax $538,885$538,885
VIII-5 Royalties$0
VIII-6 Net rental income or loss$0
VIII-7 Net gain or loss on sales of assets$0
VIII-8 Net income from fundraising events$0
VIII-12 Total revenueRelated to mission $195,140,339 · Excluded from tax $538,885$196,417,581
Part IX · Statement of functional expenses $196,416,070 across 30 lines filed
IX-1 Grants to domestic organizationsPrograms $183,594$183,594
IX-2 Grants to domestic individuals$0
IX-3 Grants and assistance to foreign recipients$0
IX-4 Benefits paid to or for members$0
IX-5 Pay of officers and key staff (Part IX, line 5)Management $7,141,592$7,141,592
IX-6 Pay of disqualified persons$0
IX-7 Other salaries and wagesPrograms $66,151,192$66,151,192
IX-8 Pension plan contributionsPrograms $2,388,178$2,388,178
IX-9 Other employee benefitsPrograms $8,221,108 · Management $571,237$8,792,345
IX-10 Payroll taxesPrograms $4,367,835 · Management $412,350$4,780,185
IX-11a Management fees$0
IX-11b Legal feesManagement $2,455,469$2,455,469
IX-11c Accounting feesManagement $455,483$455,483
IX-11d Lobbying fees$0
IX-11f Investment management fees$0
IX-11g Other fees for servicesPrograms $56,417,621 · Management $5,425,598$61,843,219
IX-12 Advertising and promotionPrograms $1,751,125 · Management $168,403$1,919,528
IX-13 Office expensesPrograms $7,775,053 · Management $834,443$8,609,496
IX-14 Information technologyPrograms $20,784,005 · Management $1,998,766$22,782,771
IX-15 Royalties$0
IX-16 OccupancyPrograms $586,600 · Management $56,412$643,012
IX-17 TravelPrograms $440,933 · Management $42,404$483,337
IX-18 Travel and entertainment for public officials$0
IX-19 Conferences, conventions and meetingsPrograms $217,649 · Management $20,931$238,580
IX-20 InterestPrograms $46,352 · Management $4,458$50,810
IX-21 Payments to affiliates$0
IX-22 Depreciation, depletion and amortizationPrograms $4,165,538 · Management $400,593$4,566,131
IX-23 InsurancePrograms $764,893 · Management $73,559$838,452
IX-24 Other expenses (24a–d)Programs $1,909,101 · Management $183,595$2,092,696
IX-25 Total functional expensesPrograms $176,170,777 · Management $20,245,293 · Fundraising $0$196,416,070
Part X · Balance sheet $970,222,612 assets, 30 lines filed
X-1 Cash, non-interest-bearingStart of year $1,100$0
X-2 Savings and temporary cash investmentsStart of year $1,673,937$0
X-3 Pledges and grants receivableStart of year $0$0
X-4 Accounts receivableStart of year $3,362,677$0
X-5 Loans to officers and key peopleStart of year $0$0
X-6 Loans to other insidersStart of year $0$0
X-7 Notes and loans receivableStart of year $0$0
X-8 Inventories for sale or useStart of year $184,322$0
X-9 Prepaid expenses and deferred chargesStart of year $12,302$0
X-10c Land, buildings and equipment, netStart of year $12,393,183$0
X-11 Publicly traded securitiesStart of year $0$0
X-12 Other securitiesStart of year $0$0
X-13 Program-related investmentsStart of year $946,150,497$970,222,612
X-14 Intangible assetsStart of year $0$0
X-15 Other assetsStart of year $1,428,779$0
X-16 Total assetsStart of year $965,206,797$970,222,612
X-17 Accounts payable and accrued expensesStart of year $1,667,061$0
X-18 Grants payableStart of year $0$0
X-19 Deferred revenueStart of year $0$0
X-20 Tax-exempt bond liabilitiesStart of year $0$0
X-21 Escrow or custodial accountsStart of year $0$0
X-22 Loans from officers and insidersStart of year $0$0
X-23 Secured mortgages and notes payableStart of year $14,177,598$0
X-24 Unsecured notes and loans payableStart of year $0$0
X-25 Other liabilitiesStart of year $5,174,311$955,183
X-26 Total liabilitiesStart of year $21,018,970$955,183
X-27 Net assets without donor restrictionsStart of year $896,620,396$921,544,577
X-28 Net assets with donor restrictionsStart of year $47,567,431$47,722,852
X-32 Total net assets or fund balancesStart of year $944,187,827$969,267,429
X-33 Total liabilities and net assetsStart of year $965,206,797$970,222,612
Part XI · Reconciliation of net assets $969,267,429 net assets at year end
XI-1 Total revenue$196,417,581
XI-2 Total expenses$196,416,070
XI-3 Revenue less expenses$1,511
XI-4 Net assets at start of year$944,187,827
XI-9 Other changes in net assets$25,078,091
XI-10 Net assets at end of year$969,267,429

Form 990 e-file (XML) FY2020 from the IRS · Classification, formation year and address from the IRS Business Master File

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