Cox Barton County Hospital

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2017

Legal Domicile

Phone

4176815100

Tax Period

2023-10-01 to 2024-09-30

Cox Barton County Hospital, founded in 2017, is a mid-sized nonprofit in the Health Care sector that reported $33.0M in total revenue in fiscal year 2023. Expenses of $30.1M left a modest 9% surplus.

Mission

TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTH CARE, EDUCATION AND RESEARCH.

Program Service Accomplishments

Program 1

Expenses: $21,555,091 Revenue: $26,852,672

INPATIENT AND OUTPATIENT SERVICES PROVIDED AT THE HOSPITAL MAKE UP THE ORGANIZATION'S LARGEST PROGRAM SERVICE ACTIVITY. USERS ARE ABLE TO SAVE TIME AND MONEY BY SEEING SPECIALISTS IN THEIR COMMUNITY. SERVICES INCLUDE GENERAL SURGERY, RADIOLOGY (X-RAY, CT, MRI, NUCLEAR MEDICINE, ULTRASOUND, AND MAMMOGRAPHY), LABORATORY, 24-HOUR EMERGENCY DEPARTMENT, SLEEP CENTER, CARDIOPULMONARY REHAB, MEDICAL SURGICAL UNIT, PHARMACY AND COMMUNITY WELLNESS.

Program 2

Expenses: $4,778,617 Revenue: $5,953,055

SERVICES PROVIDED AT THE HOSPITAL'S RURAL HEALTH CLINIC LOCATIONS MAKE UP THE SECOND LARGEST PROGRAM SERVICE ACTIVITY. DURING THE YEAR THESE CLINICS SAW 22,354 PATIENT VISITS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $47,863

Program Service Revenue $32,805,727

Investment Income $185,479

Other Revenue $900

TOTAL REVENUE $33,039,969

Expense Breakdown

Grants Paid $36,221

Salaries & Benefits $17,123,321

Fundraising Expenses $0

Program Expenses $26,333,708

Other Expenses $12,899,642

TOTAL EXPENSES $30,059,184

Year-over-Year Comparison

	2023	2022	Change
Revenue	$33,039,969	$32,981,381	+0.0%
Expenses	$30,059,184	$27,841,964	+0.1%
Net Income	$2,980,785	$5,139,417	-0.4%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

261

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$3,883,975

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
HAL L HIGDON	CHAIR	1.0	Officer Director	$0	$0	$0
BRAD E ERWIN	BOARD MEMBER	1.0	Director	$0	$0	$0
JEFFERSON M TYNES	BOARD MEMBER	1.0	Director	$0	$0	$0
LARRY W LIPSCOMB	BOARD MEMBER	1.0	Director	$0	$0	$0
ROBERT C FULP	BOARD MEMBER	1.0	Director	$0	$0	$0
SALLY HARGIS	BOARD MEMBER	1.0	Director	$0	$0	$0
ANDREA MCKAY	PRESIDENT	20.0	Officer	$155,917	$24,381	$336,215
JACOB M MCWAY	EVP, COXHEALTH CFO	1.0	Officer	$0	$221,113	$1,533,041
MAX D BUETOW	PRESIDENT & CEO	1.0	Officer	$0	$305,452	$1,922,931
VICKIE J NELSON	SECRETARY	1.0	Officer	$0	$11,742	$91,788
Clinton R Loy	Physician	40.0	Highest	$478,962	$34,105	$513,067
David M Steele	Physician	40.0	Highest	$432,334	$25,855	$458,189
Jeremy L Sturgell	Physician	40.0	Highest	$330,331	$25,855	$356,186
John Willis	Physician	40.0	Highest	$296,192	$32,820	$329,012
Jonathan Etheridge	Physician	40.0	Highest	$321,715	$34,105	$355,820
CHRISTOPHER B WYATT	FORMER PRESIDENT	0.0		$231,610	$28,309	$259,919
STEVE EDWARDS	FORMER PRESIDENT & CEO	0.0		$0	$34,105	$752,528

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$33,039,969	$30,059,184	$26,814,488	$2,980,785
2023	$32,981,381	$27,841,964	$25,786,285	$5,139,417
2022	$28,146,211	$25,783,619	$24,409,566	$2,362,592
2021	$26,433,658	$25,310,684	$23,011,336	$1,122,974
2020	$22,841,195	$23,031,715	$24,876,985	$-190,520