the waste pipe is out of plumb.
If you're saying that the raiser is cocked then how did the toilet set in the first place? Was it shimmed? How bad is it cocked?
I was simply asking if the Sioux Chief Ringer could be mounted on top of the finished floor without a flange so the horn would discharge directly into the 4 inch waste pipe
The image of a Sioux Chief I saw was a inside fit wit a horn. That would still cock the flange.
OK! Here's what I would do.
I was setting toilets before flanges came out. All a flange does is secure the bowl to the floor.
Do this. Set the toilet over the pipe so it sets flat and the horn goes down into the sewer raiser. Mark the holes and pull the toilet away. Purchase a pack of 1/4" plastic inserts complete with screws and a 1/4" masenery bit. Drill the holes and install the inserts. You will also need to purchase a few wood screw type closet bolts,(see image) and a funnel type wax ring. Screw the closet bolts in and place the wax ring over the pipe. You may now set the toilet directly over the bolts and secure it to the floor. Good luck, Tom