Liabilities / Assets
91st percentile
Higher debt load relative to assets than 91% of similar nonprofits.
EIN 33-1234289 • 501(c)3 • Fort Scott, KS
Profile
Our mission is to improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
91st percentile
Higher debt load relative to assets than 91% of similar nonprofits.
Liabilities / Revenue
95th percentile
Higher debt load relative to revenue than 95% of similar nonprofits.
Net Margin
87th percentile
Higher net margin than 87% of similar nonprofits.
Top Officer Pay
100th percentile
Higher top officer pay than 100% of similar nonprofits.
Top officer pay equals 156.8% of source-year revenue.
Asset Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Assets
$4,528,550
No earlier filing loaded for comparison.
Liabilities
$3,947,958
No earlier filing loaded for comparison.
Net Assets
$580,592
No earlier filing loaded for comparison.
Revenue
$1,349,174
No earlier filing loaded for comparison.
Expenses
$768,582
No earlier filing loaded for comparison.
Net Income
$580,592
No earlier filing loaded for comparison.
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
Our mission is to improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.
Our mission is to improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. Freeman Fort Scott Hospital offers a range of services designed to meet the needs of the local community, with a focus on accessibility, innovation, and personalized care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | - | $1,031,987 | - |
| Prepaid Expenses and Deferred Charges | - | $66,225 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | - | $0 | - |
| Total Assets | $0 | $4,528,550 | ▲ $4,528,550 |
| Other Assets Total | $0 | $3,430,338 | ▲ $3,430,338 |
| Liabilities | |||
| Other Liabilities | $0 | $3,374,267 | ▲ $3,374,267 |
| Accounts Payable and Accrued Expenses | - | $573,691 | - |
| Total Liabilities | $0 | $3,947,958 | ▲ $3,947,958 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | - | $580,592 | - |
| Total Net Assets Fund Balance | $0 | $580,592 | ▲ $580,592 |
| Total Liabilities and Net Assets / Fund Balance | $0 | $4,528,550 | ▲ $4,528,550 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $1,031,987 | $0 | $1,031,987 |
| Other Assets Org | $3,134,978 | - | - |
| Name | Title |
|---|---|
| Don Doherty | Chairman |
| Paula Baker | President and CEO |
| Jay Leek | Vice Chair |
| Dr Michael Zafuta MD | Director |
| Gregg Motley | Director |
| Steve Graddy | CFO |
| Lindsay Madison | Secretary |
| Line Item | Amount |
|---|---|
| Other Expenses | $667,732 |
| Salaries, Compensation, and Employee Benefits | $100,850 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Occupancy | $34,635 | $458,106 | - | $492,741 |
| Other Salaries and Wages | $4,795 | $80,412 | - | $85,207 |
| Information Technology | - | $38,663 | - | $38,663 |
| Office Expenses | $595 | $37,013 | - | $37,608 |
| Fees for Services Other | $0 | $35,480 | $0 | $35,480 |
| Fees for Services Legal | - | $22,291 | - | $22,291 |
| Other Employee Benefits | $712 | $7,044 | - | $7,756 |
| Payroll Taxes | $328 | $5,892 | - | $6,220 |
| Insurance | $3,057 | $415 | - | $3,472 |
| Advertising | - | $2,568 | - | $2,568 |
| Travel | $824 | $1,705 | - | $2,529 |
| Pension Plan Contributions | $59 | $1,608 | - | $1,667 |
| Interest | - | $997 | - | $997 |
| Other Expenses | $93 | $600 | - | $93 |
| Total Functional Expenses | $55,318 | $713,264 | $0 | $768,582 |
| Line Item | Amount |
|---|---|
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Expenses per Audited Statements | $0 |
| Other Expense Adjustments | $0 |
| Total Expenses per Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Liability | Amount |
|---|---|
| Due to Related Party | $3,134,979 |
| Federal Income Taxes | $239,288 |
| Rou Liabilities | - |
“Freeman health system is the sole member of the organization. Directors and officers of the organization are appointed and removed by the organization's sole member. The board of freeman fort scott hospital must obtain approval from the organization's sole member, freeman health system, to perform certain actions. These actions include: all governance decisions of interest to the member affecting the operation of the corporation; appointment review and removal of the administrator; development and adoption of strategic plans, budget and fiscal policy; approval of any financing or refinancing plans; any investment of the organization's funds; appointment and removal of directors of subsidiaries; amendment of the articles of incorporation and bylaws or any policies, rules, and regulations pertaining to the medical staff; the sale, lease, or exchange of all or substantially all of the organization's property or assets; taking any action that would affect the existence of the corporation, including merger, consolidation, affiliation, or dissolution; adoption or amendment of any corporate compliance program; and any other matter that by law requires the approval of members of a nonprofit corporation.”
“Executive compensation philosophy and strategy i. Key principles freeman health system (fhs) desires to ensure that its executive compensation program is competitive, fair, and equitable; compliant with regulatory guidelines; and representative of market best practices. Key principles that guide fhs's executive compensation decision-making process include: -executive compensation programs will support fhs's mission, values, strategic direction, and tax-exempt status. -fhs competes in a national market for its executives and thus will consider pay practices that are representative of the industry. -the relative pay levels of fhs executives will over time reflect both individual and organizational performance. -fhs intends to establish the rebuttable presumption of reasonableness under irs intermediate sanctions regulations. Thus, executive compensation programs and decisions will be approved, in advance of their implementation by the executive compensation committee (hereafter the committee) of the board of directors: *the committee is comprised of members of the board of directors, who are independent of fhs's management, have no personal interest in the compensation arrangements, are not related to, or under the control of any individual whose compensation arrangement is being reviewed and have no material business relationship with fhs. *the committee will rely upon appropriate, independent comparability data to support its decision making process. *the committee will adequately document its deliberations, decisions, and actions on a timely basis. Ii. Primary program components fhs's executive total compensation program consists of the following components: -base salary -annual at risk compensation -standard all employee benefits -supplemental benefits and perquisites -severance annually, the committee will direct the review of the components of the executive compensation program and approve program modifications as appropriate. The committee may also authorize unique program components which support he achievements of fhs's mission. Iii. Market comparators fhs will consider a national peer group of healthcare organizations comparable to fhs in size (i.e., net revenues) and complexity to determine the market values for each of its executive positions. This peer group will primarily be comprised of not-for-profit healthcare organizations (but for-profit organizations may be considered selectively) for functionally comparable positions as reported in surveys conducted by independent firms. -cash compensation the following organizations/markets are the primary comparators for compensation purposes: *system level executives: health systems of comparable size to fhs, based on net revenue. These will be based on national healthcare labor markets *hospital level executives: hospitals of comparable size to the fhs entity, based on net revenue. These will be based on national healthcare labor markets. *other executives: organizations of comparable size in relevant market segments such as medical group practices, home health, and the like. These will be based on national healthcare labor market. -executive benefits fhs will develop and administer executive benefit (i.e., standard benefits, supplemental executive benefits, and perquisites) plans that are based on national healthcare industry market norms. Iv. Market position targets fhs has established a target market position for each of the components of its executive total compensation program. -base salaries: fhs will manage its executives' base salaries around the 50th percentile of base salaries paid in the market. Salaries will vary from the 50th percentile based an executive's experience and performance. For example: *executives who are new to the organization and/or have limited or no prior executive-level experience should have salaries that are 80 to 90 percent of the 50th percentile. *experienced executives (with approximately 5 - 7 years of executive level experience) who”
“Executive compensation committee charter this executive compensation committee charter was adopted by the board of directors (the "board") of freeman health system (hereafter "fhs") on april 25, 2008. This charter applies to fhs and all of its business entities, including freeman neosho hospital, ozark center, and the freeman foundation (hereafter the "system"). This charter is a component of the flexible framework within which the board, assisted by its committees, directs the affairs of fhs. While the charter should be interpreted in the context of all applicable laws and regulations, as well as in the content of fhs's articles of incorporation and bylaws, it is not intended to establish by its own force any legally binding obligations. I. Purpose the executive compensation committee (hereafter the "committee") is authorized to act on the board's behalf in (i) determining appropriate compensation for system executives and other disqualified persons as defined in the irs intermediate sanctions regulations; (ii) evaluating system executives other disqualified persons' cash compensation plans, policies, and programs; (iii) reviewing benefit plans for system executives and other disqualified persons; and (iv) verifying that compensation information is appropriately and fully disclosed. - a disqualified person: is any person who is or was in a position to exercise substantial influence over the affairs of the applicable tax-exempt organization. It is not necessary that the person actually exercise substantial influence, only that the person be in a position to do so. -for purposes of this charter, "executives" are defined as system executives and other disqualified persons validated by the committee. In discharging its role, the committee is empowered to investigate any matter brought to its attention with access to all books, records, facilities, and personnel of the system. It has the authority to retain outside advisors (e.g., legal counsel, compensation, consultations, or other experts) and will receive adequate funding from the system to engage such advisors. It shall have the sole authority to retain, compensate, terminate, and oversee its advisors, who shall be accountable ultimately to the committee. To support the committee, a timetable and resource book will be developed containing the necessary data, information, and documents the committee will need to carry out its duties. The resource book will be distributed to the committee in advance of its meetings and fhs will maintain these books at its corporate office. The committee also will receive training in compensation plan design and administration, including legal and regulatory issues (as needed). Ii. Committee membership the committee is a standing committee of the board. In accordance with the corporate bylaws, it shall consist of at least three, but not more than five, members of the board. Each committee member has been determined by the board to be "independent" in accordance with irs intermediate sanctions regulations. At the start of this year, each member will review the organization's conflict of interest policy to ensure he or she has no conflict of interest and is "independent". If a real, potential, or perceived conflict of interest is identified, the committee member will review the issue with the committee chair and legal counsel to determine the appropriate action. In addition, no director may serve on the committee unless he or she is a nonemployee" member of a system board. The fhs board will appoint a committee chair to convene all sessions, set agendas for meetings, and determine the information needs of the committee. Before debating and voting on any compensation arrangement, each member shall determine whether he or she has a conflict of interest regarding the compensation arrangement. Any member with a conflict of interest regarding a particular compensation arrangement or transaction shall recuse himself or herself from the discussion and sha”
“The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, a draft of the form 990 is reviewed by members of top management. Once a final draft is ready, a power point presentation is made to the board members at the board of directors meeting to explain the 990 and its uses. The board reviews the document for key information included. Paper copies are made available to the board members at their request.”
“The conflict of interest policy is reviewed by the board of directors each year in april. The board members are asked to sign a new conflict of interest policy and list any possible conflicts. This information is reviewed and maintained in the administrative offices. If a board member encounters a transaction that would cause a possible conflict of interest, a form detailing the transaction is completed and submitted to the board for review and approval. Corporate officers and key employees are also required to annually disclose conflicts of interest.”
“The organization's governing documents, conflict of interest policy, and financial statements are not made available to the public.”
“Overview Freeman Health System, not-for-profit and locally governed by a volunteer Board of Directors, provides full-service healthcare to Southwest Missouri, Southeast Kansas, Northeast Oklahoma, and Northwest Arkansas. A four-hospital health system, Freeman provides comprehensive services including cancer care, heart care, orthopedics, neurosurgery, women's services, and behavioral healthcare. Freeman accepts Medicaid and Medicare patients and offers financial assistance and payment plans, providing a safety net to the local population with household incomes below $25,000. Freeman asks all employees and volunteers to embrace the mission of improving the health of the communities served through contemporary, innovative, quality healthcare solutions. The Freeman medical team, which includes more than 320 physicians representing 90 specialties, uses the latest techniques, best practices, and technologies to provide lifesaving medical care, providing constituents with the healthcare they need right in their own back yard. Joplin-area patients do not have to travel to big cities to receive heart interventions, cardiothoracic surgeries, neurosurgeries, pain therapies, intensive care, trauma care, and advanced diagnostic services. The close-to-home availability of advanced healthcare services eases stress on patients and the burden on families. Graduate Medical Education Freeman currently offers residency programs in emergency medicine, Internal medicine, Otolaryngology, Family medicine, and Psychiatry (through Ozark Center). In 2025, Freeman's Pharmacy Residency Program continues to make great strides. Residents make a 12-month commitment and receive the equivalent of nearly 5 years of real-world experience, with a focus on learning accountability for the best drug-therapy outcomes. In 2025, the inaugural graduating class of Freeman Health System's Family Medicine Residency Program was celebrated. The graduating doctors, the three Neosho-based physicians first welcomed into the program Freeman operates in affiliation with Kansas City University of Medicine in 2022, were Dr. Terrence Kelly and Dr. Omar Rehman. Dr. Andrea Pelate, who devoted half of her clinical time this year to the Neosho clinic, was also honored during the June celebration. In addition to residency programs, Freeman is a clinical core site for third- and fourth-year medical students from KCU, providing clinical rotations to more than 100 medical students each year, as well as many visiting students from across the country. Physicians often decide to set up their practices in the city where they completed their clinical rotations or residency; hence, Freeman Graduate Medical Education programs help attract physicians to the area that Freeman serves, which is considered to be medically underserved (doesn't have enough primary care doctors). The physician-training program in place at Freeman dates back more than 40 years. As a teaching hospital, Freeman plays a key role in the education and training of physicians in Missouri, and KCU has acknowledged Freeman as its academic center in Joplin. In 2025, Freeman Health System was awarded a $2.1 million federal Health Resources and Services Administration (HRSA) grant to establish a Street Medicine Training Outreach program in Joplin, an innovative initiative that expands access to care for people experiencing homelessness in Joplin. The program is the first of its kind in the Freeman Health System service area. By 2028, if not sooner, 70 Freeman-trained family and internal medicine-trained resident physicians, working in month-long rotations during their three resident years, will be applying first-rate medical and behavioral health care to Joplin's unhoused persons in Joplin. When warranted, Freeman physicians will strap on backpacks and trek into the more rural areas of Joplin to directly help those in need. An estimated 600 unhoused individuals are currently living in Joplin. Coordinated Care Partnership This four-ye”
“Nursing School Support In FY25, Freeman Auxiliary gave $16,000 to local nursing programs including Carthage Technical College, Crowder College, Fort Scott Community College, Franklin Technology Center, Labette Community College, Missouri Southern State University, Pittsburg State University, and Northeastern Oklahoma A&M. Each school received $2,000. Free Support Groups Freeman fosters the health of the community by hosting many relevant monthly support groups, such as the Ozark Center Autism Support Group, Freeman Cancer Support Group, Espresso Yourself Breast Cancer Support Group, Caregiver Support Group, Bariatric Weight Loss Support Group, Diabetes Support Group, and Sleep Apnea Support Group. All Freeman support groups are free and open to the public. In addition to providing facilities and staff to facilitate the support group meetings, Freeman provides community outreach by publicizing these meetings on the Freeman Health System website, freemanhealth.com. Blood Drives Freeman supports Community Blood Center of the Ozarks by hosting blood drives throughout the year. In FY24, Freeman Hospital West and Freeman Business Center recruited 335 blood donors resulting in 279 usable units. Freeman Auxiliary Freeman Auxiliary raises funds and provides volunteer services to benefit patients, staff, visitors, and the community. One Joplin and Community and Health Center of Southeast Kansas Freeman also financially supports organizations such as One Joplin and Community Health Center of Southeast Kansas. One Joplin represents more than 76 organizations within the local community who have committed to working together for long-term positive change. The One Joplin Health Team works to help citizens reach healthy weights, improve mental health and decrease substance abuse. The Human Services Team works to reduce domestic violence, child abuse and neglect, with a focus on access to care. The Community Health Center of SE Kansas provides medical care and training to a large swath of SE Kansas. Freeman made a large donation to CHC-SEK to help establish the John Parolo Education Center, a much-needed educational environment that works to educate local healthcare workers with a goal of keeping them in the area to practice as doctors, physician's assistants, nurse practitioners and dental hygienists. The intent is to have as many as 10 third- and fourth-year medical students and up to four residents at the education center. Joplin Christmas Parade Since 2014, Freeman Health System has managed the Joplin Christmas Parade. Freeman donates countless labor-hours to organize and orchestrate the parade, a commitment that includes publicizing the event, coordinating parade entries, ensuring the parade flows smoothly, awarding prizes, and more. Freeman was chosen to manage the parade for two reasons-its proven ability to successfully communicate with both the city and the citizens of Joplin and its ability to mobilize a group of volunteers who could handle a parade of that magnitude. Telemedicine In the five short years since Freeman Health System entered into a school-based medicine partnerships with local school districts, the Freeman School Telemedicine program has expanded in FY25 to nine school districts representing more than 50 school locations and tens of thousands of students. School Telemedicine was first established in the Neosho and Seneca school districts before moving into Diamond, East Newton, Westview, McDonald County, Sarcoxie, Pierce City, and all 17 Joplin schools. Increased access to medical services results in not only an environment of wellness for the school, but also for the entire community. Another benefit of school-based medicine is that it decreases time lost from the classroom for students and faculty needing medical attention. Additionally, this program can save parents from having to miss work to take their children to a medical clinic or doctor's office. School nurses use the medical-grade tools in their offices to en”
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Desc | 0 | Freeman Fort Scott Hospital, Inc. will operate a ten-bed hospital and 24-hour emergency department. As of March 31, 2025, the hospital is still in the process of seeking licensures to open and operate an acute care hospital and only certain cost related to this process have been incurred. |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
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| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | FREEMAN HEALTH SYSTEM, THE SOLE MEMBER, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIALS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 1 | FREEMAN HEALTH SYSTEM PROVIDES MANAGEMENT THE POTENTIAL TO RECEIVE AN AT-RISK PAYMENT BASED ON SYSTEM AND INDIVIDUAL GOAL ACHIEVEMENT. THE AMOUNT OF COMPENSATION IS BASED UPON A PERCENTAGE OF THE EMPLOYEE'S ANNUAL COMPENSATION AND IS SUBJECT TO BOARD APPROVAL. |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 2 | THE ORGANIZATION PROVIDES PHYSICIANS THE POTENTIAL TO RECEIVE ANNUAL BONUS COMPENSATION. PHYSICIAN BONUSES ARE CALCULATED BASED ON GENERATING WORKED RELATIVE VALUE UNITS (WRVU). EMPLOYMENT CONTRACTS SPECIFY THE NUMBER OF REQUIRED WRVUS (TO OBTAIN AN ANNUAL SALARY) AND THE ADDITIONAL BONUS COMPENSATION PHYSICIANS WILL RECEIVE ONCE THE REQUIRED WRVUS HAVE BEEN MET. ADDITIONAL BONUS COMPENSATION IS CALCULATED BY MULTIPLYING THE WRVUS IN EXCESS OF REQUIRED WRVUS TIMES A PREDETERMINED COMPENSATION FACTOR. WRVUS SHALL BE COMPUTED BY USE OF THE APPROVED MEDICARE METHODS OF COMPUTATION FOR PHYSICIAN PRACTICES. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION |
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| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Schedule J, Part II, Column (B)(ii) BONUS & INCENTIVE COMPENSATION |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | Overview Freeman Health System, not-for-profit and locally governed by a volunteer Board of Directors, provides full-service healthcare to Southwest Missouri, Southeast Kansas, Northeast Oklahoma, and Northwest Arkansas. A four-hospital health system, Freeman provides comprehensive services including cancer care, heart care, orthopedics, neurosurgery, women's services, and behavioral healthcare. Freeman accepts Medicaid and Medicare patients and offers financial assistance and payment plans, providing a safety net to the local population with household incomes below $25,000. Freeman asks all employees and volunteers to embrace the mission of improving the health of the communities served through contemporary, innovative, quality healthcare solutions. The Freeman medical team, which includes more than 320 physicians representing 90 specialties, uses the latest techniques, best practices, and technologies to provide lifesaving medical care, providing constituents with the healthcare they need right in their own back yard. Joplin-area patients do not have to travel to big cities to receive heart interventions, cardiothoracic surgeries, neurosurgeries, pain therapies, intensive care, trauma care, and advanced diagnostic services. The close-to-home availability of advanced healthcare services eases stress on patients and the burden on families. Graduate Medical Education Freeman currently offers residency programs in emergency medicine, Internal medicine, Otolaryngology, Family medicine, and Psychiatry (through Ozark Center). In 2025, Freeman's Pharmacy Residency Program continues to make great strides. Residents make a 12-month commitment and receive the equivalent of nearly 5 years of real-world experience, with a focus on learning accountability for the best drug-therapy outcomes. In 2025, the inaugural graduating class of Freeman Health System's Family Medicine Residency Program was celebrated. The graduating doctors, the three Neosho-based physicians first welcomed into the program Freeman operates in affiliation with Kansas City University of Medicine in 2022, were Dr. Terrence Kelly and Dr. Omar Rehman. Dr. Andrea Pelate, who devoted half of her clinical time this year to the Neosho clinic, was also honored during the June celebration. In addition to residency programs, Freeman is a clinical core site for third- and fourth-year medical students from KCU, providing clinical rotations to more than 100 medical students each year, as well as many visiting students from across the country. Physicians often decide to set up their practices in the city where they completed their clinical rotations or residency; hence, Freeman Graduate Medical Education programs help attract physicians to the area that Freeman serves, which is considered to be medically underserved (doesn't have enough primary care doctors). The physician-training program in place at Freeman dates back more than 40 years. As a teaching hospital, Freeman plays a key role in the education and training of physicians in Missouri, and KCU has acknowledged Freeman as its academic center in Joplin. In 2025, Freeman Health System was awarded a $2.1 million federal Health Resources and Services Administration (HRSA) grant to establish a Street Medicine Training Outreach program in Joplin, an innovative initiative that expands access to care for people experiencing homelessness in Joplin. The program is the first of its kind in the Freeman Health System service area. By 2028, if not sooner, 70 Freeman-trained family and internal medicine-trained resident physicians, working in month-long rotations during their three resident years, will be applying first-rate medical and behavioral health care to Joplin's unhoused persons in Joplin. When warranted, Freeman physicians will strap on backpacks and trek into the more rural areas of Joplin to directly help those in need. An estimated 600 unhoused individuals are currently living in Joplin. Coordinated Care Partnership This four-ye |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | Nursing School Support In FY25, Freeman Auxiliary gave $16,000 to local nursing programs including Carthage Technical College, Crowder College, Fort Scott Community College, Franklin Technology Center, Labette Community College, Missouri Southern State University, Pittsburg State University, and Northeastern Oklahoma A&M. Each school received $2,000. Free Support Groups Freeman fosters the health of the community by hosting many relevant monthly support groups, such as the Ozark Center Autism Support Group, Freeman Cancer Support Group, Espresso Yourself Breast Cancer Support Group, Caregiver Support Group, Bariatric Weight Loss Support Group, Diabetes Support Group, and Sleep Apnea Support Group. All Freeman support groups are free and open to the public. In addition to providing facilities and staff to facilitate the support group meetings, Freeman provides community outreach by publicizing these meetings on the Freeman Health System website, freemanhealth.com. Blood Drives Freeman supports Community Blood Center of the Ozarks by hosting blood drives throughout the year. In FY24, Freeman Hospital West and Freeman Business Center recruited 335 blood donors resulting in 279 usable units. Freeman Auxiliary Freeman Auxiliary raises funds and provides volunteer services to benefit patients, staff, visitors, and the community. One Joplin and Community and Health Center of Southeast Kansas Freeman also financially supports organizations such as One Joplin and Community Health Center of Southeast Kansas. One Joplin represents more than 76 organizations within the local community who have committed to working together for long-term positive change. The One Joplin Health Team works to help citizens reach healthy weights, improve mental health and decrease substance abuse. The Human Services Team works to reduce domestic violence, child abuse and neglect, with a focus on access to care. The Community Health Center of SE Kansas provides medical care and training to a large swath of SE Kansas. Freeman made a large donation to CHC-SEK to help establish the John Parolo Education Center, a much-needed educational environment that works to educate local healthcare workers with a goal of keeping them in the area to practice as doctors, physician's assistants, nurse practitioners and dental hygienists. The intent is to have as many as 10 third- and fourth-year medical students and up to four residents at the education center. Joplin Christmas Parade Since 2014, Freeman Health System has managed the Joplin Christmas Parade. Freeman donates countless labor-hours to organize and orchestrate the parade, a commitment that includes publicizing the event, coordinating parade entries, ensuring the parade flows smoothly, awarding prizes, and more. Freeman was chosen to manage the parade for two reasons-its proven ability to successfully communicate with both the city and the citizens of Joplin and its ability to mobilize a group of volunteers who could handle a parade of that magnitude. Telemedicine In the five short years since Freeman Health System entered into a school-based medicine partnerships with local school districts, the Freeman School Telemedicine program has expanded in FY25 to nine school districts representing more than 50 school locations and tens of thousands of students. School Telemedicine was first established in the Neosho and Seneca school districts before moving into Diamond, East Newton, Westview, McDonald County, Sarcoxie, Pierce City, and all 17 Joplin schools. Increased access to medical services results in not only an environment of wellness for the school, but also for the entire community. Another benefit of school-based medicine is that it decreases time lost from the classroom for students and faculty needing medical attention. Additionally, this program can save parents from having to miss work to take their children to a medical clinic or doctor's office. School nurses use the medical-grade tools in their offices to en |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | FREEMAN HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. DIRECTORS AND OFFICERS OF THE ORGANIZATION ARE APPOINTED AND REMOVED BY THE ORGANIZATION'S SOLE MEMBER. THE BOARD OF FREEMAN FORT SCOTT HOSPITAL MUST OBTAIN APPROVAL FROM THE ORGANIZATION'S SOLE MEMBER, FREEMAN HEALTH SYSTEM, TO PERFORM CERTAIN ACTIONS. THESE ACTIONS INCLUDE: ALL GOVERNANCE DECISIONS OF INTEREST TO THE MEMBER AFFECTING THE OPERATION OF THE CORPORATION; APPOINTMENT REVIEW AND REMOVAL OF THE ADMINISTRATOR; DEVELOPMENT AND ADOPTION OF STRATEGIC PLANS, BUDGET AND FISCAL POLICY; APPROVAL OF ANY FINANCING OR REFINANCING PLANS; ANY INVESTMENT OF THE ORGANIZATION'S FUNDS; APPOINTMENT AND REMOVAL OF DIRECTORS OF SUBSIDIARIES; AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS OR ANY POLICIES, RULES, AND REGULATIONS PERTAINING TO THE MEDICAL STAFF; THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY OR ASSETS; TAKING ANY ACTION THAT WOULD AFFECT THE EXISTENCE OF THE CORPORATION, INCLUDING MERGER, CONSOLIDATION, AFFILIATION, OR DISSOLUTION; ADOPTION OR AMENDMENT OF ANY CORPORATE COMPLIANCE PROGRAM; AND ANY OTHER MATTER THAT BY LAW REQUIRES THE APPROVAL OF MEMBERS OF A NONPROFIT CORPORATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY I. KEY PRINCIPLES FREEMAN HEALTH SYSTEM (FHS) DESIRES TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE, FAIR, AND EQUITABLE; COMPLIANT WITH REGULATORY GUIDELINES; AND REPRESENTATIVE OF MARKET BEST PRACTICES. KEY PRINCIPLES THAT GUIDE FHS'S EXECUTIVE COMPENSATION DECISION-MAKING PROCESS INCLUDE: -EXECUTIVE COMPENSATION PROGRAMS WILL SUPPORT FHS'S MISSION, VALUES, STRATEGIC DIRECTION, AND TAX-EXEMPT STATUS. -FHS COMPETES IN A NATIONAL MARKET FOR ITS EXECUTIVES AND THUS WILL CONSIDER PAY PRACTICES THAT ARE REPRESENTATIVE OF THE INDUSTRY. -THE RELATIVE PAY LEVELS OF FHS EXECUTIVES WILL OVER TIME REFLECT BOTH INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. -FHS INTENDS TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRS INTERMEDIATE SANCTIONS REGULATIONS. THUS, EXECUTIVE COMPENSATION PROGRAMS AND DECISIONS WILL BE APPROVED, IN ADVANCE OF THEIR IMPLEMENTATION BY THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE COMMITTEE) OF THE BOARD OF DIRECTORS: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF FHS'S MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FHS. *THE COMMITTEE WILL RELY UPON APPROPRIATE, INDEPENDENT COMPARABILITY DATA TO SUPPORT ITS DECISION MAKING PROCESS. *THE COMMITTEE WILL ADEQUATELY DOCUMENT ITS DELIBERATIONS, DECISIONS, AND ACTIONS ON A TIMELY BASIS. II. PRIMARY PROGRAM COMPONENTS FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM CONSISTS OF THE FOLLOWING COMPONENTS: -BASE SALARY -ANNUAL AT RISK COMPENSATION -STANDARD ALL EMPLOYEE BENEFITS -SUPPLEMENTAL BENEFITS AND PERQUISITES -SEVERANCE ANNUALLY, THE COMMITTEE WILL DIRECT THE REVIEW OF THE COMPONENTS OF THE EXECUTIVE COMPENSATION PROGRAM AND APPROVE PROGRAM MODIFICATIONS AS APPROPRIATE. THE COMMITTEE MAY ALSO AUTHORIZE UNIQUE PROGRAM COMPONENTS WHICH SUPPORT HE ACHIEVEMENTS OF FHS'S MISSION. III. MARKET COMPARATORS FHS WILL CONSIDER A NATIONAL PEER GROUP OF HEALTHCARE ORGANIZATIONS COMPARABLE TO FHS IN SIZE (I.E., NET REVENUES) AND COMPLEXITY TO DETERMINE THE MARKET VALUES FOR EACH OF ITS EXECUTIVE POSITIONS. THIS PEER GROUP WILL PRIMARILY BE COMPRISED OF NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS (BUT FOR-PROFIT ORGANIZATIONS MAY BE CONSIDERED SELECTIVELY) FOR FUNCTIONALLY COMPARABLE POSITIONS AS REPORTED IN SURVEYS CONDUCTED BY INDEPENDENT FIRMS. -CASH COMPENSATION THE FOLLOWING ORGANIZATIONS/MARKETS ARE THE PRIMARY COMPARATORS FOR COMPENSATION PURPOSES: *SYSTEM LEVEL EXECUTIVES: HEALTH SYSTEMS OF COMPARABLE SIZE TO FHS, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS *HOSPITAL LEVEL EXECUTIVES: HOSPITALS OF COMPARABLE SIZE TO THE FHS ENTITY, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. *OTHER EXECUTIVES: ORGANIZATIONS OF COMPARABLE SIZE IN RELEVANT MARKET SEGMENTS SUCH AS MEDICAL GROUP PRACTICES, HOME HEALTH, AND THE LIKE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKET. -EXECUTIVE BENEFITS FHS WILL DEVELOP AND ADMINISTER EXECUTIVE BENEFIT (I.E., STANDARD BENEFITS, SUPPLEMENTAL EXECUTIVE BENEFITS, AND PERQUISITES) PLANS THAT ARE BASED ON NATIONAL HEALTHCARE INDUSTRY MARKET NORMS. IV. MARKET POSITION TARGETS FHS HAS ESTABLISHED A TARGET MARKET POSITION FOR EACH OF THE COMPONENTS OF ITS EXECUTIVE TOTAL COMPENSATION PROGRAM. -BASE SALARIES: FHS WILL MANAGE ITS EXECUTIVES' BASE SALARIES AROUND THE 50TH PERCENTILE OF BASE SALARIES PAID IN THE MARKET. SALARIES WILL VARY FROM THE 50TH PERCENTILE BASED AN EXECUTIVE'S EXPERIENCE AND PERFORMANCE. FOR EXAMPLE: *EXECUTIVES WHO ARE NEW TO THE ORGANIZATION AND/OR HAVE LIMITED OR NO PRIOR EXECUTIVE-LEVEL EXPERIENCE SHOULD HAVE SALARIES THAT ARE 80 TO 90 PERCENT OF THE 50TH PERCENTILE. *EXPERIENCED EXECUTIVES (WITH APPROXIMATELY 5 - 7 YEARS OF EXECUTIVE LEVEL EXPERIENCE) WHO |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | EXECUTIVE COMPENSATION COMMITTEE CHARTER THIS EXECUTIVE COMPENSATION COMMITTEE CHARTER WAS ADOPTED BY THE BOARD OF DIRECTORS (THE "BOARD") OF FREEMAN HEALTH SYSTEM (HEREAFTER "FHS") ON APRIL 25, 2008. THIS CHARTER APPLIES TO FHS AND ALL OF ITS BUSINESS ENTITIES, INCLUDING FREEMAN NEOSHO HOSPITAL, OZARK CENTER, AND THE FREEMAN FOUNDATION (HEREAFTER THE "SYSTEM"). THIS CHARTER IS A COMPONENT OF THE FLEXIBLE FRAMEWORK WITHIN WHICH THE BOARD, ASSISTED BY ITS COMMITTEES, DIRECTS THE AFFAIRS OF FHS. WHILE THE CHARTER SHOULD BE INTERPRETED IN THE CONTEXT OF ALL APPLICABLE LAWS AND REGULATIONS, AS WELL AS IN THE CONTENT OF FHS'S ARTICLES OF INCORPORATION AND BYLAWS, IT IS NOT INTENDED TO ESTABLISH BY ITS OWN FORCE ANY LEGALLY BINDING OBLIGATIONS. I. PURPOSE THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") IS AUTHORIZED TO ACT ON THE BOARD'S BEHALF IN (I) DETERMINING APPROPRIATE COMPENSATION FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE IRS INTERMEDIATE SANCTIONS REGULATIONS; (II) EVALUATING SYSTEM EXECUTIVES OTHER DISQUALIFIED PERSONS' CASH COMPENSATION PLANS, POLICIES, AND PROGRAMS; (III) REVIEWING BENEFIT PLANS FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS; AND (IV) VERIFYING THAT COMPENSATION INFORMATION IS APPROPRIATELY AND FULLY DISCLOSED. - A DISQUALIFIED PERSON: IS ANY PERSON WHO IS OR WAS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE APPLICABLE TAX-EXEMPT ORGANIZATION. IT IS NOT NECESSARY THAT THE PERSON ACTUALLY EXERCISE SUBSTANTIAL INFLUENCE, ONLY THAT THE PERSON BE IN A POSITION TO DO SO. -FOR PURPOSES OF THIS CHARTER, "EXECUTIVES" ARE DEFINED AS SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS VALIDATED BY THE COMMITTEE. IN DISCHARGING ITS ROLE, THE COMMITTEE IS EMPOWERED TO INVESTIGATE ANY MATTER BROUGHT TO ITS ATTENTION WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE SYSTEM. IT HAS THE AUTHORITY TO RETAIN OUTSIDE ADVISORS (E.G., LEGAL COUNSEL, COMPENSATION, CONSULTATIONS, OR OTHER EXPERTS) AND WILL RECEIVE ADEQUATE FUNDING FROM THE SYSTEM TO ENGAGE SUCH ADVISORS. IT SHALL HAVE THE SOLE AUTHORITY TO RETAIN, COMPENSATE, TERMINATE, AND OVERSEE ITS ADVISORS, WHO SHALL BE ACCOUNTABLE ULTIMATELY TO THE COMMITTEE. TO SUPPORT THE COMMITTEE, A TIMETABLE AND RESOURCE BOOK WILL BE DEVELOPED CONTAINING THE NECESSARY DATA, INFORMATION, AND DOCUMENTS THE COMMITTEE WILL NEED TO CARRY OUT ITS DUTIES. THE RESOURCE BOOK WILL BE DISTRIBUTED TO THE COMMITTEE IN ADVANCE OF ITS MEETINGS AND FHS WILL MAINTAIN THESE BOOKS AT ITS CORPORATE OFFICE. THE COMMITTEE ALSO WILL RECEIVE TRAINING IN COMPENSATION PLAN DESIGN AND ADMINISTRATION, INCLUDING LEGAL AND REGULATORY ISSUES (AS NEEDED). II. COMMITTEE MEMBERSHIP THE COMMITTEE IS A STANDING COMMITTEE OF THE BOARD. IN ACCORDANCE WITH THE CORPORATE BYLAWS, IT SHALL CONSIST OF AT LEAST THREE, BUT NOT MORE THAN FIVE, MEMBERS OF THE BOARD. EACH COMMITTEE MEMBER HAS BEEN DETERMINED BY THE BOARD TO BE "INDEPENDENT" IN ACCORDANCE WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. AT THE START OF THIS YEAR, EACH MEMBER WILL REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY TO ENSURE HE OR SHE HAS NO CONFLICT OF INTEREST AND IS "INDEPENDENT". IF A REAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST IS IDENTIFIED, THE COMMITTEE MEMBER WILL REVIEW THE ISSUE WITH THE COMMITTEE CHAIR AND LEGAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION. IN ADDITION, NO DIRECTOR MAY SERVE ON THE COMMITTEE UNLESS HE OR SHE IS A NONEMPLOYEE" MEMBER OF A SYSTEM BOARD. THE FHS BOARD WILL APPOINT A COMMITTEE CHAIR TO CONVENE ALL SESSIONS, SET AGENDAS FOR MEETINGS, AND DETERMINE THE INFORMATION NEEDS OF THE COMMITTEE. BEFORE DEBATING AND VOTING ON ANY COMPENSATION ARRANGEMENT, EACH MEMBER SHALL DETERMINE WHETHER HE OR SHE HAS A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENT. ANY MEMBER WITH A CONFLICT OF INTEREST REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION SHALL RECUSE HIMSELF OR HERSELF FROM THE DISCUSSION AND SHA |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE FORM 990 IS REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE A FINAL DRAFT IS READY, A POWER POINT PRESENTATION IS MADE TO THE BOARD MEMBERS AT THE BOARD OF DIRECTORS MEETING TO EXPLAIN THE 990 AND ITS USES. THE BOARD REVIEWS THE DOCUMENT FOR KEY INFORMATION INCLUDED. PAPER COPIES ARE MADE AVAILABLE TO THE BOARD MEMBERS AT THEIR REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS EACH YEAR IN APRIL. THE BOARD MEMBERS ARE ASKED TO SIGN A NEW CONFLICT OF INTEREST POLICY AND LIST ANY POSSIBLE CONFLICTS. THIS INFORMATION IS REVIEWED AND MAINTAINED IN THE ADMINISTRATIVE OFFICES. IF A BOARD MEMBER ENCOUNTERS A TRANSACTION THAT WOULD CAUSE A POSSIBLE CONFLICT OF INTEREST, A FORM DETAILING THE TRANSACTION IS COMPLETED AND SUBMITTED TO THE BOARD FOR REVIEW AND APPROVAL. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part I, Line 1 ORGANIZATION'S MISSION (PART 1 OF 2) |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part I, Line 1 ORGANIZATION'S MISSION (PART 2 OF 2) |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part VI, Line 6 7A & 7B: MEMBERS/STOCKHOLDERS/OTHER PERSONS |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Part VI, Line 15 FREEMAN HEALTH SYSTEM COMPENSATION REVIEW |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Form 990, Part VI, Line 15 FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED) |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Form 990, Part VI, Line 11b Review of form 990 by governing body |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | Form 990, Part VI, Line 12c Conflict of interest policy |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | Form 990, Part VI, Line 19 Required documents available to the public |
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