Civic Intelligence

Freeman Neosho Hospital

EIN 43-1240629 • 501(c)3 • Neosho, MO

Profile

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

113 W HickoryNeosho, MO 64850

www.freemanhealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

24th percentile

0.07x

Higher debt load relative to assets than 24% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2025

Liabilities / Revenue

26th percentile

0.18x

Higher debt load relative to revenue than 26% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2025

Net Margin

75th percentile

18%

Higher net margin than 75% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2025

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

73rd percentile

13%

Faster asset growth than 73% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2025

Revenue Growth

41st percentile

4.0%

Faster revenue growth than 41% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2025

Assets

Up

$100,031,854

Up $9,459,596 (+10%) from 2024

Liabilities

Up

$7,163,272

Up $2,134,092 (+42%) from 2024

Net Assets

Up

$92,868,582

Up $7,325,504 (+8.6%) from 2024

Revenue

Up

$40,129,717

Up $3,101,622 (+8.4%) from 2024

Expenses

Up

$32,880,553

Up $940,180 (+2.9%) from 2024

Net Income

Up

$7,249,164

Up $2,161,442 (+42%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $20,649,067Liabilities 2010: $2,485,561Net Assets 2010: $18,163,5062010Assets 2011: $23,092,063Liabilities 2011: $4,027,439Net Assets 2011: $19,064,6242011Assets 2012: $27,090,167Liabilities 2012: $4,317,134Net Assets 2012: $22,773,0332012Assets 2013: $30,499,369Liabilities 2013: $4,234,302Net Assets 2013: $26,265,0672013Assets 2014: $34,164,904Liabilities 2014: $3,532,279Net Assets 2014: $30,632,6252014Assets 2015: $38,219,201Liabilities 2015: $3,994,599Net Assets 2015: $34,224,6022015Assets 2016: $38,065,722Liabilities 2016: $5,029,665Net Assets 2016: $33,036,0572016Assets 2017: $42,361,015Liabilities 2017: $4,620,346Net Assets 2017: $37,740,6692017Assets 2018: $47,335,161Liabilities 2018: $5,374,048Net Assets 2018: $41,961,1132018Assets 2019: $51,800,334Liabilities 2019: $4,512,672Net Assets 2019: $47,287,6622019Assets 2020: $52,317,439Liabilities 2020: $4,279,237Net Assets 2020: $48,038,2022020Assets 2021: $73,016,162Liabilities 2021: $7,606,636Net Assets 2021: $65,409,5262021Assets 2022: $77,854,209Liabilities 2022: $5,296,215Net Assets 2022: $72,557,9942022Assets 2023: $78,699,864Liabilities 2023: $5,546,046Net Assets 2023: $73,153,8182023Assets 2024: $90,572,258Liabilities 2024: $5,029,180Net Assets 2024: $85,543,0782024Assets 2025: $100,031,854Liabilities 2025: $7,163,272Net Assets 2025: $92,868,5822025

Highlighted filing

2025

Assets$100,031,854
Liabilities$7,163,272
Net Assets$92,868,582

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0Expenses 2010: $30,830,0492010Revenue 2011: $29,153,848Expenses 2011: $28,995,046Net Income 2011: $158,8022011Revenue 2012: $31,680,357Expenses 2012: $28,535,708Net Income 2012: $3,144,6492012Expenses 2013: $29,231,0632013Revenue 2014: $30,810,477Expenses 2014: $28,457,224Net Income 2014: $2,353,2532014Revenue 2015: $35,416,165Expenses 2015: $32,740,467Net Income 2015: $2,675,6982015Revenue 2016: $32,254,520Expenses 2016: $31,331,292Net Income 2016: $923,2282016Revenue 2017: $34,079,942Expenses 2017: $31,712,307Net Income 2017: $2,367,6352017Revenue 2018: $34,264,803Expenses 2018: $31,487,874Net Income 2018: $2,776,9292018Revenue 2019: $30,487,457Expenses 2019: $25,773,716Net Income 2019: $4,713,7412019Revenue 2020: $29,804,604Expenses 2020: $25,914,854Net Income 2020: $3,889,7502020Revenue 2021: $31,986,760Expenses 2021: $27,201,803Net Income 2021: $4,784,9572021Revenue 2022: $37,155,199Expenses 2022: $29,767,008Net Income 2022: $7,388,1912022Revenue 2023: $37,106,716Expenses 2023: $31,855,733Net Income 2023: $5,250,9832023Revenue 2024: $37,028,095Expenses 2024: $31,940,373Net Income 2024: $5,087,7222024Revenue 2025: $40,129,717Expenses 2025: $32,880,553Net Income 2025: $7,249,1642025

Highlighted filing

2025

Revenue$40,129,717
Expenses$32,880,553
Net Income$7,249,164

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$100$7.16$92.9$40.1$32.9$7.25
2024Detailed filing. Detailed filing data is available for this year.$90.6$5.03$85.5$37.0$31.9$5.09
2023Detailed filing. Detailed filing data is available for this year.$78.7$5.55$73.2$37.1$31.9$5.25
2022Detailed filing. Detailed filing data is available for this year.$77.9$5.30$72.6$37.2$29.8$7.39
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$73.0$7.61$65.4$32.0$27.2$4.78
2020Detailed filing. Detailed filing data is available for this year.$52.3$4.28$48.0$29.8$25.9$3.89
2019Detailed filing. Detailed filing data is available for this year.$51.8$4.51$47.3$30.5$25.8$4.71
2018Detailed filing. Detailed filing data is available for this year.$47.3$5.37$42.0$34.3$31.5$2.78
2017Detailed filing. Detailed filing data is available for this year.$42.4$4.62$37.7$34.1$31.7$2.37
2016Detailed filing. Detailed filing data is available for this year.$38.1$5.03$33.0$32.3$31.3$0.92
2015Detailed filing. Detailed filing data is available for this year.$38.2$3.99$34.2$35.4$32.7$2.68
2014Detailed filing. Detailed filing data is available for this year.$34.2$3.53$30.6$30.8$28.5$2.35
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.5$4.23$26.3$29.2
2012Summary only. Only limited summary data is available for this year.$27.1$4.32$22.8$31.7$28.5$3.14
2011Summary only. Only limited summary data is available for this year.$23.1$4.03$19.1$29.2$29.0$0.16
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.6$2.49$18.2$30.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Feb 16, 2026
Return Version
2024v5.1
Gross Receipts
$57,265,778
Mission and Program Overview

Mission

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Freeman neosho provides world class, compassionate healthcare services where it matters most, close to home. See schedule o for additional information.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$72,502,107$80,335,569▲ $7,833,462
Land, Buildings, and Equipment, Net$9,276,686$9,600,664▲ $323,978
Accounts Receivable$4,235,622$4,195,562▼ $40,060
Cash and Non-Interest-Bearing Accounts$1,088,960$1,203,918▲ $114,958
Intangible Assets$664,703$664,703→ $0
Inventories for Sale or Use$464,742$428,071▼ $36,671
Savings and Temporary Cash Investments$236,996$280,533▲ $43,537
Prepaid Expenses and Deferred Charges$194,734$185,378▼ $9,356
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$90,572,258$100,031,854▲ $9,459,596
Other Assets Total$1,907,708$3,137,456▲ $1,229,748
Liabilities
Other Liabilities$3,847,685$6,876,243▲ $3,028,558
Grants Payable$333,333--
Accounts Payable and Accrued Expenses$655,733$186,497▼ $469,236
Mortgage Notes Payable Secured by Investment Property$192,429$100,532▼ $91,897
Total Liabilities$5,029,180$7,163,272▲ $2,134,092
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$85,543,078$92,868,582▲ $7,325,504
Total Net Assets Fund Balance$85,543,078$92,868,582▲ $7,325,504
Total Liabilities and Net Assets / Fund Balance$90,572,258$100,031,854▲ $9,459,596

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,255,726$9,865,225$14,120,951
Equipment$3,606,259$8,163,551$11,769,810
Land$992,470-$992,470
Other Land Buildings$746,209$157,868$904,077
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Douglas McDonald DOPhysicianPT$587,844$106,683$694,527
Michael Jay Pace DOPhysicianFT$443,942$55,655$499,597
Benjamin Hogan Cesarz DOPhysicianFT$421,647$51,297$472,944
Matthew T Walter MDPhysicianFT$358,246$93,634$451,880
Dr Brady Hesington MDPhysician/DirectorFT$312,801$112,470$425,271
Paula BakerPresident and CEOPT$298,993$124,158$423,151
Adam James Field DOPhysicianFT$281,707$71,648$353,355
Dr Larry BarnesPhysician/SecretaryFT$152,375$131,098$283,473
Renee DentonChief Operating OfficerFT$160,726$99,895$260,621
Steve GraddyCFOPT$109,311$39,515$148,826

Board Members and Trustees

NameTitle
Rudy FarberChairman
Mitch McCumberVice Chairman
Dr Craig Pendergrass DODirector
Dr Kent FarnsworthDirector
Gary WassonDirector
Jim ArmstrongDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$38,890
Program Service Revenue
$34,827,856
Investment Income
$5,115,889
Other Revenue
$147,082
All Other Contributions
$38,890
Change in Net Assets
$7,249,164

Audited Revenue Reconciliation

Revenue per Audited Statements
$40,096,264
Revenue Not Reported on Financial Statements
$33,453
Revenue Not Reported on Form 990
$-659,502
Other Revenue Adjustments
$-24,715
Total Revenue per Audited Statements
$39,436,762
Total Revenue per Form 990
$40,129,717
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$19,973,274
Other Expenses$12,859,939
Grants and Similar Amounts Paid$47,340
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$14,365,576$761,207-$15,126,783
Office Expenses$720,158$3,691,145-$4,411,303
Other Employee Benefits$1,833,303$124,890-$1,958,193
Current Officers, Directors, Trustees, and Key Employees$1,280,721$260,621-$1,541,342
Fees for Services Other$978,137$255,332$0$1,233,469
Depreciation Depletion$1,044,452$156,482-$1,200,934
Payroll Taxes$989,755$67,245-$1,057,000
Occupancy$676,589$84,657-$761,246
Insurance$354,271$191,828-$546,099
Pension Plan Contributions$277,823$12,133-$289,956
Advertising$1,378$163,912-$165,290
Travel$79,077$13,383-$92,460
Fees for Service Investment Mgmnt Fees-$58,168-$58,168
Grants to Domestic Orgs$47,340--$47,340
Conferences and Meetings$22,263$1,922-$24,185
Information Technology$697$14,052-$14,749
Interest$5,241$785-$6,026
Other Expenses$494$5,021-$5,515
Total Functional Expenses$26,953,908$5,926,645$0$32,880,553

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$32,880,553
Total Expenses per Audited Statements$32,807,100
Expenses per Audited Statements$32,782,385
Expenses Not Reported on Financial Statements$98,168
Other Expense Adjustments$40,000
Expenses Not Reported on Form 990$24,715
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Neosho Area Habitat for HumanityNeosho, MO501(c)(3)Support$40,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Est Self Insurance Costs$6,766,023
Federal Income Taxes$100,000
Est Amt Due to 3rd Party$10,220
Lease Liability-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 7A & 7B; MEMBERS/STOCKHOLDERS/OTHER PERSONS

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 neosho 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.

Form 990, Part VI, Line 15 FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED)

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

Form 990, Part VI, Line 15 FREEMAN HEALTH SYSTEM COMPENSATION REVIEW

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

Form 990, Part VI, Line 11B Review of form 990 by governing body

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.

Form 990, Part VI, Line 12C Conflict of interest policy

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.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing documents, conflict of interest policy, and financial statements are not made available to the public.

Filing and Contact Details

Filer

Filer Name
Freeman Neosho Hospital Inc
EIN
43-1240629
Phone
4173471111
Address
113 W HICKORY, NEOSHO, MO 64850

Signing Officer

Name
Matthew Fry
Title
CFO
Phone
4173471111
Signed
2026-02-16
Discuss with paid preparer
Yes

Organization Details

Formed
1993
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
6
Employees
283
Volunteers
15

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Brian Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 Organization'S Mission (Part 1 of 3)

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

Form 990, Part I, Line 1 Organization'S Mission (Part 2 of 3)

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

Form 990, Part I, Line 1 Organization'S Mission (Part 3 of 3)

Eligibility Partners Freeman's expanded Eligibility Partners is reaching more rural areas, in addition to the Joplin Metro area. With an office at Freeman Neosho Hospital, persons applying for newly expanded Medicaid coverage or Marketplace coverage found help from trained, unbiased experts. Additionally, Eligibility Partners staff also work with Refugee and Immigrant Services and Education (RAISE) to connect those with language barriers and help them apply for medical coverage. The Eligibility Partners team was instrumental in the expansion of Missouri Medicaid to Freeman's Micronesian population, a huge feat. The Micronesian population in rural Newton County had been written out of Missouri Medicaid programs and were disqualified by the state programs even though they were legally in the United States. But through community outreach and partnering with a Micronesian church in Neosho, Eligibility Partners was able to prove the need and reverse the carving out of Micronesians from Missouri Medicaid. Freeman Family YMCA Freeman Neosho's support of the Neosho Freeman Family YMCA dates back to 2001 when Freeman donated $1 million to construct the YMCA, and that support continues today with a three-phase project that expands youth development, promotes healthy living, and enhances tools to support wellness plans. Freeman's donation for phase one specifically supports enhancing the lobby experience by creating space for socializing and connecting to youth, based on their interests, while providing a safe place for young people to grow and engage. Graduate Medical Education Freeman Neosho Hospital provides a training ground for future doctors through the Family Medicine Residency that Freeman runs in affiliation with Kansas City University of Medicine. KCU-Joplin acknowledges Freeman Health System as its academic center, and Freeman proudly builds on a tradition of physician-education in Neosho.

Form 990, Part III, Line 4 Program Services

Freeman Neosho Hospital is a 25-bed critical-access facility that provides vital medical services in Southwest Missouri and serves the needs of largely rural Newton and McDonald counties. Truly the heart of its community, Freeman Neosho Hospital offers 24-hour emergency care; sports medicine; occupational medicine; rehabilitation services; surgical services; intensive care; infusion services; and cardiac rehabilitation, physical therapy, and speech therapy; along with digital mammography, and other diagnostic services. The Larry D. Neff CT/MRI Suite provides essential CT and MRI imaging in Neosho so that people in Newton and McDonald counties don't have to drive great distances for essential imaging services. Freeman Neosho Physician Group provides Neosho and surrounding communities with convenient access to physicians and an array of medical services, including primary care, pediatric care, and specialty clinics, such as heart care, orthopedic care, women's health, and more. Freeman's behavioral health division, Ozark Center, provides mental and behavioral health services in Neosho as well. Freeman Neosho Hospital continues to play a key role in testing, vaccinating, and providing ICU services to patients. Spurred by lessons learned from the pandemic, Freeman Neosho launched a major makeover of the Emergency Department and other areas of the hospital, improving safety by providing more negative pressure isolation areas. Freeman Neosho has been expanding its school-based telemedicine program for several years. A little background-in 2014, Freeman Neosho Hospital partnered with the Neosho school district to provide medical services for students and faculty. Research shows that increased access to medical services results in healthier students, improved academic performance, and healthier communities. It can be difficult for parents to get away from work to take a child to the doctor, especially when it involves a lot of driving. Newton and McDonald counties are quite hilly, and many of their schools are a long drive from both students' homes and parents' workplaces. Later, Freeman Neosho brought more advanced, true telemedicine services to 21 school sites, many in remote locations, providing students with medical diagnosis and treatment without the child having to leave the school for a trip to a clinic. Children (and staff) can receive treatment for rashes, allergies, coughing, colds, flu, fever, headaches, pink eye, and many other symptoms and conditions. Each school site has a mobile telemedicine cart, complete with medical-grade attachments. The school nurse handles the equipment while a medical provider outside of the school examines the student. The attachments enable the provider to virtually look into the patient's eyes, ears, nose, and throat, as well as listen to the patient's heart, breath, and sounds in the lungs and abdomen. Not only does telemedicine keep the child in school, it also keeps parents at work by connecting them to both the school nurse's office and the doctor's office remotely via smart phone, computer, or tablet. Through the connection, the parent is able to see everything (including virtual imaging) as it happens and fully participate the child's examination. The program is positively impacting the community because it helps parents stay at work-losing a day's pay to take a child to the doctor can put a serious dent into a family's finances, and sometimes, taking a day off work, or even a half day, can put a parent's job in jeopardy. With telemedicine, Freeman Neosho brings the doctor to the school-virtually-and gets children the medical attention they need without taking them out of school or dragging their parents away from the workplace.

Form 990, Part III, Line 4A Outpatient Services

Freeman Neosho offers outpatient services include emergency medicine, women's services, heart care, orthopedics, otolaryngology, a pharmacy, occupational medicine, rehabilitation therapies, radiology, laboratory services and more. For those requiring emergency medical care, Freeman Neosho offers an emergency room staffed by experienced physicians 24 hours a day, 7 days a week. Leading-edge computed tomography (CT) and magnetic resonance imaging (MRI) services are available for patients in the Larry D. Neff CT-MRI Suite. Outpatient-Physician Clinics Patients in rural areas of Southwest Missouri can access a wide variety of primary and specialty care services at the Physician Building located directly across from Freeman Neosho Hospital. Additionally, patients living outside Neosho can access physician services at Freeman Clinic of Anderson and Freeman Seneca Family Medicine. Most recently, Freeman Neosho has been serving the community through the Family Medicine Residency Clinic, which is helping to fill the need for primary care in rural Southwest Missouri. Graduate Medical Education In cooperation with Freeman Graduate Education, Freeman Neosho is providing a training ground for graduate physicians studying family medicine. In the Family Medicine Residency program, Freeman physicians work closely with resident family medicine doctors. Southwest Missouri is considered to be medically underserved, meaning it doesn't have enough doctors. This residency program has the potential to bring many new primary care physicians to Southwest Missouri, and provides great community benefit. Outpatient-Rehabilitation Services Freeman Rehabilitation Services delivers personalized care aimed at making a patient's recovery quick and effective. With a goal of providing individualized therapeutic intervention to restore function and reduce pain, Freeman's experienced clinicians provide comprehensive outpatient rehabilitation therapy. With locations in Neosho and Anderson, the Neosho program offers many of the same services as the Joplin program (physical therapy, occupational therapy, etc.). However, vestibular rehabilitation therapy (to improve balance and reduce problems related to dizziness) is available only at the Neosho and Anderson locations. A ribbon-cutting ceremony was held in December for Freeman Neosho Rehabilitation, the new 8,300-square-foot building located at 346 S. Wood Street. The $3.6 million rehab center offers Neosho and Newton County residents unprecedented therapy capabilities when it comes to physical therapy, occupational therapy, speech therapy, and more. The newest addition to the Freeman Neosho Hospital campus expands the types of services Freeman can offer, such as the state-of-the-art HydroWorx freestanding pool for aquatic therapy and a top line of game-changing strength-training equipment. Freeman Neosho Rehabilitation helps individuals of all ages return to their everyday activities after an injury, surgery, or illness. Freeman Neosho Hospital has offered physical therapy services for decades, making convenient care more readily available to people in Neosho and rural Southwest Missouri. Outpatient-Retail Services Other outpatient services include a Freeman QuickMeds Pharmacy and Freeman Health Essentials durable medical equipment. Outpatient-Therapeutic services Freeman Neosho provides access to outpatient cardiac rehabilitation and infusion treatments through the La-Z-Boy Therapeutic Center. Outpatient-Women's health Freeman Neosho Women's Pavilion was established to provide the community with state-of-the-art digital mammography and diagnostic tools. Digital mammography uses compression and x-rays to examine breast tissue, capturing a digital image on a computer.

Form 990, Part III, Line 4B Inpatient Services

Freeman Neosho Hospital provides intensive care, general care, and swing-bed inpatient services. Freeman Neosho inpatient services totaled 689 cases, of which 99, or 14.4%, were Medicaid cases. Additionally, 31 inpatient cases, or 4.5% of the total, fell into the self-pay (no insurance) category. Inpatient-General Surgery Freeman Neosho continues to provide general surgery services so patients do not have to travel out of town for surgeries, including minimally invasive surgeries, that cover a wide range of concerns or problems. Inpatient-Critical Care Patients rely on the Freeman Neosho Intensive Care Unit (ICU) for lifesaving treatment. In this four-bed ICU, physicians oversee the care of critically ill patients. Freeman's specialized team of physicians, nurses, respiratory therapists, and telemetry monitor techs provides exceptional care and around-the-clock monitoring of patients needing a higher level of acute care.

Form 990, Part III, Line 4C Featured Program: Emergency Services

The Freeman Neosho Emergency Department treated 12,615 cases, of which 4,462 were Medicaid cases, representing 35.4% of the total emergency room volume. In addition, the emergency room treated 1,720 cases, or 13.6%, that were self-pay (no insurance). Emergency Department With an emergency room staffed 24 hours a day by experienced emergency room physicians, Freeman Neosho Emergency Services provides a lifeline when medical emergencies arise to people in rural southwestern Missouri. MedFlight ambulance provides emergency transport services to and from Freeman Neosho Hospital. Freeman Neosho Hospital's Emergency Department has nine beds, one of which is in a fast-track room intended for the less acutely ill or injured. According to data from Missouri Hospital Association, Freeman Neosho has one of the state's busiest emergency rooms for critical access hospitals. Freeman Neosho Hospital recently completed major renovations to its Emergency Department. These renovations focus on the protection of patients and staff from air-borne pathogens, and they also help improve care and service to patients and their families. The floor-to-ceiling renovation includes the addition of three new negative pressure isolation rooms, a negative pressure triage screening room, a new nurse's station, new cabinets and new work surfaces, centralized storage, glass enclosures, and new paint, floors, and ceilings. Additionally negative pressure rooms were added to the ICU and medical surgery areas during this project.

Form 990, Part III, Line 4D Description of other program services

(Expenses $ 47,340 including grants of $ 47,340)(Revenue $ 0) FREEMAN NEOSHO HOSPITAL PROVIDED CONTRIBUTIONS TO LOCAL ORGANIZATION.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

CHANGE IN NET ASSETS OF AFFILIATES - 695842; Total - 695842;

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITION

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.

Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990

Contributions for community building - -40000

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

RENTAL EXPENSES - -24715

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

RENTAL EXPENSES - 24715

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

Contributions for community building - 40000

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IRS990/Form990PartVIISectionAGrp/TitleTxt0Physician/Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt2President and CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt3Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt4Physician/Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt10CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt11Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt12Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt13Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt14Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt15Physician
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IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES & DRUGS
IRS990/OtherExpensesGrp/Desc1PROVIDER TAX
IRS990/OtherExpensesGrp/Desc2LICENSES, DUES, SUBSCRIPTION
IRS990/OtherExpensesGrp/Desc3MISCELLANEOUS
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IRS990/ProgramServiceRevenueGrp/Desc0PATIENT SERVICES
IRS990/ProgramServiceRevenueGrp/Desc1PHARMACY
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IRS990/ProgramServiceRevenueGrp/Desc3OTHER REVENUE
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt292505
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IRS990/ProgSrvcAccomActy2Grp/Desc0Freeman Neosho Hospital provides intensive care, general care, and swing-bed inpatient services. Freeman Neosho inpatient services totaled 689 cases, of which, 99, or 14.4%, were Medicaid cases. Additionally, 31 inpatient cases, or 4.5% of the total, fell into the self-pay (no insurance) category. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
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IRS990/ProgSrvcAccomActy2Grp/GrantAmt00
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt04589659
IRS990/ProgSrvcAccomActy3Grp/Desc0THE FREEMAN NEOSHO EMERGENCY DEPARTMENT TREATED 12,615 CASES, OF WHICH 4,462 WERE MEDICAID CASES, REPRESENTING 35.4% OF THE TOTAL EMERGENCY ROOM VOLUME. IN ADDITION, THE EMERGENCY ROOM TREATED 1,720 CASES, OR 13.6%, THAT WERE SELF-PAY (NO INSURANCE). SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0FREEMAN NEOSHO HOSPITAL PROVIDED CONTRIBUTIONS TO LOCAL ORGANIZATION.
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