Civic Intelligence

Freeman Health System

EIN 43-1704371 • 501(c)3 • Joplin, MO

Profile

The mission of freeman health services is to improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

1102 W 32nd StreetJoplin, MO 64804

www.freemanhealth.com

Siviq Scores

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

Liabilities / Assets

46th percentile

0.26x

Higher debt load relative to assets than 46% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Liabilities / Revenue

31st percentile

0.27x

Higher debt load relative to revenue than 31% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Net Margin

37th percentile

0.8%

Higher net margin than 37% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Top Officer Pay

88th percentile

$2,816,048

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Asset Growth

24th percentile

0.5%

Faster asset growth than 24% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2024 to 2025

Revenue Growth

40th percentile

6.0%

Faster revenue growth than 40% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2024 to 2025

Assets

Up

$734,733,838

Up $3,546,893 (+0.5%) from 2024

Liabilities

Up

$188,634,134

Up $15,883,708 (+9.2%) from 2024

Net Assets

Down

$546,099,704

Down $12,336,815 (-2.2%) from 2024

Revenue

Up

$709,601,151

Up $40,427,804 (+6.0%) from 2024

Expenses

Up

$703,707,703

Up $44,138,862 (+6.7%) from 2024

Net Income

Down

$5,893,448

Down $3,711,058 (-39%) from 2024

Trend Graphs

Balance Sheet Trend

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

$800M$600M$400M$200M$0Assets 2010: $341,443,410Liabilities 2010: $199,678,246Net Assets 2010: $141,765,1642010Assets 2011: $343,516,979Liabilities 2011: $199,332,578Net Assets 2011: $144,184,4012011Assets 2012: $383,470,034Liabilities 2012: $218,305,842Net Assets 2012: $165,164,1922012Assets 2013: $378,578,769Liabilities 2013: $204,269,981Net Assets 2013: $174,308,7882013Assets 2014: $390,339,421Liabilities 2014: $203,987,618Net Assets 2014: $186,351,8032014Assets 2015: $415,275,827Liabilities 2015: $208,321,841Net Assets 2015: $206,953,9862015Assets 2016: $443,766,269Liabilities 2016: $212,972,714Net Assets 2016: $230,793,5552016Assets 2017: $475,347,273Liabilities 2017: $212,252,179Net Assets 2017: $263,095,0942017Assets 2018: $492,572,765Liabilities 2018: $190,677,129Net Assets 2018: $301,895,6362018Assets 2019: $533,165,787Liabilities 2019: $189,229,766Net Assets 2019: $343,936,0212019Assets 2020: $542,526,560Liabilities 2020: $182,909,622Net Assets 2020: $359,616,9382020Assets 2021: $748,525,518Liabilities 2021: $272,455,599Net Assets 2021: $476,069,9192021Assets 2022: $746,514,735Liabilities 2022: $229,717,163Net Assets 2022: $516,797,5722022Assets 2023: $689,877,748Liabilities 2023: $176,375,107Net Assets 2023: $513,502,6412023Assets 2024: $731,186,945Liabilities 2024: $172,750,426Net Assets 2024: $558,436,5192024Assets 2025: $734,733,838Liabilities 2025: $188,634,134Net Assets 2025: $546,099,7042025

Highlighted filing

2025

Assets$734,733,838
Liabilities$188,634,134
Net Assets$546,099,704

Operations Trend

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

$800M$600M$400M$200M$0Expenses 2010: $423,219,6642010Revenue 2011: $408,995,110Expenses 2011: $406,532,556Net Income 2011: $2,462,5542011Expenses 2012: $452,314,4932012Revenue 2013: $496,585,481Expenses 2013: $493,401,427Net Income 2013: $3,184,0542013Revenue 2014: $481,793,290Expenses 2014: $478,678,703Net Income 2014: $3,114,5872014Revenue 2015: $515,255,194Expenses 2015: $494,756,881Net Income 2015: $20,498,3132015Revenue 2016: $531,523,621Expenses 2016: $499,437,285Net Income 2016: $32,086,3362016Revenue 2017: $546,112,416Expenses 2017: $524,097,677Net Income 2017: $22,014,7392017Revenue 2018: $563,515,526Expenses 2018: $531,248,867Net Income 2018: $32,266,6592018Revenue 2019: $553,530,385Expenses 2019: $513,690,534Net Income 2019: $39,839,8512019Revenue 2020: $572,145,425Expenses 2020: $536,611,846Net Income 2020: $35,533,5792020Revenue 2021: $596,274,596Expenses 2021: $557,918,461Net Income 2021: $38,356,1352021Revenue 2022: $643,470,482Expenses 2022: $601,261,756Net Income 2022: $42,208,7262022Revenue 2023: $654,512,246Expenses 2023: $628,958,111Net Income 2023: $25,554,1352023Revenue 2024: $669,173,347Expenses 2024: $659,568,841Net Income 2024: $9,604,5062024Revenue 2025: $709,601,151Expenses 2025: $703,707,703Net Income 2025: $5,893,4482025

Highlighted filing

2025

Revenue$709,601,151
Expenses$703,707,703
Net Income$5,893,448

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$735$189$546$710$704$5.89
2024Detailed filing. Detailed filing data is available for this year.$731$173$558$669$660$9.60
2023Detailed filing. Detailed filing data is available for this year.$690$176$514$655$629$25.6
2022Detailed filing. Detailed filing data is available for this year.$747$230$517$643$601$42.2
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$749$272$476$596$558$38.4
2020Detailed filing. Detailed filing data is available for this year.$543$183$360$572$537$35.5
2019Detailed filing. Detailed filing data is available for this year.$533$189$344$554$514$39.8
2018Detailed filing. Detailed filing data is available for this year.$493$191$302$564$531$32.3
2017Detailed filing. Detailed filing data is available for this year.$475$212$263$546$524$22.0
2016Detailed filing. Detailed filing data is available for this year.$444$213$231$532$499$32.1
2015Detailed filing. Detailed filing data is available for this year.$415$208$207$515$495$20.5
2014Detailed filing. Detailed filing data is available for this year.$390$204$186$482$479$3.11
2013Summary only. Only limited summary data is available for this year.$379$204$174$497$493$3.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$383$218$165$452
2011Summary only. Only limited summary data is available for this year.$344$199$144$409$407$2.46
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$341$200$142$423
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
$795,131,311
Mission and Program Overview

Mission

The mission of freeman health services is to improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Freeman health system 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$430,888,790$450,075,943▲ $19,187,153
Land, Buildings, and Equipment, Net$144,228,415$143,652,054▼ $576,361
Accounts Receivable$80,068,646$74,839,681▼ $5,228,965
Inventories for Sale or Use$11,683,945$12,613,055▲ $929,110
Prepaid Expenses and Deferred Charges$10,281,998$11,497,370▲ $1,215,372
Savings and Temporary Cash Investments$22,697,247$8,467,188▼ $14,230,059
Intangible Assets$367,030$7,366,054▲ $6,999,024
Investments Other Securities$6,160,537$5,967,688▼ $192,849
Cash and Non-Interest-Bearing Accounts$9,879,050$5,448,320▼ $4,430,730
Investments Program Related$3,352,860$3,663,249▲ $310,389
Pledges and Grants Receivable$1,419,405$1,415,166▼ $4,239
Other Notes and Loans Receivable, Net$4,286$1,255,000▲ $1,250,714
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$731,186,945$734,733,838▲ $3,546,893
Other Assets Total$10,154,736$8,473,070▼ $1,681,666
Liabilities
Accounts Payable and Accrued Expenses$75,554,694$85,410,609▲ $9,855,915
Tax Exempt Bond Liabilities$56,966,985$57,109,643▲ $142,658
Other Liabilities$36,065,533$40,223,978▲ $4,158,445
Mortgage Notes Payable Secured by Investment Property$4,163,214$5,556,571▲ $1,393,357
Deferred Revenue-$333,333-
Total Liabilities$172,750,426$188,634,134▲ $15,883,708
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$554,870,426$541,662,470▼ $13,207,956
Net Assets With Donor Restrictions$3,566,093$4,437,234▲ $871,141
Total Net Assets Fund Balance$558,436,519$546,099,704▼ $12,336,815
Total Liabilities and Net Assets / Fund Balance$731,186,945$734,733,838▲ $3,546,893

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$79,239,532$132,046,545$211,286,077
Equipment$41,722,925$139,002,421$180,725,346
Other Land Buildings$7,313,084$11,796,135$19,109,219
Land$15,376,513-$10,339,341
Leasehold Improvements$0$2,718,066$2,718,066
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William John Nicholas MdPhysicianFT$2,212,541$603,507$2,816,048
Darwin David Jeyaraj MdPhysicianFT$1,804,218$753,168$2,557,386
Todd Joseph Twiss MdPhysicianFT$1,955,383$452,417$2,407,800
Jane G Seto DoPhysicianFT$871,349$1,416,915$2,288,264
Thomas Lee Sanders MdPhysicianFT$1,782,476$355,675$2,138,151
Paula F BakerPresident and CEOFT$1,195,971$496,633$1,692,604
David L BakerCMO End 11/24FT$609,017$220,570$829,587
Steve GraddyCFOFT$546,552$197,576$744,128
Kevin P GaudetteChief Revenue OfficerFT$475,752$165,423$641,175
John M Cox DoDirectorFT$496,400$52,201$548,601
Jeffery E ThompsonChief Clinical OfficerFT$334,139$187,695$521,834
Amanda M HarrellCMO Beg 11/24FT$367,845$149,587$517,432
Dennis EstepFormer CMO/PhysicianFT$308,576$140,155$448,731
Mary a FrererChief Human Resource OfficerFT$260,879$90,719$351,598
Matthew G SabusChief Information OfficerFT$242,390$44,688$287,078
Jeanee M KennedyChief Nursing OfficerFT$213,788$65,837$279,625

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Crothall Services GroupHousekeeping13028 Collection Center Drive, Chicago, IL 60693$7,365,099
Morrison Mgt Specialist IncNutrition Services2400 Yorkmont Road, Charlotte, NC 28217$4,908,501
Access Healthcare Staffing Solutions PLLCClinic Staffing2712 Market Trace 180987, Fort Smith, AR 72918$1,793,540
Ethos Medical StaffingHospital Staffing15534 College Blvd, Lenexa, KS 66219$1,536,797
Crossland Construction CompanyConstruction833 SE Avenue, Columbus, KS 66725$1,462,321
Revenue and Support

Revenue Composition

Contributions and Grants
$3,119,163
Program Service Revenue
$655,923,362
Investment Income
$43,133,422
Other Revenue
$7,425,204
All Other Contributions
$2,217,506
Change in Net Assets
$5,893,448

Audited Revenue Reconciliation

Revenue per Audited Statements
$709,214,091
Revenue Not Reported on Financial Statements
$387,060
Revenue Not Reported on Form 990
$-18,575,967
Other Revenue Adjustments
$77,692
Total Revenue per Audited Statements
$690,638,124
Total Revenue per Form 990
$709,601,151
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$393,636,693
Other Expenses$306,826,620
Grants and Similar Amounts Paid$3,244,390
Total Fundraising Expense$172,575
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$283,738,580$39,222,389$105,661$323,066,630
Fees for Services Other$32,698,204$25,606,164$21,386$58,325,754
Other Employee Benefits$30,994,672$4,161,960$11,515$35,168,147
Office Expenses$17,555,583$7,009,661$6,499$24,571,743
Payroll Taxes$17,121,936$2,320,381$6,317$19,448,634
Depreciation Depletion$17,153,681$2,279,319$5,984$19,438,984
Insurance$6,061,372$7,254,554$4,035$13,319,961
Occupancy$5,818,845$1,111,881$567$6,931,293
Current Officers, Directors, Trustees, and Key Employees$3,338,253$3,075,407-$6,413,660
Pension Plan Contributions$5,128,845$669,690$1,919$5,800,454
Comp Disqual Persons$3,739,168--$3,739,168
Grants to Domestic Orgs$3,023,117--$3,023,117
Interest$2,380,877$281,869$768$2,663,514
Advertising$1,750,693$362,976$7,455$2,121,124
Conferences and Meetings$888,465$567,997$88$1,456,550
Travel$695,390$224,239$328$919,957
Other Expenses$37$777,499$53$777,536
All Other Expenses$732,937$0$0$732,937
Fees for Services Legal-$581,226-$581,226
Fees for Services Accounting-$487,925-$487,925
Fees for Service Investment Mgmnt Fees-$399,229-$399,229
Grants to Domestic Individuals$221,273--$221,273
Information Technology$14,478$42,400-$56,878
Total Functional Expenses$605,986,789$97,548,339$172,575$703,707,703

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$703,846,080
Total Expenses per Form 990$703,707,703
Expenses per Audited Statements$702,398,335
Expenses Not Reported on Form 990$1,447,745
Expenses Not Reported on Financial Statements$1,309,368
Other Expense Adjustments$1,000,000
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Missouri Southern FoundationJoplin, MO501(c)(3)Support$1,095,000
Carl Junction Education FoundationCarl Junction, MO501(c)(3)Support$1,000,000
Ozark CenterJoplin, MO501(c)(3)Support$236,000
New Heights Christian AcademyJoplin, MO501(c)(3)Support$100,000
Crowder CollegeNeosho, MOGovtSupport$76,737
Joplin Area Chamber of Commerce FoundationJoplin, MO501(c)(3)Support$50,000
Community Clinic of Southwest MissouriJoplin, MO501(c)(3)Support$29,000
Breast Cancer Foundation of the OzarksSpringfield, MO501(c)(3)Support$10,000
Ronald Mcdonald HouseJoplin, MO501(c)(3)Support$10,000
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$226,195
Fundraising Direct Expenses$219,502
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Tournament of Miracles$85,706$18,759$4,781$13,978
Nursing Celebration Gala$88,533$10,756$7,746$3,010
Total Events$406,807$226,195$219,502$6,693
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Son in law of board member Rodney McFarlandEmployee CompensationNo$1,161,231
-Son of Board Member Larry McIntireEmployee CompensationNo$861,540
-Spouse of CMO David BakerEmployee CompensationNo$674,055
-Son of CFO Steve GraddyEmployee CompensationNo$136,547
-Spouse key employee Kevin GaudetteEmployee CompensationNo$119,881
-Relative of board member Mark WilliamsEmployee CompensationNo$96,407
-Son of CFO Steve GraddyEmployee CompensationNo$91,472
-Son of Former CMO Dennis EstepEmployee CompensationNo$71,037
-Daughter in law of Steve GraddyEmployee CompensationNo$40,618
-Spouse of CCO Jeff ThompsonEmployee CompensationNo$37,649

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
Federal Income Taxes$26,035,301
Lease Liability$6,277,495
Est Self Insurance Cost$3,006,832
Due to Related Party$2,345,326
Other Liabilities$1,916,319
Due to 3rd Party$642,705
Intangible Liability-

Bond Issues

BondIssuerIssuedIssue PricePurpose
CThe Industrial Development Authority of Joplin Mo2024-08-08$42,503,402(see statement)
AThe Industrial Development Authority of Joplin Mo2021-04-29$9,682,837(SEE STATEMENT)
BThe Industrial Development Authority of Joplin Mo2020-02-04$2,809,258REFUND 1999C BONDS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
C$42,646,240$32,041,424$1,275,000-
A$9,682,837$9,682,837$4,336,202$43,714
B$2,819,967$2,776,253$1,010,000$502,221

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
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
No
Management duties delegated
No

Governance Explanations

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, the draft of the form990 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. If a conflict is found, the interested person will not participate in the discussion or vote on a transaction involving his or her conflict. The conflict of interest policy was updated in fiscal year 2011 to require an attestation form from all employed physicians and level four supervisors/managers and up. Corporate officers and key employees are also required to annually disclose conflicts of interest.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

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 shall not vote on the pending compensation arrangement or transaction. Iii. Committee support staff the committee shall be assisted in fulfilling its duties and responsibilities by a fhs support staff comprised of the following positions: -the president and chief executive officer (ceo) -chief financial officer -vp of finance -chief human resources officer from time to time, the committee may request other system positions to serve as support staff members. When the committee votes on compensation matters related to any of the support staff, the support staff should be excused from the meeting. Iv. Committee meetings the committee shall meet on a regularly scheduled basis two times per year or more frequently as circumstances dictate. The committee shall meet at least (annually) with fhs's president and ceo and other corporate officers the board and committee deem appropriate, to discuss and review the performance criteria and compensation levels of system executives and other disqualified persons. Meetings of the committee may be held telephonically. A majority of the members shall constitute a quorum sufficient for the taking of any action by the committee. V. Committee responsibilities the following responsibilities are set forth as a guide with the understanding that the committee may diverge from this list as appropriate given the circumstances. The committee shall report any divergence from this list to the full board. The committee is authorized to carry out these and such other responsibilities assigned by the board from time to time, and take any actions reasonably related to the mandate of this charter. -establish, regularly review, and appropriately modify the fhs executive compensation philosophy and strategy. The executive compensation philosophy and strategy will be reviewed and approved by the full board. -administer executive compensation programs in a manner: *consistent with the executive compensation philosophy and strategy, *that qualifies for the rebuttable presumption of reasonableness under the irs intermediate sanctions regulations. -validate the goals and objectives relevant to the compensation of the president and ceo, system executives, and other disqualified persons, including annual performance objectives. -evaluate the performance of the president and ceo, and review the evaluations prepared by the president/ceo and other system evaluation committees of other executives/disqualified persons based on approved goals and objectives. -establish the compensation level for the president/ceo and review and approve compensation recommendations prepared by the president/ceo for all executives and do same for executives and disqualified persons from other system entities. -review and approve changes, in advance of their implementation, including: *executive base salaries and range *at risk compensation plans *executive welfare and retirement benefit plans *other executive fringe benefits *employment agreements and/or severance plans -maintain minutes or other records of committee meetings and activities, as required by irs intermediate sanctions regulations. -engage independent, outside advisors to provide objective and impartial compensation data and express an opinion on the reasonableness of total compensation. -review periodically the components of fhs's executive total compensation program to determine whether they are properly coordinated and achieve its intended purpose(s), and approve modifications, including new programs. -rep

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

Freeman health system does not make these documents available to the public.

Form 990, Part VII, Section A Board Member Compensation

No Directors Receive Compensation For Their Services As Board Members. Board Members Larry Mcintire, And John Cox Are Employees Of The Organization And Compensated As Physicians. Additionally, Paula Baker Received Compensation For Her Duties As President/CEO Of Both Freeman Health System And Freeman Neosho Hospital.

Form 990, Part VIII, Line 2F Other Program Service Revenue

- Total Revenue: 31392495, Related or Exempt Function Revenue: 25949609, Unrelated Business Revenue: 5442886, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Freeman Health System
EIN
43-1704371
Phone
4173471111
Address
1102 W 32ND STREET, JOPLIN, MO 64804

Signing Officer

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

Organization Details

Formed
1922
Legal Domicile
Mo
Voting Board Members
12
Independent Board Members
8
Employees
4,823
Volunteers
115

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 2)

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 2)

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. In FY25, Freeman Auxiliary provided support for: Autism Walk Sponsorship-$5000; Cancer Institute Patient Snacks-$3500; Turnaround Ranch Pond Area Enhancement-$3500; Family Life Center-$4500; FNH Snacks for Infusion Pts-$50; Cardiac Recovery Bears -$4000; Chaplain's Fund-$10000; Chaplains Prayer Cards-$1500; CMN-$12000; Nursing Red Carpet Event-$10000; Galentine's/Helping Friends -$5000; Ronald McDonald House-$10000; Nursing School Support-$16000; MAHA State Project-$250; Freeman Learning Center-$1500; New Baby Personalized Gift-$5000; NICU Family Snacks-$2400; Birthing Bereavement Room-$1000; Patient Kindness Carts-$1300; Gift Shop POS System-$7500; Electric Wheelchairs for Patients/Visitors-$2000 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

Form 990, Part III, Line 4 Program Services

Locally owned, not-for-profit, and nationally recognized, Freeman Health System includes Freeman Hospital West, Freeman Hospital East, Freeman Neosho Hospital, Freeman Fort Scott Hospital, Inc., and Ozark Center-the area's largest provider of behavioral health services-as well as two urgent care clinics, dozens of physician clinics throughout the area, and a variety of specialty services. Freeman Health System's mission is to improve the health of the communities it serves through contemporary, innovative, quality healthcare solutions. Freeman is a Level I STEMI Center (severe heart attack), Level II Stroke Center, and a Level II Trauma Center, meaning Freeman has proven its ability to provide rapid, expert care to help save patients from disability and death. Additionally, Freeman has a Level III, 24-bed Neonatal Intensive Care Unit (NICU) for the care of critically ill infants and babies born prematurely. Situated in the heart of a largely rural area, Freeman Health System is the hub of medical activity for an area that extends through Missouri, Kansas, Oklahoma, and Arkansas. Freeman provides top-level care to the communities it serves, and continually strives to improve, enhance, and add services to meet the needs of its constituents. To this end, Freeman has established primary care and specialty clinics in several communities across the region. Freeman expanded services to include more Southeast Kansas communities by opening Freeman Fort Scott Hospital, Inc. in early September. The facility is a six-bed emergency department and a 10-bed acute care hospital complex located at 401 Woodland Blvd. It offers a range of services designed to meet the needs of Fort Scott and surrounding Bourbon County residents, with a focus on accessibility, innovation, and personalized care. The hospital's opening represents not only a physical expansion but also a cultural one, reinforcing Freeman's values of compassion, collaboration, and community investment. Additionally, construction began in August on a $14 million expansion of the existing Freeman Physician Group of Pittsburg Oncology facility at 1201 Centennial Drive. Upon completion in late 2026, the expansion will more than triple the facility's size. The medical oncology department will feature a new state-of-the-art compounding pharmacy capable of creating customized medications to meet individual patient needs, as well as a top-of-the-line PET/CT scanner that can detect, locate, and assess cancerous abnormalities for more accurate and timely diagnoses. Both elements are currently housed in trailers. The expanded radiation oncology department will include a new linear accelerator, which uses x-rays to target and destroy cancer cells while minimizing damage to surrounding healthy tissue. By combining medical and radiation oncology services under one roof, Freeman Physician Group of Pittsburg-Oncology will become one of the most comprehensive oncology care centers in the Four States region. The Centers for Medicare & Medicaid Services has designated Freeman Health System a Rural Referral Center (RRC). To be classified as an RRC, a hospital must be physically located in a rural area and either have at least 275 beds or meet certain discharge criteria. These hospitals also commonly establish outreach clinics to provide primary and specialty care services. Freeman has outreach clinics in Southwest Missouri, Southeast Kansas, and Northeast Oklahoma. Freeman Health System is part of a Care Partner Network that includes community service organizations from around the region. Unmet social needs are barriers to good health and quality of life, and this program helps people get the assistance they need in a timely manner. The network grew from a grant Freeman received a few years ago. The purpose was to find ways to prevent the same individuals from ending up in the emergency room time and time again. It started with 10 agency partners, and now includes multiple dozens, such as Legal Aid of W

Form 990, Part III, Line 4B Inpatient Services

Freeman provides inpatient services in Joplin through two hospitals-Freeman Hospital West and Freeman Hospital East. In these two hospitals, patients rely on a variety of medical units for medical care. These include the general medical, general surgery, orthopedic, neurosurgery, cardiovascular, cardiac/medical, oncology, critical care (intensive and transitional), NICU, maternal, pediatric, psychiatric, geriatric psychiatric, and physical rehabilitation units. Freeman Joplin inpatient services totaled 17,721 cases, of which, 4,754 or 26.8%, were Medicaid cases. Additionally, 508 inpatient cases, or 2.9% of the total, fell into the self-pay (no insurance) category. Inpatient-Critical Care Patients rely on the Intensive Care Unit (ICU) for lifesaving treatment. Freeman's specialized team of critical care physicians, nurses, and respiratory therapists provides exceptional care in the state-of-the-art, 33-bed ICU, and 7-bed Cardiovascular Intensive Care Unit. Additionally, Freeman Hospital West provides a Transitional Care Unit (TCU) for patients who are still too ill for the general medical floor but have progressed to the point where they no longer need the level of care provided in the ICU. Freeman Joplin critical care services totaled 3,740 cases, of which, 566, or 15.1%, were Medicaid cases. Additionally, 2.4% of the critical cases fell into the self-pay (no insurance) category. Inpatient-Freeman Pediatric Unit The Freeman Pediatric Unit provides care to children from birth to age 18 and works with families to make their children's hospitalization less traumatic by encouraging parental involvement. Freeman Joplin inpatient pediatric services totaled 229 cases, of which, 134, or 58.5%, were Medicaid cases. Additionally, 1.8% of the pediatric inpatient cases fell into the self-pay (no insurance) category. Inpatient-Maternity Services Designed to give new mothers and their families the comforts of home within the security of a hospital, Freeman Maternity Center delivered 1,881 babies in FY25. The unit includes board-certified obstetricians available 24 hours a day and perinatology care for women with high-risk pregnancies. In FY25, Freeman Maternity Center served 896 Medicaid patients, or 47.6% of its caseload. Self-pay patients (those with no insurance) represented 1% of the mothers delivering babies at Freeman. As these statistics indicate, Freeman provides a safety net for expectant mothers who live in poverty and receive government assistance and those who scrape by without assistance but have no health insurance. Medicaid reimbursement does not cover the cost of providing the level of treatment required. Freeman Health System helps families prepare for new arrivals with free prenatal education. The informative classes are taught by registered nurses and other professionals with years of experience helping expectant families prepare for a positive birth experience. Freeman Maternity Center also offers free breastfeeding classes taught by a certified lactation consultant to help new moms get started with proper positioning, recognizing hunger signals, and much more. Freeman offers a donor breast milk program for pre-term babies, partnering with St. Luke's Heart of America Mother's Milk Bank to support the smallest and sickest babies in the hospital. Inpatient-NICU Freeman Neonatal Intensive Care Unit (NICU) provides immediate critical care for premature and critically ill infants. Survival rates for infants less than 3 pounds have increased significantly as a result of the outstanding medical care provided by the Freeman NICU team of doctors, neonatal nurse practitioners, specialized developmental therapists, and nurses. Before Freeman NICU opened in 1993, premature or critically ill infants were sent outside the region, pulling parents away from their support system at home or separating them from their precious child because the distance was too far to travel each day. At the time, Freeman leaders anticipated 90 babies wou

Form 990, Part III, Line 4A Outpatient Services (Part 1 of 2)

Freeman offers outpatient services including cancer care, radiation oncology, emergency medicine, women's services, gastroenterology, dialysis, wound care, neurology, orthopedics, otolaryngology, geriatric care, a pharmacy, walk-in clinics, home care, occupational medicine, outpatient surgery, rehabilitation therapies, heart and vascular services, radiology, laboratory services, and more. Outpatient-Emergency Services The Emergency Department/Trauma Center at Freeman Hospital West treats tens of thousands of patients each year. Emergency rooms routinely deal with homeless patients, mentally ill patients, and patients under the influence of drugs. Freeman places mental health counselors in the emergency room around-the-clock to help patients with mental health needs. As a result of this intervention, many previous frequent visitors to the emergency room have been redirected to appropriate psychiatric or substance use programs. Freeman offers compassionate and comprehensive care to victims of sexual assault in the Emergency Room through the Sexual Assault Nurse Examiner (SANE) program. The program provides a coordinated hospital response and continuum of care for victims of sexual violence and ensures a medical evaluation, standardized forensic examination with evidence collection, and effective interface with law enforcement and advocacy services. On a related note, the Freeman Emergency Room displays posters in conspicuous places to help human trafficking victims, in accordance with Missouri House Bill 1246. Emergency Department nurses have received education about human trafficking, including learning how to spot the warning signs and approach a suspected victim. This is important because nurses are some of the few professionals who might interact with human trafficking victims while they are still in captivity, and this training enables nurses to help the victims. Freeman Ambulance Service Freeman Ambulance Service covers the entire 540-mile McDonald County area, averaging more than 60,000 miles per year per ambulance. With two state-of-the art ambulances, Freeman Ambulance Service provides reliable, safe, and comfortable transportation across the often-difficult, steep, twisting roads of McDonald County, an area that has been designated "medically underserved" by the Health Resources and Services Administration. The need for services in this area is great, and Freeman Ambulance Service operates at a loss. All patients are served regardless of ability to pay. Outpatient-Wes & Jan Houser Women's Pavilion Designated as a Breast Imaging Center of Excellence by the American College of Radiology, Wes & Jan Houser Women's Pavilion's team of surgeons, radiologists, and registered mammography technologists uses the latest technologies to ensure patients receive the best care, advice, and treatment. Breast Lifecare Patients have a sense of urgency when they find a lump in their breasts, and they want answers and test results quickly with few delays. That's why Freeman developed Breast Lifecare. Freeman radiologists and surgeons work as a team to provide as much information as possible in as few visits as possible to minimize the stress caused by multiple appointments and waiting. During a Breast Lifecare visit, patients consult with a breast surgeon. The breast surgeon reviews the patient's imaging with the breast radiologist and then discusses a plan of care with the patient. If a breast biopsy, a mammogram, or an ultrasound is recommended, it can be done that same day under most circumstances. Outpatient-Outpatient Dialysis Freeman provides outpatient dialysis services through two outpatient dialysis centers. Freeman outpatient dialysis complements inpatient dialysis and kidney treatment services in place at Freeman Hospital West. Freeman offers treatments and services for patients with kidney-related diseases, including hemodialysis, peritoneal dialysis, nutritional counseling, educational resources, social services, and transplan

Form 990, Part III, Line 4A Outpatient Services (Part 2 of 2)

Rehabilitation Services plays a major role on Freeman's sports medicine team, which provides athletic injury assessment, treatment, and rehabilitation. Freeman athletic trainers provide game coverage for area schools and perform on-site injury assessment and treatment during athletic events. Freeman Rehabilitation & Sports Center is a conveniently located standalone clinic providing aquatic therapy, lymphedema therapy, pediatric therapy, pelvic floor therapy, physical therapy, occupational therapy, speech language pathology, and training classes for runners, golfers, and other athletes. Outpatient-Freeman Screen Team Prevention is key to heart health. The first "symptom" of cardiovascular disease can be a heart attack-that's why Freeman Health System started Freeman Screen Team more than 20 years ago. Freeman Screen Team reaches out into communities with free or low-cost health screenings to catch problems early-before they cause serious complications. Additionally, Freeman Screen Team offers specialized Early Detection Screenings that screen for abdominal aortic aneurysm, peripheral arterial disease, and a person's stroke/carotid artery risk. Early detection of heart problems gives individuals a chance to seek treatment and make lifestyle changes, decreasing the likelihood of a cardiac event. By taking prevention into the community, Freeman Screen Team helps people who otherwise might not seek medical services. On many occasions, Freeman Screen Team has referred patients directly from a screening to Freeman Heart & Vascular Institute for lifesaving follow-up care. Freeman Screen Team also offers Friends & Family CPR classes. Outpatient-Walk-in Clinics Freeman provides care through a variety of walk-in clinics that treat a wide range of medical conditions. Urgent Care clinics in Joplin and Webb City provide a convenient, cost-effective alternative for minor medical care. Staffed with highly trained personnel, including board-certified physicians, registered nurses, and X-ray technicians, Freeman Urgent Care provides prompt medical treatment without an appointment. Freeman First Care Established in 2025, Freeman First Care provides early, quick access to primary care services that include routine physicals, screenings, and preventive care with a referral to a local Freeman primary care provider to fit any patient's needs. It provides acute care services for those established with a Freeman provider, with same day appointments available and a variety of care services including in-office testing, diagnostics, and therapeutic treatment to get patients better in no time flat, while also serving to help them obtain a referral for primary care services throughout Freeman Health System. Clinical trials At Freeman, research and clinical studies are integral components of continuous quality improvement. Freeman Heart & Vascular Institute participates in many national studies of cardiovascular treatment, and it's a member of Cancer Research of the Ozarks, which brings clinical trials to rural patients.

Form 990, Part III, Line 4C Featured Program: Cancer Care

Freeman Health System provides physical and emotional care for patients and families through comprehensive services and technological advances. Freeman Cancer Institute accepts Medicaid and Medicare patients. Freeman Cancer Institute helps patients deal with the issues surrounding treatment and recovery. Freeman staff work with drug companies and other organizations to procure free cancer medications for patients with limited financial resources. Freeman Cornell-Beshore Cancer Institute is one of only four cancer centers in Missouri to be recognized by the Quality Oncology Practice Initiative (QOPI) certification program. The QOPI certification program recognizes outpatient oncology practices that meet the highest standards for quality cancer care. Freeman Cornell-Beshore Cancer Institute's Radiation Oncology program is dedicated to bringing the most advanced and complete cancer therapies to Joplin and surrounding communities. Freeman now offers Optune, a treatment for patients with glioblastoma, an especially aggressive form of brain and spinal cord cancer. With Optune patients wear a portable, non-invasive skull cap that emits tumor-treating fields (TTFs), which are alternating electric fields directed through the tumor area. This treatment has the potential to extend a patient's life, has very few side effects, and is well-tolerated. Patients facing many types of cancer benefit from advanced treatment options provided through radiation oncology. Freeman has invested in a state-of-the-art, top-of-class linear accelerator. It uses precisely shaped and directed radiation beams to kill cancer cells, while preserving adjoining, healthy tissue. This pin-point technology provides improved outcomes, lower doses of radiation, and shorter treatment times. Freeman Health System is the first in the area to offer high-dose rate (HDR) brachytherapy, a form of radiation therapy. HDR brachytherapy enables doctors to deliver higher doses of radiation to specific areas of the body by placing radioactive sources inside the tumor cavity. While Freeman Lung Institute helps patients with breathing issues and lung function, it also helps people with cancer. A few years ago, Freeman became the first and only health system in Missouri, Southeast Kansas, and Northeast Oklahoma to invest in Monarch robotic-assisted bronchoscopy. This is important because the area served by Freeman Health System underperforms national averages in lung health, according to the data-driven Community Health Needs Assessment. The Monarch platform integrates the latest advancements in robotics, software, data science, and endoscopy. It helps pulmonologists find lung nodules earlier through the least invasive approach. Lung Cancer is a particularly deadly disease, in part because patients usually don't notice any symptoms until the cancer has progressed to the later stages. However, early diagnosis and treatment increase survival rates greatly. Additionally, patients benefit from knowing early-on that their condition is not cancer. Freeman Health System has been able to save many lives through the Monarch platform and the early detection of lung cancer. We've learned that older, low-yield diagnostic bronchoscopy catches far fewer early-stage cancers. Additionally, traditional biopsy can cause lungs to collapse, while biopsy performed with robotic-assisted bronchoscopy has less than a 2% chance of lung collapse. We've been quite busy performing diagnostic robotic-assisted bronchoscopy, and have saved many patients. Nationally, early-stage lung cancer diagnosis rates are 15-20%, while Freeman's rates are 44% after performing more than 150 screenings in each of the past three years. That's a huge increase in early detection, and that makes a priceless difference to patients and positively affects their whole lives. Southwest Missouri has a high incidence of lung cancer due to above average tobacco use, high levels of radon in the soil, and occupations such as working in quarri

Form 990, Part V, Line 2A Common Paymaster Arrangement & Salaries

Freeman Health System Files All W-2'S On Behalf Of Freeman Neosho Hospital (FNH), A Related Organization. The Amount Of W-2'S Filed For The Year On Part V, Line 2A, Includes The Amount Of W-2'S Filed On Behalf Of FNH For Those That Work Primarily For FNH And The W-2'S Filed For Freeman Health System Employees. Salary And Benefits Expenses Are Allocated From Freeman Health System To FNH For Those Employees Who Work Primarily For FNH.

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

CHANGE IN VALUE OF PLEDGED ASSETS - 2562; Total - 2562;

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

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

Net assets released from restriction - 656858 grants paid - -1000000

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

Cost of goods sold - -224200 special events expense - -219502 temporarily restricted contributions - 1525437 rental expense - -1004043

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

Cost of goods sold - 224200 special event expense - 219502 rental expense - 1004043

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

GRANTS PAID - 1000000

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IRS990/Desc0FREEMAN OFFERS OUTPATIENT SERVICES INCLUDING CANCER CARE, RADIATION ONCOLOGY, EMERGENCY MEDICINE, WOMEN'S SERVICES, GASTROENTEROLOGY, DIALYSIS, WOUND CARE, NEUROLOGY, ORTHOPAEDICS, OTOLARYNGOLOGY, GERIATRIC CARE, A PHARMACY, WALK-IN CLINICS, HOME CARE, OCCUPATIONAL MEDICINE, OUTPATIENT SURGERY, REHABILITATION THERAPIES, HEART AND VASCULAR SERVICES, RADIOLOGY, LABORATORY SERVICES, AND MORE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
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