2026-02-15T18:48:55+00:00 2025-03-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-04-01 431704371 FREEMAN HEALTH SYSTEM FREE 4173471111 1102 W 32ND STREET JOPLIN MO 64804 MATTHEW FRY CEO 4173471111 2026-02-16 true true Brian Todd P00422601 4178658701 2026-02-16 2024 2025-03-06 01:10:19Z MATTHEW FRY 1102 W 32ND STREET JOPLIN MO 64804 795131311 false X WWW.FREEMANHEALTH.COM X 1922 MO FREEMAN HEALTH SYSTEM PROVIDES WORLD-CLASS, COMPASSIONATE HEALTHCARE SERVICES WHERE IT MATTERS MOST, CLOSE TO HOME. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 12 8 4823 115 15056818 1295556 1983702 3119163 640080135 655923362 20902173 43133422 6207337 7425204 669173347 709601151 2544259 3244390 0 372066479 393636693 0 172575 284958103 306826620 659568841 703707703 9604506 5893448 731186945 734733838 172750426 188634134 558436519 546099704 THE MISSION OF FREEMAN HEALTH SERVICES IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. false false 340693148 3244390 347761617 FREEMAN 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. 227153871 0 208523055 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, ORTHOPAEDIC, NEUROSURGERY, CARDIOVASCULAR, CARDIAC/MEDICAL, ONCOLOGY, CRITICAL CARE (INTENSIVE AND TRANSITIONAL), NICU (NEONATAL ICU), MATERNAL, PEDIATRIC, PSYCHIATRIC, GERIATRIC PSYCHIATRIC, AND PHYSICAL REHABILITATION UNITS. FREEMAN JOPLIN INPATIENT SERVICES TOTALED 17,654 CASES, OF WHICH, 4,743 OR 26.9%, WERE MEDICAID CASES. ADDITIONALLY, 516 INPATIENT CASES, OR 2.9% OF THE TOTAL, FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 38139770 0 84490395 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 605986789 true true false true false false false false false false true false false false true false false true false false false false false false true false true true true true true true false false false false false false false false true false false false false false true true true true false false true X 242 0 true 4823 true true true false false false false true true false false false false true false X 12 8 false false false false false false false true true false false false true true true true true true true true true true X STEVE GRADDY 4173476678 1102 WEST 32ND STREET JOPLIN MO 64804 J SCOTT BROTHERS VICE CHAIR 1.0 0.0 X X 0 0 0 JIM ARMSTRONG SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 LANCE BESHORE PHD CHAIR 1.0 0.0 X X 0 0 0 PAULA F BAKER PRESIDENT AND CEO 54.0 13.5 X X 1659816 414954 40985 BRANDON C DAVIS DIRECTOR 1.0 0.0 X 0 0 0 GLENN BROWN DIRECTOR 1.0 0.0 X 0 0 0 GLENN MCCUMBER DIRECTOR 1.0 0.0 X 0 0 0 JAMES FLEISCHAKER DIRECTOR 1.0 0.0 X 0 0 0 JOHN M COX DO DIRECTOR 60.0 0.0 X 512826 0 35775 LARRY MCINTIRE DO DIRECTOR 1.0 0.0 X 0 0 0 MARK WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 RODNEY MCFARLAND MD DIRECTOR 1.0 0.0 X 0 0 0 AMANDA M HARRELL CMO BEG 11/24 60.0 0.0 X 473145 0 44287 DAVID L BAKER CMO END 11/24 60.0 0.0 X 786716 0 42871 JEFFERY E THOMPSON CHIEF CLINICAL OFFICER 60.0 0.0 X 488640 0 33194 STEVE GRADDY CFO 50.0 10.0 X 715633 143127 34194 JEANEE M KENNEDY CHIEF NURSING OFFICER 60.0 0.0 X 243072 0 36553 KEVIN P GAUDETTE CHIEF REVENUE OFFICER 60.0 0.0 X 599945 0 41230 MARY A FRERER CHIEF HUMAN RESOURCE OFFICER 60.0 0.0 X 319401 0 32197 MATTHEW G SABUS CHIEF INFORMATION OFFICER 60.0 0.0 X 277951 0 9127 DARWIN DAVID JEYARAJ MD PHYSICIAN 60.0 0.0 X 2514134 0 43252 JANE G SETO DO PHYSICIAN 60.0 0.0 X 2261118 0 27146 THOMAS LEE SANDERS MD PHYSICIAN 60.0 0.0 X 2102052 0 36099 TODD JOSEPH TWISS MD PHYSICIAN 60.0 0.0 X 2366563 0 41237 WILLIAM JOHN NICHOLAS MD PHYSICIAN 60.0 0.0 X 2780228 0 35820 Dennis Estep Former CMO/Physician 60.0 0.0 X 406336 0 42395 18507576 558081 576362 551 true true false Crothall Services Group 13028 Collection Center Drive Chicago IL 60693 Housekeeping 7365099 Morrison Mgt Specialist Inc 2400 Yorkmont Road Charlotte NC 28217 Nutrition Services 4908501 Access Healthcare Staffing Solutions PLLC 2712 Market Trace 180987 Fort Smith AR 72918 Clinic Staffing 1793540 Ethos Medical Staffing 15534 College Blvd Lenexa KS 66219 Hospital Staffing 1536797 Crossland Construction Company 833 SE Avenue Columbus KS 66725 Construction 1462321 39 180612 721045 2217506 9500 3119163 PATIENT SERVICES 621990 610991563 610991563 CAFETERIA & VENDING 722514 3442031 3442031 RENT FROM AFFILIATES 531390 391864 391864 UNRELATED RETAIL PHARMACY 456110 9554344 9554344 UNRELATED LAB SERVICES 621500 151065 151065 31392495 25949609 5442886 0 655923362 11577720 11577720 254863 254863 3115299 1004043 2111256 0 2111256 2111256 115312981 70273 83939309 143106 31373672 -72833 31300839 31300839 226195 180612 219502 6693 6693 422637 224200 198437 198437 INVESTMENT IN SUBSIDIARY 900099 4112116 -91477 4203593 GAIN ON EXTINGUISHMENT OF DEBT 900099 996702 996702 0 0 0 0 5108818 709601151 640775067 15056818 50650103 3023117 3023117 221273 221273 6413660 3338253 3075407 3739168 3739168 323066630 283738580 39222389 105661 5800454 5128845 669690 1919 35168147 30994672 4161960 11515 19448634 17121936 2320381 6317 581226 581226 487925 487925 399229 399229 58325754 32698204 25606164 21386 2121124 1750693 362976 7455 24571743 17555583 7009661 6499 56878 14478 42400 6931293 5818845 1111881 567 919957 695390 224239 328 1456550 888465 567997 88 2663514 2380877 281869 768 19438984 17153681 2279319 5984 13319961 6061372 7254554 4035 MEDICAL SUPPLIES & DRUGS 149890791 149890791 PROVIDER TAXES & FEES 22819546 22819546 LICENSES, DUES, SUBSCRIPTION 1331672 220046 1111573 53 OTHER EXPENSES 777536 37 777499 732937 732937 0 0 703707703 605986789 97548339 172575 9879050 5448320 22697247 8467188 1419405 1415166 80068646 74839681 0 0 0 0 4286 1255000 11683945 12613055 10281998 11497370 429215221 285563167 144228415 143652054 430888790 450075943 6160537 5967688 3352860 3663249 367030 7366054 10154736 8473070 731186945 734733838 75554694 85410609 333333 56966985 57109643 0 0 4163214 5556571 36065533 40223978 172750426 188634134 X 554870426 541662470 3566093 4437234 558436519 546099704 731186945 734733838 X 5893448 -18232825 2562 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 47689 47689 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS (SNHPA). A PORTION OF THESE DUES, TOTALING $47,689, ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ADDITIONALLY, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY OCCUR BUT ARE INSIGNIFICANT. 5037172 10339341 15376513 211286077 132046545 79239532 2718066 2718066 0 180725346 139002421 41722925 19109219 11796135 7313084 143652054 Federal Income Taxes EST SELF INSURANCE COST 26035301 DUE TO 3RD PARTY 3006832 OTHER LIABILITIES 642705 DUE TO RELATED PARTY 1916319 LEASE LIABILITY 2345326 INTANGIBLE LIABILITY 6277495 40223978 690638124 -18232825 -343142 -18575967 709214091 309368 77692 387060 709601151 703846080 1447745 1447745 702398335 309368 1000000 1309368 703707703 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 Nursing Celebration Gala 88533 77777 10756 0 0 6068 21160 6500 7746 Tournament of Miracles 85706 66947 18759 1800 0 7300 3302 0 4781 8 232568 35888 196680 0 57 1500 1870 0 157418 406807 180612 226195 1800 57 14868 26332 6500 169945 219502 6693 true true X true X true X 9336088 9336088 0.01327 108200543 79032011 29168532 0.04145 0 0 0 0.0 0 0 117536631 79032011 38504620 0.05472 587329 171636 415693 0.00059 7245941 2013036 5232905 0.00744 2662249 0 2662249 0.00378 1209031 0 1209031 0.00172 435000 0 435000 0.00062 0 0 12139550 2184672 9954878 0.01415 0 0 129676181 81216683 48459498 0.06886 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1000000 1000000 0.00142 7630 7630 0.00001 0 0 1007630 0 1007630 0.00143 false 26667935 1578261 123874586 137204355 -13329769 X true true 32ND STREET SURGICAL AMBULATORY SURGERY CENTER 0.0027 0 0.0034 HEARTLAND KIDNEY DI DIALYSIS CENTER 0.0025 0 0.0056 FREEMAN SURGICAL CEN AMBULATORY SURGERY CENTER 0.0068 0 0.0032 1 1 FREEMAN HEALTH SYSTEM 1102 W 32ND ST JOPLIN MO 64804 WWW.FREEMANHEALTH.COM/ 418-21 X X X X FREEMAN HEALTH SYSTEM 1 false false true X X X X X X X X X 24 true true true true X https://www.freemanhealth.com/about-us https://www.ozarkshealthcommission.org/ true 24 true https://www.freemanhealth.com/about-us false true X 100.0 250.0 X X X X true true X X X X true X https://www.freemanhealth.com/billing-and-insurance X https://www.freemanhealth.com/billing-and-insurance X https://www.freemanhealth.com/billing-and-insurance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. Freeman Health System participated in the 2025 Tri-State Community Health Needs Assessment (CHNA) through the Ozarks Health Commission (OHC), continuing its collaborative, data-driven approach. The CHNA process included: Community Surveys: Broad participation across all 10 counties in the Tri-State region, capturing quantitative data on health behaviors and barriers. Focus Groups & Interviews: Qualitative input from key stakeholders, including public health agencies, schools, nonprofits, and faith-based organizations. Secondary Data Review: Public health metrics and social determinants of health indicators for Missouri, Kansas, and Oklahoma counties. Primary Data Analysis: Hospital utilization and emergency department data from participating health systems. Freeman representatives served on the OHC Steering Committee and provided leadership in prioritizing health needs. Engagement included local coalitions such as Jasper-Newton County Health Collaborative, One Joplin, and Care Partner Network, ensuring diverse community voices were incorporated. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. IN ADDITION TO FREEMAN NEOSHO HOSPITAL, A RELATED ORGANIZATION, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH COXHEALTH AND MERCY HEALTH. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH THE FOLLOWING ORGANIZATIONS: - JOPLIN CITY HEALTH DEPARTMENT - JASPER COUNTY HEALTH DEPARTMENT - NEWTON COUNTY HEALTH DEPARTMENT - MCDONALD COUNTY HEALTH DEPARTMENT - BARTON COUNTY HEALTH DEPARTMENT - VERNON COUNTY HEALTH DEPARTMENT - CHEROKEE COUNTY HEALTH DEPARTMENT - CRAWFORD COUNTY HEALTH DEPARTMENT - LABETTE COUNTY HEALTH DEPARTMENT - DELAWARE COUNTY HEALTH DEPARTMENT - OTTAWA COUNTY HEALTH DEPARTMENT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. Freeman Health System adopted a joint implementation strategy for Freeman Hospital West, Freeman Hospital East, Freeman Neosho Hospital, Freeman Fort Scott Hospital, and Ozark Center. At the organizational level, freeman health system has adopted four prioritized health needs for its community health implementation plan for the period 1/1/2025 through 12/31/2028. Access to Care - Increase access to health services by enhancing health professional education, recruitment and retention efforts. Behavioral Health - Decrease the long-term incidence of behavioral health conditions using ongoing prevention, detection, and treatment strategies. Chronic Disease - Decrease the long-term incidence of chronic diseases using ongoing prevention, detection, and treatment strategies. Nutrition & Physical Activity - Decrease the long-term incidence of chronic diseases using strategies that promote nutrition and physical activity. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBILITY. 41 FHS ORTHOPAEDICS AND SPORTS MED OF PTSBR 100 N PINE STREET PITTSBURG KS 66762 MEDICAL SERVICES FREEMAN LUNG INSTITUTE 1002 MCINTOSH CIRCLE JOPLIN MO 64804 MEDICAL SERVICES HIGGINS MEDICAL BUILDING 1020 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CHILDREN'S CLINIC 1030 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CARL JUNCTION FAMILY MEDICINE 104 S MAIN STREET CARL JUNCTION MO 64834 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 1101 E 13TH STREET STE A B AND C GROVE OK 74344 MEDICAL SERVICES URGENT CARE - JOPLIN 1130 E 32ND ST JOPLIN MO 64804 MEDICAL SERVICES FHS PHYSICIAN GROUP OF PITTSBURG 1201 E CENTENNIAL PITTSBURG KS 66762 MEDICAL SERVICES FREEMAN EAR NOSE AND THROAT CENTER 1331 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES OCCUMED - CARTHAGE SPECIALTY CLINIC 1500 S CASE ST CARTHAGE MO 64836 MEDICAL SERVICES FREEMAN WOMEN'S CENTER 1532 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES SPECIALTY CLINIC OF PITTSBURG 1606 N BROADWAY PITTSBURG KS 66762 MEDICAL SERVICES SENECA FAMILY MEDICINE 1606 OLIVE SENECA MO 64865 MEDICAL SERVICES URGENT CARE - WEBB CITY 1636 S MADISON WEBB CITY MO 64870 MEDICAL SERVICES FREEMAN HEALTH AND VASCULAR INSTITUTE 1902 S US HWY 59 BLDG E STE 202 PARSONS KS 67357 MEDICAL SERVICES FREEMAN NEUROSPINE 1905 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES REHABILITATION AND SPORTS CENTER 2206 E 32ND STREET JOPLIN MO 64804 MEDICAL SERVICES FHS ORTHOPAEDICS AND SPORTS MED OF FT SC 2322 S MAIN FT SCOTT KS 66701 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 30 B STREET SW MIAMI OK 74354 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 307 N HOSPITAL DRIVE GIRARD KS 66743 MEDICAL SERVICES FHS LAMAR FAMILY CARE 307 WEST 11TH STREET LAMAR MO 64759 MEDICAL SERVICES FREEMAN ORTHOPAEDICS AND SPORTS MEDICINE 3105 MCCLELLAND BLVD JOPLIN MO 64804 MEDICAL SERVICES OCCUMED - JOPLIN 3201 MCCLELLAND BLVD JOPLIN MO 64804 MEDICAL SERVICES CH BENTLAGE MEDICAL CENTER 3202 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CLINIC OF BAXTER SPRINGS 322 E 11TH ST BAXTER SPRINGS KS 66713 MEDICAL SERVICES JOPLIN UROLOGYPHYSICIAN OFFICES 3302 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN WOUND CARE AND HOME CARE 3315 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN PROFESSIONAL CENTER 3333 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CANCER INSTITUTE 3415 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CLINIC OF ANDERSON 510 PARK ST ANDERSON MO 64831 MEDICAL SERVICES FREEMAN MIDWEST INTERNAL MEDICINE 608 WILLARD FRONTENAC KS 66763 MEDICAL SERVICES FREEMAN MEDICAL PLAZA I 702 E 34TH ST JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CLINIC OF CARTHAGE 719 W CENTENNIAL CARTHAGE MO 64836 MEDICAL SERVICES FREEMAN HOME CARE SERVICES 921 E 34TH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN SLEEP CENTERGERIATRIC CARE 931 E 32ND ST JOPLIN MO 64804 MEDICAL SERVICES FREEMAN MEDICAL OFFICE BUILDING 3401 MCINTOSH CIRCLE JOPLIN MO 64804 MEDICAL SERVICES EAR NOSE AND THROAT CENTER 107 N PINE ST PITTSBURG KS 66762 MEDICAL SERVICES HEARTLAND INTERNAL MEDICINE 1018 OHIO ST PITTSBURG KS 66762 MEDICAL SERVICES OUTPATIENT PHYSICAL THERAPY 3950 NEWMAN RD JOPLIN MO 64801 MEDICAL SERVICES PAIN MANAGEMENT CENTER 3103 MCCLELLAND BLVD JOPLIN MO 64804 MEDICAL SERVICES JOPLIN UROLOGYPHYSICIAN OFFICES 3301 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES Schedule H, Part I, Line 3c OTHER FACTORS IN DETERMINING ELIGIBILITY IN ADDITION TO FPG LIMITS, THE FAP ALSO USES ASSETS AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBILITY. Schedule H, Part I, Line 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. WORKSHEET 6 USED COST TO CHARGE RATIOS COMPUTED INTERNALLY FOR EACH SERVICE. Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH ITS PHYSICIAN SERVICES IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G. FREEMAN HEALTH SYSTEM PROVIDES PHYSICIAN SERVICES TO ITS SURROUNDING COMMUNITIES. IF FREEMAN HEALTH SYSTEM WAS TO CEASE OFFERING THESE SERVICES, A SHORTAGE OF QUALITY MEDICAL CARE WILL RESULT. FREEMAN HEALTH SYSTEM CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. Schedule H, Part III, Line 8 COMMUNITY BENEFIT SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. Schedule H, Part V, Section A HOSPITAL FACILITIES PURSUANT TO REG. 1.501(R)-1(B)(17), FREEMAN HEALTH SYSTEM CONSISTS OF TWO HOSPITALS OPERATED UNDER A SINGLE LICENSE ISSUED BY THE STATE OF MISSOURI. AS SUCH, A SINGLE HOSPITAL FACILITY IS BEING REPORTED. THE SECOND LOCATION IS KNOWN AS FREEMAN HEALTH SYSTEM EAST AND IS LOCATED AT 932 EAST 34TH STREET, JOPLIN, MO 64804. Schedule H, Part II Community Building Activities THE COMMUNITY SUPPORT EXPENSES NOTED IN PART II RELATE TO FREEMAN'S CONTRIBUTIONS TO THE JOPLIN REGIONAL COMMUNITY, CONNECT2CULTURE AND THE GEORGE A SPIVA CENTER FOR THE ARTS WHICH PROVIDE SUPPORT FOR THE JOPLIN COMMUNITY. THE WORKFORCE DEVELOPMENT EXPENSES NOTED IN PART II RELATE TO FREEMAN'S CONTRIBUTIONS TO THE SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION, THE CARL JUNCTION EDUCATION FOUNDATION, NEOSHO R-V SCHOOL DISTRICT AND THE MCDONALD COUNTY R-1 SCHOOL DISTRICT, WHICH ARE JOPLIN AREA SCHOOL DISTRICTS AND NEOSHO R-V SCHOOL DISTRICT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED MARCH 31, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING INTERNAL PATIENT DEMOGRAPHICS, AS WELL AS CORE BASED STATISTICAL AREA AND POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. ACCORDING TO THE U.S. CENSUS BUREAU QUICK FACTS, THE ESTIMATED AVERAGE. UNINSURED POPULATION FOR FREEMAN JOPLIN'S PRIMARY SERVICE AREA IS 15.2% AND THE AVERAGE UNINSURED POPULATION FOR FREEMAN NEOSHO'S PRIMARY SERVICE AREA IS 17.3%. FREEMAN HOSPITAL-JOPLIN IDENTIFIED 3.1% OF ITS GROSS HOSPITAL REVENUE OR BILLINGS COMING FROM UNINSURED PATIENTS. FREEMAN NEOSHO IDENTIFIED 7.1% OF ITS GROSS REVENUE COMING FROM UNINSURED PATIENTS. IT'S POSSIBLE THAT SOME PATIENTS PRESENTED OUTDATED INSURANCE COVERAGE AT TIME OF ADMISSION, OR FREEMAN ADMISSIONS MAY HAVE INCORRECTLY IDENTIFIED SOME UNINSURED PATIENTS AS INSURED OR MEDICAID ELIGIBLE DURING THE ADMITTING PROCESS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBED BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE COLLECTION POLICY STATES THAT ANY AMOUNT NOT ADJUSTED FOR FINANCIAL ASSISTANCE DUE TO A PARTIAL 50% ADJUSTMENT OR 75% ADJUSTMENT WILL FOLLOW ITS NORMAL COLLECTION PROCESS. FREEMAN HEALTH WILL CONTINUE TO BILL THE PATIENT FOR 120 DAYS FROM FIRST STATEMENT, IF NO ARRANGEMENTS ARE MADE TO SATISFY THE REMAINING BALANCE WITH A PAYMENT IN FULL OR PAYMENT PLAN, THE ACCOUNT WILL AUTOMATICALLY ROLL TO ITS EXTERNAL AGENCY. Schedule H, Part V, Section B, Line 16a FAP website - FREEMAN HEALTH SYSTEM: Line 16a URL: https://www.freemanhealth.com/billing-and-insurance; Schedule H, Part V, Section B, Line 16b FAP Application website - FREEMAN HEALTH SYSTEM: Line 16b URL: https://www.freemanhealth.com/billing-and-insurance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - FREEMAN HEALTH SYSTEM: Line 16c URL: https://www.freemanhealth.com/billing-and-insurance; Schedule H, Part VI, Line 2 Needs assessment Freeman Health System conducts a comprehensive, triennial Community Health Needs Assessment (CHNA) in collaboration with the Ozarks Health Commission (OHC), using a systematic, data-driven process to identify and prioritize health needs across its 10-county service area in Missouri, Kansas, and Oklahoma. Freeman is a founding stakeholder in the OHC and actively participates in steering committees and subcommittees that analyze primary hospital data, secondary public health metrics, and community feedback. The 2025 CHNA incorporated multiple levels of input, including consumer surveys, stakeholder interviews, and focus groups, ensuring representation from health systems, public health agencies, schools, nonprofits, tribal communities, and vulnerable populations. This process reflects Freeman's commitment to health equity and addressing social determinants of health that impact access and outcomes. In addition to the CHNA, Freeman reviews studies from local health departments and integrates findings into its strategic plan, aligning community outreach and educational programs with identified needs. The 2025 CHNA identified four prioritized health needs for 2025-2028: Chronic Disease (including heart disease, diabetes, and lung disease) Behavioral Health (mental health and substance use) Nutrition & Physical Activity Access to Care Key metrics underscore the urgency of these priorities: Adult obesity rate of 34%, exceeding state and national averages; 19% of adults report poor mental health; suicide mortality rate is 18.96 per 100,000 population; Primary care provider availability is 74.24 per 100,000 population, below benchmarks. Freeman's implementation strategies include expanding telehealth for rural residents, launching a family medicine residency program to address provider shortages, and opening Freeman Fort Scott Hospital to restore emergency and inpatient services. Additional initiatives target pediatric obesity treatment, school-based behavioral health services, and partnerships with Missouri Council for Activity and Nutrition (MOCAN) to promote workplace wellness programs. Freeman collaborates intentionally with local, regional, and state partners, including Jasper-Newton County Health Collaborative, McDonald County Health Coalition, One Joplin, Care Partner Network, and Southwest Missouri School-Based Health Network. These partnerships leverage resources to address health-related social needs and improve access to care. Freeman leaders also serve on boards and community organizations, maintaining ongoing engagement to monitor emerging needs and adapt strategies accordingly. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Freeman communicates information about financial assistance, or charity care, options for patients by posting posters and flyers at admitting desks, including messaging on bills, statements, and envelopes sent to patients, on signs posted in Freeman Patient Accounts and Admissions public areas, and posting financial assistance applications in English and Spanish on its website. Educational opportunities to assure the community is aware of financial assistance programs include: - Admissions staff members interview patients to provide education on available benefits, including state and federal assistance resources. - Continually educating employees regarding its financial assistance policy so they can help customers learn about available resources. - The Eligibility Partners program helps patients explore resources for financial assistance and affordable medical coverage and they advocate on behalf of patients to seek out opportunities for medical financial coverage, and support the community through education, resources, and eligibility assistance. - Freeman works with employers, sending written notices to their benefits departments explaining the Freeman financial assistance eligibility process. Freeman also meets with employers to ensure their employees understand the availability of assistance offered. Schedule H, Part VI, Line 4 Community information Freeman's primary service area includes two Missouri counties and two Kansas counties with a combined population of 260,459*. Freeman's secondary service area includes six additional, largely rural counties in Southwest Missouri, Southeast Kansas, and Northeast Oklahoma, with a combined population of 147,425*. Incomes and education levels lag behind national averages, while the percentage of people living in poverty is higher than the national average. Freeman is the anchoring institution in a medium-sized community (Joplin) that serves a wide-ranging rural area in four states. Freeman Neosho Hospital is a critical needs facility that serves Southwest Missouri, and Freeman operates primary and specialty clinics in many smaller communities that serve a largely rural population. Joplin has a population of more than 50,000, and the number of people in town balloons to 270,000** as people visit to shop, work, and obtain healthcare services on weekdays. According to a Joplin Chamber of Commerce Economic Development report, Freeman is the largest employer in the area. Other major employers include trucking companies, healthcare organizations, schools, casinos, manufacturers, poultry processing plants, and telemarketing companies. Many people work in the retail and food service industries. * U.S. Census Bureau estimates July 2024 **Joplin Police Department estimate for any given weekday Schedule H, Part VI, Line 5 Promotion of community health Freeman is not-for-profit, locally owned, and governed by a volunteer board of directors composed of individuals who live in the communities served by Freeman. All decisions about what happens at Freeman are made locally, this gives Freeman the ability for nimble response to the healthcare needs of the community. Freeman has an open medical staff and is always recruiting primary care providers and specialists. Any profits generated by Freeman Health System are reinvested into the health system or in improving the health of the communities served. For instance, Freeman collaborates with various organizations to provide healthcare for indigent and underinsured individuals throughout the region. These include Community Clinic, Access Family Care, Community Health Center of Southeast Kansas. Freeman staff members, such as doctors, resident doctors, and nurses, provide free or low-cost healthcare services to indigent portions of the community. Depending on the situation, Freeman staff members volunteer their services, or Freeman pays them to work for the community through these organizations. Freeman also supports post-secondary schools that provide health careers education. These include Missouri Southern State University, Pittsburg State University, and Crowder College. Through Freeman Auxiliary, Freeman makes a yearly donation of $2,000 to each of eight area nursing schools for a total of $16,000. Additionally, at the Bradley School of Nursing at PSU, Freeman funded a 3D virtual dissection table that enables students to accurately visualize human anatomy through a life-sized, touch-screen experience. Freeman also provides Freeman Health Academy for high school students, a week-long, hands-on experience in a variety of behind-the-scenes medical settings. The purpose is to stimulate interest in health careers so the students can plan ahead and take the classes they need to enter a career in healthcare. Freeman works to improve the health of the community through a variety of community service programs both inside and outside the organization. Freeman provides financial support for many community service groups, including the Alzheimer's association, American Cancer Society, American Diabetes Association, American Heart Association, Children's Center of Southwest Missouri, Community Blood Center of the Ozarks, Community Clinic of Joplin, Freeman Southwest Family YMCA in Neosho, Joplin Family YMCA, George A. Spiva Center for the Arts, March of Dimes, National Multiple Sclerosis Society, Ronald McDonald House Charities of the Four States, and many other local, regional, and national organizations. Freeman helps with community-building by offering solutions to help meet the needs of specific populations, such as children with autism, children with medical expenses, children who have experienced emotional trauma, veterans, and senior citizens. Bill & Virginia Leffen center for Autism, for instance, provides hope for children with autism through a preschool program, a special education center, and an autism diagnostic team. As a children's Miracle Network Hospital, Freeman raises money to help sick and injured children with medical expenses. To address child mental and emotional trauma, Freeman and Ozark Center operate Will's Place to provide the community with a much-needed child trauma treatment center. To further promote the health and well-being of the area's senior population, Freeman Advantage offers opportunities for learning, travel, socializing, and healthy living to anyone over the age of 50. The program also includes monthly meetings where members and the general public can hear a variety of experts speak about a wide range of health topics. Freeman Advantage offers a free or low-cost Health Fair for senior citizens. It's a come-and-go event that includes free health screenings ($10 for those who choose to have blood screenings), guided mindfulness sessions, fitness assessments, informative presentations, and much more. Additionally, men and women of all ages and from all walks of life participate in Freeman Auxiliary, an organization that raises money for hospital equipment, services, scholarships, and other community needs. Freeman Development Office works with the community to find funding for innovative, lifesaving technologies and medical services. The Miracle Service Dog Program is provided in conjunction with Children's Miracle Network Hospitals at Freeman Health System. This program places service dogs with children with special medical needs. Service dogs are individually trained to meet the specific needs of the child and their condition. Service dogs can be trained to respond and alert to seizures, redirect repetitive behaviors, tether and locate a wandering child, interrupt self-harm, and perform countless other tasks. Students who participate in sports programs at area schools need to get a physical before they can participate. To help lessen the burden on parents, Freeman Orthopedics & Sports Medicine offers free sports physicals each year. The preparticipation physicals help identify any problems that could put a student at risk during athletic endeavors. The free physicals are offered to incoming 7th - 12th grade students at schools across the area. Schedule H, Part VI, Line 6 Affiliated health care system Freeman Health System consists of Freeman Hospital West and Freeman Hospital East in Joplin, Freeman Neosho Hospital, numerous clinics, Freeman Fort Scott and Ozark Center, which provides comprehensive behavioral health services. Freeman is not affiliated with another healthcare system. State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report. Freeman Health System is incorporated in the State of Missouri and files a community benefit report in Missouri. Schedule H, Part VI, Line 7 State filing of community benefit report MO true MISSOURI SOUTHERN FOUNDATION 3950 NEWMAN ROAD JOPLIN MO 64801 430907114 501(C)(3) 1095000 Support CARL JUNCTION EDUCATION FOUNDATION 206 S RONEY CARL JUNCTION MO 64834 431776822 501(C)(3) 1000000 Support OZARK CENTER PO BOX 2526 JOPLIN MO 64803 430821959 501(C)(3) 236000 Support NEW HEIGHTS CHRISTIAN ACADEMY 4311 NEWMAN RD JOPLIN MO 64801 431276651 501(C)(3) 100000 Support CROWDER COLLEGE 601 LACLEDE AVE NEOSHO MO 64850 440668521 GOVT 76737 Support JOPLIN AREA CHAMBER OF COMMERCE FOUNDATION PO BOX 1178 JOPLIN MO 64802 431569729 501(C)(3) 50000 Support COMMUNITY CLINIC OF SOUTHWEST MISSOURI 701 S JOPLIN JOPLIN MO 64801 431643962 501(C)(3) 29000 Support RONALD MCDONALD HOUSE PO BOX 2688 JOPLIN MO 64804 431758397 501(C)(3) 10000 Support BREAST CANCER FOUNDATION OF THE OZARKS 620 W REPUBLIC ROAD SPRINGFIELD MO 65807 431881450 501(C)(3) 10000 Support 9 0 Aid to families 117 135870 Mammograms 18 30522 Prescription, Meals, Transportation 251 14271 Dialysis Patient Assistance 17 12280 Patient Transportation fees 753 28330 Schedule I, Part III GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS IN FISCAL YEAR 2025, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *FHS CHILDREN'S MIRACLE NETWORK - $135,870 WAS SPENT HELPING 117 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *HELPING FRIENDS MAMMOGRAM PROGRAM - $30,522 WAS SPENT TO HELP 18 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $14,271 WAS SPENT TO HELP 251 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *DIALYSIS PATIENT ASSISTANCE - $12,280 WAS SPENT HELPING 17 DIALYSIS PATIENTS WITH RELATED EXPENSES. *SOCIAL SERVICES TRANSPORTATION SERVICES - $28,330 WAS SPENT HELPING 753 WITH TRANSPORTATION COSTS. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds OZARK CENTER IS A RELATED ORGANIZATION TO AND WORKS CLOSELY WITH FREEMAN HEALTH SYSTEM TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE THROUGH CARING FOR PATIENTS SUFFERING FROM PSYCHIATRIC, SUBSTANCE ABUSE AND AUTISM SPECTRUM DISORDERS. THIS CLOSE RELATIONSHIP ALLOWS FREEMAN HEALTH SYSTEM TO CLOSELY MONITOR THE USE OF FUNDS. AMOUNTS ARE ALSO CONTRIBUTED TO COLLEGES OR THEIR RELATED FOUNDATIONS FOR NURSING SCHOLARSHIPS FOR AREA STUDENTS. THE ORGANIZATION IS ABLE TO MONITOR FUNDS BY PROVIDING THESE AMOUNTS DIRECTLY TO THE SCHOOLS, TO BE USED FOR THE DESIGNATED ENROLLED STUDENT RECIPIENTS. OTHER AMOUNTS WERE GIVEN DURING THE YEAR TO LOCAL ORGANIZATIONS. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY AND CAN BE MONITORED ACCORDINGLY. X X X X X false false false false false true false false false PAULA F BAKER PRESIDENT AND CEO 1195971 298993 421045 105261 42800 10700 8280 2070 24508 6127 1692604 423151 0 0 JOHN M COX DO DIRECTOR 496400 0 750 0 15676 0 10350 0 25425 0 548601 0 0 0 DAVID L BAKER CMO END 11/24 609017 0 161199 0 16500 0 10350 0 32521 0 829587 0 0 0 AMANDA M HARRELL CMO BEG 11/24 367845 0 69300 0 36000 0 10350 0 33937 0 517432 0 0 0 JEFFERY E THOMPSON CHIEF CLINICAL OFFICER 334139 0 101501 0 53000 0 10350 0 22844 0 521834 0 0 0 STEVE GRADDY CFO 546552 109311 146114 29223 22967 4593 8625 1725 19870 3974 744128 148826 0 0 Dennis Estep Former CMO/Physician 308576 0 44260 0 53500 0 10350 0 32045 0 448731 0 0 0 KEVIN P GAUDETTE CHIEF REVENUE OFFICER 475752 0 124193 0 0 0 10350 0 30880 0 641175 0 0 0 MATTHEW G SABUS CHIEF INFORMATION OFFICER 242390 0 25598 0 9963 0 8335 0 792 0 287078 0 0 0 MARY A FRERER CHIEF HUMAN RESOURCE OFFICER 260879 0 35952 0 22570 0 9767 0 22430 0 351598 0 0 0 JEANEE M KENNEDY CHIEF NURSING OFFICER 213788 0 29284 0 0 0 7558 0 28995 0 279625 0 0 0 DARWIN DAVID JEYARAJ MD PHYSICIAN 1804218 0 686916 0 23000 0 10350 0 32902 0 2557386 0 0 0 JANE G SETO DO PHYSICIAN 871349 0 1345545 0 44224 0 10350 0 16796 0 2288264 0 0 0 THOMAS LEE SANDERS MD PHYSICIAN 1782476 0 273576 0 46000 0 10350 0 25749 0 2138151 0 0 0 TODD JOSEPH TWISS MD PHYSICIAN 1955383 0 370630 0 40550 0 10350 0 30887 0 2407800 0 0 0 WILLIAM JOHN NICHOLAS MD PHYSICIAN 2212541 0 544687 0 23000 0 10350 0 25470 0 2816048 0 0 0 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization FREEMAN HEALTH SYSTEM PROVIDES MANAGEMENT THE POTENTIAL TO RECEIVE AN AT-RISK PAYMENT BASED ON SYSTEM AND INDIVIDUAL GOAL ACHIEVEMENT. THE AMOUNT OF COMPENSATION IS BASED UPON A PERCENTAGE OF THE EMPLOYEE'S ANNUAL COMPENSATION AND IS SUBJECT TO BOARD APPROVAL. Schedule J, Part II, Column (B)(ii) BONUS & INCENTIVE COMPENSATION: THE ORGANIZATION PROVIDES PHYSICIANS THE POTENTIAL TO RECEIVE ANNUAL BONUS COMPENSATION. PHYSICIAN BONUSES ARE CALCULATED BASED ON GENERATING WORKED RELATIVE VALUE UNITS (WRVU). EMPLOYMENT CONTRACTS SPECIFY THE NUMBER OF REQUIRED WRVUS (TO OBTAIN AN ANNUAL SALARY) AND THE ADDITIONAL BONUS COMPENSATION PHYSICIANS WILL RECEIVE ONCE THE REQUIRED WRVUS HAVE BEEN MET. ADDITIONAL BONUS COMPENSATION IS CALCULATED BY MULTIPLYING THE WRVUS IN EXCESS OF REQUIRED WRVUS TIMES A PREDETERMINED COMPENSATION FACTOR. WRVUS SHALL BE COMPUTED BY USE OF THE APPROVED MEDICARE METHODS OF COMPUTATION FOR PHYSICIAN PRACTICES. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 000000000 2021-04-29 9682837 (SEE STATEMENT) false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 480639CA9 2020-02-04 2809258 REFUND 1999C BONDS false false false C THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 000000000 2024-08-08 42503402 (see statement) false false false A 4336202 9682837 9682837 2008 true false true true B 1010000 2819967 43714 2776253 2002 true false true true C 1275000 42646240 502221 9496798 32041424 605797 true false false true A false false true true false false 0 0 0.0 false false 0 false true B false false false false false false 0 0 0.0 false false 0 false false C false true true true false false 0 0.0022 0.0022 false false 0 false true A false false true false true false 0 false false false 0 false false true B false false false true false false 0 false false false 0 false false true C false true false false false false 0 false false false 0 false false true A true B true C true Schedule K, Part II, Line 3 COLUMN B INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE COSTS OF ISSUANCE FUND HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF THE ISSUE" BECAUSE THERE IS NO PROJECT PERIOD. THESE INVESTMENT EARNINGS ARE ALLOCATED TO INTEREST ON THE BONDS. Schedule K, Part II, Line 11 COLUMN B THIS AMOUNT REPRESENTS $2,775,000 USED TO REFUND THE 1999C BONDS ON 02/05/2020 AND $1,253 ALLOCATED TO PAY INTEREST ON THE BONDS. Schedule K, Part III COLUMN B PART III IS NOT REQUIRED TO BE COMPLETED FOR PROJECTS ORIGINALLY FINANCED PRIOR TO 01/01/2003. Schedule K, Part II, Line 1 COLUMN A THE 2009 BONDS WERE REISSUED IN 2014 AND 2021 AND ONLY THE AMOUNT RETIRED SINCE THE 2021 REISSUANCE DATE IS REFLECTED. Schedule K, Part II, Line 3 AND LINE 11; COLUMN A THIS AMOUNT REPRESENTS THE TOTAL AMOUNT OF THE 2009 BONDS THAT WERE DEEMED RETIRED, REISSUED AND CURRENTLY REFUNDED AS OF THE 2021 REISSUANCE DATE. Schedule K, Part II, Line 14 COLUMN A THE 2009 BONDS WERE REISSUED ON 6/18/2014 AND 4/29/2021 AND ALL SALE PROCEEDS WERE DEEMED TO CURRENTLY REFUND THE 2009 BONDS ON THOSE RESPECTIVE DATES. Schedule K, Part III, Line 8a THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE. Schedule K, Part I, Column (f) LINE A, ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY THE 2009 BONDS WERE ISSUED TO REFUND THE 2008 BONDS, ORIGINALLY ISSUED ON 2/28/2008, AND A 2008 TAXABLE LOAN, ORIGINALLY ISSUED ON 9/2/2008. THE 2009 BONDS WERE SUBSEQUENTLY REISSUED ON 6/18/2014 AND 4/29/2021, AND THE OUTSTANDING AMOUNT OF THE 2009 BONDS WAS TREATED AS CURRENTLY REFUNDED AS OF EACH DATE. Schedule K, Part I, Column (f) LINE C, ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY The 2024 Bonds were issued to (1) refund the 2015 Bonds (originally issued on 2/16/2015), (2) refund the 2022B (originally issued 6/30/2022) and (3) acquire, construct, improve and equip hospital facilities. Schedule K, Part II, Line 3 COLUMN C Amount does not equal issue price as a result of investment earnings earned during the project period. Schedule K, Part II, Line 11 COLUMN C Of this amount $20,789,021 was used to refund the Series 2015 Bonds, $11,248,113 was used to refund the Series 2022B Bonds, and $4,290 is allocated to interest on the Bonds. Schedule K, Part II, Line 12 COLUMN C Amount remaining in the project fund as of the fiscal year end. Schedule K, Part II, Line 13 AND LINE 16; COLUMN C The project was not complete as of the fiscal year end. Schedule K, Part IV, Line 2c COLUMN B Issuer name: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN, MO The calculation for computing no rebate due was performed on 02/01/2021 Bryan Graddy Son of CFO Steve Graddy 91472 Employee Compensation false Adam Graddy Son of CFO Steve Graddy 136547 Employee Compensation false Payton Graddy Daughter in law of Steve Graddy 40618 Employee Compensation false Hallie Baker Spouse of CMO David Baker 674055 Employee Compensation false Stephanie Thompson Spouse of CCO Jeff Thompson 37649 Employee Compensation false Deborah Gaudette Spouse key employee Kevin Gaudette 119881 Employee Compensation false Kent McIntire Son of Board Member Larry McIntire 861540 Employee Compensation false Scott McClintick Son in law of board member Rodney McFarland 1161231 Employee Compensation false Catherine Yust Relative of board member Mark Williams 96407 Employee Compensation false William Estep Son of Former CMO Dennis Estep 71037 Employee Compensation false 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-year project is focused on engaging patients without primary care physicians who visited the Freeman ED six-plus times per year. A LCSW and Community Health Navigator provide therapy and social/behavioral resources and supports for patients with complex medical conditions. All Freeman Center for Geriatric Medicine patients are assessed for risk (ED visits, hospitalizations, multiple chronic illness, polypharmacy, etc.) and additional psychosocial resources are provided. Also, the clinic has a goal to provide a Medicare Annual Well Visit to every patient every year. New reimbursement streams to support the expanded clinic staff will include chronic care management, transitional care management, behavioral therapy, and advanced care planning. CDC Childhood Obesity Research Demonstration This five-year research project was launched in 2019, and partners Freeman pediatric clinics with Washington University and Children's Mercy KC. For the first time, low-income children with obesity will be offered an evidence-based treatment: Family Based Therapy for Obesity. Children are identified by a pediatrician, consult with a dietician, and receive 26 hours of parent-child therapy over six months delivered by an LCSW. Online training for providers, dieticians, and behavioral interventionists will be included in the package, as will weight management resources for families and community. Chaplains Fund Through the Chaplains Fund, Freeman offers help to patients and their families upon dismissal from the hospital. The Chaplains Fund provides meal vouchers, vouchers for persons with special mobility needs, and more. The Chaplains Fund also provides YMCA vouchers for patients' loved ones who have difficulty getting home to shower. In FY2025, Chaplains made 31,104 total visits and responded to 169 codes, 575 deaths, 116 priority one traumas/medicals, and 111 withdrawals of care. They made 4,550 visits to palliative patients and provided for Social Services to issue 251 vouchers or tokens for food, transportation, or fuel. In FY25, the Chaplains Fund provided a community benefit of $12,732.03 through assistance for prescriptions, meals and other issues to 100 people. Pharmacy Helping patients who are unable to pay for their pharmacy needs is one example of what is possible due to the contributions made to the Freeman 340B program. Each case is evaluated individually from many angles and guidelines to help ensure prudent use these scarce healthcare funds. Maintaining compliance within the 340B program and all state and federal laws, Freeman helps many people who cannot afford their prescriptions. This is just another way Freeman provides care to the community. In FY25, Freeman pharmacy assistance totaled $1,854,658.50. Job Shadowing The Freeman job shadowing program enables students and community members to explore healthcare careers by shadowing caregivers. Through the program, members of our medical team share experience, advice and knowledge with participants. Students are encouraged to use their firsthand experiences at Freeman to help them make decisions about class choices, continuing education, and their career. Participating departments include: Anesthesiology, cancer (oncology), cardiology, cardiovascular operating room, cath lab, emergency department, general medical, infusion center, laboratory, occupational therapy, operating rooms/scrub technicians, orthopedics, pharmacy, physical therapy, physician assistants, QuickMeds Pharmacy, radiology, respiratory therapy, and social services. Safety Net for the Community Freeman provides emergency care for all who enter its doors, regardless of the patient's ability to pay or insurance status. Freeman endeavors to give patients more options for paying their bills, including setting up payment plans for qualifying patients, a program that proves especially beneficial to people who have health insurance, but lack funds to pay large deductibles, co-payments, or out-of-pocket expenses. Freeman also offers a 40 percent self-pay discount to those without insurance, but many still cannot pay for their medical care. Helping the Community Freeman helps many organizations that, in turn, help some of the most fragile members of the community. For instance, Freeman leases land to Ronald McDonald House Charities of the Four States for $1 per year, and Freeman maintains the grounds and provides housekeeping services, services with an annual retail value of $9,000. Careers Freeman Health System contributes to the health of the community by creating a wide range of career opportunities. Professionals in many fields at Freeman earn above-average wages and salaries, and the benefits Freeman offers help attract and maintain an affluent middle class, whose members buy homes, spend money, and boost the area economy. In FY25, Freeman Health System provided payroll and benefits totaling $370,500,000. 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 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 enable physicians to look into the child's eyes, ears, and throat and examine the child's skin and make other important observations from a remote location; additionally, doctors and parents can see any imaging obtained through the equipment in the school nurse's office. In some cases, parents would have to take off work to take a child to the doctor, but with telemedicine, the parent can stay at work and not lose a day's or half day's pay. Parents participate in the medical visit through a smart device such as a mobile phone. Emergency Preparedness Freeman Health System and all rural Southwest Missouri are benefitting from the acquisition of two Mass Casualty Response Trailers, a new tool for disaster response in the four-state area (Missouri, Kansas, Oklahoma, and Arkansas). Designed to support quick response in times of crisis, the new trailers help during any type of mass casualty event or natural disaster. During such events, the big challenges include having enough ambulances to transport patients to hospitals, communicating with first responders when telephone lines and towers are down, and having adequate medical supplies at the scene. Unfortunately, mass casualty events are becoming more common. The availability of emergency preparedness assets like the trailers benefits the local communities greatly by providing large quantities of medical supplies and enhanced communications capabilities when help is most needed. The trailers have enough trauma supplies to set up a triage area as a staging area. Possible scenarios where the trailers could be deployed include train derailments, large apartment complex fires, and active shooter events in schools. Towns throughout our area are welcome to use our Mass Casualty Trailers should the need arise. We can roll these trailers out to support our EMS partners whenever and wherever the situation calls for it. Freeman will gladly train any organization on the use of the units. The trailers are equipped with a range of communications tools to make sure residents and emergency responders have a reliable connection. With every disaster that happens, the first thing that fails is communications, and this system gives users 5g dedicated phone communications. It runs through a special State of Missouri program with priority access. It has a backup satellite system with multiple radio types of frequencies. 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 Western Mo, Economic Security Corporation, and the Joplin Area Ministerial Alliance. The network creates shared ownership between community organizations and individuals to navigate and coordinate services addressing social determinants of health such as housing, utilities, transportation, food, safety, and personal needs. The network provides direct referrals to individuals looking for help finding resources, such as food, clothing, and medical care. The network creates a common table where community organizations work together to build an effective and efficient health and social services solution that prevents duplication of services and gets help to those in need as quickly as possible. 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 would be treated in the NICU each year. By the end of the first year, 300 babies had been admitted. By the end of FY24, more than 10,585 infants have had a fighting chance to live thanks to the care they received at Freeman NICU. In FY25, Freeman NICU served 351 prematurely born or critically ill babies. Of these tiny patients, 229 received Medicaid, which represents 65.2% of Freeman NICU's caseload. Self-pay patients (those with no insurance) represented 2.0% of Freeman NICU patients. Neonatal intensive care is extremely expensive to provide, sometimes more than $1 million per child, and Medicaid reimbursement does not cover the cost of providing the level of treatment required. 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 transplant referral. Freeman Outpatient Dialysis features comfortable chairs; a safe, private environment; state-of-the-art dialysis equipment; and innovative technology in vascular access grafts. Patients also rely on the caring staff that includes a team of experienced and compassionate nephrologists. Outpatient-Freeman Bariatric Center Freeman Bariatric Center is accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a joint program of the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery. The first bariatric program in the area to be accredited, Freeman Bariatric Center meets the highest standards for patient safety and quality of care. Outpatient-Freeman NeuroSpine Freeman NeuroSpine provides surgical and nonsurgical treatments for conditions ranging from back pain, work-related injuries, and carpal tunnel syndrome to stroke and complex spinal diseases. Freeman's expert, multidisciplinary team includes neurosurgeons, neurologists, rehabilitation specialists, surgical assistants, physical therapists, massage therapists, and athletic trainers. Outpatient-Pediatric Specialty Care Freeman Health System partners with Pediatrix Cardiology to enhance pediatric specialty care in the four-state area. Convenient access to this caliber of pediatric specialty care not only improves outcomes for pediatric patients-it also saves families the expense and time involved with driving great distances for clinic appointments. Outpatient-School-based Medicine 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. Outpatient-Home Care Freeman Home Care has provided personalized home medical care for more than 30 years. Trained, CPR-certified professionals, including nurses, therapists, personal care aides and social workers, work closely with patients, families, and physicians to develop individualized care plans to best meet the patient's needs. Outpatient-Wound Care & Hyperbaric Medicine Physical wounds do not always heal quickly and routinely-healing is a complicated process. If a wound hasn't healed after four weeks of standard medical care, specialized wound care services may be needed. Freeman Wound Care & Hyperbaric Medicine can effectively treat many types of wounds, including diabetic wounds, varicose vein ulcers, arterial leg ulcers, and more. Services include evaluation and wound assessment, individualized treatment plan, and patient education. Outpatient-Specialized Endocrinology Services Freeman Diabetes & Endocrinology Institute offers comprehensive specialty services to diagnose and treat endocrine disorders, as well as preventive care for osteoporosis. Many health problems increase an individual's risk for osteoporosis, including lupus, leukemia and lymphoma, diabetes, hyperthyroidism, and chronic kidney disease. With early detection and individualized treatment plans, many osteoporosis patients can enjoy and maintain active, healthy lifestyles. Outpatient-Diabetes Education Obesity and diabetes are growing problems with serious health implications. According to the American Diabetes Association, 11.4% of Missouri adults have diabetes. Freeman Diabetes Educators help patients learn to manage and live with the disease. They provide Diabetes Self-Management Education and Support services to provide information and teach skills to people with diabetes and related conditions. Diabetes Education is tailored to individual needs, goals, and life experiences and is guided by evidence-based standards. 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. 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 quarries and welding. Our purpose is to increase early detection rates and also keep awareness of lung cancer front and center. Freeman Helping Friends Mammogram Fund, administered through Freeman Development Office, provides mammograms for women who can't afford them. In 2024, Helping Friends Mammogram Fund helped 38 women also enables us to provide post-mastectomy camisoles, education, diagnostic screenings, and breast ultrasounds to help patients as they progress through their breast cancer journey. 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 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. -REPORT REGULARLY TO THE FULL BOARD AND TO OTHER SYSTEM BOARDS ON COMMITTEE FINDINGS AND APPROVED ACTIONS AND ANY OTHER MATTERS THE COMMITTEE DEEMS APPROPRIATE OR THE BOARD REQUESTS. -CONDUCT AN ANNUAL SELF-EVALUATION OF THE COMMITTEE'S PERFORMANCE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER. -REVIEW AND REASSESS THE ADEQUACY OF THIS CHARTER ANNUALLY, AND AMEND IT AS THE COMMITTEE DEEMS APPROPRIATE. -COMMUNICATE WITH EXTERNAL PARTIES, AS APPROPRIATE, REGARDING COMMITTEE PROCEDURES AND THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES AND OTHER DISQUALIFIED PERSONS. A COMPENSATION REVIEW LAST OCCURRED IN 2023 USING GALLAGHER BENEFIT SERVICES. 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. 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