FREEMAN HEALTH SYSTEM

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1922

Legal Domicile

Phone

4173471111

Tax Period

2024-04-01 to 2025-03-31

FREEMAN HEALTH SYSTEM, founded in 1922, is a major nonprofit in the Health Care sector that reported $709.6M in total revenue in fiscal year 2024.

Mission

THE MISSION OF FREEMAN HEALTH SERVICES IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS.

Program Service Accomplishments

Program 1

Expenses: $340,693,148 Revenue: $347,761,617

FREEMAN OFFERS OUTPATIENT SERVICES INCLUDING CANCER CARE, RADIATION ONCOLOGY, EMERGENCY MEDICINE, WOMEN'S SERVICES, GASTROENTEROLOGY, DIALYSIS, WOUND CARE, NEUROLOGY, ORTHOPAEDICS, OTOLARYNGOLOGY...

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.

Program 2

Expenses: $227,153,871 Revenue: $208,523,055

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...

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.

Program 3

Expenses: $38,139,770 Revenue: $84,490,395

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $3,119,163

Program Service Revenue $655,923,362

Investment Income $43,133,422

Other Revenue $7,425,204

TOTAL REVENUE $709,601,151

Expense Breakdown

Grants Paid $3,244,390

Salaries & Benefits $393,636,693

Fundraising Expenses $172,575

Program Expenses $605,986,789

Other Expenses $306,826,620

TOTAL EXPENSES $703,707,703

Year-over-Year Comparison

	2024	2023	Change
Revenue	$709,601,151	$669,173,347	+0.1%
Expenses	$703,707,703	$659,568,841	+0.1%
Net Income	$5,893,448	$9,604,506	-0.4%

Key Indicators

✓ Grants to Organizations ✓ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

4823

Volunteers

115

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$4,877,562

Total Directors

$2,664,356

Key Employees

$1,559,476

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
J SCOTT BROTHERS	VICE CHAIR	1.0	Officer Director	$0	$0	$0
JIM ARMSTRONG	SECRETARY/TREASURER	1.0	Officer Director	$0	$0	$0
LANCE BESHORE PHD	CHAIR	1.0	Officer Director	$0	$0	$0
PAULA F BAKER	PRESIDENT AND CEO	54.0	Officer Director	$1,659,816	$40,985	$2,115,755
BRANDON C DAVIS	DIRECTOR	1.0	Director	$0	$0	$0
GLENN BROWN	DIRECTOR	1.0	Director	$0	$0	$0
GLENN MCCUMBER	DIRECTOR	1.0	Director	$0	$0	$0
JAMES FLEISCHAKER	DIRECTOR	1.0	Director	$0	$0	$0
JOHN M COX DO	DIRECTOR	60.0	Director	$512,826	$35,775	$548,601
LARRY MCINTIRE DO	DIRECTOR	1.0	Director	$0	$0	$0
MARK WILLIAMS	DIRECTOR	1.0	Director	$0	$0	$0
RODNEY MCFARLAND MD	DIRECTOR	1.0	Director	$0	$0	$0
AMANDA M HARRELL	CMO BEG 11/24	60.0	Officer	$473,145	$44,287	$517,432
DAVID L BAKER	CMO END 11/24	60.0	Officer	$786,716	$42,871	$829,587
JEFFERY E THOMPSON	CHIEF CLINICAL OFFICER	60.0	Officer	$488,640	$33,194	$521,834
STEVE GRADDY	CFO	50.0	Officer	$715,633	$34,194	$892,954
JEANEE M KENNEDY	CHIEF NURSING OFFICER	60.0	Key Emp	$243,072	$36,553	$279,625
KEVIN P GAUDETTE	CHIEF REVENUE OFFICER	60.0	Key Emp	$599,945	$41,230	$641,175
MARY A FRERER	CHIEF HUMAN RESOURCE OFFICER	60.0	Key Emp	$319,401	$32,197	$351,598
MATTHEW G SABUS	CHIEF INFORMATION OFFICER	60.0	Key Emp	$277,951	$9,127	$287,078
DARWIN DAVID JEYARAJ MD	PHYSICIAN	60.0	Highest	$2,514,134	$43,252	$2,557,386
JANE G SETO DO	PHYSICIAN	60.0	Highest	$2,261,118	$27,146	$2,288,264
THOMAS LEE SANDERS MD	PHYSICIAN	60.0	Highest	$2,102,052	$36,099	$2,138,151
TODD JOSEPH TWISS MD	PHYSICIAN	60.0	Highest	$2,366,563	$41,237	$2,407,800
WILLIAM JOHN NICHOLAS MD	PHYSICIAN	60.0	Highest	$2,780,228	$35,820	$2,816,048
Dennis Estep	Former CMO/Physician	60.0		$406,336	$42,395	$448,731

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$709,601,151	$703,707,703	$734,733,838	$5,893,448
2024	$669,173,347	$659,568,841	$731,186,945	$9,604,506
2023	$654,512,246	$628,958,111	$689,877,748	$25,554,135
2022	$643,470,482	$601,261,756	$746,514,735	$42,208,726
2021	$596,274,596	$557,918,461	$748,525,518	$38,356,135
2020	$572,145,425	$536,611,846	$542,526,560	$35,533,579
2019	$553,530,385	$513,690,534	$533,165,787	$39,839,851
2018	$563,515,526	$531,248,867	$492,572,765	$32,266,659