Freeman Health System
Nonprofit profile at a glance
- EIN
- 431704371
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Joplin, MO, USA
- Phone
- 4173471111
- Rating
- 85
- Verdict
- STRONG
- Rating confidence
- Standard
- Sector
- Hospital, General
Reported finances
- Revenue
- $709,601,151
- Expenses
- $703,707,703
- Assets
- $734,733,838
- Liabilities
- $188,634,134
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
26 people listed
Executive titles in this filing
- PAULA F BAKER (PRESIDENT AND CEO)
Highest reported compensation
- WILLIAM JOHN NICHOLAS MD (PHYSICIAN): $2,816,048 total reported compensation
- DARWIN DAVID JEYARAJ MD (PHYSICIAN): $2,557,386 total reported compensation
- TODD JOSEPH TWISS MD (PHYSICIAN): $2,407,800 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
The mission of freeman health services is to improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Other-operating. 94% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 85
- Transparency & Controls: 91
- Accountability: 81
- Sustainability: 41
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 89.5%; rating input score 90
- Program expense ratio: 86.1%; rating input score 86
- Fundraising efficiency: $18.07 raised per $1 spent on fundraising; rating input score 55; 55th percentile among comparable filings
Transparency & Controls
- Consistency checks: 94.4%; rating input score 94; 31st percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 87.2%; rating input score 87; 20th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 0.8%; rating input score 36; 36th percentile among comparable filings
- Total-asset coverage ratio: 1.04; rating input score 41; 41st percentile among comparable filings
- Liabilities to assets ratio: 0.26; rating input score 61; 61st percentile among comparable filings
- Officer compensation ratio: 2.7%; rating input score 42; 42nd percentile among comparable filings
Growth
- Program expense growth: 3.2% per year; rating input score 100; 24th percentile among comparable filings
- Revenue growth: 3% per year; rating input score 100; 22nd percentile among comparable filings
- Asset growth: 5.9% per year; rating input score 100; 43rd percentile among comparable filings
Details
- Where the money goes: 89.5% of revenue deployed · 86.1% of spending went to programs
- Governance: 8 of 12 board members independent · 9 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $606M in reported program spending
- Leadership: top reported pay $2.8M · 26 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $17.1M reported
- Consistency: 40 of 41 current checks pass · 1 finding to review
- Schedules: 12 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 15 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 25 filed money-flow records
- Related organizations: 20 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Financial Efficiency: Fundraising efficiency scored 55/100.
- Moderate — Sustainability: Operating margin scored 36/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 41/100.
- Moderate — Sustainability: Officer compensation ratio scored 42/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.