Freeman Health System

Tax-deductible

Joplin, MO501(c)(3)Since 1922HospitalsEIN 43-1704371

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Freeman Health System provides world-class, compassionate healthcare services where IT matters most, close to home. See schedule o for additional information.

501(c)(3) charity; gifts are tax-deductible.
86¢ of each $1 spent went to programs.
Run by 170 volunteers and 4,583 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2025 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
6 of 6
filings with a surplus
Average surplus $26.2M a year · 4% of revenue · last 6 filings
Looks good: a surplus in 6 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
86%
of spending
Looks good: 86% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$18.5M
to officers and key staff · 3% of spending
Top officer’s pay higher than 91% of similar orgs
Looks good: pay to officers and key staff is 3% of spending; 15% or less.
Pt VII · Sec A
Cash reserves
<1 mo
of spending, in cash
Concern: 0.2 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
5
named funders · $43K
Looks good: 5 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$188.6M
26% of total assets
Looks good: liabilities are 26% of assets; 50% or less.
Pt X · Ln 26
Independent board members
8
of 12 voting members
Looks good: 8 of 12 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$709.6M
+6% vs prior year
Spent
$703.7M
To programs
86%
Net assets
$546.1M
By yearFY2020–FY2025
Revenue
$709.6M
FY2025▲ +6%
Revenue by fiscal year
FY2020$572.1M
FY2021$596.3M
FY2022$643.5M
FY2023$654.5M
FY2024$669.2M
FY2025$709.6M
Expenses
$703.7M
FY2025▲ +7%
Expenses by fiscal year
FY2020$536.6M
FY2021$557.9M
FY2022$601.3M
FY2023$629.0M
FY2024$659.6M
FY2025$703.7M
Net assets
$546.1M
FY2025▼ -2%
Net assets by fiscal year
FY2020$359.6M
FY2021$476.1M
FY2022$516.8M
FY2023$513.5M
FY2024$558.4M
FY2025$546.1M

From the FY2025 Form 990 (year ending March 2025) · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Mar 1995.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

86 cents of each dollar spent went to programs.

Program services 86% · $606.0M Management & general 14% · $97.5M Fundraising 0% · $173K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

26 people listed on the 990; $18.5M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
$2,780,228Pt VII · Sec A
$2,514,134Pt VII · Sec A
$2,366,563Pt VII · Sec A
$2,261,118Pt VII · Sec A
$2,102,052Pt VII · Sec A
President and CEO
$1,659,816Pt VII · Sec A
CMO End 11/24
$786,716Pt VII · Sec A
$715,633Pt VII · Sec A

William John Nicholas MD’s $2.8M as Physician is at the 91st percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
William John Nicholas MD$2,780,228—————
William John Nicholas—$2,727,768$2,283,087———
Thomas Lee Sanders—$2,132,365$2,582,093———
William J Nicholas———$1,910,183$2,343,198$2,572,654
Darwin David Jeyaraj MD$2,514,134—————
Thomas L Sanders———$2,406,334——
Todd Joseph Twiss MD$2,366,563—————
Todd Joseph Twiss—$2,287,153$2,296,948———

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Freeman Health System executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides world-class, compassionate healthcare services close to home.

Provided by the organization

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3 program services account for $606.0M of program spending, described in the organization's own filed words · FY2024.
01

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…

$340.7Mprogram expense
02

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.

$227.2Mprogram expense
03

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.

$38.1Mprogram expense

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Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2024
See all 5 funders →
Grants paid · 120 grants · $11.6M · 2019–2024
Missouri Southern FoundationMO · FY2024$1,095,000
Ozark CenterMO · FY2024$236,000
Unitemized GrantFY2024$135,870
New Heights Christian AcademyMO · FY2024$100,000
Crowder CollegeFY2024$76,737
Unitemized GrantFY2024$30,522
Unitemized GrantFY2024$28,330
Unitemized GrantFY2024$14,271
Unitemized GrantFY2024$12,280
Missouri Southern FoundationMO · FY2023$1,096,500
Unitemized GrantFY2023$159,749
Creative Learning Alliance INCMO · FY2023$150,000
See all 120 grants →

By the numbers

The FY2025 990, line by line.

1The main four
Money inPt VIII
$709.6M
Ln 12
Fees for servicesLn 2g$655.9M
Investment incomeLn 3$43.1M
Other incomeLn 4–11$7.4M
Money outPt IX
$703.7M
Ln 25
Programscol B$606.0M
Managementcol C$97.5M
Fundraisingcol D$173K
Owns and owesPt X
$546.1M
net assets · Ln 32
Cash and savingsLn 1–2$13.9M
Total assetsLn 16$734.7M
LiabilitiesLn 26$188.6M
PeoplePt VI, VII
26
listed · VII A
PaidVII A16
Voting boardVI 1a12
IndependentVI 1b8
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$3.1M
Government grantsLn 1e$721K
Noncash giftsLn 1g$10K
Fundraising eventsLn 1c$181K
Fees for servicesLn 2g$655.9M
Investment incomeLn 3$43.1M
Other incomeLn 4–11$7.4M
Gains on assetsLn 7$31.3M
Total revenueLn 12$709.6M
Assets in detailPt X, end of year
CashLn 1$5.4M
SavingsLn 2$8.5M
Cash and savings togetherLn 1–2$13.9M
InvestmentsLn 11–13$459.7M
Land, buildings, equipmentLn 10c$143.7M
Other assetsLn 15$8.5M
Total assetsLn 16$734.7M
LiabilitiesLn 26$188.6M
Net assetsLn 32$546.1M
OperationsPt I, VI
EmployeesI 54,583
VolunteersI 6170
Fiscal year endsHeaderMarch
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY25End FY25
Cash and savingsLn 1–2$32.6M$13.9M
InvestmentsLn 11–13$440.4M$459.7M
Land, buildings, equipmentLn 10c$144.2M$143.7M
Total assetsLn 16$731.2M$734.7M
LiabilitiesLn 26$172.8M$188.6M
Net assetsLn 32$558.4M$546.1M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$3.0M$3.0M
Grants to domestic individualsLn 2$221K$221K
Pay of current officers, directors and key staffLn 5$6.4M$3.3M$3.1M
Pay of disqualified personsLn 6$3.7M$3.7M
Other salaries and wagesLn 7$323.1M$283.7M$39.2M$106K
Pension plan contributionsLn 8$5.8M$5.1M$670K$2K
Other employee benefitsLn 9$35.2M$31.0M$4.2M$12K
Payroll taxesLn 10$19.4M$17.1M$2.3M$6K
Legal feesLn 11b$581K$581K
Accounting feesLn 11c$488K$488K
Investment management feesLn 11f$399K$399K
Other fees for servicesLn 11g$58.3M$32.7M$25.6M$21K
Advertising and promotionLn 12$2.1M$1.8M$363K$7K
Office expensesLn 13$24.6M$17.6M$7.0M$6K
Information technologyLn 14$57K$14K$42K
OccupancyLn 16$6.9M$5.8M$1.1M$567
TravelLn 17$920K$695K$224K$328
Conferences, conventions and meetingsLn 19$1.5M$888K$568K$88
InterestLn 20$2.7M$2.4M$282K$768
Depreciation, depletion and amortizationLn 22$19.4M$17.2M$2.3M$6K
InsuranceLn 23$13.3M$6.1M$7.3M$4K
Other expenses (24a–d)Ln 24$174.8M$172.9M$1.9M$53
All other expensesLn 24e$733K$733K$0$0
Total functional expensesLn 25$703.7M$606.0M$97.5M$173K

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest Viewing $709.6M$703.7M$5.9M$546.1M 990 PDF
FY2024 $669.2M$659.6M$9.6M$558.4M 990 PDF
FY2023 $654.5M$629.0M$25.6M$513.5M 990 PDF
FY2022 $643.5M$601.3M$42.2M$516.8M 990 PDF
FY2021 $596.3M$557.9M$38.4M$476.1M 990 PDF
FY2020 $572.1M$536.6M$35.5M$359.6M 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2025 990 (4 parts)
Part VIII · Statement of revenue $709,601,151 across 12 lines filed
Lines not itemized here account for $31,845,795 of total revenue; see the IRS return.
VIII-1c Fundraising events$180,612
VIII-1e Government grants$721,045
VIII-1f All other contributions, gifts and grants$2,217,506
VIII-1g Noncash contributions (included above)$9,500
VIII-1h Total contributions, gifts and grants$3,119,163
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $614,825,458 · Unrelated business $9,705,409$624,530,867
VIII-3 Investment incomeExcluded from tax $11,577,720$11,577,720
VIII-6 Net rental income or lossExcluded from tax $2,111,256$2,111,256
VIII-7 Net gain or loss on sales of assetsExcluded from tax $31,300,839$31,300,839
VIII-8 Net income from fundraising eventsExcluded from tax $6,693$6,693
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Unrelated business −$91,477 · Excluded from tax $5,200,295$5,108,818
VIII-12 Total revenueRelated to mission $640,775,067 · Unrelated business $15,056,818 · Excluded from tax $50,650,103$709,601,151
Part IX · Statement of functional expenses $703,707,703 across 23 lines filed
IX-1 Grants to domestic organizationsPrograms $3,023,117$3,023,117
IX-2 Grants to domestic individualsPrograms $221,273$221,273
IX-5 Pay of current officers, directors and key staffPrograms $3,338,253 · Management $3,075,407$6,413,660
IX-6 Pay of disqualified personsPrograms $3,739,168$3,739,168
IX-7 Other salaries and wagesPrograms $283,738,580 · Management $39,222,389 · Fundraising $105,661$323,066,630
IX-8 Pension plan contributionsPrograms $5,128,845 · Management $669,690 · Fundraising $1,919$5,800,454
IX-9 Other employee benefitsPrograms $30,994,672 · Management $4,161,960 · Fundraising $11,515$35,168,147
IX-10 Payroll taxesPrograms $17,121,936 · Management $2,320,381 · Fundraising $6,317$19,448,634
IX-11b Legal feesManagement $581,226$581,226
IX-11c Accounting feesManagement $487,925$487,925
IX-11f Investment management feesManagement $399,229$399,229
IX-11g Other fees for servicesPrograms $32,698,204 · Management $25,606,164 · Fundraising $21,386$58,325,754
IX-12 Advertising and promotionPrograms $1,750,693 · Management $362,976 · Fundraising $7,455$2,121,124
IX-13 Office expensesPrograms $17,555,583 · Management $7,009,661 · Fundraising $6,499$24,571,743
IX-14 Information technologyPrograms $14,478 · Management $42,400$56,878
IX-16 OccupancyPrograms $5,818,845 · Management $1,111,881 · Fundraising $567$6,931,293
IX-17 TravelPrograms $695,390 · Management $224,239 · Fundraising $328$919,957
IX-19 Conferences, conventions and meetingsPrograms $888,465 · Management $567,997 · Fundraising $88$1,456,550
IX-20 InterestPrograms $2,380,877 · Management $281,869 · Fundraising $768$2,663,514
IX-22 Depreciation, depletion and amortizationPrograms $17,153,681 · Management $2,279,319 · Fundraising $5,984$19,438,984
IX-23 InsurancePrograms $6,061,372 · Management $7,254,554 · Fundraising $4,035$13,319,961
IX-24 Other expenses (24a–d)Programs $172,930,420 · Management $1,889,072 · Fundraising $53$174,819,545
IX-24e All other expensesPrograms $732,937 · Management $0 · Fundraising $0$732,937
IX-25 Total functional expensesPrograms $605,986,789 · Management $97,548,339 · Fundraising $172,575$703,707,703
Part X · Balance sheet $734,733,838 assets, 22 lines filed
Asset lines not itemized here account for $1,255,000; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $9,879,050$5,448,320
X-2 Savings and temporary cash investmentsStart of year $22,697,247$8,467,188
X-3 Pledges and grants receivableStart of year $1,419,405$1,415,166
X-4 Accounts receivableStart of year $80,068,646$74,839,681
X-8 Inventories for sale or useStart of year $11,683,945$12,613,055
X-9 Prepaid expenses and deferred chargesStart of year $10,281,998$11,497,370
X-10c Land, buildings and equipment, netStart of year $144,228,415$143,652,054
X-11 Publicly traded securitiesStart of year $430,888,790$450,075,943
X-12 Other securitiesStart of year $6,160,537$5,967,688
X-13 Program-related investmentsStart of year $3,352,860$3,663,249
X-14 Intangible assetsStart of year $367,030$7,366,054
X-15 Other assetsStart of year $10,154,736$8,473,070
X-16 Total assetsStart of year $731,186,945$734,733,838
X-17 Accounts payable and accrued expensesStart of year $75,554,694$85,410,609
X-19 Deferred revenue$333,333
X-20 Tax-exempt bond liabilitiesStart of year $56,966,985$57,109,643
X-25 Other liabilitiesStart of year $36,065,533$40,223,978
X-26 Total liabilitiesStart of year $172,750,426$188,634,134
X-27 Net assets without donor restrictionsStart of year $554,870,426$541,662,470
X-28 Net assets with donor restrictionsStart of year $3,566,093$4,437,234
X-32 Total net assets or fund balancesStart of year $558,436,519$546,099,704
X-33 Total liabilities and net assetsStart of year $731,186,945$734,733,838
Part XI · Reconciliation of net assets $546,099,704 net assets at year end
XI-1 Total revenue$709,601,151
XI-2 Total expenses$703,707,703
XI-3 Revenue less expenses$5,893,448
XI-4 Net assets at start of year$558,436,519
XI-5 Net unrealized gains (losses) on investments−$18,232,825
XI-9 Other changes in net assets$2,562
XI-10 Net assets at end of year$546,099,704

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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