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Nonprofiteer
← FREEMAN FORT SCOTT HOSPITAL INC

Form 990 for tax year 2024

Filed by FREEMAN FORT SCOTT HOSPITAL INC.

Totals

Total revenue
$1,349,174
Total expenses
$768,582
Contributions and grants received
$1,286,881
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$62,293
Total assets, end of year
$4,528,550
Total liabilities, end of year
$3,947,958
Net assets or fund balances, end of year
$580,592
Program services expenses (Part IX)
$55,318
Management and general expenses
$713,264
Fundraising expenses
$0
Program service expenses (Part III)
$55,318

Program services were 7.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Don Doherty

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • Jay Leek

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Lindsay Madison

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Paula Baker

    President and CEO

    Total calculated
    $2,115,755
    From this org
    $0
    From related orgs
    $2,074,770
    Other
    $40,985
    Hours/week
    6 + 61.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,494,964 related
    Bonus
    $0 + $526,306 related
    Other
    $0 + $53,500 related
    Deferred
    $0 + $10,350 related
    Nontaxable benefits
    $0 + $30,635 related
    Filer's total
    $0 + $2,115,755 related

  • Dr Michael Zafuta MD

    Director

    Total calculated
    $725,472
    From this org
    $0
    From related orgs
    $692,536
    Other
    $32,936
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $519,688 related
    Bonus
    $0 + $123,848 related
    Other
    $0 + $49,000 related
    Deferred
    $0 + $10,350 related
    Nontaxable benefits
    $0 + $22,586 related
    Filer's total
    $0 + $725,472 related

  • Gregg Motley

    Director

    Total calculated
    $0
    Hours/week
    1

  • STEVE GRADDY

    CFO

    Total calculated
    $892,954
    From this org
    $0
    From related orgs
    $858,760
    Other
    $34,194
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $655,863 related
    Bonus
    $0 + $175,337 related
    Other
    $0 + $27,560 related
    Deferred
    $0 + $10,350 related
    Nontaxable benefits
    $0 + $23,844 related
    Filer's total
    $0 + $892,954 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION
FREEMAN HEALTH SYSTEM, THE SOLE MEMBER, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIALS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Provenance

Return type
form_990
Tax year
2024
Filed
17 February 2026
IRS schema version
2024v5.1
Source object
202640489349301414

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