2024-02-09T14:55:52-06:00 2023-03-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-04-01 431704371 FREEMAN HEALTH SYSTEM % STEVE GRADDY FREE 4173471111 1102 W 32ND STREET JOPLIN MO 64804 STEVE GRADDY CFO 4173471111 2023-08-12 true STEVE GRADDY XXX-XX-XXXX Brian D Todd P00422601 4178658701 2 2022 2023-04-26 12:10:37Z PAULA BAKER 1102 W 32ND STREET JOPLIN MO 64804 719702308 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 7 4525 100 9790409 755882 3219266 13175586 618593171 627508534 16032873 9194603 5625172 4633523 643470482 654512246 1310322 2173673 0 0 338971420 353696229 0 0 615244 260980014 273088209 601261756 628958111 42208726 25554135 746514735 689877748 229717163 176375107 516797572 513502641 X THE MISSION OF FREEMAN HEALTH SERVICES IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. false false 361790940 2173673 394332283 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. 147514448 166430884 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 33755106 66745367 FREEMAN HEART & VASCULAR INSTITUTE IS RANKED AMONG THE NATION'S BEST FOR HEART ATTACK PATIENT CARE. IN FACT, FREEMAN HEALTH SYSTEM IS ONE OF ONLY 240 HOSPITALS NATIONWIDE TO RECEIVE THE AMERICAN COLLEGE OF CARDIOLOGY NCDR CHEST PAIN - MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2022. THE AWARD RECOGNIZES FREEMAN HEART & VASCULAR INSTITUTE'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 543060494 true true false true false false false false false true 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 true false false false true true true true false false true X 208 0 true 4525 true true true false false false false true true false false false false true false X 12 7 false false false false false false false true true false false true true true true true true true true true true X STEVE GRADDY 4173476678 1102 WEST 32ND STREET JOPLIN MO 64804 X THOMAS LEE SANDERS PHYSICIAN 60.0 0.0 X 2582093 0 32398 TODD JOSEPH TWISS PHYSICIAN 60.0 0.0 X 2296948 0 35641 WILLIAM JOHN NICHOLAS PHYSICIAN 60.0 0.0 X 2283087 0 30836 DARWINI DAVID JEYARAJ PHYSICIAN 60.0 0.0 X 1910952 0 36656 THOMAS COY PHYSICIAN 60.0 0.0 X 1860101 0 31367 PAULA F BAKER PRESIDENT AND CEO 54.0 13.5 X X 1419973 354993 35396 JOSHUA BALL DIRECTOR END 09/22 60.0 0.0 X 1401850 0 32682 DAVID L BAKER CMO 60.0 0.0 X 837054 0 40534 JOHN M COX DO DIRECTOR 60.0 0.0 X 846355 0 30792 STEVE GRADDY CFO 50.0 10.0 X 648256 129651 30756 KEVIN P GAUDETTE VP REVENUE CYCLE 60.0 0.0 X 508947 0 35634 DENNIS ESTEP FORMER CMO 60.0 0.0 X 368398 0 36766 JEFFERY E THOMPSON CHIEF CLINICAL OFFICER 60.0 0.0 X 362266 0 33464 WESLEY B BRAMAN VP BUSINESS DEVELOPMENT 60.0 0.0 X 315267 0 32404 LARRY MCINTIRE DO DIRECTOR 60.0 0.0 X 317064 0 10226 LEONARD T ROLLINS CHIEF INFORMATION OFFICER 60.0 0.0 X 284855 0 35654 MICHAEL B SANDERS CONTROLLER 60.0 0.0 X 269713 0 30369 MARY A FRERER CHIEF HUMAN RESOURCE OFFICER 60.0 0.0 X 260004 0 28490 BRANDON C DAVIS DIRECTOR 1.0 0.0 X 0 0 0 GLENN MITCH MCCUMBER DIRECTOR 1.0 0.0 X 0 0 0 GLENN BROWN DIRECTOR 1.0 0.0 X 0 0 0 J SCOTT BROTHERS VICE CHAIR 1.0 0.0 X X 0 0 0 JAMES FLEISCHAKER DIRECTOR 1.0 0.0 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 MARK WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 RODNEY MCFARLAND MD DIRECTOR 1.0 0.0 X 0 0 0 18773183 484644 580065 492 true true false CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING 6614552 MORRISON MGT SPECIALIST INC 2400 YORKMONT ROAD CHARLOTTE NC 28217 NUTRITION SERVICES 1660280 DEWITT AND ASSOCIATES INC 1256 S BARNES AVE SPRINGFIELD MO 65804 CONSTRUCTION 2768071 HMN ARCHITECTS INC 7400 W 110TH ST SUITE 200 OVERLAND PARK KS 66210 ARCHITECT 1095928 CROSSLAND CONSTRUCTION COMPANY 833 SE AVENUE COLUMBUS KS 66725 CONSTRUCTION 2477048 32 148716 10147705 2879165 31399 13175586 PATIENT SERVICES 621990 589167998 589167998 CAFETERIA & VENDING 722514 2902053 2902053 RENT FROM AFFILIATES 531390 146231 146231 UNRELATED RETAIL PHARMACY 456110 4838495 4838495 UNRELATED LAB SERVICES 621500 211878 211878 30241879 25450991 4790888 627508534 8006535 8006535 122943 122943 0 2587116 822048 1765068 0 1765068 1765068 64864656 29004 63766463 62072 1098193 -33068 1065125 1065125 284362 148716 257872 26490 26490 0 0 0 410224 281607 128617 128617 INVESTMENT IN SUBSIDIARY 900099 2713348 -50852 2764200 2713348 654512246 617667273 9790409 13878978 1965683 1965683 207990 207990 0 0 7835801 3579280 4256521 2527867 2527867 289338900 256133506 32891411 313983 4847045 4140849 698298 7898 31933276 27453937 4427987 51352 17213340 14728058 2457801 27481 0 726846 726846 492181 492181 0 0 219879 219879 45687756 24370207 21243558 73991 2633961 2115667 514748 3546 24608224 16660078 7861818 86328 62582 1833 60749 0 6912622 6906341 6281 882496 688847 190698 2951 0 1263231 737198 519600 6433 1993295 1724515 265808 2972 0 18166916 15605729 2532867 28320 9575068 4651371 4923697 MEDICAL SUPPLIES & DRUGS 134225721 134225721 PROVIDER TAXES & FEES 24462283 24462283 LICENSES, DUES, SUBSCRIPTIONS 527439 155865 367866 3708 OTHER EXPENSES 647709 17669 630040 628958111 543060494 85282373 615244 32816578 27964832 68539255 36715664 3565929 1373707 81245137 81457310 0 0 0 0 0 4286 10112024 10659621 8582243 8848540 396753424 259638618 136177855 137114806 384271256 366913584 2581786 2437652 4174722 3599723 367030 367030 14080920 12420993 746514735 689877748 86731739 75970784 0 0 0 0 65735049 58305040 0 0 0 0 3472959 4264300 0 0 73777416 37834983 229717163 176375107 X 511789935 509901180 5007637 3601461 516797572 513502641 746514735 689877748 X 25554135 -28847249 -1817 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 38443 38443 false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: 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 38,443, ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ADDITIONALLY, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY OCCUR BUT ARE INSIGNIFICANT. 76942 -6063 3252 67627 76926 3031 3015 76942 59145 20585 2804 76926 66903 -5290 2468 59145 68952 701 2750 66903 1.00000 false false 5037172 8164830 13202002 194445235 123389954 71055281 2718066 2718066 0 164259163 124988767 39270396 22128958 8541831 13587127 137114806 0 EST SELF INSURANCE COST 20354428 DUE TO 3RD PARTY 10530809 OTHER LIABILITIES 599516 DUE TO RELATED PARTY 569659 LEASE LIABILITY 5780571 37834983 623200059 -28847249 -750097 -29597346 652797405 1714841 1714841 654512246 627081205 1361527 1361527 625719678 200089 3038344 3238433 628958111 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS: THIS ENDOWMENT IS USED FOR NURSING SCHOLARSHIPS. 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 2D OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 565,978 NET ASSETS RELEASED FROM RESTRICTION ( 115,986) INVESTMENT IN PSC ( 200,089) INVESTMENT FEES (1,000,000) GRANTS PAID ------------- $ ( 750,097) SCHEDULE D, PART XI, LINE 4B OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 281,607) COST OF GOODS SOLD ( 257,872) SPECIAL EVENTS EXPENSES ( 822,048) RENTAL EXPENSES 1,154,010 TEMPORARILY RESTRICTED CONTRIBUTIONS 1,922,358 NET PSC REVENUE ------------ $ 1,714,841 SCHEDULE D, PART XII, LINE 2D OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 281,607 COST OF GOODS SOLD 257,872 SPECIAL EVENTS EXPENSES 822,048 RENTAL EXPENSES ------------ $ 1,361,527 SCHEDULE D, PART XII, LINE 4B OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 2,038,344 PSC EXPENSES 1,000,000 GRANTS PAID ------------ $ 3,038,344 JEWELRY 92357 92357 71120 NURSING GALA 88391 79411 8980 6468 16876 23456 13371 8 252330 69305 183025 2400 1307 12588 8269 102017 433078 148716 284362 2400 1307 19056 25145 23456 186508 257872 26490 true true X true X true X true true false true true 9114677 9114677 0.01450 107698235 79263622 28434613 0.04520 116812912 79263622 37549290 0.05970 551130 148536 402594 0.00060 6582981 1706664 4876317 0.00780 5874455 3567790 2306665 0.00370 1311599 1311599 0.00210 220083 220083 0.00030 14540248 5422990 9117258 0.01450 131353160 84686612 46666548 0.07420 58500 58500 0.00010 66100 66100 0.00010 11947 11947 136547 136547 0.00020 false 11617108 726069 123854313 126359016 -2504703 X true true 32ND STREET SURGICAL AMBULATORY SURGERY CENTER 0.26 0.33947 HEARTLAND KIDNEY DI DIALYSIS CENTER 0.25 0.5625 FREEMAN SURGICAL CEN AMBULATORY SURGERY CENTER 0.5744 0.3446 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 21 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C true 21 true SEE PART V, SECTION C false true X 100 250. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 V, SECTION B, LINE 5 COMMUNITY INPUT: THE CHNA INCORPORATED SEVERAL LEVELS OF DATA, INCLUDING CONSUMER SURVEYS, STAKEHOLDER INTERVIEWS, PRIMARY DATA FROM THE PARTICIPATING HOSPITALS, AND SECONDARY DATA ABOUT HEALTH CONDITIONS ACROSS ALL 30 COUNTIES ASSESSED. WITHIN THE OZARK HEALTH COMMISSION, SUBCOMMITTEES WERE FORMED TO ANALYZE PRIMARY DATA (HOSPITAL ED DATA), SECONDARY DATA (PUBLIC HEALTH METRICS) AND A CONSULTING FIRM WAS HIRED TO ACQUIRE RELIABLE AND REPRESENTATIVE INPUT USING COMMUNITY SURVEYS, FOCUS GROUPS AND INTERVIEWS. THE COMMUNITY SURVEY, WHICH COLLECTED QUANTITATIVE DATA, SAW BROAD PARTICIPATION ACROSS ALL 7 COMMUNITIES. THE COMMUNITY FOCUS GROUPS AND INTERVIEWS WHICH COLLECTED QUALITATIVE DATA, CONSISTED OF KEY COMMUNITY STAKEHOLDERS, POLICYMAKERS, AND RESIDENTS. ACROSS THE OHC REGION, SIGNIFICANT ENGAGEMENT WAS SEEN FROM HEALTH SYSTEMS, NON-PROFITS, GOVERNMENT, SCHOOLS, LIBRARIES, TRIBAL COMMUNITIES, VULNERABLE POPULATIONS AND DIVERSE COMMUNITIES, HEALTH FOCUSED ORGANIZATIONS AND FAITH-BASED ORGANIZATIONS. FREEMAN HEALTH SYSTEM STAFF PROVIDING INPUT AND DIRECTION TO THE CHNA INCLUDED: .SHELBY ALLEN, SUPERVISOR, PREVENTION AND WELLNESS .WES BRAMAN, VICE PRESIDENT OF BUSINESS DEVELOPMENT .CATHY BROWN, GRANT COORDINATOR .DEL CAMP, CHIEF CLINICAL OFFICER, OZARK CENTER .KRIS DRAKE, WELLNESS COORDINATOR .STEVE GRADDY, CHIEF FINANCIAL OFFICER .MARK HENSLEY, SENIOR FINANCIAL ANALYST .RENEE DENTON, CHIEF OPERATING OFFICER, FREEMAN NEOSHO HOSPITAL .VICKY MIESELER, CHIEF ADMINISTRATIVE OFFICER, OZARK CENTER .MARY PARRIGON, CHIEF OPERATING OFFICER, OZARK CENTER .KELLI PERIGO, DIRECTOR, FREEMAN HEARTS SERVICE LINE .PAUL PETRY, DO, PEDIATRIC MEDICAL DIRECTOR .SUSAN PITTMAN, DIABETES PROGRAM COORDINATOR .MICHAEL SANDERS, CONTROLLER .LISA NELSON, GRANT PROGRAM SUPERVISOR AND OZARKS HEALTH COMMISSION LIAISON SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: 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 CHNA CONDUCTED WITH OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH THE FOLLOWING ORGANIZATIONS: - BARRY COUNTY HEALTH DEPARTMENT - BARTON COUNTY HEALTH DEPARTMENT - BURRELL BEHAVIORAL HEALTH - CHRISTIAN COUNTY HEALTH DEPARTMENT - CITY OF JOPLIN HEALTH DEPARTMENT - DADE COUNTY HEALTH DEPARTMENT - DALLAS COUNTY HEALTH DEPARTMENT - DOUGLAS COUNTY HEALTH DEPARTMENT - HICKORY COUNTY HEALTH DEPARTMENT - HOWELL COUNTY HEALTH DEPARTMENT - JASPER COUNTY HEALTH DEPARTMENT - LAWRENCE COUNTY HEALTH DEPARTMENT - MCDONALD COUNTY HEALTH DEPARTMENT - OZARK COUNTY HEALTH DEPARTMENT - POLK COUNTY HEALTH DEPARTMENT - SHANNON COUNTY HEALTH DEPARTMENT - SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT - STONE COUNTY HEALTH DEPARTMENT - TANEY COUNTY HEALTH DEPARTMENT - TEXAS COUNTY HEALTH DEPARTMENT - VERNON COUNTY HEALTH DEPARTMENT SCHEDULE H, PART V, SECTION B, LINE 7A AND 7B CHNA URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US HTTP://OZARKSHEALTHCOMMISSION.ORG/ SCHEDULE H, PART V, SECTION B, LINE 10 IMPLEMENTATION STRATEGY URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: FREEMAN HEALTH SYSTEM HAS ADOPTED A JOINT IMPLEMENTATION STRATEGY THAT INCLUDES FREEMAN HOSPITAL WEST, FREEMAN HOSPITAL EAST, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER. AT THE ORGANIZATIONAL LEVEL, FREEMAN HEALTH SYSTEM HAS ADOPTED FIVE PRIORITIZED HEALTH NEEDS FOR ITS COMMUNITY HEALTH IMPLEMENTATION PLAN FOR THE PERIOD 1/1/2022 THROUGH 12/31/2024. ACCESS TO CARE - INCREASE ACCESS TO HEALTH SERVICES BY ENHANCING HEALTH PROFESSIONAL EDUCATION, RECRUITMENT AND RETENTION EFFORTS MENTAL HEALTH - SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS MENTAL HEALTH OFFER NEW THERAPIES FOR TREATMENT-RESISTANT DEPRESSION EDUCATE AND TRAIN PSYCHIATRIC RESIDENTS DIABETES - PROVIDE EVIDENCE-BASED TREATMENT OF OBESITY FOR CHILDREN AGES 5 TO 12 BUILD PARTNERSHIPS WITH EMPLOYERS AND SCHOOLS THAT INCREASE AWARENESS, KNOWLEDGE, AND TREATMENT OF HEALTH FACTORS IMPACTING DIABETES. OFFER TRAINING TO PATIENTS WITH DIABETES ON BEST PRACTICES FOR USING DETECTION TECHNOLOGIES. HEART DISEASE - SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS PREVENTION & SCREENINGS SERVE RURAL PATIENTS THROUGH FREEMAN HEART AND VASCULAR INSTITUTE OUTREACH CLINICS REDUCE RISK OF STROKE BY OFFERING INNOVATIVE IMPLANT PROCEDURES AS AN ALTERNATIVE TO BLOOD THINNER MEDICATION LUNG DISEASE - SUPPORT HEALTH INITIATIVES THAT ADDRESS LUNG DISEASE PREVENTION INVEST In NEW TECHNOLOGIES TO PREVENT AND TREAT LUNG DISEASE MORE RAPIDLY SCHEDULE H, PART V, SECTION B, LINE 13H BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBILITY. SCHEDULE H, PART V, SECTION B, LINES 16A-C FAP, APPLICATION, AND PLS URL: HTTPS://WWW.FREEMANHEALTH.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-I NSURANCE/PAYMENT-OPTIONS 36 FREEMAN CANCER INSTITUTE 3415 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN MIDWEST ORTHOPAEDIC SURGERY 3105 MCCLELLAND BLVD JOPLIN MO 64804 MEDICAL SERVICES FREEMAN WOMEN'S CENTER 1532 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES URGENT CARE - JOPLIN 1130 E 32ND ST JOPLIN MO 64804 MEDICAL SERVICES FREEMAN WOUND CARE AND HOME CARE 3315 MCINTOSH 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 CHILDREN'S CLINIC 1030 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES REHABILITATION AND SPORTS CENTER 2206 E 32ND STREET JOPLIN MO 64804 MEDICAL SERVICES URGENT CARE - WEBB CITY 1636 S MADISON WEBB CITY MO 64870 MEDICAL SERVICES FREEMAN NEUROSPINE 1905 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES FREEMAN EAR NOSE AND THROAT CENTER 1331 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES JOPLIN UROLOGYPHYSICIAN OFFICES 3302 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN SLEEP CENTERGERIATRIC CARE 931 E 32ND ST JOPLIN MO 64804 MEDICAL SERVICES HIGGINS MEDICAL BUILDING 1020 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN PROFESSIONAL CENTER 3333 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CLINIC OF ANDERSON 510 PARK ST ANDERSON MO 64831 MEDICAL SERVICES FREEMAN ORTHOPAEDICS AND SPORTS MEDICINE 3105 MCCLELLAND BLVD JOPLIN MO 64804 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 CLINIC OF BAXTER SPRINGS 322 E 11TH ST BAXTER SPRINGS KS 66713 MEDICAL SERVICES OCCUMED - CARTHAGE SPECIALTY CLINIC 1500 S CASE ST CARTHAGE MO 64836 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 1101 E 13TH STREET SUITE A B AND GROVE OK 74344 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 30 B STREET SW MIAMI OK 74354 MEDICAL SERVICES FREEMAN CARL JUNCTION FAMILY MEDICINE 104 S MAIN STREET JOPLIN MO 64834 MEDICAL SERVICES SENECA FAMILY MEDICINE 1606 OLIVE SENECA MO 64865 MEDICAL SERVICES FREEMAN HEALTH AND VASCULAR INSTITUTE 1902 S US HWY 59 BLDG E STE 202 PARSONS KS 67357 MEDICAL SERVICES FHS LAMAR FAMILY CARE 307 WEST 11TH STREET LAMAR MO 64759 MEDICAL SERVICES FHS PHYSICIAN GROUP OF PITTSBURG 1201 E CENTENNIAL PITTSBURG KS 66762 MEDICAL SERVICES FHS ORTHOPAEDICS AND SPORTS MED OF PTSBR 100 N PINE STREET PITTSBURG KS 66762 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 307 N HOSPITAL DRIVE GIRARD KS 66743 MEDICAL SERVICES FREEMAN LUNG INSTITUTE 1002 MCINTOSH CIRCLE JOPLIN MO 64804 MEDICAL SERVICES FHS ORTHOPAEDICS AND SPORTS MED OF FT SC 2322 S MAIN FT SCOTT KS 66701 MEDICAL SERVICES FREEMAN MIDWEST INTERNAL MEDICINE 608 WILLARD FRONTENAC KS 66763 MEDICAL SERVICES SPECIALTY CLINIC OF PITTSBURG 1606 N BROADWAY PITTSBURG KS 66762 MEDICAL SERVICES FREEMAN HOME CARE SERVICES 921 E 34TH 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 II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY SUPPORT EXPENSES NOTED IN PART II RELATE TO FREEMAN'S CONTRIBUTIONS TO THE JOPLIN HUMANE SOCIETY, JOPLIN MEMORIAL RUN, 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 AND THE MCDONALD COUNTY R-1 SCHOOL DISTRICT, WHICH ARE JOPLIN AREA SCHOOL DISTRICTS AND NEOSHO R-V SCHOOL DISTRICT. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW 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, 2023. 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, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: 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 15.5% AND THE AVERAGE UNINSURED POPULATION FOR FREEMAN NEOSHO'S PRIMARY SERVICE AREA IS 16.7%. FREEMAN HOSPITAL-JOPLIN IDENTIFIED 3.0% OF ITS GROSS HOSPITAL REVENUE OR BILLINGS COMING FROM UNINSURED PATIENTS. FREEMAN NEOSHO IDENTIFIED 5.2% 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, SECTION A, LINE 4 BAD DEBT EXPENSE 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 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, 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 III, SECTION C, LINE 9B COLLECTION POLICY: 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 VI, LINE 2 NEEDS ASSESSMENT: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED IN PART V, SECTION B, FREEMAN REVIEWS STUDIES AND ASSESSMENTS FROM JOPLIN HEALTH DEPARTMENT AND OTHER LOCAL GOVERNMENTAL AGENCIES TO ASSESS COMMUNITY NEEDS, INCORPORATING THIS INFORMATION INTO THE FREEMAN STRATEGIC PLAN AND MONITORING THE EDUCATIONAL AND OUTREACH PROGRAMS PROVIDED IN THE COMMUNITY. TO OBTAIN A FRESH LOOK AT THE HEALTH NEEDS OF THE COMMUNITY, FREEMAN HEALTH SYSTEM CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE SURVEY SEEKS COMMUNITY INPUT ON HEALTH NEEDS, ACCESS TO HEALTHCARE, AND WHAT PEOPLE THINK IS IMPORTANT ABOUT HEALTHCARE. THE FEEDBACK PROVIDES A BETTER UNDERSTANDING OF THE HEALTH STATUS, BEHAVIORS, AND NEEDS OF THE POPULATIONS SERVED BY FREEMAN HEALTH SYSTEM. FOR THE SURVEY, FREEMAN COLLABORATES WITH HEALTH DEPARTMENTS AND OTHER HOSPITALS IN 28 COUNTIES UNDER THE AUTHORITY OF THE OZARKS HEALTH COMMISSION. [FREEMAN HEALTH SYSTEM IS A FOUNDING STAKEHOLDER IN THE OZARKS HEALTH COMMISSION (OHC), FORMED IN 2015.] OHC PARTNERS HAVE A VISION OF USING A SYSTEMATIC, DATA-DRIVEN PROCESS TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS ON A REGIONAL LEVEL. FOLLOWING THE SURVEY, FREEMAN DEVELOPS A PLAN TO ADDRESS THE NEEDS FOUND IN THE SURVEY. OCH CONDUCTED A NEW SURVEY IN 2022, AND FREEMAN RELEASED A PLAN ON MARCH 31, 2022, TO ADDRESS NEEDS FOUND IN THE SURVEY. AS A RESULT, FREEMAN HEALTH SYSTEM HAS ADOPTED A JOINT IMPLEMENTATION STRATEGY THAT INCLUDES FREEMAN HOSPITAL WEST, FREEMAN HOSPITAL EAST, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER. AT THE ORGANIZATIONAL LEVEL, FREEMAN HEALTH SYSTEM PRIORITIZED THESE HEALTH NEEDS: ACCESS TO CARE, DIABETES, MENTAL HEALTH, HEART DISEASE, AND LUNG DISEASE, WITH OBJECTIVES OF INCREASING ACCESS TO HEALTH SERVICES AND REDUCING THE LONG-TERM INCIDENCE OF THE CONDITIONS/DISEASES USING ONGOING PREVENTION, DETECTION, AND TREATMENT STRATEGIES. FOR ACCESS TO CARE, STRATEGIES ARE INCREASING ACCESS TO MEDICAL AND BEHAVIORAL HEALTHCARE FOR RURAL RESIDENTS THROUGH TELEHEALTH, LAUNCHING A NEW FAMILY MEDICINE RESIDENCY PROGRAM, AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS OF PATIENTS IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS. FOR MENTAL HEALTH, STRATEGIES ARE SUPPORTING COMMUNITY HEALTH INITIATIVES THAT ADDRESS MENTAL HEALTH, OFFERING NEW THERAPIES FOR TREATMENT-RESISTANT DEPRESSION, AND EDUCATING AND TRAINING PSYCHIATRIC RESIDENTS. FOR DIABETES, STRATEGIES ARE PROVIDING EVIDENCE-BASED TREATMENT OF OBESITY FOR CHILDREN AGED 5-12, BUILDING PARTNERSHIPS WITH EMPLOYERS AND SCHOOLS THAT INCREASE AWARENESS, KNOWLEDGE, AND TREATMENT OF HEALTH FACTORS IMPACTING DIABETES, AND OFFERING TRAINING TO PATIENTS ON BEST PRACTICES FOR USING DIABETES-DETECTION TECHNOLOGIES. FOR HEART DISEASE, STRATEGIES ARE SUPPORTING COMMUNITY HEALTH INITIATIVES THAT ADDRESS PREVENTION AND SCREENING, SERVING RURAL PATIENTS THROUGH FREEMAN HEART & VASCULAR OUTREACH CLINICS, AND REDUCING RISK OF STROKE BY OFFERING INNOVATIVE IMPLANT PROCEDURES AS AN ALTERNATIVE TO BLOOD THINNER MEDICATION. FOR LUNG DISEASE, STRATEGIES ARE SUPPORTING COMMUNITY HEALTH INITIATIVES THAT ADDRESS LUNG DISEASE PREVENTION, AND INVESTING IN NEW TECHNOLOGIES TO PREVENT AND MORE RAPIDLY TREAT LUNG DISEASE. EACH OF THE PRIORITIZED HEALTH NEEDS REPRESENTS A COMPLEX HEALTH CONDITION THAT REQUIRES MULTI-STAKEHOLDER COLLABORATION. FREEMAN HEALTH SYSTEM IS COMMITTED TO COLLABORATING WITH STAKEHOLDERS AT THE LOCAL, REGIONAL, AND STATE LEVELS. INTENTIONAL COLLABORATION INCLUDES PARTICIPATION AND LEADERSHIP IN COALITIONS, INCLUDING JASPER-NEWTON COUNTY HEALTH COLLABORATIVE, REPRESENTING HEALTH CARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS PROVIDING HEALTH AND SOCIAL SERVICES; MCDONALD COUNTY HEALTH COALITION, A COUNTY-WIDE COALITION OF COMMUNITY-BASED ORGANIZATIONS PROVIDING HEALTH AND SOCIAL SERVICES; ONE JOPLIN, A COALITION OF NONPROFIT AGENCIES AND BUSINESSES PROMOTING COMMUNITY HEALTH AND WELL-BEING; MISSOURI COUNCIL FOR ACTIVITY AND NUTRITION (MOCAN), A STATE-WIDE STAKEHOLDER NETWORK FOR HEALTHY EATING AND ACTIVE LIVING; UNIVERSITIES WITH NURSING, MEDICAL, AND HEALTH PROFESSIONAL PROGRAMS, INCLUDING MISSOURI SOUTHERN STATE UNIVERSITY (MO), PITTSBURG STATE UNIVERSITY (KS), NORTHEASTERN OKLAHOMA A&M COLLEGE (OK), CROWDER COLLEGE (MO), AND KANSAS CITY UNIVERSITY MEDICAL SCHOOL (MO); AND SOUTHWEST MISSOURI SCHOOL-BASED HEALTH NETWORK, A REGIONAL COALITION OF SCHOOL DISTRICTS WORKING TO IMPROVE ACCESS TO CARE AND QUALITY HEALTH OUTCOMES. TO DETERMINE WHAT PATIENTS THINK OF THE SERVICES THEY RECEIVE, FREEMAN WORKS WITH PRESS GANEY, AN INDEPENDENT COMPANY THAT SURVEYS PATIENTS AT HOME AFTER THEIR DISCHARGE FROM THE HOSPITAL AND ASKS THEM TO RATE FREEMAN IN A VARIETY OF AREAS. RESULTS FROM THESE SURVEYS ARE REFLECTED IN HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) SCORES THAT THE FEDERAL GOVERNMENT USES TO EVALUATE FREEMAN SERVICES. FREEMAN USES INFORMATION OBTAINED IN THE HCAHPS SURVEYS TO EVALUATE TRENDS IN PATIENT CARE AND ADDRESS ANY ISSUES DISCOVERED. ADDITIONALLY, FREEMAN SUBSCRIBES TO AND MANAGES A NUMBER OF DATABASE SERVICES TO ANALYZE CONSUMER USE OF FREEMAN PRODUCTS AND SERVICES AND FORMULATE PLANS TO STAY AHEAD OF PATIENT NEEDS, AND FREEMAN PARTNERS WITH THE MISSOURI HOSPITAL ASSOCIATION FOR DATA ASSESSMENT DEMOGRAPHIC INFORMATION, TREND ANALYSIS, AND EDUCATION. FREEMAN SENIOR LEADERS HAVE DEEP ROOTS IN THE COMMUNITIES THEY SERVE AND BELONG TO SERVICE ORGANIZATIONS SUCH AS ROTARY INTERNATIONAL AND KIWANIS INTERNATIONAL. THEY BELIEVE IN GIVING BACK, AND WHILE PROVIDING LEADERSHIP AND SUPPORT TO A VARIETY OF BOARDS, COUNCILS, AND COMMITTEES, FREEMAN LEADERS ROUTINELY CHECK THE PULSE OF THE COMMUNITY THROUGH THESE ASSOCIATIONS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FREEMAN COMMUNICATES INFORMATION ABOUT FINANCIAL ASSISTANCE, OR CHARITY CARE, OPTIONS AVAILABLE TO PATIENTS IN MANY WAYS. FREEMAN PUBLISHES COMMUNICATION PIECES ON FINANCIAL SERVICES, INCLUDING POSTERS AND FLYERS AT ADMITTING DESKS. FREEMAN ALSO INCLUDES MESSAGING ABOUT ITS FINANCIAL ASSISTANCE PROGRAM ON BILLS, STATEMENTS, AND ENVELOPES SENT TO PATIENTS' HOMES AND ON SIGNS POSTED AROUND FREEMAN PATIENT ACCOUNTS AND ADMISSIONS PUBLIC AREAS. FREEMAN HAS ALSO PLACED FINANCIAL ASSISTANCE INFORMATION, INCLUDING A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH AND SPANISH, ON THE FREEMAN WEBSITE. ADDITIONALLY, FREEMAN HAS IMPLEMENTED SEVERAL EDUCATIONAL OPPORTUNITIES TO ENSURE THE COMMUNITY IS AWARE OF FREEMAN'S FINANCIAL ASSISTANCE PROGRAM. THESE INCLUDE: - FREEMAN ADMISSIONS STAFF MEMBERS PERSONALLY INTERVIEW PATIENTS, BASED ON THE SETTING OF CARE (PRIOR TO SERVICES, AT TIME OF SERVICE, AND AFTER CARE PROVIDED), TO PROVIDE EDUCATION ON AVAILABLE BENEFITS. FREEMAN HELPS UNINSURED AND UNDERINSURED PATIENTS WITH STATE AND FEDERAL ASSISTANCE RESOURCES, AS WELL AS THE FREEMAN FINANCIAL ASSISTANCE PROGRAM. - FREEMAN CONTINUALLY PROVIDES EDUCATION TO EMPLOYEES, FROM CLINICAL STAFF TO VOLUNTEERS, REGARDING ITS FINANCIAL ASSISTANCE POLICY SO THEY CAN HELP CUSTOMERS LEARN ABOUT AVAILABLE RESOURCES. - FREEMAN'S ELIGIBILITY PARTNERS PROGRAM HELPS PATIENTS EXPLORE RESOURCES FOR FINANCIAL ASSISTANCE AND AFFORDABLE MEDICAL COVERAGE. PAYING FOR MEDICAL CARE CAN BE STRESSFUL, AND FREEMAN'S TEAM OF ELIGIBILITY SPECIALISTS HELPS PATIENTS FIND AFFORDABLE COVERAGE AND FIND RELIEF FROM THE BURDEN OF NOT KNOWING WHERE TO TURN FOR HELP. ADDITIONALLY, ELIGIBILITY SPECIALISTS ADVOCATE ON BEHALF OF PATIENTS TO SEEK OUT OPPORTUNITIES FOR MEDICAL FINANCIAL COVERAGE, AND THEY SUPPORT THE COMMUNITY THROUGH EDUCATION, RESOURCES, AND ELIGIBILITY ASSISTANCE. - FREEMAN WORKS WITH MANY OF THE COMMUNITY'S 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 THROUGH FREEMAN. FREEMAN HEALTH SYSTEM STRONGLY BELIEVES THAT ITS FINANCIAL ASSISTANCE, OR CHARITY CARE, AND THE RELATED COMMUNITY BENEFIT PROVIDED BY SUCH CARE, IS UNDERSTATED ON ITS FINANCIAL STATEMENTS BECAUSE SOME PATIENTS THAT POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE DO NOT WISH TO APPLY FOR IT. IN ADDITION, SOME PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT RECEIVE FINANCIAL ASSISTANCE BECAUSE THEY REFUSE TO PROVIDE REQUIRED DOCUMENTATION TO PROCESS THE APPLICATION. THUS, FREEMAN'S BAD DEBT INCLUDES A PORTION THAT COULD BE CLASSIFIED AS FINANCIAL ASSISTANCE IF THE APPLICATION FOR FINANCIAL ASSISTANCE HAD BEEN PROPERLY COMPLETED BY THE PATIENT. 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 240,781*. FREEMAN'S SECONDARY SERVICE AREA INCLUDES SIX ADDITIONAL, LARGELY RURAL COUNTIES IN SOUTHWEST MISSOURI, SOUTHEAST KANSAS, AND NORTHEAST OKLAHOMA, WITH A COMBINED POPULATION OF 148,908*. 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 THAT SERVES A WIDE-RANGING RURAL AREA IN FOUR STATES. FREEMAN'S CORPORATE OFFICE AND TWO OF ITS HOSPITALS ARE LOCATED IN JOPLIN, MISSOURI, THE LARGEST CITY IN THE AREA. WITH A POPULATION OF MORE THAN 50,000, 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. WHILE METHAMPHETAMINE ADDICTION, HOMELESSNESS, COMPULSIVE GAMBLING, AND CHILDREN LIVING IN POVERTY ARE DISPROPORTIONATELY LARGE PROBLEMS IN THE AREA, THE POPULATION IS LARGELY MIDDLE CLASS. IN ADDITION TO SERVING THE JOPLIN METROPOLITAN AREA, FREEMAN SERVES RURAL COMMUNITIES IN MISSOURI, KANSAS, AND OKLAHOMA. 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. CANCER, HEART DISEASE, LUNG DISEASE, DIABETES, INFANT HEALTH PROBLEMS, SUICIDE, ALCOHOL AND SUBSTANCE ABUSE, AND STROKE AS THE MAJOR HEALTH CONCERNS FOR THE AREA, WITH OBESITY, SMOKING AND SECONDHAND SMOKE, AND CHILD ABUSE/NEGLECT AMONG THE PRIME RISK FACTORS. * U.S. CENSUS BUREAU ESTIMATES JULY 2022 **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, GO BACK INTO THE HEALTH SYSTEM OR THEY ARE INVESTED IN IMPROVING THE HEALTH OF THE COMMUNITIES SERVED BY FREEMAN. 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, LEND A HAND TO COMMUNITY CLINIC OF JOPLIN AND ACCESS FAMILY CARE, TO HELP 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 SCHOOLS 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 HEALTH SYSTEM WORKS TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH A VARIETY OF COMMUNITY SERVICE PROGRAMS BOTH INSIDE AND OUTSIDE THE ORGANIZATION. AS A SYSTEM, FREEMAN PARTICIPATES IN THE JOPLIN AREA CHAMBER OF COMMERCE AS A PLATINUM-LEVEL SPONSOR, WITH STAFF MEMBERS SERVING IN LEADERSHIP ROLES AND ON A VARIETY OF COMMITTEES. FREEMAN PROVIDES FINANCIAL SUPPORT FOR A 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 SERVES MORE THAN A MILLION MEALS EACH YEAR AND RECOGNIZES THE IMPORTANCE OF PROVIDING WHOLESOME FOODS TO THE COMMUNITY. ESTABLISHING ITS COMMITMENT TO SERVING LOCAL, NUTRITIOUS, AND SUSTAINABLE FOOD, FREEMAN BECAME THE FIRST HOSPITAL IN MISSOURI TO SIGN THE HEALTHY FOOD IN HEALTHCARE PLEDGE. THE PLEDGE WAS FREEMAN'S FIRST STEP TOWARD IMPROVING COMMUNITY HEALTH THROUGH FOOD POLICY CHANGE. ADDITIONALLY, FREEMAN IS A FOUNDING MEMBER OF THE JOPLIN AREA FOOD ACTION NETWORK (JFAN) WHOSE GOAL IS TO ENSURE LOCAL RESIDENTS HAVE ACCESS TO HEALTHY, NUTRITIOUS FOOD, AN EFFORT KNOWN AS FOOD EQUITY. MEMBERS INCLUDE BUSINESSES, NONPROFIT ORGANIZATIONS, LOCAL GOVERNMENT AGENCIES, FAITH-BASED ORGANIZATIONS, AND INDIVIDUALS. JFAN WORKS TO INCREASE AWARENESS OF FOOD ACCESS, ENGAGE STAKEHOLDERS IN FOOD POLICIES, COLLECT DATA TO BETTER UNDERSTAND FOOD INSECURITY, AND KICK-START COMMUNITY INITIATIVES. 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. IN THE SUMMER OF 2022, FREEMAN ADVANTAGE REVIVED ITS FREE HEALTH FAIR FOR SENIOR CITIZENS. THE FAIR HAD BEEN PUT ON HOLD DURING THE PANDEMIC. 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 OTHOPAEDICS & 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. TO HELP LESSEN THE INCIDENCE OF BLEEDING DEATHS THAT COULD BE PREVENTED, FREEMAN OFFERED FREE "STOP THE BLEED" TRAINING ON STOP THE BLEED DAY ON MAY 19, 2022. FREEMAN PROFESSIONAL DEVELOPMENT PRESENTED TWO TRAINING SESSIONS TO TEACH PEOPLE HOW TO SAVE A PERSON'S LIFE WHO IS EXPERIENCING SERIOUS BLEEDING, WHETHER IT BE FROM A CUT, A FALL, OR AN ACCIDENT. ONE OF FREEMAN'S GOALS IS TO BECOME THE COMMUNITY'S BEST CORPORATE PARTNER. FREEMAN DONATES TIME, RESOURCES, AND FUNDING AS AN ORGANIZATION, WHILE THOSE WORKING AT FREEMAN GIVE BACK TO THE COMMUNITY AS WELL. IN FY23, MEMBERS OF FREEMAN'S HEARTS & HANDS TEAM (AN EMPLOYEE VOLUNTEER GROUP) COORDINATED DOZENS OF COMMUNITY EVENTS AND FUNDRAISERS WITH A TOTAL OF MORE THAN 675 SERVICE HOURS DONATED BY 198 FREEMAN STAFF MEMBERS. FREEMAN VOLUNTEERS WERE ABLE TO HELP AREA NONPROFITS WITH TASKS SUCH AS PREPARING AND SERVING MEALS FOR THE HOMELESS, RUNNING HYDRATION STATIONS AT ORGANIZED CHARITY RACES, CLEANING UP DOWNTOWN JOPLIN, AND HELPING AT LOCAL FOOD PANTRIES. FREEMAN ALSO PARTNERS WITH SCHOOL DISTRICTS IN JOPLIN, NEOSHO, CARL JUNCTION, SENECA, AND WEBB CITY, SUPPORTING THE SCHOOLS BY RUNNING SCHOOL CARNIVALS, PREPARING CHRISTMAS BASKETS, AND ORGANIZING FUNDRAISING AUCTIONS AND OTHER ACTIVITIES. DURING THE YEAR, FREEMAN EMPLOYEES DONATED THOUSANDS OF FOOD ITEMS AND PIECES OF CLOTHING FOR PROJECTS BENEFITING STUDENTS FROM EARLY CHILDHOOD THROUGH COLLEGE ACROSS THE REGION. IN JULY 2022, FREEMAN HELD A PEDIATRIC SURGE EMERGENCY WORKSHOP FOR FIRST RESPONDERS AND TRAUMA TEAMS TO PRESENT KNOWLEDGE AND DISCUSS RESPONSE PLANS DUE TO THE UNIQUE NEEDS OF PEDIATRIC PATIENTS IN MASS-CASUALTY INCIDENTS. PARTICIPANTS HEARD PRESENTATIONS FROM THE JOPLIN POLICE DEPARTMENT, METS AMBULANCE, AREA EMERGENCY MANAGEMENT AGENCIES, THE NON-URBAN HEALTHCARE COALITION, A PEDIATRIC TRAUMA SURGEON FROM SPRINGFIELD, MISSOURI, AND OTHER LAW ENFORCEMENT AGENCIES AND HEALTHCARE PROVIDERS. 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, AND OZARK CENTER, WHICH PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. FREEMAN IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM. SCHEDULE H, PART VI, LINE 7 STATE FILING ON COMMUNITY BENEFIT REPORT: FREEMAN HEALTH SYSTEM IS INCORPORATED IN THE STATE OF MISSOURI AND FILES A COMMUNITY BENEFIT REPORT IN MISSOURI. true OZARK CENTER 1105 E 32ND ST JOPLIN MO 64804 430821959 501(C)(3) 123583 SUPPORT COMMUNITY HEALTH CLINIC OF JOPLIN 701 SOUTH JOPLIN AVENUE JOPLIN MO 64081 431643962 501(C)(3) 29000 SUPPORT JOPLIN MEMORIAL RUN PO BOX 3102 JOPLIN MO 64801 454202274 501(C)(3) 30000 SUPPORT CONNECT2CULTURE 212 W 7TH ST JOPLIN MO 64801 451779223 501(C)(3) 40000 SUPPORT SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION 3901 EAST 32ND STREET JOPLIN MO 64804 431664927 501(C)(3) 28500 SUPPORT RONALD MCDONALD HOUSE PO BOX 2688 JOPLIN MO 64803 431758397 501(C)(3) 20000 SUPPORT MISSOURI SOUTHERN FOUNDATION 3950 E NEWMAN ROAD JOPLIN MO 64801 430907114 501(C)(3) 1069175 SUPPORT CARL JUNCTION EDUCATION FOUNDATION 206 S RONEY CARL JUNCTION MO 64834 431776822 501(C)(3) 12500 SUPPORT MCDONALD COUNTY R-1 SCHOOL DISTRICT 100 MUSTANG DRIVE ANDERSON MO 64831 431339582 GOVT 7600 SUPPORT GEORGE A SPIVA CENTER FOR THE ARTS 212 W 7TH ST JOPLIN MO 64801 446006139 501(C)(3) 10000 SUPPORT PITTSBURG STATE UNIVERSITY 1701 SOUTH BROADWAY PITTSBURG KS 66762 486104332 GOVT 78000 SUPPORT CROWDER COLLEGE 601 LACLEDE AVENUE NEOSHO MO 64850 440668521 GOVT 72367 SUPPORT JOPLIN REGIONAL COMMUNITY FOUNDATION PO BOX 471 JOPLIN MO 64802 237129096 501(C)(3) 8500 SUPPORT JOPLIN HUMANE SOCIETY 140 E EMPEROR LANE JOPLIN MO 64801 440664226 501(C)(3) 7500 SUPPORT AMERICAN RED CROSS 1545 N WEST BYPASS SPRINGFIELD MO 65803 530196605 501(C)(3) 10000 SUPPORT NEOSHO R-V SCHOOL DISTRICT 418 FAIRGROUND RD NEOSHO MO 64850 431917195 GOVT 6000 Support WEBB CITY R-7 SCHOOL 621 N MADISON WEBB CITY MO 64870 510513725 GOVT 5500 SUPPORT MISSOURI CHAPTER AMERICA ACADEMY OF PEDIATRICS 3523 AMAZONAS DR JEFFERSON CITY MO 651095717 431561857 501(C)(6) 6000 SUPPORT CREATIVE LEARNING ALLIANCE PO BOX 3655 JOPLIN MO 64803 825165061 501(C)(3) 25000 SUPPORT 18 1 CMN AID TO FAMILIES 119 138801 MAMMOGRAMS 10 13517 PRESCRIPTION, MEALS, TRANSPORTATION 1128 47716 DIALYSIS PATIENT ASSISTANCE 18 7956 SCHEDULE I, PART I, LINE 2 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. SCHEDULE I, PART III GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS: IN FISCAL YEAR 2023, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *FHS CHILDREN'S MIRACLE NETWORK - $138,801 WAS SPENT HELPING 119 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *HELPING FRIENDS MAMMOGRAM PROGRAM - $13,517 WAS SPENT TO HELP 10 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $47,716 WAS SPENT TO HELP 1,128 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *DIALYSIS PATIENT ASSISTANCE - $7,956 WAS SPENT HELPING 18 DIALYSIS PATIENTS WITH RELATED EXPENSES. X X X X X false false false false false true false false false JOSHUA BALL DIRECTOR END 09/22 745863 0 635487 0 20500 0 8700 0 23982 0 1434532 0 0 0 LARRY MCINTIRE DO DIRECTOR 283676 0 13186 0 20202 0 8700 0 1526 0 327290 0 0 0 PAULA F BAKER PRESIDENT AND CEO 998822 249706 399642 99910 21509 5377 6960 1740 21357 5339 1448290 362072 0 0 JOHN M COX DO DIRECTOR 829379 0 1502 0 15474 0 8700 0 22092 0 877147 0 0 0 STEVE GRADDY CFO 458266 91653 186379 37276 3611 722 7250 1450 18381 3675 673887 134776 0 0 JEFFERY E THOMPSON CHIEF CLINICAL OFFICER 256189 0 85855 0 20222 0 8700 0 24764 0 395730 0 0 0 DAVID L BAKER CMO 770877 0 66177 0 0 0 8700 0 31834 0 877588 0 0 0 THOMAS LEE SANDERS PHYSICIAN 1581930 0 979663 0 20500 0 8700 0 23698 0 2614491 0 0 0 TODD JOSEPH TWISS PHYSICIAN 1692066 0 587332 0 17550 0 8700 0 26941 0 2332589 0 0 0 WILLIAM JOHN NICHOLAS PHYSICIAN 1554992 0 707595 0 20500 0 8700 0 22136 0 2313923 0 0 0 DARWINI DAVID JEYARAJ PHYSICIAN 1573413 0 317373 0 20166 0 8700 0 27956 0 1947608 0 0 0 THOMAS COY PHYSICIAN 1430107 0 409494 0 20500 0 8700 0 22667 0 1891468 0 0 0 MICHAEL B SANDERS CONTROLLER 221573 0 35140 0 13000 0 8319 0 22050 0 300082 0 0 0 KEVIN P GAUDETTE VP REVENUE CYCLE 390595 0 118352 0 0 0 8700 0 26934 0 544581 0 0 0 WESLEY B BRAMAN VP BUSINESS DEVELOPMENT 273255 0 42012 0 0 0 8700 0 23704 0 347671 0 0 0 MARY A FRERER CHIEF HUMAN RESOURCE OFFICER 219375 0 35429 0 5200 0 8096 0 20394 0 288494 0 0 0 LEONARD T ROLLINS CHIEF INFORMATION OFFICER 226353 0 38002 0 20500 0 8550 0 27104 0 320509 0 0 0 DENNIS ESTEP FORMER CMO 354139 0 14259 0 0 0 8700 0 28066 0 405164 0 0 0 SCHEDULE J, PART I, LINE 6A MANAGEMENT COMPENSATION: 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 2021-04-29 9682837 REFUND 2009 BONDS false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 2014-12-23 7000000 ACQUIRE, CONSTRUCT, IMPROVE AND EQ false false false C INDUSTRIAL DEV AUTH OF THE COUNTY OF JASPER MO 521351539 2014-12-23 5000000 ACQUIRE, CONSTRUCT, IMPROVE AMD EQ false false false D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 480639BL6 2015-02-26 40712377 REFUND 2004 BONDS false false false A 2066681 0 9682837 0 0 0 0 0 0 0 9682837 0 2008 true false true true B 5515221 0 7000000 0 0 0 0 0 0 7000000 0 0 2016 false false true true C 3939443 0 5000000 0 0 0 0 0 0 5000000 0 0 2016 false false true true D 10775000 0 40712377 2931813 0 0 532154 0 0 0 37248410 0 2008 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false false false 0 false false false true D false false true true false 0 0.00220 0.00220 false false false true A false false true false true false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, LINE A, COLUMN F 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, LINES B & C THE SERIES 2014A BONDS AND THE SERIES 2014B BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. HOWEVER, THESE BONDS HAVE BEEN REPORTED SEPARATELY ON SCHEDULE K. 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, LINES 3 & 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 II, LINE 11, COLUMN D THIS AMOUNT REPRESENTS $37,170,350 USED TO REFUND THE SERIES 2004 ON 2/27/15 AND $78,060 ALLOCATED TO PAY INTEREST ON THE BONDS. SCHEDULE K, PART III, LINE 5, COLUMN D THE AMOUNT REPRESENTS THE MAXIMUM AMOUNT OF NON-QUALIFIED USE THAT MAY RESULT FROM UNRELATED TRADE OR BUSINESS ACTIVITY. SCHEDULE K, PART III, LINE 8A, COLUMNC A, B, C, & D THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE. SCHEDULE K, PART IV, LINE 2C, COLUMN B & C THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2019. SCHEDULE K, PART IV, LINE 2C, COLUMN D THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 02/15/2020. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 480639CA9 2020-02-04 2809258 REFUND 1999C BONDS false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 2022-06-30 45000000 SEE PART VI false false false A 565000 0 2819967 0 0 0 43714 0 0 0 2776253 0 2002 true false true true B 1625000 0 45000000 0 0 0 152430 0 0 4907570 2796622 34225948 true false false true A 0 B false false true true false 0 false false false true A false true false false false false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true SCHEDULE K, PART I, LINE B, COLUMN F REFUND 2012 BONDS (ORIGINALLY ISSUED ON 12/20/2012) AND ACQUIRED, CONSTRUCT, IMPROVE, AND EQUIP HOSPITAL FACILITIES. SCHEDULE K, PART II, LINE 3, COLUMN A 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 A 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 II, LINE 11, COLUMN B THIS AMOUNT IS COMPRISED OF $2,793,828 OF BOND PROCEEDS THAT WAS USED TO CURRENTLY REFUND THE 2012 BONDS ON 06/30/2022 AND $2,794 OF UNSPENT PROCEEDS ON DEPOSIT IN THE COST OF ISSUANCE FUND THAT WAS ALLOCATED TO PAY INTEREST ON THE BONDS. SCHEDULE K, PART II, LINES 13 & 16, COLUMN B THE NEW MONEY PORTION OF THE PROJECT IS EXPECTED TO BE COMPLETED BY THE NEXT FISCAL YEAR END. SCHEDULE K, PART III, COLUMN A PART III IS NOT REQUIRED TO BE COMPLETED FOR PROJECTS ORIGINALLY FINANCED PRIOR TO 01/01/2003. SCHEDULE K, PART III, LINE 8A, COLUMNS A & B THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE. DEBORAH GAUDETTE SEE PART V 83754 EMPLOYEE COMPENSATION false ADAM GRADDY SEE PART V 120780 EMPLOYEE COMPENSATION false KENT MCINTIRE SEE PART V 673492 EMPLOYEE COMPENSATION false SCOTT MCCLINTICK SEE PART V 943435 EMPLOYEE COMPENSATION false HALLIE BAKER SEE PART V 548303 EMPLOYEE COMPENSATION false KATHLEEN BALL SEE PART V 36263 EMPLOYEE COMPENSATION false STEPHANIE THOMPSON SEE PART V 19933 EMPLOYEE COMPENSATION false BRYAN GRADDY SEE PART V 42657 EMPLOYEE COMPENSATION false CATHERINE YUST SEE PART V 59250 EMPLOYEE COMPENSATION false SCHEDULE L, PART IV, COLUMN B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: (1) DEBORAH GAUDETTE IS THE WIFE OF KEY EMPLOYEE KEVIN GAUDETTE (2) ADAM GRADDY IS THE SON OF THE CFO STEVE GRADDY (3) KENT MCINTIRE IS THE SON OF BOARD MEMBER LARRY MCINTIRE (4) SCOTT MCCLINTICK IS THE SON-IN-LAW OF BOARD MEMBER RODNEY MCFARLAND (5) HALLIE BAKER IS THE WIFE OF CHIEF MEDICAL OFFICER DAVID BAKER (6) KATHLEEN BALL IS THE WIFE OF BOARD MEMBER JOSHUA BALL (7) STEPHANIE THOMPSON IS THE SPOUSE OF CCO JEFF THOMPSON (8) BRYAN GRADDY IS THE SON OF CFO STEVE GRADDY (9) CATHERINE YUST IS THE RELATIVE OF BOARD MEMBER MARK WILLIAMS X 1 31399 FMV false true true SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. SCHEDULE M, PART I, LINE 32B THIRD PARTIES USED FOR NONCASH CONTRIBUTIONS: THE ORGANIZATION USES A THIRD PARTY FOR THE SALE OF SECURITIES DONATED. FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: 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 THREE-HOSPITAL HEALTH SYSTEM, FREEMAN PROVIDES COMPREHENSIVE SERVICES INCLUDING CANCER CARE, HEART CARE, ORTHOPAEDICS, 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 INTERNAL MEDICINE, EMERGENCY MEDICINE, OTOLARYNGOLOGY, AND PSYCHIATRY (THROUGH OZARK CENTER). ADDITIONALLY, FREEMAN HAS DEVELOPED A FAMILY MEDICINE RESIDENCY PROGRAM, WHICH LAUNCHED IN JULY 2022. 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 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. COORDINATED CARE PARTNERSHIP THIS FOUR-YEAR PROJECT IS FOCUSED ON ENGAGING PATIENTS WITHOUT PCPS WHO VISITED THE FREEMAN ED 6+ 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 LAUNCHED SPRING 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 UPON DISMISSAL FROM THE HOSPITAL-SOMETIMES PATIENTS CAN'T AFFORD A NEEDED PRESCRIPTION OR DON'T HAVE A WAY TO GET HOME. THE CHAPLAINS FUND PAYS FOR MEALS OR PROVIDES GAS MONEY FOR A RELATIVE TO DRIVE TO THE HOSPITAL TO PICK UP THE PATIENT. THE CHAPLAINS FUND PROVIDES MEAL VOUCHERS, TAXI VOUCHERS, VOUCHERS FOR PERSONS WITH SPECIAL MOBILITY NEEDS, AND GAS VOUCHERS FOR THOSE WHO HAVE EMPTY TANKS. THE CHAPLAINS FUND ALSO PROVIDES YMCA VOUCHERS FOR PATIENTS' LOVED ONES WHO HAVE DIFFICULTY GETTING HOME TO SHOWER. IN FY23, CHAPLAINS MADE 30,214 TOTAL VISITS AND RESPONDED TO 212 CODES, 678 DEATHS, 164 PRIORITY ONE TRAUMAS/MEDICALS, AND 143 WITHDRAWALS OF CARE. THEY MADE 4,397 VISITS TO PALLIATIVE PATIENTS AND ISSUED 1,128 VOUCHERS OR TOKENS FOR FOOD, TRANSPORTATION, OR FUEL. THEY PROVIDED MINISTRY LEADERSHIP FOR 3,200 PERSONS IN GROUPS AND 1,630 MINISTRY VISITS FOR STAFF. IN FY23, THE CHAPLAINS FUND PROVIDED A COMMUNITY BENEFIT OF $47,716 THROUGH ASSISTANCE FOR PRESCRIPTIONS, TRANSPORTATION, MEALS AND OTHER ISSUES TO 1,128 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 FY23, FREEMAN PHARMACY ASSISTANCE TOTALED MORE THAN $1,600,000. JOB SHADOWING IN FY23, FREEMAN DOCTORS, CLINICIANS, AND OTHER HEALTHCARE PROFESSIONALS SPENT 2,908 HOURS FULFILLING 467 JOB SHADOWING REQUESTS FROM MEMBERS OF THE COMMUNITY. THESE INCLUDED SHADOWING IN THE HOSPITALS, PHYSICIAN PRACTICES, THE NICU, AND MANY ADDITIONAL DEPARTMENTS AND OUTPATIENT LOCATIONS, WITH A TOTAL VALUE OF $83,343. 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 FY23, FREEMAN HEALTH SYSTEM PROVIDED PAYROLL AND BENEFITS TOTALING $306,000,000. NURSING SCHOOL SUPPORT IN FY23, FREEMAN AUXILIARY GAVE $16,000 TO LOCAL NURSING PROGRAMS INCLUDING CARTHAGE TECHNICAL CENTER, CROWDER COLLEGE, FRANKLIN TECHNICAL CENTER, LABETTE COMMUNITY COLLEGE, MISSOURI SOUTHERN STATE UNIVERSITY, NORTHEASTERN OKLAHOMA A&M COLLEGE, AND PITTSBURG STATE UNIVERSITY. 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 FY23, FREEMAN HOSPITAL WEST AND FREEMAN BUSINESS CENTER RECRUITED 432 BLOOD DONORS RESULTING IN 350 USABLE UNITS. FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION (CONTINUED): FREEMAN AUXILIARY FREEMAN AUXILIARY RAISES FUNDS AND PROVIDES VOLUNTEER SERVICES TO BENEFIT PATIENTS, STAFF, VISITORS, AND THE COMMUNITY. IN FY23, FREEMAN AUXILIARY PROVIDED SUPPORT FOR: - TURNAROUND RANCH OUTINGS/PARTY: $3,000 - CHAPLAINS PRAYER CARDS: $988 - AUTISM FIELD TRIP/REUNION PARTY: $500 - REFRESHMENTS FOR PATIENTS IN CHEMO: $3,500 - CHAPLAINS FUND: $10,000 - NURSING SCHOOL SUPPORT: $16,000 - CHILDREN'S MIRACLE NETWORK HOSPITALS: $10,000 - CARDIAC RECOVERY BEARS: $2,727 - WIGS AND SCARVES FOR PATIENTS WITH CANCER: $2,000 - AUTISM WALK SPONSORSHIP: $3,000 - GALENTINE SPONSORSHIP: $8,723 - TURNAROUND RANCH POOL WATER CONVERTER: $3,000 - RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES: $10,000 - MARCH O' THE KIDNEY SPONSORSHIP: $10,000 - SNACKS FOR NEOSHO PATIENTS RECEIVING INFUSIONS: $50 - MIDWEST ASSOCIATION FOR HEALTHCARE: $250 - NURSING GALA/EDUCATION SPONSORSHIP: 10,000 - GENERAL DONATION TO LEFFEN CENTER FOR AUTISM: $3,000 - TRAVEL EXPENSES FOR PITTSBURG CANCER CENTER: $5,000 - FREEMAN LEARNING CENTER SUPPLIES: $500 TOTAL AUXILIARY CONTRIBUTIONS: $102,248 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 WORK 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 MEMORIAL RUN FREEMAN HEALTH SYSTEM IS THE TITLE SPONSOR OF THE JOPLIN MEMORIAL RUN, A RACING EVENT THAT DRAWS COMPETITORS FROM ACROSS THE NATION. SINCE 2012, THE JOPLIN MEMORIAL RUN HAS DONATED MORE THAN $350,000 TO THE UNITED WAY OF SOUTHEAST KANSAS AND SOUTHWEST MISSOURI, REBUILD JOPLIN, BRIGHT FUTURES, JOPLIN HUMANE SOCIETY, AND BILL & VIRGINIA LEFFEN CENTER FOR AUTISM TO HELP IMPROVE THE HEALTH OF THE COMMUNITY. 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. FREEMAN FAMILY 5K & FUN RUN AND OZARK CENTER WALK FOR AUTISM AWARENESS THE FREEMAN FAMILY 5K AND THE OZARK CENTER WALK FOR AUTISM AWARENESS RAISED MORE THAN $29,178 IN 2023, WITH PROCEEDS SUPPORTING PROGRAM DEVELOPMENT AND SCHOLARSHIPS AT LEFFEN CENTER FOR AUTISM. TELEMEDICINE WHILE FREEMAN HAS BEEN ACTIVELY ENGAGED IN SCHOOL-BASED CLINICS AND TELEMEDICINE IN NEWTON AND MCDONALD COUNTIES FOR SEVERAL YEARS, IT LAUNCHED A TELEMEDICINE PARTNERSHIP WITH THE JOPLIN SCHOOLS IN FY23. THE PROGRAM DEPLOYED TELEMEDICINE UNITS WITH MEDICAL-GRADE EQUIPMENT IN ALL OF THE SCHOOL SYSTEM'S 17 SCHOOLS. 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. 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, 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 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 BETTER SERVE THE NEEDS OF PEOPLE IN RURAL COMMUNITIES, FREEMAN HAS ESTABLISHED PRIMARY CARE AND SPECIALTY CLINICS IN SEVERAL COMMUNITIES ACROSS THE REGION. IN SPRING 2022, FREEMAN BEGAN WORKING ON A NEW MEDICAL OFFICE BUILDING ON THE FREEMAN WEST CAMPUS, EXPECTED TO OPEN IN EARLY 2024. IT WILL WILL PROVIDE ADDITIONAL SPACE FOR SPECIALTY PHYSICIANS AND MORE CONVENIENCE FOR PATIENTS. FREEMAN ALSO IS EXPANDING SPECIALTY SERVICES IN PITTSBURG, KANSAS, WITH RENOVATIONS TO A DOWNTOWN BUILDING THAT NOW HOUSES SPECIALIST OFFICES, SERVING PATIENTS WITH NEEDS IN PAIN MEDICINE, PULMONOLOGY, NEPHROLOGY, AND ENDOCRINOLOGY. 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. STAFFING SHORTAGES CONTINUED TO BE A PROBLEM IN FY23, AFFECTING NOT ONLY NURSING AND CLINICAL STAFFING, BUT POSITIONS ACROSS THE BOARD FROM FOOD SERVICE TO CLERICAL TO HOUSEKEEPING. TO MEET THE NEED, FREEMAN HAS IMPLEMENTED SOLUTIONS SUCH AS SIGN-ON BONUSES, A $15 PER HOUR MINIMUM WAGE, AND INCREASED BENEFITS. WE CREATED THE SCRUB TECH TRAINING PROGRAM TO ADDRESS A CRITICAL SHORTAGE OF SCRUB TECHS, AND WE ARE IN THE PROCESS OF ENLARGING AND RE-IMAGING OUR TRAINING FACILITY AT 1221 MCINTOSH CIRCLE, THANKS TO A $1.78 MILLION GRANT FROM THE MISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT. CONSTRUCTION IS UNDERWAY TO MAKE ROOM FOR MORE STUDENTS AND A VARIETY OF "HIGH-NEED" TRAINING PROGRAMS SUCH AS CMAS, EMTS, AND EEG TECHS. THESE POSITIONS HAVE SOME OF THE HIGHEST VACANCY AND TURNOVER RATES IN MISSOURI. IN 2023, FREEMAN EARNED DOZENS OF INDIVIDUAL AWARDS FOR MEDICAL EXCELLENCE AND PATIENT SAFETY FROM CARECHEX, AN INDEPENDENT QUALITY RATING SYSTEM THAT HELPS CONSUMERS EVALUATE HEALTHCARE PROVIDERS. FREEMAN'S BARIATRIC SURGERY, GALL BLADDER REMOVAL AND SPINAL FUSION PROGRAMS RANKED AMONG THE TOP 100 IN THE NATION FOR PATIENT SAFETY AND MEDICAL EXCELLENCE. IN MAY 2022, FREEMAN WAS CHOSEN AS A HEALTHY PEOPLE 2030 CHAMPION FOR ITS SUPPORT OF A VISION OF HEALTH ACROSS A LIFESPAN. THIS RECOGNITION FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF DISEASE PREVENTION AND HEALTH PROMOTION RECOGNIZES FREEMAN AS PART OF A GROWING NETWORK OF ORGANIZATIONS PARTNERING TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE AT THE LOCAL, STATE, AND TRIBAL LEVELS. IN OCTOBER 2020, TURQUOISE HEALTH RECOGNIZED FREEMAN HEALTH SYSTEM FOR HOW WELL IT FOLLOWS FEDERAL REQUIREMENTS TO PUBLISH ITS NEGOTIATED RATES WITH INSURERS. IN A FIELD OF 5,000 HOSPITALS ANALYZED, FREEMAN WAS ONE OF 104 RECEIVING A SCORE OF 5 ON A 1 - 5 SCALE FOR PRICE TRANSPARENCY. 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 DOZENS, SUCH AS LEGAL AID, 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 EFFICIENT, EFFECTIVE 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 4A OUTPATIENT SERVICES: FREEMAN CANCER INSTITUTE 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. TO HELP DETECT BREAST CANCER WHILE IT IS TREATABLE, THE FREEMAN HELPING FRIENDS MAMMOGRAM FUND, ADMINISTERED THROUGH FREEMAN DEVELOPMENT OFFICE, PROVIDES MAMMOGRAMS FOR WOMEN WHO CAN'T AFFORD THEM. SINCE 2018, HELPING FRIENDS MAMMOGRAM FUND HAS HELPED 263 WOMEN BY PROVIDING MAMMOGRAMS AND POST-MASTECTOMY CAMISOLES. THE FUND ALSO COVERS DIAGNOSTIC SCREENINGS AND BREAST ULTRASOUNDS AS WELL, AS FUNDS ALLOW. SINCE THE PROGRAM'S INCEPTION IN 2000, HELPING FRIENDS HAS PROVIDED MORE THAN 2,000 MAMMOGRAMS TO WOMEN IN NEED. 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. 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. 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 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 SENSE OF URGENCY WHEN THEY FIND A LUMP IN THEIR BREAST, 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 FREEMAN HEALTH SYSTEM HAS ENTERED INTO SCHOOL-BASED MEDICINE PARTNERSHIPS WITH THE CARL JUNCTION SCHOOLS, NEOSHO SCHOOLS, SENECA SCHOOLS, AND MCDONALD COUNTY SCHOOLS TO CREATE GREATER ACCESS TO HEALTHCARE FOR STUDENTS AND FACULTY ALIKE. IN JOPLIN ALONE, THE SCHOOL-BASED TELEHEALTH PROJECT HAS INSTALLED A TELEMEDICINE CART IN EACH OF THE DISTRICT'S 17 SCHOOLS, ULTIMATELY BENEFITING 8,700 STUDENTS AND STAFF. 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. FORM 990, PART III, LINE 4A OUTPATIENT SERVICES (CONTINUED): OUTPATIENT - SPECIALIZED ENDOCRINOLOGY SERVICES 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. FREEMAN DIABETES & ENDOCRINOLOGY INSTITUTE OFFERS COMPREHENSIVE SPECIALTY SERVICES TO TREAT 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. 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 AND SAME-DAY APPOINTMENTS 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. OUTPATIENT - FREEMAN LUNG INSTITUTE FREEMAN LUNG INSTITUTE FEATURES BEST-IN-CLASS PULMONARY FUNCTION TESTING (PFT), WHICH IS PAINLESS AND OFFERS IMMEDIATE RESULTS AND INSTANT TREATMENT RIGHT IN THE PHYSICIAN'S OFFICES. THE CLINIC, THE FIRST AND ONLY IN THE AREA, GIVES PATIENTS ACCESS TO SCREENING, DIAGNOSIS, TREATMENT AND SUPPORT OF LIFE-THREATENING LUNG DISEASES IN ONE CONVENIENT LOCATION. WHEN THE PROGRAM STARTED, 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. AS OF NOVEMBER 2022, FREEMAN HAD PERFORMED MORE THAN 200 MONARCH PROCEDURES. FREEMAN LUNG INSTITUTE IS ALSO EXPERIENCING SUCCESS WITH THE SPIRATION VALVE IMPLANT. THIS GROUNDBREAKING TREATMENT HELPS PATIENTS WITH EMPHYSEMA BREATHE EASIER. SPIRATION VALVES RESEMBLE PARACHUTES AND CAN BE INSERTED INTO AIRWAYS VIA CATHETER. ONCE IMPLANTED, THE VALVE EXPANDS AND CONTRACTS WITH BREATHING. IT HELPS THE DAMAGED LUNG TO SHRINK IN SIZE AND HELPS THE HEALTHIER LUNG TO EXPAND. PRIOR TO THIS MINIMALLY INVASIVE PROCEDURE, TREATMENT REQUIRED INVASIVE CHEST SURGERY WITH RESECTION OF PART OF THE LUNG. THE END RESULTS FOR PATIENTS ARE IMPROVED LUNG FUNCTION, REDUCED SHORTNESS OF BREATH, AND RESTORED QUALITY OF LIFE. FORM 990, PART III, LINE 4B INPATIENT SERVICES: FREEMAN JOPLIN INPATIENT SERVICES TOTALED 16,530 CASES, OF WHICH, 4,956 OR 30%, WERE MEDICAID CASES. ADDITIONALLY, 544 INPATIENT CASES, OR 3% 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 3,492 CASES, OF WHICH, 542, OR 15.5%, WERE MEDICAID CASES. ADDITIONALLY, 4% OF THE CRITICAL CARE 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 284 CASES, OF WHICH, 169, OR 59.5%, WERE MEDICAID CASES. ADDITIONALLY, 1.0 % 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 1,780 BABIES IN FY23. THE UNIT INCLUDES BOARD-CERTIFIED OBSTETRICIANS AVAILABLE 24 HOURS A DAY AND PERINATOLOGY CARE FOR WOMEN WITH HIGH-RISK PREGNANCIES. IN FY23, FREEMAN MATERNITY CENTER SERVED 930 MEDICAID PATIENTS, OR 52% OF ITS CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 0.6% 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. FREEMAN IS ONE OF THE BEST MATERNITY CARE HOSPITALS IN THE NATION ACCORDING TO "NEWSWEEK MAGAZINETHE LEAPFROG GROUP. THE LIST REPRESENTED 217 ENTRIES IN 36 STATES. NEWSWEEK'S BEST MATERNITY CARE HOSPITALS ARE CONSIDERED AN ELITE GROUP OF HOSPITALS DEMONSTRATING THE HIGHEST PERFORMANCE STANDARDS. 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 FY23, MORE THAN 10,644 INFANTS HAVE HAD A FIGHTING CHANCE TO LIVE THANKS TO THE CARE THEY RECEIVED AT FREEMAN NICU. IN FY23, FREEMAN NICU SERVED 359 PREMATURELY BORN OR CRITICALLY ILL BABIES. OF THESE TINY PATIENTS, 274 RECEIVED MEDICAID, WHICH REPRESENTS 76% OF FREEMAN NICU'S CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 2% 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 4C FREEMAN HEART & VASCULAR INSTITUTE: AWARDS MOVING ONTO ACCOLADES, FREEMAN HEALTH SYSTEM HAS ONCE AGAIN RECEIVED THE PRESTIGIOUS "GET WITH THE GUIDELINES-STROKE GOLD PLUS AWARD" FROM THE AMERICAN HEART AND AMERICAN STROKE ASSOCIATIONS. WE ARE DEDICATED TO CONTINUALLY IMPROVING THE QUALITY OF STROKE CARE, AND THE AHA/ASA GUIDELINES HELP US DO JUST THAT. THIS AWARD EXEMPLIFIES OUR MULTI-DISCIPLINARY CARE TEAM AND HELPS US DELIVER THE HIGHEST LEVEL OF STROKE CARE. FREEMAN ALSO RECEIVED AWARDS FROM THE AMERICAN HEART AND STROKE ASSOCIATIONS FOR FOLLOWING RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF HEART DISEASE. FREEMAN'S CARE TEAMS RECEIVED TWO "MISSION: LIFELINE" AWARDS-ONE GOLD PLUS WARD" FOR STEMI CARE AND ONE GOLD AWARD FOR NON-STEMI CARE. GOLD PLUS STATUS MEANS REQUIREMENTS WERE DEMONSTRATED OVER TWO CONSECUTIVE YEARS. TIME IS CRITICAL DURING A CARDIAC OR STROKE EMERGENCY, AND FREEMAN CAREGIVERS DEMONSTRATE THEIR SKILL AND COMPASSION WITH SOPHISTICATED PROCEDURES, TIME AND TIME AGAIN. THANKS TO DOCTORS, NURSES, TECHS, FIRST RESPONDERS, AND MANY OTHERS COLLABORATING TO PROVIDE THE BEST CARE FOR STROKE PATIENTS, FREEMAN RECEIVED THE "GET WITH THE GUIDELINES-STROKE GOLD PLUS" QUALITY ACHIEVEMENT AWARD. THIS AWARD RECOGNIZES FREEMAN FOR BOTH QUALITY OF CARE AND ADHERENCE TO EVIDENCE-BASED GUIDELINES. FOR PATIENTS HAVING A STROKE, TIME LOST IS BRAIN LOST-AND THIS AWARD SIGNIFIES FREEMAN'S COMMITMENT TO PROVIDING RAPID, EXPERT CARE. FREEMAN HEALTH SYSTEM OPENED FREEMAN HEART & VASCULAR INSTITUTE IN 1999 AND HAS BEEN A LEADER IN HEART CARE EVER SINCE. SERVING A GEOGRAPHIC AREA THAT INCLUDES CORNERS OF FOUR STATES, FREEMAN HEART & VASCULAR INSTITUTE BRINGS LIFESAVING DIAGNOSTICS AND TREATMENTS TO PEOPLE WHERE THEY LIVE, ENABLING THEM TO RECEIVE ESSENTIAL, HIGH-QUALITY HEART CARE WITHOUT THE EXPENSE AND INCONVENIENCE OF TRAVELING TO LARGER METROPOLITAN AREAS. FREEMAN'S DOCTORS (AND ALL STAFF) TREAT PATIENTS AS FRIENDS AND NEIGHBORS BECAUSE THEY LIVE AND RAISE THEIR FAMILIES IN THE COMMUNITIES SERVED BY FREEMAN. ADDITIONALLY, FREEMAN REACHES OUT ACROSS THE REGION BY PROVIDING HEART-CARE CLINICS NEOSHO, MISSOURI; PITTSBURG, KANSAS; GIRARD, KANSAS; PARSONS, KANSAS; GROVE, OKLAHOMA; AND MIAMI, OKLAHOMA. FREEMAN HEART & VASCULAR INSTITUTE HAS A PROVEN TRACK RECORD OF SHAVING MINUTES OFF THE TIME IT TAKES TO RESTORE BLOOD FLOW AND SAVE PRECIOUS HEART MUSCLE DURING MYOCARDIAL INFARCTION. IN FACT, THE FREEMAN TEAM BEATS NATIONAL DOOR-TO-DEVICE STANDARDS (NATIONAL STANDARD: 90 MINUTES; FREEMAN: 54 MINUTES). THIS IS FOR ALL STEMI PATIENTS CALCULATED FROM THE TIME THEY HIT FREEMAN DOORS UNTIL THE INITIAL CARDIAC INTERVENTION BEGINS IN THE CATH LAB. FREEMAN CONTINUES TO PERFORM AT THE 90TH PERCENTILE AS MEASURED BY THE NCDR CHEST PAIN - AMI REGISTRY. FREEMAN HEART & VASCULAR INSTITUTE OFFERS RAPID, EXPERT CARE WHEN PATIENTS NEED IT MOST. FREEMAN HEART & VASCULAR INSTITUTE PROVIDES ALL CARDIAC SERVICES IN ONE CONVENIENT LOCATION, INCLUDING PREVENTIVE CARE, EMERGENCY INTERVENTIONS, DIAGNOSTICS, OPEN-HEART SURGERIES, STRUCTURAL HEART CLINIC, REHABILITATION, CARDIOLOGIST AND CARDIOLOGY CLINICS, EDUCATION, AND MORE. PATIENTS RELY ON FREEMAN HEART & VASCULAR INSTITUTE FOR A VARIETY OF NONINVASIVE TESTS TO DIAGNOSE HEART DISEASE AND OTHER CONDITIONS. ADDITIONALLY, FREEMAN SERVES PATIENTS WITH HEART PROBLEMS WHEN THEY NEED HELP THE MOST. FREEMAN OFFERS THE LATEST NON-INVASIVE TREATMENTS AND OPEN-HEART SURGERIES. THESE INCLUDE THE ROSS PROCEDURE, STENT PLACEMENT, BYPASS SURGERY, KEYHOLE SURGERY, CARDIAC VALVE REPLACEMENT AND REPAIR, PERCUTANEOUS PERIPHERAL VASCULAR INTERVENTION, VIDEO-ASSISTED THORACOSCOPY, AORTIC DISSECTION, AND MANY OTHER LIFESAVING PROCEDURES. WATCHMAN FREEMAN HEALTH SYSTEM CONTINUES BRINGING EXCITING NEW ADVANCES TO THE COMMUNITIES IT SERVES. RECENTLY, FREEMAN BECAME THE FIRST AND ONLY HEALTH SYSTEM IN THE AREA TO PROVIDE THE GAME-CHANGING WATCHMAN IMPLANT, A PERMANENT HEART DEVICE THAT REDUCES THE RISK OF STROKE IN PATIENTS WITH ATRIAL FIBRILLATION, AN IRREGULAR, OFTEN RAPID HEART RATE THAT CAUSES POOR BLOOD FLOW. IT AFFECTS ABOUT 6 MILLION PEOPLE IN THE UNITED STATES EACH YEAR. THE WATCHMAN PROCEDURE IS A MINIMALLY INVASIVE, ONE-TIME PROCEDURE. CATH LAB RENOVATION FREEMAN COMPLETED MAJOR RENOVATIONS TO ONE OF ITS FOUR CATHETERIZATION LABS. THE ROOM IS REDESIGNED FOR BETTER WORKFLOW, MAKING IT MORE EFFICIENT FOR STAFF PROVIDING CARE. A NEW GENERATION OF CATHETERIZATION LAB MACHINE - A GE INNOVA - IS IN PLACE TO OFFER THE MOST UP-TO-DATE TECHNOLOGY. THE NEW EQUIPMENT IS A MAJOR INVESTMENT BY FREEMAN, COSTING MORE THAN A MILLION DOLLARS AND WILL IMPROVE HEART CARE FOR PATIENTS IN THE COMMUNITY. TAVR FREEMAN'S STRUCTURAL HEART PROGRAM ENABLES PHYSICIANS FROM DIFFERENT DISCIPLINES TO MERGE THEIR EXPERTISE IN ONE ROOM FOR THE BENEFIT OF THE PATIENT. FOR INSTANCE, TWO TEAMS-THE CARDIOTHORACIC SURGEON'S TEAM AND THE CARDIOLOGIST'S TEAM-CAN WORK AS ONE TO ACHIEVE OPTIMAL RESULTS WHILE IMPROVING PATIENT CARE AND EFFICIENCY. IN ITS HYBRID CVOR, FREEMAN USES A BEST-IN-CLASS CARDIOVASCULAR X-RAY IMAGING SYSTEM WITH THE FLEXIBILITY AND PERFORMANCE TO MEET ANY PATIENT'S NEEDS. THIS SYSTEM PRODUCES PRECISE, HIGH-RESOLUTION IMAGES THAT ENABLE THE HEART-CARE TEAM TO PERFORM PROCEDURES USUALLY FOUND AT CARDIAC CENTERS IN UNIVERSITY HOSPITAL SETTINGS. FREEMAN WAS THE FIRST HEALTH SYSTEM IN THE AREA TO SUCCESSFULLY PERFORM TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). SINCE JUNE 2017, FREEMAN HAS SUCCESSFULLY PERFORMED MORE THAN 300 TAVR PROCEDURES. THE MINIMALLY INVASIVE TECHNIQUE GIVES HOPE TO FOUR-STATE PATIENTS WHO SUFFER FROM SEVERE AORTIC STENOSIS BUT WHO ARE NOT IDEAL CANDIDATES FOR A COMPLEX OPEN-HEART SURGERY. WORLD'S SMALLEST PACEMAKER FREEMAN IS THE ONLY HOSPITAL IN ITS SERVICE AREA TO USE THE MEDTRONIC MICRA TRANSCATHETER PACING SYSTEM (TPS), WHICH IS LEADLESS AND SELF-CONTAINED WITHIN THE HEART. THE MICRA TPS IS 93 PERCENT SMALLER THAN TRADITIONAL DEVICES-ABOUT THE SIZE OF A MULTIVITAMIN-MAKING IT THE WORLD'S SMALLEST PACEMAKER. THE DEVICE IS IMPLANTED DURING A MINIMALLY INVASIVE PROCEDURE-PLACED IN THE HEART VIA A LEG VEIN. COMPLETELY SELF-CONTAINED WITHIN THE HEART, IT ELIMINATES POTENTIAL MEDICAL COMPLICATIONS ARISING FROM WIRE LEADS THAT RUN A CONVENTIONAL PACEMAKER INTO THE HEART. AFTER THE PROCEDURE, PATIENTS ARE TYPICALLY UP AND WALKING WITHIN HOURS, AND SOME CAN GO HOME THE SAME DAY. IT HAS A BATTERY LIFE OF 10-12 YEARS AND IS THE ONLY TRANSCATHETER PACING SYSTEM APPROVED FOR FULL-BODY MRI SCANS. DESIGNATED A LEVEL I STEMI CENTER BY THE STATE OF MISSOURI, FREEMAN PROVIDES CARE FOR RAPID, COORDINATED, EXPERT HEART ATTACKS AND ALSO MEETS STANDARDS FOR PROVIDING COMMUNITY EDUCATION ON HEART HEALTH. COMPLIANCE WITH STATE STANDARDS REQUIRES A STEMI CENTER TO PLACE EMPHASIS ON EDUCATING HEALTHCARE WORKERS AND THE PUBLIC ABOUT RECOGNITION, PREVENTION, AND TREATMENT OF STEMI. FREEMAN HEALTHCARE PROFESSIONALS HAVE PRESENTED PROGRAMS ON STEMI IN BUSINESSES THROUGHOUT THE AREA. THROUGH PROGRAMS LIKE FREEMAN SCREEN TEAM, FREEMAN ADVANTAGE, AND SUPPORT GROUPS, FREEMAN CONTINUES TO LEAD THE WAY IN EMPOWERING THE PUBLIC WITH LIFE-SAVING INFORMATION. WITH LEVEL I STEMI CENTER DESIGNATION, FREEMAN IS SETTING THE STANDARD FOR EXCELLENCE IN HEART CARE THROUGHOUT THE AREA. RECOGNIZING THE NEED FOR CONTINUOUS PERFORMANCE IMPROVEMENT IN ALL ASPECTS OF CARDIAC CARE, FREEMAN HEART & VASCULAR INSTITUTE DEVELOPED THE CARDIAC PERFORMANCE IMPROVEMENT COMMITTEE, A COMMITTEE THAT INCLUDES REPRESENTATIVES FROM CARDIOLOGY, CARDIOTHORACIC SURGERY, AND THE STEMI PROGRAM, AS WELL AS ADMINISTRATION, EMERGENCY SERVICES, INTENSIVE CARE, SYSTEM QUALITY IMPROVEMENT, AND OTHERS. THE COMMITTEE REVIEWS REGISTRY CASES THAT VARY FROM THE RECOMMENDED GUIDELINES FOR CARE, AND WORKS WITH THE QUALITY COUNCIL AND QUALITY IMPROVEMENT COMMITTEE TO MAKE RECOMMENDATIONS TO ASSURE QUALITY OF CARE AND PATIENT SAFETY. IF QUALITY IMPROVEMENT PROCESSES ARE IMPLEMENTED AND DO NOT YIELD THE EXPECTED OUTCOMES, NEWS TACTICS ARE PLANNED AND REVISED AS NEEDED UNTIL THE DESIRED RESULTS ARE ACHIEVED. ADDITIONALLY, FREEMAN'S MULTIDISCIPLINARY COMMITTEE MEETS TWICE A MONTH WITH THE PURPOSE OF IMPROVING PATIENT CARE. MEMBERS OF ADMINISTRATION, CARDIOLOGY, CARDIOTHORACIC SURGERY, AND SYSTEM QUALITY IMPROVEMENT IDENTIFY PREVENTABLE AND POTENTIALLY PREVENTABLE ISSUES AND DEFINE A COURSE OF ACTION. WITH DEDICATED PHYSICIAN ENGAGEMENT, FREEMAN HAS FOUND SUCCESS WITH IDENTIFYING GAPS IN CARE AND FACILITATING PROCESS CHANGES TO IMPROVE WORKFLOW EFFICIENCIES. THE WORK OF THE CARDIAC PERFORMANCE IMPROVEMENT AND MULTIDISCIPLINARY COMMITTEES DIRECTLY CONTRIBUTED TO FREEMAN RECEIVING THE AHA/ASA MISSION LIFELINE STROKE AND NON-STEMI AWARDS. 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. FORM 990, PART III, LINE 4C FREEMAN HEART & VASCULAR INSTITUTE (CONTINUED): ADMINISTRATIVE SUPPORT ANOTHER FACTOR THAT SPEAKS TO QUALITY OF CARE IS THE SUPPORT FREEMAN HEART & VASCULAR INSTITUTE RECEIVES FROM FREEMAN'S SENIOR LEADERSHIP TEAM AND BOARD OF DIRECTORS. WITH A FOCUS ON PROVIDING THE BEST TOOLS TO TAKE CARE OF PATIENTS, FREEMAN CONTINUALLY INVESTS IN HEART-CARE TECHNOLOGIES, SUCH AS CATH LAB UPDATES AND THE HYBRID OR FOR THE STRUCTURAL HEART PROGRAM. HEARTWISE PATIENTS OFTEN FEEL ALARMED TO LEARN THEY HAVE A CHRONIC CARDIAC CONDITION. ALTHOUGH RECEIVING THIS DIAGNOSIS CAN BE FRIGHTENING, IT IS TREATABLE. WITH THE RIGHT TEAM IN PLACE, THE RIGHT MEDICATIONS AND DEVICES PRESCRIBED AS NEEDED, AND THE RIGHT LIFESTYLE CHANGES, PATIENTS CAN ENJOY A HEALTHY, HAPPY LIFE. THAT'S WHERE HEARTWISE, AN INITIATIVE FOCUSED ON EMPOWERING PATIENTS TO BETTER MANAGE THEIR CHRONIC CARDIAC CONDITIONS, CAN HELP. 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, SECTION B, LINE 11B REVIEW OF THE FORM 990: 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 FORM 990 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, SECTION B, 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, SECTION C, LINE 15A FREEMAN HEALTH SYSTEM COMPENSATION REVIEW: EXECUTIVE COMPENSATION PHILOSOPHY & STRATEGY I. KEY PRINCIPLES FREEMAN HEALTH SYSTEM ("FHS") DESIRES TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE, FAIR, AND EQUITABLE; COMPLIANT WITH REGULATORY GUIDELINES; AND REPRESENTATIVE OF MARKET BEST PRACTICES. KEY PRINCIPLES THAT GUIDE FHS'S EXECUTIVE COMPENSATION DECISION-MAKING PROCESS INCLUDE: -EXECUTIVE COMPENSATION PROGRAMS WILL SUPPORT FHS'S MISSION, VALUES, STRATEGIC DIRECTION, AND TAX-EXEMPT STATUS. -FHS COMPETES IN A NATIONAL MARKET FOR ITS EXECUTIVES AND THUS WILL CONSIDER PAY PRACTICES THAT ARE REPRESENTATIVE OF THE INDUSTRY. -THE RELATIVE PAY LEVELS OF FHS EXECUTIVES WILL OVER TIME REFLECT BOTH INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. -FHS INTENDS TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRS INTERMEDIATE SANCTIONS REGULATIONS. THUS, EXECUTIVE COMPENSATION PROGRAMS AND DECISIONS WILL BE APPROVED, IN ADVANCE OF ITS IMPLEMENTATION BY THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") OF THE BOARD OF DIRECTORS: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF FHS'S MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FHS. *THE COMMITTEE WILL RELY UPON APPROPRIATE, INDEPENDENT COMPARABILITY DATA TO SUPPORT ITS DECISION MAKING PROCESS. *THE COMMITTEE WILL ADEQUATELY DOCUMENT ITS DELIBERATIONS, DECISIONS, AND ACTIONS ON A TIMELY BASIS. II. PRIMARY PROGRAM COMPONENTS FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM CONSISTS OF THE FOLLOWING COMPONENTS: -BASE SALARY -ANNUAL AT RISK COMPENSATION -STANDARD ALL EMPLOYEE BENEFITS -SUPPLEMENTAL BENEFITS AND PERQUISITES -SEVERANCE ANNUALLY, THE COMMITTEE WILL DIRECT THE REVIEW OF THE COMPONENTS OF THE EXECUTIVE COMPENSATION PROGRAM AND APPROVE PROGRAM MODIFICATIONS AS APPROPRIATE. THE COMMITTEE MAY ALSO AUTHORIZE UNIQUE PROGRAM COMPONENTS WHICH SUPPORT THE ACHIEVEMENTS OF FHS'S MISSION. III. MARKET COMPARATORS FHS WILL CONSIDER A NATIONAL PEER GROUP OF HEALTHCARE ORGANIZATIONS COMPARABLE TO FHS IN SIZE (I.E., NET REVENUES) AND COMPLEXITY TO DETERMINE THE MARKET VALUES FOR EACH OF ITS EXECUTIVE POSITIONS. THIS PEER GROUP WILL PRIMARILY BE COMPRISED OF NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS (BUT FOR-PROFIT ORGANIZATIONS MAY BE CONSIDERED SELECTIVELY) FOR FUNCTIONALLY COMPARABLE POSITIONS AS REPORTED IN SURVEYS CONDUCTED BY INDEPENDENT FIRMS. -CASH COMPENSATION THE FOLLOWING ORGANIZATIONS/MARKETS ARE THE PRIMARY COMPARATORS FOR COMPENSATION PURPOSES: *SYSTEM LEVEL EXECUTIVES: HEALTH SYSTEMS OF COMPARABLE SIZE TO FHS, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. *HOSPITAL LEVEL EXECUTIVES: HOSPITALS OF COMPARABLE SIZE TO THE FHS ENTITY, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. *OTHER EXECUTIVES: ORGANIZATIONS OF COMPARABLE SIZE IN RELEVANT MARKET SEGMENTS SUCH AS MEDICAL GROUP PRACTICES, HOME HEALTH, AND THE LIKE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKET. -EXECUTIVE BENEFITS FHS WILL DEVELOP AND ADMINISTER EXECUTIVE BENEFIT (I.E., STANDARD BENEFITS, SUPPLEMENTAL EXECUTIVE BENEFITS, AND PERQUISITES) PLANS THAT ARE BASED ON NATIONAL HEALTHCARE INDUSTRY MARKET NORMS. IV. MARKET POSITION TARGETS FHS HAS ESTABLISHED A TARGET MARKET POSITION FOR EACH OF THE COMPONENTS OF ITS EXECUTIVE TOTAL COMPENSATION PROGRAM. -BASE SALARIES: FHS WILL MANAGE ITS EXECUTIVES' BASE SALARIES AROUND THE 50TH PERCENTILE OF BASE SALARIES PAID IN THE MARKET. SALARIES WILL VARY FROM THE 50TH PERCENTILE BASED AN EXECUTIVE'S EXPERIENCE AND PERFORMANCE. FOR EXAMPLE: *EXECUTIVES WHO ARE NEW TO THE ORGANIZATION AND/OR HAVE LIMITED OR NO PRIOR EXECUTIVE-LEVEL EXPERIENCE SHOULD HAVE SALARIES THAT ARE 80 TO 90 PERCENT OF THE 50TH PERCENTILE. *EXPERIENCED EXECUTIVES (WITH APPROXIMATELY 5 TO 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY MEET FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 90 TO 110 PERCENT OF THE 50TH PERCENTILE. *EXPERIENCED EXECUTIVES (WITH MORE THAN 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY EXCEED FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 110 TO 120 PERCENT OF THE 50TH PERCENTILE. -TOTAL CASH COMPENSATION: THE GOAL OF THIS COMPONENT IS TO PAY UP TO THE 75TH PERCENTILE OF MARKET TOTAL CASH COMPENSATION WHEN EXCEPTIONAL PERFORMANCE IS ACHIEVED. TOTAL CASH COMPENSATION INCLUDES BASE SALARIES AND LUMP-SUM AWARDS FROM FHS'S EXECUTIVE AT RISK COMPENSATION PLAN(S). ACTUAL TOTAL CASH COMPENSATION WILL REFLECT EXECUTIVES' CURRENT SALARIES, INDIVIDUAL PERFORMANCE AND CONTRIBUTIONS, AND THE ORGANIZATION'S PERFORMANCE. -EXECUTIVE BENEFITS: FHS TARGETS EXECUTIVE BENEFITS (STANDARD BENEFITS PLUS SUPPLEMENTAL EXECUTIVE BENEFITS AND PERQUISITES) AT THE 50TH PERCENTILE OF EXECUTIVE BENEFITS PROVIDED IN THE HEALTHCARE MARKET. -SEVERANCE: FHS TARGETS EXECUTIVE SEVERANCE AT THE 50TH PERCENTILE OF CURRENT HEALTHCARE MARKET PRACTICES. OTHER BUSINESS JUDGMENT FACTORS SUCH AS COMPETITIVE MARKET FORCES, EACH EXECUTIVE'S JOB PERFORMANCE, EACH EXECUTIVE'S UNIQUE SKILLS, RESPONSIBILITIES AND EFFORTS, AND/OR EACH EXECUTIVE'S MARKETPLACE STANDING, ARE ALSO CONSIDERED BY THE COMMITTEE DURING ITS DECISION MAKING PROCESS. FORM 990, PART VI, SECTION B, LINE 15A FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED): EXECUTIVE COMPENSATION COMMITTEE CHARTER THIS EXECUTIVE COMPENSATION COMMITTEE CHARTER WAS ADOPTED BY THE BOARD OF DIRECTORS (THE "BOARD") OF FREEMAN HEALTH SYSTEM (HEREAFTER "FHS") ON APRIL 25, 2008. THIS CHARTER APPLIES TO FHS AND ALL OF ITS BUSINESS ENTITIES, INCLUDING FREEMAN NEOSHO HOSPITAL, OZARK CENTER AND THE FREEMAN FOUNDATION (HEREAFTER THE "SYSTEM"). THIS CHARTER IS A COMPONENT OF THE FLEXIBLE FRAMEWORK WITHIN WHICH THE BOARD, ASSISTED BY ITS COMMITTEES, DIRECTS THE AFFAIRS OF FHS. WHILE THE CHARTER SHOULD BE INTERPRETED IN THE CONTEXT OF ALL APPLICABLE LAWS AND REGULATIONS, AS WELL AS IN THE CONTEXT OF FHS'S ARTICLES OF INCORPORATION AND BYLAWS, IT IS NOT INTENDED TO ESTABLISH BY ITS OWN FORCE ANY LEGALLY BINDING OBLIGATIONS. I. PURPOSE THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") IS AUTHORIZED TO ACT ON THE BOARD'S BEHALF IN (I) DETERMINING APPROPRIATE COMPENSATION FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE IRS INTERMEDIATE SANCTIONS REGULATIONS; (II) EVALUATING SYSTEM EXECUTIVESOTHER DISQUALIFIED PERSONS' CASH COMPENSATION PLANS, POLICIES, AND PROGRAMS; (III) REVIEWING BENEFIT PLANS FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS; AND (IV) VERIFYING THAT COMPENSATION INFORMATION IS APPROPRIATELY AND FULLY DISCLOSED. -A DISQUALIFIED PERSON: IS ANY PERSON WHO IS OR WAS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE APPLICABLE TAX-EXEMPT ORGANIZATION. IT IS NOT NECESSARY THAT THE PERSON ACTUALLY EXERCISE SUBSTANTIAL INFLUENCE, ONLY THAT THE PERSON BE IN A POSITION TO DO SO. -FOR PURPOSES OF THIS CHARTER, "EXECUTIVES" ARE DEFINED AS SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS VALIDATED BY THE COMMITTEE. IN DISCHARGING ITS ROLE, THE COMMITTEE IS EMPOWERED TO INVESTIGATE ANY MATTER BROUGHT TO ITS ATTENTION WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE SYSTEM. IT HAS THE AUTHORITY TO RETAIN OUTSIDE ADVISORS (E.G., LEGAL COUNSEL, COMPENSATION CONSULTANTS, OR OTHER EXPERTS) AND WILL RECEIVE ADEQUATE FUNDING FROM THE SYSTEM TO ENGAGE SUCH ADVISORS. IT SHALL HAVE THE SOLE AUTHORITY TO RETAIN, COMPENSATE, TERMINATE, AND OVERSEE ITS ADVISORS, WHO SHALL BE ACCOUNTABLE ULTIMATELY TO THE COMMITTEE. TO SUPPORT THE COMMITTEE, A TIMETABLE AND RESOURCE BOOK WILL BE DEVELOPED CONTAINING THE NECESSARY DATA, INFORMATION, AND DOCUMENTS THE COMMITTEE WILL NEED TO CARRY OUT ITS DUTIES. THE RESOURCE BOOK WILL BE DISTRIBUTED TO THE COMMITTEE IN ADVANCE OF ITS MEETINGS AND FHS WILL MAINTAIN THESE BOOKS AT ITS CORPORATE OFFICE. THE COMMITTEE ALSO WILL RECEIVE TRAINING IN COMPENSATION PLAN DESIGN AND ADMINISTRATION, INCLUDING LEGAL AND REGULATORY ISSUES (AS NEEDED). II. COMMITTEE MEMBERSHIP THE COMMITTEE IS A STANDING COMMITTEE OF THE BOARD. IN ACCORDANCE WITH THE CORPORATE BYLAWS, IT SHALL CONSIST OF AT LEAST THREE, BUT NOT MORE THAN FIVE, MEMBERS OF THE BOARD. EACH COMMITTEE MEMBER HAS BEEN DETERMINED BY THE BOARD TO BE "INDEPENDENT" IN ACCORDANCE WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. AT THE START OF THE YEAR, EACH MEMBER WILL REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY TO ENSURE HE OR SHE HAS NO CONFLICT OF INTEREST AND IS "INDEPENDENT". IF A REAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST IS IDENTIFIED, THE COMMITTEE MEMBER WILL REVIEW THE ISSUE WITH THE COMMITTEE CHAIR AND LEGAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION. IN ADDITION, NO DIRECTOR MAY SERVE ON THE COMMITTEE UNLESS HE OR SHE IS A "NON-EMPLOYEE" MEMBER OF A SYSTEM BOARD. 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 -CONTROLLER -DIRECTOR OF HUMAN RESOURCES 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 2022 USING GALLAGHER BENEFIT SERVICES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT AVAILABILITY: FREEMAN HEALTH SYSTEM DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII BOARD MEMBER COMPENSATION: NO DIRECTORS RECEIVE COMPENSATION FOR THEIR SERVICES AS BOARD MEMBERS. BOARD MEMBERS LARRY MCINTIRE, JOSHUA BALL AND JOHN COX ARE EMPLOYEES OF THE ORGANIZATION AND COMPENSATED AS PHYSICIANS. ADDITIONALLY, PAULA BAKER RECEIVES COMPENSATION FOR HER DUTIES AS PRESIDENT/CEO OF BOTH FREEMAN HEALTH SYSTEM AND FREEMAN NEOSHO HOSPITAL. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $(1,817) CHANGE IN VALUE OF PLEDGED ASSETS FHS HOLDINGS LLC 1102 W 32ND ST JOPLIN MO 64804 205441528 LT ACUTE CARE MO 4501 1447628 FREEMAN HLTH FREEMAN SURGICAL CENTER OF PITTSBURG LLC 100 N PINE ST PITTSBURG KS 66762 473537670 AMBULATORY SU KS 1922358 1292927 FREEMAN HLTH FREEMAN NEOSHO HOSPITAL 113 W HICKORY NEOSHO MO 64850 431240629 HOSPITAL MO 501(C)(3) 3 FREEMAN HLTH true OZARK CENTER 1105 E 32ND ST JOPLIN MO 64804 430821959 BEHAVRL HLTH MO 501(C)(3) 10 FREEMAN HLTH true CEDAR HILL HOUSING CORPORATION 1807 WEST 30TH STREET JOPLIN MO 64804 470943557 HUD HOUSING MO 501(C)(3) 12 A I OZARK CENTER true POPLAR PLACE HOUSING CORPORATION 2540 WEST 32ND STREET JOPLIN MO 64804 900462595 HUD HOUSING MO 501(C)(3) 12 A I OZARK CENTER true MAGNOLIA HEIGHTS HOUSING CORPORATION 1820 WEST 30TH STREET JOPLIN MO 64804 470950622 HUD HOUSING MO 501(C)(3) 12 A I OZARK CENTER true FREEMAN SURGICAL CE 811 W 34TH ST JOPLIN MO 64804 262652980 AMBULATORY SURGER MO FREEMAN HLTH RELAETED 8894567 2495826 false false 0.54770 true true false true true false false false false true true true true true true true true false false OZARK CENTER A/J 146231 FMV OZARK CENTER B 123583 FMV SCHEDULE R, PART I, LINE 1, COLUMN B FHS HOLDINGS, LLC PRIMARY ACTIVITY: THE ORGANIZATION'S PRIMARY ACTIVITIES INCLUDE LT ACUTE CARE AND OUTPATIENT DIALYSIS.