2025-02-07T10:19:39+00:00 2024-03-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-04-01 431704371 FREEMAN HEALTH SYSTEM FREE 4173471111 1102 W 32ND STREET JOPLIN MO 64804 PAULA BAKER CEO 4173471111 2025-02-07 true true BRIAN D TODD P00422601 4178658701 2025-02-07 2023 2025-03-06 01:10:19Z PAULA BAKER 1102 W 32ND STREET JOPLIN MO 64804 744071965 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 4716 108 11379699 1074919 13175586 1983702 627508534 640080135 9194603 20902173 4633523 6207337 654512246 669173347 2173673 2544259 0 353696229 372066479 0 143431 273088209 284958103 628958111 659568841 25554135 9604506 689877748 731186945 176375107 172750426 513502641 558436519 THE MISSION OF FREEMAN HEALTH SERVICES IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. false false 327986982 2544259 349924211 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. 204518365 193961651 FREEMAN PROVIDES INPATIENT SERVICES IN JOPLIN THROUGH TWO HOSPITALS-FREEMAN HOSPITAL WEST AND FREEMAN HOSPITAL EAST. IN THESE TWO HOSPITALS, PATIENTS RELY ON A VARIETY OF MEDICAL UNITS FOR MEDICAL CARE. THESE INCLUDE THE GENERAL MEDICAL, GENERAL SURGERY, ORTHOPAEDIC, NEUROSURGERY, CARDIOVASCULAR, CARDIAC/MEDICAL, ONCOLOGY, CRITICAL CARE (INTENSIVE AND TRANSITIONAL), NICU (NEONATAL ICU), MATERNAL, PEDIATRIC, PSYCHIATRIC, GERIATRIC PSYCHIATRIC, AND PHYSICAL REHABILITATION UNITS. FREEMAN JOPLIN INPATIENT SERVICES TOTALED 16,994 CASES, OF WHICH, 4,834 OR 28.4%, WERE MEDICAID CASES. ADDITIONALLY, 592 INPATIENT CASES, OR 3.5% OF THE TOTAL, FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 40982490 84882308 FREEMAN HEALTH SYSTEM PROVIDES PHYSICAL AND EMOTIONAL CARE FOR PATIENTS AND FAMILIES THROUGH COMPREHENSIVE SERVICES AND TECHNOLOGICAL ADVANCES. FREEMAN CANCER INSTITUTE ACCEPTS MEDICAID AND MEDICARE PATIENTS. FREEMAN CANCER INSTITUTE HELPS PATIENTS DEAL WITH THE ISSUES SURROUNDING TREATMENT AND RECOVERY. FREEMAN STAFF WORK WITH DRUG COMPANIES AND OTHER ORGANIZATIONS TO PROCURE FREE CANCER MEDICATIONS FOR PATIENTS WITH LIMITED FINANCIAL RESOURCES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 573487837 true true false true 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 244 0 true 4716 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 J SCOTT BROTHERS VICE CHAIR 1.0 0.0 X 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 PAULA F BAKER PRESIDENT AND CEO 54.0 13.5 X X 1460265 365066 38297 BRANDON C DAVIS DIRECTOR 1.0 0.0 X 0 0 0 GLENN BROWN DIRECTOR 1.0 0.0 X 0 0 0 GLENN MCCUMBER DIRECTOR 1.0 0.0 X 0 0 0 JAMES FLEISCHAKER DIRECTOR 1.0 0.0 X 0 0 0 JOHN M COX DO DIRECTOR 60.0 0.0 X 561641 0 33321 LARRY MCINTIRE DO DIRECTOR 60.0 0.0 X 169829 0 10088 MARK WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 RODNEY MCFARLAND MD DIRECTOR 1.0 0.0 X 0 0 0 DAVID L BAKER CMO 60.0 0.0 X 766777 0 43627 JEFFERY E THOMPSON CHIEF CLINICAL OFFICER 60.0 0.0 X 399378 0 31239 STEVE GRADDY CFO 50.0 10.0 X 619612 123922 33289 KEVIN P GAUDETTE VP REVENUE CYCLE 60.0 0.0 X 523481 0 38535 LEONARD T ROLLINS CHIEF INFORMATION OFFICER 60.0 0.0 X 343542 0 30222 MARY A FRERER CHIEF HUMAN RESOURCE OFFICER 60.0 0.0 X 267244 0 30168 MICHAEL B SANDERS CONTROLLER 60.0 0.0 X 277135 0 32180 WESLEY B BRAMAN VP BUSINESS DEVELOPMENT 60.0 0.0 X 321984 0 36773 DARWIN DAVID JEYARAJ PHYSICIAN 60.0 0.0 X 2111335 0 40558 JANE G SETO PHYSICIAN 60.0 0.0 X 2170430 0 24842 THOMAS LEE SANDERS PHYSICIAN 60.0 0.0 X 2132365 0 34516 TODD JOSEPH TWISS PHYSICIAN 60.0 0.0 X 2287153 0 38240 WILLIAM JOHN NICHOLAS PHYSICIAN 60.0 0.0 X 2727768 0 33368 Dennis Estep Physician 0.0 0.0 X 381842 0 40071 17521781 488988 569334 547 true true false CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING 7074717 CROSSLAND CONSTRUCTION COMPANY 833 SE AVENUE COLUMBUS KS 66725 CONSTRUCTION 6343393 MORRISON MGT SPECIALIST INC 2400 YORKMONT ROAD CHARLOTTE NC 28217 NUTRITION SERVICES 4635157 Access Healthcare Staffing Solutions PLLC 2712 Market Trace 180987 Fort Smith AR 72918 Clinic Staffing 3031146 Construction Services Group 12451 Hwy 59 Neosho MO 64850 Construction 1407298 50 181547 707439 1094716 45148 1983702 PATIENT SERVICES 621990 607897976 607897976 CAFETERIA & VENDING 722514 3315739 3315739 RENT FROM AFFILIATES 531390 187243 187243 UNRELATED RETAIL PHARMACY 456110 6049522 6049522 UNRELATED LAB SERVICES 621500 204363 204363 22425292 17367212 5058080 0 640080135 10735771 10735771 234132 234132 2634358 730247 1904111 0 1904111 1904111 83578942 96421 73611934 131159 9967008 -34738 9932270 9932270 264372 181547 250978 13394 13394 383695 174300 209395 209395 INVESTMENT IN SUBSIDIARY 900099 4080437 67734 4012703 0 0 0 0 4080437 669173347 628768170 11379699 27041776 2302809 2302809 241450 241450 6055420 1767512 4287908 3033804 3033804 307348075 275570938 31682369 94768 5354957 4761274 591997 1686 31580760 27947440 3623478 9842 18693463 16457568 2230114 5781 360567 360567 469279 469279 378937 378937 51440136 28097592 23322921 19623 2238580 1881673 356538 369 23494503 16473731 7016130 4642 37856 15493 22363 6799342 6798573 769 938323 727778 210522 23 1280497 713151 567342 4 2580481 2329680 250382 419 18112275 15996970 2109800 5505 12772577 5332710 7439867 MEDICAL SUPPLIES & DRUGS 138207846 138207846 PROVIDER TAXES & FEES 23764666 23764666 LICENSES, DUES, SUBSCRIPTION 924222 199869 724353 BAD DEBT EXPENSE 865235 865235 292781 75 292706 0 659568841 573487837 85937573 143431 27964832 9879050 36715664 22697247 1373707 1419405 81457310 80068646 0 0 0 0 4286 4286 10659621 11683945 8848540 10281998 417487345 273258930 137114806 144228415 366913584 430888790 2437652 6160537 3599723 3352860 367030 367030 12420993 10154736 689877748 731186945 75970784 75554694 58305040 56966985 0 0 4264300 4163214 37834983 36065533 176375107 172750426 X 509901180 554870426 3601461 3566093 513502641 558436519 689877748 731186945 X 9604506 35328652 720 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true false true 39139 39139 false Schedule C, Part II-B, Line 1i 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 39,139, ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ADDITIONALLY, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY OCCUR BUT ARE INSIGNIFICANT. 67627 8984 2586 74025 76942 -6063 3252 67627 76926 3031 3015 76942 59145 20585 2804 76926 66903 -5290 2468 59145 0.0 1.0 0.0 false false 5037172 9519484 14556656 211383462 129600674 81782788 2718066 2718066 0 173132222 131991173 41141049 15696939 8949017 6747922 144228415 EST SELF INSURANCE COST 21577424 DUE TO 3RD PARTY 8796206 OTHER LIABILITIES 628856 DUE TO RELATED PARTY 1381473 LEASE LIABILITY 3681574 36065533 701996875 35328652 -142669 35185983 666810892 243861 2118594 2362455 669173347 657238480 1155525 1155525 656082955 243861 3242025 3485886 659568841 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 V, Line 4 Intended uses of endowment funds THIS ENDOWMENT IS USED FOR NURSING SCHOLARSHIPS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 633415 INVESTMENT IN PSC - 223916 GRANTS PAID - -1000000 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements NET PSC REVENUE - 2465941 TEMPORARILY RESTRICTED CONTRIBUTIONS - 808178 SPECIAL EVENTS EXPENSES - -250978 COST OF GOODS SOLD - -174300 RENTAL EXPENSES - -730247 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 730247 COST OF GOODS SOLD - 174300 SPECIAL EVENT EXPENSES - 250978 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PSC EXPENSES - 2242025 GRANTS PAID - 1000000 Tournament of Miracles 86947 66387 20560 1800 250 14204 3439 3689 Nursing Gala 95914 74027 21887 8782 18652 17500 8256 8 263058 41133 221925 1250 4 173152 445919 181547 264372 1800 250 24236 22095 17500 185097 250978 13394 true true X true X true X true true false true true 7750318 0 7750318 0.0118 106491956 80493854 25998102 0.0394 0 0 0 0.0 0 0 114242274 80493854 33748420 0.0512 593891 146142 447749 0.0007 7269209 1872421 5396788 0.0082 2419366 0 2419366 0.0037 1441684 0 1441684 0.0022 376691 0 376691 0.0006 0 0 12100841 2018563 10082278 0.0153 0 0 126343115 82512417 43830698 0.0665 0 0.0 0 0.0 80335 80335 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 69700 69700 0.0001 11793 11793 0.0000 0 0 161828 0 161828 0.0002 false 40077305 2504832 121214959 126769351 -5554392 X true true 32ND STREET SURGICAL AMBULATORY SURGERY CENTER 0.0026 0.0034 HEARTLAND KIDNEY DI DIALYSIS CENTER 0.0025 0.0056 FREEMAN SURGICAL CEN AMBULATORY SURGERY CENTER 0.0068 0.0032 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 HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US X HTTP://OZARKSHEALTHCOMMISSION.ORG/ true 21 true HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US false true X 100.0 250.0 X X X X true true X X X X true X HTTPS://WWW.FREEMANHEALTH.COM/BILLING-AND-INSURANCE X HTTPS://WWW.FREEMANHEALTH.COM/BILLING-AND-INSURANCE X HTTPS://WWW.FREEMANHEALTH.COM/BILLING-AND-INSURANCE X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. 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 Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. 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 Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. 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 11 Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. 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 13 Facility , 1 Facility , 1 - FREEMAN HEALTH SYSTEM. PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBILITY. 36 FHS ORTHOPAEDICS AND SPORTS MED OF PTSBR 100 N PINE STREET PITTSBURG KS 66762 MEDICAL SERVICES FREEMAN LUNG INSTITUTE 1002 MCINTOSH CIRCLE JOPLIN MO 64804 MEDICAL SERVICES HIGGINS MEDICAL BUILDING 1020 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CHILDREN'S CLINIC 1030 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CARL JUNCTION FAMILY MEDICINE 104 S MAIN STREET CARL JUNCTION MO 64834 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 1101 E 13TH STREET STE A B AND C GROVE OK 74344 MEDICAL SERVICES URGENT CARE - JOPLIN 1130 E 32ND ST JOPLIN MO 64804 MEDICAL SERVICES FHS PHYSICIAN GROUP OF PITTSBURG 1201 E CENTENNIAL PITTSBURG KS 66762 MEDICAL SERVICES FREEMAN EAR NOSE AND THROAT CENTER 1331 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES OCCUMED - CARTHAGE SPECIALTY CLINIC 1500 S CASE ST CARTHAGE MO 64836 MEDICAL SERVICES FREEMAN WOMEN'S CENTER 1532 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES SPECIALTY CLINIC OF PITTSBURG 1606 N BROADWAY PITTSBURG KS 66762 MEDICAL SERVICES SENECA FAMILY MEDICINE 1606 OLIVE SENECA MO 64865 MEDICAL SERVICES URGENT CARE - WEBB CITY 1636 S MADISON WEBB CITY MO 64870 MEDICAL SERVICES FREEMAN HEALTH AND VASCULAR INSTITUTE 1902 S US HWY 59 BLDG E STE 202 PARSONS KS 67357 MEDICAL SERVICES FREEMAN NEUROSPINE 1905 W 32ND ST JOPLIN MO 64804 MEDICAL SERVICES REHABILITATION AND SPORTS CENTER 2206 E 32ND STREET JOPLIN MO 64804 MEDICAL SERVICES FHS ORTHOPAEDICS AND SPORTS MED OF FT SC 2322 S MAIN FT SCOTT KS 66701 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 30 B STREET SW MIAMI OK 74354 MEDICAL SERVICES FREEMAN HEART AND VASCULAR INSTITUTE 307 N HOSPITAL DRIVE GIRARD KS 66743 MEDICAL SERVICES FHS LAMAR FAMILY CARE 307 WEST 11TH STREET LAMAR MO 64759 MEDICAL SERVICES FREEMAN ORTHOPAEDICS AND SPORTS MEDICINE 3105 MCCLELLAND BLVD 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 CLINIC OF BAXTER SPRINGS 322 E 11TH ST BAXTER SPRINGS KS 66713 MEDICAL SERVICES JOPLIN UROLOGYPHYSICIAN OFFICES 3302 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN WOUND CARE AND HOME CARE 3315 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN PROFESSIONAL CENTER 3333 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CANCER INSTITUTE 3415 MCINTOSH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN CLINIC OF ANDERSON 510 PARK ST ANDERSON MO 64831 MEDICAL SERVICES FREEMAN MIDWEST INTERNAL MEDICINE 608 WILLARD FRONTENAC KS 66763 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 HOME CARE SERVICES 921 E 34TH JOPLIN MO 64804 MEDICAL SERVICES FREEMAN SLEEP CENTERGERIATRIC CARE 931 E 32ND ST JOPLIN MO 64804 MEDICAL SERVICES FREEMAN MEDICAL OFFICE BUILDING 3401 MCINTOSH CIRCLE 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 III, 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 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 II Community Building Activities THE COMMUNITY SUPPORT EXPENSES NOTED IN PART II RELATE TO FREEMAN'S CONTRIBUTIONS TO THE JOPLIN REGIONAL COMMUNITY, 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, NEOSHO R-V SCHOOL DISTRICT AND THE MCDONALD COUNTY R-1 SCHOOL DISTRICT, WHICH ARE JOPLIN AREA SCHOOL DISTRICTS AND NEOSHO R-V SCHOOL DISTRICT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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, 2024. 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, Line 3 Bad Debt Expense Methodology 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, Line 4 Bad debt expense - financial statement 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 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 V, Section B, Line 16a FAP website - FREEMAN HEALTH SYSTEM: Line 16a URL: HTTPS://WWW.FREEMANHEALTH.COM/BILLING-AND-INSURANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - FREEMAN HEALTH SYSTEM: Line 16b URL: HTTPS://WWW.FREEMANHEALTH.COM/BILLING-AND-INSURANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - FREEMAN HEALTH SYSTEM: Line 16c URL: HTTPS://WWW.FREEMANHEALTH.COM/BILLING-AND-INSURANCE; 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 240,321*. 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 2023 **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 School 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. Freeman Advantage offers a free or low-cost Health Fair for senior citizens. 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. 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 FY24, members of Freeman's Hearts & Hands Team (an employee volunteer group) coordinated dozens of community events and fundraisers with a total of more than 587 service hours donated by 108 Freeman staff members at 20 community events/projects. 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, dressing a downtown park with holiday lights, helping at local food pantries and Camp Soroptimist, and programs to help young parents learn how to take care of their families and manage their lives responsibly. 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. 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 of community benefit report MO true Community Clinic of Southwest Missouri 701 South Joplin Avenue Joplin MO 64801 431643962 501(C)(3) 29000 SUPPORT ACTIVE LIFESTYLE EVENTS INC PO Box 632 Joplin MO 64802 454202274 501(C)(3) 30000 SUPPORT Connect2Culture 212 W 7th St Joplin MO 64801 451779223 501(C)(3) 62835 SUPPORT Missouri Southern Foundation 3950 E Newman Road Joplin MO 64801 430907114 501(C)(3) 1096500 SUPPORT Pittsburg State University Foundation 401 East Ford Pittsburg KS 66762 486104332 501(C)(3) 245000 SUPPORT Crowder College 601 Laclede Avenue Neosho MO 64850 440668521 GOVT 73659 SUPPORT Creative Learning Alliance PO Box 3655 Joplin MO 64803 825165061 501(C)(3) 150000 SUPPORT Joplin Humane Society 140 E Emperor Lane Joplin MO 64801 440664226 501(C)(3) 8000 SUPPORT George A Spiva Center for the Arts 212 W 7th St Joplin MO 64801 446006139 501(C)(3) 10000 SUPPORT Ronald McDonald House PO Box 2688 Joplin MO 64804 431758397 501(C)(3) 20000 SUPPORT City of JoplinCVB 602 S Main Street Joplin MO 64801 446000196 GOVT 25000 SUPPORT Breast Cancer Foundation of the Ozarks 620 W Republic Road Suite 107 Springfield MO 65807 431881450 501(C)(3) 10000 SUPPORT Joplin Regional Community Foundation PO Box 471 Joplin MO 64802 237290968 501(C)(3) 7500 SUPPORT School District of Joplin R-VIII Foundation 3901 East 32nd Street Joplin MO 64804 431664927 501(C)(3) 33100 SUPPORT Carl Junction Education Foundation 206 S Roney Carl Junction MO 64834 431776822 501(C)(3) 21500 SUPPORT McDonald County R-1 School District 10 Stampede Dr Anderson MP 64831 431339582 GOVT 7600 SUPPORT Neosho School District Charitable Foundation 418 Fairground Rd Neosho MO 64850 431917195 501(C)(3) 7500 SUPPORT OZARK CENTER 1105 E 32ND ST JOPLIN MO 64804 430821959 501(C)(3) 104691 SUPPORT 18 0 CMN Aid to families 95 159749 Mammograms 38 24755 Prescription, Meals, Transportation 317 31314 Dialysis Patient Assistance 18 7047 Patient Transportation fees 580 18585 Schedule I, Part III GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS IN FISCAL YEAR 2024, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *FHS CHILDREN'S MIRACLE NETWORK - $159,749 WAS SPENT HELPING 95 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *HELPING FRIENDS MAMMOGRAM PROGRAM - $24,755 WAS SPENT TO HELP 38 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $31,314 WAS SPENT TO HELP 317 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *DIALYSIS PATIENT ASSISTANCE - $7,047 WAS SPENT HELPING 18 DIALYSIS PATIENTS WITH RELATED EXPENSES. *SOCIAL SERVICES TRANSPORTATION SERVICES - $18,585 WAS SPENT HELPING 580 WITH TRANSPORTATION COSTS. Schedule I, Part I, Line 2 Procedures for 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. X X X X X false false false false false true false false false PAULA F BAKER PRESIDENT AND CEO 1008323 252081 409942 102485 42000 10500 7320 1830 23318 5829 1490903 372725 0 0 JOHN M COX DO DIRECTOR 541248 0 1450 0 18943 0 9150 0 24171 0 594962 0 0 0 LARRY MCINTIRE DO DIRECTOR 137883 0 2420 0 29526 0 9150 0 938 0 179917 0 0 0 DAVID L BAKER CMO 611357 0 138920 0 16500 0 9150 0 34477 0 810404 0 0 0 JEFFERY E THOMPSON CHIEF CLINICAL OFFICER 269024 0 87404 0 42950 0 9150 0 22089 0 430617 0 0 0 STEVE GRADDY CFO 452411 50482 144235 28847 22966 44593 7625 1525 20116 4023 647353 129470 0 0 Dennis Estep Physician 287878 0 41704 0 52260 0 9150 0 30921 0 421913 0 0 0 KEVIN P GAUDETTE VP REVENUE CYCLE 401566 0 121915 0 0 0 9150 0 29385 0 562016 0 0 0 WESLEY B BRAMAN VP BUSINESS DEVELOPMENT 248856 0 43189 0 29939 0 9150 0 27623 0 358757 0 0 0 LEONARD T ROLLINS CHIEF INFORMATION OFFICER 250864 0 40178 0 52500 0 8801 0 21421 0 373764 0 0 0 MICHAEL B SANDERS CONTROLLER 227944 0 36191 0 13000 0 8212 0 23968 0 309315 0 0 0 MARY A FRERER CHIEF HUMAN RESOURCE OFFICER 208902 0 36394 0 21948 0 7993 0 22175 0 297412 0 0 0 THOMAS LEE SANDERS PHYSICIAN 1790624 0 305891 0 35850 0 9150 0 25366 0 2166881 0 0 0 TODD JOSEPH TWISS PHYSICIAN 1881419 0 366674 0 39060 0 9150 0 29090 0 2325393 0 0 0 WILLIAM JOHN NICHOLAS PHYSICIAN 1947039 0 758229 0 22500 0 9150 0 24218 0 2761136 0 0 0 DARWIN DAVID JEYARAJ PHYSICIAN 1455466 0 633369 0 22500 0 9150 0 31408 0 2151893 0 0 0 JANE G SETO PHYSICIAN 701808 0 1423622 0 45000 0 9150 0 15692 0 2195272 0 0 0 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization FREEMAN HEALTH SYSTEM PROVIDES MANAGEMENT THE POTENTIAL TO RECEIVE AN AT-RISK PAYMENT BASED ON SYSTEM AND INDIVIDUAL GOAL ACHIEVEMENT. THE AMOUNT OF COMPENSATION IS BASED UPON A PERCENTAGE OF THE EMPLOYEE'S ANNUAL COMPENSATION AND IS SUBJECT TO BOARD APPROVAL. Schedule J, Part II, Column (B)(ii) BONUS & INCENTIVE COMPENSATION: THE ORGANIZATION PROVIDES PHYSICIANS THE POTENTIAL TO RECEIVE ANNUAL BONUS COMPENSATION. PHYSICIAN BONUSES ARE CALCULATED BASED ON GENERATING WORKED RELATIVE VALUE UNITS (WRVU). EMPLOYMENT CONTRACTS SPECIFY THE NUMBER OF REQUIRED WRVUS (TO OBTAIN AN ANNUAL SALARY) AND THE ADDITIONAL BONUS COMPENSATION PHYSICIANS WILL RECEIVE ONCE THE REQUIRED WRVUS HAVE BEEN MET. ADDITIONAL BONUS COMPENSATION IS CALCULATED BY MULTIPLYING THE WRVUS IN EXCESS OF REQUIRED WRVUS TIMES A PREDETERMINED COMPENSATION FACTOR. WRVUS SHALL BE COMPUTED BY USE OF THE APPROVED MEDICARE METHODS OF COMPUTATION FOR PHYSICIAN PRACTICES. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 2021-04-29 9682837 (SEE STATEMENT) false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 2014-12-23 7000000 ACQUIRE, CONSTRUCT, IMPROVE AND EQUIP HOSPITAL FACILITIES false false false C INDUSTRIAL DEV AUTH OF THE COUNTY OF JASPER MO 521351539 2014-12-23 5000000 ACQUIRE, CONSTRUCT, IMPROVE AND EQUIP HOSPITAL FACILITIES. false false false D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 480639BL6 2015-02-26 40712377 REFUND 2004 BONDS false false false A 3186318 9682837 9682837 2008 true false true true B 6317259 7000000 7000000 2016 false false true true C 4512328 5000000 5000000 2016 false false true true D 12425000 40712377 2931813 539238 37241326 2008 true false true true A false false true true false 0.0 false false true B false false true true false 0.0 false false true C false false false false 0.0 false false true D false false true true false 0.0022 0.0022 false false true A false false true false true false false false true B false false false true false false false false true C false false false true false false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part II, Line 3 Schedule K 1, 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 Schedule K 2, 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 SCHEDULE K 2, COLUMN B THIS AMOUNT IS COMPRISED OF $2,793,827 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, Line 13 AND LINE 16; SCHEDULE K 2, COLUMN B THE NEW MONEY PORTION OF THE PROJECT WAS PLACED INTO SERVICE JUNE 2024. Schedule K, Part III SCHEDULE K 2, COLUMN A PART III IS NOT REQUIRED TO BE COMPLETED FOR PROJECTS ORIGINALLY FINANCED PRIOR TO 01/01/2003. Schedule K, Part II, Line 3 SCHEDULE K 2, COLUMN B THE 2022 BONDS ARE DRAW-DOWN BONDS. AMOUNT DRAWN AS OF 07/01/2024 DOES NOT EQUAL THE ISSUE PRICE AS A RESULT OF INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. Schedule K, Part II, Line 1 SCHEDULE K 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 I SCHEDULE K 1, 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 3 AND LINE 11; SCHEDULE K 1, 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 SCHEDULE K 1, 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 SCHEDULE K 1, COLUMN D THIS AMOUNT REPRESENTS $37,170,350 USED TO REFUND THE SERIES 2004 ON 2/27/15 AND $70,975 ALLOCATED TO PAY INTEREST ON THE BONDS. Schedule K, Part III, Line 5 SCHEDULE K 1, 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 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 SCHEDULE K 1, COLUMN B & C THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2019. Schedule K, Part IV, Line 2c SCHEDULE K 1, COLUMN D THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 09/09/2024. Schedule K, Part I, Column (f) ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY 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, Column (f) ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN, MO REFUND 2012 BONDS (ORIGINALLY ISSUED ON 12/20/2012) AND TO ACQUIRE, CONSTRUCT, EXTEND, AND EQUIP HOSPITAL FACILITIES. 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 STATEMENT) false false false A 780000 2819967 43714 2776253 2002 true false true true B 2765000 45000000 152430 11248113 2796621 30802836 true false true true A 0.0 B false false true true false 0.0 false false true A false true false false false false false false true B false true false false true false false false true A true B true Deborah Gaudette Spouse key employee Kevin Gaudette 93500 Employee Compensation false Adam Graddy Son of CFO Steve Graddy 126476 Employee Compensation false Kent McIntire Son of Board Member Larry McIntire 806865 Employee Compensation false Scott McClintick Son in law of board member Rodney McFarland 1104309 Employee Compensation false Hallie Baker Spouse of CMO David Baker 641480 Employee Compensation false Stephanie Thompson Spouse of CCO Jeff Thompson 37309 Employee Compensation false Bryan Graddy Son of CFO Steve Graddy 78461 Employee Compensation false Catherine Yust Relative of board member Mark Williams 84316 Employee Compensation false William Estep Son of former CMO Dennis Estep 61088 Employee Compensation false X 1 45148 Market value 0 false true true Schedule M, Part I NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions THE ORGANIZATION USES A THIRD PARTY FOR THE SALE OF SECURITIES DONATED. Form 990, Part I, Line 1 ORGANIZATION'S MISSION OVERVIEW 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 AND THEIR FAMILIES UPON DISMISSAL FROM THE HOSPITAL. THE CHAPLAINS FUND PROVIDES MEAL VOUCHERS, VOUCHERS FOR PERSONS WITH SPECIAL MOBILITY NEEDS, AND MORE. THE CHAPLAINS FUND ALSO PROVIDES YMCA VOUCHERS FOR PATIENTS' LOVED ONES WHO HAVE DIFFICULTY GETTING HOME TO SHOWER. IN FY24, CHAPLAINS MADE 32,514 TOTAL VISITS AND RESPONDED TO 204 CODES, 599 DEATHS, 134 PRIORITY ONE TRAUMAS/MEDICALS, AND 134 WITHDRAWALS OF CARE. THEY MADE 4,837 VISITS TO PALLIATIVE PATIENTS AND ISSUED 317 VOUCHERS OR TOKENS FOR FOOD, TRANSPORTATION, OR FUEL. IN FY24, THE CHAPLAINS FUND PROVIDED A COMMUNITY BENEFIT OF $31,314.59 THROUGH ASSISTANCE FOR PRESCRIPTIONS, MEALS AND OTHER ISSUES TO 317 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 FY24, FREEMAN PHARMACY ASSISTANCE TOTALED MORE THAN $2,100,000. JOB SHADOWING IN FY24, FREEMAN FULFILLED 405 JOB SHADOWING REQUESTS FROM MEMBERS OF THE COMMUNITY, WHICH TOTALED 4,791 HOURS SPENT BY DOCTORS, CLINICIANS, AND OTHER HEALTHCARE PROFESSIONALS. THESE INCLUDED SHADOWING IN THE HOSPITALS, PHYSICIAN PRACTICES, THE NICU, AND MANY ADDITIONAL DEPARTMENTS AND OUTPATIENT LOCATIONS, WITH A TOTAL WORK-HOUR EQUIVALENT VALUE OF $137,310. 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 FY24, FREEMAN HEALTH SYSTEM PROVIDED PAYROLL AND BENEFITS TOTALING $325,000,000. NURSING SCHOOL SUPPORT IN FY24, 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 FY24, FREEMAN HOSPITAL WEST AND FREEMAN BUSINESS CENTER RECRUITED 335 BLOOD DONORS RESULTING IN 279 USABLE UNITS. Form 990, Part III, Line 4b INPATIENT SERVICES 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 3,606 CASES, OF WHICH, 521, OR 14.4%, WERE MEDICAID CASES. ADDITIONALLY, 2.9% 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 207 CASES, OF WHICH, 129, OR 62.3%, WERE MEDICAID CASES. ADDITIONALLY, 2.4 % 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 1,810 BABIES IN FY24. THE UNIT INCLUDES BOARD-CERTIFIED OBSTETRICIANS AVAILABLE 24 HOURS A DAY AND PERINATOLOGY CARE FOR WOMEN WITH HIGH-RISK PREGNANCIES. IN FY24, FREEMAN MATERNITY CENTER SERVED 909 MEDICAID PATIENTS, OR 50.2% OF ITS CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 1% 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. 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 FY24, MORE THAN 10,585 INFANTS HAVE HAD A FIGHTING CHANCE TO LIVE THANKS TO THE CARE THEY RECEIVED AT FREEMAN NICU. IN FY24, FREEMAN NICU SERVED 371 PREMATURELY BORN OR CRITICALLY ILL BABIES. OF THESE TINY PATIENTS, 233 RECEIVED MEDICAID, WHICH REPRESENTS 62.8% OF FREEMAN NICU'S CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 1.6% 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 4a OUTPATIENT SERVICES 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. 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. OUTPATIENT - SPECIALIZED ENDOCRINOLOGY SERVICES FREEMAN DIABETES & ENDOCRINOLOGY INSTITUTE OFFERS COMPREHENSIVE SPECIALTY SERVICES TO 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. Form 990, Part III, Line 4c CANCER CARE SERVICES 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. 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. WHILE FREEMAN LUNG INSTITUTE HELPS PATIENTS WITH BREATHING ISSUES AND LUNG FUNCTION, IT ALSO HELPS PEOPLE WITH CANCER. A FEW YEARS AGO, 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. WE'VE LEARNED THAT OLDER, LOW-YIELD DIAGNOSTIC BRONCHOSCOPY CATCHES FAR FEWER EARLY-STAGE CANCERS. ADDITIONALLY, TRADITIONAL BIOPSY CAN CAUSE LUNGS TO COLLAPSE, WHILE BIOPSY PERFORMED WITH ROBOTIC-ASSISTED BRONCHOSCOPY HAS LESS THAN A 2% CHANCE OF LUNG COLLAPSE. WE'VE BEEN QUITE BUSY PERFORMING DIAGNOSTIC ROBOTIC-ASSISTED BRONCHOSCOPY, AND HAVE SAVED MANY PATIENTS. NATIONALLY, EARLY-STAGE LUNG CANCER DIAGNOSIS RATES ARE 15-20%, WHILE FREEMAN'S RATES ARE 44% AFTER PERFORMING MORE THAN 150 SCREENINGS IN EACH OF THE PAST TWO YEARS. THAT'S A HUGE INCREASE IN EARLY DETECTION, AND THAT MAKES A PRICELESS DIFFERENCE TO PATIENTS AND POSITIVELY AFFECTS THEIR WHOLE LIVES. SOUTHWEST MISSOURI HAS A HIGH INCIDENCE OF LUNG CANCER DUE TO ABOVE AVERAGE TOBACCO USE, HIGH LEVELS OF RADON IN THE SOIL, AND OCCUPATIONS SUCH AS WORKING IN QUARRIES AND WELDING. OUR PURPOSE IS TO INCREASE EARLY DETECTION RATES AND ALSO BRING AWARENESS OF LUNG CANCER FRONT OF MIND. FREEMAN HELPING FRIENDS MAMMOGRAM FUND, ADMINISTERED THROUGH FREEMAN DEVELOPMENT OFFICE, PROVIDES MAMMOGRAMS FOR WOMEN WHO CAN'T AFFORD THEM. IN 2024, HELPING FRIENDS MAMMOGRAM FUND HELPED 38 WOMEN ALSO ENABLES US TO PROVIDE POST-MASTECTOMY CAMISOLES, EDUCATION, DIAGNOSTIC SCREENINGS, AND BREAST ULTRASOUNDS TO HELP PATIENTS AS THEY PROGRESS THROUGH THEIR BREAST CANCER JOURNEY. Form 990, Part III, Line 4a OUTPATIENT SERVICES CONTINUED 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 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. 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, AND IT'S A MEMBER OF CANCER RESEARCH OF THE OZARKS, WHICH BRINGS CLINICAL TRIALS TO RURAL PATIENTS. 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 THIS END, FREEMAN HAS ESTABLISHED PRIMARY CARE AND SPECIALTY CLINICS IN SEVERAL COMMUNITIES ACROSS THE REGION. FREEMAN IS EXPANDING SERVICES TO INCLUDE MORE SOUTHEAST KANSAS COMMUNITIES BY BUILDING A BRAND-NEW, STATE OF THE ART, FULL SERVICE HOSPITAL IN PITTSBURG, KANSAS. HOSPITALS ARE CENTRAL TO THE SUCCESS AND WELL-BEING OF EVERY COMMUNITY, AND FREEMAN PITTSBURG WILL ADD TO THE VIBRANCY AND STRENGTH ALREADY FOUND IN SOUTHEAST KANSAS. FREEMAN PITTSBURG WILL SPAN 170,000 SQUARE FEET, PROVIDE 50 BEDS, AND CREATE 1,000 NEW JOBS. WE ARE FAST-TRACKING THIS PROJECT AS MUCH AS POSSIBLE, HAVING ALREADY MADE A SIGNIFICANT IMPACT IN SOUTHEAST KANSAS THROUGH OUTPATIENT CLINICS, AN OUTPATIENT SURGERY CENTER, A COMPREHENSIVE MEDICAL ONCOLOGY PROGRAM, AND IMAGING AND LAB SERVICES OVER THE PAST DECADE, INCLUDING OUR CONTINUED PARTNERSHIP WITH PITTSBURG STATE UNIVERSITY ATHLETICS. ADDITIONALLY, FREEMAN HEALTH SYSTEM HAS ANNOUNCED PLANS FOR AN EMERGENCY DEPARTMENT IN FORT SCOTT, KANSAS. THAT COMMUNITY HAD BEEN WITHOUT A HOSPITAL SINCE 2018 AND WITHOUT EMERGENCY MEDICAL CARE SINCE THE BEGINNING OF 2024-THIS PROJECT WILL FILL A GREAT VOID FOR THE CITIZENS OF GREATER FORT SCOTT. EVERY COMMUNITY NEEDS AND DESERVES QUALITY MEDICAL CARE-WITHOUT IT, EVERY PERSON IS VULNERABLE WHEN THERE IS A SUDDEN ILLNESS, INJURY, OR ACCIDENT. THE EMERGENCY DEPARTMENT WILL HAVE SIX BAYS AND 365-DAY, 24/7 COVERAGE, WITH A PROJECTED OPENING DATE IN SPRING 2025. 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. FREEMAN OPENED A NEW MEDICAL OFFICE BUILDING ON THE FREEMAN WEST CAMPUS IN EARLY 2024. IT PROVIDES 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. 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. FREEMAN CREATED A SCRUB TECH APPRENTICESHIP PROGRAM TO ADDRESS A CRITICAL SHORTAGE OF SCRUB TECHS, AND FREEMAN HAS RE-IMAGED AND ENLARGED A TRAINING FACILITY AT 1221 MCINTOSH CIRCLE, THANKS TO A $1.78 MILLION GRANT FROM THE MISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT. PLANS ARE UNDERWAY FOR A VARIETY OF "HIGH-NEED" TRAINING PROGRAMS FOR CMAS, EMTS, EEG TECHS, AND OTHERS. THESE POSITIONS HAVE SOME OF THE HIGHEST VACANCY AND TURNOVER RATES IN MISSOURI. Form 990, Part III, Line 4 PROGRAM SERVICES CONTINUED FREEMAN AUXILIARY FREEMAN AUXILIARY RAISES FUNDS AND PROVIDES VOLUNTEER SERVICES TO BENEFIT PATIENTS, STAFF, VISITORS, AND THE COMMUNITY. IN FY24, FREEMAN AUXILIARY PROVIDED SUPPORT FOR: - AUTISM - FIELD TRIP $ 500 - AUTISM - GENERAL FUND $ 3,000 - AUTISM - WALK SPONSORSHIP $ 3,000 - CANCER INSTITUTE - PATIENT SNACKS $ 3,500 - CANCER INSTITUTE - WIG/SCARF PROGRAM $ 2,000 - PITTSBURG CANCER INSTITUTE - TRANSPORTATION $ 5,000 - TURNAROUND RANCH - OUTINGS $ 2,000 - TURNAROUND RANCH - NEW YEARS EVE $ 1,000 - TURNAROUND RANCH - MOST NEEDED $ 3,000 - NEOSHO SNACKS FOR INFUSION PATIENTS $ 50 - CARDIAC RECOVERY BEARS $ 3,000 - CHAPLAINS BENEVOLENCE FUND $10,000 - CHAPLAINS PRAYER CARDS $ 1,000 - CHILDREN'S MIRACLE NETWORK $10,000 - DEVELOPMENT NURSING RED CARPET EVENT $10,000 - DEVELOPMENT OFFICE GALENTINE'S EVENT $ 5,000 - RONALD MCDONALD HOUSE $10,000 - DIALYSIS MARCH OF THE KIDNEY SPONSOR $ 1,000 - NURSING SCHOOL SUPPORT $16,000 - STATE PROJECT (MAHA) $ 250 - FREEMAN LEARNING CENTER $ 500 - ELECTRIC CHARIS (FREEMAN WEST) $ 1,500 - GIFT SHOP POS SYSTEM $ 7,500 TOTAL AUXILIARY CONTRIBUTIONS: $106,300 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 WORKING 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. 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. 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. EMERGENCY PREPAREDNESS FREEMAN HEALTH SYSTEM AND ALL OF RURAL SOUTHWEST MISSOURI ARE BENEFITTING FROM THE ACQUISITION OF TWO MASS CASUALTY RESPONSE TRAILERS, A NEW TOOL FOR DISASTER RESPONSE IN THE FOUR-STATE AREA (MO, KS, OK, AR). DESIGNED TO SUPPORT QUICK RESPONSE IN TIMES OF CRISIS, THE NEW TRAILERS HELP DURING ANY TYPE OF MASS CASUALTY EVENT OR NATURAL DISASTER. DURING SUCH EVENTS, THE BIG CHALLENGES INCLUDE HAVING ENOUGH AMBULANCES TO TRANSPORT PATIENTS TO HOSPITALS, COMMUNICATING WITH FIRST RESPONDERS WHEN TELEPHONE LINES AND TOWERS ARE DOWN, AND HAVING ADEQUATE MEDICAL SUPPLIES AT THE SCENE. UNFORTUNATELY, MASS CASUALTY EVENTS ARE BECOMING MORE COMMON. THE AVAILABILITY OF EMERGENCY PREPAREDNESS ASSETS LIKE THE TRAILERS BENEFITS THE LOCAL COMMUNITIES GREATLY BY PROVIDING LARGE QUANTITIES OF MEDICAL SUPPLIES AND ENHANCED COMMUNICATIONS CAPABILITIES WHEN HELP IS MOST NEEDED. THE TRAILERS HAVE ENOUGH TRAUMA SUPPLIES TO SET UP A TRIAGE AREA AS A STAGING AREA. POSSIBLE SCENARIOS WHERE THE TRAILERS COULD BE DEPLOYED INCLUDE TRAIN DERAILMENTS, LARGE APARTMENT COMPLEX FIRES, AND ACTIVE SHOOTER EVENTS IN SCHOOLS. TOWNS THROUGHOUT OUR AREA ARE WELCOME TO USE OUR MASS CASUALTY TRAILERS SHOULD THE NEED ARISE. WE CAN ROLL THESE TRAILERS OUT TO SUPPORT OUR EMS PARTNERS WHENEVER AND WHEREVER THE SITUATION CALLS FOR IT. FREEMAN WILL GLADLY TRAIN ANY ORGANIZATION ON THE USE OF THE UNITS. THE TRAILERS ARE EQUIPPED WITH A RANGE OF COMMUNICATIONS TOOLS TO MAKE SURE RESIDENTS AND EMERGENCY RESPONDERS HAVE A RELIABLE CONNECTION. WITH EVERY DISASTER THAT HAPPENS, THE FIRST THING THAT FAILS IS COMMUNICATIONS, AND THIS SYSTEM GIVES USERS 5G DEDICATED PHONE COMMUNICATIONS. IT RUNS THROUGH A SPECIAL STATE OF MISSOURI PROGRAM WITH PRIORITY ACCESS. IT HAS A BACKUP SATELLITE SYSTEM WITH MULTIPLE RADIO TYPES OF FREQUENCIES. 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, 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 PERFORMANCEEXPECTATIONS 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. 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 EXECUTIVES OTHER 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. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 FORM990 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, 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, Line 15a Process to establish compensation of top management official 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 2023 USING GALLAGHER BENEFIT SERVICES. Form 990, Part VI, Line 19 Required documents available to the public FREEMAN HEALTH SYSTEM DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A BOARD MEMBER COMPENSATION: NO DIRECTORS RECEIVE COMPENSATION FOR THEIR SERVICES AS BOARD MEMBERS. BOARD MEMBERS LARRY MCINTIRE, 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 VIII, Line 2f Other Program Service Revenue - Total Revenue: 22425292, Related or Exempt Function Revenue: 17367212, Unrelated Business Revenue: 5058080, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN VALUE OF PLEDGED ASSETS - 720; FHS HOLDINGS LLC 1102 W 32ND ST JOPLIN MO 64804 205441528 LT ACUTE CARE & OUTPATIENT DIALYSIS MO 285016 1732644 FREEMAN HEALTH SYSTEM FREEMAN SURGICAL CENTER OF PITTSBURG LLC 100 N PINE ST PITTSBURG KS 66762 473537670 AMBULATORY SURGERY KS 2465941 1158443 FREEMAN HEALTH SYSTEM FREEMAN NEOSHO HOSPITAL 113 W HICKORY NEOSHO MO 64850 431240629 HOSPITAL MO 501(c)(3) 3 FREEMAN HEALTH SYSTEM true OZARK CENTER 1105 E 32ND ST JOPLIN MO 64804 430821959 BEHAVIORAL HEALTH MO 501(c)(3) 10 FREEMAN HEALTH SYSTEM true CEDAR HILL HOUSING CORPORATION 1807 WEST 30TH STREET JOPLIN MO 64804 470943557 HUD HOUSING MO 501(c)(3) Type I OZARK CENTER true POPLAR PLACE HOUSING CORPORATION 2540 WEST 32ND STREET JOPLIN MO 64804 900462595 HUD HOUSING MO 501(c)(3) Type I OZARK CENTER true MAGNOLIA HEIGHTS HOUSING CORPORATION 1820 WEST 30TH STREET JOPLIN MO 64804 470950622 HUD HOUSING MO 501(c)(3) Type I OZARK CENTER true FREEMAN SURGICAL CENTER LLC 811 W 34TH ST JOPLIN MO 64804 262652980 AMBULATORY SURGERY MO FREEMAN HEALTH SYSTEM Related 11280819 3660827 false false 0.6831 true true false true true false false false false true true true true true true true true false false OZARK CENTER A 187243 FMV OZARK CENTER B 104691 FMV OZARK CENTER J 187243 FMV