2025-02-07T09:24:21+00:00 2024-03-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-04-01 431240629 FREEMAN NEOSHO HOSPITAL INC FREE 4173471111 113 W HICKORY NEOSHO MO 64850 STEVE GRADDY CFO 4173471111 2025-02-07 true true Brian Todd P00422601 4178658701 2023-08-09 2023 2025-03-06 01:10:19Z PAULA BAKER 113 W HICKORY NEOSHO MO 64850 53583447 false X WWW.FREEMANHEALTH.COM X 1993 MO FREEMAN NEOSHO PROVIDES WORLD CLASS, COMPASSIONATE HEALTHCARE SERVICES WHERE IT MATTERS MOST, CLOSE TO HOME. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 9 6 289 14 0 0 1569806 99924 34168868 34291727 1316554 2581715 51488 54729 37106716 37028095 1002290 7950 0 18405891 19335181 0 0 12447552 12597242 31855733 31940373 5250983 5087722 78699864 90572258 5546046 5029180 73153818 85543078 X TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. false false 19038270 22747721 FREEMAN NEOSHO OFFERS OUTPATIENT SERVICES INCLUDE EMERGENCY MEDICINE, WOMEN'S SERVICES, HEART CARE, ORTHOPAEDICS, OTOLARYNGOLOGY, A PHARMACY, OCCUPATIONAL MEDICINE, REHABILITATION THERAPIES, RADIOLOGY, LABORATORY SERVICES AND MORE. FOR THOSE REQUIRING EMERGENCY MEDICAL CARE, FREEMAN NEOSHO OFFERS AN EMERGENCY ROOM STAFFED BY EXPERIENCED PHYSICIANS 24 HOURS A DAY, 7 DAYS A WEEK. LEADING-EDGE COMPUTED TOMOGRAPHY (CT) AND MAGNETIC RESONANCE IMAGING (MRI) SERVICES ARE AVAILABLE FOR PATIENTS IN THE LARRY D. NEFF CT-MRI SUITE. 3574869 4271402 Freeman Neosho Hospital provides intensive care, general care, and swing-bed inpatient services. Freeman Neosho inpatient services totaled 677 cases, of which, 96, or 14.2%, were Medicaid cases. Additionally, 21 inpatient cases, or 3% of the total, fell into the self-pay (no insurance) category. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 3489210 7272604 THE FREEMAN NEOSHO EMERGENCY DEPARTMENT TREATED 12,375 CASES, OF WHICH 4,757 WERE MEDICAID CASES, REPRESENTING 38.4% OF THE TOTAL EMERGENCY ROOM VOLUME. IN ADDITION, THE EMERGENCY ROOM TREATED 1,631 CASES, OR 13.2%, THAT WERE SELF-PAY (NO INSURANCE). SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 7950 7950 FREEMAN NEOSHO HOSPITAL PROVIDED CONTRIBUTIONS TO LOCAL ORGANIZATION. 7950 7950 26110299 true true false true false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 0 0 289 true false false false false false false false false false false false false X 9 6 false false false false true true true true true false false true true true true true true true true false X STEVE GRADDY 4173471111 1102 WEST 32ND STREET JOPLIN MO 64804 Dr Larry Barnes Physician/Secretary 40.0 0.0 X X 239438 0 26996 Mitch McCumber Vice Chairman 1.0 1.0 X X 0 0 0 Paula Baker President and CEO 6.0 61.5 X X 365066 1460265 38297 Rudy Farber Chairman 1.0 0.0 X X 0 0 0 Dr Brady Hesington Physician/Director 40.0 0.0 X 356728 0 38571 Dr Craig Pendergrass Director 1.0 0.0 X 0 0 0 Dr Kent Farnsworth Director 1.0 0.0 X 0 0 0 Gary Wasson Director 1.0 0.0 X 0 0 0 Jim Armstrong Director 1.0 1.0 X 0 0 0 Steve Graddy CFO 10.0 50.0 X 123922 619612 33289 Renee Denton Chief Operating Officer 60.0 0.0 X 195563 0 37346 Adam James Field DO Physician 60.0 0.0 X 298028 0 32465 Benjamin Hogan Cesarz DO Physician 40.0 2.0 X 441811 23500 18079 Douglas McDonald Physician 31.0 30.0 X 374469 249646 32485 Ernest Samuel Holmes MD Physician 60.0 0.0 X 614219 0 31199 Michael Jay Pace DO Physician 60.0 0.0 X 474441 0 16291 3483685 2353023 305018 17 false true false 0 12285 87639 99924 PATIENT SERVICES 900099 33481915 33481915 PHARMACY 456110 675968 675968 CAFETERIA & VENDING 722514 87046 87046 OTHER REVENUE 900099 46798 46798 0 0 0 0 34291727 1634746 1634746 54729 54729 0 54729 54729 17499321 3000 16555352 943969 3000 946969 946969 0 0 0 0 0 37028095 34291727 0 2636444 7950 7950 1396837 1163928 232909 14834166 14058617 775549 272470 259809 12661 1814939 1703535 111404 1016769 948204 68565 21 21 46212 46212 1078521 818252 260269 0 211769 37862 173907 4526752 828531 3698221 37016 990 36026 864417 771703 92714 80349 76623 3726 18345 17887 458 5986 5270 716 1076408 947605 128803 509824 393557 116267 MEDICAL SUPPLIES & DRUGS 2818493 2818493 PROVIDER TAX 1225859 1225859 LICENSES, DUES, SUBSCRIPTION 88883 25116 63767 MISCELLANEOUS 8387 508 7879 0 0 0 0 31940373 26110299 5830074 0 967399 1088960 3476921 236996 4646858 4235622 0 0 0 0 464048 464742 214790 194734 24862874 15586188 7713320 9276686 59533020 72502107 0 0 664703 664703 1018805 1907708 78699864 90572258 964075 655733 666666 333333 0 0 187293 192429 3728012 3847685 5546046 5029180 X 73153818 85543078 73153818 85543078 78699864 90572258 X 5087722 7297225 4313 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16400 16400 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. 992470 992470 12268515 7892302 4376213 11191902 7537822 3654080 409987 156064 253923 9276686 EST SELF INSURANCE COSTS 100000 EST AMT DUE TO 3RD PARTY 3677499 LEASE LIABILITY 70186 3847685 44279108 7297225 0 7297225 36981883 46212 0 46212 37028095 31894161 0 0 31894161 46212 0 46212 31940373 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITION 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. true true X true X true X true true false true true 1167078 0 1167078 0.0365 7962464 9728207 0 0.0 0 0 0 0.0 0 0 9129542 9728207 1167078 0.0365 0 0 0 0.0 598 0 598 0.0000 169585 52890 116695 0.0037 0 0 0 0.0 0 0 0 0.0 0 0 170183 52890 117293 0.0037 0 0 9299725 9781097 1284371 0.0402 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 4096246 195596 6591204 6460721 130483 X true true 1 1 FREEMAN NEOSHO HOSPITAL 113 W HICKORY STREET NEOSHO MO 64850 WWW.FREEMANHEALTH.COM 402-21 X X X FREEMAN NEOSHO HOSPITAL 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 HTTPS://WWW.OZARKSHEALTHCOMMISSION.ORG/PREVIOUS-REPORTS 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 3E Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - FREEMAN NEOSHO HOSPITAL. COMMUNITY INPUT: THE OZARKS HEALTH COMMISSION STEERING COMMITTEE ELECTED TO UTILIZE CONSULTATIVE SERVICES TO ACQUIRE RELIABLE AND REPRESENTATIVE INPUT FROM THE 30-COUNTY OHC REGION. TO THAT END, A CONSULTING FIRM WAS HIRED TO GATHER BOTH QUANTITATIVE AND QUALITATIVE DATA THROUGH 3 AVENUES: 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. THE PURPOSE OF THE SURVEY WAS THE GATHER INSIGHTS FROM EACH COMMUNITY REGARDING HEALTH-RELATED NEEDS, THE IMPACT OF COVID-19 AND COMMUNICATION AND SERVICE USE ISSUES. THE SURVEY WAS DISSEMINATED BY THE OHC COMMISSIONS AND PROJECT LEADERS THROUGHOUT THE 30-COUNTY REGION. IN TOTAL, 2,638 INDIVIDUALS COMPLETED THE SURVEY. EVEN THOUGH SOME DATA LIMITATIONS OCCASIONALLY IMPACT THE CLARITY OF A SPECIFIC "RANK ORDER OTHER RATING OF NEEDS, MOST RESEARCH (INCLUDING THE RESEARCH INCLUDED IN THIS PROJECT), CLEARLY ILLUMINATE THE SET OF CORE NEEDS. IN MORE RURAL COUNTIES (E.G., LOWER POPULATION OR REDUCED RESEARCH PARTICIPATION), DATA CHALLENGES EXIST, YET THE ROBUST RESEARCH PLAN OF THIS ASSESSMENT AND THE SURVEY SAMPLE SIZE HELPED TO ADDRESS SEVERAL DATA LIMITATIONS. THE SURVEY WAS AVAILABLE ELECTRONICALLY THROUGH AN ON-LINE PLATFORM, AS WELL AS PAPER-BASED IN BOTH ENGLISH AND SPANISH. RESULTS OF THE SURVEY WERE COMPILED AND ANALYZED BY CRESCENDO CONSULTING USING SPSS. THE COMMUNITY SURVEY SUMMARY CONTAINED WITHIN THIS REPORT INCLUDES HIGHLIGHTS AND INSIGHTS OF SURVEY RESULTS; THE FULL COMMUNITY INPUT REPORT CAN BE FOUND IN APPENDIX D. THE QUANTIFIABLE INSIGHTS GAINED FROM THE SURVEY ADDED CONTEXT TO THE DEEPER INSIGHTS COLLECTED IN THE FOCUS GROUPS. FOR THE COMMUNITY FOCUS GROUPS, THE COMMISSION HOPED TO GARNER INFORMATION ON HEALTH PRIORITIES THAT WAS MORE GROUNDED IN BOTH PERSONAL AND PROFESSIONAL EXPERIENCES. FOCUS GROUP MEMBERS WERE RECRUITED FROM THE REGIONAL COMMUNITIES THROUGH MASS AND PERSONAL EMAILS, ONE-ON-ONE CONVERSATIONS, SOCIAL MEDIA, AND THROUGH WORD OF MOUTH. FOCUS GROUPS WERE FACILITATED USING A DISCUSSION GUIDE (LOCATED IN APPENDIX D-2 OF CRESCENDO REPORT). AFTER INTRODUCTIONS, PARTICIPANTS WERE ASKED TO THINK BROADLY ABOUT THE TOPIC AREAS. DISCUSSIONS THEN NARROWED INTO WHAT THEY SAW AS THE BIGGEST CONCERNS FACING THEIR COMMUNITY AND WHAT POSSIBLE SOLUTIONS THEY ENVISIONED. THERE WERE 10 VIRTUAL FOCUS GROUP DISCUSSIONS IN MANY AREAS ACROSS THE SEVEN COMMUNITIES. THIS ALLOWED REGIONAL VOICES TO HIGHLIGHT AREAS THEY SEE AS THE BIGGEST HEALTH-RELATED NEEDS FACING THE COMMUNITY. THE FOCUS GROUPS ADDED INSIGHT AND DEPTH TO COMMUNITY NEEDS PERCEPTIONS. TO BUILD UPON THE FOCUS GROUPS AND HAVE MORE INDEPTH AND PRIVATE CONVERSATIONS ABOUT COMMUNITYWIDE STRENGTHS, BARRIERS TO GETTING CARE, IMPACTS OF THE COVID-19 PANDEMIC, AND IDEAS TO IMPROVE THEIR COMMUNITIES, THIRTY-MINUTE ONE-ON-ONE INTERVIEWS WERE CONDUCTED. CRESCEND REPRESENTATIVES COMPLETED INTERVIEWS WITH 75 RESIDENTS FROM THE 7 COMMUNITIES. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - FREEMAN NEOSHO HOSPITAL. IN ADDITION TO FREEMAN HEALTH SYSTEM, 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 NEOSHO HOSPITAL. 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 NEOSHO HOSPITAL. 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 NEOSHO HOSPITAL. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ALSO USES FAMILY SIZE AND EMPLOYMENT STATUS IN THE DETERMINATION OF ELIGIBILITY FOR FREE OR DISCOUNTED CARE. 3 MEDICAL OFFICE BUILDING 336 S JEFFERSON NEOSHO MO 64850 MEDICAL SERVICES FREEMAN NEOSHO REHABILITAION 204 N LINCOLN NEOSHO MO 64850 MEDICAL SERVICES FREEMAN CLINIC OF ANDERSON 510 PARK STREET ANDERSON MO 64831 MEDICAL SERVICES Schedule H, Part I, Line 3c OTHER FACTORS IN DETERMINING ELIGIBILITY IN ADDITION TO FPG LIMITS, THE FAP USES EMPLOYMENT STATUS, MEDICAL INDIGENCY, AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990. 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 WORKSHEET 1 AND 3. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Freeman Health System 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. THEREFORE, FREEMAN BELIEVES THAT SOME PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WERE INCORRECTLY REPORTED AS BAD DEBT IN ITS FINANCIAL STATEMENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES 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 8 Community benefit & methodology for determining medicare costs SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. Schedule H, Part III, 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 NEOSHO HOSPITAL: Line 16a URL: HTTPS://WWW.FREEMANHEALTH.COM/BILLING-AND-INSURANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - FREEMAN NEOSHO HOSPITAL: Line 16b URL: HTTPS://WWW.FREEMANHEALTH.COM/BILLING-AND-INSURANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - FREEMAN NEOSHO HOSPITAL: 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 X X X X X false false false false false true true false false Dr Larry Barnes Physician/Secretary 118012 0 68926 0 52500 0 5889 0 21107 0 266434 0 0 0 Paula Baker President and CEO 252081 1008323 102485 409942 10500 42000 1830 7320 5829 23318 372725 1490903 0 0 Dr Brady Hesington Physician/Director 304669 0 29959 0 22100 0 9150 0 29421 0 395299 0 0 0 Steve Graddy CFO 50482 452411 28847 144235 44593 22966 1525 7625 4023 20116 129470 647353 0 0 Renee Denton Chief Operating Officer 153173 0 26868 0 15522 0 5904 0 31442 0 232909 0 0 0 Ernest Samuel Holmes MD Physician 430453 0 183766 0 0 0 9150 0 22049 0 645418 0 0 0 Michael Jay Pace DO Physician 430765 0 43676 0 0 0 0 0 16291 0 490732 0 0 0 Adam James Field DO Physician 263729 0 18000 0 16299 0 8497 0 23968 0 330493 0 0 0 Benjamin Hogan Cesarz DO Physician 408702 23500 33109 0 0 0 8693 457 8483 446 458987 24403 0 0 Douglas McDonald Physician 372173 204042 0 44073 2296 1531 0 0 19491 12994 393960 262640 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. Schedule J, Part II, Column (F) COMPENSATION REPORTED IN PRIOR FORM 990 COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. Form 990, Part III, Line 4 PROGRAM SERVICES FREEMAN NEOSHO HOSPITAL IS A 25-BED CRITICAL-ACCESS FACILITY THAT PROVIDES VITAL MEDICAL SERVICES IN SOUTHWEST MISSOURI AND SERVES THE NEEDS OF LARGELY RURAL NEWTON AND MCDONALD COUNTIES. TRULY THE HEART OF ITS COMMUNITY, FREEMAN NEOSHO HOSPITAL OFFERS 24-HOUR EMERGENCY CARE; SPORTS MEDICINE; OCCUPATIONAL MEDICINE; REHABILITATION SERVICES; SURGICAL SERVICES; INTENSIVE CARE; INFUSION SERVICES; AND CARDIAC REHABILITATION, PHYSICAL THERAPY, AND SPEECH THERAPY; ALONG WITH DIGITAL MAMMOGRAPHY, AND OTHER DIAGNOSTIC SERVICES. THE LARRY D. NEFF CT/MRI SUITE PROVIDES ESSENTIAL CT AND MRI IMAGING IN NEOSHO SO THAT PEOPLE IN NEWTON AND MCDONALD COUNTIES DON'T HAVE TO DRIVE GREAT DISTANCES FOR ESSENTIAL IMAGING SERVICES. FREEMAN NEOSHO PHYSICIAN GROUP PROVIDES NEOSHO AND SURROUNDING COMMUNITIES WITH CONVENIENT ACCESS TO PHYSICIANS AND AN ARRAY OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, PEDIATRIC CARE, AND SPECIALTY CLINICS, SUCH AS HEART CARE, ORTHOPAEDIC CARE, WOMEN'S HEALTH, AND MORE. FREEMAN'S BEHAVIORAL HEALTH DIVISION, OZARK CENTER, PROVIDES MENTAL AND BEHAVIORAL HEALTH SERVICES IN NEOSHO AS WELL. FREEMAN NEOSHO HOSPITAL CONTINUES TO PLAY A KEY ROLE IN TESTING, VACCINATING, AND PROVIDING ICU SERVICES TO PATIENTS. SPURRED BY LESSONS LEARNED FROM THE PANDEMIC, FREEMAN NEOSHO LAUNCHED A MAJOR MAKEOVER OF THE EMERGENCY DEPARTMENT AND OTHER AREAS OF THE HOSPITAL, IMPROVING SAFETY BY PROVIDING MORE NEGATIVE PRESSURE ISOLATION AREAS. FREEMAN NEOSHO HAS BEEN EXPANDING ITS SCHOOL-BASED TELEMEDICINE PROGRAM FOR SEVERAL YEARS. A LITTLE BACKGROUND-IN 2014, FREEMAN NEOSHO HOSPITAL PARTNERED WITH THE NEOSHO SCHOOL DISTRICT TO PROVIDE MEDICAL SERVICES FOR STUDENTS AND FACULTY. RESEARCH SHOWS THAT INCREASED ACCESS TO MEDICAL SERVICES RESULTS IN HEALTHIER STUDENTS, IMPROVED ACADEMIC PERFORMANCE, AND HEALTHIER COMMUNITIES. IT CAN BE DIFFICULT FOR PARENTS TO GET AWAY FROM WORK TO TAKE A CHILD TO THE DOCTOR, ESPECIALLY WHEN IT INVOLVES A LOT OF DRIVING. NEWTON AND MCDONALD COUNTIES ARE QUITE HILLY, AND MANY OF THEIR SCHOOLS ARE A LONG DRIVE FROM BOTH STUDENTS' HOMES AND PARENTS' WORKPLACES. LATER, FREEMAN NEOSHO BROUGHT MORE ADVANCED, TRUE TELEMEDICINE SERVICES TO 21 SCHOOL SITES, MANY IN REMOTE LOCATIONS, PROVIDING STUDENTS WITH MEDICAL DIAGNOSIS AND TREATMENT WITHOUT THE CHILD HAVING TO LEAVE THE SCHOOL FOR A TRIP TO A CLINIC. CHILDREN (AND STAFF) CAN RECEIVE TREATMENT FOR RASHES, ALLERGIES, COUGHING, COLDS, FLU, FEVER, HEADACHES, PINK EYE, AND MANY OTHER SYMPTOMS AND CONDITIONS. EACH SCHOOL SITE HAS A MOBILE TELEMEDICINE CART, COMPLETE WITH MEDICAL-GRADE ATTACHMENTS. THE SCHOOL NURSE HANDLES THE EQUIPMENT WHILE A MEDICAL PROVIDER OUTSIDE OF THE SCHOOL EXAMINES THE STUDENT. THE ATTACHMENTS ENABLE THE PROVIDER TO VIRTUALLY LOOK INTO THE PATIENT'S EYES, EARS, NOSE, AND THROAT, AS WELL AS LISTEN TO THE PATIENT'S HEART, BREATH, AND SOUNDS IN THE LUNGS AND ABDOMEN. NOT ONLY DOES TELEMEDICINE KEEP THE CHILD IN SCHOOL, IT ALSO KEEPS PARENTS AT WORK BY CONNECTING THEM TO BOTH THE SCHOOL NURSE'S OFFICE AND THE DOCTOR'S OFFICE REMOTELY VIA SMART PHONE, COMPUTER, OR TABLET. THROUGH THE CONNECTION, THE PARENT IS ABLE TO SEE EVERYTHING (INCLUDING VIRTUAL IMAGING) AS IT HAPPENS AND FULLY PARTICIPATE THE CHILD'S EXAMINATION. THE PROGRAM IS POSITIVELY IMPACTING THE COMMUNITY BECAUSE IT HELPS PARENTS STAY AT WORK-LOSING A DAY'S PAY TO TAKE A CHILD TO THE DOCTOR CAN PUT A SERIOUS DENT INTO A FAMILY'S FINANCES, AND SOMETIMES, TAKING A DAY OFF WORK, OR EVEN A HALF DAY, CAN PUT A PARENT'S JOB IN JEOPARDY. WITH TELEMEDICINE, FREEMAN NEOSHO BRINGS THE DOCTOR TO THE SCHOOL-VIRTUALLY-AND GETS CHILDREN THE MEDICAL ATTENTION THEY NEED WITHOUT TAKING THEM OUT OF SCHOOL OR DRAGGING THEIR PARENTS AWAY FROM THE WORKPLACE. FREEMAN NEOSHO HOSPITAL SUPPORTED MANY COMMUNITY BENEFIT ENDEAVORS, BENEFICIARIES INCLUDED: * 04/03/23 CITY OF NEOSHO - PARTNER EVENT SPONSORSHIP FOR YEARLY EVENTS IN NEOSHO $1,000 * 04/03/23 2ND ANNUAL NEWTON MCDONALD COUNTY ASSOCIATION OF REALTORS GOLF TOURNAMENT HOLE SPONSOR $125 * 04/25/23 CROWDER INDUSTRIES - SPECIAL EVENTS SPONSOR $300 * 05/31/23 MCDONALD COUNTY CHAMBER OF COMMERCE STATE OF THE COUNTY LUNCHEON $50.00 * 06/13/23 AMERICAN CANCER SOCIETY - RELAY FOR LIFE BRONZE SPONSORSHIP $500 * 06/13/23 NEOSHO LIONS CLUB - ANNUAL PANCAKE FEED SPONSORSHIP $200 * 07/06/23 BRIGHT FUTURES - NEOSHO WILDCAT PARTNER FOR BRIGHT FUTURES $1,000.00 * 08/22/23 NEOSHO CHRISTIAN SCHOOL AUTUMNFEST OF THE OZARKS SILVER SPONSOR $150 * 08/28/23 NEOSHO ARTS COUNCIL - ARTCON 2023 LEGION OF PATRONS SPONSOR $100 * 11/06/23 MCDONALD COUNTY SHERIFF - 2023 SHOP WITH A HERO SPONSORSHIP $200 * 11/07/23 NEWTON COUNTY FOOD BASKET BRIGADE, INC. $250 * 11/21/23 2023 HOLIDAY CLASSIC PLATINUM SPONSORSHIP $2,500.00 * 11/29/23 EAST NEWTON R-6 SCHOOLS CHARITABLE FOUNDATION CONTRIBUTION $1,000 * 01/04/24 NEOSHO AREA BUSINESS & INDUSTRIAL FOUNDATION, INC. (NABIFI) $4,500 * 01/04/24 NEOSHO AREA CHAMBER OF COMMERCE SPONSORSHIPS $650 * 01/23/24 MCDONALD COUNTY SCHOOLS FOUNDATION - 10TH ANNUAL HEART OF EDUCATION BANQUET $400 FNH FY24 TOTAL: $346,258 CMA APPRENTICESHIP FREEMAN BEGAN OFFERING AN OPPORTUNITY FOR BOTH EDUCATION AND EMPLOYMENT THROUGH THE CERTIFIED MEDICAL ASSISTANT APPRENTICESHIP PROGRAM, A 16-WEEK PAID PROGRAM THAT BEGAN LAST YEAR. THE APPRENTICESHIP ENABLES STUDENTS TO EARN A SUSTAINABLE WAGE WHILE ATTENDING SCHOOL, INCURRING LITTLE OR NO STUDENT DEBT IN THE PROCESS. ELIGIBILITY PARTNERS FREEMAN'S EXPANDED ELIGIBILITY PARTNERS IS REACHING MORE RURAL AREAS, IN ADDITION TO THE JOPLIN METRO AREA. WITH AN OFFICE AT FREEMAN NEOSHO HOSPITAL, PERSONS APPLYING FOR NEWLY EXPANDED MEDICAID COVERAGE OR MARKETPLACE COVERAGE FOUND HELP FROM TRAINED, UNBIASED EXPERTS. ADDITIONALLY, ELIGIBILITY PARTNERS STAFF ALSO WORK WITH REFUGEE AND IMMIGRANT SERVICES AND EDUCATION (RAISE) TO CONNECT THOSE WITH LANGUAGE BARRIERS AND HELP THEM APPLY FOR MEDICAL COVERAGE. THE ELIGIBILITY PARTNERS TEAM WAS INSTRUMENTAL IN THE EXPANSION OF MISSOURI MEDICAID TO FREEMAN'S MICRONESIAN POPULATION, A HUGE FEAT. THE MICRONESIAN POPULATION IN RURAL NEWTON COUNTY HAD BEEN WRITTEN OUT OF MISSOURI MEDICAID PROGRAMS AND WERE DISQUALIFIED BY THE STATE PROGRAMS EVEN THOUGH THEY WERE LEGALLY IN THE UNITED STATES. BUT THROUGH COMMUNITY OUTREACH AND PARTNERING WITH A MICRONESIAN CHURCH IN NEOSHO, ELIGIBILITY PARTNERS WAS ABLE TO PROVE THE NEED AND REVERSE THE CARVING OUT OF MICRONESIANS FROM MISSOURI MEDICAID. FREEMAN FAMILY YMCA FREEMAN NEOSHO'S SUPPORT OF THE NEOSHO FREEMAN FAMILY YMCA DATES BACK TO 2001 WHEN FREEMAN DONATED $1 MILLION TO CONSTRUCT THE YMCA, AND THAT SUPPORT CONTINUES TODAY WITH A THREE-PHASE PROJECT THAT EXPANDS YOUTH DEVELOPMENT, PROMOTES HEALTHY LIVING, AND ENHANCES TOOLS TO SUPPORT WELLNESS PLANS. FREEMAN'S DONATION FOR PHASE ONE SPECIFICALLY SUPPORTS ENHANCING THE LOBBY EXPERIENCE BY CREATING SPACE FOR SOCIALIZING AND CONNECTING TO YOUTH, BASED ON THEIR INTERESTS, WHILE PROVIDING A SAFE PLACE FOR YOUNG PEOPLE TO GROW AND ENGAGE. GRADUATE MEDICAL EDUCATION FREEMAN NEOSHO HOSPITAL PROVIDES A TRAINING GROUND FOR FUTURE DOCTORS THROUGH THE FAMILY MEDICINE RESIDENCY THAT FREEMAN RUNS IN AFFILIATION WITH KANSAS CITY UNIVERSITY OF MEDICINE. KCU-JOPLIN ACKNOWLEDGES FREEMAN HEALTH SYSTEM AS ITS ACADEMIC CENTER, AND FREEMAN PROUDLY BUILDS ON A TRADITION OF PHYSICIAN-EDUCATION IN NEOSHO. Form 990, Part III, Line 4a OUTPATIENT SERVICES OUTPATIENT - PHYSICIAN CLINICS PATIENTS IN RURAL AREAS OF SOUTHWEST MISSOURI CAN ACCESS A WIDE VARIETY OF PRIMARY AND SPECIALTY CARE SERVICES AT THE PHYSICIAN BUILDING ACROSS FROM FREEMAN NEOSHO HOSPITAL. ADDITIONALLY, PATIENTS LIVING OUTSIDE NEOSHO CAN ACCESS PHYSICIAN SERVICES AT FREEMAN CLINIC OF ANDERSON AND FREEMAN SENECA FAMILY MEDICINE. MOST RECENTLY, FREEMAN NEOSHO HAS BEEN SERVING THE COMMUNITY THROUGH THE FAMILY MEDICINE RESIDENCY CLINIC, WHICH IS HELPING TO FILL THE NEED FOR PRIMARY CARE IN RURAL SOUTHWEST MISSOURI. GRADUATE MEDICAL EDUCATION IN COOPERATION WITH FREEMAN GRADUATE EDUCATION, FREEMAN NEOSHO IS PROVIDING A TRAINING GROUND FOR GRADUATE PHYSICIANS STUDYING FAMILY MEDICINE. IN THE FAMILY MEDICINE RESIDENCY PROGRAM, FREEMAN PHYSICIANS WORK CLOSELY WITH RESIDENT FAMILY MEDICINE DOCTORS. SOUTHWEST MISSOURI IS CONSIDERED TO BE MEDICALLY UNDERSERVED, MEANING IT DOESN'T HAVE ENOUGH DOCTORS. THIS RESIDENCY PROGRAM HAS THE POTENTIAL TO BRING MANY NEW PRIMARY CARE PHYSICIANS TO SOUTHWEST MISSOURI, AND PROVIDES A GREAT COMMUNITY BENEFIT. 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. WITH LOCATIONS IN NEOSHO AND ANDERSON, THE NEOSHO PROGRAM OFFERS MANY OF THE SAME SERVICES AS THE JOPLIN PROGRAM (PHYSICAL THERAPY, OCCUPATIONAL THERAPY, ETC.). HOWEVER, VESTIBULAR REHABILITATION THERAPY (TO IMPROVE BALANCE AND REDUCE PROBLEMS RELATED TO DIZZINESS) IS AVAILABLE ONLY AT THE NEOSHO AND ANDERSON LOCATIONS. PLANS ARE UNDERWAY FOR FREEMAN NEOSHO REHABILITATION, A NEW 8,300-SQUARE-FOOT BUILDING DEDICATED TO PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND MORE. IT WILL EXPAND THE TYPES OF SERVICES WE CAN OFFER, AND IT WILL ADD STATE-OF-THE-ART TOOLS AND TECHNOLOGIES, SUCH AS A HYDROWORX FREESTANDING POOL FOR AQUATIC THERAPY AND A TOP LINE OF GAME-CHANGING STRENGTH-TRAINING EQUIPMENT. FREEMAN NEOSHO REHABILITATION WILL HELP INDIVIDUALS OF ALL AGES RETURN TO THEIR EVERYDAY ACTIVITIES AFTER AN INJURY, SURGERY, OR ILLNESS. FREEMAN NEOSHO HOSPITAL HAS OFFERED PHYSICAL THERAPY SERVICES FOR DECADES, MAKING CONVENIENT CARE MORE READILY AVAILABLE TO PEOPLE IN NEOSHO AND RURAL SOUTHWEST MISSOURI. OUTPATIENT - RETAIL SERVICES OTHER OUTPATIENT SERVICES INCLUDE A FREEMAN QUICKMEDS PHARMACY AND FREEMAN HEALTH ESSENTIALS DURABLE MEDICAL EQUIPMENT. OUTPATIENT - THERAPEUTIC SERVICES FREEMAN NEOSHO PROVIDES ACCESS TO OUTPATIENT CARDIAC REHABILITATION AND INFUSION TREATMENTS THROUGH THE LA-Z-BOY THERAPEUTIC CENTER. OUTPATIENT - WOMEN'S HEALTH FREEMAN NEOSHO WOMEN'S PAVILION WAS ESTABLISHED TO PROVIDE THE COMMUNITY WITH STATE-OF-THE-ART DIGITAL MAMMOGRAPHY AND DIAGNOSTIC TOOLS. DIGITAL MAMMOGRAPHY USES COMPRESSION AND X-RAYS TO EXAMINE BREAST TISSUE, CAPTURING A DIGITAL IMAGE ON A COMPUTER. Form 990, Part III, Line 4b INPATIENT SERVICES INPATIENT - GENERAL SURGERY FREEMAN NEOSHO CONTINUES TO PROVIDE GENERAL SURGERY SERVICES SO PATIENTS DO NOT HAVE TO TRAVEL OUT OF TOWN FOR SURGERIES-INCLUDING MINIMALLY INVASIVE SURGERIES-THAT COVER A WIDE RANGE OF CONCERNS OR PROBLEMS. INPATIENT - CRITICAL CARE PATIENTS RELY ON THE FREEMAN NEOSHO INTENSIVE CARE UNIT (ICU) FOR LIFESAVING TREATMENT. IN THIS FOUR-BED ICU, PHYSICIANS OVERSEE THE CARE OF CRITICALLY ILL PATIENTS. FREEMAN'S SPECIALIZED TEAM OF PHYSICIANS, NURSES, RESPIRATORY THERAPISTS, AND TELEMETRY MONITOR TECHS PROVIDES EXCEPTIONAL CARE AND AROUND-THE-CLOCK MONITORING OF PATIENTS NEEDING A HIGHER LEVEL OF ACUTE CARE. Form 990, Part III, Line 4c EMERGENCY ROOM/TRAUMA SERVICES EMERGENCY DEPARTMENT WITH AN EMERGENCY ROOM STAFFED 24 HOURS A DAY BY EXPERIENCED EMERGENCY ROOM PHYSICIANS, FREEMAN NEOSHO EMERGENCY SERVICES PROVIDES A LIFELINE WHEN MEDICAL EMERGENCIES ARISE TO PEOPLE IN RURAL SOUTHWESTERN MISSOURI. MEDFLIGHT AMBULANCE PROVIDES EMERGENCY TRANSPORT SERVICES TO AND FROM FREEMAN NEOSHO HOSPITAL. FREEMAN NEOSHO HOSPITAL'S EMERGENCY DEPARTMENT HAS NINE BEDS, ONE OF WHICH IS IN A FAST-TRACK ROOM INTENDED FOR THE LESS ACUTELY ILL OR INJURED. ACCORDING TO DATA FROM MISSOURI HOSPITAL ASSOCIATION, FREEMAN NEOSHO HAS ONE OF THE STATE'S BUSIEST EMERGENCY ROOMS FOR CRITICAL ACCESS HOSPITALS. FREEMAN NEOSHO HOSPITAL RECENTLY COMPLETED MAJOR RENOVATIONS TO ITS EMERGENCY DEPARTMENT. THESE RENOVATIONS FOCUS ON THE PROTECTION OF PATIENTS AND STAFF FROM AIR-BORNE PATHOGENS, AND THEY ALSO HELP IMPROVE CARE AND SERVICE TO PATIENTS AND THEIR FAMILIES. THE FLOOR-TO-CEILING RENOVATION INCLUDES THE ADDITION OF THREE NEW NEGATIVE PRESSURE ISOLATION ROOMS, A NEGATIVE PRESSURE TRIAGE SCREENING ROOM, A NEW NURSES STATION, NEW CABINETS AND NEW WORK SURFACES, CENTRALIZED STORAGE, GLASS ENCLOSURES, AND NEW PAINT, FLOORS, AND CEILINGS. ADDITIONALLY NEGATIVE PRESSURE ROOMS WERE ADDED TO THE ICU AND MEDICAL SURGERY AREAS DURING THIS PROJECT. Form 990, Part III, Line 4d Description of other program services (Expenses $ 7,950 including grants of $ 7,950) FREEMAN NEOSHO HOSPITAL PROVIDED CONTRIBUTIONS TO LOCAL ORGANIZATION. Form 990, Part VI, Line 6 7a & 7b; MEMBERS/STOCKHOLDERS/OTHER PERSONS FREEMAN HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. DIRECTORS AND OFFICERS OF THE ORGANIZATION ARE APPOINTED AND REMOVED BY THE ORGANIZATION'S SOLE MEMBER. THE BOARD OF FREEMAN NEOSHO HOSPITAL MUST OBTAIN APPROVAL FROM THE ORGANIZATION'S SOLE MEMBER, FREEMAN HEALTH SYSTEM, TO PERFORM CERTAIN ACTIONS. THESE ACTIONS INCLUDE: ALL GOVERNANCE DECISIONS OF INTEREST TO THE MEMBER AFFECTING THE OPERATION OF THE CORPORATION; APPOINTMENT REVIEW AND REMOVAL OF THE ADMINISTRATOR; DEVELOPMENT AND ADOPTION OF STRATEGIC PLANS, BUDGET AND FISCAL POLICY; APPROVAL OF ANY FINANCING OR REFINANCING PLANS; ANY INVESTMENT OF THE ORGANIZATION'S FUNDS; APPOINTMENT AND REMOVAL OF DIRECTORS OF SUBSIDIARIES; AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS OR ANY POLICIES, RULES, AND REGULATIONS PERTAINING TO THE MEDICAL STAFF; THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY OR ASSETS; TAKING ANY ACTION THAT WOULD AFFECT THE EXISTENCE OF THE CORPORATION, INCLUDING MERGER, CONSOLIDATION, AFFILIATION, OR DISSOLUTION; ADOPTION OR AMENDMENT OF ANY CORPORATE COMPLIANCE PROGRAM; AND ANY OTHER MATTER THAT BY LAW REQUIRES THE APPROVAL OF MEMBERS OF A NONPROFIT CORPORATION. Form 990, Part VI, Line 15 FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED) EXECUTIVE COMPENSATION COMMITTEE CHARTER THIS EXECUTIVE COMPENSATION COMMITTEE CHARTER WAS ADOPTED BY THE BOARD OF DIRECTORS (THE "BOARD") OF FREEMAN HEALTH SYSTEM (HEREAFTER "FHS") ON APRIL 25, 2008. THIS CHARTER APPLIES TO FHS AND ALL OF ITS BUSINESS ENTITIES, INCLUDING FREEMAN NEOSHO HOSPITAL, OZARK CENTER, AND THE FREEMAN FOUNDATION (HEREAFTER THE "SYSTEM"). THIS CHARTER IS A COMPONENT OF THE FLEXIBLE FRAMEWORK WITHIN WHICH THE BOARD, ASSISTED BY ITS COMMITTEES, DIRECTS THE AFFAIRS OF FHS. WHILE THE CHARTER SHOULD BE INTERPRETED IN THE CONTEXT OF ALL APPLICABLE LAWS AND REGULATIONS, AS WELL AS IN THE CONTENT 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, CONSULTATIONS, 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 THIS 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 NONEMPLOYEE" MEMBER OF A SYSTEM BOARD. THE FHS BOARD WILL APPOINT A COMMITTEE CHAIR TO CONVENE ALL SESSIONS, SET AGENDAS FOR MEETINGS, AND DETERMINE THE INFORMATION NEEDS OF THE COMMITTEE. BEFORE DEBATING AND VOTING ON ANY COMPENSATION ARRANGEMENT, EACH MEMBER SHALL DETERMINE WHETHER HE OR SHE HAS A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENT. ANY MEMBER WITH A CONFLICT OF INTEREST REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION SHALL RECUSE HIMSELF OR HERSELF FROM THE DISCUSSION AND SHALL NOT VOTE ON THE PENDING COMPENSATION ARRANGEMENT OR TRANSACTION. III. COMMITTEE SUPPORT STAFF THE COMMITTEE SHALL BE ASSISTED IN FULFILLING ITS DUTIES AND RESPONSIBILITIES BY AN 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 SERVICE AS A SUPPORT STAFF MEMBER. 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 FROM 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 THE 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'S 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 SANCTION 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 THEIR 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. Form 990, Part VI, Line 15 FREEMAN HEALTH SYSTEM COMPENSATION REVIEW EXECUTIVE COMPENSATION PHILOSOPHY AND 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 THEIR 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 AREINDEPENDENT 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 HE 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 NOTFOR-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 - 7 YEARS OF EXECUTIVE LEVEL EXPERIENCE) WHO CONSISTENTLY MEET FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 90 TO 110 PERCENT OF THE 50TH PERCENTILE. *EXPERIENCED EXECUTIVES (WITH MORE THAN 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY EXCEED FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 110 TO 120 PERCENT OF THE 50TH PERCENTILE. -TOTAL CASH COMPENSATION: THE GOAL OF THIS COMPONENT IS TO PAY UP TO THE 75TH PERCENTILE OF MARKET TOTAL CASH COMPENSATION WHEN EXCEPTIONAL PERFORMANCE IS ACHIEVED. TOTAL CASH COMPENSATION INCLUDES BASE SALARIES AND LUMP-SUM AWARDS FROM FHS'S EXECUTIVE AT RISK COMPENSATION PLAN(S). ACTUAL TOTAL CASH COMPENSATION WILL REFLECT EXECUTIVES' CURRENT SALARIES, INDIVIDUAL PERFORMANCE AND CONTRIBUTIONS, AND THE ORGANIZATION'S PERFORMANCE. -EXECUTIVE BENEFITS: FHS TARGETS EXECUTIVE BENEFITS (STANDARD BENEFITS PLUS SUPPLEMENTAL EXECUTIVE BENEFITS AND PERQUISITES) AT THE 50TH PERCENTILE OF EXECUTIVE BENEFITS PROVIDED IN THE HEALTHCARE MARKET. -SEVERANCE: FHS TARGETS EXECUTIVE SEVERANCE AT THE 50TH PERCENTILE OF CURRENT HEALTHCARE MARKET PRACTICES. OTHER BUSINESS JUDGEMENT 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 PROCESS. 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, A DRAFT OF THE FORM 990 IS REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE A FINAL DRAFT IS READY, A POWER POINT PRESENTATION IS MADE TO THE BOARD MEMBERS AT THE BOARD OF DIRECTORS MEETING TO EXPLAIN THE 990 AND ITS USES. THE BOARD REVIEWS THE DOCUMENT FOR KEY INFORMATION INCLUDED. PAPER COPIES ARE MADE AVAILABLE TO THE BOARD MEMBERS AT THEIR REQUEST. Form 990, Part VI, 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. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NET ASSETS OF AFFILIATES - 4313; FORM 990, PART I, LINE 1 ORGANIZATION'S VISION VISION - TO BE THE LEADING PROVIDER OF PATIENT CENTERED, PHYSICIAN DIRECTED HEALTHCARE IN AN ENVIRONMENT OF COMPASSION AND TRUST, SUPPORTED BY DEDICATED EMPLOYEES WITH A DESIRE TO PROVIDE EXCELLENCE IN CARE AND SERVICE. FREEMAN HEALTH SYSTEM 1102 W 32ND STREET JOPLIN MO 64804 431704371 HOSPITAL MO 501(c)(3) 3 NA false OZARK CENTER 1105 E 32ND ST JOPLIN MO 64804 430821959 BEHAVIORAL HEALTH MO 501(c)(3) 10 FREEMAN HEALTH SYSTEM false MAGNOLIA HEIGHTS HOUSING CORPORATION 1820 WEST 30TH STREET JOPLIN MO 64804 470950622 HUD HOUSING MO 501(c)(3) Type I OZARK CENTER false CEDAR HILL HOUSING CORPORATION 1807 WEST 30TH STREET JOPLIN MO 64804 470943557 HUD HOUSING MO 501(c)(3) Type I OZARK CENTER false POPLAR PLACE HOUSING CORPORATION 2540 WEST 32ND STREET JOPLIN MO 64804 900462595 HUD HOUSING MO 501(c)(3) Type I OZARK CENTER false Freeman Surgical Center LLC 811 W 34th Street Joplin MO 65804 262652980 Ambulatory Surgery MO Freeman Health System false false false false false true false false false false false true true true true true true true true false false