2026-02-15T18:42:50+00:00 2025-03-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-04-01 431240629 FREEMAN NEOSHO HOSPITAL INC FREE 4173471111 113 W HICKORY NEOSHO MO 64850 MATTHEW FRY CFO 4173471111 2026-02-16 true true Brian Todd P00422601 4178658701 2023-08-09 2024 2025-03-06 01:10:19Z MATTHEW FRY 113 W HICKORY NEOSHO MO 64850 57265778 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 6 283 15 0 99924 38890 34291727 34827856 2581715 5115889 54729 147082 37028095 40129717 7950 47340 0 19335181 19973274 0 0 12597242 12859939 31940373 32880553 5087722 7249164 90572258 100031854 5029180 7163272 85543078 92868582 X TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. false false 19102882 0 22892018 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 4169656 0 4589659 Freeman Neosho Hospital provides intensive care, general care, and swing-bed inpatient services. Freeman Neosho inpatient services totaled 689 cases, of which, 99, or 14.4%, were Medicaid cases. Additionally, 31 inpatient cases, or 4.5% of the total, fell into the self-pay (no insurance) category. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 3634030 0 7346179 THE FREEMAN NEOSHO EMERGENCY DEPARTMENT TREATED 12,615 CASES, OF WHICH 4,462 WERE MEDICAID CASES, REPRESENTING 35.4% OF THE TOTAL EMERGENCY ROOM VOLUME. IN ADDITION, THE EMERGENCY ROOM TREATED 1,720 CASES, OR 13.6%, THAT WERE SELF-PAY (NO INSURANCE). SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 47340 47340 0 FREEMAN NEOSHO HOSPITAL PROVIDED CONTRIBUTIONS TO LOCAL ORGANIZATION. 47340 47340 26953908 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true false false false false true 0 0 283 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 false true true true true true true true true false false X STEVE GRADDY 4173471111 1102 WEST 32ND STREET JOPLIN MO 64804 Dr Larry Barnes Physician/Secretary 40.0 0.0 X X 253321 0 30152 Mitch McCumber Vice Chairman 1.0 1.0 X X 0 0 0 Paula Baker President and CEO 6.0 61.5 X X 414954 1659816 40985 Rudy Farber Chairman 1.0 0.0 X X 0 0 0 Dr Brady Hesington MD Physician/Director 40.0 0.0 X 384005 0 41266 Dr Craig Pendergrass DO 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 Renee Denton Chief Operating Officer 60.0 0.0 X 220561 0 40060 Steve Graddy CFO 10.0 50.0 X 143127 715633 34194 Adam James Field DO Physician 60.0 0.0 X 318298 0 35057 Benjamin Hogan Cesarz DO Physician 40.0 2.0 X 452765 0 20179 Douglas McDonald DO Physician 31.0 30.0 X 650197 0 44330 Matthew T Walter MD Physician 60.0 0.0 X 431613 0 20267 Michael Jay Pace DO Physician 60.0 0.0 X 482192 0 17405 3751033 2375449 323895 30 false true false 0 38890 38890 PATIENT SERVICES 900099 33456127 33456127 PHARMACY 456110 1243054 1243054 CAFETERIA & VENDING 722514 92505 92505 OTHER REVENUE 900099 36170 36170 0 0 0 0 34827856 2019496 2019496 171797 24715 147082 0 147082 147082 20207739 17111346 3096393 0 3096393 3096393 0 0 0 0 0 40129717 34827856 0 5262971 47340 47340 1541342 1280721 260621 15126783 14365576 761207 289956 277823 12133 1958193 1833303 124890 1057000 989755 67245 58168 58168 1233469 978137 255332 0 165290 1378 163912 4411303 720158 3691145 14749 697 14052 761246 676589 84657 92460 79077 13383 24185 22263 1922 6026 5241 785 1200934 1044452 156482 546099 354271 191828 MEDICAL SUPPLIES & DRUGS 3114415 3114415 PROVIDER TAX 1141322 1141322 LICENSES, DUES, SUBSCRIPTION 84758 20896 63862 MISCELLANEOUS 5515 494 5021 0 0 0 0 32880553 26953908 5926645 0 1088960 1203918 236996 280533 4235622 4195562 0 0 0 0 464742 428071 194734 185378 27787308 18186644 9276686 9600664 72502107 80335569 0 0 664703 664703 1907708 3137456 90572258 100031854 655733 186497 333333 0 0 192429 100532 3847685 6876243 5029180 7163272 X 85543078 92868582 85543078 92868582 90572258 100031854 X 7249164 -619502 695842 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 30063 30063 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 14120951 9865225 4255726 11769810 8163551 3606259 904077 157868 746209 9600664 Federal Income Taxes EST SELF INSURANCE COSTS 100000 EST AMT DUE TO 3RD PARTY 6766023 LEASE LIABILITY 10220 6876243 39436762 -619502 -40000 -659502 40096264 58168 -24715 33453 40129717 32807100 24715 24715 32782385 58168 40000 98168 32880553 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. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 CONTRIBUTIONS FOR COMMUNITY BUILDING - -40000 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EXPENSES - -24715 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 24715 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements CONTRIBUTIONS FOR COMMUNITY BUILDING - 40000 true true X true X true X 1367976 0 1367976 0.04160 7361549 8961122 0 0.0 0 0 0 0.0 0 0 8729525 8961122 1367976 0.04160 0 0.0 0 0.0 200445 60558 139887 0.00425 0 0.0 45000 45000 0.00137 0 0 245445 60558 184887 0.00562 0 0 8974970 9021680 1552863 0.04723 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 3822453 180038 6718794 6672221 46573 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 24 true true true true X https://www.freemanhealth.com/about-us https://www.ozarkshealthcommission.org/ true 24 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 NEOSHO HOSPITAL. Freeman Health System participated in the 2025 Tri-State Community Health Needs Assessment (CHNA) through the Ozarks Health Commission (OHC), continuing its collaborative, data-driven approach. The CHNA process included: Community Surveys: Broad participation across all 10 counties in the Tri-State region, capturing quantitative data on health behaviors and barriers. Focus Groups & Interviews: Qualitative input from key stakeholders, including public health agencies, schools, nonprofits, and faith-based organizations. Secondary Data Review: Public health metrics and social determinants of health indicators for Missouri, Kansas, and Oklahoma counties. Primary Data Analysis: Hospital utilization and emergency department data from participating health systems. Freeman representatives served on the OHC Steering Committee and provided leadership in prioritizing health needs. Engagement included local coalitions such as Jasper-Newton County Health Collaborative, One Joplin, and Care Partner Network, ensuring diverse community voices were incorporated. 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: - JOPLIN CITY HEALTH DEPARTMENT - JASPER COUNTY HEALTH DEPARTMENT - NEWTON COUNTY HEALTH DEPARTMENT - MCDONALD COUNTY HEALTH DEPARTMENT - BARTON COUNTY HEALTH DEPARTMENT - VERNON COUNTY HEALTH DEPARTMENT - CHEROKEE COUNTY HEALTH DEPARTMENT - CRAWFORD COUNTY HEALTH DEPARTMENT - LABETTE COUNTY HEALTH DEPARTMENT - DELAWARE COUNTY HEALTH DEPARTMENT - OTTAWA 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, FREEMAN FORT SCOTT HOSPITAL, AND OZARK CENTER. AT THE ORGANIZATIONAL LEVEL, FREEMAN HEALTH SYSTEM HAS ADOPTED FOUR PRIORITIZED HEALTH NEEDS FOR ITS COMMUNITY HEALTH IMPLEMENTATION PLAN FOR THE PERIOD 1/1/2025 THROUGH 12/31/2028. ACCESS TO CARE - INCREASE ACCESS TO HEALTH SERVICES BY ENHANCING HEALTH PROFESSIONAL EDUCATION, RECRUITMENT AND RETENTION EFFORTS. BEHAVIORAL HEALTH - DECREASE THE LONG-TERM INCIDENCE OF BEHAVIORAL HEALTH CONDITIONS USING ONGOING PREVENTION, DETECTION, AND TREATMENT STRATEGIES. CHRONIC DISEASE - DECREASE THE LONG-TERM INCIDENCE OF CHRONIC DISEASES USING ONGOING PREVENTION, DETECTION, AND TREATMENT STRATEGIES. NUTRITION & PHYSICAL ACTIVITY - DECREASE THE LONG-TERM INCIDENCE OF CHRONIC DISEASES USING STRATEGIES THAT PROMOTE NUTRITION AND PHYSICAL ACTIVITY. 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, 2025. 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 15.2% AND THE AVERAGE UNINSURED POPULATION FOR FREEMAN NEOSHO'S PRIMARY SERVICE AREA IS 17.3%. FREEMAN HOSPITAL-JOPLIN IDENTIFIED 3.1% OF ITS GROSS HOSPITAL REVENUE OR BILLINGS COMING FROM UNINSURED PATIENTS. FREEMAN NEOSHO IDENTIFIED 7.1% 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 Freeman Health System conducts a comprehensive, triennial Community Health Needs Assessment (CHNA) in collaboration with the Ozarks Health Commission (OHC), using a systematic, data-driven process to identify and prioritize health needs across its 10-county service area in Missouri, Kansas, and Oklahoma. Freeman is a founding stakeholder in the OHC and actively participates in steering committees and subcommittees that analyze primary hospital data, secondary public health metrics, and community feedback. The 2025 CHNA incorporated multiple levels of input, including consumer surveys, stakeholder interviews, and focus groups, ensuring representation from health systems, public health agencies, schools, nonprofits, tribal communities, and vulnerable populations. This process reflects Freeman's commitment to health equity and addressing social determinants of health that impact access and outcomes. In addition to the CHNA, Freeman reviews studies from local health departments and integrates findings into its strategic plan, aligning community outreach and educational programs with identified needs. The 2025 CHNA identified four prioritized health needs for 2025-2028: Chronic Disease (including heart disease, diabetes, and lung disease) Behavioral Health (mental health and substance use) Nutrition & Physical Activity Access to Care Key metrics underscore the urgency of these priorities: Adult obesity rate of 34%, exceeding state and national averages; 19% of adults report poor mental health; suicide mortality rate is 18.96 per 100,000 population; Primary care provider availability is 74.24 per 100,000 population, below benchmarks. Freeman's implementation strategies include expanding telehealth for rural residents, launching a family medicine residency program to address provider shortages, and opening Freeman Fort Scott Hospital to restore emergency and inpatient services. Additional initiatives target pediatric obesity treatment, school-based behavioral health services, and partnerships with Missouri Council for Activity and Nutrition (MOCAN) to promote workplace wellness programs. Freeman collaborates intentionally with local, regional, and state partners, including Jasper-Newton County Health Collaborative, McDonald County Health Coalition, One Joplin, Care Partner Network, and Southwest Missouri School-Based Health Network. These partnerships leverage resources to address health-related social needs and improve access to care. Freeman leaders also serve on boards and community organizations, maintaining ongoing engagement to monitor emerging needs and adapt strategies accordingly. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Freeman communicates information about financial assistance, or charity care, options for patients by posting posters and flyers at admitting desks, including messaging on bills, statements, and envelopes sent to patients, on signs posted in Freeman Patient Accounts and Admissions public areas, and posting financial assistance applications in English and Spanish on its website. Educational opportunities to assure the community is aware of financial assistance programs include: - Admissions staff members interview patients to provide education on available benefits, including state and federal assistance resources. - Continually educating employees regarding its financial assistance policy so they can help customers learn about available resources. - The Eligibility Partners program helps patients explore resources for financial assistance and affordable medical coverage and they advocate on behalf of patients to seek out opportunities for medical financial coverage, and support the community through education, resources, and eligibility assistance. - Freeman works with 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. 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 260,459*. Freeman's secondary service area includes six additional, largely rural counties in Southwest Missouri, Southeast Kansas, and Northeast Oklahoma, with a combined population of 147,425*. 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 (Joplin) that serves a wide-ranging rural area in four states. 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. Joplin has a population of more than 50,000, and 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. * U.S. Census Bureau estimates July 2024 **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 are reinvested into the health system or in improving the health of the communities served. 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, 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 works to improve the health of the community through a variety of community service programs both inside and outside the organization. Freeman provides financial support for 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 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 Orthopedics & 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. 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, Freeman Fort Scott, and Ozark Center, which provides comprehensive behavioral health services. Freeman is not affiliated with another healthcare system. State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report. Freeman Health System is incorporated in the State of Missouri and files a community benefit report in Missouri. Schedule H, Part VI, Line 7 State filing of community benefit report MO true NEOSHO AREA HABITAT FOR HUMANITY PO BOX 841 NEOSHO MO 64850 431692842 501(C)(3) 40000 Support 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds DURING THE FISCAL YEAR, FREEMAN NEOSHO HOSPITAL PROVIDED FINANCIAL ASSISTANCE TO LOCAL CHARITABLE ORGANIZATIONS WITH WHICH IT MAINTAINS AN ONGOING RELATIONSHIP. THE HOSPITAL COLLABORATES CLOSELY WITH THESE ORGANIZATIONS AND MONITORS THE USE OF GRANT FUNDS TO ENSURE THEY ARE APPLIED AS INTENDED. X X X X X false false false false false true true false false Dr Larry Barnes Physician/Secretary 152375 0 47446 0 53500 0 7798 0 22354 0 283473 0 0 0 Paula Baker President and CEO 298993 1195971 105261 421045 10700 42800 2070 8280 6127 24508 423151 1692604 0 0 Dr Brady Hesington MD Physician/Director 312801 0 47164 0 24040 0 10350 0 30916 0 425271 0 0 0 Steve Graddy CFO 109311 546552 29223 146114 4593 22967 1725 8625 3974 19870 148826 744128 0 0 Renee Denton Chief Operating Officer 160726 0 36258 0 23577 0 6968 0 33092 0 260621 0 0 0 Adam James Field DO Physician 281707 0 16000 0 20591 0 9706 0 25351 0 353355 0 0 0 Benjamin Hogan Cesarz DO Physician 421647 0 31118 0 0 0 10350 0 9829 0 472944 0 0 0 Douglas McDonald DO Physician 587844 0 39353 0 23000 0 10350 0 33980 0 694527 0 0 0 Matthew T Walter MD Physician 358246 0 19867 0 53500 0 10350 0 9917 0 451880 0 0 0 Michael Jay Pace DO Physician 443942 0 38250 0 0 0 0 0 17405 0 499597 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. 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 I, Line 1 Organization's Mission (Part 1 of 3) 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 four-hospital health system, Freeman provides comprehensive services including cancer care, heart care, orthopedics, 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 emergency medicine, Internal medicine, Otolaryngology, Family medicine, and Psychiatry (through Ozark Center). In 2025, 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 2025, the inaugural graduating class of Freeman Health System's Family Medicine Residency Program was celebrated. The graduating doctors, the three Neosho-based physicians first welcomed into the program Freeman operates in affiliation with Kansas City University of Medicine in 2022, were Dr. Terrence Kelly and Dr. Omar Rehman. Dr. Andrea Pelate, who devoted half of her clinical time this year to the Neosho clinic, was also honored during the June celebration. 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. In 2025, Freeman Health System was awarded a $2.1 million federal Health Resources and Services Administration (HRSA) grant to establish a Street Medicine Training Outreach program in Joplin, an innovative initiative that expands access to care for people experiencing homelessness in Joplin. The program is the first of its kind in the Freeman Health System service area. By 2028, if not sooner, 70 Freeman-trained family and internal medicine-trained resident physicians, working in month-long rotations during their three resident years, will be applying first-rate medical and behavioral health care to Joplin's unhoused persons in Joplin. When warranted, Freeman physicians will strap on backpacks and trek into the more rural areas of Joplin to directly help those in need. An estimated 600 unhoused individuals are currently living in Joplin. Coordinated Care Partnership This four-year project is focused on engaging patients without primary care physicians who visited the Freeman ED six-plus 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 was launched in 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 FY2025, Chaplains made 31,104 total visits and responded to 169 codes, 575 deaths, 116 priority one traumas/medicals, and 111 withdrawals of care. They made 4,550 visits to palliative patients and provided for Social Services to issue 251 vouchers or tokens for food, transportation, or fuel. In FY25, the Chaplains Fund provided a community benefit of $12,732.03 through assistance for prescriptions, meals and other issues to 100 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 FY25, Freeman pharmacy assistance totaled $1,854,658.50. Job Shadowing The Freeman job shadowing program enables students and community members to explore healthcare careers by shadowing caregivers. Through the program, members of our medical team share experience, advice and knowledge with participants. Students are encouraged to use their firsthand experiences at Freeman to help them make decisions about class choices, continuing education, and their career. Participating departments include: Anesthesiology, cancer (oncology), cardiology, cardiovascular operating room, cath lab, emergency department, general medical, infusion center, laboratory, occupational therapy, operating rooms/scrub technicians, orthopedics, pharmacy, physical therapy, physician assistants, QuickMeds Pharmacy, radiology, respiratory therapy, and social services. 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 FY25, Freeman Health System provided payroll and benefits totaling $370,500,000. Form 990, Part I, Line 1 Organization's Mission (Part 2 of 3) Nursing School Support In FY25, Freeman Auxiliary gave $16,000 to local nursing programs including Carthage Technical College, Crowder College, Fort Scott Community College, Franklin Technology Center, Labette Community College, Missouri Southern State University, Pittsburg State University, and Northeastern Oklahoma A&M. 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. Freeman Auxiliary Freeman Auxiliary raises funds and provides volunteer services to benefit patients, staff, visitors, and the community. 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 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 In the five short years since Freeman Health System entered into a school-based medicine partnerships with local school districts, the Freeman School Telemedicine program has expanded in FY25 to nine school districts representing more than 50 school locations and tens of thousands of students. School Telemedicine was first established in the Neosho and Seneca school districts before moving into Diamond, East Newton, Westview, McDonald County, Sarcoxie, Pierce City, and all 17 Joplin schools. 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. 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 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 (Missouri, Kansas, Oklahoma, and Arkansas). 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. Freeman Neosho Hospital supported many community benefit endeavors, contributing a total of FY23. 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. Form 990, Part I, Line 1 Organization's Mission (Part 3 of 3) 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 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, orthopedic 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. Form 990, Part III, Line 4a Outpatient Services Freeman Neosho offers outpatient services include emergency medicine, women's services, heart care, orthopedics, 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. 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 located directly 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 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. A ribbon-cutting ceremony was held in December for Freeman Neosho Rehabilitation, the new 8,300-square-foot building located at 346 S. Wood Street. The $3.6 million rehab center offers Neosho and Newton County residents unprecedented therapy capabilities when it comes to physical therapy, occupational therapy, speech therapy, and more. The newest addition to the Freeman Neosho Hospital campus expands the types of services Freeman can offer, such as the state-of-the-art HydroWorx freestanding pool for aquatic therapy and a top line of game-changing strength-training equipment. Freeman Neosho Rehabilitation helps 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 Freeman Neosho Hospital provides intensive care, general care, and swing-bed inpatient services. Freeman Neosho inpatient services totaled 689 cases, of which 99, or 14.4%, were Medicaid cases. Additionally, 31 inpatient cases, or 4.5% of the total, fell into the self-pay (no insurance) category. 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 Featured Program: Emergency Services The Freeman Neosho Emergency Department treated 12,615 cases, of which 4,462 were Medicaid cases, representing 35.4% of the total emergency room volume. In addition, the emergency room treated 1,720 cases, or 13.6%, that were self-pay (no insurance). 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 nurse's 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 $ 47,340 including grants of $ 47,340)(Revenue $ 0) 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 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 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 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 - 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 - 695842; Total - 695842; 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 FORT SCOTT HOSPITAL INC WOODLAND HILLS BLVD FORT SCOTT KS 66701 331234289 HOSPITAL KS 501(c)(3) 3 FREEMAN HEALTH SYSTEM 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