FREEMAN HEALTH SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: FREEMAN HEALTH SYSTEM (EIN 43-1704371)
Tax period: 2020-04-01 to 2021-03-31
Filed: 2022-02-10
IRS object ID: 202200419349301960
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-02-10T15:46:08-06:00	ReturnTs
Tax Period End	2021-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	431704371	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FREEMAN HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% STEVE GRADDY	InCareOfNm
Business Name Control	FREE	BusinessNameControlTxt
Phone	4173471111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1102 W 32ND STREET	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVE GRADDY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4173471111	PhoneNum
Signature	2021-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	STEVE	PersonFirstNm
Person Last	GRADDY	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAULA BAKER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1102 W 32ND STREET	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$674,158,385	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FREEMANHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1922	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	FREEMAN HEALTH SYSTEM PROVIDES WORLD-CLASS, COMPASSIONATE HEALTHCARE SERVICES WHERE IT MATTERS MOST, CLOSE TO HOME. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	4583	TotalEmployeeCnt
Total Volunteers	170	TotalVolunteersCnt
Total Gross UBI	$9,210,220	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,041,974	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,195,286	PYContributionsGrantsAmt
CY Contributions Grants	$17,818,830	CYContributionsGrantsAmt
PY Program Service Revenue	$558,797,928	PYProgramServiceRevenueAmt
CY Program Service Revenue	$564,178,641	CYProgramServiceRevenueAmt
PY Investment Income	$8,118,341	PYInvestmentIncomeAmt
CY Investment Income	$7,929,327	CYInvestmentIncomeAmt
PY Other Revenue	$4,033,870	PYOtherRevenueAmt
CY Other Revenue	$6,347,798	CYOtherRevenueAmt
PY Total Revenue	$572,145,425	PYTotalRevenueAmt
CY Total Revenue	$596,274,596	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,545,830	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,729,762	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$294,991,907	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$304,208,712	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$557,258	CYTotalFundraisingExpenseAmt
PY Other Expenses	$240,074,109	PYOtherExpensesAmt
CY Other Expenses	$250,979,987	CYOtherExpensesAmt
PY Total Expenses	$536,611,846	PYTotalExpensesAmt
CY Total Expenses	$557,918,461	CYTotalExpensesAmt
PY Revenues Less Expenses	$35,533,579	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,356,135	CYRevenuesLessExpensesAmt
Total Assets BOY	$542,526,560	TotalAssetsBOYAmt
Total Assets EOY	$748,525,518	TotalAssetsEOYAmt
Total Liabilities BOY	$182,909,622	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$272,455,599	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$359,616,938	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$476,069,919	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF FREEMAN HEALTH SERVICES IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$275,085,861	ExpenseAmt
Grant	$2,729,762	GrantAmt
Revenue	$312,895,533	RevenueAmt
Desc	FREEMAN OFFERS OUTPATIENT SERVICES INCLUDING CANCER CARE, EMERGENCY MEDICINE, WOMEN'S SERVICES, GASTROENTEROLOGY, DIALYSIS, WOUND CARE, NEUROLOGY, ORTHOPAEDICS, OTOLARYNGOLOGY, GERIATRIC CARE, PHARMACIES, WALK-IN CLINICS, HOME CARE, OCCUPATIONAL MEDICINE, OUTPATIENT SURGERY, REHABILITATION THERAPIES, HEART AND VASCULAR SERVICES, RADIOLOGY, LABORATORY SERVICES, AND MORE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$169,347,509	ExpenseAmt
Revenue	$192,505,060	RevenueAmt
Desc	THROUGH TWO JOPLIN HOSPITALS, FREEMAN PROVIDES A WIDE ARRAY OF INPATIENT SERVICES. FREEMAN PROVIDES SERVICES TO PATIENTS THROUGH GENERAL MEDICAL, GENERAL SURGERY, ORTHOPAEDIC, NEUROSURGERY, CARDIOVASCULAR, CARDIAC/MEDICAL, ONCOLOGY, CRITICAL CARE (INTENSIVE AND TRANSITIONAL), NICU (NEONATAL ICU), MATERNAL, PEDIATRIC, PSYCHIATRIC, GERIATRIC PSYCHIATRIC AND PHYSICAL REHABILITATION UNITS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$28,063,270	ExpenseAmt
Revenue	$58,778,048	RevenueAmt
Desc	FREEMAN HEART & VASCULAR INSTITUTE IS RANKED AMONG THE NATION'S BEST FOR HEART ATTACK PATIENT CARE. IN FACT, FREEMAN IS ONE OF ONLY 124 HOSPITALS NATION-WIDE TO RECEIVE THE AMERICAN COLLEGE OF CARDIOLOGY NCDR CHEST PAIN - MI REGISTRY SILVER PERFORMANCE ACHIEVEMENT AWARD IN 2020. THE AWARD RECOGNIZES FREEMAN'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. THOSE STANDARDS ARE OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION CLINIC GUIDELINES AND RECOMMENDATIONS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$472,496,640	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	194	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4583	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	STEVE GRADDY	PersonNm
Phone	4173476678	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1102 WEST 32ND STREET	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
WILLIAM J NICHOLAS
PHYSICIAN	60.0	0.0	Yes (X)	$2,343,198	$0	$29,313
PAULA F BAKER
PRESIDENT AND CEO	54.0	13.5		$1,677,012	$419,253	$33,921	Yes (X)	Yes (X)
JOSHUA BALL
DIRECTOR	60.0	0.0		$1,961,907	$0	$36,723	Yes (X)
DARWIN JEYARAJ
PHYSICIAN	60.0	0.0	Yes (X)	$1,770,284	$0	$35,223
THOMAS B COY
PHYSICIAN	60.0	0.0	Yes (X)	$1,688,139	$0	$30,037
TODD J TWISS
PHYSICIAN	60.0	0.0	Yes (X)	$1,592,956	$0	$34,223
ROBERT STAUFFER
PHYSICIAN	60.0	0.0	Yes (X)	$1,473,460	$0	$29,745
JOHN M COX DO
DIRECTOR	60.0	0.0		$1,074,258	$0	$29,554	Yes (X)
STEVE GRADDY
CFO	50.0	10.0		$674,453	$134,891	$28,361		Yes (X)
DENNIS A ESTEP
CMO	60.0	0.0		$573,808	$0	$36,615		Yes (X)
JEFFREY MICHAEL CARRIER
CCO END 06/20	60.0	0.0		$480,788	$0	$34,302		Yes (X)
KEVIN P GAUDETTE
VP REVENUE CYCLE	60.0	0.0		$461,581	$0	$34,223			Yes (X)
LARRY MCINTIRE DO
DIRECTOR	60.0	0.0		$364,461	$0	$9,332	Yes (X)
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT	60.0	0.0		$319,898	$0	$32,420			Yes (X)
LEONARD T ROLLINS
CHIEF INFORMATION OFFICER	60.0	0.0		$269,293	$0	$33,911			Yes (X)
MARY A FRERER
CHIEF HUMAN RESOURCE OFFICER	60.0	0.0		$265,087	$0	$23,076			Yes (X)
MICHAEL B SANDERS
CONTROLLER	60.0	0.0		$254,883	$0	$26,644			Yes (X)
BRANDON C DAVIS
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
GLENN MITCH MCCUMBER
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
GLENN BROWN
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
J SCOTT BROTHERS
VICE CHAIR	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
JAMES FLEISCHAKER
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
JIM ARMSTRONG
SECRETARY/TREASURER	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
LANCE BESHORE PHD
CHAIR	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
MARK WILLIAMS
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
RODNEY MCFARLAND MD
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,245,466	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$554,144	TotReportableCompRltdOrgAmt
Total Other Compensation	$517,623	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	347	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CROTHALL SERVICES GROUP
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HOUSEKEEPING	$5,221,289
GATEWAY EMERGENCY PHYSICIANS LLP
PO BOX 677979	DALLAS	TX	752677979	HEALTHCARE SVCS	$3,964,753
MORRISON MGT SPECIALIST INC
2400 YORKMONT ROAD	CHARLOTTE	NC	28217	NUTRITION SERVICES	$1,175,181
SUPERIOR LINEN SERVICE INC
6959 E 12TH STREET	TULSA	OK	74112	LINEN SERVICES	$941,896
STAFF CARE INC
PO BOX 281923	ATLANTA	GA	303841923	STAFFING	$829,276

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Fundraising	$105,762	FundraisingAmt
Government Grants	$15,240,228	GovernmentGrantsAmt
All Other Contributions	$2,472,840	AllOtherContributionsAmt
Total Contributions	$17,818,830	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621990	$524,384,022	$524,384,022
CAFETERIA & VENDING	722210	$2,032,519	$2,032,519
RENT FROM AFFILIATES	531390	$146,231	$146,231
UNRELATED RETAIL PHARMACY	446110	$4,032,180		$4,032,180
UNRELATED LAB SERVICES	621500	$161,679		$161,679

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,422,010	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,642,987	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,779,023	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$564,178,641	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,298,906	TotalRevenueColumnAmt
Exclusion	$6,298,906	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,661,437	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$613,434	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,048,003	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,048,003	TotalRevenueColumnAmt
Exclusion	$2,048,003	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$78,381,941	SecuritiesAmt
Other	$120,250	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$76,712,357	SecuritiesAmt
Other	$159,023	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,669,584	SecuritiesAmt
Other	-$38,773	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,630,421	TotalRevenueColumnAmt
Exclusion	$1,630,421	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$206,525	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$105,762	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$176,701	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,824	TotalRevenueColumnAmt
Exclusion	$29,824	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$321,887	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$222,274	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$99,613	TotalRevenueColumnAmt
Exclusion	$99,613	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN SUBSIDIARY	Desc
Business	900099	BusinessCd
Total Revenue Column	$4,170,358	TotalRevenueColumnAmt
Unrelated Business Revenue	$237,338	UnrelatedBusinessRevenueAmt
Exclusion	$3,933,020	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,170,358	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$596,274,596	TotalRevenueColumnAmt
Related Or Exempt Func Income	$555,205,759	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,210,220	UnrelatedBusinessRevenueAmt
Exclusion	$14,039,787	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,548,304	TotalAmt
Program Services	$2,548,304	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$181,458	TotalAmt
Program Services	$181,458	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,725,000	TotalAmt
Program Services	$4,487,129	ProgramServicesAmt
Management And General	$4,237,871	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,514,314	TotalAmt
Program Services	$1,514,314	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$243,685,967	TotalAmt
Program Services	$212,406,070	ProgramServicesAmt
Management And General	$31,005,728	ManagementAndGeneralAmt
Fundraising	$274,169	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,079,877	TotalAmt
Program Services	$3,462,373	ProgramServicesAmt
Management And General	$610,842	ManagementAndGeneralAmt
Fundraising	$6,662	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$31,650,834	TotalAmt
Program Services	$27,028,243	ProgramServicesAmt
Management And General	$4,571,687	ManagementAndGeneralAmt
Fundraising	$50,904	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,552,720	TotalAmt
Program Services	$12,373,093	ProgramServicesAmt
Management And General	$2,156,393	ManagementAndGeneralAmt
Fundraising	$23,234	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$372,833	TotalAmt
Management And General	$372,833	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$423,507	TotalAmt
Management And General	$423,507	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$318,124	TotalAmt
Management And General	$318,124	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$43,406,470	TotalAmt
Program Services	$25,258,187	ProgramServicesAmt
Management And General	$18,075,545	ManagementAndGeneralAmt
Fundraising	$72,738	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,068,466	TotalAmt
Program Services	$1,712,788	ProgramServicesAmt
Management And General	$352,819	ManagementAndGeneralAmt
Fundraising	$2,859	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,163,462	TotalAmt
Program Services	$14,479,888	ProgramServicesAmt
Management And General	$7,599,158	ManagementAndGeneralAmt
Fundraising	$84,416	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$125,218	TotalAmt
Management And General	$125,218	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,421,494	TotalAmt
Program Services	$6,416,087	ProgramServicesAmt
Fundraising	$5,407	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$656,116	TotalAmt
Program Services	$517,793	ProgramServicesAmt
Management And General	$136,261	ManagementAndGeneralAmt
Fundraising	$2,062	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,031,556	TotalAmt
Program Services	$579,112	ProgramServicesAmt
Management And General	$452,444	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,815,426	TotalAmt
Program Services	$2,392,830	ProgramServicesAmt
Management And General	$418,091	ManagementAndGeneralAmt
Fundraising	$4,505	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,699,910	TotalAmt
Program Services	$14,238,578	ProgramServicesAmt
Management And General	$2,435,095	ManagementAndGeneralAmt
Fundraising	$26,237	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,832,931	TotalAmt
Program Services	$3,792,782	ProgramServicesAmt
Management And General	$10,040,149	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUGS	$115,450,341	$115,450,341
PROVIDER TAXES & FEES	$23,427,527	$23,427,527
LICENSES, DUES, SUBSCRIPTIONS	$1,108,995	$229,743	$875,187	$4,065
OTHER EXPENSE	$657,611		$657,611

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$557,918,461	TotalAmt
Program Services	$472,496,640	ProgramServicesAmt
Management And General	$84,864,563	ManagementAndGeneralAmt
Fundraising	$557,258	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$34,334,410	BOYAmt
EOY	$40,271,473	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,509,822	BOYAmt
EOY	$94,811,640	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,140,956	BOYAmt
EOY	$4,578,495	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$65,093,952	BOYAmt
EOY	$68,576,041	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$99,235	BOYAmt
EOY	$18,593	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,895,829	BOYAmt
EOY	$9,919,159	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,450,014	BOYAmt
EOY	$8,085,060	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$369,247,572	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$233,519,605	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$137,398,253	BOYAmt
EOY	$135,727,967	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$252,401,243	BOYAmt
EOY	$361,634,405	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,293,482	BOYAmt
EOY	$2,410,815	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,815,493	BOYAmt
EOY	$4,282,456	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$367,030	BOYAmt
EOY	$367,030	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,726,841	BOYAmt
EOY	$17,842,384	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$542,526,560	BOYAmt
EOY	$748,525,518	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$66,770,364	BOYAmt
EOY	$78,039,271	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,000,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$82,787,811	BOYAmt
EOY	$75,032,760	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,290,181	BOYAmt
EOY	$3,020,495	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,061,266	BOYAmt
EOY	$115,363,073	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$182,909,622	BOYAmt
EOY	$272,455,599	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$355,044,033	BOYAmt
EOY	$470,481,354	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,572,905	BOYAmt
EOY	$5,588,565	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$359,616,938	BOYAmt
EOY	$476,069,919	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$542,526,560	BOYAmt
EOY	$748,525,518	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,356,135	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$78,095,101	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,745	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$33,532	OtherActivitiesAmt
Total Lobbying Expenditures	$33,532	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS (SNHPA). A PORTION OF THESE DUES, TOTALING 33,532, ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ADDITIONALLY, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY OCCUR BUT ARE INSIGNIFICANT.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$59,145	BeginningYearBalanceAmt
Investment Earnings Or Losses	$20,585	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,804	GrantsOrScholarshipsAmt
End Year Balance	$76,926	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$66,903	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$5,290	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,468	GrantsOrScholarshipsAmt
End Year Balance	$59,145	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$68,952	BeginningYearBalanceAmt
Investment Earnings Or Losses	$701	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,750	GrantsOrScholarshipsAmt
End Year Balance	$66,903	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$63,894	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7,498	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,440	GrantsOrScholarshipsAmt
End Year Balance	$68,952	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Contributions	$60,000	ContributionsAmt
Investment Earnings Or Losses	$6,294	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,400	GrantsOrScholarshipsAmt
End Year Balance	$63,894	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$5,037,172	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$8,164,830	OtherCostOrOtherBasisAmt
Book Value	$13,202,002	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$188,240,214	OtherCostOrOtherBasisAmt
Depreciation	$111,448,133	DepreciationAmt
Book Value	$76,792,081	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,718,066	OtherCostOrOtherBasisAmt
Depreciation	$2,464,653	DepreciationAmt
Book Value	$253,413	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$150,778,681	OtherCostOrOtherBasisAmt
Depreciation	$111,896,187	DepreciationAmt
Book Value	$38,882,494	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,308,609	OtherCostOrOtherBasisAmt
Depreciation	$7,710,632	DepreciationAmt
Book Value	$6,597,977	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$135,727,967	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
EST SELF INSURANCE COST	$21,936,165
DUE TO 3RD PARTY	$81,433,909
OTHER LIABILITIES	$1,454,568
DUE TO RELATED PARTY	$2,189,059
LEASE LIABILITY	$8,349,372

Field	Value	IRS element (for citing)
Total Liability	$115,363,073	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$670,508,244	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$78,095,101	NetUnrealizedGainsInvstAmt
Other Revenue	-$1,191,473	OtherRevenueAmt
Revenue Not Reported	$76,903,628	RevenueNotReportedAmt
Revenue Subtotal	$593,604,616	RevenueSubtotalAmt
Other Revenues Not Included	$2,669,980	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,669,980	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$596,274,596	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$555,557,265	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,012,409	OtherExpensesIncludedAmt
Expenses Not Reported	$1,012,409	ExpensesNotReportedAmt
Expenses Subtotal	$554,544,856	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$228,005	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$3,145,600	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,373,605	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$557,918,461	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	ENDOWMENT FUNDS: THIS ENDOWMENT IS USED FOR NURSING SCHOLARSHIPS.
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 228,005) INVESTMENT FEES ( 96,016) INVESTMENT IN PSC 632,548 NET ASSETS RELEASED FROM RESTRICTION (1,500,000) GRANTS PAID ------------ $(1,191,473)
SCHEDULE D, PART XI, LINE 4B	OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 222,274) COST OF GOODS SOLD ( 176,701) SPECIAL EVENTS ( 613,434) RENTAL EXPENSES 404,110 GRANTS FOR ACQUISITION OF PROPERTY & EQUIPMENT 1,728,696 TEMPORARILY RESTRICTED CONTRIBUTIONS 1,549,583 NET PSC REVENUE ------------ $ 2,669,980
SCHEDULE D, PART XII, LINE 2D	OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 222,274 COST OF GOODS SOLD 176,701 SPECIAL EVENTS 613,434 RENTAL EXPENSES ------------ $ 1,012,409
SCHEDULE D, PART XII, LINE 4B	OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,500,000 GRANTS PAID 1,645,600 PSC EXPENSES ----------- $ 3,145,600

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	JEWELRY SALE	Event1Nm
Gross Receipts Event1	$72,453	GrossReceiptsEvent1Amt
Gross Revenue Event1	$72,453	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$56,541	OtherDirectExpensesEvent1Amt
Event2	TOURN. MIRACLES	Event2Nm
Gross Receipts Event2	$53,410	GrossReceiptsEvent2Amt
Charitable Contri Event2	$49,455	CharitableContriEvent2Amt
Gross Revenue Event2	$3,955	GrossRevenueEvent2Amt
Cash Prizes Event2	$1,800	CashPrizesEvent2Amt
Non Cash Prizes Event2	$3,921	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$2,970	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$1,150	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$1,946	OtherDirectExpensesEvent2Amt
Other Events Total	11	OtherEventsTotalCnt
Gross Receipts Other Events	$186,424	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$56,307	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$130,117	GrossRevenueOtherEventsAmt
Food And Beverage Other Events	$254	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$12,500	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$95,619	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$312,287	GrossReceiptsTotalAmt
Charitable Contributions Tot	$105,762	CharitableContributionsTotAmt
Gross Revenue Total Events	$206,525	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,800	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$3,921	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$2,970	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,404	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$12,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$154,106	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$176,701	DirectExpenseSummaryEventsAmt
Net Income Summary	$29,824	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,277,551	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,277,551	NetCommunityBenefitExpnsAmt
Total Expense	0.03810	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,807,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,914,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,892,961	NetCommunityBenefitExpnsAmt
Total Expense	0.01770	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,085,410	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,914,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,170,512	NetCommunityBenefitExpnsAmt
Total Expense	0.05580	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$528,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,560	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$440,576	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,530,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,174,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,355,884	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,596,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,066,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,530,328	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,039,024	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,039,024	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$453,636	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$453,636	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,148,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,328,617	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,819,448	NetCommunityBenefitExpnsAmt
Total Expense	0.01220	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,233,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,243,515	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,989,960	NetCommunityBenefitExpnsAmt
Total Expense	0.06800	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,225,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,225,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,375	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,294,875	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,294,875	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$44,051,053	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,776,186	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$127,059,947	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$127,464,647	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$404,700	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
FREEMAN SURGICAL CEN
AMBULATORY SURGERY CENTER	0.5233	0.3741
HEARTLAND KIDNEYDIA
DIALYSIS CENTER	0.25	0.5625
32ND STREET SURGICAL
AMBULATORY SURGERY CENTER	0.26	0.33947

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FREEMAN HEALTH SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1102 W 32ND ST	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.FREEMANHEALTH.COM/	WebsiteAddressTxt
State License	418-21	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FREEMAN HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION A	HOSPITAL FACILITIES: PURSUANT TO REG. 1.501(R)-1(B)(17), FREEMAN HEALTH SYSTEM CONSISTS OF TWO HOSPITALS OPERATED UNDER A SINGLE LICENSE ISSUED BY THE STATE OF MISSOURI. AS SUCH, A SINGLE HOSPITAL FACILITY IS BEING REPORTED. THE SECOND LOCATION IS KNOWN AS FREEMAN HEALTH SYSTEM EAST AND IS LOCATED AT 932 EAST 34TH STREET, JOPLIN, MO 64804.
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: IN ORDER TO ENGAGE COMMUNITY RESIDENTS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, OHC PARTNERS AGREED IN MAY 2018 TO ADMINISTER A SURVEY ACROSS THE ENTIRE REGION. A SUBCOMMITTEE DRAFTED THE SURVEY, WHICH THE STEERING COMMITTEE REVIEWED TO AID IN A BETTER UNDERSTANDING OF THE INTENT OF THE QUESTIONS. FOR EXAMPLE, IT WAS IMPORTANT TO GAIN FEEDBACK ON ASSESSED HEALTH ISSUES. SO, RESPONDENTS WERE ASKED TO RATE THE IMPORTANCE, ON A SCALE OF ONE TO FOUR, THE FOLLOWING HEALTH ISSUES ADDRESSED IN EACH COMMUNITY: ORAL HEALTH, LUNG DISEASE, MENTAL ILLNESS, CANCER, SMOKING, MATERNAL AND CHILD HEALTH, AND FINALLY THE OPIOID EPIDEMIC. THE DATA RECEIVED FROM THAT QUESTIONNAIRES WAS USED IN THE PRIORITIZATION PROCESS. BETWEEN JUNE AND AUGUST 2018, SURVEY MONKEY WAS USED TO COLLECT AND COMPILE THE MAJORITY OF THE SURVEY DATA, AND PAPER SURVEYS WERE MADE AVAILABLE TO THOSE WHO FACED ELECTRONIC BARRIERS TO COMPLETING IT ONLINE. THE SURVEY HAD A TOTAL OF 2,525 RESPONSES.
SCHEDULE H, PART V, SECTION B, LINE 6A	CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: IN ADDITION TO FREEMAN NEOSHO HOSPITAL, A RELATED ORGANIZATION, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH COXHEALTH AND MERCY HEALTH.
SCHEDULE H, PART V, SECTION B, LINE 6B	CHNA CONDUCTED WITH OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH THE FOLLOWING ORGANIZATIONS: - JASPER COUNTY HEALTH DEPARTMENT - SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT - JOPLIN CITY HEALTH DEPARTMENT - TANEY COUNTY HEALTH DEPARTMENT
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US
SCHEDULE H, PART V, SECTION B, LINE 10	IMPLEMENTATION STRATEGY URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: FREEMAN HEALTH SYSTEM HAS ADOPTED A JOINT IMPLEMENTATION STRATEGY THAT INCLUDES FREEMAN HOSPITAL WEST, FREEMAN HOSPITAL EAST, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER. AT THE ORGANIZATIONAL LEVEL, FREEMAN HEALTH SYSTEM HAS ADOPTED THE FOLLOWING PRIORITIZED HEALTH NEEDS FOR ITS COMMUNITY HEALTH IMPLEMENTATION PLAN FOR THE PERIOD 1/1/2019 THROUGH 12/31/2021: - CANCER - DIABETES - HEART DISEASE - LUNG DISEASE - MENTAL HEALTH - HEALTHCARE WORKFORCE 1. CANCER OBJECTIVE: REDUCE THE LONG-TERM INCIDENCE OF CANCER BY USING ONGOING PREVENTION, DETECTION, AND TREATMENT STRATEGIES. STRATEGY 1: PROVIDE ASSISTANCE FOR PATIENTS WHO CAN'T AFFORD CANCER MEDICATIONS. STRATEGY 2: SUPPORT VULNERABLE POPULATIONS WITH PREVENTION, EDUCATION, AND FINANCIAL SUPPORT FOR HEALTH SERVICES. STRATEGY 3: OFFER SCREENINGS FOR EARLY DETECTION TO IMPROVE TREATMENT EFFICACY 2. DIABETES OBJECTIVE: DECREASE THE LONG-TERM INCIDENCE OF DIABETES USING ONGOING PREVENTION, DETECTION, AND TREATMENT STRATEGIES. STRATEGY 1: IMPROVE HEALTH AND REDUCE DIABETES THROUGH SERVICES OF THE BARIATRIC CENTER. STRATEGY 2: PARTICIPATE IN LOCAL, REGIONAL, AND STATE INITIATIVES WORKING TO REDUCE THE PREVALENCE OF DIABETES THROUGH COLLECTIVE IMPACT. STRATEGY 3: BUILD PARTNERSHIPS WITH EMPLOYERS AND SCHOOLS THAT INCREASE AWARENESS, KNOWLEDGE, AND TREATMENT OF HEALTH FACTORS IMPACTING DIABETES. 3. HEART DISEASE OBJECTIVE: REDUCE THE LONG-TERM PREVALENCE OF HEART DISEASE BY INCREASING AWARENESS OF PREVENTION AND RISK FACTORS. STRATEGY 1: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS PREVENTION AND SCREENINGS. STRATEGY 2: SERVE PATIENTS THROUGH THE FREEMAN HEART & VASCULAR INSTITUTE. STRATEGY 3: PARTICIPATE IN LOCAL, REGIONAL, AND STATE COLLABORATIVES WORKING TO REDUCE THE PREVALENCE OF HEART DISEASE THROUGH COLLECTIVE IMPACT. 4. LUNG DISEASE OBJECTIVE: REDUCE THE LONG-TERM INCIDENCE OF LUNG DISEASE BY INCREASING AWARENESS OF PREVENTION AND RISK FACTORS. STRATEGY 1: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS TOBACCO CESSATION AND LUNG DISEASE PREVENTION. STRATEGY 2: SERVE PATIENTS THROUGH THE FREEMAN LUNG INSTITUTE 5. MENTAL HEALTH OBJECTIVE: COORDINATE PATIENT CARE TO INCLUDE BOTH BEHAVIORAL AND MEDICAL HEALTH. STRATEGY 1: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS SUBSTANCE USE DISORDERS AND BEHAVIORAL HEALTH. STRATEGY 2: MAINTAIN PSYCHIATRIC INPATIENT UNIT TO ALLOW PATIENTS TO RECEIVE CARE IN THE AREA. STRATEGY 3: EDUCATE AND TRAIN PSYCHIATRIC RESIDENTS. 6. HEALTHCARE WORKFORCE IN ADDITION TO THE PRIORITIZED MEDICAL AND BEHAVIORAL CONDITIONS, FREEMAN HAS ALSO ELECTED TO FOCUS ON HEALTHCARE WORKFORCE DEVELOPMENT. TO FULFILL ITS MISSION IN ENSURING THE COMMUNITIES IT SERVES HAVE ACCESS TO NEEDED HEALTHCARE SERVICES, POTENTIAL GAPS IN THE AVAILABILITY OF HEALTH PROFESSIONAL SERVICES MUST BE IDENTIFIED. IT IS IN THE BEST INTEREST OF THE HEALTH SYSTEM AND THE SERVICE AREA TO HAVE A PLAN TO DEVELOP A MEDICAL STAFF THAT IS COMPRISED OF INDIVIDUALS WITH THE BACKGROUND, TRAINING, SKILLS, AND EXPERTISE NEEDED BY THE CITIZENS SERVED. OBJECTIVE: INCREASE ACCESS TO HEALTH SERVICES BY ENHANCING HEALTH PROFESSIONAL EDUCATION, RECRUITMENT AND RETENTION EFFORTS. STRATEGY 1: ENHANCE EFFORTS TO RECRUIT AND RETAIN HEALTH PROFESSIONALS. STRATEGY 2: PARTNER WITH LOCAL SCHOOLS AND UNIVERSITIES OFFERING HEALTH PROFESSIONAL EDUCATION. STRATEGY 3: EXPAND THE GRADUATE MEDICAL EDUCATION PROGRAM. EACH OF THE PRIORITIZED HEALTH NEEDS REPRESENTS A COMPLEX HEALTH CONDITION THAT REQUIRES MULTI-STAKEHOLDER COLLABORATION TO EFFECTIVELY ADDRESS. FREEMAN HEALTH SYSTEM IS COMMITTED WORK WORKING IN COLLABORATION WITH STAKEHOLDERS AT THE LOCAL, REGIONAL, AND STATE LEVEL.
SCHEDULE H, PART V, SECTION B, LINE 13H	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBILITY.
SCHEDULE H, PART V, SECTION B, LINES 16A-C	FAP, APPLICATION, AND PLS URL: HTTPS://WWW.FREEMANHEALTH.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-I NSURANCE/PAYMENT-OPTIONS

Field	Value	IRS element (for citing)
Facility	35	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
FREEMAN CANCER INSTITUTE
3415 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN MIDWEST ORTHOPAEDIC SURGERY
3105 MCCLELLAND BLVD	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN WOMEN'S CENTER
1532 W 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
URGENT CARE - JOPLIN
1130 E 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN WOUND CARE AND HOME CARE
3315 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
OCCUMED - JOPLIN
3201 MCCLELLAND BLVD	JOPLIN	MO	64804	MEDICAL SERVICES
CH BENTLAGE MEDICAL CENTER
3202 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN CHILDREN'S CLINIC
1030 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
REHABILITATION AND SPORTS CENTER
2206 E 32ND STREET	JOPLIN	MO	64804	MEDICAL SERVICES
URGENT CARE - WEBB CITY
1636 S MADISON	WEBB CITY	MO	64870	MEDICAL SERVICES
FREEMAN NEUROSPINE
1905 W 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN EAR NOSE AND THROAT CENTER
1331 W 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
JOPLIN UROLOGYPHYSICIAN OFFICES
3302 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN SLEEP CENTERGERIATRIC CARE
931 E 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
HIGGINS MEDICAL BUILDING
1020 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN PROFESSIONAL CENTER
3333 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN CLINIC OF ANDERSON
510 PARK ST	ANDERSON	MO	64831	MEDICAL SERVICES
PAIN MANAGMENT CENTER
3103 MCCLELLAND BLVD	JOPLIN	MO	64804	MEDICAL SERVICES
DAVID A BALL MEDICAL BUILDING
1111 MCINTOSH CIRCLE DRIVE	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN MEDICAL PLAZA I
702 E 34TH ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN CLINIC OF CARTHAGE
719 W CENTENNIAL	CARTHAGE	MO	64836	MEDICAL SERVICES
FREEMAN CLINIC OF BAXTER SPRINGS
322 E 11TH ST	BAXTER SPRINGS	KS	66713	MEDICAL SERVICES
OCCUMED - CARTHAGE SPECIALTY CLINIC
1500 S CASE ST	CARTHAGE	MO	64836	MEDICAL SERVICES
FREEMAN HEART AND VASCULAR INSTITUTE
1101 E 13TH STREET SUITE A B AND	GROVE	OK	74344	MEDICAL SERVICES
FREEMAN HEART AND VASCULAR INSTITUTE
30 B STREET SW	MIAMI	OK	74354	MEDICAL SERVICES
FREEMAN CARL JUNCTION FAMILY MEDICINE
104 S MAIN STREET	JOPLIN	MO	64834	MEDICAL SERVICES
SENECA FAMILY MEDICINE
1606 OLIVE	SENECA	MO	64865	MEDICAL SERVICES
FREEMAN HEALTH AND VASCULAR INSTITUTE
1902 S US HWY 59 BLDG E STE 202	PARSONS	KS	67357	MEDICAL SERVICES
FHS LAMAR FAMILY CARE
307 WEST 11TH STREET	LAMAR	MO	64759	MEDICAL SERVICES
FHS PHYSICIAN GROUP OF PITTSBURG
1201 E CENTENNIAL	PITTSBURG	KS	66762	MEDICAL SERVICES
FHS ORTHOPAEDICS AND SPORTS MED OF PTSBR
100 N PINE STREET	PITTSBURG	KS	66762	MEDICAL SERVICES
FREEMAN HEART AND VASCULAR INSTITUTE
307 N HOSPITAL DRIVE	GIRARD	KS	66743	MEDICAL SERVICES
FREEMAN LUNG INSTITUTE
1002 MCINTOSH CIRCLE	JOPLIN	MO	64804	MEDICAL SERVICES
FHS ORTHOPAEDICS AND SPORTS MED OF FT SC
401 WOODLAND HILLS BLVD	FT SCOTT	KS	66701	MEDICAL SERVICES
FREEMAN MIDWEST INTERNAL MEDICINE
608 WILLARD	FRONTENAC	KS	66763	MEDICAL SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	OTHER FACTORS IN DETERMINING ELIGIBILITY: IN ADDITION TO FPG LIMITS, THE FAP ALSO USES ASSETS AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBILITY.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. WORKSHEET 6 USED COST TO CHARGE RATIOS COMPUTED INTERNALLY FOR EACH SERVICE.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH ITS PHYSICIAN SERVICES IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G. FREEMAN HEALTH SYSTEM PROVIDES PHYSICIAN SERVICES TO ITS SURROUNDING COMMUNITIES. IF FREEMAN HEALTH SYSTEM WAS TO CEASE OFFERING THESE SERVICES, A SHORTAGE OF QUALITY MEDICAL CARE WILL RESULT. FREEMAN HEALTH SYSTEM CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY SUPPORT EXPENSES NOTED IN PART II RELATE TO FREEMAN'S CONTRIBUTIONS TO THE JOPLIN HUMANE SOCIETY, JOPLIN MEMORIAL RUN, CONNECT2CULTURE AND THE GEORGE A SPIVA CENTER FOR THE ARTS WHICH PROVIDE SUPPORT FOR THE JOPLIN COMMUNITY. THE WORKFORCE DEVELOPMENT EXPENSES NOTED IN PART II RELATE TO FREEMAN'S CONTRIBUTIONS TO THE SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION, THE CARL JUNCTION EDUCATION FOUNDATION AND THE MCDONALD COUNTY R-1 SCHOOL DISTRICT, WHICH ARE JOPLIN AREA SCHOOL DISTRICTS AND NEOSHO R-V SCHOOL DISTRICT.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED MARCH 31, 2021. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING INTERNAL PATIENT DEMOGRAPHICS, AS WELL AS CORE BASED STATISTICAL AREA AND POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. ACCORDING TO THE U.S. CENSUS BUREAU QUICK FACTS, THE ESTIMATED AVERAGE UNINSURED POPULATION FOR FREEMAN JOPLIN'S PRIMARY SERVICE AREA IS 13.65% AND THE AVERAGE UNINSURED POPULATION FOR FREEMAN NEOSHO'S PRIMARY SERVICE AREA IS 17.85%. FREEMAN HOSPITAL-JOPLIN IDENTIFIED 6.7% OF ITS GROSS HOSPITAL REVENUE OR BILLINGS COMING FROM UNINSURED PATIENTS. FREEMAN NEOSHO IDENTIFIED 13.7% OF ITS GROSS REVENUE COMING FROM UNINSURED PATIENTS. IT'S POSSIBLE THAT SOME PATIENTS PRESENTED OUTDATED INSURANCE COVERAGE AT TIME OF ADMISSION, OR FREEMAN ADMISSIONS MAY HAVE INCORRECTLY IDENTIFIED SOME UNINSURED PATIENTS AS INSURED OR MEDICAID ELIGIBLE DURING THE ADMITTING PROCESS.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: THE COLLECTION POLICY STATES THAT ANY AMOUNT NOT ADJUSTED FOR FINANCIAL ASSISTANCE DUE TO A PARTIAL 50% ADJUSTMENT OR 75% ADJUSTMENT WILL FOLLOW ITS NORMAL COLLECTION PROCESS. FREEMAN HEALTH WILL CONTINUE TO BILL THE PATIENT FOR 120 DAYS FROM FIRST STATEMENT, IF NO ARRANGEMENTS ARE MADE TO SATISFY THE REMAINING BALANCE WITH A PAYMENT IN FULL OR PAYMENT PLAN, THE ACCOUNT WILL AUTOMATICALLY ROLL TO ITS EXTERNAL AGENCY.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED IN PART V, SECTION B, FREEMAN REVIEWS STUDIES AND ASSESSMENTS FROM JOPLIN HEALTH DEPARTMENT AND OTHER LOCAL GOVERNMENTAL AGENCIES TO ASSESS COMMUNITY NEEDS, INCORPORATING THIS INFORMATION INTO THE FREEMAN STRATEGIC PLAN AND MONITORING THE EDUCATIONAL AND OUTREACH PROGRAMS PROVIDED IN THE COMMUNITY. TO OBTAIN A FRESH LOOK AT THE HEALTH NEEDS OF THE COMMUNITY, FREEMAN HEALTH SYSTEM CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE SURVEY SEEKS COMMUNITY INPUT ON HEALTH NEEDS, ACCESS TO HEALTHCARE, AND WHAT PEOPLE THINK IS IMPORTANT ABOUT HEALTHCARE. THE FEEDBACK PROVIDES A BETTER UNDERSTANDING OF THE HEALTH STATUS, BEHAVIORS, AND NEEDS OF THE POPULATIONS SERVED BY FREEMAN HEALTH SYSTEM. FOR THE SURVEY, FREEMAN COLLABORATES WITH HEALTH DEPARTMENTS AND OTHER HOSPITALS IN 28 COUNTIES UNDER THE AUTHORITY OF THE OZARKS HEALTH COMMISSION. [FREEMAN HEALTH SYSTEM IS A FOUNDING STAKEHOLDER IN THE OZARKS HEALTH COMMISSION (OHC), FORMED IN 2015.] OHC PARTNERS HAVE A VISION OF USING A SYSTEMATIC, DATA-DRIVEN PROCESS TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS ON A REGIONAL LEVEL. FOLLOWING THE SURVEY, FREEMAN DEVELOPS A PLAN TO ADDRESS THE NEEDS FOUND IN THE SURVEY. OCH CONDUCTED A NEW SURVEY IN 2018, AND FREEMAN RELEASED A PLAN TO ADDRESS NEEDS FOUND IN THE SURVEY IN EARLY 2019. 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 HEALTH NEEDS FOR ITS COMMUNITY HEALTH IMPLEMENTATION PLAN FOR THE PERIOD 1/1/2019 THROUGH 12/31/2021. THESE PRIORITIZED NEEDS ARE CANCER, DIABETES, HEART DISEASE, LUNG DISEASE, MENTAL HEALTH, AND HEALTHCARE WORKFORCE. FOR CANCER, THE OBJECTIVE IS TO REDUCE THE LONG-TERM INCIDENCE OF CANCER BY USING ONGOING PREVENTION, DETECTION, AND TREATMENT STRATEGIES. FOR DIABETES, THE OBJECTIVE IS TO DECREASE THE LONG-TERM INCIDENCE OF DIABETES USING ONGOING PREVENTION, DETECTION, AND TREATMENT STRATEGIES. FOR HEART DISEASE, THE OBJECTIVE IS TO REDUCE THE LONG-TERM PREVALENCE OF HEART DISEASE BY INCREASING AWARENESS OF PREVENTION AND RISK FACTORS. FOR LUNG DISEASE THE OBJECTIVE IS TO REDUCE THE LONG-TERM INCIDENCE OF LUNG DISEASE BY INCREASING AWARENESS OF PREVENTION AND RISK FACTORS. FOR MENTAL HEALTH, THE OBJECTIVE IS TO COORDINATE PATIENT CARE TO INCLUDE BOTH BEHAVIORAL AND MEDICAL HEALTH, AND FOR HEALTHCARE WORKFORCE, THE OBJECTIVE IS TO INCREASE ACCESS TO HEALTH SERVICES BY ENHANCING HEALTH PROFESSIONAL EDUCATION, RECRUITMENT, AND RETENTION EFFORTS. EACH OF THE PRIORITIZED HEALTH NEEDS REPRESENTS A COMPLEX HEALTH CONDITION THAT REQUIRES MULTI-STAKEHOLDER COLLABORATION. FREEMAN HEALTH SYSTEM IS COMMITTED TO WORKING IN COLLABORATION 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; 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 OZARKS HEALTH COMMISSION (OHC), A COLLABORATIVE OF HEALTH SYSTEMS AND PUBLIC HEALTH AGENCIES USING DATA-DRIVEN APPROACHES TO PRODUCE HIGH QUALITY COMMUNITY HEALTH NEEDS ASSESSMENTS AND ALIGN PRIORITIES AMONG COMMUNITY-BASED ORGANIZATIONS TO PROMOTE GOOD HEALTH. TO FURTHER DETERMINE WHAT PATIENTS THINK OF THE SERVICE 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 ROUTINELY MAKE APPEARANCES AT COMMUNITY FUNCTIONS, SUCH AS ROTARY INTERNATIONAL AND KIWANIS MEETINGS. THEY INFORM CONSTITUENTS ABOUT HAPPENINGS IN THE HEALTH SYSTEM AND SEEK INPUT FROM AUDIENCE MEMBERS. TO SERVE THE COMMUNITY AND SEEK OUT INFORMATION REGARDING CONSUMER TRENDS AND OPINIONS, FREEMAN SENIOR LEADERS AND EXECUTIVE STAFF SERVE ON A VARIETY OF BOARDS, COUNCILS, AND COMMITTEES. WHILE PROVIDING LEADERSHIP AND SUPPORT TO THESE ORGANIZATIONS, FREEMAN LEADERS MAKE CONTACT WITH MANY OTHER COMMUNITY LEADERS TO CHECK THE PULSE OF THE COMMUNITY IN TERMS OF HEALTHCARE NEEDS AND OPINION.
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 238,321. 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. 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.
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 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 STAFF MEMBERS, SUCH AS DOCTORS AND NURSES, HELP THE COMMUNITY BY WORKING AT THE COMMUNITY CLINIC OF JOPLIN AND ACCESS FAMILY CARE, ORGANIZATIONS THAT PROVIDE FREE OR LOW-COST HEALTHCARE SERVICES TO INDIGENT PORTIONS OF THE COMMUNITY. DEPENDING ON THE SITUATION, FREEMAN STAFF MEMBER'S VOLUNTEER OR FREEMAN PAYS THEM TO WORK FOR THE COMMUNITY THROUGH THESE ORGANIZATIONS. FREEMAN SERVES MORE THAN 1 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. 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, 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 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 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 ISSUES, ALTHOUGH ACTIVITIES AND OFFERINGS WERE CUT BACK IN FY21 DUE TO THE PANDEMIC IN CONSIDERATION OF THE GROUP'S HIGH-RISK POPULATION. 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 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. ONE OF FREEMAN'S GOALS IS TO BECOME THE COMMUNITY'S BEST CORPORATE PARTNERS. FREEMAN DONATES TIME, RESOURCES, AND FUNDING AS AN ORGANIZATION, WHILE THOSE WORKING AT FREEMAN GIVE BACK TO THE COMMUNITY AS WELL. IN FY21, MEMBERS OF FREEMAN'S HEARTS & HANDS TEAM (AN EMPLOYEE VOLUNTEER GROUP) COORDINATED 24 VOLUNTEER EVENTS WITH A TOTAL OF MORE THAN 258 SERVICE HOURS. EVEN DURING THE PANDEMIC, FREEMAN VOLUNTEERS WERE ABLE TO HELP AREA NONPROFITS WITH TASKS SUCH AS PREPARING AND SERVING MEALS, HOSTING HYDRATION STATIONS AT ORGANIZED CHARITY RUNS, ORGANIZING A NURSING HOME PARADE, CLEANING UP DOWNTOWN JOPLIN, AND HELPING AT LOCAL FOOD PANTRIES. FREEMAN HEARTS & HANDS TEAM ALSO PARTNERS WITH SCHOOLS IN JOPLIN, NEOSHO, CARL JUNCTION, SENECA, AND WEBB CITY, SUPPORTING THE SCHOOLS THROUGH VOLUNTEER WORK. ADDITIONALLY, FREEMAN HELD MANY DRIVES IN FY21 TO COLLECT ITEMS SUCH AS WARM COATS, SCHOOL SUPPLIES, FOOD, AND OTHER ITEMS THAT WERE DONATED TO THE COMMUNITIES SERVED BY FREEMAN.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: FREEMAN HEALTH SYSTEM CONSISTS OF FREEMAN HOSPITAL WEST AND FREEMAN HOSPITAL EAST IN JOPLIN, FREEMAN NEOSHO HOSPITAL, NUMEROUS CLINICS, AND OZARK CENTER, WHICH PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. FREEMAN IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM.
SCHEDULE H, PART VI, LINE 7	STATE FILING ON COMMUNITY BENEFIT REPORT: FREEMAN HEALTH SYSTEM IS INCORPORATED IN THE STATE OF MISSOURI AND FILES A COMMUNITY BENEFIT REPORT IN MISSOURI.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
OZARK CENTER
1105 E 32ND ST	JOPLIN	MO	64804	430821959	501 (C) (3)	$369,636	SUPPORT
COMMUNITY HEALTH CLINIC OF JOPLIN
701 SOUTH JOPLIN AVENUE	JOPLIN	MO	64081	431643962	501(C)(3)	$29,000	SUPPORT
CONNECT2CULTURE
407 S PENNSYLVANIA AVE	JOPLIN	MO	64801	451779223	501(C)(3)	$20,000	SUPPORT
RONALD MCDONALD HOUSE
PO BOX 2688	JOPLIN	MO	64803	431758397	501(C)(3)	$30,000	SUPPORT
MISSOURI SOUTHERN FOUNDATION
3950 E NEWMAN ROAD	JOPLIN	MO	64801	430907114	501(C)(3)	$48,333	SUPPORT
CREATIVE LEARNING ALLIANCE
4000 S RANGELINE RD	JOPLIN	MO	64804	825165061	501(C)(3)	$25,000	SUPPORT
CARL JUNCTION EDUCATION FOUNDATION
206 S RONEY	CARL JUNCTION	MO	64834	431776822	501(C)(3)	$24,000	SUPPORT
SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION
3901 EAST 32ND STREET	JOPLIN	MO	64804	431664927	501(C)(3)	$18,500	SUPPORT
MCDONALD COUNTY R-1 SCHOOL DISTRICT
100 MUSTANG DRIVE	ANDERSON	MO	64831	431339582	GOVT	$6,000	SUPPORT
PITTSBURG STATE UNIVERSITY
1701 SOUTH BROADWAY	PITTSBURG	KS	66762	486104332	GOVT	$575,000	SUPPORT
MOKAN PARTNERSHIP
320 EAST 4TH STREET	JOPLIN	MO	64801	431386973	501(C)(3)	$200,000	SUPPORT
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS
3015 N MICHIGAN STREET	PITTSBURG	KS	66762	753002264	501(C)(3)	$1,000,000	SUPPORT
WEBB CITY R-7 SCHOOL FOUNDATION
621 N MADISON	WEBB CITY	MO	64870	510513725	GOVT	$11,000	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
CMN AID TO FAMILIES	164	$140,548
MAMMOGRAMS	32	$8,387
PRESCRIPTION, MEALS, TRANSPORTATION	1838	$27,879
DIALYSIS PATIENT ASSISTANCE	32	$4,644

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE I, PART I, LINE 2

MONITORING USE OF GRANT FUNDS: OZARK CENTER IS A RELATED ORGANIZATION TO AND WORKS CLOSELY WITH FREEMAN HEALTH SYSTEM TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE THROUGH CARING FOR PATIENTS SUFFERING FROM PSYCHIATRIC, SUBSTANCE ABUSE AND AUTISM SPECTRUM DISORDERS. THIS CLOSE RELATIONSHIP ALLOWS FREEMAN HEALTH SYSTEM TO CLOSELY MONITOR THE USE OF FUNDS. AMOUNTS ARE ALSO CONTRIBUTED TO COLLEGES OR THEIR RELATED FOUNDATIONS FOR NURSING SCHOLARSHIPS FOR AREA STUDENTS. THE ORGANIZATION IS ABLE TO MONITOR FUNDS BY PROVIDING THESE AMOUNTS DIRECTLY TO THE SCHOOLS, TO BE USED FOR THE DESIGNATED ENROLLED STUDENT RECIPIENTS. OTHER AMOUNTS WERE GIVEN DURING THE YEAR TO LOCAL ORGANIZATIONS. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY AND CAN BE MONITORED ACCORDINGLY.

SCHEDULE I, PART III

GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS: IN FISCAL YEAR 2021, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *FHS CHILDREN'S MIRACLE NETWORK - $140,548 WAS SPENT HELPING OVER 164 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *HELPING FRIENDS MAMMOGRAM PROGRAM - $8,387 WAS SPENT TO HELP 32 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $27,879 WAS SPENT TO HELP OVER 1,838 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *DIALYSIS PATIENT ASSISTANCE - $4,644 WAS SPENT HELPING 32 DIALYSIS PATIENTS WITH RELATED EXPENSES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DENNIS A ESTEP
CMO	$397,804	$0	$156,504	$0	$19,500	$0	$8,400	$0	$28,215	$0	$610,423	$0	$0	$0
JEFFREY MICHAEL CARRIER
CCO END 06/20	$354,448	$0	$88,878	$0	$37,462	$0	$8,400	$0	$25,902	$0	$515,090	$0	$28,462	$0
JOSHUA BALL
DIRECTOR	$966,312	$0	$976,095	$0	$19,500	$0	$8,400	$0	$28,323	$0	$1,998,630	$0	$0	$0
LARRY MCINTIRE DO
DIRECTOR	$344,259	$0	$702	$0	$19,500	$0	$8,400	$0	$932	$0	$373,793	$0	$0	$0
PAULA F BAKER
PRESIDENT AND CEO	$975,253	$243,814	$370,317	$92,579	$331,442	$82,860	$6,720	$1,680	$20,417	$5,104	$1,704,149	$426,037	$310,733	$77,683
JOHN M COX DO
DIRECTOR	$898,288	$0	$160,496	$0	$15,474	$0	$8,400	$0	$21,154	$0	$1,103,812	$0	$0	$0
STEVE GRADDY
CFO	$448,160	$89,633	$155,535	$31,107	$70,758	$14,151	$7,000	$1,400	$16,634	$3,327	$698,087	$139,618	$67,147	$13,429
TODD J TWISS
PHYSICIAN	$1,155,539	$0	$419,867	$0	$17,550	$0	$8,400	$0	$25,823	$0	$1,627,179	$0	$0	$0
ROBERT STAUFFER
PHYSICIAN	$1,217,608	$0	$236,352	$0	$19,500	$0	$8,400	$0	$21,345	$0	$1,503,205	$0	$0	$0
THOMAS B COY
PHYSICIAN	$1,463,182	$0	$205,457	$0	$19,500	$0	$8,400	$0	$21,637	$0	$1,718,176	$0	$0	$0
WILLIAM J NICHOLAS
PHYSICIAN	$2,112,839	$0	$210,859	$0	$19,500	$0	$8,400	$0	$20,913	$0	$2,372,511	$0	$0	$0
DARWIN JEYARAJ
PHYSICIAN	$1,172,640	$0	$597,644	$0	$0	$0	$8,400	$0	$26,823	$0	$1,805,507	$0	$0	$0
MICHAEL B SANDERS
CONTROLLER	$208,627	$0	$33,256	$0	$13,000	$0	$5,611	$0	$21,033	$0	$281,527	$0	$0	$0
KEVIN P GAUDETTE
VP REVENUE CYCLE	$340,574	$0	$88,256	$0	$32,751	$0	$8,400	$0	$25,823	$0	$495,804	$0	$32,751	$0
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT	$261,888	$0	$37,217	$0	$20,793	$0	$8,083	$0	$24,337	$0	$352,318	$0	$20,793	$0
MARY A FRERER
CHIEF HUMAN RESOURCE OFFICER	$216,084	$0	$31,293	$0	$17,710	$0	$6,658	$0	$16,418	$0	$288,163	$0	$17,710	$0
LEONARD T ROLLINS
CHIEF INFORMATION OFFICER	$213,904	$0	$35,889	$0	$19,500	$0	$8,088	$0	$25,823	$0	$303,204	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	SEVERANCE: $ 176,004 JEFFREY CARRIER SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH FREEMAN HEALTH SYSTEM: $ 28,462 JEFFREY CARRIER $ 310,733 PAULA BAKER $ 67,147 STEVEN GRADDY $ 32,751 KEVIN GAUDETTE $ 17,710 MARY FRERER $ 20,793 WESLEY BRAMAN THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH FREEMAN NEOSHO HOSPITAL, A RELATED ORGANIZATION: $ 77,683 PAULA BAKER $ 13,429 STEVE GRADDY
SCHEDULE J, PART I, LINE 6A	MANAGEMENT COMPENSATION: FREEMAN HEALTH SYSTEM PROVIDES MANAGEMENT THE POTENTIAL TO RECEIVE AN AT-RISK PAYMENT BASED ON SYSTEM AND INDIVIDUAL GOAL ACHIEVEMENT. THE AMOUNT OF COMPENSATION IS BASED UPON A PERCENTAGE OF THE EMPLOYEE'S ANNUAL COMPENSATION AND IS SUBJECT TO BOARD APPROVAL.
SCHEDULE J, PART II, COLUMN (B)(II)	BONUS & INCENTIVE COMPENSATION: THE ORGANIZATION PROVIDES PHYSICIANS THE POTENTIAL TO RECEIVE ANNUAL BONUS COMPENSATION. PHYSICIAN BONUSES ARE CALCULATED BASED ON GENERATING WORKED RELATIVE VALUE UNITS (WRVU). EMPLOYMENT CONTRACTS SPECIFY THE NUMBER OF REQUIRED WRVUS (TO OBTAIN AN ANNUAL SALARY) AND THE ADDITIONAL BONUS COMPENSATION PHYSICIANS WILL RECEIVE ONCE THE REQUIRED WRVUS HAVE BEEN MET. ADDITIONAL BONUS COMPENSATION IS CALCULATED BY MULTIPLYING THE WRVUS IN EXCESS OF REQUIRED WRVUS TIMES A PREDETERMINED COMPENSATION FACTOR. WRVUS SHALL BE COMPUTED BY USE OF THE APPROVED MEDICARE METHODS OF COMPUTATION FOR PHYSICIAN PRACTICES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
A	521299414	2014-06-18	$15,995,508	REFUND 2009 BONDS	false	false	false
HEALTH AND EDUCATION FACILITIES AUTH OF MO
B	431178966	2012-12-20	$40,129,591	REFUND 1994-A BONDS AND 1998A BOND	false	false	false	60637ADK5
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
C	521299414	2014-12-23	$7,000,000	ACQUIRE, CONSTRUCT, IMPROVE AND EQ	false	false	false
INDUSTRIAL DEV AUTH OF THE COUNTY OF JASPER MO
D	521351539	2014-12-23	$5,000,000	ACQUIRE, CONSTRUCT, IMPROVE AND EQ	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$6,228,041	$0	$15,995,508	$0	$0	$0	$0	$0	$0	$0	$15,995,508	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$24,490,000	$0	$40,129,591	$3,643,864	$0	$0	$530,282	$0	$0	$0	$36,042,809	$0	1999	Yes (true)	false	Yes (true)	Yes (true)
C	$3,965,565	$0	$7,000,000	$0	$0	$0	$0	$0	$0	$7,000,000	$0	$0	2016	false	false	Yes (true)	Yes (true)
D	$2,832,546	$0	$5,000,000	$0	$0	$0	$0	$0	$0	$5,000,000	$0	$0	2016	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B						0						Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
D	false	false	false		false	0.00000	0.00000	0.00000	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	No Rebate DueNoRebateDueInd
0
A	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	Yes (true)
0
C	false		false	false	false	0	false	Yes (true)	Yes (true)
0
D	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN F	THE 2009 BONDS WERE ORIGINALLY ISSUED ON 7/23/2009.
SCHEDULE K, PART I, LINE B, COLUMN F	THE 1994-A BONDS WERE ORIGINALLY ISSUED ON 3/15/1994 AND THE 1998-A BONDS WERE ORIGINALLY ISSUED ON 2/12/1998.
SCHEDULE K, PART I, LINES C & D	THE SERIES 2014A BONDS AND THE SERIES 2014B BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. HOWEVER, THESE BONDS HAVE BEEN REPORTED SEPARATELY ON SCHEDULE K.
SCHEDULE K & SCHEDULE K-2, PART II, LINE 3, COLUMN B	INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE DEBT SERVICE RESERVE FUND DURING THE PROJECT PERIOD HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF ISSUE", BUT WERE ALLOCATED TO INTEREST PAYMENTS ON THE BONDS DURING THIS PERIOD.
SCHEDULE K, PART II, LINES 11 & 14, COLUMN A	THE 2009 BONDS WERE REISSUED ON 6/18/2014 AND ALL SALE PROCEEDS WERE DEEMED TO CURRENTLY REFUND THE 2009 BONDS ON THAT DATE.
SCHEDULE K, PART II, LINE 11, COLUMN B	BOND PROCEEDS IN THE AMOUNT OF $36,010,967 WERE USED TO REFUND THE SERIES 1994-A BONDS AND SERIES 1998-A BONDS ON 12/27/2012. IN ADDITION, BOND PROCEEDS IN THE AMOUNT OF $31,842 WERE USED TO PAY INTEREST ON THE BONDS ON 8/15/2013.
SCHEDULE K & SCHEDULE K-2, PART III, COLUMN B	PER THE INSTRUCTIONS, PART III IS NOT REQUIRED TO BE COMPLETED FOR PROJECTS ORIGINALLY FINANCED PRIOR TO JANUARY 1, 2003.
SCHEDULE K, PART III, LINE 8A, COLUMNS A, B, C, & D	THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE.
SCHEDULE K, PART IV, LINE 2C, COLUMN B	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2017.
SCHEDULE K, PART IV, LINE 2C, COLUMNS C & D	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2019.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
A	521299414	480639BL6	2015-02-26	$40,712,377	REFUND 2004 BONDS	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
B	521299414	480639CA9	2020-02-04	$2,809,258	REFUND 1999C BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,705,000	$0	$40,712,377	$3,044,219	$0	$0	$532,154	$0	$0	$0	$37,248,410	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$170,000	$0	$2,819,967	$0	$0	$0	$43,714	$0	$0	$0	$2,776,253	$0	2002	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00000	0.00220	0.00220	false	false	false	Yes (true)
B						0						Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K-2, PART I, LINE A, COLUMN F	THE SERIES 2004 BONDS WERE ORIGINALLY ISSUED ON 11/30/2004.
SCHEDULE K-2, PART I, LINE B, COLUMN F	THE SERIES 1999C BONDS WERE ORIGINALLY ISSUED ON 09/21/2001.
SCHEDULE K-2, PART II, LINE 11, COLUMN A	THIS AMOUNT REPRESENTS $37,170,351 USED TO REFUND THE SERIES 2004 ON 2/27/15 AND $78,060 ALLOCATED TO PAY INTEREST ON THE BONDS.
SCHEDULE K-2, PART II, LINE 11, COLUMN B	THIS AMOUNT REPRESENTS $2,775,000 USED TO REFUND THE SERIES 1999C BONDS ON 2/5/2020 AND $1,253 ALLOCATED TO INTEREST ON THE BONDS.
SCHEDULE K-2, PART II, LINE 3, COLUMN B	INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE COSTS OF ISSUANCE FUND HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF THE ISSUE" BECAUSE THERE IS NO PROJECT PERIOD. THESE INVESTMENT EARNINGS ARE ALLOCATED TO INTEREST ON THE BONDS.
SCHEDULE K-2, PART III, LINE 5, COLUMN A	AMOUNT REPRESENTS THE MAXIMUM AMOUNT OF NONQUALIFIED USE THAT MAY RESULT FROM UNRELATED TRADE OR BUSINESS ACTIVITY. SCHEDULE K-2, PART III, COLUMN B: PART III IS NOT REQUIRED TO BE COMPLETED FOR PROJECTS ORIGINALLY FINANCED PRIOR TO 01/01/2003.
SCHEDULE K-2, PART III, LINE 8A, COLUMNS A & B	THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE.
SCHEDULE K-2, PART IV, LINE 2C, COLUMNS A	ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 2/15/2020.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DEBORAH GAUDETTE
SEE PART V	$77,823	EMPLOYEE COMPENSATION	false
ADAM GRADDY
SEE PART V	$97,184	EMPLOYEE COMPENSATION	false
KENT MCINTIRE
SEE PART V	$573,210	EMPLOYEE COMPENSATION	false
MICHAELA BENNETT
SEE PART V	$67,957	EMPLOYEE COMPENSATION	false
SCOTT MCCLINTICK
SEE PART V	$698,140	EMPLOYEE COMPENSATION	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: (1) DEBORAH GAUDETTE IS THE WIFE OF KEY EMPLOYEE KEVIN GAUDETTE (2) ADAM GRADDY IS THE SON OF THE CFO STEVE GRADDY (3) KENT MCINTIRE IS THE SON OF BOARD MEMBER LARRY MCINTIRE (4) MICHAELA FRERER IS THE DAUGHTER OF KEY EMPLOYEE MARY FRERER (5) SCOTT MCCLINTICK IS THE SON-IN-LAW OF BOARD MEMBER RODNEY MCFARLAND	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION: FREEMAN HEALTH SYSTEM, NOT-FOR-PROFIT AND LOCALLY GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS, PROVIDES FULL-SERVICE HEALTHCARE TO SOUTHWEST MISSOURI, SOUTHEAST KANSAS, NORTHEAST OKLAHOMA, AND NORTHWEST ARKANSAS. A THREE-HOSPITAL HEALTH SYSTEM, FREEMAN PROVIDES COMPREHENSIVE SERVICES INCLUDING CANCER CARE, HEART CARE, ORTHOPAEDICS, NEUROSURGERY, WOMEN'S SERVICES, AND BEHAVIORAL HEALTHCARE. FREEMAN ACCEPTS MEDICAID AND MEDICARE PATIENTS AND OFFERS FINANCIAL ASSISTANCE AND PAYMENT PLANS, PROVIDING A SAFETY NET TO THE LOCAL POPULATION WITH HOUSEHOLD INCOMES BELOW $25,000. FREEMAN ASKS ALL EMPLOYEES AND VOLUNTEERS TO EMBRACE THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES SERVED THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. THE FREEMAN MEDICAL TEAM, WHICH INCLUDES MORE THAN 300 PHYSICIANS REPRESENTING 70 SPECIALTIES, USES THE LATEST TECHNIQUES, BEST PRACTICES, AND TECHNOLOGIES TO PROVIDE LIFESAVING MEDICAL CARE, PROVIDING CONSTITUENTS WITH THE HEALTHCARE THEY NEED RIGHT IN THEIR OWN BACK YARD. JOPLIN-AREA PATIENTS DO NOT HAVE TO TRAVEL TO BIG CITIES TO RECEIVE HEART INTERVENTIONS, CARDIOTHORACIC SURGERIES, NEUROSURGERIES, PAIN THERAPIES, INTENSIVE CARE, TRAUMA CARE, AND ADVANCED DIAGNOSTIC SERVICES. THE CLOSE-TO-HOME AVAILABILITY OF ADVANCED HEALTHCARE SERVICES EASES STRESS ON PATIENTS AND THE BURDEN ON FAMILIES. GRADUATE MEDICAL EDUCATION FREEMAN CURRENTLY OFFERS RESIDENCY PROGRAMS IN INTERNAL MEDICINE, EMERGENCY MEDICINE, OTOLARYNGOLOGY, AND PSYCHIATRY (THROUGH OZARK CENTER). ADDITIONALLY, FREEMAN GRADUATE MEDICAL EDUCATION IS DEVELOPING A FAMILY MEDICINE RESIDENCY PROGRAM, WHICH WILL LAUNCH IN 2022. FREEMAN HEALTH SYSTEM ALSO HAS A PHARMACY RESIDENCY PROGRAM. THIS POST-GRADUATE, YEAR-ONE PROGRAM RECEIVED A SIX-YEAR ACCREDITATION FROM THE AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, THE ONLY PHARMACY RESIDENCY ACCREDITING BODY. IN ADDITION TO RESIDENCY PROGRAMS, FREEMAN IS A CLINICAL CORE SITE FOR THIRD- AND FOURTH-YEAR MEDICAL STUDENTS FROM KCU, PROVIDING CLINICAL ROTATIONS TO MORE THAN 100 MEDICAL STUDENTS EACH YEAR, AS WELL AS MANY VISITING STUDENTS FROM ACROSS THE COUNTRY. PHYSICIANS OFTEN DECIDE TO SET UP THEIR PRACTICES IN THE CITY WHERE THEY COMPLETED THEIR CLINICAL ROTATIONS OR RESIDENCY; HENCE, FREEMAN GRADUATE MEDICAL EDUCATION PROGRAMS HELP ATTRACT PHYSICIANS TO THE AREA THAT FREEMAN SERVES, WHICH IS CONSIDERED TO BE MEDICALLY UNDERSERVED (DOESN'T HAVE ENOUGH PRIMARY CARE DOCTORS). THE PHYSICIAN-TRAINING PROGRAM IN PLACE AT FREEMAN DATES BACK MORE THAN 40 YEARS. AS A TEACHING HOSPITAL, FREEMAN PLAYS A KEY ROLE IN THE EDUCATION AND TRAINING OF PHYSICIANS IN MISSOURI, AND KCU HAS ACKNOWLEDGED FREEMAN AS ITS ACADEMIC CENTER IN JOPLIN. COORDINATED CARE PARTNERSHIP THIS FOUR-YEAR PROJECT IS FOCUSED ON ENGAGING PATIENTS WITHOUT PCPS WHO VISITED THE FREEMAN ED 6+ TIMES PER YEAR. A LCSW AND COMMUNITY HEALTH NAVIGATOR PROVIDE THERAPY AND SOCIAL/BEHAVIORAL RESOURCES AND SUPPORTS FOR PATIENTS WITH COMPLEX MEDICAL CONDITIONS. ALL FREEMAN CENTER FOR GERIATRIC MEDICINE PATIENTS ARE ASSESSED FOR RISK (ED VISITS, HOSPITALIZATIONS, MULTIPLE CHRONIC ILLNESS, POLYPHARMACY, ETC.) AND ADDITIONAL PSYCHOSOCIAL RESOURCES ARE PROVIDED. ALSO, THE CLINIC HAS A GOAL TO PROVIDE A MEDICARE ANNUAL WELL VISIT TO EVERY PATIENT EVERY YEAR. NEW REIMBURSEMENT STREAMS TO SUPPORT THE EXPANDED CLINIC STAFF WILL INCLUDE CHRONIC CARE MANAGEMENT, TRANSITIONAL CARE MANAGEMENT, BEHAVIORAL THERAPY, AND ADVANCED CARE PLANNING. CDC CHILDHOOD OBESITY RESEARCH DEMONSTRATION THIS FIVE-YEAR RESEARCH PROJECT LAUNCHED SPRING 2019, AND PARTNERS FREEMAN PEDIATRIC CLINICS WITH WASHINGTON UNIVERSITY AND CHILDREN'S MERCY KC. FOR THE FIRST TIME, LOW-INCOME CHILDREN WITH OBESITY WILL BE OFFERED AN EVIDENCE-BASED TREATMENT: FAMILY BASED THERAPY FOR OBESITY. CHILDREN ARE IDENTIFIED BY A PEDIATRICIAN, CONSULT WITH A DIETICIAN, AND RECEIVE 26 HOURS OF PARENT-CHILD THERAPY OVER SIX MONTHS DELIVERED BY AN LCSW. ONLINE TRAINING FOR PROVIDERS, DIETICIANS, AND BEHAVIORAL INTERVENTIONISTS WILL BE INCLUDED IN THE PACKAGE, AS WILL WEIGHT MANAGEMENT RESOURCES FOR FAMILIES AND COMMUNITY. FREE MAMMOGRAMS TEAMING UP WITH BREAST CANCER FOUNDATION OF THE OZARKS, FREEMAN HEALTH SYSTEM HELD "PROJECT PINK," OCTOBER 16, 2020, PROVIDING FREE SCREENING MAMMOGRAMS TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS. BREAST CANCER TYPICALLY PRODUCES NO SYMPTOMS WHEN THE TUMOR IS SMALL AND MOST EASILY TREATED. THAT'S WHY EARLY DIAGNOSIS IS ESSENTIAL. THIS EVENT HELPED THOSE WHO COULD NOT AFFORD A MAMMOGRAM. CHAPLAINS FUND THROUGH THE CHAPLAINS FUND, FREEMAN OFFERS HELP TO PATIENTS UPON DISMISSAL FROM THE HOSPITAL-SOMETIMES PATIENTS CAN'T AFFORD A NEEDED PRESCRIPTION OR DON'T HAVE A WAY TO GET HOME. THE CHAPLAINS FUND PAYS FOR MEALS OR PROVIDES GAS MONEY FOR A RELATIVE TO DRIVE TO THE HOSPITAL TO PICK UP THE PATIENT. THE CHAPLAINS FUND PROVIDES MEAL VOUCHERS, TAXI VOUCHERS, VOUCHERS FOR PERSONS WITH SPECIAL MOBILITY NEEDS, AND GAS VOUCHERS FOR THOSE WHO HAVE EMPTY TANKS. THE CHAPLAINS FUND ALSO PROVIDES YMCA VOUCHERS FOR PATIENTS' LOVED ONES WHO HAVE DIFFICULTY GETTING HOME TO SHOWER. IN FY21, CHAPLAINS MADE 32,093 VISITS AND RESPONDED TO 205 CODES, 774 DEATHS, 190 PRIORITY ONE TRAUMAS/MEDICALS, AND 189 WITHDRAWALS OF CARE. THEY MADE 2,974 VISITS TO PALLIATIVE PATIENTS AND ISSUED 1,838 VOUCHERS OR TOKENS FOR FOOD, TRANSPORTATION, OR FUEL. IN FY21, THE CHAPLAINS FUND PROVIDED A COMMUNITY BENEFIT OF $27,880 THROUGH ASSISTANCE FOR PRESCRIPTIONS, TRANSPORTATION, MEALS AND OTHER ISSUES TO 1,838 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 FY21, FREEMAN PHARMACY ASSISTANCE TOTALED MORE THAN $1,600,000. JOB SHADOWING IN FY21, 57 FREEMAN DOCTORS, CLINICIANS, AND OTHER HEALTHCARE PROFESSIONALS SPENT 414 HOURS FULFILLING JOB SHADOWING REQUESTS FROM MEMBERS OF THE COMMUNITY. THESE INCLUDED SHADOWING IN THE HOSPITALS, PHYSICIAN PRACTICES, THE OR, THE NICU, AND MANY ADDITIONAL DEPARTMENTS AND OUTPATIENT LOCATIONS. THIS TIME HAS A VALUE OF $9,754 CALCULATED AT THE $24 STATE VOLUNTEER RATE. 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.
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION (CONTINUED): 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 FY21, FREEMAN HEALTH SYSTEM PROVIDED PAYROLL AND BENEFITS TOTALING $262,000,000. NURSING SCHOOL SUPPORT IN FY21, FREEMAN AUXILIARY GAVE $14,000 TO SEVEN LOCAL NURSING PROGRAMS-CARTHAGE TECHNICAL CENTER, CROWDER COLLEGE, FRANKLIN TECHNICAL CENTER, LABETTE COMMUNITY COLLEGE, MISSOURI SOUTHERN STATE UNIVERSITY, NORTHEASTERN OKLAHOMA A&M COLLEGE, AND PITTSBURG STATE UNIVERSITY EACH RECEIVED $2,000. FREE SUPPORT GROUPS FREEMAN FOSTERS THE HEALTH OF THE COMMUNITY BY HOSTING MANY RELEVANT MONTHLY SUPPORT GROUPS, SUCH AS OZARK CENTER AUTISM SUPPORT GROUP, FREEMAN CANCER SUPPORT GROUP, FREEMAN BARIATRIC WEIGHT LOSS SUPPORT GROUP, FREEMAN DIABETES SUPPORT GROUP, AND FREEMAN SLEEP APNEA SUPPORT GROUP. DUE TO THE PANDEMIC, SOME OF THE SUPPORT GROUPS WERE STILL ABLE TO MEET VIA ZOOM. ADDITIONALLY, FREEMAN WAS ABLE TO LAUNCH A NEW CAREGIVER SUPPORT GROUP IN 2021. 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 FY21, FREEMAN HOSPITAL WEST HOSTED 7 BLOOD DRIVES AND COLLECTED 395 BLOOD DONATIONS. FREEMAN AUXILIARY FREEMAN AUXILIARY RAISES FUNDS AND PROVIDES VOLUNTEER SERVICES TO BENEFIT PATIENTS, STAFF, VISITORS, AND THE COMMUNITY. IN FY21, FREEMAN AUXILIARY PROVIDED SUPPORT FOR: - BILL & VIRGINIA LEFFEN CENTER FOR AUTISM - $6,500 - CANCER INSTITUTE - REFRESHMENTS FOR PATIENTS IN CHEMOTHERAPY - $5,000 - CARDIAC BEARS FOR HEART PATIENTS - $2,191 - CHILDREN'S MIRACLE NETWORK HOSPITALS - $15,000 - CHAPLAINS FUND - $10,000 - FREEMAN NEOSHO SNACKS FOR PATIENTS IN INFUSION CENTER - $250 - MAMMOGRAM FINANCIAL AID - $300 - NURSING EDUCATION/RED CARPET EVENT SPONSORSHIP - $10,000 - NURSING SCHOOL SUPPORT - $14,000 - OZARK CENTER TURNAROUND RANCH - $3,000 - RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES - $20,000 - STUDENT VOLUNTEER PROGRAM SCHOLARSHIPS - $7,250 - DIALYSIS MARCH OF KIDNEY SPONSOR $10,000 - LEARNING CENTER SMART BOARD $30,000 TOTAL AUXILIARY CONTRIBUTIONS: $133,491 JOPLIN MEMORIAL RUN FREEMAN HEALTH SYSTEM IS THE TITLE SPONSOR OF THE JOPLIN MEMORIAL RUN, A RACING EVENT THAT DRAWS COMPETITORS FROM ACROSS THE NATION. SINCE 2012, THE JOPLIN MEMORIAL RUN HAS DONATED MORE THAN $300,000 TO THE UNITED WAY OF SOUTHEAST KANSAS AND SOUTHWEST MISSOURI, REBUILD JOPLIN, BRIGHT FUTURES, JOPLIN HUMANE SOCIETY, AND BILL & VIRGINIA LEFFEN CENTER FOR AUTISM TO HELP IMPROVE THE HEALTH OF THE COMMUNITY. THE 2020 MEMORIAL RUN WAS POSTPONED DUE TO THE PANDEMIC IN 2020-IT WAS HELD IN DECEMBER INSTEAD OF MAY. 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 INCLUDED PUBLICIZING THE EVENT, COORDINATING PARADE ENTRIES, ENSURING THE PARADE FLOWED 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. UNFORTUNATELY, THE PARADE HAD TO BE CANCELLED IN DECEMBER 2020 DUE TO THE PANDEMIC. FREEMAN FAMILY 5K & FUN RUN THE FREEMAN FAMILY 5K ORIGINATED AS AN EFFORT TO GET EMPLOYEES EXERCISING WITH CO-WORKERS AND FAMILIES. IN THE PAST, IT HAS SUPPORTED PEDIATRIC THERAPY, MATERNAL-CHILD AND NICU SERVICES, AS WELL AS BRIGHT FUTURES. IN 2020, DUE TO THE PANDEMIC, THE FREEMAN FAMILY 5K & FUN RUN JOINED FORCES WITH THE OZARK CENTER FOR AUTISM WALK FOR AUTISM AWARENESS, WITH PROCEEDS BENEFITING THE AUTISM PROGRAM.
FORM 990, PART III, LINE 4	PROGRAM SERVICES: LOCALLY OWNED, NOT-FOR-PROFIT, AND NATIONALLY RECOGNIZED, FREEMAN HEALTH SYSTEM INCLUDES FREEMAN HOSPITAL WEST, FREEMAN HOSPITAL EAST, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER - THE AREA'S LARGEST PROVIDER OF BEHAVIORAL HEALTH SERVICES - AS WELL AS TWO URGENT CARE CLINICS, DOZENS OF PHYSICIAN CLINICS THROUGHOUT THE AREA, AND A VARIETY OF SPECIALTY SERVICES. FREEMAN HEALTH SYSTEM'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. FREEMAN IS A LEVEL I STEMI CENTER (SEVERE HEART ATTACK), LEVEL II STROKE CENTER, AND A LEVEL II TRAUMA CENTER, MEANING FREEMAN HAS PROVEN ITS ABILITY TO PROVIDE RAPID, EXPERT CARE TO HELP SAVE PATIENTS FROM DISABILITY AND DEATH. ADDITIONALLY, FREEMAN HAS A LEVEL III NICU FOR THE CARE OF CRITICALLY ILL INFANTS AND BABIES BORN PREMATURELY. SITUATED IN THE HEART OF A LARGELY RURAL AREA, FREEMAN HEALTH SYSTEM IS THE HUB OF MEDICAL ACTIVITY FOR AN AREA THAT EXTENDS THROUGH MISSOURI, KANSAS, OKLAHOMA, AND ARKANSAS. FREEMAN PROVIDES TOP-LEVEL CARE TO THE COMMUNITIES IT SERVES, AND CONTINUALLY STRIVES TO IMPROVE, ENHANCE, AND ADD SERVICES TO MEET THE NEEDS OF ITS CONSTITUENTS. THE CENTERS FOR MEDICARE & MEDICAID SERVICES HAS DESIGNATED FREEMAN HEALTH SYSTEM AS A RURAL REFERRAL CENTER (RRC). TO BE CLASSIFIED AS AN RRC, A HOSPITAL MUST BE PHYSICALLY LOCATED IN A RURAL AREA AND EITHER HAVE AT LEAST 275 BEDS OR MEET CERTAIN DISCHARGE CRITERIA. THESE HOSPITALS ALSO COMMONLY ESTABLISH OUTREACH CLINICS TO PROVIDE PRIMARY AND SPECIALTY CARE SERVICES. FREEMAN HAS OUTREACH CLINICS IN SOUTHWEST MISSOURI, SOUTHEAST KANSAS, AND NORTHEAST OKLAHOMA. DURING ALL OF FY21, FREEMAN PERSEVERED IN THE FIGHT AGAINST COVID-19. THE WINTER OF 2020-21 HIT THE COMMUNITIES SERVED BY FREEMAN PARTICULARLY HARD. WHILE IT LOOKED LIKE COVID WAS SUBSIDING IN SPRING 2021, THE VIRUS CONTINUED TO EBB AND FLOW, PLACING CONTINUED STRAIN ON STAFF, FACILITIES, AND THE COMMUNITY. FREEMAN RE-OPENED ISOLATION UNITS AS NEEDS AROSE, AND PROACTIVELY PLANNED FOR INCREASED FLEXIBILITY IN CRITICAL CARE AND NEGATIVE-PRESSURE ISOLATION UNITS. FREEMAN WAS DESIGNATED A HIGH-THROUGHPUT COVID-19 VACCINATOR BY THE STATE OF MISSOURI, AND FREEMAN ALSO MOUNTED A MEDIA CAMPAIGN TO ENCOURAGE VACCINATION IN THE COMMUNITY. THIS INCLUDED TELEVISION PSAS, PRINT ADS, AND BILLBOARDS. STAFFING BECAME MORE AND MORE DIFFICULT AS TIME PASSED, AFFECTING NOT ONLY NURSING AND CLINICAL STAFFING, BUT POSITIONS ACROSS THE BOARD FROM FOOD SERVICE TO CLERICAL TO HOUSEKEEPING. STAFFING CONTINUES TO BE A MAJOR ISSUE, AND FREEMAN CONTINUES TO LOOK INTO SOLUTIONS SUCH AS SIGN-ON BONUSES AND INCREASED PAY AND BENEFITS. IN DECEMBER 2020, FREEMAN HEALTH SYSTEM WAS SELECTED AS ONE OF 102 HOSPITALS WORLD-WIDE TO BE HONORED BY THE INTERNATIONAL HOSPITAL FEDERATION'S "BEYOND THE CALL OF DUTY FOR COVID-19 PROGRAM." FREEMAN WENT BEYOND THE CALL OF DUTY AT THE BEGINNING OF THE PANDEMIC BY NOT ONLY TREATING PATIENTS, BUT ALSO BY PROACTIVELY PREPARING FOR POTENTIAL SPIKES IN CASES. FREEMAN COLLABORATED WITH OTHER LOCAL HEALTHCARE ENTITIES TO CREATE THE COVID CALL CENTER AND DRIVE-THROUGH TEST SITE. ADDITIONALLY, FREEMAN TOOK A LEADERSHIP ROLE IN THE COMMUNITY THROUGH FREQUENT PRESS BRIEFINGS TO EDUCATE THE PUBLIC ON AVAILABLE RESOURCES, SAFETY MEASURES, AND ISSUES SUCH AS MONOCLONAL ANTIBODY TREATMENTS AND THE IMPACT OF COVID ON "LONG-HAULERS." IN CALENDAR YEAR 2020, FREEMAN RECEIVED DOZENS OF AWARDS FOR MEDICAL EXCELLENCE AND SAFETY FROM CARECHEX, AN INDEPENDENT QUALITY RATING ORGANIZATION. THE AWARDS SPANNED A NUMBER OF SERVICE LINES, SUCH AS SURGERY, WOMEN'S HEALTH, AND TRAUMA CARE, TO NAME A FEW. FOR EXAMPLE, FREEMAN WAS AMONG THE TOP 100 IN THE NATION IN SAFETY FOR BARIATRIC SURGERY, GASTROINTESTINAL CARE, GENERAL SURGERY, INTERVENTIONAL CAROTID CARE, MAJOR BOWEL PROCEDURES, AND NEUROLOGICAL CARE (AMONG OF DOZENS OF OTHER AWARDS), AND FREEMAN RANKED AMONG THE TOP 100 IN THE NATION IN MEDICAL EXCELLENCE FOR BARIATRIC SURGERY, GALL BLADDER REMOVAL, MAJOR BOWEL PROCEDURES, AND SPINAL FUSION (AMONG OF DOZENS OF OTHER AWARDS). FOR CALENDAR YEARS 2020-21, FREEMAN HEALTH SYSTEM WAS RECOGNIZED BY THE U.S. NEWS & WORLD REPORT BEST HOSPITALS REPORT AND WAS RANKED HIGH PERFORMING IN THREE AREAS: COLON CANCER SURGERY, HEART FAILURE TREATMENT, AND THE TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE.
FORM 990, PART III, LINE 4A	PROGRAM SERVICES: LOCALLY OWNED, NOT-FOR-PROFIT, AND NATIONALLY RECOGNIZED, FREEMAN HEALTH SYSTEM INCLUDES FREEMAN HOSPITAL WEST, FREEMAN HOSPITAL EAST, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER - THE AREA'S LARGEST PROVIDER OF BEHAVIORAL HEALTH SERVICES - AS WELL AS TWO URGENT CARE CLINICS, DOZENS OF PHYSICIAN CLINICS THROUGHOUT THE AREA, AND A VARIETY OF SPECIALTY SERVICES. FREEMAN HEALTH SYSTEM'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. FREEMAN IS A LEVEL I STEMI CENTER (SEVERE HEART ATTACK), LEVEL II STROKE CENTER, AND A LEVEL II TRAUMA CENTER, MEANING FREEMAN HAS PROVEN ITS ABILITY TO PROVIDE RAPID, EXPERT CARE TO HELP SAVE PATIENTS FROM DISABILITY AND DEATH. ADDITIONALLY, FREEMAN HAS A LEVEL III NICU FOR THE CARE OF CRITICALLY ILL INFANTS AND BABIES BORN PREMATURELY. SITUATED IN THE HEART OF A LARGELY RURAL AREA, FREEMAN HEALTH SYSTEM IS THE HUB OF MEDICAL ACTIVITY FOR AN AREA THAT EXTENDS THROUGH MISSOURI, KANSAS, OKLAHOMA, AND ARKANSAS. FREEMAN PROVIDES TOP-LEVEL CARE TO THE COMMUNITIES IT SERVES, AND CONTINUALLY STRIVES TO IMPROVE, ENHANCE, AND ADD SERVICES TO MEET THE NEEDS OF ITS CONSTITUENTS. THE CENTERS FOR MEDICARE & MEDICAID SERVICES HAS DESIGNATED FREEMAN HEALTH SYSTEM AS A RURAL REFERRAL CENTER (RRC). TO BE CLASSIFIED AS AN RRC, A HOSPITAL MUST BE PHYSICALLY LOCATED IN A RURAL AREA AND EITHER HAVE AT LEAST 275 BEDS OR MEET CERTAIN DISCHARGE CRITERIA. THESE HOSPITALS ALSO COMMONLY ESTABLISH OUTREACH CLINICS TO PROVIDE PRIMARY AND SPECIALTY CARE SERVICES. FREEMAN HAS OUTREACH CLINICS IN SOUTHWEST MISSOURI, SOUTHEAST KANSAS, AND NORTHEAST OKLAHOMA. DURING ALL OF FY21, FREEMAN PERSEVERED IN THE FIGHT AGAINST COVID-19. THE WINTER OF 2020-21 HIT THE COMMUNITIES SERVED BY FREEMAN PARTICULARLY HARD. WHILE IT LOOKED LIKE COVID WAS SUBSIDING IN SPRING 2021, THE VIRUS CONTINUED TO EBB AND FLOW, PLACING CONTINUED STRAIN ON STAFF, FACILITIES, AND THE COMMUNITY. FREEMAN RE-OPENED ISOLATION UNITS AS NEEDS AROSE, AND PROACTIVELY PLANNED FOR INCREASED FLEXIBILITY IN CRITICAL CARE AND NEGATIVE-PRESSURE ISOLATION UNITS. FREEMAN WAS DESIGNATED A HIGH-THROUGHPUT COVID-19 VACCINATOR BY THE STATE OF MISSOURI, AND FREEMAN ALSO MOUNTED A MEDIA CAMPAIGN TO ENCOURAGE VACCINATION IN THE COMMUNITY. THIS INCLUDED TELEVISION PSAS, PRINT ADS, AND BILLBOARDS. STAFFING BECAME MORE AND MORE DIFFICULT AS TIME PASSED, AFFECTING NOT ONLY NURSING AND CLINICAL STAFFING, BUT POSITIONS ACROSS THE BOARD FROM FOOD SERVICE TO CLERICAL TO HOUSEKEEPING. STAFFING CONTINUES TO BE A MAJOR ISSUE, AND FREEMAN CONTINUES TO LOOK INTO SOLUTIONS SUCH AS SIGN-ON BONUSES AND INCREASED PAY AND BENEFITS. IN DECEMBER 2020, FREEMAN HEALTH SYSTEM WAS SELECTED AS ONE OF 102 HOSPITALS WORLD-WIDE TO BE HONORED BY THE INTERNATIONAL HOSPITAL FEDERATION'S "BEYOND THE CALL OF DUTY FOR COVID-19 PROGRAM." FREEMAN WENT BEYOND THE CALL OF DUTY AT THE BEGINNING OF THE PANDEMIC BY NOT ONLY TREATING PATIENTS, BUT ALSO BY PROACTIVELY PREPARING FOR POTENTIAL SPIKES IN CASES. FREEMAN COLLABORATED WITH OTHER LOCAL HEALTHCARE ENTITIES TO CREATE THE COVID CALL CENTER AND DRIVE-THROUGH TEST SITE. ADDITIONALLY, FREEMAN TOOK A LEADERSHIP ROLE IN THE COMMUNITY THROUGH FREQUENT PRESS BRIEFINGS TO EDUCATE THE PUBLIC ON AVAILABLE RESOURCES, SAFETY MEASURES, AND ISSUES SUCH AS MONOCLONAL ANTIBODY TREATMENTS AND THE IMPACT OF COVID ON "LONG-HAULERS." IN CALENDAR YEAR 2020, FREEMAN RECEIVED DOZENS OF AWARDS FOR MEDICAL EXCELLENCE AND SAFETY FROM CARECHEX, AN INDEPENDENT QUALITY RATING ORGANIZATION. THE AWARDS SPANNED A NUMBER OF SERVICE LINES, SUCH AS SURGERY, WOMEN'S HEALTH, AND TRAUMA CARE, TO NAME A FEW. FOR EXAMPLE, FREEMAN WAS AMONG THE TOP 100 IN THE NATION IN SAFETY FOR BARIATRIC SURGERY, GASTROINTESTINAL CARE, GENERAL SURGERY, INTERVENTIONAL CAROTID CARE, MAJOR BOWEL PROCEDURES, AND NEUROLOGICAL CARE (AMONG OF DOZENS OF OTHER AWARDS), AND FREEMAN RANKED AMONG THE TOP 100 IN THE NATION IN MEDICAL EXCELLENCE FOR BARIATRIC SURGERY, GALL BLADDER REMOVAL, MAJOR BOWEL PROCEDURES, AND SPINAL FUSION (AMONG OF DOZENS OF OTHER AWARDS). FOR CALENDAR YEARS 2020-21, FREEMAN HEALTH SYSTEM WAS RECOGNIZED BY THE U.S. NEWS & WORLD REPORT BEST HOSPITALS REPORT AND WAS RANKED HIGH PERFORMING IN THREE AREAS: COLON CANCER SURGERY, HEART FAILURE TREATMENT, AND THE TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE. NURSES ARE SOME OF THE FEW PROFESSIONALS WHO MIGHT INTERACT WITH HUMAN TRAFFICKING VICTIMS WHILE THEY ARE STILL IN CAPTIVITY, AND THIS TRAINING ENABLES NURSES HELP THE VICTIMS. FREEMAN AMBULANCE SERVICE FREEMAN AMBULANCE SERVICE COVERS THE ENTIRE 540-MILE MCDONALD COUNTY AREA, AVERAGING MORE THAN 60,000 MILES PER YEAR PER AMBULANCE. WITH TWO STATE-OF-THE ART AMBULANCES, FREEMAN AMBULANCE SERVICE PROVIDES RELIABLE, SAFE, AND COMFORTABLE TRANSPORTATION ACROSS THE OFTEN-DIFFICULT, STEEP, TWISTING ROADS OF MCDONALD COUNTY, AN AREA THAT HAS BEEN DESIGNATED "MEDICALLY UNDERSERVED" BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. THE NEED FOR SERVICES IN THIS AREA IS DRAMATIC, AND FREEMAN AMBULANCE SERVICE OPERATES AT A LOSS. ALL PATIENTS ARE SERVED REGARDLESS OF ABILITY TO PAY. WES & JAN HOUSER WOMEN'S PAVILION DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, WES & JAN HOUSER WOMEN'S PAVILION'S TEAM OF SURGEONS, RADIOLOGISTS, AND REGISTERED MAMMOGRAPHY TECHNOLOGISTS USES THE LATEST TECHNOLOGIES TO ENSURE PATIENTS RECEIVE THE BEST CARE, ADVICE, AND TREATMENT. BREAST LIFECARE PATIENTS HAVE SENSE OF URGENCY WHEN THEY FIND A LUMP IN THEIR BREAST, AND THEY WANT ANSWERS AND TEST RESULTS QUICKLY WITH FEW DELAYS. THAT'S WHY FREEMAN DEVELOPED BREAST LIFECARE. FREEMAN RADIOLOGISTS AND SURGEONS WORK AS A TEAM TO PROVIDE AS MUCH INFORMATION AS POSSIBLE IN AS FEW VISITS AS POSSIBLE TO MINIMIZE THE STRESS CAUSED BY MULTIPLE APPOINTMENTS AND WAITING. DURING A BREAST LIFECARE VISIT, PATIENTS CONSULT WITH A BREAST SURGEON. THE BREAST SURGEON REVIEWS THE PATIENT'S IMAGING WITH THE BREAST RADIOLOGIST AND THEN DISCUSSES A PLAN OF CARE WITH THE PATIENT. IF A BREAST BIOPSY, A MAMMOGRAM, OR AN ULTRASOUND IS RECOMMENDED, IT CAN BE DONE THAT SAME DAY UNDER MOST CIRCUMSTANCES. OUTPATIENT DIALYSIS FREEMAN PROVIDES OUTPATIENT DIALYSIS SERVICES THROUGH TWO OUTPATIENT DIALYSIS CENTERS. FREEMAN OUTPATIENT DIALYSIS COMPLEMENTS INPATIENT DIALYSIS AND KIDNEY TREATMENT SERVICES IN PLACE AT FREEMAN HOSPITAL WEST. FREEMAN OFFERS TREATMENTS AND SERVICES FOR PATIENTS WITH KIDNEY-RELATED DISEASES, INCLUDING HEMODIALYSIS, PERITONEAL DIALYSIS, NUTRITIONAL COUNSELING, EDUCATIONAL RESOURCES, SOCIAL SERVICES, AND TRANSPLANT REFERRAL. FREEMAN OUTPATIENT DIALYSIS FEATURES COMFORTABLE CHAIRS; A SAFE, PRIVATE ENVIRONMENT; STATE-OF-THE-ART DIALYSIS EQUIPMENT; AND INNOVATIVE TECHNOLOGY IN VASCULAR ACCESS GRAFTS. PATIENTS ALSO RELY ON THE CARING STAFF THAT INCLUDES A TEAM OF EXPERIENCED AND COMPASSIONATE NEPHROLOGISTS. FREEMAN BARIATRIC CENTER FREEMAN BARIATRIC CENTER IS ACCREDITED AS A COMPREHENSIVE CENTER UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. THE FIRST AND ONLY BARIATRIC PROGRAM IN THE AREA TO BE ACCREDITED, FREEMAN BARIATRIC CENTER MEETS THE HIGHEST STANDARDS FOR PATIENT SAFETY AND QUALITY OF CARE. FREEMAN NEUROSPINE FREEMAN NEUROSPINE PROVIDES SURGICAL AND NONSURGICAL TREATMENTS FOR CONDITIONS RANGING FROM BACK PAIN, WORK-RELATED INJURIES, AND CARPAL TUNNEL SYNDROME TO STROKE AND COMPLEX SPINAL DISEASES. FREEMAN'S EXPERT, MULTIDISCIPLINARY TEAM INCLUDES NEUROSURGEONS, NEUROLOGISTS, REHABILITATION SPECIALISTS, SURGICAL ASSISTANTS, PHYSICAL THERAPISTS, MASSAGE THERAPISTS, AND ATHLETIC TRAINERS. SPINAL CARE SERVICES FREEMAN NEUROSPINE OFFERS COMPREHENSIVE SPINAL CARE SERVICES FOR PATIENTS WITH CHRONIC BACK OR NECK PAIN, ESPECIALLY THOSE WHO HAVE NOT FOUND RELIEF THROUGH OTHER TREATMENTS. THE FIRST AND ONLY SERVICE OF ITS KIND IN THE AREA, IT UTILIZES A COLLABORATIVE APPROACH TO ADDRESS A PATIENT'S TOTAL NEEDS-FROM PHYSICAL TO EMOTIONAL-AND DRAWS UPON THE EXPERTISE OF AN INTERDISCIPLINARY TEAM OF SPECIALISTS THAT INCLUDES PHYSICIANS, NEUROSURGICAL NURSE PRACTITIONERS, PHYSICAL THERAPISTS, COUNSELORS, AND OTHER HIGHLY TRAINED SPINE CARE PROFESSIONALS.
FORM 990, PART III, LINE 4A	OUTPATIENT SERVICES (CONTINUED): PEDIATRIC SPECIALTY CARE FREEMAN HEALTH SYSTEM PARTNERS WITH PEDIATRIX CARDIOLOGY TO ENHANCE PEDIATRIC SPECIALTY CARE IN THE FOUR-STATE AREA. CONVENIENT ACCESS TO THIS CALIBER OF PEDIATRIC SPECIALTY CARE NOT ONLY IMPROVES OUTCOMES FOR PEDIATRIC PATIENTS-IT ALSO SAVES FAMILIES THE EXPENSE AND TIME INVOLVED WITH DRIVING GREAT DISTANCES FOR CLINIC APPOINTMENTS. SCHOOL-BASED MEDICINE FREEMAN HEALTH SYSTEM HAS ENTERED INTO SCHOOL-BASED MEDICINE PARTNERSHIPS WITH THE CARL JUNCTION SCHOOLS, NEOSHO SCHOOLS, SENECA SCHOOLS, AND MCDONALD COUNTY SCHOOLS TO CREATE GREATER ACCESS TO HEALTHCARE FOR STUDENTS AND FACULTY ALIKE. 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 AS MUCH AS A HALF-DAY'S WORK TO TAKE THEIR CHILDREN TO A MEDICAL CLINIC OR DOCTOR'S OFFICE. HOME CARE FREEMAN HOME CARE HAS EARNED HOMECARE ELITE STATUS 10 TIMES OVER THE PAST SEVERAL YEARS. FREEMAN HOME CARE HAS PROVIDED PERSONALIZED HOME MEDICAL CARE FOR MORE THAN 30 YEARS. TRAINED, CPR-CERTIFIED PROFESSIONALS, INCLUDING NURSES, THERAPISTS, PERSONAL CARE AIDES AND SOCIAL WORKERS, WORK CLOSELY WITH PATIENTS, FAMILIES, AND PHYSICIANS TO DEVELOP INDIVIDUALIZED CARE PLANS TO BEST MEET THE PATIENT'S NEEDS. FREEMAN HOME CARE EARNED A FIVE-STAR RATING IN PATIENT SATISFACTION FROM MEDICARE IN THE JANUARY 2020 HOME HEALTH COMPARE SURVEY. WOUND CARE & HYPERBARIC MEDICINE PHYSICAL WOUNDS DO NOT ALWAYS HEAL QUICKLY AND ROUTINELY-HEALING IS A COMPLICATED PROCESS. IF A WOUND HASN'T HEALED AFTER FOUR WEEKS OF STANDARD MEDICAL CARE, SPECIALIZED WOUND CARE SERVICES MAY BE NEEDED. FREEMAN WOUND CARE & HYPERBARIC MEDICINE CAN EFFECTIVELY TREAT MANY TYPES OF WOUNDS, INCLUDING DIABETIC WOUNDS, VARICOSE VEIN ULCERS, ARTERIAL LEG ULCERS, AND MORE. SERVICES INCLUDE EVALUATION AND WOUND ASSESSMENT, INDIVIDUALIZED TREATMENT PLAN, AND PATIENT EDUCATION. SPECIALIZED OSTEOPOROSIS SERVICES FREEMAN DIABETES & ENDOCRINOLOGY INSTITUTE OFFERS COMPREHENSIVE SPECIALTY SERVICES TO DIAGNOSE, TREAT, AND PREVENT OSTEOPOROSIS. MANY HEALTH PROBLEMS INCREASE AN INDIVIDUAL'S RISK FOR OSTEOPOROSIS, INCLUDING LUPUS, LEUKEMIA AND LYMPHOMA, DIABETES, HYPERTHYROIDISM, AND CHRONIC KIDNEY DISEASE. WITH EARLY DETECTION AND INDIVIDUALIZED TREATMENT PLANS, MANY OSTEOPOROSIS PATIENTS CAN ENJOY AND MAINTAIN ACTIVE, HEALTHY LIFESTYLES. DIABETES EDUCATION OBESITY AND DIABETES ARE GROWING PROBLEMS WITH SERIOUS HEALTH IMPLICATIONS. ACCORDING TO THE AMERICAN DIABETES ASSOCIATION, 13.4% OF MISSOURIANS HAVE DIABETES. UNFORTUNATELY, FREEMAN DIABETES EDUCATION WAS NOT ABLE TO HOLD ITS ANNUAL DIABETES EXPO THAT PROVIDES EDUCATION TO THE COMMUNITY FREE OF CHARGE. NORMALLY, ATTENDEES HAVE THE OPPORTUNITY TO HEAR FREEMAN ENDOCRINOLOGISTS AND DIABETES EDUCATORS DISCUSS DIABETES MANAGEMENT AND PARTICIPATE IN HEALTHY COOKING DEMONSTRATIONS AND EXERCISE DEMONSTRATIONS; HOWEVER, DUE TO COVID AND SOCIAL DISTANCING RESTRICTIONS, FREEMAN WAS NOT ABLE TO HOST THIS EVENT IN-PERSON IN NOVEMBER 2020. INSTEAD, IT HELD A VIRTUAL DIABETES EXPO AND PARTICIPATED IN VIRTUAL HEALTH FAIRS AS WELL. REHABILITATION SERVICES FREEMAN REHABILITATION SERVICES DELIVERS PERSONALIZED CARE AIMED AT MAKING A PATIENT'S RECOVERY QUICK AND EFFECTIVE. WITH A GOAL OF PROVIDING INDIVIDUALIZED THERAPEUTIC INTERVENTION TO RESTORE FUNCTION AND REDUCE PAIN, FREEMAN'S EXPERIENCED CLINICIANS PROVIDE COMPREHENSIVE OUTPATIENT REHABILITATION THERAPY. REHABILITATION SERVICES PLAYS A MAJOR ROLE ON FREEMAN'S SPORTS MEDICINE TEAM, WHICH PROVIDES ATHLETIC INJURY ASSESSMENT, TREATMENT, AND REHABILITATION. FREEMAN ATHLETIC TRAINERS PROVIDE GAME COVERAGE FOR AREA SCHOOLS AND PERFORM ON-SITE INJURY ASSESSMENT AND TREATMENT DURING ATHLETIC EVENTS. FREEMAN REHABILITATION & SPORTS CENTER IS A CONVENIENTLY LOCATED STANDALONE CLINIC PROVIDING AQUATIC THERAPY, LYMPHEDEMA THERAPY, PEDIATRIC THERAPY, PELVIC FLOOR THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY, AND TRAINING CLASSES FOR RUNNERS, GOLFERS, AND OTHER ATHLETES. FREEMAN SCREEN TEAM PREVENTION IS KEY TO HEART HEALTH. THE FIRST "SYMPTOM" OF CARDIOVASCULAR DISEASE CAN BE A HEART ATTACK-THAT'S WHY FREEMAN HEALTH SYSTEM STARTED FREEMAN SCREEN TEAM MORE THAN 20 YEARS AGO. FREEMAN SCREEN TEAM REACHES OUT INTO COMMUNITIES WITH FREE OR LOW-COST HEALTH SCREENINGS TO CATCH PROBLEMS EARLY, BEFORE THEY CAUSE SERIOUS COMPLICATIONS. ADDITIONALLY, FREEMAN SCREEN TEAM OFFERS SPECIALIZED EARLY DETECTION SCREENINGS THAT SCREEN FOR ABDOMINAL AORTIC ANEURYSM, PERIPHERAL ARTERIAL DISEASE, AND A PERSON'S STROKE/CAROTID ARTERY RISK. EARLY DETECTION OF HEART PROBLEMS GIVES INDIVIDUALS A CHANCE TO SEEK TREATMENT AND MAKE LIFESTYLE CHANGES, DECREASING THE LIKELIHOOD OF A CARDIAC EVENT. BY TAKING PREVENTION INTO THE COMMUNITY, FREEMAN SCREEN TEAM HELPS PEOPLE WHO OTHERWISE MIGHT NOT SEEK MEDICAL SERVICES. ON MANY OCCASIONS, FREEMAN SCREEN TEAM HAS REFERRED PATIENTS DIRECTLY FROM A SCREENING TO FREEMAN HEART & VASCULAR INSTITUTE FOR LIFESAVING FOLLOW-UP CARE. WALK-IN CLINICS AND SAME-DAY APPOINTMENTS FREEMAN PROVIDES CARE THROUGH A VARIETY OF WALK-IN CLINICS THAT TREAT A WIDE RANGE OF MEDICAL CONDITIONS. URGENT CARE CLINICS IN JOPLIN AND WEBB CITY PROVIDE A CONVENIENT, COST-EFFECTIVE ALTERNATIVE FOR MINOR MEDICAL CARE. STAFFED WITH HIGHLY TRAINED PERSONNEL, INCLUDING BOARD-CERTIFIED PHYSICIANS, REGISTERED NURSES, AND X-RAY TECHNICIANS, FREEMAN URGENT CARE PROVIDES PROMPT MEDICAL TREATMENT WITHOUT AN APPOINTMENT. ADDITIONALLY, FREEMAN FIRST CARE OFFERS SAME-DAY APPOINTMENTS FOR PATIENTS WITHOUT A PRIMARY CARE PROVIDER AND FOR THOSE WHOSE PRIMARY CARE PROVIDER IS NOT AVAILABLE THAT DAY. PATIENTS CAN RECEIVE MINOR MEDICAL CARE AT FREEMAN FIRST CARE AND GET SET UP WITH A PRIMARY CARE PHYSICIAN AS WELL. SHOULD A SPECIALIST BE REQUIRED, FREEMAN FIRST CARE CAN FACILITATE THE PROCESS SO THERE'S LESS OF A WAIT FOR A SPECIALIST APPOINTMENT. FREEMAN LUNG INSTITUTE FREEMAN LUNG INSTITUTE FEATURES BEST-IN-CLASS PULMONARY FUNCTION TESTING (PFT), WHICH IS PAINLESS AND OFFERS IMMEDIATE RESULTS AND INSTANT TREATMENT RIGHT IN THE PHYSICIAN'S OFFICES. THE CLINIC, THE FIRST AND ONLY IN THE AREA, GIVES PATIENTS ACCESS TO SCREENING, DIAGNOSIS, TREATMENT AND SUPPORT OF LIFE-THREATENING LUNG DISEASES IN ONE CONVENIENT LOCATION. FREEMAN LUNG INSTITUTE IS EXPERIENCING SUCCESS WITH THE SPIRATION VALVE IMPLANT. THIS GROUNDBREAKING TREATMENT HELPS PATIENTS WITH EMPHYSEMA BREATHE EASIER. SPIRATION VALVES RESEMBLE PARACHUTES AND CAN BE INSERTED INTO AIRWAYS VIA CATHETER. ONCE IMPLANTED, THE VALVE EXPANDS AND CONTRACTS WITH BREATHING. IT HELPS THE DAMAGED LUNG TO SHRINK IN SIZE AND HELPS THE HEALTHIER LUNG TO EXPAND. PRIOR TO THIS MINIMALLY INVASIVE PROCEDURE, TREATMENT REQUIRED INVASIVE CHEST SURGERY WITH RESECTION OF PART OF THE LUNG. THE END RESULTS FOR PATIENTS ARE IMPROVED LUNG FUNCTION, REDUCED SHORTNESS OF BREATH, AND RESTORED QUALITY OF LIFE. IN APRIL 2021, FREEMAN ANNOUNCED A $600,000 INVESTMENT IN ROBOTIC IN TRANSFORMATIVE ROBOTIC TECHNOLOGY THAT GIVES PULMONOLOGISTS A BETTER WAY TO SEE INSIDE A PATIENT'S LUNGS AND A MORE PRECISE TOOL FOR DIAGNOSING AND TREATING LUNG CANCER. FREEMAN IS THE FIRST AND ONLY HOSPITAL IN MISSOURI, SOUTHEAST KANSAS, AND NORTHEAST OKLAHOMA TO INVEST IN THE MONARCH PLATFORM BY AURIS. LUNG CANCER CAN BE PARTICULARLY DIFFICULT TO DIAGNOSE BECAUSE THE AIRWAYS ARE FULL OF TWISTS AND TURNS, REACHING DEEP INTO THE LUNGS. THE MONARCH PLATFORM INTEGRATES THE LATEST ADVANCEMENTS IN ROBOTICS, SOFTWARE, DATA SCIENCE AND ENDOSCOPY. IT HELPS PULMONOLOGISTS FIND LUNG NODULES EARLIER THROUGH THE LEAST INVASIVE APPROACH. THIS IS IMPORTANT BECAUSE THE AREA SERVED BY FREEMAN HEALTH SYSTEM UNDERPERFORMS NATIONAL AVERAGES IN LUNG HEALTH, ACCORDING TO THE DATA-DRIVEN COMMUNITY HEALTH NEEDS ASSESSMENT.
FORM 990, PART III, LINE 4B	INPATIENT SERVICES: FREEMAN PROVIDES INPATIENT SERVICES IN JOPLIN THROUGH TWO HOSPITALS-FREEMAN HOSPITAL WEST AND FREEMAN HOSPITAL EAST. IN THESE TWO HOSPITALS, PATIENTS RELY ON A VARIETY OF MEDICAL UNITS FOR MEDICAL CARE. THESE INCLUDE THE GENERAL MEDICAL, GENERAL SURGERY, ORTHOPAEDIC, NEUROSURGERY, CARDIOVASCULAR, CARDIAC/MEDICAL, ONCOLOGY, CRITICAL CARE (INTENSIVE AND TRANSITIONAL), NICU (NEONATAL ICU), MATERNAL, PEDIATRIC, PSYCHIATRIC, GERIATRIC PSYCHIATRIC, AND PHYSICAL REHABILITATION UNITS. FREEMAN JOPLIN INPATIENT SERVICES TOTALED 17,824 CASES, OF WHICH, 3,892 OR 22%, WERE MEDICAID CASES. ADDITIONALLY, 1,777 INPATIENT CASES, OR 10% OF THE TOTAL, FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. CRITICAL CARE PATIENTS RELY ON THE INTENSIVE CARE UNIT (ICU) FOR LIFESAVING TREATMENT. FREEMAN'S SPECIALIZED TEAM OF CRITICAL CARE PHYSICIANS, NURSES, AND RESPIRATORY THERAPISTS PROVIDES EXCEPTIONAL CARE IN THE STATE-OF-THE-ART, 33-BED ICU, AND 7-BED CARDIOVASCULAR INTENSIVE CARE UNIT. ADDITIONALLY, FREEMAN HOSPITAL WEST PROVIDES A TRANSITIONAL CARE UNIT (TCU) FOR PATIENTS WHO ARE STILL TOO ILL FOR THE GENERAL MEDICAL FLOOR BUT HAVE PROGRESSED TO THE POINT WHERE THEY NO LONGER NEED THE LEVEL OF CARE PROVIDED IN THE ICU. FREEMAN JOPLIN CRITICAL CARE SERVICES TOTALED 3,655 CASES, OF WHICH, 382, OR 10.5%, WERE MEDICAID CASES. ADDITIONALLY, 7% OF THE CRITICAL CARE CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. FREEMAN PEDIATRIC UNIT THE FREEMAN PEDIATRIC UNIT PROVIDES CARE TO CHILDREN FROM BIRTH TO AGE 18 AND WORKS WITH FAMILIES TO MAKE THEIR CHILDREN'S HOSPITALIZATION LESS TRAUMATIC BY ENCOURAGING PARENTAL INVOLVEMENT. FREEMAN JOPLIN INPATIENT PEDIATRIC SERVICES TOTALED 130 CASES, OF WHICH, 84, OR 65%, WERE MEDICAID CASES. ADDITIONALLY, 5% OF THE PEDIATRIC INPATIENT CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. MATERNITY SERVICES DESIGNED TO GIVE NEW MOTHERS AND THEIR FAMILIES THE COMFORTS OF HOME WITHIN THE SECURITY OF A HOSPITAL, FREEMAN MATERNITY CENTER DELIVERED 1,749 BABIES IN FY21. THE UNIT INCLUDES BOARD-CERTIFIED OBSTETRICIANS AVAILABLE 24 HOURS A DAY AND PERINATOLOGY CARE FOR WOMEN WITH HIGH-RISK PREGNANCIES. IN FY21, FREEMAN MATERNITY CENTER SERVED 852 MEDICAID PATIENTS, OR 49% OF ITS CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 1.4% OF THE MOTHERS DELIVERING BABIES AT FREEMAN. AS THESE STATISTICS INDICATE, FREEMAN PROVIDES A SAFETY NET FOR EXPECTANT MOTHERS WHO LIVE IN POVERTY AND RECEIVE GOVERNMENT ASSISTANCE AND THOSE WHO SCRAPE BY WITHOUT ASSISTANCE BUT HAVE NO HEALTH INSURANCE. MEDICAID REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING THE LEVEL OF TREATMENT REQUIRED. FREEMAN HEALTH SYSTEM HELPS FAMILIES PREPARE FOR NEW ARRIVALS WITH FREE PRENATAL EDUCATION. THE INFORMATIVE CLASSES ARE TAUGHT BY REGISTERED NURSES AND OTHER PROFESSIONALS WITH YEARS OF EXPERIENCE HELPING EXPECTANT FAMILIES PREPARE FOR A POSITIVE BIRTH EXPERIENCE. FREEMAN MATERNITY CENTER ALSO OFFERS FREE BREASTFEEDING CLASSES TAUGHT BY A CERTIFIED LACTATION CONSULTANT TO HELP NEW MOMS GET STARTED WITH PROPER POSITIONING, RECOGNIZING HUNGER SIGNALS, AND MUCH MORE. NICU FREEMAN NEONATAL INTENSIVE CARE UNIT (NICU) PROVIDES IMMEDIATE CRITICAL CARE FOR PREMATURE AND CRITICALLY ILL INFANTS. SURVIVAL RATES FOR INFANTS LESS THAN 3 POUNDS HAVE INCREASED SIGNIFICANTLY AS A RESULT OF THE OUTSTANDING MEDICAL CARE PROVIDED BY THE FREEMAN NICU TEAM OF DOCTORS, NEONATAL NURSE PRACTITIONERS, SPECIALIZED DEVELOPMENTAL THERAPISTS, AND NURSES. BEFORE FREEMAN NICU OPENED IN 1993, PREMATURE OR CRITICALLY ILL INFANTS WERE SENT OUTSIDE THE REGION, PULLING PARENTS AWAY FROM THEIR SUPPORT SYSTEM AT HOME OR SEPARATING THEM FROM THEIR PRECIOUS CHILD BECAUSE THE DISTANCE WAS TOO FAR TO TRAVEL EACH DAY. AT THE TIME, FREEMAN LEADERS ANTICIPATED 90 BABIES WOULD BE TREATED IN THE NICU EACH YEAR. BY THE END OF THE FIRST YEAR, 300 BABIES HAD BEEN ADMITTED. BY THE END OF FY21, MORE THAN 9,900 INFANTS HAVE HAD A FIGHTING CHANCE TO LIVE THANKS TO THE CARE THEY RECEIVED AT FREEMAN NICU. IN FY21, FREEMAN NICU SERVED 335 PREMATURELY BORN OR CRITICALLY ILL BABIES. OF THESE TINY PATIENTS, 220 RECEIVED MEDICAID, WHICH REPRESENTS 66% OF FREEMAN NICU'S CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 2% OF FREEMAN NICU PATIENTS. NEONATAL INTENSIVE CARE IS EXTREMELY EXPENSIVE TO PROVIDE, SOMETIMES MORE THAN $1 MILLION PER CHILD, AND MEDICAID REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING THE LEVEL OF TREATMENT REQUIRED.
FORM 990, PART III, LINE 4C	FREEMAN HEART & VASCULAR INSTITUTE: FREEMAN HEART & VASCULAR INSTITUTE IS RANKED AMONG THE NATION'S BEST FOR HEART ATTACK PATIENT CARE. IN FACT, FREEMAN IS ONE OF ONLY 124 HOSPITALS NATION-WIDE TO RECEIVE THE AMERICAN COLLEGE OF CARDIOLOGY NCDR CHEST PAIN - MI REGISTRY SILVER PERFORMANCE ACHIEVEMENT AWARD IN 2020. THE AWARD RECOGNIZES FREEMAN'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. THOSE STANDARDS ARE OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION CLINIC GUIDELINES AND RECOMMENDATIONS. ADDITIONALLY, FREEMAN HEALTH SYSTEM RECEIVED AWARDS FOR CONTINUAL IMPROVEMENT OF CARE FOR PEOPLE EXPERIENCING STROKES AND HEART ATTACKS. THANKS TO DOCTORS, NURSES, TECHS, FIRST RESPONDERS, AND MANY OTHERS COLLABORATING TO PROVIDE THE BEST CARE FOR STROKE PATIENTS, FREEMAN RECEIVED THE "GET WITH THE GUIDELINES-STROKE GOLD PLUS" QUALITY ACHIEVEMENT AWARD. THIS AWARD RECOGNIZES FREEMAN FOR BOTH QUALITY OF CARE AND ADHERENCE TO EVIDENCE-BASED GUIDELINES. FOR PATIENTS HAVING A STROKE, TIME LOST IS BRAIN LOST-AND THIS AWARD SIGNIFIES FREEMAN'S COMMITMENT TO PROVIDING RAPID, EXPERT CARE. ADDITIONALLY, FREEMAN RECEIVED THE "MISSION LIFELINE GOLD AWARD" FOR NON-STEMI HEART ATTACK CARE. THIS AWARD RECOGNIZES THE FREEMAN HEART & VASCULAR INSTITUTE TEAM FOR CONTINUED SUCCESS WITH APPLYING THE MOST UP-TO-DATE, EVIDENCE-BASED TREATMENT GUIDELINES TO IMPROVE PATIENT CARE. THIS GOLD-LEVEL AWARD ACKNOWLEDGES THE DEPTH OF FREEMAN HEALTH SYSTEM'S COMMITMENT TO IMPROVING OUTCOMES FOR PATIENTS. FREEMAN HEALTH SYSTEM OPENED FREEMAN HEART & VASCULAR INSTITUTE IN 1999 AND HAS BEEN A LEADER IN HEART CARE EVER SINCE. SERVING A GEOGRAPHIC AREA THAT INCLUDES CORNERS OF FOUR STATES, FREEMAN HEART & VASCULAR INSTITUTE BRINGS LIFESAVING DIAGNOSTICS AND TREATMENTS TO PEOPLE WHERE THEY LIVE, ENABLING THEM TO RECEIVE ESSENTIAL, HIGH-QUALITY HEART CARE WITHOUT THE EXPENSE AND INCONVENIENCE OF TRAVELING TO LARGER METROPOLITAN AREAS. FREEMAN'S DOCTORS (AND ALL STAFF) TREAT PATIENTS AS FRIENDS AND NEIGHBORS BECAUSE THEY LIVE AND RAISE THEIR FAMILIES IN THE COMMUNITIES SERVED BY FREEMAN. ADDITIONALLY, FREEMAN REACHES OUT ACROSS THE REGION BY PROVIDING HEART-CARE CLINICS GIRARD, KANSAS; PARSONS, KANSAS; GROVE, OKLAHOMA; AND MIAMI, OKLAHOMA. FREEMAN HEART & VASCULAR INSTITUTE HAS A PROVEN TRACK RECORD OF SHAVING MINUTES OFF THE TIME IT TAKES TO RESTORE BLOOD FLOW AND SAVE PRECIOUS HEART MUSCLE DURING MYOCARDIAL INFARCTION. IN FACT, THE FREEMAN TEAM BEATS NATIONAL DOOR-TO-DEVICE STANDARDS BY MORE THAN 40 PERCENT (NATIONAL STANDARD: 90 MINUTES; FREEMAN: 50 MINUTES). THIS IS FOR ALL STEMI PATIENTS CALCULATED FROM THE TIME THEY HIT FREEMAN DOORS UNTIL THE INITIAL CARDIAC INTERVENTION BEGINS IN THE CATH LAB. FREEMAN CONTINUES TO PERFORM AT THE 90TH PERCENTILE AS MEASURED BY THE NCDR CHEST PAIN - AMI REGISTRY. FREEMAN HEART & VASCULAR INSTITUTE OFFERS RAPID, EXPERT CARE WHEN PATIENTS NEED IT MOST. FREEMAN HEART & VASCULAR INSTITUTE PROVIDES ALL CARDIAC SERVICES IN ONE CONVENIENT LOCATION, INCLUDING PREVENTIVE CARE, EMERGENCY INTERVENTIONS, DIAGNOSTICS, OPEN-HEART SURGERIES, STRUCTURAL HEART CLINIC, REHABILITATION, CARDIOLOGIST AND CARDIOLOGY CLINICS, EDUCATION, AND MORE. PATIENTS RELY ON FREEMAN HEART & VASCULAR INSTITUTE FOR A VARIETY OF NONINVASIVE TESTS TO DIAGNOSE HEART DISEASE AND OTHER CONDITIONS. ADDITIONALLY, FREEMAN SERVES PATIENTS WITH HEART PROBLEMS WHEN THEY NEED HELP THE MOST. FREEMAN OFFERS THE LATEST NON-INVASIVE TREATMENTS AND OPEN-HEART SURGERIES. THESE INCLUDE THE ROSS PROCEDURE, STENT PLACEMENT, BYPASS SURGERY, KEYHOLE SURGERY, CARDIAC VALVE REPLACEMENT AND REPAIR, PERCUTANEOUS PERIPHERAL VASCULAR INTERVENTION, VIDEO-ASSISTED THORACOSCOPY, AORTIC DISSECTION, AND MANY OTHER LIFESAVING PROCEDURES. WATCHMAN DESPITE THE PANDEMIC, FREEMAN HEALTH SYSTEM CONTINUES BRINGING EXCITING NEW ADVANCES TO THE COMMUNITIES IT SERVES. RECENTLY, FREEMAN BECAME THE FIRST AND ONLY HEALTH SYSTEM IN THE AREA TO PROVIDE THE GAME-CHANGING WATCHMAN IMPLANT, A PERMANENT HEART DEVICE THAT REDUCES THE RISK OF STROKE IN PATIENTS WITH ATRIAL FIBRILLATION, AN IRREGULAR, OFTEN RAPID HEART RATE THAT CAUSES POOR BLOOD FLOW. IT AFFECTS ABOUT 6 MILLION PEOPLE IN THE UNITED STATES EACH YEAR. THE WATCHMAN PROCEDURE IS A MINIMALLY INVASIVE, ONE-TIME PROCEDURE. CATH LAB RENOVATION ALSO DURING THE PANDEMIC, FREEMAN COMPLETED MAJOR RENOVATIONS TO ONE OF ITS FOUR CATHETERIZATION LABS. THE ROOM IS REDESIGNED FOR BETTER WORKFLOW, MAKING IT MORE EFFICIENT FOR STAFF PROVIDING CARE. A NEW GENERATION OF CATHETERIZATION LAB MACHINE - A GE INNOVAT - IS IN PLACE TO OFFER THE MOST UP-TO-DATE TECHNOLOGY. THE NEW EQUIPMENT IS A MAJOR INVESTMENT BY FREEMAN, COSTING MORE THAN A MILLION DOLLARS AND WILL IMPROVE HEART CARE FOR PATIENTS IN THE COMMUNITY. TAVR FREEMAN'S STRUCTURAL HEART PROGRAM ENABLES PHYSICIANS FROM DIFFERENT DISCIPLINES TO MERGE THEIR EXPERTISE IN ONE ROOM FOR THE BENEFIT OF THE PATIENT. FOR INSTANCE, TWO TEAMS-THE CARDIOTHORACIC SURGEON'S TEAM AND THE CARDIOLOGIST'S TEAM-CAN WORK AS ONE TO ACHIEVE OPTIMAL RESULTS WHILE IMPROVING PATIENT CARE AND EFFICIENCY. IN ITS HYBRID CVOR, FREEMAN USES A BEST-IN-CLASS CARDIOVASCULAR X-RAY IMAGING SYSTEM WITH THE FLEXIBILITY AND PERFORMANCE TO MEET ANY PATIENT'S NEEDS. THIS SYSTEM PRODUCES PRECISE, HIGH-RESOLUTION IMAGES THAT ENABLE THE HEART-CARE TEAM TO PERFORM PROCEDURES USUALLY FOUND AT CARDIAC CENTERS IN UNIVERSITY HOSPITAL SETTINGS. BECAUSE OF ITS INVESTMENT IN THE STRUCTURAL HEART PROGRAM, FREEMAN IS THE FIRST AND ONLY HEALTH SYSTEM IN ITS SERVICE AREA TO PROVIDE TAVR, A MINIMALLY INVASIVE PROCEDURE THAT GIVES HOPE TO PATIENTS WHO SUFFER FROM SEVERE AORTIC STENOSIS, BUT WHO ARE TOO FRAGILE FOR COMPLEX OPEN-HEART SURGERY. WORLD'S SMALLEST PACEMAKER FREEMAN IS THE ONLY HOSPITAL IN ITS SERVICE AREA TO USE THE MEDTRONIC MICRA TRANSCATHETER PACING SYSTEM (TPS), WHICH IS LEADLESS AND SELF-CONTAINED WITHIN THE HEART. THE MICRA TPS IS 93 PERCENT SMALLER THAN TRADITIONAL DEVICES-ABOUT THE SIZE OF A MULTIVITAMIN-MAKING IT THE WORLD'S SMALLEST PACEMAKER. THE DEVICE IS IMPLANTED DURING A MINIMALLY INVASIVE PROCEDURE-PLACED IN THE HEART VIA A LEG VEIN. COMPLETELY SELF-CONTAINED WITHIN THE HEART, IT ELIMINATES POTENTIAL MEDICAL COMPLICATIONS ARISING FROM WIRE LEADS THAT RUN A CONVENTIONAL PACEMAKER INTO THE HEART. AFTER THE PROCEDURE, PATIENTS ARE TYPICALLY UP AND WALKING WITHIN HOURS, AND SOME CAN GO HOME THE SAME DAY. IT HAS A BATTERY LIFE OF 10-12 YEARS AND IS THE ONLY TRANSCATHETER PACING SYSTEM APPROVED FOR FULL-BODY MRI SCANS. DESIGNATED A LEVEL I STEMI CENTER BY THE STATE OF MISSOURI, FREEMAN PROVIDES CARE FOR RAPID, COORDINATED, EXPERT HEART ATTACKS AND ALSO MEETS STANDARDS FOR PROVIDING COMMUNITY EDUCATION ON HEART HEALTH. COMPLIANCE WITH STATE STANDARDS REQUIRES A STEMI CENTER TO PLACE EMPHASIS ON EDUCATING HEALTHCARE WORKERS AND THE PUBLIC ABOUT RECOGNITION, PREVENTION, AND TREATMENT OF STEMI. FREEMAN HEALTHCARE PROFESSIONALS HAVE PRESENTED PROGRAMS ON STEMI IN BUSINESSES THROUGHOUT THE AREA. THROUGH PROGRAMS LIKE FREEMAN SCREEN TEAM, FREEMAN ADVANTAGE, AND SUPPORT GROUPS, FREEMAN CONTINUES TO LEAD THE WAY IN EMPOWERING THE PUBLIC WITH LIFE-SAVING INFORMATION. WITH THE LEVEL I STEMI CENTER DESIGNATION, FREEMAN IS SETTING THE STANDARD FOR EXCELLENCE IN HEART CARE THROUGHOUT THE AREA. RECOGNIZING THE NEED FOR CONTINUOUS PERFORMANCE IMPROVEMENT IN ALL ASPECTS OF CARDIAC CARE, FREEMAN HEART & VASCULAR INSTITUTE DEVELOPED THE CARDIAC PERFORMANCE IMPROVEMENT COMMITTEE, A COMMITTEE THAT INCLUDES REPRESENTATIVES FROM CARDIOLOGY, CARDIOTHORACIC SURGERY, AND THE STEMI PROGRAM, AS WELL AS ADMINISTRATION, EMERGENCY SERVICES, INTENSIVE CARE, SYSTEM QUALITY IMPROVEMENT, AND OTHERS. THE COMMITTEE REVIEWS REGISTRY CASES THAT VARY FROM THE RECOMMENDED GUIDELINES FOR CARE, AND WORKS WITH THE QUALITY COUNCIL AND QUALITY IMPROVEMENT COMMITTEE TO MAKE RECOMMENDATIONS TO ASSURE QUALITY OF CARE AND PATIENT SAFETY. IF QUALITY IMPROVEMENT PROCESSES ARE IMPLEMENTED AND DO NOT YIELD THE EXPECTED OUTCOMES, NEWS TACTICS ARE PLANNED AND REVISED AS NEEDED UNTIL THE DESIRED RESULTS ARE ACHIEVED. ADDITIONALLY, FREEMAN'S MULTIDISCIPLINARY COMMITTEE MEETS TWICE A MONTH WITH THE PURPOSE OF IMPROVING PATIENT CARE. MEMBERS OF ADMINISTRATION, CARDIOLOGY, CARDIOTHORACIC SURGERY, AND SYSTEM QUALITY IMPROVEMENT IDENTIFY PREVENTABLE AND POTENTIALLY PREVENTABLE ISSUES AND DEFINE A COURSE OF ACTION. WITH DEDICATED PHYSICIAN ENGAGEMENT, FREEMAN HAS FOUND SUCCESS WITH IDENTIFYING GAPS IN CARE AND FACILITATING PROCESS CHANGES TO IMPROVE WORKFLOW EFFICIENCIES. THE WORK OF THE CARDIAC PERFORMANCE IMPROVEMENT AND MULTIDISCIPLINARY COMMITTEES DIRECTLY CONTRIBUTED TO FREEMAN RECEIVING THE AHA/ASA MISSION LIFELINE STROKE AND NON-STEMI AWARDS. CLINICAL TRIALS AT FREEMAN, RESEARCH AND CLINICAL STUDIES ARE INTEGRAL COMPONENTS OF CONTINUOUS QUALITY IMPROVEMENT. FREEMAN HEART & VASCULAR INSTITUTE PARTICIPATES IN MANY NATIONAL STUDIES OF CARDIOVASCULAR T
FORM 990, PART V, LINE 2A	COMMON PAYMASTER ARRANGEMENT & SALARIES: FREEMAN HEALTH SYSTEM FILES ALL W-2'S ON BEHALF OF FREEMAN NEOSHO HOSPITAL (FNH), A RELATED ORGANIZATION. THE AMOUNT OF W-2'S FILED FOR THE YEAR ON PART V, LINE 2A, INCLUDES THE AMOUNT OF W-2'S FILED ON BEHALF OF FNH FOR THOSE THAT WORK PRIMARILY FOR FNH AND THE W-2'S FILED FOR FREEMAN HEALTH SYSTEM EMPLOYEES. SALARY AND BENEFITS EXPENSES ARE ALLOCATED FROM FREEMAN HEALTH SYSTEM TO FNH FOR THOSE EMPLOYEES WHO WORK PRIMARILY FOR FNH.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE DRAFT OF THE FORM 990 IS REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE A FINAL DRAFT IS READY, A POWER POINT PRESENTATION IS MADE TO THE BOARD MEMBERS AT THE BOARD OF DIRECTORS MEETING TO EXPLAIN THE 990 AND ITS USES. THE BOARD REVIEWS THE DOCUMENT FOR KEY INFORMATION INCLUDED. PAPER COPIES ARE MADE AVAILABLE TO THE BOARD MEMBERS AT THEIR REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS EACH YEAR IN APRIL. THE BOARD MEMBERS ARE ASKED TO SIGN A NEW CONFLICT OF INTEREST POLICY AND LIST ANY POSSIBLE CONFLICTS. THIS INFORMATION IS REVIEWED AND MAINTAINED IN THE ADMINISTRATIVE OFFICES. IF A BOARD MEMBER ENCOUNTERS A TRANSACTION THAT WOULD CAUSE A POSSIBLE CONFLICT OF INTEREST, A FORM DETAILING THE TRANSACTION IS COMPLETED AND SUBMITTED TO THE BOARD FOR REVIEW AND APPROVAL. IF A CONFLICT IS FOUND, THE INTERESTED PERSON WILL NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON A TRANSACTION INVOLVING HIS OR HER CONFLICT. THE CONFLICT OF INTEREST POLICY WAS UPDATED IN FISCAL YEAR 2011 TO REQUIRE AN ATTESTATION FORM FROM ALL EMPLOYED PHYSICIANS AND LEVEL FOUR SUPERVISORS/MANAGERS AND UP. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15A	FREEMAN HEALTH SYSTEM COMPENSATION REVIEW: EXECUTIVE COMPENSATION PHILOSOPHY & STRATEGY I. KEY PRINCIPLES FREEMAN HEALTH SYSTEM ("FHS") DESIRES TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE, FAIR, AND EQUITABLE; COMPLIANT WITH REGULATORY GUIDELINES; AND REPRESENTATIVE OF MARKET BEST PRACTICES. KEY PRINCIPLES THAT GUIDE FHS'S EXECUTIVE COMPENSATION DECISION-MAKING PROCESS INCLUDE: -EXECUTIVE COMPENSATION PROGRAMS WILL SUPPORT FHS'S MISSION, VALUES, STRATEGIC DIRECTION, AND TAX-EXEMPT STATUS. -FHS COMPETES IN A NATIONAL MARKET FOR ITS EXECUTIVES AND THUS WILL CONSIDER PAY PRACTICES THAT ARE REPRESENTATIVE OF THE INDUSTRY. -THE RELATIVE PAY LEVELS OF FHS EXECUTIVES WILL OVER TIME REFLECT BOTH INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. -FHS INTENDS TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRS INTERMEDIATE SANCTIONS REGULATIONS. THUS, EXECUTIVE COMPENSATION PROGRAMS AND DECISIONS WILL BE APPROVED, IN ADVANCE OF ITS IMPLEMENTATION BY THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") OF THE BOARD OF DIRECTORS: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF FHS'S MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FHS. THE COMMITTEE WILL RELY UPON APPROPRIATE, INDEPENDENT COMPARABILITY DATA TO SUPPORT ITS DECISION MAKING PROCESS. THE COMMITTEE WILL ADEQUATELY DOCUMENT ITS DELIBERATIONS, DECISIONS, AND ACTIONS ON A TIMELY BASIS. II. PRIMARY PROGRAM COMPONENTS FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM CONSISTS OF THE FOLLOWING COMPONENTS: -BASE SALARY -ANNUAL AT RISK COMPENSATION -STANDARD ALL EMPLOYEE BENEFITS -SUPPLEMENTAL BENEFITS AND PERQUISITES -SEVERANCE ANNUALLY, THE COMMITTEE WILL DIRECT THE REVIEW OF THE COMPONENTS OF THE EXECUTIVE COMPENSATION PROGRAM AND APPROVE PROGRAM MODIFICATIONS AS APPROPRIATE. THE COMMITTEE MAY ALSO AUTHORIZE UNIQUE PROGRAM COMPONENTS WHICH SUPPORT THE ACHIEVEMENTS OF FHS'S MISSION. III. MARKET COMPARATORS FHS WILL CONSIDER A NATIONAL PEER GROUP OF HEALTHCARE ORGANIZATIONS COMPARABLE TO FHS IN SIZE (I.E., NET REVENUES) AND COMPLEXITY TO DETERMINE THE MARKET VALUES FOR EACH OF ITS EXECUTIVE POSITIONS. THIS PEER GROUP WILL PRIMARILY BE COMPRISED OF NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS (BUT FOR-PROFIT ORGANIZATIONS MAY BE CONSIDERED SELECTIVELY) FOR FUNCTIONALLY COMPARABLE POSITIONS AS REPORTED IN SURVEYS CONDUCTED BY INDEPENDENT FIRMS. -CASH COMPENSATION THE FOLLOWING ORGANIZATIONS/MARKETS ARE THE PRIMARY COMPARATORS FOR COMPENSATION PURPOSES: SYSTEM LEVEL EXECUTIVES: HEALTH SYSTEMS OF COMPARABLE SIZE TO FHS, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. HOSPITAL LEVEL EXECUTIVES: HOSPITALS OF COMPARABLE SIZE TO THE FHS ENTITY, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. OTHER EXECUTIVES: ORGANIZATIONS OF COMPARABLE SIZE IN RELEVANT MARKET SEGMENTS SUCH AS MEDICAL GROUP PRACTICES, HOME HEALTH, AND THE LIKE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKET. -EXECUTIVE BENEFITS FHS WILL DEVELOP AND ADMINISTER EXECUTIVE BENEFIT (I.E., STANDARD BENEFITS, SUPPLEMENTAL EXECUTIVE BENEFITS, AND PERQUISITES) PLANS THAT ARE BASED ON NATIONAL HEALTHCARE INDUSTRY MARKET NORMS. IV. MARKET POSITION TARGETS FHS HAS ESTABLISHED A TARGET MARKET POSITION FOR EACH OF THE COMPONENTS OF ITS EXECUTIVE TOTAL COMPENSATION PROGRAM. -BASE SALARIES: FHS WILL MANAGE ITS EXECUTIVES' BASE SALARIES AROUND THE 50TH PERCENTILE OF BASE SALARIES PAID IN THE MARKET. SALARIES WILL VARY FROM THE 50TH PERCENTILE BASED AN EXECUTIVE'S EXPERIENCE AND PERFORMANCE. FOR EXAMPLE: EXECUTIVES WHO ARE NEW TO THE ORGANIZATION AND/OR HAVE LIMITED OR NO PRIOR EXECUTIVE-LEVEL EXPERIENCE SHOULD HAVE SALARIES THAT ARE 80 TO 90 PERCENT OF THE 50TH PERCENTILE. EXPERIENCED EXECUTIVES (WITH APPROXIMATELY 5 TO 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY MEET FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 90 TO 110 PERCENT OF THE 50TH PERCENTILE. *EXPERIENCED EXECUTIVES (WITH MORE THAN 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY EXCEED FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 110 TO 120 PERCENT OF THE 50TH PERCENTILE. -TOTAL CASH COMPENSATION: THE GOAL OF THIS COMPONENT IS TO PAY UP TO THE 75TH PERCENTILE OF MARKET TOTAL CASH COMPENSATION WHEN EXCEPTIONAL PERFORMANCE IS ACHIEVED. TOTAL CASH COMPENSATION INCLUDES BASE SALARIES AND LUMP-SUM AWARDS FROM FHS'S EXECUTIVE AT RISK COMPENSATION PLAN(S). ACTUAL TOTAL CASH COMPENSATION WILL REFLECT EXECUTIVES' CURRENT SALARIES, INDIVIDUAL PERFORMANCE AND CONTRIBUTIONS, AND THE ORGANIZATION'S PERFORMANCE. -EXECUTIVE BENEFITS: FHS TARGETS EXECUTIVE BENEFITS (STANDARD BENEFITS PLUS SUPPLEMENTAL EXECUTIVE BENEFITS AND PERQUISITES) AT THE 50TH PERCENTILE OF EXECUTIVE BENEFITS PROVIDED IN THE HEALTHCARE MARKET. -SEVERANCE: FHS TARGETS EXECUTIVE SEVERANCE AT THE 50TH PERCENTILE OF CURRENT HEALTHCARE MARKET PRACTICES. OTHER BUSINESS JUDGMENT FACTORS SUCH AS COMPETITIVE MARKET FORCES, EACH EXECUTIVE'S JOB PERFORMANCE, EACH EXECUTIVE'S UNIQUE SKILLS, RESPONSIBILITIES AND EFFORTS, AND/OR EACH EXECUTIVE'S MARKETPLACE STANDING, ARE ALSO CONSIDERED BY THE COMMITTEE DURING ITS DECISION MAKING PROCESS.
FORM 990, PART VI, SECTION B, LINE 15A	FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED): EXECUTIVE COMPENSATION COMMITTEE CHARTER THIS EXECUTIVE COMPENSATION COMMITTEE CHARTER WAS ADOPTED BY THE BOARD OF DIRECTORS (THE "BOARD") OF FREEMAN HEALTH SYSTEM (HEREAFTER "FHS") ON APRIL 25, 2008. THIS CHARTER APPLIES TO FHS AND ALL OF ITS BUSINESS ENTITIES, INCLUDING FREEMAN NEOSHO HOSPITAL, OZARK CENTER AND THE FREEMAN FOUNDATION (HEREAFTER THE "SYSTEM"). THIS CHARTER IS A COMPONENT OF THE FLEXIBLE FRAMEWORK WITHIN WHICH THE BOARD, ASSISTED BY ITS COMMITTEES, DIRECTS THE AFFAIRS OF FHS. WHILE THE CHARTER SHOULD BE INTERPRETED IN THE CONTEXT OF ALL APPLICABLE LAWS AND REGULATIONS, AS WELL AS IN THE CONTEXT OF FHS'S ARTICLES OF INCORPORATION AND BYLAWS, IT IS NOT INTENDED TO ESTABLISH BY ITS OWN FORCE ANY LEGALLY BINDING OBLIGATIONS. I. PURPOSE THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") IS AUTHORIZED TO ACT ON THE BOARD'S BEHALF IN (I) DETERMINING APPROPRIATE COMPENSATION FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE IRS INTERMEDIATE SANCTIONS REGULATIONS; (II) EVALUATING SYSTEM EXECUTIVESOTHER DISQUALIFIED PERSONS' CASH COMPENSATION PLANS, POLICIES, AND PROGRAMS; (III) REVIEWING BENEFIT PLANS FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS; AND (IV) VERIFYING THAT COMPENSATION INFORMATION IS APPROPRIATELY AND FULLY DISCLOSED. -A DISQUALIFIED PERSON: IS ANY PERSON WHO IS OR WAS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE APPLICABLE TAX-EXEMPT ORGANIZATION. IT IS NOT NECESSARY THAT THE PERSON ACTUALLY EXERCISE SUBSTANTIAL INFLUENCE, ONLY THAT THE PERSON BE IN A POSITION TO DO SO. -FOR PURPOSES OF THIS CHARTER, "EXECUTIVES" ARE DEFINED AS SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS VALIDATED BY THE COMMITTEE. IN DISCHARGING ITS ROLE, THE COMMITTEE IS EMPOWERED TO INVESTIGATE ANY MATTER BROUGHT TO ITS ATTENTION WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE SYSTEM. IT HAS THE AUTHORITY TO RETAIN OUTSIDE ADVISORS (E.G., LEGAL COUNSEL, COMPENSATION CONSULTANTS, OR OTHER EXPERTS) AND WILL RECEIVE ADEQUATE FUNDING FROM THE SYSTEM TO ENGAGE SUCH ADVISORS. IT SHALL HAVE THE SOLE AUTHORITY TO RETAIN, COMPENSATE, TERMINATE, AND OVERSEE ITS ADVISORS, WHO SHALL BE ACCOUNTABLE ULTIMATELY TO THE COMMITTEE. TO SUPPORT THE COMMITTEE, A TIMETABLE AND RESOURCE BOOK WILL BE DEVELOPED CONTAINING THE NECESSARY DATA, INFORMATION, AND DOCUMENTS THE COMMITTEE WILL NEED TO CARRY OUT ITS DUTIES. THE RESOURCE BOOK WILL BE DISTRIBUTED TO THE COMMITTEE IN ADVANCE OF ITS MEETINGS AND FHS WILL MAINTAIN THESE BOOKS AT ITS CORPORATE OFFICE. THE COMMITTEE ALSO WILL RECEIVE TRAINING IN COMPENSATION PLAN DESIGN AND ADMINISTRATION, INCLUDING LEGAL AND REGULATORY ISSUES (AS NEEDED). II. COMMITTEE MEMBERSHIP THE COMMITTEE IS A STANDING COMMITTEE OF THE BOARD. IN ACCORDANCE WITH THE CORPORATE BYLAWS, IT SHALL CONSIST OF AT LEAST THREE, BUT NOT MORE THAN FIVE, MEMBERS OF THE BOARD. EACH COMMITTEE MEMBER HAS BEEN DETERMINED BY THE BOARD TO BE "INDEPENDENT" IN ACCORDANCE WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. AT THE START OF THE YEAR, EACH MEMBER WILL REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY TO ENSURE HE OR SHE HAS NO CONFLICT OF INTEREST AND IS "INDEPENDENT". IF A REAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST IS IDENTIFIED, THE COMMITTEE MEMBER WILL REVIEW THE ISSUE WITH THE COMMITTEE CHAIR AND LEGAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION. IN ADDITION, NO DIRECTOR MAY SERVE ON THE COMMITTEE UNLESS HE OR SHE IS A "NON-EMPLOYEE" MEMBER OF A SYSTEM BOARD. THE FHS BOARD WILL APPOINT A COMMITTEE CHAIR TO CONVENE ALL SESSIONS, SET AGENDAS FOR MEETINGS, AND DETERMINE THE INFORMATION NEEDS OF THE COMMITTEE. BEFORE DEBATING AND VOTING ON ANY COMPENSATION ARRANGEMENT, EACH MEMBER SHALL DETERMINE WHETHER HE OR SHE HAS A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENT. ANY MEMBER WITH A CONFLICT OF INTEREST REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION SHALL RECUSE HIMSELF OR HERSELF FROM THE DISCUSSION AND SHALL NOT VOTE ON THE PENDING COMPENSATION ARRANGEMENT OR TRANSACTION. III. COMMITTEE SUPPORT STAFF THE COMMITTEE SHALL BE ASSISTED IN FULFILLING ITS DUTIES AND RESPONSIBILITIES BY A FHS SUPPORT STAFF COMPRISED OF THE FOLLOWING POSITIONS: -THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) -CHIEF FINANCIAL OFFICER -CONTROLLER -DIRECTOR OF HUMAN RESOURCES FROM TIME TO TIME, THE COMMITTEE MAY REQUEST OTHER SYSTEM POSITIONS TO SERVE AS SUPPORT STAFF MEMBERS. WHEN THE COMMITTEE VOTES ON COMPENSATION MATTERS RELATED TO ANY OF THE SUPPORT STAFF, THE SUPPORT STAFF SHOULD BE EXCUSED FROM THE MEETING. IV. COMMITTEE MEETINGS THE COMMITTEE SHALL MEET ON A REGULARLY SCHEDULED BASIS TWO TIMES PER YEAR OR MORE FREQUENTLY AS CIRCUMSTANCES DICTATE. THE COMMITTEE SHALL MEET AT LEAST (ANNUALLY) WITH FHS'S PRESIDENT AND CEO AND OTHER CORPORATE OFFICERS THE BOARD AND COMMITTEE DEEM APPROPRIATE, TO DISCUSS AND REVIEW THE PERFORMANCE CRITERIA AND COMPENSATION LEVELS OF SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS. MEETINGS OF THE COMMITTEE MAY BE HELD TELEPHONICALLY. A MAJORITY OF THE MEMBERS SHALL CONSTITUTE A QUORUM SUFFICIENT FOR THE TAKING OF ANY ACTION BY THE COMMITTEE. V. COMMITTEE RESPONSIBILITIES THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE WITH THE UNDERSTANDING THAT THE COMMITTEE MAY DIVERGE FROM THIS LIST AS APPROPRIATE GIVEN THE CIRCUMSTANCES. THE COMMITTEE SHALL REPORT ANY DIVERGENCE FROM THIS LIST TO THE FULL BOARD. THE COMMITTEE IS AUTHORIZED TO CARRY OUT THESE AND SUCH OTHER RESPONSIBILITIES ASSIGNED BY THE BOARD FROM TIME TO TIME, AND TAKE ANY ACTIONS REASONABLY RELATED TO THE MANDATE OF THIS CHARTER. -ESTABLISH, REGULARLY REVIEW, AND APPROPRIATELY MODIFY THE FHS EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY WILL BE REVIEWED AND APPROVED BY THE FULL BOARD. -ADMINISTER EXECUTIVE COMPENSATION PROGRAMS IN A MANNER: CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY, THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE IRS INTERMEDIATE SANCTIONS REGULATIONS. -VALIDATE THE GOALS AND OBJECTIVES RELEVANT TO THE COMPENSATION OF THE PRESIDENT AND CEO, SYSTEM EXECUTIVES, AND OTHER DISQUALIFIED PERSONS, INCLUDING ANNUAL PERFORMANCE OBJECTIVES. -EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CEO, AND REVIEW THE EVALUATIONS PREPARED BY THE PRESIDENT/CEO AND OTHER SYSTEM EVALUATION COMMITTEES OF OTHER EXECUTIVES/DISQUALIFIED PERSONS BASED ON APPROVED GOALS AND OBJECTIVES. -ESTABLISH THE COMPENSATION LEVEL FOR THE PRESIDENT/CEO AND REVIEW AND APPROVE COMPENSATION RECOMMENDATIONS PREPARED BY THE PRESIDENT/CEO FOR ALL EXECUTIVES AND DO SAME FOR EXECUTIVES AND DISQUALIFIED PERSONS FROM OTHER SYSTEM ENTITIES. -REVIEW AND APPROVE CHANGES, IN ADVANCE OF THEIR IMPLEMENTATION, INCLUDING: EXECUTIVE BASE SALARIES AND RANGE AT RISK COMPENSATION PLANS EXECUTIVE WELFARE AND RETIREMENT BENEFIT PLANS OTHER EXECUTIVE FRINGE BENEFITS *EMPLOYMENT AGREEMENTS AND/OR SEVERANCE PLANS -MAINTAIN MINUTES OR OTHER RECORDS OF COMMITTEE MEETINGS AND ACTIVITIES, AS REQUIRED BY IRS INTERMEDIATE SANCTIONS REGULATIONS. -ENGAGE INDEPENDENT, OUTSIDE ADVISORS TO PROVIDE OBJECTIVE AND IMPARTIAL COMPENSATION DATA AND EXPRESS AN OPINION ON THE REASONABLENESS OF TOTAL COMPENSATION. -REVIEW PERIODICALLY THE COMPONENTS OF FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM TO DETERMINE WHETHER THEY ARE PROPERLY COORDINATED AND ACHIEVE ITS INTENDED PURPOSE(S), AND APPROVE MODIFICATIONS, INCLUDING NEW PROGRAMS. -REPORT REGULARLY TO THE FULL BOARD AND TO OTHER SYSTEM BOARDS ON COMMITTEE FINDINGS AND APPROVED ACTIONS AND ANY OTHER MATTERS THE COMMITTEE DEEMS APPROPRIATE OR THE BOARD REQUESTS. -CONDUCT AN ANNUAL SELF-EVALUATION OF THE COMMITTEE'S PERFORMANCE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER. -REVIEW AND REASSESS THE ADEQUACY OF THIS CHARTER ANNUALLY, AND AMEND IT AS THE COMMITTEE DEEMS APPROPRIATE. -COMMUNICATE WITH EXTERNAL PARTIES, AS APPROPRIATE, REGARDING COMMITTEE PROCEDURES AND THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES AND OTHER DISQUALIFIED PERSONS. A COMPENSATION REVIEW LAST OCCURRED IN 2019 USING INTEGRATED HEALTHCARE STRATEGIES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT AVAILABILITY: FREEMAN HEALTH SYSTEM DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VII	BOARD MEMBER COMPENSATION: NO DIRECTORS RECEIVE COMPENSATION FOR THEIR SERVICES AS BOARD MEMBERS. BOARD MEMBERS LARRY MCINTIRE, JOSHUA BALL AND JOHN COX ARE EMPLOYEES OF THE ORGANIZATION AND COMPENSATED AS PHYSICIANS. ADDITIONALLY, PAULA BAKER RECEIVES COMPENSATION FOR HER DUTIES AS PRESIDENT/CEO OF BOTH FREEMAN HEALTH SYSTEM AND FREEMAN NEOSHO HOSPITAL.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ 1,745 CHANGE IN VALUE OF PLEDGED ASSETS

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FHS HOLDINGS LLC
1102 W 32ND ST	JOPLIN	MO	64804	205441528	LT ACUTE CARE	MO	$612,603	$764,633	FREEMAN HLTH
FREEMAN SURGICAL CENTER OF PITTSBURG LLC
100 N PINE ST	PITTSBURG	KS	66762	473537670	AMBULATORY SU	KS	$1,549,583	$1,360,830	FREEMAN HLTH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FREEMAN NEOSHO HOSPITAL
113 W HICKORY	NEOSHO	MO	64850	431240629	HOSPITAL	MO	501(C)(3)	3	FREEMAN HLTH	Yes (true)
OZARK CENTER
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	430821959	BEHAVRL HLTH	MO	501(C)(3)	10	FREEMAN HLTH	Yes (true)
CEDAR HILL HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	470943557	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER	Yes (true)
POPLAR PLACE HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	900462595	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER	Yes (true)
MAGNOLIA HEIGHTS HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	470950622	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	FREEMAN SURGICAL CE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	811 W 34TH ST	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Field	Value	IRS element (for citing)
EIN	262652980	EIN
Primary Activities	AMBULATORY SURGER	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FREEMAN HLTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$2,634,307	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,248,948	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.52330	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OZARK CENTER
A/J	$146,231	FMV
OZARK CENTER
B	$369,636	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART I, LINE 1, COLUMN B	FormAndLineReferenceDesc
Explanation	FHS HOLDINGS, LLC PRIMARY ACTIVITY: THE ORGANIZATION'S PRIMARY ACTIVITIES INCLUDE LT ACUTE CARE AND OUTPATIENT DIALYSIS.	ExplanationTxt