2018-02-05T13:33:12-06:00 2017-03-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-04-01 431704371 FREEMAN HEALTH SYSTEM % STEVE GRADDY FREE 4173471111 1102 W 32ND STREET JOPLIN MO 64804 STEVE GRADDY CFO 2018-01-30 true Brian D Todd P00422601 4178658701 2018-01-30 167.68.126.162 43032920180365000006 2018-02-05 P C38732425DB7411744D9F7D4C14CD4EDB84044DF 39CBA67CBDC84C24964593991C1F330368A3BFFE 2016 2021-01-29 14:40:06Z PAULA BAKER 1102 WEST 32ND STREET JOPLIN MO 64804 618634994 false X WWW.FREEMANHEALTH.COM X 1922 MO FREEMAN HEALTH SYSTEM PROVIDES WORLD-CLASS, COMPASSIONATE HEALTHCARE SERVICES WHERE IT MATTERS MOST, CLOSE TO HOME. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 12 8 4341 248 8133209 398462 5415368 3050406 511765383 534610544 5926387 4169257 8416483 4282209 531523621 546112416 5406727 3388949 0 0 254329855 265561075 0 0 747885 239700703 255147653 499437285 524097677 32086336 22014739 443766269 475347273 212972714 212252179 230793555 263095094 X THE MISSION OF FREEMAN HEALTH SERVICES IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. false false 258425082 3388949 308799899 FREEMAN OFFERS OUTPATIENT SERVICES INCLUDING CANCER CARE, RADIATION ONCOLOGY, 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. 171280271 202379754 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. 23007579 23430891 After a heart attack, blood flow stops the sooner doctors restore blood flow the better. Time is muscle and every wasted minute causes permanent heart damage. Freeman Heart & Vascular Institute offers rapid, expert care when patients need it the most. Recognized by Anthem Blue Cross and Blue Shield in Missouri as a Blue Distinction Center+ for Cardiac Care, Freeman Heart & Vascular Institute provides all cardiac services in one convenient location. See Schedule O for additional information. 452712932 true true false true false false false false false true true false false false true false false true false false false false false false true false true true true true true true false false false false false false false false true false true false false false true true true true false false true X 151 0 true 4341 true true true false false false false true true false false false false X 12 8 false false false false false false false true true false false true true true true true true true true true true X STEVE GRADDY 4173476678 1102 WEST 32ND STREET JOPLIN MO 64804 X LANCE BESHORE PHD CHAIR 1.0 0.0 X X 0 0 0 LARRY MCINTIRE DO DIRECTOR 60.0 0.0 X 446809 0 8882 JOHN M COX DO DIRECTOR 60.0 0.0 X 986418 0 25766 RODNEY MCFARLAND MD DIRECTOR 1.0 0.0 X 0 0 0 JIM ARMSTRONG SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 GLENN MITCH MCCUMBER DIRECTOR 1.0 1.0 X 0 0 0 J SCOTT BROTHERS VICE CHAIR 1.0 0.0 X X 0 0 0 GLENN BROWN DIRECTOR 1.0 0.0 X 0 0 0 MARK WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 JAMES FLEISCHAKER DIRECTOR 1.0 0.0 X 0 0 0 PAULA F BAKER PRESIDENT/CEO 54.0 13.5 X X 1380898 0 358942 JOSHUA BALL DIRECTOR 60.0 0.0 X 1485755 0 22136 STEVE W GRADDY CFO 50.0 10.0 X 613503 0 105403 SABA HABIS INTERIM CHIEF MEDICAL OFFICER 60.0 0.0 X 604542 0 91509 MICHAEL J LEONE CONTROLLER 60.0 0.0 X 319347 0 49712 JEFFREY M CARRIER CHIEF CLINICAL OFFICER 60.0 0.0 X 328056 0 52271 KEVIN P GAUDETTE VP REVENUE CYCLE 60.0 0.0 X 317592 0 56762 WESLEY B BRAMAN VP BUSINESS DEVELOPMENT 60.0 0.0 X 266064 0 46426 COLEEN S CAMERON CHIEF NURSING AND REG OFFICER 60.0 0.0 X 195486 0 28348 MARY A FRERER CHIEF HUMAN RESOURCE OFFICER 60.0 0.0 X 223530 0 40613 LEONARD T ROLLINS CHIEF INFORMATION OFFICER 60.0 0.0 X 226602 0 21038 THOMAS B COY PHYSICIAN 60.0 0.0 X 1568574 0 29430 TODD J TWISS PHYSICIAN 60.0 0.0 X 1270174 0 28725 ROBERT C STAUFFER PHYSICIAN 60.0 0.0 X 1337866 0 12026 WILLIAM J NICHOLAS PHYSICIAN 60.0 0.0 X 2310586 0 20983 DARWIN JEYARAJ PHYSICIAN 60.0 0.0 X 1507813 0 29143 RICHARD D SCHOOLER FORMER EXEC VP & CHIEF OP OFCR 0.0 0.0 X 352313 0 12073 15741928 0 1040188 289 true true false CROTHALL SERVICES GROUP CHICAGO IL 60693 HOUSEKEEPING 4865862 GATEWAY EMERGENCY PHYSICIANS LLP DETROIT MI 48267 HEALTHCARE SVCS 3398260 MORRISON MGT SPECIALISTS INC ATLANTA GA 30342 NUTRITION SERVICES 928371 SUPERIOR LINEN SERVICE TULSA OK 74112 LINEN SERVICE 926730 LITTLE BIRD MARKETING JOPLIN MO 64801 ADVERTISING 593490 29 45678 232784 2771944 1679509 3050406 PATIENT SERVICES 621990 513903198 513903198 CAFETERIA & VENDING 722514 2684777 2684777 RENT FROM AFFILIATES 531390 146231 146231 UNRELATED RETAIL PHARMACY 446110 4378173 4378173 UNRELATED LAB SERVICES 621500 227014 227014 13271151 9679920 3591231 534610544 3979119 3979119 128393 128393 0 2533760 745769 1787991 0 1787991 1787991 71188316 14324 70835484 305411 352832 -291087 61745 61745 327206 45678 289164 38042 38042 0 0 0 601122 346750 254372 254372 INVESTMENT IN SUBSIDIARY 900099 2201804 -63209 2265013 2201804 546112416 526414126 8133209 8514675 3216700 3216700 172249 172249 0 0 8302410 3954281 4348129 1338936 1338936 210837985 188199170 22242292 396523 2843427 2446162 388996 8269 29475802 25637417 3767297 71088 12762515 11059576 1677887 25052 0 228856 228856 327493 327493 0 0 340124 340124 35713837 22817009 12835795 61033 1849009 1217367 631203 439 19324855 12194770 6967850 162235 153317 153317 0 6642558 6642558 781986 600416 175945 5625 0 1060190 532282 513864 14044 4156535 2691612 1464923 0 18489702 12082840 6406862 10391849 2762703 7629146 MEDICAL SUPPLIES & DRUGS 96100356 96100356 BAD DEBT 46292090 46292090 PROVIDER TAXES & FEES 12481087 12481087 LICENSES, DUES, SUBSCRIPTIONS 606322 273301 329444 3577 207487 50 207437 524097677 452712932 70636860 747885 18368800 21461932 15562699 15021023 6466665 4743006 57376112 58767397 0 0 0 0 272736 228075 8984422 8123627 3140678 5026295 334700076 195128757 145757724 139571319 168941980 203265830 2636272 2344658 2088936 2111127 367030 367030 13802215 14315954 443766269 475347273 53552508 57355607 1000000 0 0 0 121709029 113186922 0 0 0 0 384741 596822 0 0 36326436 41112828 212972714 212252179 X 223110497 256877984 7683058 6217110 0 0 230793555 263095094 443766269 475347273 22014739 10286800 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 46073 46073 false SCHEDULE C, PART II-B, LINES 1(G) & 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS (SNHPA). A PORTION OF THESE DUES, TOTALING $46,073, ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ADDITIONALLY, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY OCCUR BUT ARE INSIGNIFICANT. 60000 6294 2400 63894 1.00000 false false 5037172 6494221 11531393 168120548 89443984 78676564 2718066 2077059 641007 139065269 97564626 41500643 13264800 6043088 7221712 139571319 0 EST SELF INSURANCE COST 16393762 EST REG SETTLEMENT 2541216 DUE TO 3RD PARTY 13150289 OTHER LIABILITIES 2294221 DUE TO RELATED PARTY 233340 INS RECOVERABLE 6500000 41112828 511019255 10286800 -44619502 -34332702 545351957 760459 760459 546112416 477277600 1381683 1381683 475895917 168215 48033545 48201760 524097677 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 LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (46,292,090) BAD DEBT EXPENSE 2,610,412 NET ASSETS RELEASED FROM RESTRICTION (469,609) INVESTMENT IN PSC (300,000) GRANTS PAID (168,215) INVESTMENT FEES ---------------- $ (44,619,502) SCHEDULE D, PART XI, LINE 4B OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 1,170,296 TEMPORARILY RESTRICTED CONTRIBUTIONS 971,846 NET PSC REVENUE (745,769) RENTAL EXPENSES (346,750) COST OF GOODS SOLD (289,164) SPECIAL EVENTS EXPENSE ---------------- $ 760,459 SCHEDULE D, PART XII, LINE 2D OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 745,769 RENTAL EXPENSES 346,750 COST OF GOODS SOLD 289,164 SPECIAL EVENTS EXPENSE --------------- $ 1,381,683 SCHEDULE D, PART XII, LINE 4B OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 46,292,090 BAD DEBT EXPENSE 1,441,455 PSC EXPENSES 300,000 GRANTS PAID -------------- $ 48,033,545 JEWELRY SALE 79614 79614 61173 SHOE SALE 26896 23338 3558 3000 19729 12 266374 22340 244034 2400 1800 2678 198384 372884 45678 327206 2400 1800 5678 279286 289164 38042 true true X true X true X true true false true true 13049572 13049572 0.02730 62532145 41973481 20558664 0.04300 75581717 41973481 33608236 0.07030 616562 121265 495297 0.00100 2401095 1380839 1020256 0.00210 3023735 1461713 1562022 0.00330 792742 792742 0.00170 2525611 2525611 0.00530 9359745 2963817 6395928 0.01340 84941462 44937298 40004164 0.08370 40000 40000 0.00010 27000 27000 0.00010 45767 45767 0.00010 112767 112767 0.00030 false 46292090 2476627 121799686 120452022 1347664 X true true HEARTLAND KIDNEYDIA DIALYSIS CENTER 0.25 0.5625 FREEMAN SURGICAL CTR AMBULATORY SURGERY CENTER 0.53731 0.33947 1 1 FREEMAN HEALTH SYSTEM 1102 W 32ND ST JOPLIN MO 64804 HTTP://WWW.FREEMANHEALTH.COM/ 418-21 X X X X FREEMAN HEALTH SYSTEM 1 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X 100 250. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION A HOSPITAL FACILITIES: PURSUANT TO REG. 1.501(R)-1(B)(17), FREEMAN HEALTH SYSTEM CONSISTS OF TWO HOSPITALS OPERATED UNDER A SINGLE LICENSE ISSUED BY THE STATE OF MISSOURI. AS SUCH, A SINGLE HOSPITAL FACILITY IS BEING REPORTED. THE SECOND LOCATION IS KNOWN AS FREEMAN HEALTH SYSTEM EAST AND IS LOCATED AT 932 EAST 34TH STREET, JOPLIN, MO 64804. SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: HEALTH SYSTEM IS A FOUNDING STAKEHOLDER OF 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. THIS PARTNERSHIP WORKED THROUGHOUT 2015 TO DEVELOP A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE JOPLIN COMMUNITY, WHICH PROVIDES AN UP-TO-DATE PICTURE WITH WHICH TO STRATEGICALLY ADDRESS HEALTH CONCERNS IN FREEMAN'S SERVICE AREA. COMMUNITY MEMBERS AND HEALTH AND HUMAN SERVICES ORGANIZATIONS WERE ENGAGED THROUGH A SURVEY, THE FOCUS OF WHICH WAS TO GARNER FEEDBACK FROM THE REGION ON PRIORITIZING THE ISSUES THAT ARE BARRIERS TO IMPROVEDHEALTH. THE SURVEY GARNERED A TOTAL OF 2,542 RESPONSES. OF THESE RESPONSES, 2,521 (99%) WERE IN ENGLISH AND 21 (1%) WERE IN SPANISH. THERE WERE 1,586 INDIVIDUAL RESPONSES, WHICH WAS 62.4% OF THE TOTAL, AND 956 ORGANIZATIONAL RESPONSES, REPRESENTING 37.6% OF TOTAL RESPONSES. SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: IN ADDITION TO FREEMAN NEOSHO HEALTH SYSTEM, A RELATED ORGANIZATION, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH MERCY HEALTH SYSTEM, COXHEALTH, AND CITIZENS MEMORIAL HEALTHCARE. 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: BURRELL BEHAVIORAL HEALTH JOPLIN HEALTH DEPARTMENT JASPER COUNTY HEALTH DEPARTMENT MISSOURI STATE UNIVERSITY POLK COUNTY HEALTH DEPARTMENT SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT TANEY COUNTY HEALTH DEPARTMENT SCHEDULE H, PART V, SECTION B, LINE 7A CHNA URL: HTTPS://FREEMANHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 10 IMPLEMENTATION STRATEGY URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 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, AND FREEMAN NEOSHO HOSPITAL. AS WELL, FREEMAN INTENDS TO CONTINUE TO WORK IN COLLABORATION WITH OZARKS HEALTH COMMISSION TO PURSUE A JOINT STRATEGY OR THE 50-COUNTY AREA REPRESENTED BY ITS MEMBER ORGANIZATIONS. AT THE ORGANIZATIONAL LEVEL, FREEMAN HEALTH SYSTEM HAS ADOPTED THE FOLLOWING PRIORITIZED HEALTH NEEDS FOR ITS COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) FOR THE PERIOD 1/1/2016 THROUGH 3/31/2019: 1. CARDIOVASCULAR DISEASE OBJECTIVE: REDUCE THE PREVALENCE OF CARDIOVASCULAR DISEASE AND INCREASE AWARENESS OF PREVENTION AND RISK FACTORS. STRATEGY 1: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS PREVENTION AND SCREENINGS. STRATEGY 2: LEVEL II STROKE CENTER ACCREDITATION. STRATEGY 3: CHEST PAIN ACCREDITATION. STRATEGY 4: EDUCATE HEALTH PROFESSIONALS REGARDING EVIDENCE-BASED RESEARCH AND BEST PRACTICES. STRATEGY 5: EXPAND SERVICES THROUGH THE INTRODUCTION OF NEW TECHNOLOGIES AND EXPERTISE. 2. MENTAL HEALTH OBJECTIVE: COORDINATE PATIENT CARE TO INCLUDE BOTH BEHAVIORAL AND MEDICAL HEALTH. STRATEGY 1: PROVIDED COORDINATED CARE FOR PATIENTS PRESENTING AT THE EMERGENCY DEPARTMENT WITH MENTAL HEALTH CONDITIONS. STRATEGY 2: COLLABORATE WITH PUBLIC AND PRIVATE PARTNERS TO OPTIMIZE BEHAVIORAL HEALTH CARE TO MUNICIPAL AND COUNTY OFFENDERS. STRATEGY 3: MAINTAIN PSYCHIATRIC INPATIENT UNIT TO ALLOW PATIENTS TO RECEIVE CARE IN THE AREA. STRATEGY 4: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS BEHAVIORAL AND MENTAL HEALTH. STRATEGY 5: EDUCATE AND TRAIN PSYCHIATRIC RESIDENTS. 3. DIABETES OBJECTIVE: DECREASE THE RATE OF OBESE CHILDREN AND ADULTS, WHILE PROMOTING AWARENESS ABOUT THE IMPORTANCE OF GOOD NUTRITION AND REGULAR PHYSICAL ACTIVITY. STRATEGY 1: IMPROVE HEALTH AND REDUCE DIABETES THROUGH SERVICES OF THE BARIATRIC CENTER. STRATEGY 2: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ENCOURAGE HEALTHY EATING AND ACTIVE LIVING. STRATEGY 3: BUILD PARTNERSHIPS WITH EMPLOYERS AND SCHOOLS THAT INCREASE AWARENESS, KNOWLEDGE, AND TREATMENT OF HEALTH FACTORS IMPACTING DIABETES AND OBESITY. STRATEGY 4: PARTICIPATE IN LOCAL, REGIONAL, AND STATE COLLABORATIVES WORKING TO REDUCE THE PREVALENCE OF DIABETES THROUGH COLLECTIVE IMPACT. 4. CANCER OBJECTIVE: REDUCE THE PREDOMINANCE OF CANCER BY IMPROVING OUTCOMES AND INCREASING AWARENESS THROUGH SCREENINGS AND EDUCATION. STRATEGY 1: PROVIDE ASSISTANCE FOR PATIENTS WHO CANNOT AFFORD 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. STRATEGY 4: INCREASE ACCESS TO RADIATION ONCOLOGY SERVICES. 5. HEALTHCARE WORKFORCE SHORTAGES OBJECTIVE: INCREASE ACCESS TO HEALTH SERVICES BY ENHANCING HEALTH PROFESSIONAL RECRUITMENT EFFORTS. STRATEGY 1: EXPAND THE GRADUATE MEDICAL EDUCATION PROGRAM. STRATEGY 2: PROVIDE LEADERSHIP TO PLAN, FACILITATE, AND SUPPORT THE OPERATION OF THE KANSAS CITY UNIVERSITY MEDICAL SCHOOL IN JOPLIN. STRATEGY 3: PROVIDE OUTREACH AND EDUCATION FOR K-12 STUDENTS REGARDING HEALTH CARE CAREER PATHWAYS. STRATEGY 4: SUPPORT THE EDUCATION, TRAINING, RECRUITMENT AND PROFESSIONAL DEVELOPMENT OF NURSES. 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 ELIGIBLITY. SCHEDULE H, PART V, SECTION B, LINES 16A-C FAP, APPLICATION, AND PLS URL: HTTPS://WWW.FREEMANHEALTH.COM/PATIENTS-GUESTS/BILLING-INSURANCE/PAYMENT-OP TIONS 31 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 & 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 & SPORTS CENTER 2206 E 32ND STREET JOPLIN MO 64804 MEDICAL SERVICES URGENT CARE - WEBB CITY 1010 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 & VASCULAR INSTITUTE 1101 E 13TH STREET SUITE A B C GROVE OK 74344 MEDICAL SERVICES FREEMAN HEART & 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 & SPORTS MED OF PTSBRG 100 N PINE STREET PITTSBURG KS 66762 MEDICAL SERVICES SCHEDULE H, PART I, LINE 3C OTHER FACTORS IN DETERMINING ELIGIBILITY: IN ADDITION TO FPG LIMITS, THE FAP ALSO USES ASSETS AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBLITY. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $46,292,090. 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 ECONOMIC DEVELOPMENT EXPENSES NOTED IN PART II RELATES TO FREEMAN'S CONTRIBUTION TO THE JOPLIN REGIONAL PARTNERSHIP WHICH SUPPORTS THE ECONOMIC DEVELOPMENT EFFORTS IN THE JOPLIN AREA. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE ORGANIZATION CALCULATED BAD DEBT USING THE AMOUNTS CALCULATED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. 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 2017 DATA FROM COUNTY HEALTH RANKINGS AND ROADMAPS, UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, FUNDED BY THE ROBERT WOOD JOHNSON FOUNDATION, JASPER AND NEWTON COUNTY HAD AN UNINSURED POPULATION OF 17%. THE 17% UNINSURED POPULATION FIGURE HAS DECLINED IN RECENT YEARS FROM 19%. THE DECLINE ISN'T SURPRISING DUE TO INCREASED ENROLLMENT IN ACA PLANS. THE STATE OF MISSOURI REPORTED A 14% UNINSURED POPULATION, ALSO DOWN FROM PRIOR YEARS. FREEMAN JOPLIN IDENTIFIED 6.3% OF ITS GROSS HOSPITAL REVENUE OR BILLINGS COMING FROM UNINSURED PATIENTS. FREEMAN NEOSHO HOSPITAL IDENTIFIED 11.6% 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 MEDICIAD ELIGIBLE DURING THE ADMITTING PROCESS. FREEMAN BELIEVES THAT SOME PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WERE INCORRECTLY REPORTED AS BAD DEBT IN ITS FINANCIAL STATEMENTS. THE FIGURE ON LINE 3 WAS DETERMINED BY ESTIMATING THAT HALF OF THE DIFFERENCE BETWEEN THE UNINSURED POPULATION OF 17% AND THE UNINSURED PATIENTS IDENTIFIED BY THE HOSPITAL OF 6.3% WOULD BE PATIENTS ATTRIBUTABLE TO CHARITY CARE [(17%-6.3%)/2]. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE AUDIT FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. IT DOES, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION C, 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. FREEMAN ALSO WORKS WITH THE COMMUNITY HEALTH COLLABORATIVE, WHICH DEVELOPED A PRIORITIZED LISTING OF COMMUNITY HEALTH ISSUES USING TOOLS PROVIDED BY THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES. FURTHERMORE, TO FIND OUT WHAT PATIENTS THINK OF THE SERVICE THEY RECEIVE, FREEMAN WORKS WITH HEALTHSTREAM RESEARCH, AN INDEPENDENT COMPANY THAT TELEPHONES A REPRESENTATIVE NUMBER OF 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 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 HAS STEPPED UP EFFORTS TO COMMUNICATE 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 ITS 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 PROVIDES SYSTEM-WIDE COMMUNICATION, SUCH AS THE DAILY LINEUP NEWSLETTER (REQUIRED READING FOR STAFF MEMBERS AT EVERY LEVEL), TO REMIND STAFF OF THE FREEMAN FINANCIAL ASSISTANCE POLICY THROUGHOUT THE YEAR. - PATIENTS NEEDING HELP PAYING FOR HEALTHCARE ARE INTERVIEWED THROUGH MEDASSIST, FREEMAN'S THIRD-PARTY ELIGIBILITY VENDOR. MEDASSIST ON-SITE STAFF SPECIALIZE IN THE STATE ASSISTANCE APPLICATION PROCESS FOR THE FOUR-STATE AREA (MISSOURI, ARKANSAS, OKLAHOMA, AND KANSAS), AS WELL AS OTHER STATES, BASED ON PATIENTS' NEEDS. MEDASSIST HELPS PATIENTS WITH THE APPLICATION PROCESS VIA FACE-TO-FACE INTERVIEWS, HOME VISITS, AND OVER-THE-PHONE CONVERSATIONS. - FREEMAN WORKS WITH MANY OF OUR 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. - IN RESPONSE TO EDUCATION OFFERED ABOUT THE FREEMAN FINANCIAL ASSISTANCE PROGRAM, THE HEALTH SYSTEM RECEIVES REFERRALS FROM PHYSICIANS AND COMMUNITY CLINICS. THIS HELPS PATIENTS ARRANGE FOR MEDICALLY NECESSARY HEALTHCARE PRIOR TO THE TIME SERVICES ARE RENDERED. 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 COMMUNITY AND ITS PRIMARY SERVICE AREA CONSIST OF A POPULATION OVER 175,000 PEOPLE IN TWO MISSOURI COUNTIES; DUE TO THE EXTENSIVE SERVICE OFFERINGS, THE ORGANIZATION RECOGNIZES A SECONDARY SERVICE AREA THAT INCLUDES NINE ADDITIONAL, LARGELY RURAL COUNTIES IN SOUTHWEST MISSOURI, SOUTHEAST KANSAS AND NORTHEAST OKLAHOMA, WITH A COMBINED POPULATION OVER 240,000. INCOMES AND EDUCATION LEVELS LAG BEHIND NATIONAL AVERAGES, WHILE THE PERCENTAGE OF PEOPLE LIVING IN POVERTY IS HIGHER THAN THE NATIONAL AVERAGE. SCHEDULE H PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: COMMUNITY BUILDING ACTIVITIES LOCALLY OWNED AND NOT-FOR-PROFIT, FREEMAN HEALTH SYSTEM IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS COMPOSED OF INDIVIDUALS WHO LIVE IN THE COMMUNITIES FREEMAN SERVES. ALL DECISIONS ABOUT WHAT HAPPENS AT FREEMAN ARE MADE LOCALLY. FREEMAN CONTINUES TO PLAY AN INTEGRAL ROLE IN THE DEVELOPMENT OF THE NEW KANSAS CITY UNIVERSITY (KCU) MEDICAL SCHOOL IN JOPLIN, SLATED TO OPEN IN FALL 2017. THE PHYSICIAN-TRAINING PROGRAM IN PLACE AT FREEMAN DATES BACK MORE THAN 40 YEARS. AS A TEACHING HOSPITAL, FREEMAN SERVES AS THE FLAGSHIP HEALTH SYSTEM IN THE OPENING OF THE NEW MEDICAL SCHOOL IN JOPLIN. IT IS OFTEN DIFFICULT TO ATTRACT NEW PHYSICIANS TO CITIES LOCATED IN LARGELY RURAL AREAS, LIKE JOPLIN. ONE OF THE GREAT BENEFITS OF HAVING A MEDICAL SCHOOL IN JOPLIN IS THAT IT WILL BRING NEW DOCTORS INTO THE COMMUNITY - MANY OF THE PHYSICIANS WHO TRAIN HERE WILL DECIDE TO MAKE JOPLIN THEIR HOME AND OPEN THEIR MEDICAL PRACTICES IN THE FOUR-STATE AREA. DEMONSTRATING CONTINUED COMMITMENT TO MEDICAL EDUCATION AND WHOLE-HEARTED SUPPORT FOR THE NEW MEDICAL SCHOOL, FREEMAN HAS MADE A 4.8 MILLION DOLLAR GIFT TO THE DEVELOPMENT OF THE KCU SATELLITE CAMPUS AND WILL PROVIDE, AT ITS OWN EXPENSE, RESIDENCY AND TRAINING OPPORTUNITIES FOR KCU STUDENTS AT A COST OF $85,000 PER SLOT. THIS MEDICAL SCHOOL IS THE BEST MEDICINE POSSIBLE TO ADDRESS THE LOOMING SHORTAGE OF DOCTORS, AND FREEMAN WILL DO WHATEVER IT CAN TO HELP ENSURE THE DREAM OF A MEDICAL SCHOOL IN JOPLIN BECOMES A REALITY. THE KCU CAMPUS OPENED IN THE FIRST QUARTER OF FREEMANS FISCAL YEAR 2018. FREEMAN HEALTH SYSTEM HAS DEVELOPED SCHOOL-BASED MEDICINE PROGRAMS AROUND THE AREA TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. THESE PROGRAMS REDUCE STUDENT AND FACULTY ABSENTEEISM, AND ENABLE PARENTS TO AVOID MISSING WORK TO TAKE CHILDREN TO UNSCHEDULED MEDICAL APPOINTMENTS. 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 MAJOR SPONSOR, WITH STAFF MEMBERS SERVING ON A VARIETY OF COMMITTEES AND PARTICIPATING IN LEADERSHIP JOPLIN AND THE YOUNG PROFESSIONALS NETWORK. UNITED WAY OF SOUTHWEST MISSOURI AND SOUTHEAST KANSAS COUNTS ON FREEMAN TO HELP SET THE TONE FOR GIVING IN THE COMMUNITY. 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. SETTING AN EXAMPLE FOR THEIR STAFFS, FREEMAN SENIOR LEADERS SERVE IN VOLUNTARY LEADERSHIP POSITIONS FOR ORGANIZATIONS SUCH AS THE TASK FORCE FOR EXAMINING STATEWIDE MEDICAID DELIVERY MODELS, AMERICAN HOSPITAL ASSOCIATION REGIONAL POLICY BOARD, THE MISSOURI COMMISSION ON AUTISM SPECTRUM DISORDERS, PITTSBURG STATE UNIVERSITY FOUNDATION BOARD OF TRUSTEES, RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES, ARVEST BANK, CONNECT-2-CULTURE, JOPLIN REGIONAL PROSPERITY INITIATIVE ADVISORY COUNCIL, LANDMARK HOSPITAL - JOPLIN, MISSOURI HOSPITAL ASSOCIATION, HEALTHCARE SERVICES GROUP, VIZIENT MID-AMERICA AND MID-AMERICA SERVICE SOLUTIONS, JOPLIN METRO EMERGENCY TRANSPORTATION SYSTEM, GEORGE A. SPIVA CENTER FOR THE ARTS, WILDCAT GLADES CONSERVATION & AUDUBON CENTER, UNITED WAY OF SOUTHWEST MISSOURI & SOUTHEAST KANSAS, JOPLIN HUMANE SOCIETY AND LAFAYETTE HOUSE. IN COLLABORATION WITH JOPLIN PUBLIC SCHOOLS, FREEMAN WORKS TO ENHANCE EDUCATIONAL OPPORTUNITIES FOR CHILDREN THROUGH BRIGHT FUTURES, AN INITIATIVE FOCUSED ON IMPROVING THE LIVES OF JOPLIN STUDENTS. FREEMAN PARTICIPATES IN THIS INITIATIVE THROUGH A PARTNERSHIP SUPPORTING VARIOUS SCHOOLS BY HELPING WITH EVENTS, FUNCTIONS AND OTHER NEEDS OF STUDENTS AND TEACHERS. FREEMAN ALSO SPONSORS THE TOGETHER REACHING EVERY KID PROJECT, IN WHICH MEMBERS OF THE COMMUNITY VOLUNTEER THEIR TIME TO TUTOR AND MENTOR STUDENTS AFTER SCHOOL TO IMPROVE STUDENT ACHIEVEMENT IN READING AND MATH. 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, PART OF THE NATIONAL HEALTHY FOOD IN HEALTHCARE INITIATIVE DEVELOPED BY THE INSTITUTE FOR AGRICULTURE AND TRADE POLICY AND HEALTH CARE WITHOUT HARM, WAS FREEMAN'S FIRST STEP TOWARD IMPROVING COMMUNITY HEALTH THROUGH FOOD POLICY CHANGE. SINCE SIGNING THE PLEDGE IN 2010, FREEMAN HAS PROMOTED THE AVAILABILITY OF NUTRITIOUS FOODS TO PATIENTS, EMPLOYEES AND VISITORS. FREEMAN RE-SIGNED THE PLEDGE IN APRIL 2012, REAFFIRMING ITS COMMITMENT TO PROVIDING ALTERNATIVES FOR HEALTHY EATING. FREEMAN OPERATES FARMERS MARKETS FIVE-SIX MONTHS A YEAR AT FREEMAN WEST. THESE MARKETS PROVIDE THE COMMUNITY WITH OPPORTUNITIES TO BUY FRESH, NUTRITIOUS FRUITS, VEGETABLES, AND OTHER LOCALLY PRODUCED FOODS. 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. AFTER THE MAY 2011 TORNADO, THE COMMUNITY SAW A RISE IN CASES OF CHILD TRAUMA. TO ADDRESS THIS NEED, FREEMAN AND OZARK CENTER, WITH SUPPORT FROM GOV. JAY NIXON AND THE STATE LEGISLATURE, OPENED WILL'S PLACE, A HEALING CENTER FOR KIDS, TO PROVIDE THE COMMUNITY WITH A MUCH-NEEDED CHILD TRAUMA TREATMENT CENTER. TO PROMOTE THE HEALTH OF THE AREA'S GERIATRIC POPULATION, FREEMAN ADVANTAGE OFFERS OPPORTUNITIES FOR LEARNING, TRAVEL, SOCIALIZING, AND HEALTHY LIVING. 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. AND, FREEMAN DEVELOPMENT OFFICE WORKS WITH THE COMMUNITY TO FIND FUNDING FOR INNOVATIVE, LIFESAVING TECHNOLOGIES AND MEDICAL SERVICES. ONE OF FREEMAN'S GOALS IS TO BECOME THE COMMUNITY'S BEST CORPORATE PARTNER. TO ACCOMPLISH THIS, FREEMAN DONATES TIME, RESOURCES, AND FUNDING AS AN ORGANIZATION, WHILE THOSE WORKING AT FREEMAN GIVE BACK TO THE COMMUNITY AS WELL, DONATING MAN-HOURS, MORE THAN 470 HOURS LAST YEAR, AND MONEY FOR THE BETTERMENT OF THE COMMUNITY. PROJECTS RANGED FROM HOSTING PARTIES AT CHILDRENS HAVEN TO CLEANING UP STREAMS IN CARL JUNCTION. FREEMAN SPONSORED AND TOOK RESPONSIBILITY FOR ORGANIZING THE JOPLIN CHRISTMAS PARADE IN 2015 AND HAS DONE SO EVER SINCE. IT WAS A HUGE TASK THAT REQUIRED DOZENS OF FREEMAN VOLUNTEERS AND COUNTLESS MAN-HOURS. 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, AND OZARK CENTER, WHICH PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. FREEMAN IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: FREEMAN HEALTH SYSTEM IS INCORPORATED IN THE STATE OF MISSOURI AND FILES A COMMUNITY BENEFIT REPORT IN MISSOURI. OTHER INFORMATION FREEMAN PROMOTES THE HEALTH OF THE COMMUNITY THROUGH MANY OUTREACH PROGRAMS. THESE INCLUDE SUPPORT GROUPS FOR A VARIETY OF ILLNESSES AND CONDITIONS, OZARK CENTER FOR AUTISM, PROGRAMS FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS, MARKETPLACE HEALTH INSURANCE COUNSELING AND OTHERS. FREEMAN SCREEN TEAM TRAVELS THROUGHOUT THE COMMUNITY, OFFERING LOW-COST HEALTH SCREENINGS TO HELP PEOPLE GET A HANDLE ON THEIR MEDICAL CONDITIONS AND SEEK HELP BEFORE SMALL PROBLEMS BECOME MEDICAL EMERGENCIES. FREEMAN SUPPORT GROUPS OFFER SUPPORT TO PARTICIPANTS AND EDUCATION ON TOPICS SUCH AS AUTISM, DIABETES, BARIATRIC WEIGHT LOSS, CANCER RECOVERY, BREAST CANCER RECOVERY, SLEEP DISORDERS AND ALZHEIMER'S DISEASE. FREEMAN ALSO PROVIDES AUTISM SERVICES TO THE COMMUNITY. PRIOR TO THE OPENING OF OZARK CENTER FOR AUTISM IN FALL 2007, FAMILIES SEEKING TREATMENT FOR CHILDREN WITH AUTISM HAD TWO CHOICES-RELOCATE TO RECEIVE TREATMENT OR GO WITHOUT IT. DEVELOPED IN CONSULTATION WITH THE CLEVELAND CLINIC AUTISM CONSULTING GROUP, BILL & VIRGINIA LEFFEN CENTER FOR AUTISM IS ONE OF ONLY A FEW TREATMENT CENTERS OF ITS CALIBER. OZARK CENTER FOR AUTISM INCLUDES A SPECIAL EDUCATION CENTER, PROVIDING THERAPY SERVICES TO STUDENTS FROM KINDERGARTEN THROUGH HIGH SCHOOL. OZARK CENTER FOR AUTISM ALSO OFFERS THE AREA'S ONLY AUTISM DIAGNOSTIC TEAM, PROVIDING PARENTS OF CHILDREN ON THE AUTISM SPECTRUM THE OPPORTUNITY TO RECEIVE AN AUTISM DIAGNOSIS WITHOUT HAVING TO TRAVEL HUNDREDS OF MILES AWAY FROM HOME. 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 MEMBERS VOLUNTEER OR FREEMAN PAYS THEM TO WORK FOR THE COMMUNITY THROUGH THESE ORGANIZATIONS. IT IS OFTEN DIFFICULT TO ATTRACT NEW PHYSICIANS TO CITIES LOCATED IN LARGELY RURAL AREAS. ONE WAY FREEMAN HELPS ATTRACT DOCTORS TO JOPLIN IS THROUGH GRADUATE MEDICAL EDUCATION. AS A TEACHING HOSPITAL, FREEMAN BROUGHT ABOUT TWO DOZEN DOCTORS TO ITS CAMPUSES THROUGH THE FREEMAN GRADUATE MEDICAL EDUCATION PROGRAM IN THE 2015-2016 SCHOOL YEAR. MEDICAL STUDENTS AND RESIDENT DOCTORS OFTEN REMAIN IN THE COMMUNITIES IN WHICH THEY TRAINED. THIS COMMUNITY BENEFIT IS VITAL TO THE POPULATION SERVED BY FREEMAN BECAUSE IT IS DIFFICULT AND EXPENSIVE TO ATTRACT AND RECRUIT PHYSICIANS TO WORK IN THE JOPLIN AREA. ADDITIONALLY, FREEMAN REACHES OUT TO YOUNGER STUDENTS AS WELL. THROUGH A SUMMER VOLUNTEER PROGRAM, HIGH SCHOOL STUDENTS SPEND SEVERAL WEEKS AT THE HOSPITALS, WORKING SIDE-BY-SIDE WITH NURSES AND DOCTORS. FREEMAN HEALTH ACADEMY, ON THE OTHER HAND, WORKS WITH MIDDLE SCHOOL STUDENTS TO ENCOURAGE THEM TO GRADUATE FROM HIGH SCHOOL AND HELP THEM CHOOSE COURSES, SUCH AS MATH AND SCIENCE, TO PREPARE THEM FOR FURTHER EDUCATION AND CAREERS IN HEALTHCARE. true CROWDER COLLEGE 601 LACLEDE AVE NEOSHO MO 64850 440668521 501(C)(3) 68009 SUPPORT MISSOURI SOUTHERN FOUNDATION 3950 E NEWMAN ROAD JOPLIN MO 64801 430907114 501(C)(3) 55000 SUPPORT COMMUNITY HEALTH CLINIC OF JOPLIN 701 SOUTH JOPLIN AVENUE JOPLIN MO 64801 431643962 501(C)(3) 29000 SUPPORT GEORGE A SPIVE CENTER FOR THE ARTS 222 W 3RD STREET JOPLIN MO 64801 446006139 501(C)(3) 10500 SUPPORT CARL JUNCTION EDUCATION FOUNDATION 206 S RONEY CARL JUNCTION MO 64834 431776822 501(C)(3) 24817 SUPPORT OZARK CENTER 1105 E 32ND ST JOPLIN MO 64804 430821959 501(C)(3) 2252862 SUPPORT PITTSBURG STATE UNIVERSITY 1701 SOUTH BROADWAY PITTSBURG KS 66762 486104332 501(C)(3) 373500 SUPPORT JOPLIN HUMANE SOCIETY 140 E EMPEROR LANE JOPLIN MO 64801 440664226 501(C)(3) 6500 SUPPORT JOPLIN FAMILY YMCA 510 S WALL AVE JOPLIN MO 64801 440552026 501(C)(3) 8500 SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 23000 SUPPORT SAFEHOUSE CRISIS CENTER INC 409 N WALNUT PITTSBURG KS 66762 480887160 501(C)(3) 10000 SUPPORT JOPLIN REGIONAL PARTNERSHIP 320 E 4TH ST JOPLIN MO 64801 431386973 501(C)(3) 40000 SUPPORT JOPLIN MEMORIAL RUN POBOX 3102 JOPLIN MO 64801 454202274 501(C)(3) 30000 SUPPORT SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION 3901 EAST 32ND STREET JOPLIN MO 64804 431664927 501(C)(3) 20950 SUPPORT BREAST CANCER FOUNDATION OF THE OZARKS 620 W REPUBLIC RD STE107 SPRINGFIELD MO 65807 431881450 501(C)(3) 10000 SUPPORT 15 CMN AID TO FAMILIES 346 126804 MAMMOGRAMS 22 12870 PRESCRIPTION, MEALS, TRANSPORTATION 1165 26270 DIALYSIS PATIENT ASSISTANCE 53 6305 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 2017, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *FHS CHILDREN'S MIRACLE NETWORK - $126,804 WAS SPENT HELPING OVER 346 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *HELPING FRIENDS MAMMOGRAM PROGRAM - $12,870 WAS SPENT TO HELP 22 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $26,270 WAS SPENT TO HELP OVER 1,165 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *DIALYSIS PATIENT ASSISTANCE - $6,305 WAS SPENT HELPING 53 DIALYSIS PATIENTS WITH RELATED EXPENSES. X X X X X true true false false false true false false false LARRY MCINTIRE DO DIRECTOR 376503 0 53050 0 17256 0 7950 0 932 0 455691 0 0 0 JOHN M COX DO DIRECTOR 847784 0 123160 0 15474 0 7950 0 17816 0 1012184 0 0 0 PAULA F BAKER PRESIDENT/CEO 706053 0 351968 0 322877 0 337749 0 21193 0 1739840 0 298490 0 STEVE W GRADDY CFO 383805 0 154517 0 75181 0 91250 0 14153 0 718906 0 71348 0 RICHARD D SCHOOLER FORMER EXEC VP & CHIEF OP OFCR 266674 0 0 0 85639 0 7950 0 4123 0 364386 0 82003 0 JOSHUA BALL DIRECTOR 655076 0 812679 0 18000 0 7950 0 14186 0 1507891 0 0 0 SABA HABIS INTERIM CHIEF MEDICAL OFFICER 459538 0 106313 0 38691 0 67642 0 23867 0 696051 0 20691 0 THOMAS B COY PHYSICIAN 1281264 0 274310 0 13000 0 7950 0 21480 0 1598004 0 0 0 TODD J TWISS PHYSICIAN 973316 0 279308 0 17550 0 7950 0 20775 0 1298899 0 0 0 ROBERT C STAUFFER PHYSICIAN 1098998 0 220868 0 18000 0 0 0 12026 0 1349892 0 0 0 WILLIAM J NICHOLAS PHYSICIAN 1585233 0 707353 0 18000 0 7950 0 13033 0 2331569 0 0 0 DARWIN JEYARAJ PHYSICIAN 648992 0 858821 0 0 0 7950 0 21193 0 1536956 0 0 0 MICHAEL J LEONE CONTROLLER 217528 0 60669 0 41150 0 31722 0 17990 0 369059 0 22518 0 JEFFREY M CARRIER CHIEF CLINICAL OFFICER 213726 0 64925 0 49405 0 28578 0 23693 0 380327 0 31881 0 KEVIN P GAUDETTE VP REVENUE CYCLE 245831 0 36294 0 35467 0 38666 0 18096 0 374354 0 35467 0 WESLEY B BRAMAN VP BUSINESS DEVELOPMENT 204619 0 32864 0 28581 0 25830 0 20596 0 312490 0 22330 0 COLEEN S CAMERON CHIEF NURSING AND REG OFFICER 158019 0 20258 0 17209 0 20180 0 8168 0 223834 0 17209 0 MARY A FRERER CHIEF HUMAN RESOURCE OFFICER 173573 0 27621 0 22336 0 24730 0 15883 0 264143 0 22336 0 LEONARD T ROLLINS CHIEF INFORMATION OFFICER 196513 0 30089 0 0 0 0 0 21038 0 247640 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT: RICHARD SCHOOLER RECEIVED A SEVERANCE PAYMENT OF $139,050, WHICH WAS INCLUDED IN TAXABLE COMPENSATION. 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: $ 298,490 PAULA BAKER $ 22,330 WESLEY BRAMAN $ 17,209 COLEEN CAMERON $ 31,881 JEFFREY CARRIER $ 22,336 MARY FRERER $ 35,467 KEVIN GAUDETTE $ 71,348 STEVE GRADDY $ 22,518 MICHAEL LEONE $ 82,003 RICHARD SCHOOLER $ 20,691 SABA HABIS SCHEDULE J, PART I, LINE 6A MANAGEMENT COMPENSATION: FREEMAN HEALTH SYSTEM PROVIDES MANAGEMENT THE POTENTIAL TO RECEIVE AN AT-RISK PAYMENT BASED ON SYSTEM AND INDIVIDUAL GOAL ACHIEVEMENT. THE AMOUNT OF COMPENSATION IS BASED UPON A PERCENTAGE OF THE EMPLOYEE'S ANNUAL COMPENSATION AND IS SUBJECT TO BOARD APPROVAL. SCHEDULE J, PART II, COLUMN (B)(II) BONUS & INCENTIVE COMPENSATION: THE ORGANIZATION PROVIDES PHYSICIANS THE POTENTIAL TO RECEIVE ANNUAL BONUS COMPENSATION. PHYSICIAN BONUSES ARE CALCULATED BASED ON GENERATING WORKED RELATIVE VALUE UNITS (WRVU). EMPLOYMENT CONTRACTS SPECIFY THE NUMBER OF REQUIRED WRVUS (TO OBTAIN AN ANNUAL SALARY) AND THE ADDITIONAL BONUS COMPENSATION PHYSICIANS WILL RECEIVE ONCE THE REQUIRED WRVUS HAVE BEEN MET. ADDITIONAL BONUS COMPENSATION IS CALCULATED BY MULTIPLYING THE WRVUS IN EXCESS OF REQUIRED WRVUS TIMES A PREDETERMINED COMPENSATION FACTOR. WRVUS SHALL BE COMPUTED BY USE OF THE APPROVED MEDICARE METHODS OF COMPUTATION FOR PHYSICIAN PRACTICES. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 480639AY9 2011-12-31 25031815 CONSTRUCT & EQUIP WEST CAMPUS HOSP false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 2014-06-18 15995508 REFUND 2009 BONDS false false false C HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 60637ADK5 2012-12-20 40129591 REFUND 1994-A BONDS AND 1998A BOND false false false D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 2014-12-23 7000000 CONSTRUCT, IMPROVE, AND EQUIP EAST false false false A 4815000 0 25031815 2054100 0 0 403785 0 0 22563205 0 0 2014 false false true true B 2403153 0 15995508 0 0 0 0 0 0 0 15995508 0 2008 true false true true C 12030000 0 40129591 3569228 0 0 530282 0 0 0 36042809 0 1999 true false true true D 1073170 0 7000000 0 0 0 0 0 0 7000000 0 0 2016 false false true true A false false true true false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C 0 D false false true true false 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true B false false true false true false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, LINE B, COLUMN (F) THE 2009 BONDS WERE ORIGINALLY ISSUED ON 7/23/2009. SCHEDULE K, PART I, LINE C, 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 II, LINE 3, COLUMN A & C INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE DEBT SERVICE RESERVE FUND DURING THE PROJECT PERIOD HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF SCHEDULE K, PART II, LINES 11 & 14, COLUMN B THE 2009 BONDS WERE REISSUED ON 6/18/2014 AND ALL BOND PROCEEDS WERE DEEMED TO CURRENTLY REFUND THE 2009 BONDS ON THAT DATE. SCHEDULE K, PART II, LINE 11, COLUMN C 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, PART III, COLUMN C 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, & D THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JSAPER CO 521351539 2014-12-23 5000000 ACQUIRE, CONSTRUCT, IMPROVE AND EQ false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO 521299414 480639BL6 2015-02-26 40712377 REFUND 2004 BONDS false false false A 766550 0 5000000 0 0 0 0 0 0 5000000 0 0 2016 false false true true B 2400000 0 40712377 2920269 0 0 532154 0 0 0 37248410 0 2008 true false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false true true false 0.00000 0.00220 0.00220 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true SCHEDULE K, PART I, LINE D & SCHEDULE K-2, PART I, LINE A 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-2, PART I, LINE B, COLUMN F THE SERIES 2004 BONDS WERE ORIGINALLY ISSUED ON 11/30/2004. SCHEDULE K-2, PART II, LINE 11, COLUMN B 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 III, LINE 5, COLUMN B AMOUNT REPRESENTS THE MAXIMUM AMOUNT OF NONQUALIFIED USE THAT MAY RESULT FROM UNRELATED TRADE OR BUSINESS ACTIVITY. 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. DEBORAH GAUDETTE WIFE OF KEVIN GAUDETTE 69750 EMPLOYEE COMPENSATION false ADAM GRADDY SON OF STEVE GRADDY, CFO 83521 EMPLOYEE COMPENSATION false KENT MCINTIRE SON OF LARRY MCINTIRE 727732 EMPLOYEE COMPENSATION false PAM JONES SISTER OF RICK SCHOOLER 44312 EMPLOYEE COMPENSATION false RITCHI ROLLINS WIFE OF LEONARD ROLLINS 33811 EMPLOYEE COMPENSATION false MORGAN BRAMAN DAUGHTER OF WES BRAMAN 15424 EMPLOYEE COMPENSATION false X 1 1679509 FMV false true false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART I, LINE 1 VISION - TO BE THE LEADING PROVIDER OF PATIENT CENTERED, PHYSICIAN DIRECTED HEALTHCARE IN AN ENVIRONMENT OF COMPASSION AND TRUST, SUPPORTED BY DEDICATED EMPLOYEES WITH A DESIRE TO PROVIDE EXCELLENCE IN CARE AND SERVICE. FREEMAN HEALTH SYSTEM IN JOPLIN, MISSOURI IS A 404 BED, THREE HOSPITAL SYSTEM PROVIDING COMPREHENSIVE HEALTHCARE AND BEHAVIORAL HEALTH SERVICES TO AN AREA THAT INCLUDES MORE THAN 450,000 FROM MISSOURI, ARKANSAS, OKLAHOMA, AND KANSAS. FORM 990, PART III, LINE 4 PROGRAM SERVICES: Freeman Health System, not-for-profit, community-owned, 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, womens services and behavioral healthcare. Freeman accepts Medicaid and Medicare patients and offers financial assistance and payment plans, providing a safety net to one-third of 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 60 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 progressive healthcare services eases stress on patients, for whom travel can be uncomfortable, and their families, for whom travel can present a great financial burden. Diabetes Obesity and diabetes are growing problems with serious health implications. According to the Missouri Department of Health and Senior Services, 12.6 percent of southwestern Missouri residents have diabetes. To address the problem and provide education to the community, Freeman Diabetes Education hosted the eighth annual Diabetes Expo in November 2016. It featured presentations by Freeman endocrinologists and diabetes educators, a healthy cooking demonstration and diabetes-related product demonstrations. Additionally, Freeman held an "Outstanding Diabetes!" event in May 2016 to give participants a chance to explore interactive demonstrations that covered topics such as diabetic foot care, reading labels, portion sizes and ways to lower blood sugar. It featured a panel discussion in which Freeman physicians answered questions about diabetes. Free hemoglobin A1c tests were offered to the first 100 participants. Freeman also provided health tips, healthy food samples, a cooking demonstration and a yoga tutorial on Diabetes Alert Day in March 2017. During the event, Freeman Diabetes Educators helped participants complete an online diabetes risk assessment. The event was free and open to the public. KCU Medical School in Joplin For decades, Freeman Health System has worked with respected medical schools to train tomorrows physicians, providing a training ground for medical students. With the opening of the new Kansas City University (KCU) medical school in Joplin, Freemans tradition of providing medical education facilities, classrooms, programs, preceptors and faculty continues for the benefit of the community. The school is expected to open in fall 2017. 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 serves as the flagship health system in the opening of the new medical school in Joplin. It is often difficult to attract new physicians to cities located in largely rural areas, like Joplin. One of the great benefits of having a medical school in Joplin is that it will bring new doctors into the community many of the physicians who train here will decide to make Joplin their home and open their medical practices in the four-state area. Additionally, the new medical school will open a door for many local students who, otherwise, might not be able to obtain the training it takes to become a doctor. Its a golden opportunity for those who cant leave the area to pursue a career in medicine and a shining prospect for the communitys future as well. Demonstrating continued commitment to medical education and whole-hearted support for the new medical school, Freeman made a 4.8 million dollar gift to the development of the KCU satellite campus and will provide residency and training opportunities for KCU students at a cost of $85,000 per slot. This medical school is the best medicine possible to address the looming shortage of doctors, and Freeman will do whatever it can to help ensure the dream of a medical school in Joplin becomes a reality. Graduate Medical Education The Freeman Internal Medicine Residency Program was granted accreditation by the accreditation Council for Graduate Medical Education in January 2017. The Freeman program is the first and only program in the area to achieve this status. Freeman offers residency program for tomorrows doctors in the fields of internal medicine, emergency medicine, ENT and psychiatry. Free Sports Physicals For 26 years, Freeman Orthopaedics & Sports Medicine and Freeman Rehabilitation Services have provided free annual preseason physical exams for hundreds of athletes attending area schools. More than 75 volunteers, including doctors, nurses, therapists, and other clinicians, assist with the exams, scheduled at specific times throughout the year. These free preseason physicals provide comprehensive evaluation and assessment to athletes participating in a sanctioned sport in a school-based program; through the areas parks and recreation departments, YMCAs, or local leagues; or in training to compete in a specific event, such as a marathon or triathlon. A huge community benefit in FY17, this program helped hundreds of families by providing required medical examinations free of charge. On a related note, Freeman continued offering free Saturday morning sports injury clinics in FY17. Thanks to Dr. Robert Lieurance, a board-certified Freeman Orthopaedics & Sports Medicine physician who fellowship-trained in sports medicine, student athletes were able to obtain free medical care for injuries sustained during the previous weeks games at these clinics. The clinic included the services of Dr. Lieurance, a physician assistant and Freeman athletic trainers. This is a great community benefit for the families of injured athletes. Chaplains Fund Through the Chaplains Fund, Freeman offers help to patients upon dismissal from the hospital sometimes patients cant afford a needed prescription or dont have a way to get home. In FY17, the Chaplains fund provided a community benefit of $26,269.95 through assistance for prescriptions, transportation, meals and other issues to 1,165 people. Employee Community Service In terms of community service as community benefit, Freeman employees spent more than 40,000 hours engaged in community benefit activities in FY17. This on-the-job community benefit includes time Freeman healthcare professionals spent training or serving as preceptors for student nurses, medical students and resident physicians, among others. Staff members also spent countless hours giving tours to school and community groups, working with high school students and other community members on job-shadowing projects, and engaging the public through public programs and events. Safety Net for the Community Freeman provides emergent care for all who enter its doors, regardless of the patients 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. On a related note, Freeman allows Freeman employees to pay off hospital bills in installments as low as $50 every two weeks. Considering the fact that Freeman employs more than 4,000 people and most of their families receive treatment at Freeman, this act alone amounts to a sizable community benefit. Freeman Urgent Care, with walk-in clinics in Joplin and Webb City, offers convenient, cost-effective care for minor medical issues. While Freeman Urgent Care provides patients, including those without primary care providers, an appropriate, less expensive alternative to an Emergency Room visit, many patients still choose to use the Emergency Room for primary medical care. On a related note, community members learned how emergency room care compares to urgent care during the March 2017 HealthWISE event sponsored by Freeman Advantage, Freemans lifestyle and wellness program for older adults. During this event, which was free and open to the public, participants also learned when it might be appropriate to wait to see a primary care physician rather than going to the ER or urgent care. FROM 990, PART III, LINE 4 Program Services (continued): Helping the community Freeman helps many organizations that, in turn, help some of the most fragile members of the community. For instance, for $1 per year, Freeman leases the land and building at 34th Street and Indiana Avenue to Childrens Center of Southwest Missouri, a not-for-profit agency that protects and advocates for children who have been victims of abuse. Similarly, Freeman leases land to Ronald McDonald House Charities of the Four States for $1 per year, and Freeman maintains the grounds and provides housekeeping services, services with an annual retail value of $9,000. Careers Freeman Health System contributes to the health of the community by creating a wide range of career opportunities. Professionals in many fields at Freeman earn above-average wages and salaries, and the benefits Freeman offers help attract and maintain an affluent middle class, whose members buy homes, spend money and boost the area economy. In FY17, Freeman Health System provided payroll and benefits totaling $230,000,000. To help ensure a steady supply of physicians, nurses, and other clinicians in the future, Freeman educates young people about healthcare careers. High school and college students participate in a summer "Futures" volunteer program, working with healthcare professionals in real-life hospital situations. The program earned the Award for Excellence from the Midwest Association for Healthcare Volunteer Resource Professionals. An eight-week summer educational program for students interested in careers in healthcare, the program gives participants behind-the-scenes experience in a hospital setting. After orientation, students are assigned to a unit and work four-hour shifts under the supervision of a nurse or technician. Program participants wear scrubs like hospital team members and assist with assigned tasks. They attend lunch-and-learns and work with patients, providing magazines, snacks and linens as needed. Joplin High School students can receive one-half credit toward graduation if they complete 80 hours as a Freeman Student Volunteer. The program also offers participants the opportunity to earn a $500 scholarship. Additionally, Freeman Health Academy, provided at no cost to families, reaches out to middle school students to help them prepare for healthcare careers. The first program of its kind in the community, it gives students the opportunity to learn about healthcare careers from Freeman physicians and staff. It encourages students to graduate from high school and helps them choose high school courses, such as science and math, to prepare them for further education and healthcare careers. Nursing Scholarships 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 Marketplace Assistance In FY17, Freeman continued offering Health Insurance Marketplace education and enrollment to help people understand available health insurance options. With a grant from Missouri Foundation for Health, Freeman worked with other area healthcare organizations to conduct free events throughout the year in several southwestern Missouri communities. Donor Council Freeman is committed to improving the health of all people living within the communities served by Freeman. To this end, Freeman Donor Council, composed of Freeman caregivers who volunteer their time to promote organ, eye, and tissue donation awareness, has provided education to patients for decades. Freeman Advantage Senior Citizen Driving Courses Freeman Advantage, a wellness and lifestyle program for older adults, offered low-cost driver safety classes in FY17. These AARP Smart Driver courses gave older drivers the opportunity to refresh their skills, brush up on rules of the road, and make the public streets safer for all. Freeman Advantage also offers CarFit classes to help older drivers be safer behind the wheel by helping them make the necessary adjustments to get the best view of the road and best reach of the pedals and other controls inside their own vehicles. Free Support Groups Freeman fosters the health of the community by hosting many relevant support groups. FY17 support groups included Freeman Autism Support Group, Alzheimers Support Group, Cancer Support Group, Breast Cancer Support Group, Bariatric Weight Loss Support Group, Diabetes Support Group, and Sleep Apnea Support Group. All Freeman support groups are free and open to the public. In addition to providing facilities and staff to facilitate the support group meetings, Freeman provides community outreach by publicizing these meetings with ads in The Joplin Globe that cost Freeman more than $13,000 each year. Beyond Breast Cancer Loving the New Me Breast Cancer treatment can cause physical and emotional changes, both during and after treatment. While the changes are common, many women hesitate to discuss these issues with their doctor. To help start the conversation, Freeman presented a free event in February 2017 that featured an oncologist leading a discussion on the aforementioned changes. Blood Drives Freeman supports Community Blood Center of the Ozarks by hosting blood drives throughout the year. In FY17, Freeman Hospital West and Freeman Neosho Hospital hosted several blood drives. Organ, tissue and eye donation For the third straight year, Saving Sight, one of the largest eye banks in the U.S., honored Freeman Health System in March 2017 with the Excellence in Eye Donation Award, which recognizes achievements in providing the gift of sight through corneal transplants. Additionally, Freeman was recognized in February 2017 for exceeding national goals in organ and tissue conversion. Joplin Public Schools In FY17, Freeman partnered with Joplin Public Schools through Bright Futures to encourage graduation and help students succeed. Freeman sponsors Together Reaching Every Kid, a project in which members of the community volunteer their time to tutor and mentor students after school to improve student achievement in reading and math. Freeman employees volunteer as mentors and help with Positive Adults Lunching with Students, a program that pairs a caring adult with an elementary student who needs a positive role model. Freeman supports activities and events at its partner schools. This support includes providing an annual Teacher Appreciation Breakfast, helping with annual carnivals and more. Freeman Auxiliary Freeman Auxiliary raises funds and provides volunteer services to benefit patients, staff, visitors and the community. For FY17, Freeman Auxiliary/Volunteers provided support for: Children's Miracle Network Hospitals $15,000 Cardiac bears for heart patients $5,661 Snacks for Freeman Neosho infusion patients $500 Scholarships Student Volunteer Program $3,500 Student Volunteer Program $1,716 Chaplains Fund $15,000 Bill & Virginia Leffen Center for Autism $15,000 Ronald McDonald House Charities of the Four States $20,000 Electric scooter for patients and guests $13,728 Refreshments for patients receiving chemotherapy $5,500 Mighty Titans Adventure event for community $14,666 March O' the Kidney Sponsorship and donation $20,000 Freeman Development Office $20,000 Ozark Center Turnaround Ranch $16,000 Epilepsy Fund (state project) $10,000 Total $176,271 Additionally, Freeman Auxiliary and Freeman Volunteers collected toys, books, mittens and other items to donate to children of parents staying at Ronald McDonald House Charities of the Four States during the holidays. Gifts, toiletries and other essential items were also gathered for parents who stay at Ronald McDonald House Charities of the Four States during the holidays. FORM 990, PART III, LINE 4 Program Services (continued): Heart Walk Freeman Health System employees continued their pledge to make the area a healthier place to live by joining the 2016 Four States Heart Walk. Money raised benefitted American Heart Association for research, public health education and providing science-based treatment guidelines to healthcare professionals. Joplin Christmas Parade For the third year in a row, Freeman Health System managed the Joplin Christmas Parade. Freeman donated countless man-hours to organize and orchestrate the parade, a commitment that included publicizing the event, coordinating parade entries, ensuring the parade flows smoothly, awarding prizes and more. City of Joplin Assistant Director of Public Works Operations Lynden Lawson said 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. Disaster Drill In November 2016, Freeman sponsored a full-scale disaster exercise at Freeman Hospital West. Area healthcare providers and emergency medical teams were invited to participate. The exercise simulated the May 22, 2011, tornado that struck Joplin, Missouri. During the exercise, Freeman set up and staffed a new 24-bed portable minor care/triage shelter, operated the Freeman Emergency Mobile Communications Unit, set up child care centers and medical surge units, and performed a simulated hospital evacuation. The goal was to evaluate communication, resources, logistics, mass care, citizen evacuation, emergency public information, emergency operations and recovery. FROM 990, PART III, LINE 4A Outpatient Services: Emergency Services The Emergency Department/Trauma Center at Freeman Hospital West treats approximately 45,000 patients each year. Emergency rooms routinely deal with homeless, mentally ill and substance-addicted patients. Freeman places mental health counselors in the emergency room on an around-the-clock basis. These counselors are available to talk with patients who show signs of mental health or substance abuse conditions. After thorough evaluation, the counselors offer recommendations regarding follow-up care ranging from assessment of suicidality and need for inpatient psychiatric hospitalization to making outpatient therapy appointments for patients before they leave the emergency room. If evaluation mandates hospitalization, counselors help find an appropriate bed and transportation. On average, counselors evaluate and recommend treatment for 54 psychiatric patients each week. As a result of this intervention, many previous frequent visitors to the emergency room have been redirected to appropriate psychiatric or substance abuse programs. Every two minutes, somewhere in America, someone is sexually assaulted. Freeman doctors and nurses offer compassionate and comprehensive care to victims of sexual assault in the Emergency Room through the Sexual Assault Nurse Examiner (SANE) program. The program provides a coordinated hospital response and continuum of care for victims of sexual violence and ensures a medical evaluation, standardized forensic examination with evidence collection, and effective interface with law enforcement and advocacy services. It also provides education to local communities on sexual violence awareness, prevention and available services. The nurse examiner reports the crime and/or collects evidence of the sexual assault only at the victims request. In partnership with Lafayette House, the program also offers emergency shelter and services. Many patients, who dont have a primary care physician, turn to the Freeman Emergency room for routine medical care. While Freeman tries to educate the community on the benefits of using urgent care clinics and establishing a relationship with a primary care physician, patients still visit the Freeman emergency room for care of colds, stomach aches, bumps and bruises that could be more efficiently treated in other venues. The cost of providing treatment in the emergency room setting is extremely expensive, and many of the patients seeking emergency care have no insurance. As a result, Freeman Health System often has to pick up the cost of emergency treatment. 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 for the service. Wes & Jan Houser Womens Pavilion For those needing a mammogram, bone density screening or other diagnostic procedure, Wes & Jan Houser Womens Pavilion provides care in a comfortable, soothing, compassionate and respectful atmosphere. The Freeman team of surgeons, radiologists and registered mammography technologists use the latest technologies to ensure patients receive the best care, advice and treatment. Wes & Jan Houser Women's Pavilion is designated Breast Imaging Center of Excellence by the American College of Radiology (ACR). By awarding facilities the status of Breast Imaging Center of Excellence, the ACR recognizes breast imaging centers that have earned accreditation in mammography, stereotactic breast biopsy and breast ultrasound. Through the Freeman Helping Friends Mammogram Fund, Freeman provided 22 free mammograms in FY17 valued at $21,424.84 to patients who had no insurance or were underinsured. Outpatient Dialysis Freeman provides outpatient dialysis services through two outpatient dialysis centers, one at Webb City Neighborhood Care and one at Freeman Hospital East. Freeman outpatient dialysis complements 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 32 comfortable chairs; a safe, private environment; state-of-the-art dialysis equipment; and innovative technology in vascular access grafts. To support patients with kidney disease, Freeman held its third annual March o the Kidney on March 18, 2017. The one-mile walk raises funds for dialysis patients and raises awareness about kidney disease. Many dialysis patients undergo treatment for three to four hours, three times a week, which can interfere with their ability to work and pay for medical expenses, proper nutrition and transportation to transplant appointments. Money raised through March o the Kidney and Freeman Dialysis Fund helps offset those expenses. Also for patients with kidney disease, Freeman held its third annual Patient Engagement Days in September 2016 to celebrate dialysis patients and provide them with education. The free event featured food, entertainment and resource booths for patients with kidney disease who are undergoing dialysis treatment at Freeman. Freeman Nephrology & Dialysis serves an average of 100 patients a week, many of whom are very ill and waiting for kidney transplants. In addition to having to deal with a life-threatening disease, dialysis patients face many financial burdens. Pediatric Specialty Care Freeman Health System now partners with Childrens Mercy to enhance care for children in the four-state area. As part of this collaboration, Childrens Mercy opened a permanent location with several specialty clinics on the Freeman campus. These new Joplin clinics, known as Childrens Kansas City, are an extension of Childrens Mercy, a nationally ranked pediatric medical center in Kansas City, with full support of its 600 pediatric specialists. Pediatric specialties offered at the clinic include cardiology, endocrinology/diabetes, gastroenterology, hematology/oncology, nephrology, rheumatology and more. 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 to Kansas City for clinic appointments. School-based Medicine Freeman Health System has entered into a school-based medicine partnerships with the Carl Junction Schools, Neosho 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-days work to take their children to a medical clinic or doctors office. FORM 990, PART III, LINE 4B Inpatient Services: Renovations to the Medical/Oncology floor at Freeman Hospital West were completed in FY17. Improvements included new communication boards, TVs and bathroom flooring, as well as an increase in the number of private patient rooms available in the unit. Freeman Health System was honored with an "A" grade in the Leapfrog Group Fall 2016 Hospital Safety Score. Freeman was one of 17 hospitals in Missouri to receive the top grade. The score rates how well hospitals protect patients from errors, accidents, injuries and infections. In FY17, Freeman Health System continued to play a leading role in bringing a medical school to Joplin, Missouri. Demonstrating continued commitment to medical education and whole-hearted support for Kansas City University-Joplin, Freeman pledged a multi-million gift to the development of the satellite campus. Freeman will provide residence and training opportunities for KCU students. Freeman Joplin inpatient services totaled 19,173 cases, of which, 3,856 or 20%, were Medicaid cases. Additionally, 1,461 inpatient cases, or 8% of the total, fell into the self-pay (no insurance) category. Critical Care Patients rely on the Intensive Care Unit (ICU) for lifesaving treatment. In the ICU, physicians lead critical care services and oversee the care of critically ill patients. Freemans 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 (CVICU). Additionally, Freeman Hospital West is the first hospital in the area to offer a Transitional Care Unit (TCU), a 12-bed unit for patients who are still too ill for the medical floor but have progressed to the point where they no longer need the level of care provided in the Intensive Care Unit (ICU). Freeman Joplin critical care services totaled 4,132 cases, of which, 400, or 10%, were Medicaid cases. Additionally, 0.60% of the critical care cases fell into the self-pay (no insurance) category. Stroke Care Freeman Health System is the first and only hospital in an 80-mile radius designated as a Level II Stroke Center by the Missouri Department of Health & Senior Services. This certification means the state has verified that Freeman is able to provide the highest level of expert care to patients who have experienced stroke or a TIA. When stroke occurs, every minute matters and quality of care is vital. Timely treatment can mean the difference between returning to work or becoming permanently disabled, living at home or living in a nursing home. The state of Missouri created the Time Critical Diagnosis system to coordinate 911, emergency response and hospitals to improve both the speed and quality of care to stroke patients. Freeman offers a free online stroke assessment to help people help learn about their risk of stroke. Because anyone can suffer a stroke, public education is vital. Freeman provides free stroke presentations to area businesses and organizations. Because of its efforts to provide rapid, expert care, Freeman was recognized in FY17 by the American Heart Association and American Stroke Association for "Silver Plus" achievement in the "Get with the Guidelines Stroke" quality program. Neurosciences 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. Freemans expert, multidisciplinary team includes neurosurgeons, neurologists, rehabilitation specialists, surgical assistants, physical therapists, massage therapists and athletic trainers. Anthem Blue Cross Blue Shield of Missouri named Freeman Health System as a Blue Distinction Center for Spine Surgery. Hospitals designated as Blue Distinction Centers for Spine Surgery demonstrate expertise in cervical and lumbar fusion, cervical laminectomy and lumbar laminectomy/discectomy procedures, with fewer patient complications and hospital readmissions compared to their peers. Designated hospitals also maintain national accreditation. 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. Chair beds in each room, as well as meal trays for parents, enable families to remain together during difficult times. Each room has a TV/VCR; videos and video games are available upon request. The unit includes a brightly decorated examination room and a playroom filled with books and toys. Freeman Joplin inpatient pediatric services totaled 304 cases, of which, 175, or 58%, were Medicaid cases. Additionally, 0.1% 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 2,082 babies in FY2017. The unit includes board-certified obstetricians available 24 hours a day and the region's only board-certified perinatologist caring for patients with high-risk pregnancies. In FY2017, Freeman Maternity Center served 840 Medicaid patients, or 40% of its caseload. Self-pay patients (those with no insurance) represented 0.1% of the mothers delivering babies at Freeman. As these statistics indicate, Freeman provides a safety net for expectant mothers who live in poverty and receive government assistance and those who scrape by without assistance but have no health insurance. Medicaid reimbursement does not cover the cost of providing the level of treatment required. Anthem Blue Cross Blue Shield of Missouri has recognized Freeman Health System as a Blue Distinction Center+ for Maternity Care. Blue Distinction Centers are nationally designated healthcare facilities shown to deliver improved patient safety and better outcomes based on objective measures developed with input from the medical community. The Blue Distinction Center program evaluates hospitals on several quality measures, including the percentage of newborns that fall into the category of early elective delivery. Compared to babies born 39 weeks or later, early term infants face higher risks of infant death and respiratory ailments, such as respiratory distress syndrome, pneumonia, and respiratory failure. These babies also have a higher rate of admission to neonatal intensive care units. NICU In FY2017, Freeman neonatal intensive care unit (NICU) provided immediate critical care for premature and critically ill infants. The unit includes skilled and experienced physicians and staff who stand ready to provide the immediate critical care premature babies need. Freeman NICU provides specialized care using state-of-the-art technology and decades of experience. Survival rates for infants less than three 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 1984, parents of 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. Since then, more than 9,000 infants have had a fighting chance to live thanks to the care they received at Freeman NICU. Through Freeman Development Office, generous donors have presented Freeman NICU with the Angel Eye Camera System that permits family members who are away from the hospital to check in on their NICU babies through a live video feed and audio connection. In FY2017, Freeman NICU served 293 prematurely born or critically ill babies. Of these tiny patients, 203 received Medicaid, which represents 69% of Freeman NICUs caseload. Self-pay patients (those with no insurance) represented 0.03% of Freeman NICU patients. Neonatal intensive care is extremely expensive to provide, and Medicaid reimbursement does not cover the cost of providing the level of treatment required. FORM 990, PART III, LINE 4C Freeman Heart Care: Services include preventive care, emergency interventions, diagnostics, open-heart surgeries, structural heart clinic (FY18), rehabilitation, cardiology clinics and education. The facility, a three-story wing adjacent to Freeman Hospital West, includes cardiologist and cardiothoracic surgeon offices, three state-of-the-art operating suites and four cardiovascular catheterization labs. It also includes a cardiopulmonary rehabilitation unit that improves a patients ability to perform the normal activities of daily living. By teaching techniques for dealing with chest pain and shortness of breath, eating habits, cholesterol levels and weight loss, Freemans rehabilitation program provides a comfortable and familiar environment for recovery. Diagnosis and testing The cardiologists at Freeman Heart & Vascular Institute use a variety of noninvasive tests to diagnose heart disease and conditions such as angina (chest pain). These tests include state-of-the-art echocardiography, contrast echo, and regular treadmill, stress echo, dobutamine stress echo, and nuclear medicine stress tests. Additionally, Freeman offers computed tomography (CT) and positron emission tomography/computed tomography (PET) imaging. Registered vascular technology specialists staff Freemans noninvasive, diagnostic lab for vascular testing using state-of-the-art ultrasound equipment. Tests include cerebral vascular testing, peripheral arterial testing, peripheral venous testing and abdominal Doppler exams. Hybrid CVOR new in FY2017 In late 2016, Freeman Health System completed upgrades to its state-of-the-art hybrid cardiovascular operating room (CVOR) at Freeman Heart & Vascular Institute. This upgrade will give Freeman maximum flexibility to use the treatments most appropriate for each patient, including structural heart procedures. This new set-up will enable physicians from different disciplines to merge their expertise in one room for the benefit of the patient. For instance, two teams the cardiothoracic surgeons team and the cardiologists team can work as one to achieve optimal results while improving patient care and efficiency. Access to minimally invasive procedures and complex procedures, along with accuracy, are key in successful cardiac outcomes. In the hybrid CVOR, Freeman has installed the Infinix Elite from Toshiba America Medical Systems, Inc. As a customizable cardiovascular x-ray imaging system, this best-in-class technology provides Freeman with the flexibility and performance to meet any patient need. Information is power when it comes to diagnosis, and the Infinix Elites combination of comfort, safety and efficiency enables Freeman to provide the right care solutions to patients. The resolution is higher and more precise, which will enables surgeons to perform procedures usually found at cardiac centers in university hospital settings, such as structural heart repair. The Infinix Elites C-arm design offers conformity to any patient, allowing for optimal angulations, streamlined positioning and customizable configuration. In addition, ergonomic enhancements improve clinician speed and precision while reducing the potential for strain and injury. The system also includes a full suite of dose management optimization tools to facilitate safer exams for both the patient and the physician. Having the ability to perform simultaneous imaging studies and interventions in a CVOR eliminates the need to move patients during a procedure and potentially reduces the risk of infection. Patients also benefit through shorter procedure times. By combining first-rate imaging capabilities within an advanced operating suite, Freeman cardiothoracic surgeons have flexibility in real time to do whats best for the patient. This innovative environment also provides the potential to revolutionize the way Freeman treats patients by integrating traditional cardiac surgery with endovascular surgery techniques and technology, further bridging the best of today with the latest advances of the future. Freeman will begin offering structural heart procedures in the first quarter of FY2018. Cardiothoracic surgeons and cardiologists at Freeman Heart & Vascular Institute will be the first in the area to perform the transcatheter aortic valve replacement (TAVR) procedure. This minimally invasive technique gives hope to patients who suffer from severe aortic stenosis, but who are not ideal candidates for a complex open heart surgery. Clinical trials Research is an integral part of the Freeman heart and vascular program. Freeman Hearth & Vascular Institute participates in many national studies of cardiovascular treatment. From time to time, patients may be offered the opportunity to participate in clinical trials. Heartwise Patients often feel alarmed to learn they have a chronic cardiac condition. Although receiving this diagnosis can be frightening, it is treatable. While the heart no longer works as well as it should, many people live with this condition without ever suffering a heart attack. With the right team in place, the right medications and devices prescribed as needed, and the right lifestyle changes, you can enjoy a healthy, happy life. Thats where Heartwise, an initiative focused on empowering patients to better manage their chronic cardiac conditions, can help. Community Service To improve heart care for the communities it serves, Freeman Health System took part in "Guardians of the Heart," a two-day conference on cardiology hosted by the Quapaw Tribe Fire/EMS in February 2017. Speakers from Freeman included an emergency room physician talking about heart attack symptoms, a cardiologist discussing automated implantable cardioverter-defibrillators and pacemakers, a physiatrist addressing the issue of stroke rehabilitation and a member of Freemans respiratory therapy team talking about vent care. Freeman Advantage, Freemans lifestyle and wellness program for older adults, offered an educational speakers series on heart care in February 2017, Spotlight on Hearts: Keep It Pumping! The series, free of charge and open to the public, presented Freeman cardiologists addressing the issues of preparing for a visit with a cardiologist and symptoms of syncope (fainting), a nurse practitioner talking about signs and symptoms of heart attack in men and women, and a cardiovascular coordinator speaking on the importance of staying active. 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, LINES 15A & 15B 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, LINES 15A & 15B 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 2016 USING INTEGRATED HEALTHCARE STRATEGIES. 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. 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