FREEMAN HEALTH SYSTEM: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: FREEMAN HEALTH SYSTEM (EIN 43-1704371)
Tax period: 2015-04-01 to 2016-03-31
Filed: 2017-02-01
IRS object ID: 201740329349300959
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-02-01T13:47:37-06:00	ReturnTs
Tax Period End	2016-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	431704371	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVE GRADDY	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2016-10-24	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$615,334,241	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FREEMANHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1922	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	FREEMAN HEALTH SYSTEM PROVIDES WORLD-CLASS, COMPASSIONATE HEALTHCARE SERVICES WHERE IT MATTERS MOST, CLOSE TO HOME. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	4349	TotalEmployeeCnt
Total Volunteers	233	TotalVolunteersCnt
Total Gross UBI	$10,992,073	TotalGrossUBIAmt
PY Contributions Grants	$2,324,995	PYContributionsGrantsAmt
CY Contributions Grants	$5,415,368	CYContributionsGrantsAmt
PY Program Service Revenue	$502,793,696	PYProgramServiceRevenueAmt
CY Program Service Revenue	$511,765,383	CYProgramServiceRevenueAmt
PY Investment Income	$5,554,977	PYInvestmentIncomeAmt
CY Investment Income	$5,926,387	CYInvestmentIncomeAmt
PY Other Revenue	$4,581,526	PYOtherRevenueAmt
CY Other Revenue	$8,416,483	CYOtherRevenueAmt
PY Total Revenue	$515,255,194	PYTotalRevenueAmt
CY Total Revenue	$531,523,621	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,752,635	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,406,727	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$246,917,486	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$254,329,855	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$693,894	CYTotalFundraisingExpenseAmt
PY Other Expenses	$242,086,760	PYOtherExpensesAmt
CY Other Expenses	$239,700,703	CYOtherExpensesAmt
PY Total Expenses	$494,756,881	PYTotalExpensesAmt
CY Total Expenses	$499,437,285	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,498,313	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$32,086,336	CYRevenuesLessExpensesAmt
Total Assets BOY	$415,275,827	TotalAssetsBOYAmt
Total Assets EOY	$443,766,269	TotalAssetsEOYAmt
Total Liabilities BOY	$208,321,841	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$212,972,714	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$206,953,986	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$230,793,555	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF FREEMAN HEALTH SERVICES IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$227,891,482	ExpenseAmt
Grant	$5,406,727	GrantAmt
Revenue	$274,198,488	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$185,464,226	ExpenseAmt
Revenue	$204,370,770	RevenueAmt
Desc	THROUGH TWO JOPLIN HOSPITALS, FREEMAN PROVIDES A WIDE ARRAY OF INPATIENT SERVICES. FREEMAN PROVIDES SERVICES TO PATIENTS THROUGH GENERAL MEDICAL, GENERAL SURGERY, ORTHOPAEDIC, NEUROSURGERY, CARDIOVASCULAR, CARDIAC/MEDICAL, ONCOLOGY, CRITICAL CARE (INTENSIVE AND TRANSITIONAL), NICU (NEONATAL ICU), MATERNAL, PEDIATRIC, PSYCHIATRIC, GERIATRIC PSYCHIATRIC AND PHYSICAL REHABILITATION UNITS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$20,940,629	ExpenseAmt
Revenue	$33,196,125	RevenueAmt
Desc	FREEMAN CANCER INSTITUTE PROVIDES PHYSICAL AND EMOTIONAL CARE FOR PATIENTS AND FAMILIES THROUGH COMPREHENSIVE SERVICES AND THE MOST UP-TO-DATE TECHNOLOGICAL ADVANCES, ALL LOCATED IN ONE CONVENIENT AND COMFORTABLE SETTING. FREEMAN CANCER INSTITUTE ACCEPTS MEDICAID AND MEDICARE PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$434,296,337	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	177	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4349	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
LANCE BESHORE PHD
CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LARRY MCINTIRE DO
DIRECTOR	60.0	0.0	Yes (X)		$441,159	$0	$8,705
JOHN M COX DO
DIRECTOR	60.0	0.0	Yes (X)		$1,014,990	$0	$25,147
RODNEY MCFARLAND MD
DIRECTOR	1.0	59.0	Yes (X)		$0	$20,011	$9,261
JIM ARMSTRONG
SECRETARY/TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GLENN MITCH MCCUMBER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
J SCOTT BROTHERS
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GLENN BROWN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARK WILLIAMS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JAMES FLEISCHAKER
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PAULA F BAKER
PRESIDENT/CEO	54.0	13.5	Yes (X)	Yes (X)	$1,386,581	$0	$336,359
JOSHUA BALL
DIRECTOR BEGINNING 06/2015	60.0	0.0	Yes (X)		$1,346,534	$0	$28,078
STEVE W GRADDY
CFO	50.0	10.0		Yes (X)	$605,251	$0	$94,685
RICHARD D SCHOOLER
EXEC VP AND CHIEF OP OFFICER	60.0	0.0		Yes (X)	$699,046	$0	$107,351
MICHAEL J LEONE
CONTROLLER	60.0	0.0			$317,320	$0	$58,075	Yes (X)
JEFFREY M CARRIER
CHIEF CLINICAL OFFICER	60.0	0.0			$279,898	$0	$57,301	Yes (X)
KEVIN P GAUDETTE
VP REVENUE CYCLE	60.0	0.0			$310,044	$0	$55,333	Yes (X)
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT	60.0	0.0			$267,066	$0	$45,806	Yes (X)
COLEEN S CAMERON
CHIEF NURSING AND REG OFFICER	60.0	0.0			$205,703	$0	$28,022	Yes (X)
MARY A FRERER
CHIEF HUMAN RESOURCE OFFICER	60.0	0.0			$206,346	$0	$38,617	Yes (X)
LEONARD T ROLLINS
CHIEF INFORMATION OFFICER	60.0	0.0			$216,775	$0	$19,872	Yes (X)
THOMAS B COY
PHYSICIAN	60.0	0.0			$1,587,030	$0	$27,791		Yes (X)
TODD J TWISS
PHYSICIAN	60.0	0.0			$1,279,306	$0	$27,386		Yes (X)
ROBERT C STAUFFER
PHYSICIAN	60.0	0.0			$1,309,861	$0	$19,174		Yes (X)
WILLIAM J NICHOLAS
PHYSICIAN	60.0	0.0			$1,630,657	$0	$10,548		Yes (X)
CHRISTOPHER R LONGNECKER
PHYSICIAN	60.0	0.0			$1,194,307	$0	$27,672		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,297,874	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$20,011	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,025,183	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	303	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CROTHALL
SERVICES GROUP	CHICAGO	IL	60693	HOUSEKEEPING	$4,771,920
GATEWAY EMERGENCY
PHYSICIANS LLP	DETROIT	MI	48267	HEALTHCARE SVCS	$3,132,826
RE SMITH
CONSTRUCTION	JOPLIN	MO	64802	CONSTRUCTION	$2,858,703
LITTLE BIRD
MARKETING	JOPLIN	MO	64801	ADVERTISING	$1,445,904
SUPERIOR LINEN
SERVICE	TULSA	OK	74112	LINEN SERVICE	$971,788

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Fundraising	$32,604	FundraisingAmt
Government Grants	$285,333	GovernmentGrantsAmt
All Other Contributions	$5,097,431	AllOtherContributionsAmt
Noncash Contributions	$222,986	NoncashContributionsAmt
Total Contributions	$5,415,368	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621990	$485,792,766	$485,792,766
CAFETERIA & VENDING	722514	$2,562,203	$2,562,203
RENT FROM AFFILIATES	531390	$142,535	$142,535
UNRELATED RETAIL PHARMACY	446110	$6,604,884		$6,604,884
UNRELATED LAB SERVICES	621500	$245,483		$245,483

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,417,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,425,672	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,991,840	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$511,765,383	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,655,302	TotalRevenueColumnAmt
Exclusion	$3,655,302	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,349	TotalRevenueColumnAmt
Exclusion	$106,349	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,443,283	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$626,468	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,816,815	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,816,815	TotalRevenueColumnAmt
Exclusion	$1,816,815	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$84,188,065	SecuritiesAmt
Other	$307,343	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$81,894,026	SecuritiesAmt
Other	$436,646	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,294,039	SecuritiesAmt
Other	-$129,303	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,164,736	TotalRevenueColumnAmt
Unrelated Business Revenue	$32,368	UnrelatedBusinessRevenueAmt
Exclusion	$2,132,368	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$360,439	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$32,604	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$271,104	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,335	TotalRevenueColumnAmt
Exclusion	$89,335	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$662,987	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$582,376	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$80,611	TotalRevenueColumnAmt
Exclusion	$80,611	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
LOSS ON IMPAIRMENT	900099	-$236,255	-$236,255
INSURANCE SETTLEMENT	900099	$5,000,000	$5,000,000
INVESTMENT IN SUBSIDIARY	900099	$1,665,977	$1,548,479	$117,498

Field	Value	IRS element (for citing)
Other Revenue Total	$6,429,722	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$531,523,621	TotalRevenueColumnAmt
Related Or Exempt Func Income	$500,923,176	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,992,073	UnrelatedBusinessRevenueAmt
Exclusion	$14,193,004	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,304,988	TotalAmt
Program Services	$5,304,988	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$101,739	TotalAmt
Program Services	$101,739	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,200,064	TotalAmt
Program Services	$4,607,311	ProgramServicesAmt
Management And General	$3,592,753	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,024,377	TotalAmt
Program Services	$1,024,377	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$205,187,157	TotalAmt
Program Services	$182,852,168	ProgramServicesAmt
Management And General	$21,963,664	ManagementAndGeneralAmt
Fundraising	$371,325	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,584,181	TotalAmt
Program Services	$2,249,978	ProgramServicesAmt
Management And General	$326,372	ManagementAndGeneralAmt
Fundraising	$7,831	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,823,675	TotalAmt
Program Services	$21,707,537	ProgramServicesAmt
Management And General	$3,068,181	ManagementAndGeneralAmt
Fundraising	$47,957	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,510,401	TotalAmt
Program Services	$10,904,038	ProgramServicesAmt
Management And General	$1,582,571	ManagementAndGeneralAmt
Fundraising	$23,792	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$254,271	TotalAmt
Management And General	$254,271	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$300,403	TotalAmt
Management And General	$300,403	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$338,043	TotalAmt
Management And General	$338,043	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,686,319	TotalAmt
Program Services	$21,697,762	ProgramServicesAmt
Management And General	$12,927,212	ManagementAndGeneralAmt
Fundraising	$61,345	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,887,631	TotalAmt
Program Services	$1,224,851	ProgramServicesAmt
Management And General	$662,780	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,523,252	TotalAmt
Program Services	$12,356,919	ProgramServicesAmt
Management And General	$7,007,166	ManagementAndGeneralAmt
Fundraising	$159,167	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$172,446	TotalAmt
Management And General	$172,446	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,672,215	TotalAmt
Program Services	$6,623,245	ProgramServicesAmt
Management And General	$48,970	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$851,978	TotalAmt
Program Services	$663,525	ProgramServicesAmt
Management And General	$182,113	ManagementAndGeneralAmt
Fundraising	$6,340	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$997,521	TotalAmt
Program Services	$519,676	ProgramServicesAmt
Management And General	$464,663	ManagementAndGeneralAmt
Fundraising	$13,182	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,220,326	TotalAmt
Program Services	$2,732,921	ProgramServicesAmt
Management And General	$1,487,405	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,343,285	TotalAmt
Program Services	$11,367,589	ProgramServicesAmt
Management And General	$5,975,696	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,234,300	TotalAmt
Program Services	$2,635,584	ProgramServicesAmt
Management And General	$3,598,716	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUGS	$96,824,919	$96,824,919
BAD DEBT	$32,389,545	$32,389,545
PROVIDER TAXES & FEES	$16,250,325	$16,250,325
TAXES, LICENSES, FEES	$560,861	$256,111	$302,295	$2,455

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$193,063	TotalAmt
Program Services	$1,229	ProgramServicesAmt
Management And General	$191,334	ManagementAndGeneralAmt
Fundraising	$500	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$499,437,285	TotalAmt
Program Services	$434,296,337	ProgramServicesAmt
Management And General	$64,447,054	ManagementAndGeneralAmt
Fundraising	$693,894	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,928,616	BOYAmt
EOY	$18,368,800	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,960,350	BOYAmt
EOY	$15,562,699	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,219,320	BOYAmt
EOY	$6,466,665	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$60,272,467	BOYAmt
EOY	$57,376,112	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$285,484	BOYAmt
EOY	$272,736	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,002,879	BOYAmt
EOY	$8,984,422	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,137,472	BOYAmt
EOY	$3,140,678	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$331,424,779	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$185,667,055	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$141,420,790	BOYAmt
EOY	$145,757,724	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$154,398,383	BOYAmt
EOY	$168,941,980	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,585,819	BOYAmt
EOY	$2,636,272	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,239,710	BOYAmt
EOY	$2,088,936	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$367,030	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,824,537	BOYAmt
EOY	$13,802,215	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$415,275,827	BOYAmt
EOY	$443,766,269	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,023,993	BOYAmt
EOY	$53,552,508	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$122,864,983	BOYAmt
EOY	$121,709,029	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$838,470	BOYAmt
EOY	$384,741	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,594,395	BOYAmt
EOY	$36,326,436	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$208,321,841	BOYAmt
EOY	$212,972,714	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$201,344,040	BOYAmt
EOY	$223,110,497	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,609,946	BOYAmt
EOY	$7,683,058	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$206,953,986	BOYAmt
EOY	$230,793,555	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$415,275,827	BOYAmt
EOY	$443,766,269	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$32,086,336	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,246,767	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$45,919	OtherActivitiesAmt
Total Lobbying Expenditures	$45,919	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS (SNHPA). A PORTION OF THESE DUES, TOTALING $45,919, ARE ATTRIBUTABLE TO LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$5,037,172	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$6,494,221	OtherCostOrOtherBasisAmt
Book Value	$11,531,393	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$168,109,720	OtherCostOrOtherBasisAmt
Depreciation	$85,740,472	DepreciationAmt
Book Value	$82,369,248	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,716,279	OtherCostOrOtherBasisAmt
Depreciation	$1,749,918	DepreciationAmt
Book Value	$1,966,361	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,491,895	OtherCostOrOtherBasisAmt
Depreciation	$92,508,245	DepreciationAmt
Book Value	$43,983,650	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,575,492	OtherCostOrOtherBasisAmt
Depreciation	$5,668,420	DepreciationAmt
Book Value	$5,907,072	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$145,757,724	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
EST SELF INSURANCE COST	$25,627,147
EST REG SETTLEMENT	$2,566,244
DUE TO 3RD PARTY	$7,516,802
CONTRACTS PAYABLE	$616,243

Field	Value	IRS element (for citing)
Total Liability	$36,326,436	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$484,931,564	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$8,246,767	NetUnrealizedGainsInvstAmt
Other Revenue	-$35,889,969	OtherRevenueAmt
Revenue Not Reported	-$44,136,736	RevenueNotReportedAmt
Revenue Subtotal	$529,068,300	RevenueSubtotalAmt
Other Revenues Not Included	$2,455,321	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,455,321	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$531,523,621	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$463,303,498	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,479,948	OtherExpensesIncludedAmt
Expenses Not Reported	$1,479,948	ExpensesNotReportedAmt
Expenses Subtotal	$461,823,550	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$152,530	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$37,461,205	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$37,613,735	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$499,437,285	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: $ (32,389,545) BAD DEBT EXPENSE ( 4,000,000) GRANTS PAID ( 1,071,660) PSC EXPENSES 1,723,766 NET ASSETS RELEASED FROM RESTRICTION (152,530) INVESTMENT FEES ---------------- $ (35,889,969)
SCHEDULE D, PART XI, LINE 4B	OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 3,935,269 TEMPORARILY RESTRICTED CONTRIBUTIONS (626,468) RENTAL EXPENSES (582,376) COST OF GOODS SOLD (271,104) SPECIAL EVENTS EXPENSE ---------------- $ 2,455,321
SCHEDULE D, PART XII, LINE 2D	OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 626,468 RENTAL EXPENSES 582,376 COST OF GOODS SOLD 271,104 SPECIAL EVENTS EXPENSE --------------- $ 1,479,948
SCHEDULE D, PART XII, LINE 4B	OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 32,389,545 BAD DEBT EXPENSE 4,000,000 GRANTS PAID 1,071,660 PSC EXPENSES -------------- $ 37,461,205

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	JEWELRY SALE	Event1Nm
Gross Receipts Event1	$79,801	GrossReceiptsEvent1Amt
Gross Revenue Event1	$79,801	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$61,298	OtherDirectExpensesEvent1Amt
Event2	SHOE SALE	Event2Nm
Gross Receipts Event2	$68,897	GrossReceiptsEvent2Amt
Gross Revenue Event2	$68,897	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$4,270	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$20,896	OtherDirectExpensesEvent2Amt
Other Events Total	12	OtherEventsTotalCnt
Gross Receipts Other Events	$244,345	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$32,604	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$211,741	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$2,400	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$1,450	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$1,362	RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events	$179,428	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$393,043	GrossReceiptsTotalAmt
Charitable Contributions Tot	$32,604	CharitableContributionsTotAmt
Gross Revenue Total Events	$360,439	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$2,400	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$1,450	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$5,632	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$261,622	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$271,104	DirectExpenseSummaryEventsAmt
Net Income Summary	$89,335	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,042,446	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,042,446	NetCommunityBenefitExpnsAmt
Total Expense	0.03860	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,299,981	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,266,795	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,033,186	NetCommunityBenefitExpnsAmt
Total Expense	0.03650	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,342,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,266,795	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,075,632	NetCommunityBenefitExpnsAmt
Total Expense	0.07510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$805,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,927	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$492,117	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,012,352	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,297,381	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$714,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,514,283	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,888,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,625,953	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$676,913	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$676,913	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,895,729	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,895,729	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,904,321	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,498,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,405,683	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,246,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,765,433	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,481,315	NetCommunityBenefitExpnsAmt
Total Expense	0.09310	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,427	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,427	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,527	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,527	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$138,454	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$138,454	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$32,389,545	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,975,762	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$128,668,041	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$121,494,603	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,173,438	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
FREEMAN SURCIAL CTR
AMBULATORY SURGERY CENTER	0.53731	0.33947
HEARTLAND KIDNEYDIA
DIALYSIS CENTER	0.25	0.5625

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION A	HOSPITAL FACILITIES: PURSUANT TO REG. 1.501(R)-1(B)(17), FREEMAN HEALTH SYSTEM CONSISTS OF TWO HOSPITALS OPERATED UNDER A SINGLE LICENSE ISSUED BY THE STATE OF MISSOURI. AS SUCH, A SINGLE HOSPITAL FACILITY IS BEING REPORTED. THE SECOND LOCATION IS KNOWN AS FREEMAN HEALTH SYSTEM EAST AND IS LOCATED AT 932 EAST 34TH STREET, JOPLIN, MO 64804.
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: 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: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ALSO USES FAMILY SIZE AND EMPLOYMENT STATUS IN THE DETERMINATION OF ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
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
SCHEDULE H, PART V, SECTION B, LINE 22D	MAXIMUM AMOUNTS CHARGED: FREEMAN WILL NOT BILL CUSTOMERS ELIGIBLE FOR FINANCIAL ASSISTANCE MORE THAN THE AMOUNTS GENERALLY BILLED (AGB), AS DEFINED BY THE IRS. FREEMAN WILL COMPUTE AGB AS FOLLOWS: -FREEMAN WILL USE 12-MONTH PERIOD IN LOOK BACK PERIOD -12-MONTH PERIOD WILL BE WITHIN 120 DAYS OF EFFECTIVE DATE: EXAMPLE: THROUGH NOVEMBER THROUGH DECEMBER FOR APRIL 1, FISCAL YEAR START. -INCLUDES FULL AMOUNT ALLOWED BY HEALTH INSURER INCLUDING PATIENT RESPONSIBILITIES. -FREEMAN WILL INCLUDE BOTH MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE INSURERS THAT PAY CLAIMS TO FREEMAN. -FREEMAN WILL USE ONE OVERALL PERCENTAGE RATHER THAN DIFFERENT PERCENTAGES FOR DIFFERENT SERVICES.

Field	Value	IRS element (for citing)
Facility	31	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
FREEMAN CANCER INSTITUTE
3415 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN MIDWEST ORTHOPAEDIC SURGERY
3105 MCCLELLAND BLVD	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN WOMEN'S CENTER
1532 W 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
URGENT CARE - JOPLIN
1130 E 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN WOUND CARE & 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

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	OTHER FACTORS IN DETERMINING ELIGIBILITY: IN ADDITION TO FPG LIMITS, THE FAP USES EMPLOYMENT STATUS, MEDICAL INDIGENCY, AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 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 $32,389,545.
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 BUSINESS AND INDUSTRIAL DEVELOPMENT CORPORATION WHICH SUPPORTS THE ECONOMIC DEVELOPMENT EFFORTS IN THE JOPLIN AREA. COMMUNITY SUPPORT IS PROVIDED VIA GRANTS TO LOCAL COMMUNITY ORGANIZATIONS. SCHOOL-BASED PROGRAMS ON HEALTH CARE CAREERS ARE PART OF WORKFORCE DEVELOPMENT. IN ADDITION, OTHER EXPENSES ARE INCURRED BY THE ORGANIZATION'S EMPLOYEES AS A RESULT OF THEIR INVOLVEMENT IN THE COMMUNITY. FREEMAN HEALTH SYSTEM ENCOURAGES ITS EMPLOYEES TO BE INVOLVED IN THE COMMUNITY AS SUCH INVOLVEMENT PROVIDES THE COMMUNITY A UNIQUE HEALTH CARE PERSPECTIVE AND PROVIDES THE ORGANIZATION A VOICE TO PROMOTE THE HEALTH AND WELLNESS INITIATIVES OF THE ORGANIZATION. INVOLVEMENT PROVIDES THE COMMUNITY A UNIQUE HEALTH CARE PERSPECTIVE AND PROVIDES THE ORGANIZATION A VOICE TO PROMOTE THE HEALTH AND WELLNESS INITIATIVES OF THE ORGANIZATION.
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 INTERNAL PATIENT DEMOGRAPHICS, AS WELL AS CORE BASED STATISTICAL AREA AND POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. ACCORDING TO ENROLL MISSOURI, NEWTON COUNTY HAS AN UNINSURED POPULATION OF 19%. THIS FIGURE IS APPROXIMATELY THE SAME FOR JASPER COUNTY AND OTHER SURROUNDING COUNTIES IN FREEMAN'S SERVICE AREA. THE STATE OF MISSOURI REPORTS A 16% UNINSURED POPULATION. FREEMAN HEALTH SYSTEM IDENTIFIED 6.9% OF ITS HOSPITAL REVENUES OR BILLINGS COMING FROM UNINSURED PATIENTS. IT'S POSSIBLE THAT SOME PATIENTS PRESENTED OUTDATED INSURANCE COVERAGE AT TIME OF ADMISSION, OR FREEMAN ADMISSIONS MAY HAVE INCORRECTLY IDENTIFIED SOME UNINSURED PATIENTS AS INSURED OR MEDICAID ELIGIBLE DURING THE ADMITTING PROCESS. THEREFORE, FREEMAN HEALTH SYSTEM BELIEVES THAT SOME PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WERE REPORTED AS BAD DEBT IN THE FINANCIAL STATEMENTS. THE FIGURE ON LINE 3 WAS DETERMINED BY ESTIMATING THAT HALF OF THE DIFFERENCE BETWEEN THE UNINSURED POPULATION OF 19% AND THE UNINSURED PATIENTS IDENTIFIED BY THE HOSPITAL OF 6.9% WOULD BE PATIENTS ATTRIBUTABLE TO CHARITY CARE [(19%-6.9%)/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 IS PLAYING 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. 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 MY 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 FOUNDATION WORKS WITH THE COMMUNITY TO FIND FUNDING FOR INNOVATIVE, LIFESAVING TECHNOLOGIES AND MEDICAL SERVICES. FREEMAN AUXILIARY WAS NAMED AUXILIARY OF THE YEAR BY THE MISSOURI HOSPITAL ASSOCIATION IN FALL 2014, DUE IN PART TO ITS COMMUNITY OUTREACH PROJECTS. 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 39,000 HOURS LAST YEAR, AND MONEY FOR THE BETTERMENT OF THE COMMUNITY. FREEMAN SPONSORED AND TOOK RESPONSIBILITY FOR ORGANIZING THE JOPLIN CHRISTMAS PARADE IN 2014 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, STROKE RECOVERY, CANCER RECOVERY, SLEEP DISORDERS AND ALZHEIMER'S DISEASE. FREEMAN HEALTH SYSTEM WAS RECOGNIZED AS A PLATINUM-LEVEL FIT-FRIENDLY COMPANY BY THE AMERICAN HEART ASSOCIATION. AS A FIT-FRIENDLY COMPANY, FREEMAN SERVES AS AN EXAMPLE OF POSITIVE CHANGE IN THE AMERICAN WORKFORCE BY MAKING EMPLOYEES' HEALTH AND WELLNESS A PRIORITY. IN ADDITION, THE AMERICAN HEART ASSOCIATION AWARDED FREEMAN ITS COMMUNITY INNOVATION AWARD IN RECOGNITION OF THE FREEMAN ADVANTAGE PROGRAM, FREEMAN'S LIFESTYLE AND WELLNESS PROGAM FOR THOSE OVER 50, FOR PROVIDING EXERCIZE PROGRAMS FOR OLDER ADULTS. 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 2014-2015 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
JOPLIN REGIONAL PARTNERSHIP
320 E 4TH ST	JOPLIN	MO	64801	431386973	501(C)(3)	$40,000	SUPPORT
JOPLIN MEMORIAL RUN
PO BOX 3102	JOPLIN	MO	64801	454202274	501(C)(3)	$30,000	SUPPORT
SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION
3901 EAST 32ND STREET	JOPLIN	MO	64804	431664927	501(C)(3)	$16,867	SUPPORT
BREAST CANCER FDN OF THE OZARKS
620 W REPUBLIC RD STE 107	SPRINGFIELD	MO	65807	431881450	501(C)(3)	$20,000	SUPPORT
CROWDER COLLEGE
601 LACLEDE AVE	NEOSHO	MO	64850	440668521	501(C)(3)	$100,432	SUPPORT
MISSOURI SOUTHERN FOUNDATION
3950 E NEWMAN ROAD	JOPLIN	MO	64801	430907114	501(C)(3)	$55,000	SUPPORT
COMMUNITY HEALTH CLINIC OF JOPLIN
701 SOUTH JOPLIN AVENUE	JOPLIN	MO	64801	431643962	501(C)(3)	$29,000	SUPPORT
GEORGE A SPIVA CENTER FOR THE ARTS
222 W 3RD STREET	JOPLIN	MO	64801	446006139	501(C)(3)	$8,000	SUPPORT
CARL JUNCTION EDUCATIONAL FOUNDATION
206 S RONEY	CARL JUNCTION	MO	64834	431776822	501(C)(3)	$20,560	SUPPORT
OZARK CENTER
1105 E 32ND ST	JOPLIN	MO	64804	430821959	501(C)(3)	$684,990	SUPPORT
PITTSBURG STATE UNIVERSITY
1701 SOUTH BROADWAY	PITTSBURG	KS	66762	486104332	501(C)(3)	$74,050	SUPPORT
JOPLIN HUMANE SOCIETY
140 E EMPEROR LANE	JOPLIN	MO	64801	440664226	501(C)(3)	$6,500	SUPPORT
MIAMI COMMUNITY FACILITIES AUTHORITY
PO BOX 1288	MIAMI	OK	74355	326298646	CITY OF MIAMI	$30,000	SUPPORT
JOPLIN FAMILY YMCA
510 S WALL AVE	JOPLIN	MO	64801	440552026	501(C)(3)	$15,000	SUPPORT
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE	DALLAS	TX	75231	135613797	501(C)(3)	$15,000	SUPPORT
JOPLIN REGIONAL MEDICAL SCHOOL ALLIANCE
320 E 4TH ST	JOPLIN	MO	64801	273183285	501(C)(3)	$4,000,000	COMM SCHOOL

Field	Value	IRS element (for citing)
Total501c3 Org	16	Total501c3OrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
CMN AID TO FAMILIES	527	$73,456
MAMMOGRAMS	8	$3,011
PRESCRIPTION, MEALS, TRANSPORTATION	1889	$19,637
DIALYSIS PATIENT ASSISTANCE	19	$5,635

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE I, PART I, LINE 2

MONITORING USE OF GRANT FUNDS: OZARK CENTER IS A RELATED ORGANIZATION TO AND WORKS CLOSELY WITH FREEMAN HEALTH SYSTEM TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE THROUGH CARING FOR PATIENTS SUFFERING FROM PSYCHIATRIC, SUBSTANCE ABUSE AND AUTISM SPECTRUM DISORDERS. THIS CLOSE RELATIONSHIP ALLOWS FREEMAN HEALTH SYSTEM TO CLOSELY MONITOR THE USE OF FUNDS. AMOUNTS ARE ALSO CONTRIBUTED TO COLLEGES OR THEIR RELATED FOUNDATIONS FOR NURSING SCHOLARSHIPS FOR AREA STUDENTS. THE ORGANIZATION IS ABLE TO MONITOR FUNDS BY PROVIDING THESE AMOUNTS DIRECTLY TO THE SCHOOLS, TO BE USED FOR THE DESIGNATED ENROLLED STUDENT RECIPIENTS. OTHER AMOUNTS WERE GIVEN DURING THE YEAR TO LOCAL ORGANIZATIONS. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY AND CAN BE MONITORED ACCORDINGLY. ADDITIONALLY, DURING THIS FISCAL YEAR, THE HEALTH SYSTEM COLLECTIVELY CONTRIBUTED $4,900,000 FOR THE CREATION OF A MEDICAL SCHOOL IN THE JOPLIN COMMUNITY. FREEMAN HEALTH SYSTEM'S PORTION OF THIS CONTRIBUTION IS $4,000,000.

SCHEDULE I, PART III

GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS: IN FISCAL YEAR 2016, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *FHS CHILDREN'S MIRACLE NETWORK - $73,456 WAS SPENT HELPING OVER 527 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *HELPING FRIENDS MAMMOGRAM PROGRAM - $3,011 WAS SPENT TO HELP 8 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $19,637 WAS SPENT TO HELP 1,889 PEOPLE WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *DIALYSIS PATIENT ASSISTANCE - $5,635 WAS SPENT HELPING 19 DIALYSIS PATIENTS WITH RELATED EXPENSES.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LARRY MCINTIRE DO
DIRECTOR	$382,320	$0	$41,019	$0	$17,820	$0	$7,800	$0	$905	$0	$449,864	$0	$0	$0
JOHN M COX DO
DIRECTOR	$917,312	$0	$81,609	$0	$16,069	$0	$7,800	$0	$17,347	$0	$1,040,137	$0	$0	$0
PAULA F BAKER
PRESIDENT/CEO	$701,933	$0	$329,677	$0	$354,971	$0	$316,368	$0	$19,991	$0	$1,722,940	$0	$330,584	$0
STEVE W GRADDY
CFO	$388,049	$0	$145,800	$0	$71,402	$0	$81,260	$0	$13,425	$0	$699,936	$0	$71,402	$0
RICHARD D SCHOOLER
EXEC VP AND CHIEF OP OFFICER	$467,978	$0	$160,883	$0	$70,185	$0	$92,907	$0	$14,444	$0	$806,397	$0	$64,924	$0
JOSHUA BALL
DIRECTOR BEGINNING 06/2015	$682,079	$0	$646,455	$0	$18,000	$0	$7,800	$0	$20,278	$0	$1,374,612	$0	$0	$0
THOMAS B COY
PHYSICIAN	$1,224,459	$0	$349,071	$0	$13,500	$0	$7,800	$0	$19,991	$0	$1,614,821	$0	$0	$0
TODD J TWISS
PHYSICIAN	$980,229	$0	$281,077	$0	$18,000	$0	$7,800	$0	$19,586	$0	$1,306,692	$0	$0	$0
ROBERT C STAUFFER
PHYSICIAN	$1,057,485	$0	$234,376	$0	$18,000	$0	$7,800	$0	$11,374	$0	$1,329,035	$0	$0	$0
WILLIAM J NICHOLAS
PHYSICIAN	$1,312,838	$0	$299,819	$0	$18,000	$0	$0	$0	$10,548	$0	$1,641,205	$0	$0	$0
CHRISTOPHER R LONGNECKER
PHYSICIAN	$1,009,591	$0	$166,716	$0	$18,000	$0	$7,800	$0	$19,872	$0	$1,221,979	$0	$0	$0
MICHAEL J LEONE
CONTROLLER	$225,349	$0	$59,348	$0	$32,623	$0	$35,717	$0	$22,358	$0	$375,395	$0	$19,204	$0
JEFFREY M CARRIER
CHIEF CLINICAL OFFICER	$195,144	$0	$31,976	$0	$52,778	$0	$34,810	$0	$22,491	$0	$337,199	$0	$34,778	$0
KEVIN P GAUDETTE
VP REVENUE CYCLE	$239,989	$0	$35,488	$0	$34,567	$0	$38,243	$0	$17,090	$0	$365,377	$0	$34,567	$0
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT	$212,334	$0	$30,696	$0	$24,036	$0	$27,593	$0	$18,213	$0	$312,872	$0	$24,036	$0
COLEEN S CAMERON
CHIEF NURSING AND REG OFFICER	$160,796	$0	$23,398	$0	$21,509	$0	$20,290	$0	$7,732	$0	$233,725	$0	$21,509	$0
MARY A FRERER
CHIEF HUMAN RESOURCE OFFICER	$179,450	$0	$26,896	$0	$0	$0	$27,823	$0	$10,794	$0	$244,963	$0	$0	$0
LEONARD T ROLLINS
CHIEF INFORMATION OFFICER	$199,396	$0	$17,379	$0	$0	$0	$0	$0	$19,872	$0	$236,647	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH FREEMAN HEALTH SYSTEM: $ 308,568 PAULA BAKER $ 27,593 WESLEY BRAMAN $ 15,278 COLEEN CAMERON $ 27,010 JEFFREY CARRIER $ 22,348 MARY FRERER $ 30,443 KEVIN GAUDETTE $ 73,460 STEVE GRADDY $ 27,917 MICHAEL LEONE $ 85,107 RICHARD SCHOOLER THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: $ 330,584 PAULA BAKER $ 24,036 WESLEY BRAMAN $ 21,509 COLEEN CAMERON $ 34,778 JEFFREY CARRIER $ 34,567 KEVIN GAUDETTE $ 71,402 STEVE GRADDY $ 19,204 MICHAEL LEONE $ 64,924 RICHARD SCHOOLER
SCHEDULE J, PART I, LINE 6A	MANAGEMENT COMPENSATION: FREEMAN HEALTH SYSTEM PROVIDES MANAGEMENT THE POTENTIAL TO RECEIVE AN AT-RISK PAYMENT BASED ON SYSTEM AND INDIVIDUAL GOAL ACHIEVEMENT. THE AMOUNT OF COMPENSATION IS BASED UPON A PERCENTAGE OF THE EMPLOYEE'S ANNUAL COMPENSATION AND IS SUBJECT TO BOARD APPROVAL.
SCHEDULE J, PART II, COLUMN (B)(II)	BONUS & INCENTIVE COMPENSATION: THE ORGANIZATION PROVIDES PHYSICIANS THE POTENTIAL TO RECEIVE ANNUAL BONUS COMPENSATION. PHYSICIAN BONUSES ARE CALCULATED BASED ON GENERATING WORKED RELATIVE VALUE UNITS (WRVU). EMPLOYMENT CONTRACTS SPECIFY THE NUMBER OF REQUIRED WRVUS (TO OBTAIN AN ANNUAL SALARY) AND THE ADDITIONAL BONUS COMPENSATION PHYSICIANS WILL RECEIVE ONCE THE REQUIRED WRVUS HAVE BEEN MET. ADDITIONAL BONUS COMPENSATION IS CALCULATED BY MULTIPLYING THE WRVUS IN EXCESS OF REQUIRED WRVUS TIMES A PREDETERMINED COMPENSATION FACTOR. WRVUS SHALL BE COMPUTED BY USE OF THE APPROVED MEDICARE METHODS OF COMPUTATION FOR PHYSICIAN PRACTICES.
SCHEDULE J, PART II, COLUMN F	COMPENSATION REPORTED IN PRIOR FORM 990: COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. AMOUNTS REPORTED IN COLUMN F INCLUDE BOTH PRIOR CONTRIBUTIONS AS WELL AS EARNINGS ON THOSE CONTRIBUTIONS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
A	521299414	480639AY9	2011-12-31	$25,031,815	CONSTRUCT & EQUIP WEST CAMPUS HOSP	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
B	521299414		2014-06-18	$15,995,508	REFUND 2009 BONDS	false	false	false
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF MO
C	431178966	60637ADK5	2012-12-20	$40,129,591	REFUND 1994A BONDS AND 1998A BOND	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
D	521299414		2014-12-23	$7,000,000	CONSTRUCT, IMPROVE, AND EQUIP EAST	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,795,000	$0	$25,031,815	$2,043,895	$0	$0	$403,785	$0	$0	$22,563,205	$0	$0	2014	false	false	Yes (true)	Yes (true)
B	$1,522,132	$0	$15,995,508	$0	$0	$0	$0	$0	$0	$0	$15,995,508	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
C	$9,275,000	$0	$40,129,591	$3,555,147	$0	$0	$530,282	$0	$0	$0	$36,042,809	$0	1999	Yes (true)	false	Yes (true)	Yes (true)
D	$390,807	$0	$7,000,000	$0	$0	$0	$0	$0	$0	$7,000,000	$0	$0	2016	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false		false	false	false	false	Yes (true)
C									Yes (true)
D	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 on 8/15/2013.
SCHEDULE K, PART II, LINE 16, COLUMN D	The Hospital is in the process of completing the final written allocation for the project financed by the Bonds.
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
SCHEDULE K, PART IV, LINE 2C, COLUMN A	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2016.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JSAPER CO
A	521351539	2014-12-23	$5,000,000	ACQUIRE, CONSTRUCT, IMPROVE AND EQ	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
B	521299414	2015-02-26	$40,712,377	REFUND 2004 BONDS	false	false	false	480639BL6

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$279,148	$0	$5,000,000	$0	$0	$0	$0	$0	$0	$5,000,000	$0	$0	2016	false	false	false	Yes (true)
B	$1,215,000	$0	$40,712,377	$2,907,926	$0	$0	$532,154	$0	$0	$0	$37,248,410	$0	2008	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 16, COLUMN A	The Hospital is in the process of completing the final written allocation for the project financed by the Bonds.
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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DEBORAH GAUDETTE
WIFE OF KEVIN GAUDETTE	$71,029	EMPLOYEE COMPENSATION	false
ADAM GRADDY
SON OF STEVE GRADDY, CFO	$68,917	EMPLOYEE COMPENSATION	false
KENT MCINTIRE
SON OF LARRY MCINTIRE	$762,742	EMPLOYEE COMPENSATION	false
PAM JONES
SISTER OF RICK SCHOOLER	$31,703	EMPLOYEE COMPENSATION	false
BRYAN GRADDY
SON OF STEVE GRADDY, CFO	$19,521	EMPLOYEE COMPENSATION	false
HEATHER GRADDY
IN-LAW OF STEVE GRADDY	$43,293	EMPLOYEE COMPENSATION	false
RITCHI ROLLINS
WIFE OF LEONARD ROLLINS	$14,483	EMPLOYEE COMPENSATION	false
MORGAN BRAMAN
DAUGHTER OF WES BRAMAN	$12,689	EMPLOYEE COMPENSATION	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$222,986	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
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Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B	FormAndLineReferenceDesc
Explanation	NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	MISSION & VISION: VISION - TO BE THE LEADING PROVIDER OF PATIENT CENTERED, PHYSICIAN DIRECTED HEALTHCARE IN AN ENVIRONMENT OF COMPASSION AND TRUST, SUPPORTED BY DEDICATED EMPLOYEES WITH A DESIRE TO PROVIDE EXCELLENCE IN CARE AND SERVICE. FREEMAN HEALTH SYSTEM 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 charity care and payment plans, providing a safety net to a 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 seventh annual Diabetes Expo in November 2015. It featured presentations by Freeman Endocrinologists and Diabetes Educators, a healthy cooking demonstration and diabetes-related product demonstrations. Lymphedema To help patients live well with lymphedema, Freeman offered a Lymphedema Expo in early 2016. Lymphedema is the swelling of one or more extremities that forms from impaired flow of the lymphatic system. While breast cancer treatment is the most common cause in the United States, lymphedema can affect men, women and children of all ages. Free and open to the public, Freeman Lymphedema Expo offered patients a chance to explore a variety of services, products and information. Dr. Cherie Hayostek, Freeman Cornell-Beshore Cancer Institute Radiation Oncologist, spoke about the effects of radiation on the lymphatic system. Bringing Physicians to an Underserved Area To help ensure the community has the physicians it needs, Freeman brought 19 physicians into the community during FY2016, providing a great benefit, in terms of both healthcare and economics. According to the Missouri Hospital Association, family physicians make an economic impact of more than $1 million each year on the communities they serve. 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, 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. Free Sports Physicals For 25 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 FY2016, 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 FY2016. 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 FY2016, the Chaplains fund provided a community benefit of $19,637 through assistance for prescriptions, transportation, meals and other issues to 1,889 people. Employee Community Service In terms of community service as community benefit, Freeman employees spent over 39,000 hours engaged in community benefit activities in FY2016. 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. 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 $6,300. Careers Freeman Health System c
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. The SANE program at Freeman is the only one of its kind in the area. 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. Outpatient Dialysis In addition to the new inpatient dialysis unit at Freeman Hospital West, Freeman also opened a new outpatient dialysis center in Webb City, Missouri. The new outpatient dialysis center is located at the newly opened Freeman Neighborhood Care facility, which also includes Freeman Urgent Care Freeman and office space for Freeman Primary Care. Freeman Outpatient Dialysis Center complements kidney treatment services in place at Freeman Hospital West and Freeman Hospital East. With highly-trained nephrologists, Freeman Outpatient Dialysis Center features 16 chairs with the ability to expand to 24. Heated seats, warm blankets and nutrition provide comfort to the patient while undergoing dialysis. The new center means less driving for patients in Webb City and north Joplin, making it easier and more convenient for them to obtain vital treatments. It also makes it possible for patients to schedule appointments during prime hours. 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 and Neosho 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: Freeman Joplin inpatient services totaled 19,141 cases, of which, 4,068 or 21%, were Medicaid cases. Additionally, 1,534 inpatient cases, or 8% of the total, fell into the self-pay (no insurance) category. Critical Care Freeman Joplin critical care services totaled 3,999 cases, of which, 425, or 11%, were Medicaid cases. Additionally, 6.5% of the critical care cases fell into the self-pay (no insurance) category. In FY2016, Freeman Hospital West added a new, expanded inpatient dialysis unit on the sixth floor to improve services to critically ill kidney patients. For many kidney patients, dialysis is a process that must be done several days a week, for several hours at a time. Freeman Health System is making that process more comfortable and convenient for patients staying at Freeman Hospital West. The new in-patient dialysis unit includes infrared hand-sensor faucets, hands-free door openers, 40-inch LCD televisions, new nurses station call technology, a floor design allowing all patients to be seen from any part of the nurses station, physician documentation room, bedside patient care and state-of-the-art dialysis machines. In addition to the new technology and comforts, patients enjoy a stunning view overlooking the city. Also for patients with kidney disease, Freeman held its second annual Patient Engagement Day in September 2015 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. Dialysis treatments take several hours, three times each week, and because of this, many patients cannot work. As a result, they often struggle with medical bills and finding transportation to dialysis treatments. Additionally, they need special foods and nutritional supplements, which are expensive. To help meet the needs of dialysis patients, Freeman created a food pantry for dialsys patients, the Freeman Dialysis Patient Fund and the "March O' the Kidney" fundraiser. Near the end of FY2016, Freeman held its second annual March O the Kidney fundraiser in support of kidney patients on dialysis. The one-mile walk at Northpark Mall drew participants from around the Four States to help patients who struggle with medical, nutritional and transportation expenses. More than $25,000 was raised with 100 percent of the proceeds going directly to those in need through the new Freeman Dialysis Patient Fund. Stroke Care In July 2015, Freeman Health System took a major stride forward in improving the quality of healthcare in the four-state area. Designated a Level II Stroke Center by the Missouri Department of Health and Senior Services, Freeman is the first and only hospital in the area to earn this distinction. When treating a person with stroke symptoms, quick response time and high-level care are paramount. Prompt treatment for acute ischemic stroke reduces disability and improves outcomes. State laws provide the Department of Health and Senior Services the authority to create designated stroke centers that meet standards to provide definitive and timely treatment for stroke patients (RSMo 190.241). The law also stipulates that "patients who suffer a stroke shall be transported to a storke center." The law goes on to state that a healthcare professional shall instruct ambulance personnel to transport a patient to the closest designated stroke center, even when the hospital is located outside of the ambulance service's primary service area. Level II Stroke Center designation means the state has verified that Freeman provides the highest level of expert care for patients with stroke/transient ischemic attack. Freeman is the only Level II stroke center within an 80-mile radius of the Joplin area. Freeman is the only state-recognized certified stroke center in the Joplin area. Besides Freeman, the closest Level II Stroke Center is in Springfield, which means local emergency responders are required to bring stroke patients to Freeman unless the patient indicates a desire to be taken somewhere else. To earn the Level II Stroke Center designation, Freeman completed an extensive and detailed certification process that involved the collaboration of paramedics, nursing staff, radiology staff, physicians, neurologists, neurosurgeons, system quality analysts and administration. The hospital had to demonstrate not only that it has the providers and resources needed to treat stroke patients, but that its physicians and staff have met and will continue to meet strict standards of education and demonstrate proficiency in the latest proven stroke treatments. The stroke center designation is a testament to the level of commitment of Freemans staff. Everyone has a loved one or knows someone who has been touched by the tragedy of a stroke. To be able to give patients a second chance is nothing short of miraculous. This is Freemans commitment to the communities it serves. The Level II Stroke Center designation is part of the states Time Critical Diagnosis system (myocardial infarction, stroke, trauma), a statewide emergency care model that aims to improve both the speed and quality of care to stroke patients. The system coordinates the 911 response system, ambulance services and hospitals in a comprehensive, integrated approach. Participation in the new system is voluntary for hospitals. When it comes to stroke, rehabilitation is an important component of the overall treatment strategy. Although individuals may survive the initial stroke, many are left with disabilities that might have been minimized had they received intensive physical rehabilitation that could improve function and reduce long-term disability. As many as 60 percent of stroke victims are left with diminished use of an arm or leg. As the areas only Level II Stroke Center, Freeman provides stroke patients with comprehensive care where they can recover, begin therapy, complete a rehabilitation program and utilize home care or outpatient services. Every aspect of a patients stroke care is available through Freeman. It is the full circle of recovery, all in one place. In addition to providing outstanding patient care, Level II Stroke Centers must also provide community education. Compliance with state standards requires a stroke center to place emphasis on educating healthcare workers and the public about recognition, prevention and treatment of stroke. Freeman healthcare professionals have presented programs on stroke in businesses throughout the area. Through programs like Freeman Screen Team, Freeman Advantage and support groups, Freeman continues to lead the way in empowering the public with life-saving information. With the Level II Stroke Center designation, Freeman is setting the standard for excellence in stroke care throughout the four-state area. As previously mentioned, time is critical to ensure the stroke patient receives the best care. To provide the optimum outlook for patients, Freeman Health System partners with Kansas Region 6 Emergency Medical Service Council, the Quapaw Tribe and the surrounding EMS community to bring Advanced Stroke Life Support training to the area. Developed by the Michael S. Gordon Center for Research in Medical Education at the University Of Miami Leonard Miller School Of Medicine, this training teaches emergency assessment and management of acute stroke to all levels of healthcare providers, from EMS personnel to hospital and emergency department nurses and physicians. This exam enables emergency workers to assess a patient in only two to three minutes and fast-track patients with a stroke or suspected stroke into specialist units. 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 337 cases, of which, 196, or 58%, were Medicaid cases. Additionally, 3% 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 2,243 babies in FY2016. The unit includes board-certified obstetricians available 24 hours a day and the region's only board-certified perinatologist caring for patients with h
FORM 990, PART III, LINE 4C	FREEMAN CANCER INSTITUTE: Freeman Cancer Institute employs a social worker to help patients deal with the issues surrounding treatment and recovery. Additionally, Freeman staff work with drug companies and other organizations to procure free cancer medications for patients who cannot afford them. Freeman cancer patients have the opportunity to take advantage of a special resource at Freeman Cancer Institute. Hair loss is a very real concern for women undergoing cancer treatment. Women in Joplin and surrounding areas have the opportunity to receive a free headdress from American Cancer Society Resource Center, located inside Freeman Cancer Institute. The Cancer Resource Center is dedicated to boosting a womans confidence during this difficult period in her life. The Resource Center wig room offers wigs as gifts to women who cannot afford them. Scarves and hats are also available. Women are invited to select their choice of headdress, and with the help of a staff member, select a piece most becoming to them. To help catch breast cancer while it is treatable, Helping Friends Mammogram Fund, administered through Freeman Development Office, provides mammograms for women who cant afford them. In FY2016, Helping Friends Mammogram Fund helped 8 women by providing $3,011 in mammograms, as well as educational materials. Freeman Cancer Support group offers an opportunity for cancer patients, survivors and family members to talk about their experiences and learn about support and resources in a caring and informative environment. Meetings, which are free and open to the public, are held monthly. Additionally, a breast cancer support group specifically addresses the needs of women facing breast cancer. It meets monthly to give patients, survivors and family members an opportunity to talk about their experiences with the disease. Support and resources are offered in caring and informative environment. All meetings are free and open to the public. Clinical Trials for Cancer Patients Freeman also offers cancer patients the opportunity to participate in clinical trials. A clinical trial is a carefully designed study in which patients willingly participate in research investigations and treatments under close supervision of a physician and other medical professionals. Clinical trials take place in phases. They are reviewed by an independent board to protect the rights and welfare of participants; sponsored by various organizations, such as medical institutions and pharmaceutical companies; and monitored and supported by government agencies, such the U.S. Department of Health and Human Services and the U.S. Food and Drug Administration. Clinical trials keep participating patients informed of whats happening during the course of the trial. These patients often become the best advocates in advancing medical research. While patients receive no pay for participation in clinical trials, they do get a chance to try emerging therapies, helping themselves and others in the future. In FY2016, Freeman cancer patients with rare or aggressive forms of the disease were able to participate in a national clinical trial. Through the National Cancer Institute Molecular Analysis for Therapy Choice clinical trial, qualified patients underwent DNA sequencing to identify genetic abnormalities that may respond to certain drugs selected for the trial. This clinical trial gave doctors and patients access to more cancer-fighting drugs than with other trials. This trial made treatment more accessible to cancer patients. For qualified patients, the trial covered the cost of the biopsy, genetic tests, even the treatment drugs, providing hope for patients with aggressive and rare forms of cancer who might not have been able to afford such treatment otherwise. Additionally, Freeman cancer patients who qualified were able to participate in this national clinical trial without having to drive a long distance to a larger city. Radiation Oncology In FY2016, Freeman completed construction an expansion project at Freeman Hospital East to house a top-of-the-line Varian TrueBeam linear accelerator with this technology Freeman Cornell-Beshore Cancer Institute started a radiation oncology program to provide treatment for cancer patients needing radiation therapy. The best-in-class linear accelerator enables a team of physicians treat a broad range of cancers with high energy x-rays that destroy cancer cells while minimizing damage to the surrounding tissue. The accelerator pinpoints hard-to-reach tumors through precise shaping of the x-ray beam and allows patients to experience shorter, more comfortable treatments with fewer complications. This new program will enable oncologists to communicate seamlessly with radiation oncologists to ensure the best outcomes for patients. In the future, more types of radiation therapies will become available, including brachytherapy (an advanced cancer treatment that involves placing sealed radioactive material directly inside or next to the tumor), stereotactic radiosurgery and stereotactic body radiation therapy. Freeman was able to launch its radiation oncology program thanks to a $3 million gift from the Cornell-Beshore families. Also in FY2016, Freeman Cornell-Beshore Cancer Institute launched an annual event to celebrate cancer survivors and their caregivers. At the inaugural HopeSOARS picnic, past and present patients, families and loyal donors enjoyed lunch and reconnected with Freeman Cancer Institute caregivers. Dr. Matt Miller, Freeman Cancer Institute Medical Director, and Della Castillo, Freeman Cancer Institute Director, spoke about the history and future of cancer care at Freeman.
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 THEIR IMPLEMENTATION BY THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") OF THE BOARD OF DIRECTORS: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF FHS'S MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FHS. THE COMMITTEE WILL RELY UPON APPROPRIATE, INDEPENDENT COMPARABILITY DATA TO SUPPORT ITS DECISION MAKING PROCESS. THE COMMITTEE WILL ADEQUATELY DOCUMENT ITS DELIBERATIONS, DECISIONS, AND ACTIONS ON A TIMELY BASIS. II. PRIMARY PROGRAM COMPONENTS FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM CONSISTS OF THE FOLLOWING COMPONENTS: -BASE SALARY -ANNUAL AT RISK COMPENSATION -STANDARD ALL EMPLOYEE BENEFITS -SUPPLEMENTAL BENEFITS AND PERQUISITES -SEVERANCE ANNUALLY, THE COMMITTEE WILL DIRECT THE REVIEW OF THE COMPONENTS OF THE EXECUTIVE COMPENSATION PROGRAM AND APPROVE PROGRAM MODIFICATIONS AS APPROPRIATE. THE COMMITTEE MAY ALSO AUTHORIZE UNIQUE PROGRAM COMPONENTS WHICH SUPPORT 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 THEIR INTENDED PURPOSE(S), AND APPROVE MODIFICATIONS, INCLUDING NEW PROGRAMS. -REPORT REGULARLY TO THE FULL BOARD AND TO OTHER SYSTEM BOARDS ON COMMITTEE FINDINGS AND APPROVED ACTIONS AND ANY OTHER MATTERS THE COMMITTEE DEEMS APPROPRIATE OR THE BOARD REQUESTS. -CONDUCT AN ANNUAL SELF-EVALUATION OF THE COMMITTEE'S PERFORMANCE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER. -REVIEW AND REASSESS THE ADEQUACY OF THIS CHARTER ANNUALLY, AND AMEND IT AS THE COMMITTEE DEEMS APPROPRIATE. -COMMUNICATE WITH EXTERNAL PARTIES, AS APPROPRIATE, REGARDING COMMITTEE PROCEDURES AND THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES AND OTHER DISQUALIFIED PERSONS. A COMPENSATION REVIEW LAST OCCURRED IN 2015 USING INTEGRATED HEALTHCARE STRATEGIES: ARTHUR J GALLAGHER & COMPANY.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII	BOARD MEMBER COMPENSATION: NO DIRECTORS RECEIVE COMPENSATION FOR THEIR SERVICES AS BOARD MEMBERS. BOARD MEMBERS LARRY MCINTIRE, JOHN COX, RODNEY MCFARLAND, AND JOSHUA BALL 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FHS HOLDINGS LLC
1102 W 32ND ST	JOPLIN	MO	64804	205441528	LT ACUTE CARE	MO	$5,682	$426,401	FREEMAN HLTH
FREEMAN SURGICAL CENTER OF PITTSBURG LLC
100 N PINE ST	PITTSBURG	KS	66762	473537670	AMBULATORY SU	KS	-$510,323	$489,677	FREEMAN HLTH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FREEMAN NEOSHO HOSPITAL
113 W HICKORY	NEOSHO	MO	64850	431240629	HOSPITAL	MO	501(C)(3)	3	FREEMAN HLTH	Yes (true)
OZARK CENTER
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	430821959	BEHAVRL HLTH	MO	501(C)(3)	9	FREEMAN HLTH	Yes (true)
MAGNOLIA HEIGHTS HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	470950622	HUD HOUSING	MO	501(C)(3)	11 A I	OZARK CENTER	Yes (true)
CEDAR HILL HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	470943557	HUD HOUSING	MO	501(C)(3)	11 A I	OZARK CENTER	Yes (true)
POPLAR PLACE HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	900462595	HUD HOUSING	MO	501(C)(3)	11 A I	OZARK CENTER	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11221 ROE AVE STE 320	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$1,816,489	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,416,712	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.53731	OwnershipPct

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OZARK CENTER
A/J	$142,535	FMV
OZARK CENTER
B	$684,990	FMV
OZARK CENTER
Q	$491,632	FMV

Supplemental Information Detail SupplementalInformationDetail

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