FREEMAN HEALTH SYSTEM: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: FREEMAN HEALTH SYSTEM (EIN 43-1704371)
Tax period: 2014-04-01 to 2015-03-31
Filed: 2016-02-12
IRS object ID: 201610449349300506
Schema version: 2014v6.0
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	2016-02-12T16:23:50-06:00	ReturnTs
Tax Period End	2015-03-31	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	2014-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	431704371	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVE GRADDY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4173471111	PhoneNum
Signature	2016-02-11	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	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	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	$521,252,585	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	8	VotingMembersIndependentCnt
Total Employee	4225	TotalEmployeeCnt
Total Volunteers	226	TotalVolunteersCnt
Total Gross UBI	$12,379,255	TotalGrossUBIAmt
PY Contributions Grants	$1,966,438	PYContributionsGrantsAmt
CY Contributions Grants	$2,324,995	CYContributionsGrantsAmt
PY Program Service Revenue	$480,466,391	PYProgramServiceRevenueAmt
CY Program Service Revenue	$502,793,696	CYProgramServiceRevenueAmt
PY Investment Income	$5,309,122	PYInvestmentIncomeAmt
CY Investment Income	$5,554,977	CYInvestmentIncomeAmt
PY Other Revenue	-$5,948,661	PYOtherRevenueAmt
CY Other Revenue	$4,581,526	CYOtherRevenueAmt
PY Total Revenue	$481,793,290	PYTotalRevenueAmt
CY Total Revenue	$515,255,194	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,334,856	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,752,635	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$241,636,461	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$246,917,486	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$593,320	CYTotalFundraisingExpenseAmt
PY Other Expenses	$235,707,386	PYOtherExpensesAmt
CY Other Expenses	$242,086,760	CYOtherExpensesAmt
PY Total Expenses	$478,678,703	PYTotalExpensesAmt
CY Total Expenses	$494,756,881	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,114,587	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,498,313	CYRevenuesLessExpensesAmt
Total Assets BOY	$390,339,421	TotalAssetsBOYAmt
Total Assets EOY	$415,275,827	TotalAssetsEOYAmt
Total Liabilities BOY	$203,987,618	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$208,321,841	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$186,351,803	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$206,953,986	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	$218,162,400	ExpenseAmt
Grant	$5,752,635	GrantAmt
Revenue	$258,940,933	RevenueAmt
Desc	FREEMAN OFFERS OUTPATIENT SERVICES INCLUDING CANCER CARE, EMERGENCY MEDICINE, WOMEN'S SERVICES, GASTROENTEROLOGY, DIALYSIS, WOUND CARE, NEUROLOGY, ORTHOPAEDICS, OTOLARYNGOLOGY, GERIATRIC CARE, PHARMACIES, WALK-IN CLINICS, HOME CARE, OCCUPATIONAL MEDICINE, OUTPATIENT SURGERY, REHABILITATION THERAPIES, HEART AND VASCULAR SERVICES, RADIOLOGY, LABORATORY SERVICES, AND MORE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$195,234,734	ExpenseAmt
Revenue	$212,872,625	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	$19,323,582	ExpenseAmt
Revenue	$30,980,138	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. AFTER THE MAY 2011 TORNADO, A MAJOR CANCER TREATMENT PRACTICE IN JOPLIN DECIDED NOT TO REBUILD AND CLOSED ITS TREATMENT FACILITY. FREEMAN CANCER INSTITUTE TOOK IN MOST OF THOSE PATIENTS AND HIRED TWO NEW ONCOLOGY/HEMATOLOGY SPECIALISTS TO HELP MEET THE NEEDS OF THE COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$432,720,716	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	168	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4225	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	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 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)		$409,818	$0	$25,715
JOHN M COX DO
DIRECTOR	60.0	0.0	Yes (X)		$1,021,575	$0	$28,996
RODNEY MCFARLAND MD
DIRECTOR	1.0	59.0	Yes (X)		$0	$250,191	$38,527
JIM ARMSTRONG
SECRETARY/TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GLENN MITCH MCCUMBER
DIRECTOR	1.0	0.0	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)	$1,242,999	$0	$331,678
LEANNE KAISER CARLSON
DIRECTOR BEGINNING 5/14	1.0	0.0	Yes (X)		$0	$0	$0
STEVE W GRADDY
CFO	50.0	10.0		Yes (X)	$519,614	$0	$91,767
RICHARD D SCHOOLER
EXEC VP & CHIEF OP OFFICER	60.0	0.0		Yes (X)	$547,744	$0	$100,077
JOE L KIRK
VP ENVIRONMENTAL SRVC END 7/14	40.0	0.0			$521,733	$0	$34,440	Yes (X)
MICHAEL J LEONE
CONTROLLER	60.0	0.0			$280,845	$0	$54,386	Yes (X)
JEFFREY M CARRIER
CHIEF CLINICAL OFFICER	60.0	0.0			$286,703	$0	$76,918	Yes (X)
KEVIN P GAUDETTE
VP REVENUE CYCLE	60.0	0.0			$296,071	$0	$55,323	Yes (X)
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT	60.0	0.0			$243,599	$0	$39,242	Yes (X)
SUE A ANNESSER
CHIEF INFO OFFICER END 08/14	60.0	0.0			$229,645	$0	$29,367	Yes (X)
COLEEN S CAMERON
CHIEF NURSING AND REG OFFICER	60.0	0.0			$185,146	$0	$28,688	Yes (X)
MARY A FRERER
CHIEF HUMAN RESOURCE OFFICER	60.0	0.0			$180,161	$0	$29,231	Yes (X)
RAYMOND VETSCH
PHYSICIAN	60.0	0.0			$1,551,082	$0	$212,690		Yes (X)
THOMAS B COY
PHYSICIAN	60.0	0.0			$1,446,323	$0	$39,472		Yes (X)
JOSHUA M BALL
PHYSICIAN	60.0	0.0			$1,298,410	$0	$43,877		Yes (X)
TODD J TWISS
PHYSICIAN	60.0	0.0			$1,185,233	$0	$43,591		Yes (X)
ROBERT C STAUFFER
PHYSICIAN	60.0	0.0			$1,185,339	$0	$35,899		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,632,040	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$250,191	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,339,884	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	271	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)

ServicesServicesDesc	CompensationCompensationAmt
CROTHALL SERVICES GROUP
HOUSEKEEPING	$5,391,904
GATEWAY EMERGENCY PHYSICIANS LLP
EMERGENCY PHYSICIANS	$4,673,701
SUPERIOR LINEN SERVICE INC
LINEN SERVICE	$1,044,469
MORRISON MGT SPECIALISTS INC
NUTRITION MANAGEMENT	$870,718
CHOICE MARKETING LLC
MARKETING	$463,583

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Fundraising	$21,210	FundraisingAmt
Government Grants	$440,551	GovernmentGrantsAmt
All Other Contributions	$1,863,234	AllOtherContributionsAmt
Noncash Contributions	$401,496	NoncashContributionsAmt
Total Contributions	$2,324,995	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621990	$473,038,163	$473,038,163
CAFETERIA & VENDING	722210	$2,533,565	$2,533,565
RENT FROM AFFILIATES	531390	$117,429	$117,429
UNRELATED RETAIL PHARMACY	446110	$6,814,169		$6,814,169
UNRELATED LAB SERVICES	621500	$351,973		$351,973

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,938,397	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,822,625	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,115,772	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$502,793,696	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,854,377	TotalRevenueColumnAmt
Exclusion	$2,854,377	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$221,813	TotalRevenueColumnAmt
Exclusion	$221,813	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	$2,342,391	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$517,191	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,825,200	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,825,200	TotalRevenueColumnAmt
Exclusion	$1,825,200	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,338,203	SecuritiesAmt
Other	$17,415	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,870,279	SecuritiesAmt
Other	$6,552	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,467,924	SecuritiesAmt
Other	$10,863	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,478,787	TotalRevenueColumnAmt
Exclusion	$2,478,787	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$336,326	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$21,210	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$234,823	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,503	TotalRevenueColumnAmt
Exclusion	$101,503	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	$643,426	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$368,546	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$274,880	TotalRevenueColumnAmt
Exclusion	$274,880	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
GAIN ON EXTINGUISHMENT OF DEBT	900099	-$512,520	-$512,520
INSURANCE SETTLEMENT	900099	$919,722	$919,722
INVESTMENT IN SUBSIDIARY	900099	$1,972,741	$1,875,400	$97,341

Field	Value	IRS element (for citing)
Other Revenue Total	$2,379,943	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$515,255,194	TotalRevenueColumnAmt
Related Or Exempt Func Income	$490,511,782	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,379,255	UnrelatedBusinessRevenueAmt
Exclusion	$10,039,162	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,515,447	TotalAmt
Program Services	$5,515,447	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$237,188	TotalAmt
Program Services	$237,188	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,180,199	TotalAmt
Program Services	$1,774,822	ProgramServicesAmt
Management And General	$5,405,377	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$979,482	TotalAmt
Program Services	$979,482	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$200,413,250	TotalAmt
Program Services	$175,042,519	ProgramServicesAmt
Management And General	$25,009,871	ManagementAndGeneralAmt
Fundraising	$360,860	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,797,094	TotalAmt
Program Services	$2,505,285	ProgramServicesAmt
Management And General	$291,809	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,471,269	TotalAmt
Program Services	$21,154,210	ProgramServicesAmt
Management And General	$2,317,059	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,076,192	TotalAmt
Program Services	$10,816,336	ProgramServicesAmt
Management And General	$1,259,856	ManagementAndGeneralAmt

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	$328,098	TotalAmt
Management And General	$328,098	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$337,219	TotalAmt
Management And General	$337,219	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	$334,239	TotalAmt
Management And General	$334,239	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,636,796	TotalAmt
Program Services	$21,719,800	ProgramServicesAmt
Management And General	$12,870,831	ManagementAndGeneralAmt
Fundraising	$46,165	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,208,943	TotalAmt
Program Services	$1,029,427	ProgramServicesAmt
Management And General	$160,053	ManagementAndGeneralAmt
Fundraising	$19,463	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,364,609	TotalAmt
Program Services	$12,490,229	ProgramServicesAmt
Management And General	$3,722,386	ManagementAndGeneralAmt
Fundraising	$151,994	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$542,920	TotalAmt
Program Services	$4,930	ProgramServicesAmt
Management And General	$537,990	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,800,053	TotalAmt
Program Services	$7,236,384	ProgramServicesAmt
Management And General	$1,563,669	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$786,385	TotalAmt
Program Services	$636,701	ProgramServicesAmt
Management And General	$144,416	ManagementAndGeneralAmt
Fundraising	$5,268	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	$783,160	TotalAmt
Program Services	$572,025	ProgramServicesAmt
Management And General	$203,883	ManagementAndGeneralAmt
Fundraising	$7,252	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,132,786	TotalAmt
Program Services	$4,470,736	ProgramServicesAmt
Management And General	$662,050	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,652,125	TotalAmt
Program Services	$14,504,258	ProgramServicesAmt
Management And General	$2,147,867	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,562,005	TotalAmt
Program Services	$3,843,927	ProgramServicesAmt
Management And General	$3,718,078	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUGS	$88,887,724	$88,887,724
BAD DEBT	$44,949,296	$44,949,296
PROVIDER TAXES & FEES	$14,073,693	$14,073,693
TAXES, LICENSES, FEES	$476,332	$276,135	$197,879	$2,318

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$230,377	TotalAmt
Program Services	$162	ProgramServicesAmt
Management And General	$230,215	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$494,756,881	TotalAmt
Program Services	$432,720,716	ProgramServicesAmt
Management And General	$61,442,845	ManagementAndGeneralAmt
Fundraising	$593,320	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,435,804	BOYAmt
EOY	$13,928,616	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$28,900,003	BOYAmt
EOY	$19,960,350	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,231,618	BOYAmt
EOY	$3,219,320	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$62,579,519	BOYAmt
EOY	$60,272,467	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$1,657	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	$484,740	BOYAmt
EOY	$285,484	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,472,791	BOYAmt
EOY	$8,002,879	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,619,346	BOYAmt
EOY	$3,137,472	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$345,547,179	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$204,126,389	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$140,585,929	BOYAmt
EOY	$141,420,790	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$126,868,251	BOYAmt
EOY	$154,398,383	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,495,171	BOYAmt
EOY	$2,585,819	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,168,141	BOYAmt
EOY	$2,239,710	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,496,451	BOYAmt
EOY	$5,824,537	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$390,339,421	BOYAmt
EOY	$415,275,827	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,248,579	BOYAmt
EOY	$53,023,993	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	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	$127,944,665	BOYAmt
EOY	$122,864,983	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	$1,285,798	BOYAmt
EOY	$838,470	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	$29,508,576	BOYAmt
EOY	$30,594,395	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$203,987,618	BOYAmt
EOY	$208,321,841	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$177,752,326	BOYAmt
EOY	$201,344,040	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,599,477	BOYAmt
EOY	$5,609,946	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	$186,351,803	BOYAmt
EOY	$206,953,986	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$390,339,421	BOYAmt
EOY	$415,275,827	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,498,313	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,819,523	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,715,653	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$39,465	OtherActivitiesAmt
Total Lobbying Expenditures	$39,465	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 39,465, 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	$3,859,359	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$7,656,289	OtherCostOrOtherBasisAmt
Book Value	$11,515,648	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$155,830,410	OtherCostOrOtherBasisAmt
Depreciation	$86,184,915	DepreciationAmt
Book Value	$69,645,495	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,716,279	OtherCostOrOtherBasisAmt
Depreciation	$2,419,311	DepreciationAmt
Book Value	$1,296,968	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$154,419,067	OtherCostOrOtherBasisAmt
Depreciation	$109,530,019	DepreciationAmt
Book Value	$44,889,048	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,065,775	OtherCostOrOtherBasisAmt
Depreciation	$5,992,144	DepreciationAmt
Book Value	$14,073,631	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$141,420,790	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
EST SELF INSURANCE COST	$15,775,804
EST REG SETTLEMENT	$8,910,646
DUE TO 3RD PARTY	$5,907,945

Field	Value	IRS element (for citing)
Total Liability	$30,594,395	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$470,281,150	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,819,523	NetUnrealizedGainsInvstAmt
Other Revenue	-$47,874,292	OtherRevenueAmt
Revenue Not Reported	-$45,054,769	RevenueNotReportedAmt
Revenue Subtotal	$515,335,919	RevenueSubtotalAmt
Other Revenues Not Included	-$80,725	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$80,725	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$515,255,194	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$446,790,792	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,120,560	OtherExpensesIncludedAmt
Expenses Not Reported	$1,120,560	ExpensesNotReportedAmt
Expenses Subtotal	$445,670,232	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$137,353	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$48,949,296	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$49,086,649	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$494,756,881	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: $ (44,949,296) BAD DEBT EXPENSE (4,000,000) GRANTS PAID 1,332,430 NET ASSETS RELEASED FROM RESTRICTION (120,073) CONSOLIDATION OF FHS HOLDINGS (137,353) INVESTMENT FEES ---------------- $ (47,874,292)
SCHEDULE D, PART XI, LINE 4B	OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 1,159,908 TEMPORARILY RESTRICTED CONTRIBUTIONS (517,191) RENTAL EXPENSES (368,546) COST OF GOODS SOLD (234,823) SPECIAL EVENTS EXPENSE (120,073) FHS HOLDINGS REVENUE ---------------- $ (80,725)
SCHEDULE D, PART XII, LINE 2D	OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 517,191 RENTAL EXPENSES 368,546 COST OF GOODS SOLD 234,823 SPECIAL EVENTS EXPENSE --------------- $ 1,120,560
SCHEDULE D, PART XII, LINE 4B	OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 44,949,296 BAD DEBT EXPENSE 4,000,000 GRANTS PAID -------------- $ 48,949,296

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	JEWELRY SALE	Event1Nm
Gross Receipts Event1	$96,652	GrossReceiptsEvent1Amt
Gross Revenue Event1	$96,652	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$69,761	OtherDirectExpensesEvent1Amt
Event2	SHOE SALE	Event2Nm
Gross Receipts Event2	$42,857	GrossReceiptsEvent2Amt
Gross Revenue Event2	$42,857	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$33,943	OtherDirectExpensesEvent2Amt
Other Events Total	12	OtherEventsTotalCnt
Gross Receipts Other Events	$218,027	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$21,210	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$196,817	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$2,400	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$1,750	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$6,945	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$530	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$119,494	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$357,536	GrossReceiptsTotalAmt
Charitable Contributions Tot	$21,210	CharitableContributionsTotAmt
Gross Revenue Total Events	$336,326	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$2,400	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$1,750	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,945	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$530	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$223,198	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$234,823	DirectExpenseSummaryEventsAmt
Net Income Summary	$101,503	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	$13,531,735	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,531,735	NetCommunityBenefitExpnsAmt
Total Expense	0.03010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,468,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,551,101	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,917,488	NetCommunityBenefitExpnsAmt
Total Expense	0.03540	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,000,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,551,101	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,449,223	NetCommunityBenefitExpnsAmt
Total Expense	0.06550	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$670,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$281,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$388,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$588,603	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$588,603	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,035,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,298,884	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,737,004	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$707,133	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$707,133	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,669,917	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,669,917	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,671,741	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,580,214	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,091,527	NetCommunityBenefitExpnsAmt
Total Expense	0.04030	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,672,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,131,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,540,750	NetCommunityBenefitExpnsAmt
Total Expense	0.10580	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,000	TotalCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,718	TotalCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,718	TotalCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$44,949,296	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,741,901	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$119,352,520	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$111,934,639	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,417,881	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 SURGICAL CTR
AMBULATORY SURGERY CENTER	0.52329	0.36541
HEARTLAND KIDNEYDIA
DIALYSIS CENTER	0.25000	0.56250

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	418-20	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	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.FREEMANHEALTH.COM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.FREEMANHEALTH.COM	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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 Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
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
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 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 INTERVIEWING KEY INFORMANTS (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. INTERVIEWS WITH 25 KEY INFORMANTS WERE CONDUCTED OVER NINE DATES IN JULY, AUGUST AND SEPTEMBER 2012. INFORMANTS WERE DETERMINED BASED ON THEIR A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. A REPRESENTATIVE FROM THE HOSPITAL CONTACTED ALL INDIVIDUALS NOMINATED FOR INTERVIEWING. IF THE RESPECTIVE KEY INFORMANT AGREED TO AN INTERVIEW, AN INTERVIEW TIME AND PLACE WAS SCHEDULED. MOST OF THE INTERVIEWS WERE CONDUCTED AT FREEMAN BUSINESS CENTER. IN SOME INSTANCES, INTERVIEWS WERE CONDUCTED OVER THE PHONE. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: -HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY -BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY -OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT NEWTON AND MCDONALD COUNTY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES -DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. THEMES IN THE DATA WERE IDENTIFIED AND REPRESENTATIVE QUOTES HAVE BEEN DRAWN FROM THE DATA TO ILLUSTRATE THE THEMES. INFORMANTS WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED IN THE REPORT. THEREFORE, QUOTES INCLUDED IN THE REPORT MAY HAVE BEEN ALTERED SLIGHTLY TO PRESERVE CONFIDENTIALITY. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS' OPINIONS, BUT REVEALS COMMUNITY INPUT FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. THE ORGANIZATION INTERVIEWED THE FOLLOWING COMMUNITY MEMBERS: BARBIE BILTON, EXECUTIVE DIRECTOR, JOPLIN COMMUNITY CLINIC REBA SNAVELY, HR DIRECTOR, CITY OF JOPLIN CINDY KATCHUM, BENEFITS MANAGER, THE INSURANCE CENTER DAVID MCMILIN, BUSINESS OFFICE DIRECTOR, OZARK CHRISTIAN COLLEGE DEAN WILLIS, ALLGEIER MARTIN JOHN JOINES, CEO, ECONOMIC SECURITY CORP. OF SW AREA KEITH STAMMER, EMERGENCY MANAGEMENT DIRECTOR, EMERGENCY MANAGEMENT PHIL COOK, SUPERINTENDENT, CARL JUNCTION SCHOOL DISTRICT DEBBIE DUTCH KELLY, HR DIRECTOR, MISSOURI SOUTHERN UNIVERSITY MICHELE DUCRE, REGIONAL DEVELOPMENT DIRECTOR, COMMUNITY FOUNDATION OF THE OZARKS SHARA GAMBLE, HR DIRECTOR, TAMKO BUILDING PRODUCTS DON MCBRIDE, CEO, ACCESS FAMILY CARE LISA OLLIGES, REPORTER, KOAM TV BILL WHITE, STATE REPRESENTATIVE, DISTRICT 129 ANNETTE THURSDON, EXECUTIVE DIRECTOR, RONALD MCDONALD HOUSE DAVID POWELL, OWNER, BENEFITS MANAGEMENT RANDY KRAFT, OWNER, KRAFT INSURANCE SUSAN VERSLUIS, HR DIRECTOR, K & S WIRE GARY ROARK, DIRECTOR, NEWTON COUNTY EMERGENCY MANAGEMENT GIB GARROW, NEOSHO CHAMBER TODD DECKER, PASTOR, FREEMAN PASTORAL CARE PHIL WILCOXON, CEO, OZARK CENTER DAN PEKAREK, DIRECTOR, JOPLIN HEALTH DEPARTMENT ROBERT POOLE, DIRECTOR OF ADMISSIONS, CHC OF SE KS NEAL MCDONALD, CONTROLLER, O & F MACHINE IN ADDITION TO THE INTERVIEWS CONDUCTED, FREEMAN HEALTH SYSTEM CIRCULATED A COMMUNITY HEALTH INPUT QUESTIONNAIRE THAT GATHERED A WIDE RANGE OF INFORMATION WHICH WAS WIDELY DISTRIBUTED TO MEMBERS OF THE COMMUNITY. THE COMMUNITY HEALTH QUESTIONNAIRE BROAD SURVEY WAS INTENDED TO GATHER INFORMATION REGARDING THE OVERALL HEALTH OF THE COMMUNITY. THE RESULTS ARE INTENDED TO PROVIDE INFORMATION ON DIFFERENT HEALTH AND COMMUNITY FACTORS. REQUESTED COMMUNITY INPUT INCLUDED DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS, HEALTH CONDITIONS AND ACCESS TO HEALTH RESOURCES.
SCHEDULE H, PART V, SECTION B, LINE 6A	HOSPITAL FACILITIES INCLUDED IN CHNA PURSUANT TO REG. 1.501(R)-1(B)(17), THE COMMUNITY HEALTH NEEDS ASSESSMENT SERVED BOTH FREEMAN HEALTH SYSTEM WEST AND FREEMAN HEALTH SYSTEM EAST AS THE HOSPITALS OPERATE TOGETHER AS ONE UNIT AND UNDER ONE STATE LICENSE.
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS ANALYSIS OF THE NEEDS ASSESSMENT RESULTED IN THE IDENTIFICATION OF FOUR FOCUS AREAS-HEART DISEASE, OBESITY, CANCER, AND A SHORTAGE OF PHYSICIANS AND HEALTH PROFESSIONALS. FOCUS AREA: HEART DISEASE OBJECTIVE: REDUCE PREVALENCE OF CORONARY HEART DISEASE AND INCREASE AWARENESS OF PREVENTION AND RISK FACTORS STRATEGIES: A. CONTINUALLY EXAMINE THE LATEST MEDICAL STUDIES TO PROVIDE PATIENTS THE MOST UP-TO-DATE INFORMATION AND RESEARCH THROUGH CLINICAL TRIALS. B. CONTINUE TO DEVELOP PROCESSES TO REDUCE EVEN FURTHER DOOR-TO-BALLOON TIME-THE TIME IT TAKES TO RESTORE BLOOD FLOW TO THE HEART, MEASURED FROM THE MOMENT THE PATIENT ENTERS THE EMERGENCY ROOM TO THE TIME HE OR SHE UNDERGOES BALLOON ANGIOPLASTY IN THE CATHETERIZATION LAB. C. PROVIDE EDUCATION TO EMERGENCY MEDICAL TECHNICIANS EMPLOYED BY AREA LAND AND AIR AMBULANCE SERVICES TO ILLUSTRATE HOW THEIR EFFORTS TO REDUCE TRANSPORT TIME CAN HELP SAVE LIVES. D. EXPAND OUTREACH CLINICS TO SERVE MIAMI, OKLAHOMA, EXTENDING HEART CARE SERVICES TO THOSE IN ADDITIONAL OUTLYING COMMUNITIES. E. OFFER LOW-COST HEALTH SCREENINGS THROUGHOUT THE YEAR THAT CAN DETECT A WIDE RANGE OF CONDITIONS, INCLUDING HEART DISEASE AND VASCULAR CONCERNS. F. EVALUATE THE PROBABILITY OF PURCHASING A MOBILE STRESS-TEST UNIT, WHICH IMPROVES WELLNESS BY MAKING IT MORE CONVENIENT FOR PEOPLE TO OBTAIN PREVENTION AND DETECTION SERVICES. FOCUS AREA: OBESITY OBJECTIVE: DECREASE RATE OF OBESE CHILDREN AND ADULTS WHILE PROMOTING AWARENESS ABOUT THE IMPORTANCE OF GOOD NUTRITION AND REGULAR PHYSICAL ACTIVITY STRATEGIES: A. PROVIDE CONTINUED PARTNERSHIP AND SUPPORT TO JOPLIN FAMILY Y SOUTH AND FREEMAN SOUTHWEST FAMILY Y IN NEOSHO. B. HOST FREEMAN FAMILY 5K RUN, A PUBLIC EVENT THAT ENCOURAGES FAMILIES TO PARTICIPATE IN PHYSICAL ACTIVITIES TOGETHER. C. PROVIDE FREEMAN FARMERS MARKET JUNE THROUGH OCTOBER TO GIVE THE COMMUNITY ACCESS TO FRESH, NUTRITIOUS LOCALLY GROWN PRODUCE. D. INCREASE THE AMOUNT OF LOCALLY AND REGIONALLY GROWN FOODS SERVED WITHIN THE HEALTH SYSTEM AND MAXIMIZE AVAILABILITY OF NUTRITIOUS FOOD OPTIONS ON THE MENU, INCLUDING WHOLE GRAINS, FRUITS, AND VEGETABLES TO ENCOURAGE PATIENTS, EMPLOYEES, AND VISITORS TO MAKE HEALTHY DIETARY CHOICES. FOCUS AREA: CANCER OBJECTIVE: REDUCE PREDOMINANCE OF CANCER AMONG OUR POPULATION BY IMPROVING OUTCOMES AND INCREASING AWARENESS THROUGH SCREENINGS AND EDUCATION STRATEGIES: A. PROVIDE ASSISTANCE FOR PATIENTS WHO CAN'T AFFORD CANCER MEDICATIONS BY IDENTIFYING AVAILABLE FUNDING RESOURCES. B. OFFER OUTREACH CLINIC IN GROVE, OKLAHOMA, EXTENDING CANCER CARE SERVICES TO THOSE IN ADDITIONAL OUTLYING COMMUNITIES. C. PROVIDE OFFICE SPACE FOR AMERICAN CANCER SOCIETY TO ASSIST PATIENTS IN OBTAINING SERVICES TO HELP EASE THEIR BURDEN AND PROVIDE RELIEF. D. PROMOTE HELPING FRIENDS MAMMOGRAM FUND, WHICH PROVIDES MAMMOGRAMS FOR WOMEN WHO LACK HEALTH INSURANCE OR SUFFICIENT FINANCIAL RESOURCES. E. ENFORCE TOBACCO-FREE POLICY ON ALL FREEMAN CAMPUSES, OFFER SMOKING CESSATION CLASSES PERIODICALLY THROUGHOUT THE YEAR, AND HOST COURSES THAT ENCOURAGE PARENTS TO REFRAIN FROM SMOKING AROUND THEIR CHILDREN. FOCUS AREA: SHORTAGE OF PHYSICIANS AND HEALTH PROFESSIONALS OBJECTIVE: INCREASE ACCESS TO PRIMARY CARE PHYSICIANS BY ENHANCING RECRUITMENT AND RETENTION EFFORTS OF HEALTH PROFESSIONALS STRATEGIES: A. CONTINUE TO INVEST A MINIMUM OF $1MILLION PER YEAR TO RECRUIT PHYSICIANS AND HELP THEM START PRACTICES. B. PROMOTE AVAILABILITY OF FREEMAN URGENT CARE TO OFFER PATIENTS TREATMENT BY BOARD CERTIFIED PHYSICIANS, X-RAYS, REFERRALS, AND OTHER SERVICES THROUGH CONVENIENT WALK-IN CLINICS SEVEN DAYS A WEEK. C. OFFER GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS IN INTERNAL MEDICINE, EMERGENCY MEDICINE, AND OTOLARYNGOLOGY, AS WELL AS A PSYCHIATRIC RESIDENCY PROGRAM TO TRAIN AND EXPOSE FUTURE HEALTHCARE PROVIDERS TO OUR COMMUNITY. D. SECURE AND IMPLEMENT A GRANT THAT FUNDS FOUR ADDITIONAL INTERNAL MEDICINE RESIDENCY POSITIONS. E. UTILIZE A START GRANT TO ENSURE THAT NEW NURSES GET THE SUPPORT NEEDED TO EXPERIENCE SUCCESS ON THE JOB.
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 IN THE DETERMINATION OF AMOUNTS CHARGED TO PATIENTS.
SCHEDULE H, PART V, SECTION B, LINES 16A & 16B	THE FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM ARE AVAILABLE AT THE FOLLOWING WEBSITE: https://www.freemanhealth.com/patients-guests/billing-insurance/payment-op tions
SCHEDULE H, PART V, SECTION B, LINE 22D	MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS THE HOSPITAL USED A LOOK BACK METHOD AND THE MEDIAN NEGOTIATED COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.

Field	Value	IRS element (for citing)
Facility	28	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 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
MEDICAL OFFICE BUILDING
336 S JEFFERSON	NEOSHO	MO	64580	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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $44,949,296.
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. 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.
SCHEDULE H, PART III, SECTION A, LINES 2, 3 & 4	BAD DEBT EXPENSE METHODOLOGY 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. THE ORGANIZATION CALCULATED BAD DEBT USING THE AMOUNTS CALCULATED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. 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.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY FREEMAN HEALTH SYSTEM'S 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 A BROCHURE TITLED FINANCIAL SERVICES AND PAYMENT OPTIONS. 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) AND COMMUNICATION BOARDS POSTED IN ALL DEPARTMENTS, TO REMIND STAFF OF THE FREEMAN FINANCIAL ASSISTANCE POLICY THROUGHOUT THE YEAR. - PATIENTS NEEDING HELP PAYING FOR HEALTHCARE ARE INTERVIEWED THROUGH MEDIASSIST, FREEMAN'S THIRD-PARTY ELIGIBILITY VENDOR. MEDIASSIST 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: 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 TOP LEVEL 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, AS ONE OF ITS PACESETTER COMPANIES, 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, BIG BROTHERS/BIG SISTERS OF JASPER & NEWTON COUNTIES, BOYS & GIRLS CLUB OF JOPLIN, 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, LAFAYETTE HOUSE, MARCH OF DIMES, NATIONAL MULTIPLE SCLEROSIS SOCIETY, NEOSHO AREA UNITED FUND, 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 SERVICE/COMMUNITY ORGANIZATIONS SUCH AS COMMUNITY ADVISORY COUNCIL OF MISSOURI FOUNDATION FOR HEALTH, PITTSBURG STATE UNIVERSITY FOUNDATION, RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES, TALKINGTON FOUNDATION, MID AMERICA SERVICE SOLUTIONS, ASPIRE OF SOUTHWEST MISSOURI, MISSOURI HOSPITAL ASSOCIATION, VHA MID-AMERICA, BLUE CROSS/BLUE SHIELD OF MISSOURI PHYSICIAN CONSULTATIVE COMMITTEE, JOPLIN METRO EMERGENCY TRANSPORTATION SYSTEM, GEORGE A. SPIVA CENTER FOR THE ARTS, JOPLIN REGIONAL ECONOMIC DEVELOPMENT ASSOCIATION, WILDCAT GLADES CONSERVATION & AUDUBON CENTER, AND UNITED WAY OF SOUTHWEST MISSOURI & SOUTHEAST KANSAS. 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 AND FREEMAN EAST. THESE MARKETS PROVIDE THE COMMUNITY WITH OPPORTUNITIES TO BUY FRESH, NUTRITIOUS FRUIT, VEGETABLES, AND OTHER LOCALLY PRODUCED FOODS. FREEMAN HELPS WITH COMMUNITY-BUILDING BY OFFERING SOLUTIONS TO HELP MEET THE NEEDS OF SPECIFIC POPULATIONS, SUCH AS CHILDREN WITH AUTISM, CHILDREN WITH MEDICAL EXPENSES, CHILDREN WHO HAVE EXPERIENCED EMOTIONAL TRAUMA, AND SENIOR CITIZENS. BILL & VIRGINIA LEFFEN CENTER FOR AUTISM, FOR INSTANCE, PROVIDES HOPE FOR CHILDREN WITH AUTISM THROUGH A PRESCHOOL PROGRAM AND SERVICES FOR SCHOOL-AGE CHILDREN. 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 40,000 HOURS LAST YEAR, AND MONEY FOR THE BETTERMENT OF THE COMMUNITY. IN FALL 2014, FREEMAN SPONSORED AND TOOK RESPONSIBILITY FOR ORGANIZING THE JOPLIN CHRISTMAS PARADE. IT WAS A HUGE TASK THAT REQUIRED DOZENS OF FREEMAN VOLUNTEERS AND COUNTLESS MAN-HOURS. THE PARADE GENERATED $2,400 IN REVENUE FROM ENTRY FEES, WHICH WERE DONATED TO THE JOPLIN HUMANE SOCIETY. FREEMAN KICKED IN AN ADDITIONAL $2,600, BRINGING THE TOTAL DONATION TO AN EVEN $5,000.
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 PROGRAMS TO HELP PEOPLE QUIT SMOKING, SUPPORT GROUPS FOR A VARIETY OF ILLNESSES AND CONDITIONS, OZARK CENTER FOR AUTISM, PROGRAMS FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS, AND MANY MORE. 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 HEALTH SYSTEM'S TRAIN2RUN COURSE. TRAIN2RUN, A FREEMAN REHABILITATION & SPORTS CENTER PROGRAM, IS A FUNCTIONAL STRENGTH-TRAINING PROGRAM THAT TEACHES EXPERIENCED RUNNERS SMARTER AND MORE EFFICIENT WAYS TO PREPARE FOR RUNNING. TRAIN2RUN TEACHES PARTICIPANTS HOW TO STAY HEALTHY AND INJURY-FREE, SO THEY MAY RUN LONGER AND WITH GREATER SUCCESS. 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 (8 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)	$70,000	SUPPORT
JOPLIN MEMORIAL RUN
PO BOX 3102	JOPLIN	MO	64801	454202274	501(C)(3)	$15,000	SUPPORT
CROWDER COLLEGE
601 LACLEDE AVE	NEOSHO	MO	64850	440668521	501(C)(3)	$99,845	SUPPORT
MISSOURI SOUTHERN FOUNDATION
3950 E NEWMAN ROAD	JOPLIN	MO	64801	430907114	501(C)(3)	$4,063,500	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)	$16,000	SUPPORT
CARL JUNCTION EDUCATIONAL FOUNDATION
				431776822	501(C)(3)	$63,494	SUPPORT
OZARK CENTER
1105 E 32ND ST	JOPLIN	MO	64804	430821959	501(C)(3)	$607,384	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
CMN AID TO FAMILIES	832	$187,552
MAMMOGRAMS	13	$3,933
PRESCRIPTION, MEALS, TRANSPORTATION	2044	$37,812
CANCER PATIENT HELP	86	$7,603
DIALYSIS PATIENT ASSISTANCE	3	$288

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 CROWDER COLLEGE AND THE MISSOURI SOUTHERN FOUNDATION FOR NURSING SCHOLARSHIPS FOR AREA STUDENTS. THE ORGANIZATION IS ABLE TO MONITOR FUNDS BY PROVIDING THESE AMOUNTS DIRECTLY TO THE SCHOOLS, TO BE USED FOR THE DESIGNATED ENROLLED STUDENT RECIPIENTS. OTHER AMOUNTS WERE GIVEN DURING THE YEAR TO LOCAL ORGANIZATIONS. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY AND CAN BE MONITORED ACCORDINGLY.

SCHEDULE I, PART III

GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS: IN FISCAL YEAR 2015, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *FHS CHILDREN'S MIRACLE NETWORK - $187,552 WAS SPENT HELPING OVER 832 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *HELPING FRIENDS MAMMOGRAM PROGRAM - $3,933 WAS SPENT TO HELP 13 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $37,812 WAS SPENT TO HELP OVER 2,000 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *CANCER PATIENT ASSISTANCE - $7,603 WAS SPENT HELPING 86 CANCER PATIENTS WITH PHARMACY-RELATED EXPENSES. *DIALYSIS PATIENT ASSISTANCE - $288 WAS SPENT HELPING 3 DIALYSIS PATIENTS WITH RELATED EXPENSES.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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	$380,767	$0	$29,051	$0	$0	$0	$24,810	$0	$905	$0	$435,533	$0	$0	$0
JOHN M COX DO
DIRECTOR	$871,257	$0	$134,844	$0	$15,474	$0	$7,650	$0	$21,346	$0	$1,050,571	$0	$0	$0
RODNEY MCFARLAND MD
DIRECTOR	$0	$239,574	$0	$10,617	$0	$0	$0	$25,150	$0	$13,377	$0	$288,718	$0	$0
PAULA F BAKER
PRESIDENT/CEO	$650,188	$0	$247,698	$0	$345,113	$0	$312,832	$0	$18,846	$0	$1,574,677	$0	$338,726	$0
JOE L KIRK
VP ENVIRONMENTAL SRVC END 7/14	$160,186	$0	$1,950	$0	$359,597	$0	$25,150	$0	$9,290	$0	$556,173	$0	$21,649	$0
STEVE W GRADDY
CFO	$348,707	$0	$101,868	$0	$69,039	$0	$78,988	$0	$12,779	$0	$611,381	$0	$69,039	$0
MICHAEL J LEONE
CONTROLLER	$224,030	$0	$35,308	$0	$21,507	$0	$33,303	$0	$21,083	$0	$335,231	$0	$20,212	$0
JEFFREY M CARRIER
CHIEF CLINICAL OFFICER	$201,069	$0	$51,902	$0	$33,732	$0	$55,572	$0	$21,346	$0	$363,621	$0	$33,732	$0
KEVIN P GAUDETTE
VP REVENUE CYCLE	$226,660	$0	$33,078	$0	$36,333	$0	$41,874	$0	$13,449	$0	$351,394	$0	$36,333	$0
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT	$191,370	$0	$29,934	$0	$22,295	$0	$22,327	$0	$16,915	$0	$282,841	$0	$22,295	$0
SUE A ANNESSER
CHIEF INFO OFFICER END 08/14	$137,735	$0	$34,559	$0	$57,351	$0	$19,957	$0	$9,410	$0	$259,012	$0	$27,048	$0
COLEEN S CAMERON
CHIEF NURSING AND REG OFFICER	$143,041	$0	$21,539	$0	$20,566	$0	$21,373	$0	$7,315	$0	$213,834	$0	$20,566	$0
RICHARD D SCHOOLER
EXEC VP & CHIEF OP OFFICER	$372,807	$0	$107,486	$0	$67,451	$0	$89,642	$0	$10,435	$0	$647,821	$0	$62,634	$0
RAYMOND VETSCH
PHYSICIAN	$538,381	$0	$411,191	$0	$601,510	$0	$195,150	$0	$17,540	$0	$1,763,772	$0	$601,510	$0
THOMAS B COY
PHYSICIAN	$1,210,647	$0	$235,676	$0	$0	$0	$20,650	$0	$18,822	$0	$1,485,795	$0	$0	$0
JOSHUA M BALL
PHYSICIAN	$671,461	$0	$626,949	$0	$0	$0	$25,150	$0	$18,727	$0	$1,342,287	$0	$0	$0
TODD J TWISS
PHYSICIAN	$890,128	$0	$278,056	$0	$17,049	$0	$25,150	$0	$18,441	$0	$1,228,824	$0	$0	$0
MARY A FRERER
CHIEF HUMAN RESOURCE OFFICER	$163,393	$0	$16,768	$0	$0	$0	$19,025	$0	$10,206	$0	$209,392	$0	$0	$0
ROBERT C STAUFFER
PHYSICIAN	$1,150,776	$0	$34,563	$0	$0	$0	$25,150	$0	$10,749	$0	$1,221,238	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENT: THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT, WHICH WAS INCLUDED IN TAXABLE COMPENSATION: $300,000 JOE L KIRK
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 OR FREEMAN NEOSHO DURING THE YEAR: $ 71,338 STEVE GRADDY $ 81,992 RICHARD SCHOOLER $ 287,682 PAULA BAKER $ 31,877 JEFFREY CARRIER $ 13,353 SUE ANNESSER $ 17,207 COLEEN CAMERON $ 19,381 MICHAEL LEONE $ 34,615 KEVIN GAUDETTE $ 22,327 WESLEY BRAMAN $ 170,000 RAYMOND VETSCH $ 18,160 MARY FRERER THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: $ 69,039 STEVE GRADDY $ 21,649 JOE KIRK $ 62,634 RICHARD SCHOOLER $ 338,726 PAULA BAKER $ 33,732 JEFFREY CARRIER $ 27,048 SUE ANNESSER $ 20,566 COLEEN CAMERON $ 20,212 MICHAEL LEONE $ 36,333 KEVIN GAUDETTE $ 22,295 WESLEY BRAMAN $ 601,510 RAYMOND VETSCH
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	2011-12-13	$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
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
C	521299414		2010-12-20	$10,393,515	EQUIPMENT	false	false	false
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF MO
D	431178966	60637ADK5	2012-12-20	$40,129,591	REFUND 1194-A BONDS AND 1998A BOND	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	$2,805,000	$0	$25,031,815	$2,056,600	$0	$0	$403,785	$0	$0	$22,563,205	$0	$0	2014	false	false	false	Yes (true)
B	$670,631	$0	$15,995,508	$0	$0	$0	$0	$0	$0	$0	$15,995,508	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
C	$9,049,883	$0	$10,394,224	$0	$0	$0	$42,200	$0	$0	$10,352,024	$0	$0	2013	false	false	Yes (true)	Yes (true)
D	$6,655,000	$0	$40,129,591	$3,565,410	$0	$0	$530,282	$0	$0	$0	$36,042,809	$0	1999	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	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	false	Yes (true)	false		false	false	false	false	Yes (true)
D									Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
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	Yes (true)	false	false	false	0	false	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 (8 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 D, 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, 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 3, COLUMN C	AMOUNT DOES NOT EQUAL ISSUE PRICE OF THE BONDS DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.
SCHEDULE K, PART II, LINE 3, COLUMN A	INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE DEBT SERVICE RESERVE FUND DURING THE PROJECT PERIOD HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF ISSUE", BUT WERE ALLOCATED TO INTEREST PAYMENTS ON THE BONDS DURING THIS PERIOD.
SCHEDULE K, PART II, LINE 16, COLUMN A	THE PROJECT HAS BEEN COMPLETED AND THE INSTITUTION WILL COMPLETE THE FINAL WRITTEN ALLOCATION BEFORE THE NEXT FISCAL YEAR END. SCHEDULE K, PART III, COLUMN D 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-D	THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE.
SCHEDULE K, PART IV, LINE 2C, COLUMN C	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 10/1/2013.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
A	521299414	2014-12-23	$7,000,000	CONSTRUCT, IMPROVE AND EQUIP EAST	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JSAPER CO
B	521351539	2014-12-23	$5,000,000	ACQUIRE, CONSTRUCT, IMPROVE AND EQ	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
C	521299414	2015-02-26	$40,712,377	REFUND 2004 BONDS	false	false	false	480639BL6

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$7,000,000	$0	$0	$0	$0	$0	$0	$1,041,700	$0	$5,958,300	false	false	false	Yes (true)
B	$0	$0	$5,000,000	$0	$0	$0	$0	$0	$0	$2,049,022	$0	$2,950,978	false	false	false	Yes (true)
C	$0	$0	$40,712,377	$2,931,813	$0	$0	$527,804	$0	$0	$0	$37,241,326	$0	Yes (true)	false	Yes (true)	Yes (true)	2008

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)
0
C	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, LINES A & B	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, PART I, LINE B, COLUMN F ACQUIRE, CONSTRUCT, IMPROVE AND EQUIP HOSPITAL FACILITIES
SCHEDULE K, PART I, LINE C, COLUMN F	The 2004 Bonds were originally issued on 11/30/2004.
SCHEDULE K, PART II, LINE 3, COLUMN A	The Bonds were issued as a draw-down loan under Regulations 1.150-1(c)(4)(i). The total amount of Bonds authorized was $7,000,000; however, only $1,041,700 had been drawn as of the Institution's fiscal year end.
SCHEDULE K, PART II, LINE 10, COLUMN A	The Bonds were issued as a draw-down loan under Regulations 1.150-1(c)(4)(i). The total amount of Bonds authorized was $7,000,000; however, only $1,041,700 had been drawn as of the Institution's fiscal year end.
SCHEDULE K, PART II, LINE 12, COLUMN A	This amount represents the remaining amount of sale proceeds that have been authorized but were not drawn as of Institution's fiscal year end.
SCHEDULE K, PART II, LINES 13 & 16, COLUMN A	PROJECT IS NOT COMPLETE.
SCHEDULE K, PART II, LINE 3, COLUMN B	The Bonds were issued as a draw-down loan under Regulations 1.150-1(c)(4)(i). The total amount of Bonds authorized was $5,000,000; however, only $2,049,022 had been drawn as of the Institution's fiscal year end.
SCHEDULE K, PART II, LINE 10, COLUMN B	The Bonds were issued as a draw-down loan under Regulations 1.150-1(c)(4)(i). The total amount of Bonds authorized was $5,000,000; however, only $2,049,022 had been drawn as of the Institution's fiscal year end.
SCHEDULE K, PART II, LINE 12, COLUMN B	This amount represents the remaining amount of sale proceeds that have been authorized but were not drawn as of Institution's fiscal year end.
SCHEDULE K, PART II, LINES 13 & 16, COLUMN B	Project is not complete.
SCHEDULE K, PART II, LINE 6, COLUMN C	Proceeds of the Bonds were used to redeem the Series 2004 Bonds on 02/27/2015.
SCHEDULE K, PART II, LINE 11, COLUMN C	This amount represents $37,170,351 used to refund the Series 2004 Bonds and $82,409 allocated to pay interest on the Bonds on 8/15/2015.
SCHEDULE K, PART III, COLUMN A	The project is not complete and has not been placed-in-service.
SCHEDULE K, PART III, COLUMN B	The project is not complete and has not been placed-in-service.
SCHEDULE K, PART III, LINE 5, COLUMN C	Amount represents the maximum amount of nonqualified use that may result from unrelated trade or business activity.
SCHEDULE K, PART III, LINE 8A, COLUMN C	The hospital generally does not dispose of any bond financed property prior to the end of its useful life.

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Total Balance Due	$0	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DEBORAH GAUDETTE
WIFE OF KEVIN GAUDETTE	$64,800	EMPLOYEE COMPENSATION	false
ADAM GRADDY
SON OF STEVE GRADDY, CFO	$49,099	EMPLOYEE COMPENSATION	false
KENT MCINTIRE
SON OF LARRY MCINTIRE	$751,418	EMPLOYEE COMPENSATION	false
PAM JONES
SISTER OF RICK SCHOOLER	$26,137	EMPLOYEE COMPENSATION	false
BRYAN GRADDY
SONE OF STEVE GRADDY, CFO	$19,218	EMPLOYEE COMPENSATION	false
LARRY ANNESSER
HUSBAND OF SUE ANNESSER	$31,421	EMPLOYEE COMPENSATION	false
HEATHER GRADDY
IN-LAW OF STEVE GRADDY	$37,389	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
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Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$401,496	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
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Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
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Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
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Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN B	NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.
SCHEDULE M, PART I, LINE 32B	THIRD PARTIES USED FOR NONCASH CONTRIBUTIONS: THE ORGANIZATION USES A THIRD PARTY FOR THE SALE OF SECURITIES DONATED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	VISION - TO BE THE LEADING PROVIDER OF PATIENT CENTERED, PHYSICIAN DIRECTED HEALTHCARE IN AN ENVIRONMENT OF COMPASSION AND TRUST, SUPPORTED BY DEDICATED EMPLOYEES WITH A DESIRE TO PROVIDE EXCELLENCE IN CARE AND SERVICE. FREEMAN HEALTH SYSTEM IN JOPLIN, MISSOURI IS A 404 BED, THREE HOSPITAL SYSTEM PROVIDING COMPREHENSIVE HEALTHCARE AND BEHAVIORAL HEALTH SERVICES TO AN AREA THAT INCLUDES MORE THAN 450,000 FROM MISSOURI, ARKANSAS, OKLAHOMA, AND KANSAS.
FORM 990, PART III, LINE 4	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, WOMEN'S 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. FREEMAN FAST FACTS FY 2015 (JOPLIN & NEOSHO COMBINED) - OUTPATIENT REGISTRATIONS: 391,619 - EMERGENCY/TRAUMA/URGENT CARE VISITS: 115,237 - FREEMAN OCCUMED VISITS: 44,333 - ADMISSIONS: 20,864 - SURGICAL PROCEDURES: 11,197 - BIRTHS: 2,357 - BABIES IN NEONATAL INTENSIVE CARE UNIT: 348 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 SIXTH ANNUAL DIABETES EXPO IN NOVEMBER 2014. IT FEATURED PRESENTATIONS BY FREEMAN ENDOCRINOLOGISTS AND DIABETES EDUCATORS, AS WELL AS DIABETES-RELATED PRODUCT DEMONSTRATIONS. TO HELP ENSURE THE COMMUNITY HAS THE PHYSICIANS IT NEEDS, FREEMAN BROUGHT NINE PHYSICIANS INTO THE COMMUNITY DURING FY 2015, 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. FOR 24 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 AREA'S 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 FY 2015, THIS PROGRAM HELPED HUNDREDS OF FAMILIES BY PROVIDING REQUIRED MEDICAL EXAMINATIONS FREE OF CHARGE. ON A RELATED NOTE, FREEMAN CONTINUES OFFERING FREE SATURDAY MORNING SPORTS INJURY CLINICS IN FY 2015. THANKS TO DR. ROBERT LIEURANCE, A BOARD-CERTIFIED FREEMAN ORTHOPAEDICS & SPORTS MEDICINE PHYSICIAN WHO FELLOWSHIP-TRAINED IN SPORTS MEDICINE, STUDENT ATHLETES CAN OBTAIN FREE MEDICAL CARE FOR INJURIES SUSTAINED DURING THE PREVIOUS WEEK'S GAMES AT THESE CLINICS. THE CLINIC INCLUDES THE SERVICES OF DR. LIEURANCE, A PHYSICIAN ASSISTANT, AND FREEMAN ATHLETIC TRAINERS. THIS IS A GREAT COMMUNITY BENEFIT FOR THE FAMILIES OF INJURED ATHLETES. THROUGH THE CHAPLAINS FUND, FREEMAN OFFERS HELP TO PATIENTS UPON DISMISSAL FROM THE HOSPITAL - SOMETIMES PATIENTS CAN'T AFFORD A NEEDED PRESCRIPTION OR DON'T HAVE A WAY TO GET HOME. IN FY 2015, THE CHAPLAINS FUND PROVIDED A COMMUNITY BENEFIT OF $37,812 THROUGH ASSISTANCE FOR PRESCRIPTIONS, TRANSPORTATION, MEALS AND OTHER ISSUES TO 2,044 PEOPLE. IN TERMS OF COMMUNITY SERVICE AS COMMUNITY BENEFIT, FREEMAN EMPLOYEES SPENT 40,309.5 HOURS ENGAGED IN COMMUNITY BENEFIT ACTIVITIES IN FY2015. 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. FREEMAN PROVIDES EMERGENT CARE FOR ALL WHO ENTER ITS DOORS, REGARDLESS OF THE PATIENT'S ABILITY TO PAY OR INSURANCE STATUS. FREEMAN ENDEAVORS TO GIVE PATIENTS MORE OPTIONS FOR PAYING THEIR BILLS, INCLUDING SETTING UP PAYMENT PLANS FOR QUALIFYING PATIENTS, A PROGRAM THAT PROVES ESPECIALLY BENEFICIAL TO PEOPLE WHO HAVE HEALTH INSURANCE, BUT LACK FUNDS TO PAY LARGE DEDUCTIBLES, CO-PAYS, 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 CHILDREN'S 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 $5,457.33 FREEMAN HEALTH SYSTEM CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY CREATING A WIDE RANGE OF CAREER OPPORTUNITIES. PROFESSIONALS IN MANY FIELDS AT FREEMAN EARN ABOVE-AVERAGE WAGES AND SALARIES, AND THE BENEFITS FREEMAN OFFERS HELP ATTRACT AND MAINTAIN AN AFFLUENT MIDDLE CLASS, WHOSE MEMBERS BUY HOMES, SPEND MONEY, AND BOOST THE AREA ECONOMY. IN FY2015, FREEMAN HEALTH SYSTEM PROVIDED PAYROLL AND BENEFITS TOTALING $218,058,329. TO HELP ENSURE A STEADY SUPPLY OF PHYSICIANS, NURSES, AND OTHER CLINICIANS IN THE FUTURE, FREEMAN EDUCATES YOUNG PEOPLE ABOUT HEALTHCARE CAREERS. HIGH SCHOOL STUDENTS PARTICIPATE IN A SUMMER VOLUNTEER PROGRAM, WORKING WITH HEALTHCARE PROFESSIONALS IN REAL-LIFE HOSPITAL SITUATIONS. THE HIGH SCHOOL VOLUNTEER PROGRAM ALSO PROVIDES SCHOLARSHIP MONEY FOR OUTSTANDING PARTICIPANTS. ADDITIONALLY, FREEMAN HEALTH ACADEMY, PROVIDED AT NO COST TO FAMILIES, REACHES OUT TO MIDDLE SCHOOL STUDENTS TO HELP THEM PREPARE FOR HEALTHCARE CAREERS. THE FIRST PROGRAM OF ITS KIND IN THE COMMUNITY, IT GIVES STUDENTS THE OPPORTUNITY TO LEARN ABOUT HEALTHCARE CAREERS FROM FREEMAN PHYSICIANS AND STAFF. IT ENCOURAGES STUDENTS TO GRADUATE FROM HIGH SCHOOL AND HELPS THEM CHOOSE HIGH SCHOOL COURSES, SUCH AS SCIENCE AND MATH, TO PREPARE THEM FOR FURTHER EDUCATION AND HEALTHCARE CAREERS. IN FY 2015, FREEMAN CONTINUED OFFERING HEALTH INSURANCE MARKETPLACE EDUCATION AND ENROLLMENT TO HELP PEOPLE COMPLY WITH AND UNDERSTAND THE AFFORDABLE CARE ACT. WITH A GRANT FROM MISSOURI FOUNDATION FOR HEALTH, FREEMAN WORKED WITH OTHER AREA HEALTHCARE ORGANIZATIONS TO CONDUCT FREE EVENTS THROUGHOUT THE YEAR IN SEVERAL SOUTHWESTERN MISSOURI COMMUNITIES. FREEMAN IS COMMITTED TO IMPROVING THE HEALTH OF ALL PEOPLE LIVING WITHIN THE COMMUNITIES SERVED BY FREEMAN. TO THIS END, FREEMAN DONOR COUNCIL, COMPOSED OF FREEMAN CAREGIVERS WHO VOLUNTEER THEIR TIME TO PROMOTE ORGAN, EYE, AND TISSUE DONATION AWARENESS, HAD PROVIDED EDUCATION TO PATIENTS FOR DECADES. FREEMAN HEALTH SYSTEM HOSTED "AT THE HEART OF THE MATTER," A WOMEN'S HEART HEALTH LUNCHEON AND WELLNESS SEMINAR, ATTEND BY HUNDREDS FROM ACROSS THE AREA. THE PURPOSE OF THE EVENT WAS TO GIVE WOMEN INFORMATION ABOUT HEART DISEASE, ITS CAUSES AND HOW IT CAN BE PREVENTED. FREEMAN ADVANTAGE, A WELLNESS AND LIFESTYLE PROGRAM FOR OLDER ADULTS, OFFERED LOW-COST DRIVER SAFETY CLASSES IN FY2015. THESE AARP SMART DRIVER COURSES OFFERED OLDER DRIVERS THE OPPORTUNITY TO REFRESH THEIR SKILLS, BRUSH UP ON RULES OF THE ROAD, AND MAKE THE PUBLIC STREETS SAFE
FORM 990, PART III, LINE 4A	OUTPATIENT SERVICES: EMERGENCY SERVICES THE 2011 TORNADO THAT TORE THROUGH JOPLIN, MISSOURI, DESTROYED ONE OF THE CITY'S TWO FULL-SERVICE HOSPITALS. THIS LEFT FREEMAN HOSPITAL WEST AS THE ONLY LEVEL II TRAUMA CENTER IN THE AREA. FREEMAN RETAINED THIS STATUS THROUGH FY 2015. 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 VICTIM'S 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 DON'T HAVE A PRIMARY CARE PHYSICIAN, TURN THE FREEMAN EMERGENCY ROOM FOR ROUTINE MEDICAL CARE. WHILE FREEMAN TRIES TO EDUCATE THE COMMUNITY OF 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. PEDIATRIC SPECIALTY CARE FREEMAN HEALTH SYSTEM NOW PARTNERS WITH CHILDREN'S MERCY TO ENHANCE CARE FOR CHILDREN IN THE FOUR-STATE AREA. AS PART OF THIS COLLABORATION, CHILDREN'S MERCY OPENED A PERMANENT LOCATION WITH SEVERAL SPECIALTY CLINICS ON THE FREEMAN CAMPUS. THESE NEW JOPLIN CLINICS, KNOWN AS CHILDREN'S KANSAS CITY, ARE AN EXTENSION OF CHILDREN'S 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 IN FY2015, FREEMAN HEALTH SYSTEM ENTERED INTO A SCHOOL-BASED MEDICINE PARTNERSHIP WITH THE CARL JUNCTION 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. THROUGH A DIRECT TELEHEALTH CONNECTION, A FREEMAN NURSE PRACTITIONER AT CARL JUNCTION FAMILY MEDICINE CONSULTS WITH THE SCHOOL NURSE AND PATIENT VIA VIDEO CONFERENCE. ADDITIONALLY, IF IT'S DETERMINED THAT A STUDENT NEEDS FURTHER EVALUATION, FREEMAN CAN PROVIDE TRANSPORTATION TO THE CLINIC, WITH THE PARENTS' PERMISSION.
FORM 990, PART III, LINE 4B	INPATIENT SERVICES: FREEMAN JOPLIN INPATIENT SERVICES TOTALED 19,844 CASES, OF WHICH, 4,231 OR 21%, WERE MEDICAID CASES. ADDITIONALLY, 1,652 INPATIENT CASES, OR 8% OF THE TOTAL, FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. CRITICAL CARE AFTER THE 2011 TORNADO, FREEMAN FOUND THAT THE COMMUNITY NEEDED A HOSPITAL WITH THE ABILITY TO TREAT LARGE NUMBERS OF CRITICAL CARE PATIENTS. WHILE FREEMAN HAS A 33-BED INTENSIVE CARE UNIT AND A SEVEN-BED CARDIOVASCULAR INTENSIVE CARE UNIT, THE HEALTH SYSTEM DECIDED TO INCREASE ITS CAPACITY TO SERVE PATIENTS NEEDING CRITICAL CARE SERVICES BY DEDICATING THE ENTIRE SIXTH FLOOR TO CRITICAL CARE AS WELL. THE SIXTH FLOOR INCLUDES THE AREA'S FIRST TRANSITIONAL CARE UNIT (TCU), WHICH CARES FOR PATIENTS TOO ILL FOR THE GENERAL MEDICAL FLOOR, BUT WELL ENOUGH THAT THEY NO LONGER REQUIRE THE LEVEL OF SERVICES PROVIDED BY THE INTENSIVE CARE UNIT. ADDITIONALLY, THE SIXTH FLOOR INCLUDES CARDIAC/MEDICAL UNIT 2 (CMU-2) TO SERVE KIDNEY PATIENTS NEEDING DIALYSIS. ALL NURSES IN THIS UNIT HAVE ADVANCED CARDIAC AND DIALYSIS TRAINING. IN FY2015, FREEMAN ADDED A NEW, EXPANDED INPATIENT DIALYSIS UNIT ON THE SIXTH FLOOR TO IMPROVE SERVICES TO CRITICALLY ILL KIDNEY PATIENTS. ADDITIONALLY IN FY2015, FREEMAN HELD THE FIRST-EVER MARCH O' THE KIDNEY FUNDRAISER IN SUPPORT OF KIDNEY PATIENTS ON DIALYSIS. THE ONE-MILE WALK, HELD MARCH 14, 2015, AT NORTHPARK MALL, DREW PARTICIPANTS FROM AROUND THE FOUR STATES TO HELP PATIENTS WHO STRUGGLE WITH MEDICAL, NUTRITIONAL AND TRANSPORTATION EXPENSES. MORE THAN $30,000 WAS RAISED WITH 100 PERCENT OF THE PROCEEDS GOING DIRECTLY TO THOSE IN NEED THROUGH THE NEW FREEMAN DIALYSIS PATIENT FUND. FREEMAN JOPLIN CRITICAL CARE SERVICES TOTALED 4,185 CASES, OF WHICH, 394, OR 9%, WERE MEDICAID CASES. ADDITIONALLY, 7% OF THE CRITICAL CARE CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. FREEMAN PEDIATRIC UNIT THE FREEMAN PEDIATRIC UNIT PROVIDES CARE TO CHILDREN FROM BIRTH TO AGE 18 AND WORKS WITH FAMILIES TO MAKE THEIR CHILDREN'S HOSPITALIZATION LESS TRAUMATIC BY ENCOURAGING PARENTAL INVOLVEMENT. 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 444 CASES, OF WHICH, 265, OR 60%, WERE MEDICAID CASES. ADDITIONALLY, 5% OF THE PEDIATRIC INPATIENT CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. MATERNITY SERVICES DESIGNED TO GIVE NEW MOTHERS AND THEIR FAMILIES THE COMFORTS OF HOME WITHIN THE SECURITY OF A HOSPITAL, FREEMAN MATERNITY CENTER DELIVERED 2,357 BABIES IN FY 2015. THE UNIT INCLUDES BOARD-CERTIFIED OBSTETRICIANS AVAILABLE 24 HOURS A DAY AND THE REGION'S ONLY BOARD-CERTIFIED PERINATOLOGIST CARING FOR PATIENTS WITH HIGH-RISK PREGNANCIES. IN FY2015, FREEMAN HEALTH SYSTEM WAS ONE OF 19 HOSPITALS IN MISSOURI RECOGNIZED BY THE MARCH OF DIMES FOR HAVING ZERO ELECTIVE EARLY INDUCTIONS OR CESAREAN DELIVERIES PERFORMED BEFORE THE 39TH WEEK OF PREGNANCY. THE MARCH OF DIMES SAID THIS GIVES MORE BABIES A HEALTHY START IN LIFE, NOTING THAT BABIES DELIVERED BEFORE FULL TERM ARE AT INCREASED RISK OF SERIOUS HEALTH PROBLEMS AND DEATH IN THEIR FIRST YEAR OF LIFE. RECENT RESEARCH BY THE MARCH OF DIMES, THE NATIONAL INSTITUTES OF HEALTH AND THE U.S. FOOD AND DRUG ADMINISTRATION FOUND THAT THE RISK OF DEATH MORE THAN DOUBLES FOR INFANTS BORN AT 37 WEEKS OF PREGNANCY WHEN COMPARED TO BABIES BORN AT 40 WEEKS FOR ALL RACES AND ETHNICITIES. BABIES BORN JUST A FEW WEEKS EARLY ALSO HAVE HIGHER RATES OF HOSPITALIZATION AND ILLNESS THAN FULL-TERM INFANTS. IN FY 2015, FREEMAN MATERNITY CENTER SERVED 1,077 MEDICAID PATIENTS, OR 46% OF ITS CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 4% OF THE MOTHERS DELIVERING BABIES AT FREEMAN. AS THESE STATISTICS INDICATE, FREEMAN PROVIDES A SAFETY NET FOR EXPECTANT MOTHERS WHO LIVE IN POVERTY AND RECEIVE GOVERNMENT ASSISTANCE AND THOSE WHO SCRAPE BY WITHOUT ASSISTANCE BUT HAVE NO HEALTH INSURANCE. MEDICAID REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING THE LEVEL OF TREATMENT REQUIRED. IN FY 2015, COMPLETE REMODELING OF THE FREEMAN MATERNITY CENTER BEGAN WITH CONSTRUCTION CONTINUING INTO FY 2016. RENOVATIONS INCLUDE ALL-NEW PATIENT ROOMS, HALLWAYS, NURSES STATION AND NURSERY. THE PROJECT ALSO INCLUDES INSTALLING THE LATEST EQUIPMENT AND TECHNOLOGIES, ALONG WITH BRAND NEW CEILINGS, WALL FINISHES, FLOORING, FURNISHINGS AND ART. NURSING STATIONS LOCATED CLOSER TO PATIENTS WILL RESULT IN BETTER SERVICE FOR MOMS AND FEWER STEPS FOR NURSES. SPACIOUS, NEW PATIENT ROOMS WILL MAKE IT POSSIBLE FOR MOTHERS AND BABIES TO ROOM-IN TOGETHER FOR AN ENHANCED BONDING EXPERIENCE. EACH ROOM WILL HAVE A COUCH FOR DAD OR ANOTHER LOVED ONE, A SINK FOR BATHING BABY, SPECIAL LIGHTING FOR BABY ASSESSMENTS, A ROCKING RECLINER, A NEW BATHROOM, A COMMUNICATION BOARD WITH EDUCATIONAL FEATURES AND A FLAT-PANEL TV. THE ENTIRE DEPARTMENT WILL HAVE ENHANCED SAFETY FEATURES, INCLUDING LOCK-DOWN CAPABILITIES WITH CAMERAS IN THE HALLWAYS AND AN INFANT BANDING AND SECURITY SYSTEM. ADDITIONALLY, CONSTRUCTION BEGAN ON IMPROVEMENTS TO THE LABOR AND DELIVERY AREA, WITH AN HVAC UPGRADE IN THE SURGICAL SUITES THAT WILL INCREASE THE NUMBER OF AIR EXCHANGES TO 25 PER HOUR. THIS WILL MINIMIZE THE ENTRANCE OF AIRBORNE BACTERIA INTO THE STERILE FIELD AND IMPROVE THE SAFETY AND QUALITY OF SURGICAL PROCEDURES IN OUR OPERATING SUITES. NICU IN FY 2015, FREEMAN HAD THE REGION'S ONLY NEONATAL INTENSIVE CARE UNIT (NICU) PROVIDING IMMEDIATE CRITICAL CARE FOR PREMATURE AND CRITICALLY ILL INFANTS. THE UNIT INCLUDES SKILLED AND EXPERIENCED PHYSICIANS AND STAFF WHO STAND READY TO PROVIDE THE IMMEDIATE CRITICAL CARE PREMATURE BABIES NEED. FREEMAN NICU PROVIDES SPECIALIZED CARE USING STATE-OF-THE-ART TECHNOLOGY AND DECADES OF EXPERIENCE. SURVIVAL RATES FOR INFANTS LESS THAN THREE POUNDS HAVE INCREASED SIGNIFICANTLY AS A RESULT OF THE OUTSTANDING MEDICAL CARE PROVIDED BY THE FREEMAN NICU TEAM OF DOCTORS, NEONATAL NURSE PRACTITIONERS, SPECIALIZED DEVELOPMENTAL THERAPISTS AND NURSES. IN FY 2015, FREEMAN NICU CELEBRATED ITS 20TH ANNIVERSARY. THANKS TO THE CARE PROVIDED BY FREEMAN NICU, MORE THAN 5,500 BABIES BORN PREMATURELY OR CRITICALLY ILL HAVE RECEIVED A FIGHTING CHANCE TO LIVE. IN HONOR OF THIS ANNIVERSARY, GENEROUS DONORS PRESENTED FREEMAN NICU WITH THE ANGEL EYE CAMERA SYSTEM THAT PERMITS FAMILY MEMBERS WHO ARE AWAY FROM THE HOSPITAL TO CHECK IN ON THEIR NICU BABIES THROUGH A LIVE VIDEO FEED AND AUDIO CONNECTION. IN FY 2015, FREEMAN NICU SERVED 348 PREMATURELY BORN OR CRITICALLY ILL BABIES. OF THESE TINY PATIENTS, 208 RECEIVED MEDICAID, WHICH REPRESENTS 60% OF FREEMAN NICU'S CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 4% OF FREEMAN NICU PATIENTS. NEONATAL INTENSIVE CARE IS EXTREMELY EXPENSIVE TO PROVIDE, AND MEDICAID REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING THE LEVEL OF TREATMENT REQUIRED. SURGICAL CARE CONSTRUCTION ON A NEW OPERATING ROOM BEGAN AT FREEMAN WEST IN FY 2015 AND CONTINUED INTO FY 2016. THE NEW ROOM INCLUDES ROOM FOR ALL OF THE LATEST TECHNOLOGIES, SUCH AS THE O-ARM IMAGING SYSTEM, WHICH IMPROVES PATIENT OUTCOMES BY GIVING SURGEONS A REAL-TIME, PRECISE 3D IMAGES OF THE PATIENT'S ANATOMY. ADDITIONALLY WORK BEGAN ON A COMPLETE RENOVATION OF THE POST-SURGERY RECOVERY AREA WITH MANY IMPROVEMENTS TO IMPROVE PATIENT CARE.
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 WOMAN'S 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 CAN'T AFFORD THEM. IN FY2015, HELPING FRIENDS MAMMOGRAM FUND HELPED 13 WOMEN BY PROVIDING $3,932.50 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 WAS STARTED IN FY2015 SPECIFICALLY TO ADDRESS 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 WHAT'S 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 FY 2015, CONSTRUCTION BEGAN ON THE NEW FREEMAN RADIATION ONCOLOGY CENTER AND CONTINUED INTO FY 2016. THE PROGRAM INCLUDES THE ACQUISITION OF A TOP-OF-THE-LINE VARIAN TRUEBEAM LINEAR ACCELERATOR - THE BEST ON THE MARKET TODAY. THIS TECHNOLOGY HELPS 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.
FORM 990, PART V, LINE 2A	COMMON PAYMASTER ARRANGEMENT & SALARIES: FREEMAN HEALTH SYSTEM FILES ALL W-2'S ON BEHALF OF FREEMAN NEOSHO HOSPITAL (FNH), A RELATED ORGANIZATION. THE AMOUNT OF W-2'S FILED FOR THE YEAR ON PART V, LINE 2A, INCLUDES THE AMOUNT OF W-2'S FILED ON BEHALF OF FNH FOR THOSE THAT WORK PRIMARILY FOR FNH AND THE W-2'S FILED FOR FREEMAN HEALTH SYSTEM EMPLOYEES. SALARY AND BENEFITS EXPENSES ARE ALLOCATED FROM FREEMAN HEALTH SYSTEM TO FNH FOR THOSE EMPLOYEES WHO WORK PRIMARILY FOR FNH.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE DRAFT OF THE FORM 990 IS REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE A FINAL DRAFT IS READY, A POWER POINT PRESENTATION IS MADE TO THE BOARD MEMBERS AT THE BOARD OF DIRECTORS MEETING TO EXPLAIN THE 990 AND ITS USES. THE BOARD REVIEWS THE DOCUMENT FOR KEY INFORMATION INCLUDED. PAPER COPIES ARE MADE AVAILABLE TO THE BOARD MEMBERS AT THEIR REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS EACH YEAR IN APRIL. THE BOARD MEMBERS ARE ASKED TO SIGN A NEW CONFLICT OF INTEREST POLICY AND LIST ANY POSSIBLE CONFLICTS. THIS INFORMATION IS REVIEWED AND MAINTAINED IN THE ADMINISTRATIVE OFFICES. IF A BOARD MEMBER ENCOUNTERS A TRANSACTION THAT WOULD CAUSE A POSSIBLE CONFLICT OF INTEREST, A FORM DETAILING THE TRANSACTION IS COMPLETED AND SUBMITTED TO THE BOARD FOR REVIEW AND APPROVAL. IF A CONFLICT IS FOUND, THE INTERESTED PERSON WILL NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON A TRANSACTION INVOLVING HIS OR HER CONFLICT. THE CONFLICT OF INTEREST POLICY WAS UPDATED IN FISCAL YEAR 2011 TO REQUIRE AN ATTESTATION FORM FROM ALL EMPLOYED PHYSICIANS AND LEVEL FOUR SUPERVISORS/MANAGERS AND UP. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	FREEMAN HEALTH SYSTEM COMPENSATION REVIEW: EXECUTIVE COMPENSATION PHILOSOPHY & STRATEGY I. KEY PRINCIPLES FREEMAN HEALTH SYSTEM ("FHS") DESIRES TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE, FAIR, AND EQUITABLE; COMPLIANT WITH REGULATORY GUIDELINES; AND REPRESENTATIVE OF MARKET BEST PRACTICES. KEY PRINCIPLES THAT GUIDE FHS'S EXECUTIVE COMPENSATION DECISION-MAKING PROCESS INCLUDE: -EXECUTIVE COMPENSATION PROGRAMS WILL SUPPORT FHS'S MISSION, VALUES, STRATEGIC DIRECTION, AND TAX-EXEMPT STATUS. -FHS COMPETES IN A NATIONAL MARKET FOR ITS EXECUTIVES AND THUS WILL CONSIDER PAY PRACTICES THAT ARE REPRESENTATIVE OF THE INDUSTRY. -THE RELATIVE PAY LEVELS OF FHS EXECUTIVES WILL OVER TIME REFLECT BOTH INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. -FHS INTENDS TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRS INTERMEDIATE SANCTIONS REGULATIONS. THUS, EXECUTIVE COMPENSATION PROGRAMS AND DECISIONS WILL BE APPROVED, IN ADVANCE OF ITS IMPLEMENTATION BY THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") OF THE BOARD OF DIRECTORS: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF FHS'S MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FHS. THE COMMITTEE WILL RELY UPON APPROPRIATE, INDEPENDENT COMPARABILITY DATA TO SUPPORT ITS DECISION MAKING PROCESS. THE COMMITTEE WILL ADEQUATELY DOCUMENT ITS DELIBERATIONS, DECISIONS, AND ACTIONS ON A TIMELY BASIS. II. PRIMARY PROGRAM COMPONENTS FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM CONSISTS OF THE FOLLOWING COMPONENTS: -BASE SALARY -ANNUAL AT RISK COMPENSATION -STANDARD ALL EMPLOYEE BENEFITS -SUPPLEMENTAL BENEFITS AND PERQUISITES -SEVERANCE ANNUALLY, THE COMMITTEE WILL DIRECT THE REVIEW OF THE COMPONENTS OF THE EXECUTIVE COMPENSATION PROGRAM AND APPROVE PROGRAM MODIFICATIONS AS APPROPRIATE. THE COMMITTEE MAY ALSO AUTHORIZE UNIQUE PROGRAM COMPONENTS WHICH SUPPORT THE ACHIEVEMENTS OF FHS'S MISSION. III. MARKET COMPARATORS FHS WILL CONSIDER A NATIONAL PEER GROUP OF HEALTHCARE ORGANIZATIONS COMPARABLE TO FHS IN SIZE (I.E., NET REVENUES) AND COMPLEXITY TO DETERMINE THE MARKET VALUES FOR EACH OF ITS EXECUTIVE POSITIONS. THIS PEER GROUP WILL PRIMARILY BE COMPRISED OF NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS (BUT FOR-PROFIT ORGANIZATIONS MAY BE CONSIDERED SELECTIVELY) FOR FUNCTIONALLY COMPARABLE POSITIONS AS REPORTED IN SURVEYS CONDUCTED BY INDEPENDENT FIRMS. -CASH COMPENSATION THE FOLLOWING ORGANIZATIONS/MARKETS ARE THE PRIMARY COMPARATORS FOR COMPENSATION PURPOSES: SYSTEM LEVEL EXECUTIVES: HEALTH SYSTEMS OF COMPARABLE SIZE TO FHS, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. HOSPITAL LEVEL EXECUTIVES: HOSPITALS OF COMPARABLE SIZE TO THE FHS ENTITY, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. OTHER EXECUTIVES: ORGANIZATIONS OF COMPARABLE SIZE IN RELEVANT MARKET SEGMENTS SUCH AS MEDICAL GROUP PRACTICES, HOME HEALTH, AND THE LIKE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKET. -EXECUTIVE BENEFITS FHS WILL DEVELOP AND ADMINISTER EXECUTIVE BENEFIT (I.E., STANDARD BENEFITS, SUPPLEMENTAL EXECUTIVE BENEFITS, AND PERQUISITES) PLANS THAT ARE BASED ON NATIONAL HEALTHCARE INDUSTRY MARKET NORMS. IV. MARKET POSITION TARGETS FHS HAS ESTABLISHED A TARGET MARKET POSITION FOR EACH OF THE COMPONENTS OF ITS EXECUTIVE TOTAL COMPENSATION PROGRAM. -BASE SALARIES: FHS WILL MANAGE ITS EXECUTIVES' BASE SALARIES AROUND THE 50TH PERCENTILE OF BASE SALARIES PAID IN THE MARKET. SALARIES WILL VARY FROM THE 50TH PERCENTILE BASED AN EXECUTIVE'S EXPERIENCE AND PERFORMANCE. FOR EXAMPLE: EXECUTIVES WHO ARE NEW TO THE ORGANIZATION AND/OR HAVE LIMITED OR NO PRIOR EXECUTIVE-LEVEL EXPERIENCE SHOULD HAVE SALARIES THAT ARE 80 TO 90 PERCENT OF THE 50TH PERCENTILE. EXPERIENCED EXECUTIVES (WITH APPROXIMATELY 5 TO 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY MEET FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 90 TO 110 PERCENT OF THE 50TH PERCENTILE. *EXPERIENCED EXECUTIVES (WITH MORE THAN 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY EXCEED FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 110 TO 120 PERCENT OF THE 50TH PERCENTILE. -TOTAL CASH COMPENSATION: THE GOAL OF THIS COMPONENT IS TO PAY UP TO THE 75TH PERCENTILE OF MARKET TOTAL CASH COMPENSATION WHEN EXCEPTIONAL PERFORMANCE IS ACHIEVED. TOTAL CASH COMPENSATION INCLUDES BASE SALARIES AND LUMP-SUM AWARDS FROM FHS'S EXECUTIVE AT RISK COMPENSATION PLAN(S). ACTUAL TOTAL CASH COMPENSATION WILL REFLECT EXECUTIVES' CURRENT SALARIES, INDIVIDUAL PERFORMANCE AND CONTRIBUTIONS, AND THE ORGANIZATION'S PERFORMANCE. -EXECUTIVE BENEFITS: FHS TARGETS EXECUTIVE BENEFITS (STANDARD BENEFITS PLUS SUPPLEMENTAL EXECUTIVE BENEFITS AND PERQUISITES) AT THE 50TH PERCENTILE OF EXECUTIVE BENEFITS PROVIDED IN THE HEALTHCARE MARKET. -SEVERANCE: FHS TARGETS EXECUTIVE SEVERANCE AT THE 50TH PERCENTILE OF CURRENT HEALTHCARE MARKET PRACTICES. OTHER BUSINESS JUDGMENT FACTORS SUCH AS COMPETITIVE MARKET FORCES, EACH EXECUTIVE'S JOB PERFORMANCE, EACH EXECUTIVE'S UNIQUE SKILLS, RESPONSIBILITIES AND EFFORTS, AND/OR EACH EXECUTIVE'S MARKETPLACE STANDING, ARE ALSO CONSIDERED BY THE COMMITTEE DURING ITS DECISION MAKING PROCESS.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED): EXECUTIVE COMPENSATION COMMITTEE CHARTER THIS EXECUTIVE COMPENSATION COMMITTEE CHARTER WAS ADOPTED BY THE BOARD OF DIRECTORS (THE "BOARD") OF FREEMAN HEALTH SYSTEM (HEREAFTER "FHS") ON APRIL 25, 2008. THIS CHARTER APPLIES TO FHS AND ALL OF ITS BUSINESS ENTITIES, INCLUDING FREEMAN NEOSHO HOSPITAL, OZARK CENTER AND THE FREEMAN FOUNDATION (HEREAFTER THE "SYSTEM"). THIS CHARTER IS A COMPONENT OF THE FLEXIBLE FRAMEWORK WITHIN WHICH THE BOARD, ASSISTED BY ITS COMMITTEES, DIRECTS THE AFFAIRS OF FHS. WHILE THE CHARTER SHOULD BE INTERPRETED IN THE CONTEXT OF ALL APPLICABLE LAWS AND REGULATIONS, AS WELL AS IN THE CONTEXT OF FHS'S ARTICLES OF INCORPORATION AND BYLAWS, IT IS NOT INTENDED TO ESTABLISH BY ITS OWN FORCE ANY LEGALLY BINDING OBLIGATIONS. I. PURPOSE THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") IS AUTHORIZED TO ACT ON THE BOARD'S BEHALF IN (I) DETERMINING APPROPRIATE COMPENSATION FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE IRS INTERMEDIATE SANCTIONS REGULATIONS; (II) EVALUATING SYSTEM EXECUTIVES' AND OTHER DISQUALIFIED PERSONS' CASH COMPENSATION PLANS, POLICIES, AND PROGRAMS; (III) REVIEWING BENEFIT PLANS FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS; AND (IV) VERIFYING THAT COMPENSATION INFORMATION IS APPROPRIATELY AND FULLY DISCLOSED. -A DISQUALIFIED PERSON: IS ANY PERSON WHO IS OR WAS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE APPLICABLE TAX-EXEMPT ORGANIZATION. IT IS NOT NECESSARY THAT THE PERSON ACTUALLY EXERCISE SUBSTANTIAL INFLUENCE, ONLY THAT THE PERSON BE IN A POSITION TO DO SO. -FOR PURPOSES OF THIS CHARTER, "EXECUTIVES" ARE DEFINED AS SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS VALIDATED BY THE COMMITTEE. IN DISCHARGING ITS ROLE, THE COMMITTEE IS EMPOWERED TO INVESTIGATE ANY MATTER BROUGHT TO ITS ATTENTION WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE SYSTEM. IT HAS THE AUTHORITY TO RETAIN OUTSIDE ADVISORS (E.G., LEGAL COUNSEL, COMPENSATION CONSULTANTS, OR OTHER EXPERTS) AND WILL RECEIVE ADEQUATE FUNDING FROM THE SYSTEM TO ENGAGE SUCH ADVISORS. IT SHALL HAVE THE SOLE AUTHORITY TO RETAIN, COMPENSATE, TERMINATE, AND OVERSEE ITS ADVISORS, WHO SHALL BE ACCOUNTABLE ULTIMATELY TO THE COMMITTEE. TO SUPPORT THE COMMITTEE, A TIMETABLE AND RESOURCE BOOK WILL BE DEVELOPED CONTAINING THE NECESSARY DATA, INFORMATION, AND DOCUMENTS THE COMMITTEE WILL NEED TO CARRY OUT ITS DUTIES. THE RESOURCE BOOK WILL BE DISTRIBUTED TO THE COMMITTEE IN ADVANCE OF ITS MEETINGS AND FHS WILL MAINTAIN THESE BOOKS AT ITS CORPORATE OFFICE. THE COMMITTEE ALSO WILL RECEIVE TRAINING IN COMPENSATION PLAN DESIGN AND ADMINISTRATION, INCLUDING LEGAL AND REGULATORY ISSUES (AS NEEDED). II. COMMITTEE MEMBERSHIP THE COMMITTEE IS A STANDING COMMITTEE OF THE BOARD. IN ACCORDANCE WITH THE CORPORATE BYLAWS, IT SHALL CONSIST OF AT LEAST THREE, BUT NOT MORE THAN FIVE, MEMBERS OF THE BOARD. EACH COMMITTEE MEMBER HAS BEEN DETERMINED BY THE BOARD TO BE "INDEPENDENT" IN ACCORDANCE WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. AT THE START OF THE YEAR, EACH MEMBER WILL REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY TO ENSURE HE OR SHE HAS NO CONFLICT OF INTEREST AND IS "INDEPENDENT". IF A REAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST IS IDENTIFIED, THE COMMITTEE MEMBER WILL REVIEW THE ISSUE WITH THE COMMITTEE CHAIR AND LEGAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION. IN ADDITION, NO DIRECTOR MAY SERVE ON THE COMMITTEE UNLESS HE OR SHE IS A "NON-EMPLOYEE" MEMBER OF A SYSTEM BOARD. THE FHS BOARD WILL APPOINT A COMMITTEE CHAIR TO CONVENE ALL SESSIONS, SET AGENDAS FOR MEETINGS, AND DETERMINE THE INFORMATION NEEDS OF THE COMMITTEE. BEFORE DEBATING AND VOTING ON ANY COMPENSATION ARRANGEMENT, EACH MEMBER SHALL DETERMINE WHETHER HE OR SHE HAS A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENT. ANY MEMBER WITH A CONFLICT OF INTEREST REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION SHALL RECUSE HIMSELF OR HERSELF FROM THE DISCUSSION AND SHALL NOT VOTE ON THE PENDING COMPENSATION ARRANGEMENT OR TRANSACTION. III. COMMITTEE SUPPORT STAFF THE COMMITTEE SHALL BE ASSISTED IN FULFILLING ITS DUTIES AND RESPONSIBILITIES BY A FHS SUPPORT STAFF COMPRISED OF THE FOLLOWING POSITIONS: -THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) -CHIEF FINANCIAL OFFICER -CONTROLLER -DIRECTOR OF HUMAN RESOURCES FROM TIME TO TIME, THE COMMITTEE MAY REQUEST OTHER SYSTEM POSITIONS TO SERVE AS SUPPORT STAFF MEMBERS. WHEN THE COMMITTEE VOTES ON COMPENSATION MATTERS RELATED TO ANY OF THE SUPPORT STAFF, THE SUPPORT STAFF SHOULD BE EXCUSED FROM THE MEETING. IV. COMMITTEE MEETINGS THE COMMITTEE SHALL MEET ON A REGULARLY SCHEDULED BASIS TWO TIMES PER YEAR OR MORE FREQUENTLY AS CIRCUMSTANCES DICTATE. THE COMMITTEE SHALL MEET AT LEAST (ANNUALLY) WITH FHS'S PRESIDENT AND CEO AND OTHER CORPORATE OFFICERS THE BOARD AND COMMITTEE DEEM APPROPRIATE, TO DISCUSS AND REVIEW THE PERFORMANCE CRITERIA AND COMPENSATION LEVELS OF SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS. MEETINGS OF THE COMMITTEE MAY BE HELD TELEPHONICALLY. A MAJORITY OF THE MEMBERS SHALL CONSTITUTE A QUORUM SUFFICIENT FOR THE TAKING OF ANY ACTION BY THE COMMITTEE. V. COMMITTEE RESPONSIBILITIES THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE WITH THE UNDERSTANDING THAT THE COMMITTEE MAY DIVERGE FROM THIS LIST AS APPROPRIATE GIVEN THE CIRCUMSTANCES. THE COMMITTEE SHALL REPORT ANY DIVERGENCE FROM THIS LIST TO THE FULL BOARD. THE COMMITTEE IS AUTHORIZED TO CARRY OUT THESE AND SUCH OTHER RESPONSIBILITIES ASSIGNED BY THE BOARD FROM TIME TO TIME, AND TAKE ANY ACTIONS REASONABLY RELATED TO THE MANDATE OF THIS CHARTER. -ESTABLISH, REGULARLY REVIEW, AND APPROPRIATELY MODIFY THE FHS EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY WILL BE REVIEWED AND APPROVED BY THE FULL BOARD. -ADMINISTER EXECUTIVE COMPENSATION PROGRAMS IN A MANNER: CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY, THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE IRS INTERMEDIATE SANCTIONS REGULATIONS. -VALIDATE THE GOALS AND OBJECTIVES RELEVANT TO THE COMPENSATION OF THE PRESIDENT AND CEO, SYSTEM EXECUTIVES, AND OTHER DISQUALIFIED PERSONS, INCLUDING ANNUAL PERFORMANCE OBJECTIVES. -EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CEO, AND REVIEW THE EVALUATIONS PREPARED BY THE PRESIDENT/CEO AND OTHER SYSTEM EVALUATION COMMITTEES OF OTHER EXECUTIVES/DISQUALIFIED PERSONS BASED ON APPROVED GOALS AND OBJECTIVES. -ESTABLISH THE COMPENSATION LEVEL FOR THE PRESIDENT/CEO AND REVIEW AND APPROVE COMPENSATION RECOMMENDATIONS PREPARED BY THE PRESIDENT/CEO FOR ALL EXECUTIVES AND DO SAME FOR EXECUTIVES AND DISQUALIFIED PERSONS FROM OTHER SYSTEM ENTITIES. -REVIEW AND APPROVE CHANGES, IN ADVANCE OF THEIR IMPLEMENTATION, INCLUDING: EXECUTIVE BASE SALARIES AND RANGE AT RISK COMPENSATION PLANS EXECUTIVE WELFARE AND RETIREMENT BENEFIT PLANS OTHER EXECUTIVE FRINGE BENEFITS *EMPLOYMENT AGREEMENTS AND/OR SEVERANCE PLANS -MAINTAIN MINUTES OR OTHER RECORDS OF COMMITTEE MEETINGS AND ACTIVITIES, AS REQUIRED BY IRS INTERMEDIATE SANCTIONS REGULATIONS. -ENGAGE INDEPENDENT, OUTSIDE ADVISORS TO PROVIDE OBJECTIVE AND IMPARTIAL COMPENSATION DATA AND EXPRESS AN OPINION ON THE REASONABLENESS OF TOTAL COMPENSATION. -REVIEW PERIODICALLY THE COMPONENTS OF FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM TO DETERMINE WHETHER THEY ARE PROPERLY COORDINATED AND ACHIEVE ITS INTENDED PURPOSE(S), AND APPROVE MODIFICATIONS, INCLUDING NEW PROGRAMS. -REPORT REGULARLY TO THE FULL BOARD AND TO OTHER SYSTEM BOARDS ON COMMITTEE FINDINGS AND APPROVED ACTIONS AND ANY OTHER MATTERS THE COMMITTEE DEEMS APPROPRIATE OR THE BOARD REQUESTS. -CONDUCT AN ANNUAL SELF-EVALUATION OF THE COMMITTEE'S PERFORMANCE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER. -REVIEW AND REASSESS THE ADEQUACY OF THIS CHARTER ANNUALLY, AND AMEND IT AS THE COMMITTEE DEEMS APPROPRIATE. -COMMUNICATE WITH EXTERNAL PARTIES, AS APPROPRIATE, REGARDING COMMITTEE PROCEDURES AND THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES AND OTHER DISQUALIFIED PERSONS. A COMPENSATION REVIEW LAST OCCURRED IN JUNE OF 2014, CONDUCTED BY INTEGRATED HEALTHCARE STRATEGIES.
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 AND RODNEY MCFARLAND ARE EMPLOYEES OF THE ORGANIZATION AND COMPENSATED AS PHYSICIANS. ADDITIONALLY, PAULA BAKER RECEIVES COMPENSATION FOR HER DUTIES AS PRESIDENT/CEO OF BOTH FREEMAN HEALTH SYSTEM AND FREEMAN NEOSHO HOSPITAL.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $(2,715,653) WRITEOFF OF UNCOLLECTIBLE PLEDGES

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FHS HOLDINGS LLC	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)
EIN	205441528	EIN
Primary Activities	LT ACUTE CARE	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Total Income	-$120,073	TotalIncomeAmt
End Of Year Assets	$1,090,437	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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 LEAWOOD	AddressLine1Txt
City	LEAWOOD	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66211	ZIPCd

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$2,049,940	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,906,714	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.52329	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OZARK CENTER
A/J	$117,429	FMV
OZARK CENTER
B	$607,384	FMV
FREEMAN NEOSHO HOSPITAL
D	$380,937	FMV
OZARK CENTER
D	$312,974	FMV
OZARK CENTER
M	$630,500	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	THE ORGANIZATION'S PRIMARY ACTIVITIES INCLUDE LT ACUTE CARE AND OUTPATIENT DIALYSIS.	ExplanationTxt