FURP.ORG / PUBLIC DATA EXPLORER

FREEMAN HEALTH SYSTEM: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
FREEMAN HEALTH SYSTEM (EIN 43-1704371)
Tax period
2013-04-01 to 2014-03-31
Filed
2015-02-10
IRS object ID
201500419349301230
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-02-10T14:46:05-06:00ReturnTs
Tax Period End2014-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431704371EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FREEMAN HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% STEVE GRADDYInCareOfNm
Business Name ControlFREEBusinessNameControlTxt
Phone4173471111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 WEST 32ND STREETAddressLine1
Address Line2SuiteAddressLine2
CityJOPLINCity
StateMOState
ZIP Code64804ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVE GRADDYPersonNm
Person TitleCFOPersonTitleTxt
Phone4173471111PhoneNum
Signature2015-02-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4173471111PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FREEMAN HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerPAULA BAKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 WEST 32ND STREETAddressLine1
CityJOPLINCity
StateMOState
ZIP Code64804ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$487,322,858GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FREEMANHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionFREEMAN 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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee4518TotalEmployeeCnt
Total Volunteers274TotalVolunteersCnt
Total Gross UBI$12,317,157TotalGrossUBIAmt
PY Contributions Grants$2,652,561PYContributionsGrantsAmt
CY Contributions Grants$1,966,438CYContributionsGrantsAmt
PY Program Service Revenue$492,112,724PYProgramServiceRevenueAmt
CY Program Service Revenue$480,466,391CYProgramServiceRevenueAmt
PY Investment Income$3,023,868PYInvestmentIncomeAmt
CY Investment Income$5,309,122CYInvestmentIncomeAmt
PY Other Revenue-$1,203,672PYOtherRevenueAmt
CY Other Revenue-$5,948,661CYOtherRevenueAmt
PY Total Revenue$496,585,481PYTotalRevenueAmt
CY Total Revenue$481,793,290CYTotalRevenueAmt
PY Grants And Similar Paid$1,436,505PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,334,856CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$240,655,511PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$241,636,461CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$513,781CYTotalFundraisingExpenseAmt
PY Other Expenses$251,309,411PYOtherExpensesAmt
CY Other Expenses$235,707,386CYOtherExpensesAmt
PY Total Expenses$493,401,427PYTotalExpensesAmt
CY Total Expenses$478,678,703CYTotalExpensesAmt
PY Revenues Less Expenses$3,184,054PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,114,587CYRevenuesLessExpensesAmt
Total Assets BOY$378,578,769TotalAssetsBOYAmt
Total Assets EOY$390,339,421TotalAssetsEOYAmt
Total Liabilities BOY$204,269,981TotalLiabilitiesBOYAmt
Total Liabilities EOY$203,987,618TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$174,308,788NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$186,351,803NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$221,561,113ExpenseAmt
Grant$1,334,856GrantAmt
Revenue$253,953,651RevenueAmt
DescFREEMAN 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

FieldValueIRS element (for citing)
Expense$182,270,285ExpenseAmt
Revenue$210,635,092RevenueAmt
DescTHROUGH 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

FieldValueIRS element (for citing)
Expense$18,451,384ExpenseAmt
Revenue$15,877,648RevenueAmt
DescFREEMAN HEART & VASCULAR INSTITUTE PROVIDES A COMPREHENSIVE ARRAY OF SERVICES TO PATIENTS FROM SOUTHWESTERN MISSOURI, SOUTHEASTERN KANSAS, NORTHEASTERN OKLAHOMA, AND NORTHWESTERN ARKANSAS. THE INSTITUTE INCLUDES CARDIOLOGIST OFFICES, CARDIOTHORACIC SURGEON OFFICES, CARDIOVASCULAR OPERATING ROOMS, FOUR CATHETERIZATION LABS, A CARDIOVASCULAR INTENSIVE CARE UNIT, A 45-BED INPATIENT HEART UNIT, CARDIAC DIAGNOSTICS (INPATIENT AND OUTPATIENT STRESS AND ECHO TESTING), VASCULAR LAB (DIAGNOSTIC TESTING USED BY CARDIOLOGISTS AND CARDIOVASCULAR SURGEONS), AND A CARDIO-PULMONARY REHABILITATION UNIT - ALL UNDER ONE ROOF FOR PATIENT CONVENIENCE. SEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$422,282,782TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document162IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4518EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEVE GRADDYPersonNm
Phone4173476678PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 WEST 32ND STREETAddressLine1
CityJOPLINCity
StateMOState
ZIP Code64804ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LANCE BESHORE PHD
CHAIR1.00.0Yes (X)Yes (X)$0$0$0
DIAN DOODY MD
VICE CHAIR ENDING 07/131.00.0Yes (X)Yes (X)$0$0$0
LARRY MCINTIRE DO
DIRECTOR60.00.0Yes (X)$525,703$0$8,405
JOHN M COX DO
DIRECTOR60.00.0Yes (X)$1,103,672$0$27,077
RODNEY MCFARLAND MD
DIRECTOR56.04.0Yes (X)$254,396$21,776$22,142
JIM ARMSTRONG
SECRETARY/TREASURER1.00.0Yes (X)Yes (X)$0$0$0
GLENN MITCH MCCUMBER
DIRECTOR1.01.0Yes (X)$0$0$0
SCOTT BROTHERS
VICE CHAIR1.00.0Yes (X)Yes (X)$0$0$0
GLENN BROWN
DIRECTOR1.00.0Yes (X)$0$0$0
MARK WILLIAMS
DIRECTOR1.00.0Yes (X)$0$0$0
JAMES FLEISCHAKER
DIRECTOR1.00.0Yes (X)$0$0$0
PAULA F BAKER
PRESIDENT/CEO54.013.5Yes (X)Yes (X)$803,907$0$673,828
JOE L KIRK
CHIEF OPERATIONS OFFICER60.00.0Yes (X)$533,600$0$74,416
STEVE W GRADDY
CFO50.010.0Yes (X)$432,924$0$92,514
RICHARD D SCHOOLER
CHIEF MEDICAL OFFICER60.00.0$457,771$0$84,504Yes (X)
DEBRA M KOELKEBECK
VP RETAIL/CLIN OPS END 09/1360.00.0$313,595$0$33,641Yes (X)
MICHAEL J LEONE
CONTROLLER60.00.0$244,754$0$46,564Yes (X)
JEFFREY M CARRIER
CHIEF CLINICAL OFFICER60.00.0$223,948$0$61,849Yes (X)
KEVIN P GAUDETTE
VP REVENUE CYCLE60.00.0$264,399$0$51,325Yes (X)
DEBORAH E CHIODO
CHIEF HR OFFICER ENDING 05/1360.00.0$184,047$0$18,738Yes (X)
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT60.00.0$211,788$0$43,895Yes (X)
SUE A ANNESSER
CHIEF INFORMATION OFFICER60.00.0$243,636$0$48,649Yes (X)
COLEEN S CAMERON
CHIEF REGULATORY OFFICER60.00.0$157,647$0$33,445Yes (X)
WILLIAM J NICHOLAS
PHYSICIAN ENDING 09/1360.00.0$1,606,959$0$18,722Yes (X)
THOMAS B COY
PHYSICIAN60.00.0$1,478,546$0$24,576Yes (X)
ROBERT C STAUFFER
PHYSICIAN60.00.0$1,375,047$0$17,290Yes (X)
JOSHUA M BALL
PHYSICIAN60.00.0$1,366,996$0$24,257Yes (X)
CHRISTOPHER R LONGNECKER
PHYSICIAN60.00.0$1,260,430$0$24,344Yes (X)
DAXTON D HOLCOMB
ER/TRAUMA SERV END 06/1320.040.0$147,620$0$18,332Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,191,385TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$21,776TotReportableCompRltdOrgAmt
Total Other Compensation$1,448,513TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K296IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDescCompensationCompensationAmt
CROTHAL SERVICES GROUP
HOUSEKEEPING$4,987,668
SUPERIOR LINEN SERVICE INC
LINEN SERVICE$1,002,479
MORRISON MGMT SPECIALISTS INC
NUTRITION SRVCS$845,886
MEDICUS HEALTHCARE SOLUTIONS
MEDICAL SERVICES$1,486,748
PREMIER ANESTHESIA
HEALTHCARE SRVCS$786,328
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Fundraising$25,896FundraisingAmt
Government Grants$380,312GovernmentGrantsAmt
All Other Contributions$1,560,230AllOtherContributionsAmt
Noncash Contributions$269,930NoncashContributionsAmt
Total Contributions$1,966,438TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES621990$445,135,300$445,135,300
CAFETERIA & VENDING722514$2,190,731$2,190,731
RENT FROM AFFILIATES531390$118,478$118,478
UNRELATED RETAIL PHARMACY446110$6,518,161$6,518,161
UNRELATED LAB SERVICES621500$427,785$427,785

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,075,936TotalRevenueColumnAmt
Related Or Exempt Func Income$20,800,734RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,275,202UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$480,466,391TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,677,668TotalRevenueColumnAmt
Exclusion$2,677,668ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$182,163TotalRevenueColumnAmt
Exclusion$182,163ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,314,430RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$469,949RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,844,481RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,844,481TotalRevenueColumnAmt
Exclusion$1,844,481ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,440,721SecuritiesAmt
Other$1,424,250OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,242,742SecuritiesAmt
Other$1,172,938OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,197,979SecuritiesAmt
Other$251,312OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,449,291TotalRevenueColumnAmt
Exclusion$2,449,291ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$330,262FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$25,896ContriRptFundraisingEventAmt
Fundraising Direct Expenses$244,278FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,984TotalRevenueColumnAmt
Exclusion$85,984ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$624,720GrossSalesOfInventoryAmt
Cost Of Goods Sold$399,661CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$225,059TotalRevenueColumnAmt
Exclusion$225,059ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
GAIN ON EXTINGUISHMENT OF DEBT900099$36,435$36,435
LOSS ON REG. SETTLEMENT900099-$10,000,000-$10,000,000
INVESTMENT IN SUBSIDIARY900099$1,859,380$1,763,371$96,009
FieldValueIRS element (for citing)
Other Revenue Total-$8,104,185OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$481,793,290TotalRevenueColumnAmt
Related Or Exempt Func Income$468,245,243RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$12,317,157UnrelatedBusinessRevenueAmt
Exclusion-$735,548ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,055,197TotalAmt
Program Services$1,055,197ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$279,659TotalAmt
Program Services$279,659ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,242,462TotalAmt
Program Services$1,952,883ProgramServicesAmt
Management And General$5,289,579ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,172,816TotalAmt
Program Services$1,008,320ProgramServicesAmt
Management And General$164,496ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$197,536,923TotalAmt
Program Services$175,377,237ProgramServicesAmt
Management And General$21,819,464ManagementAndGeneralAmt
Fundraising$340,222FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$998,207TotalAmt
Program Services$998,207ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,952,895TotalAmt
Program Services$20,827,955ProgramServicesAmt
Management And General$2,124,940ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,733,158TotalAmt
Program Services$10,591,148ProgramServicesAmt
Management And General$1,142,010ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$263,199TotalAmt
Management And General$263,199ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$243,575TotalAmt
Management And General$243,575ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$330,717TotalAmt
Management And General$330,717ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,679,284TotalAmt
Program Services$22,572,465ProgramServicesAmt
Management And General$13,044,957ManagementAndGeneralAmt
Fundraising$61,862FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$948,309TotalAmt
Program Services$759,847ProgramServicesAmt
Management And General$154,785ManagementAndGeneralAmt
Fundraising$33,677FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,036,213TotalAmt
Program Services$12,637,100ProgramServicesAmt
Management And General$2,335,558ManagementAndGeneralAmt
Fundraising$63,555FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$471,076TotalAmt
Program Services$11,211ProgramServicesAmt
Management And General$459,865ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,383,026TotalAmt
Program Services$6,923,888ProgramServicesAmt
Management And General$1,459,138ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$742,337TotalAmt
Program Services$583,293ProgramServicesAmt
Management And General$154,167ManagementAndGeneralAmt
Fundraising$4,877FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$653,132TotalAmt
Program Services$518,906ProgramServicesAmt
Management And General$127,048ManagementAndGeneralAmt
Fundraising$7,178FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,683,936TotalAmt
Program Services$4,950,796ProgramServicesAmt
Management And General$733,140ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,038,878TotalAmt
Program Services$14,841,126ProgramServicesAmt
Management And General$2,197,752ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,338,487TotalAmt
Program Services$3,731,905ProgramServicesAmt
Management And General$3,606,582ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUGS$83,229,065$83,229,065
BAD DEBT$45,991,001$45,991,001
PROVIDER TAXES & FEES$13,171,403$13,171,403
TAXES, LICENSES, FEES$406,428$269,213$134,805$2,410

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$97,320TotalAmt
Program Services$957ProgramServicesAmt
Management And General$96,363ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$478,678,703TotalAmt
Program Services$422,282,782ProgramServicesAmt
Management And General$55,882,140ManagementAndGeneralAmt
Fundraising$513,781FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,787,393BOYAmt
EOY$3,435,804EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,631,838BOYAmt
EOY$28,900,003EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,424,881BOYAmt
EOY$6,231,618EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$63,353,880BOYAmt
EOY$62,579,519EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$15,691BOYAmt
EOY$1,657EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$824,145BOYAmt
EOY$484,740EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,398,700BOYAmt
EOY$8,472,791EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,729,686BOYAmt
EOY$2,619,346EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$344,661,083LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$204,075,154LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$147,897,584BOYAmt
EOY$140,585,929EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$108,577,957BOYAmt
EOY$126,868,251EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,905,918BOYAmt
EOY$2,495,171EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,524,307BOYAmt
EOY$2,168,141EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,506,789BOYAmt
EOY$5,496,451EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$378,578,769BOYAmt
EOY$390,339,421EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,931,521BOYAmt
EOY$45,248,579EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$136,209,051BOYAmt
EOY$127,944,665EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,948,359BOYAmt
EOY$1,285,798EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,181,050BOYAmt
EOY$29,508,576EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$204,269,981BOYAmt
EOY$203,987,618EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$165,657,269BOYAmt
EOY$177,752,326EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,651,519BOYAmt
EOY$8,599,477EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$174,308,788BOYAmt
EOY$186,351,803EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$378,578,769BOYAmt
EOY$390,339,421EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,114,587ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,928,428NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$24,153OtherActivitiesAmt
Total Lobbying Expenditures$24,153TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1(I)FormAndLineReferenceDesc
ExplanationTHE 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 24,153, ARE ATTRIBUTABLE TO LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,859,359InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$7,056,289OtherCostOrOtherBasisAmt
Book Value$10,915,648BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$166,572,031OtherCostOrOtherBasisAmt
Depreciation$93,212,981DepreciationAmt
Book Value$73,359,050BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,716,279OtherCostOrOtherBasisAmt
Depreciation$1,875,469DepreciationAmt
Book Value$1,840,810BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,492,817OtherCostOrOtherBasisAmt
Depreciation$103,402,517DepreciationAmt
Book Value$49,090,300BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,964,308OtherCostOrOtherBasisAmt
Depreciation$5,584,187DepreciationAmt
Book Value$5,380,121BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$140,585,929TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
EST SELF INSURANCE COST$15,717,493
EST REG SETTLEMENT$12,027,701
DUE TO RELATED PARTY$1,763,382
FieldValueIRS element (for citing)
Total Liability$29,508,576TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$445,578,713TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$8,928,428NetUnrealizedGainsInvstAmt
Other Revenue-$45,068,465OtherRevenueAmt
Revenue Not Reported-$36,140,037RevenueNotReportedAmt
Revenue Subtotal$481,718,750RevenueSubtotalAmt
Other Revenues Not Included$74,540OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$74,540RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$481,793,290TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$433,674,378TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,113,888OtherExpensesIncludedAmt
Expenses Not Reported$1,113,888ExpensesNotReportedAmt
Expenses Subtotal$432,560,490ExpensesSubtotalAmt
Investment Expenses Not Incld2$127,212InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$45,991,001OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$46,118,213ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$478,678,703TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2UNCERTAIN 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 2DOTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (45,991,001) BAD DEBT EXPENSE 1,025,438 NET ASSETS RELEASED FROM RESTRICTION (127,212) INVESTMENT FEES 24,310 CONSOLIDATION OF FHS HOLDINGS ---------------- $ (45,068,465)
SCHEDULE D, PART XI, LINE 4BOTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 1,064,118 TEMPORARILY RESTRICTED CONTRIBUTIONS (469,949) RENTAL EXPENSES (399,661) COST OF GOODS SOLD (244,278) SPECIAL EVENTS EXPENSE 124,310 FHS HOLDINGS REVENUE ---------------- $ 74,540
SCHEDULE D, PART XII, LINE 2DOTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 469,949 RENTAL EXPENSES 399,661 COST OF GOODS SOLD 244,278 SPECIAL EVENTS EXPENSE --------------- $ 1,113,888
SCHEDULE D, PART XII, LINE 4BOTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 45,991,001 BAD DEBT EXPENSE

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1MIRACLE MARKETNameOfEvent1Amt
Gross Receipts Event1$67,244GrossReceiptsEvent1Amt
Gross Revenue Event1$67,244GrossRevenueEvent1Amt
Other Direct Expenses Event1$51,499OtherDirectExpensesEvent1Amt
Name Of Event2GADGET SALENameOfEvent2Amt
Gross Receipts Event2$65,749GrossReceiptsEvent2Amt
Gross Revenue Event2$65,749GrossRevenueEvent2Amt
Other Direct Expenses Event2$56,113OtherDirectExpensesEvent2Amt
Other Events Total11OtherEventsTotalCnt
Gross Receipts Other Events$223,165GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$25,896CharitableContriOtherEventsAmt
Gross Revenue Other Events$197,269GrossRevenueOtherEventsAmt
Cash Prizes Other Events$2,400CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$2,192NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$3,420RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events$128,654OthDirectExpnssOtherEventsAmt
Gross Receipts Total$356,158GrossReceiptsTotalAmt
Charitable Contributions Tot$25,896CharitableContributionsTotAmt
Gross Revenue Total Events$330,262GrossRevenueTotalEventsAmt
Cash Prizes Total Events$2,400CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$2,192NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$3,420RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$236,266OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$244,278DirectExpenseSummaryEventsAmt
Net Income Summary$85,984NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,486,353TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,486,353NetCommunityBenefitExpnsAmt
Total Expense0.02650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,225,887TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,020,696DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,205,191NetCommunityBenefitExpnsAmt
Total Expense0.02360TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,712,240TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,020,696DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,691,544NetCommunityBenefitExpnsAmt
Total Expense0.05010TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$649,619TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$217,561DirectOffsettingRevenueAmt
Net Community Benefit Expns$432,058NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$975,019TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$975,019NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,550,574TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,384,482DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,166,092NetCommunityBenefitExpnsAmt
Total Expense0.03740TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$537,724TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$537,724NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,318,804TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,318,804NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,031,740TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,602,043DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,429,697NetCommunityBenefitExpnsAmt
Total Expense0.04490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$114,743,980TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,622,739DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,121,241NetCommunityBenefitExpnsAmt
Total Expense0.09500TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,052TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,052NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,052TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,052NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$45,991,001BadDebtExpenseAmt
Bad Debt Expense Attributable$2,391,532BadDebtExpenseAttributableAmt
Reimbursed By Medicare$111,905,440ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$101,847,848CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$10,057,592MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
FREEMAN SURGICAL CTR
AMBULATORY SURGERY CENTER0.510000.36000
HEARTLAND KIDNEYDIA
DIALYSIS CENTER0.250000.45000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FREEMAN HEALTH SYSTEMBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 W 32ND STAddressLine1
CityJOPLINCity
StateMOState
ZIP Code64804ZIPCode
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.FREEMANHEALTH.COM/WebsiteAddressTxt
State License418-18StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FREEMAN HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.freemanhealth.com/?id=939&sidOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care250.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION AHOSPITAL 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 3COMMUNITY 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 4HOSPITAL 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 6IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF FREEMAN HEALTH SYSTEM'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: http://www.freemanhealth.com/?id=939&sid=1
SCHEDULE H, PART V, SECTION B, LINE 12IBASIS 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, LINE 20DMAXIMUM 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.
FieldValueIRS element (for citing)
Facility26FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
FREEMAN CANCER INSTITUTE
3415 MCINTOSHJOPLINMO64804MEDICAL SERVICES
FREEMAN MIDWEST ORTHOPAEDIC SURGERY
3105 MCCLELLAND BLVDJOPLINMO64804MEDICAL SERVICES
FREEMAN WOMEN'S CENTER
1532 W 32ND STJOPLINMO64804MEDICAL SERVICES
URGENT CARE - JOPLIN
1130 E 32ND STJOPLINMO64804MEDICAL SERVICES
FREEMAN WOUND CARE & HOME CARE
3315 MCINTOSHJOPLINMO64804MEDICAL SERVICES
OCCUMED - JOPLIN
3201 MCCLELLAND BLVDJOPLINMO64804MEDICAL SERVICES
CH BENTLAGE MEDICAL CENTER
3202 MCINTOSHJOPLINMO64804MEDICAL SERVICES
MEDICAL OFFICE BUILDING
336 S JEFFERSONNEOSHOMO64580MEDICAL SERVICES
FREEMAN CHILDREN'S CLINIC
1030 MCINTOSHJOPLINMO64804MEDICAL SERVICES
REHABILITATION & SPORTS CENTER
2206 E 32ND STREETJOPLINMO64804MEDICAL SERVICES
URGENT CARE - WEBB CITY
1010 S MADISONWEBB CITYMO64870MEDICAL SERVICES
FREEMAN NEUROSPINE
1905 W 32ND STJOPLINMO64804MEDICAL SERVICES
FREEMAN EAR NOSE AND THROAT CENTER
1331 W 32ND STJOPLINMO64804MEDICAL SERVICES
JOPLIN UROLOGYPHYSICIAN OFFICES
3302 MCINTOSHJOPLINMO64804MEDICAL SERVICES
FREEMAN SLEEP CENTERGERIATRIC CARE
931 E 32ND STJOPLINMO64804MEDICAL SERVICES
HIGGINS MEDICAL BUILDING
1020 MCINTOSHJOPLINMO64804MEDICAL SERVICES
FREEMAN PROFESSIONAL CENTER
3333 MCINTOSHJOPLINMO64804MEDICAL SERVICES
FREEMAN CLINIC OF ANDERSON
510 PARK STANDERSONMO64831MEDICAL SERVICES
PHYSICAL REHABILITATION
204 N LINCOLNNEOSHOMO64850MEDICAL SERVICES
DAVID A BALL MEDICAL BUILDING
1111 MCINTOSH CIRCLE DRIVEJOPLINMO64804MEDICAL SERVICES
FREEMAN MEDICAL PLAZA I
702 E 34TH STJOPLINMO64804MEDICAL SERVICES
FREEMAN CLINIC OF CARTHAGE
719 W CENTENNIALCARTHAGEMO64836MEDICAL SERVICES
FREEMAN CLINIC OF BAXTER SPRINGS
322 E 11TH STBAXTER SPRINGSKS66713MEDICAL SERVICES
OCCUMED - CARTHAGE SPECIALTY CLINIC
1500 S CASE STCARTHAGEMO64836MEDICAL SERVICES
FREEMAN LAMAR FAMILY CARE
307 W 11TH STLAMARMO64759MEDICAL SERVICES
SWEETEN MEDICAL CLINIC
1606 OLIVESENECAMO64865MEDICAL SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN FPERCENT 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 $45,991,001.
SCHEDULE H, PART I, LINE 7COSTING 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 7GSUBSIDIZED 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 IICOMMUNITY 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 & 4BAD 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 8COMMUNITY 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 9BCOLLECTION 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 2NEEDS 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 3PATIENT 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 BY 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 4COMMUNITY INFORMATION: FREEMAN'S COMMUNITY AND ITS PRIMARY SERVICE AREA CONSIST OF A POPULATION OVER 160,000 PEOPLE IN TWO MISSOURI COUNTIES; DUE TO THE EXTENSIVE SERVICE OFFERINGS THE ORGANIZATION RECOGNIZES A SECONDARY SERVICE AREA WHICH 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 5PROMOTION 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 Y IN NEOSHO, JOPLIN FAMILY Y, 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, GRADUATE MEDICAL EDUCATION COMMITTEE OF THE OSTEOPATHIC MEDICAL EDUCATION CONSORTIUM OF OKLAHOMA, JOPLIN METRO EMERGENCY TRANSPORTATION SYSTEM, GEORGE A. SPIVA CENTER FOR THE ARTS, JOPLIN REGIONAL ECONOMIC DEVELOPMENT ASSOCIATION, WILDCAT GLADES CONSERVATION & AUDUBON CENTER, UNITED WAY OF SOUTHWEST MISSOURI & SOUTHEAST KANSAS, AND JOPLIN PUBLIC SCHOOLS BOARD OF EDUCATION. 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 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. OZARK CENTER FOR AUTISM, FOR INSTANCE, PROVIDES HOPE FOR CHILDREN WITH AUTISM THROUGH A PRESCHOOL PROGRAM AND RECENTLY EXPANDED 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. 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 51,000 HOURS LAST YEAR, AND MONEY FOR THE BETTERMENT OF THE COMMUNITY.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE FOLLOWING ENTITIES, WHICH ARE AFFILIATED THROUGH COMMON OWNERSHIP OR CONTROL: FREEMAN HEALTH SYSTEM, D/B/A FREEMAN HOSPITAL, IS A 450-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM ITS FACILITIES LOCATED IN JOPLIN, MISSOURI. FREEMAN NEOSHO HOSPITAL IS AN ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM ITS FACILITY IN NEOSHO, MISSOURI. FREEMAN NEOSHO HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). OZARK CENTER, A REGIONAL COMMUNITY MENTAL HEALTH CENTER, PRIMARILY EARNS REVENUE BY PROVIDING A COMPREHENSIVE RANGE OF MENTAL HEALTH CARE AND SUBSTANCE ABUSE SERVICES IN JOPLIN AND SURROUNDING AREAS OF SOUTHWEST MISSOURI. CEDAR HILL HOUSING CORPORATION, MAGNOLIA HEIGHTS HOUSING CORPORATION AND POPLAR PLACE HOUSING, PROVIDE HOUSING FOR LOW-INCOME, CHRONICALLY MENTALLY ILL ADULTS. FINANCING FOR THE HOUSING UNITS IS PROVIDED PRIMARILY FROM THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD). THE BOARD OF DIRECTORS OF CEDAR HILL HOUSING, MAGNOLIA HEIGHTS HOUSING AND POPLAR PLACE HOUSING ARE MADE UP OF MEMBERS OF THE BOARD OF DIRECTORS OF OZARK CENTER OR ARE APPOINTED BY OZARK CENTER DIRECTORS. CEDAR HILL HOUSING, MAGNOLIA HEIGHTS HOUSING AND POPLAR PLACE HOUSING BYLAWS INDICATE THAT THESE ORGANIZATIONS WERE ESTABLISHED SPECIFICALLY FOR THE PURPOSE OF PROVIDING HOUSING THAT IS FINANCED PRIMARILY THROUGH HUD. FHS HOLDINGS, LLC WAS FORMED IN JANUARY 2006 AND SHALL CONTINUE PERPETUALLY. FHS HOLDINGS, LLC IS A DISREGARDED ENTITY OF FREEMAN HEALTH SYSTEM. FHS HOLDINGS, LLC HAS A 13% OWNERSHIP INTEREST IN A LONG-TERM ACUTE CARE HOSPITAL (LTACH) THAT COMMENCED OPERATIONS IN MAY 2007 AND A 25% OWNERSHIP INTEREST IN HEARTLAND KIDNEY AND DIALYSIS CENTER, LLC COMMENCING IN 2013. FREEMAN SURGICAL CENTER, LLC IS A LIMITED LIABILITY COMPANY FORMED IN MAY 2008 FOR THE PURPOSE OF OPERATING AN AMBULATORY SURGERY CENTER. THE SURGICAL CENTER COMMENCED OPERATIONS IN FISCAL YEAR 2011. FREEMAN HEALTH SYSTEM OWNS A 51% INTEREST IN FREEMAN SURGICAL CENTER, LLC AT MARCH 31, 2014 AND 2013. FREEMAN HEALTH SYSTEM IS THE SOLE MEMBER OF FREEMAN NEOSHO HOSPITAL, OZARK CENTER AND FHS HOLDINGS, LLC AND HAS A CONTROLLING INTEREST IN FREEMAN SURGICAL CENTER, LLC. FREEMAN HEALTH SYSTEM AND ITS SUBSIDIARIES ARE COLLECTIVELY REFERRED TO AS THE HEALTH SYSTEM.
STATE FILING OF COMMUNITY BENEFIT REPORTFREEMAN HEALTH SYSTEM IS INCORPORATED IN THE STATE OF MISSOURI AND FILES A COMMUNITY BENEFIT REPORT IN MISSOURI.
OTHER INFORMATIONFREEMAN 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. FOR THE FOURTH TIME SINCE 2007, FREEMAN HEALTH SYSTEM WAS RECOGNIZED FOR ITS EMPLOYEE HEALTH INITIATIVES WITH THE HEALTH AT WORK SILVER AWARD IN OCTOBER 2012. SPONSORED BY COMPSYCH, THIS AWARD HONORS ORGANIZATIONS THAT PROMOTE EMPLOYEE HEALTH AND WELLNESS. FREEMAN EARNED THIS MERIT BASED ON ITS COMPREHENSIVE WELLNESS PROGRAM, PARTICIPATION RATES, AND RESULTS. ADDITIONALLY, FREEMAN 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. 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, OZARK 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 89 THIRD-AND FOURTH-YEAR MEDICAL STUDENTS AND 24 RESIDENT DOCTORS TO ITS CAMPUSES THROUGH THE FREEMAN GRADUATE MEDICAL EDUCATION PROGRAM IN THE 2012-2013 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
OZARK CENTER
3006 MCCLELLANDJOPLINMO64804430821959501(C)(3)$643,529SUPPORT
CROWDER COLLEGE
601 LACLEDE AVENEOSHOMO64850440668521501(C)(3)$62,770SUPPORT
MISSOURI SOUTHERN FOUNDATION
3950 E NEWMAN ROADJOPLINMO64801430907114501(C)(3)$55,000SUPPORT
COMMUNITY HEALTH CLINIC OF JOPLIN
701 SOUTH JOPLIN AVENUEJOPLINMO64801431643962501(C)(3)$29,000SUPPORT
BREAST CANCER FDN OF THE OZARKS
330 N JEFFERSON STE BSPRINGFIELDMO65806431881450501(C)(3)$20,000SUPPORT
JOPLIN MEMORIAL RUN
PO BOX 3102JOPLINMO64801454202274501(C)(3)$15,000SUPPORT
FRIENDS OF ST AVIPS
222 W 3RD STREETJOPLINMO64801431339582501(C)(3)$6,000SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
CMN AID TO FAMILIES1040$196,337
MAMMOGRAMS27$8,858
PRESCRIPTIONS, MEALS, TRANSPORTATION3016$61,584
CANCER PATIENT HELP309$12,880

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE I, PART I, LINE 2MONITORING 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 IIIGRANTS AND OTHER ASSISTANCE TO INDIVIDUALS: IN FISCAL YEAR 2014, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *HELPING FRIENDS MAMMOGRAM PROGRAM - $8,858 WAS SPENT TO HELP OVER 25 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $61,584 WAS SPENT TO HELP OVER 3,000 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *FHS CHILDREN'S MIRACLE NETWORK - $196,337 WAS SPENT HELPING OVER 1,000 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *CANCER PATIENT ASSISTANCE - $12,880 WAS SPENT HELPING OVER 300 CANCER PATIENTS WITH PHARMACY-RELATED EXPENSES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LARRY MCINTIRE DO
DIRECTOR$456,197$0$52,006$0$17,500$0$7,500$0$905$0$534,108$0$0$0
JOHN M COX DO
DIRECTOR$968,579$0$119,619$0$15,474$0$7,500$0$19,577$0$1,130,749$0$0$0
RODNEY MCFARLAND MD
DIRECTOR$200,548$20,475$38,649$0$15,199$1,301$6,909$591$13,487$1,155$274,792$23,522$0$0
PAULA F BAKER
PRESIDENT/CEO$714,943$0$952$0$88,012$0$656,752$0$17,076$0$1,477,735$0$64,126$0
JOE L KIRK
CHIEF OPERATIONS OFFICER$297,678$0$1,900$0$234,022$0$59,594$0$14,822$0$608,016$0$216,522$0
STEVE W GRADDY
CFO$363,475$0$1,852$0$67,596$0$78,892$0$13,622$0$525,438$0$67,576$0
RICHARD D SCHOOLER
CHIEF MEDICAL OFFICER$388,612$0$950$0$68,209$0$72,415$0$12,089$0$542,275$0$63,725$0
DEBRA M KOELKEBECK
VP RETAIL/CLIN OPS END 09/13$197,544$0$750$0$115,301$0$23,802$0$9,839$0$347,236$0$82,064$0
MICHAEL J LEONE
CONTROLLER$212,468$0$1,002$0$31,283$0$26,701$0$19,863$0$291,318$0$21,994$0
JEFFREY M CARRIER
CHIEF CLINICAL OFFICER$196,190$0$352$0$27,405$0$42,273$0$19,576$0$285,797$0$25,123$0
KEVIN P GAUDETTE
VP REVENUE CYCLE$204,524$0$31,702$0$28,173$0$38,275$0$13,050$0$315,724$0$27,913$0
DEBORAH E CHIODO
CHIEF HR OFFICER ENDING 05/13$104,060$0$0$0$79,987$0$13,733$0$5,005$0$202,785$0$64,085$0
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT$187,474$0$552$0$23,762$0$24,033$0$19,862$0$255,683$0$23,502$0
SUE A ANNESSER
CHIEF INFORMATION OFFICER$213,491$0$1,902$0$28,243$0$35,547$0$13,102$0$292,285$0$27,983$0
DAXTON D HOLCOMB
ER/TRAUMA SERV END 06/13$109,322$0$0$0$38,298$0$12,098$0$6,234$0$165,952$0$16,260$0
COLEEN S CAMERON
CHIEF REGULATORY OFFICER$135,447$0$801$0$21,399$0$26,773$0$6,672$0$191,092$0$21,139$0
WILLIAM J NICHOLAS
PHYSICIAN ENDING 09/13$1,366,864$0$223,980$0$16,116$0$7,500$0$11,222$0$1,625,681$0$0$0
THOMAS B COY
PHYSICIAN$1,214,045$0$251,501$0$13,000$0$7,500$0$17,076$0$1,503,122$0$0$0
ROBERT C STAUFFER
PHYSICIAN$1,133,119$0$224,680$0$17,248$0$7,500$0$9,790$0$1,392,337$0$0$0
JOSHUA M BALL
PHYSICIAN$569,823$0$792,422$0$4,752$0$7,500$0$16,757$0$1,391,253$0$0$0
CHRISTOPHER R LONGNECKER
PHYSICIAN$874,425$0$368,505$0$17,500$0$7,500$0$16,844$0$1,284,774$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4ACHANGE OF CONTROL PAYMENT: THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE OR CHANGE OF CONTROL PAYMENT DURING THE YEAR: $ 17,432 DEBRA KOELKEBECK $ 15,882 DEBORAH CHIODO $ 14,749 DAXTON HOLCOMB
SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH FREEMAN HEALTH SYSTEM OR FREEMAN NEOSHO DURING THE YEAR: $ 71,392 STEVE GRADDY $ 52,094 JOE KIRK $ 64,915 RICHARD SCHOOLER $ 274,252 PAULA BAKER $ 16,302 DEBRA KOELKEBECK $ 34,773 JEFFREY CARRIER $ 28,047 SUE ANNESSER $ 21,506 COLEEN CAMERON $ 19,201 MICHAEL LEONE $ 6,525 DEBORAH CHIODO $ 31,224 KEVIN GAUDETTE $ 24,033 WESLEY BRAMAN $ 5,328 DAXTON HOLCOMB THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: $ 67,576 STEVE GRADDY $ 216,522 JOE KIRK $ 63,725 RICHARD SCHOOLER $ 64,126 PAULA BAKER $ 82,064 DEBRA KOELKEBECK $ 25,123 JEFFREY CARRIER $ 27,983 SUE ANNESSER $ 21,139 COLEEN CAMERON $ 21,994 MICHAEL LEONE $ 64,085 DEBORAH CHIODO $ 27,913 KEVIN GAUDETTE $ 23,502 WESLEY BRAMAN $ 16,260 DAXTON HOLCOMB IN ADDITION, PAULA BAKER, CEO, IS ELIGIBLE TO RECEIVE RETIREMENT COMPENSATION, UPON RETIREMENT AND SUBJECT TO SATISFYING THE REQUIREMENTS OF A COVENANT NOT TO COMPETE. THIS COVENANT STATES THAT THE CEO AGREES THAT DURING THE TERM OF EMPLOYMENT AND FOR A PERIOD OF THREE YEARS AFTER THE TERMINATION OF EMPLOYMENT FOR ANY REASON, CEO SHALL NOT ENGAGE IN ANY EMPLOYMENT OR BUSINESS THAT PROVIDES HEALTH CARE SERVICES, WHICH COMPETES WITH FREEMAN. THIS RETIREMENT COMPENSATION IS ACCRUED AT THE MONTHLY AMOUNT OF $31,250 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION IN THE TOTAL AMOUNT OF $375,000.
SCHEDULE J, PART I, LINE 6AMANAGEMENT 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 FCOMPENSATION 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
A521299414480639AN32004-11-30$49,064,229CONSTRUCT & EQUIP WEST CAMPUS HOSPfalsefalsefalse
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
B5212994142009-07-23$18,950,000REFUND 2008 BOND AND 2008 TAXABLEYes (true)falsefalse
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
C5212994142010-12-20$10,393,515EQUIPMENTfalsefalsefalse
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
D521299414480639AY92011-12-13$25,031,815CONSTRUCT & EQUIP WEST CAMPUS HOSPfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$6,970,000$0$52,108,917$3,341,338$2,010,207$0$733,072$0$0$46,024,301$31,842$02008falsefalseYes (true)Yes (true)
B$2,840,012$0$18,950,000$0$0$0$0$0$0$0$18,950,000$02008Yes (true)falseYes (true)Yes (true)
C$7,253,768$0$10,394,224$0$0$0$42,200$0$0$10,352,024$0$02013falsefalseYes (true)Yes (true)
D$1,845,000$0$25,031,815$2,055,008$0$0$403,785$0$0$18,315,635$0$4,247,570falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000000.002200.00220falsefalsefalseYes (true)
BfalseYes (true)falsefalse0falsefalsefalseYes (true)
CfalseYes (true)falsefalse0falsefalsefalseYes (true)
DfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Term Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalseYes (true)BANK OF AMERICA10.1Yes (true)Yes (true)Yes (true)
0
BfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
CfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
DfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, LINE B, COLUMN FTHE 2008A BONDS WERE ORIGINALLY ISSUED ON 2/28/2008 AND THE 2008 TAXABLE LOAN WAS ORIGINALLY ISSUED ON 9/2/2008.
SCHEDULE K, PART I, LINE BTHE HOSPITAL ISSUED A 2014 BOND ON 6/18/2014 TO REFUND THE 2009 BONDS ON THE ISSUE DATE, WHICH OCCURRED AFTER THE FISCAL YEAR END.
SCHEDULE K, PART II, LINE 3, COLUMN AAMOUNT DOES NOT EQUAL ISSUE PRICE OF THE BONDS DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.
SCHEDULE K, PART II, LINE 5, COLUMN ATHE TOTAL AMOUNT OF INTEREST FUNDED DURING THE PROJECT PERIOD WAS $2,039,657, OF WHICH $2,010,207 IS CAPITALIZED INTEREST AND $29,450 IS ADDITIONAL INVESTMENT EARNINGS EARNED IN THE DEBT SERVICE RESERVE FUND DURING THE PROJECT PERIOD AFTER THE PROJECT WAS PLACED-IN-SERVICE.
SCHEDULE K, PART II, LINE 11, COLUMN BALL BOND PROCEEDS WERE USED ON THE ISSUE DATE TO CURRENTLY REFUND THE 2008A BOND AND THE 2008 TAXABLE BANK LOAN.
SCHEDULE K, PART II, LINE 3, COLUMN CAMOUNT DOES NOT EQUAL ISSUE PRICE OF THE BONDS DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.
SCHEDULE K, PART II, LINE 12, COLUMN DTHIS IS THE AMOUNT OF BOND PROCEEDS REMAINING IN THE PROJECT FUND AS OF THE FISCAL YEAR END.
SCHEDULE K, PART II, LINES 13 & 16, COLUMN DPROJECT IS NOT SUBSTANTIALLY COMPLETE AND AS A RESULT THE FINAL ALLOCATION HAS NOT YET BEEN COMPLETED.
SCHEDULE K, PART III, LINE 5, COLUMN AAMOUNT REPRESENTS THE MAXIMUM AMOUNT OF NONQUALIFIED USE THAT MAY RESULT FROM UNRELATED TRADE OR BUSINESS ACTIVITY.
SCHEDULE K, PART III, LINE 8A, COLUMNS A,B,C AND DTHE 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 AREBATE COMPUTATION PERFORMED AS OF 11/1/2009 AND 11/1/2014.
SCHEDULE K, PART IV, LINE 6, COLUMN ATHE PROJECT FUND WAS INVESTED BEYOND THE 3-YEAR TEMPORARY PERIOD BUT ALL BOND PROCEEDS IN THE PROJECT FUND HAVE BEEN SPENT AND NO YIELD REDUCTION LIABILITY WAS GENERATED.
SCHEDULE K, PART IV, LINE 2C, COLUMN CTHE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 10/1/2013.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HEALTH AND EDUCATION FACILITIES AUTHORITY OF MOBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN431178966BondIssuerEIN
CUSIP60637ADK5CUSIPNum
Bond Issued2012-12-20BondIssuedDt
Issue Price$40,129,591IssuePriceAmt
PurposeREFUND 1994 BOND AND 1998 BONDPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$4,165,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$40,129,591TotalProceedsAmt
In Reserve Fund$3,557,201InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$530,282IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$36,042,809OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion1999SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Private Bus Use By Others0PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN FThe 1994-A Bonds were originally issued on 3/15/1994 and the 1998-A Bonds were originally issued on 2/12/1998.
SCHEDULE K, PART II, LINE 7, COLUMN AAmount reported has changed form last year due to clerical error.
SCHEDULE K, PART II, LINE 11, COLUMN APROCEEDS OF $36,010,967 WERE USED TO REFUND THE 1994-A BONDS AND 1998-A BONDS ON DECEMBER 27, 2012. PROCEEDS REMAINING IN THE COSTS OF ISSUANCE ACCOUNT OF $31,842 WERE USED TO PAY INTEREST ON THE BONDS ON 8/15/2013.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonTHOMAS COYPersonNm
Relationship With OrgEMPLOYEERelationshipWithOrgTxt
Loan PurposePHYS EQUIPLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$154,655OriginalPrincipalAmt
Balance Due$1,657BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$1,657TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ADAM GRADDY
SON OF STEVE GRADDY, CFO$48,228EMPLOYEE COMPENSATIONfalse
KENT MCINTIRE
SON OF LARRY MCINTIRE$775,400EMPLOYEE COMPENSATIONfalse
PAMELA HUNT
DAUGHTER OF RICK SCHOOLER$38,176EMPLOYEE COMPENSATIONfalse
PAM JONES
SISTER OF RICK SCHOOLER$25,190EMPLOYEE COMPENSATIONfalse
DEBORAH CANSLER
IN-LAW OF D KOELKEBECK$35,137EMPLOYEE COMPENSATIONfalse
BRYAN GRADDY
SON OF STEVE GRADDY, CFO$18,868EMPLOYEE COMPENSATIONfalse
LARRY ANNESSER
HUSBAND OF SUE ANNESSER$34,159EMPLOYEE COMPENSATIONfalse
HEATHER GRADDY
IN-LAW OF STEVE GRADDY$33,162EMPLOYEE COMPENSATIONfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$269,930NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1VISION - 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 4FREEMAN 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 2014 (JOPLIN & NEOSHO COMBINED) - OUTPATIENT REGISTRATIONS: 384,436 - EMERGENCY/TRAUMA/URGENT CARE VISITS: 108,365 - FREEMAN OCCUMED VISITS: 46,201 - ADMISSIONS: 20,897 - SURGICAL PROCEDURES: 11,197 - BIRTHS: 2,455 - BABIES IN NEONATAL INTENSIVE CARE UNIT: 334 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 FIFTH ANNUAL DIABETES EXPO IN NOVEMBER 2013. IT FEATURED FREEMAN ENDOCRINOLOGIST DR. ALLISON GALLOWAY, WHO DISCUSSED NEW DIABETES MEDICATIONS FOR TREATING TYPE 2 DIABETES, AS WELL AS DIABETES-RELATED PRODUCT DEMONSTRATIONS AND SAMPLES. ANOTHER COMMUNITY BENEFIT RELATED TO DIABETES AND OBESITY, FREEMAN HOSTED AN AMERICAN DIABETES ASSOCIATION ALERT DAY EVENT IN MARCH 2014. DURING THIS FREE EVENT, FREEMAN DIABETES EDUCATORS ADMINISTERED A FREE DIABETES RISK ASSESSMENT TO ANY MEMBER OF THE PUBLIC WHO WANTED ONE. PARTICIPANTS RECEIVED PREVENTATIVE TIPS AND EDUCATION. ADDITIONALLY, THE EVENT RAISED AWARENESS ABOUT DIABETES AND ITS IMPACT ON HEALTH. TO HELP ENSURE THE COMMUNITY HAS THE PHYSICIANS IT NEEDS, FREEMAN BROUGHT 27 NEW PHYSICIANS INTO THE COMMUNITY DURING 2013 AND 12 IN 2014, 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 23 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 2014, THIS PROGRAM HELPED HUNDREDS OF FAMILIES BY PROVIDING REQUIRED MEDICAL EXAMINATIONS FREE OF CHARGE. ON A RELATED NOTE, FREEMAN BEGAN OFFERING FREE SATURDAY MORNING SPORTS INJURY CLINICS IN FY 2014. 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 2014, THE CHAPLAINS FUND PROVIDED A COMMUNITY BENEFIT OF $61,584 THROUGH ASSISTANCE FOR PRESCRIPTIONS, TRANSPORTATION, MEALS, AND OTHER ISSUES TO 3,016 PEOPLE. IN TERMS OF COMMUNITY SERVICE AS COMMUNITY BENEFIT, FREEMAN EMPLOYEES SPENT 37,581 HOURS ENGAGED IN COMMUNITY BENEFIT ACTIVITIES IN FY 2014. 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 $7,175.49. 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 FY 2014, FREEMAN HEALTH SYSTEM PROVIDED PAYROLL AND BENEFITS TOTALING $215,172,746. 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 2014, FREEMAN OBTAINED A "GROW YOUR OWN" GRANT FROM MISSOURI HOSPITAL ASSOCIATION. THIS GRANT WAS USED TO EXPAND FREEMAN HEALTH ACADEMY OFFERINGS TO YOUNGER STUDENTS. IN FY 2014, FREEMAN BEGAN 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 THEI
FORM 990, PART III, LINE 4AOUTPATIENT SERVICES: CANCER CARE 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. FREEMAN CANCER INSTITUTE EMPLOYS A SOCIAL WORKER TO HELP PATIENTS DEAL WITH THE ISSUES SURROUNDING TkREATMENT AND RECOVERY. FREEMAN STAFF WORK WITH DRUG COMPANIES AND OTHER ORGANIZATIONS TO PROCURE FREE CANCER MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM. TO HELP CATCH BREAST CANCER WHILE IT IS TREATABLE, THE FREEMAN HELPING FRIENDS MAMMOGRAM FUND, ADMINISTERED THROUGH FREEMAN FOUNDATION, PROVIDES MAMMOGRAMS FOR WOMEN WHO CAN'T AFFORD THEM. IN FY 2014, HELPING FRIENDS MAMMOGRAM FUND HELPED 27 WOMEN BY PROVIDING $8,858 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. A SPECIAL SUPPORT GROUP FOR PATIENTS WITH GYNECOLOGICAL CANCER WAS STARTED IN FY 2014. IT MEETS QUARTERLY TO HELP PATIENTS WITH CANCER OF THE REPRODUCTIVE ORGANS AND CANCER SURVIVORS, AS WELL. THE SUPPORT GROUP PROVIDES 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. 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 2014. 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.
FORM 990, PART III, LINE 4BINPATIENT SERVICES: FREEMAN JOPLIN INPATIENT SERVICES TOTALED 19,942 CASES, OF WHICH, 4,559 OR 23%, WERE MEDICAID CASES. ADDITIONALLY, 1,734 INPATIENT CASES, OR 9% 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. FREEMAN JOPLIN CRITICAL CARE SERVICES TOTALED 4,414 CASES, OF WHICH, 469, OR 11%, WERE MEDICAID CASES. ADDITIONALLY, 8% 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 427 CASES, OF WHICH, 243, OR 57%, WERE MEDICAID CASES. ADDITIONALLY, 3% OF THE PEDIATRIC INPATIENT CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. MATERNITY SERVICES DESIGNED TO GIVE NEW MOTHERS AND THEIR FAMILIES THE COMFORTS OF HOME WITHIN THE SECURITY OF A HOSPITAL, FREEMAN MATERNITY CENTER DELIVERED 2,455 BABIES IN FY 2014. 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 FY 2014, FREEMAN MATERNITY CENTER SERVED 1,134 MEDICAID PATIENTS, OR 52% 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. NICU FREEMAN HAS 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 2014, FREEMAN NICU SERVED 334 PREMATURELY BORN OR CRITICALLY ILL BABIES. OF THESE TINY PATIENTS, 233 RECEIVED MEDICAID, WHICH REPRESENTS 70% OF FREEMAN NICU'S CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 2% OF FREEMAN NICU PATIENTS. NEONATAL INTENSIVE CARE IS EXTREMELY EXPENSIVE TO PROVIDE, AND MEDICAID REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING THE LEVEL OF TREATMENT REQUIRED.
FORM 990, PART III, LINE 4CHEART/CARDIOVASCULAR SERVICES: FREEMAN HAS BEEN RECOGNIZED BY ANTHEM BLUE CROSS AND BLUE SHIELD OF MISSOURI AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE, A DISTINCTION THAT HONORS HEALTHCARE PROVIDERS FOR DEMONSTRATING EXPERTISE IN DELIVERING SPECIALTY CARE SAFELY AND EFFECTIVELY. ADDITIONALLY, FREEMAN HAS EARNED 90 2014 AWARDS FROM THE CARECHEX QUALITY RATING SYSTEM, INCLUDING: TOP 10% IN THE NATION PATIENT SAFETY AWARD FOR CARDIAC CARE, TOP 100 HOSPITALS IN THE NATION PATIENT SAFETY AWARD FOR INTERVENTIONAL CORONARY CARE, AND TOP 10% IN THE NATION PATIENT SAFETY AWARD FOR STROKE CARE. FREEMAN HEART & VASCULAR INSTITUTE INCLUDES A TEAM OF BOARD-CERTIFIED PHYSICIANS WHO PROVIDE BOTH INPATIENT AND OUTPATIENT CARE. THE TEAM INCLUDES SIX CARDIOLOGISTS AND TWO CARDIOTHORACIC SURGEONS. THE CARDIOLOGISTS AT FREEMAN HEART & VASCULAR INSTITUTE USE A VARIETY OF NONINVASIVE TESTS TO DIAGNOSE HEART DISEASE AND CONDITIONS SUCH AS ANGINA (CHEST PAIN). THESE TESTS INCLUDE STATE-OF-THE-ART ECHOCARDIOGRAPHY, CONTRAST ECHO, AND REGULAR TREADMILL, STRESS ECHO, DOBUTAMINE STRESS ECHO, AND NUCLEAR MEDICINE STRESS TESTS. ADDITIONALLY, FREEMAN OFFERS COMPUTED TOMOGRAPHY (CT) AND POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET) IMAGING. FREEMAN BOARD-CERTIFIED CARDIOTHORACIC SURGEONS TREAT PATIENTS FOR A WIDE RANGE OF CONDITIONS AFFECTING THE HEART, AS WELL AS THE RESPIRATORY AND CIRCULATORY SYSTEMS. THEY COMBINE USE INNOVATIVE TECHNOLOGY TO PROVIDE THE LATEST IN VASCULAR AND ENDOVASCULAR SURGICAL OPTIONS. MANY OF THE PROCEDURES PERFORMED BY FREEMAN CARDIOTHORACIC SURGEONS USE MINIMALLY INVASIVE APPROACHES THROUGH SMALL INCISIONS AND WITH VIDEO ASSISTANCE DEVICES. MINIMALLY-INVASIVE BEATING-HEART SURGERY RESULTS IN LESS PAIN AND TRAUMA, REDUCED RECOVERY TIME, AND REDUCED RISK OF INFECTION. PATIENTS EXPERIENCE BETTER OUTCOMES, SPEND LESS TIME AWAY FROM HOME, AND RETURN TO WORK SOONER. HISTORY IN ACCORDANCE WITH FREEMAN'S MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH CONTEMPORARY, INNOVATIVE QUALITY HEALTHCARE SOLUTIONS, FREEMAN HEART & VASCULAR INSTITUTE WAS ESTABLISHED IN 1999 TO PROVIDE ESSENTIAL HEART SERVICES TO THE PEOPLE OF JOPLIN AND SURROUNDING COMMUNITIES. BEFORE THE INSTITUTE OPENED, MANY PATIENTS HAD TO DRIVE TO DISTANT CITIES FOR HEART CARE, TREATMENT, AND REHABILITATION. RESTORING BLOOD FLOW TO THE HEART FREEMAN HEART & VASCULAR INSTITUTE HAS AN OUTSTANDING RECORD WITH DOOR-TO-BALLOON TIME, OR THE TIME IT TAKES TO RESTORE BLOOD FLOW TO THE HEART AFTER A HEART ATTACK. FREEMAN CONTINUALLY BEATS NATIONAL STANDARDS BY MORE THAN 40 PERCENT. THE NATIONAL STANDARD FOR RESTORING BLOOD FLOW TO THE HEART IS 90 MINUTES - FREEMAN AVERAGES 44 MINUTES. TO ACHIEVE THIS RECORD, FREEMAN PROVIDES EDUCATION TO EMERGENCY MEDICAL TECHNICIANS WHO TRANSPORT PATIENTS TO THE HOSPITAL, HELPING THEM SHAVE MINUTES OFF THE TIME IT TAKES TO RESTORE BLOOD FLOW BY TRANSMITTING HEART DATA FROM THE AMBULANCE TO THE HOSPITAL AND SHOWING EMTS HOW THEIR EFFORTS HAVE HELPED SAVE PATIENTS. HELPING PATIENTS WITH CHRONIC HEART DISEASES THE FREEMAN HEARTWISE PROGRAM HELPS PEOPLE WITH CHRONIC CARDIAC CONDITIONS LIVE HEALTHY, HAPPY LIVES. WHILE THE HEART OF A PATIENT WITH CHRONIC HEART DISEASE NO LONGER WORKS AS WELL AS IT SHOULD, MANY PEOPLE LIVE WITH CHRONIC HEART CONDITIONS WITHOUT EVER SUFFERING A HEART ATTACK. THE HEARTWISE TEAM OF HEART CARE PROFESSIONALS HELPS PATIENTS BY PRESCRIBING MEDICATIONS AND DEVICES, AS NEEDED, AND HELPING PATIENTS ADOPT LIFESTYLE CHANGES. IMPROVING THE LEVEL OF SPECIALTY CARE PROVIDED TO PATIENTS, HEARTWISE ALSO HELPS REDUCE HOSPITAL READMISSION RATES, WHICH HELPS LOWER THE COST OF HEALTHCARE. CLINICAL TRIALS FREEMAN ALSO OFFERS CARDIAC 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.
FORM 990, PART V, LINE 2ACOMMON 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 11BREVIEW 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 12CCONFLICT 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 & 15BFREEMAN 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 & 15BFREEMAN 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 2013.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VIIBOARD 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FHS HOLDINGS LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 W 32ND STAddressLine1
CityJOPLINCity
StateMOState
ZIP Code64804ZIPCode
FieldValueIRS element (for citing)
EIN205441528EIN
Primary ActivitiesLT ACUTE CAREPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Total Income$124,310TotalIncomeAmt
End Of Year Assets$1,210,510EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FREEMAN HLTHBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
FREEMAN NEOSHO HOSPITAL
113 W HICKORYNEOSHOMO64850431240629HOSPITALMO501(C)(3)3FREEMAN HLTHYes (true)
OZARK CENTER
3006 MCCLELLAND BLVDJOPLINMO64804430821959BEHAVRL HLTHMO501(C)(3)9FREEMAN HLTHYes (true)
MAGNOLIA HEIGHTS HOUSING CORPORATION
3006 MCCLELLAND BLVDJOPLINMO64804470950622HUD HOUSINGMO501(C)(3)11 A IOZARK CENTERYes (true)
CEDAR HILL HOUSING CORPORATION
3006 MCCLELLAND BLVDJOPLINMO64804470943557HUD HOUSINGMO501(C)(3)11 A IOZARK CENTERYes (true)
POPLAR PLACE HOUSING CORPORATION
3006 MCCLELLAND BLVDJOPLINMO64804900462595HUD HOUSINGMO501(C)(3)11 A IOZARK CENTERYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FREEMAN SURGICAL CEBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line111221 ROE AVE STE 320 LEAWOODAddressLine1
CityLEAWOODCity
StateKSState
ZIP Code66211ZIPCode
FieldValueIRS element (for citing)
EIN262652980EIN
Primary ActivitiesAMBULATORY SURGPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FREEMAN HLTHBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$1,596,014ShareOfTotalIncomeAmt
Share Of EOY Assets$2,068,984ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.51000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
OZARK CENTER
A/J$118,478FMV
OZARK CENTER
B$643,529FMV
FREEMAN NEOSHO HOSPITAL
D$311,936FMV
OZARK CENTER
D$354,660FMV
OZARK CENTER
M$583,059FMV
OZARK CENTER
Q$450,612FMV