FREEMAN HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: FREEMAN HEALTH SYSTEM (EIN 43-1704371)
Tax period: 2011-04-01 to 2012-03-31
Filed: 2013-02-14
IRS object ID: 201340459349302109
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-14T14:25:39-06:00	Timestamp
Tax Period End Date	2012-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	431704371	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FREEMAN HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% STEVE GRADDY	InCareOfName
Name Control	FREE	NameControl
Phone	4173471111	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1102 WEST 32ND STREET	AddressLine1
City	JOPLIN	City
State	MO	State
ZIP Code	64804	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	STEVE GRADDY	Name
Title	CFO	Title
Date Signed	2013-02-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Brian D Todd	Name
Phone	4178658701	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PAULA BAKER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1102 WEST 32ND STREET	AddressLine1
City	JOPLIN	City
State	MO	State
ZIP Code	64804	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	481134150	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FREEMANHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1999	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	FREEMAN HEALTH SYSTEM PROVIDES WORLD-CLASS, COMPASSIONATE HEALTHCARE SERVICES WHERE IT MATTERS MOST, CLOSE TO HOME. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	4337	TotalNbrEmployees
Total Nbr Volunteers	275	TotalNbrVolunteers
Total Gross UBI	12808229	TotalGrossUBI
Contributions Grants Prior Year	812547	ContributionsGrantsPriorYear
Contributions Grants Current Year	4728637	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	396193811	ProgramServiceRevenuePriorYear
Program Service Revenue CY	451573905	ProgramServiceRevenueCY
Investment Income Prior Year	9948528	InvestmentIncomePriorYear
Investment Income Current Year	3632877	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2040224	OtherRevenuePriorYear
Other Revenue Current Year	12601762	OtherRevenueCurrentYear
Total Revenue Prior Year	408995110	TotalRevenuePriorYear
Total Revenue Current Year	472537181	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	781403	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1466292	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	206730711	SalariesEtcPriorYear
Salaries Etc Current Year	227148941	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	616330	TotalFundrsngExpCurrentYear
Other Expense Prior Year	199020442	OtherExpensePriorYear
Other Expenses Current Year	223699260	OtherExpensesCurrentYear
Total Expenses Prior Year	406532556	TotalExpensesPriorYear
Total Expenses Current Year	452314493	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2462554	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	20222688	RevenuesLessExpensesCY
Total Assets BOY	343516979	TotalAssetsBOY
Total Assets EOY	383470034	TotalAssetsEOY
Total Liabilities BOY	199332578	TotalLiabilitiesBOY
Total Liabilities EOY	218305842	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	144184401	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	165164192	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF FREEMAN HEALTH SERVICES IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	253701207	Expense
Grants	1646263	Grants
Revenue	201007575	Revenue
Description	FREEMAN OFFERS OUTPATIENT SERVICES INCLUDING CANCER CARE, EMERGENCY MEDICINE, WOMEN'S SERVICES, DIALYSIS, HYPERBARIC OXYGEN THERAPY AND WOUND CARE, NEUROLOGY, ORTHOPEDICS, 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 DETAILS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	154045683	Expense
Revenue	213359584	Revenue
Description	THROUGH TWO JOPLIN HOSPITALS, FREEMAN PROVIDES A WIDE ARRAY OF INPATIENT SERVICES, INCLUDING GENERAL, NEUROLOGICAL, ORTHOPEDIC, AND HEART SURGERIES. FREEMAN PROVIDES SERVICES TO PATIENTS THROUGH GENERAL MEDICAL, ONCOLOGY, INTENSIVE CARE, MATERNAL, PEDIATRIC, CANCER, PSYCHIATRIC, GERIATRIC PSYCHIATRIC, SKILLED NURSING, AND REHABILITATION UNITS. FREEMAN JOPLIN INPATIENT SERVICES TOTALED 22,205 CASES, OF WHICH, 5,584, OR 25%, WERE MEDICAID CASES. ADDITIONALLY, 1,339 INPATIENT CASES, OR 6% OF THE TOTAL, FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. SEE SCHEDULE O FOR ADDITIONAL DETAILS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	16071056	Expense
Revenue	24398517	Revenue
Description	THE FREEMAN EMERGENCY/TRAUMA DEPARTMENT, AND ALL OF THE HEALTH SYSTEM, FACED UNUSUAL CHALLENGES IN FY 2012, DUE TO THE MAY 22, 2011, TORNADO THAT TORE THROUGH JOPLIN, MISSOURI. THE OTHER HOSPITAL IN TOWN WITH EMERGENCY CAPABILITIES WAS COMPLETELY DESTROYED BY THE TORNADO. FORTUNATELY, FREEMAN SUSTAINED ONLY MINOR DAMAGE TO FREEMAN HOSPITAL WEST, A LEVEL II TRAUMA CENTER, AND WAS ABLE TO CARE FOR THE INJURED AND DYING THE NIGHT OF THE STORM. SEE SCHEDULE O FOR OTHER DETAILS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	423817946	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	183	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4337	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	STEVE GRADDY	NamePerson
Telephone Number	4173476678	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1102 WEST 32ND STREET	AddressLine1
City	JOPLIN	City
State	MO	State
ZIP Code	64804	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
LANCE BESHORE PHD
CHAIR	1.0	X	X	0	0	0
DIAN DOODY MD
VICE CHAIR	1.0	X	X	0	0	0
LARRY MCINTIRE DO
SECRETARY/TREASURER	60.0	X	X	457316	0	7371
JOHN M COX DO
DIRECTOR	60.0	X		944781	0	19190
RODNEY MCFARLAND MD
DIRECTOR	60.0	X		329402	0	17402
JIM ARMSTRONG
DIRECTOR	1.0	X		0	0	0
GLENN MITCH MCCUMBER
DIRECTOR	1.0	X		0	0	0
SCOTT BROTHERS
DIRECTOR	1.0	X		0	0	0
GLENN BROWN
DIRECTOR	1.0	X		0	0	0
RICHARD CAMPBELL
DIRECTOR THROUGH 04/2011	1.0	X		0	0	0
MARK WILLIAMS
DIRECTOR	1.0	X		0	0	0
JAMES FLEISCHAKER
DIRECTOR	1.0	X		0	0	0
LARRY NEFF
DIRECTOR	1.0	X		0	0	0
GARY D DUNCAN
PRESIDENT/CEO THROUGH 12/2011	54.0	X	X	721849	0	16458
PAULA F BAKER
PRESIDENT/CEO BEG. 01/2012	54.0	X	X	235891	24502	73667
JOE L KIRK
CHIEF OPERATIONS OFFICER	60.0		X	375721	0	93657
STEVE W GRADDY
CFO	50.0		X	336679	0	92136
RICHARD D SCHOOLER
CHIEF MEDICAL OFFICER	60.0			348313	0	78372	X
DEBRA M KOELKEBECK
VP RETAIL/CLINICAL OPERATIONS	60.0			194199	0	48533	X
MICHAEL J LEONE
CONTROLLER	60.0			231974	0	42596	X
JEFFREY M CARRIER
CHIEF CLINICAL OFFICER	60.0			176902	0	41808	X
KEVIN P GAUDETTE
VP REVENUE CYCLE	60.0			179352	0	36227	X
DEBORAH E CHIODO
CHIEF HUMAN RESOURCES OFFICER	60.0			212048	0	40720	X
WESLEY B BRAMAN
VP BUSINESS DEVELOPMENT	60.0			176124	0	38746	X
SUE A ANNESSER
CHIEF INFORMATION OFFICER	60.0			210283	0	42497	X
DAVID L BLACK
PHYSICIAN	60.0			1345845	0	20402		X
THOMAS B COY
PHYSICIAN	60.0			1580598	0	17368		X
WILLIAM J NICHOLAS
PHYSICIAN	60.0			2063981	0	17402		X
MICHAEL R PHILLIPS
PHYSICIAN	60.0			1044705	0	168402		X
ROBERT C STAUFFER
PHYSICIAN	60.0			1293805	0	13320		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	12459768	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	24502	TotalReportableCompFrmRltdOrgs
Total Other Compensation	926274	TotalOtherCompensation
Number Individuals GT100 K	266	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
CROTHAL SERVICES GROUP
CLEANING	4451699
PREMIER ANESTHESIA LLC
LOCUM ANESTHESIA	1024312
NURSEFINDERS
CONTRACT NURSING	1480489
MEDICUS RADIOLOGY SERVICES LLC
LOCUM RADIOLOGY	1233292
SUPERIOR LINEN SERVICE INC
LINEN CLEANING	901419

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	36	NumberOfContractorsGT100K
Fundraising Events	18030	FundraisingEvents
Government Grants	128097	GovernmentGrants
All Other Contributions	4582510	AllOtherContributions
Noncash Contributions	795	NoncashContributions
Total Contributions	4728637	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	900099	428525736	428525736
CAFETERIA & VENDING	722210	1413406	1413406
RENT FROM AFFILIATES	531390	287921	287921
UNRELATED RETAIL PHARMACY	446110	7179656		7179656
UNRELATED LAB SERVICES	621500	486161		486161

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	13681025	TotalRevenueColumn
Related Or Exempt Function Income	8538613	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5142412	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	451573905	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3136351	TotalRevenueColumn
Exclusion	$3,136,351	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1907941	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	433317	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1474624	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1474624	TotalRevenueColumn
Exclusion	$1,474,624	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	7836319	Securities
Other	49681	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	7326692	Securities
Other	62782	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	509627	Securities
Other	-13101	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	496526	TotalRevenueColumn
Exclusion	$496,526	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	443210	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	18030	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	316916	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	126294	TotalRevenueColumn
Exclusion	$126,294	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	804042	GrossSalesOfInventory
Cost Of Goods Sold	457262	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	346780	TotalRevenueColumn
Exclusion	$346,780	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
INSURANCE SETTLEMENT	900099	13340137	$13,340,137
NET INSURANCE RECOVERY - TORNADO	900099	1814385	$1,814,385
INVESTMENT IN SUBSIDIARY	900099	1820633	$1,820,633

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-6321091	TotalRevenueColumn
Exclusion	-$6,321,091	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	10654064	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	472537181	TotalRevenueColumn
Related Or Exempt Function Income	438765676	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	12808229	UnrelatedBusinessRevenue
Exclusion	$16,234,639	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	702731	Total
Program Services	702731	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	763561	Total
Program Services	763561	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5813282	Total
Program Services	1775462	ProgramServices
Management And General	4037820	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	942584	Total
Program Services	942584	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	190136102	Total
Program Services	184153658	ProgramServices
Management And General	5573885	ManagementAndGeneral
Fundraising	408559	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2151842	Total
Program Services	1844513	ProgramServices
Management And General	294211	ManagementAndGeneral
Fundraising	13118	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	16949751	Total
Program Services	14706980	ProgramServices
Management And General	2211283	ManagementAndGeneral
Fundraising	31488	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11155380	Total
Program Services	9598338	ProgramServices
Management And General	1530993	ManagementAndGeneral
Fundraising	26049	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	470325	Total
Management And General	470325	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	239500	Total
Management And General	239500	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	320752	Total
Management And General	320752	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	36052712	Total
Program Services	33850987	ProgramServices
Management And General	2136038	ManagementAndGeneral
Fundraising	65687	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	853997	Total
Program Services	708683	ProgramServices
Management And General	114758	ManagementAndGeneral
Fundraising	30556	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	17497266	Total
Program Services	17075326	ProgramServices
Management And General	398192	ManagementAndGeneral
Fundraising	23748	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4051924	Total
Program Services	3525143	ProgramServices
Management And General	526781	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7671911	Total
Program Services	6181754	ProgramServices
Management And General	1490157	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	749681	Total
Program Services	677146	ProgramServices
Management And General	65413	ManagementAndGeneral
Fundraising	7122	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	800279	Total
Program Services	579170	ProgramServices
Management And General	217298	ManagementAndGeneral
Fundraising	3811	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	6819797	Total
Program Services	6011202	ProgramServices
Management And General	808595	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13540084	Total
Program Services	11934693	ProgramServices
Management And General	1605391	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9656817	Total
Program Services	4061489	ProgramServices
Management And General	5595328	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	45036885	45036885
TAXES, LICENSES & DUES	483893	344151	138570	1172
PROVIDER TAXES & FEES	12039142	12039142
MEDICAL SUPPLIES & DRUGS	67303528	67303528

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	110767	Total
Program Services	820	ProgramServices
Management And General	104927	ManagementAndGeneral
Fundraising	5020	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	452314493	Total
Program Services	423817946	ProgramServices
Management And General	27880217	ManagementAndGeneral
Fundraising	616330	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3607309	BOY
EOY	5284331	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	31062862	BOY
EOY	31932887	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3778720	BOY
EOY	6256972	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	46013698	BOY
EOY	56677774	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	811195	BOY
EOY	978901	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7170061	BOY
EOY	7425643	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1790271	BOY
EOY	1925360	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	333037978	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	185999811	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	136494243	BOY
EOY	147038167	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	106854903	BOY
EOY	117857370	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	450000	BOY
EOY	1731731	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	1205684	BOY
EOY	1418754	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4278033	BOY
EOY	4942144	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	343516979	BOY
EOY	383470034	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	44396683	BOY
EOY	44617415	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	131315896	BOY
EOY	148731178	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2496587	BOY
EOY	2116859	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	3171464	BOY
EOY	1500000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	17951948	BOY
EOY	21340390	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	199332578	BOY
EOY	218305842	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	137340428	BOY
EOY	157044457	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6843973	BOY
EOY	8119735	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	144184401	BOY
EOY	165164192	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	343516979	BOY
EOY	383470034	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	20222688	ReconcilationRevenueExpenses
Reconcilation Other Changes	757103	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$29,709	OtherActivitiesAmount
Total Lobbying Expenditures IIB	29709	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1(I)	ReturnReference
Explanation	THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS (SNHPA). A PORTION OF THESE DUES, TOTALING $29,709, ARE ATTRIBUTABLE TO LOBBYING PURPOSES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	4606034	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	5425166	OtherCostOrOtherBasis
Book Value	10031200	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	161874070	OtherCostOrOtherBasis
Depreciation	87498015	Depreciation
Book Value	74376055	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	132641948	OtherCostOrOtherBasis
Depreciation	93747095	Depreciation
Book Value	38894853	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28490760	OtherCostOrOtherBasis
Depreciation	4754701	Depreciation
Book Value	23736059	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	147038167	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
EST SELF INSURANCE COST	$14,471,045
DUE TO RELATED PARTY	$469,345
EST REGULATORY SETTLEMENT	$6,400,000

Field	Value	IRS element (for citing)
Total Of Amounts	21340390	TotalOfAmounts
Total Revenue	472537181	TotalRevenue
Total Expenses	452314493	TotalExpenses
Excess Or Deficit For Year	20222688	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1996383	NetUnrealizedGLOnInvestments
Other	-$1,239,280	OtherAmount
Total Adjustments	757103	TotalAdjustments
Excess Or Deficit Per FS	20979791	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	474613220	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1996383	NetUnrealizedGainsInvestments
Other Revenues	-1127839	OtherRevenues
Revenue Not Rptd F990	868544	RevenueNotRptdF990
Revenue Subtotal	473744676	RevenueSubtotal
Other Revenues Not Included	-1207495	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1207495	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	472537181	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	453633429	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1387466	OtherExpensesIncluded
Expenses Not Rptd F990	1387466	ExpensesNotRptdF990
Expenses Subtotal	452245963	ExpensesSubtotal
Investment Expenses Not Included2	114030	InvestmentExpensesNotIncluded2
Other Expenses Not Included	-45500	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	68530	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	452314493	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
UNCERTAIN TAX POSITIONS	SCHEDULE D, PART X, LINE 2	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.
OTHER RECONCILING CHANGE IN NET ASSETS	SCHEDULE D, PART XI, LINE 8	WRITE OFF OF ARCHITECTURE FEES $ (984,552) TRANSFER TO AFFILIATES (254,728) ----------- TOTAL $(1,239,280)
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12	SCHEDULE D, PART XII, LINE 2D	WRITE OFF OF ARCHITECTURE FEES $ (984,552) TRANSFER TO AFFILIATES (254,728) INVESTMENT FEES (114,030) PAYMENTS FROM FHS HOLDINGS 45,500 CONTRIBUTIONS RECEIVED ADJUSTMENT 179,971 ------------ TOTAL $(1,127,839)
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1	SCHEDULE D, PART XII, LINE 4B	SPECIAL EVENT EXPENSES $ (316,916) COST OF GOODS SOLD EXPENSES (457,262) RENT EXPENSES (433,317) ------------ TOTAL $(1,207,495)
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25	SCHEDULE D, PART XIII, LINE 2D	SPECIAL EVENT EXPENSES $ 316,916 COST OF GOODS SOLD EXPENSES 457,262 RENT EXPENSES 433,317 GRANTS PAID ADJUSTMENT 179,971 ------------ TOTAL $ 1,387,466
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1	SCHEDULE D, PART XIII, LINE 4B	PAYMENTS FROM FHS HOLDINGS $ ( 45,500)

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	JEWELRY SALE	NameOfEvent1
Gross Receipts Event1	94333	GrossReceiptsEvent1
Gross Revenue Event1	94333	GrossRevenueEvent1
Other Direct Expenses Event1	68087	OtherDirectExpensesEvent1
Name Of Event2	MIRACLE MARKET	NameOfEvent2
Gross Receipts Event2	81047	GrossReceiptsEvent2
Gross Revenue Event2	81047	GrossRevenueEvent2
Other Direct Expenses Event2	66279	OtherDirectExpensesEvent2
Total Number Of Other Events	12	TotalNumberOfOtherEvents
Gross Receipts Other Events	285860	GrossReceiptsOtherEvents
Charitable Contrib Other Events	18030	CharitableContribOtherEvents
Gross Revenue Other Events	267830	GrossRevenueOtherEvents
Non Cash Prizes Other Events	3350	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	175	RentFacilityCostsOtherEvents
Other Direct Expenses Other Events	179025	OtherDirectExpensesOtherEvents
Gross Receipts Total	461240	GrossReceiptsTotal
Charitable Contributions Total	18030	CharitableContributionsTotal
Gross Revenue Total Events	443210	GrossRevenueTotalEvents
Non Cash Prizes Total Events	3350	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	175	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	313391	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	316916	DirectExpenseSummaryEvents
Net Income Summary	126294	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7973508	TotalCommunityBenefitExpense
Net Community Benefit Expense	7973508	NetCommunityBenefitExpense
Percent Of Total Expense	0.01960	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	68515147	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50124578	DirectOffsettingRevenue
Net Community Benefit Expense	18390569	NetCommunityBenefitExpense
Percent Of Total Expense	0.04510	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76488655	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50124578	DirectOffsettingRevenue
Net Community Benefit Expense	26364077	NetCommunityBenefitExpense
Percent Of Total Expense	0.06470	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	501289	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51374	DirectOffsettingRevenue
Net Community Benefit Expense	449915	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	931173	TotalCommunityBenefitExpense
Net Community Benefit Expense	931173	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2385504	TotalCommunityBenefitExpense
Net Community Benefit Expense	2385504	NetCommunityBenefitExpense
Percent Of Total Expense	0.00590	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	491631	TotalCommunityBenefitExpense
Net Community Benefit Expense	491631	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1466292	TotalCommunityBenefitExpense
Net Community Benefit Expense	1466292	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5775889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51374	DirectOffsettingRevenue
Net Community Benefit Expense	5724515	NetCommunityBenefitExpense
Percent Of Total Expense	0.01410	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	82264544	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50175952	DirectOffsettingRevenue
Net Community Benefit Expense	32088592	NetCommunityBenefitExpense
Percent Of Total Expense	0.07880	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	30000	TotalCommunityBuildingExpense
Net Community Building Expense	30000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	28319	TotalCommunityBuildingExpense
Net Community Building Expense	28319	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	58319	TotalCommunityBuildingExpense
Net Community Building Expense	58319	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$45,036,885	BadDebtExpenseAmount
Amount Attributable To	8376861	AmountAttributableTo
Amount Reimbursed By Medicare	137722375	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	132850779	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4871596	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	FREEMAN SURGICAL CTR	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	AMBULATORY SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.53125	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.36458	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
FREEMAN HEALTH SYSTEM - WEST
1	1102 W 32ND ST	JOPLIN	MO	64804	X	X	X	X
FREEMAN HEALTH SYSTEM - EAST
2	932 E 34TH ST	JOPLIN	MO	64804	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
FREEMAN HEALTH SYSTEM - WEST
1	true	true	150.	true	250.	true	X	X	X	X	true	true	X	X	X	X	X	X	true	false	X	X	X	X	true	X	false	false
FREEMAN HEALTH SYSTEM - EAST
2	true	true	150.	true	250.	true	X	X	X	X	true	true	X	X	X	X	X	X	true	false	X	X	X	X	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	32	NumberOfOtherFacilities

Other Facilities OtherFacilities (32 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FREEMAN CANCER INSTITUTE
3415 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN MIDWEST ORTHOPAEDIC SURGERY
3105 MCCLELLAND BLVD	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN WOMEN'S CENTER
1532 W 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
CH BENTLAGE MEDICAL CENTER
3202 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
MEDICAL OFFICE BUILDING
336 S JEFFERSON	JOPLIN	MO	64804	MEDICAL SERVICES
OCCUMED - JOPLIN
3201 MCCLELLAND BLVD	JOPLIN	MO	64804	MEDICAL SERVICES
URGENT CARE - JOPLIN
1130 E 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN WOUND CARE & HOME CARE
3315 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
URGENT CARE - WEBB CITY
1010 S MADISON	WEBB CITY	MO	64870	MEDICAL SERVICES
FREEMAN CHILDREN'S CLINIC
1030 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
REHABILITATION & SPORTS CENTER
2206 E 32ND STREET	JOPLIN	MO	64804	MEDICAL SERVICES
JOPLIN UROLOGYPHYSICIAN OFFICES
3302 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN EAR NOSE AND THROAT CENTER
1331 W 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN NEUROSPINE
1905 W 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
HIGGINS MEDICAL BUILDING
1020 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEM PROFESSIONAL CENTER
3333 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN SLEEP CENTERGERIATRIC CARE
931 E 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN MEDICAL PLAZA I
702 E 34TH ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN CLINIC OF CARTHAGE
719 W CENTENNIAL	CARTHAGE	MO	64836	MEDICAL SERVICES
FREEMAN CLINIC OF BAXTER SPRINGS
322 E 11TH ST	BAXTER SPRINGS	MO	66713	MEDICAL SERVICES
DAVID A BALL MEDICAL BUILDING
1111 MCINTOSH CIRCLE DRIVE	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN LAMAR FAMILY CARE
307 W 11TH ST	LAMAR	MO	64759	MEDICAL SERVICES
OCCUMED - CARTHAGE SPECIALTY CLINIC
1500 S CASE ST	CARTHAGE	MO	64831	MEDICAL SERVICES
FREEMAN OFFICE CENTER
1002 MCINTOSH	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN MEDICAL PLAZA II
530 E 34TH ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN MEDICAL PLAZA III
921 E 34TH ST	JOPLIN	MO	64804	MEDICAL SERVICES
BIG SPRING PEDIATRICSREHABILITATION
204 N LINCOLN	NEOSHO	MO	64850	MEDICAL SERVICES
CARTHAGE FAMILY PRACTICE CLINIC
1632 MISSOURI AVE	CARTHAGE	MO	64836	MEDICAL SERVICES
FAMILY MEDICINE ASSOCIATES
819 E 32ND ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN CLINIC OF ANDERSON
510 PARK ST	JOPLIN	MO	64804	MEDICAL SERVICES
FREEMAN PHYSICIAN ASSOCIATES - PITTSBURG
1201 E CENTENNIAL	PITTSBURG	KS	66762	MEDICAL SERVICES
FREEMAN CLINIC OF WEBB CITY
1206 MACARTHUR DRIVE	WEBB CITY	MO	64870	MEDICAL SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PERCENT OF TOTAL EXPENSE	SCHEDULE H, PART I, LINE 7F	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 ($452,314,493) WAS REDUCED BY BAD DEBT EXPENSE ($45,036,885).
COST TO CHARGE RATIO	SCHEDULE H, PART I, LINE 7	THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEET 3. IRS WORKSHEETS 1 AND 6 USED COST ACCOUNTING.
SUBSIDIZED SERVICES	SCHEDULE H, PART I, LINE 7G	THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $1,637,259. FREEMAN HEALTH SYSTEM PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. FREEMAN HEALTH SYSTEM CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A, LINES 4A & 4B	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE HEALTH SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. 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 POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU.
COMMUNITY BENEFIT RATIONALE	SCHEDULE H, PART III, SECTION B, LINES 8	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.
COLLECTION POLICY	SCHEDULE H, PART III, SECTION C, LINE 9B	UPON ADMINISTRATION AND/OR DIRECTOR APPROVAL THE HOSPITAL WILL CONSIDER ACCOUNTS ELIGIBLE FOR FINANCIAL AID BASED ON PRESUMPTIVE CRITERIA INCLUDING BUT NOT LIMITED TO: -LOW COLLECTABILITY SCORE -COLLECTION EFFORTS EXHAUSTED -INTERNAL OR EXTERNAL -NO CONTACT: ATTEMPTS TO CONTACT VIA PHONE SKIP TRACING AND MAIL AND POTENTIAL HOME VISIT. -NO PAYMENT / ARRANGEMENTS
OTHER FACTORS USED TO DETERMINE AMOUNTS CHARGED TO PATIENTS	SCHEDULE H, PART V, SECTION B, LINE 11H	THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ALSO USES FAMILY SIZE IN THE DETERMINATION OF AMOUNTS CHARGED TO PATIENTS.
DETERMINATION OF MAXIMUM AMOUNTS CHARGED	SCHEDULE H, PART V, SECTION B, LINE 19	FPG GUIDELINES DETERMINE THE DISCOUNT PERCENTAGE BILLED TO QUALIFIED PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
NEEDS ASSESSMENT		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 SOROPTIMIST 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. MANY FREEMAN OUTREACH AND WELLNESS PROGRAMS, INCLUDING FREEMAN SCREEN TEAM, FREEMAN PREVENTIVE SERVICES, AND FREEMAN ADVANTAGE, AMONG OTHERS, PROVIDE SERVICE AND EDUCATION TO THE COMMUNITY WHILE ALSO PROVIDING A CONDUIT FOR PUBLIC OPINION TO TRAVEL BACK TO FREEMAN DECISION MAKERS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		FREEMAN HAS STEPPED UP EFFORTS TO COMMUNICATE INFORMATION ABOUT FINANCIAL ASSISTANCE, OR CHARITY CARE, OPTIONS AVAILABLE TO PATIENTS IN MANY WAYS. FREEMAN PUBLISHES COMMUNICATION PIECES ON FINANCIAL SERVICES, INCLUDING A BROCHURE TITLED FINANCIAL SERVICES AND PAYMENT OPTIONS. FREEMAN ALSO INCLUDES MESSAGING ABOUT ITS FINANCIAL ASSISTANCE PROGRAM ON BILLS, STATEMENTS, AND ENVELOPES SENT TO PATIENTS' HOMES AND ON SIGNS POSTED AROUND FREEMAN PATIENT ACCOUNTS AND ADMISSIONS PUBLIC AREAS. FREEMAN HAS ALSO PLACED FINANCIAL ASSISTANCE INFORMATION, INCLUDING A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH AND SPANISH, ON THE FREEMAN WEBSITE. ADDITIONALLY, FREEMAN HAS IMPLEMENTED SEVERAL EDUCATIONAL OPPORTUNITIES TO ENSURE THE COMMUNITY IS AWARE OF ITS FINANCIAL ASSISTANCE PROGRAM. THESE INCLUDE: - FREEMAN ADMISSIONS STAFF MEMBERS PERSONALLY INTERVIEW PATIENTS, BASED ON THE SETTING OF CARE (PRIOR TO SERVICES, AT TIME OF SERVICE, AND AFTER CARE PROVIDED), TO PROVIDE EDUCATION ON AVAILABLE BENEFITS. FREEMAN HELPS UNINSURED AND UNDERINSURED PATIENTS WITH STATE AND FEDERAL ASSISTANCE RESOURCES, AS WELL AS THE FREEMAN FINANCIAL ASSISTANCE PROGRAM. - FREEMAN CONTINUALLY PROVIDES EDUCATION TO EMPLOYEES, FROM CLINICAL STAFF TO VOLUNTEERS, REGARDING ITS FINANCIAL ASSISTANCE POLICY SO THEY CAN HELP CUSTOMERS LEARN ABOUT AVAILABLE RESOURCES. - FREEMAN PROVIDES SYSTEM-WIDE COMMUNICATION, SUCH AS THE DAILY LINE-UP 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 BY 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. MEDIASSIST HELPS PATIENTS WITH THE APPLICATION PROCESS VIA FACE-TO-FACE INTERVIEWS, HOME VISITS, AND OVER-THE-PHONE CONVERSATIONS. - FREEMAN WORKS WITH MANY OF OUR COMMUNITY'S EMPLOYERS, SENDING WRITTEN NOTICES TO THEIR BENEFITS DEPARTMENTS EXPLAINING THE FREEMAN FINANCIAL ASSISTANCE ELIGIBILITY PROCESS. FREEMAN ALSO MEETS WITH EMPLOYERS TO ENSURE THEIR EMPLOYEES UNDERSTAND THE AVAILABILITY OF ASSISTANCE OFFERED THROUGH FREEMAN. - IN RESPONSE TO EDUCATION OFFERED ABOUT THE FREEMAN FINANCIAL ASSISTANCE PROGRAM, THE HEALTH SYSTEM RECEIVES REFERRALS FROM PHYSICIANS AND COMMUNITY CLINICS. THIS HELPS PATIENTS ARRANGE FOR MEDICALLY NECESSARY HEALTHCARE PRIOR TO THE TIME SERVICES ARE RENDERED. FREEMAN HEALTH SYSTEM STRONGLY BELIEVES THAT ITS FINANCIAL ASSISTANCE, OR CHARITY CARE, AND THE RELATED COMMUNITY BENEFIT PROVIDED BY SUCH CARE, IS UNDERSTATED ON ITS FINANCIAL STATEMENTS BECAUSE SOME PATIENTS THAT POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE DO NOT WISH TO APPLY FOR IT. IN ADDITION, SOME PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT RECEIVE FINANCIAL ASSISTANCE BECAUSE THEY REFUSE TO PROVIDE REQUIRED DOCUMENTATION TO PROCESS THE APPLICATION. THUS, FREEMAN'S BAD DEBT INCLUDES A PORTION THAT COULD BE CLASSIFIED AS FINANCIAL ASSISTANCE IF THE APPLICATION FOR FINANCIAL ASSISTANCE HAD BEEN PROPERLY COMPLETED BY THE PATIENT.
COMMUNITY INFORMATION		FREEMAN SERVES AN AREA WITH A POPULATION OF ABOUT A HALF MILLION PEOPLE IN SOUTHWEST MISSOURI, SOUTHEAST KANSAS, NORTHEAST OKLAHOMA, AND NORTHWEST ARKANSAS. THE PRIMARY SERVICE AREA INCLUDES TWO MISSOURI COUNTIES WITH A COMBINED POPULATION OF 176,102; THE SECONDARY SERVICE AREA INCLUDES NINE ADDITIONAL, LARGELY RURAL COUNTIES IN SOUTHWEST MISSOURI, SOUTHEAST KANSAS, AND NORTHEAST OKLAHOMA, WITH A COMBINED POPULATION OF 246,116. INCOMES AND EDUCATION LEVELS LAG BEHIND NATIONAL AVERAGES, WHILE THE PERCENTAGE OF PEOPLE LIVING IN POVERTY IS HIGHER THAN THE NATIONAL AVERAGE.
COMMUNITY BUILDING ACTIVITIES		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 CURRENTLY SERVE ON A VARIETY OF BOARDS, COUNCILS, AND COMMITTEES FOR SERVICE/COMMUNITY ORGANIZATIONS SUCH AS VOLUNTARY HOSPITALS OF AMERICA (VHA) INC., VHA MID-AMERICA, MISSOURI HOSPITAL ASSOCIATION, MIDWEST TRANSPLANT NETWORK, RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES, JOPLIN AREA CHAMBER OF COMMERCE, PROMUSICA, JOPLIN FAMILY Y, COMMUNITY CLINIC OF JOPLIN, ROTARY INTERNATIONAL, PITTSBURG STATE UNIVERSITY FOUNDATION, ASCENT RECOVERY RESIDENCES, TALKINGTON FOUNDATION, JOPLIN METRO EMERGENCY TRANSPORTATION SYSTEM, OZARK TRI-COUNTY HEALTH CARE CONSORTIUM, OSTEOPATHIC MEDICAL EDUCATION CONSORTIUM OF OKLAHOMA, JOPLIN R-VIII SCHOOL DISTRICT, UNITED WAY OF SOUTHWEST MISSOURI AND SOUTHEAST KANSAS, MISSOURI SOUTHERN STATE UNIVERSITY SCHOOL OF NURSING, AND CROWDER COLLEGE. FREEMAN PHYSICIANS, NURSES, AND SUPPORT PERSONNEL SERVE ON COMMUNITY BOARDS AND COMMITTEES TOO NUMEROUS TO MENTION. INVESTING IN THE COMMUNITY'S EDUCATIONAL FUTURE FOLLOWING THE MAY 22, 2011, EF-5 TORNADO THAT DEVASTATED JOPLIN, MISSOURI, FREEMAN DONATED $50,000 TO JOPLIN-AREA SCHOOLS IN JULY 2011. TWO SCHOOL SYSTEMS THAT SUSTAINED HEAVY LOSSES IN THE STORM, JOPLIN PUBLIC SCHOOLS AND JOPLIN AREA CATHOLIC SCHOOLS, EACH RECEIVED $25,000 FROM FREEMAN TO HELP FUND RECOVERY AND REBUILDING EFFORTS. 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. IN FY 2012, FREEMAN SET UP FARMERS MARKETS DURING THE SUMMER MONTHS AT FREEMAN WEST, FREEMAN EAST, AND FREEMAN NEOSHO. THESE MARKETS PROVIDE THE COMMUNITY WITH AN OPPORTUNITY TO BUY FRESH, NUTRITIOUS FRUIT, VEGETABLES, AND OTHER LOCALLY PRODUCED FOODS. FREEMAN HELPS WITH COMMUNITY-BUILDING MY OFFERING SOLUTIONS TO HELP MEET THE NEEDS OF SPECIFIC POPULATIONS, SUCH AS CHILDREN WITH AUTISM, CHILDREN WITH MEDICAL EXPENSES, 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. FREEMAN ADVANTAGE PROMOTES THE HEALTH OF SENIOR CITIZENS BY OFFERING AVENUES FOR LEARNING, TRAVEL, SOCIALIZING, AND HEALTHY LIVING. MEN AND WOMEN OF ALL AGES AND FROM ALL WALKS OF LIFE PARTICIPATE IN FREEMAN AUXILIARY, AN ORGANIZATION THAT RAISES MONEY FOR HOSPITAL EQUIPMENT, SERVICES, SCHOLARSHIPS, AND COMMUNITY NEEDS. AND FREEMAN FOUNDATION WORKS WITH THE COMMUNITY TO FIND FUNDING FOR INNOVATIVE, LIFESAVING TECHNOLOGIES AND MEDICAL SERVICES. FREEMAN SPONSORS PROGRAMS TO HELP REDUCE WASTE AND SOLVE ENVIRONMENTAL CHALLENGES AROUND THE HEALTH SYSTEM AND THROUGHOUT THE COMMUNITY. THROUGH FREEMAN GREEN TEAM, FREEMAN HAS ESTABLISHED AN ALLIANCE WITH AREA BUSINESSES TO CREATE COMMUNITY-WIDE SUSTAINABILITY PROJECTS. IN JULY 2011, FREEMAN WAS RECOGNIZED AS ONE OF THE GREENEST HEALTHCARE ORGANIZATIONS IN AMERICA BY THE GREENCARE AWARDS PROGRAM. FREEMAN WAS SELECTED OUT OF APPROXIMATELY 125 APPLICANTS AS THE 2011 GREENCARE AWARD WINNER IN THE HOUSEKEEPING AND MAINTENANCE CATEGORY. THIS DISTINCTION REFLECTS THE HEALTH SYSTEM'S COMMITMENT TO PROVIDING ENVIRONMENTALLY SUSTAINABLE HEALTHCARE. 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 33,070 HOURS LAST YEAR, AND MONEY FOR THE BETTERMENT OF THE COMMUNITY.
OTHER INFORMATION		FREEMAN PROMOTES THE HEALTH OF THE COMMUNITY THROUGH MANY OUTREACH PROGRAMS. THESE INCLUDE PROGRAMS TO HELP PEOPLE QUIT SMOKING, SUPPORT GROUPS FOR A VARIETY OF ILLNESSES AND CONDITIONS, OZARK CENTER FOR AUTISM, PROGRAMS FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS, AND MANY MORE. FREEMAN SCREEN TEAM TRAVELS THROUGHOUT THE COMMUNITY, OFFERING LOW-COST HEALTH SCREENINGS TO HELP PEOPLE GET A HANDLE ON THEIR MEDICAL CONDITIONS AND SEEK HELP BEFORE SMALL PROBLEMS BECOME MEDICAL EMERGENCIES. FREEMAN SUPPORT GROUPS OFFER SUPPORT TO PARTICIPANTS AND EDUCATION ON TOPICS SUCH AS AUTISM, DIABETES, STROKE RECOVERY, CANCER RECOVERY, SLEEP DISORDERS, ALZHEIMER'S DISEASE, AND LYMPHEDEMA. FOR THE THIRD TIME SINCE 2007, FREEMAN HEALTH SYSTEM WAS RECOGNIZED FOR ITS EMPLOYEE HEALTH INITIATIVES WITH THE HEALTH AT WORK SILVER AWARD IN OCTOBER 2011. 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 FIT-FRIENDLY COMPANY BY THE AMERICAN HEART ASSOCIATION AND WAS ONE OF ONLY 24 COMPANIES ACROSS THE COUNTRY TO RECEIVE AMERICAN HEART ASSOCIATION'S COMMUNITY INNOVATION AWARD. 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. REEMAN 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. OZARK CENTER FOR AUTISM WAS DEVASTATED BY THE EF-5 TORNADO THAT STRUCK JOPLIN, MISSOURI ON MAY 22, 2011. HOWEVER, THE SCHOOL REOPENED IN A TEMPORARY LOCATION SHORTLY AFTER THE DISASTER AND IS NOW HOUSED IN A LONG-TERM, TEMPORARY HOME, UNTIL A NEW CENTER CAN BE BUILT. 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 23 CORE MEDICAL STUDENTS, 45 VISITING MEDICAL STUDENTS, AND 24 RESIDENT DOCTORS TRAINED IN THE FREEMAN GRADUATE MEDICAL EDUCATION PROGRAM IN THE 2011-2012 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.
AFFILIATED HEALTH CARE SYSTEM		FREEMAN HEALTH SYSTEM CONSISTS OF FREEMAN HOSPITAL WEST AND FREEMAN HOSPITAL EAST IN JOPLIN, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER, WHICH PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. FREEMAN IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM.
STATE FILING OF COMMUNITY BENEFIT REPORT		FREEMAN HEALTH SYSTEM IS INCORPORATED IN THE STATE OF MISSOURI AND FILES A COMMUNITY BENEFIT REPORT IN MISSOURI.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
OZARK CENTER
3006 MCCLELLAND	JOPLIN	MO	64804	430821959	501(C)(3)	216000	SUPPORT
CROWDER COLLEGE
601 LACLEDE AVE	NEOSHO	MO	64850	440668521	501(C)(3)	59418	SUPPORT
MISSOURI SOUTHERN FOUNDATION
3950 E NEWMAN ROAD	JOPLIN	MO	64801	430907114	501(C)(3)	55000	SUPPORT
COMMUNITY HEALTH CLINIC OF JOPLIN
701 SOUTH JOPLIN AVENUE	JOPLIN	MO	64801	431643962	501(C)(3)	29000	SUPPORT
JOPLIN AREA CATHOLIC SCHOOLS
930 S PEARL	JOPLIN	MO	64801	430990597	501(C)(3)	25000	SUPPORT
JOPLIN BUSINESS & INDUSTRIAL DEVELOPMENT CORP
320 E 4TH ST	JOPLIN	MO	64801	431386973	501(C)(3)	30000	SUPPORT
SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION
3901 EAST 32ND STREET	JOPLIN	MO	64804	431664927	501(C)(3)	25000	SUPPORT
THOMAS JEFFERSON INDEPENDENT DAY SCHOOL
3401 NEWMAN ROAD	JOPLIN	MO	64801	431626282	501(C)(3)	11000	SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	8	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
CMN AID TO FAMILIES	818	143963
MAMMOGRAMS	59	21125
PRESCRIPTIONS, MEALS, TRANSPORTATION	1424	28468
TORNADO ASSISTANCE	475	557450
NURSING SCHOLARSHIPS	4	11247	1308	FMV	TEXTBOOKS

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
MONITORING USE OF GRANT FUNDS	SCHEDULE I, PART I, LINE 2	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 GIVEN DURING THE YEAR WERE TO LOCAL ORGANIZATIONS PRIMARILY FOR TORNADO RELIEF. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY AND CAN BE MONITORED ACCORDINGLY.
GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS	SCHEDULE I, PART III	IN FISCAL YEAR 2012, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: HELPING FRIENDS MAMMOGRAM PROGRAM - $21,125 WAS SPENT TO HELP OVER 50 WOMEN WITH FREE MAMMOGRAPHY. CHAPLAINS DISCRETIONARY FUND - $28,468 WAS SPENT TO HELP OVER 1,400 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. FHS CHILDREN'S MIRACLE NETWORK - $143,963 WAS SPENT HELPING OVER 800 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. TORNADO ASSISTANCE - $557,450 WAS GIVEN TO FREEMAN HOSPITAL EMPLOYEES WHO SUFFERED LOSSES DUE TO THE JOPLIN AREA TORNADO. *SCHOLARSHIPS - A TOTAL OF $12,555 WAS PROVIDED TO NURSING STUDENTS, INCLUDING $1,308 FOR TEXTBOOKS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LARRY MCINTIRE DO
364600	0	26770	0	65946	0	7350	0	21	0	464687	0	0	0
JOHN M COX DO
784727	0	80720	0	79334	0	7350	0	11840	0	963971	0	0	0
RODNEY MCFARLAND MD
188660	0	46461	0	94281	0	7350	0	10052	0	346804	0	39281	0
GARY D DUNCAN
571004	0	1901	0	148944	0	7350	0	9108	0	738307	0	0	0
JOE L KIRK
321414	0	1902	0	52405	0	75040	0	18617	0	469378	0	0	0
STEVE W GRADDY
314404	0	1251	0	21024	0	74931	0	17205	0	428815	0	0	0
PAULA F BAKER
203048	21113	101	0	32742	3389	57306	5953	9429	979	302626	31434	0	0
RICHARD D SCHOOLER
343403	0	951	0	3959	0	71052	0	7320	0	426685	0	0	0
DEBRA M KOELKEBECK
174842	0	751	0	18606	0	35353	0	13180	0	242732	0	0	0
MICHAEL J LEONE
211162	0	901	0	19911	0	28651	0	13945	0	274570	0	0	0
DAVID L BLACK
960746	0	385099	0	0	0	7350	0	13052	0	1366247	0	0	0
THOMAS B COY
1295416	0	278682	0	6500	0	7350	0	10018	0	1597966	0	0	0
WILLIAM J NICHOLAS
1725787	0	321694	0	16500	0	7350	0	10052	0	2081383	0	0	0
MICHAEL R PHILLIPS
722964	0	321741	0	0	0	157350	0	11052	0	1213107	0	0	0
JEFFREY M CARRIER
176690	0	101	0	111	0	30506	0	11302	0	218710	0	0	0
KEVIN P GAUDETTE
166838	0	601	0	11913	0	29737	0	6490	0	215579	0	0	0
ROBERT C STAUFFER
1102215	0	175090	0	16500	0	7350	0	5970	0	1307125	0	0	0
DEBORAH E CHIODO
197110	0	851	0	14087	0	32602	0	8118	0	252768	0	0	0
WESLEY B BRAMAN
175512	0	451	0	161	0	23494	0	15252	0	214870	0	0	0
SUE A ANNESSER
207730	0	2442	0	111	0	34397	0	8100	0	252780	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B & PART II, COLUMN C	THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH FREEMAN HEALTH SYSTEM DURING THE YEAR: $ 150,000 MICHAEL PHILLIPS 119,615 GARY DUNCAN 21,412 MICHAEL LEONE 28,913 DEBRA KOELKEBECK 63,702 RICHARD SCHOOLER 67,690 JOE KIRK 55,909 PAULA BAKER 67,581 STEVE GRADDY 24,185 KEVIN GAUDETTE 25,114 JEFFREY CARRIER 26,144 DEBORAH CHIODO 23,494 WESLEY BRAMAN 27,973 SUE ANNESSER THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR. PAYMENTS INCLUDE CONTRIBUTIONS FROM PREVIOUS YEARS, AS WELL AS EARNINGS ON THOSE CONTRIBUTIONS. $ 39,281 RODNEY MCFARLAND
BONUS & INCENTIVE COMPENSATION	SCHEDULE J, PART II, COLUMN (B)(II)	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.
COMPENSATION REPORTED IN PRIOR FORM 990	SCHEDULE J, PART II, COLUMN F	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

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
521299414	480639AN3	2004-11-30	49064229	CONSTRUCT & EQUIP WEST CAMPUS HOSP	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
521299414		2007-11-28	6000000	EQUIPMENT	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
521299414		2009-07-23	18950000	REFUND 2008 BOND AND 2008 TAXABLE	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO
521299414		2010-12-20	10393515	EQUIPMENT	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4980000	52108917	3340024	2010267	0	733012	46024301	0	0	2008	false	false	true	true
5300929	6075785	0	0	0	0	5271434	804351	0	2008	false	false	true	true
1537153	18950000	0	0	18950000	0	0	0	0	2008	true	false	true	true
2805184	10393515	0	0	0	42200	5839146	0	4512169		false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	true	true	false	0.00030	0.00030	true
false	false	false		false	0.00000	0.00000	true
false	true	true	true	false	0.00000	0.00000	true
false	false	false		false	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	true	false
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	true
0
false	false	false	false	0	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
TAX EXEMPT BONDS	SCHEDULE K, PART II, LINE 3, COLUMN A	AMOUNT DOES NOT EQUAL ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.
TAX EXEMPT BONDS	SCHEDULE K, PART II, LINE 5, COLUMN A	THE TOTAL AMOUNT OF INTEREST FUNDED DURING THE PROJECT PERIOD WAS $2,039,657, OF WHICH $2,010,267 IS CAPITALIZED INTEREST AND $29,390 IS ADDITIONAL INVESTMENT EARNINGS EARNED IN THE DEBT SERVICE RESERVE FUND DURING THE PROJECT PERIOD AFTER THE PROJECT WAS PLACED-IN-SERVICE.
TAX EXEMPT BONDS	SCHEDULE K, PART II, LINE 3, COLUMN B	AMOUNT DOES NOT EQUAL ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.
TAX EXEMPT BONDS	SCHEDULE K, PART II, LINE 11, COLUMN B	REMAINING PROCEEDS WERE USED TO REDEEM A PORTION OF THE LEASE AFTER THE COMPLETION OF THE PROJECT.
TAX EXEMPT BONDS	SCHEDULE K, PART II, LINE 6, COLUMN C	ALL PROCEEDS WERE USED ON THE ISSUE DATE TO REFUND THE 2008 BOND AND THE 2008 TAXABLE BANK LOAN.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521299414	IssuerEIN
CUSIP Number	480639AY9	CUSIPNumber
Date Issued	2011-12-31	DateIssued
Issue Price	25031815	IssuePrice
Description Of Purpose	CONSTRUCT & EQUIP WEST CAMPUS HOSP	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	25031815	TotalProceeds
Amount In Reserve Fund	2065123	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	403785	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	3849434	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	18713771	AmountUnspent
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	true	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
TAX EXEMPT BONDS	SCHEDULE K, PART II, LINE 13 & 16, COLUMN D	THE PROJECT HAS NOT BEEN SUBSTANTIALLY COMPLETED AND AS A RESULT, THE FINAL WRITTEN ALLOCATION HAS NOT BEEN COMPLETED.
TAX EXEMPT BONDS	SCHEDULE K, PART II, LINE 13 & 16, COLUMN E	THE PROJECT HAS NOT BEEN SUBSTANTIALLY COMPLETED AND AS A RESULT, THE FINAL WRITTEN ALLOCATION HAS NOT BEEN COMPLETED.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ADAM GRADDY
SON OF STEVE GRADDY, CFO	44209	EMPLOYEE COMPENSATION	false
KENT MCINTIRE
SON OF LARRY MCINTIRE	766852	EMPLOYEE COMPENSATION	false
PAMELA HUNT
DAUGHTER OF RICK SCHOOLER	59408	EMPLOYEE COMPENSATION	false
PAM JONES
SISTER OF RICK SCHOOLER	23969	EMPLOYEE COMPENSATION	false
DEBORAH CANSLER
IN-LAW OF D KOELKEBECK	33325	EMPLOYEE COMPENSATION	false
BRYAN GRADDY
SON OF STEVE GRADDY, CFO	14821	EMPLOYEE COMPENSATION	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S VISION	FORM 990, PART I, LINE 1	VISION - TO BE THE LEADING PROVIDER OF PATIENT CENTERED, PHYSICIAN DIRECTED HEALTHCARE IN AN ENVIRONMENT OF COMPASSION AND TRUST, SUPPORTED BY DEDICATED EMPLOYEES WITH A DESIRE TO PROVIDE EXCELLENCE IN CARE AND SERVICE. FREEMAN HEALTH SYSTEM IN JOPLIN, MISSOURI IS A 404 BED, THREE HOSPITAL SYSTEM PROVIDING COMPREHENSIVE HEALTHCARE AND BEHAVIORAL HEALTH SERVICES TO AN AREA THAT INCLUDES MORE THAN 450,000 FROM MISSOURI, ARKANSAS, OKLAHOMA, AND KANSAS.
PROGRAM SERVICES	FORM 990, PART III, LINE 4	FREEMAN HEALTH SYSTEM, NOT-FOR-PROFIT, COMMUNITY-OWNED, AND LOCALLY GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS, PROVIDES FULL-SERVICE HEALTHCARE TO SOUTHWEST MISSOURI, SOUTHEAST KANSAS, NORTHEAST OKLAHOMA, AND NORTHWEST ARKANSAS. A THREE-HOSPITAL, 517 LICENSED BED 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. FISCAL YEAR (FY) 2012 WAS CHALLENGING BECAUSE FREEMAN HAD TO DEAL WITH THE BIGGEST DISASTER TO EVER HIT ITS HOME CITY. THOUSANDS OF STRUCTURES WERE LOST IN THE MAY 22, 2011, EF-5 TORNADO THAT DEVASTATED JOPLIN, MISSOURI, BUT THE REAL HEARTBREAK WAS THE 161 LIVES TAKEN BY THE STORM AND THE HUNDREDS OF PEOPLE INJURED. MAY 22, 2011, BEGAN AS A TYPICAL SPRING SUNDAY IN JOPLIN, A SOUTHWEST MISSOURI TOWN WITH A POPULATION OF ABOUT 50,000. MANY PEOPLE ENJOYED A LEISURELY READ OF THE MORNING NEWSPAPER AND SPENT TIME RELAXING WITH THEIR FAMILIES; MANY WENT TO CHURCH AND THEN OUT TO EAT. THE NATIONAL WEATHER SERVICE ISSUED TORNADO WATCH #325 AT 1:30 PM. SOUTHWEST MISSOURIANS ARE USED TO BAD WEATHER, ESPECIALLY THUNDERSTORMS AND TORNADOES, AND TOOK IT IN STRIDE. THE FREEMAN EMERGENCY ROOM WAS RUNNING AT NEAR CAPACITY, AND FREEMAN HEALTH SYSTEM AND THE OTHER HOSPITAL IN TOWN, ST. JOHN'S, WERE BOTH ABOUT HALF FULL AT THAT TIME. THIS PARTICULAR AFTERNOON, THE JOPLIN HIGH SCHOOL CLASS OF 2011 PICKED UP THEIR DIPLOMAS IN A CEREMONY HELD AT THE COLLEGE ON THE NORTHEAST END OF TOWN. GRADUATION ENDED IN THE LATE AFTERNOON, AND PEOPLE HEADED HOME FOR PRIVATE CELEBRATIONS WITH FAMILY AND FRIENDS. AT 5:11 PM, TORNADO SIRENS SOUNDED. IT THEN APPEARED THE TORNADO WOULD VEER NORTH OF JOPLIN, AND THE SIRENS STOPPED. WHEN THE SIRENS SOUNDED AGAIN SEVERAL MINUTES LATER, MANY PEOPLE WERE SHOPPING AT WALMART OR THE HOME DEPOT OR EATING OUT AT ONE OF THE MANY RESTAURANTS THAT LINE MAIN STREET AND RANGE LINE ROAD. AT 5:41 PM, THE TORNADO OFFICIALLY TOUCHED DOWN ON THE WEST SIDE OF TOWN. IT TOOK ABOUT 32 MINUTES FOR THE THREE-QUARTER-MILE-WIDE TORNADO TO GRIND ITS WAY FROM ONE SIDE OF JOPLIN TO THE OTHER. THE SLOW-MOVING GIANT STAYED ON THE GROUND FOR MORE THAN 13 MILES, THE SIX DEADLIEST MILES RIPPING THROUGH SOME OF THE CITY'S MOST DENSELY POPULATED RESIDENTIAL AREAS AND THE HEART OF THE BUSINESS DISTRICT. THE TORNADO DESTROYED 8,000 STRUCTURES, INCLUDING THE ONLY OTHER EMERGENCY HOSPITAL IN TOWN. IT INJURED THOUSANDS OF PEOPLE, HUNDREDS OF THEM SEVERELY. PEOPLE WITH UNIMAGINABLE INJURIES, SUCH AS IMPALEMENTS, SEVERED LIMBS, AND EXPOSED INTERNAL ORGANS, POURED INTO THE HOSPITAL IN DROVES. IN ADDITION TO THE OVERWHELMING VOLUME AND CRITICAL NATURE OF INJURIES, FREEMAN RECEIVED PATIENTS FROM THE 40-BED ICU OF THE HOSPITAL THAT HAD BEEN DESTROYED, MANY OF THEM DELIVERED IN PICKUP TRUCKS AND VENTILATED BY HAND TO KEEP THEM ALIVE UNTIL THEY COULD REACH WORKING VENTILATORS. MOST OF THESE ICU PATIENTS WERE UNABLE TO COMMUNICATE, AND FREEMAN HAD NO ACCESS TO THEIR MEDICAL RECORDS. PHYSICIANS TREATING THEM DIDN'T KNOW WHY THE PATIENTS HAD BEEN ADMITTED TO THE ICU, THEIR HISTORY, OR EVEN THEIR CONDITION BEFORE THE TORNADO HIT. COMMUNICATION WITH THE OUTSIDE WORLD WAS IMPOSSIBLE THAT NIGHT. THE TORNADO KNOCKED DOWN TELEPHONE POLES AND CELL PHONE TOWERS, AND THE HOSPITAL WAS UNABLE TO CALL PHYSICIANS, NURSES, OR OTHER STAFF MEMBERS TO COME TO THE HOSPITAL TO HELP. AND, CONVERSELY, STAFF MEMBERS COULDN'T CALL FREEMAN TO SEE IF THEY WERE NEEDED. WORSENING MATTERS, FREEMAN WAS UNABLE TO REACH EMERGENCY MEDICAL SERVICE PROVIDERS IN THE SURROUNDING AREA TO ASK THEM TO SEND EMPTY AMBULANCES TO TRANSPORT STABLE PATIENTS TO HOSPITALS IN OTHER TOWNS AND CITIES. STAFF MEMBERS ON DUTY AT THE HOSPITAL AT THE TIME OF THE TORNADO WORKED UNDER THE PRESSURE OF NOT KNOWING IF THEIR OWN FAMILIES HAD SURVIVED THE STORM BECAUSE THEY HAD NO WAY TO PHONE HOME. THE TORNADO PLOWED DIRECTLY THROUGH SOME OF THE MOST POPULAR PHYSICIAN NEIGHBORHOODS, AND MORE THAN A DOZEN FREEMAN PHYSICIANS LOST THEIR HOMES THAT NIGHT, INCLUDING ONE OF THE TRAUMA SURGEONS, ONE OF THE ANESTHESIOLOGISTS, THE EMERGENCY DEPARTMENT/TRAUMA MEDICAL DIRECTOR, AND OTHER KEY MEDICAL STAFF MEMBERS, RESIDENTS, AND MEDICAL STUDENTS. MANY FREEMAN STAFF MEMBERS-DOCTORS, NURSES, AND SUPPORT STAFF-LITERALLY CRAWLED OUT OF THE RUBBLE OF THEIR OWN HOMES AND PROCEEDED TO THE HOSPITAL TO HELP SAVE LIVES AND COMFORT THE WOUNDED. IN THE IMMEDIATE HOURS AFTER THE TORNADO, FREEMAN: - TREATED MORE THAN 500 PATIENTS AT FREEMAN WEST AND 39 AT FREEMAN NEOSHO - PERFORMED 22 SURGERIES IN 12 HOURS - PERFORMED 800 X-RAYS AND 400 CT SCANS - CARED FOR 60 PATIENTS FROM ST. JOHN'S - TRANSFERRED 64 PATIENTS TO SURROUNDING HOSPITALS ELEVEN PATIENTS DIED AT FREEMAN WEST THE FIRST NIGHT, TWO FREEMAN EMPLOYEES PERISHED IN THE STORM, AND 464 FREEMAN EMPLOYEES AND VOLUNTEERS, OR 12.5% OF THE FREEMAN WORKFORCE, WERE DIRECTLY AFFECTED, MANY LOSING EVERYTHING THEY OWNED. NORMALLY, FREEMAN HOSPITAL EAST PROVIDES OUTPATIENT, POST-ACUTE, AND BEHAVIORAL HEALTH SERVICES. THE NIGHT OF THE TORNADO, THE TWO PSYCHIATRISTS ON DUTY THERE SET UP AND MANNED A TRIAGE AREA TO CARE FOR EMERGENCY PATIENTS AT THIS NONEMERGENCY FACILITY UNTIL ADDITIONAL HELP COULD BE SUMMONED. ADDITIONALLY, FREEMAN NEOSHO HOSPITAL TOOK ON MANY OF THE INJURED PATIENTS. PHARMACIES IN JOPLIN-ONE AT 32ND AND MCCLELLAND BOULEVARD AND ONE INSIDE FREEMAN HOSPITAL WEST. THE 32ND AND MCCLELLAND STORE WAS OPEN WHEN THE STORM STRUCK. PHARMACY STAFF TOOK SHELTER AS THEY BRACED FOR THE WORST. THE MASSIVE TORNADO MISSED THE PHARMACY BY LESS THAN A HALF MILE. THE STORE SUSTAINED MINOR DAMAGE. THE DOORS, HOWEVER, COULD NOT BE SECURED SO PHARMACY MANAGEMENT MADE THE DECISION TO MOVE THE ENTIRE PHARMACY INVENTORY TO THE QUICKMEDS PHARMACY LOCATED IN THE MAIN LOBBY OF FREEMAN HOSPITAL WEST. ONE PHARMACIST AND TWO PHARMACY TECHNICIANS OPENED THE FREEMAN WEST STORE SOON AFTER THE TORNADO THAT NIGHT AND WORKED CONTINUOUSLY FOR 24 HOURS FOLLOWING THE STORM. QUICKMEDS STAFF ASSISTED WITH MEDICATION NEEDS AS PATIENTS WERE TRIAGED AND DISCHARGED FROM THE HOSPITAL. IN THE IMMEDIATE HOURS FOLLOWING THE STORM, COMMUNICATION CAPABILITIES, INCLUDING TECHNICAL PROCESSING, WERE DISABLED. QUICKMEDS PHARMACY DISPENSED THOUSANDS OF DOLLARS OF MEDICATION WITHOUT THE ABILITY TO ADJUDICATE TO INSURANCE OR COLLECT MONEY FROM PATIENTS. MANY PATIENTS LOST ALL THEIR BELONGINGS, INCLUDING FORMS OF IDENTIFICATION AND MEANS OF PAYMENT. FREEMAN IMMEDIATELY MADE THE DECISION THAT PATIENTS WOULD NOT GO WITHOUT CARE AND THE MEDICATIONS THEY SO DESPERATELY NEEDED.
PROGRAM SERVICES (CONTINUED)	FORM 990, PART III, LINE 4	BECAUSE THE TORNADO DESTROYED OR DISABLED SIX LOCAL PHARMACIES, THE COMMUNITY HAD GREAT NEED FOR QUICKMEDS PHARMACY SERVICES. ALMOST IMMEDIATELY, PEOPLE BEGAN ARRIVING AT QUICKMEDS PHARMACY AT FREEMAN WEST. THE TORNADO DEMOLISHED MANY LOCAL PHYSICIAN OFFICES, AND MEDICATION RECORDS WERE NOT AVAILABLE. NUMEROUS CUSTOMERS TRIED TO DESCRIBE THE COLOR OF THE CAPSULE OR TABLET THEY WERE TAKING IN HOPES THE PHARMACY STAFF COULD DETERMINE THEIR MEDICATIONS FOR THEM. THIS PRESENTED A CHALLENGE FOR PHARMACISTS WHO HAD TO PLAY A ROLE DIFFERENT THAN THEY HAD EVER PLAYED BEFORE. IT BECAME EVIDENT THE MORNING FOLLOWING THE STORM, THAT FREEMAN NEEDED A PHYSICIAN AT THE PHARMACY TO HELP PATIENTS WHO NEEDED MEDICATIONS UNTIL THEY COULD OBTAIN PRESCRIPTIONS FROM THEIR OWN PHYSICIANS. TO ASSIST PATIENTS IN THIS CAPACITY, DR. DENNIS ESTEP, FREEMAN OCCUPATIONAL MEDICINE PHYSICIAN, WORKED IN THE PHARMACY ALONGSIDE THE PHARMACISTS AND STAFF. WITHOUT THIS COLLABORATION, MANY PATIENTS WOULD HAVE GONE WITHOUT THEIR MEDICATIONS. FREEMAN MADE THE DECISION TO HAVE A PHYSICIAN PRESENT EVEN BEFORE THE MISSOURI STATE BOARD OF PHARMACY RELEASED A STATEMENT GIVING PHARMACISTS THE ABILITY TO CONTINUE ANY AND ALL MEDICATIONS NECESSARY FOR A PATIENT WITHOUT A PHYSICIAN'S PRESCRIPTION. FREEMAN IDENTIFIED AND MET THE CHALLENGES THIS HORRIBLE STORM BROUGHT TO COUNTLESS PATIENTS BEFORE MANY OTHER PROVIDERS COULD REACT. FOR MONTHS, FREEMAN SERVED AS THE ONLY FULLY-FUNCTIONING HOSPITAL IN JOPLIN. PATIENT CENSUS AND ACUITY INCREASED DRAMATICALLY. AS THE ONLY LEVEL II TRAUMA CENTER LEFT IN JOPLIN FOLLOWING THE STORM, FREEMAN MADE PLANS TO MEET THE SURGE OF ADDITIONAL PATIENTS THAT CONTINUED LONG AFTER THE INITIAL INFLUX. PLANS INCLUDED: - ADDING 58 BEDS AT FREEMAN WEST (29 IN MARCH 2012, WITH 29 MORE PLANNED FOR OCTOBER 2012) - OPENING A TRANSITIONAL CARE UNIT JULY 18 - ADDING 20 ADULT PSYCHIATRIC BEDS AT FREEMAN EAST BECAUSE FOR SIX MONTHS FREEMAN WAS THE ONLY HOSPITAL IN TOWN WITH BEHAVIORAL HEALTH EMERGENCY AND INPATIENT CAPABILITIES - HIRING ADDITIONAL CLINICAL AND PHYSICIAN STAFF BECAUSE OF THE POST-TORNADO SURGE OF PATIENTS THAT CONTINUED FOR MONTHS, FREEMAN HAD TO HIRE MANY NURSES TO MEET THE DEMAND FOR SERVICES. THERE WEREN'T ENOUGH QUALIFIED NURSES AVAILABLE LOCALLY TO FILL THE NEED, SO FREEMAN HAD TO USE AGENCIES TO FILL VACANCIES. AGENCY NURSING STAFF COMES AT A PREMIUM PRICE, AND THIS RAISED THE COST OF LABOR FOR FREEMAN IN THE MONTHS FOLLOWING THE TORNADO. ANOTHER CONSEQUENCE OF THE TORNADO WAS THE GROWTH IN BAD DEBT THAT FREEMAN EXPERIENCED AFTER THE STORM. THOUSANDS OF PEOPLE LOST THEIR HOMES AND EVERYTHING THEY OWED IN THE STORM, AND MANY OF THEM COULD NOT PAY THEIR HOSPITAL BILLS. MANY OF THESE PATIENTS DID NOT APPLY FOR FINANCIAL ASSISTANCE, SO THEIR BILLS HAD TO BE WRITTEN OFF AS BAD DEBT, RATHER THAN CHARITY CARE. AFTER THE TORNADO, JOPLIN SAW A DRAMATIC INCREASE IN CHILD TRAUMA. TO PROVIDE CRITICAL SERVICES FOR CHILDREN AND FAMILIES IN NEED, THE GOVERNOR ALLOCATED FUNDS FOR CREATION OF WILL'S PLACE, A HEALING CENTER FOR KIDS. FREEMAN AND OZARK CENTER COLLABORATED WITH AREA CHILD CARE PROVIDERS AND CHILD-SERVING AGENCIES IN THE DESIGN OF THE CENTER. BEFORE THE TORNADO, FREEMAN HAD ESTABLISHED A DISASTER RELIEF FUND AND WAS ABLE TO PROVIDE THREE ROUNDS OF FINANCIAL DISASTER ASSISTANCE TO EVERY EMPLOYEE SUSTAINING LOSS. DONORS TO THIS FUND INCLUDED: - CORPORATIONS - FOUNDATIONS - FREEMAN EMPLOYEES - FREEMAN AUXILIARY - INDIVIDUALS - FREEMAN BOARD MEMBERS - FREEMAN PHYSICIANS IN THE FACE OF DEVASTATION AND HORRIFIC CIRCUMSTANCES-A SITUATION MORE BRUTAL THAN EVEN THE MOST EXPERIENCED DOCTOR OR NURSE HAD EVER SEEN PREVIOUSLY-FREEMAN HEALTHCARE PROFESSIONALS GAVE ALL THE ENERGY, SKILL, AND COURAGE THEY COULD MUSTER TO SERVE JOPLIN WITH HEARTS AND HANDS. MANY OF THEM WOULD SAY THEY WERE "JUST DOING THEIR JOBS." HOWEVER, THEY SHOWED UP THAT NIGHT TO DO MORE THAN JUST THEIR JOBS-THEY PERFORMED HEROICALLY TO PROVIDE THE BEST HEALTHCARE POSSIBLE DURING JOPLIN'S DARKEST HOURS. TODAY, FREEMAN REMAINS FIERCELY FOCUSED ON THAT RESPONSIBILITY AND CONSIDERS IT A PRIVILEGE TO CARE FOR THE COMMUNITY AND WORK TOWARD HEALING. TO HELP ENSURE THE COMMUNITY HAS THE PHYSICIANS IT NEEDS, FREEMAN BROUGHT 24 NEW PHYSICIANS INTO THE COMMUNITY DURING FY 2012, 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. FREEMAN NEOSHO HOSPITAL IS A 67 LICENSED BED, CRITICAL-ACCESS FACILITY THAT SERVES THE NEEDS OF LARGELY RURAL NEWTON AND MCDONALD COUNTIES IN SOUTHWEST MISSOURI. FREEMAN NEOSHO HOSPITAL PROVIDES THE COMMUNITY WITH EMERGENCY SERVICES; PEDIATRIC SERVICES; COMPREHENSIVE SURGICAL SERVICES; CARDIOLOGY AND ONCOLOGY/HEMATOLOGY SPECIALTY CLINICS; AND CARDIAC, PHYSICAL THERAPY, SPEECH THERAPY REHABILITATION SERVICES, AND MAMMOGRAPHY AND OTHER DIAGNOSTIC SERVICES THROUGH THE NEWLY BUILT GARY DUNCAN WOMEN'S PAVILION. FREEMAN ALSO PROVIDES EMERGENCY TRANSPORT FOR NEWTON AND MCDONALD COUNTIES THROUGH FREEMAN AMBULANCE SERVICE. FREEMAN NEOSHO PLAYED A BIG ROLE IN TORNADO RECOVERY, HELPING CARE FOR THE INFLUX OF PATIENTS IMMEDIATELY FOLLOWING THE STORM AND MEETING THE LONG-TERM MEDICAL NEEDS OF A COMMUNITY WHOSE HOSPITAL RESOURCES HAD BEEN DRAMATICALLY REDUCED. FREEMAN FAST FACTS FY 2012 (JOPLIN & NEOSHO COMBINED) - OUTPATIENT REGISTRATIONS: 409,376 - EMERGENCY/TRAUMA/URGENT CARE VISITS: 125,025 - FREEMAN OCCUMED VISITS: 43,035 - ADMISSIONS: 23,953 - SURGICAL PROCEDURES: 11,331 - BIRTHS: 2,841 - BABIES IN NEONATAL INTENSIVE CARE UNIT: 230 FOR 21 YEARS, FREEMAN ORTHOPAEDICS & SPORTS MEDICINE AND FREEMAN REHABILITATION SERVICES HAVE PROVIDED FREE ANNUAL PRESEASON PHYSICAL EXAMS FOR ATHLETES ATTENDING AREA SCHOOLS AND COLLEGES. 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. THIS PROGRAM HELPED HUNDREDS OF ATHLETES IN FY 2012. THROUGH THE CHAPLAINS FUND, FREEMAN OFFERS HELP TO PATIENTS UPON DISMISSAL FROM THE HOSPITAL. THIS FUND HELPS PATIENTS OBTAIN PRESCRIPTION MEDICATIONS BEFORE THEY GO HOME. ADDITIONALLY, PATIENTS WHO HAVE NO WAY HOME FROM THE HOSPITAL MAY RECEIVE HELP WITH TRANSPORTATION EXPENSES THROUGH THE CHAPLAINS FUND. THIS PROGRAM HELPED 1,424 PATIENTS IN FY 2012, PROVIDING A COMMUNITY BENEFIT OF $28,468. SPENT 33,070 HOURS ENGAGED IN COMMUNITY BENEFIT ACTIVITIES IN 2012. 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.
PROGRAM SERVICES (CONTINUED)	FORM 990, PART III, LINE 4	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, WITH AN ANNUAL RETAIL VALUE OF $1,602. 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 2012, FREEMAN HEALTH SYSTEM, INCLUDING OZARK CENTER, PROVIDED PAYROLL AND BENEFITS TOTALING $259,085,722. 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. 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.
PROGRAM SERVICES	FORM 990, PART III, LINE 4A	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 TREATMENT AND RECOVERY. FREEMAN STAFF WORK WITH DRUG COMPANIES AND OTHER ORGANIZATIONS TO PROCURE FREE CANCER MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM. FREEMAN HELPS WOMEN WHO CAN'T AFFORD MAMMOGRAMS THROUGH THE HELPING FRIENDS MAMMOGRAM FUND, ADMINISTERED BY FREEMAN FOUNDATION. IN FY 2012, HELPING FRIENDS MAMMOGRAM FUND HELPED 59 WOMEN BY PROVIDING $21,125 IN MAMMOGRAMS. FREEMAN HEALTH ACADEMY WAS ESTABLISHED IN 2011 TO SERVE RURAL SOUTHWEST MISSOURI COUNTIES EXPERIENCING A SHORTAGE OF HEALTHCARE PROFESSIONALS. FREEMAN HEALTH ACADEMY EQUIPS MIDDLE SCHOOLS WITH A CURRICULUM, DESIGNED IN CONSULTATION WITH UNIVERSITY OF MISSOURI, ADDRESSING THE WIDE VARIETY OF 21ST CENTURY HEALTHCARE CAREERS, INCLUDING CLINICAL, BUSINESS, AND OPERATIONS PATHWAYS. AREA STUDENTS TOUR FREEMAN TO RECEIVE A GLIMPSE INTO THE FIELD OF THEIR CHOICE. AS STUDENTS PROGRESS INTO HIGH SCHOOL AND POSTSECONDARY EDUCATION, THEY ARE GIVEN INFORMATION ABOUT COURSES NEEDED TO PREPARE FOR HEALTHCARE CAREERS, MATH AND SCIENCE COMPETITIONS, AND SCHOLARSHIP AND LEADERSHIP OPPORTUNITIES; THEY ARE ALSO MENTORED REGARDING THEIR CAREER CHOICES. RESEARCH SHOWS STUDENTS BEGIN MAKING PLANS FOR FUTURE CAREERS AS EARLY AS MIDDLE SCHOOL, AND BY PROVIDING THIS OPPORTUNITY, FREEMAN CAN BEGIN TO SOLIDIFY WITHIN THESE CHILDREN THE DESIRE TO SELECT A FIELD IN A HEALTHCARE SYSTEM, WHETHER IN A CLINICAL OR NONCLINICAL SETTING. THIS IS ONE EXAMPLE OF THE HEALTH SYSTEM'S DESIRE TO MAKE A POSITIVE IMPACT ON THE COMMUNITY BY SERVING ITS SCHOOLS AND ENCOURAGING STUDENTS TO GRADUATE.
PROGRAM SERVICES	FORM 990, PART III, LINE 4B	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 622 CASES, OF WHICH, 366, OR 59%, WERE MEDICAID CASES. ADDITIONALLY, 2% OF THE PEDIATRIC INPATIENT CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. DESIGNED TO GIVE NEW MOTHERS AND THEIR FAMILIES THE COMFORTS OF HOME WITHIN THE SECURITY OF A HOSPITAL, FREEMAN MATERNITY CENTER DELIVERED 2,841 BABIES IN FY 2012. 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. OF THE 2,841 CASES SEEN IN FY 2012, FREEMAN MATERNAL SERVICES SERVED 1,501 MEDICAID PATIENTS, OR 53% OF ITS CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 2% OF THE DELIVERIES. AS THESE STATISTICS INDICATE, FREEMAN PROVIDES A SAFETY NET FOR EXPECTANT MOTHERS WHO LIVE IN POVERTY AND RECEIVE GOVERNMENT ASSISTANCE AND THOSE WHO SCRAPE BY WITHOUT ASSISTANCE BUT HAVE NO HEALTH INSURANCE. MEDICAID REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING THE LEVEL OF TREATMENT REQUIRED. FREEMAN 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. AS A CHILDREN'S MIRACLE NETWORK HOSPITAL, FREEMAN WAS ABLE TO EXPAND THE NICU IN MAY 2011, ADDING 10 BEDS TO THE 14 ALREADY IN PLACE AND PROVIDING NEW EQUIPMENT AND TECHNOLOGY TO GIVE PREMATURE AND CRITICALLY ILL BABIES EVERY OPPORTUNITY FOR A HEALTHY LIFE.
PROGRAM SERVICES	FORM 990, PART III, LINE 4C	WITHIN MINUTES OF THE STORM'S PASSING, HUNDREDS OF INJURED BEGAN ARRIVING AT FREEMAN HOSPITAL WEST, VIA LAND AND AIR AMBULANCE, BY PRIVATE VEHICLE, AND ON FOOT. THE MAGNITUDE OF THEIR INJURIES BEYOND COMPREHENSION, PATIENTS CAME TO FREEMAN WITH SEVERED LIMBS, ABDOMINAL LACERATIONS, COMPOUND FRACTURES, CRUSHING HEAD INJURIES FROM FLYING OBJECTS, AND OTHERS TOO NUMEROUS TO MENTION. THEY ARRIVED BATTERED AND BLOODIED AND IN NEED OF HELP. LITERALLY HUNDREDS OF PEOPLE SWARMED THE LOBBY IN THE AFTERMATH OF THE STORM. FOR MONTHS FOLLOWING THE STORM, FREEMAN SERVED AS THE ONLY FULLY-FUNCTIONING HOSPITAL IN JOPLIN. PATIENT CENSUS AND ACUITY INCREASED DRAMATICALLY. THE EMERGENCY/TRAUMA CENTER AT FREEMAN WEST TREATS APPROXIMATELY 50,000 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 A ROUND-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. 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. FREEMAN AMBULANCE SERVICE OPERATES AT A LOSS. ALL PATIENTS ARE SERVED REGARDLESS OF ABILITY TO PAY FOR THE SERVICE
COMMON PAYMASTER ARRANGEMENT & SALARIES	FORM 990, PART V, LINE 2A	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.
REVIEW OF THE FORM 990	FORM 990, PART VI, SECTION B, LINE 11B	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.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	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.
FREEMAN HEALTH SYSTEM COMPENSATION REVIEW	FORM 990, PART VI, SECTION B, LINES 15A & 15B	EXECUTIVE COMPENSATION PHILOSOPHY & STRATEGY I. KEY PRINCIPLES FREEMAN HEALTH SYSTEM ("FHS") DESIRES TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE, FAIR, AND EQUITABLE; COMPLIANT WITH REGULATORY GUIDELINES; AND REPRESENTATIVE OF MARKET BEST PRACTICES. KEY PRINCIPLES THAT GUIDE FHS'S EXECUTIVE COMPENSATION DECISION-MAKING PROCESS INCLUDE: -EXECUTIVE COMPENSATION PROGRAMS WILL SUPPORT FHS'S MISSION, VALUES, STRATEGIC DIRECTION, AND TAX-EXEMPT STATUS. -FHS COMPETES IN A NATIONAL MARKET FOR ITS EXECUTIVES AND THUS WILL CONSIDER PAY PRACTICES THAT ARE REPRESENTATIVE OF THE INDUSTRY. -THE RELATIVE PAY LEVELS OF FHS EXECUTIVES WILL OVER TIME REFLECT BOTH INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. -FHS INTENDS TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRS INTERMEDIATE SANCTIONS REGULATIONS. THUS, EXECUTIVE COMPENSATION PROGRAMS AND DECISIONS WILL BE APPROVED, IN ADVANCE OF THEIR IMPLEMENTATION BY THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") OF THE BOARD OF DIRECTORS: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF FHS'S MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FHS. THE COMMITTEE WILL RELY UPON APPROPRIATE, INDEPENDENT COMPARABILITY DATA TO SUPPORT ITS DECISION MAKING PROCESS. THE COMMITTEE WILL ADEQUATELY DOCUMENT ITS DELIBERATIONS, DECISIONS, AND ACTIONS ON A TIMELY BASIS. II. PRIMARY PROGRAM COMPONENTS FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM CONSISTS OF THE FOLLOWING COMPONENTS: -BASE SALARY -ANNUAL AT RISK COMPENSATION -STANDARD ALL EMPLOYEE BENEFITS -SUPPLEMENTAL BENEFITS AND PERQUISITES -SEVERANCE ANNUALLY, THE COMMITTEE WILL DIRECT THE REVIEW OF THE COMPONENTS OF THE EXECUTIVE COMPENSATION PROGRAM AND APPROVE PROGRAM MODIFICATIONS AS APPROPRIATE. THE COMMITTEE MAY ALSO AUTHORIZE UNIQUE PROGRAM COMPONENTS WHICH SUPPORT THE ACHIEVEMENTS OF FHS'S MISSION. III. MARKET COMPARATORS FHS WILL CONSIDER A NATIONAL PEER GROUP OF HEALTHCARE ORGANIZATIONS COMPARABLE TO FHS IN SIZE (I.E., NET REVENUES) AND COMPLEXITY TO DETERMINE THE MARKET VALUES FOR EACH OF ITS EXECUTIVE POSITIONS. THIS PEER GROUP WILL PRIMARILY BE COMPRISED OF NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS (BUT FOR-PROFIT ORGANIZATIONS MAY BE CONSIDERED SELECTIVELY) FOR FUNCTIONALLY COMPARABLE POSITIONS AS REPORTED IN SURVEYS CONDUCTED BY INDEPENDENT FIRMS. -CASH COMPENSATION THE FOLLOWING ORGANIZATIONS/MARKETS ARE THE PRIMARY COMPARATORS FOR COMPENSATION PURPOSES: SYSTEM LEVEL EXECUTIVES: HEALTH SYSTEMS OF COMPARABLE SIZE TO FHS, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. HOSPITAL LEVEL EXECUTIVES: HOSPITALS OF COMPARABLE SIZE TO THE FHS ENTITY, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. OTHER EXECUTIVES: ORGANIZATIONS OF COMPARABLE SIZE IN RELEVANT MARKET SEGMENTS SUCH AS MEDICAL GROUP PRACTICES, HOME HEALTH, AND THE LIKE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKET. -EXECUTIVE BENEFITS FHS WILL DEVELOP AND ADMINISTER EXECUTIVE BENEFIT (I.E., STANDARD BENEFITS, SUPPLEMENTAL EXECUTIVE BENEFITS, AND PERQUISITES) PLANS THAT ARE BASED ON NATIONAL HEALTHCARE INDUSTRY MARKET NORMS. IV. MARKET POSITION TARGETS FHS HAS ESTABLISHED A TARGET MARKET POSITION FOR EACH OF THE COMPONENTS OF ITS EXECUTIVE TOTAL COMPENSATION PROGRAM. -BASE SALARIES: FHS WILL MANAGE ITS EXECUTIVES' BASE SALARIES AROUND THE 50TH PERCENTILE OF BASE SALARIES PAID IN THE MARKET. SALARIES WILL VARY FROM THE 50TH PERCENTILE BASED AN EXECUTIVE'S EXPERIENCE AND PERFORMANCE. FOR EXAMPLE: EXECUTIVES WHO ARE NEW TO THE ORGANIZATION AND/OR HAVE LIMITED OR NO PRIOR EXECUTIVE-LEVEL EXPERIENCE SHOULD HAVE SALARIES THAT ARE 80 TO 90 PERCENT OF THE 50TH PERCENTILE. EXPERIENCED EXECUTIVES (WITH APPROXIMATELY 5 TO 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY MEET FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 90 TO 110 PERCENT OF THE 50TH PERCENTILE. *EXPERIENCED EXECUTIVES (WITH MORE THAN 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY EXCEED FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 110 TO 120 PERCENT OF THE 50TH PERCENTILE. -TOTAL CASH COMPENSATION: THE GOAL OF THIS COMPONENT IS TO PAY UP TO THE 75TH PERCENTILE OF MARKET TOTAL CASH COMPENSATION WHEN EXCEPTIONAL PERFORMANCE IS ACHIEVED. TOTAL CASH COMPENSATION INCLUDES BASE SALARIES AND LUMP-SUM AWARDS FROM FHS'S EXECUTIVE AT RISK COMPENSATION PLAN(S). ACTUAL TOTAL CASH COMPENSATION WILL REFLECT EXECUTIVES' CURRENT SALARIES, INDIVIDUAL PERFORMANCE AND CONTRIBUTIONS, AND THE ORGANIZATION'S PERFORMANCE. -EXECUTIVE BENEFITS: FHS TARGETS EXECUTIVE BENEFITS (STANDARD BENEFITS PLUS SUPPLEMENTAL EXECUTIVE BENEFITS AND PERQUISITES) AT THE 50TH PERCENTILE OF EXECUTIVE BENEFITS PROVIDED IN THE HEALTHCARE MARKET. -SEVERANCE: FHS TARGETS EXECUTIVE SEVERANCE AT THE 50TH PERCENTILE OF CURRENT HEALTHCARE MARKET PRACTICES. OTHER BUSINESS JUDGMENT FACTORS SUCH AS COMPETITIVE MARKET FORCES, EACH EXECUTIVE'S JOB PERFORMANCE, EACH EXECUTIVE'S UNIQUE SKILLS, RESPONSIBILITIES AND EFFORTS, AND/OR EACH EXECUTIVE'S MARKETPLACE STANDING, ARE ALSO CONSIDERED BY THE COMMITTEE DURING ITS DECISION MAKING PROCESS.
FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED)	FORM 990, PART VI, SECTION B, LINES 15A & 15B	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 THEIR INTENDED PURPOSE(S), AND APPROVE MODIFICATIONS, INCLUDING NEW PROGRAMS. -REPORT REGULARLY TO THE FULL BOARD AND TO OTHER SYSTEM BOARDS ON COMMITTEE FINDINGS AND APPROVED ACTIONS AND ANY OTHER MATTERS THE COMMITTEE DEEMS APPROPRIATE OR THE BOARD REQUESTS. -CONDUCT AN ANNUAL SELF-EVALUATION OF THE COMMITTEE'S PERFORMANCE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER. -REVIEW AND REASSESS THE ADEQUACY OF THIS CHARTER ANNUALLY, AND AMEND IT AS THE COMMITTEE DEEMS APPROPRIATE. -COMMUNICATE WITH EXTERNAL PARTIES, AS APPROPRIATE, REGARDING COMMITTEE PROCEDURES AND THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES AND OTHER DISQUALIFIED PERSONS. OTHER DISQUALIFIED PERSONS. A COMPENSATION REVIEW LAST OCCURRED IN JUNE OF 2011.
DOCUMENT DISCLOSURE	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
RELATED HOURS	FORM 990, PART VII, SECTION A, COLUMN B	GARY D. DUNCAN, BOARD MEMBER AND CEO THROUGH DECEMBER 2011, WORKED APPROXIMATELY 60 HOURS PER WEEK BETWEEN FREEMAN HEALTH SYSTEM AND FREEMAN NEOSHO HOSPITAL. PAULA F. BAKER, BOARD MEMBER AND CEO BEGINNING JANUARY 2012, WORKS APPROXIMATELY 60 HOURS PER WEEK BETWEEN FREEMAN HEALTH SYSTEM AND FREEMAN NEOSHO HOSPITAL. STEVE GRADDY, CFO, WORKS APPROXIMATELY 60 HOURS PER WEEK BETWEEN FREEMAN NEOSHO HOSPITAL AND FREEMAN HEALTH SYSTEM. BOARD MEMBERS LARRY MCINTIRE, JOHN COX, AND RODNEY MCFARLAND WORK APPROXIMATELY 60 HOURS PER WEEK AS PHYSICIANS WITH FREEMAN HEALTH SYSTEM. THEY DO NOT RECEIVE ANY COMPENSATION IN THEIR ROLES AS DIRECTORS.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 5	NET UNREALIZED GAINS ON INVESTMENTS $ 1,996,383 TRANSFER TO AFFILIATES ( 254,728) WRITE OFF OF ARCHITECTURE FEES ( 984,552) ----------- TOTAL $ 757,103

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	FHS HOLDINGS LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1102 W 32ND ST	AddressLine1
City	JOPLIN	City
State	MO	State
ZIP Code	64804	ZIPCode

Field	Value	IRS element (for citing)
EIN	205441528	EIN
Primary Activities	LT ACUTE CARE	PrimaryActivities
Legal Domicile State	MO	LegalDomicileState
Total Income	84799	TotalIncome
EOY Assets	869575	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
FREEMAN NEOSHO HOSPITAL
113 W HICKORY	NEOSHO	MO	64850	431240629	HOSPITAL	MO	501(C)(3)	3	FREEMAN HLTH	true
OZARK CENTER
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	430821959	BEHAVRL HLTH	MO	501(C)(3)	9	FREEMAN HLTH	true
MAGNOLIA HEIGHTS HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	470950622	HUD HOUSING	MO	501(C)(3)	11 A I	OZARK CENTER	true
CEDAR HILL HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	470943557	HUD HOUSING	MO	501(C)(3)	11 A I	OZARK CENTER	true
POPLAR PLACE HOUSING CORPORATION
3006 MCCLELLAND BLVD	JOPLIN	MO	64804	900462595	HUD HOUSING	MO	501(C)(3)	11 A I	OZARK CENTER	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	FREEMAN SURGICAL CE	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	11221 ROE AVE STE 320 LEAWOOD	AddressLine1
City	LEAWOOD	City
State	KS	State
ZIP Code	66211	ZIPCode

Field	Value	IRS element (for citing)
EIN	262652980	EIN
Primary Activity	AMBULATORY SU	PrimaryActivity
Legal Domicile State	MO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	815330	ShareOfTotalIncome
Share Of EOY Assets	2692560	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	true	GeneralOrManagingPartner
Percentage Ownership	0.53125	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
OZARK CENTER
A	137233	FMV
FREEMAN NEOSHO HOSPITAL
A	7744	FMV
OZARK CENTER
B	216000	FMV
OZARK CENTER
D	479526	FMV
FREEMAN NEOSHO HOSPITAL
E	469345	FMV
OZARK CENTER
L	577028	FMV
FREEMAN NEOSHO HOSPITAL
Q	254728	FMV