TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) LARRY BARNES...................................................................... SECRETARY	40.0 ................. 0.0	X	X			244,071	0	25,367
(2) DEE ANN EVENSON...................................................................... DIRECTOR	1.0 ................. 0.0	X				0	0	0
(3) RUDY FARBER...................................................................... CHAIRMAN	1.0 ................. 0.0	X	X			0	0	0
(4) GLENN MCCUMBER...................................................................... VICE CHAIRMAN	1.0 ................. 1.0	X	X			0	0	0
(5) CRAIG PENDERGRASS...................................................................... DIRECTOR	1.0 ................. 0.0	X				0	0	0
(6) ROY SHAVER...................................................................... DIRECTOR	1.0 ................. 0.0	X				0	0	0
(7) GARY WASSON...................................................................... DIRECTOR	1.0 ................. 0.0	X				0	0	0
(8) PAULA BAKER...................................................................... PRESIDENT AND CEO	6.0 ................. 61.5	X	X			0	1,449,112	355,475
(9) STEVE GRADDY...................................................................... CFO	10.0 ................. 50.0		X			0	631,254	101,022
(10) RENEE DENTON...................................................................... CHIEF OPERATING OFFICER, FNH	60.0 ................. 0.0			X		159,319	0	2,477
(11) ERNEST HOLMES...................................................................... PHYSICIAN	50.0 ................. 10.0				X	379,204	74,178	24,206
(12) STEPHEN L REED...................................................................... CRNA	60.0 ................. 0.0				X	173,291	6,366	29,695
(13) DONALD WONDER...................................................................... PHYSICIAN	60.0 ................. 0.0				X	333,547	0	22,513
(14) BRADY HESINGTON...................................................................... PHYSICIAN	60.0 ................. 0.0				X	321,097	0	31,774
(15) YARA TOUMA...................................................................... PHYSICIAN	50.0 ................. 10.0				X	293,852	129,840	20,021

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

FREEMAN NEOSHO HOSPITAL

Employer identification number

43-1240629

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

FREEMAN NEOSHO HOSPITAL

Employer identification number

43-1240629

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

9,343

Total. Add lines 1c through 1i ....................................................................................................

9,343

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1(I)	OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

FREEMAN NEOSHO HOSPITAL

Employer identification number

43-1240629

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	913,042		913,042
b	Buildings ....	9,432,663	6,214,117	3,218,546
c	Leasehold improvements
d	Equipment ....	8,543,089	5,808,041	2,735,048
e	Other .....	208,741	135,850	72,891
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				6,939,527

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,446,032
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	30,008,919
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	1,441,020
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-5,697,055
e	Add lines 2a through 2d .....................			2e	-4,256,035
3	Subtract line 2e from line 1..................			3	34,264,954
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	-151
c	Add lines 4a and 4b....................			4c	-151
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	34,264,803

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	25,790,970
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	151
e	Add lines 2a through 2d....................			2e	151
3	Subtract line 2e from line 1...................			3	25,790,819
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	26,485
b	Other (Describe in Part XIII.) ............	4b	5,670,570
c	Add lines 4a and 4b.....................			4c	5,697,055
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	31,487,874

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	OTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (5,583,070) BAD DEBT EXPENSE ( 87,500) CONTRIBUTIONS EXPENSE ( 26,485) INVESTMENT FEES ------------- $ (5,697,055)
SCHEDULE D, PART XI, LINE 4B	OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ ( 151) RENTAL EXPENSE
SCHEDULE D, PART XII, LINE 2D	OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 151 RENTAL EXPENSE
SCHEDULE D, PART XII, LINE 4B	OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 5,583,070 BAD EXPENSE 87,500 CONTRIBUTIONS EXPENSE ------------ $ 5,670,570

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

FREEMAN NEOSHO HOSPITAL

Employer identification number

43-1240629

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,169,808		1,169,808	4.520 %
b	Medicaid (from Worksheet 3, column a) . . . . .	4,995,578	5,280,987	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	6,165,386	5,280,987	1,169,808	4.520 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	5,602		5,602	0.020 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	92,300		92,300	0.360 %
j	Total. Other Benefits . .	97,902		97,902	0.380 %
k	Total. Add lines 7d and 7j .	6,263,288	5,280,987	1,267,710	4.900 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

5,583,070

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

200,991

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

8,351,929

Enter Medicare allowable costs of care relating to payments on line 5.....

8,011,292

Subtract line 6 from line 5. This is the surplus (or shortfall)........

340,637

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
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Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	FREEMAN NEOSHO HOSPITAL 113 W HICKORY STREET NEOSHO,MO64850 WWW.FREEMANHEALTH.COM 402-21	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FREEMAN NEOSHO HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FREEMAN NEOSHO HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100%
and FPG family income limit for eligibility for discounted care of 250.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	FREEMAN NEOSHO HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FREEMAN NEOSHO HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: FREEMAN HEALTH SYSTEM IS A FOUNDING STAKEHOLDER OF THE OZARKS HEALTH COMMISSION (OHC). FORMED IN 2015, OHC PARTNERS HAVE A VISION OF USING A SYSTEMATIC, DATA-DRIVEN PROCESS TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS ON A REGIONAL LEVEL. THIS PARTNERSHIP WORKED THROUGHOUT 2015 TO DEVELOP A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE JOPLIN COMMUNITY, WHICH PROVIDES AN UP-TO-DATE PICTURE WITH WHICH TO STRATEGICALLY ADDRESS HEALTH CONCERNS IN FREEMAN'S SERVICE AREA. COMMUNITY MEMBERS AND HEALTH AND HUMAN SERVICES ORGANIZATIONS WERE ENGAGED THROUGH A SURVEY, THE FOCUS OF WHICH WAS TO GARNER FEEDBACK FROM THE REGION ON PRIORITIZING THE ISSUES THAT ARE BARRIERS TO IMPROVED HEALTH. THE SURVEY GARNERED A TOTAL OF 2,542 RESPONSES. OF THESE RESPONSES, 2,521 (99%) WERE IN ENGLISH AND 21 (1%) WERE IN SPANISH. THERE WERE 1,586 INDIVIDUAL RESPONSES, WHICH WAS 62.4% OF THE TOTAL, AND 956 ORGANIZATIONAL RESPONSES, REPRESENTING 37.6% OF TOTAL RESPONSES.
SCHEDULE H, PART V, SECTION B, LINE 6A	CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: IN ADDITION TO FREEMAN HEALTH SYSTEM, A RELATED ORGANIZATION, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH MERCY HEALTH SYSTEM, COXHEALTH, AND CITIZENS MEMORIAL HEALTHCARE.
SCHEDULE H, PART V, SECTION B, LINE 6B	CHNA CONDUCTED WITH OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH THE FOLLOWING ORGANIZATIONS: - BURRELL BEHAVIORAL HEALTH - JOPLIN HEALTH DEPARTMENT - JASPER COUNTY HEALTH DEPARTMENT - MISSOURI STATE UNIVERSITY - POLK COUNTY HEALTH DEPARTMENT - SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT - TANEY COUNTY HEALTH DEPARTMENT
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 10	IMPLEMENTATION STRATEGY URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: FREEMAN HEALTH SYSTEM HAS ADOPTED A JOINT IMPLEMENTATION STRATEGY THAT INCLUDES FREEMAN HOSPITAL WEST, FREEMAN HOSPITAL EAST, AND FREEMAN NEOSHO HOSPITAL. AS WELL, FREEMAN INTENDS TO CONTINUE TO WORK IN COLLABORATION WITH OZARKS HEALTH COMMISSION TO PURSUE A JOINT STRATEGY OR THE 50-COUNTY AREA REPRESENTED BY ITS MEMBER ORGANIZATIONS. AT THE ORGANIZATIONAL LEVEL, FREEMAN HEALTH SYSTEM HAS ADOPTED THE FOLLOWING PRIORITIZED HEALTH NEEDS FOR ITS COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) FOR THE PERIOD 1/1/2016 THROUGH 3/31/2019: 1. CARDIOVASCULAR DISEASE OBJECTIVE: REDUCE THE PREVALENCE OF CARDIOVASCULAR DISEASE AND INCREASE AWARENESS OF PREVENTION AND RISK FACTORS. STRATEGY 1: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS PREVENTION AND SCREENINGS. STRATEGY 2: LEVEL II STROKE CENTER ACCREDITATION. STRATEGY 3: CHEST PAIN ACCREDITATION. STRATEGY 4: EDUCATE HEALTH PROFESSIONALS REGARDING EVIDENCE-BASED RESEARCH AND BEST PRACTICES. STRATEGY 5: EXPAND SERVICES THROUGH THE INTRODUCTION OF NEW TECHNOLOGIES AND EXPERTISE. 2. MENTAL HEALTH OBJECTIVE: COORDINATE PATIENT CARE TO INCLUDE BOTH BEHAVIORAL AND MEDICAL HEALTH. STRATEGY 1: PROVIDED COORDINATED CARE FOR PATIENTS PRESENTING AT THE EMERGENCY DEPARTMENT WITH MENTAL HEALTH CONDITIONS. STRATEGY 2: COLLABORATE WITH PUBLIC AND PRIVATE PARTNERS TO OPTIMIZE BEHAVIORAL HEALTH CARE TO MUNICIPAL AND COUNTY OFFENDERS. STRATEGY 3: MAINTAIN PSYCHIATRIC INPATIENT UNIT TO ALLOW PATIENTS TO RECEIVE CARE IN THE AREA. STRATEGY 4: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS BEHAVIORAL AND MENTAL HEALTH. STRATEGY 5: EDUCATE AND TRAIN PSYCHIATRIC RESIDENTS. 3. DIABETES OBJECTIVE: DECREASE THE RATE OF OBESE CHILDREN AND ADULTS, WHILE PROMOTING AWARENESS ABOUT THE IMPORTANCE OF GOOD NUTRITION AND REGULAR PHYSICAL ACTIVITY. STRATEGY 1: IMPROVE HEALTH AND REDUCE DIABETES THROUGH SERVICES OF THE BARIATRIC CENTER. STRATEGY 2: SUPPORT COMMUNITY HEALTH INITIATIVES THAT ENCOURAGE HEALTHY EATING AND ACTIVE LIVING. STRATEGY 3: BUILD PARTNERSHIPS WITH EMPLOYERS AND SCHOOLS THAT INCREASE AWARENESS, KNOWLEDGE, AND TREATMENT OF HEALTH FACTORS IMPACTING DIABETES AND OBESITY. STRATEGY 4: PARTICIPATE IN LOCAL, REGIONAL, AND STATE COLLABORATIVES WORKING TO REDUCE THE PREVALENCE OF DIABETES THROUGH COLLECTIVE IMPACT. 4. CANCER OBJECTIVE: REDUCE THE PREDOMINANCE OF CANCER BY IMPROVING OUTCOMES AND INCREASING AWARENESS THROUGH SCREENINGS AND EDUCATION. STRATEGY 1: PROVIDE ASSISTANCE FOR PATIENTS WHO CANNOT AFFORD MEDICATIONS. STRATEGY 2: SUPPORT VULNERABLE POPULATIONS WITH PREVENTION, EDUCATION, AND FINANCIAL SUPPORT FOR HEALTH SERVICES. STRATEGY 3: OFFER SCREENINGS FOR EARLY DETECTION TO IMPROVE TREATMENT EFFICACY. STRATEGY 4: INCREASE ACCESS TO RADIATION ONCOLOGY SERVICES. 5. HEALTHCARE WORKFORCE SHORTAGES OBJECTIVE: INCREASE ACCESS TO HEALTH SERVICES BY ENHANCING HEALTH PROFESSIONAL RECRUITMENT EFFORTS. STRATEGY 1: EXPAND THE GRADUATE MEDICAL EDUCATION PROGRAM. STRATEGY 2: PROVIDE LEADERSHIP TO PLAN, FACILITATE, AND SUPPORT THE OPERATION OF THE KANSAS CITY UNIVERSITY MEDICAL SCHOOL IN JOPLIN. STRATEGY 3: PROVIDE OUTREACH AND EDUCATION FOR K-12 STUDENTS REGARDING HEALTH CARE CAREER PATHWAYS. STRATEGY 4: SUPPORT THE EDUCATION, TRAINING, RECRUITMENT AND PROFESSIONAL DEVELOPMENT OF NURSES.
SCHEDULE H, PART V, SECTION B, LINE 13H	BASIS FOR CALCULATING AMOUNT CHARGED TO PATIENTS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ALSO USES FAMILY SIZE AND EMPLOYMENT STATUS IN THE DETERMINATION OF ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART V, SECTION B, LINES 16A-C	FAP, APPLICATION, AND PLS URL: HTTPS://WWW.FREEMANHEALTH.COM/PATIENTS-GUESTS/BILLING-INSURANCE/PAYMENT-OP TIONS

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	MEDICAL OFFICE BUILDING 336 S JEFFERSON NEOSHO,MO64850	MEDICAL SERVICES
2	FREEMAN NEOSHO REHABILITATION 204 N LINCOLN NEOSHO,MO64850	MEDICAL SERVICES
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Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	OTHER FACTORS IN DETERMINING ELIGIBILITY: IN ADDITION TO FPG LIMITS, THE FAP USES EMPLOYMENT STATUS, MEDICAL INDIGENCY, AND FAMILY SIZE TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $5,583,070.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1 AND 3.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE ORGANIZATION CALCULATED BAD DEBT USING THE AMOUNTS CALCULATED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING INTERNAL PATIENT DEMOGRAPHICS, AS WELL AS CORE BASED STATISTICAL AREA AND POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. ACCORDING TO U.S. CENSUS BUREAU QUICK FACTS, THE 2017 ESTIMATED AVERAGE UNINSURED POPULATION FOR FREEMAN JOPLIN'S PRIMARY SERVICE AREA IS 14.5%, AND THE AVERAGE UNINSURED POPULATION FOR FREEMAN NEOSHO'S PRIMARY SERVICE AREA IS 18.7%. TO VALIDATE THE UNINSURED POPULATION PERCENTAGES, WE REFERENCED AN ARTICLE FROM THE JOPLIN GLOBE DATED JUNE 13, 2018 THAT CITES A MISSOURI UNINSURED RATE OF 12.5% FOR 2017. THE JOPLIN GLOBE ARTICLE ALSO REFERENCES A KANSAS UNINSURED RATE OF 13.3% AND AN OKLAHOMA UNINSURED RATE OF 17.7%. FREEMAN JOPLIN'S SERVICE AREA PULLS FROM MISSOURI, KANSAS AND OKLAHOMA. A STRAIGHT AVERAGE OF THE THREE STATES REFERENCED IN THE JOPLIN GLOBE COMPUTES TO 14.5% FREEMAN HOSPITAL - JOPLIN IDENTIFIED 6.0% OF ITS GROSS HOSPITAL REVENUE OR BILLINGS COMING FROM UNINSURED PATIENTS. FREEMAN NEOSHO HOSPITAL IDENTIFIED 11.5% OF ITS GROSS REVENUE COMING FROM UNINSURED PATIENTS. IT'S POSSIBLE THAT SOME PATIENTS PRESENTED OUTDATED INSURANCE COVERAGE AT TIME OF ADMISSION, OR FREEMAN ADMISSIONS MAY HAVE INCORRECTLY IDENTIFIED SOME UNINSURED PATIENTS AS INSURED OR MEDICAID ELIGIBLE DURING THE ADMITTING PROCESS. THEREFORE, FREEMAN BELIEVES THAT SOME PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WERE INCORRECTLY REPORTED AS BAD DEBT IN ITS FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE AUDIT FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE RECORDED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIONS AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PART EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: THE COLLECTION POLICY STATES THAT ANY AMOUNT NOT ADJUSTED FOR FINANCIAL ASSISTANCE DUE TO A PARTIAL 50% ADJUSTMENT OR 75% ADJUSTMENT WILL FOLLOW ITS NORMAL COLLECTION PROCESS. FREEMAN HEALTH WILL CONTINUE TO BILL THE PATIENT FOR 120 DAYS FROM FIRST STATEMENT, IF NO ARRANGEMENTS ARE MADE TO SATISFY THE REMAINING BALANCE WITH A PAYMENT IN FULL OR PAYMENT PLAN, THE ACCOUNT WILL AUTOMATICALLY ROLL TO ITS EXTERNAL AGENCY.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED IN PART V, SECTION B, FREEMAN REVIEWS STUDIES AND ASSESSMENTS FROM THE 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, CHAMBER OF COMMERCE, 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, FREEMAN SPIRIT OF WOMEN, 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.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FREEMAN HEALTH SYSTEM HAS IMPLEMENTED SEVERAL EDUCATIONAL OPPORTUNITIES TO ASSURE OUR COMMUNITY IS AWARE OF OUR FINANCIAL ASSISTANCE PROGRAM, FOR CARE/SERVICES PROVIDED BY FREEMAN HEALTH SYSTEM. -FREEMAN ADMISSION STAFF PERSONALLY INTERVIEW PATIENTS (PRIOR TO SERVICES, AT TIME OF SERVICE, AND AFTER CARE PROVIDED) BASED ON SETTING OF CARE, PROVIDING EDUCATION ON BENEFITS AVAILABLE. WE ASSIST OUR PATIENTS THAT ARE UNINSURED OR UNDERINSURED WITH BENEFIT OPPORTUNITIES AVAILABLE BOTH STATE AND FEDERAL AS WELL AS FREEMAN'S FINANCIAL ASSISTANCE PROGRAM. -FREEMAN PROVIDES CONTINUED EDUCATION TO OUR EMPLOYEES REGARDING OUR FINANCIAL ASSISTANCE POLICY SO THEY CAN ASSIST IN THE COMMUNICATION TO OUR CUSTOMERS FROM CLINICAL STAFF, TO VOLUNTEERS. -FREEMAN PROVIDES COMMUNICATION TO ALL STAFFING LEVELS VIA INTERNAL DAILY COMMUNICATION TOOLS (DAILY LINE-UP & COMMUNICATION BOARDS) TO REMIND STAFF OF FREEMAN'S FINANCIAL ASSISTANCE POLICY THROUGHOUT THE YEAR. -PATIENTS IN NEED OF HEALTHCARE BENEFITS ARE INTERVIEWED BY MEDIASSIST, FREEMAN'S THIRD PARTY ELIGIBILITY VENDOR. MEDIASSIST ON SITE STAFF SPECIALIZE IN THE APPLICATION PROCESS FOR STATE ASSISTANCE FOR OUR FOUR STATE PATIENTS (MO, AR, OK AND KS), AS WELL AS OTHER STATES BASED ON OUR PATIENT'S NEEDS. MEDASSIST ASSIST PATIENTS WITH THE APPLICATION PROCESS VIA FACE TO FACE INTERVIEWS, HOME VISITS AND OVER THE PHONE. -FREEMAN HAS WORKED WITH MANY OF OUR COMMUNITY'S EMPLOYERS SENDING WRITTEN NOTICES TO THEIR BENEFITS DEPARTMENT EXPLAINING FINANCIAL ASSISTANCE ELIGIBILITY PROCESS, AS WELL AS MEETING WITH EMPLOYERS TO ASSURE THEIR EMPLOYEES UNDERSTAND THE PARTNERSHIP AND AVAILABLE ASSISTANCE FREEMAN OFFERS. -FREEMAN HAS ADDED INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY ON OUR HOSPITAL WEBSITE AND A PRINTABLE APPLICATION THAT ALLOWS CUSTOMERS TO PRINT AND SUBMIT FOR FINANCIAL ASSISTANCE CONSIDERATION ON SERVICES PROVIDED OR SCHEDULED. -FREEMAN STATEMENTS SENT TO PATIENTS AND OR GUARANTORS HAS A PRINTED MESSAGE INDICATING THAT FREEMAN OFFERS FINANCIAL ASSISTANCE URGING OUR CUSTOMERS TO CONTACT US IN REGARDS TO OUR FINANCIAL ASSISTANCE PROGRAM. -FREEMAN PROVIDES BROCHURES FOR OUR PATIENTS TO LEARN ABOUT OUR FINANCIAL ASSISTANCE OPPORTUNITIES AT OUR POINTS OF CARE, AS WELL AS SIGNAGE FOR CUSTOMER AND VISITORS TO SEE IN OUR DIFFERENT LOCATIONS. -THROUGH FREEMAN'S EDUCATION OF OUR FINANCIAL ASSISTANCE PROGRAM WE RECEIVE REFERRALS FROM PHYSICIANS AND COMMUNITY CLINICS ASSISTING PATIENTS IN OBTAINING MEDICALLY NECESSARY HEALTH CARE PRIOR TO SERVICES RENDERED. FREEMAN HAS STEPPED UP EFFORTS TO COMMUNICATE WITH PATIENTS ABOUT OPTIONS AVAILABLE TO THEM BY PUBLISHING COMMUNICATION PIECES ON FINANCIAL SERVICES. FREEMAN INCLUDES MESSAGING ABOUT ITS FINANCIAL ASSISTANCE PROGRAM ON A FINANCIAL SERVICES AND PAYMENT OPTIONS BROCHURE, BILLS 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. FREEMAN HEALTH SYSTEM STRONGLY BELIEVES THAT ITS FINANCIAL ASSISTANCE, AND THE RELATED COMMUNITY BENEFIT PROVIDED BY SUCH CARE, IS UNDERSTATED ON ITS FINANCIAL STATEMENTS BECAUSE SOME PATIENTS THAT POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE DO NOT WISH TO APPLY FOR IT. IN ADDITION, SOME PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT RECEIVE FINANCIAL ASSISTANCE BECAUSE THEY REFUSE TO PROVIDE REQUIRED DOCUMENTATION TO PROCESS THE APPLICATION. THUS, FREEMAN'S BAD DEBT INCLUDES A PORTION THAT COULD BE CLASSIFIED AS FINANCIAL ASSISTANCE IF THE APPLICATION FOR FINANCIAL ASSISTANCE HAD BEEN PROPERLY COMPLETED BY THE PATIENT.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: FREEMAN NEOSHO HOSPITAL SERVES RESIDENTS OF NEWTON, MCDONALD, JASPER, AND SURROUNDING COUNTIES. FREEMAN NEOSHO HOSPITAL IS DESIGNATED A CRITICAL ACCESS HOSPITAL. AS PART OF FREEMAN HEALTH SYSTEM, THE SYSTEM SERVE RESIDENTS OF SOUTHWEST MISSOURI, SOUTHEAST KANSAS, NORTHEAST OKLAHOMA, AND NORTHWEST ARKANSAS. THE LOCAL ECONOMY IS DRIVEN BY MANUFACTURING, HEALTHCARE, RETAIL, SERVICE, AND TOURISM INDUSTRIES. JOPLIN AND NEOSHO SITS NEAR THE INTERSECTION OF INTERSTATE 44 AND U.S. 71 (POSSIBLE EXTENSION OF INTERSTATE 49 IN FUTURE). THE COST OF LIVING IN THE AREA IS LOW, IN PART DUE TO THE JOPLIN PER CAPITA INCOME OF $19,427, WHICH IS BELOW THE NATIONAL AVERAGE.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: 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. THE 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 AND NEWTON COUNTIES, BOYS AND 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, ASPIRE OF SOUTHWEST MISSOURI, 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. IN FALL 2010, FREEMAN LAUNCHED ITS SECOND SCHOOL SUPPLIES DRIVE, COLLECTING MORE THAN 20,000 SCHOOL SUPPLY ITEMS FROM EMPLOYEES AND DONATING THEM TO 39 AREA SCHOOLS. FREEMAN HAS SINCE THEN MADE THIS AN ANNUAL EVENT. 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 SOUTH MIDDLE SCHOOL, MEMORIAL EDUCATION CENTER, AND FRANKLIN TECHNOLOGY CENTER, 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 ALSO SERVES OTHERWISE UNFULFILLED COMMUNITY NEEDS THROUGH ITS OWN PROGRAMS. OZARK CENTER FOR AUTISM, FOR INSTANCE, PROVIDES HOPE FOR CHILDREN WITH AUTISM THROUGH A PRESCHOOL PROGRAM AND RECENTLY EXPANDED SERVICES FOR SCHOOL-AGE CHILDREN. FREEMAN HOSPITAL WEST IS THE ONLY HOSPITAL IN THE REGION TO OFFER THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM. ON A LIGHTER NOTE, FREEMAN ADVANTAGE PROMOTES THE HEALTH OF SENIOR CITIZENS BY OFFERING AVENUES FOR LEARNING, 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. AS A CHILDREN'S MIRACLE NETWORK HOSPITAL, FREEMAN RAISES MONEY TO HELP SICK AND INJURED CHILDREN. AND FREEMAN FOUNDATION WORKS WITH THE COMMUNITY TO FIND FUNDING FOR INNOVATIVE, LIFE-SAVING TECHNOLOGIES AND MEDICAL SERVICES. THOSE WORKING AT FREEMAN FIND MANY OPPORTUNITIES TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY, WHETHER THROUGH DONATIONS TO CHILDREN'S MIRACLE NETWORK HOSPITALS, DONATIONS TO FREEMAN FOUNDATION, DONATIONS TO THE EMPLOYEE DISASTER RELIEF FUND TO HELP FREEMAN EMPLOYEES TOUCHED BY DISASTERS SUCH AS TORNADOES OR ICE STORMS, DONATIONS TO FREEMAN FAMILY CHRISTMAS TO HELP FREEMAN EMPLOYEES WHO NEED EXTRA HELP DURING THE HOLIDAYS, AND DONATIONS OF PAID TIME OFF TO HELP FREEMAN EMPLOYEES FACING MEDICAL CATASTROPHES. ADDITIONALLY, STAFF MEMBERS MAY PARTICIPATE IN FREEMAN GREEN TEAM ACTIVITIES TO HELP REDUCE WASTE AND SOLVE ENVIRONMENTAL CHALLENGES AROUND THE HEALTH SYSTEM AND THE COMMUNITY. THROUGH FREEMAN GREEN TEAM, FREEMAN HAS BEEN WORKING ON ESTABLISHING AN ALLIANCE WITH AREA BUSINESSES TO CREATE COMMUNITY-WIDE SUSTAINABILITY PROJECTS. ONE OF FREEMAN'S GOALS IS TO BECOME THE COMMUNITY'S BEST CORPORATE PARTNER. TO ACCOMPLISH THIS, FREEMAN DONATES TIME, RESOURCES, AND FUNDING AS AN ORGANIZATION, WHILE THOSE WORKING AT FREEMAN GIVE BACK TO THE COMMUNITY AS WELL, DONATING MAN-HOURS, MORE THAN 14,000 HOURS LAST YEAR, AND MONEY FOR THE BETTERMENT OF THE COMMUNITY.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: FREEMAN NEOSHO HOSPITAL IS PART OF FREEMAN HEALTH SYSTEM. FREEMAN HEALTH SYSTEM ALSO INCLUDES FREEMAN HOSPITAL WEST AND FREEMAN HOSPITAL EAST IN JOPLIN AND THE OZARK CENTER. FREEMAN IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM.
SCHEDULE H, PART VI, LINE 7	STATE FILING ON COMMUNITY BENEFIT REPORT: FREEMAN HEALTH SYSTEM IS INCORPORATED IN THE STATE OF MISSOURI AND FILES A COMMUNITY BENEFIT REPORT IN MISSOURI. OTHER INFORMATION FREEMAN PROMOTES THE HEALTH OF THE COMMUNITY THROUGH MANY OUTREACH PROGRAMS. THESE INCLUDE SUPPORT GROUPS FOR A VARIETY OF ILLNESS AND CONDITIONS, OZARK CENTER FOR AUTISM, PROGRAMS FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS, MARKETPLACE HEALTH INSURANCE COUNSELING AND OTHERS. FREEMAN SCREEN TEAM TRAVELS THROUGHOUT THE COMMUNITY, OFFERING LOW-COST HEALTH SCREENINGS TO HELP PEOPLE GET A HANDLE ON THEIR MEDICAL CONDITIONS AND SEEK HELP BEFORE SMALL PROBLEMS BECOME MEDICAL EMERGENCIES. FREEMAN SUPPORT GROUPS OFFER SUPPORT TO PARTICIPANTS AND EDUCATION ON TOPICS SUCH AS AUTISM, DIABETES, BARIATRIC WEIGHT LOSS, CANCER RECOVERY, BREAST CANCER RECOVERY, SLEEP DISORDERS AND ALZHEIMER'S DISEASE. FREEMAN ALSO PROVIDES AUTISM SERVICES TO THE COMMUNITY. PRIOR TO THE OPENING OF OZARK CENTER FOR AUTISM IN FALL 2007, FAMILIES SEEKING TREATMENT FOR CHILDREN WITH AUTISM HAD TWO CHOICES-RELOCATE TO RECEIVE TREATMENT OR GO WITHOUT IT. DEVELOPED IN CONSULTATION WITH THE CLEVELAND CLINIC AUTISM CONSULTING GROUP, BILL AND VIRGINIA LEFFEN CENTER FOR AUTISM IS ONE OF ONLY A FEW TREATMENT CENTERS OF ITS CALIBER. OZARK CENTER FOR AUTISM INCLUDES A SPECIAL EDUCATION CENTER, PROVIDING THERAPY SERVICES TO STUDENTS FROM KINDERGARTEN THROUGH HIGH SCHOOL. OZARK CENTER FOR AUTISM ALSO OFFERS THE AREA'S ONLY AUTISM DIAGNOSTIC TEAM, PROVIDING PARENTS OF CHILDREN ON THE AUTISM SPECTRUM THE OPPORTUNITY TO RECEIVE AN AUTISM DIAGNOSIS WITHOUT HAVING TO TRAVEL HUNDREDS OF MILES AWAY FROM HOME. FREEMAN STAFF MEMBERS, SUCH AS DOCTORS AND NURSES, HELP THE COMMUNITY BY WORKING AT THE COMMUNITY CLINIC OF JOPLIN AND ACCESS FAMILY CARE, ORGANIZATIONS THAT PROVIDE FREE OR LOW-COST HEALTHCARE SERVICES TO INDIGENT PORTIONS OF THE COMMUNITY. DEPENDING ON THE SITUATION, FREEMAN STAFF MEMBERS VOLUNTEER OR FREEMAN PAYS THEM TO WORK FOR THEIR COMMUNITY THROUGH THESE ORGANIZATIONS. IT IS OFTEN DIFFICULT TO ATTRACT NEW PHYSICIANS TO CITIES LOCATED IN LARGELY RURAL AREAS. ONE WAY FREEMAN HELPS ATTRACT DOCTORS TO JOPLIN IS THROUGH GRADUATE MEDICAL EDUCATION. AS A TEACHING HOSPITAL, FREEMAN BROUGHT ABOUT TWO DOZEN DOCTORS TO ITS CAMPUSES THROUGH THE FREEMAN GRADUATE MEDICAL EDUCATION PROGRAM IN THE 2015-2016 SCHOOL YEAR. MEDICAL STUDENTS AND RESIDENT DOCTORS OFTEN REMAIN IN THE COMMUNITIES IN WHICH THEY TRAINED. THIS COMMUNITY BENEFIT IS VITAL TO THE POPULATION SERVED BY FREEMAN BECAUSE IT IS DIFFICULT AND EXPENSIVE TO ATTRACT AND RECRUIT PHYSICIANS TO WORK IN THE JOPLIN AREA. ADDITIONALLY, FREEMAN REACHES OUT TO YOUNGER STUDENTS AS WELL. THROUGH A SUMMER VOLUNTEER PROGRAM, HIGH SCHOOL STUDENTS SPEND SEVERAL WEEKS AT HOSPITALS, WORKING SIDE-BY-SIDE WITH NURSES AND DOCTORS. FREEMAN HEALTH ACADEMY, ON THE OTHER HAND, WORKS WITH MIDDLE SCHOOL STUDENTS TO ENCOURAGE THEM TO GRADUATE FROM HIGH SCHOOL AND HELP THEM CHOOSE COURSES, SUCH AS MATH AND SCIENCE, TO PREPARE THEM FOR FURTHER EDUCATION AND CAREERS IN HEALTHCARE.

Schedule H (Form 990) 2019

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
FREEMAN NEOSHO HOSPITAL

Employer identification number
43-1240629

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) CROWDER COLLEGE FOUNDATION INC 601 LACLEDE AVE NEOSHO,MO64850	43-6057329	501 (C) (3)	87,500				SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCHEDULE 1, PART I, LINE 2	MONITORING USE OF GRANT FUNDS: DURING THE FISCAL YEAR, FREEMAN NEOSHO HOSPITAL ASSISTED LOCAL CHARITABLE ORGANIZATIONS WITH WHICH THEY HAVE A CONSISTENT RELATIONSHIP OF GIVING. THE HOSPITAL WORKS CLOSELY WITH THE ORGANIZATIONS; THEREFORE, THEY ARE ABLE TO WITNESS THE USE OF GRANT FUNDS FIRST HAND.

Schedule I (Form 990) 2019

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

FREEMAN NEOSHO HOSPITAL

Employer identification number

43-1240629

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

Yes

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1LARRY BARNES SECRETARY	(i) (ii)	224,850 ------------- 0	1,221 ------------- 0	18,000 ------------- 0	7,950 ------------- 0	17,417 ------------- 0	269,438 ------------- 0	0 ------------- 0
2STEVE GRADDY CFO	(i) (ii)	0 ------------- 394,720	0 ------------- 159,515	0 ------------- 77,019	0 ------------- 85,863	0 ------------- 15,159	0 ------------- 732,276	0 ------------- 72,686
3PAULA BAKER PRESIDENT AND CEO	(i) (ii)	0 ------------- 727,335	0 ------------- 364,345	0 ------------- 357,432	0 ------------- 332,938	0 ------------- 22,537	0 ------------- 1,804,587	0 ------------- 336,239
4ERNEST HOLMES PHYSICIAN	(i) (ii)	303,119 ------------- 59,295	61,669 ------------- 12,063	14,416 ------------- 2,820	6,649 ------------- 1,301	13,597 ------------- 2,659	399,450 ------------- 78,138	0 ------------- 0
5STEPHEN L REED CRNA	(i) (ii)	172,367 ------------- 6,332	924 ------------- 34	0 ------------- 0	5,188 ------------- 191	23,454 ------------- 862	201,933 ------------- 7,419	0 ------------- 0
6DONALD WONDER PHYSICIAN	(i) (ii)	317,262 ------------- 0	16,285 ------------- 0	0 ------------- 0	0 ------------- 0	22,513 ------------- 0	356,060 ------------- 0	0 ------------- 0
7BRADY HESINGTON PHYSICIAN	(i) (ii)	320,995 ------------- 0	102 ------------- 0	0 ------------- 0	7,950 ------------- 0	23,824 ------------- 0	352,871 ------------- 0	0 ------------- 0
8YARA TOUMA PHYSICIAN	(i) (ii)	225,115 ------------- 99,468	68,737 ------------- 30,372	0 ------------- 0	5,514 ------------- 2,436	8,372 ------------- 3,699	307,738 ------------- 135,975	0 ------------- 0
9RENEE DENTON CHIEF OPERATING OFFICER, FNH	(i) (ii)	138,384 ------------- 0	20,935 ------------- 0	0 ------------- 0	2,453 ------------- 0	24 ------------- 0	161,796 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH FREEMAN HEALTH SYSTEM, A RELATED ORGANIZATION: $ 336,239 PAULA BAKER $ 72,686 STEVE GRADDY
SCHEDULE J, PART I, LINE 6A & B	COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION: FREEMAN HEALTH SYSTEM PROVIDES MANAGEMENT THE POTENTIAL TO RECEIVE AN AT-RISK PAYMENT BASED ON SYSTEM AND INDIVIDUAL GOAL ACHIEVEMENT. THE AMOUNT OF COMPENSATION IS BASED UPON A PERCENTAGE OF THE EMPLOYEE'S ANNUAL COMPENSATION AND IS SUBJECT TO BOARD APPROVAL.
SCHEDULE J, PART II, COLUMN (B) (II)	BONUS & INCENTIVE COMPENSATION: THE ORGANIZATION PROVIDES PHYSICIANS THE POTENTIAL TO RECEIVE ANNUAL BONUS COMPENSATION. PHYSICIAN BONUSES ARE CALCULATED BASED ON GENERATING WORKED RELATIVE VALUE UNITS (WRVU). EMPLOYMENT CONTRACTS SPECIFY THE NUMBER OF REQURED WRVUS (TO OBTAIN AN ANNUAL SALARY) AND THE ADDITIONAL BONUS COMPENSATION PHYSICIANS WILL RECEIVE ONCE THE REQUIRED WRVUS HAVE BEEN MET. ADDITIONAL BONUS COMPENSATION IS CALCULATED BY MULTIPLYING THE WRVUS IN EXCESS OF REQUIRED WRVUS TIMES A PREDETERMINED COMPENSATION FACTOR. WRVUS SHALL BE COMPUTED BY USE OF THE APPROVED MEDICARE METHODS OF COMPUTATION FOR PHYSICIAN PRACTICES.
SCHEDULE J, PART II, COLUMN F	COMPENSATION REPORTED IN PRIOR FROM 990: COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

FREEMAN NEOSHO HOSPITAL

Employer identification number

43-1240629

Return Reference	Explanation
FORM 990, PART I, LINE 1	ORGANIZATIONS VISION: VISION TO BE THE LEADING PROVIDER OF PATIENT CENTERED, PHYSICIAN DIRECTED HEALTHCARE IN AN ENVIRONMENT OF COMPASSION AND TRUST, SUPPORTED BY DEDICATED EMPLOYEES WITH A DESIRE TO PROVIDE EXCELLENCE IN CARE AND SERVICE.
FORM 990, PART III, LINE 4	PROGRAM SERVICES: FREEMAN HEALTH SYSTEM, NOT-FOR-PROFIT, COMMUNITY-OWNED, AND LOCALLY GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS, PROVIDES FULL-SERVICE HEALTHCARE TO SOUTHWEST MISSOURI, SOUTHEAST KANSAS, NORTHEAST OKLAHOMA AND NORTHWEST ARKANSAS. A THREE-HOSPITAL HEALTH SYSTEM, FREEMAN PROVIDES COMPREHENSIVE SERVICES INCLUDING CANCER CARE, HEART CARE, ORTHOPAEDICS, NEUROSURGERY, WOMENS SERVICES AND BEHAVIORAL HEALTHCARE. FREEMAN ACCEPTS MEDICAID AND MEDICARE PATIENTS AND OFFERS FINANCIAL ASSISTANCE AND PAYMENT PLANS, PROVIDING A SAFETY NET TO ONE-THIRD OF THE LOCAL POPULATION WITH HOUSEHOLD INCOMES BELOW $25,000. FREEMAN ASKS ALL EMPLOYEES AND VOLUNTEERS TO EMBRACE THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES SERVED THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. THE FREEMAN MEDICAL TEAM, WHICH INCLUDES MORE THAN 300 PHYSICIANS REPRESENTING 60 SPECIALTIES, USES THE LATEST TECHNIQUES, BEST PRACTICES AND TECHNOLOGIES TO PROVIDE LIFESAVING MEDICAL CARE, PROVIDING CONSTITUENTS WITH THE HEALTHCARE THEY NEED RIGHT IN THEIR OWN BACK YARD. JOPLIN-AREA PATIENTS DO NOT HAVE TO TRAVEL TO BIG CITIES TO RECEIVE HEART INTERVENTIONS, CARDIOTHORACIC SURGERIES, NEUROSURGERIES, PAIN THERAPIES, INTENSIVE CARE, TRAUMA CARE AND ADVANCED DIAGNOSTIC SERVICES. THE CLOSE-TO-HOME AVAILABILITY OF PROGRESSIVE HEALTHCARE SERVICES EASES STRESS ON PATIENTS, FOR WHOM TRAVEL CAN BE UNCOMFORTABLE, AND THEIR FAMILIES, FOR WHOM TRAVEL CAN PRESENT A GREAT FINANCIAL BURDEN. DIABETES OBESITY AND DIABETES ARE GROWING PROBLEMS WITH SERIOUS HEALTH IMPLICATIONS. ACCORDING TO THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES, 12.6 PERCENT OF SOUTHWESTERN MISSOURI RESIDENTS HAVE DIABETES. TO ADDRESS THE PROBLEM AND PROVIDE EDUCATION TO THE COMMUNITY, FREEMAN DIABETES EDUCATION HOSTED THE NINTH ANNUAL DIABETES EXPO IN NOVEMBER 2017. IT FEATURED PRESENTATIONS BY FREEMAN ENDOCRINOLOGISTS AND DIABETES EDUCATORS, A HEALTHY COOKING DEMONSTRATION AND DIABETES-RELATED PRODUCT DEMONSTRATIONS. ADDITIONALLY, FREEMAN PROVIDED HEALTH TIPS, HEALTHY FOOD SAMPLES, A COOKING DEMONSTRATION AND A YOGA TUTORIAL ON DIABETES ALERT DAY IN MARCH 2018. DURING THE EVENT, FREEMAN DIABETES EDUCATORS HELPED PARTICIPANTS COMPLETE AN ONLINE DIABETES RISK ASSESSMENT. THE EVENT WAS FREE AND OPEN TO THE PUBLIC. KCU MEDICAL SCHOOL IN JOPLIN FOR DECADES, FREEMAN HEALTH SYSTEM HAS WORKED WITH RESPECTED MEDICAL SCHOOLS TO TRAIN TOMORROWS PHYSICIANS, PROVIDING A TRAINING GROUND FOR MEDICAL STUDENTS. WITH THE OPENING OF THE NEW KANSAS CITY UNIVERSITY (KCU) MEDICAL SCHOOL IN JOPLIN, FREEMANS TRADITION OF PROVIDING MEDICAL EDUCATION FACILITIES, CLASSROOMS, PROGRAMS, PRECEPTORS AND FACULTY CONTINUES FOR THE BENEFIT OF THE COMMUNITY. THE SCHOOL OPENED IN SUMMER 2017, AND MANY FREEMAN DOCTORS HAVE SERVED AS TEACHERS AT THE SCHOOL. ADDITIONALLY, MANY FREEMAN DOCTORS HAVE PERSONALLY DONATED MONEY TO THE SCHOOL. DEMONSTRATING CONTINUED COMMITMENT TO MEDICAL EDUCATION AND WHOLE-HEARTED SUPPORT FOR THE NEW MEDICAL SCHOOL, FREEMAN MADE A 4.8 MILLION DOLLAR GIFT TO THE DEVELOPMENT OF THE KCU SATELLITE CAMPUS AND NOW PROVIDES RESIDENCY AND TRAINING OPPORTUNITIES FOR KCU STUDENTS AT A COST OF $85,000 PER SLOT. THE PHYSICIAN-TRAINING PROGRAM IN PLACE AT FREEMAN DATES BACK MORE THAN 40 YEARS. AS A TEACHING HOSPITAL, FREEMAN PLAYS A KEY ROLE IN THE EDUCATION AND TRAINING OF PHYSICIANS IN MISSOURI, AND KCU HAS ACKNOWLEDGED FREEMAN AS ITS ACADEMIC CENTER IN JOPLIN. IT IS OFTEN DIFFICULT TO ATTRACT NEW PHYSICIANS TO CITIES LOCATED IN LARGELY RURAL AREAS, LIKE JOPLIN. ONE OF THE GREAT BENEFITS OF HAVING A MEDICAL SCHOOL IN JOPLIN IS THAT IT BRINGS NEW DOCTORS INTO THE COMMUNITY MANY OF THE PHYSICIANS WHO TRAIN HERE WILL DECIDE TO MAKE JOPLIN THEIR HOME AND OPEN THEIR MEDICAL PRACTICES IN THE FOUR-STATE AREA. ADDITIONALLY, THE NEW MEDICAL SCHOOL OPENS A DOOR FOR MANY LOCAL STUDENTS WHO, OTHERWISE, MIGHT NOT BE ABLE TO OBTAIN THE TRAINING IT TAKES TO BECOME A DOCTOR. ITS A GOLDEN OPPORTUNITY FOR THOSE WHO CANT LEAVE THE AREA TO PURSUE A CAREER IN MEDICINE AND A SHINING PROSPECT FOR THE COMMUNITYS FUTURE AS WELL. GRADUATE MEDICAL EDUCATION THE FREEMAN INTERNAL MEDICINE RESIDENCY PROGRAM WAS GRANTED ACCREDITATION BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION IN JANUARY 2017. THE FREEMAN PROGRAM IS THE FIRST AND ONLY PROGRAM IN THE AREA TO ACHIEVE THIS STATUS. FREEMAN OFFERS RESIDENCY PROGRAM FOR TOMORROWS DOCTORS IN THE FIELDS OF INTERNAL MEDICINE, EMERGENCY MEDICINE, ENT AND PSYCHIATRY. GRADUATES OF THE FREEMAN RESIDENCY PROGRAMS OFTEN DECIDE TO SET UP THEIR PRACTICES IN THE CITY WHERE THEY COMPLETED THEIR RESIDENCY THE FREEMAN GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAM HELPS ATTRACT PHYSICIANS TO THE AREA THAT FREEMAN SERVES, WHICH IS CONSIDERED TO BE MEDICALLY UNDERSERVED (DOESNT HAVE ENOUGH DOCTORS). IN EARLY 2018, FREEMAN HEALTH SYSTEM ANNOUNCED A PHARMACY RESIDENCY PROGRAM. THE POST-GRADUATE, YEAR-ONE PROGRAM RECEIVED A SIX-YEAR ACCREDITATION FROM THE AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, THE ONLY PHARMACY RESIDENCY ACCREDITING BODY. RESIDENT PHARMACISTS TAKE PART IN A ONE-YEAR RESIDENCY OFFERING EDUCATION IN A BROAD AREA OF PHARMACY PRACTICE. PHARMACY RESIDENTS CONTRIBUTE TO THE HOSPITAL BY PROVIDING PATIENT CARE ROUNDS, DRUG MONITORING AND PATIENT MONITORING. FREE SPORTS PHYSICALS FOR 27 YEARS, FREEMAN ORTHOPAEDICS & SPORTS MEDICINE AND FREEMAN REHABILITATION SERVICES HAVE PROVIDED FREE ANNUAL PRESEASON PHYSICAL EXAMS FOR HUNDREDS OF ATHLETES ATTENDING AREA SCHOOLS. MORE THAN 75 VOLUNTEERS, INCLUDING DOCTORS, NURSES, THERAPISTS, AND OTHER CLINICIANS, ASSIST WITH THE EXAMS, SCHEDULED AT SPECIFIC TIMES THROUGHOUT THE YEAR. THESE FREE PRESEASON PHYSICALS PROVIDE COMPREHENSIVE EVALUATION AND ASSESSMENT TO ATHLETES PARTICIPATING IN A SANCTIONED SPORT IN A SCHOOL-BASED PROGRAM; THROUGH THE AREAS PARKS AND RECREATION DEPARTMENTS, YMCAS, OR LOCAL LEAGUES; OR IN TRAINING TO COMPETE IN A SPECIFIC EVENT, SUCH AS A MARATHON OR TRIATHLON. A HUGE COMMUNITY BENEFIT IN FY18, THIS PROGRAM HELPED AN ESTIMATED 2,000 FAMILIES BY PROVIDING REQUIRED MEDICAL EXAMINATIONS FREE OF CHARGE. ON A RELATED NOTE, FREEMAN CONTINUED OFFERING FREE SATURDAY MORNING SPORTS INJURY CLINICS IN FY18. THANKS TO FREEMAN ORTHOPAEDIC SURGEON DR. ROBERT LIEURANCE, STUDENT ATHLETES WERE ABLE TO OBTAIN FREE MEDICAL CARE FOR INJURIES SUSTAINED DURING THE PREVIOUS WEEKS GAMES AT THESE CLINICS. THE CLINIC INCLUDED THE SERVICES OF DR. LIEURANCE, A PHYSICIAN ASSISTANT AND FREEMAN ATHLETIC TRAINERS. ADDITIONALLY, FREEMAN ORTHOPAEDIC SURGEON DR. MICHAEL ZAFUTA OFFERED THE SAME SORT OF FREE CLINIC IN PITTSBURG TO SERVE STUDENTS IN SOUTHEAST KANSAS. BOTH OF THESE CLINICS ARE A GREAT COMMUNITY BENEFIT FOR THE FAMILIES OF INJURED ATHLETES.
FORM 990, PART III, LINE 4	PROGRAM SERVICES (CONTINUED): CHAPLAINS FUND THROUGH THE CHAPLAINS FUND, FREEMAN OFFERS HELP TO PATIENTS UPON DISMISSAL FROM THE HOSPITAL SOMETIMES PATIENTS CANT AFFORD A NEEDED PRESCRIPTION OR DONT HAVE A WAY TO GET HOME. THE CHAPLAINS FUND EVEN PAYS FOR MEALS OR PROVIDES GAS MONEY FOR A RELATIVE TO DRIVE TO THE HOSPITAL TO PICK UP THE PATIENT. IN FY18, THE CHAPLAINS FUND PROVIDED A COMMUNITY BENEFIT OF $22,963 THROUGH ASSISTANCE FOR PRESCRIPTIONS, TRANSPORTATION, MEALS AND OTHER ISSUES TO 1,110 PEOPLE. PHARMACY HELPING PATIENTS WITH PHARMACY NEEDS IS ONE EXAMPLE OF WHAT IS POSSIBLE DUE TO THE CONTRIBUTIONS MADE TO THE FREEMAN 340B PROGRAM. EACH CASE IS EVALUATED INDIVIDUALLY FROM MANY ANGLES, AND GUIDELINES HELP ENSURE PRUDENT USE THESE SCARCE HEALTHCARE FUNDS. ALSO, FREEMAN ENSURES THAT THE HELP IT PROVIDES IS IN COMPLIANCE WITH ALL STATE AND FEDERAL LAWS AND REGULATIONS, BEING COGNITIVE TO ENSURE THAT NONE OF THE HELP PROVIDED COULD BE CONSIDERED AS USING INCENTIVES TO STEER PATIENTS. MAINTAINING COMPLIANCE WITHIN THE 340B PROGRAM AND ALL STATE AND FEDERAL LAWS, FREEMAN HELPS MANY PEOPLE WHO CANNOT AFFORD THEIR PRESCRIPTIONS. THIS IS JUST ANOTHER WAY FREEMAN PROVIDES CARE TO THE COMMUNITY. EMPLOYEE COMMUNITY SERVICE IN TERMS OF COMMUNITY SERVICE AS COMMUNITY BENEFIT, FREEMAN EMPLOYEES SPENT MORE THAN 39,500 HOURS ENGAGED IN COMMUNITY BENEFIT ACTIVITIES IN FY18. THIS ON-THE-JOB COMMUNITY BENEFIT INCLUDES TIME FREEMAN HEALTHCARE PROFESSIONALS SPENT TRAINING OR SERVING AS PRECEPTORS FOR STUDENT NURSES, MEDICAL STUDENTS AND RESIDENT PHYSICIANS, AMONG OTHERS. STAFF MEMBERS ALSO SPENT COUNTLESS HOURS GIVING TOURS TO SCHOOL AND COMMUNITY GROUPS, WORKING WITH HIGH SCHOOL STUDENTS AND OTHER COMMUNITY MEMBERS ON JOB-SHADOWING PROJECTS, AND ENGAGING THE PUBLIC THROUGH PUBLIC PROGRAMS AND EVENTS. SAFETY NET FOR THE COMMUNITY FREEMAN PROVIDES EMERGENT CARE FOR ALL WHO ENTER ITS DOORS, REGARDLESS OF THE PATIENTS ABILITY TO PAY OR INSURANCE STATUS. FREEMAN ENDEAVORS TO GIVE PATIENTS MORE OPTIONS FOR PAYING THEIR BILLS, INCLUDING SETTING UP PAYMENT PLANS FOR QUALIFYING PATIENTS, A PROGRAM THAT PROVES ESPECIALLY BENEFICIAL TO PEOPLE WHO HAVE HEALTH INSURANCE, BUT LACK FUNDS TO PAY LARGE DEDUCTIBLES, CO-PAYMENTS OR OUT-OF-POCKET EXPENSES. FREEMAN ALSO OFFERS A 30 PERCENT SELF-PAY DISCOUNT TO THOSE WITHOUT INSURANCE, BUT MANY STILL CANNOT PAY FOR THEIR MEDICAL CARE. 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 HEALTH SYSTEM EMPLOYS MORE THAN 4,500 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, AND FREEMAN HEALTH SYSTEM OFTEN DOES NOT RECEIVE REIMBURSEMENT FOR PROVIDING THIS VERY EXPENSIVE TYPE OF CARE TO PATIENTS WITHOUT INSURANCE OR THE ABILITY TO PAY. HELPING THE COMMUNITY FREEMAN HELPS MANY ORGANIZATIONS THAT, IN TURN, HELP SOME OF THE MOST FRAGILE MEMBERS OF THE COMMUNITY. FOR INSTANCE, FOR $1 PER YEAR, FREEMAN LEASES THE LAND AND BUILDING AT 34TH STREET AND INDIANA AVENUE TO CHILDRENS CENTER OF SOUTHWEST MISSOURI, A NOT-FOR-PROFIT AGENCY THAT PROTECTS AND ADVOCATES FOR CHILDREN WHO HAVE BEEN VICTIMS OF ABUSE. SIMILARLY, FREEMAN LEASES LAND TO RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES FOR $1 PER YEAR, AND FREEMAN MAINTAINS THE GROUNDS AND PROVIDES HOUSEKEEPING SERVICES, SERVICES WITH AN ANNUAL RETAIL VALUE OF $9,000. CAREERS FREEMAN HEALTH SYSTEM CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY CREATING A WIDE RANGE OF CAREER OPPORTUNITIES. PROFESSIONALS IN MANY FIELDS AT FREEMAN EARN ABOVE-AVERAGE WAGES AND SALARIES, AND THE BENEFITS FREEMAN OFFERS HELP ATTRACT AND MAINTAIN AN AFFLUENT MIDDLE CLASS, WHOSE MEMBERS BUY HOMES, SPEND MONEY AND BOOST THE AREA ECONOMY. IN FY18, FREEMAN HEALTH SYSTEM PROVIDED PAYROLL AND BENEFITS TOTALING $235,000,000. TO HELP ENSURE A STEADY SUPPLY OF PHYSICIANS, NURSES, AND OTHER CLINICIANS IN THE FUTURE, FREEMAN EDUCATES YOUNG PEOPLE ABOUT HEALTHCARE CAREERS. HIGH SCHOOL AND COLLEGE STUDENTS PARTICIPATE IN A SUMMER "FUTURE" VOLUNTEER PROGRAM, WORKING WITH HEALTHCARE PROFESSIONALS IN REAL-LIFE HOSPITAL SITUATIONS. THE PROGRAM EARNED THE AWARD FOR EXCELLENCE FROM THE MIDWEST ASSOCIATION FOR HEALTHCARE VOLUNTEER RESOURCE PROFESSIONALS. AN EIGHT-WEEK SUMMER EDUCATIONAL PROGRAM FOR STUDENTS INTERESTED IN CAREERS IN HEALTHCARE, THE PROGRAM GIVES PARTICIPANTS BEHIND-THE-SCENES EXPERIENCE IN A HOSPITAL SETTING. AFTER ORIENTATION, STUDENTS ARE ASSIGNED TO A UNIT AND WORK FOUR-HOUR SHIFTS UNDER THE SUPERVISION OF A NURSE OR TECHNICIAN. PROGRAM PARTICIPANTS WEAR SCRUBS LIKE HOSPITAL TEAM MEMBERS AND ASSIST WITH ASSIGNED TASKS. THEY ATTEND LUNCH-AND-LEARNS AND WORK WITH PATIENTS, PROVIDING MAGAZINES, SNACKS AND LINENS AS NEEDED. JOPLIN HIGH SCHOOL STUDENTS CAN RECEIVE ONE-HALF CREDIT TOWARD GRADUATION IF THEY COMPLETE 80 HOURS AS A FREEMAN STUDENT VOLUNTEER. THE PROGRAM ALSO OFFERS PARTICIPANTS THE OPPORTUNITY TO EARN A $500 SCHOLARSHIP. ADDITIONALLY, FREEMAN HEALTH ACADEMY, PROVIDED AT NO COST TO FAMILIES, REACHES OUT TO MIDDLE SCHOOL STUDENTS TO HELP THEM PREPARE FOR HEALTHCARE CAREERS. THE FIRST PROGRAM OF ITS KIND IN THE COMMUNITY, IT GIVES STUDENTS THE OPPORTUNITY TO LEARN ABOUT HEALTHCARE CAREERS FROM FREEMAN PHYSICIANS AND STAFF. IT ENCOURAGES STUDENTS TO GRADUATE FROM HIGH SCHOOL AND HELPS THEM CHOOSE HIGH SCHOOL COURSES, SUCH AS SCIENCE AND MATH, TO PREPARE THEM FOR FURTHER EDUCATION AND HEALTHCARE CAREERS. NURSING SCHOLARSHIPS FREEMAN AUXILIARY GAVE $14,000 TO SEVEN LOCAL NURSING PROGRAMS CARTHAGE TECHNICAL CENTER, CROWDER COLLEGE, FRANKLIN TECHNICAL CENTER, LABETTE COMMUNITY COLLEGE, MISSOURI SOUTHERN STATE UNIVERSITY, NORTHEASTERN OKLAHOMA A&M COLLEGE AND PITTSBURG STATE UNIVERSITY EACH RECEIVED $2,000. IT IS IMPORTANT TO HAVE A STRONG FOUNDATION OF CAREGIVERS, ESPECIALLY NURSING PROFESSIONALS A NURSING STAFF THAT IS TALENTED, COMPASSIONATE AND DEDICATED FREEMAN DEPENDS ON THEM TO PROVIDE TOP-QUALITY CARE FOR PATIENTS. IN RECOGNITION OF THEIR IMPORTANCE, FREEMAN UTILIZES THE NURSING EDUCATION FUND, WHICH PROVIDES FREEMAN REGISTERED NURSES THE OPPORTUNITY TO ADVANCE THEIR EDUCATION AND KNOWLEDGE IN THE NURSING PROFESSION THROUGH FINANCIAL ASSISTANCE. THE FUND SUPPORTS CERTIFICATIONS, ADVANCED DEGREES AND ADVANCED JOB-RELATED TRAINING. THESE EDUCATIONAL PURSUITS WOULD NOT BE POSSIBLE WITHOUT GENEROUS SUPPORT FROM SPONSORS AND BENEFACTORS, COORDINATED THROUGH THE FREEMAN DEVELOPMENT OFFICE. FREE MARKETPLACE ASSISTANCE IN FY18, FREEMAN CONTINUED OFFERING HEALTH INSURANCE MARKETPLACE EDUCATION AND ENROLLMENT TO HELP PEOPLE UNDERSTAND AVAILABLE HEALTH INSURANCE OPTIONS. IN FY19, THIS PROGRAM WILL BE TRANSITIONED INTO THE ELIGIBILITY PARTNERS PROGRAM, WHICH WILL HELP CONNECT PATIENTS WITH ALL AVAILABLE RESOURCES TO PAY THEIR HEALTHCARE BILLS. DONOR COUNCIL FREEMAN IS COMMITTED TO IMPROVING THE HEALTH OF ALL PEOPLE LIVING WITHIN THE COMMUNITIES SERVED BY FREEMAN. TO THIS END, FREEMAN DONOR COUNCIL, COMPOSED OF FREEMAN CAREGIVERS WHO VOLUNTEER THEIR TIME TO PROMOTE ORGAN, EYE, AND TISSUE DONATION AWARENESS, HAS PROVIDED EDUCATION TO PATIENTS FOR DECADES. FREEMAN DONOR COUNCIL ALSO HOLDS A TREE OF HONOR CEREMONY EACH FALL TO RECOGNIZE THOSE WHO GAVE THE GIFT OF LIFE THROUGH ORGAN DONATION. FREEMAN ADVANTAGE SENIOR CITIZEN DRIVING COURSES FREEMAN ADVANTAGE, A WELLNESS AND LIFESTYLE PROGRAM FOR OLDER ADULTS, OFFERED LOW-COST DRIVER SAFETY CLASSES IN FY18. THESE AARP SMART DRIVER COURSES GAVE OLDER DRIVERS THE OPPORTUNITY TO REFRESH THEIR SKILLS, BRUSH UP ON RULES OF THE ROAD, AND MAKE THE PUBLIC STREETS SAFER FOR ALL. FREEMAN ADVANTAGE ALSO OFFERS CARFIT CLASSES TO HELP OLDER DRIVERS BE SAFER BEHIND THE WHEEL BY HELPING THEM MAKE THE NECESSARY ADJUSTMENTS TO GET THE BEST VIEW OF THE ROAD AND BEST REACH OF THE PEDALS AND OTHER CONTROLS INSIDE THEIR OWN VEHICLES. FREE SUPPORT GROUPS FREEMAN FOSTERS THE HEALTH OF THE COMMUNITY BY HOSTING MANY RELEVANT SUPPORT GROUPS. FY18 SUPPORT GROUPS INCLUDED OZARK CENTER AUTISM SUPPORT GROUP, FREEMAN ALZHEIMERS SUPPORT GROUP, FREEMAN CANCER SUPPORT GROUP, FREEMAN BREAST CANCER SUPPORT GROUP, FREEMAN BARIATRIC WEIGHT LOSS SUPPORT GROUP, FREEMAN DIABETES SUPPORT GROUP WITH SEPARATE MEETINGS FOR TYPE 1 AND TYPE 2 DIABETES, AND FREEMAN SLEEP APNEA SUPPORT GROUP. ALL FREEMAN SUPPORT GROUPS ARE FREE AND OPEN TO THE PUBLIC. IN ADDITION TO PROVIDING FACILITIES AND STAFF TO FACILITATE THE SUPPORT GROUP MEETINGS, FREEMAN PROVIDES COMMUNITY OUTREACH BY PUBLICIZING THESE MEETINGS ON THE FREEMAN HEALTH SYSTEM WEBSITE, FREEMANHEALTH.COM.
FORM 990, PART III, LINE 4	PROGRAM SERVICES (CONTINUED): BLOOD DRIVES FREEMAN SUPPORTS COMMUNITY BLOOD CENTER OF THE OZARKS BY HOSTING BLOOD DRIVES THROUGHOUT THE YEAR. IN FY18, FREEMAN HOSPITAL WEST AND FREEMAN NEOSHO HOSPITAL HOSTED NUMEROUS BLOOD DRIVES. SUPPORT FOR PUBLIC SCHOOLS FREEMAN PARTNERS WITH JOPLIN PUBLIC SCHOOLS, NEOSHO PUBLIC SCHOOLS AND CARL JUNCTION PUBLIC SCHOOLS THROUGH BRIGHT FUTURES, A GRASS ROOTS, COMMUNITY-BASED PROGRAM THAT ENCOURAGES GRADUATION AND HELPS STUDENTS SUCCEED. FREEMAN EMPLOYEES VOLUNTEER AS MENTORS AND HELP WITH POSITIVE ADULTS LUNCHING WITH STUDENTS, A PROGRAM THAT PAIRS A CARING ADULT WITH AN ELEMENTARY STUDENT WHO NEEDS A POSITIVE ROLE MODEL. FREEMAN SUPPORTS ACTIVITIES AND EVENTS AT ITS PARTNER SCHOOLS: JOPLIN HIGH SCHOOL, JOPLIN SOUTH MIDDLE SCHOOL, JOPLIN WEST CENTRAL ELEMENTARY SCHOOL, JOPLIN EARLY CHILDHOOD CENTER AND CARL JUNCTION HIGH SCHOOL. THIS SUPPORT INCLUDES PROVIDING AN ANNUAL TEACHER APPRECIATION BREAKFAST, HELPING WITH ANNUAL CARNIVALS, FOOTBALL CONCESSIONS AND MORE. IN NEOSHO, A "NURSES HELPING NURSES" DONATION DRIVE COLLECTED MUCH-NEEDED MEDICAL AND HYGIENE ITEMS FOR SCHOOL NURSES TO GIVE TO STUDENTS AND FAMILIES. IN DIAMOND, FREEMAN PARTICIPATED IN THE MOVING MOUNTAINS PROGRAM, WHICH IS SIMILAR TO BRIGHT FUTURES. FREEMAN AUXILIARY FREEMAN AUXILIARY RAISES FUNDS AND PROVIDES VOLUNTEER SERVICES TO BENEFIT PATIENTS, STAFF, VISITORS AND THE COMMUNITY. IN FY18, FREEMAN AUXILIARY PROVIDED SUPPORT FOR: - BILL & VIRGINIA LEFFEN CENTER FOR AUTISM $10,000 (AUTISM WALK SPONSORSHIP, CLAYS FOR A CAUSE SPONSORSHIP, A FIELD TRIP FOR STUDENTS AND A REUNION PARTY) - CANCER INSTITUTE $8,000 (PATIENT PICNIC AND REFRESHMENTS FOR PATIENTS RECEIVING CHEMOTHERAPY) - CARDIAC BEARS FOR HEART PATIENTS $4,004 - CHILDREN'S MIRACLE NETWORK HOSPITALS $15,000 - CHAPLAINS FUND $10,700 - FREEMAN GIFT GALLERY REMODEL - $22,828 - FREEMAN NEOSHO SLEEPER SOFA AND WHEELCHAIR - $4,691 - FREEMAN NEOSHO SNACKS INFUSION PATIENTS $500 - MARCH O' THE KIDNEY SPONSORSHIP AND DIALYSIS PATIENT FUND $10,000 - NURSING EDUCATION/RED CARPET EVENT SPONSORSHIP - $5,000 - NURSING SCHOOL SUPPORT $14,000 - OZARK CENTER TURNAROUND RANCH $14,200 (NEW YEARS EVE PARTY FOR STUDENTS, RECREATION ROOM REMODEL AND SOCIAL OUTINGS FOR STUDENTS) - PATIENT SHUTTLE BUS AT FREEMAN WEST - $25,000 - RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES $20,000 - STUDENT VOLUNTEER PROGRAM/SCHOLARSHIPS $7,402 ADDITIONALLY, FREEMAN AUXILIARY AND FREEMAN VOLUNTEERS COLLECTED TOYS, BOOKS, MITTENS AND OTHER ITEMS TO DONATE TO CHILDREN OF PARENTS STAYING AT RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES DURING THE HOLIDAYS. GIFTS, TOILETRIES AND OTHER ESSENTIAL ITEMS WERE ALSO GATHERED FOR PARENTS WHO STAY AT RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES DURING THE HOLIDAYS. HEART WALK FREEMAN HEALTH SYSTEM EMPLOYEES CONTINUED THEIR PLEDGE TO MAKE THE AREA A HEALTHIER PLACE TO LIVE BY JOINING THE 2018 FOUR STATES HEART WALK. MONEY RAISED BENEFITTED AMERICAN HEART ASSOCIATION FOR RESEARCH, PUBLIC HEALTH EDUCATION AND PROVIDING SCIENCE-BASED TREATMENT GUIDELINES TO HEALTHCARE PROFESSIONALS. JOPLIN CHRISTMAS PARADE FOR THE FOURTH YEAR IN A ROW, FREEMAN HEALTH SYSTEM MANAGED THE JOPLIN CHRISTMAS PARADE. FREEMAN DONATED COUNTLESS MAN-HOURS TO ORGANIZE AND ORCHESTRATE THE PARADE, A COMMITMENT THAT INCLUDED PUBLICIZING THE EVENT, COORDINATING PARADE ENTRIES, ENSURING THE PARADE FLOWS SMOOTHLY, AWARDING PRIZES AND MORE. CITY OF JOPLIN ASSISTANT DIRECTOR OF PUBLIC WORKS OPERATIONS LYNDEN LAWSON SAID FREEMAN WAS CHOSEN TO MANAGE THE PARADE FOR TWO REASONS ITS PROVEN ABILITY TO SUCCESSFULLY COMMUNICATE WITH BOTH THE CITY AND THE CITIZENS OF JOPLIN AND ITS ABILITY TO MOBILIZE A GROUP OF VOLUNTEERS WHO COULD HANDLE A PARADE OF THAT MAGNITUDE. FREEMAN NEOSHO HOSPITAL IS A 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; SURGICAL SERVICES; CARDIOLOGY AND ORTHOPAEDIC SPECIALTY CLINICS; AND CARDIAC, PHYSICAL THERAPY, SPEECH THERAPY REHABILITATION SERVICES, AND DIGITAL MAMMOGRAPHY AND OTHER DIAGNOSTIC SERVICES. IN OCTOBER 2018, FREEMAN NEOSHO HOSPITAL CELEBRATED THE COMPLETION OF A PROJECT TO EXPAND COMPUTED TOMOGRAPHY (CT) AND MAGNETIC RESONANCE IMAGING (MRI) SERVICES. THE PROJECT IS THE LARGEST AT THE NEOSHO CAMPUS SINCE 1983. THIS EXPANSION ENSURES PATIENTS RECEIVE DIAGNOSTIC CARE CLOSE TO HOME, WITH THE LATEST TECHNOLOGY ON THE MARKET. THE PROJECT ADDED APPROXIMATELY 1,700 SQUARE FEET TO THE WEST SIDE OF THE BUILDING. AN ADDITIONAL 1,400 SQUARE FEET OF EXISTING SPACE WAS RENOVATED, AND INCLUDES NEW, STATE-OF-THE-ART MRI EQUIPMENT. THIS PIECE OF EQUIPMENT IS ONE OF THE QUIETEST ON THE MARKET AND INCREASES PATIENT COMFORT. THE NUMBER OF AVAILABLE APPOINTMENTS HAS DOUBLED, AND A FULL-TIME MRI TECHNICIAN WAS EMPLOYED. COSTS FOR THE EXPANSION INCLUDED $1.6 MILLION FOR CONSTRUCTION AND $986,000 FOR MRI EQUIPMENT AND SHIELDING. THIS PROJECT WAS AN INVESTMENT IN FREEMAN NEOSHO PATIENTS AND THE COMMUNITY. IN ADDITION TO EXPANDING CT-MRI SERVICES, A HAZMAT DECONTAMINATION SHOWER WAS CONSTRUCTED, ALONG WITH A BIOMED WASTE STORAGE UNIT. FREEMAN AUXILIARY PURCHASED CHAIRS FOR THE WAITING AREA AND A SOFA BED FOR THE RADIOLOGY DEPARTMENT. THE CHAIRS PROVIDE COMFORTABLE SEATING FOR PATIENTS AND GUESTS WHILE THE SOFA BED ENABLES THE HOSPITAL TO HAVE RADIOLOGY STAFF AVAILABLE 24 HOURS A DAY TO PROVIDE CT-MRI SERVICES. FREEMAN NEOSHO HOSTED BLOOD DRIVES, PARTICIPATED IN THE HEART WALK, AND PARTICIPATED IN FREEMAN AUXILIARY AND VOLUNTEER SERVICES PROJECTS. IN NEOSHO, A "NURSES HELPING NURSES" DONATION DRIVE, FREEMAN NURSES COLLECTED MUCH-NEEDED MEDICAL AND HYGIENE ITEMS FOR SCHOOL NURSES TO GIVE TO STUDENTS AND FAMILIES. AT FREEMAN NEOSHO HOSPITAL, FREEMAN AUXILIARY PROVIDED $3,941 FOR A SLEEPER SOFA, $750 FOR A WHEELCHAIR AND $500 FOR SNACKS INFUSION PATIENTS.
FORM 990, PART III, LINE 4A	OUTPATIENT SERVICES: PEOPLE LIVING IN RURAL AREAS FACE HEALTHCARE PROBLEMS NOT ENCOUNTERED BY PEOPLE DWELLING IN MORE DENSELY POPULATED AREAS. ACCESS TO MEDICAL CARE CAN BE LIMITED FOR PEOPLE IN REMOTE LOCATIONS A PARTICULAR CONCERN WHEN AN EMERGENCY SUCH AS APPENDICITIS OR A CAR ACCIDENT INJURY OCCURS. RURAL TOWNS TYPICALLY HAVE A HARD TIME ATTRACTING DOCTORS AND SPECIALISTS TO LIVE IN THEIR COMMUNITIES. MANY RESIDENTS OF RURAL AREAS DONT WANT OR CANT AFFORD TO TRAVEL LONG DISTANCES FOR ROUTINE WELLNESS EXAMS AND SCREENINGS CONSEQUENTLY, BY THE TIME THEY GET TO A HEALTHCARE PROVIDER FOR DIAGNOSIS AND TREATMENT, THEIR CONDITIONS ARE OFTEN MORE ADVANCED AND HARDER TO TREAT THAN THEY WOULD HAVE BEEN IF THEY LIVED CLOSER TO A MEDICAL CARE FACILITY. FREEMAN NEOSHO OFFERS OUTPATIENT SERVICES INCLUDING EMERGENCY MEDICINE, WOMENS SERVICES, HEART CARE, ORTHOPAEDICS, OTOLARYNGOLOGY, A PHARMACY, OCCUPATIONAL MEDICINE, REHABILITATION THERAPIES, RADIOLOGY, LABORATORY SERVICES AND MORE. THERAPEUTIC SERVICES FREEMAN NEOSHO PROVIDES ACCESS TO OUTPATIENT CARDIAC REHABILITATION AND INFUSION TREATMENTS THROUGH THE LA-Z-BOY THERAPEUTIC CENTER. IN APRIL OF 2017, FREEMAN NEOSHO REHABILITATION SERVICES WAS RECOGNIZED BY FOCUS ON THERAPEUTIC OUTCOMES, INC. (FOTO) FOR THE OUTCOMES EXCELLENCE AWARD FOR ORTHOPAEDIC REHABILITATION. FOTO IS A NATIONAL PERFORMANCE AND BENCHMARKING ORGANIZATION THAT GATHERS PATIENT OUTCOME DATA FROM MORE THAN 4,200 CLINICS AND IS BASED ON 11 MILLION PATIENT ASSESSMENTS. PATIENT OUTCOMES ARE MEASURES OF THE EFFECTIVENESS OF ORTHOPAEDIC PHYSICAL THERAPY HOW MUCH IMPROVEMENT PROVIDERS ARE ABLE TO HELP PATIENTS ACHIEVE. DATA FROM FREEMAN NEOSHO REHABILITATION SERVICES, WHICH INCLUDES LENGTH OF TIME AND NUMBER OF VISITS, SHOWS PATIENTS WERE ABLE TO RECEIVE SUCCESSFUL OUTCOMES IN THREE FEWER VISITS OR 24 PERCENT FEWER THAN THE NATIONAL AVERAGE. THIS AWARD ACKNOWLEDGES FREEMAN NEOSHO REHABILITATION SERVICES COMMITMENT TO PROVIDE PROVEN, SUPERIOR CARE IN AS FEW VISITS AS NECESSARY. WOMENS HEALTH FREEMAN NEOSHO WOMENS PAVILION WAS ESTABLISHED TO PROVIDE THE COMMUNITY WITH STATE-OF-THE-ART DIGITAL MAMMOGRAPHY AND DIAGNOSTIC TOOLS. DIGITAL MAMMOGRAPHY OFFERS THE BEST TECHNOLOGY AVAILABLE FOR BREAST CANCER SCREENING. BREAST CANCER IS THE SECOND MOST COMMON FORM OF CANCER AMONG WOMEN IN THE U.S., PRECEDED ONLY BY SKIN CANCER. DEATHS LINKED TO BREAST CANCER HAVE DECLINED THROUGHOUT THE PAST TWO DECADES, THANKS LARGELY TO IMPROVED DIAGNOSTIC SCREENING. DIGITAL MAMMOGRAPHY USES COMPRESSION AND X-RAYS TO EXAMINE A BREAST, CAPTURING A DIGITAL IMAGE ON A COMPUTER. WHEN COMPARED TO FILM MAMMOGRAPHY, DIGITAL OFFERS GREATER CONTRAST, DETAIL, AND PENETRATION OF DENSE BREAST TISSUE. THROUGH THE USE OF DIGITAL MAMMOGRAPHY, A RADIOLOGIST CAN MANIPULATE AN IMAGE TO BETTER EXAMINE BREAST TISSUE. THROUGH THE FREEMAN HELPING FRIENDS MAMMOGRAM FUND, FREEMAN PROVIDED 33 FREE MAMMOGRAMS IN FY18 VALUED AT $21,138 TO PATIENTS WHO HAD NO INSURANCE OR WERE UNDERINSURED. SCHOOL-BASED MEDICINE FREEMAN NEOSHO HOSPITAL WORKS WITH AREA SCHOOL DISTRICTS TO OFFER SCHOOL-BASED MEDICINE PROGRAMS IN THE NEOSHO, SENECA PUBLIC AND MCDONALD COUNTY. STUDENTS AND STAFF AT THESE SCHOOLS HAVE PRIORITY SCHEDULING AT FREEMAN CLINICS, AS WELL AS REMOTE ACCESS TO FREEMAN PROVIDERS VIA TELE-HEALTH. FREEMANS SCHOOL PARTNERSHIPS INCREASE ACCESS TO HEALTHCARE, DECREASE TIME LOST FROM SCHOOL FOR STUDENTS AND STAFF AND REDUCE TIME LOST FROM WORK FOR PARENTS. THIS SERVICE SIGNIFICANTLY REDUCES ABSENTEEISM FOR STUDENTS AND STAFF AND IMPROVES THE OVERALL HEALTH OF THE COMMUNITY.
FORM 990, PART III, LINE 4B	INPATIENT SERVICES: GENERAL SURGERY FREEMAN NEOSHO CONTINUES TO ENJOY THE SERVICES OF A BOARD-CERTIFIED GENERAL SURGEON. BECAUSE THE HOSPITAL HAS A GENERAL SURGEON ON STAFF, PATIENTS DO NOT HAVE TO TRAVEL OUT OF TOWN FOR SURGICAL SERVICES INCLUDING MINIMALLY INVASIVE SURGERIES THAT COVER A WIDE RANGE OF CONCERNS OR PROBLEMS. HAVING A GENERAL SURGEON ON STAFF WITH PARTICULAR EXPERIENCE IN BREAST AND COLON CANCERS AND RECONSTRUCTION TECHNIQUES ADDS EXCEPTIONAL DEPTH TO THE FREEMAN NEOSHO SURGICAL PROGRAM. FREEMAN NEOSHO HOSPITAL PROVIDES INTENSIVE CARE, GENERAL CARE AND SWING-BED INPATIENT SERVICES. FREEMAN NEOSHO INPATIENT SERVICES TOTALED 866 CASES, OF WHICH, 70, OR 8%, WERE MEDICAID CASES. ADDITIONALLY, 73 INPATIENT CASES, OR 8% OF THE TOTAL, FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. CRITICAL CARE PATIENTS RELY ON THE FREEMAN NEOSHO INTENSIVE CARE UNIT (ICU) FOR LIFESAVING TREATMENT. IN THIS FOUR-BED ICU, PHYSICIANS OVERSEE THE CARE OF CRITICALLY ILL PATIENTS. FREEMANS SPECIALIZED TEAM OF PHYSICIANS, NURSES, RESPIRATORY THERAPISTS AND TELEMETRY MONITOR TECHS PROVIDES EXCEPTIONAL CARE AND AROUND-THE-CLOCK MONITORING OF PATIENTS NEEDING A HIGHER LEVEL OF ACUTE CARE. FREEMAN NEOSHO CRITICAL CARE SERVICES TOTALED 78 CASES, OF WHICH, 7, OR 9%, WERE MEDICAID CASES. ADDITIONALLY, 19% OF THE CRITICAL CARE CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY.
FORM 990, PART III, LINE 4C	EMERGENCY ROOM/TRAUMA SERVICES IN RESPONSE TO THE DEPARTMENTS INCREASING ANNUAL PATIENT COUNT, FREEMAN NEOSHO HOSPITAL EXPANDED ITS EMERGENCY ROOM FROM SIX BEDS TO NINE IN FEBRUARY 2012, ALLOWING FOR A GREATER PATIENT LOAD AND PROVIDING MORE SERVICES TO THE COMMUNITY. OF THE ROOMS ADDED, ONE IS A FAST-TRACK ROOM INTENDED FOR THE LESS ACUTELY ILL OR INJURED. THE REMAINING ADDITIONAL ROOMS ARE FOR CRITICALLY ILL OR INJURED PATIENTS. THE PROJECT WAS DESIGNED WITH THE GOAL OF GIVING PATIENTS FASTER TREATMENT. ALSO AS A RESULT OF THIS EXPANSION, FREEMAN NEOSHO EMERGENCY ROOM HAS ADDED TO ITS CLINICAL STAFF. RECENT EXPANSION PROJECTS HAVE POSITIONED FREEMAN NEOSHO HOSPITAL TO BETTER SERVE ITS GROWING NUMBER OF EMERGENCY ROOM PATIENTS. ACCORDING TO DATA FROM MISSOURI HOSPITAL ASSOCIATION, FREEMAN NEOSHO HAS ONE OF THE STATES BUSIEST EMERGENCY ROOMS FOR CRITICAL ACCESS HOSPITALS. FREEMAN AMBULANCE SERVICE BRINGS MANY PATIENTS TO THE FREEMAN NEOSHO HOSPITAL EMERGENCY DEPARTMENT. THE 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. THE FREEMAN NEOSHO EMERGENCY DEPARTMENT TREATED 14,123 CASES, OF WHICH 4,388 WERE MEDICAID CASES, REPRESENTING 31% OF THE TOTAL EMERGENCY ROOM VOLUME. IN ADDITION, THE EMERGENCY ROOM TREATED 3,104 CASES, OR 22%, THAT WERE SELF-PAY (NO INSURANCE).
FORM 990, PART III, LINE 4D	OTHER PROGRAM SERVICES: FREEMAN NEOSHO HOSPITAL ALSO PROVIDED CONTRIBUTIONS TO LOCAL ORGANIZATIONS. THE MAJORITY OF THESE FUNDS WERE GIVEN FOR THE CREATION OF A MEDICAL SCHOOL IN JOPLIN COMMUNITY. SEE SCHEDULE I FOR MORE INFORMATION.
FORM 990, PART V, LINE 2A, PART VII, SECT A & PART IX, LINES 5-10	COMMON PAYMASTER ARRANGEMENT & SALARIES: A RELATED ORGANIZATION, FREEMAN HEALTH SYSTEM (FHS), FILES ALL W-2S ON BEHALF OF THE ORGANIZATION. THE AMOUNT OF W-2S FILED FOR THE YEAR ON PART V, LINE 2A, IS THE AMOUNT OF W-2S FILED ON BEHALF OF FREEMAN NEOSHO FOR THOSE THAT WORK PRIMARILY FOR FREEMAN NEOSHO. THE AMOUNT LISTED IN COLUMN D OF PART VII, SECTION A, AS PAID BY THE ORGANIZATION WAS PAID THROUGH W-2S FILED BY FHS, BUT HAS BEEN SHOWN IN COLUMN D FOR THE INDIVIDUALS WHO WORK PRIMARILY FOR FREEMAN NEOSHO. ADDITIONALLY, THE APPLICABLE AMOUNTS WERE LISTED ON PART IX, LINE 5 AS OFFICER COMPENSATION FROM THE ORGANIZATION. OTHER SALARIES AND BENEFITS ALLOCATED TO THE ORGANIZATION FOR THOSE EMPLOYEES WHO WORKED PRIMARILY FOR FREEMAN NEOSHO.
FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B	MEMBERS/STOCKHOLDERS/OTHER PERSONS: FREEMAN HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. DIRECTORS AND OFFICERS OF THE ORGANIZATION ARE APPOINTED AND REMOVED BY THE ORGANIZATION'S SOLE MEMBER. THE BOARD OF FREEMAN NEOSHO HOSPITAL MUST OBTAIN APPROVAL FROM THE ORGANIZATION'S SOLE MEMBER, FREEMAN HEALTH SYSTEM, TO PERFORM CERTAIN ACTIONS. THESE ACTIONS INCLUDE: ALL GOVERNANCE DECISIONS OF INTEREST TO THE MEMBER AFFECTING THE OPERATION OF THE CORPORATION; APPOINTMENT REVIEW AND REMOVAL OF THE ADMINISTRATOR; DEVELOPMENT AND ADOPTION OF STRATEGIC PLANS, BUDGET AND FISCAL POLICY; APPROVAL OF ANY FINANCING OR REFINANCING PLANS; ANY INVESTMENT OF THE ORGANIZATION'S FUNDS; APPOINTMENT AND REMOVAL OF DIRECTORS OF SUBSIDIARIES; AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS OR ANY POLICIES, RULES, AND REGULATIONS PERTAINING TO THE MEDICAL STAFF; THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY OR ASSETS; TAKING ANY ACTION THAT WOULD AFFECT THE EXISTENCE OF THE CORPORATION, INCLUDING MERGER, CONSOLIDATION, AFFILIATION, OR DISSOLUTION; ADOPTION OR AMENDMENT OF ANY CORPORATE COMPLIANCE PROGRAM; AND ANY OTHER MATTER THAT BY LAW REQUIRES THE APPROVAL OF MEMBERS OF A NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE FORM 990 IS REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE A FINAL DRAFT IS READY, A POWER POINT PRESENTATION IS MADE TO THE BOARD MEMBERS AT THE BOARD OF DIRECTORS MEETING TO EXPLAIN THE 990 AND ITS USES. THE BOARD REVIEWS THE DOCUMENT FOR KEY INFORMATION INCLUDED. PAPER COPIES ARE MADE AVAILABLE TO THE BOARD MEMBERS AT THEIR REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS EACH YEAR IN APRIL. THE BOARD MEMBERS ARE ASKED TO SIGN A NEW CONFLICT OF INTEREST POLICY AND LIST ANY POSSIBLE CONFLICTS. THIS INFORMATION IS REVIEWED AND MAINTAINED IN THE ADMINISTRATIVE OFFICES. IF A BOARD MEMBER ENCOUNTERS A TRANSACTION THAT WOULD CAUSE A POSSIBLE CONFLICT OF INTEREST, A FORM DETAILING THE TRANSACTION IS COMPLETED AND SUBMITTED TO THE BOARD FOR REVIEW AND APPROVAL. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	FREEMAN HEALTH SYSTEM COMPENSATION REVIEW: EXECUTIVE COMPENSATION PHILOSOPHY AND 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 7 YEARS OF EXECUTIVE LEVEL EXPERIENCE) WHO CONSISTENTLY MEET FHSS 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 FHSS 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 FHSS EXECUTIVE AT RISK COMPENSATION PLAN(S). ACTUAL TOTAL CASH COMPENSATION WILL REFLECT EXECUTIVES CURRENT SALARIES, INDIVIDUAL PERFORMANCE AND CONTRIBUTIONS, AND THE ORGANIZATIONS 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 JUDGEMENT FACTORS SUCH AS COMPETITIVE MARKET FORCES, EACH EXECUTIVES JOB PERFORMANCE, EACH EXECUTIVES UNIQUE SKILLS, RESPONSIBILITIES AND EFFORTS, AND/OR EACH EXECUTIVES MARKETPLACE STANDING, ARE ALSO CONSIDERED BY THE COMMITTEE DURING ITS DECISION PROCESS.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED): EXECUTIVE COMPENSATION COMMITTEE CHARTER THIS EXECUTIVE COMPENSATION COMMITTEE CHARTER WAS ADOPTED BY THE BOARD OF DIRECTORS (THE "BOARD") OF FREEMAN HEALTH SYSTEM (HEREAFTER "FHS") ON APRIL 25, 2008. THIS CHARTER APPLIES TO FHS AND ALL OF ITS BUSINESS ENTITIES, INCLUDING FREEMAN NEOSHO HOSPITAL, OZARK CENTER, AND THE FREEMAN FOUNDATION (HEREAFTER THE "SYSTEM"). THIS CHARTER IS A COMPONENT OF THE FLEXIBLE FRAMEWORK WITHIN WHICH THE BOARD, ASSISTED BY ITS COMMITTEES, DIRECTS THE AFFAIRS OF FHS. WHILE THE CHARTER SHOULD BE INTERPRETED IN THE CONTEXT OF ALL APPLICABLE LAWS AND REGULATIONS, AS WELL AS IN THE CONTENT OF FHSS 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 BOARDS 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, CONSULTATIONS, 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 THIS YEAR, EACH MEMBER WILL REVIEW THE ORGANIZATIONS 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 AN 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 SERVICE AS A SUPPORT STAFF MEMBER. 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 FHSS 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 FROM 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 THE 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 EXECUTIVES 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 SANCTION 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 FHSS 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 COMMITTEES 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 ORGANIZATIONS EXECUTIVES AND OTHER DISQUALIFIED PERSONS. A COMPENSATION REVIEW LAST OCCURRED IN 2016 USING INTEGRATED HEALTHCARE STRATEGIES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART X, LINE 20	TAX EXEMPT BOND LIABILITY: THE TAX-EXEMPT BOND LIABILITY BEING REPORTED IS AN ALLOCATION OF A 2013 SERIES BOND FROM FREEMAN HEALTH SYSTEM, A RELATED PARTY. AS SUCH, DETAILS REGARDING THE BOND IS REPORTED ON FREEMAN HEALTH SYSTEMS FROM 990, SCHEDULE K. SINCE THE BOND DETAILS ARE BEING REPORTED ONCE, FREEMAN NEOSHO HOSPITAL IS NOT REQUIRED TO INCLUDE A SCHEDULE K WITH ITS FORM 990.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ 2,495 CHANGE IN INTEREST IN AFFILIATES

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: FREEMAN NEOSHO PROVIDES WORLD-CLASS, COMPASSIONATE HEALTHCARE SERVICES WHERE IT MATTERS MOST, CLOSE TO HOME. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	256
6	Total number of volunteers (estimate if necessary) .............	6	24
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	10,064	0
9	Program service revenue (Part VIII, line 2g) .........	33,342,724	32,873,487
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	703,349	1,367,444
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	23,805	23,872
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	34,079,942	34,264,803
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	93,121	92,300
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	13,971,262	14,600,701
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	17,647,924	16,794,873
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	31,712,307	31,487,874
19	Revenue less expenses. Subtract line 18 from line 12.......	2,367,635	2,776,929
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	42,361,015	47,335,161
21	Total liabilities (Part X, line 26).............	4,620,346	5,374,048
22	Net assets or fund balances. Subtract line 21 from line 20.....	37,740,669	41,961,113

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 19,680,397 including grants of $ ) (Revenue $ 21,427,273 )
	OUTPATIENT SERVICES: TRULY THE HEART OF ITS COMMUNITY, FREEMAN NEOSHO HOSPITAL OFFERS 24-HOUR EMERGENCY CARE, SPORTS MEDICINE, OCCUPATIONAL MEDICINE, REHABILITATION SERVICES, A PHYSICIAN CLINIC WITH PRIMARY CARE DOCTORS, A GENERAL SURGEON AND PEDIATRICIANS, AS WELL AS REGULAR VISITS FROM SPECIALISTS, SUCH AS A CARDIOLOGIST; AN OB/GYN; AN EAR, NOSE AND THROAT SPECIALIST; AN ONCOLOGIST/HEMATOLOGIST; AND AN ORTHOPAEDIC SURGEON. SEE SCHEDULE O FOR MORE INFORMATION.

4b	(Code: ) (Expenses $ 4,628,694 including grants of $ ) (Revenue $ 5,039,547 )
	INPATIENT SERVICES: PROVIDING VITAL SERVICES TO SOUTHWESTERN MISSOURI, FREEMAN NEOSHO HOSPITAL IS A CRITICAL-ACCESS FACILITY THAT SERVES THE NEEDS OF LARGELY RURAL NEWTON AND MCDONALD COUNTIES. IN TERMS OF INPATIENT SERVICES, FREEMAN NEOSHO HOSPITAL PROVIDES THE COMMUNITY WITH GENERAL ACUTE CARE SERVICES, INCLUDING SURGERY AND INTENSIVE CARE, AND OFFERS MANY SERVICES AND CONVENIENCES FOUND IN LARGER METROPOLITAN AREAS. SEE SCHEDULE O FOR MORE INFORMATION.

4c	(Code: ) (Expenses $ 2,791,858 including grants of $ ) (Revenue $ 6,406,667 )
	EMERGENCY ROOM/TRAUMA SERVICES: WITH AN EMERGENCY ROOM STAFFED 24 HOURS A DAY BY EXPERIENCED EMERGENCY ROOM PHYSICIANS, FREEMAN NEOSHO EMERGENCY SERVICES PROVIDES A LIFELINE WHEN MEDICAL EMERGENCIES ARISE TO PEOPLE IN RURAL SOUTHWESTERN MISSOURI. THE ADDITION OF A GENERAL SURGEON TO THE FREEMAN NEOSHO MEDICAL STAFF GREATLY BENEFITS PATIENTS IN NEED OF EMERGENCY SURGERY. MIDWEST AEROCARE AIR AMBULANCE PROVIDES EMERGENCY TRANSPORT SERVICES TO AND FROM FREEMAN NEOSHO HOSPITAL. SEE SCHEDULE O FOR MORE INFORMATION.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 92,300 including grants of $ 92,300 ) (Revenue $ )
4e	Total program service expenses27,193,249

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,904,381	2,290,750	612,550

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		0

		Business Code
2a	PATIENT SERVICES	900099	31,497,090	31,497,090
b	PHARMACY	446110	1,245,353	1,245,353
c	CAFETERIA & VENDING	722514	82,437	82,437
d	OTHER REVENUE	900099	48,607	48,607
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		32,873,487

3 Investment income (including dividends, interest, and othersimilar amounts) ......			771,337			771,337
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		24,023	6a
b	Less: rental expenses		151	6b
c	Rental income or (loss)	0	23,872	6c
d	Net rental income or (loss).......			23,872			23,872
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		9,705,367	7a
b	Less: cost or other basis and sales expenses		9,109,260	7b
c	Gain or (loss)		596,107	7c
d	Net gain or (loss).........			596,107			596,107
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See instructions.....			34,264,803	32,873,487		1,391,316

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	92,300	92,300
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	431,234	269,438	161,796
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	11,362,880	10,755,114	607,766
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	196,037	185,344	10,693
9	Other employee benefits .......	1,887,801	1,753,674	134,127
10	Payroll taxes ...........	722,749	671,525	51,224
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	21		21
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	26,485		26,485
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	2,505,831	2,219,097	286,734
12	Advertising and promotion ....	57,293		57,293
13	Office expenses .......	3,082,213	512,300	2,569,913
14	Information technology ......	23,917		23,917
15	Royalties ..	0
16	Occupancy ...........	785,483	647,155	138,328
17	Travel ............	44,118	39,934	4,184
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	17,833	15,159	2,674
20	Interest ...........	21,983	19,020	2,963
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	638,463	552,398	86,065
23	Insurance ...	274,110	217,411	56,699
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	BAD DEBT	5,583,070	5,583,070
b	MEDICAL SUPPLIES & DRUGS	2,414,558	2,414,558
c	PROVIDER TAX	1,223,497	1,223,497
d	LICENSES, DUES, SUBSCRIPTIONS	75,652	21,259	54,393
e	All other expenses	20,346	996	19,350
25	Total functional expenses. Add lines 1 through 24e	31,487,874	27,193,249	4,294,625	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1,750	1	1,750
2	Savings and temporary cash investments .........			1,140,246	2	1,412,563
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			3,793,974	4	3,963,737
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			490,361	8	416,007
9	Prepaid expenses and deferred charges ......			120,007	9	105,513
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	19,097,535
b	Less: accumulated depreciation	10b	12,158,008	4,575,594	10c	6,939,527
11	Investments—publicly traded securities .			31,025,706	11	33,499,332
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			664,703	14	664,703
15	Other assets. See Part IV, line 11 ...........			548,674	15	332,029
16	Total assets. Add lines 1 through 15 (must equal line 33)...			42,361,015	16	47,335,161

17	Accounts payable and accrued expenses .....	424,319	17	278,474
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	751,745	20	649,542
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	3,444,282	25	4,446,032
26	Total liabilities. Add lines 17 through 25..	4,620,346	26	5,374,048

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	37,740,669	32	41,961,113
33	Total liabilities and net assets/fund balances ........	42,361,015	33	47,335,161

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)FREEMAN HEALTH SYSTEM 1102 W 32ND STREET JOPLIN,MO64804 43-1704371	HOSPITAL	MO	501(C)(3)	3	NA		No
(2)OZARK CENTER 1105 E 32ND ST JOPLIN,MO64803 43-0821959	BEHAVIOR HLTH	MO	501(C)(3)	10	FREEMAN HLTH		No
(3)MAGNOLIA HEIGHTS HOUSING CORPORATION 3006 MCCLELLAND BLVD JOPLIN,MO64804 47-0950622	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER		No
(4)CEDAR HILL HOUSING CORPORATION 3006 MCCLELLAND BLVD JOPLIN,MO64804 47-0943557	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER		No
(5)POPLAR PLACE HOUSING CORPORATION 3006 MCCLELLAND BLVD JOPLIN,MO64804 90-0462595	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) FREEMAN SURGICAL CE 11221 ROE AVE STE 320 LEAWOOD LEAWOOD,KS66211 26-2652980	AMBULATORY SU	KS	NA				No	0		No

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No