TY 2021 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) THOMAS L SANDERS...................................................................... PHYSICIAN	60.0 ................. 0.0				X	2,406,334	0	29,988
(2) PAULA F BAKER...................................................................... PRESIDENT AND CEO	54.0 ................. 13.5	X	X			1,711,024	427,756	34,053
(3) TODD J TWISS...................................................................... PHYSICIAN	60.0 ................. 0.0				X	2,117,423	0	34,342
(4) JOSHUA BALL...................................................................... DIRECTOR	60.0 ................. 0.0	X				2,067,106	0	34,842
(5) WILLIAM J NICHOLAS...................................................................... PHYSICIAN	60.0 ................. 0.0				X	1,910,183	0	29,573
(6) DARWIN JEYARAJ...................................................................... PHYSICIAN	60.0 ................. 0.0				X	1,867,525	0	36,345
(7) THOMAS B COY...................................................................... PHYSICIAN	60.0 ................. 0.0				X	1,641,260	0	30,202
(8) JOHN M COX DO...................................................................... DIRECTOR	60.0 ................. 0.0	X				1,071,417	0	29,748
(9) DAVID L BAKER...................................................................... CMO BEGIN 10/2021	60.0 ................. 0.0		X			868,697	0	34,117
(10) STEVE GRADDY...................................................................... CFO	50.0 ................. 10.0		X			684,415	136,883	28,495
(11) DENNIS A ESTEP...................................................................... CMO END 09/2021	60.0 ................. 0.0		X			549,256	0	36,790
(12) KEVIN P GAUDETTE...................................................................... VP REVENUE CYCLE	60.0 ................. 0.0			X		530,298	0	34,340
(13) JEFFERY E THOMPSON...................................................................... CHIEF CLINICAL OFFICER	60.0 ................. 0.0		X			346,927	0	35,647
(14) WESLEY B BRAMAN...................................................................... VP BUSINESS DEVELOPMENT	60.0 ................. 0.0			X		325,644	0	32,961
(15) LARRY MCINTIRE DO...................................................................... DIRECTOR	60.0 ................. 0.0	X				303,895	0	9,482
(16) MARY A FRERER...................................................................... CHIEF HUMAN RESOURCE OFFICER	60.0 ................. 0.0			X		285,268	0	28,001
(17) LEONARD T ROLLINS...................................................................... CHIEF INFORMATION OFFICER	60.0 ................. 0.0			X		276,836	0	34,146

(A) Name and business address	(B) Description of services	(C) Compensation
CROTHALL SERVICES GROUP, 13028 COLLECTION CENTER DRIVE CHICAGO,IL60693	HOUSEKEEPING	5,734,126
GATEWAY EMERGENCY PHYSICIANS LLP, PO BOX 677979 DALLAS,TX752677979	HEALTHCARE SVCS	1,139,998
MORRISON MGT SPECIALIST INC, 2400 YORKMONT ROAD CHARLOTTE,NC28217	NUTRITION SERVICES	1,152,233
DEWITT ASSOCIATES INC, 1256 S BARNES AVE SPRINGFIELD,MO65804	CONSTRUCTION	3,443,103
HMN ARCHITECTS INC, 7400 W 110TH ST SUITE 200 OVERLAND PARK,KS66210	ARCHITECT	1,412,448
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 32

- TIN:

SCHEDULE A
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2021

Name of the organization

FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization FREEMAN HEALTH SYSTEM

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization FREEMAN HEALTH SYSTEM		Employer identification number 43-1704371

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization FREEMAN HEALTH SYSTEM			Employer identification number 43-1704371
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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 HEALTH SYSTEM

Employer identification number

43-1704371

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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? .......................

Yes

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

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

Yes

27,334

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

27,334

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 (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS (SNHPA). A PORTION OF THESE DUES, TOTALING 27,334, ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ADDITIONALLY, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY OCCUR BUT ARE INSIGNIFICANT.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1(I)

OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS (SNHPA). A PORTION OF THESE DUES, TOTALING 27,334, ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ADDITIONALLY, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY OCCUR BUT ARE INSIGNIFICANT.

Schedule C (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

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) 2021

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 ....	76,926	59,145	66,903	68,952	63,894
b	Contributions ...
c	Net investment earnings, gains, and losses	3,031	20,585	-5,290	701	7,498
d	Grants or scholarships ...	3,015	2,804	2,468	2,750	2,440
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	76,942	76,926	59,145	66,903	68,952

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

100.000 %

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 .....	5,037,172	8,164,830		13,202,002
b	Buildings ....		192,587,141	117,501,152	75,085,989
c	Leasehold improvements		2,718,066	2,464,653	253,413
d	Equipment ....		161,840,811	120,499,001	41,341,810
e	Other .....		14,430,812	8,136,171	6,294,641
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					136,177,855

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	73,777,416
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) 2021

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	641,562,399
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-1,482,869
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	371,889
e	Add lines 2a through 2d .....................			2e	-1,110,980
3	Subtract line 2e from line 1..................			3	642,673,379
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	797,103
c	Add lines 4a and 4b....................			4c	797,103
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	643,470,482

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	600,288,170
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	1,133,930
e	Add lines 2a through 2d....................			2e	1,133,930
3	Subtract line 2e from line 1...................			3	599,154,240
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	222,747
b	Other (Describe in Part XIII.) ............	4b	1,884,769
c	Add lines 4a and 4b.....................			4c	2,107,516
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	601,261,756

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 V, LINE 4	ENDOWMENT FUNDS: THIS ENDOWMENT IS USED FOR NURSING SCHOLARSHIPS.
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 FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (222,747) INVESTMENT FEES 16,358 INVESTMENT IN PSC 578,278 NET ASSETS RELEASED FROM RESTRICTION ------------ $ 371,889
SCHEDULE D, PART XI, LINE 4B	OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 216,098) COST OF GOODS SOLD ( 164,010) SPECIAL EVENTS ( 753,822) RENTAL EXPENSES 29,906 TEMPORARILY RESTRICTED CONTRIBUTIONS 1,901,127 NET PSC REVENUE ------------ $ 797,103
SCHEDULE D, PART XII, LINE 2D	OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 216,098 COST OF GOODS SOLD 164,010 SPECIAL EVENTS 753,822 RENTAL EXPENSES ------------ $ 1,133,930
SCHEDULE D, PART XII, LINE 4B	OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,884,769 PSC EXPENSES

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. 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

2021

Open to Public Inspection

Name of the organization
FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990) 2021

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 JEWELRY SALES (event type)	(b) Event #2 TOURN. MIRACLES (event type)	(c) Other events 10 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	79,448	69,461	194,042	342,951
2	Less: Contributions . . . .		61,918	63,246	125,164
3	Gross income (line 1 minus line 2) . . . . . .	79,448	7,543	130,796	217,787

4	Cash prizes . . . . .		1,800		1,800
5	Noncash prizes . . . .		1,090		1,090
6	Rent/facility costs . . . .		5,540	1,160	6,700
7	Food and beverages . . .		1,693	608	2,301
8	Entertainment . . . .
9	Other direct expenses . . .	61,155	1,946	89,018	152,119
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				164,010
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				53,777

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2021

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

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) . . .	15,864,807		15,864,807	2.640 %
b	Medicaid (from Worksheet 3, column a) . . . . .	83,667,346	61,593,808	22,073,538	3.670 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	99,532,153	61,593,808	37,938,345	6.310 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	764,993	233,366	531,627	0.090 %
f	Health professions education (from Worksheet 5) . . .	4,752,209	1,143,143	3,609,066	0.600 %
g	Subsidized health services (from Worksheet 6) . . . .	2,850,966	1,197,307	1,653,659	0.280 %
h	Research (from Worksheet 7) .	1,279,382		1,279,382	0.210 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	307,692		307,692	0.050 %
j	Total. Other Benefits . .	9,955,242	2,573,816	7,381,426	1.230 %
k	Total. Add lines 7d and 7j .	109,487,395	64,167,624	45,319,771	7.540 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	276,500	276,500	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	40,100	40,100	0.010 %
9	Other	11,769	11,769
10	Total	328,369	328,369	0.020 %

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. ......

49,841,642

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. ......

2,399,321

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).....

124,343,435

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

123,546,668

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

796,767

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 %	(e) Physicians' profit % or stock ownership %
1FREEMAN SURGICAL CEN	AMBULATORY SURGERY CENTER	52.328 %	37.41 %
2HEARTLAND KIDNEYDIA	DIALYSIS CENTER	25 %	56.25 %
332ND STREET SURGICAL	AMBULATORY SURGERY CENTER	26 %	33.947 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

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 HEALTH SYSTEM 1102 W 32ND ST JOPLIN,MO64804 WWW.FREEMANHEALTH.COM/ 418-21	X	X	X	X

Schedule H (Form 990) 2021

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 HEALTH SYSTEM
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 21

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): SEE PART V, SECTION C

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 21

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FREEMAN HEALTH SYSTEM
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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	FREEMAN HEALTH SYSTEM
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) 2021

Page 7

Part VFacility Information (continued)

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

	FREEMAN HEALTH SYSTEM
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) 2021

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 A	HOSPITAL FACILITIES: PURSUANT TO REG. 1.501(R)-1(B)(17), FREEMAN HEALTH SYSTEM CONSISTS OF TWO HOSPITALS OPERATED UNDER A SINGLE LICENSE ISSUED BY THE STATE OF MISSOURI. AS SUCH, A SINGLE HOSPITAL FACILITY IS BEING REPORTED. THE SECOND LOCATION IS KNOWN AS FREEMAN HEALTH SYSTEM EAST AND IS LOCATED AT 932 EAST 34TH STREET, JOPLIN, MO 64804.
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: THE CHNA INCORPORATED SEVERAL LEVELS OF DATA, INCLUDING CONSUMER SURVEYS, STAKEHOLDER INTERVIEWS, PRIMARY DATA FROM THE PARTICIPATING HOSPITALS, AND SECONDARY DATA ABOUT HEALTH CONDITIONS ACROSS ALL 30 COUNTIES ASSESSED. WITHIN THE OZARK HEALTH COMMISSION, SUBCOMMITTEES WERE FORMED TO ANALYZE PRIMARY DATA (HOSPITAL ED DATA), SECONDARY DATA (PUBLIC HEALTH METRICS) AND A CONSULTING FIRM WAS HIRED TO ACQUIRE RELIABLE AND REPRESENTATIVE INPUT USING COMMUNITY SURVEYS, FOCUS GROUPS AND INTERVIEWS. THE COMMUNITY SURVEY, WHICH COLLECTED QUANTITATIVE DATA, SAW BROAD PARTICIPATION ACROSS ALL 7 COMMUNITIES. THE COMMUNITY FOCUS GROUPS AND INTERVIEWS WHICH COLLECTED QUALITATIVE DATA, CONSISTED OF KEY COMMUNITY STAKEHOLDERS, POLICYMAKERS, AND RESIDENTS. ACROSS THE OHC REGION, SIGNIFICANT ENGAGEMENT WAS SEEN FROM HEALTH SYSTEMS, NON-PROFITS, GOVERNMENT, SCHOOLS, LIBRARIES, TRIBAL COMMUNITIES, VULNERABLE POPULATIONS AND DIVERSE COMMUNITIES, HEALTH FOCUSED ORGANIZATIONS AND FAITH-BASED ORGANIZATIONS. FREEMAN HEALTH SYSTEM STAFF PROVIDING INPUT AND DIRECTION TO THE CHNA INCLUDED: .SHELBY ALLEN, SUPERVISOR, PREVENTION AND WELLNESS .WES BRAMAN, VICE PRESIDENT OF BUSINESS DEVELOPMENT .CATHY BROWN, GRANT COORDINATOR .DEL CAMP, CHIEF CLINICAL OFFICER, OZARK CENTER .KRIS DRAKE, WELLNESS COORDINATOR .STEVE GRADDY, CHIEF FINANCIAL OFFICER .MARK HENSLEY, SENIOR FINANCIAL ANALYST .RENEE DENTON, CHIEF OPERATING OFFICER, FREEMAN NEOSHO HOSPITAL .VICKY MIESELER, CHIEF ADMINISTRATIVE OFFICER, OZARK CENTER .MARY PARRIGON, CHIEF OPERATING OFFICER, OZARK CENTER .KELLI PERIGO, DIRECTOR, FREEMAN HEARTS SERVICE LINE .PAUL PETRY, DO, PEDIATRIC MEDICAL DIRECTOR .SUSAN PITTMAN, DIABETES PROGRAM COORDINATOR .MICHAEL SANDERS, CONTROLLER .LISA NELSON, GRANT PROGRAM SUPERVISOR AND OZARKS HEALTH COMMISSION LIAISON
SCHEDULE H, PART V, SECTION B, LINE 6A	CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: IN ADDITION TO FREEMAN NEOSHO HOSPITAL, A RELATED ORGANIZATION, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED ALONG WITH COXHEALTH AND MERCY HEALTH.
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: - BARRY COUNTY HEALTH DEPARTMENT - BARTON COUNTY HEALTH DEPARTMENT - BURRELL BEHAVIORAL HEALTH - CHRISTIAN COUNTY HEALTH DEPARTMENT - CITY OF JOPLIN HEALTH DEPARTMENT - DADE COUNTY HEALTH DEPARTMENT - DALLAS COUNTY HEALTH DEPARTMENT - DOUGLAS COUNTY HEALTH DEPARTMENT - HICKORY COUNTY HEALTH DEPARTMENT - HOWELL COUNTY HEALTH DEPARTMENT - JASPER COUNTY HEALTH DEPARTMENT - LAWRENCE COUNTY HEALTH DEPARTMENT - MCDONALD COUNTY HEALTH DEPARTMENT - OZARK COUNTY HEALTH DEPARTMENT - POLK COUNTY HEALTH DEPARTMENT - SHANNON COUNTY HEALTH DEPARTMENT - SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT - STONE COUNTY HEALTH DEPARTMENT - TANEY COUNTY HEALTH DEPARTMENT - TEXAS COUNTY HEALTH DEPARTMENT - VERNON COUNTY HEALTH DEPARTMENT
SCHEDULE H, PART V, SECTION B, LINE 7A AND 7B	CHNA URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US HTTP://OZARKSHEALTHCOMMISSION.ORG/
SCHEDULE H, PART V, SECTION B, LINE 10	IMPLEMENTATION STRATEGY URL: HTTPS://WWW.FREEMANHEALTH.COM/ABOUT-US
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, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER. AT THE ORGANIZATIONAL LEVEL, FREEMAN HEALTH SYSTEM HAS ADOPTED FIVE PRIORITIZED HEALTH NEEDS FOR ITS COMMUNITY HEALTH IMPLEMENTATION PLAN FOR THE PERIOD 1/1/2022 THROUGH 12/31/2024. ACCESS TO CARE - INCREASE ACCESS TO HEALTH SERVICES BY ENHANCING HEALTH PROFESSIONAL EDUCATION, RECRUITMENT AND RETENTION EFFORTS MENTAL HEALTH - SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS MENTAL HEATLH OFFER NEW THERAPIES FOR TREATMENT-RESISTANT DEPRESSION EDUCATE AND TRAIN PSYCHIATRIC RESIDENTS DIABETES - PROVIDE EVIDENCE-BASED TREATMENT OF OBESITY FOR CHILDREN AGES 5 TO 12 BUILD PARTNERSHIPS WITH EMPLOYERS AND SCHOOLS THAT INCREASE AWARENESS, KNOWLEDGE, AND THREATMENT OF HEALTH FACTORS IMPACTING DIABETES. OFFER TRAINING TO PATIENTS WITH DIABETES ON BEST PRACTICES FOR USING DETECTION TECHNOLOGIES. HEART DISEASE - SUPPORT COMMUNITY HEALTH INITIATIVES THAT ADDRESS PREVENTION & SCREENINGS SERVE RURAL PATIENTS THROUGH FREEMAN HEART AND VASCULAR INSTITUTE OUTREACH CLINICS REDUCE RISK OF STRKE BY OFFERING INNOVATIVE IMPLANT PROCEDURES AS AN ALTERNATIVE TO BLOOD THINNER MEDICATION LUNG DISEASE - SUPPORT HEALTH INITIATIVES THAT ADDRESS LUNG DISEASE PREVENTION INVEST IN NEW TECHNOLOGIES TO PREVENT AND TREAT LUNG DISEASE MORE RAPIDLY
SCHEDULE H, PART V, SECTION B, LINE 13H	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBILITY.
SCHEDULE H, PART V, SECTION B, LINES 16A-C	FAP, APPLICATION, AND PLS URL: HTTPS://WWW.FREEMANHEALTH.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-I NSURANCE/PAYMENT-OPTIONS

Schedule H (Form 990) 2021

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?35
Name and address		Type of Facility (describe)
1	FREEMAN CANCER INSTITUTE 3415 MCINTOSH JOPLIN,MO64804	MEDICAL SERVICES
2	FREEMAN MIDWEST ORTHOPAEDIC SURGERY 3105 MCCLELLAND BLVD JOPLIN,MO64804	MEDICAL SERVICES
3	FREEMAN WOMEN'S CENTER 1532 W 32ND ST JOPLIN,MO64804	MEDICAL SERVICES
4	URGENT CARE - JOPLIN 1130 E 32ND ST JOPLIN,MO64804	MEDICAL SERVICES
5	FREEMAN WOUND CARE AND HOME CARE 3315 MCINTOSH JOPLIN,MO64804	MEDICAL SERVICES
6	OCCUMED - JOPLIN 3201 MCCLELLAND BLVD JOPLIN,MO64804	MEDICAL SERVICES
7	CH BENTLAGE MEDICAL CENTER 3202 MCINTOSH JOPLIN,MO64804	MEDICAL SERVICES
8	FREEMAN CHILDREN'S CLINIC 1030 MCINTOSH JOPLIN,MO64804	MEDICAL SERVICES
9	REHABILITATION AND SPORTS CENTER 2206 E 32ND STREET JOPLIN,MO64804	MEDICAL SERVICES
10	URGENT CARE - WEBB CITY 1636 S MADISON WEBB CITY,MO64870	MEDICAL SERVICES
11	FREEMAN NEUROSPINE 1905 W 32ND ST JOPLIN,MO64804	MEDICAL SERVICES
12	FREEMAN EAR NOSE AND THROAT CENTER 1331 W 32ND ST JOPLIN,MO64804	MEDICAL SERVICES
13	JOPLIN UROLOGYPHYSICIAN OFFICES 3302 MCINTOSH JOPLIN,MO64804	MEDICAL SERVICES
14	FREEMAN SLEEP CENTERGERIATRIC CARE 931 E 32ND ST JOPLIN,MO64804	MEDICAL SERVICES
15	HIGGINS MEDICAL BUILDING 1020 MCINTOSH JOPLIN,MO64804	MEDICAL SERVICES
16	FREEMAN PROFESSIONAL CENTER 3333 MCINTOSH JOPLIN,MO64804	MEDICAL SERVICES
17	FREEMAN CLINIC OF ANDERSON 510 PARK ST ANDERSON,MO64831	MEDICAL SERVICES
18	PAIN MANAGMENT CENTER 3103 MCCLELLAND BLVD JOPLIN,MO64804	MEDICAL SERVICES
19	DAVID A BALL MEDICAL BUILDING 1111 MCINTOSH CIRCLE DRIVE JOPLIN,MO64804	MEDICAL SERVICES
20	FREEMAN MEDICAL PLAZA I 702 E 34TH ST JOPLIN,MO64804	MEDICAL SERVICES
21	FREEMAN CLINIC OF CARTHAGE 719 W CENTENNIAL CARTHAGE,MO64836	MEDICAL SERVICES
22	FREEMAN CLINIC OF BAXTER SPRINGS 322 E 11TH ST BAXTER SPRINGS,KS66713	MEDICAL SERVICES
23	OCCUMED - CARTHAGE SPECIALTY CLINIC 1500 S CASE ST CARTHAGE,MO64836	MEDICAL SERVICES
24	FREEMAN HEART AND VASCULAR INSTITUTE 1101 E 13TH STREET SUITE A B AND GROVE,OK74344	MEDICAL SERVICES
25	FREEMAN HEART AND VASCULAR INSTITUTE 30 B STREET SW MIAMI,OK74354	MEDICAL SERVICES
26	FREEMAN CARL JUNCTION FAMILY MEDICINE 104 S MAIN STREET JOPLIN,MO64834	MEDICAL SERVICES
27	SENECA FAMILY MEDICINE 1606 OLIVE SENECA,MO64865	MEDICAL SERVICES
28	FREEMAN HEALTH AND VASCULAR INSTITUTE 1902 S US HWY 59 BLDG E STE 202 PARSONS,KS67357	MEDICAL SERVICES
29	FHS LAMAR FAMILY CARE 307 WEST 11TH STREET LAMAR,MO64759	MEDICAL SERVICES
30	FHS PHYSICIAN GROUP OF PITTSBURG 1201 E CENTENNIAL PITTSBURG,KS66762	MEDICAL SERVICES
31	FHS ORTHOPAEDICS AND SPORTS MED OF PTSBR 100 N PINE STREET PITTSBURG,KS66762	MEDICAL SERVICES
32	FREEMAN HEART AND VASCULAR INSTITUTE 307 N HOSPITAL DRIVE GIRARD,KS66743	MEDICAL SERVICES
33	FREEMAN LUNG INSTITUTE 1002 MCINTOSH CIRCLE JOPLIN,MO64804	MEDICAL SERVICES
34	FHS ORTHOPAEDICS AND SPORTS MED OF FT SC 401 WOODLAND HILLS BLVD FT SCOTT,KS66701	MEDICAL SERVICES
35	FREEMAN MIDWEST INTERNAL MEDICINE 608 WILLARD FRONTENAC,KS66763	MEDICAL SERVICES

Schedule H (Form 990) 2021

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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 ALSO USES ASSETS AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PRESUMPTIVE ELIGIBILITY MAY USE INDIVIDUAL LIFE CIRCUMSTANCES SUCH AS HOMELESSNESS, INCARCERATIONS, WIC PROGRAM ELIGIBILITY, AND/OR SNAP BENEFITS ELIGIBILITY.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. WORKSHEET 6 USED COST TO CHARGE RATIOS COMPUTED INTERNALLY FOR EACH SERVICE.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH ITS PHYSICIAN SERVICES IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G. FREEMAN HEALTH SYSTEM PROVIDES PHYSICIAN SERVICES TO ITS SURROUNDING COMMUNITIES. IF FREEMAN HEALTH SYSTEM WAS TO CEASE OFFERING THESE SERVICES, A SHORTAGE OF QUALITY MEDICAL CARE WILL RESULT. FREEMAN HEALTH SYSTEM CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY SUPPORT EXPENSES NOTED IN PART II RELATE TO FREEMAN'S CONTRIBUTIONS TO THE JOPLIN HUMANE SOCIETY, JOPLIN MEMORIAL RUN, CONNECT2CULTURE AND THE GEORGE A SPIVA CENTER FOR THE ARTS WHICH PROVIDE SUPPORT FOR THE JOPLIN COMMUNITY. THE WORKFORCE DEVELOPMENT EXPENSES NOTED IN PART II RELATE TO FREEMAN'S CONTRIBUTIONS TO THE SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION, THE CARL JUNCTION EDUCATION FOUNDATION AND THE MCDONALD COUNTY R-1 SCHOOL DISTRICT, WHICH ARE JOPLIN AREA SCHOOL DISTRICTS AND NEOSHO R-V SCHOOL DISTRICT.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED MARCH 31, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
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 THE U.S. CENSUS BUREAU QUICK FACTS, THE ESTIMATED AVERAGE. UNINSURED POPULATION FOR FREEMAN JOPLIN'S PRIMARY SERVICE AREA IS 13.65% AND THE AVERAGE UNINSURED POPULATION FOR FREEMAN NEOSHO'S PRIMARY SERVICE AREA IS 17.85%. FREEMAN HOSPITAL-JOPLIN IDENTIFIED 6.7% OF ITS GROSS HOSPITAL REVENUE OR BILLINGS COMING FROM UNINSURED PATIENTS. FREEMAN NEOSHO IDENTIFIED 13.7% 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.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE 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 NOTE CAN BE FOUND ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS
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 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. TO OBTAIN A FRESH LOOK AT THE HEALTH NEEDS OF THE COMMUNITY, FREEMAN HEALTH SYSTEM CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE SURVEY SEEKS COMMUNITY INPUT ON HEALTH NEEDS, ACCESS TO HEALTHCARE, AND WHAT PEOPLE THINK IS IMPORTANT ABOUT HEALTHCARE. THE FEEDBACK PROVIDES A BETTER UNDERSTANDING OF THE HEALTH STATUS, BEHAVIORS, AND NEEDS OF THE POPULATIONS SERVED BY FREEMAN HEALTH SYSTEM. FOR THE SURVEY, FREEMAN COLLABORATES WITH HEALTH DEPARTMENTS AND OTHER HOSPITALS IN 30 COUNTIES UNDER THE AUTHORITY OF THE OZARKS HEALTH COMMISSION. [FREEMAN HEALTH SYSTEM IS A FOUNDING STAKEHOLDER IN 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. FOLLOWING THE SURVEY, FREEMAN DEVELOPS A PLAN TO ADDRESS THE NEEDS FOUND IN THE SURVEY. OCH CONDUCTED A NEW SURVEY IN 2022, AND FREEMAN RELEASED A PLAN ON MARCH 31, 2022, TO ADDRESS NEEDS FOUND IN THE SURVEY. AS A RESULT, FREEMAN HEALTH SYSTEM HAS ADOPTED A JOINT IMPLEMENTATION STRATEGY THAT INCLUDES FREEMAN HOSPITAL WEST, FREEMAN HOSPITAL EAST, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER. AT THE ORGANIZATIONAL LEVEL, FREEMAN HEALTH SYSTEM PRIORITIZED THESE HEALTH NEEDS: ACCESS TO CARE, DIABETES, MENTAL HEALTH, HEART DISEASE, AND LUNG DISEASE, WITH OBJECTIVES OF INCREASING ACCESS TO HEALTH SERVICES AND REDUCING THE LONG-TERM INCIDENCE OF THE CONDITIONS/DISEASES USING ONGOING PREVENTION, DETECTION, AND TREATMENT STRATEGIES. FOR ACCESS TO CARE, STRATEGIES ARE INCREASING ACCESS TO MEDICAL AND BEHAVIORAL HEALTHCARE FOR RURAL RESIDENTS THROUGH TELEHEALTH, LAUNCHING A NEW FAMILY MEDICINE RESIDENCY PROGRAM, AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS OF PATIENTS IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS. FOR MENTAL HEALTH, STRATEGIES ARE SUPPORTING COMMUNITY HEALTH INITIATIVES THAT ADDRESS MENTAL HEALTH, OFFERING NEW THERAPIES FOR TREATMENT-RESISTANT DEPRESSION, AND EDUCATING AND TRAINING PSYCHIATRIC RESIDENTS. FOR DIABETES, STRATEGIES ARE PROVIDING EVIDENCE-BASED TREATMENT OF OBESITY FOR CHILDREN AGED 5-12, BUILDING PARTNERSHIPS WITH EMPLOYERS AND SCHOOLS THAT INCREASE AWARENESS, KNOWLEDGE, AND TREATMENT OF HEALTH FACTORS IMPACTING DIABETES, AND OFFERING TRAINING TO PATIENTS ON BEST PRACTICES FOR USING DIABETES-DETECTION TECHNOLOGIES. FOR HEART DISEASE, STRATEGIES ARE SUPPORTING COMMUNITY HEALTH INITIATIVES THAT ADDRESS PREVENTION AND SCREENING, SERVING RURAL PATIENTS THROUGH FREEMAN HEART & VASCULAR OUTREACH CLINICS, AND REDUCING RISK OF STROKE BY OFFERING INNOVATIVE IMPLANT PROCEDURES AS AN ALTERNATIVE TO BLOOD THINNER MEDICATION. FOR LUNG DISEASE, STRATEGIES ARE SUPPORTING COMMUNITY HEALTH INITIATIVES THAT ADDRESS LUNG DISEASE PREVENTION, AND INVESTING IN NEW TECHNOLOGIES TO PREVENT AND MORE RAPIDLY TREAT LUNG DISEASE. EACH OF THE PRIORITIZED HEALTH NEEDS REPRESENTS A COMPLEX HEALTH CONDITION THAT REQUIRES MULTI-STAKEHOLDER COLLABORATION. FREEMAN HEALTH SYSTEM IS COMMITTED TO COLLABORATING WITH STAKEHOLDERS AT THE LOCAL, REGIONAL, AND STATE LEVELS. INTENTIONAL COLLABORATION INCLUDES PARTICIPATION AND LEADERSHIP IN COALITIONS, INCLUDING JASPER-NEWTON COUNTY HEALTH COLLABORATIVE, REPRESENTING HEALTH CARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS PROVIDING HEALTH AND SOCIAL SERVICES; MCDONALD COUNTY HEALTH COALITION, A COUNTY-WIDE COALITION OF COMMUNITY-BASED ORGANIZATIONS PROVIDING HEALTH AND SOCIAL SERVICES; ONE JOPLIN, A COALITION OF NONPROFIT AGENCIES AND BUSINESSES PROMOTING COMMUNITY HEALTH AND WELL-BEING; MISSOURI COUNCIL FOR ACTIVITY AND NUTRITION (MOCAN), A STATE-WIDE STAKEHOLDER NETWORK FOR HEALTHY EATING AND ACTIVE LIVING; UNIVERSITIES WITH NURSING, MEDICAL, AND HEALTH PROFESSIONAL PROGRAMS, INCLUDING MISSOURI SOUTHERN STATE UNIVERSITY (MO), PITTSBURG STATE UNIVERSITY (KS), NORTHEASTERN OKLAHOMA A&M COLLEGE (OK), CROWDER COLLEGE (MO), AND KANSAS CITY UNIVERSITY MEDICAL SCHOOL (MO); AND SOUTHWEST MISSOURI SCHOOL-BASED HEALTH NETWORK, A REGIONAL COALITION OF SCHOOL DISTRICTS WORKING TO IMPROVE ACCESS TO CARE AND QUALITY HEALTH OUTCOMES. TO DETERMINE WHAT PATIENTS THINK OF THE SERVICES THEY RECEIVE, FREEMAN WORKS WITH PRESS GANEY, AN INDEPENDENT COMPANY THAT SURVEYS 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 HAVE DEEP ROOTS IN THE COMMUNITIES THEY SERVE AND BELONG TO SERVICE ORGANIZATIONS SUCH AS ROTARY INTERNATIONAL AND KIWANIS INTERNATIONAL. THEY BELIEVE IN GIVING BACK, AND WHILE PROVIDING LEADERSHIP AND SUPPORT TO A VARIETY OF BOARDS, COUNCILS, AND COMMITTEES, FREEMAN LEADERS ROUTINELY CHECK THE PULSE OF THE COMMUNITY THROUGH THESE ASSOCIATIONS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FREEMAN COMMUNICATES INFORMATION ABOUT FINANCIAL ASSISTANCE, OR CHARITY CARE, OPTIONS AVAILABLE TO PATIENTS IN MANY WAYS. FREEMAN PUBLISHES COMMUNICATION PIECES ON FINANCIAL SERVICES, INCLUDING POSTERS AND FLYERS AT ADMITTING DESKS. FREEMAN ALSO INCLUDES MESSAGING ABOUT ITS FINANCIAL ASSISTANCE PROGRAM ON BILLS, STATEMENTS, AND ENVELOPES SENT TO PATIENTS' HOMES AND ON SIGNS POSTED AROUND FREEMAN PATIENT ACCOUNTS AND ADMISSIONS PUBLIC AREAS. FREEMAN HAS ALSO PLACED FINANCIAL ASSISTANCE INFORMATION, INCLUDING A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH AND SPANISH, ON THE FREEMAN WEBSITE. ADDITIONALLY, FREEMAN HAS IMPLEMENTED SEVERAL EDUCATIONAL OPPORTUNITIES TO ENSURE THE COMMUNITY IS AWARE OF FREEMAN'S FINANCIAL ASSISTANCE PROGRAM. THESE INCLUDE: - FREEMAN ADMISSIONS STAFF MEMBERS PERSONALLY INTERVIEW PATIENTS, BASED ON THE SETTING OF CARE (PRIOR TO SERVICES, AT TIME OF SERVICE, AND AFTER CARE PROVIDED), TO PROVIDE EDUCATION ON AVAILABLE BENEFITS. FREEMAN HELPS UNINSURED AND UNDERINSURED PATIENTS WITH STATE AND FEDERAL ASSISTANCE RESOURCES, AS WELL AS THE FREEMAN FINANCIAL ASSISTANCE PROGRAM. - FREEMAN CONTINUALLY PROVIDES EDUCATION TO EMPLOYEES, FROM CLINICAL STAFF TO VOLUNTEERS, REGARDING ITS FINANCIAL ASSISTANCE POLICY SO THEY CAN HELP CUSTOMERS LEARN ABOUT AVAILABLE RESOURCES. - FREEMAN'S ELIGIBILITY PARTNERS PROGRAM HELPS PATIENTS EXPLORE RESOURCES FOR FINANCIAL ASSISTANCE AND AFFORDABLE MEDICAL COVERAGE. PAYING FOR MEDICAL CARE CAN BE STRESSFUL, AND FREEMAN'S TEAM OF ELIGIBILITY SPECIALISTS HELPS PATIENTS FIND AFFORDABLE COVERAGE AND FIND RELIEF FROM THE BURDEN OF NOT KNOWING WHERE TO TURN FOR HELP. ADDITIONALLY, ELIGIBILITY SPECIALISTS ADVOCATE ON BEHALF OF PATIENTS TO SEEK OUT OPPORTUNITIES FOR MEDICAL FINANCIAL COVERAGE, AND THEY SUPPORT THE COMMUNITY THROUGH EDUCATION, RESOURCES, AND ELIGIBILITY ASSISTANCE. - FREEMAN WORKS WITH MANY OF THE COMMUNITY'S EMPLOYERS, SENDING WRITTEN NOTICES TO THEIR BENEFITS DEPARTMENTS EXPLAINING THE FREEMAN FINANCIAL ASSISTANCE ELIGIBILITY PROCESS. FREEMAN ALSO MEETS WITH EMPLOYERS TO ENSURE THEIR EMPLOYEES UNDERSTAND THE AVAILABILITY OF ASSISTANCE OFFERED THROUGH FREEMAN. FREEMAN HEALTH SYSTEM STRONGLY BELIEVES THAT ITS FINANCIAL ASSISTANCE, OR CHARITY CARE, AND THE RELATED COMMUNITY BENEFIT PROVIDED BY SUCH CARE, IS UNDERSTATED ON ITS FINANCIAL STATEMENTS BECAUSE SOME PATIENTS THAT POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE DO NOT WISH TO APPLY FOR IT. IN ADDITION, SOME PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT RECEIVE FINANCIAL ASSISTANCE BECAUSE THEY REFUSE TO PROVIDE REQUIRED DOCUMENTATION TO PROCESS THE APPLICATION. THUS, FREEMAN'S BAD DEBT INCLUDES A PORTION THAT COULD BE CLASSIFIED AS FINANCIAL ASSISTANCE IF THE APPLICATION FOR FINANCIAL ASSISTANCE HAD BEEN PROPERLY COMPLETED BY THE PATIENT. THE APPLICATION FOR FINANCIAL ASSISTANCE HAD BEEN PROPERLY COMPLETED BY THE PATIENT.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: FREEMAN'S PRIMARY SERVICE AREA INCLUDES TWO MISSOURI COUNTIES AND TWO KANSAS COUNTIES WITH A COMBINED POPULATION OF 240,781. FREEMAN'S SECONDARY SERVICE AREA INCLUDES SIX ADDITIONAL, LARGELY RURAL COUNTIES IN SOUTHWEST MISSOURI, SOUTHEAST KANSAS, AND NORTHEAST OKLAHOMA, WITH A COMBINED POPULATION OF 145,888. INCOMES AND EDUCATION LEVELS LAG BEHIND NATIONAL AVERAGES, WHILE THE PERCENTAGE OF PEOPLE LIVING IN POVERTY IS HIGHER THAN THE NATIONAL AVERAGE. FREEMAN IS THE ANCHORING INSTITUTION IN A MEDIUM-SIZED COMMUNITY THAT SERVES A WIDE-RANGING RURAL AREA IN FOUR STATES. FREEMAN'S CORPORATE OFFICE AND TWO OF ITS HOSPITALS ARE LOCATED IN JOPLIN, MISSOURI, THE LARGEST CITY IN THE AREA. WITH A POPULATION OF MORE THAN 50,000, THE NUMBER OF PEOPLE IN TOWN BALLOONS TO 270,000** AS PEOPLE VISIT TO SHOP, WORK, AND OBTAIN HEALTHCARE SERVICES ON WEEKDAYS. ACCORDING TO A JOPLIN CHAMBER OF COMMERCE ECONOMIC DEVELOPMENT REPORT, FREEMAN IS THE LARGEST EMPLOYER IN THE AREA. OTHER MAJOR EMPLOYERS INCLUDE TRUCKING COMPANIES, HEALTHCARE ORGANIZATIONS, SCHOOLS, CASINOS, MANUFACTURERS, POULTRY PROCESSING PLANTS, AND TELEMARKETING COMPANIES. MANY PEOPLE WORK IN THE RETAIL AND FOOD SERVICE INDUSTRIES. WHILE METHAMPHETAMINE ADDICTION, HOMELESSNESS, COMPULSIVE GAMBLING, AND CHILDREN LIVING IN POVERTY ARE DISPROPORTIONATELY LARGE PROBLEMS IN THE AREA, THE POPULATION IS LARGELY MIDDLE CLASS. IN ADDITION TO SERVING THE JOPLIN METROPOLITAN AREA, FREEMAN SERVES RURAL COMMUNITIES IN MISSOURI, KANSAS, AND OKLAHOMA. FREEMAN NEOSHO HOSPITAL IS A CRITICAL NEEDS FACILITY THAT SERVES SOUTHWEST MISSOURI, AND FREEMAN OPERATES PRIMARY AND SPECIALTY CLINICS IN MANY SMALLER COMMUNITIES THAT SERVE A LARGELY RURAL POPULATION. CANCER, HEART DISEASE, LUNG DISEASE, DIABETES, INFANT HEALTH PROBLEMS, SUICIDE, ALCOHOL AND SUBSTANCE ABUSE, AND STROKE AS THE MAJOR HEALTH CONCERNS FOR THE AREA, WITH OBESITY, SMOKING AND SECONDHAND SMOKE, AND CHILD ABUSE/NEGLECT AMONG THE PRIME RISK FACTORS. * U.S. CENSUS BUREAU ESTIMATES JULY 2021 **JOPLIN POLICE DEPARTMENT ESTIMATE FOR ANY GIVEN WEEKDAY
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: FREEMAN IS NOT-FOR-PROFIT, LOCALLY OWNED, AND GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS COMPOSED OF INDIVIDUALS WHO LIVE IN THE COMMUNITIES SERVED BY FREEMAN. ALL DECISIONS ABOUT WHAT HAPPENS AT FREEMAN ARE MADE LOCALLY-THIS GIVES FREEMAN THE ABILITY FOR NIMBLE RESPONSE TO THE HEALTHCARE NEEDS OF THE COMMUNITY. FREEMAN HAS AN OPEN MEDICAL STAFF AND IS ALWAYS RECRUITING PRIMARY CARE PROVIDERS AND SPECIALISTS. ANY PROFITS GENERATED BY FREEMAN HEALTH SYSTEM, GO BACK INTO THE HEALTH SYSTEM OR THEY ARE INVESTED IN IMPROVING THE HEALTH OF THE COMMUNITIES SERVED BY FREEMAN. FOR INSTANCE, FREEMAN COLLABORATES WITH VARIOUS ORGANIZATIONS TO PROVIDE HEALTHCARE FOR INDIGENT AND UNDERINSURED INDIVIDUALS THROUGHOUT THE REGION. THESE INCLUDE COMMUNITY CLINIC, ACCESS FAMILY CARE, COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS. FREEMAN STAFF MEMBERS, SUCH AS DOCTORS, RESIDENT DOCTORS, AND NURSES, LEND A HAND TO COMMUNITY CLINIC OF JOPLIN AND ACCESS FAMILY CARE, TO HELP PROVIDE FREE OR LOW-COST HEALTHCARE SERVICES TO INDIGENT PORTIONS OF THE COMMUNITY. DEPENDING ON THE SITUATION, FREEMAN STAFF MEMBERS VOLUNTEER THEIR SERVICES OR FREEMAN PAYS THEM TO WORK FOR THE COMMUNITY THROUGH THESE ORGANIZATIONS. FREEMAN ALSO SUPPORTS POST-SECONDARY SCHOOLS THAT PROVIDE HEALTH CAREERS EDUCATION. THESE INCLUDE MISSOURI SOUTHERN STATE UNIVERSITY, PITTSBURG STATE UNIVERSITY, AND CROWDER COLLEGE. THROUGH FREEMAN AUXILIARY, FREEMAN DONATES $2,000 TO SEVEN AREA NURSING SCHOOLS EACH YEAR. ADDITIONALLY, AT THE BRADLEY SCHOOLS OF NURSING AT PSU, FREEMAN FUNDED A 3D VIRTUAL DISSECTION TABLE THAT ENABLES STUDENTS TO ACCURATELY VISUALIZE HUMAN ANATOMY THROUGH A LIFE-SIZED, TOUCH-SCREEN EXPERIENCE. 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 PLATINUM-LEVEL SPONSOR, WITH STAFF MEMBERS SERVING IN LEADERSHIP ROLES AND ON A VARIETY OF COMMITTEES. FREEMAN PROVIDES FINANCIAL SUPPORT FOR A MANY COMMUNITY SERVICE GROUPS, INCLUDING THE ALZHEIMER'S ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION, CHILDREN'S CENTER OF SOUTHWEST MISSOURI, COMMUNITY BLOOD CENTER OF THE OZARKS, COMMUNITY CLINIC OF JOPLIN, FREEMAN SOUTHWEST FAMILY YMCA IN NEOSHO, JOPLIN FAMILY YMCA, GEORGE A. SPIVA CENTER FOR THE ARTS, MARCH OF DIMES, NATIONAL MULTIPLE SCLEROSIS SOCIETY, RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES, AND MANY OTHER LOCAL, REGIONAL, AND NATIONAL ORGANIZATIONS. FREEMAN SERVES MORE THAN A MILLION MEALS EACH YEAR AND RECOGNIZES THE IMPORTANCE OF PROVIDING WHOLESOME FOODS TO THE COMMUNITY. ESTABLISHING ITS COMMITMENT TO SERVING LOCAL, NUTRITIOUS, AND SUSTAINABLE FOOD, FREEMAN BECAME THE FIRST HOSPITAL IN MISSOURI TO SIGN THE HEALTHY FOOD IN HEALTHCARE PLEDGE. THE PLEDGE WAS FREEMAN'S FIRST STEP TOWARD IMPROVING COMMUNITY HEALTH THROUGH FOOD POLICY CHANGE. ADDITIONALLY, FREEMAN IS A FOUNDING MEMBER OF THE JOPLIN AREA FOOD ACTION NETWORK (JFAN) WHOSE GOAL IS TO ENSURE LOCAL RESIDENTS HAVE ACCESS TO HEALTHY, NUTRITIOUS FOOD, AN EFFORT KNOWN AS FOOD EQUITY. MEMBERS INCLUDE BUSINESSES, NONPROFIT ORGANIZATIONS, LOCAL GOVERNMENT AGENCIES, FAITH-BASED ORGANIZATIONS, AND INDIVIDUALS. JFAN WORKS TO INCREASE AWARENESS OF FOOD ACCESS, ENGAGE STAKEHOLDERS IN FOOD POLICIES, COLLECT DATA TO BETTER UNDERSTAND FOOD INSECURITY, AND KICK-START COMMUNITY INITIATIVES. FREEMAN HELPS WITH COMMUNITY-BUILDING BY OFFERING SOLUTIONS TO HELP MEET THE NEEDS OF SPECIFIC POPULATIONS, SUCH AS CHILDREN WITH AUTISM, CHILDREN WITH MEDICAL EXPENSES, CHILDREN WHO HAVE EXPERIENCED EMOTIONAL TRAUMA, VETERANS, AND SENIOR CITIZENS. BILL & VIRGINIA LEFFEN CENTER FOR AUTISM, FOR INSTANCE, PROVIDES HOPE FOR CHILDREN WITH AUTISM THROUGH A PRESCHOOL PROGRAM, A SPECIAL EDUCATION CENTER, AND AN AUTISM DIAGNOSTIC TEAM. AS A CHILDREN'S MIRACLE NETWORK HOSPITAL, FREEMAN RAISES MONEY TO HELP SICK AND INJURED CHILDREN WITH MEDICAL EXPENSES. TO ADDRESS CHILD MENTAL AND EMOTIONAL TRAUMA, FREEMAN AND OZARK CENTER OPERATE WILL'S PLACE TO PROVIDE THE COMMUNITY WITH A MUCH-NEEDED CHILD TRAUMA TREATMENT CENTER. TO FURTHER PROMOTE THE HEALTH AND WELL-BEING OF THE AREA'S SENIOR POPULATION, FREEMAN ADVANTAGE OFFERS OPPORTUNITIES FOR LEARNING, TRAVEL, SOCIALIZING, AND HEALTHY LIVING TO ANYONE OVER THE AGE OF 50. THE PROGRAM ALSO INCLUDES MONTHLY MEETINGS WHERE MEMBERS AND THE GENERAL PUBLIC CAN HEAR A VARIETY OF EXPERTS SPEAK ABOUT A WIDE RANGE OF HEALTH TOPICS. ADDITIONALLY, MEN AND WOMEN OF ALL AGES AND FROM ALL WALKS OF LIFE PARTICIPATE IN FREEMAN AUXILIARY, AN ORGANIZATION THAT RAISES MONEY FOR HOSPITAL EQUIPMENT, SERVICES, SCHOLARSHIPS, AND OTHER COMMUNITY NEEDS. FREEMAN DEVELOPMENT OFFICE WORKS WITH THE COMMUNITY TO FIND FUNDING FOR INNOVATIVE, LIFESAVING TECHNOLOGIES AND MEDICAL SERVICES. THE MIRACLE SERVICE DOG PROGRAM IS PROVIDED IN CONJUNCTION WITH CHILDREN'S MIRACLE NETWORK HOSPITALS AT FREEMAN HEALTH SYSTEM. THIS PROGRAM PLACES SERVICE DOGS WITH CHILDREN WITH SPECIAL MEDICAL NEEDS. SERVICE DOGS ARE INDIVIDUALLY TRAINED TO MEET THE SPECIFIC NEEDS OF THE CHILD AND THEIR CONDITION. SERVICE DOGS CAN BE TRAINED TO RESPOND AND ALERT TO SEIZURES, REDIRECT REPETITIVE BEHAVIORS, TETHER AND LOCATE A WANDERING CHILD, INTERRUPT SELF-HARM, AND PERFORM COUNTLESS OTHER TASKS. ONE OF FREEMAN'S GOALS IS TO BECOME THE COMMUNITY'S BEST CORPORATE PARTNER. FREEMAN DONATES TIME, RESOURCES, AND FUNDING AS AN ORGANIZATION, WHILE THOSE WORKING AT FREEMAN GIVE BACK TO THE COMMUNITY AS WELL. IN FY22, MEMBERS OF FREEMAN'S HEARTS & HANDS TEAM (AN EMPLOYEE VOLUNTEER GROUP) COORDINATED 37 COMMUNITY EVENTS AND FUNDRAISERS WITH A TOTAL OF MORE THAN 518 SERVICE HOURS DONATED. BOUNCING BACK FROM THE PANDEMIC, FREEMAN VOLUNTEERS WERE ABLE TO HELP AREA NONPROFITS WITH TASKS SUCH AS PREPARING AND SERVING MEALS FOR THE HOMELESS, RUNNING HYDRATION STATIONS AT ORGANIZED CHARITY RACES, CLEANING UP DOWNTOWN JOPLIN, AND HELPING AT LOCAL FOOD PANTRIES. FREEMAN ALSO PARTNERS WITH SCHOOL DISTRICTS IN JOPLIN, NEOSHO, CARL JUNCTION, SENECA, AND WEBB CITY, SUPPORTING THE SCHOOLS BY RUNNING SCHOOL CARNIVALS, PREPARING CHRISTMAS BASKETS, AND ORGANIZING FUNDRAISING AUCTIONS AND OTHER ACTIVITIES. DURING THE YEAR, FREEMAN EMPLOYEES DONATED THOUSANDS OF FOOD ITEMS AND PIECES OF CLOTHING FOR PROJECTS BENEFITING STUDENTS FROM EARLY CHILDHOOD THROUGH COLLEGE ACROSS THE REGION.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: FREEMAN HEALTH SYSTEM CONSISTS OF FREEMAN HOSPITAL WEST AND FREEMAN HOSPITAL EAST IN JOPLIN, FREEMAN NEOSHO HOSPITAL, NUMEROUS CLINICS, AND OZARK CENTER, WHICH PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. FREEMAN IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM.
SCHEDULE H, PART VI, LINE 7	STATE FILING ON COMMUNITY BENEFIT REPORT: FREEMAN HEALTH SYSTEM IS INCORPORATED IN THE STATE OF MISSOURI AND FILES A COMMUNITY BENEFIT REPORT IN MISSOURI.

Schedule H (Form 990) 2021

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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

2021

Open to Public
Inspection

Name of the organization
FREEMAN HEALTH SYSTEM

Employer identification number
43-1704371

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	(h) Purpose of grant or assistance
(1) OZARK CENTER 1105 E 32ND ST JOPLIN,MO64804	43-0821959	501(C)(3)	171,192	SUPPORT
(2) COMMUNITY HEALTH CLINIC OF JOPLIN 701 SOUTH JOPLIN AVENUE JOPLIN,MO64081	43-1643962	501(C)(3)	29,000	SUPPORT
(3) JOPLIN MEMORIAL RUN PO BOX 3102 JOPLIN,MO64801	45-4202274	501(C)(3)	60,000	SUPPORT
(4) CONNECT2CULTURE 407 S PENNSYLVANIA AVE JOPLIN,MO64801	45-1779223	501(C)(3)	30,000	SUPPORT
(5) SCHOOL DISTRICT OF JOPLIN R-VIII FOUNDATION 3901 EAST 32ND STREET JOPLIN,MO64804	43-1664927	501(C)(3)	18,500	SUPPORT
(6) RONALD MCDONALD HOUSE PO BOX 2688 JOPLIN,MO64803	43-1758397	501(C)(3)	20,000	SUPPORT
(7) MISSOURI SOUTHERN FOUNDATION 3950 E NEWMAN ROAD JOPLIN,MO64801	43-0907114	501(C)(3)	55,000	SUPPORT
(8) CARL JUNCTION EDUCATION FOUNDATION 206 S RONEY CARL JUNCTION,MO64834	43-1776822	501(C)(3)	14,000	SUPPORT
(9) MCDONALD COUNTY R-1 SCHOOL DISTRICT 100 MUSTANG DRIVE ANDERSON,MO64831	43-1339582	GOVT	7,600	SUPPORT
(10) GEORGE A SPIVA CENTER FOR THE ARTS 222 W 3RD STREET JOPLIN,MO64801	44-6006139	501(C)(3)	13,000	SUPPORT
(11) PITTSBURG STATE UNIVERSITY 1701 SOUTH BROADWAY PITTSBURG,KS66762	48-6104332	GOVT	68,000	SUPPORT
(12) CROWDER COLLEGE 601 LACLEDE AVENUE NEOSHO,MO64850	44-0668521	GOVT	71,099	SUPPORT
(13) TALKINGTON FOUNDATION RECOVERY CENTER PO BOX 663 NEOSHO,MO64850	32-0210107	501(C)(3)	10,000	SUPPORT
(14) JOPLIN REGIONAL COMMUNITY FOUNDATION PO BOX 471 JOPLIN,MO64802	23-7129096	501(C)(3)	8,500	SUPPORT
(15) JOPLIN HUMANE SOCIETY 140 E EMPEROR LANE JOPLIN,MO64801	44-0664226	501(C)(3)	7,500	SUPPORT
(16) ONE JOPLIN 320 E 4TH ST JOPLIN,MO64804	43-1569729	501(C)(3)	225,000	SUPPORT
(17) BREAST FOUNDATION OF THE OZARKS 620 W REPUBLIC ROAD SUITE 107 SPRINGFIELD,MO65807	43-1881450	501(C)(3)	10,000	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) 2021

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) CMN AID TO FAMILIES	120	106,438
(2) MAMMOGRAMS	27	16,681
(3) PRESCRIPTION, MEALS, TRANSPORTATION	1603	36,773
(4) DIALYSIS PATIENT ASSISTANCE	25	5,263
(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 I, PART I, LINE 2

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

SCHEDULE I, PART III

GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS: IN FISCAL YEAR 2022, FREEMAN HEALTH SYSTEM PROVIDED ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: *FHS CHILDREN'S MIRACLE NETWORK - $106,438 WAS SPENT HELPING OVER 120 FAMILIES WITH MEDICINE, TRANSPORTATION AND LODGING. *HELPING FRIENDS MAMMOGRAM PROGRAM - $16,681 WAS SPENT TO HELP 27 WOMEN WITH FREE MAMMOGRAPHY. *CHAPLAINS DISCRETIONARY FUND - $36,773 WAS SPENT TO HELP OVER 1,603 WITH PRESCRIPTIONS/FREE MEALS OR TRANSPORTATION HOME. *DIALYSIS PATIENT ASSISTANCE - $5,263 WAS SPENT HELPING 25 DIALYSIS PATIENTS WITH RELATED EXPENSES.

Schedule I (Form 990) 2021

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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

2021

Open to Public Inspection

Name of the organization

FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

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? .............

Yes

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? ......................

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1DENNIS A ESTEP CMO END 09/2021	(i) (ii)	396,217 ------------- 0	133,539 ------------- 0	19,500 ------------- 0	8,550 ------------- 0	28,240 ------------- 0	586,046 ------------- 0	0 ------------- 0
2JOSHUA BALL DIRECTOR	(i) (ii)	966,016 ------------- 0	1,081,590 ------------- 0	19,500 ------------- 0	8,550 ------------- 0	26,292 ------------- 0	2,101,948 ------------- 0	0 ------------- 0
3LARRY MCINTIRE DO DIRECTOR	(i) (ii)	233,105 ------------- 0	51,290 ------------- 0	19,500 ------------- 0	8,550 ------------- 0	932 ------------- 0	313,377 ------------- 0	0 ------------- 0
4PAULA F BAKER PRESIDENT AND CEO	(i) (ii)	984,934 ------------- 246,233	369,631 ------------- 92,408	356,459 ------------- 89,115	6,840 ------------- 1,710	20,403 ------------- 5,100	1,738,267 ------------- 434,566	382,382 ------------- 37,306
5JOHN M COX DO DIRECTOR	(i) (ii)	967,377 ------------- 0	88,566 ------------- 0	15,474 ------------- 0	8,550 ------------- 0	21,198 ------------- 0	1,101,165 ------------- 0	0 ------------- 0
6STEVE GRADDY CFO	(i) (ii)	452,539 ------------- 90,508	157,549 ------------- 31,510	74,327 ------------- 14,865	7,125 ------------- 1,425	16,621 ------------- 3,324	708,161 ------------- 141,632	70,716 ------------- 14,143
7JEFFERY E THOMPSON CHIEF CLINICAL OFFICER	(i) (ii)	244,773 ------------- 0	62,436 ------------- 0	39,718 ------------- 0	8,154 ------------- 0	27,493 ------------- 0	382,574 ------------- 0	20,218 ------------- 0
8DAVID L BAKER CMO BEGIN 10/2021	(i) (ii)	692,746 ------------- 0	175,951 ------------- 0	0 ------------- 0	8,550 ------------- 0	25,567 ------------- 0	902,814 ------------- 0	0 ------------- 0
9TODD J TWISS PHYSICIAN	(i) (ii)	1,289,116 ------------- 0	810,757 ------------- 0	17,550 ------------- 0	8,550 ------------- 0	25,792 ------------- 0	2,151,765 ------------- 0	0 ------------- 0
10THOMAS B COY PHYSICIAN	(i) (ii)	1,447,090 ------------- 0	174,670 ------------- 0	19,500 ------------- 0	8,550 ------------- 0	21,652 ------------- 0	1,671,462 ------------- 0	0 ------------- 0
11WILLIAM J NICHOLAS PHYSICIAN	(i) (ii)	1,858,599 ------------- 0	32,084 ------------- 0	19,500 ------------- 0	8,550 ------------- 0	21,023 ------------- 0	1,939,756 ------------- 0	0 ------------- 0
12DARWIN JEYARAJ PHYSICIAN	(i) (ii)	1,193,344 ------------- 0	654,681 ------------- 0	19,500 ------------- 0	8,550 ------------- 0	27,795 ------------- 0	1,903,870 ------------- 0	0 ------------- 0
13THOMAS L SANDERS PHYSICIAN	(i) (ii)	1,019,646 ------------- 0	1,367,188 ------------- 0	19,500 ------------- 0	8,550 ------------- 0	21,438 ------------- 0	2,436,322 ------------- 0	0 ------------- 0
14MICHAEL B SANDERS CONTROLLER	(i) (ii)	214,787 ------------- 0	45,546 ------------- 0	13,000 ------------- 0	7,761 ------------- 0	21,045 ------------- 0	302,139 ------------- 0	0 ------------- 0
15KEVIN P GAUDETTE VP REVENUE CYCLE	(i) (ii)	379,569 ------------- 0	110,534 ------------- 0	40,195 ------------- 0	8,550 ------------- 0	25,790 ------------- 0	564,638 ------------- 0	40,195 ------------- 0
16WESLEY B BRAMAN VP BUSINESS DEVELOPMENT	(i) (ii)	263,591 ------------- 0	40,845 ------------- 0	21,208 ------------- 0	8,550 ------------- 0	24,411 ------------- 0	358,605 ------------- 0	21,208 ------------- 0
17MARY A FRERER CHIEF HUMAN RESOURCE OFFICER	(i) (ii)	213,760 ------------- 0	45,457 ------------- 0	26,051 ------------- 0	7,535 ------------- 0	20,466 ------------- 0	313,269 ------------- 0	22,652 ------------- 0
18LEONARD T ROLLINS CHIEF INFORMATION OFFICER	(i) (ii)	220,405 ------------- 0	36,931 ------------- 0	19,500 ------------- 0	8,316 ------------- 0	25,830 ------------- 0	310,982 ------------- 0	0 ------------- 0
19JEFFREY CARRIER FORMER CCO	(i) (ii)	0 -------------	0 -------------	141,262 -------------	0 -------------	5,548 -------------	146,810 -------------	0 -------------

Schedule J (Form 990) 2021

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 4A	SEVERANCE: JEFFREY CARRIER, FORMER CCO, RECEIVED SEVERANCE OF $141,262. 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: $ 20,218 JEFFREY THOMPSON $ 382,382 PAULA BAKER $ 70,716 STEVEN GRADDY $ 40,195 KEVIN GAUDETTE $ 22,652 MARY FRERER $ 21,208 WESLEY BRAMAN THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH FREEMAN NEOSHO HOSPITAL, A RELATED ORGANIZATION: $ 37,306 PAULA BAKER $ 14,143 STEVEN GRADDY
SCHEDULE J, PART I, LINE 6A	MANAGEMENT COMPENSATION: FREEMAN HEALTH SYSTEM PROVIDES MANAGEMENT THE POTENTIAL TO RECEIVE AN AT-RISK PAYMENT BASED ON SYSTEM AND INDIVIDUAL GOAL ACHIEVEMENT. THE AMOUNT OF COMPENSATION IS BASED UPON A PERCENTAGE OF THE EMPLOYEE'S ANNUAL COMPENSATION AND IS SUBJECT TO BOARD APPROVAL.
SCHEDULE J, PART II, COLUMN (B)(II)	BONUS & INCENTIVE COMPENSATION: THE ORGANIZATION PROVIDES PHYSICIANS THE POTENTIAL TO RECEIVE ANNUAL BONUS COMPENSATION. PHYSICIAN BONUSES ARE CALCULATED BASED ON GENERATING WORKED RELATIVE VALUE UNITS (WRVU). EMPLOYMENT CONTRACTS SPECIFY THE NUMBER OF REQUIRED WRVUS (TO OBTAIN AN ANNUAL SALARY) AND THE ADDITIONAL BONUS COMPENSATION PHYSICIANS WILL RECEIVE ONCE THE REQUIRED WRVUS HAVE BEEN MET. ADDITIONAL BONUS COMPENSATION IS CALCULATED BY MULTIPLYING THE WRVUS IN EXCESS OF REQUIRED WRVUS TIMES A PREDETERMINED COMPENSATION FACTOR. WRVUS SHALL BE COMPUTED BY USE OF THE APPROVED MEDICARE METHODS OF COMPUTATION FOR PHYSICIAN PRACTICES.

Schedule J (Form 990) 2021

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
FREEMAN HEALTH SYSTEM

Employer identification number
43-1704371

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	52-1299414		04-29-2021	9,682,837	REFUND 2009 BONDS		X		X		X
B	HEALTH AND EDUCATION FACILITIES AUTH OF MO	43-1178966	60637ADK5	12-20-2012	40,129,591	REFUND 1994-A BONDS AND 1998A BOND		X		X		X
C	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	52-1299414		12-23-2014	7,000,000	ACQUIRE, CONSTRUCT, IMPROVE AND EQ		X		X		X
D	INDUSTRIAL DEV AUTH OF THE COUNTY OF JASPER MO	52-1351539		12-23-2014	5,000,000	ACQUIRE, CONSTRUCT, IMPROVE AND EQ		X		X		X
	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	52-1299414	480639BL6	02-26-2015	40,712,377	REFUND 2004 BONDS		X		X		X
	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	52-1299414	480639CA9	02-04-2020	2,809,258	REFUND 1999C BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	975,583		28,005,000		4,731,446		3,379,604
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	9,682,837		40,129,591		7,000,000		5,000,000
4 Gross proceeds in reserve funds .............	0		3,550,788		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	0		530,282		0		0
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		7,000,000		5,000,000
11 Other spent proceeds .............	9,682,837		36,042,809		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2008		1999		2016		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X				X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X				X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X				X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X				X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X				X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.220 %
6 Total of lines 4 and 5 .............	0.220 %
7 Does the bond issue meet the private security or payment test? ...		X				X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X				X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X				X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......			X
b Exception to rebate? ........	X
c No rebate due? .........	X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART I, LINE A, COLUMN F	THE 2009 BONDS WERE ISSUED TO REFUND THE 2008 BONDS, ORIGINALLY ISSUED ON 2/28/2008, AND A 2008 TAXABLE LOAN, ORIGINALLY ISSUED ON 9/2/2008. THE 2009 BONDS WERE SUBSEQUENTLY REISSUED ON 6/18/2014 AND 4/29/2021, AND THE OUTSTANDING AMOUNT OF THE 2009 BONDS WAS TREATED AS CURRENTLY REFUNDED AS OF EACH DATE.
SCHEDULE K, PART I, LINE B, COLUMN F	THE 1994-A BONDS WERE ORIGINALLY ISSUED ON 3/15/1994 AND THE 1998-A BONDS WERE ORIGINALLY ISSUED ON 2/12/1998.
SCHEDULE K, PART I, LINES C & D	THE SERIES 2014A BONDS AND THE SERIES 2014B BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. HOWEVER, THESE BONDS HAVE BEEN REPORTED SEPARATELY ON SCHEDULE K.
SCHEDULE K, PART II, LINE 1, COLUMN A	THE 2009 BONDS WERE REISSUED IN 2014 AND 2021 AND ONLY THE AMOUNT RETIRED SINCE THE 2021 REISSUANCE DATE IS REFLECTED.
SCHEDULE K, PART II, LINES 3 & 11, COLUMN A	THIS AMOUNT REPRESENTS THE TOTAL AMOUNT OF THE 2009 BONDS THAT WERE DEEMED RETIRED, REISSUED AND CURRENTLY REFUNDED AS OF THE 2021 REISSUANCE DATE.
SCHEDULE K, PART II, LINE 3, COLUMN B	INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE DEBT SERVICE RESERVE FUND DURING THE PROJECT PERIOD HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF ISSUE", BUT WERE ALLOCATED TO INTEREST PAYMENTS ON THE BONDS DURING THIS PERIOD.
SCHEDULE K, PART II, LINE 11, COLUMN B	BOND PROCEEDS IN THE AMOUNT OF $36,010,967 WERE USED TO REFUND THE SERIES 1994-A BONDS AND SERIES 1998-A BONDS ON 12/27/2012. IN ADDITION, BOND PROCEEDS IN THE AMOUNT OF $31,842 WERE USED TO PAY INTEREST ON THE BONDS ON 8/15/2013.
SCHEDULE K, PART II, LINE 14, COLUMN A	THE 2009 BONDS WERE REISSUED ON 6/18/2014 AND 4/29/2021 AND ALL SALE PROCEEDS WERE DEEMED TO CURRENTLY REFUND THE 2009 BONDS ON THOSE RESPECTIVE DATES.
SCHEDULE K & SCHEDULE K-2, PART III, COLUMN B	PER THE INSTRUCTIONS, PART III IS NOT REQUIRED TO BE COMPLETED FOR PROJECTS ORIGINALLY FINANCED PRIOR TO JANUARY 1, 2003.
SCHEDULE K, PART III, LINE 8A, COLUMNS A, B, C, & D	THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE.
SCHEDULE K, PART IV, LINE 2C, COLUMN B	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2017.
SCHEDULE K, PART IV, LINE 2C, COLUMNS C & D	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2019.
SCHEDULE K-2, PART I, LINE A, COLUMN F	THE SERIES 2004 BONDS WERE ORIGINALLY ISSUED ON 11/30/2004.
SCHEDULE K-2, PART I, LINE B, COLUMN F	THE SERIES 1999C BONDS WERE ORIGINALLY ISSUED ON 09/21/2001.
SCHEDULE K-2, PART II, LINE 3, COLUMN B	INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE COSTS OF ISSUANCE FUND HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF THE ISSUE" BECAUSE THERE IS NO PROJECT PERIOD. THESE INVESTMENT EARNINGS ARE ALLOCATED TO INTEREST ON THE BONDS.
SCHEDULE K-2, PART II, LINE 11, COLUMN A	THIS AMOUNT REPRESENTS $37,170,351 USED TO REFUND THE SERIES 2004 ON 2/27/15 AND $78,060 ALLOCATED TO PAY INTEREST ON THE BONDS.
SCHEDULE K-2, PART II, LINE 11, COLUMN B	THIS AMOUNT REPRESENTS $2,775,000 USED TO REFUND THE SERIES 1999C BONDS ON 2/5/2020 AND $1,253 ALLOCATED TO INTEREST ON THE BONDS.
SCHEDULE K-2, PART III, LINE 5, COLUMN A	AMOUNT REPRESENTS THE MAXIMUM AMOUNT OF NONQUALIFIED USE THAT MAY RESULT FROM UNRELATED TRADE OR BUSINESS ACTIVITY.
SCHEDULE K-2, PART III, LINE 8A, COLUMNS A & B	THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE.
SCHEDULE K-2, PART IV, LINE 2C, COLUMNS A	ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 2/15/2020.

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
FREEMAN HEALTH SYSTEM

Employer identification number
43-1704371

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	52-1299414		04-29-2021	9,682,837	REFUND 2009 BONDS		X		X		X
B	HEALTH AND EDUCATION FACILITIES AUTH OF MO	43-1178966	60637ADK5	12-20-2012	40,129,591	REFUND 1994-A BONDS AND 1998A BOND		X		X		X
C	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	52-1299414		12-23-2014	7,000,000	ACQUIRE, CONSTRUCT, IMPROVE AND EQ		X		X		X
D	INDUSTRIAL DEV AUTH OF THE COUNTY OF JASPER MO	52-1351539		12-23-2014	5,000,000	ACQUIRE, CONSTRUCT, IMPROVE AND EQ		X		X		X
	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	52-1299414	480639BL6	02-26-2015	40,712,377	REFUND 2004 BONDS		X		X		X
	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JOPLIN MO	52-1299414	480639CA9	02-04-2020	2,809,258	REFUND 1999C BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	975,583		28,005,000		4,731,446		3,379,604
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	9,682,837		40,129,591		7,000,000		5,000,000
4 Gross proceeds in reserve funds .............	0		3,550,788		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	0		530,282		0		0
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		7,000,000		5,000,000
11 Other spent proceeds .............	9,682,837		36,042,809		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2008		1999		2016		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X				X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X				X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X				X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X				X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X				X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.220 %
6 Total of lines 4 and 5 .............	0.220 %
7 Does the bond issue meet the private security or payment test? ...		X				X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X				X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X				X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......			X
b Exception to rebate? ........	X
c No rebate due? .........	X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART I, LINE A, COLUMN F	THE 2009 BONDS WERE ISSUED TO REFUND THE 2008 BONDS, ORIGINALLY ISSUED ON 2/28/2008, AND A 2008 TAXABLE LOAN, ORIGINALLY ISSUED ON 9/2/2008. THE 2009 BONDS WERE SUBSEQUENTLY REISSUED ON 6/18/2014 AND 4/29/2021, AND THE OUTSTANDING AMOUNT OF THE 2009 BONDS WAS TREATED AS CURRENTLY REFUNDED AS OF EACH DATE.
SCHEDULE K, PART I, LINE B, COLUMN F	THE 1994-A BONDS WERE ORIGINALLY ISSUED ON 3/15/1994 AND THE 1998-A BONDS WERE ORIGINALLY ISSUED ON 2/12/1998.
SCHEDULE K, PART I, LINES C & D	THE SERIES 2014A BONDS AND THE SERIES 2014B BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. HOWEVER, THESE BONDS HAVE BEEN REPORTED SEPARATELY ON SCHEDULE K.
SCHEDULE K, PART II, LINE 1, COLUMN A	THE 2009 BONDS WERE REISSUED IN 2014 AND 2021 AND ONLY THE AMOUNT RETIRED SINCE THE 2021 REISSUANCE DATE IS REFLECTED.
SCHEDULE K, PART II, LINES 3 & 11, COLUMN A	THIS AMOUNT REPRESENTS THE TOTAL AMOUNT OF THE 2009 BONDS THAT WERE DEEMED RETIRED, REISSUED AND CURRENTLY REFUNDED AS OF THE 2021 REISSUANCE DATE.
SCHEDULE K, PART II, LINE 3, COLUMN B	INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE DEBT SERVICE RESERVE FUND DURING THE PROJECT PERIOD HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF ISSUE", BUT WERE ALLOCATED TO INTEREST PAYMENTS ON THE BONDS DURING THIS PERIOD.
SCHEDULE K, PART II, LINE 11, COLUMN B	BOND PROCEEDS IN THE AMOUNT OF $36,010,967 WERE USED TO REFUND THE SERIES 1994-A BONDS AND SERIES 1998-A BONDS ON 12/27/2012. IN ADDITION, BOND PROCEEDS IN THE AMOUNT OF $31,842 WERE USED TO PAY INTEREST ON THE BONDS ON 8/15/2013.
SCHEDULE K, PART II, LINE 14, COLUMN A	THE 2009 BONDS WERE REISSUED ON 6/18/2014 AND 4/29/2021 AND ALL SALE PROCEEDS WERE DEEMED TO CURRENTLY REFUND THE 2009 BONDS ON THOSE RESPECTIVE DATES.
SCHEDULE K & SCHEDULE K-2, PART III, COLUMN B	PER THE INSTRUCTIONS, PART III IS NOT REQUIRED TO BE COMPLETED FOR PROJECTS ORIGINALLY FINANCED PRIOR TO JANUARY 1, 2003.
SCHEDULE K, PART III, LINE 8A, COLUMNS A, B, C, & D	THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE.
SCHEDULE K, PART IV, LINE 2C, COLUMN B	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2017.
SCHEDULE K, PART IV, LINE 2C, COLUMNS C & D	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/1/2019.
SCHEDULE K-2, PART I, LINE A, COLUMN F	THE SERIES 2004 BONDS WERE ORIGINALLY ISSUED ON 11/30/2004.
SCHEDULE K-2, PART I, LINE B, COLUMN F	THE SERIES 1999C BONDS WERE ORIGINALLY ISSUED ON 09/21/2001.
SCHEDULE K-2, PART II, LINE 3, COLUMN B	INVESTMENT EARNINGS ON AMOUNTS DEPOSITED IN THE COSTS OF ISSUANCE FUND HAVE NOT BEEN INCLUDED IN "TOTAL PROCEEDS OF THE ISSUE" BECAUSE THERE IS NO PROJECT PERIOD. THESE INVESTMENT EARNINGS ARE ALLOCATED TO INTEREST ON THE BONDS.
SCHEDULE K-2, PART II, LINE 11, COLUMN A	THIS AMOUNT REPRESENTS $37,170,351 USED TO REFUND THE SERIES 2004 ON 2/27/15 AND $78,060 ALLOCATED TO PAY INTEREST ON THE BONDS.
SCHEDULE K-2, PART II, LINE 11, COLUMN B	THIS AMOUNT REPRESENTS $2,775,000 USED TO REFUND THE SERIES 1999C BONDS ON 2/5/2020 AND $1,253 ALLOCATED TO INTEREST ON THE BONDS.
SCHEDULE K-2, PART III, LINE 5, COLUMN A	AMOUNT REPRESENTS THE MAXIMUM AMOUNT OF NONQUALIFIED USE THAT MAY RESULT FROM UNRELATED TRADE OR BUSINESS ACTIVITY.
SCHEDULE K-2, PART III, LINE 8A, COLUMNS A & B	THE HOSPITAL GENERALLY DOES NOT DISPOSE OF ANY BOND FINANCED PROPERTY PRIOR TO THE END OF ITS USEFUL LIFE.
SCHEDULE K-2, PART IV, LINE 2C, COLUMNS A	ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 2/15/2020.

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) DEBORAH GAUDETTE	SEE PART V	79,659	EMPLOYEE COMPENSATION		No
(2) ADAM GRADDY	SEE PART V	108,757	EMPLOYEE COMPENSATION		No
(3) KENT MCINTIRE	SEE PART V	645,886	EMPLOYEE COMPENSATION		No
(4) MICHAELA BENNETT	SEE PART V	56,906	EMPLOYEE COMPENSATION		No
(5) SCOTT MCCLINTICK	SEE PART V	784,211	EMPLOYEE COMPENSATION		No
(6) HALLIE BAKER	SEE PART V	399,691	EMPLOYEE COMPENSATION		No
(7) KATHLEEN BALL	SEE PART V	41,716	EMPLOYEE COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV, COLUMN B

RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: (1) DEBORAH GAUDETTE IS THE WIFE OF KEY EMPLOYEE KEVIN GAUDETTE (2) ADAM GRADDY IS THE SON OF THE CFO STEVE GRADDY (3) KENT MCINTIRE IS THE SON OF BOARD MEMBER LARRY MCINTIRE (4) MICHAELA FRERER IS THE DAUGHTER OF KEY EMPLOYEE MARY FRERER (5) SCOTT MCCLINTICK IS THE SON-IN-LAW OF BOARD MEMBER RODNEY MCFARLAND (6) HALLIE BAKER IS THE WIFE OF CHIEF MEDICAL OFFICER DAVID BAKER (7) KATHLEEN BALL IS THE WIFE OF BOARD MEMBER JOSHUA BALL

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	3	26,025	FMV
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2021)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PART I, COLUMN B	NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.
SCHEDULE M, PART I, LINE 32B	THIRD PARTIES USED FOR NONCASH CONTRIBUTIONS: THE ORGANIZATION USES A THIRD PARTY FOR THE SALE OF SECURITIES DONATED.

Schedule M (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

FREEMAN HEALTH SYSTEM

Employer identification number

43-1704371

Return Reference	Explanation
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION: FREEMAN HEALTH SYSTEM, NOT-FOR-PROFIT AND LOCALLY GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS, PROVIDES FULL-SERVICE HEALTHCARE TO SOUTHWEST MISSOURI, SOUTHEAST KANSAS, NORTHEAST OKLAHOMA, AND NORTHWEST ARKANSAS. A THREE-HOSPITAL HEALTH SYSTEM, FREEMAN PROVIDES COMPREHENSIVE SERVICES INCLUDING CANCER CARE, HEART CARE, ORTHOPAEDICS, NEUROSURGERY, WOMEN'S SERVICES, AND BEHAVIORAL HEALTHCARE. FREEMAN ACCEPTS MEDICAID AND MEDICARE PATIENTS AND OFFERS FINANCIAL ASSISTANCE AND PAYMENT PLANS, PROVIDING A SAFETY NET TO 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 70 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 ADVANCED HEALTHCARE SERVICES EASES STRESS ON PATIENTS AND THE BURDEN ON FAMILIES. GRADUATE MEDICAL EDUCATION FREEMAN CURRENTLY OFFERS RESIDENCY PROGRAMS IN INTERNAL MEDICINE, EMERGENCY MEDICINE, OTOLARYNGOLOGY, AND PSYCHIATRY (THROUGH OZARK CENTER). ADDITIONALLY, FREEMAN HAS DEVELOPED A FAMILY MEDICINE RESIDENCY PROGRAM, WHICH WILL LAUNCH IN JULY 2022. FREEMAN HEALTH SYSTEM ALSO HAS A PHARMACY RESIDENCY PROGRAM. THIS POST-GRADUATE, YEAR-ONE PROGRAM RECEIVED A SIX-YEAR ACCREDITATION FROM THE AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, THE ONLY PHARMACY RESIDENCY ACCREDITING BODY. IN ADDITION TO RESIDENCY PROGRAMS, FREEMAN IS A CLINICAL CORE SITE FOR THIRD- AND FOURTH-YEAR MEDICAL STUDENTS FROM KCU, PROVIDING CLINICAL ROTATIONS TO MORE THAN 100 MEDICAL STUDENTS EACH YEAR, AS WELL AS MANY VISITING STUDENTS FROM ACROSS THE COUNTRY. PHYSICIANS OFTEN DECIDE TO SET UP THEIR PRACTICES IN THE CITY WHERE THEY COMPLETED THEIR CLINICAL ROTATIONS OR RESIDENCY; HENCE, FREEMAN GRADUATE MEDICAL EDUCATION PROGRAMS HELP ATTRACT PHYSICIANS TO THE AREA THAT FREEMAN SERVES, WHICH IS CONSIDERED TO BE MEDICALLY UNDERSERVED (DOESN'T HAVE ENOUGH PRIMARY CARE DOCTORS). 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. COORDINATED CARE PARTNERSHIP THIS FOUR-YEAR PROJECT IS FOCUSED ON ENGAGING PATIENTS WITHOUT PCPS WHO VISITED THE FREEMAN ED 6+ TIMES PER YEAR. A LCSW AND COMMUNITY HEALTH NAVIGATOR PROVIDE THERAPY AND SOCIAL/BEHAVIORAL RESOURCES AND SUPPORTS FOR PATIENTS WITH COMPLEX MEDICAL CONDITIONS. ALL FREEMAN CENTER FOR GERIATRIC MEDICINE PATIENTS ARE ASSESSED FOR RISK (ED VISITS, HOSPITALIZATIONS, MULTIPLE CHRONIC ILLNESS, POLYPHARMACY, ETC.) AND ADDITIONAL PSYCHOSOCIAL RESOURCES ARE PROVIDED. ALSO, THE CLINIC HAS A GOAL TO PROVIDE A MEDICARE ANNUAL WELL VISIT TO EVERY PATIENT EVERY YEAR. NEW REIMBURSEMENT STREAMS TO SUPPORT THE EXPANDED CLINIC STAFF WILL INCLUDE CHRONIC CARE MANAGEMENT, TRANSITIONAL CARE MANAGEMENT, BEHAVIORAL THERAPY, AND ADVANCED CARE PLANNING. CDC CHILDHOOD OBESITY RESEARCH DEMONSTRATION THIS FIVE-YEAR RESEARCH PROJECT LAUNCHED SPRING 2019, AND PARTNERS FREEMAN PEDIATRIC CLINICS WITH WASHINGTON UNIVERSITY AND CHILDREN'S MERCY KC. FOR THE FIRST TIME, LOW-INCOME CHILDREN WITH OBESITY WILL BE OFFERED AN EVIDENCE-BASED TREATMENT: FAMILY BASED THERAPY FOR OBESITY. CHILDREN ARE IDENTIFIED BY A PEDIATRICIAN, CONSULT WITH A DIETICIAN, AND RECEIVE 26 HOURS OF PARENT-CHILD THERAPY OVER SIX MONTHS DELIVERED BY AN LCSW. ONLINE TRAINING FOR PROVIDERS, DIETICIANS, AND BEHAVIORAL INTERVENTIONISTS WILL BE INCLUDED IN THE PACKAGE, AS WILL WEIGHT MANAGEMENT RESOURCES FOR FAMILIES AND COMMUNITY. FREE MAMMOGRAMS TEAMING UP WITH BREAST CANCER FOUNDATION OF THE OZARKS, FREEMAN HEALTH SYSTEM HELD THE PROJECT PINK - REACHING EVERY WOMAN EVENT MAY 5, 2021, PROVIDING FREE BREAST HEALTH EVALUATIONS AND MAMMOGRAM SCREENINGS TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS. BREAST CANCER TYPICALLY PRODUCES NO SYMPTOMS WHEN THE TUMOR IS SMALL AND MOST EASILY TREATED. THAT'S WHY EARLY DIAGNOSIS IS ESSENTIAL. THIS EVENT HELPED THOSE WHO COULD NOT AFFORD A MAMMOGRAM. CHAPLAINS FUND THROUGH THE CHAPLAINS FUND, FREEMAN OFFERS HELP TO PATIENTS UPON DISMISSAL FROM THE HOSPITAL-SOMETIMES PATIENTS CAN'T AFFORD A NEEDED PRESCRIPTION OR DON'T HAVE A WAY TO GET HOME. THE CHAPLAINS FUND PAYS FOR MEALS OR PROVIDES GAS MONEY FOR A RELATIVE TO DRIVE TO THE HOSPITAL TO PICK UP THE PATIENT. THE CHAPLAINS FUND PROVIDES MEAL VOUCHERS, TAXI VOUCHERS, VOUCHERS FOR PERSONS WITH SPECIAL MOBILITY NEEDS, AND GAS VOUCHERS FOR THOSE WHO HAVE EMPTY TANKS. THE CHAPLAINS FUND ALSO PROVIDES YMCA VOUCHERS FOR PATIENTS' LOVED ONES WHO HAVE DIFFICULTY GETTING HOME TO SHOWER. IN FY22, CHAPLAINS MADE 36,576 VISITS AND RESPONDED TO 254 CODES, 825 DEATHS, 197 PRIORITY ONE TRAUMAS/MEDICALS, AND 261 WITHDRAWALS OF CARE. THEY MADE 3,712 VISITS TO PALLIATIVE PATIENTS AND ISSUED 1,603 VOUCHERS OR TOKENS FOR FOOD, TRANSPORTATION, OR FUEL. IN FY22, THE CHAPLAINS FUND PROVIDED A COMMUNITY BENEFIT OF $36,773 THROUGH ASSISTANCE FOR PRESCRIPTIONS, TRANSPORTATION, MEALS AND OTHER ISSUES TO 1,603 PEOPLE. PHARMACY HELPING PATIENTS WHO ARE UNABLE TO PAY FOR THEIR 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 TO HELP ENSURE PRUDENT USE THESE SCARCE HEALTHCARE FUNDS. 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. IN FY22, FREEMAN PHARMACY ASSISTANCE TOTALED MORE THAN $1,570,000. JOB SHADOWING IN FY22, FREEMAN DOCTORS, CLINICIANS, AND OTHER HEALTHCARE PROFESSIONALS SPENT 612.5 HOURS FULFILLING 100 JOB SHADOWING REQUESTS FROM MEMBERS OF THE COMMUNITY. THESE INCLUDED SHADOWING IN THE HOSPITALS, PHYSICIAN PRACTICES, THE NICU, AND MANY ADDITIONAL DEPARTMENTS AND OUTPATIENT LOCATIONS. THIS TIME HAS A VALUE OF $17,537 AT THE VOLUNTEER RATE. SAFETY NET FOR THE COMMUNITY FREEMAN PROVIDES EMERGENCY CARE FOR ALL WHO ENTER ITS DOORS, REGARDLESS OF THE PATIENT'S ABILITY TO PAY OR INSURANCE STATUS. FREEMAN ENDEAVORS TO GIVE PATIENTS MORE OPTIONS FOR PAYING THEIR BILLS, INCLUDING SETTING UP PAYMENT PLANS FOR QUALIFYING PATIENTS, A PROGRAM THAT PROVES ESPECIALLY BENEFICIAL TO PEOPLE WHO HAVE HEALTH INSURANCE, BUT LACK FUNDS TO PAY LARGE DEDUCTIBLES, CO-PAYMENTS, OR OUT-OF-POCKET EXPENSES. FREEMAN ALSO OFFERS A 40 PERCENT SELF-PAY DISCOUNT TO THOSE WITHOUT INSURANCE, BUT MANY STILL CANNOT PAY FOR THEIR MEDICAL CARE. HELPING THE COMMUNITY FREEMAN HELPS MANY ORGANIZATIONS THAT, IN TURN, HELP SOME OF THE MOST FRAGILE MEMBERS OF THE COMMUNITY. FOR INSTANCE, 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.
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION (CONTINUED): 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 FY22, FREEMAN HEALTH SYSTEM PROVIDED PAYROLL AND BENEFITS TOTALING $284,000,000. NURSING SCHOOL SUPPORT IN FY22, 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. FREE SUPPORT GROUPS FREEMAN FOSTERS THE HEALTH OF THE COMMUNITY BY HOSTING MANY RELEVANT MONTHLY SUPPORT GROUPS, SUCH AS THE OZARK CENTER AUTISM SUPPORT GROUP, FREEMAN CANCER SUPPORT GROUP, ESPRESSO YOURSELF BREAST CANCER SUPPORT GROUP, CAREGIVER SUPPORT GROUP, BARIATRIC WEIGHT LOSS SUPPORT GROUP, DIABETES SUPPORT GROUP, AND 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. BLOOD DRIVES FREEMAN SUPPORTS COMMUNITY BLOOD CENTER OF THE OZARKS BY HOSTING BLOOD DRIVES THROUGHOUT THE YEAR. IN FY22, FREEMAN HOSPITAL WEST HOSTED 6 BLOOD DRIVES AND COLLECTED 501 BLOOD DONATIONS RESULTING IN 425 UNITS. FREEMAN AUXILIARY FREEMAN AUXILIARY RAISES FUNDS AND PROVIDES VOLUNTEER SERVICES TO BENEFIT PATIENTS, STAFF, VISITORS, AND THE COMMUNITY. IN FY22, FREEMAN AUXILIARY PROVIDED SUPPORT FOR: - BILL & VIRGINIA LEFFEN CENTER FOR AUTISM - $6,500 - CANCER INSTITUTE - REFRESHMENTS FOR PATIENTS IN CHEMOTHERAPY AND WIGS/SCARVES FOR PATIENTS - $5,000 - CARDIAC RECOVERY BEARS FOR HEART PATIENTS - $2,442 - CHAPLAINS FUND - $11,000 - CHILDREN'S MIRACLE NETWORK HOSPITALS - $10,000 - DIALYSIS MARCH OF KIDNEY SPONSOR $10,000 - FREEMAN NEOSHO SNACKS FOR PATIENTS IN INFUSION CENTER - $50 - LEARNING CENTER SUPPLIES - $5,000 - NURSING EDUCATION/RED CARPET EVENT SPONSORSHIP - $10,000 - NURSING SCHOLARSHIPS - $2,500 - NURSING SCHOOL SUPPORT - $14,000 - OZARK CENTER TURNAROUND RANCH - $3,000 - RONALD MCDONALD HOUSE CHARITIES OF THE FOUR STATES - $10,000 - STUDENT VOLUNTEER PROGRAM SCHOLARSHIPS - $4,100 TOTAL AUXILIARY CONTRIBUTIONS: $92,592 JOPLIN MEMORIAL RUN FREEMAN HEALTH SYSTEM IS THE TITLE SPONSOR OF THE JOPLIN MEMORIAL RUN, A RACING EVENT THAT DRAWS COMPETITORS FROM ACROSS THE NATION. SINCE 2012, THE JOPLIN MEMORIAL RUN HAS DONATED MORE THAN $300,000 TO THE UNITED WAY OF SOUTHEAST KANSAS AND SOUTHWEST MISSOURI, REBUILD JOPLIN, BRIGHT FUTURES, JOPLIN HUMANE SOCIETY, AND BILL & VIRGINIA LEFFEN CENTER FOR AUTISM TO HELP IMPROVE THE HEALTH OF THE COMMUNITY. JOPLIN CHRISTMAS PARADE SINCE 2014, FREEMAN HEALTH SYSTEM HAS MANAGED THE JOPLIN CHRISTMAS PARADE. FREEMAN DONATES COUNTLESS LABOR-HOURS TO ORGANIZE AND ORCHESTRATE THE PARADE, A COMMITMENT THAT INCLUDES PUBLICIZING THE EVENT, COORDINATING PARADE ENTRIES, ENSURING THE PARADE FLOWS SMOOTHLY, AWARDING PRIZES, AND MORE. 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 FAMILY 5K & FUN RUN AND OZARK CENTER WALK FOR AUTISM AWARENESS JOINING TOGETHER, THE FREEMAN FAMILY 5K AND THE OZARK CENTER WALK FOR AUTISM AWARENESS MOST RECENTLY RAISED MORE THAN $30,000, WITH PROCEEDS SUPPORTING PROGRAM DEVELOPMENT AND SCHOLARSHIPS AT LEFFEN CENTER FOR AUTISM. TELEMEDICINE WHILE FREEMAN HAS BEEN ACTIVELY ENGAGED IN SCHOOL-BASED CLINICS AND TELEMEDICINE IN NEWTON AND MCDONALD COUNTIES FOR SEVERAL YEARS, IT LAUNCHED A TELEMEDICINE PARTNERSHIP WITH THE JOPLIN SCHOOLS IN FY22. THE PROGRAM DEPLOYED TELEMEDICINE UNITS WITH MEDICAL-GRADE EQUIPMENT IN ALL OF THE SCHOOL SYSTEM'S 17 SCHOOLS. SCHOOL NURSES USE THE MEDICAL-GRADE TOOLS IN THEIR OFFICES TO ENABLE PHYSICIANS TO LOOK INTO THE CHILD'S EYES, EARS, AND THROAT AND EXAMINE THE CHILD'S SKIN AND MAKE OTHER IMPORTANT OBSERVATIONS FROM A REMOTE LOCATION; ADDITIONALLY, DOCTORS AND PARENTS CAN SEE ANY IMAGING OBTAINED THROUGH THE EQUIPMENT IN THE SCHOOL NURSE'S OFFICE. IN SOME CASES, PARENTS WOULD HAVE TO TAKE OFF WORK TO TAKE A CHILD TO THE DOCTOR, BUT WITH TELEMEDICINE, THE PARENT CAN STAY AT WORK AND NOT LOSE A DAY'S OR HALF DAY'S PAY. PARENTS PARTICIPATE IN THE MEDICAL VISIT THROUGH A SMART DEVICE SUCH AS A MOBILE PHONE.
FORM 990, PART III, LINE 4	PROGRAM SERVICES: LOCALLY OWNED, NOT-FOR-PROFIT, AND NATIONALLY RECOGNIZED, FREEMAN HEALTH SYSTEM INCLUDES FREEMAN HOSPITAL WEST, FREEMAN HOSPITAL EAST, FREEMAN NEOSHO HOSPITAL, AND OZARK CENTER-THE AREA'S LARGEST PROVIDER OF BEHAVIORAL HEALTH SERVICES-AS WELL AS TWO URGENT CARE CLINICS, DOZENS OF PHYSICIAN CLINICS THROUGHOUT THE AREA, AND A VARIETY OF SPECIALTY SERVICES. FREEMAN HEALTH SYSTEM'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH CONTEMPORARY, INNOVATIVE, QUALITY HEALTHCARE SOLUTIONS. FREEMAN IS A LEVEL I STEMI CENTER (SEVERE HEART ATTACK), LEVEL II STROKE CENTER, AND A LEVEL II TRAUMA CENTER, MEANING FREEMAN HAS PROVEN ITS ABILITY TO PROVIDE RAPID, EXPERT CARE TO HELP SAVE PATIENTS FROM DISABILITY AND DEATH. ADDITIONALLY, FREEMAN HAS A LEVEL III NICU FOR THE CARE OF CRITICALLY ILL INFANTS AND BABIES BORN PREMATURELY. SITUATED IN THE HEART OF A LARGELY RURAL AREA, FREEMAN HEALTH SYSTEM IS THE HUB OF MEDICAL ACTIVITY FOR AN AREA THAT EXTENDS THROUGH MISSOURI, KANSAS, OKLAHOMA, AND ARKANSAS. FREEMAN PROVIDES TOP-LEVEL CARE TO THE COMMUNITIES IT SERVES, AND CONTINUALLY STRIVES TO IMPROVE, ENHANCE, AND ADD SERVICES TO MEET THE NEEDS OF ITS CONSTITUENTS. TO BETTER SERVE THE NEEDS OF PEOPLE IN RURAL COMMUNITIES, FREEMAN HAS ESTABLISHED PRIMARY CARE AND SPECIALTY CLINICS IN SEVERAL COMMUNITIES ACROSS THE REGION. THE CENTERS FOR MEDICARE & MEDICAID SERVICES HAS DESIGNATED FREEMAN HEALTH SYSTEM A RURAL REFERRAL CENTER (RRC). TO BE CLASSIFIED AS AN RRC, A HOSPITAL MUST BE PHYSICALLY LOCATED IN A RURAL AREA AND EITHER HAVE AT LEAST 275 BEDS OR MEET CERTAIN DISCHARGE CRITERIA. THESE HOSPITALS ALSO COMMONLY ESTABLISH OUTREACH CLINICS TO PROVIDE PRIMARY AND SPECIALTY CARE SERVICES. FREEMAN HAS OUTREACH CLINICS IN SOUTHWEST MISSOURI, SOUTHEAST KANSAS, AND NORTHEAST OKLAHOMA. THE PANDEMIC BEGAN WINDING DOWN IN FY22, AND FREEMAN CELEBRATED ITS FIRST DAY WITH ZERO PATIENTS IN THE "C-ZONE COVID UNIT" IN MARCH 2022. FREEMAN CONTINUED PROVIDING DRIVE-THROUGH TESTING AND VACCINATIONS, AND ALSO BEGAN OFFERING COVID VACCINATIONS FOR CHILDREN IN NOVEMBER 2021. STAFFING SHORTAGES WERE A PROBLEM IN FY22, AFFECTING NOT ONLY NURSING AND CLINICAL STAFFING, BUT POSITIONS ACROSS THE BOARD FROM FOOD SERVICE TO CLERICAL TO HOUSEKEEPING. STAFFING CONTINUES TO BE A MAJOR ISSUE, AND FREEMAN HAS IMPLEMENTED SOLUTIONS SUCH AS SIGN-ON BONUSES, A $15 PER HOUR MINIMUM WAGE, AND INCREASED BENEFITS. FOR ITS PART IN THE FIGHT AGAINST COVID, FREEMAN HEALTH SYSTEM WAS SELECTED AS ONE OF 102 HOSPITALS WORLD-WIDE TO BE HONORED BY THE INTERNATIONAL HOSPITAL FEDERATION'S "BEYOND THE CALL OF DUTY FOR COVID-19 PROGRAM." IN CALENDAR YEAR 2022, FREEMAN RECEIVED MORE THAN 90 AWARDS FOR MEDICAL EXCELLENCE AND SAFETY FROM CARECHEX, AN INDEPENDENT QUALITY RATING ORGANIZATION THAT HELPS CONSUMERS EVALUATE HEALTHCARE PROVIDERS. FREEMAN HEALTH SYSTEM IS PART OF A CARE PARTNER NETWORK THAT INCLUDES COMMUNITY SERVICE ORGANIZATIONS FROM AROUND THE REGION. UNMET SOCIAL NEEDS ARE BARRIERS TO GOOD HEALTH AND QUALITY OF LIFE, AND THIS PROGRAM HELPS PEOPLE GET THE ASSISTANCE THEY NEED IN A TIMELY MANNER. THE NETWORK GREW FROM A GRANT FREEMAN RECEIVED A FEW YEARS AGO. THE PURPOSE WAS TO FIND WAYS TO PREVENT THE SAME INDIVIDUALS FROM ENDING UP IN THE EMERGENCY ROOM TIME AND TIME AGAIN. IT STARTED WITH 10 AGENCY PARTNERS, AND NOW INCLUDES DOZENS, SUCH AS LEGAL AID, ECONOMIC SECURITY CORPORATION, AND THE JOPLIN AREA MINISTERIAL ALLIANCE. THE NETWORK CREATES SHARED OWNERSHIP BETWEEN COMMUNITY ORGANIZATIONS AND INDIVIDUALS TO NAVIGATE AND COORDINATE SERVICES ADDRESSING SOCIAL DETERMINANTS OF HEALTH SUCH AS HOUSING, UTILITIES, TRANSPORTATION, FOOD, SAFETY, AND PERSONAL NEEDS. THE NETWORK PROVIDES DIRECT REFERRALS TO INDIVIDUALS LOOKING FOR HELP FINDING RESOURCES, SUCH AS FOOD, CLOTHING, AND MEDICAL CARE. THE NETWORK CREATES A COMMON TABLE WHERE COMMUNITY ORGANIZATIONS WORK TOGETHER TO BUILD AN EFFICIENT, EFFECTIVE HEALTH AND SOCIAL SERVICES SOLUTION THAT PREVENTS DUPLICATION OF SERVICES AND GETS HELP TO THOSE IN NEED AS QUICKLY AS POSSIBLE.
FORM 990, PART III, LINE 4A	OUTPATIENT SERVICES: OUTPATIENT - CANCER CARE FREEMAN CANCER INSTITUTE PROVIDES PHYSICAL AND EMOTIONAL CARE FOR PATIENTS AND FAMILIES THROUGH COMPREHENSIVE SERVICES AND TECHNOLOGICAL ADVANCES. FREEMAN CANCER INSTITUTE ACCEPTS MEDICAID AND MEDICARE PATIENTS. FREEMAN CANCER INSTITUTE HELPS PATIENTS DEAL WITH THE ISSUES SURROUNDING TREATMENT AND RECOVERY. FREEMAN STAFF WORK WITH DRUG COMPANIES AND OTHER ORGANIZATIONS TO PROCURE FREE CANCER MEDICATIONS FOR PATIENTS WITH LIMITED FINANCIAL RESOURCES. TO HELP DETECT BREAST CANCER WHILE IT IS TREATABLE, THE FREEMAN HELPING FRIENDS MAMMOGRAM FUND, ADMINISTERED THROUGH FREEMAN DEVELOPMENT OFFICE, PROVIDES MAMMOGRAMS FOR WOMEN WHO CAN'T AFFORD THEM. SINCE 2018, HELPING FRIENDS MAMMOGRAM FUND HAS HELPED 240 WOMEN BY PROVIDING MAMMOGRAMS AND POST-MASTECTOMY CAMISOLES AT A COST OF MORE THAN $142,800. FREEMAN CORNELL-BESHORE CANCER INSTITUTE'S RADIATION ONCOLOGY PROGRAM IS DEDICATED TO BRINGING THE MOST ADVANCED AND COMPLETE CANCER THERAPIES TO JOPLIN AND SURROUNDING COMMUNITIES. FREEMAN NOW OFFERS OPTUNE, A TREATMENT FOR PATIENTS WITH GLIOBLASTOMA, AN ESPECIALLY AGGRESSIVE FORM OF BRAIN AND SPINAL CORD CANCER. WITH OPTUNE PATIENTS WEAR A PORTABLE, NON-INVASIVE SKULL CAP THAT EMITS TUMOR-TREATING FIELDS (TTFS), WHICH ARE ALTERNATING ELECTRIC FIELDS DIRECTED THROUGH THE TUMOR AREA. THIS TREATMENT HAS THE POTENTIAL TO EXTEND A PATIENT'S LIFE, HAS VERY FEW SIDE EFFECTS, AND IS WELL-TOLERATED. PATIENTS FACING MANY TYPES OF CANCER BENEFIT FROM ADVANCED TREATMENT OPTIONS PROVIDED THROUGH RADIATION ONCOLOGY. FREEMAN HAS INVESTED IN A STATE-OF-THE-ART, TOP-OF-CLASS LINEAR ACCELERATOR. IT USES PRECISELY SHAPED AND DIRECTED RADIATION BEAMS TO KILL CANCER CELLS, WHILE PRESERVING ADJOINING, HEALTHY TISSUE. THIS PIN-POINT TECHNOLOGY PROVIDES IMPROVED OUTCOMES, LOWER DOSES OF RADIATION, AND SHORTER TREATMENT TIMES. FREEMAN HEALTH SYSTEM IS THE FIRST IN THE AREA TO OFFER HIGH-DOSE RATE (HDR) BRACHYTHERAPY, A FORM OF RADIATION THERAPY. HDR BRACHYTHERAPY ENABLES DOCTORS TO DELIVER HIGHER DOSES OF RADIATION TO SPECIFIC AREAS OF THE BODY BY PLACING RADIOACTIVE SOURCES INSIDE THE TUMOR CAVITY. FREEMAN CORNELL-BESHORE CANCER INSTITUTE IS ONE OF ONLY FOUR CANCER CENTERS IN MISSOURI TO BE RECOGNIZED BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM. THE QOPI CERTIFICATION PROGRAM RECOGNIZES OUTPATIENT ONCOLOGY PRACTICES THAT MEET THE HIGHEST STANDARDS FOR QUALITY CANCER CARE. OUTPATIENT - EMERGENCY SERVICES THE EMERGENCY DEPARTMENT/TRAUMA CENTER AT FREEMAN HOSPITAL WEST TREATS TENS OF THOUSANDS OF PATIENTS EACH YEAR. EMERGENCY ROOMS ROUTINELY DEAL WITH HOMELESS PATIENTS, MENTALLY ILL PATIENTS, AND PATIENTS UNDER THE INFLUENCE OF DRUGS. FREEMAN PLACES MENTAL HEALTH COUNSELORS IN THE EMERGENCY ROOM AROUND-THE-CLOCK TO HELP PATIENTS WITH MENTAL HEALTH NEEDS. AS A RESULT OF THIS INTERVENTION, MANY PREVIOUS FREQUENT VISITORS TO THE EMERGENCY ROOM HAVE BEEN REDIRECTED TO APPROPRIATE PSYCHIATRIC OR SUBSTANCE USE PROGRAMS. FREEMAN OFFERS COMPASSIONATE AND COMPREHENSIVE CARE TO VICTIMS OF SEXUAL ASSAULT IN THE EMERGENCY ROOM THROUGH THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. THE PROGRAM PROVIDES A COORDINATED HOSPITAL RESPONSE AND CONTINUUM OF CARE FOR VICTIMS OF SEXUAL VIOLENCE AND ENSURES A MEDICAL EVALUATION, STANDARDIZED FORENSIC EXAMINATION WITH EVIDENCE COLLECTION, AND EFFECTIVE INTERFACE WITH LAW ENFORCEMENT AND ADVOCACY SERVICES. ON A RELATED NOTE, THE FREEMAN EMERGENCY ROOM DISPLAYS POSTERS IN CONSPICUOUS PLACES TO HELP HUMAN TRAFFICKING VICTIMS, IN ACCORDANCE WITH MISSOURI HOUSE BILL 1246. EMERGENCY DEPARTMENT NURSES HAVE RECEIVED EDUCATION ABOUT HUMAN TRAFFICKING, INCLUDING LEARNING HOW TO SPOT THE WARNING SIGNS AND APPROACH A SUSPECTED VICTIM. THIS IS IMPORTANT BECAUSE NURSES ARE SOME OF THE FEW PROFESSIONALS WHO MIGHT INTERACT WITH HUMAN TRAFFICKING VICTIMS WHILE THEY ARE STILL IN CAPTIVITY, AND THIS TRAINING ENABLES NURSES HELP THE VICTIMS. FREEMAN AMBULANCE SERVICE FREEMAN AMBULANCE SERVICE COVERS THE ENTIRE 540-MILE MCDONALD COUNTY AREA, AVERAGING MORE THAN 60,000 MILES PER YEAR PER AMBULANCE. WITH TWO STATE-OF-THE ART AMBULANCES, FREEMAN AMBULANCE SERVICE PROVIDES RELIABLE, SAFE, AND COMFORTABLE TRANSPORTATION ACROSS THE OFTEN-DIFFICULT, STEEP, TWISTING ROADS OF MCDONALD COUNTY, AN AREA THAT HAS BEEN DESIGNATED "MEDICALLY UNDERSERVED" BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. THE NEED FOR SERVICES IN THIS AREA IS GREAT, AND FREEMAN AMBULANCE SERVICE OPERATES AT A LOSS. ALL PATIENTS ARE SERVED REGARDLESS OF ABILITY TO PAY. OUTPATIENT - WES & JAN HOUSER WOMEN'S PAVILION DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, WES & JAN HOUSER WOMEN'S PAVILION'S TEAM OF SURGEONS, RADIOLOGISTS, AND REGISTERED MAMMOGRAPHY TECHNOLOGISTS USES THE LATEST TECHNOLOGIES TO ENSURE PATIENTS RECEIVE THE BEST CARE, ADVICE, AND TREATMENT. BREAST LIFECARE PATIENTS HAVE SENSE OF URGENCY WHEN THEY FIND A LUMP IN THEIR BREAST, AND THEY WANT ANSWERS AND TEST RESULTS QUICKLY WITH FEW DELAYS. THAT'S WHY FREEMAN DEVELOPED BREAST LIFECARE. FREEMAN RADIOLOGISTS AND SURGEONS WORK AS A TEAM TO PROVIDE AS MUCH INFORMATION AS POSSIBLE IN AS FEW VISITS AS POSSIBLE TO MINIMIZE THE STRESS CAUSED BY MULTIPLE APPOINTMENTS AND WAITING. DURING A BREAST LIFECARE VISIT, PATIENTS CONSULT WITH A BREAST SURGEON. THE BREAST SURGEON REVIEWS THE PATIENT'S IMAGING WITH THE BREAST RADIOLOGIST AND THEN DISCUSSES A PLAN OF CARE WITH THE PATIENT. IF A BREAST BIOPSY, A MAMMOGRAM, OR AN ULTRASOUND IS RECOMMENDED, IT CAN BE DONE THAT SAME DAY UNDER MOST CIRCUMSTANCES. OUTPATIENT - OUTPATIENT DIALYSIS FREEMAN PROVIDES OUTPATIENT DIALYSIS SERVICES THROUGH TWO OUTPATIENT DIALYSIS CENTERS. FREEMAN OUTPATIENT DIALYSIS COMPLEMENTS INPATIENT DIALYSIS AND KIDNEY TREATMENT SERVICES IN PLACE AT FREEMAN HOSPITAL WEST. FREEMAN OFFERS TREATMENTS AND SERVICES FOR PATIENTS WITH KIDNEY-RELATED DISEASES, INCLUDING HEMODIALYSIS, PERITONEAL DIALYSIS, NUTRITIONAL COUNSELING, EDUCATIONAL RESOURCES, SOCIAL SERVICES, AND TRANSPLANT REFERRAL. FREEMAN OUTPATIENT DIALYSIS FEATURES COMFORTABLE CHAIRS; A SAFE, PRIVATE ENVIRONMENT; STATE-OF-THE-ART DIALYSIS EQUIPMENT; AND INNOVATIVE TECHNOLOGY IN VASCULAR ACCESS GRAFTS. PATIENTS ALSO RELY ON THE CARING STAFF THAT INCLUDES A TEAM OF EXPERIENCED AND COMPASSIONATE NEPHROLOGISTS. OUTPATIENT - FREEMAN BARIATRIC CENTER FREEMAN BARIATRIC CENTER IS ACCREDITED AS A COMPREHENSIVE CENTER UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. THE FIRST BARIATRIC PROGRAM IN THE AREA TO BE ACCREDITED, FREEMAN BARIATRIC CENTER MEETS THE HIGHEST STANDARDS FOR PATIENT SAFETY AND QUALITY OF CARE. OUTPATIENT - FREEMAN NEUROSPINE FREEMAN NEUROSPINE PROVIDES SURGICAL AND NONSURGICAL TREATMENTS FOR CONDITIONS RANGING FROM BACK PAIN, WORK-RELATED INJURIES, AND CARPAL TUNNEL SYNDROME TO STROKE AND COMPLEX SPINAL DISEASES. FREEMAN'S EXPERT, MULTIDISCIPLINARY TEAM INCLUDES NEUROSURGEONS, NEUROLOGISTS, REHABILITATION SPECIALISTS, SURGICAL ASSISTANTS, PHYSICAL THERAPISTS, MASSAGE THERAPISTS, AND ATHLETIC TRAINERS. OUTPATIENT - SPINAL CARE SERVICES FREEMAN NEUROSPINE OFFERS COMPREHENSIVE SPINAL CARE SERVICES FOR PATIENTS WITH CHRONIC BACK OR NECK PAIN, ESPECIALLY THOSE WHO HAVE NOT FOUND RELIEF THROUGH OTHER TREATMENTS. THE FIRST AND ONLY SERVICE OF ITS KIND IN THE AREA, IT UTILIZES A COLLABORATIVE APPROACH TO ADDRESS A PATIENT'S TOTAL NEEDS-FROM PHYSICAL TO EMOTIONAL-AND DRAWS UPON THE EXPERTISE OF AN INTERDISCIPLINARY TEAM OF SPECIALISTS THAT INCLUDES PHYSICIANS, NEUROSURGICAL NURSE PRACTITIONERS, PHYSICAL THERAPISTS, COUNSELORS, AND OTHER HIGHLY TRAINED SPINE CARE PROFESSIONALS. OUTPATIENT - PEDIATRIC SPECIALTY CARE FREEMAN HEALTH SYSTEM PARTNERS WITH PEDIATRIX CARDIOLOGY TO ENHANCE PEDIATRIC SPECIALTY CARE IN THE FOUR-STATE AREA. CONVENIENT ACCESS TO THIS CALIBER OF PEDIATRIC SPECIALTY CARE NOT ONLY IMPROVES OUTCOMES FOR PEDIATRIC PATIENTS-IT ALSO SAVES FAMILIES THE EXPENSE AND TIME INVOLVED WITH DRIVING GREAT DISTANCES FOR CLINIC APPOINTMENTS.
FORM 990, PART III, LINE 4A	OUTPATIENT SERVICES (CONTINUED): OUTPATIENT - SCHOOL-BASED MEDICINE FREEMAN HEALTH SYSTEM HAS ENTERED INTO SCHOOL-BASED MEDICINE PARTNERSHIPS WITH THE CARL JUNCTION SCHOOLS, NEOSHO SCHOOLS, SENECA SCHOOLS, AND MCDONALD COUNTY SCHOOLS TO CREATE GREATER ACCESS TO HEALTHCARE FOR STUDENTS AND FACULTY ALIKE. IN FY22, FREEMAN EXTENDED THE SCHOOL-BASED TELEHEALTH PROJECT TO THE JOPLIN SCHOOLS, WITH A PLAN TO INSTALL A TELEMEDICINE CART IN EACH OF THE DISTRICT'S 17 SCHOOLS, ULTIMATELY BENEFITING 8,700 STUDENTS AND STAFF. INCREASED ACCESS TO MEDICAL SERVICES RESULTS IN NOT ONLY AN ENVIRONMENT OF WELLNESS FOR THE SCHOOL, BUT ALSO FOR THE ENTIRE COMMUNITY. ANOTHER BENEFIT OF SCHOOL-BASED MEDICINE IS THAT IT DECREASES TIME LOST FROM THE CLASSROOM FOR STUDENTS AND FACULTY NEEDING MEDICAL ATTENTION. ADDITIONALLY, THIS PROGRAM CAN SAVE PARENTS FROM HAVING TO MISS WORK TO TAKE THEIR CHILDREN TO A MEDICAL CLINIC OR DOCTOR'S OFFICE. OUTPATIENT - HOME CARE FREEMAN HOME CARE HAS EARNED HOMECARE ELITE STATUS 10 TIMES SINCE 2016 AND HAS PROVIDED PERSONALIZED HOME MEDICAL CARE FOR MORE THAN 30 YEARS. TRAINED, CPR-CERTIFIED PROFESSIONALS, INCLUDING NURSES, THERAPISTS, PERSONAL CARE AIDES AND SOCIAL WORKERS, WORK CLOSELY WITH PATIENTS, FAMILIES, AND PHYSICIANS TO DEVELOP INDIVIDUALIZED CARE PLANS TO BEST MEET THE PATIENT'S NEEDS. FREEMAN HOME CARE EARNED A FIVE-STAR RATING IN PATIENT SATISFACTION FROM MEDICARE IN THE JANUARY 2020 HOME HEALTH COMPARE SURVEY. OUTPATIENT - WOUND CARE & HYPERBARIC MEDICINE PHYSICAL WOUNDS DO NOT ALWAYS HEAL QUICKLY AND ROUTINELY-HEALING IS A COMPLICATED PROCESS. IF A WOUND HASN'T HEALED AFTER FOUR WEEKS OF STANDARD MEDICAL CARE, SPECIALIZED WOUND CARE SERVICES MAY BE NEEDED. FREEMAN WOUND CARE & HYPERBARIC MEDICINE CAN EFFECTIVELY TREAT MANY TYPES OF WOUNDS, INCLUDING DIABETIC WOUNDS, VARICOSE VEIN ULCERS, ARTERIAL LEG ULCERS, AND MORE. SERVICES INCLUDE EVALUATION AND WOUND ASSESSMENT, INDIVIDUALIZED TREATMENT PLAN, AND PATIENT EDUCATION. OUTPATIENT - SPECIALIZED OSTEOPOROSIS SERVICES FREEMAN DIABETES & ENDOCRINOLOGY INSTITUTE OFFERS COMPREHENSIVE SPECIALTY SERVICES TO DIAGNOSE, TREAT, AND PREVENT OSTEOPOROSIS. MANY HEALTH PROBLEMS INCREASE AN INDIVIDUAL'S RISK FOR OSTEOPOROSIS, INCLUDING LUPUS, LEUKEMIA AND LYMPHOMA, DIABETES, HYPERTHYROIDISM, AND CHRONIC KIDNEY DISEASE. WITH EARLY DETECTION AND INDIVIDUALIZED TREATMENT PLANS, MANY OSTEOPOROSIS PATIENTS CAN ENJOY AND MAINTAIN ACTIVE, HEALTHY LIFESTYLES. OUTPATIENT - DIABETES EDUCATION OBESITY AND DIABETES ARE GROWING PROBLEMS WITH SERIOUS HEALTH IMPLICATIONS. ACCORDING TO THE AMERICAN DIABETES ASSOCIATION, 13.4% OF MISSOURIANS HAVE DIABETES. FREEMAN DIABETES EDUCATORS HELP PATIENTS LEARN TO MANAGE AND LIVE WITH THE DISEASE. THEY PROVIDE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT SERVICES TO PROVIDE INFORMATION AND TEACH SKILLS TO PEOPLE WITH DIABETES AND RELATED CONDITIONS. DIABETES EDUCATION IS TAILORED TO INDIVIDUAL NEEDS, GOALS, AND LIFE EXPERIENCES AND IS GUIDED BY EVIDENCE-BASED STANDARDS. OUTPATIENT - REHABILITATION SERVICES FREEMAN REHABILITATION SERVICES DELIVERS PERSONALIZED CARE AIMED AT MAKING A PATIENT'S RECOVERY QUICK AND EFFECTIVE. WITH A GOAL OF PROVIDING INDIVIDUALIZED THERAPEUTIC INTERVENTION TO RESTORE FUNCTION AND REDUCE PAIN, FREEMAN'S EXPERIENCED CLINICIANS PROVIDE COMPREHENSIVE OUTPATIENT REHABILITATION THERAPY. REHABILITATION SERVICES PLAYS A MAJOR ROLE ON FREEMAN'S SPORTS MEDICINE TEAM, WHICH PROVIDES ATHLETIC INJURY ASSESSMENT, TREATMENT, AND REHABILITATION. FREEMAN ATHLETIC TRAINERS PROVIDE GAME COVERAGE FOR AREA SCHOOLS AND PERFORM ON-SITE INJURY ASSESSMENT AND TREATMENT DURING ATHLETIC EVENTS. FREEMAN REHABILITATION & SPORTS CENTER IS A CONVENIENTLY LOCATED STANDALONE CLINIC PROVIDING AQUATIC THERAPY, LYMPHEDEMA THERAPY, PEDIATRIC THERAPY, PELVIC FLOOR THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY, AND TRAINING CLASSES FOR RUNNERS, GOLFERS, AND OTHER ATHLETES. OUTPATIENT - FREEMAN SCREEN TEAM PREVENTION IS KEY TO HEART HEALTH. THE FIRST "SYMPTOM" OF CARDIOVASCULAR DISEASE CAN BE A HEART ATTACK-THAT'S WHY FREEMAN HEALTH SYSTEM STARTED FREEMAN SCREEN TEAM MORE THAN 20 YEARS AGO. FREEMAN SCREEN TEAM REACHES OUT INTO COMMUNITIES WITH FREE OR LOW-COST HEALTH SCREENINGS TO CATCH PROBLEMS EARLY-BEFORE THEY CAUSE SERIOUS COMPLICATIONS. ADDITIONALLY, FREEMAN SCREEN TEAM OFFERS SPECIALIZED EARLY DETECTION SCREENINGS THAT SCREEN FOR ABDOMINAL AORTIC ANEURYSM, PERIPHERAL ARTERIAL DISEASE, AND A PERSON'S STROKE/CAROTID ARTERY RISK. EARLY DETECTION OF HEART PROBLEMS GIVES INDIVIDUALS A CHANCE TO SEEK TREATMENT AND MAKE LIFESTYLE CHANGES, DECREASING THE LIKELIHOOD OF A CARDIAC EVENT. BY TAKING PREVENTION INTO THE COMMUNITY, FREEMAN SCREEN TEAM HELPS PEOPLE WHO OTHERWISE MIGHT NOT SEEK MEDICAL SERVICES. ON MANY OCCASIONS, FREEMAN SCREEN TEAM HAS REFERRED PATIENTS DIRECTLY FROM A SCREENING TO FREEMAN HEART & VASCULAR INSTITUTE FOR LIFESAVING FOLLOW-UP CARE. OUTPATIENT - WALK-IN CLINICS AND SAME-DAY APPOINTMENTS FREEMAN PROVIDES CARE THROUGH A VARIETY OF WALK-IN CLINICS THAT TREAT A WIDE RANGE OF MEDICAL CONDITIONS. URGENT CARE CLINICS IN JOPLIN AND WEBB CITY PROVIDE A CONVENIENT, COST-EFFECTIVE ALTERNATIVE FOR MINOR MEDICAL CARE. STAFFED WITH HIGHLY TRAINED PERSONNEL, INCLUDING BOARD-CERTIFIED PHYSICIANS, REGISTERED NURSES, AND X-RAY TECHNICIANS, FREEMAN URGENT CARE PROVIDES PROMPT MEDICAL TREATMENT WITHOUT AN APPOINTMENT. ADDITIONALLY, FREEMAN FIRST CARE OFFERS SAME-DAY APPOINTMENTS FOR PATIENTS WITHOUT A PRIMARY CARE PROVIDER AND FOR THOSE WHOSE PRIMARY CARE PROVIDER IS NOT AVAILABLE THAT DAY. PATIENTS CAN RECEIVE MINOR MEDICAL CARE AT FREEMAN FIRST CARE AND GET SET UP WITH A PRIMARY CARE PHYSICIAN AS WELL. SHOULD A SPECIALIST BE REQUIRED, FREEMAN FIRST CARE CAN FACILITATE THE PROCESS SO THERE'S LESS OF A WAIT FOR A SPECIALIST APPOINTMENT. OUTPATIENT - FREEMAN LUNG INSTITUTE FREEMAN LUNG INSTITUTE FEATURES BEST-IN-CLASS PULMONARY FUNCTION TESTING (PFT), WHICH IS PAINLESS AND OFFERS IMMEDIATE RESULTS AND INSTANT TREATMENT RIGHT IN THE PHYSICIAN'S OFFICES. THE CLINIC, THE FIRST AND ONLY IN THE AREA, GIVES PATIENTS ACCESS TO SCREENING, DIAGNOSIS, TREATMENT AND SUPPORT OF LIFE-THREATENING LUNG DISEASES IN ONE CONVENIENT LOCATION. FREEMAN LUNG INSTITUTE IS EXPERIENCING SUCCESS WITH THE SPIRATION VALVE IMPLANT. THIS GROUNDBREAKING TREATMENT HELPS PATIENTS WITH EMPHYSEMA BREATHE EASIER. SPIRATION VALVES RESEMBLE PARACHUTES AND CAN BE INSERTED INTO AIRWAYS VIA CATHETER. ONCE IMPLANTED, THE VALVE EXPANDS AND CONTRACTS WITH BREATHING. IT HELPS THE DAMAGED LUNG TO SHRINK IN SIZE AND HELPS THE HEALTHIER LUNG TO EXPAND. PRIOR TO THIS MINIMALLY INVASIVE PROCEDURE, TREATMENT REQUIRED INVASIVE CHEST SURGERY WITH RESECTION OF PART OF THE LUNG. THE END RESULTS FOR PATIENTS ARE IMPROVED LUNG FUNCTION, REDUCED SHORTNESS OF BREATH, AND RESTORED QUALITY OF LIFE. IN APRIL 2021, FREEMAN ANNOUNCED A $600,000 INVESTMENT IN TRANSFORMATIVE ROBOTIC TECHNOLOGY THAT GIVES PULMONOLOGISTS A BETTER WAY TO SEE INSIDE A PATIENT'S LUNGS AND A MORE PRECISE TOOL FOR DIAGNOSING AND TREATING LUNG CANCER. FREEMAN IS THE FIRST AND ONLY HOSPITAL IN MISSOURI, SOUTHEAST KANSAS, AND NORTHEAST OKLAHOMA TO INVEST IN THE MONARCH PLATFORM BY AURIS. LUNG CANCER CAN BE PARTICULARLY DIFFICULT TO DIAGNOSE BECAUSE THE AIRWAYS ARE FULL OF TWISTS AND TURNS, REACHING DEEP INTO THE LUNGS. THE MONARCH PLATFORM INTEGRATES THE LATEST ADVANCEMENTS IN ROBOTICS, SOFTWARE, DATA SCIENCE AND ENDOSCOPY. IT HELPS PULMONOLOGISTS FIND LUNG NODULES EARLIER THROUGH THE LEAST INVASIVE APPROACH. THIS IS IMPORTANT BECAUSE THE AREA SERVED BY FREEMAN HEALTH SYSTEM UNDERPERFORMS NATIONAL AVERAGES IN LUNG HEALTH, ACCORDING TO THE DATA-DRIVEN COMMUNITY HEALTH NEEDS ASSESSMENT.
FORM 990, PART III, LINE 4B	INPATIENT SERVICES: FREEMAN JOPLIN INPATIENT SERVICES TOTALED 17,613 CASES, OF WHICH, 4,672 OR 26.5%, WERE MEDICAID CASES. ADDITIONALLY, 1,024 INPATIENT CASES, OR 5.8% OF THE TOTAL, FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. INPATIENT - CRITICAL CARE PATIENTS RELY ON THE INTENSIVE CARE UNIT (ICU) FOR LIFESAVING TREATMENT. FREEMAN'S SPECIALIZED TEAM OF CRITICAL CARE PHYSICIANS, NURSES, AND RESPIRATORY THERAPISTS PROVIDES EXCEPTIONAL CARE IN THE STATE-OF-THE-ART, 33-BED ICU, AND 7-BED CARDIOVASCULAR INTENSIVE CARE UNIT. ADDITIONALLY, FREEMAN HOSPITAL WEST PROVIDES A TRANSITIONAL CARE UNIT (TCU) FOR PATIENTS WHO ARE STILL TOO ILL FOR THE GENERAL MEDICAL FLOOR BUT HAVE PROGRESSED TO THE POINT WHERE THEY NO LONGER NEED THE LEVEL OF CARE PROVIDED IN THE ICU. FREEMAN JOPLIN CRITICAL CARE SERVICES TOTALED 3,448 CASES, OF WHICH, 445, OR 12.9%, WERE MEDICAID CASES. ADDITIONALLY, 5.3% OF THE CRITICAL CARE CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. INPATIENT - FREEMAN PEDIATRIC UNIT THE FREEMAN PEDIATRIC UNIT PROVIDES CARE TO CHILDREN FROM BIRTH TO AGE 18 AND WORKS WITH FAMILIES TO MAKE THEIR CHILDREN'S HOSPITALIZATION LESS TRAUMATIC BY ENCOURAGING PARENTAL INVOLVEMENT. FREEMAN JOPLIN INPATIENT PEDIATRIC SERVICES TOTALED 330 CASES, OF WHICH, 209, OR 63.3%, WERE MEDICAID CASES. ADDITIONALLY, 1.5 % OF THE PEDIATRIC INPATIENT CASES FELL INTO THE SELF-PAY (NO INSURANCE) CATEGORY. INPATIENT - MATERNITY SERVICES DESIGNED TO GIVE NEW MOTHERS AND THEIR FAMILIES THE COMFORTS OF HOME WITHIN THE SECURITY OF A HOSPITAL, FREEMAN MATERNITY CENTER DELIVERED 1,858 BABIES IN FY22. THE UNIT INCLUDES BOARD-CERTIFIED OBSTETRICIANS AVAILABLE 24 HOURS A DAY AND PERINATOLOGY CARE FOR WOMEN WITH HIGH-RISK PREGNANCIES. IN FY22, FREEMAN MATERNITY CENTER SERVED 949 MEDICAID PATIENTS, OR 51% OF ITS CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 1.3% OF THE MOTHERS DELIVERING BABIES AT FREEMAN. AS THESE STATISTICS INDICATE, FREEMAN PROVIDES A SAFETY NET FOR EXPECTANT MOTHERS WHO LIVE IN POVERTY AND RECEIVE GOVERNMENT ASSISTANCE AND THOSE WHO SCRAPE BY WITHOUT ASSISTANCE BUT HAVE NO HEALTH INSURANCE. MEDICAID REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING THE LEVEL OF TREATMENT REQUIRED. FREEMAN HEALTH SYSTEM HELPS FAMILIES PREPARE FOR NEW ARRIVALS WITH FREE PRENATAL EDUCATION. THE INFORMATIVE CLASSES ARE TAUGHT BY REGISTERED NURSES AND OTHER PROFESSIONALS WITH YEARS OF EXPERIENCE HELPING EXPECTANT FAMILIES PREPARE FOR A POSITIVE BIRTH EXPERIENCE. FREEMAN MATERNITY CENTER ALSO OFFERS FREE BREASTFEEDING CLASSES TAUGHT BY A CERTIFIED LACTATION CONSULTANT TO HELP NEW MOMS GET STARTED WITH PROPER POSITIONING, RECOGNIZING HUNGER SIGNALS, AND MUCH MORE. IN SEPTEMBER 2021, FREEMAN LAUNCHED A DONOR BREAST MILK PROGRAM FOR PRE-TERM BABIES, PARTNERING WITH ST. LUKE'S HEART OF AMERICA MOTHER'S MILK BANK TO SUPPORT THE SMALLEST AND SICKEST BABIES IN THE HOSPITAL. IN MARCH 2021, FREEMAN WAS NAMED ONE OF THE BEST MATERNITY CARE HOSPITALS IN THE NATION BY NEWSWEEK MAGAZINE AND THE LEAPFROG GROUP. THE LIST REPRESENTED 217 ENTRIES IN 36 STATES. NEWSWEEK'S BEST MATERNITY CARE HOSPITALS ARE CONSIDERED AN ELITE GROUP OF HOSPITALS DEMONSTRATING THE HIGHEST PERFORMANCE STANDARDS. INPATIENT - NICU FREEMAN NEONATAL INTENSIVE CARE UNIT (NICU) PROVIDES IMMEDIATE CRITICAL CARE FOR PREMATURE AND CRITICALLY ILL INFANTS. SURVIVAL RATES FOR INFANTS LESS THAN 3 POUNDS HAVE INCREASED SIGNIFICANTLY AS A RESULT OF THE OUTSTANDING MEDICAL CARE PROVIDED BY THE FREEMAN NICU TEAM OF DOCTORS, NEONATAL NURSE PRACTITIONERS, SPECIALIZED DEVELOPMENTAL THERAPISTS, AND NURSES. BEFORE FREEMAN NICU OPENED IN 1993, PREMATURE OR CRITICALLY ILL INFANTS WERE SENT OUTSIDE THE REGION, PULLING PARENTS AWAY FROM THEIR SUPPORT SYSTEM AT HOME OR SEPARATING THEM FROM THEIR PRECIOUS CHILD BECAUSE THE DISTANCE WAS TOO FAR TO TRAVEL EACH DAY. AT THE TIME, FREEMAN LEADERS ANTICIPATED 90 BABIES WOULD BE TREATED IN THE NICU EACH YEAR. BY THE END OF THE FIRST YEAR, 300 BABIES HAD BEEN ADMITTED. BY THE END OF FY22, MORE THAN 10,285 INFANTS HAVE HAD A FIGHTING CHANCE TO LIVE THANKS TO THE CARE THEY RECEIVED AT FREEMAN NICU. IN FY22, FREEMAN NICU SERVED 385 PREMATURELY BORN OR CRITICALLY ILL BABIES. OF THESE TINY PATIENTS, 254 RECEIVED MEDICAID, WHICH REPRESENTS 65.9% OF FREEMAN NICU'S CASELOAD. SELF-PAY PATIENTS (THOSE WITH NO INSURANCE) REPRESENTED 1% OF FREEMAN NICU PATIENTS. NEONATAL INTENSIVE CARE IS EXTREMELY EXPENSIVE TO PROVIDE, SOMETIMES MORE THAN $1 MILLION PER CHILD, AND MEDICAID REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING THE LEVEL OF TREATMENT REQUIRED.
FORM 990, PART III, LINE 4C	FREEMAN HEART & VASCULAR INSTITUTE: FREEMAN ALSO RECEIVED AWARDS FROM THE AMERICAN HEART AND STROKE ASSOCIATIONS FOR FOLLOWING RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF HEART DISEASE. FREEMAN'S CARE TEAMS RECEIVED TWO "MISSION: LIFELINE" AWARDS-ONE GOLD PLUS WARD" FOR STEMI CARE AND ONE GOLD AWARD FOR NON-STEMI CARE. GOLD PLUS STATUS MEANS REQUIREMENTS WERE DEMONSTRATED OVER TWO CONSECUTIVE YEARS. TIME IS CRITICAL DURING A CARDIAC OR STROKE EMERGENCY, AND FREEMAN CAREGIVERS DEMONSTRATE THEIR SKILL AND COMPASSION WITH SOPHISTICATED PROCEDURES, TIME AND TIME AGAIN. THANKS TO DOCTORS, NURSES, TECHS, FIRST RESPONDERS, AND MANY OTHERS COLLABORATING TO PROVIDE THE BEST CARE FOR STROKE PATIENTS, FREEMAN RECEIVED THE "GET WITH THE GUIDELINES-STROKE GOLD PLUS" QUALITY ACHIEVEMENT AWARD. THIS AWARD RECOGNIZES FREEMAN FOR BOTH QUALITY OF CARE AND ADHERENCE TO EVIDENCE-BASED GUIDELINES. FOR PATIENTS HAVING A STROKE, TIME LOST IS BRAIN LOST-AND THIS AWARD SIGNIFIES FREEMAN'S COMMITMENT TO PROVIDING RAPID, EXPERT CARE. FREEMAN HEALTH SYSTEM OPENED FREEMAN HEART & VASCULAR INSTITUTE IN 1999 AND HAS BEEN A LEADER IN HEART CARE EVER SINCE. SERVING A GEOGRAPHIC AREA THAT INCLUDES CORNERS OF FOUR STATES, FREEMAN HEART & VASCULAR INSTITUTE BRINGS LIFESAVING DIAGNOSTICS AND TREATMENTS TO PEOPLE WHERE THEY LIVE, ENABLING THEM TO RECEIVE ESSENTIAL, HIGH-QUALITY HEART CARE WITHOUT THE EXPENSE AND INCONVENIENCE OF TRAVELING TO LARGER METROPOLITAN AREAS. FREEMAN'S DOCTORS (AND ALL STAFF) TREAT PATIENTS AS FRIENDS AND NEIGHBORS BECAUSE THEY LIVE AND RAISE THEIR FAMILIES IN THE COMMUNITIES SERVED BY FREEMAN. ADDITIONALLY, FREEMAN REACHES OUT ACROSS THE REGION BY PROVIDING HEART-CARE CLINICS NEOSHO, MISSOURI; PITTSBURG, KANSAS; GIRARD, KANSAS; PARSONS, KANSAS; GROVE, OKLAHOMA; AND MIAMI, OKLAHOMA. FREEMAN HEART & VASCULAR INSTITUTE HAS A PROVEN TRACK RECORD OF SHAVING MINUTES OFF THE TIME IT TAKES TO RESTORE BLOOD FLOW AND SAVE PRECIOUS HEART MUSCLE DURING MYOCARDIAL INFARCTION. IN FACT, THE FREEMAN TEAM BEATS NATIONAL DOOR-TO-DEVICE STANDARDS BY MORE THAN 40 PERCENT (NATIONAL STANDARD: 90 MINUTES; FREEMAN: 50 MINUTES). THIS IS FOR ALL STEMI PATIENTS CALCULATED FROM THE TIME THEY HIT FREEMAN DOORS UNTIL THE INITIAL CARDIAC INTERVENTION BEGINS IN THE CATH LAB. FREEMAN CONTINUES TO PERFORM AT THE 90TH PERCENTILE AS MEASURED BY THE NCDR CHEST PAIN - AMI REGISTRY. FREEMAN HEART & VASCULAR INSTITUTE OFFERS RAPID, EXPERT CARE WHEN PATIENTS NEED IT MOST. FREEMAN HEART & VASCULAR INSTITUTE PROVIDES ALL CARDIAC SERVICES IN ONE CONVENIENT LOCATION, INCLUDING PREVENTIVE CARE, EMERGENCY INTERVENTIONS, DIAGNOSTICS, OPEN-HEART SURGERIES, STRUCTURAL HEART CLINIC, REHABILITATION, CARDIOLOGIST AND CARDIOLOGY CLINICS, EDUCATION, AND MORE. PATIENTS RELY ON FREEMAN HEART & VASCULAR INSTITUTE FOR A VARIETY OF NONINVASIVE TESTS TO DIAGNOSE HEART DISEASE AND OTHER CONDITIONS. ADDITIONALLY, FREEMAN SERVES PATIENTS WITH HEART PROBLEMS WHEN THEY NEED HELP THE MOST. FREEMAN OFFERS THE LATEST NON-INVASIVE TREATMENTS AND OPEN-HEART SURGERIES. THESE INCLUDE THE ROSS PROCEDURE, STENT PLACEMENT, BYPASS SURGERY, KEYHOLE SURGERY, CARDIAC VALVE REPLACEMENT AND REPAIR, PERCUTANEOUS PERIPHERAL VASCULAR INTERVENTION, VIDEO-ASSISTED THORACOSCOPY, AORTIC DISSECTION, AND MANY OTHER LIFESAVING PROCEDURES. WATCHMAN DESPITE THE PANDEMIC, FREEMAN HEALTH SYSTEM CONTINUES BRINGING EXCITING NEW ADVANCES TO THE COMMUNITIES IT SERVES. RECENTLY, FREEMAN BECAME THE FIRST AND ONLY HEALTH SYSTEM IN THE AREA TO PROVIDE THE GAME-CHANGING WATCHMAN IMPLANT, A PERMANENT HEART DEVICE THAT REDUCES THE RISK OF STROKE IN PATIENTS WITH ATRIAL FIBRILLATION, AN IRREGULAR, OFTEN RAPID HEART RATE THAT CAUSES POOR BLOOD FLOW. IT AFFECTS ABOUT 6 MILLION PEOPLE IN THE UNITED STATES EACH YEAR. THE WATCHMAN PROCEDURE IS A MINIMALLY INVASIVE, ONE-TIME PROCEDURE. CATH LAB RENOVATION ALSO DURING THE PANDEMIC, FREEMAN COMPLETED MAJOR RENOVATIONS TO ONE OF ITS FOUR CATHETERIZATION LABS. THE ROOM IS REDESIGNED FOR BETTER WORKFLOW, MAKING IT MORE EFFICIENT FOR STAFF PROVIDING CARE. A NEW GENERATION OF CATHETERIZATION LAB MACHINE - A GE INNOVAT - IS IN PLACE TO OFFER THE MOST UP-TO-DATE TECHNOLOGY. THE NEW EQUIPMENT IS A MAJOR INVESTMENT BY FREEMAN, COSTING MORE THAN A MILLION DOLLARS AND WILL IMPROVE HEART CARE FOR PATIENTS IN THE COMMUNITY. TAVR FREEMAN'S STRUCTURAL HEART PROGRAM ENABLES PHYSICIANS FROM DIFFERENT DISCIPLINES TO MERGE THEIR EXPERTISE IN ONE ROOM FOR THE BENEFIT OF THE PATIENT. FOR INSTANCE, TWO TEAMS-THE CARDIOTHORACIC SURGEON'S TEAM AND THE CARDIOLOGIST'S TEAM-CAN WORK AS ONE TO ACHIEVE OPTIMAL RESULTS WHILE IMPROVING PATIENT CARE AND EFFICIENCY. IN ITS HYBRID CVOR, FREEMAN USES A BEST-IN-CLASS CARDIOVASCULAR X-RAY IMAGING SYSTEM WITH THE FLEXIBILITY AND PERFORMANCE TO MEET ANY PATIENT'S NEEDS. THIS SYSTEM PRODUCES PRECISE, HIGH-RESOLUTION IMAGES THAT ENABLE THE HEART-CARE TEAM TO PERFORM PROCEDURES USUALLY FOUND AT CARDIAC CENTERS IN UNIVERSITY HOSPITAL SETTINGS. BECAUSE OF ITS INVESTMENT IN THE STRUCTURAL HEART PROGRAM, FREEMAN IS THE FIRST AND ONLY HEALTH SYSTEM IN ITS SERVICE AREA TO PROVIDE TAVR, A MINIMALLY INVASIVE PROCEDURE THAT GIVES HOPE TO PATIENTS WHO SUFFER FROM SEVERE AORTIC STENOSIS, BUT WHO ARE TOO FRAGILE FOR COMPLEX OPEN-HEART SURGERY. WORLD'S SMALLEST PACEMAKER FREEMAN IS THE ONLY HOSPITAL IN ITS SERVICE AREA TO USE THE MEDTRONIC MICRA TRANSCATHETER PACING SYSTEM (TPS), WHICH IS LEADLESS AND SELF-CONTAINED WITHIN THE HEART. THE MICRA TPS IS 93 PERCENT SMALLER THAN TRADITIONAL DEVICES-ABOUT THE SIZE OF A MULTIVITAMIN-MAKING IT THE WORLD'S SMALLEST PACEMAKER. THE DEVICE IS IMPLANTED DURING A MINIMALLY INVASIVE PROCEDURE-PLACED IN THE HEART VIA A LEG VEIN. COMPLETELY SELF-CONTAINED WITHIN THE HEART, IT ELIMINATES POTENTIAL MEDICAL COMPLICATIONS ARISING FROM WIRE LEADS THAT RUN A CONVENTIONAL PACEMAKER INTO THE HEART. AFTER THE PROCEDURE, PATIENTS ARE TYPICALLY UP AND WALKING WITHIN HOURS, AND SOME CAN GO HOME THE SAME DAY. IT HAS A BATTERY LIFE OF 10-12 YEARS AND IS THE ONLY TRANSCATHETER PACING SYSTEM APPROVED FOR FULL-BODY MRI SCANS. DESIGNATED A LEVEL I STEMI CENTER BY THE STATE OF MISSOURI, FREEMAN PROVIDES CARE FOR RAPID, COORDINATED, EXPERT HEART ATTACKS AND ALSO MEETS STANDARDS FOR PROVIDING COMMUNITY EDUCATION ON HEART HEALTH. COMPLIANCE WITH STATE STANDARDS REQUIRES A STEMI CENTER TO PLACE EMPHASIS ON EDUCATING HEALTHCARE WORKERS AND THE PUBLIC ABOUT RECOGNITION, PREVENTION, AND TREATMENT OF STEMI. FREEMAN HEALTHCARE PROFESSIONALS HAVE PRESENTED PROGRAMS ON STEMI IN BUSINESSES THROUGHOUT THE AREA. THROUGH PROGRAMS LIKE FREEMAN SCREEN TEAM, FREEMAN ADVANTAGE, AND SUPPORT GROUPS, FREEMAN CONTINUES TO LEAD THE WAY IN EMPOWERING THE PUBLIC WITH LIFE-SAVING INFORMATION. WITH LEVEL I STEMI CENTER DESIGNATION, FREEMAN IS SETTING THE STANDARD FOR EXCELLENCE IN HEART CARE THROUGHOUT THE AREA. RECOGNIZING THE NEED FOR CONTINUOUS PERFORMANCE IMPROVEMENT IN ALL ASPECTS OF CARDIAC CARE, FREEMAN HEART & VASCULAR INSTITUTE DEVELOPED THE CARDIAC PERFORMANCE IMPROVEMENT COMMITTEE, A COMMITTEE THAT INCLUDES REPRESENTATIVES FROM CARDIOLOGY, CARDIOTHORACIC SURGERY, AND THE STEMI PROGRAM, AS WELL AS ADMINISTRATION, EMERGENCY SERVICES, INTENSIVE CARE, SYSTEM QUALITY IMPROVEMENT, AND OTHERS. THE COMMITTEE REVIEWS REGISTRY CASES THAT VARY FROM THE RECOMMENDED GUIDELINES FOR CARE, AND WORKS WITH THE QUALITY COUNCIL AND QUALITY IMPROVEMENT COMMITTEE TO MAKE RECOMMENDATIONS TO ASSURE QUALITY OF CARE AND PATIENT SAFETY. IF QUALITY IMPROVEMENT PROCESSES ARE IMPLEMENTED AND DO NOT YIELD THE EXPECTED OUTCOMES, NEWS TACTICS ARE PLANNED AND REVISED AS NEEDED UNTIL THE DESIRED RESULTS ARE ACHIEVED. ADDITIONALLY, FREEMAN'S MULTIDISCIPLINARY COMMITTEE MEETS TWICE A MONTH WITH THE PURPOSE OF IMPROVING PATIENT CARE. MEMBERS OF ADMINISTRATION, CARDIOLOGY, CARDIOTHORACIC SURGERY, AND SYSTEM QUALITY IMPROVEMENT IDENTIFY PREVENTABLE AND POTENTIALLY PREVENTABLE ISSUES AND DEFINE A COURSE OF ACTION. WITH DEDICATED PHYSICIAN ENGAGEMENT, FREEMAN HAS FOUND SUCCESS WITH IDENTIFYING GAPS IN CARE AND FACILITATING PROCESS CHANGES TO IMPROVE WORKFLOW EFFICIENCIES. THE WORK OF THE CARDIAC PERFORMANCE IMPROVEMENT AND MULTIDISCIPLINARY COMMITTEES DIRECTLY CONTRIBUTED TO FREEMAN RECEIVING THE AHA/ASA MISSION LIFELINE STROKE AND NON-STEMI AWARDS. CLINICAL TRIALS AT FREEMAN, RESEARCH AND CLINICAL STUDIES ARE INTEGRAL COMPONENTS OF CONTINUOUS QUALITY IMPROVEMENT. FREEMAN HEART & VASCULAR INSTITUTE PARTICIPATES IN MANY NATIONAL STUDIES OF CARDIOVASCULAR TREATMENT. ADMINISTRATIVE SUPPORT ANOTHER FACTOR THAT SPEAKS TO QUALITY OF CARE IS THE SUPPORT FREEMAN HEART & VASCULAR INSTITUTE RECEIVES FROM FREEMAN'S SENIOR LEADERSHIP TEAM AND BOARD OF DIRECTORS. WITH A FOCUS ON PROVIDING THE BEST TOOLS TO TAKE CARE OF PATIENTS, FREEMAN CONTINUALLY INVESTS IN HEART-CARE TECHNOLOGIES, SUCH AS CATH LAB UPDATES AND THE HYBRID OR FOR THE STRUCTURAL HEART PROGRAM. HEARTWISE PATIENTS OFTEN FEEL ALARMED TO LEARN THEY HAVE A CHRONIC CARDIAC CONDITION. ALTHOUGH RECEIVI
FORM 990, PART V, LINE 2A	COMMON PAYMASTER ARRANGEMENT & SALARIES: FREEMAN HEALTH SYSTEM FILES ALL W-2'S ON BEHALF OF FREEMAN NEOSHO HOSPITAL (FNH), A RELATED ORGANIZATION. THE AMOUNT OF W-2'S FILED FOR THE YEAR ON PART V, LINE 2A, INCLUDES THE AMOUNT OF W-2'S FILED ON BEHALF OF FNH FOR THOSE THAT WORK PRIMARILY FOR FNH AND THE W-2'S FILED FOR FREEMAN HEALTH SYSTEM EMPLOYEES. SALARY AND BENEFITS EXPENSES ARE ALLOCATED FROM FREEMAN HEALTH SYSTEM TO FNH FOR THOSE EMPLOYEES WHO WORK PRIMARILY FOR FNH.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE DRAFT OF THE FORM 990 IS REVIEWED BY MEMBERS OF TOP MANAGEMENT. ONCE A FINAL DRAFT IS READY, A POWER POINT PRESENTATION IS MADE TO THE BOARD MEMBERS AT THE BOARD OF DIRECTORS MEETING TO EXPLAIN THE 990 AND ITS USES. THE BOARD REVIEWS THE DOCUMENT FOR KEY INFORMATION INCLUDED. PAPER COPIES ARE MADE AVAILABLE TO THE BOARD MEMBERS AT THEIR REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS EACH YEAR IN APRIL. THE BOARD MEMBERS ARE ASKED TO SIGN A NEW CONFLICT OF INTEREST POLICY AND LIST ANY POSSIBLE CONFLICTS. THIS INFORMATION IS REVIEWED AND MAINTAINED IN THE ADMINISTRATIVE OFFICES. IF A BOARD MEMBER ENCOUNTERS A TRANSACTION THAT WOULD CAUSE A POSSIBLE CONFLICT OF INTEREST, A FORM DETAILING THE TRANSACTION IS COMPLETED AND SUBMITTED TO THE BOARD FOR REVIEW AND APPROVAL. IF A CONFLICT IS FOUND, THE INTERESTED PERSON WILL NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON A TRANSACTION INVOLVING HIS OR HER CONFLICT. THE CONFLICT OF INTEREST POLICY WAS UPDATED IN FISCAL YEAR 2011 TO REQUIRE AN ATTESTATION FORM FROM ALL EMPLOYED PHYSICIANS AND LEVEL FOUR SUPERVISORS/MANAGERS AND UP. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15A	FREEMAN HEALTH SYSTEM COMPENSATION REVIEW: EXECUTIVE COMPENSATION PHILOSOPHY & STRATEGY I. KEY PRINCIPLES FREEMAN HEALTH SYSTEM ("FHS") DESIRES TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE, FAIR, AND EQUITABLE; COMPLIANT WITH REGULATORY GUIDELINES; AND REPRESENTATIVE OF MARKET BEST PRACTICES. KEY PRINCIPLES THAT GUIDE FHS'S EXECUTIVE COMPENSATION DECISION-MAKING PROCESS INCLUDE: -EXECUTIVE COMPENSATION PROGRAMS WILL SUPPORT FHS'S MISSION, VALUES, STRATEGIC DIRECTION, AND TAX-EXEMPT STATUS. -FHS COMPETES IN A NATIONAL MARKET FOR ITS EXECUTIVES AND THUS WILL CONSIDER PAY PRACTICES THAT ARE REPRESENTATIVE OF THE INDUSTRY. -THE RELATIVE PAY LEVELS OF FHS EXECUTIVES WILL OVER TIME REFLECT BOTH INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. -FHS INTENDS TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRS INTERMEDIATE SANCTIONS REGULATIONS. THUS, EXECUTIVE COMPENSATION PROGRAMS AND DECISIONS WILL BE APPROVED, IN ADVANCE OF ITS IMPLEMENTATION BY THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") OF THE BOARD OF DIRECTORS: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF FHS'S MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FHS. THE COMMITTEE WILL RELY UPON APPROPRIATE, INDEPENDENT COMPARABILITY DATA TO SUPPORT ITS DECISION MAKING PROCESS. THE COMMITTEE WILL ADEQUATELY DOCUMENT ITS DELIBERATIONS, DECISIONS, AND ACTIONS ON A TIMELY BASIS. II. PRIMARY PROGRAM COMPONENTS FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM CONSISTS OF THE FOLLOWING COMPONENTS: -BASE SALARY -ANNUAL AT RISK COMPENSATION -STANDARD ALL EMPLOYEE BENEFITS -SUPPLEMENTAL BENEFITS AND PERQUISITES -SEVERANCE ANNUALLY, THE COMMITTEE WILL DIRECT THE REVIEW OF THE COMPONENTS OF THE EXECUTIVE COMPENSATION PROGRAM AND APPROVE PROGRAM MODIFICATIONS AS APPROPRIATE. THE COMMITTEE MAY ALSO AUTHORIZE UNIQUE PROGRAM COMPONENTS WHICH SUPPORT THE ACHIEVEMENTS OF FHS'S MISSION. III. MARKET COMPARATORS FHS WILL CONSIDER A NATIONAL PEER GROUP OF HEALTHCARE ORGANIZATIONS COMPARABLE TO FHS IN SIZE (I.E., NET REVENUES) AND COMPLEXITY TO DETERMINE THE MARKET VALUES FOR EACH OF ITS EXECUTIVE POSITIONS. THIS PEER GROUP WILL PRIMARILY BE COMPRISED OF NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS (BUT FOR-PROFIT ORGANIZATIONS MAY BE CONSIDERED SELECTIVELY) FOR FUNCTIONALLY COMPARABLE POSITIONS AS REPORTED IN SURVEYS CONDUCTED BY INDEPENDENT FIRMS. -CASH COMPENSATION THE FOLLOWING ORGANIZATIONS/MARKETS ARE THE PRIMARY COMPARATORS FOR COMPENSATION PURPOSES: SYSTEM LEVEL EXECUTIVES: HEALTH SYSTEMS OF COMPARABLE SIZE TO FHS, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. HOSPITAL LEVEL EXECUTIVES: HOSPITALS OF COMPARABLE SIZE TO THE FHS ENTITY, BASED ON NET REVENUE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKETS. OTHER EXECUTIVES: ORGANIZATIONS OF COMPARABLE SIZE IN RELEVANT MARKET SEGMENTS SUCH AS MEDICAL GROUP PRACTICES, HOME HEALTH, AND THE LIKE. THESE WILL BE BASED ON NATIONAL HEALTHCARE LABOR MARKET. -EXECUTIVE BENEFITS FHS WILL DEVELOP AND ADMINISTER EXECUTIVE BENEFIT (I.E., STANDARD BENEFITS, SUPPLEMENTAL EXECUTIVE BENEFITS, AND PERQUISITES) PLANS THAT ARE BASED ON NATIONAL HEALTHCARE INDUSTRY MARKET NORMS. IV. MARKET POSITION TARGETS FHS HAS ESTABLISHED A TARGET MARKET POSITION FOR EACH OF THE COMPONENTS OF ITS EXECUTIVE TOTAL COMPENSATION PROGRAM. -BASE SALARIES: FHS WILL MANAGE ITS EXECUTIVES' BASE SALARIES AROUND THE 50TH PERCENTILE OF BASE SALARIES PAID IN THE MARKET. SALARIES WILL VARY FROM THE 50TH PERCENTILE BASED AN EXECUTIVE'S EXPERIENCE AND PERFORMANCE. FOR EXAMPLE: EXECUTIVES WHO ARE NEW TO THE ORGANIZATION AND/OR HAVE LIMITED OR NO PRIOR EXECUTIVE-LEVEL EXPERIENCE SHOULD HAVE SALARIES THAT ARE 80 TO 90 PERCENT OF THE 50TH PERCENTILE. EXPERIENCED EXECUTIVES (WITH APPROXIMATELY 5 TO 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY MEET FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 90 TO 110 PERCENT OF THE 50TH PERCENTILE. *EXPERIENCED EXECUTIVES (WITH MORE THAN 7 YEARS OF EXECUTIVE-LEVEL EXPERIENCE) WHO CONSISTENTLY EXCEED FHS'S PERFORMANCE EXPECTATIONS SHOULD HAVE SALARIES THAT ARE 110 TO 120 PERCENT OF THE 50TH PERCENTILE. -TOTAL CASH COMPENSATION: THE GOAL OF THIS COMPONENT IS TO PAY UP TO THE 75TH PERCENTILE OF MARKET TOTAL CASH COMPENSATION WHEN EXCEPTIONAL PERFORMANCE IS ACHIEVED. TOTAL CASH COMPENSATION INCLUDES BASE SALARIES AND LUMP-SUM AWARDS FROM FHS'S EXECUTIVE AT RISK COMPENSATION PLAN(S). ACTUAL TOTAL CASH COMPENSATION WILL REFLECT EXECUTIVES' CURRENT SALARIES, INDIVIDUAL PERFORMANCE AND CONTRIBUTIONS, AND THE ORGANIZATION'S PERFORMANCE. -EXECUTIVE BENEFITS: FHS TARGETS EXECUTIVE BENEFITS (STANDARD BENEFITS PLUS SUPPLEMENTAL EXECUTIVE BENEFITS AND PERQUISITES) AT THE 50TH PERCENTILE OF EXECUTIVE BENEFITS PROVIDED IN THE HEALTHCARE MARKET. -SEVERANCE: FHS TARGETS EXECUTIVE SEVERANCE AT THE 50TH PERCENTILE OF CURRENT HEALTHCARE MARKET PRACTICES. OTHER BUSINESS JUDGMENT FACTORS SUCH AS COMPETITIVE MARKET FORCES, EACH EXECUTIVE'S JOB PERFORMANCE, EACH EXECUTIVE'S UNIQUE SKILLS, RESPONSIBILITIES AND EFFORTS, AND/OR EACH EXECUTIVE'S MARKETPLACE STANDING, ARE ALSO CONSIDERED BY THE COMMITTEE DURING ITS DECISION MAKING PROCESS.
FORM 990, PART VI, SECTION B, LINE 15A	FREEMAN HEALTH SYSTEM COMPENSATION REVIEW (CONTINUED): EXECUTIVE COMPENSATION COMMITTEE CHARTER THIS EXECUTIVE COMPENSATION COMMITTEE CHARTER WAS ADOPTED BY THE BOARD OF DIRECTORS (THE "BOARD") OF FREEMAN HEALTH SYSTEM (HEREAFTER "FHS") ON APRIL 25, 2008. THIS CHARTER APPLIES TO FHS AND ALL OF ITS BUSINESS ENTITIES, INCLUDING FREEMAN NEOSHO HOSPITAL, OZARK CENTER AND THE FREEMAN FOUNDATION (HEREAFTER THE "SYSTEM"). THIS CHARTER IS A COMPONENT OF THE FLEXIBLE FRAMEWORK WITHIN WHICH THE BOARD, ASSISTED BY ITS COMMITTEES, DIRECTS THE AFFAIRS OF FHS. WHILE THE CHARTER SHOULD BE INTERPRETED IN THE CONTEXT OF ALL APPLICABLE LAWS AND REGULATIONS, AS WELL AS IN THE CONTEXT OF FHS'S ARTICLES OF INCORPORATION AND BYLAWS, IT IS NOT INTENDED TO ESTABLISH BY ITS OWN FORCE ANY LEGALLY BINDING OBLIGATIONS. I. PURPOSE THE EXECUTIVE COMPENSATION COMMITTEE (HEREAFTER THE "COMMITTEE") IS AUTHORIZED TO ACT ON THE BOARD'S BEHALF IN (I) DETERMINING APPROPRIATE COMPENSATION FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE IRS INTERMEDIATE SANCTIONS REGULATIONS; (II) EVALUATING SYSTEM EXECUTIVESOTHER DISQUALIFIED PERSONS' CASH COMPENSATION PLANS, POLICIES, AND PROGRAMS; (III) REVIEWING BENEFIT PLANS FOR SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS; AND (IV) VERIFYING THAT COMPENSATION INFORMATION IS APPROPRIATELY AND FULLY DISCLOSED. -A DISQUALIFIED PERSON: IS ANY PERSON WHO IS OR WAS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE APPLICABLE TAX-EXEMPT ORGANIZATION. IT IS NOT NECESSARY THAT THE PERSON ACTUALLY EXERCISE SUBSTANTIAL INFLUENCE, ONLY THAT THE PERSON BE IN A POSITION TO DO SO. -FOR PURPOSES OF THIS CHARTER, "EXECUTIVES" ARE DEFINED AS SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS VALIDATED BY THE COMMITTEE. IN DISCHARGING ITS ROLE, THE COMMITTEE IS EMPOWERED TO INVESTIGATE ANY MATTER BROUGHT TO ITS ATTENTION WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE SYSTEM. IT HAS THE AUTHORITY TO RETAIN OUTSIDE ADVISORS (E.G., LEGAL COUNSEL, COMPENSATION CONSULTANTS, OR OTHER EXPERTS) AND WILL RECEIVE ADEQUATE FUNDING FROM THE SYSTEM TO ENGAGE SUCH ADVISORS. IT SHALL HAVE THE SOLE AUTHORITY TO RETAIN, COMPENSATE, TERMINATE, AND OVERSEE ITS ADVISORS, WHO SHALL BE ACCOUNTABLE ULTIMATELY TO THE COMMITTEE. TO SUPPORT THE COMMITTEE, A TIMETABLE AND RESOURCE BOOK WILL BE DEVELOPED CONTAINING THE NECESSARY DATA, INFORMATION, AND DOCUMENTS THE COMMITTEE WILL NEED TO CARRY OUT ITS DUTIES. THE RESOURCE BOOK WILL BE DISTRIBUTED TO THE COMMITTEE IN ADVANCE OF ITS MEETINGS AND FHS WILL MAINTAIN THESE BOOKS AT ITS CORPORATE OFFICE. THE COMMITTEE ALSO WILL RECEIVE TRAINING IN COMPENSATION PLAN DESIGN AND ADMINISTRATION, INCLUDING LEGAL AND REGULATORY ISSUES (AS NEEDED). II. COMMITTEE MEMBERSHIP THE COMMITTEE IS A STANDING COMMITTEE OF THE BOARD. IN ACCORDANCE WITH THE CORPORATE BYLAWS, IT SHALL CONSIST OF AT LEAST THREE, BUT NOT MORE THAN FIVE, MEMBERS OF THE BOARD. EACH COMMITTEE MEMBER HAS BEEN DETERMINED BY THE BOARD TO BE "INDEPENDENT" IN ACCORDANCE WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. AT THE START OF THE YEAR, EACH MEMBER WILL REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY TO ENSURE HE OR SHE HAS NO CONFLICT OF INTEREST AND IS "INDEPENDENT". IF A REAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST IS IDENTIFIED, THE COMMITTEE MEMBER WILL REVIEW THE ISSUE WITH THE COMMITTEE CHAIR AND LEGAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION. IN ADDITION, NO DIRECTOR MAY SERVE ON THE COMMITTEE UNLESS HE OR SHE IS A "NON-EMPLOYEE" MEMBER OF A SYSTEM BOARD. THE FHS BOARD WILL APPOINT A COMMITTEE CHAIR TO CONVENE ALL SESSIONS, SET AGENDAS FOR MEETINGS, AND DETERMINE THE INFORMATION NEEDS OF THE COMMITTEE. BEFORE DEBATING AND VOTING ON ANY COMPENSATION ARRANGEMENT, EACH MEMBER SHALL DETERMINE WHETHER HE OR SHE HAS A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENT. ANY MEMBER WITH A CONFLICT OF INTEREST REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION SHALL RECUSE HIMSELF OR HERSELF FROM THE DISCUSSION AND SHALL NOT VOTE ON THE PENDING COMPENSATION ARRANGEMENT OR TRANSACTION. III. COMMITTEE SUPPORT STAFF THE COMMITTEE SHALL BE ASSISTED IN FULFILLING ITS DUTIES AND RESPONSIBILITIES BY A FHS SUPPORT STAFF COMPRISED OF THE FOLLOWING POSITIONS: -THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) -CHIEF FINANCIAL OFFICER -CONTROLLER -DIRECTOR OF HUMAN RESOURCES FROM TIME TO TIME, THE COMMITTEE MAY REQUEST OTHER SYSTEM POSITIONS TO SERVE AS SUPPORT STAFF MEMBERS. WHEN THE COMMITTEE VOTES ON COMPENSATION MATTERS RELATED TO ANY OF THE SUPPORT STAFF, THE SUPPORT STAFF SHOULD BE EXCUSED FROM THE MEETING. IV. COMMITTEE MEETINGS THE COMMITTEE SHALL MEET ON A REGULARLY SCHEDULED BASIS TWO TIMES PER YEAR OR MORE FREQUENTLY AS CIRCUMSTANCES DICTATE. THE COMMITTEE SHALL MEET AT LEAST (ANNUALLY) WITH FHS'S PRESIDENT AND CEO AND OTHER CORPORATE OFFICERS THE BOARD AND COMMITTEE DEEM APPROPRIATE, TO DISCUSS AND REVIEW THE PERFORMANCE CRITERIA AND COMPENSATION LEVELS OF SYSTEM EXECUTIVES AND OTHER DISQUALIFIED PERSONS. MEETINGS OF THE COMMITTEE MAY BE HELD TELEPHONICALLY. A MAJORITY OF THE MEMBERS SHALL CONSTITUTE A QUORUM SUFFICIENT FOR THE TAKING OF ANY ACTION BY THE COMMITTEE. V. COMMITTEE RESPONSIBILITIES THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE WITH THE UNDERSTANDING THAT THE COMMITTEE MAY DIVERGE FROM THIS LIST AS APPROPRIATE GIVEN THE CIRCUMSTANCES. THE COMMITTEE SHALL REPORT ANY DIVERGENCE FROM THIS LIST TO THE FULL BOARD. THE COMMITTEE IS AUTHORIZED TO CARRY OUT THESE AND SUCH OTHER RESPONSIBILITIES ASSIGNED BY THE BOARD FROM TIME TO TIME, AND TAKE ANY ACTIONS REASONABLY RELATED TO THE MANDATE OF THIS CHARTER. -ESTABLISH, REGULARLY REVIEW, AND APPROPRIATELY MODIFY THE FHS EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY WILL BE REVIEWED AND APPROVED BY THE FULL BOARD. -ADMINISTER EXECUTIVE COMPENSATION PROGRAMS IN A MANNER: CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY, THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE IRS INTERMEDIATE SANCTIONS REGULATIONS. -VALIDATE THE GOALS AND OBJECTIVES RELEVANT TO THE COMPENSATION OF THE PRESIDENT AND CEO, SYSTEM EXECUTIVES, AND OTHER DISQUALIFIED PERSONS, INCLUDING ANNUAL PERFORMANCE OBJECTIVES. -EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CEO, AND REVIEW THE EVALUATIONS PREPARED BY THE PRESIDENT/CEO AND OTHER SYSTEM EVALUATION COMMITTEES OF OTHER EXECUTIVES/DISQUALIFIED PERSONS BASED ON APPROVED GOALS AND OBJECTIVES. -ESTABLISH THE COMPENSATION LEVEL FOR THE PRESIDENT/CEO AND REVIEW AND APPROVE COMPENSATION RECOMMENDATIONS PREPARED BY THE PRESIDENT/CEO FOR ALL EXECUTIVES AND DO SAME FOR EXECUTIVES AND DISQUALIFIED PERSONS FROM OTHER SYSTEM ENTITIES. -REVIEW AND APPROVE CHANGES, IN ADVANCE OF THEIR IMPLEMENTATION, INCLUDING: EXECUTIVE BASE SALARIES AND RANGE AT RISK COMPENSATION PLANS EXECUTIVE WELFARE AND RETIREMENT BENEFIT PLANS OTHER EXECUTIVE FRINGE BENEFITS *EMPLOYMENT AGREEMENTS AND/OR SEVERANCE PLANS -MAINTAIN MINUTES OR OTHER RECORDS OF COMMITTEE MEETINGS AND ACTIVITIES, AS REQUIRED BY IRS INTERMEDIATE SANCTIONS REGULATIONS. -ENGAGE INDEPENDENT, OUTSIDE ADVISORS TO PROVIDE OBJECTIVE AND IMPARTIAL COMPENSATION DATA AND EXPRESS AN OPINION ON THE REASONABLENESS OF TOTAL COMPENSATION. -REVIEW PERIODICALLY THE COMPONENTS OF FHS'S EXECUTIVE TOTAL COMPENSATION PROGRAM TO DETERMINE WHETHER THEY ARE PROPERLY COORDINATED AND ACHIEVE ITS INTENDED PURPOSE(S), AND APPROVE MODIFICATIONS, INCLUDING NEW PROGRAMS. -REPORT REGULARLY TO THE FULL BOARD AND TO OTHER SYSTEM BOARDS ON COMMITTEE FINDINGS AND APPROVED ACTIONS AND ANY OTHER MATTERS THE COMMITTEE DEEMS APPROPRIATE OR THE BOARD REQUESTS. -CONDUCT AN ANNUAL SELF-EVALUATION OF THE COMMITTEE'S PERFORMANCE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER. -REVIEW AND REASSESS THE ADEQUACY OF THIS CHARTER ANNUALLY, AND AMEND IT AS THE COMMITTEE DEEMS APPROPRIATE. -COMMUNICATE WITH EXTERNAL PARTIES, AS APPROPRIATE, REGARDING COMMITTEE PROCEDURES AND THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES AND OTHER DISQUALIFIED PERSONS. A COMPENSATION REVIEW LAST OCCURRED IN JULY 2021 USING GALLAGHER BENEFIT SERVICES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT AVAILABILITY: FREEMAN HEALTH SYSTEM DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VII	BOARD MEMBER COMPENSATION: NO DIRECTORS RECEIVE COMPENSATION FOR THEIR SERVICES AS BOARD MEMBERS. BOARD MEMBERS LARRY MCINTIRE, JOSHUA BALL AND JOHN COX ARE EMPLOYEES OF THE ORGANIZATION AND COMPENSATED AS PHYSICIANS. ADDITIONALLY, PAULA BAKER RECEIVES COMPENSATION FOR HER DUTIES AS PRESIDENT/CEO OF BOTH FREEMAN HEALTH SYSTEM AND FREEMAN NEOSHO HOSPITAL.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ 1,796 CHANGE IN VALUE OF PLEDGED ASSETS

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: FREEMAN HEALTH SYSTEM 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	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	4,671
6	Total number of volunteers (estimate if necessary) .............	6	102
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	8,100,310
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	570,165

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	17,818,830	3,219,266
9	Program service revenue (Part VIII, line 2g) .........	564,178,641	618,593,171
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,929,327	16,032,873
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,347,798	5,625,172
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	596,274,596	643,470,482
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,729,762	1,310,322
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)	304,208,712	338,971,420
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 599,578
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	250,979,987	260,980,014
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	557,918,461	601,261,756
19	Revenue less expenses. Subtract line 18 from line 12.......	38,356,135	42,208,726
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	748,525,518	746,514,735
21	Total liabilities (Part X, line 26).............	272,455,599	229,717,163
22	Net assets or fund balances. Subtract line 21 from line 20.....	476,069,919	516,797,572

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 316,824,063 including grants of $ 1,310,322 ) (Revenue $ 361,145,550 )
	FREEMAN OFFERS OUTPATIENT SERVICES INCLUDING CANCER CARE, RADIATION ONCOLOGY, EMERGENCY MEDICINE, WOMEN'S SERVICES, GASTROENTEROLOGY, DIALYSIS, WOUND CARE, NEUROLOGY, ORTHOPAEDICS, OTOLARYNGOLOGY, GERIATRIC CARE, A PHARMACY, WALK-IN CLINICS, HOME CARE, OCCUPATIONAL MEDICINE, OUTPATIENT SURGERY, REHABILITATION THERAPIES, HEART AND VASCULAR SERVICES, RADIOLOGY, LABORATORY SERVICES, AND MORE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4b	(Code: ) (Expenses $ 167,882,406 including grants of $ ) (Revenue $ 193,550,357 )
	FREEMAN PROVIDES INPATIENT SERVICES IN JOPLIN THROUGH TWO HOSPITALS-FREEMAN HOSPITAL WEST AND FREEMAN HOSPITAL EAST. IN THESE TWO HOSPITALS, PATIENTS RELY ON A VARIETY OF MEDICAL UNITS FOR MEDICAL CARE. THESE INCLUDE THE GENERAL MEDICAL, GENERAL SURGERY, ORTHOPAEDIC, NEUROSURGERY, CARDIOVASCULAR, CARDIAC/MEDICAL, ONCOLOGY, CRITICAL CARE (INTENSIVE AND TRANSITIONAL), NICU (NEONATAL ICU), MATERNAL, PEDIATRIC, PSYCHIATRIC, GERIATRIC PSYCHIATRIC, AND PHYSICAL REHABILITATION UNITS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4c	(Code: ) (Expenses $ 29,945,548 including grants of $ ) (Revenue $ 63,897,264 )
	FREEMAN HEART & VASCULAR INSTITUTE IS RANKED AMONG THE NATION'S BEST FOR HEART ATTACK PATIENT CARE. IN FACT, FREEMAN HEALTH SYSTEM IS ONE OF ONLY 240 HOSPITALS NATIONWIDE TO RECEIVE THE AMERICAN COLLEGE OF CARDIOLOGY NCDR CHEST PAIN - MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2022. THE AWARD RECOGNIZES FREEMAN HEART & VASCULAR INSTITUTE'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses514,652,017

(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)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) MICHAEL B SANDERS........................................................................ CONTROLLER	60.0 .......................0.0			X		273,333	0	28,806
(19) JEFFREY CARRIER........................................................................ FORMER CCO	0.0 .......................0.0				X	141,262	0	5,548
(20) BRANDON C DAVIS........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0	0
(21) GLENN MITCH MCCUMBER........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0	0
(22) GLENN BROWN........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0	0
(23) J SCOTT BROTHERS........................................................................ VICE CHAIR	1.0 .......................0.0	X	X			0	0	0
(24) JAMES FLEISCHAKER........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0	0
(25) JIM ARMSTRONG........................................................................ SECRETARY/TREASURER	1.0 .......................0.0	X	X			0	0	0
(26) LANCE BESHORE PHD........................................................................ CHAIR	1.0 .......................0.0	X	X			0	0	0
(27) MARK WILLIAMS........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0	0
(28) RODNEY MCFARLAND MD........................................................................ DIRECTOR	1.0 .......................0.0	X				0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	19,378,103	564,639	567,426

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	125,164
d	Related organizations		1d
e	Government grants (contributions)		1e	2,633,796

f	All other contributions, gifts, grants, and similar amounts not included above		1f	460,306

g	Noncash contributions included in lines 1a - 1f:$		1g	26,025

h Total. Add lines 1a-1f.......		3,219,266

		Business Code
2a	PATIENT SERVICES	621990	581,833,341	581,833,341
b	CAFETERIA & VENDING	722210	2,366,720	2,366,720
c	RENT FROM AFFILIATES	531390	146,230	146,230
d	UNRELATED RETAIL PHARMACY	446110	3,670,997		3,670,997
e	UNRELATED LAB SERVICES	621500	137,762		137,762
f	All other program service revenue.		30,438,121	25,990,252	4,447,869
g	Total. Add lines 2a–2f .....		618,593,171

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,822,302			6,822,302
4 Income from investment of tax-exempt bond proceeds			19,336			19,336
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		2,796,345	6a
b	Less: rental expenses		753,822	6b
c	Rental income or (loss)	0	2,042,523	6c
d	Net rental income or (loss).......			2,042,523			2,042,523
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	54,521	70,108,848	7a
b	Less: cost or other basis and sales expenses	43,555	60,928,579	7b
c	Gain or (loss)	10,966	9,180,269	7c
d	Net gain or (loss).........			9,191,235			9,191,235
8a	Gross income from fundraising events (not including $ 125,164of contributions reported on line 1c). See Part IV, line 18 ....
			8a	217,787
b	Less: direct expenses ...		8b	164,010
c	Net income or (loss) from fundraising events..			53,777			53,777
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	368,963
b	Less: cost of goods sold ..		10b	216,098
c	Net income or (loss) from sales of inventory..			152,865			152,865
Business Code			Miscellaneous Revenue
11a	INVESTMENT IN SUBSIDIARY		900099	3,376,007		-156,318	3,532,325
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,376,007
12	Total revenue. See instructions.....			643,470,482	610,336,543	8,100,310	21,814,363

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,145,167	1,145,167
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	165,155	165,155
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 ...........	9,683,985	4,463,702	5,220,283
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	2,263,636	2,263,636
7	Other salaries and wages........	266,545,347	234,714,170	31,526,134	305,043
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,488,410	3,793,412	687,663	7,335
9	Other employee benefits .......	40,117,745	34,106,900	5,946,372	64,473
10	Payroll taxes ...........	15,872,297	13,438,196	2,408,762	25,339
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	100,946		100,946
c	Accounting ...........	546,033		546,033
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	305,995		305,995
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	41,378,004	21,498,879	19,805,406	73,719
12	Advertising and promotion ....	2,457,081	2,008,786	444,864	3,431
13	Office expenses .......	23,070,319	15,478,258	7,515,712	76,349
14	Information technology ......	100,180		100,180
15	Royalties ..	0
16	Occupancy ...........	6,532,515	6,527,293		5,222
17	Travel ............	767,116	570,647	194,023	2,446
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,205,092	832,214	371,942	936
20	Interest ...........	2,511,121	2,125,161	381,942	4,018
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	17,588,268	14,943,084	2,617,648	27,536
23	Insurance ...	10,748,187	4,125,664	6,622,523
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	MEDICAL SUPPLIES & DRUGS	127,551,836	127,551,836
b	PROVIDER TAXES & FEES	24,758,623	24,758,623
c	LICENSES, DUES, SUBSCRIPTIONS	924,760	141,234	779,795	3,731
d	OTHER EXEPENSE	433,938		433,938
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	601,261,756	514,652,017	86,010,161	599,578
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 ........			40,271,473	1	32,816,578
2	Savings and temporary cash investments .........			94,811,640	2	68,539,255
3	Pledges and grants receivable, net ......			4,578,495	3	3,565,929
4	Accounts receivable, net .............			68,576,041	4	81,245,137
5	Loans and other receivables from 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 ...........			18,593	7	0
8	Inventories for sale or use ............			9,919,159	8	10,112,024
9	Prepaid expenses and deferred charges ......			8,085,060	9	8,582,243
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	384,778,832
b	Less: accumulated depreciation	10b	248,600,977	135,727,967	10c	136,177,855
11	Investments—publicly traded securities .			361,634,405	11	384,271,256
12	Investments—other securities. See Part IV, line 11 .....			2,410,815	12	2,581,786
13	Investments—program-related. See Part IV, line 11 ..			4,282,456	13	4,174,722
14	Intangible assets ...............			367,030	14	367,030
15	Other assets. See Part IV, line 11 ...........			17,842,384	15	14,080,920
16	Total assets. Add lines 1 through 15 (must equal line 33)...			748,525,518	16	746,514,735

17	Accounts payable and accrued expenses .....	78,039,271	17	86,731,739
18	Grants payable ...	0	18	0
19	Deferred revenue .........	1,000,000	19	0
20	Tax-exempt bond liabilities .........	75,032,760	20	65,735,049
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 ..	3,020,495	23	3,472,959
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	115,363,073	25	73,777,416
26	Total liabilities. Add lines 17 through 25..	272,455,599	26	229,717,163

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	470,481,354	27	511,789,935
28	Net assets with donor restrictions ...........	5,588,565	28	5,007,637
	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 ...........	476,069,919	32	516,797,572
33	Total liabilities and net assets/fund balances ........	748,525,518	33	746,514,735

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) FHS HOLDINGS LLC 1102 W 32ND ST JOPLIN,MO64804 20-5441528	LT ACUTE CARE	MO	35,482	1,443,127	FREEMAN HLTH
(2) FREEMAN SURGICAL CENTER OF PITTSBURG LLC 100 N PINE ST PITTSBURG,KS66762 47-3537670	AMBULATORY SU	KS	1,901,127	1,542,965	FREEMAN HLTH

(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 NEOSHO HOSPITAL 113 W HICKORY NEOSHO,MO64850 43-1240629	HOSPITAL	MO	501(C)(3)	3	FREEMAN HLTH	Yes
(2)OZARK CENTER 3006 MCCLELLAND BLVD JOPLIN,MO64804 43-0821959	BEHAVRL HLTH	MO	501(C)(3)	10	FREEMAN HLTH	Yes
(3)CEDAR HILL HOUSING CORPORATION 3006 MCCLELLAND BLVD JOPLIN,MO64804 47-0943557	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER	Yes
(4)POPLAR PLACE HOUSING CORPORATION 3006 MCCLELLAND BLVD JOPLIN,MO64804 90-0462595	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER	Yes
(5)MAGNOLIA HEIGHTS HOUSING CORPORATION 3006 MCCLELLAND BLVD JOPLIN,MO64804 47-0950622	HUD HOUSING	MO	501(C)(3)	12 A I	OZARK CENTER	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) FREEMAN SURGICAL CE 811 W 34TH ST JOPLIN,MO64804 26-2652980	AMBULATORY SURGER	MO	FREEMAN HLTH	RELATED	3,226,187	2,444,091		No		Yes		52.328 %

(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?		(k) Percentage ownership
(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	(k) Percentage ownership