Freeman Health System

“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.”

“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.”

“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”

“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 rec”

“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.”

“Vision - to be the leading provider of patient centered, physician directed healthcare in an environment of compassion and trust, supported by dedicated employees with a desire to provide excellence in care and service. Freeman health system in joplin, missouri is a 404 bed, three hospital system providing comprehensive healthcare and behavioral health services to an area that includes more than 450,000 from missouri, arkansas, oklahoma, and kansas.”

“Program services: freeman health system, not-for-profit, community-owned, and locally governed by a volunteer board of directors, provides full-service healthcare to southwest missouri, southeast kansas, northeast oklahoma and northwest arkansas. A three-hospital health system, freeman provides comprehensive services including cancer care, heart care, orthopaedics, neurosurgery, womens services and behavioral healthcare. Freeman accepts medicaid and medicare patients and offers financial assistance and payment plans, providing a safety net to one-third of the local population with household incomes below $25,000. Freeman asks all employees and volunteers to embrace the mission of improving the health of the communities served through contemporary, innovative, quality healthcare solutions. The freeman medical team, which includes more than 300 physicians representing 60 specialties, uses the latest techniques, best practices and technologies to provide lifesaving medical care, providing constituents with the healthcare they need right in their own back yard. Joplin-area patients do not have to travel to big cities to receive heart interventions, cardiothoracic surgeries, neurosurgeries, pain therapies, intensive care, trauma care and advanced diagnostic services. The close-to-home availability of progressive healthcare services eases stress on patients, for whom travel can be uncomfortable, and their families, for whom travel can present a great financial burden. Diabetes obesity and diabetes are growing problems with serious health implications. According to the missouri department of health and senior services, 12.6 percent of southwestern missouri residents have diabetes. To address the problem and provide education to the community, freeman diabetes education hosted the ninth annual diabetes expo in november 2017. It featured presentations by freeman endocrinologists and diabetes educators, a healthy cooking demonstration and diabetes-related product demonstrations. Additionally, freeman provided health tips, healthy food samples, a cooking demonstration and a yoga tutorial on diabetes alert day in march 2018. During the event, freeman diabetes educators helped participants complete an online diabetes risk assessment. The event was free and open to the public. Kcu medical school in joplin for decades, freeman health system has worked with respected medical schools to train tomorrows physicians, providing a training ground for medical students. With the opening of the new kansas city university (kcu) medical school in joplin, freemans tradition of providing medical education facilities, classrooms, programs, preceptors and faculty continues for the benefit of the community. The school opened in summer 2017, and many freeman doctors have served as teachers at the school. Additionally, many freeman doctors have personally donated money to the school. Demonstrating continued commitment to medical education and whole-hearted support for the new medical school, freeman made a 4.8 million dollar gift to the development of the kcu satellite campus and now provides residency and training opportunities for kcu students at a cost of $85,000 per slot. The physician-training program in place at freeman dates back more than 40 years. As a teaching hospital, freeman plays a key role in the education and training of physicians in missouri, and kcu has acknowledged freeman as its academic center in joplin. It is often difficult to attract new physicians to cities located in largely rural areas, like joplin. One of the great benefits of having a medical school in joplin is that it brings new doctors into the community many of the physicians who train here will decide to make joplin their home and open their medical practices in the four-state area. Additionally, the new medical school opens a door for many local students who, otherwise, might not be able to obtain the training it takes to become a doctor. Its a golden opportunity for those w”

“Program services (continued): chaplains fund through the chaplains fund, freeman offers help to patients upon dismissal from the hospital sometimes patients cant afford a needed prescription or dont have a way to get home. The chaplains fund even pays for meals or provides gas money for a relative to drive to the hospital to pick up the patient. In fy18, the chaplains fund provided a community benefit of $22,963 through assistance for prescriptions, transportation, meals and other issues to 1,110 people. Pharmacy helping patients with pharmacy needs is one example of what is possible due to the contributions made to the freeman 340b program. Each case is evaluated individually from many angles, and guidelines help ensure prudent use these scarce healthcare funds. Also, freeman ensures that the help it provides is in compliance with all state and federal laws and regulations, being cognitive to ensure that none of the help provided could be considered as using incentives to steer patients. Maintaining compliance within the 340b program and all state and federal laws, freeman helps many people who cannot afford their prescriptions. This is just another way freeman provides care to the community. Employee community service in terms of community service as community benefit, freeman employees spent more than 39,500 hours engaged in community benefit activities in fy18. This on-the-job community benefit includes time freeman healthcare professionals spent training or serving as preceptors for student nurses, medical students and resident physicians, among others. Staff members also spent countless hours giving tours to school and community groups, working with high school students and other community members on job-shadowing projects, and engaging the public through public programs and events. Safety net for the community freeman provides emergent care for all who enter its doors, regardless of the patients ability to pay or insurance status. Freeman endeavors to give patients more options for paying their bills, including setting up payment plans for qualifying patients, a program that proves especially beneficial to people who have health insurance, but lack funds to pay large deductibles, co-payments or out-of-pocket expenses. Freeman also offers a 30 percent self-pay discount to those without insurance, but many still cannot pay for their medical care. On a related note, freeman allows freeman employees to pay off hospital bills in installments as low as $50 every two weeks. Considering the fact that freeman health system employs more than 4,500 people and most of their families receive treatment at freeman, this act alone amounts to a sizable community benefit. Freeman urgent care, with walk-in clinics in joplin and webb city, offers convenient, cost-effective care for minor medical issues. While freeman urgent care provides patients, including those without primary care providers, an appropriate, less expensive alternative to an emergency room visit, many patients still choose to use the emergency room for primary medical care, and freeman health system often does not receive reimbursement for providing this very expensive type of care to patients without insurance or the ability to pay. Helping the community freeman helps many organizations that, in turn, help some of the most fragile members of the community. For instance, for $1 per year, freeman leases the land and building at 34th street and indiana avenue to childrens center of southwest missouri, a not-for-profit agency that protects and advocates for children who have been victims of abuse. Similarly, freeman leases land to ronald mcdonald house charities of the four states for $1 per year, and freeman maintains the grounds and provides housekeeping services, services with an annual retail value of $9,000. Careers freeman health system contributes to the health of the community by creating a wide range of career opportunities. Professionals in many fields at freeman e”

“Program services (continued): blood drives freeman supports community blood center of the ozarks by hosting blood drives throughout the year. In fy18, freeman hospital west and freeman neosho hospital hosted numerous blood drives. Support for public schools freeman partners with joplin public schools, neosho public schools and carl junction public schools through bright futures, a grass roots, community-based program that encourages graduation and helps students succeed. Freeman employees volunteer as mentors and help with positive adults lunching with students, a program that pairs a caring adult with an elementary student who needs a positive role model. Freeman supports activities and events at its partner schools: joplin high school, joplin south middle school, joplin west central elementary school, joplin early childhood center and carl junction high school. This support includes providing an annual teacher appreciation breakfast, helping with annual carnivals, football concessions and more. In neosho, a "nurses helping nurses" donation drive collected much-needed medical and hygiene items for school nurses to give to students and families. In diamond, freeman participated in the moving mountains program, which is similar to bright futures. Freeman auxiliary freeman auxiliary raises funds and provides volunteer services to benefit patients, staff, visitors and the community. In fy18, freeman auxiliary provided support for: - bill & virginia leffen center for autism $10,000 (autism walk sponsorship, clays for a cause sponsorship, a field trip for students and a reunion party) - cancer institute $8,000 (patient picnic and refreshments for patients receiving chemotherapy) - cardiac bears for heart patients $4,004 - children's miracle network hospitals $15,000 - chaplains fund $10,700 - freeman gift gallery remodel - $22,828 - freeman neosho sleeper sofa and wheelchair - $4,691 - freeman neosho snacks infusion patients $500 - march o' the kidney sponsorship and dialysis patient fund $10,000 - nursing education/red carpet event sponsorship - $5,000 - nursing school support $14,000 - ozark center turnaround ranch $14,200 (new years eve party for students, recreation room remodel and social outings for students) - patient shuttle bus at freeman west - $25,000 - ronald mcdonald house charities of the four states $20,000 - student volunteer program/scholarships $7,402 additionally, freeman auxiliary and freeman volunteers collected toys, books, mittens and other items to donate to children of parents staying at ronald mcdonald house charities of the four states during the holidays. Gifts, toiletries and other essential items were also gathered for parents who stay at ronald mcdonald house charities of the four states during the holidays. Heart walk freeman health system employees continued their pledge to make the area a healthier place to live by joining the 2018 four states heart walk. Money raised benefitted american heart association for research, public health education and providing science-based treatment guidelines to healthcare professionals. Joplin christmas parade for the fourth year in a row, freeman health system managed the joplin christmas parade. Freeman donated countless man-hours to organize and orchestrate the parade, a commitment that included publicizing the event, coordinating parade entries, ensuring the parade flows smoothly, awarding prizes and more. City of joplin assistant director of public works operations lynden lawson said freeman was chosen to manage the parade for two reasons its proven ability to successfully communicate with both the city and the citizens of joplin and its ability to mobilize a group of volunteers who could handle a parade of that magnitude.”

“Outpatient services: emergency services the emergency department/trauma center at freeman hospital west treats approximately 45,000 patients each year. Emergency rooms routinely deal with homeless, mentally ill and substance-addicted patients. Freeman places mental health counselors in the emergency room on an around-the-clock basis. These counselors are available to talk with patients who show signs of mental health or substance abuse conditions. After thorough evaluation, the counselors offer recommendations regarding follow-up care ranging from assessment of suicidality and need for inpatient psychiatric hospitalization to making outpatient therapy appointments for patients before they leave the emergency room. If evaluation mandates hospitalization, counselors help find an appropriate bed and transportation. On average, counselors evaluate and recommend treatment for 54 psychiatric patients each week. As a result of this intervention, many previous frequent visitors to the emergency room have been redirected to appropriate psychiatric or substance abuse programs. Every two minutes, somewhere in america, someone is sexually assaulted. Freeman doctors and nurses offer compassionate and comprehensive care to victims of sexual assault in the emergency room through the sexual assault nurse examiner (sane) program. The program provides a coordinated hospital response and continuum of care for victims of sexual violence and ensures a medical evaluation, standardized forensic examination with evidence collection, and effective interface with law enforcement and advocacy services. It also provides education to local communities on sexual violence awareness, prevention and available services. The nurse examiner reports the crime and/or collects evidence of the sexual assault only at the victims request. In partnership with lafayette house, the program also offers emergency shelter and services. Many patients, who dont have a primary care physician, turn to the freeman emergency room for routine medical care. While freeman tries to educate the community on the benefits of using urgent care clinics and establishing a relationship with a primary care physician, patients still visit the freeman emergency room for care of colds, stomach aches, bumps and bruises that could be more efficiently treated in other venues. The cost of providing treatment in the emergency room setting is extremely expensive, and many of the patients seeking emergency care have no insurance. As a result, freeman health system often has to write off the cost of emergency treatment. Wes & jan houser womens pavilion for those needing a mammogram, bone density screening or other diagnostic procedure, wes & jan houser womens pavilion provides care in a comfortable, soothing, compassionate and respectful atmosphere. The freeman team of surgeons, radiologists and registered mammography technologists use the latest technologies to ensure patients receive the best care, advice and treatment. Wes & jan houser women's pavilion is designated breast imaging center of excellence by the american college of radiology (acr). By awarding facilities the status of breast imaging center of excellence, the acr recognizes breast imaging centers that have earned accreditation in mammography, stereotactic breast biopsy and breast ultrasound. Through the freeman helping friends mammogram fund, freeman provided 33 free mammograms in fy18 valued at $21,138 to patients who had no insurance or were underinsured. Outpatient dialysis freeman provides outpatient dialysis services through two outpatient dialysis centers, one at webb city neighborhood care and one at freeman hospital east. Freeman outpatient dialysis complements 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 referra”

“Outpatient services (continued): home care for the 10th time, freeman home care earned homecare elite status in late 2017. Homecare elite identifies the top 25 percent of medicare-certified agencies and highlights the top 100 and 500 overall. To make the list, home care providers are judged on quality of care, quality improvement, patient experience, best practices implementation and financial management. Freeman home care 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 patients needs. Staff also provide infusion therapy, wound vac (vacuum-assisted closure) therapy, total parenteral nutrition (intravenous feeding), post-operative care, medication management, catheter care and cardiopulmonary disease management. Freeman home care serves jasper, newton, mcdonald, lawrence and barry counties in missouri. In kansas, freeman home care serves cherokee county and parts of crawford county. Specialized osteoporosis services in early 2018, freeman diabetes & endocrinology institute began offering comprehensive specialty services to diagnose, treat and prevent osteoporosis. Freeman experts utilize state-of-the-art dual-energy x-ray absorptiometry (dxa) scanners for spine, hip and forearm scans, as well as ultrasound scanners for heel bone measurements. This technology enables physicians to quickly, easily and painlessly diagnose osteoporosis in its early stages to assess an individuals risk of developing fractures. Many health problems increase an individuals 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. Freeman first care to help take care of everyday or acute healthcare needs, freeman health system opened freeman first care in joplin. Freeman first care helps those who are new to the area or those without a healthcare provider get established with a primary care provider and can assist with referrals to specialists as needed. This service is also serves those who are having difficulties getting a timely appointment with their current provider. Staffed by board-certified physicians and nurse practitioners, freeman first care also offers treatment for colds and non-work related injuries, basic health tests and annual wellness exams.”

“Inpatient services: freeman health system was honored with an "a" grade in both the spring and fall 2017 leapfrog group hospital safety score. The score rates how well hospitals protect patients from errors, accidents, injuries and infections. Additionally, freeman health system was named a top teaching hospital by the leapfrog group, an independent hospital watchdog organization. Freeman is one of two hospitals in missouri and 36 nationally to receive this honor. This award demonstrates freemans extraordinary dedication to patients and the local community. As a teaching hospital, freeman plays a key role in the education and training of physicians in missouri. The new medical school in joplin, kcu-joplin, has acknowledged freeman as its academic center in joplin. Demonstrating continued commitment to medical education and whole-hearted support for the new medical school, freeman made a 4.8 million dollar gift to the development of the kcu satellite campus and now provides residency and training opportunities for kcu students at a cost of $85,000 per slot. In addition to its residency programs in internal medicine, emergency medicine, ent and psychiatry, freeman health system announced a pharmacy residency program in early 2018. The post-graduate, year-one program received a six-year accreditation from the american society of health system pharmacists, the only pharmacy residency accrediting body. Resident pharmacists take part in a one-year residency offering education in a broad area of pharmacy practice. Pharmacy residents contribute to the hospital by providing patient care rounds, drug monitoring and patient monitoring. Freeman health system was designated a rural referral center (rrc) in fy18 by the centers for medicare & medicaid services. The rrc program was established by congress to support high-volume rural hospitals that treat a large number of complicated cases and function as regional referral centers. 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. According to the rural referral center and sole community hospital coalition, rrcs minimize the need for further referrals and travel to urban areas. These hospitals also commonly establish outreach clinics to provide primary and specialty care services. Freeman joplin inpatient services totaled 19,384 cases, of which, 3,947 or 20%, were medicaid cases. Additionally, 1,555 inpatient cases, or 8% of the total, fell into the self-pay (no insurance) category. Critical care patients rely on the intensive care unit (icu) for lifesaving treatment. In the icu, physicians lead critical care services and oversee the care of critically ill patients. Freemans 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 offers a transitional care unit (tcu) for patients who are still too ill for the 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 3,846 cases, of which, 374, or 10%, were medicaid cases. Additionally, 6% of the critical care cases fell into the self-pay (no insurance) category. Heart care freeman heart & vascular institute offers rapid, expert care when patients need it the most. Recognized by anthem blue cross and blue shield in missouri as a blue distinction center+ for cardiac care, freeman heart & vascular institute provides all cardiac services in one convenient location. Services include preventive care, emergency interventions, diagnostics, open-heart surgeries, structural heart clinic, rehabilitation, cardiology clinics and education. Freeman began offering structural heart procedures in the first quarter of fy18. Cardiothoracic surgeons and cardiologists at freeman heart & vascular inst”

“Inpatient services (continued): nicu in fy18, freeman neonatal intensive care unit (nicu) provided immediate critical care for premature and critically ill infants. The unit includes skilled and experienced physicians and staff who stand ready to provide the immediate critical care premature babies need. Freeman nicu provides specialized care using state-of-the-art technology and decades of experience. Survival rates for infants less than three pounds have increased significantly as a result of the outstanding medical care provided by the freeman nicu team of doctors, neonatal nurse practitioners, specialized developmental therapists and nurses. Before freeman nicu opened in 1984, parents of 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. Since then, more than 9,000 infants have had a fighting chance to live thanks to the care they received at freeman nicu. Through freeman development office, generous donors have presented freeman nicu with the angel eye camera system that permits family members who are away from the hospital to check in on their nicu babies through a live video feed and audio connection. In fy18, freeman nicu served 297 prematurely born or critically ill babies. Of these tiny patients, 187 received medicaid, which represents 63% of freeman nicus caseload. Self-pay patients (those with no insurance) represented 1% of freeman nicu patients. Neonatal intensive care is extremely expensive to provide, and medicaid reimbursement does not cover the cost of providing the level of treatment required. Not cover the cost of providing the level of treatment required. Not cover the cost of providing the level of treatment required.”

“Freeman cancer care: freeman cornell-beshore cancer institute features quiet and relaxing exam spaces; chemotherapy/infusion areas in a spacious, windowed room; on-site labs offering fast and efficient service; private consultation areas for education; private rooms for discussion with the patient assistance group; nutritional counseling with a registered dietitian; the monthly freeman cancer support group; and the monthly freeman breast cancer support group. The cancer care team includes; board-certified medical oncologists and hematologists; multidisciplinary advanced practice nurses; oncology-certified nurse leadership; oncology-trained pharmacist; oncology-certified nurses; oncology-certified social worker; social services provider and patient assistance group; oncology clinical trial nurses; board-certified breast cancer patient navigator to support patients before, during and after treatment; oncology-trained lab staff; multi-skilled support staff; and trained volunteers. Freeman cornell-beshore cancer institute offers the latest patient care technologies and features a chemotherapy treatment area with 19 chemotherapy chairs, an infusion treatment area with 6 chairs, an on-site mix pharmacy, which allows quicker, safer and more efficient treatments, and a dedicated patient education room. Radiation oncology patients facing cancer benefit from advanced treatment options provided by radiation oncology. Freeman has invested in the most recent, state-of-the-art technology available the top-of-class truebeam linear accelerator an innovative tool that enables doctors to use a radically different approach to treating cancer with image-guided radiotherapy. This precise technology provides improved outcomes, lower doses of radiation and shorter treatment times. With this leading-edge radiotherapy system, freeman offers treatment that benefits patients by delivering enough radiation to eliminate a tumor while minimizing the amount of healthy tissue exposed to radiation. It is one of the most powerful and precise cancer treatment options in the four-state area. Simple treatments that once took 15 minutes or more can be completed in less than two minutes after the patient is in position. The truebeam system, from varian medical systems, was engineered from the ground up to deliver more powerful cancer treatments with pinpoint accuracy and precision. It uniquely integrates new imaging and motion management technologies that make it possible to deliver faster treatments while monitoring and compensating for tumor motion. This opens the door to new possibilities for the treatment of lung, breast, prostate, head and neck, and other cancers that are treatable with radiotherapy. The precision of the truebeam system is measured in increments of less than a millimeter. Throughout treatment, critical data points are measured continually, ensuring the system maintains a true isocenter, or focal point, of treatment. Because cancers do not stay in the exact same place after each radiation therapy session, its important that physicians identify exactly where cancerous cells end and healthy cells begin. Truebeam imaging technology reduces the time needed to produce the three-dimensional images used to fine-tune tumor targeting by 60 percent. Additional functionality makes it possible to create these images while reducing the x-ray dose by 25 percent. This machine allows the physician to choose an imaging mode that minimizes the amount of radiation needed to generate an image. Radiation therapy is used today in more than half of all cancer treatments due to its unique clinical advantages. Using dynamic targeting, image-guided radiation therapy from varian, freeman has the potential to substantially improve treatment outcomes by doing a better job of protecting healthy tissue while delivering more powerful doses to cancerous tumors. In november of 2017, freeman health system became the first and only local hospital to offer high-dose rate (hdr) bra”

“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.”