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”

“Document availability: freeman health system does not make these documents available to the public.”

“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.”

“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, womens 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 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 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 graduate medical education is developing a family medicine residency program, expected to launch in 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. In the summer of 2019 freeman agreed to receive 60 additional 3rd-year medical students who are a part of the first class of kcu-joplin medical students. 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 (doesnt 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. In 2017, freeman health system was named a top teaching hospital by the leapfrog group, an independent hospital watchdog organization. Freeman was one of two hospitals in missouri and 36 nationally to receive this honor. 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 complex patients. The project is half-way through, and moving forward, all patients of freeman center for geriatric medicine will be assessed for risk (ed visits, hospitalizations, multiple chronic illness, polypharmacy, etc.) and additional psychosocial resources 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 sprin”

“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 fy20, freeman health system provided payroll and benefits totaling $255,000,000. Nursing scholarships freeman auxiliary gave $14,000 to seven local nursing programs - carthage technical center, crowder college, franklin technical center, labette community college, missouri southern state university, northeastern oklahoma a&m college, and pittsburg state university each received $2,000. It is important to have a strong foundation of caregivers, especially nursing professionals. In recognition of the importance of nurses, freeman set up the nursing education fund, which provides freeman nurses financial assistance opportunities to advance their education and knowledge. The fund supports certifications, advanced degrees, and advanced job-related training. These educational pursuits would not be possible without generous support from sponsors and benefactors, coordinated through the freeman development office. In fy20, freeman hosted the fourth annual celebrating nurses gala to honor nurses with nursing spirit awards and financial gifts for continuing education. The event also raised money for the nursing education fund. Donor council freeman donor council, composed of freeman caregivers who volunteer their time to promote organ, eye, and tissue donation awareness, has provided education to patients for decades. Freeman donor council also holds a tree of honor ceremony each fall to recognize those who gave the gift of life through organ, eye, and tissue donation. Free support groups freeman fosters the health of the community by hosting many relevant support groups. Fy20 support groups included ozark center autism support group, freeman cancer support group, freeman breast cancer support group, freeman bariatric weight loss support group, freeman diabetes support group with separate meetings for type 1 and type 2 diabetes, and freeman sleep apnea support group. All freeman support groups are free and open to the public. In addition to providing facilities and staff to facilitate the support group meetings, freeman provides community outreach by publicizing these meetings on the freeman health system website, freemanhealth.com. Blood drives freeman supports community blood center of the ozarks by hosting blood drives throughout the year. In fy20, freeman hospital west hosted six blood drives and collected 460 blood donations. Freeman auxiliary freeman auxiliary raises funds and provides volunteer services to benefit patients, staff, visitors, and the community. In fy20, freeman auxiliary provided support for: - bill & virginia leffen center for autism $8,500 - cancer institute refreshments for patients in chemotherapy $6,000 - cancer institute sponsorship of hope soars picnic $2,500 - cancer institute awning project - $2,846 - cardiac bears for heart patients $4,160 - children's miracle network hospitals $15,000 - chaplains fund $10,000 - freeman neosho snacks for patients in infusion center $500 - mammogram financial aid $300 - nursing education/red carpet event sponsorship - $10,000 - nursing school support $14,000 - ozark center turnaround ranch $15,000 - ronald mcdonald house charities of the four states $20,000 - learning center van $20,000 - student volunteer program $2,659 - student volunteer program scholarships $4,250 - dialysis patient assistance fund - $10,000 - scooters & wheelchair trackers $6,466 - sleep apnea fund 2,000 total auxiliary contributions: $154,181 in december 2019, freeman auxiliary and freeman volunteers collected toys, books, mittens, and other items to donate to parents staying at ronald mcdonald house charities of the”

“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. During the latter part of fy20, freeman put plans in place for covid-19, although the pandemics greatest effects came later in the year for the areas served by freeman. As early as march, freeman had set up additional isolation units for covid patients and began holding daily media briefings to educate the public and keep media current on the latest policies and treatment of cases once they were actually diagnosed in our area. Freeman also helped establish a covid call center with referrals for testing in march 2020. The centers for medicare & medicaid services has designated freeman health system as 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. In calendar year 2019, freeman received dozens of awards for medical excellence and safety from carechex, an independent quality rating organization. The awards spanned a number of service lines, such as surgery, womens health, and trauma care, to name a few. For example, freeman was among the "top 100 in the nation in medical excellence" for bariatric surgery, chronic obstructive pulmonary disease (copd), gall bladder removal, general surgery, interventional carotid care, major bowel procedures, spinal fusion, and spinal surgery. For calendar years 2018-19, freeman health system was recognized by the u.s. News & world report best hospitals report as a best regional hospital and ranks as high performing in two areas: colon cancer surgery and treatment of obstructive pulmonary disease. In early 2020, the american hospital association notified freeman health system that it had been selected as one of four finalists nationally for the 2019 mcgaw prize, which recognizes hospitals for achievements in community service.”

“Outpatient services: 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 cant afford them. In fy20, helping friends mammogram fund helped 73 women by providing mammogram services that totaled $12,462. Freeman cornell-beshore cancer institutes 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 patients 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. Emergency services the emergency department/trauma center at freeman hospital west treats approximately 45,000 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, averagin”

“Outpatient services (continued): pediatric specialty care freeman health system partners with childrens mercy kansas city and 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. 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. 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 as much as a half-days work to take their children to a medical clinic or doctors office. Home care freeman home care has earned homecare elite status 10 times over the past several years. 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. Freeman home care earned a five-star rating in patient satisfaction from medicare in the january 2020 home health compare survey. 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. Specialized osteoporosis services in early 2018, freeman diabetes & endocrinology institute began offering comprehensive specialty services to diagnose, treat, and prevent osteoporosis. 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. Diabetes education obesity and diabetes are growing problems with serious health implications. According to the american diabetes association, 13.4% of missourians have diabetes. To address the problem and provide education to the community free of charge, freeman diabetes education hosted the 11th annual diabetes expo in november 2019. Attendees had the opportunity to hear what freeman endocrinologists and diabetes educators had to say about managing diabetes, and there were healthy cooking demonstrations and exercise demonstrations as well. Rehabilitation services freeman rehabilitation services delivers personalized care aimed at making a patients recovery quick and effective. With a goal of providing individualized therapeutic intervention to restore function and reduce pain, freemans experienced clinicians provide comprehensive outpatient rehabilitation therapy. Rehabilitation services plays a major role on freemans 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”

“Inpatient services: freeman joplin inpatient services totaled 19,707 cases, of which, 3,889 or 19.7%, were medicaid cases. Additionally, 1,922 inpatient cases, or 9.8% of the total, fell into the self-pay (no insurance) category. Critical care patients rely on the intensive care unit (icu) for lifesaving treatment. 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 provides 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 3,839 cases, of which, 370, or 9.6%, were medicaid cases. Additionally, 6.6% of the critical care cases fell into the self-pay (no insurance) category. Freeman pediatric unit the freeman pediatric unit provides care to children from birth to age 18 and works with families to make their children's hospitalization less traumatic by encouraging parental involvement. Freeman joplin inpatient pediatric services totaled 279 cases, of which, 162, or 58.1%, were medicaid cases. Additionally, 2.9% of the pediatric inpatient cases fell into the self-pay (no insurance) category. Maternity services designed to give new mothers and their families the comforts of home within the security of a hospital, freeman maternity center delivered 1,885 babies in fy20. The unit includes board-certified obstetricians available 24 hours a day and perinatology care for women with high-risk pregnancies. In fy20, freeman maternity center served 821 medicaid patients, or 45.6% of its caseload. Self-pay patients (those with no insurance) represented 2.4% of the mothers delivering babies at freeman. As these statistics indicate, freeman provides a safety net for expectant mothers who live in poverty and receive government assistance and those who scrape by without assistance but have no health insurance. Medicaid reimbursement does not cover the cost of providing the level of treatment required. The march of dimes gave freeman maternity center a perfect score for eliminating early elective deliveries a few years ago. Freeman was one of only 19 hospitals in missouri to receive the distinction. 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. 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. As a level iii nicu (second highest rank), freeman cares for very small or very sick newborn babies. Before freeman nicu opened in 1993, 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. By the end of fy20, more than 9,600 infants have had a fighting chance to live thanks to the care they received at freeman nicu. In fy20, freeman nicu served 344 prematurely born or critically ill babies. Of these tiny patients, 215 received medicaid, which repres”

“Freeman heart & vascular institute 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: 49.5 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 the 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. Tavr freemans 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 surgeons team and the cardiologists 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 patients 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. Worlds 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 worlds 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. In addition to providing outstanding patient care, level i stemi centers must also provide community education. 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 the level i stemi center designation, freeman is setting the standard for excellence in heart care throughout the area. Recognizing th”

“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.”

“Other changes in net assets: $ (1,430,720) change in value of pledged assets”