Freeman Health System

“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) w”

“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 form990 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.”

“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.”

“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 r”

“Freeman health system does not make these documents available to the public.”

“No directors receive compensation for their services as board members. Board members larry mcintire, 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.”

“- Total Revenue: 22425292, Related or Exempt Function Revenue: 17367212, Unrelated Business Revenue: 5058080, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“Overview 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 320 physicians representing 90 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 launched in july 2022. Freeman's pharmacy residency program continues to make great strides. Residents make a 12-month commitment and receive the equivalent of nearly 5 years of real-world experience, with a focus on learning accountability for the best drug-therapy outcomes. 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,”

“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 3,606 cases, of which, 521, or 14.4%, were medicaid cases. Additionally, 2.9% 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 207 cases, of which, 129, or 62.3%, were medicaid cases. Additionally, 2.4 % 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 1,810 babies in fy24. The unit includes board-certified obstetricians available 24 hours a day and perinatology care for women with high-risk pregnancies. In fy24, freeman maternity center served 909 medicaid patients, or 50.2% of its caseload. Self-pay patients (those with no insurance) represented 1% 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. Freeman offers 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. 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 fy24, more than 10,585 infants have had a fighting chance to live thanks to the care they received at freeman nicu. In fy24, freeman nicu served 371 prematurely born or critically ill babies. Of these tiny patients, 233 received medicaid, which represents 62.8% of freeman nicu's caseload. Self-pay patients (those with no insurance) represented 1.6% 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 lev”

“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”

“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. 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. While freeman lung institute helps patients with breathing issues and lung function, it also helps people with cancer. A few years ago, freeman became the first and only health system in missouri, southeast kansas, and northeast oklahoma to invest in monarch robotic-assisted bronchoscopy. 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. 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. Lung cancer is a particularly deadly disease, in part because patients usually don't notice any symptoms until the cancer has progressed to the later stages. However, early diagnosis and treatment increase survival rates greatly. Additionally, patients benefit from knowing early-on that their condition is not cancer. Freeman health system has been able to save many lives through the monarch platform and the early detection of lung cancer. We've learned that older, low-yield diagnostic bronchoscopy catches far fewer early-stage cancers. Additionally, traditional biopsy can cause lungs to collapse, while biopsy performed with robotic-assisted bronchoscopy has less than a 2% chance of lung collapse. We've been quite busy performing diagnostic robotic-assisted bronchoscopy, and have saved many patients. Nationally, early-stage lung cancer diagnosis rates are 15-20%, while freeman's rates are 44% after performing more than 150 screenings in each of the past two years. That's a huge increase in early detection, and that makes a priceless difference to patients and positively affects their whole lives. Southwest missouri has a high incidence of lung cancer due to above average tobacco use, high levels of radon in the soil, and occupations such as working in quarries and welding. Our purpose is to increase early detection rates and also bring awareness of lung cancer front of mind. Freeman helping friends mammogram fund, administered through freeman development office, provides mammograms for women who can't afford them. In 2024, helping friends mammogram fund helped 38 women also enables us to provide post-mastectomy camisoles, education, diagnostic screenings, and breast ultrasounds to help patients as they”

“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. Freeman screen team also offers friends & family cpr classes. Outpatient - walk-in clinics 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. 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, and it's a member of cancer research of the ozarks, which brings clinical trials to rural patients.”

“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 this end, freeman has established primary care and specialty clinics in several communities across the region. Freeman is expanding services to include more southeast kansas communities by building a brand-new, state of the art, full service hospital in pittsburg, kansas. Hospitals are central to the success and well-being of every community, and freeman pittsburg will add to the vibrancy and strength already found in southeast kansas. Freeman pittsburg will span 170,000 square feet, provide 50 beds, and create 1,000 new jobs. We are fast-tracking this project as much as possible, having already made a significant impact in southeast kansas through outpatient clinics, an outpatient surgery center, a comprehensive medical oncology program, and imaging and lab services over the past decade, including our continued partnership with pittsburg state university athletics. Additionally, freeman health system has announced plans for an emergency department in fort scott, kansas. That community had been without a hospital since 2018 and without emergency medical care since the beginning of 2024-this project will fill a great void for the citizens of greater fort scott. Every community needs and deserves quality medical care-without it, every person is vulnerable when there is a sudden illness, injury, or accident. The emergency department will have six bays and 365-day, 24/7 coverage, with a projected opening date in spring 2025. 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. Freeman opened a new medical office building on the freeman west campus in early 2024. It provides additional space for specialty physicians and more convenience for patients. Freeman also is expanding specialty services in pittsburg, kansas, with renovations to a downtown building that now houses specialist offices, serving patients with needs in pain medicine, pulmonology, nephrology, and endocrinology. 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, an”

“Freeman auxiliary freeman auxiliary raises funds and provides volunteer services to benefit patients, staff, visitors, and the community. In fy24, freeman auxiliary provided support for: - autism - field trip $ 500 - autism - general fund $ 3,000 - autism - walk sponsorship $ 3,000 - cancer institute - patient snacks $ 3,500 - cancer institute - wig/scarf program $ 2,000 - pittsburg cancer institute - transportation $ 5,000 - turnaround ranch - outings $ 2,000 - turnaround ranch - new years eve $ 1,000 - turnaround ranch - most needed $ 3,000 - neosho snacks for infusion patients $ 50 - cardiac recovery bears $ 3,000 - chaplains benevolence fund $10,000 - chaplains prayer cards $ 1,000 - children's miracle network $10,000 - development nursing red carpet event $10,000 - development office galentine's event $ 5,000 - ronald mcdonald house $10,000 - dialysis march of the kidney sponsor $ 1,000 - nursing school support $16,000 - state project (maha) $ 250 - freeman learning center $ 500 - electric charis (freeman west) $ 1,500 - gift shop pos system $ 7,500 total auxiliary contributions: $106,300 one joplin and community and health center of southeast kansas freeman also financially supports organizations such as one joplin and community health center of southeast kansas. One joplin represents more than 76 organizations within the local community who have committed to working together for long-term positive change. The one joplin health team works to help citizens reach healthy weights, improve mental health and decrease substance abuse. The human services team works to reduce domestic violence, child abuse and neglect, with a focus on access to care. The community health center of se kansas provides medical care and training to a large swath of se kansas. Freeman made a large donation to chc-sek to help establish the john parolo education center, a much-needed educational environment that works to educate local healthcare workers with a goal of keeping them in the area to practice as doctors, physician's assistants, nurse practitioners and dental hygienists. The intent is to have as many as 10 third- and fourth-year medical students and up to four residents at the education center. 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 $350,000 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. 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. 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”

“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.”

“Change in value of pledged assets - 720;”