2025-08-12T09:41:41-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2023-10-01 430662495 HANNIBAL REGIONAL HEALTHCARE SYSTEM INC HANN 5732481300 6500 HOSPITAL DRIVE PO BOX 551 HANNIBAL MO 63401 ROB GASAWAY VICE PRESIDENT - FINANCE 5732481300 2025-08-11 1 0 AMBER HAMILTON P01251012 3149254300 2025-08-11 2023 2025-03-06 01:10:19Z C TODD AHRENS 6500 HOSPITAL DRIVE PO BOX 551 HANNIBAL MO 63401 302944595 0 X HOSPITAL.HANNIBALREGIONAL.ORG X 1987 MO THE SYSTEM OPERATES A FULL SERVICE ACUTE CARE FACILITY. 13 12 1840 235 0 0 1438469 5880588 261361265 292613212 3106954 1083087 2768677 2328788 268675365 301905675 56823 279415 0 0 156713431 178331172 0 0 0 117165048 129793231 273935302 308403818 -5259937 -6498143 198963955 199318413 81414458 83162640 117549497 116155773 YOUR HEALTH IS OUR MISSION 0 0 268979536 279415 291931693 THE SYSTEM OPERATES A FULL SERVICE 86 BED ACUTE CARE HOSPITAL FACILITY, A 13 BED INPATIENT REHAB FACILITY, SEVERAL PHYSICIAN PRACTICES AND PRIMARY CARE CLINICS, HOSPICE SERVICES, AND A HOME HEALTH AGENCY IN HANNIBAL MISSOURI AND SURROUNDING COUNTIES. THE SYSTEM PROVIDES SERVICES TO PATIENTS THAT MEET THE HOSPITAL'S CHARITY CARE POLICY AS WELL AS SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT-REIMBURSED PUBLIC AID PROGRAMS. 2451438 0 1096601 THE HANNIBAL CHILDREN'S CENTER IS A LEARNING CENTER FOR CHILDREN AGES 6 WEEKS TO 12 YEARS. THE HCC IS A MISSION DRIVEN CENTER IN WHICH TEAM MEMBERS, FAMILIES, AND THE COMMUNITY COLLABORATE TO EMPOWER EACH CHILD TO BECOME HEALTHY, SELF-CONFIDENT, INDIVIDUALS BY PROVIDING THE RESOURCES TO DEVELOP A PASSION FOR LEARNING THROUGH INTERACTIVE PLAY.HANNIBAL CHILDREN'S CENTER IS LICENSED BY THE STATE OF MISSOURI - DEPARTMENT OF HEALTH AND SENIOR SERVICES AND ACCREDITED BY THE MISSOURI ACCREDITATION OF PROGRAMS FOR CHILDREN AND YOUTH. 271430974 1 1 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 228 0 1840 1 0 0 0 0 0 0 0 0 0 0 1 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X ROB GASAWAY 5732481300 6500 HOSPITAL DRIVE HANNIBAL MO 63401 PAT BENSON DIRECTOR (TERM ENDED 01/24) 1.00 0.00 X 0 0 0 DEBORAH THORNBURG DIRECTOR 1.00 0.00 X 0 0 0 JASON POAGE DIRECTOR (TERM ENDED 01/24) 1.00 0.00 X 0 0 0 CAROLYN SHAW DIRECTOR 1.00 0.00 X 0 0 0 BRAD KURZ CHAIR 1.00 0.00 X X 0 0 0 DIRK SAUER DIRECTOR (TERM ENDED 01/24) 1.00 0.00 X 0 0 0 RICHARD VALUCK MD DIRECTOR & CARDIOLOGIST 41.00 0.00 X 646702 0 43351 MICHAEL HOLLIDAY VICE CHAIR 1.00 0.00 X X 0 0 0 JUSTIN TRANTHAM DIRECTOR 1.00 0.00 X 0 0 0 RAHUL BASHO MD DIRECTOR 1.00 0.00 X 0 0 0 DEVON MCCLAIN DIRECTOR 1.00 0.00 X 1191 0 0 JOHN BLEIGH SECRETARY 1.00 0.00 X X 1740 0 0 ERIC JONES DIRECTOR 1.00 0.00 X 0 0 0 JOHN ZIMMER TREASURER 1.00 0.00 X X 0 0 0 SUSAN JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 AMY LEHENBAUER DIRECTOR 1.00 0.00 X 0 0 0 C TODD AHRENS PRESIDENT & CEO 40.00 1.00 X 2806305 0 150712 ROB GASAWAY VP - FINANCE 40.00 0.00 X 405639 0 93217 AARON ZOOK VP - OPERATIONS 40.00 0.00 X 390434 0 94205 PRANAV PARIKH MD VP - CHIEF MEDICAL OFFICER 40.00 0.00 X 785085 0 94577 SUSAN WATHEN VP- HUMAN RESOURCES 40.00 0.00 X 302777 0 51449 PATRICIA BRAWNER VP - NURSING 40.00 0.00 X 244565 0 32514 WENDY HARRINGTON VP - HRHS DEVELOPMENT 24.00 16.00 X 317269 0 57427 TERESA GENEROUS VP - GENERAL COUNSEL 40.00 0.00 X 353086 0 70415 KARMON KINDHART VP - NURSING 40.00 0.00 X 156346 0 54603 JOSEPH BASS RADIOLOGIST 40.00 0.00 X 896268 0 39317 LAURA MAPLE OBSTETRICIAN AND GYNECOLOGIST 40.00 0.00 X 883307 0 14850 LANCE DORSEY RADIOLOGIST 40.00 0.00 X 971559 0 53619 BLAKE KRAMER RADIOLOGIST 40.00 0.00 X 1033080 0 14850 JOHN BENNETT OBSTETRICIAN AND GYNECOLOGIST 40.00 0.00 X 924048 0 54441 11119401 0 919547 229 0 1 0 QUALIVIS LLC 2000 CENTER POINT RD SUITE 2360 COLUMBIA SC 29210 PROFESSIONAL SERVICES 8504167 INTERIM PHYSICIANS LLC PO BOX 679139 DALLAS TX 75267 PROFESSIONAL SERVICES 2817979 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 60673 IT SYSTEMS 2145851 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 CONTRACTED MAINTENANCE 1722158 ADVANCE HANNIBAL REGIONAL HOSPITAL LLC 188 MEDICAL DRIVE HANNIBAL MO 63401 THERAPY SERVICES 1452368 80 2880588 3000000 5880588 NET PATIENT SERVICE REVENUE 621110 291516611 291516611 CHILDREN'S DEVELOPMENT CENTER 624410 1096601 1096601 292613212 895568 895568 305620 26589 279031 279031 279031 1196764 3086 1012330 1 184434 3085 187519 187519 CAFETERIA 722514 1440866 1440866 CONTRACTED SERVICES 621110 415082 415082 OTHER ADMINISTRATION 621110 193809 193809 2049757 301905675 293028294 0 2996793 X 279415 279415 5742181 690053 5052128 131275896 117642840 13633056 5070096 4381660 688436 27846126 24065075 3781051 8396873 7256714 1140159 240292 240292 166200 166200 78091 67951 10140 36890168 31080439 5809729 1228034 3267 1224767 27816482 27053498 762984 4250660 3038191 1212469 2891616 2633325 258291 985553 831238 154315 138769 114129 24640 1730831 1570506 160325 10202235 9257216 945019 2428890 2428890 PHARMACY DRUGS 21240763 21240763 BAD DEBT EXPENSE 14512691 14512691 FOOD 1524502 1524502 HOSPITAL SYSTEM EXPENSE 1278071 1278071 2189383 480540 1708843 308403818 271430974 36972844 0 14344009 9401715 1088007 1102729 59778 33027665 44530500 1661526 2288232 6509911 6027616 2350079 3163919 224592829 151533661 79327951 73059168 47186126 45362455 49942 49942 3864009 3561095 9494952 10771042 198963955 199318413 34520756 35515234 18705 40196313 39204956 101566 68486 6595823 8355259 81414458 83162640 X 111316254 110811777 6233243 5343996 117549497 116155773 198963955 199318413 -6498143 5104419 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 78091 78091 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING. CONSULTING FEES WERE ALSO PAID TO BARDGETT AND ASSOCIATES, TUTTLE AND ASSOCIATES , LLC, AND CAPITAL ADVOCACY, LLC. 1 3133 0 13997 0 0 6283577 6283577 89264205 55200889 34063316 11433603 9302501 2131102 115694138 87030271 28663867 1917306 1917306 73059168 RECEIVABLE FROM HANNIBAL REGIONAL HOSPITAL FOUNDATION 5329999 OPERATING RIGHT OF USE ASSET 2648959 FINANCING RIGHT OF USE ASSET 2792084 10771042 SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN 3012631 FINANCING AND OPERATING LEASE OBLIGATIONS 5342628 8355259 1 1 X 1 X 275.000000000000 1 X 1 1 1 0 1 1 2118843 2118843 0.00690 44447618 34127500 10320118 0.03350 46566461 34127500 12438961 0.04040 698420 698420 0.00230 406939 255094 151845 0.00050 76693773 33397556 43296217 0.14040 328452 328452 0.00110 78127584 33652650 44474934 0.14430 124694045 67780150 56913895 0.18470 2948851 1269333 1679518 0.00540 9634 9634 0.00000 392325 392325 0.00130 3350810 1269333 2081477 0.00670 1 14512694 8707616 52289315 60211388 -7922073 X 1 1 1 1 HANNIBAL REGIONAL HOSPITAL 6000 HOSPITAL DRIVE HANNIBAL MO 63401 HANNIBALREGIONAL.ORG 101-57 X X X HANNIBAL REGIONAL HEALTHCARE SYSTEM INC 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, SECTION C FOR URL OF CHNA X 1 21 1 SEE PART V, SEC. C FOR IMPLEMENTATION STRATEGY URL 0 1 X 275.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X X X X X 1 X 0 X X X X X 1 X 0 0 HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 5: A BROAD-BASED STEERING COMMITTEE OF HEALTHCARE LEADERS FROM THROUGHOUT THE SIX COUNTY REGION WAS FORMED TO GUIDE THE ASSESSMENT PROCESS AND ESTABLISH THE THREE-YEAR STRATEGY TO ADDRESS THE PRIORITIES IDENTIFIED.TO GAUGE THE STRENGTHS AND WEAKNESSES OF THE CURRENT COMMUNITY HEALTH CLIMATE, THE ORGANIZATION HELD A TOWN HALL ON 5/12/22 WITH LEADERS FROM HEALTHCARE, GOVERNMENT AND OTHER ENTITIES WITHIN THE COMMUNITY. THE ORGANIZATION ALSO RELEASED A SURVEY, WHICH WAS AVAILABLE TO COMPLETE FROM MARCH - APRIL 2022, ON ITS WEBSITE. THIS SURVEY WAS AVAILABLE TO ALL RESIDENTS OF THE COMMUNITY AND WAS ALSO USED TO DETERMINE POSITIVES AND NEGATIVES OF THE COMMUNITY HEALTH CLIMATE. HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 6B: MARION COUNTY HEALTH DEPARTMENT, LEWIS COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, PIKE COUNTY HEALTH DEPARTMENT, RALLS COUNTY HEALTH DEPARTMENT, SHELBY COUNTY HEALTH DEPARTMENT, CHAMBERS, ECONOMIC DEVELOPMENT ORGANIZATIONS, SCHOOLS, FREE CLINIC, FQHC, MULTIPLE SOCIAL SERVICE AGENCIES, NON-EMPLOYED PHYSICIAN GROUPS AND OTHERS. HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 11: THE FOLLOWING ITEMS WERE LISTED AS THE PRIORITIZED NEEDS ON THE 2021 CHNA:(1) MENTAL HEALTH SERVICES(2) AVAILABLE WORKFORCE(3) DRUG/ALCOHOL ABUSES(4) ACCESS TO CHILD CARE(5) CHRONIC DISEASES(6) LACK OF INSURANCE/HEALTHCARE COSTSSPECIFIC ACTIONS PLANS ARE BEING UTILIZED ON EACH ITEM, AND HANNIBAL REGIONAL IS WORKING TO EITHER LEAD EFFORTS OR INTEGRATE HRHS RESOURCES INTO BROADER EFFORTS THAT ARE WORKING TO ADDRESS THE NEEDS. BELOW IS AN OVERVIEW FOR EACH OF THE SIX ITEMS IDENTIFIED IN THE 2021 CHNA.MENTAL HEALTH SERVICES THIS IS AN ONGOING ITEM THAT HAS BEEN PRESENT OVER THE LAST THREE CHNA'S AND IS PRESENT IN NEARLY ALL COMMUNITIES THROUGHOUT THE NATION. HRHS IS WORKING WITH OTHER KEY MENTAL HEALTH RESOURCE PROVIDERS TO ASSIST IN CREATING A REGION WIDE MENTAL HEALTH AWARENESS PROGRAM AND TRAINING, AS WELL AS WORKING TO INCREASE CAPACITY TO MENTAL HEALTH SERVICES IN THE REGION. ADDITIONALLY, HRHS JUST OFFERED MENTAL HEALTH FIRST AID TRAINING TO ALL HRHS EMPLOYEES AND IS WORKING TO OFFER IT TO OTHERS THROUGHOUT THE REGION. MENTAL HEALTH PROVIDERS IN THE REGION LEAD THIS WORKGROUP ALONG WITH SUPPORT FROM HANNIBAL REGIONAL.AVAILABLE WORKFORCE HRHS IS VERY ACTIVE IN THE ECONOMIC DEVELOPMENT EFFORTS IN THE REGION AND COMBINES EFFORTS WITH THE WORKFORCE DEVELOPMENT BOARD TO ASSIST THE REGION IN FURTHER DEVELOPING THE WORKFORCE OF THE REGION. ACTION ITEMS TO DATE IS ASSISTING WITH JOB FAIRS, TRAINING AND WITH THE PLANNING AND ASSISTING OF THE NEW HANNIBAL INNOVATION CAMPUS. ADDITIONALLY, HANNIBAL REGIONAL HAS STRONG TIES TO THE EDUCATIONAL SYSTEM AND HAS BEEN COMMENDED FOR THEIR EFFORTS IN CREATING A HEALTHCARE PIPELINE. HANNIBAL REGIONAL ALONG WITH HANNIBAL REGIONAL ECONOMIC DEVELOPMENT LEAD THIS INITIATIVE.DRUG/ALCOHOL ABUSES THIS INITIATIVE IS BROAD AND FAR REACHING AND ALSO ONE OF THE HARDEST TO CREATE CHANGE. HANNIBAL REGIONAL HAS PARTNERED WITH SERVICE AGENCIES AND CITY LEADERSHIP TO ASSIST IN EFFORTS TO MEET THIS NEED, INCLUDING NEW EFFORTS TO HELP WITH HOMELESS INDIVIDUALS FIGHTING THESE BATTLES. ACCESS TO CHILD CARE HANNIBAL REGIONAL HAS ASSISTED HANNIBAL REGIONAL ECONOMIC DEVELOPMENT TO SECURE A GRANT TO STUDY THE DAYCARE AVAILABILITY IN THE REGION AND THE WAYS TO MEET THIS GROWING NEED.CHRONIC DISEASES THIS HAS BEEN ON THE COMMUNITY HEALTH NEEDS LIST FOR THE LAST TWO TIMES AS WELL, AND HANNIBAL REGIONAL, WORKING WITH OTHER PROVIDERS INCLUDING CLARITY, PREFERRED AND OTHER LOCATIONS, CONTINUES TO WORK TO ASSIST PEOPLE IN THE MANAGEMENT OF THEIR CHRONIC NEEDS. UTILIZING THE MEDICARE WELLNESS VISITS, HANNIBAL REGIONAL HAS INCREASED EFFORTS IN ASSISTING WITH IDENTIFYING CHRONIC NEEDS. NEXT STEPS IN THIS INITIATIVE IS TO PARTNER WITH VARIOUS ORGANIZATIONS TO FURTHER OFFER SCREENING AND RESOURCES TO FIGHT CHRONIC DISEASES.LACK OF INSURANCE/HEALTHCARE COSTS THIS INITIATIVE IS ONE OF THE HARDEST TO ADDRESS, AND CONTINUES TO PLAGUE THE NATION. HANNIBAL REGIONAL IS PLEASED THAT SINCE OUR LAST CHNA, MEDICAID EXPANSION HAS HAPPENED IN MISSOURI, SO HANNIBAL REGIONAL IS ASSISTING THE REGION AND OTHER SERVICE CLUBS TO HELP INDIVIDUALS SIGN UP FOR MEDICAID. HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 13B: THE PATIENT'S ABILITY TO PAY OUTSIDE OF NORMAL LIVING EXPENSES AND DEBT. HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 20E: COMMUNICATIONS THROUGH MAIL AND PHONE INTERVIEWS ARE PURSUED TO RESOLVE ISSUES AND OBTAIN NEEDED INFORMATION TO QUALIFY PATIENTS. SCHEDULE H, PART V, SECTION B, LINE 7B THE ORGANIZATION'S MOST RECENT CHNA REPORT CAN BE FOUND AT:HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/BD42A032-CAA2-4942-816D-DA0FE8E02266/HANNIBAL%20REGIONAL%20CHNA%202022.PDF SCHEDULE H, PART V, SECTION B, LINE 10 THE ORGANIZATION'S CURRENT IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/95BF3482-BC2A-409C-B343-95E8EBE7960D/CHNA%20IMPLEMENTATION%20PLAN.PDF SCHEDULE H, PART V, SECTION B, LINE 16A THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP) CAN BE FOUND AT:HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/A9D0D225-5A62-46D6-B857-0756A297B788/HANNIBAL_REGIONAL_CHARITY_CARE_GUIDELINES.PDF SCHEDULE H, PART V, SECTION B, LINE 16B THE ORGANIZATION'S FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT:HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/2BCD2D88-F3FE-4B98-BC3A-34A9937E9B30/FINANCIAL%20ASSISTANCE.PDF SCHEDULE H, PART V, SECTION B, LINE 16C THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT:HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/9DA92132-085A-4D71-8A13-4B9FC0658EF1/HRHS-PLAIN-LANGUAGE-SUMMARY.PDF 36 1 - HANNIBAL REGIONAL MEDICAL GROUP 6500 HOSPITAL DRIVE HANNIBAL MO 63401 RURAL HEALTH CLINICS, SPECIALTY CLINIC, SAME DAY/URGENT CARE 2 - COMPLETE FAMILY MEDICINE KIRKSVILLE 1611 S BALTIMORE KIRKSVILLE MO 63501 RURAL HEALTH, SAME DAY/URGENT CARE, FAMILY PRACTICE CLINIC 3 - JAMES E CARY CANCER CENTER 5985 HOSPITAL DRIVE HANNIBAL MO 63401 CANCER CENTER 4 - COMPLETE FAMILY MEDICINE MOBERLY UC 1600 N MORLEY SUITE A-120-A MOBERLY MO 65270 SAME DAY/URGENT CARE CLINIC AND FAMILY PRACTICE 5 - PIKE MEDICAL CLINIC - BOWLING GREEN 8 TOWN CENTER DR BOWLING GREEN MO 63334 RURAL HEALTH CLINIC, SAME DAY/URGENT CARE 6 - NORTH EAST MISSOURI AMBULATORY SURGERY CEN 98 MEDICAL DRIVE HANNIBAL MO 63401 JOINT VENTURES - AMBULATORY SURGERY CENTER 7 - COMPLETE FAMILY MEDICINE SPECIALTY GROUP 1605 S BALTIMORE ST SUITE B KIRKSVILLE MO 63501 SPECIALTY CLINIC 8 - HOSPICE OF NORTHEAST MISSOURI 201 S BALTIMORE KIRKSVILLE MO 63501 HOSPICE 9 - COMPLETE FAMILY MEDICINE BROOKFIELD 624 WEST LOCKLING BROOKFIELD MO 64628 FAMILY PRACTICE CLINIC AND SAME DAY/URGENT CARE 10 - HANNIBAL MEDICAL SUPPLIES 6464 INTERSTATE COURT HANNIBAL MO 63401 JOINT VENTURES - MEDICAL SUPPLIES 11 - COMPLETE FAMILY MEDICINE CHILLICOTHE 245 S WASHINGTON ST CHILLICOTHE MO 64601 FAMILY PRACTICE CLINIC AND SAME DAY/URGENT CARE 12 - COMPLETE FAMILY MEDICINE MACON UC 1206 N MISSOURI ST MACON MO 63552 SAME DAY/URGENT CARE CLINIC 13 - ADVANCE HANNIBAL REGIONAL HOSP LLC 188A MEDICAL DRIVE HANNIBAL MO 63401 JOINT VENTURES - THERAPY 14 - COMPLETE FAMILY MEDICINE CROWN CLINIC 1 CROWN DRIVE SUITE 200 KIRKSVILLE MO 63501 FAMILY PRACTICE CLINIC 15 - SHELBINA FAMILY PRACTICE 400 S CENTER STREET SHELBINA MO 63486 RURAL HEALTH CLINIC 16 - PIKE MEDICAL CLINIC - LOUISIANA 211 S 3RD ST LOUISIANA MO 63353 RURAL HEALTH CLINIC 17 - PEDIATRIC THERAPY 150 MEDICAL DR HANNIBAL MO 63401 PEDIATRIC THERAPY 18 - EXPRESS CARE AT WAL-MART 3650 STARDUST DRIVE WAL-MART HANNIBAL MO 63401 RURAL HEALTH CLINIC, SAME DAY CLINIC 19 - MONROE CITY FAMILY PRACTICE 821 BUSINESS HWY 24 WEST MONROE CITY MO 63456 RURAL HEALTH CLINIC 20 - CANTONLAGRANGE FAMILY PRACTICE 1802 ELM STREET CANTON MO 63435 RURAL HEALTH CLINIC 21 - COMPLETE FAMILY MEDICINE UNIVERSITY COUNSE 100 E NORMAL AVE - MCKINNEY BUILDING KIRKSVILLE MO 63501 UNIVERSITY STUDENT COUNSELING 22 - COMPLETE FAMILY MEDICINE STUDENT HEALTH CE 100 E NORMAL AVE - MCKINNEY BUILDING KIRKSVILLE MO 63501 UNIVERSITY STUDENT HEALTH 23 - SPEECH THERAPY 188A MEDICAL DRIVE HANNIBAL MO 63401 SPEECH THERAPY 24 - COMPLETE FAMILY MEDICINE LA PLATA RHC 29934 JULY RD LA PLATA MO 63549 RURAL HEALTH CLINIC 25 - COMPLETE FAMILY MEDICINE PARIS 102 E MARION ST PARIS MO 65275 FAMILY PRACTICE CLINIC 26 - COMPLETE FAMILY MEDICINE LANCASTER RHC 1000 W WASHINGTON LANCASTER MO 63548 RURAL HEALTH CLINIC 27 - ADVANCE HANNIBAL REGIONAL HOSP LLC 710 S BUSINESS 61 SUITE 100 BOWLING GREEN MO 63334 JOINT VENTURES - THERAPY 28 - ADVANCE HANNIBAL REGIONAL HOSP LLC 1605 S BALTIMORE ST STE C KIRKSVILLE MO 63501 JOINT VENTURES - THERAPY 29 - COMPLETE FAMILY MEDICINE MOBERLY FAMILY PR 2100 SILVA LANE STE A MOBERLY MO 65270 FAMILY PRACTICE CLINIC 30 - ADVANCE HANNIBAL REGIONAL HOSP LLC 55 TROY SQUARE TROY MO 63379 JOINT VENTURES - THERAPY 31 - COMPLETE FAMILY MEDICINE CARES CENTER 1103 SOUTH COTAGE GROVE KIRKSVILLE MO 63501 SCHOOL BASED CARE 32 - ADVANCE HANNIBAL REGIONAL HOSP LLC 821 US 24 WEST MONROE CITY MO 63456 JOINT VENTURES - THERAPY 33 - ADVANCE HANNIBAL REGIONAL HOSP LLC 1804 ELM ST CANTON MO 63435 JOINT VENTURES - THERAPY 34 - ADVANCE HANNIBAL REGIONAL HOSP LLC 1811 S MAIN ST PALMYRA MO 63461 JOINT VENTURES - THERAPY 35 - COMPLETE FAMILY MEDICINE OCCUPATIONAL MEDI 1108 E PATTERSON ST KIRKSVILLE MO 63501 OCCUPATIONAL MEDICINE 36 - COMPLETE FAMILY MEDICINE SPECIALTY GROUP 800 W JEFFERSON ST KIRKSVILLE MO 63501 SPECIALTY CLINIC PART I, LINE 3C: THE ORGANIZATION USED AN ABILITY TO PAY STANDARD TO DETERMINE ELIGIBILITY. A PERSON IS ELIGIBLE FOR CHARITY CARE IF THEY MEET ANY OF THE FOLLOWING CRITERIA: THEIR INSURANCE IS INADEQUATE OR THEY ARE UNINSURED, PATIENTS WITH A FAMILY INCOME AT OR BELOW 275% OF THE FEDERAL POVERTY GUIDELINES. PATIENTS WHO HAVE MEDICAL BILLS IN EXCESS OF 20% OF THEIR ANNUAL INCOME QUALIFY FOR FINANCIAL ASSISTANCE, UNDER THE 'CATASTROPHIC' CLAUSE OF THE FAP. PART I, LINE 6A: THE MISSOURI HOSPITAL ASSOCIATION HAS INCLUDED HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. IN THEIR ANNUAL COMMUNITY BENEFIT REPORT. PART I, LINE 7: THE OPERATING EXPENSE METHOD WAS USED AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART I, LN 7 COL(F): A GROSS ESTIMATE WAS MADE BASED ON CURRENT EXPERIENCE. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE HOSPITAL'S COMMUNITY INCLUDES ITS CHILDREN'S CENTER FOR EDUCATION, DISASTER RECOVERY PLANNING, INTERPRETIVE SERVICES FOR NON-ENGLISH SPEAKING PATIENTS, AND RECRUITMENT COSTS FOR PHYSICIANS. PART III, LINE 2: HISTORICAL EXPERIENCE WAS USED TO ESTIMATE BAD DEBTS BY PAYOR CLASSIFICATION AND AGING CO-HORT. PART III, LINE 3: THE HOSPITAL MAKES EFFORTS TO SCREEN PATIENTS UPFRONT TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE AMOUNT OF BAD DEBT EXPENSE IS ESTIMATED BASED ON PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE BUT DO NOT PROVIDE REQUESTED SUPPORTING DOCUMENTATION. PART III, LINE 4: THE SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE SYSTEM BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. AT SEPTEMBER 30, 2024 AND 2023, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $9,488,000 AND $8,377,000, RESPECTIVELY. PART III, LINE 8: SOME MEDICARE SERVICES ARE PAID AT SUBSTANTIALLY LESS THAN COST THROUGH THE PROGRAM. THESE SERVICES COULD BE ELIMINATED TO INCREASE MARGIN BUT ARE PROVIDED IN THIS COMMUNITY DESPITE THE LOSS. IT IS THE POSITION OF HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED USING RECEIPTS AND EXPENDITURES FROM THE HOSPITAL'S MEDICARE COST REPORT FOR THE PERIOD ENDING 9/30/2024. PART III, LINE 9B: WHEN FINANCIAL ASSISTANCE CONSIDERATION IS REQUESTED ALL COLLECTION EFFORTS ARE HALTED UNTIL A DETERMINATION ON ELIGIBILITY IS MADE. COLLECTION EFFORTS ARE RESUMED ONLY IF THE INDIVIDUAL DOES NOT MEET ONE OF THE CHARITY CRITERIA. IF THE INDIVIDUAL DOES NOT MEET ONE OF THE CHARITY CRITERIA, THE ORGANIZATION'S NORMAL COLLECTION EFFORTS INCLUDE BILLING STATEMENTS AND COLLECTION CALLS. THE EFFORTS MAY ALSO INCLUDE REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CREDIT REPORTING AGENCIES, PLACING A LIEN AGAINST THE PROCEEDS OF SALE OF REAL ESTATE, GARNISHMENT OF INDIVIDUAL WAGES OR ENFORCING PAYMENTS FROM BANK OR CREDIT UNION ACCOUNTS OR OTHER LIQUID ASSETS. PART VI, LINE 2: THE ORGANIZATION RECEIVES ANNUAL UPDATES ON THE HEALTH STATUS OF ITS POPULATION FROM THE STATE THAT INCLUDE MORTALITY AND DISEASE STATUS. THE ORGANIZATION ALSO MONITORS NATIONAL DATA ON TRENDS AND DISEASE STATUS. PART VI, LINE 3: PERSONAL CONTACT AND WEBSITE ACCESS ARE THE MAIN POINTS OF CONTACT. PART VI, LINE 4: THE ORGANIZATION SERVES THE POPULACE OF A 14 COUNTY REGION IN NORTHEAST MISSOURI. THE AREA IS PRIMARILY A RURAL FARMING AREA WITH NUMEROUS POCKETS OF MEDICALLY UNDERSERVED AREAS. RESIDENTS ARE SERVED BY DISTANT ORGANIZATIONS IN COLUMBIA, MO AND ST. LOUIS, MO. CARE CAN ALSO BE ACCESSED AT LOCAL HOSPITALS IN QUINCY, IL, MACON, MO, MOBERLY, MO, AND KIRKSVILLE, MO. PART VI, LINE 5: SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM - N/A PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT - N/A 1 HANNIBAL REGIONAL ECONOMIC DEVELOPMENT COUNCIL 3817 MCMASTERS AVE HANNIBAL MO 63401 842099118 501(C)(6) 7500 0 TO PROVIDE ASSISTANCE TO NEW AND EXISTING BUSINESSES IN THE HANNIBAL REGION THAT WILL HELP THEM SUSTAIN, GROW, AND EXCEL. YMCA OF HANNIBAL 1 YMCA DRIVE HANNIBAL MO 63401 430653323 501(C)(3) 19150 0 CORPORATE SPONSORSHIPS, STRONG COMMUNITY CAMPAIGN PLEDGE, 2024 GOLD LEVEL GIVING MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 65102 430898947 501(C)(3) 51765 0 MCE HEALTH IMPR RESEARCH AND SCHOLARSHIP FUND, MHA SPECIAL PROJECTS, MISSOURI CENTER FOR PATIENT SAFETY CONTRIBUTION, MHA HEALTH INSTITUTE, AND MISSOURI POISON CENTER CONTRIBUTION. CULVER-STOCKTON COLLEGE ONE COLLEGE HILL CANTON MO 63435 430610813 501(C)(3) 201000 0 YEAR 1 NURSING PROGRAM MOU PLEDGE, 2024 SUMMIT SPONSOR 3 1 PART I, LINE 2: POLICY GA 1-112 CORPORATE CITIZENSHIP GUIDES THE ORGANIZATION IN CONTRIBUTING TO OTHER ORGANIZATIONS. ALL ACTIVITIES WHICH CONSTITUTE A CHARITABLE CONTRIBUTION ARE DOCUMENTED ON THE CHARITABLE CONTRIBUTION FORM. AFTER THE GRANTS ARE DISPERSED, THE ORGANIZATION DOES NOT ENGAGE IN FURTHER MONITORING OF THE FUNDS. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 C TODD AHRENS PRESIDENT & CEO 711872 0 0 0 2094433 0 150712 0 0 0 2957017 0 1411431 0 BLAKE KRAMER RADIOLOGIST 551094 0 468313 0 13673 0 0 0 14850 0 1047930 0 0 0 LANCE DORSEY RADIOLOGIST 594426 0 375906 0 1227 0 0 0 53619 0 1025178 0 0 0 JOHN BENNETT OBSTETRICIAN AND GYNECOLOGIST 506512 0 414527 0 3009 0 0 0 54441 0 978489 0 0 0 JOSEPH BASS RADIOLOGIST 564401 0 324322 0 7545 0 0 0 39317 0 935585 0 0 0 LAURA MAPLE OBSTETRICIAN AND GYNECOLOGIST 549484 0 331894 0 1929 0 0 0 14850 0 898157 0 0 0 PRANAV PARIKH MD VP - CHIEF MEDICAL OFFICER 607358 0 169798 0 7929 0 39886 0 54691 0 879662 0 0 0 RICHARD VALUCK MD DIRECTOR & CARDIOLOGIST 602237 0 36920 0 7545 0 0 0 43351 0 690053 0 0 0 ROB GASAWAY VP - FINANCE 343352 0 54790 0 7497 0 36526 0 56691 0 498856 0 0 0 AARON ZOOK VP - OPERATIONS 332208 0 50999 0 7227 0 37596 0 56609 0 484639 0 0 0 TERESA GENEROUS VP - GENERAL COUNSEL 292980 0 46519 0 13587 0 31013 0 39402 0 423501 0 0 0 WENDY HARRINGTON VP - HRHS DEVELOPMENT 252494 0 56906 0 7869 0 26301 0 31126 0 374696 0 0 0 SUSAN WATHEN VP- HUMAN RESOURCES 232727 0 36659 0 33391 0 24440 0 27009 0 354226 0 0 0 PATRICIA BRAWNER VP - NURSING 237046 0 0 0 7519 0 0 0 32514 0 277079 0 0 0 KARMON KINDHART VP - NURSING 154674 0 0 0 1672 0 22500 0 32103 0 210949 0 0 0 PART I, LINE 1A BOARD OF DIRECTOR MEMBERS JOHN BLEIGH AND DEVON MCCLAIN RECEIVED COMPENSATION FOR TRAVEL FOR COMPANIONS ON BUSINESS RELATED TRIPS. THE COMPENSATION IS INCLUDED ON ISSUED FORM 1099-NEC. PART I, LINE 4B THE FOLLOWING PERSONS RECEIVED SERP CONTRIBUTIONS DURING CALENDAR YEAR 2023: TODD AHRENS - $150,712 ROB GASAWAY - $36,526 TERESA GENEROUS - $31,013 WENDY HARRINGTON - $26,301 PRANAV PARIKH - $39,886 SUSAN WATHEN - $24,440 AARON ZOOK - $37,596 KARMON KINDHART - $22,500 FORM 990, SCHEDULE J, PART II THE AMOUNT REPORTED FOR C. TODD AHRENS IN COLUMN (F) IS INCLUDED IN B(III), OTHER REPORTABLE COMPENSATION. THIS AMOUNT IS A RESULT OF VESTING IN THE SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP)AND WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI 531320446 410632CP6 2017-11-06 44088479 CONSTRUCTION 0 0 0 A 2955000 44088479 3643238 445241 40000000 2019 0 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL, DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2022 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE, PURSUANT TO A CHARTER ADOPTED BY THE BOARD OF DIRECTORS, THE RESPONSIBILITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN ADMINISTERING COMPENSATION PLANS AND IN MAKING DECISIONS ON THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND THOSE EXECUTIVES WHO REPORT DIRECTLY TO THE CHIEF EXECUTIVE OFFICER WHO QUALIFY AS "DISQUALIFIED PERSONS" WITHIN THE MEANING OF SECTION 4958 OF THE INTERNAL REVENUE CODE. THE COMMITTEE THEN REPORTS ITS ACTIONS TO THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPOSED SOLELY OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE SCOPE OF THE COMMITTEE INCLUDES, BUT IS NOT LIMITED TO, REVIEWING AND APPROVING THE ANNUAL BASE SALARY LEVELS, ANNUAL INCENTIVE OPPORTUNITY LEVELS, EXECUTIVE PERQUISITES, EMPLOYMENT AGREEMENTS, BENEFITS AND SUPPLEMENTAL BENEFITS. THE BOARD OF DIRECTORS HAS ALSO DELEGATED TO THE FINANCE COMMITTEE THE RESPONSIBILITY TO APPROVE THE ANNUAL FINANCIAL AUDIT. THE COMMITTEE THEN REPORTS ITS ACTIONS TO THE BOARD OF DIRECTORS, AND SHARES AND DISCUSSES THE AUDIT REPORT WITH THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THE FORM IS THEN PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND COMMENT. ANY CHANGES ARE INCORPORATED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A POLICY TITLED BUSINESS ETHICS, CONFLICT OF INTEREST AND TAX EXEMPT COMPLIANCE WHICH REQUIRES THAT ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THE HOSPITAL ALWAYS ACT IN THE BEST INTEREST OF THE HOSPITAL WITHOUT CONFLICTS OF INTEREST. ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS, EACH OFFICER OF THE ORGANIZATION, AND CERTAIN OTHER MANAGERS RECEIVE A COPY OF THE POLICY AND ARE REQUIRED TO COMPLETE A CONFIDENTIALITY AGREEMENT AND A CONFLICT OF INTEREST QUESTIONNAIRE WHEREBY THE INDIVIDUAL ANSWERS QUESTIONS REGARDING FAMILY MEMBERS, SUBSTANTIAL BUSINESS OR INVESTMENT HOLDINGS, AND OTHER TRANSACTIONS OR AFFILIATIONS WITH BUSINESSES OR OTHER ORGANIZATIONS THAT MIGHT AFFECT THEIR RELATIONSHIP WITH THE HOSPITAL. AS PART OF THE CONFLICTS OF INTEREST QUESTIONNAIRE THE INDIVIDUAL IS ASKED TO ACKNOWLEDGE THAT THEY HAVE RECEIVED AND READ A COPY OF THE POLICY, AGREE TO COMPLY WITH THE POLICY, ACKNOWLEDGE THAT THE HOSPITAL IS A CHARITABLE ORGANIZATION, WHICH MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH OUR TAX EXEMPT PURPOSES IN ORDER TO MAINTAIN OUR TAX EXEMPT STATUS, AGREE TO REPORT PROMPTLY TO THE BOARD OF DIRECTORS ANY CHANGES IN THEIR ANSWERS TO THE QUESTIONS OR ANY CHANGE IN CIRCUMSTANCE THAT MIGHT DEVELOP PRIOR TO THE COMPLETION OF THEIR NEXT ANNUAL QUESTIONNAIRE. WITH RESPECT TO DIRECTORS OF THE ORGANIZATION, THEY ALSO ACKNOWLEDGE THAT NONE OF THE CONDITIONS OF THE POLICY WHICH WOULD MAKE THEM INELIGIBLE TO REMAIN ON THE BOARD EXIST AT THE TIME THEY SIGN THE ACKNOWLEDGMENT AND THAT THEY WOULD REPORT ANY CONDITIONS WHICH BECOME APPLICABLE IMMEDIATELY TO THE CHAIRPERSON OF THE BOARD OF DIRECTORS. ON AN ANNUAL BASIS THE GENERAL COUNSEL SENDS THESE DOCUMENTS TO EACH DIRECTOR, OFFICER AND CERTAIN KEY EMPLOYEES. ONCE THE DOCUMENTS ARE COMPLETED AND RETURNED, THE GENERAL COUNSEL REVIEWS THE QUESTIONNAIRES AND CONFERS WITH BOTH THE SECRETARY OF THE ORGANIZATION AND CHAIR OF THE GOVERNANCE COMMITTEE AS TO THE RESULTS AND ANY ISSUES THAT NEED TO BE ADDRESSED REGARDING ACTUAL OR POTENTIAL CONFLICTS DISCLOSED OR ANY OTHER FACT THAT MIGHT MAKE THE INDIVIDUAL NOT INDEPENDENT FOR IRS TAX EXEMPT PURPOSES. THE SECRETARY, WITH THE ASSISTANCE OF THE GENERAL COUNSEL, THEN SUBMITS TO THE BOARD OF DIRECTORS A CONFIDENTIAL REPORT CONCERNING ANY INTEREST OF EMPLOYEES OF THE HOSPITAL DISCLOSED BY SUCH QUESTIONNAIRE, ANY INTEREST OF DIRECTORS AND OFFICERS WHO ARE NOT EMPLOYEES OF THE HOSPITAL, AND WHAT ACTIONS THE PRESIDENT OF THE ORGANIZATION MAY TAKE AS A RESULT OF ANY CONFLICTS DISCLOSED BY SUCH INDIVIDUALS. AN INDIVIDUAL IS INELIGIBLE TO SERVE ON THE BOARD OF DIRECTORS FOR ANY OF THE FOLLOWING REASONS AS TAKEN FROM HANNIBAL REGIONAL HEALTHCARE SYSTEM BOARD OF DIRECTORS POLICY B-III: A. FAILURE TO ADHERE COMPLETELY TO DISCLOSURE REQUIREMENTS; B. THE INDIVIDUAL IS AN OWNER, PARTNER, EMPLOYEE, BOARD MEMBER OR INVESTOR IN A DIRECT COMPETITOR OF THE HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL. AN OWNERSHIP OR INVESTMENT INTEREST IN A DIRECT COMPETITOR OF THE HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL, OF FIVE (5) PERCENT OR LESS WILL NOT MAKE INDIVIDUAL INELIGIBLE TO SERVE ON THE BOARD OF DIRECTORS; C. THE INDIVIDUAL IS AN EMPLOYEE OF THE HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL, OR A FAMILY MEMBER IS A MEMBER OF THE MANAGEMENT TEAM OF THE HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL; D. THE INDIVIDUAL RECEIVES DIRECT COMPENSATORY BENEFIT FOR ONGOING SERVICES PROVIDED TO THE HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL (SERVING AS A "DE FACTO EMPLOYEE"); E. THE INDIVIDUAL IS AN OWNER, PARTNER, EMPLOYEE, BOARD MEMBER OR HAS A MATERIAL INVESTMENT INTEREST IN AN ENTITY WHICH HAS CONTRACTED FOR THE EXCLUSIVE PROVISION OF ANY MEDICAL SERVICES WITH THE HOSPITAL OR ANY OF ITS AFFILIATES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE, PURSUANT TO A CHARTER ADOPTED BY THE BOARD OF DIRECTORS, THE RESPONSIBILITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN ADMINISTERING COMPENSATION PLANS AND IN MAKING DECISIONS ON THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND THOSE EXECUTIVES WHO REPORT DIRECTLY TO THE CHIEF EXECUTIVE OFFICER WHO QUALIFY AS "DISQUALIFIED PERSONS" WITHIN THE MEANING OF SECTION 4958 OF THE INTERNAL REVENUE CODE. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT TO ASSIST THE COMMITTEE WITH ITS GOVERNANCE AND OVERSIGHT ROLE AND ITS COMPLIANCE WITH SECTION 4958 OF THE INTERNAL REVENUE CODE, BY PROVIDING AN OPINION ON THE REASONABLENESS OF THE ORGANIZATION'S COMPENSATION PLAN. THE CONSULTANT USES PUBLISHED SURVEY DATA TO PROVIDE COMPARATIVE MARKET DATA FOR EACH POSITION. THE COMMITTEE THEN REPORTS ITS ACTIONS TO THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPOSED SOLELY OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE SCOPE OF THE COMMITTEE INCLUDES, BUT IS NOT LIMITED TO, REVIEWING AND APPROVING THE ANNUAL BASE SALARY LEVELS, ANNUAL INCENTIVE OPPORTUNITY LEVELS, EXECUTIVE PERQUISITES, EMPLOYMENT AGREEMENTS, BENEFITS AND SUPPLEMENTAL BENEFITS. ANNUALLY, HRHS, THROUGH ITS COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT TO PROVIDE OPINIONS RELATED TO THE REASONABLENESS OF EXECUTIVE COMPENSATION AND TO PROVIDE ADVICE AND GUIDANCE AS TO CURRENT TRENDS AND ISSUES. FORM 990, PART VI, SECTION C, LINE 19 THE ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES/PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 30,163,317. MANAGEMENT AND GENERAL EXPENSES 5,155,101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,318,418. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 511,095. MANAGEMENT AND GENERAL EXPENSES 13,751. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 524,846. CLEANING SERVICE: PROGRAM SERVICE EXPENSES 366,789. MANAGEMENT AND GENERAL EXPENSES 1,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368,364. CONSULTING FEES: PROGRAM SERVICE EXPENSES 35,684. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,684. COLLECTION FEES: PROGRAM SERVICE EXPENSES 3,554. MANAGEMENT AND GENERAL EXPENSES 639,302. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 642,856. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S POLICY REGARDING OVERSIGHT OF AUDIT IS CONSISTENT WITH THE PRIOR YEAR. LANAC 6000 HOSPITAL DRIVE HANNIBAL MO 63401 431822503 REAL ESTATE MO 0 0 HANNIBAL REGIONAL HOSPITAL HANNIBAL REGIONAL HOSPITAL FOUNDATION 175 SHINN LANE HANNIBAL MO 63401 431658744 FUNDRAISING MO 501(C)(3) LINE 12A, I HANNIBAL REGIONAL HEALTHCARE SYSTEM INC 1 HANNIBAL MEDICAL SUPPLIES LLC PO BOX 40 QUINCY IL 62306 262362717 MEDICAL SUPPLIES MO N/A RELATED 158842 571239 0 0 0.50000 ADVANCE HANNIBAL REGIONAL HOSPITAL LLC 3652 STARDUST DRIVE HANNIBAL MO 63401 461561480 PT/OT SERVICES MO N/A RELATED 490499 173071 0 0 0.50000 HEALTH NETWORK OF MISSOURI LLC 227 UNIVERSITY HALL COLUMBIA MO 65211 471248962 COLLABORATIVE HEALTH NETWORK MO N/A RELATED -24485 0 1 0.20000 NORTHEAST MISSOURI AMBULATORY SUGERY CENTER LLC AND SUBSIDIARY 98 MEDICAL DRIVE PO BOX 511 HANNIBAL MO 634010511 431857277 AMBULATORY SURGERY CENTER MO N/A RELATED 160443 4507797 0 0 0.25000 HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INC 6500 HOSPITAL DRIVE HANNIBAL MO 64301 431706291 PHYSICIAN HOSPITAL ORGANIZATION MO N/A C 100670 -55827 0.50000 0 0 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0 HANNIBAL REGIONAL HOSPITAL FOUNDATION C 2880588 COST INCURRED HANNIBAL REGIONAL HOSPITAL FOUNDATION O 323381 COST INCURRED HANNIBAL REGIONAL HOSPITAL FOUNDATION P 339765 COST INCURRED HANNIBAL REGIONAL HOSPITAL FOUNDATION D 5239999 COST INCURRED SCHEDULE R, PAGE 2, PART III HRHS MAINTAINS CONTROL OF THE JOINT VENTURE ACTIVITIES LISTED ON SCHEDULE R, PART III BY HAVING ITS LEADERSHIP TEAM MEMBERS ON EACH JOINT VENTURE BOARD OF DIRECTORS. AS A RESULT, THE ENTITIES ARE LISTED ON SCHEDULE R, PART III AND RESULTING INCOME FROM THOSE ACTIVITIES ARE NOT BEING SUBJECTED TO UBIT.