HANNIBAL REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (EIN 43-0662495)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-07-09
IRS object ID: 202031919349302088
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-09T15:26:55-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 WASHINGTON AVENUE SUITE 1800	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430662495	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HEALTHCARE SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HANN	BusinessNameControlTxt
Phone	5732481300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 HOSPITAL DRIVE PO BOX 551	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROB GASAWAY	PersonNm
Person Title	VICE PRESIDENT - FINANCE	PersonTitleTxt
Phone	5732481300	PhoneNum
Signature	2020-07-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFF PARKER	PreparerPersonNm
PTIN	P00970069	PTIN
Phone	6182331200	PhoneNum
Preparation	2020-07-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-09	IPDt
IP Tm	09:50:43	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DBE5E9100BD705C5801F05FB9419F1388E8E9FDA	AtSubmissionCreationDeviceId
At Submission Filing Device Id	989DFB6D651F9908902073D975B29ADBCB16A891	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-19 02:30:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	C TODD AHRENS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 HOSPITAL DRIVE PO BOX 551	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$194,248,928	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HOSPITAL.HANNIBALREGIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	THE SYSTEM OPERATES A FULL SERVICE ACUTE CARE FACILITY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1358	TotalEmployeeCnt
Total Volunteers	274	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$735,026	PYContributionsGrantsAmt
CY Contributions Grants	$1,766,912	CYContributionsGrantsAmt
PY Program Service Revenue	$179,219,832	PYProgramServiceRevenueAmt
CY Program Service Revenue	$185,967,016	CYProgramServiceRevenueAmt
PY Investment Income	$5,456,248	PYInvestmentIncomeAmt
CY Investment Income	$2,487,867	CYInvestmentIncomeAmt
PY Other Revenue	$1,959,016	PYOtherRevenueAmt
CY Other Revenue	$1,720,681	CYOtherRevenueAmt
PY Total Revenue	$187,370,122	PYTotalRevenueAmt
CY Total Revenue	$191,942,476	CYTotalRevenueAmt
PY Grants And Similar Paid	$96,931	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$67,632	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$97,074,664	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$98,199,986	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$78,455,955	PYOtherExpensesAmt
CY Other Expenses	$88,702,815	CYOtherExpensesAmt
PY Total Expenses	$175,627,550	PYTotalExpensesAmt
CY Total Expenses	$186,970,433	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,742,572	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,972,043	CYRevenuesLessExpensesAmt
Total Assets BOY	$195,591,528	TotalAssetsBOYAmt
Total Assets EOY	$194,629,855	TotalAssetsEOYAmt
Total Liabilities BOY	$75,616,963	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$73,086,240	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$119,974,565	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$121,543,615	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES FOR A BETTER LIFE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$162,240,574	ExpenseAmt
Grant	$67,632	GrantAmt
Revenue	$185,611,918	RevenueAmt
Desc	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, AND A HOME HEALTH AGENCY IN HANNIBAL MISSOURI AND SURROUNDING COUNTIES. 19,412 TOTAL INPATIENT DAYS WERE PROVIDED DURING THE COURSE OF THE YEAR. 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. THE TOTAL COST OF UNCOMPENSATED CARE WAS: CHARITY CARE - $3,223,950 AND STATE MEDICAID AND OTHER PUBLIC AID PROGRAMS - $12,274,218.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$999,545	ExpenseAmt
Revenue	$771,605	RevenueAmt
Desc	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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$163,240,119	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	184	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1358	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROB GASAWAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5732481300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 HOSPITAL DRIVE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
PAT BENSON
CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
DEBORAH THORNBURG
VICE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
JASON POAGE
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
CAROLYN SHAW
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
STEVE MILLER
ASST SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL EWERT
DIRECTOR	1.00	Yes (X)		$0	$0	$0
BRAD KURZ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DIRK SAUER
DIRECTOR	1.00	Yes (X)		$0	$0	$0
GENE SCHOLES JR
DIRECTOR	1.00	Yes (X)		$0	$0	$0
LINDA STRAUBE
DIRECTOR	1.00	Yes (X)		$0	$0	$0
RICHARD VALUCK MD
DIRECTOR & CARDIOLOGIST	1.00	Yes (X)		$607,203	$0	$37,952
JACK WHITAKER
DIRECTOR	1.00	Yes (X)		$1,220	$0	$0
LACEY YOUNG
DIRECTOR	1.00	Yes (X)		$0	$0	$0
C TODD AHRENS
PRESIDENT & CEO	40.00		Yes (X)	$535,438	$0	$163,984	1.00
ROB GASAWAY
VICE PRESIDENT - FINANCE	40.00		Yes (X)	$233,795	$0	$71,616
TIMOTHY REUSCHEL
VP - GENERAL COUNSEL (LEFT 01/2019)	40.00		Yes (X)	$276,971	$0	$45,017
PRANAV PARIKH MD
V.P. - QUALITY & MEDICAL AFFAIRS	40.00		Yes (X)	$807,071	$0	$146,310
AARON ZOOK
VICE PRESIDENT - OPERATIONS	40.00		Yes (X)	$201,833	$0	$52,136
JULIE LEVERENZ
VICE PRESIDENT - PATIENT EXPERIENCE	40.00		Yes (X)	$232,425	$0	$33,454
SUSAN WATHEN
VICE PRESIDENT - HUMAN RESOURCES	40.00		Yes (X)	$211,920	$0	$41,304
G DOUG RUBLE
VP - FACILITIES (LEFT 03/2019)	40.00		Yes (X)	$206,411	$0	$29,924
PATRICIA BRAWNER
VICE PRESIDENT - NURSING	40.00		Yes (X)	$228,183	$0	$54,087
KURT EBERS
CLINIC ADMINISTRATOR (LEFT 04/2018)	40.00		Yes (X)	$130,040	$0	$11,624
WENDY HARRINGTON
V.P. - HRHS DEVELOPMENT	1.00		Yes (X)	$230,959	$0	$36,572	40.00
LUVELL GLANTON
ANESTHESIOLOGIST - PAIN MANAGEMENT	40.00			$853,788	$0	$46,175		Yes (X)
JOEL HASSIEN
RADIOLOGIST	40.00			$728,518	$0	$36,952		Yes (X)
LANCE DORSEY
RADIOLOGIST	40.00			$693,885	$0	$46,162		Yes (X)
LAURA MAPLE
OBSTETRICIAN AND GYNECOLOGIST	40.00			$683,057	$0	$12,375		Yes (X)
ASHRAF ALMASHHRAWI
GASTROENTEROLOGIST	40.00			$672,946	$0	$38,085		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,535,663	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$903,729	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	118	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MURRAY COMPANY INC
1215 FERN RIDGE PARKWAY SUITE 213	ST LOUIS	MO	63141	CONSTRUCTION	$21,721,141
INTERIM PHYSICIANS LLC
PO BOX 679139	DALLAS	TX	75267	LOCUM PROVIDERS	$2,604,061
ALLSCRIPTS LLC
PO BOX 8538-0133	PHILADELPHIA	PA	19171	IT SYSTEMS	$2,046,178
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	LOCUM PROVIDERS	$1,627,759
ADVANCE HANNIBAL REGIONAL HOSPITAL
188A MEDICAL DRIVE	HANNIBAL	MO	63401	REHAB SERVICES	$1,225,417

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	63	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,766,912	RelatedOrganizationsAmt
Total Contributions	$1,766,912	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$185,127,411	$185,127,411
CHILDREN'S DEVELOPMENT CENTER	624410	$771,605	$771,605
EHR MEANINGFUL USE	621110	$68,000	$68,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$185,967,016	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,032,018	TotalRevenueColumnAmt
Exclusion	$1,032,018	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$465,327	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$35,816	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$429,511	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$429,511	TotalRevenueColumnAmt
Exclusion	$429,511	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,726,485	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,108,098	SecuritiesAmt
Other	$162,538	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,618,387	SecuritiesAmt
Other	-$162,538	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,455,849	TotalRevenueColumnAmt
Exclusion	$1,455,849	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722210	$707,766	$707,766
CONTRACTED SERVICES	621110	$322,496		$322,496
OTHER ADMINISTRATION	621110	$166,897	$166,897

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$94,011	TotalRevenueColumnAmt
Related Or Exempt Func Income	$94,011	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,291,170	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,942,476	TotalRevenueColumnAmt
Related Or Exempt Func Income	$186,383,523	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,792,041	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$67,632	TotalAmt
Program Services	$67,632	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,155,463	TotalAmt
Program Services	$739,181	ProgramServicesAmt
Management And General	$3,416,282	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$73,658,305	TotalAmt
Program Services	$64,642,372	ProgramServicesAmt
Management And General	$9,015,933	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,102,727	TotalAmt
Program Services	$2,748,928	ProgramServicesAmt
Management And General	$353,799	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,466,444	TotalAmt
Program Services	$10,552,774	ProgramServicesAmt
Management And General	$1,913,670	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,817,047	TotalAmt
Program Services	$4,046,466	ProgramServicesAmt
Management And General	$770,581	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$296,741	TotalAmt
Management And General	$296,741	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$90,000	TotalAmt
Management And General	$90,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$12,044	TotalAmt
Program Services	$10,698	ProgramServicesAmt
Management And General	$1,346	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,093,539	TotalAmt
Program Services	$19,935,086	ProgramServicesAmt
Management And General	$3,158,453	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$567,221	TotalAmt
Management And General	$567,221	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,988,550	TotalAmt
Program Services	$18,362,270	ProgramServicesAmt
Management And General	$1,626,280	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$279,290	TotalAmt
Program Services	$188,793	ProgramServicesAmt
Management And General	$90,497	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,814,546	TotalAmt
Program Services	$2,580,277	ProgramServicesAmt
Management And General	$234,269	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$891,667	TotalAmt
Program Services	$733,070	ProgramServicesAmt
Management And General	$158,597	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$135,946	TotalAmt
Program Services	$94,144	ProgramServicesAmt
Management And General	$41,802	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$729,801	TotalAmt
Program Services	$654,246	ProgramServicesAmt
Management And General	$75,555	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,283,287	TotalAmt
Program Services	$7,425,736	ProgramServicesAmt
Management And General	$857,551	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,052,553	TotalAmt
Program Services	$1,052,553	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$16,463,760	$16,463,760
PHARMACY DRUGS	$11,700,797	$11,700,797
FOOD	$790,359	$790,359
RECRUITING EXPENSE	$606,691		$606,691

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$906,023	TotalAmt
Program Services	$450,977	ProgramServicesAmt
Management And General	$455,046	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$186,970,433	TotalAmt
Program Services	$163,240,119	ProgramServicesAmt
Management And General	$23,730,314	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,473,836	BOYAmt
EOY	$13,344,261	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,042,999	BOYAmt
EOY	$1,061,726	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$456,630	BOYAmt
EOY	$282,180	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,148,849	BOYAmt
EOY	$21,167,055	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$870,862	BOYAmt
EOY	$1,181,057	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,143,048	BOYAmt
EOY	$2,796,510	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,152,306	BOYAmt
EOY	$1,057,107	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$193,073,309	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$105,940,116	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$65,459,615	BOYAmt
EOY	$87,133,193	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$83,733,697	BOYAmt
EOY	$58,910,702	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$527,412	BOYAmt
EOY	$607,644	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,021,017	BOYAmt
EOY	$750,217	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,561,257	BOYAmt
EOY	$6,338,203	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$195,591,528	BOYAmt
EOY	$194,629,855	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$24,727,765	BOYAmt
EOY	$22,844,676	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,395,485	BOYAmt
EOY	$43,183,016	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,554,150	BOYAmt
EOY	$4,984,479	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,939,563	BOYAmt
EOY	$2,074,069	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$75,616,963	BOYAmt
EOY	$73,086,240	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$114,994,511	BOYAmt
EOY	$115,179,844	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,980,054	BOYAmt
EOY	$6,363,771	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$119,974,565	BOYAmt
EOY	$121,543,615	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,591,528	BOYAmt
EOY	$194,629,855	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,972,043	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$811,360	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,591,633	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$12,045	OtherActivitiesAmt
Total Lobbying Expenditures	$12,045	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE MEMBERSHIP DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION IS RELATED TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Funds And Other Accounts Held	1	FundsAndOtherAccountsHeldCnt
Funds And Other Accounts Contri	$1,066	FundsAndOtherAccountsContriAmt
Funds And Other Accounts Grants	$0	FundsAndOtherAccountsGrantsAmt
Funds And Other Accounts Vl EOY	$25,568	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	0	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	0	DisclosedForCharitablePrpsInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,712,256	OtherCostOrOtherBasisAmt
Book Value	$3,712,256	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,075,038	OtherCostOrOtherBasisAmt
Depreciation	$39,517,157	DepreciationAmt
Book Value	$41,557,881	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,392,198	OtherCostOrOtherBasisAmt
Depreciation	$6,854,778	DepreciationAmt
Book Value	$2,537,420	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$95,577,478	OtherCostOrOtherBasisAmt
Depreciation	$59,568,181	DepreciationAmt
Book Value	$36,009,297	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,316,339	OtherCostOrOtherBasisAmt
Book Value	$3,316,339	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$87,133,193	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN	Desc
Amt	$2,074,069	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,074,069	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,690,894	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,789,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$901,611	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,720,856	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,229,948	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,490,908	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,411,750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,019,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,392,519	NetCommunityBenefitExpnsAmt
Total Expense	0.03420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,557,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,131,417	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,426,211	NetCommunityBenefitExpnsAmt
Total Expense	0.03970	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$398,604	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$398,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$626,866	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$626,866	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,583,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,131,417	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,451,681	NetCommunityBenefitExpnsAmt
Total Expense	0.04520	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,994,848	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,150,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,844,200	NetCommunityBenefitExpnsAmt
Total Expense	0.07940	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,138,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$771,604	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,367,239	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,475	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,475	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$329,712	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$329,712	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,471,030	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$771,604	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,699,426	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,463,760	BadDebtExpenseAmt
Bad Debt Expense Attributable	$12,347,820	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,973,033	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$46,574,345	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,601,312	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
OUTPATIENT PHYSICAL THERAPY	0.50000	0.50000
2 HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INC
INSURANCE REPRICING	0.50000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6000 HOSPITAL DRIVE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HANNIBALREGIONAL.ORG	WebsiteAddressTxt
State License	101-57	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HEALTHCARE SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C FOR URL OF CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SEC. C FOR IMPLEMENTATION STRATEGY URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C FOR URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C FOR URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C FOR URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 5: A 90-MINUTE TOWN HALL MEETING WITH REQUIRED COMMUNITY PRIMARY SERVICE AREA RESIDENTS WAS CONDUCTED. CHNA DATA WAS REVIEWED AND A GROUP DISCUSSION WAS FACILITATED TO RANK ACTIVITY TO DETERMINE THE MOST IMPORTANT COMMUNITY HEALTH NEEDS.
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, AND SHELBY COUNTY HEALTH DEPARTMENT
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 11: THE REGIONAL HEALTH STEERING COMMITTEE WILL COLLABORATE ON MEASURABLE GOALS, OBJECTIVES AND ACTION PLANS TO ACHIEVE EACH OF THE IDENTIFIED STRATEGIES:1. COMMUNITY APATHY/SELF HEALTH ACCOUNTABILITY A.PROMOTE COMMUNITY HEALTH PROGRAMS. CREATE EFFECTIVE MEDIA CAMPAIGNS TO ENCOURAGE HEALTHY LIFESTYLES. B. CONTINUE HOSTING COMMUNITY EDUCATION EVENTS AND PARTNER WITH OTHER ORGANIZATIONS TO DO SO. PROMOTE LOCAL HEALTHCARE AND WELLBEING PROGRAMS. C. ENGAGE LIVING BETTER GROUP TO CREATE REGION-WIDE HEALTH INITIATIVE TO MAKE THE HEALTHY CHOICE THE RIGHT CHOICE. D. ENGAGE IN HEALTH FAIRS AND OTHER HEALTH EVENTS TO PROMOTE HEALTHY EATING AND NUTRITIONAL HABITS.2. CHRONIC CARE MANAGEMENT A. ENGAGE IN TECHNOLOGY TO CREATE POPULATION HEALTH PROGRAMS TO HELP PATIENTS MANAGE CHRONIC HEALTH CONDITIONS. B. FURTHER MARKET A HEALTHY WORKFORCE INITATIVE TO OFFER BIOMETRIC SCREENINGS TO IDENTIFY CHRONIC DISEASES, AND ENGAGE EMPLOYERS IN ENCOURAGING EMPLOYEES TO MANAGE CHRONIC HEALTH CONDITIONS. C. EXPLORE GRANTS AND UTILIZE EXISTING GRANTS TO OFFER RESOURCES SUCH AS BLOOD PRESSURE MONITORS AND SCALES TO THOSE IN NEEDS OF THESE RESOURCES WHO DO NOT HAVE THE ABILITY TO PAY. D. ENGAGE SCHOOLS AND LAUNCH PROGRAMS TO FIGHT HYPERTENSION, DIABETES AND SMOKING IN SCHOOL AGE CHILDREN. E. DEVELOP PROCESSES TO BETTER SUPPORT FAMILY PRACTICE PROVIDERS TO REFER PATIENTS TO RESOURCES SUCH AS NUTRITION AND DIABETES EDUCATION.3. MENTAL HEALTH/DEPRESSION A. CONTINUE EFFORTS TO EXPAND TELE-HEALTH RESOURCES IN THE AREA OF MENTAL HEALTH COUNSELING. B. UTILIZE PARTNER OF PREFERRED FAMILY HEALTH AND OTHER PROVIDERS TO LINK PRIMARY AND EMERGENT CARE WITH READILY AVAILABLE MENTAL HEALTH COUNSELING. C. CONTINUE TO IMPROVE MENTAL HEALTH PREVENTION AND AWARENESS THROUGH TRAINING IN MENTAL HEALTH FIRST AID. D. COMPLETE A NEW COMMUNITY MENTAL HEALTH SURVEY TO DOCUMENT SPECIFIC MENTAL HEALTH SERVICES AND OFFERINGS THROUGHOUT THE REGION. E. COLLABORATE WITH SCHOOLS AND MENTAL HEALTH PROVIDERS TO INCREASE EDUCATION ON MENTAL HEALTH THROUGH THE SCHOOL SYSTEM.CONTINUE AND EXPAND EDUCATION TO EMERGENCY WORKERS IN MENTAL HEALTH TRAINING.4. DRUG ABUSE (INCLUDING OPIOIDS) A. CONTINUE TO OFFER MEANINGFUL COMMUNITY ACTIVITIES TO KEEP YOUTH ENGAGED AND DRUG FREE. B. CONTINUE TO IMPROVE SUBSTANCE ABUSE PREVENTION AND AWARENESS THROUGH THE MENTAL HEALTH FIRST AID TRAINING. C. CREATE AND SUPPLY EDUCATIONAL HANDOUTS FOR MEDICAL PROVIDERS TO DISTRIBUTE TO PATIENTS WHEN PRESCRIBING OPIOIDS. D. CONTINUE TO PROMOTE DISCARDING OLD PRESCRIPTIONS AT LOCAL POLICE DEPARTMENTS AND DRUG DROP-OFF PROGRAMS. E. OFFER ASSISTANCE TO ESTABLISHED DRUG-FREE PROGRAMS INCLUDING DARE AND THE UNITED WAY.5. POVERTY/LACK OF ACCESS TO CARE A. CONTINUE TO PARTNER AND PROMOTE FOOD PANTRY PROGRAMS IN THE COMMUNITY. B. LAUNCH MONEY MANAGEMENT EDUCATION SEMINARS THROUGHOUT PARTNERSHIPS TO ASSIST IN EDUCATING COMMUNITY ON FINANCIAL DECISION MAKING. C. CONTINUE PARTNERSHIP WITH COMMUNITY CONNECT AND EXPAND THE HUMAN RESOURCES/JOB READINESS PART OF THE PROGRAM. D. PROMOTE AND ADVERTISE SURROUNDING AREA JOB FAIRS, THROUGH THE HANNIBAL AREA CHAMBER OF COMMERCE AND OTHER PARTNERS. E. CREATE A PROGRAM TO DONATE USED BUSINESS ITEMS INCLUDING CLOTHING AND EQUIPMENT. F. EXPAND THE HANNIBAL FREE CLINIC PROGRAM. G. RESEARCH AND CREATE PROGRAMS THAT ALLOW LEFT-OVER FOOD TO BE DONATED TO FOOD PANTRIES AND INDIVIDUALS6. OBESITY (NUTRITION/EXERCISE/HEALTHY EATING) A. SUPPORT CURRENT FARMERS' MARKETS AND ENCOURAGE LOCAL PRODUCERS TO SHARE WITH FOOD PANTRIES. B. PROMOTE GENERAL FREE FITNESS ACTIVITIES WITHIN THE COMMUNITY, INCLUDING WALKING TRAILS AND CITY RESOURCES. C. DEVELOP A PARTNERSHIP BETWEEN HEALTHCARE PROVIDERS, THE YMCA AND THE SCHOOL SYSTEM, TO FURTHER ENCOURAGE FITNESS IN YOUTH. D. INCREASE ACCESS TO HEALTHY FOODS IN SCHOOLS AND NURSING HOMES. E. UTILIZE MU EXTENSION AND THEIR RECESS REDESIGN PROGRAM TO ENCOURAGE FITNESS AND ACTIVITY IN SCHOOL. F. UTILIZE THE GIRLS ON THE MOVE PROGRAM IN THE SCHOOL TO ENCOURAGE MIDDLE SCHOOL GIRLS TO BE ACTIVE, REGARDLESS OF THEIR SPORTS AFFILIATION. G. SPONSOR AND PROMOTE COMMUNITY EVENTS THAT ENCOURAGE FITNESS.7. SMOKING A. ASSIST SCHOOLS IN THE FURTHER EDUCATION OF THE DANGERS OF SMOKING, ESPECIALLY E-CIGARETTES. B. CONTINUE AND EXPAND SMOKING CESSATION PROGRAMS THROUGHOUT THE REGION. C. EDUCATE PRIMARY CARE AND SPECIALTY PROVIDERS ON THE AVAILABILITY OF SMOKING CESSATION PROGRAMS. D. EXPLORE SMOKE-FREE CAMPUSES AND THEIR BENEFITS. E. CONTINUE EMPLOYER PROGRAMS TO ENCOURAGE TESTING FOR SMOKING AND THE AVAILABILITY OF SMOKING CESSATION CLASSES FOR THEIR EMPLOYEES.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 13B: THE PATIENTS ABILITY TO PAY OUTSIDE OF NORMAL LIVING EXPENSES AND DEBT.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 16J: PERSONAL CONTACT AND WEBSITE ACCCESS ARE THE MAIN POINTS OF CONTACT.
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://HANNIBALREGIONAL.ORG/PORTALS/0/HANNIBAL_REGIONAL_2019_COMMUNITY_HEALTH_NEEDS_ASSESSMENT.PDF?VER=2019-07-26-152557-163
SCHEDULE H, PART V, SECTION B, LINE 10	THE ORGANIZATION'S CURRENT IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://HANNIBALREGIONAL.ORG/COMMUNITYHEALTH/CHNA/2016-2019REGIONALHEALTHSTRATEGY/TABID/208/DEFAULT.ASPX
SCHEDULE H, PART V, SECTION B, LINE 16A	THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP) CAN BE FOUND AT:HTTPS://HANNIBALREGIONAL.ORG/PATIENTSVISITORS/PATIENTSERVICES/FINANCIALASSISTANCE/TABID/241/DEFAULT.ASPX
SCHEDULE H, PART V, SECTION B, LINE 16B	THE ORGANIZATION'S FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT:HTTPS://HANNIBALREGIONAL.ORG/PORTALS/0/DOCUMENTS/HANNIBAL_REGIONAL_CHARITY_CARE_APPLICATION_2018.PDF
SCHEDULE H, PART V, SECTION B, LINE 16C	THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT:HTTPS://HANNIBALREGIONAL.ORG/PORTALS/0/HRHS-PLAIN-LANGUAGE-SUMMARY.PDF

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HANNIBAL REGIONAL MEDICAL GROUP
6500 HOSPITAL DRIVE	HANNIBAL	MO	63401	RURAL HEALTH CLINICS, SPECIALTY CLINIC, SAME DAY/URGENT CARE
2 - JAMES E CARY CANCER CENTER
5985 HOSPITAL DRIVE	HANNIBAL	MO	63401	CANCER CENTER
3 - COMPLETE FAMILY MEDICINE - KIRKSVILLE
1611 S BALTIMORE	KIRKSVILLE	MO	63501	RURAL HEALTH, SAME DAY/URGENT CARE, FAMILY PRACTICE CLINIC
4 - MONROE CITY FAMILY PRACTICE
821 BUSINESS HWY 24 WEST	MONROE CITY	MO	63456	RURAL HEALTH CLINIC
5 - PIKE MEDICAL CLINIC - BOWLING GREEN
8 TOWN CENTER DR	BOWLING GREEN	MO	63334	RURAL HEALTH CLINIC, SAME DAY/URGENT CARE
6 - PIKE MEDICAL CLINIC - LOUISIANA
211 S 3RD ST	LOUISIANA	MO	63353	RURAL HEALTH CLINIC
7 - CANTONLAGRANGE FAMILY PRACTICE
1802 ELM STREET	CANTON	MO	63435	RURAL HEALTH CLINIC
8 - SHELBINA FAMILY PRACTICE
400 S CENTER STREET	SHELBINA	MO	63486	RURAL HEALTH CLINIC
9 - PEDIATRIC THERAPY
150 MEDICAL DR	HANNIBAL	MO	63401	PEDIATRIC THERAPY
10 - EXPRESS CARE AT WAL-MART
3650 STARDUST DRIVE WAL-MART	HANNIBAL	MO	63401	RURAL HEALTH CLINIC, SAME DAY CLINIC
11 - COMPLETE FAMILY MEDICINE MOBERLY UC
1600 N MORLEY SUITE A-120-A	MOBERLY	MO	65270	SAME DAY/URGENT CARE CLINIC
12 - COMPLETE FAMILY MEDICINE MACON UC
1206 N MISSOURI ST	MACON	MO	63552	SAME DAY/URGENT CARE CLINIC
13 - SPEECH THERAPY
188A MEDICAL DRIVE	HANNIBAL	MO	63401	SPEECH THERAPY
14 - COMPLETE FAMILY MEDICINE LANCASTER RHC
1000 W WASHINGTON	LANCASTER	MO	63548	RURAL HEALTH CLINIC
15 - COMPLETE FAMILY MEDICINE LA PLATA RHC
29934 JULY RD	LA PLATA	MO	63549	RURAL HEALTH CLINIC
16 - HANNIBAL MEDICAL SUPPLIES
5 DIAMOND BLVD	HANNIBAL	MO	63401	JOINT VENTURES - MEDICAL SUPPLIES
17 - ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
188A MEDICAL DRIVE	HANNIBAL	MO	63401	JOINT VENTURES - THERAPY
18 - ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
710 S BUSINESS 61 SUITE 100	BOWLING GREEN	MO	63334	JOINT VENTURES - THERAPY
19 - ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
55 TROY SQUARE	TROY	MO	63379	JOINT VENTURES - THERAPY
20 - ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
821 US 24 WEST	MONROE CITY	MO	63456	JOINT VENTURES - THERAPY
21 - ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
1804 ELM ST	CANTON	MO	63435	JOINT VENTURES - THERAPY
22 - ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
1605 S BALTIMORE ST STE C	KIRKSVILLE	MO	63501	JOINT VENTURES - THERAPY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, THEY ARE UNINSURED, PATIENTS WITH A FAMILY INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE, PATIENTS WITH A SPENDABLE INCOME THAT IS LESS THAN 5% OF THE BALANCE OWED TO THE HOSPITAL, THE PATIENT HAS LESS THAN $2,000 IN TOTAL ASSETS AVAILABLE TO PAY HOSPITAL EXPENSES (EXCEPTIONS INCLUDE HOME EQUITY, AUTO EQUITY, LIFE INSURANCE EQUITY).
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 COST TO CHARGES RATIO 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 ESTIMATE WAS BASED ON AVAILABLE DATA.
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, 2019 AND 2018, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $9,501,000 AND $6,511,000, 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.
PART III, LINE 9B:	WHEN CHARITY 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.
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 12 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
KIRKSVILLE R-III BOOSTER CLUB
1901 E HAMILTON	KIRKSVILLE	MO	63501	431802445	501(C)(3)	$17,500	TITLE SPONSORSHIP DIGITAL SCOREBOARD
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	$40,132	MCE HEALTH IMPR., RESEARCH AND SCHOLARSHIP FUND, MHA SPECIAL PROJECTS, MISSOURI CENTER FOR PATIENT SAFETY CONTRIBUTION AND DELIVERABLES, MISSOURI POISON CENTER CONTRIBUTION.
HANNIBAL BASEBALL MANAGEMENT
403 WARREN BARRETT DRIVE	HANNIBAL	MO	63401	452451202		$10,000	CORPORATE SPONSORSHIP OF HANNIBAL HOOTS

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD VALUCK MD
DIRECTOR & CARDIOLOGIST	$603,178	$0	$0	$0	$4,025	$0	$0	$0	$37,952	$0	$645,155	$0	$0	$0
C TODD AHRENS
PRESIDENT & CEO	$503,183	$0	$0	$0	$32,255	$0	$117,652	$0	$46,332	$0	$699,422	$0	$0	$0
ROB GASAWAY
VICE PRESIDENT - FINANCE	$226,843	$0	$0	$0	$6,952	$0	$26,680	$0	$44,936	$0	$305,411	$0	$0	$0
TIMOTHY REUSCHEL
VP - GENERAL COUNSEL (LEFT 01/2019)	$269,970	$0	$0	$0	$7,001	$0	$0	$0	$45,017	$0	$321,988	$0	$0	$0
PRANAV PARIKH MD
V.P. - QUALITY & MEDICAL AFFAIRS	$431,234	$0	$368,566	$0	$7,271	$0	$100,413	$0	$45,897	$0	$953,381	$0	$0	$0
AARON ZOOK
VICE PRESIDENT - OPERATIONS	$182,028	$0	$15,120	$0	$4,685	$0	$21,840	$0	$30,296	$0	$253,969	$0	$0	$0
JULIE LEVERENZ
VICE PRESIDENT - PATIENT EXPERIENCE	$190,161	$0	$14,152	$0	$28,112	$0	$0	$0	$33,454	$0	$265,879	$0	$0	$0
SUSAN WATHEN
VICE PRESIDENT - HUMAN RESOURCES	$178,540	$0	$26,155	$0	$7,225	$0	$19,616	$0	$21,688	$0	$253,224	$0	$0	$0
G DOUG RUBLE
VP - FACILITIES (LEFT 03/2019)	$167,760	$0	$11,474	$0	$27,177	$0	$0	$0	$29,924	$0	$236,335	$0	$0	$0
PATRICIA BRAWNER
VICE PRESIDENT - NURSING	$192,544	$0	$28,305	$0	$7,334	$0	$20,836	$0	$33,251	$0	$282,270	$0	$0	$0
WENDY HARRINGTON
V.P. - HRHS DEVELOPMENT	$178,497	$0	$45,582	$0	$6,880	$0	$17,715	$0	$18,857	$0	$267,531	$0	$0	$0
LUVELL GLANTON
ANESTHESIOLOGIST - PAIN MANAGEMENT	$716,330	$0	$136,457	$0	$1,001	$0	$0	$0	$46,175	$0	$899,963	$0	$0	$0
JOEL HASSIEN
RADIOLOGIST	$556,815	$0	$170,000	$0	$1,703	$0	$0	$0	$36,952	$0	$765,470	$0	$0	$0
LANCE DORSEY
RADIOLOGIST	$522,938	$0	$170,000	$0	$947	$0	$0	$0	$46,162	$0	$740,047	$0	$0	$0
LAURA MAPLE
OBSTETRICIAN AND GYNECOLOGIST	$534,646	$0	$147,109	$0	$1,302	$0	$0	$0	$12,375	$0	$695,432	$0	$0	$0
ASHRAF ALMASHHRAWI
GASTROENTEROLOGIST	$644,445	$0	$15,000	$0	$13,501	$0	$0	$0	$38,085	$0	$711,031	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	JACK WHITAKER WAS REIMBURSED $1,220 FOR A TRAVEL COMPANION. IT WAS INCLUDED IN HIS TAXABLE COMPENSATION.
PART I, LINES 4A-B	JULIE LEVERENZ, SERP, $19,950, AMT VESTED FOR FY G. DOUG RUBLE, SERP, $16,734, AMT VESTED FOR FY KURT EBERS, SEVERANCE, $70,000

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	531320446	BondIssuerEIN
CUSIP	410632CP6	CUSIPNum
Bond Issued	2017-11-06	BondIssuedDt
Issue Price	$44,088,479	IssuePriceAmt
Purpose	CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$44,088,479	TotalProceedsAmt
Capitalized Interest	$3,643,238	CapitalizedInterestAmt
Issuance Costs From Proceeds	$445,241	IssuanceCostsFromProceedsAmt
Capital Expenditures	$39,964,060	CapitalExpendituresAmt
Unspent	$35,940	UnspentAmt
Substantial Completion	2020	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, LINE 17	FormAndLineReferenceDesc
Explanation	ALTHOUGH THE FINAL ALLOCATION OF PROCEEDS HAS NOT BEEN MADE, THE ORGANIZATION WILL HAVE BOOKS AND RECORDS TO SUPPORT THE ALLOCATION ONCE MADE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	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.
FORM 990, PART VI, SECTION B, LINE 11B	THE PREPARED FORM 990 WILL BE FORWARDED TO EACH MEMBER OF THE BOARD OF DIRECTORS, AS WELL AS THE OFFICERS OF THE CORPORATION APPROXIMATELY ONE WEEK PRIOR TO A REGULAR BOARD MEETING AT WHICH THE PREPARED FORM 990 WILL BE ON THE AGENDA. THE CHIEF FINANCIAL OFFICER OR CHIEF EXECUTIVE OFFICER WILL PRESENT THE PREPARED FORM 990 TO THE BOARD OF DIRECTORS AND ENTERTAIN QUESTIONS FROM DIRECTORS AND OFFICERS. THE GENERAL COUNSEL FOR THE CORPORATION WILL ALSO BE PRESENT TO ASSIST WITH QUESTIONS FOR THE DIRECTORS AND OFFICERS. THIS PROCEDURE WILL BE COMPLETED PRIOR TO THE FILING OF THE PREPARED FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A POLICY TITLED BUSINESS ETHICS AND CONFLICT OF INTEREST WHICH REQUIRES THAT ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THE SYSTEM ALWAYS ACT IN THE BEST INTEREST OF THE SYSTEM 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 SYSTEM. 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 SYSTEM 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 THESE DOCUMENTS ARE SENT BY THE SECRETARY OF THE SYSTEM TO EACH INTERESTED PERSON AND TO THOSE EMPLOYEES OF THE SYSTEM THAT THE BOARD DETERMINES. THE DOCUMENT IS COMPLETED BY THE INDIVIDUAL AND RETURNED TO THE SECRETARY OF THE BOARD THROUGH GENERAL COUNSEL, WHO ANNUALLY ANALYZES ANY DISCLOSED CONFLICT OF INTEREST OR ANY OTHER FACT THAT MIGHT MAKE THE INDIVIDUAL NOT INDEPENDENT FOR IRS TAX EXEMPT PURPOSES. THE SECRETARY THEN SUBMITS TO THE BOARD OF DIRECTORS A CONFIDENTIAL REPORT CONCERNING ANY INTEREST OF EMPLOYEES OF THE SYSTEM DISCLOSED BY SUCH QUESTIONNAIRE, ANY INTEREST OF DIRECTORS AND OFFICERS WHO ARE NOT EMPLOYEES OF THE SYSTEM, 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 SYSTEM BOARD OF DIRECTORS POLICY B-VII: 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 SYSTEM, OR ANY ENTITY AFFILIATED WITH THE SYSTEM. AN OWNERSHIP OR INVESTMENT INTEREST IN A DIRECT COMPETITOR OF THE SYSTEM, OR ANY ENTITY AFFILIATED WITH THE SYSTEM, 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 SYSTEM, OR ANY ENTITY AFFILIATED WITH THE SYSTEM, OR A FAMILY MEMBER IS A MEMBER OF THE MANAGEMENT TEAM OF THE SYSTEM, OR ANY ENTITY AFFILIATED WITH THE SYSTEM; D. THE INDIVIDUAL RECEIVES DIRECT COMPENSATORY BENEFIT FOR ONGOING SERVICES PROVIDED TO THE SYSTEM, OR ANY ENTITY AFFILIATED WITH THE SYSTEM (SERVING AS A "DE FACTO EMPLOYEE"); E. THE INDIVIDUAL IS AN OWNER, PARTNER, EMPLOYEE, BOARD MEMBER OR INVESTOR OR OTHER VENDOR WHO RECEIVES A SUBSTANTIAL AMOUNT OF REVENUE FROM THE SYSTEM, OR ANY ENTITY AFFILIATED WITH THE SYSTEM - THE GREATER OF $200,000.00 OR 2% OF THE ANNUAL REVENUES OF THAT VENDOR IN THE PRECEDING OR CURRENT YEAR. F. THE INDIVIDUAL IS AN OWNER, PARTNER, EMPLOYEE, BOARD MEMBER OR INVESTOR OF AN ENTITY WHO HAS CONTRACTED WITH SYSTEM FOR THE EXCLUSIVE PROVISION OF ANY MEDICAL SERVICES WITHIN THE SYSTEM, OR 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. IN 2019, INTEGRATED HEALTHCARE STRATEGIES (IHS) PROVIDED THIS SERVICE TO HRHS.
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 10,310,238. MANAGEMENT AND GENERAL EXPENSES 3,157,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,467,513. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 299,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 299,726. CLEANING SERVICE: PROGRAM SERVICE EXPENSES 450,040. MANAGEMENT AND GENERAL EXPENSES 1,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 451,218. INPATIENT REHAB PURCHASED SERVICES & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 998,169. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 998,169. CALL PAY: PROGRAM SERVICE EXPENSES 3,377,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,377,407. ER PHYSICIANS PRO FEE BILLABLE: PROGRAM SERVICE EXPENSES 4,499,506. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,499,506.
FORM 990, PART XI, LINE 9:	CHANGE IN MINIMUM PENSION LIABILITY 11,632,381. TERMINATION OF PENSION -14,224,014.
FORM 990, PART XII, LINE 2C	THE ORGANIZATION'S POLICY REGARDING OVERSIGHT OF AUDIT IS CONSISTENT WITH THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LANAC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6000 HOSPITAL DRIVE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Field	Value	IRS element (for citing)
EIN	431822503	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HOSPITAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	175 SHINN LANE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Field	Value	IRS element (for citing)
EIN	431658744	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12A, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HEALTHCARE SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HANNIBAL MEDICAL SUPPLIES LLC
PO BOX 40	QUINCY	IL	62306	262362717	MEDICAL SUPPLIES	MO	N/A	RELATED	$182,896	$325,539	0	0	0.50000
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
3652 STARDUST DRIVE	HANNIBAL	MO	63401	461561480	PT/OT SERVICES	MO	N/A	RELATED	$389,674	$195,042	0	0	0.50000
HEALTH NETWORK OF MISSOURI LLC
227 UNIVERSITY HALL	COLUMBIA	MO	65211	471248962	COLLABORATIVE HEALTH NETWORK	MO	N/A	RELATED	-$34,270	$28,566	0	Yes (1)	0.20000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 HOSPITAL DRIVE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64301	ZIPCd

Field	Value	IRS element (for citing)
EIN	431706291	EIN
Primary Activities	PHYSICIAN HOSPITAL ORGANIZATION	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$16,588	ShareOfTotalIncomeAmt
Share Of EOY Assets	$33,257	ShareOfEOYAssetsAmt
Ownership	0.50000	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HANNIBAL REGIONAL HOSPITAL FOUNDATION
C	$1,766,192	COST INCURRED
HANNIBAL REGIONAL HOSPITAL FOUNDATION
O	$263,943	COST INCURRED
HANNIBAL REGIONAL HOSPITAL FOUNDATION
P	$135,617	COST INCURRED

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
SCHEDULE R, PAGE 1, PART I	HANNIBAL MOBILE DIAGNOSTICS, LLC IS NO LONGER OPERATING AS A DISREGARDED ENTITY AND HAS BEEN REMOVED FROM SCHEDULE R