2020-07-09T15:26:55-05:00 2019-09-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2018-10-01 430662495 HANNIBAL REGIONAL HEALTHCARE SYSTEM INC HANN 5732481300 6500 HOSPITAL DRIVE PO BOX 551 HANNIBAL MO 63401 ROB GASAWAY VICE PRESIDENT - FINANCE 5732481300 2020-07-09 1 JEFF PARKER P00970069 6182331200 2020-07-09 67.137.57.251 2020-07-09 09:50:43 CD P DBE5E9100BD705C5801F05FB9419F1388E8E9FDA 989DFB6D651F9908902073D975B29ADBCB16A891 2018 2020-11-19 02:30:22Z C TODD AHRENS 6500 HOSPITAL DRIVE PO BOX 551 HANNIBAL MO 63401 194248928 0 X HOSPITAL.HANNIBALREGIONAL.ORG X 1987 MO THE SYSTEM OPERATES A FULL SERVICE ACUTE CARE FACILITY. 13 12 1358 274 0 0 735026 1766912 179219832 185967016 5456248 2487867 1959016 1720681 187370122 191942476 96931 67632 0 0 97074664 98199986 0 0 0 78455955 88702815 175627550 186970433 11742572 4972043 195591528 194629855 75616963 73086240 119974565 121543615 TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES FOR A BETTER LIFE. 0 0 162240574 67632 185611918 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. 999545 771605 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. 163240119 1 1 0 1 0 1 0 0 0 0 1 0 0 0 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 1 184 0 1358 1 0 0 0 0 0 0 0 0 0 0 0 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 CHAIR 1.00 X X 0 0 0 DEBORAH THORNBURG VICE CHAIR 1.00 X X 0 0 0 JASON POAGE TREASURER 1.00 X X 0 0 0 CAROLYN SHAW SECRETARY 1.00 X X 0 0 0 STEVE MILLER ASST SECRETARY 1.00 X X 0 0 0 PAUL EWERT DIRECTOR 1.00 X 0 0 0 BRAD KURZ DIRECTOR 1.00 X 0 0 0 DIRK SAUER DIRECTOR 1.00 X 0 0 0 GENE SCHOLES JR DIRECTOR 1.00 X 0 0 0 LINDA STRAUBE DIRECTOR 1.00 X 0 0 0 RICHARD VALUCK MD DIRECTOR & CARDIOLOGIST 1.00 X 607203 0 37952 JACK WHITAKER DIRECTOR 1.00 X 1220 0 0 LACEY YOUNG DIRECTOR 1.00 X 0 0 0 C TODD AHRENS PRESIDENT & CEO 40.00 1.00 X 535438 0 163984 ROB GASAWAY VICE PRESIDENT - FINANCE 40.00 X 233795 0 71616 TIMOTHY REUSCHEL VP - GENERAL COUNSEL (LEFT 01/2019) 40.00 X 276971 0 45017 PRANAV PARIKH MD V.P. - QUALITY & MEDICAL AFFAIRS 40.00 X 807071 0 146310 AARON ZOOK VICE PRESIDENT - OPERATIONS 40.00 X 201833 0 52136 JULIE LEVERENZ VICE PRESIDENT - PATIENT EXPERIENCE 40.00 X 232425 0 33454 SUSAN WATHEN VICE PRESIDENT - HUMAN RESOURCES 40.00 X 211920 0 41304 G DOUG RUBLE VP - FACILITIES (LEFT 03/2019) 40.00 X 206411 0 29924 PATRICIA BRAWNER VICE PRESIDENT - NURSING 40.00 X 228183 0 54087 KURT EBERS CLINIC ADMINISTRATOR (LEFT 04/2018) 40.00 X 130040 0 11624 WENDY HARRINGTON V.P. - HRHS DEVELOPMENT 1.00 40.00 X 230959 0 36572 LUVELL GLANTON ANESTHESIOLOGIST - PAIN MANAGEMENT 40.00 X 853788 0 46175 JOEL HASSIEN RADIOLOGIST 40.00 X 728518 0 36952 LANCE DORSEY RADIOLOGIST 40.00 X 693885 0 46162 LAURA MAPLE OBSTETRICIAN AND GYNECOLOGIST 40.00 X 683057 0 12375 ASHRAF ALMASHHRAWI GASTROENTEROLOGIST 40.00 X 672946 0 38085 7535663 0 903729 118 0 1 0 MURRAY COMPANY INC 1215 FERN RIDGE PARKWAY SUITE 213 ST LOUIS MO 63141 CONSTRUCTION 21721141 INTERIM PHYSICIANS LLC PO BOX 679139 DALLAS TX 75267 LOCUM PROVIDERS 2604061 ALLSCRIPTS LLC PO BOX 8538-0133 PHILADELPHIA PA 19171 IT SYSTEMS 2046178 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM PROVIDERS 1627759 ADVANCE HANNIBAL REGIONAL HOSPITAL 188A MEDICAL DRIVE HANNIBAL MO 63401 REHAB SERVICES 1225417 63 1766912 1766912 NET PATIENT SERVICE REVENUE 621110 185127411 185127411 CHILDREN'S DEVELOPMENT CENTER 624410 771605 771605 EHR MEANINGFUL USE 621110 68000 68000 185967016 1032018 1032018 465327 35816 429511 429511 429511 3726485 2108098 162538 1618387 -162538 1455849 1455849 CAFETERIA 722210 707766 707766 CONTRACTED SERVICES 621110 322496 322496 OTHER ADMINISTRATION 621110 166897 166897 94011 94011 1291170 191942476 186383523 0 3792041 X 67632 67632 4155463 739181 3416282 73658305 64642372 9015933 3102727 2748928 353799 12466444 10552774 1913670 4817047 4046466 770581 296741 296741 90000 90000 12044 10698 1346 23093539 19935086 3158453 567221 567221 19988550 18362270 1626280 279290 188793 90497 2814546 2580277 234269 891667 733070 158597 135946 94144 41802 729801 654246 75555 8283287 7425736 857551 1052553 1052553 BAD DEBT EXPENSE 16463760 16463760 PHARMACY DRUGS 11700797 11700797 FOOD 790359 790359 RECRUITING EXPENSE 606691 606691 906023 450977 455046 186970433 163240119 23730314 0 11473836 13344261 1042999 1061726 456630 282180 20148849 21167055 870862 1181057 3143048 2796510 1152306 1057107 193073309 105940116 65459615 87133193 83733697 58910702 527412 607644 1021017 750217 6561257 6338203 195591528 194629855 24727765 22844676 43395485 43183016 5554150 4984479 1939563 2074069 75616963 73086240 X 114994511 115179844 4980054 6363771 119974565 121543615 195591528 194629855 X 4972043 -811360 -2591633 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 12045 12045 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION IS RELATED TO LOBBYING. 1 1066 0 25568 0 0 3712256 3712256 81075038 39517157 41557881 9392198 6854778 2537420 95577478 59568181 36009297 3316339 3316339 87133193 SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN 2074069 2074069 1 1 X 1 X 0 1 1 1 0 1 1 2690894 1789283 901611 0.00480 17720856 12229948 5490908 0.02940 20411750 14019231 6392519 0.03420 17557628 10131417 7426211 0.03970 398604 398604 0.00210 626866 626866 0.00340 18583098 10131417 8451681 0.04520 38994848 24150648 14844200 0.07940 2138843 771604 1367239 0.00730 2475 2475 0.00000 329712 329712 0.00180 2471030 771604 1699426 0.00910 1 16463760 12347820 41973033 46574345 -4601312 X 1 1 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 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 18 1 0 1 1 X SEE PART V, SECTION C FOR URL OF CHNA X 1 18 1 SEE PART V, SEC. C FOR IMPLEMENTATION STRATEGY URL 0 1 X 200.000000000000 200.000000000000 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 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 22 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 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. 1 KIRKSVILLE R-III BOOSTER CLUB 1901 E HAMILTON KIRKSVILLE MO 63501 431802445 501(C)(3) 17500 TITLE SPONSORSHIP DIGITAL SCOREBOARD MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 65102 430898947 501(C)(3) 40132 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 10000 CORPORATE SPONSORSHIP OF HANNIBAL HOOTS 2 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. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 RICHARD VALUCK MD DIRECTOR & CARDIOLOGIST 603178 0 0 0 4025 0 0 0 37952 0 645155 0 0 0 C TODD AHRENS PRESIDENT & CEO 503183 0 0 0 32255 0 117652 0 46332 0 699422 0 0 0 ROB GASAWAY VICE PRESIDENT - FINANCE 226843 0 0 0 6952 0 26680 0 44936 0 305411 0 0 0 TIMOTHY REUSCHEL VP - GENERAL COUNSEL (LEFT 01/2019) 269970 0 0 0 7001 0 0 0 45017 0 321988 0 0 0 PRANAV PARIKH MD V.P. - QUALITY & MEDICAL AFFAIRS 431234 0 368566 0 7271 0 100413 0 45897 0 953381 0 0 0 AARON ZOOK VICE PRESIDENT - OPERATIONS 182028 0 15120 0 4685 0 21840 0 30296 0 253969 0 0 0 JULIE LEVERENZ VICE PRESIDENT - PATIENT EXPERIENCE 190161 0 14152 0 28112 0 0 0 33454 0 265879 0 0 0 SUSAN WATHEN VICE PRESIDENT - HUMAN RESOURCES 178540 0 26155 0 7225 0 19616 0 21688 0 253224 0 0 0 G DOUG RUBLE VP - FACILITIES (LEFT 03/2019) 167760 0 11474 0 27177 0 0 0 29924 0 236335 0 0 0 PATRICIA BRAWNER VICE PRESIDENT - NURSING 192544 0 28305 0 7334 0 20836 0 33251 0 282270 0 0 0 WENDY HARRINGTON V.P. - HRHS DEVELOPMENT 178497 0 45582 0 6880 0 17715 0 18857 0 267531 0 0 0 LUVELL GLANTON ANESTHESIOLOGIST - PAIN MANAGEMENT 716330 0 136457 0 1001 0 0 0 46175 0 899963 0 0 0 JOEL HASSIEN RADIOLOGIST 556815 0 170000 0 1703 0 0 0 36952 0 765470 0 0 0 LANCE DORSEY RADIOLOGIST 522938 0 170000 0 947 0 0 0 46162 0 740047 0 0 0 LAURA MAPLE OBSTETRICIAN AND GYNECOLOGIST 534646 0 147109 0 1302 0 0 0 12375 0 695432 0 0 0 ASHRAF ALMASHHRAWI GASTROENTEROLOGIST 644445 0 15000 0 13501 0 0 0 38085 0 711031 0 0 0 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 A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI 531320446 410632CP6 2017-11-06 44088479 CONSTRUCTION 0 0 0 A 44088479 3643238 445241 39964060 35940 2020 0 0 0 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART II, LINE 17 ALTHOUGH THE FINAL ALLOCATION OF PROCEEDS HAS NOT BEEN MADE, THE ORGANIZATION WILL HAVE BOOKS AND RECORDS TO SUPPORT THE ALLOCATION ONCE MADE. 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. 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 182896 325539 0 0 0.50000 ADVANCE HANNIBAL REGIONAL HOSPITAL LLC 3652 STARDUST DRIVE HANNIBAL MO 63401 461561480 PT/OT SERVICES MO N/A RELATED 389674 195042 0 0 0.50000 HEALTH NETWORK OF MISSOURI LLC 227 UNIVERSITY HALL COLUMBIA MO 65211 471248962 COLLABORATIVE HEALTH NETWORK MO N/A RELATED -34270 28566 0 1 0.20000 HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INC 6500 HOSPITAL DRIVE HANNIBAL MO 64301 431706291 PHYSICIAN HOSPITAL ORGANIZATION MO C -16588 33257 0.50000 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0 HANNIBAL REGIONAL HOSPITAL FOUNDATION C 1766192 COST INCURRED HANNIBAL REGIONAL HOSPITAL FOUNDATION O 263943 COST INCURRED HANNIBAL REGIONAL HOSPITAL FOUNDATION P 135617 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. 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