HANNIBAL REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (EIN 43-0662495)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-09
IRS object ID: 201942219349300034
Schema version: 2017v2.3
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	2019-08-09T09:34:08-05:00	ReturnTs
Tax Period End	2018-09-30	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	2017-10-01	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	2019-08-08	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	3149254300	PhoneNum

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	2019-08-08	IPDt
IP Tm	14:52:51	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B9410AED5E3544F88E7F1364350661432485FF60	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DBE5E9100BD705C5801F05FB9419F1388E8E9FDA	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$194,801,425	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	1279	TotalEmployeeCnt
Total Volunteers	267	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$599,661	PYContributionsGrantsAmt
CY Contributions Grants	$735,026	CYContributionsGrantsAmt
PY Program Service Revenue	$147,462,759	PYProgramServiceRevenueAmt
CY Program Service Revenue	$179,219,832	CYProgramServiceRevenueAmt
PY Investment Income	$3,118,772	PYInvestmentIncomeAmt
CY Investment Income	$5,456,248	CYInvestmentIncomeAmt
PY Other Revenue	$2,308,837	PYOtherRevenueAmt
CY Other Revenue	$1,959,016	CYOtherRevenueAmt
PY Total Revenue	$153,490,029	PYTotalRevenueAmt
CY Total Revenue	$187,370,122	CYTotalRevenueAmt
PY Grants And Similar Paid	$108,678	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$96,931	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$84,528,833	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$97,074,664	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$437,437	CYTotalFundraisingExpenseAmt
PY Other Expenses	$66,796,523	PYOtherExpensesAmt
CY Other Expenses	$78,455,955	CYOtherExpensesAmt
PY Total Expenses	$151,434,034	PYTotalExpensesAmt
CY Total Expenses	$175,627,550	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,055,995	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,742,572	CYRevenuesLessExpensesAmt
Total Assets BOY	$152,196,009	TotalAssetsBOYAmt
Total Assets EOY	$195,591,528	TotalAssetsEOYAmt
Total Liabilities BOY	$42,304,066	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$75,616,963	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$109,891,943	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$119,974,565	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES FOR A BETTER LIFE.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$156,450,147	ExpenseAmt
Grant	$96,931	GrantAmt
Revenue	$179,091,867	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. 18,887 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 - $3,329,459 AND STATE MEDICAID AND OTHER PUBLIC AID PROGRAMS - $2,090,190.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$907,781	ExpenseAmt
Revenue	$723,502	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	$157,357,928	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	201	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1279	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
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 (32 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
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
JASON POAGE
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
JACK WHITAKER
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DIRK SAUER
DIRECTOR	1.00	Yes (X)		$0	$0	$0
LINDA STRAUBE
DIRECTOR	1.00	Yes (X)		$0	$0	$0
GENE SCHOLES JR
DIRECTOR	1.00	Yes (X)		$0	$0	$0
LACEY YOUNG
DIRECTOR	1.00	Yes (X)		$0	$0	$0
BRAD KURZ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
PAUL EWERT
DIRECTOR AND PAST CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT GILSTRAP
DIRECTOR (TERM ENDED)	1.00	Yes (X)		$0	$0	$0
RICHARD VALUCK
DIRECTOR & CARDIOLOGIST	40.00	Yes (X)		$606,080	$0	$35,689
C TODD AHRENS
PRESIDENT & CEO	40.00		Yes (X)	$506,241	$0	$144,510	1.00
ROGER DIX
VICE PRESIDENT - FINANCE (LEFT 11/2016)	40.00		Yes (X)	$136,704	$0	$0
ROB GASAWAY
VICE PRESIDENT - FINANCE	40.00		Yes (X)	$174,586	$0	$56,032
TIMOTHY REUSCHEL
VICE PRESIDENT - GENERAL COUNSEL	40.00		Yes (X)	$270,552	$0	$69,439
PRANAV PARIKH MD
V.P. - QUALITY & MEDICAL AFFAIRS	40.00		Yes (X)	$1,025,688	$0	$110,348
AARON ZOOK
VICE PRESIDENT - OPERATIONS	40.00		Yes (X)	$118,041	$0	$24,860
JULIE LEVERENZ
VICE PRESIDENT - PATIENT EXPERIENCE	40.00		Yes (X)	$914,058	$0	$30,903
SUSAN WATHEN
VICE PRESIDENT - HUMAN RESOURCES	40.00		Yes (X)	$181,572	$0	$37,436
G DOUG RUBLE
VICE PRESIDENT - FACILITIES	40.00		Yes (X)	$180,565	$0	$33,201
PATRICIA BRAWNER
VICE PRESIDENT - NURSING	40.00		Yes (X)	$183,439	$0	$66,373
KURT EBERS
CLINIC ADMINISTRATOR	40.00		Yes (X)	$208,877	$0	$39,949
TIMOTHY POLLEY
V.P. HRHS DEVELOPMENT (LEFT 12/2017)	40.00		Yes (X)	$286,665	$0	$21,727
WENDY HARRINGTON
V.P. - HRHS DEVELOPMENT	1.00		Yes (X)	$194,356	$0	$49,036	40.00
LUVELL GLANTON
ANESTHESIOLOGIST - PAIN MANAGEMENT	40.00			$794,728	$0	$42,973		Yes (X)
JOHN BENNETT
OBSTETRICIAN AND GYNECOLOGIST	40.00			$627,003	$0	$42,613		Yes (X)
LAURA MAPLE
OBSTETRICIAN AND GYNECOLOGIST	40.00			$641,416	$0	$12,150		Yes (X)
ASHRAF ALMASHHRAWI
GASTROENTEROLOGIST	40.00			$680,049	$0	$31,625		Yes (X)
SHAYIBU HARRUNA
CARDIOLOGIST	40.00			$679,300	$0	$40,299		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,409,920	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$889,163	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	110	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	$16,811,111
INTERIM PHYSICIANS LLC
PO BOX 679139	DALLAS	TX	75267	LOCUM PHYSICIAN	$2,532,393
ALLSCRIPTS LLC
PO BOX 8538-0133	PHILADELPHIA	PA	19171	IT SYSTEMS	$1,775,892
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	LOCUM PHYSICIAN	$1,474,120
BURWOOD GROUP INC
8582 SOLUTION CENTER	CHICAGO	IL	60677	IT SYSTEMS	$1,377,466

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Related Organizations	$735,026	RelatedOrganizationsAmt
Total Contributions	$735,026	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$178,385,830	$178,385,830
CHILDREN'S DEVELOPMENT CENTER	624410	$723,502	$723,502
EHR MEANINGFUL USE	621110	$110,500	$110,500

Field	Value	IRS element (for citing)
Total Program Service Revenue	$179,219,832	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,479,071	TotalRevenueColumnAmt
Exclusion	$1,479,071	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$387,385	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$17,015	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$370,370	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$370,370	TotalRevenueColumnAmt
Exclusion	$370,370	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,197,385	SecuritiesAmt
Other	$194,080	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,371,214	SecuritiesAmt
Other	$43,074	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,826,171	SecuritiesAmt
Other	$151,006	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,977,177	TotalRevenueColumnAmt
Exclusion	$3,977,177	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722210	$678,529	$678,529
OTHER OPERATING REVENUES	621110	$328,868		$328,868
OTHER ADMINISTRATION	621110	$314,580	$314,580

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$266,669	TotalRevenueColumnAmt
Related Or Exempt Func Income	$266,669	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,588,646	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$187,370,122	TotalRevenueColumnAmt
Related Or Exempt Func Income	$179,815,369	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,819,727	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	$96,931	TotalAmt
Program Services	$96,931	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,959,585	TotalAmt
Program Services	$766,120	ProgramServicesAmt
Management And General	$4,080,335	ManagementAndGeneralAmt
Fundraising	$113,130	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$69,996,503	TotalAmt
Program Services	$60,673,806	ProgramServicesAmt
Management And General	$9,054,546	ManagementAndGeneralAmt
Fundraising	$268,151	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,467,555	TotalAmt
Program Services	$2,462,648	ProgramServicesAmt
Fundraising	$4,907	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,247,851	TotalAmt
Program Services	$14,304,231	ProgramServicesAmt
Management And General	$904,153	ManagementAndGeneralAmt
Fundraising	$39,467	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,403,170	TotalAmt
Program Services	$3,912,360	ProgramServicesAmt
Management And General	$479,028	ManagementAndGeneralAmt
Fundraising	$11,782	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$114,316	TotalAmt
Management And General	$114,316	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$97,500	TotalAmt
Management And General	$97,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$9,633	TotalAmt
Program Services	$8,556	ProgramServicesAmt
Management And General	$1,077	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,815,197	TotalAmt
Program Services	$19,749,510	ProgramServicesAmt
Management And General	$65,687	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$725,683	TotalAmt
Program Services	$725,683	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,825,555	TotalAmt
Program Services	$17,609,861	ProgramServicesAmt
Management And General	$2,215,694	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,840,661	TotalAmt
Program Services	$1,634,950	ProgramServicesAmt
Management And General	$205,711	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,115,831	TotalAmt
Program Services	$1,879,367	ProgramServicesAmt
Management And General	$236,464	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$935,422	TotalAmt
Program Services	$830,880	ProgramServicesAmt
Management And General	$104,542	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$98,423	TotalAmt
Program Services	$87,423	ProgramServicesAmt
Management And General	$11,000	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$405,678	TotalAmt
Program Services	$360,340	ProgramServicesAmt
Management And General	$45,338	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,262,913	TotalAmt
Program Services	$8,262,913	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$740,555	TotalAmt
Program Services	$657,791	ProgramServicesAmt
Management And General	$82,764	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$12,162,002	$12,162,002
PHARMACY DRUGS	$9,201,536	$9,201,536
FOOD	$766,470	$766,470
RECRUITING EXPENSE	$490,073	$435,303	$54,770

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$848,507	TotalAmt
Program Services	$769,247	ProgramServicesAmt
Management And General	$79,260	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$175,627,550	TotalAmt
Program Services	$157,357,928	ProgramServicesAmt
Management And General	$17,832,185	ManagementAndGeneralAmt
Fundraising	$437,437	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,033,473	BOYAmt
EOY	$11,473,836	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,031,240	BOYAmt
EOY	$1,042,999	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,000,470	BOYAmt
EOY	$20,148,849	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$837,888	BOYAmt
EOY	$870,862	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,055,896	BOYAmt
EOY	$3,143,048	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,102,034	BOYAmt
EOY	$1,152,306	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$178,752,393	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$113,292,778	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$47,382,706	BOYAmt
EOY	$65,459,615	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$58,604,731	BOYAmt
EOY	$83,733,697	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$652,993	BOYAmt
EOY	$527,412	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,686,020	BOYAmt
EOY	$1,477,647	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,808,558	BOYAmt
EOY	$6,561,257	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$152,196,009	BOYAmt
EOY	$195,591,528	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,710,322	BOYAmt
EOY	$24,727,765	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$64,270	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,529,351	BOYAmt
EOY	$43,395,485	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,445,428	BOYAmt
EOY	$5,554,150	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,554,695	BOYAmt
EOY	$1,939,563	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,304,066	BOYAmt
EOY	$75,616,963	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$105,059,949	BOYAmt
EOY	$114,994,511	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,831,994	BOYAmt
EOY	$4,980,054	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$109,891,943	BOYAmt
EOY	$119,974,565	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$152,196,009	BOYAmt
EOY	$195,591,528	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,742,572	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,800,193	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,140,243	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

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	$9,633	OtherActivitiesAmt
Total Lobbying Expenditures	$9,633	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	$1,057	FundsAndOtherAccountsContriAmt
Funds And Other Accounts Grants	$0	FundsAndOtherAccountsGrantsAmt
Funds And Other Accounts Vl EOY	$24,498	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	$2,479,295	OtherCostOrOtherBasisAmt
Book Value	$2,479,295	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,052,583	OtherCostOrOtherBasisAmt
Depreciation	$43,722,743	DepreciationAmt
Book Value	$24,329,840	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,825,604	OtherCostOrOtherBasisAmt
Depreciation	$6,483,355	DepreciationAmt
Book Value	$2,342,249	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,777,041	OtherCostOrOtherBasisAmt
Depreciation	$63,086,680	DepreciationAmt
Book Value	$13,690,361	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,617,870	OtherCostOrOtherBasisAmt
Book Value	$22,617,870	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$65,459,615	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN	Desc
Amt	$1,939,563	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,939,563	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	$2,706,780	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,018,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,631,819	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,340,558	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,338,599	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,359,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,585,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,941,380	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,644,265	NetCommunityBenefitExpnsAmt
Total Expense	0.07200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$373,213	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$373,213	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$513,729	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$513,729	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,472,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,941,380	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,531,207	NetCommunityBenefitExpnsAmt
Total Expense	0.07700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,811,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,300,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,531,207	NetCommunityBenefitExpnsAmt
Total Expense	0.07700	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,165,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$754,132	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,411,753	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,125	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,125	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$232,211	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$232,211	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,399,221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$754,132	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,645,089	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,162,002	BadDebtExpenseAmt
Bad Debt Expense Attributable	$9,121,502	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$39,629,361	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$44,871,627	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,242,266	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 (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HANNIBAL MEDICAL SUPPLY
DME COMPANY	0.33330	0.33330
2 ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
OUTPATIENT PHYSICAL THERAPY	0.50000	0.50000
3 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	15	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	16	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 Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
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 BROAD-BASED STEERING COMMITTEE OF HEALTHCARE LEADERS FROM THROUGHOUT THE SIX COUNTY REGION WAS FORMED TO GUIDE THE ASSESSMENT PROCESS AND ESTABLISH THE THREE-YEAR STRATEGY TO ADDRESS THE PRIORITIES IDENTIFIED.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 6B: SIX COUNTY HEALTH DEPARTMENTS, FREE CLINIC, FQHC, MULTIPLE SOCIAL SERVICE AGENCIES, NON-EMPLOYED PHYSICIAN GROUPS AND OTHERS.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 11: A BROAD-BASED OVERSIGHT GROUP IS MEETING ON A QUARTERLY BASIS TO ASSESS PROGRESS AND INFLUENCE THE WORK ESTABLISHED IN THE PLAN; A VARIETY OF BEHAVIORAL HEALTH SERVICES HAVE EMERGED IN THE REGION DUE TO THE VISIBILITY OF THIS PROBLEM; MENTAL HEALTH FIRST AID CLASSES ARE RAISING HEALTH LITERACY; SERVICES HAVE BEEN EXPANDED AT THE LOCAL FREE CLINIC TO ADDRESS BY ACCESS TO CARE, MENTAL HEALTH AND DENTAL HEALTH; A POPULATION HEALTH GRANT IS RESULTING IN REDUCING THE INCIDENCE OF EMERGENCY DEPARTMENT VISITS FOR PATIENTS WITH CHRONIC DISEASE WHO WERE FORMERLY HIGH UTILIZERS; A NEW FQHC HAS ADDED MENTAL HEALTH AND DENTAL HEALTH CAPACITY IN THE REGION; A COMMUNITY HEALTH INITIATIVE KNOWN AS "LIVING BETTER" IS BEGINNING TO EMERGE AND IS INTENDED TO ENHANCE THE SOCIAL VALUING OF HEALTH; COME COMMITTED COALITIONS FOCUSING ON THE PRIORITY PROBLEMS IDENTIFIED IN THE CHNA ARE NOW IN PLACE.
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/COMMUNITYHEALTH/CHNA/2016-2019REGIONALHEALTHSTRATEGY/TABID/208/DEFAULT.ASPX
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/PATIENTSVISITORS/PATIENTSERVICES/FINANCIALASSISTANCE/TABID/241/DEFAULT.ASPX
SCHEDULE H, PART V, SECTION B, LINE 16C	THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT:HTTPS://HANNIBALREGIONAL.ORG/PATIENTSVISITORS/PATIENTSERVICES/FINANCIALASSISTANCE/TABID/241/DEFAULT.ASPX

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

Supplemental Information Detail SupplementalInformationDetail (15 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 FORM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
PART I, LN 7 COL(F):	A GROSS ESTIMATE WAS MADE BASED ON CURRENT EXPERIENCE.
SCHEDULE H, PART I, LINE 7A(D) AND 7B(D)	THE AMOUNTS REPORTED INCLUDE $9,742,111 OF DISPROPORTIONATE SHARE HOSPITAL (DSH) FUNDS RECEIVED IN PRIOR YEARS THAT WERE BEING RESERVED AS A POTENTIAL LIABILITY RELATED TO A 2008 FINAL RULE ISSUED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THIS FINAL RULE WAS CHALLENGED IN FEDERAL COURT. IN LATE 2018, CMS COMMUNICATED IT WOULD WITHDRAW CERTAIN GUIDANCE INCLUDED IN THE 2008 FINAL RULE. THIS WITHDRAWAL SIGNIFICANTLY REDUCED THE HEALTH SYSTEM'S POTENTIAL RECOUPMENT OF MEDICAID DSH PAYMENTS, AND THIS REDUCTION IN LIABILITY WAS RECOGNIZED IN FISCAL YEAR 2018 REVENUE. THIS WAS A ONE-TIME EVENT THAT RESULTED IN THE DIRECT OFFSETTING REVENUE AMOUNTS REPORTED ON LINE 7 TO BE SIGNIFICANTLY HIGHER THAN PAST YEARS.
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, 2018 AND 2017, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $6,511,000 AND $7,732,000, 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
CULVER STOCKTON
1 COLLEGE HILL	CANTON	MO	63435	430610813	501(C)(3)	$10,000	BASKETBALL LOCKER ROOM
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)	$69,431	MCE HEALTH IMPR., RESEARCH AND SCHOLARSHIP FUND, MHA SPECIAL PROJECTS, MISSOURI CENTER FOR PATIENT SAFETY CONTRIBUTION AND DELIVERABLES, MISSOURI POISON CENTER CONTRIBUTION.

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

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)
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	0	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 (17 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
DIRECTOR & CARDIOLOGIST	$603,758	$0	$0	$0	$2,322	$0	$12,150	$0	$23,539	$0	$641,769	$0	$0	$0
C TODD AHRENS
PRESIDENT & CEO	$469,995	$0	$0	$0	$36,246	$0	$113,139	$0	$31,371	$0	$650,751	$0	$0	$0
ROB GASAWAY
VICE PRESIDENT - FINANCE	$168,650	$0	$0	$0	$5,936	$0	$29,897	$0	$26,135	$0	$230,618	$0	$0	$0
TIMOTHY REUSCHEL
VICE PRESIDENT - GENERAL COUNSEL	$263,551	$0	$0	$0	$7,001	$0	$39,825	$0	$29,614	$0	$339,991	$0	$0	$0
PRANAV PARIKH MD
V.P. - QUALITY & MEDICAL AFFAIRS	$445,084	$0	$573,344	$0	$7,260	$0	$79,644	$0	$30,704	$0	$1,136,036	$0	$0	$0
JULIE LEVERENZ
VICE PRESIDENT - PATIENT EXPERIENCE	$189,855	$0	$716,051	$0	$8,152	$0	$9,114	$0	$21,789	$0	$944,961	$0	$446,404	$0
SUSAN WATHEN
VICE PRESIDENT - HUMAN RESOURCES	$174,394	$0	$0	$0	$7,178	$0	$26,414	$0	$11,022	$0	$219,008	$0	$0	$0
G DOUG RUBLE
VICE PRESIDENT - FACILITIES	$156,276	$0	$15,937	$0	$8,352	$0	$14,168	$0	$19,033	$0	$213,766	$0	$0	$0
PATRICIA BRAWNER
VICE PRESIDENT - NURSING	$176,549	$0	$0	$0	$6,890	$0	$45,992	$0	$20,381	$0	$249,812	$0	$0	$0
KURT EBERS
CLINIC ADMINISTRATOR	$201,810	$0	$0	$0	$7,067	$0	$9,510	$0	$30,439	$0	$248,826	$0	$0	$0
TIMOTHY POLLEY
V.P. HRHS DEVELOPMENT (LEFT 12/2017)	$278,061	$0	$0	$0	$8,604	$0	$12,150	$0	$9,577	$0	$308,392	$0	$0	$0
WENDY HARRINGTON
V.P. - HRHS DEVELOPMENT	$170,830	$0	$16,868	$0	$6,658	$0	$22,952	$0	$26,084	$0	$243,392	$0	$0	$0
LUVELL GLANTON
ANESTHESIOLOGIST - PAIN MANAGEMENT	$716,688	$0	$77,500	$0	$540	$0	$12,150	$0	$30,823	$0	$837,701	$0	$0	$0
JOHN BENNETT
OBSTETRICIAN AND GYNECOLOGIST	$520,355	$0	$105,406	$0	$1,242	$0	$12,150	$0	$30,463	$0	$669,616	$0	$0	$0
LAURA MAPLE
OBSTETRICIAN AND GYNECOLOGIST	$531,956	$0	$108,650	$0	$810	$0	$12,150	$0	$0	$0	$653,566	$0	$0	$0
ASHRAF ALMASHHRAWI
GASTROENTEROLOGIST	$647,009	$0	$20,000	$0	$13,040	$0	$12,150	$0	$19,475	$0	$711,674	$0	$0	$0
SHAYIBU HARRUNA
CARDIOLOGIST	$678,588	$0	$0	$0	$712	$0	$12,150	$0	$28,149	$0	$719,599	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	JULIE LEVERENZ, SERP, $716,051 G. DOUG RUBLE, SERP, $15,937	ExplanationTxt

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
Other Spent Proceeds	$19,696,883	OtherSpentProceedsAmt
Unspent	$20,303,117	UnspentAmt
Substantial Completion	2019	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K, 2015 BONDS

THE SERIES 2015 HEALTH FACILITIES REFUNDING REVENUE BONDS (THE 2015 BONDS) WERE ISSUED IN THE ORIGINAL AMOUNT OF $10,560,000. THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL, MISSOURI ISSUED THE 2017 BONDS ON BEHALF OF THE SYSTEM. THE PROCEEDS OF THE BOND ISSUE WERE LOANED TO THE SYSTEM UNDER A TRUST INDENTURE AND A LOAN AGREEMENT, BOTH DATED DECEMBER 1, 2015. THESE BONDS WERE DEFEASED DURING 2018 BY INTERNAL FUNDS PRIOR TO THE ISSUANCE OF THE SERIES 2017 BONDS. AS A RESULT, THESE BONDS HAVE BEEN REMOVED FROM SCHEDULE K AS THEY ARE NO LONGER OUTSTANDING AS OF THE END OF THE YEAR.

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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	ORGANIZATION OPENED BOWLING GREEN SAME DAY CARE AND WALMART EXPRESS CARE WAS CONVERTED TO A RHC.
FORM 990, PART III, LINE 3	THE ORGANIZATION CLOSED THE VISION CENTER.
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 2018, 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	CONSULTING FEES: PROGRAM SERVICE EXPENSES 73,050. MANAGEMENT AND GENERAL EXPENSES 9,191. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,241. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,781,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,781,754. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,745,129. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,745,129. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 283,614. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 283,614. COLLECTION FEES: PROGRAM SERVICE EXPENSES 416,944. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 416,944. CLEANING SERVICE: PROGRAM SERVICE EXPENSES 449,019. MANAGEMENT AND GENERAL EXPENSES 56,496. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 505,515.
FORM 990, PART XI, LINE 9:	CHANGE IN MINIMUM PENSION LIABILITY 992,183. PEARL LOWRIE FUND NET ACTIVITY 1,062. NET CONTRIBUTION REVENUE FROM FOUNDATION 146,998.
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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LANAC
6000 HOSPITAL DRIVE	HANNIBAL	MO	63401	431822503	REAL ESTATE	MO	$0	$0	HANNIBAL REGIONAL HOSPITAL
HANNIBAL MOBILE DIAGNOSTICS LLC
6000 HOSPITAL DRIVE	HANNIBAL	MO	63401	300234397	DIAGNOSTIC IMAGING	MO	$629,293	$75,594	HANNIBAL REGIONAL HOSPITAL

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	$85,029	$205,289	0	0	0.33330
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
3652 STARDUST DRIVE	HANNIBAL	MO	63401	461561480	PT/OT SERVICES	MO	N/A	RELATED	$262,093	$190,672	0	0	0.50000
HEALTH NETWORK OF MISSOURI LLC
227 UNIVERSITY HALL	COLUMBIA	MO	65211	471248962	COLLABORATIVE HEALTH NETWORK	MO	N/A	RELATED	-$28,879	$22,363	0	Yes (1)	0.16670

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	-$17,734	ShareOfTotalIncomeAmt
Share Of EOY Assets	$49,845	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	0	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HANNIBAL REGIONAL HOSPITAL FOUNDATION
C	$735,026	COST INCURRED
HANNIBAL REGIONAL HOSPITAL FOUNDATION
O	$264,921	COST INCURRED
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
J	$76,005	COST INCURRED
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
K	$1,167,279	COST INCURRED
HANNIBAL REGIONAL HOSPITAL FOUNDATION
P	$98,140	COST INCURRED

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PAGE 2, PART III	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt