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HANNIBAL REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (EIN 43-0662495)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-05-14
IRS object ID
201531349349304603
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T13:10:24-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430662495EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANNIBAL REGIONAL HEALTHCARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHANNBusinessNameControlTxt
Phone5732481300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16500 HOSPITAL DRIVE PO BOX 551AddressLine1
CityHANNIBALCity
StateMOState
ZIP Code63401ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROGER DIXPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone5732481300PhoneNum
Signature2015-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFF PARKERPreparerPersonNm
PTINP00970069PTIN
Phone3149254300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerC TODD AHRENSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16500 HOSPITAL DRIVE PO BOX 551AddressLine1
CityHANNIBALCity
StateMOState
ZIP Code63401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$129,041,646GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HRHONLINE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionSYSTEM OPERATES A FULL SERVICE ACUTE CARE FACILITYActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1065TotalEmployeeCnt
Total Volunteers260TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$455,392PYContributionsGrantsAmt
CY Contributions Grants$604,340CYContributionsGrantsAmt
PY Program Service Revenue$117,884,481PYProgramServiceRevenueAmt
CY Program Service Revenue$123,830,316CYProgramServiceRevenueAmt
PY Investment Income$1,309,570PYInvestmentIncomeAmt
CY Investment Income$2,149,338CYInvestmentIncomeAmt
PY Other Revenue$2,369,718PYOtherRevenueAmt
CY Other Revenue$2,279,316CYOtherRevenueAmt
PY Total Revenue$122,019,161PYTotalRevenueAmt
CY Total Revenue$128,863,310CYTotalRevenueAmt
PY Grants And Similar Paid$97,745PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$105,252CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$65,636,188PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$66,800,149CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$336,707CYTotalFundraisingExpenseAmt
PY Other Expenses$51,938,129PYOtherExpensesAmt
CY Other Expenses$54,557,662CYOtherExpensesAmt
PY Total Expenses$117,672,062PYTotalExpensesAmt
CY Total Expenses$121,463,063CYTotalExpensesAmt
PY Revenues Less Expenses$4,347,099PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,400,247CYRevenuesLessExpensesAmt
Total Assets BOY$127,649,695TotalAssetsBOYAmt
Total Assets EOY$136,145,065TotalAssetsEOYAmt
Total Liabilities BOY$41,438,195TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,425,839TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$86,211,500NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$92,719,226NetAssetsOrFundBalancesEOYAmt
MissionYOUR HEALTH IS OUR MISSIONMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$105,142,539ExpenseAmt
Grant$105,252GrantAmt
Revenue$125,082,827RevenueAmt
DescTHE SYSTEM OPERATES A FULL SERVICE 91 BED ACUTE CARE HOSPITAL FACILITY, SEVERAL PHYSICIAN PRACTICES AND PRIMARY CARE CLINICS, AND A HOME HEALTH AGENCY IN HANNIBAL MISSOURI AND SURROUNDING COUNTIES. 17,564 TOTAL INPATIENT DAYS WERE PROVIDED DURING THE COURSE OF THE YEAR. THE SYSTEM PROVIDES SERVICES TO PATIENTS THAT MEET THE 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 - $3,709,555 AND STATE MEDICAID AND OTHER PUBLIC AID PROGRAMS -$4,658,256.Desc
Total Program Service Expenses$105,142,539TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document152IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1065EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROGER DIXBusinessNameLine1
FieldValueIRS element (for citing)
Phone5732481300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16000 HOSPITAL DRIVEAddressLine1
CityHANNIBALCity
StateMOState
ZIP Code63401ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT GILSTRAP
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
JACK WHITAKER
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
CAROLYN SHAW
SECRETARY1.00Yes (X)Yes (X)$0$0$0
PAUL EWERT
VICE CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
DIRK SAUER
SECRETARY PRO TEM1.00Yes (X)Yes (X)$0$0$0
STEVE MILLER
SECRETARY PRO TEM1.00Yes (X)Yes (X)$0$0$0
JASON POAGE
TREASURER1.00Yes (X)Yes (X)$0$0$0
JERRY TOWER
ASST TREASURER1.00Yes (X)Yes (X)$0$0$0
LINDA STAUBE
DIRECTOR1.00Yes (X)$0$0$0
GENE SCHOLES JR
DIRECTOR1.00Yes (X)$0$0$0
RHONDA WRIGHT
PAST DIRECTOR1.00Yes (X)$0$0$0
C TODD AHRENS
PRESIDENT & CEO40.00Yes (X)$418,363$0$130,648
ROGER DIX
VICE PRESIDENT - FINANCIAL SERVICES40.00Yes (X)$351,151$0$80,393
TIMOTHY REUSCHEL
VICE PRESIDENT - GENERAL COUNSEL40.00Yes (X)$176,419$0$49,784
JULIE LEVERENZ
VICE PRESIDENT - STATEGY A40.00Yes (X)$195,949$0$76,843
SHARON NUNLEY
VICE PRESIDENT - HUMAN RES40.00Yes (X)$277,437$0$20,082
SARAH BRADSHAW
VICE PRESIDENT - NURSING40.00Yes (X)$199,944$0$60,215
G DOUG RUBLE
VICE PRESIDENT - FACILITIE40.00Yes (X)$163,654$0$44,886
JEFF EVANS
VICE PRESIDENT - INFORMATI40.00Yes (X)$180,360$0$36,259
PRANAV PARIKH MD
VICE PRESIDENT - QUALITY A20.00Yes (X)$203,448$0$7,121
LYNN OLSON
CEO - HOSPITAL40.00Yes (X)$327,143$0$70,919
TIMOTHY POLLEY
EXECUTIVE DIRECTOR40.00$223,091$0$42,888Yes (X)
LUVELL GLANTON
ANESTHESIOLOGIST - PAIN MA40.00$782,330$0$38,991Yes (X)
RICHARD VALUCK
CARDIOLOGIST40.00$579,740$0$40,935Yes (X)
PERVEZ ALVI
CARDIOLOGIST40.00$575,752$0$26,309Yes (X)
GLENN GORDON
PHYSICIAN - GASTROENTEROLOGY40.00$562,008$0$27,159Yes (X)
KEVIN LOLLAR
PHYSICIAN40.00$424,571$0$27,885Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,641,360TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$781,317TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K67IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
BANC OF AMERICA LEASING
PO BOX 100918ATLANTAGA30384LEASING COMPANY$1,496,261
WEATHERBY LOCUMS
PO BOX 972633DALLASTX75397LOCUM PHYSICIANS$1,353,822
DONALD A MILLER DO P LLC
3850 WASHINGTON STHOLLYWOODFL33021LOCUM PHYSICIANS$654,475
ALLSCRIPTS HEALTHCARE LLC
PO BOX 8538-0133PHILADELPHIAPA19171IT SERVICES$581,728
ADVANCE HANNIBAL HOSPITAL
3652 STARDUST DRHANNIBALMO63401PHYSICAL THERAPY COMPANY$427,159
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt
Related Organizations$604,340RelatedOrganizationsAmt
Total Contributions$604,340TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$121,634,281$121,634,281
EHR MEANINGFUL USE621110$2,196,035$2,196,035
FieldValueIRS element (for citing)
Total Program Service Revenue$123,830,316TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,878,439TotalRevenueColumnAmt
Exclusion$1,878,439ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$338,356RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$28,173RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$310,183RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$310,183TotalRevenueColumnAmt
Exclusion$310,183ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$385,462SecuritiesAmt
Other$35,600OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$134,136SecuritiesAmt
Other$16,027OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$251,326SecuritiesAmt
Other$19,573OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$270,899TotalRevenueColumnAmt
Exclusion$270,899ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CHILDREN'S DEVELOPMENT CENTER624410$763,171$763,171
CAFETERIA722210$595,191$595,191
CONTRACTED SERVICES621110$373,699$373,699

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$237,072TotalRevenueColumnAmt
Related Or Exempt Func Income$115,641RelatedOrExemptFuncIncomeAmt
Exclusion$121,431ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,969,133OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,863,310TotalRevenueColumnAmt
Related Or Exempt Func Income$125,082,827RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,176,143ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$105,252TotalAmt
Program Services$105,252ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,119,616TotalAmt
Program Services$490,677ProgramServicesAmt
Management And General$2,628,939ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$47,334,718TotalAmt
Program Services$39,999,681ProgramServicesAmt
Management And General$7,081,779ManagementAndGeneralAmt
Fundraising$253,258FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,219,919TotalAmt
Program Services$1,876,468ProgramServicesAmt
Management And General$332,221ManagementAndGeneralAmt
Fundraising$11,230FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,978,066TotalAmt
Program Services$9,279,613ProgramServicesAmt
Management And General$1,642,917ManagementAndGeneralAmt
Fundraising$55,536FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,147,830TotalAmt
Program Services$2,660,174ProgramServicesAmt
Management And General$470,973ManagementAndGeneralAmt
Fundraising$16,683FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$39,307TotalAmt
Management And General$39,307ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$128,675TotalAmt
Management And General$128,675ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$20,200TotalAmt
Program Services$17,098ProgramServicesAmt
Management And General$3,102ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,804,369TotalAmt
Program Services$9,701,030ProgramServicesAmt
Management And General$103,339ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$596,169TotalAmt
Program Services$596,169ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,163,500TotalAmt
Program Services$14,528,114ProgramServicesAmt
Management And General$2,635,386ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$722,650TotalAmt
Program Services$611,690ProgramServicesAmt
Management And General$110,960ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,497,283TotalAmt
Program Services$1,267,381ProgramServicesAmt
Management And General$229,902ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$639,336TotalAmt
Program Services$541,169ProgramServicesAmt
Management And General$98,167ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$78,406TotalAmt
Program Services$66,367ProgramServicesAmt
Management And General$12,039ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$898,490TotalAmt
Program Services$760,531ProgramServicesAmt
Management And General$137,959ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,413,105TotalAmt
Program Services$8,413,105ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$793,441TotalAmt
Program Services$671,611ProgramServicesAmt
Management And General$121,830ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$8,304,350$8,304,350
PHARMACY DRUGS$3,129,418$3,129,418
FOOD$688,839$688,839
RECRUITING EXPENSE$479,047$405,491$73,556

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,161,077TotalAmt
Program Services$1,028,311ProgramServicesAmt
Management And General$132,766ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$121,463,063TotalAmt
Program Services$105,142,539ProgramServicesAmt
Management And General$15,983,817ManagementAndGeneralAmt
Fundraising$336,707FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,552,782BOYAmt
EOY$17,513,688EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,253,469BOYAmt
EOY$1,260,378EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,241,261BOYAmt
EOY$13,780,703EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,483,198BOYAmt
EOY$1,128,047EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,507,309BOYAmt
EOY$2,376,402EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$672,870BOYAmt
EOY$881,968EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$136,248,150LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$90,037,963LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$50,472,155BOYAmt
EOY$46,210,187EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$36,243,113BOYAmt
EOY$44,574,801EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$394,564BOYAmt
EOY$611,358EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$264,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,828,974BOYAmt
EOY$7,543,533EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$127,649,695BOYAmt
EOY$136,145,065EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,191,829BOYAmt
EOY$21,455,304EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,380,116BOYAmt
EOY$13,952,527EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,665,967BOYAmt
EOY$3,885,328EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,200,283BOYAmt
EOY$4,132,680EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,438,195BOYAmt
EOY$43,425,839EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$82,966,746BOYAmt
EOY$88,881,797EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,426,027BOYAmt
EOY$1,920,913EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,818,727BOYAmt
EOY$1,916,516EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,211,500BOYAmt
EOY$92,719,226EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$127,649,695BOYAmt
EOY$136,145,065EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,400,247ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$996,594NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,889,115OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$20,200GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$20,200TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF MISSOURI HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING - $16,694.45 AND MEDICAID CAMPAIGN 2014 - $3,506.00ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Funds And Other Accounts Held1FundsAndOtherAccountsHeldCnt
Funds And Other Accounts Contri$2,238FundsAndOtherAccountsContriAmt
Funds And Other Accounts Grants$8,194FundsAndOtherAccountsGrantsAmt
Funds And Other Accounts Vl EOY$30,161FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl0DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps0DisclosedForCharitablePrpsInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,693,370OtherCostOrOtherBasisAmt
Book Value$2,693,370BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,771,513OtherCostOrOtherBasisAmt
Depreciation$40,557,718DepreciationAmt
Book Value$29,213,795BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,783,267OtherCostOrOtherBasisAmt
Depreciation$49,480,245DepreciationAmt
Book Value$14,303,022BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$46,210,187TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
BOND ISSUE COST$109,772
RECEIVABLE FROM HANNIBAL REGIONAL HOSPITAL FOUNDATION$4,808,924
SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN$1,799,420
CONSTRUCTION IN PROGRESS$825,417
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,543,533TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
MINIMUM PENSION LIABILITY$2,333,260
SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN LIABILITY$1,799,420
FieldValueIRS element (for citing)
Total Liability$4,132,680TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE SYSTEM HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE SYSTEM APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE SYSTEM'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE SYSTEM IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE SYSTEM IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS 2011 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,445,424TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$438,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,007,352NetCommunityBenefitExpnsAmt
Total Expense0.02480TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,014,400TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,065,970DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,948,430NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,459,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,504,042DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,955,782NetCommunityBenefitExpnsAmt
Total Expense0.04910TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,182,983TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,202,999DirectOffsettingRevenueAmt
Net Community Benefit Expns$979,984NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$339,482TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$339,482NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,998,563TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,020,909DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,977,654NetCommunityBenefitExpnsAmt
Total Expense0.02450TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$260,064TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$260,064NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,781,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,223,908DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,557,184NetCommunityBenefitExpnsAmt
Total Expense0.03750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,240,916TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,727,950DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,512,966NetCommunityBenefitExpnsAmt
Total Expense0.08660TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,875,108TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$771,903DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,103,205NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,765TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,765NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$479,047TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$479,047NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,355,920TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$771,903DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,584,017NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,304,350BadDebtExpenseAmt
Bad Debt Expense Attributable$6,228,262BadDebtExpenseAttributableAmt
Reimbursed By Medicare$36,329,292ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$41,792,507CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,463,215MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HANNIBAL MEDICAL SUPPLY
DME COMPANY0.330000.33000
2 HANNIBAL MOBILE DIAGNOSTICS
MOBILE IMAGING/RADIOLOGY SERVICES0.500000.50000
3 ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
OUTPATIENT PHYSICAL THERAPY0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANNIBAL REGIONAL HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line16000 HOSPITAL DRIVEAddressLine1
CityHANNIBALCity
StateMOState
ZIP Code63401ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HANNIBAL REGIONAL HEALTHCARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHANNIBALHEALTH.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.PART V, SECTION B, LINE 3: 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 4: PIKE COUNTY MEMORIAL HOSPITAL, LOUISIANA, MISSOURI
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.PART V, SECTION B, LINE 5D: POSTED ON THE WEB.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.PART V, SECTION B, LINE 7: ALTHOUGH WE'VE EXPERIENCED PROGRESS, ACCESS TO DENTAL HEALTH AND MENTAL HEALTH CONTINUE TO BE SIGNIFICANT PROBLEMS. COORDINATION OF CARE IN THE COMMUNITY CONTINUES TO BE A HIGH PRIORITY.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.PART V, SECTION B, LINE 14G: INFORMATION ABOUT THE POLICY IS INCLUDED IN THE PATIENT RIGHTS BROCHURE PROVIDED TO ALL ADMISSIONS
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.PART V, SECTION B, LINE 18E: COMMUNICATIONS THROUGH MAIL AND PHONE INTERVIEWS ARE PURSUED TO RESOLVE ISSUES AND OBTAIN NEEDED INFORMATION TO QUALIFY PATIENTS.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.PART V, SECTION B, LINE 20D: ELIGIBILITY FOR CHARITY CARE IS BASED ON THE INDIVIDUALS ABILITY TO PAY. A PERSON IS CONSIDERED FOR CHARITY CARE IF THEY MEET ANY OF THE FOLLOWING CRITERIA: THEY ARE UNINSURED, THEY HAVE INADEQUATE INSURANCE, INCOME LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES, SPENDABLE INCOME LESS THAN 5% OF THE BALANCE OWED OR LESS THAN $2,000 IN ASSETS AVAILABLE TO PAY HEALTHCARE EXPENSES.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE CRITERIA UTILIZED TO DETERMINE ELIGIBILITY FOR CHARITY CARE IS BASED ON THE ABILITY TO PAY. 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, THERE IS LESS THAN $2,000 IN TOTAL ASSETS AVAILABLE TO PAY HOSPITAL EXPENSES (EXCEPTIONS HOME EQUITY, AUTO EQUITY, LIFE INSURANCE EQUITY).
PART I, LINE 6A:PART I, LINE 6A: THE MISSOURI HOSPITAL ASSOCIATION HAS INCLUDED HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. IN THEIR ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LN 7 COL(F):A GROSS ESTIMATE WAS MADE BASED ON CURRENT EXPERIENCE.
PART III, LINE 2:HISTORICAL EXPERIENCE WAS USED TO ESTIMATE BAD DEBTS BY PAYER CLASSIFICATION AND AGING CO-HORT.
PART III, LINE 3:AN ESTIMATE 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, 2014 AND 2013, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $5,338,000 AND $4,755,000, RESPECTIVELY.
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:THE ORGANIZATION MAINTAINS EDUCATIONAL PROGRAMS TO KEEP STAFF APPRISED OF ALL POTENTIAL PROGRAMS THAT MIGHT ASSIST PATIENTS IN PAYING THEIR HOSPITAL CLAIM. STAFF MEMBERS ARE ENCOURAGED TO UTILIZE THIS KNOWLEDGE TO RECONCILE ALL OUTSTANDING BALANCES.
PART VI, LINE 4:HANNIBAL, MARION COUNTY ARE RURAL COMMUNITES OF APPROXIMATELY 30,000 POPULATION. ALSO SERVED ARE SEVEN OTHER RURAL COUNTIES IN NORTHEAST MISSOURI.
PART VI, LINE 5:SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
3145 HIGHWAY 61HANNIBALMO63401131788491501(C)(3)$7,5352014 PREMIER SPONSOR AND THE 2014 JECCC ON T-SHIRT
MHA CENTER FOR EDUCATION
PO BOX 60JEFFERSON CITYMO65102430898947501(C)(3)$87,717MCE HEALTH IMPR., RESEARCH AND SCHOLARSHIP FUND, MHA SPECIAL PROJECTS, MISSOURI CENTER FOR PATIENT SAFETY CONTRIBUTION, MISSOURI POISON CENTER CONTRIBUTION.
HANNIBAL FREE CLINIC
3145 HIGHWAY 61HANNIBALMO63401141979983501(C)(3)$10,000DONATED FUNDS RECIEVED FROM SALE OF OLD EQUIPMENT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPOLICY 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

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
C TODD AHRENS
PRESIDENT & CEO$372,561$0$34,171$0$11,631$0$84,990$0$45,658$0$549,011$0$0$0
ROGER DIX
VICE PRESIDENT - FINANCIAL SERVICES$253,379$0$22,952$0$74,820$0$51,705$0$28,688$0$431,544$0$0$0
TIMOTHY REUSCHEL
VICE PRESIDENT - GENERAL COUNSEL$161,462$0$9,783$0$5,174$0$22,038$0$27,746$0$226,203$0$0$0
JULIE LEVERENZ
VICE PRESIDENT - STATEGY A$178,803$0$7,094$0$10,052$0$37,289$0$39,554$0$272,792$0$0$0
SHARON NUNLEY
VICE PRESIDENT - HUMAN RES$3,941$0$0$0$273,496$0$0$0$20,082$0$297,519$0$0$0
SARAH BRADSHAW
VICE PRESIDENT - NURSING$168,718$0$5,452$0$25,774$0$17,145$0$43,070$0$260,159$0$0$0
G DOUG RUBLE
VICE PRESIDENT - FACILITIE$130,861$0$5,141$0$27,652$0$13,510$0$31,376$0$208,540$0$0$0
JEFF EVANS
VICE PRESIDENT - INFORMATI$160,836$0$6,111$0$13,413$0$0$0$36,259$0$216,619$0$0$0
PRANAV PARIKH MD
VICE PRESIDENT - QUALITY A$195,479$0$7,969$0$0$0$0$0$7,121$0$210,569$0$0$0
LYNN OLSON
CEO - HOSPITAL$293,998$0$20,014$0$13,131$0$30,360$0$40,559$0$398,062$0$0$0
TIMOTHY POLLEY
EXECUTIVE DIRECTOR$204,144$0$11,529$0$7,418$0$24,310$0$18,578$0$265,979$0$0$0
LUVELL GLANTON
ANESTHESIOLOGIST - PAIN MA$719,830$0$62,500$0$0$0$0$0$38,991$0$821,321$0$0$0
RICHARD VALUCK
CARDIOLOGIST$579,740$0$0$0$0$0$0$0$40,935$0$620,675$0$0$0
PERVEZ ALVI
CARDIOLOGIST$545,752$0$0$0$30,000$0$0$0$26,309$0$602,061$0$0$0
GLENN GORDON
PHYSICIAN - GASTROENTEROLOGY$427,051$0$56,250$0$78,707$0$0$0$27,159$0$589,167$0$0$0
KEVIN LOLLAR
PHYSICIAN$397,071$0$0$0$27,500$0$0$0$27,885$0$452,456$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1BALL EXPENSES WERE APPROVED THROUGH THE NORMAL CHECK REQUEST AND EXPENSE REPORT PROCESS WHICH REQUIRES TWO SIGNATURES. CEO EXPENSES ARE APPROVED BY A BOARD MEMBER AND VALIDATED BY THE CONTROLLER, ALL BOARD MEMBER EXPENSES ARE APPROVED BY THE CEO AND VALIDATED BY THE CONTROLLER, AND ALL OFFICER AND KEY EMPLOYEE EXPENSES ARE APPROVED BY THE CEO AND VALIDATED BY THE CONTROLLER OR ANOTHER OFFICER.
PART I, LINES 4A-BROGER DIX, SERP, $64,771 SARAH BRADSHAW, SERP, $17,145 G. DOUG RUBLE, SERP, $14,554 SHARON NUNLEY, SEVERANCE $264,699

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI
A531320446410632AT02006-04-01$24,064,011HOSPITAL REFUNDING REVENUE BONDS000
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI
B531320446410632BJ12010-07-29$7,588,694HOSPITAL REFUNDING OF ER ADDITION BONDSYes (1)00

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmt
A$11,210,000$26,630,884$2,144,250$24,075,822$410,812Yes (1)0Yes (1)Yes (1)
B$7,430,000$7,588,694$120,532Yes (1)0Yes (1)Yes (1)$7,430,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)000Yes (1)
B0Yes (1)Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
SOCIETE GENERALE
AYes (1)00Yes (1)14.800000000000Yes (1)0Yes (1)
(no name)
B00000Yes (1)00Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL, DATE THE REBATE COMPUTATION WAS PERFORMED: 09/03/2013ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 WILL PRESENT THE PREPARED FORM 990 TO THE BOARD OF DIRECTORS AND ENTERTAIN QUESTIONS FROM DIRECTORS AND OFFICERS. THE CHIEF EXECUTIVE OFFICER AND 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 12CTHE 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 15THE 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 C, LINE 19THE ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE.
FORM 990, PART XI, LINE 9:CHANGE IN MINIMUM PENSION LIABILITY -2,581,936. PEARL LOWRIE FUND NET ACTIVITY -5,956. NET CONTRIBUTION REVENUE FROM FOUNDATION 698,777.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S POLICY REGARDING OVERSIGHT OF AUDIT IS CONSISTENT WITH THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LANACBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line16000 HOSPITAL DRIVEAddressLine1
CityHANNIBALCity
StateMOState
ZIP Code63401ZIPCode
FieldValueIRS element (for citing)
EIN431822503EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HANNIBAL REGIONAL HOSPITALBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HANNIBAL REGIONAL HOSPITAL FOUNDATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1175 SHINN LANEAddressLine1
CityHANNIBALCity
StateMOState
ZIP Code63401ZIPCode
FieldValueIRS element (for citing)
EIN431658744EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11A, TYPE 1PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HANNIBAL REGIONAL HEALTHCARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HANNIBAL MOBILE DIAGNOSTICS
PO BOX 1254HANNIBALMO63401300234397IMAGINGMON/ARELATED-$150$12,074000.50000
HANNIBAL MEDICAL SUPPLIES
PO BOX 40QUINCYIL62306262362717MEDICAL SUPPLIESMON/ARELATED$72,861$221,336000.33000
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
3652 STARDUST DRIVEHANNIBALMO63401461561480PT/OT SERVICESMON/ARELATED$280,890$316,979000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line16500 HOSPITAL DRIVEAddressLine1
CityHANNIBALCity
StateMOState
ZIP Code64301ZIPCode
FieldValueIRS element (for citing)
EIN431706291EIN
Primary ActivitiesPHYSICIAN HOSPITAL ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Entity TypeCEntityTypeTxt
Share Of Total Income-$19,551ShareOfTotalIncomeAmt
Share Of EOY Assets$60,969ShareOfEOYAssetsAmt
Ownership0.50000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
J$67,572COST INCURRED
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
M$569,829COST INCURRED