HANNIBAL REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (EIN 43-0662495)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-05-14
- IRS object ID
- 201431349349304028
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-05-14T12:52:51-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430662495 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANNIBAL REGIONAL HEALTHCARE SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HANN | NameControl |
| Phone | 5732481300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 HOSPITAL DRIVE PO BOX 551 | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROGER DIX | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 5732481300 | Phone |
| Date Signed | 2014-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF PARKER | Name |
| PTIN | P00970069 | PTIN |
| Phone | 3149254300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | C TODD AHRENS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 HOSPITAL DRIVE PO BOX 551 | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 122692272 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HRHONLINE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | SYSTEM OPERATES A FULL SERVICE ACUTE CARE FACILITY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1079 | TotalNbrEmployees |
| Total Nbr Volunteers | 260 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 543122 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 455392 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 119603490 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 117884481 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 969819 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1309570 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2368056 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2369718 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 123484487 | TotalRevenuePriorYear |
| Total Revenue Current Year | 122019161 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 86652 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 97745 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 67282982 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 65636188 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 326057 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 48810102 | OtherExpensePriorYear |
| Other Expenses Current Year | 51938129 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 116179736 | TotalExpensesPriorYear |
| Total Expenses Current Year | 117672062 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7304751 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4347099 | RevenuesLessExpensesCY |
| Total Assets BOY | 131068696 | TotalAssetsBOY |
| Total Assets EOY | 127649695 | TotalAssetsEOY |
| Total Liabilities BOY | 55335893 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 41438195 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 75732803 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 86211500 | NetAssetsOrFundBalancesEOY |
| Mission Description | YOUR HEALTH IS OUR MISSION | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 102052989 | Expense |
| Grants | 97745 | Grants |
| Revenue | 119215167 | Revenue |
| Description | THE SYSTEM OPERATES A FULL SERVICE 91 BED ACUTE CARE HOSPITAL FACILITY IN HANNIBAL, MISSOURI AS ITS PRIMARY SERVICE ACTIVITY. 17,974 TOTAL INPATIENT DAYS WERE PROVIDED DURING THE COURSE OF THE YEAR. THE HOSPITAL 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 - $2,783,810 AND STATE MEDICAID AND OTHER PUBLIC AID PROGRAMS - $2,883,116. | Description |
| Total Program Service Expense | 102052989 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 1 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 112 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1079 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROGER DIX | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5732481300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 HOSPITAL DRIVE | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ROBERT GILSTRAP | ||||||||
| CHAIRPERSON | 1.00 | X | X | 1324 | 0 | 0 | ||
| JERRY TROWER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TIMOTHY A REUSCHEL | ||||||||
| DIRECTOR | 1.00 | X | 930 | 0 | 0 | |||
| PAUL EWERT | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| JACK WHITAKER | ||||||||
| VICE CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | ||
| TOM LENNON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| GENE SCHOLES JR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CAROLYN SHAW | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| JENNIFER VALUCK | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DIRK SAUER | ||||||||
| SECRETARY PRO TEM | 1.00 | X | X | 0 | 0 | 0 | ||
| STEVE MILLER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JASON POAGE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LINDA STAUBE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RONDA WRIGHT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOHN GROSSMEIER | ||||||||
| PRESIDENT & CEO | 40.00 | X | 589688 | 0 | 95935 | |||
| ROGER DIX | ||||||||
| VICE PRESIDENT - FINANCIAL SERVICES | 40.00 | X | 350723 | 0 | 52586 | |||
| C TODD AHRENS | ||||||||
| PRESIDENT & CEO | 40.00 | X | 297024 | 0 | 81244 | |||
| TIMOTHY REUSCHEL | ||||||||
| VICE PRESIDENT - GENERAL COUNSEL | 40.00 | X | 0 | 0 | 0 | |||
| JULIE LEVERENZ | ||||||||
| VICE PRESIDENT - STATEGY AND PLANNING | 40.00 | X | 189300 | 0 | 43099 | |||
| SHARON NUNLEY | ||||||||
| VICE PRESIDENT - HUMAN RESOURCES | 40.00 | X | 213380 | 0 | 42880 | |||
| SARAH BRADSHAW | ||||||||
| VICE PRESIDENT - NURSING | 40.00 | X | 195682 | 0 | 24447 | |||
| G DOUG RUBLE | ||||||||
| VICE PRESIDENT - FACILITIES | 40.00 | X | 155442 | 0 | 15062 | |||
| JEFF EVANS | ||||||||
| VICE PRESIDENT - INFORMATION AND TECHNOLOGY | 40.00 | X | 169384 | 0 | 17841 | |||
| PRANAV PARIKH MD | ||||||||
| VICE PRESIDENT - QUALITY AND MEDICAL AFFAIRS | 20.00 | X | 159142 | 0 | 0 | |||
| LYNN OLSON | ||||||||
| CEO - HOSPITAL | 40.00 | X | 309309 | 0 | 31157 | |||
| TIMOTHY POLLEY | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 193562 | 0 | 18983 | X | |||
| MARK SHIMA | ||||||||
| CARDIOLOGIST | 40.00 | 756733 | 0 | 5023 | X | |||
| LUVELL GLANTON | ||||||||
| ANESTHESIOLOGIST - PAIN MANANGEMENT | 40.00 | 697839 | 0 | 3305 | X | |||
| PERVEZ ALVI | ||||||||
| CARDIOLOGIST | 40.00 | 560056 | 0 | 944 | X | |||
| RICHARD VALUCK | ||||||||
| CARDIOLOGIST | 40.00 | 542040 | 0 | 9960 | X | |||
| DONALD MILLER | ||||||||
| EMERGENCY ROOM PHYSICIAN | 40.00 | 539806 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5921364 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 442466 | TotalOtherCompensation |
| Number Individuals GT100 K | 67 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | LOCUM PHYSICIANS | 1710434 |
| BANC OF AMERICA LEASING | |||||
| 2059 NORTHLAKE PARKWAY | TUCKER | GA | 30384 | LEASING COMPANY | 1663416 |
| MISSOURI HOSPITAL PLAN | |||||
| 4700 COUNTRY CLUB DRIVE | JEFFERSON CITY | MO | 65102 | INSURANCE PROVIDER | 1257024 |
| ALLSCRIPTS HEALTHCARE LLC | |||||
| PO BOX 8538-0133 | PHILADELPHIA | PA | 19171 | IT SERVICES | 584452 |
| HEALTHLINK | |||||
| PO BOX 6501 | CAROL STREAM | IL | 60197 | HEALTH PLAN | 529109 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 34 | NumberOfContractorsGT100K |
| Related Organizations | 455392 | RelatedOrganizations |
| Total Contributions | 455392 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 117884481 | TotalRevenueColumn |
| Related Or Exempt Function Income | 117884481 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 117884481 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1093254 | TotalRevenueColumn |
| Exclusion | $1,093,254 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 310001 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28173 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 281828 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 281828 | TotalRevenueColumn |
| Exclusion | $281,828 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 847489 | Securities |
| Other | 13765 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 607209 | Securities |
| Other | 37729 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 240280 | Securities |
| Other | -23964 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 216316 | TotalRevenueColumn |
| Related Or Exempt Function Income | -23964 | RelatedOrExemptFunctionIncome |
| Exclusion | $240,280 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| CHILDREN'S DEVELOPMENT CENTER | 624410 | 843219 | 843219 | |
| CAFETERIA | 722210 | 569756 | $569,756 | |
| CONTRACTED SERVICES | 621110 | 413764 | 413764 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 261151 | TotalRevenueColumn |
| Related Or Exempt Function Income | 97667 | RelatedOrExemptFunctionIncome |
| Exclusion | $163,484 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2087890 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122019161 | TotalRevenueColumn |
| Related Or Exempt Function Income | 119215167 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,348,602 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97745 | Total |
| Program Services | 97745 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2566870 | Total |
| Program Services | 420182 | ProgramServices |
| Management And General | 2146688 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47301603 | Total |
| Program Services | 39989925 | ProgramServices |
| Management And General | 7080052 | ManagementAndGeneral |
| Fundraising | 231626 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2257775 | Total |
| Program Services | 1909261 | ProgramServices |
| Management And General | 338027 | ManagementAndGeneral |
| Fundraising | 10487 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10392158 | Total |
| Program Services | 8765041 | ProgramServices |
| Management And General | 1579005 | ManagementAndGeneral |
| Fundraising | 48112 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3117782 | Total |
| Program Services | 2634845 | ProgramServices |
| Management And General | 466489 | ManagementAndGeneral |
| Fundraising | 16448 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132573 | Total |
| Management And General | 132573 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132630 | Total |
| Management And General | 132630 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12425 | Total |
| Program Services | 10517 | ProgramServices |
| Management And General | 1908 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293287 | Total |
| Program Services | 293287 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11794658 | Total |
| Program Services | 9983636 | ProgramServices |
| Management And General | 1811022 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1466002 | Total |
| Program Services | 1240903 | ProgramServices |
| Management And General | 225099 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 694147 | Total |
| Program Services | 587564 | ProgramServices |
| Management And General | 106583 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83516 | Total |
| Program Services | 70692 | ProgramServices |
| Management And General | 12824 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1218293 | Total |
| Program Services | 1031229 | ProgramServices |
| Management And General | 187064 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8390733 | Total |
| Program Services | 8390733 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 832418 | Total |
| Program Services | 704604 | ProgramServices |
| Management And General | 127814 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 7504203 | 7504203 | |
| HEALTHCARE PURCHASED SE | 4899664 | 4899664 | |
| PROFESSIONAL FEES | 4589350 | 4589350 | |
| EQUIPMENT RENTAL | 3161511 | 2676074 | 485437 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6732719 | Total |
| Program Services | 6253534 | ProgramServices |
| Management And General | 459801 | ManagementAndGeneral |
| Fundraising | 19384 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117672062 | Total |
| Program Services | 102052989 | ProgramServices |
| Management And General | 15293016 | ManagementAndGeneral |
| Fundraising | 326057 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15259185 | BOY |
| EOY | 16806251 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15290528 | BOY |
| EOY | 13241261 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42500 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1208898 | BOY |
| EOY | 1483198 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2302730 | BOY |
| EOY | 2507309 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 538825 | BOY |
| EOY | 672870 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 132930100 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 82457945 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48352807 | BOY |
| EOY | 50472155 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34312519 | BOY |
| EOY | 36243113 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13760704 | BOY |
| EOY | 6223538 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131068696 | BOY |
| EOY | 127649695 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14249860 | BOY |
| EOY | 16191829 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23036676 | BOY |
| EOY | 15380116 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7369297 | BOY |
| EOY | 5665967 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10680060 | BOY |
| EOY | 4200283 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55335893 | BOY |
| EOY | 41438195 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73151989 | BOY |
| EOY | 82966746 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 803492 | BOY |
| EOY | 1426027 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1777322 | BOY |
| EOY | 1818727 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75732803 | BOY |
| EOY | 86211500 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131068696 | BOY |
| EOY | 127649695 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4347099 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1652655 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 4478943 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $7,725 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 7725 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | LOBBYING ACTIVITY PROVIDED THROUGH MEMBERSHIP IN THE MISSOURI HOSPITAL ASSOCIATION | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Funds Held | 1 | NumberFundsHeld |
| Contrib To Funds And Other Accounts | 1684 | ContribToFundsAndOtherAccounts |
| Grants Funds And Other Accounts | 4426 | GrantsFundsAndOtherAccounts |
| Aggregate Fund Value | 36117 | AggregateFundValue |
| Disclosed Orgs Legal Control | 0 | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | 0 | DisclosedForCharitablePurposes |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2693370 | OtherCostOrOtherBasis |
| Book Value | 2693370 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68475995 | OtherCostOrOtherBasis |
| Depreciation | 38386161 | Depreciation |
| Book Value | 30089834 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61760735 | OtherCostOrOtherBasis |
| Depreciation | 44071784 | Depreciation |
| Book Value | 17688951 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 50472155 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MINIMUM PENSION LIABILITY | $2,845,164 |
| SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN LIABILITY | $1,355,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4200283 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 127484602 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1652655 | NetUnrealizedGainsInvestments |
| Other Revenues | 3812786 | OtherRevenues |
| Revenue Not Rptd F990 | 5465441 | RevenueNotRptdF990 |
| Revenue Subtotal | 122019161 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 122019161 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 117672062 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 117672062 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 117672062 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE 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 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | MINIMUM PENSION LIABILITY EXPENSE 3,812,786. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2783810 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2783810 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02370 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10286985 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7403869 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2883116 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02450 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13070795 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7403869 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5666926 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04820 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1192376 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 294801 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 897575 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00760 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 190195 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 190195 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9275042 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4748197 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4526845 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03850 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14896 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14896 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10672509 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5042998 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5629511 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04780 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23743304 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12446867 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11296437 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09600 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2056624 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 870742 | DirectOffsettingRevenue |
| Net Community Building Expense | 1185882 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1089713 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1089713 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00930 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3146337 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 870742 | DirectOffsettingRevenue |
| Net Community Building Expense | 2275595 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01940 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,504,203 | BadDebtExpenseAmount |
| Amount Attributable To | 5628365 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 32088042 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 37910205 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5822163 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 HANNIBAL MEDICAL SUPPLY | ||
| DME COMPANY | 0.33000 | 0.33000 |
| 2 HANNIBAL MOBILE DIAGNOSTICS | ||
| MOBILE IMAGING/RADIOLOGY SERVICES | 0.50000 | 0.50000 |
| 3 ADVANCE HANNIBAL REGIONAL HOSPITAL LLC | ||
| OUTPATIENT PHYSICAL THERAPY | 0.50000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANNIBAL REGIONAL HEALTHCARE SYSTEM INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 HOSPITAL DRIVE | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANNIBAL REGIONAL HEALTHCARE SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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, LINE 7: A COST ACCOUNTING SYSTEM UTILIZING A SPECIFIC COSTING METHODOLOGY FOR THE SERVICES REFERENCED IN WORKSHEETS ONE, THREE AND SIX WAS UTILIZED FOR COST. | |
| PART I, LINE 7G: COSTS ATTRIBUTABLE TO PHYSICIANS CLINICS INCLUDE $3,375,286 FOR RURAL HEALTH CLINICS AND $926,620 FOR MENTAL HEALTH CLINICS. | |
| PART I, L7 COL(F): A GROSS ESTIMATE WAS MADE BASED ON CURRENT EXPERIENCE. | |
| 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, 2013 AND 2012, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $4,755,000 AND $5,444,000, 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 V, SECTION B, LINE 3: THE HOSPITAL CONSULTED WAS PIKE COUNTY MEMORIAL HOSPITAL IN LOUISIANA, MISSOURI. | 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 5C: POSTED ON THE WEB. | HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. |
| PART V, SECTION B, LINE 7: MENTAL HEALTH AND DENTAL HEALTH ACCESSIBILTY CONTINUE TO BE SIGNIFICANT GAPS WITHIN THE HEALTHCARE DELIVERY SYSTEM OF NORTHEAST MISSOURI. EXPANSION OF MISSOURI MEDICAID WILL ENHANCE ACCESS TO EXISTING RESOURCES. | 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 ELIGIBLE 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. | HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 3145 HIGHWAY 61 | HANNIBAL | MO | 63401 | 131788491 | 501(C)(3) | 7535 | 2013 PREMIER SPONSOR AND THE 2013 JECCC ON T-SHIRT |
| MHA CENTER FOR EDUCATION | |||||||
| PO BOX 60 | JEFFERSON CITY | MO | 65102 | 430898947 | 501(C)(3) | 90210 | MCE HEALTH IMPR., RESEARCH AND SCHOLARSHIP FUND, MHA SPECIAL PROJECTS, MISSOURI CENTER FOR PATIENT SAFETY CONTRIBUTION, MISSOURI POISON CENTER CONTRIBUTION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: POLICY GA 1-112 CORPORATE CITIZENSHIP GUIDES THE ORGANIZATION IN CONTRIBUTING TO OTHER ORGANIZATIONS. ALL ACTIVITIES WHICH CONSTITUTE A CHARITABLE CONTRIBUTION ARE DOCUMENTED ON THE CHARITABLE CONTRIBUTION FORM. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN GROSSMEIER | ||||||||||||||
| PRESIDENT & CEO | 460281 | 0 | 36377 | 0 | 93030 | 0 | 92087 | 0 | 3848 | 0 | 685623 | 0 | 0 | 0 |
| ROGER DIX | ||||||||||||||
| VICE PRESIDENT - FINANCIAL SERVICES | 251721 | 0 | 20585 | 0 | 78417 | 0 | 52586 | 0 | 0 | 0 | 403309 | 0 | 0 | 0 |
| C TODD AHRENS | ||||||||||||||
| PRESIDENT & CEO | 276755 | 0 | 20269 | 0 | 0 | 0 | 72206 | 0 | 9038 | 0 | 378268 | 0 | 0 | 0 |
| JULIE LEVERENZ | ||||||||||||||
| VICE PRESIDENT - STATEGY AND PLANNIN | 183077 | 0 | 6223 | 0 | 0 | 0 | 37714 | 0 | 5385 | 0 | 232399 | 0 | 0 | 0 |
| SHARON NUNLEY | ||||||||||||||
| VICE PRESIDENT - HUMAN RESOURCES | 170279 | 0 | 6158 | 0 | 36943 | 0 | 37032 | 0 | 5848 | 0 | 256260 | 0 | 0 | 0 |
| SARAH BRADSHAW | ||||||||||||||
| VICE PRESIDENT - NURSING | 170439 | 0 | 4698 | 0 | 20545 | 0 | 20599 | 0 | 3848 | 0 | 220129 | 0 | 0 | 0 |
| G DOUG RUBLE | ||||||||||||||
| VICE PRESIDENT - FACILITIES | 137126 | 0 | 4602 | 0 | 13714 | 0 | 13714 | 0 | 1348 | 0 | 170504 | 0 | 0 | 0 |
| JEFF EVANS | ||||||||||||||
| VICE PRESIDENT - INFORMATION AND TEC | 163811 | 0 | 5573 | 0 | 0 | 0 | 16456 | 0 | 1385 | 0 | 187225 | 0 | 0 | 0 |
| PRANAV PARIKH MD | ||||||||||||||
| VICE PRESIDENT - QUALITY AND MEDICAL | 152939 | 0 | 6203 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 159142 | 0 | 0 | 0 |
| LYNN OLSON | ||||||||||||||
| CEO - HOSPITAL | 289138 | 0 | 20171 | 0 | 0 | 0 | 28618 | 0 | 2539 | 0 | 340466 | 0 | 0 | 0 |
| TIMOTHY POLLEY | ||||||||||||||
| EXECUTIVE DIRECTOR | 181487 | 0 | 12075 | 0 | 0 | 0 | 18542 | 0 | 441 | 0 | 212545 | 0 | 0 | 0 |
| MARK SHIMA | ||||||||||||||
| CARDIOLOGIST | 756733 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5023 | 0 | 761756 | 0 | 0 | 0 |
| LUVELL GLANTON | ||||||||||||||
| ANESTHESIOLOGIST - PAIN MANANGEMENT | 565156 | 0 | 132683 | 0 | 0 | 0 | 0 | 0 | 3305 | 0 | 701144 | 0 | 0 | 0 |
| PERVEZ ALVI | ||||||||||||||
| CARDIOLOGIST | 560056 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 944 | 0 | 561000 | 0 | 0 | 0 |
| RICHARD VALUCK | ||||||||||||||
| CARDIOLOGIST | 542040 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9960 | 0 | 552000 | 0 | 0 | 0 |
| DONALD MILLER | ||||||||||||||
| EMERGENCY ROOM PHYSICIAN | 539806 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 539806 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | COMPANION TRAVEL EXPENSES : ROBERT GILSTRAP $1,324; TIMOTHY REUSCHEL $930 |
| PART I, LINE 1B | ALL 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-B | JOHN GROSSMEIER, SERP, $92,087 ROGER DIX, SERP, $78,555 SHARON NUNLEY, SERP, $37,032 SHARON NUNLEY, SEVERANCE, $264,699 RICHARD DRAPER, SERP, $2,000 G.DOUG RUBLE, SERP, $13,714 SARAH BRADSHAW, SERP, $20,599 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI | ||||||||
| A | 531320446 | 410632AT0 | 2006-04-01 | 24064011 | HOSPITAL REFUNDING REVENUE BONDS | 0 | 0 | 0 |
| THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI | ||||||||
| B | 531320446 | 410632BJ1 | 2010-07-29 | 7588694 | HOSPITAL REFUNDING OF ER ADDITION BONDS | 1 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount Bond DefeasedAmountBondDefeased |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 9805000 | 26630884 | 2144250 | 24075822 | 410812 | 2022 | 1 | 0 | 1 | 1 | |
| B | 7430000 | 7588694 | 120532 | 2020 | 1 | 0 | 1 | 1 | 7430000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOCIETE GENERALE | |||||||||||
| A | 1 | 0 | 0 | 1 | 14.800000000000 | 1 | 0 | 1 | |||
| (no name) | |||||||||||
| B | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | ||
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE K, PART II, LINE 14, ISSUANCE A | PURPOSE OF 2006 REFUNDING BOND ISSUANCE | THE HEALTH FACILITIES REFUNDING REVENUE BONDS SERIES 2006 BOND ISSUANCE WAS ISSUED TO REFUND THE REMAINING OUTSTANDING 1996 REVENUE BONDS. |
| SCHEDULE K, PART II, LINE 14, ISSUANCE B | PURPOSE OF 2010 REFUNDING BOND ISSUANCE | THE HEALTH FACILITIES REFUNDING REVENUE BONDS SERIES 2010 BOND ISSUANCE WAS ISSUED TO REFUND THE REMAINING OUTSTANDING 2007 REVENUE BONDS. |
| SCHEDULE K, PART IV, LINE 2C, ISSUANCE B | REBATE CALCULATION | THE DATE THE REBATE CALCULATION WAS PERFORMED WAS SEPTEMBER 3, 2013. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. (THE "SYSTEM") IS A NOT-FOR-PROFIT ORGANIZATION AND PARENT COMPANY OF HANNIBAL REGIONAL HOSPITAL(THE "HOSPITAL") AND HANNIBAL REGIONAL HOSPITAL FOUNDATION (THE "FOUNDATION"). THE SYSTEM'S BOARD OF DIRECTORS APPOINTS AND CONTROLS THE HOSPITAL AND FOUNDATION BOARDS. DURING THE YEAR ENDING SEPTEMBER 30, 2013 THE HOSPITAL AND SYSTEM FORMED AN OBLIGATED GROUP RELATED TO THE REVENUE BONDS AS DISCUSSED IN NOTE 6 OF THE FINANCIAL STATEMENTS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 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 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 THEN REPORTS ITS ACTIONS TO THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPOSED SOLEY 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 19 | THE 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 3,812,786. PEARL LOWRIE FUND NET ACTIVITY -2,743. TEMP. RESTRICTED NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -455,392. NET CONTRIBUTION REVENUE FROM FOUNDATION 1,124,292. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION'S POLICY REGARDING OVERSIGHT OF AUDIT IS CONSISTENT WITH THE PRIOR YEAR. | |
| FORM 990, PART VI, LINE 4 | DURING TAX YEAR 2012, HANNIBAL REGIONAL HOSPITAL'S NAME WAS CHANGED TO HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. AND THE FORMER HANNIBAL REGIONAL HEALTHCARE SYSTEM'S NAME WAS CHANGED TO HANNIBAL REGIONAL HOSPITAL, INC. EFFECTIVELY SWAPPING NAMES OF EACH RESPECTIVE ORGANIZATION. THE BOARDS OF DIRECTORS FOR EACH CORPORATION EXCHANGED PLACES AND THE PURPOSES/RESERVED POWERS OF THE RESPECTIVE CORPORATIONS WERE SWITCHED. THE END RESULT IS THAT THE CORPORATION THAT PREVIOUSLY WAS HANNIBAL REGIONAL HOSPITAL STILL OWNS ALL THE PROPERTY AND RETAINS THE SAME TAX ID NUMBER BUT THAT ENTITY'S LEGAL NAME IS NOW HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. APPROPRIATE CORPORATE RESOLUTIONS FOR EACH COMPANY WERE DRAFTED AND APPROVED BY THE GOVERNING BODIES ON SEPTEMBER 3, 2013. ON SEPTEMBER 4, 2013, REVISED ARTICLES OF INCORPORATION FOR BOTH COMPANIES WERE DELIVERED TO THE MISSOURI SECRETARY OF STATE WHO ACCEPTED THE FILINGS AND ISSUED NEW CERTIFICATES OF GOOD STANDING FOR EACH ORGANIZATION ON THAT DATE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANAC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 HOSPITAL DRIVE | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431822503 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivities |
| Legal Domicile State | MO | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANNIBAL REGIONAL HOSPITAL | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANNIBAL REGIONAL HOSPITAL FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 SHINN LANE | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431658744 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivities |
| Legal Domicile State | MO | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 11A, TYPE 1 | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HANNIBAL MOBILE DIAGNOSTICS | |||||||||||||
| PO BOX 1254 | HANNIBAL | MO | 63401 | 300234397 | IMAGING | MO | N/A | RELATED | 45129 | 28376 | 0 | 0 | 0.50000 |
| HANNIBAL MEDICAL SUPPLIES | |||||||||||||
| PO BOX 40 | QUINCY | IL | 62306 | 262362717 | MEDICAL SUPPLIES | MO | N/A | RELATED | 29158 | 193336 | 0 | 0 | 0.33000 |
| ADVANCE HANNIBAL REGIONAL HOSPITAL LLC | |||||||||||||
| 3652 STARDUST DRIVE | HANNIBAL | MO | 63401 | 461561480 | PT/OT SERVICES | MO | N/A | RELATED | 92332 | 92332 | 0 | 0 | 0.50000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 HOSPITAL DRIVE | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 64301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431706291 | EIN |
| Primary Activity | PHYSICIAN HOSPITAL ORGANIZATION | PrimaryActivity |
| Legal Domicile State | MO | LegalDomicileState |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | -36323 | ShareOfTotalIncome |
| Share Of EOY Assets | 80520 | ShareOfEOYAssets |
| Percentage Ownership | 0.50000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HANNIBAL MOBILE DIAGNOSTICS | ||
| J | 600 | COST INCURRED |
| ADVANCE HANNIBAL REGIONAL HOSPITAL LLC | ||
| B | 9357 | COST INCURRED |
| ADVANCE HANNIBAL REGIONAL HOSPITAL LLC | ||
| J | 38838 | COST INCURRED |
| ADVANCE HANNIBAL REGIONAL HOSPITAL LLC | ||
| M | 325176 | COST INCURRED |
| ADVANCE HANNIBAL REGIONAL HOSPITAL LLC | ||
| Q | 14813 | COST INCURRED |