HANNIBAL REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (EIN 43-0662495)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-07-11
- IRS object ID
- 201211939349300136
- Schema version
- 2010v3.4
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-11T13:17:04-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-10-01 | 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 HOSPITAL | 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 | 6000 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 | 2012-07-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF PARKER | Name |
| Phone | 3149254300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN GROSSMEIER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 HOSPITAL DRIVE PO BOX 551 | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 119901100 | 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 | HOSPITAL OPERATES A FULL SERVICE ACUTE CARE FACILITY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1174 | TotalNbrEmployees |
| Total Nbr Volunteers | 250 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 683092 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 608133 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 109199153 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 108459190 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 366209 | InvestmentIncomePriorYear |
| Investment Income Current Year | 432915 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1630332 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2583243 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 111878786 | TotalRevenuePriorYear |
| Total Revenue Current Year | 112083481 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 30792 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 63354257 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 64975831 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 376952 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 41741375 | OtherExpensePriorYear |
| Other Expenses Current Year | 45445301 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 105095632 | TotalExpensesPriorYear |
| Total Expenses Current Year | 110451924 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6783154 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1631557 | RevenuesLessExpensesCY |
| Total Assets BOY | 116939024 | TotalAssetsBOY |
| Total Assets EOY | 121818390 | TotalAssetsEOY |
| Total Liabilities BOY | 50791935 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 54767600 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 66147089 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 67050790 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES FOR A BETTER LIFE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 92898836 | Expense |
| Revenue | 109504824 | Revenue |
| Description | THE SYSTEM OPERATES A FULL SERVICE 105 BED ACUTE CARE HOSPITAL FACILITY IN HANNIBAL, MISSOURI AS ITS PRIMARY SERVICE ACTIVITY. 22,537 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 - $2,911,731 AND STATE MEDICAID AND OTHER PUBLIC AID PROGRAMS - $3,675,582. | Description |
| Total Program Service Expense | 92898836 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 143 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1174 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | 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 (48 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| ROBERT GILSTRAP | |||||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |||
| JERRY TROWER | |||||||||
| VICE CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |||
| TIMOTHY A REUSCHEL | |||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| TOM LENNON | |||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| PAUL EWERT | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| CAROLYN SHAW | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| GENE SCHOLES JR | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JENNIFER VALUCK MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JACK WHITAKER | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JERRY TROWER | |||||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |||
| TOM LENNON | |||||||||
| VICE CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |||
| ROBERT M CHRISCINSKE | |||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| GORDON SPILKER | |||||||||
| ASSISTANT SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| JIM HUMPHREYS | |||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| PRANAV PARIKH MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JEFF EVANS MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| PAT BENSON | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JILL JANES MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| GENE SCHOLES JR | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| DARREN SMITH | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| TOM WOOTEN | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| SANDRA AHLUM MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JOHN GROSSMEIER | |||||||||
| PRESIDENT & CEO | 40.00 | X | 487266 | 0 | 4848 | ||||
| ROGER DIX | |||||||||
| VICE PRESIDENT - FINANCIAL SERVICES | 40.00 | X | 288324 | 0 | 0 | ||||
| C TODD AHRENS | |||||||||
| VICE PRESIDENT - GENERAL COUNSEL | 40.00 | X | 214754 | 0 | 6385 | ||||
| DAVID HEVEL | |||||||||
| VICE PRESIDENT - QUALITY | 40.00 | X | 142019 | 0 | 2323 | ||||
| JULIE LEVERENZ | |||||||||
| VICE PRESIDENT - STRATEGY AND PLANNING | 40.00 | X | 143620 | 0 | 2893 | ||||
| SHARON NUNLEY | |||||||||
| VICE PRESIDENT - HUMAN RESOURCES | 40.00 | X | 198133 | 0 | 5848 | ||||
| SARAH BRADSHAW | |||||||||
| VICE PRESIDENT - NURSING | 40.00 | X | 140484 | 0 | 2998 | ||||
| G DOUG RUBLE | |||||||||
| VICE PRESIDENT - FACILITIES | 40.00 | X | 122936 | 0 | 1498 | ||||
| JEFF EVANS | |||||||||
| VICE PRESIDENT - INFORMATION AND TECHNOLOGY | 40.00 | X | 144309 | 0 | 1385 | ||||
| SCOTT SIEMER | |||||||||
| VICE PRESIDENT - SERVICE LINES | 40.00 | X | 147163 | 0 | 923 | ||||
| SUZANNE KOEHLER | |||||||||
| VICE PRESIDENT - CLINICAL SERVICES | 40.00 | X | 150141 | 0 | 669 | ||||
| RICHARD DRAPER | |||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.00 | 499095 | 0 | 5848 | X | ||||
| DEAN AKERSON | |||||||||
| EXECUTIVE DIRECTOR | 40.00 | 208389 | 0 | 848 | X | ||||
| MARK SHIMA | |||||||||
| CARDIOLOGIST | 40.00 | 783125 | 0 | 4686 | X | ||||
| RICHARD VALUCK | |||||||||
| CARDIOLOGIST | 40.00 | 549275 | 0 | 7225 | X | ||||
| LUVELL GLANTON | |||||||||
| ANESTHESIOLOGIST - PAIN MANAGEMENT | 40.00 | 552307 | 0 | 4385 | X | ||||
| PERVEZ ALVI | |||||||||
| CARDIOLOGIST | 40.00 | 550317 | 0 | 1683 | X | ||||
| MARK BELCHER | |||||||||
| ANESTHESIOLOGIST | 40.00 | 451346 | 0 | 1131 | X | ||||
| GENE SCHOLES JR | |||||||||
| CHAIRPERSON - HRHS CY 2010 | 1.00 | 0 | 0 | 0 | X | ||||
| ROBERT GILSTRAP | |||||||||
| VICE CHAIRPERSON - HRHS CY 2010 | 1.00 | 0 | 0 | 0 | X | ||||
| JERRY TROWER | |||||||||
| TREASURER - HRHS CY 2010 | 1.00 | 0 | 0 | 0 | X | ||||
| TOM LENNON | |||||||||
| DIRECTOR - HRHS CY 2010 | 1.00 | 0 | 0 | 0 | X | ||||
| CAROLYN SHAW | |||||||||
| DIRECTOR - HRHS CY 2010 | 1.00 | 0 | 0 | 0 | X | ||||
| JENNIFER VALUCK MD | |||||||||
| DIRECTOR - HRHS CY 2010 | 1.00 | 0 | 0 | 0 | X | ||||
| JACK WHITAKER | |||||||||
| DIRECTOR - HRHS CY 2010 | 1.00 | 0 | 0 | 0 | X | ||||
| BSTEVENS PLOWMAN | |||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5773003 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 55576 | TotalOtherCompensation |
| Number Individuals GT100 K | 65 | 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 |
|---|---|---|---|---|---|
| MISSOURI HOSPITAL PLAN | |||||
| 4700 COUNTRY CLUB DRIVE | JEFFERSON CITY | MO | 65102 | INSURANCE PROVIDER | 1221443 |
| LOCUMTENENSCOM | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | LOCUM PHYSICIANS | 1051338 |
| BANC OF AMERICA LEASING & CAPITAL | |||||
| 2059 NORTHLAKE PARKWAY | TUCKER | GA | 30084 | LEASING COMPANY | 949930 |
| EMERCON EMERGENCY MEDICAL | |||||
| 8021 CORNELL AVE | ST LOUIS | MO | 63130 | LOCUM PHYSICIANS | 459863 |
| CELLDOX | |||||
| PO BOX 916 | HANNIBAL | MO | 63401 | PATHOLOGY SERVICES | 400400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 26 | NumberOfContractorsGT100K |
| Related Organizations | 608133 | RelatedOrganizations |
| Total Contributions | 608133 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 108459190 | TotalRevenueColumn |
| Related Or Exempt Function Income | 108459190 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 108459190 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 919038 | TotalRevenueColumn |
| Exclusion | $919,038 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 258018 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30523 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 227495 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 227495 | TotalRevenueColumn |
| Exclusion | $227,495 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7244685 | Securities |
| Other | 56288 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7784741 | Securities |
| Other | 2355 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -540056 | Securities |
| Other | 53933 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -486123 | TotalRevenueColumn |
| Related Or Exempt Function Income | 53933 | RelatedOrExemptFunctionIncome |
| Exclusion | -$540,056 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| REIMBURSED SETTLEMENT | 621110 | 735000 | $735,000 | |
| CHILDREN'S DEVELOPMENT | 624410 | 677376 | 677376 | |
| CAFETERIA | 722210 | 554289 | $554,289 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 389083 | TotalRevenueColumn |
| Related Or Exempt Function Income | 314325 | RelatedOrExemptFunctionIncome |
| Exclusion | $74,758 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2355748 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 112083481 | TotalRevenueColumn |
| Related Or Exempt Function Income | 109504824 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,970,524 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30792 | Total |
| Program Services | 30792 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2923099 | Total |
| Program Services | 435137 | ProgramServices |
| Management And General | 2223094 | ManagementAndGeneral |
| Fundraising | 264868 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46439694 | Total |
| Program Services | 38260037 | ProgramServices |
| Management And General | 8176089 | ManagementAndGeneral |
| Fundraising | 3568 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3002058 | Total |
| Program Services | 2460185 | ProgramServices |
| Management And General | 525736 | ManagementAndGeneral |
| Fundraising | 16137 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9456231 | Total |
| Program Services | 7749376 | ProgramServices |
| Management And General | 1656026 | ManagementAndGeneral |
| Fundraising | 50829 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3154749 | Total |
| Program Services | 2583677 | ProgramServices |
| Management And General | 552126 | ManagementAndGeneral |
| Fundraising | 18946 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302473 | Total |
| Management And General | 302473 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84000 | Total |
| Management And General | 84000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6245 | Total |
| Program Services | 5123 | ProgramServices |
| Management And General | 1122 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308545 | Total |
| Program Services | 308545 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10970976 | Total |
| Program Services | 8999973 | ProgramServices |
| Management And General | 1971003 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1427752 | Total |
| Program Services | 1171248 | ProgramServices |
| Management And General | 256504 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 634033 | Total |
| Program Services | 520125 | ProgramServices |
| Management And General | 113908 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87362 | Total |
| Program Services | 71667 | ProgramServices |
| Management And General | 15695 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1403869 | Total |
| Program Services | 1151655 | ProgramServices |
| Management And General | 252214 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7751834 | Total |
| Program Services | 7751834 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 756861 | Total |
| Program Services | 620886 | ProgramServices |
| Management And General | 135975 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 6484986 | 6484986 | |
| HEALTHCARE PURCHASED SE | 3937384 | 3937384 | |
| PHARMACY DRUGS | 2884241 | 2884241 | |
| EQUIPMENT RENTAL | 2831607 | 2322892 | 508715 |
| PROFESSIONAL FEES | 2388843 | 2388843 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3184290 | Total |
| Program Services | 2760230 | ProgramServices |
| Management And General | 401456 | ManagementAndGeneral |
| Fundraising | 22604 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110451924 | Total |
| Program Services | 92898836 | ProgramServices |
| Management And General | 17176136 | ManagementAndGeneral |
| Fundraising | 376952 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8050601 | BOY |
| EOY | 7660293 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14060513 | BOY |
| EOY | 15073541 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 227000 | BOY |
| EOY | 98750 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1395375 | BOY |
| EOY | 1450730 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2301765 | BOY |
| EOY | 2403874 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 549085 | BOY |
| EOY | 586866 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 127128837 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 69339921 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57672810 | BOY |
| EOY | 57788916 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27374246 | BOY |
| EOY | 30337121 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 300000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5307629 | BOY |
| EOY | 6118299 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116939024 | BOY |
| EOY | 121818390 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11248266 | BOY |
| EOY | 11516738 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26918499 | BOY |
| EOY | 25026012 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5136796 | BOY |
| EOY | 8951150 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7488374 | BOY |
| EOY | 9273700 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50791935 | BOY |
| EOY | 54767600 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63376049 | BOY |
| EOY | 63854864 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2771040 | BOY |
| EOY | 3195926 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66147089 | BOY |
| EOY | 67050790 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116939024 | BOY |
| EOY | 121818390 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1631557 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -727857 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | $6,245 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 6245 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | 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 | 1523 | ContribToFundsAndOtherAccounts |
| Grants Funds And Other Accounts | 17360 | GrantsFundsAndOtherAccounts |
| Aggregate Fund Value | 36056 | 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 | 2172770 | OtherCostOrOtherBasis |
| Book Value | 2172770 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68671288 | OtherCostOrOtherBasis |
| Depreciation | 32437435 | Depreciation |
| Book Value | 36233853 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50625371 | OtherCostOrOtherBasis |
| Depreciation | 36902486 | Depreciation |
| Book Value | 13722885 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5659408 | OtherCostOrOtherBasis |
| Book Value | 5659408 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 57788916 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND ISSUE COST | 303666 |
| RECEIVABLE FROM HANNIBAL REGIONAL HOSPITAL FOUNDATION | 3159870 |
| INVESTMENT IN JOINT VENTURES | 295391 |
| SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN | 2359372 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6118299 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MINIMUM PENSION LIABILITY | $6,914,328 |
| SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN LIABILITY | $2,359,372 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9273700 | TotalOfAmounts |
| Total Revenue | 112083481 | TotalRevenue |
| Total Expenses | 110451924 | TotalExpenses |
| Excess Or Deficit For Year | 1631557 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1113704 | NetUnrealizedGLOnInvestments |
| Other | -$1,841,561 | OtherAmount |
| Total Adjustments | -727857 | TotalAdjustments |
| Excess Or Deficit Per FS | 903700 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 110930738 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1113704 | NetUnrealizedGainsInvestments |
| Other Revenues | -2266447 | OtherRevenues |
| Revenue Not Rptd F990 | -1152743 | RevenueNotRptdF990 |
| Revenue Subtotal | 112083481 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 112083481 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 110451923 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 110451923 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 110451923 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL 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 HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL 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 HOSPITAL'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE HOSPITAL IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE HOSPITAL 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 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN MINIMUM PENSION LIABILITY -2,266,447. PEARL LOWRIE FUND NET ACTIVITY -15,836. TEMP. RESTRICTED NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -608,133. NET CONTRIBUTION REVENUE FROM FOUNDATION 1,048,855. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | MINIMUM PENSION LIABILITY EXPENSE -2,266,447. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 0 | FPGReferenceFreeCare |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| 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 | 2089013 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2089013 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11226055 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8199803 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3026252 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02740 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13315068 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8199803 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5115265 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04630 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 772132 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 114988 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 657144 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1054925 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1054925 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00960 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1061551 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 666190 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 395361 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42512 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 42512 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2931120 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 781178 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2149942 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01950 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16246188 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8980981 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7265207 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06580 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2206897 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1044132 | DirectOffsettingRevenue |
| Net Community Building Expense | 1162765 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01050 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 29042 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 29042 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 286984 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 286984 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2522923 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1044132 | DirectOffsettingRevenue |
| Net Community Building Expense | 1478791 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01340 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,615,594 | BadDebtExpenseAmount |
| Amount Attributable To | 2530916 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 34250540 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 38315543 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4065003 | 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 (2 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 |
| 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 HOSPITAL | 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 | NA- OPTIONAL FOR 2010 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation |
|---|
| 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 HOSPITAL IN THEIR ANNUAL COMMUNITY BENEFIT REPORT. |
| PART III, LINE 4: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. THE HOSPITAL 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 HOSPITAL 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, 2011 AND 2010, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $4,022,000 AND $2,828,000, RESPECTIVELY. |
| PART III, LINE 8: THE HOSPITAL'S COST ACCOUNTING SYSTEM IS UTILIZED IN DETERMINING THE ORGANIZATRIONS COMMUNITY BENEFIT. |
| 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 6: 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) | 7950 | SPONSORSHIPS IN PINK RIBBON GOLF TOURNAMENT AND 2011 HOPE |
| MHA CENTER FOR EDUCATION | |||||||
| PO BOX 60 | JEFFERSON CITY | MO | 65102 | 430898947 | 501(C)(3) | 22842 | PART OF PARTICIPATION IN MEDICAID FEDERAL REIMBURSEMENT ALLOWANCES PROGRAM- MHA CENTER FOR EDUCATION SCHOLARSHIP FUND |
| 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 |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | 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 | 1 | 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 (12 entries)
| 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 | |||||||||||||
| 405546 | 0 | 0 | 0 | 81720 | 0 | 0 | 0 | 4848 | 0 | 492114 | 0 | 0 | 0 |
| ROGER DIX | |||||||||||||
| 222192 | 0 | 0 | 0 | 66132 | 0 | 0 | 0 | 0 | 0 | 288324 | 0 | 0 | 0 |
| C TODD AHRENS | |||||||||||||
| 213748 | 0 | 0 | 0 | 1006 | 0 | 0 | 0 | 6385 | 0 | 221139 | 0 | 0 | 0 |
| SHARON NUNLEY | |||||||||||||
| 153371 | 0 | 0 | 0 | 44762 | 0 | 0 | 0 | 5848 | 0 | 203981 | 0 | 0 | 0 |
| SUZANNE KOEHLER | |||||||||||||
| 149331 | 0 | 0 | 0 | 810 | 0 | 0 | 0 | 669 | 0 | 150810 | 0 | 0 | 0 |
| RICHARD DRAPER | |||||||||||||
| 496309 | 0 | 0 | 0 | 2786 | 0 | 0 | 0 | 5848 | 0 | 504943 | 0 | 0 | 0 |
| DEAN AKERSON | |||||||||||||
| 203930 | 0 | 0 | 0 | 4459 | 0 | 0 | 0 | 848 | 0 | 209237 | 0 | 0 | 0 |
| MARK SHIMA | |||||||||||||
| 747821 | 0 | 35304 | 0 | 0 | 0 | 0 | 0 | 4686 | 0 | 787811 | 0 | 0 | 0 |
| RICHARD VALUCK | |||||||||||||
| 549275 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7225 | 0 | 556500 | 0 | 0 | 0 |
| LUVELL GLANTON | |||||||||||||
| 438095 | 0 | 114212 | 0 | 0 | 0 | 0 | 0 | 4385 | 0 | 556692 | 0 | 0 | 0 |
| PERVEZ ALVI | |||||||||||||
| 550317 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1683 | 0 | 552000 | 0 | 0 | 0 |
| MARK BELCHER | |||||||||||||
| 451346 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1131 | 0 | 452477 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | COMPANION TRAVEL EXPENSES : TOM LENNON - $737 SENT 1099, JERRY TROWER - $1159 SENT 1099, SUSAN GILSTRAP - $1370 SENT 1099, ROBERT CHRISCINSKE - $389 NO 1099, JILL JANES - 239 NO 1099, JIM HUMPHREYS - $271 JOHN GROSSMEIER - $1368 , SOCIAL CLUB DUES: WENDY HARRINGTON - $2189 |
| 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, LINE 4B | JOHN GROSSMEIER, SERP, $78,934 ROGER DIX, SERP, $64,145 DAVID HEVEL, SERP, $23,446 C. TODD AHRENS, SERP, $0 SHARON NUNLEY, SERP, $42,271 RICHARD DRAPER, SERP, $0 JULIE LEVERNZ, SERP, $0 DEAN AKERSON, SERP, $0 |
| PART I, LINE 6 | DR. GLANTON RECEIVES 50% OF ALL PAIN MEDICINE PHYSICIAN SERVICE NET COLLECTIONS GENERATED AS A RESULT OF PROFESSIONAL SERVICES COLLECTED IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS EACH YEAR. TOTAL SALARY PLUS BONUS NOT TO EXCEED THE NINETIETH PERCENTILE OF THE PRIOR YEAR'S RANGE AS REPORTED FOR THE SOUTHERN REGION BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| 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 | |||||||
| 531320446 | 410632AT0 | 2006-04-01 | 24064011 | HOSPITAL REFUNDING REVENUE BONDS | 0 | 0 | 0 |
| THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI | |||||||
| 531320446 | 410632BJ1 | 2010-07-29 | 7588694 | HOSPITAL REFUNDING OF ER ADDITION BONDS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 5998044 | 24064011 | 23868280 | 195731 | 2022 | 1 | 0 | 1 | 1 |
| 628648 | 7588694 | 7743162 | 120532 | 2020 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 1 | 1 | 0 | 0 | 1 |
| 0 | 1 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| 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 | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|
| SOCIETE GENERALE | |||||||
| 1 | 0 | 0 | 1 | 14.800000000000 | 1 | 0 | 0 |
| (no name) | |||||||
| 0 | 0 | 0 | 0 | 0 | 0 | ||
Form990 Schedule K Part V Form990ScheduleKPartV (2 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 L IRS990ScheduleL
Loan Table LoanTable (4 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| PERVEZ ALVI | ||||||
| PHYSICIAN RELOCATION | X | $60,000 | 45000 | 0 | 1 | 1 |
| ANNE DELONAIS | ||||||
| PHYSICIAN RELOCATION | X | $20,000 | 15000 | 0 | 1 | 1 |
| LUVELL GLANTON | ||||||
| PHYSICIAN RELOCATION | X | $40,000 | 20000 | 0 | 1 | 1 |
| MARK SHIMA | ||||||
| PHYSICIAN RELOCATION | X | $25,000 | 18750 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 98750 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | DURING FY ENDED 9/30/2011 HANNIBAL REGIONAL HOSPITAL CLOSED THE IN-PATIENT MENTAL HEALTH DEPARTMENT, BUT CONTINUES TO HAVE OUT-PATIENT MENTAL HEALTH CARE. |
| 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 HOSPITAL ALWAYS ACT IN THE BEST INTEREST OF THE HOSPITAL 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 HOSPITAL. 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 HOSPITAL 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 HOSPITAL TO EACH INTERESTED PERSON AND TO THOSE EMPLOYEES OF THE HOSPITAL 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 HOSPITAL DISCLOSED BY SUCH QUESTIONNAIRE, ANY INTEREST OF DIRECTORS AND OFFICERS WHO ARE NOT EMPLOYEES OF THE HOSPITAL, 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 HOSPITAL 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 HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL. AN OWNERSHIP OR INVESTMENT INTEREST IN A DIRECT COMPETITOR OF THE HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL, 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 HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL, OR A FAMILY MEMBER IS A MEMBER OF THE MANAGEMENT TEAM OF THE HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL; D. THE INDIVIDUAL RECEIVES DIRECT COMPENSATORY BENEFIT FOR ONGOING SERVICES PROVIDED TO THE HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL (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 HOSPITAL, OR ANY ENTITY AFFILIATED WITH THE HOSPITAL - 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 HOSPITAL FOR THE EXCLUSIVE PROVISION OF ANY MEDICAL SERVICES WITHIN THE HOSPITAL, 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. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 1,113,704. CHANGE IN MINIMUM PENSION LIABILITY -2,266,447. PEARL LOWRIE FUND NET ACTIVITY -15,836. TEMP. RESTRICTED NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -608,133. NET CONTRIBUTION REVENUE FROM FOUNDATION 1,048,855. TOTAL TO FORM 990, PART XI, LINE 5: -727,857. |
| FORM 990, PART XI, LINE 2C | THE ORGANIZATION'S POLICY REGARDING OVERSIGHT OF AUDIT IS CONSISTENT WITH THE PRIOR YEAR. | |
| FORM 990, PART VI, SECTION A | IN ITS CONTINUING EFFORT TO BETTER SERVE THE RESIDENTS OF THE HANNIBAL, MISSOURI REGION, A SEPARATE ENTITY AND BOARD WAS PREVIOUSLY CREATED FOR THE HANNIBAL REGIONAL HEALTHCARE SYSTEM (HRHS) TO PROVIDE THE NECESSARY OVERSIGHT AND TO BEGIN TO FOSTER IDEAS TO EXPAND THE SERVICE OFFERINGS OF NOT ONLY THE HOSPITAL, BUT THE ENTIRE SYSTEM. THE HOSPITAL AND HRHS BOARDS MEET AND VOTE SEPARATELY ON THEIR RESPECTIVE ISSUES AND SEVERAL MEMBERS ARE ON BOTH BOARDS TO PROVIDE CONTINUITY AND TO BETTER SHARE IDEAS. THE HRHS BOARD ELECTS THE MEMBERS OF THE HOSPITAL BOARD. |
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
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANNIBAL MOBILE DIAGNOSTICS | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1254 | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300234397 | EIN |
| Primary Activity | IMAGING | PrimaryActivity |
| Legal Domicile State | MO | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 26046 | ShareOfTotalIncome |
| Share Of EOY Assets | 26494 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | PercentageOwnership |
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 | -9420 | ShareOfTotalIncome |
| Share Of EOY Assets | 140530 | ShareOfEOYAssets |
| Percentage Ownership | 0.50000 | PercentageOwnership |
| 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 |
| 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 | 0 | 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 (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HANNIBAL REGIONAL HOSPITAL FOUNDATION | ||
| C | 680720 | COST INCURRED |
| HANNIBAL REGIONAL HOSPITAL FOUNDATION | ||
| N | 294844 | COST INCURRED |
| HANNIBAL REGIONAL HOSPITAL FOUNDATION | ||
| O | 140217 | COST INCURRED |
| HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INC | ||
| B | 78750 | COST INCURRED |
Comments