HANNIBAL REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (EIN 43-0662495)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-13
IRS object ID: 202602259349301600
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-13T08:33:07-05:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 WASHINGTON AVENUE SUITE 1800	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430662495	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HEALTHCARE SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HANN	BusinessNameControlTxt
Phone	5732481300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 HOSPITAL DRIVE PO BOX 551	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROB GASAWAY	PersonNm
Person Title	VICE PRESIDENT - FINANCE	PersonTitleTxt
Phone	5732481300	PhoneNum
Signature	2026-08-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEPHANIE MCCARTHY	PreparerPersonNm
PTIN	P01805699	PTIN
Phone	3149254300	PhoneNum
Preparation	2026-07-28	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	C TODD AHRENS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 HOSPITAL DRIVE PO BOX 551	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$328,324,565	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HOSPITAL.HANNIBALREGIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	THE SYSTEM OPERATES A FULL SERVICE ACUTE CARE FACILITY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1936	TotalEmployeeCnt
Total Volunteers	225	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,880,588	PYContributionsGrantsAmt
CY Contributions Grants	$13,230,271	CYContributionsGrantsAmt
PY Program Service Revenue	$292,613,212	PYProgramServiceRevenueAmt
CY Program Service Revenue	$304,405,105	CYProgramServiceRevenueAmt
PY Investment Income	$1,083,087	PYInvestmentIncomeAmt
CY Investment Income	$5,360,358	CYInvestmentIncomeAmt
PY Other Revenue	$2,328,788	PYOtherRevenueAmt
CY Other Revenue	$2,403,654	CYOtherRevenueAmt
PY Total Revenue	$301,905,675	PYTotalRevenueAmt
CY Total Revenue	$325,399,388	CYTotalRevenueAmt
PY Grants And Similar Paid	$279,415	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$51,798	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$178,331,172	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$183,075,530	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$129,793,231	PYOtherExpensesAmt
CY Other Expenses	$141,523,267	CYOtherExpensesAmt
PY Total Expenses	$308,403,818	PYTotalExpensesAmt
CY Total Expenses	$324,650,595	CYTotalExpensesAmt
PY Revenues Less Expenses	-$6,498,143	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$748,793	CYRevenuesLessExpensesAmt
Total Assets BOY	$199,318,413	TotalAssetsBOYAmt
Total Assets EOY	$219,090,313	TotalAssetsEOYAmt
Total Liabilities BOY	$83,162,640	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$101,306,035	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$116,155,773	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$117,784,278	NetAssetsOrFundBalancesEOYAmt
Mission	YOUR HEALTH IS OUR MISSION	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$279,811,972	ExpenseAmt
Grant	$51,798	GrantAmt
Revenue	$303,661,679	RevenueAmt
Desc	THE SYSTEM OPERATES A FULL SERVICE 86 BED ACUTE CARE HOSPITAL FACILITY, A 13 BED INPATIENT REHAB FACILITY, SEVERAL PHYSICIAN PRACTICES AND PRIMARY CARE CLINICS, HOSPICE SERVICES, AND A HOME HEALTH AGENCY IN HANNIBAL MISSOURI AND SURROUNDING COUNTIES. THE SYSTEM PROVIDES SERVICES TO PATIENTS THAT MEET THE HOSPITAL'S CHARITY CARE POLICY AS WELL AS SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT-REIMBURSED PUBLIC AID PROGRAMS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,350,093	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,061,200	RevenueAmt
Desc	THE HANNIBAL CHILDREN'S CENTER IS A LEARNING CENTER FOR CHILDREN AGES 6 WEEKS TO 12 YEARS. THE HCC IS A MISSION DRIVEN CENTER IN WHICH TEAM MEMBERS, FAMILIES, AND THE COMMUNITY COLLABORATE TO EMPOWER EACH CHILD TO BECOME HEALTHY, SELF-CONFIDENT, INDIVIDUALS BY PROVIDING THE RESOURCES TO DEVELOP A PASSION FOR LEARNING THROUGH INTERACTIVE PLAY.HANNIBAL CHILDREN'S CENTER IS LICENSED BY THE STATE OF MISSOURI - DEPARTMENT OF HEALTH AND SENIOR SERVICES AND ACCREDITED BY THE MISSOURI ACCREDITATION OF PROGRAMS FOR CHILDREN AND YOUTH.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$282,162,065	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	241	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1936	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROB GASAWAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5732481300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 HOSPITAL DRIVE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD VALUCK MD
DIRECTOR/CARDIOLOGIST (THRU 1/25)	41.00	0.00	Yes (X)	$634,052	$0	$26,558
BRAD KURZ
CHAIR	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JUSTIN TRANTHAM
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MICHAEL HOLLIDAY
VICE CHAIR	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JOSH WILSON
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
RAHUL BASHO MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DEVON MCCLAIN
DIRECTOR	1.00	0.00	Yes (X)	$2,587	$0	$0
JOHN BLEIGH
SECRETARY	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ERIC JONES
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JOHN ZIMMER
TREASURER	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SUSAN JOHNSON
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
AMY LEHENBAUER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LEEANN HOMBERGER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CAROLYN SHAW
DIRECTOR (THRU 1/25)	1.00	0.00	Yes (X)	$0	$0	$0
DEBORAH THORNBURG
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
C TODD AHRENS
PRESIDENT & CEO	40.00	1.00		$1,048,706	$0	$28,984	Yes (X)
AARON ZOOK
VP - OPERATIONS	40.00	0.00		$380,712	$0	$63,104	Yes (X)
ROB GASAWAY
VP - FINANCE	40.00	0.00		$360,739	$0	$64,510	Yes (X)
PRANAV PARIKH MD
VP - CHIEF MEDICAL OFFICER	40.00	0.00		$756,134	$0	$66,044		Yes (X)
TERESA GENEROUS
VP - GENERAL COUNSEL	40.00	0.00		$313,239	$0	$55,228		Yes (X)
WENDY HARRINGTON
VP - HRHS DEVELOPMENT	24.00	16.00		$273,068	$0	$41,405		Yes (X)
SUSAN WATHEN
VP- HUMAN RESOURCES (THRU 12/24)	40.00	0.00		$273,084	$0	$16,119		Yes (X)
KARMON KINDHART
VP - NURSING	40.00	0.00		$224,026	$0	$64,651		Yes (X)
JOSE TORRES
CARDIOLOGIST	40.00	0.00		$1,079,948	$0	$26,409			Yes (X)
SANTHISRI KODALI
CARDIOLOGIST	40.00	0.00		$990,553	$0	$19,722			Yes (X)
ELI DENNEY
EMERGENCY PHYSICIAN	40.00	0.00		$941,117	$0	$29,085			Yes (X)
BLAKE KRAMER
RADIOLOGIST	40.00	0.00		$1,009,215	$0	$15,525			Yes (X)
SANTHOSH MANNEM
CARDIOLOGIST	40.00	0.00		$988,482	$0	$27,829			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,275,662	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$545,173	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	262	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUALIVIS LLC
PO BOX 674913	DALLAS	TX	75627	PROFESSIONAL SERVICES	$6,067,998
POINTCORE INC
PO BOX 775982	CHICAGO	IL	60677	IT SYSTEMS	$3,640,694
TRIMEDX HOLDINGS LLC
5451 LAKEVIEW PKWY S DRIVE	INDIANAPOLIS	IN	46268	CONTRACTED MAINTENANCE	$2,412,695
ALLSCRIPTS LLC
24630 NETWORK PLACE	CHICAGO	IL	60673	IT SYSTEMS	$2,166,951
INTERIM PHYSICIANS LLC
PO BOX 679139	DALLAS	TX	75267	PROFESSIONAL SERVICES	$2,134,350

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	93	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,929,008	RelatedOrganizationsAmt
Government Grants	$11,301,263	GovernmentGrantsAmt
Total Contributions	$13,230,271	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$303,343,905	$303,343,905
CHILDREN'S DEVELOPMENT CENTER	624410	$1,061,200	$1,061,200

Field	Value	IRS element (for citing)
Total Program Service Revenue	$304,405,105	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,258,151	TotalRevenueColumnAmt
Exclusion	$4,258,151	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$255,503	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$26,589	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$228,914	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$228,914	TotalRevenueColumnAmt
Exclusion	$228,914	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,000,795	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,898,588	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,102,207	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,102,207	TotalRevenueColumnAmt
Exclusion	$1,102,207	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722514	$1,523,445	$1,523,445
CONTRACTED SERVICES	621110	$316,048		$316,048
OTHER ADMINISTRATION	621110	$232,165	$232,165

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$103,082	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,726	RelatedOrExemptFuncIncomeAmt
Exclusion	$101,356	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,174,740	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$325,399,388	TotalRevenueColumnAmt
Related Or Exempt Func Income	$304,722,879	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,446,238	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$51,798	TotalAmt
Program Services	$51,798	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,577,533	TotalAmt
Program Services	$675,295	ProgramServicesAmt
Management And General	$3,902,238	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$140,449,921	TotalAmt
Program Services	$124,309,209	ProgramServicesAmt
Management And General	$16,140,712	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,825,544	TotalAmt
Program Services	$4,259,515	ProgramServicesAmt
Management And General	$566,029	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,361,500	TotalAmt
Program Services	$21,195,432	ProgramServicesAmt
Management And General	$3,166,068	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,861,032	TotalAmt
Program Services	$7,660,627	ProgramServicesAmt
Management And General	$1,200,405	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$590,261	TotalAmt
Management And General	$590,261	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$192,000	TotalAmt
Management And General	$192,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$82,200	TotalAmt
Program Services	$72,345	ProgramServicesAmt
Management And General	$9,855	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$42,609,209	TotalAmt
Program Services	$31,798,491	ProgramServicesAmt
Management And General	$10,810,718	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,238,586	TotalAmt
Program Services	$4,459	ProgramServicesAmt
Management And General	$1,234,127	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,127,369	TotalAmt
Program Services	$29,943,281	ProgramServicesAmt
Management And General	$184,088	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,417,300	TotalAmt
Program Services	$4,932,300	ProgramServicesAmt
Management And General	$1,485,000	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,983,232	TotalAmt
Program Services	$2,733,803	ProgramServicesAmt
Management And General	$249,429	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$903,092	TotalAmt
Program Services	$782,209	ProgramServicesAmt
Management And General	$120,883	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$133,173	TotalAmt
Program Services	$107,274	ProgramServicesAmt
Management And General	$25,899	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,737,131	TotalAmt
Program Services	$1,589,928	ProgramServicesAmt
Management And General	$147,203	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,570,311	TotalAmt
Program Services	$8,759,330	ProgramServicesAmt
Management And General	$810,981	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,872,816	TotalAmt
Program Services	$2,872,816	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
BAD DEBT EXPENSE	$19,543,542	$19,543,542
PHARMACY DRUGS	$16,783,532	$16,783,532
HOSPITAL SYSTEM EXPENSE	$1,762,189	$1,762,189
FOOD	$1,602,583	$1,602,583

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,374,741	TotalAmt
Program Services	$722,107	ProgramServicesAmt
Management And General	$1,652,634	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$324,650,595	TotalAmt
Program Services	$282,162,065	ProgramServicesAmt
Management And General	$42,488,530	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,401,715	BOYAmt
EOY	$15,887,515	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,102,729	BOYAmt
EOY	$16,127,277	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,530,500	BOYAmt
EOY	$39,925,794	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,288,232	BOYAmt
EOY	$2,220,533	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,027,616	BOYAmt
EOY	$6,309,026	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,163,919	BOYAmt
EOY	$4,454,160	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$232,652,781	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$160,520,249	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$73,059,168	BOYAmt
EOY	$72,132,532	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$45,362,455	BOYAmt
EOY	$48,380,589	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$49,942	BOYAmt
EOY	$49,942	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,561,095	BOYAmt
EOY	$2,857,638	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,771,042	BOYAmt
EOY	$10,745,307	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$199,318,413	BOYAmt
EOY	$219,090,313	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,515,234	BOYAmt
EOY	$56,066,366	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$18,705	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,204,956	BOYAmt
EOY	$38,183,124	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$68,486	BOYAmt
EOY	$34,490	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,355,259	BOYAmt
EOY	$7,022,055	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,162,640	BOYAmt
EOY	$101,306,035	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,811,777	BOYAmt
EOY	$108,703,592	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,343,996	BOYAmt
EOY	$9,080,686	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$116,155,773	BOYAmt
EOY	$117,784,278	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$199,318,413	BOYAmt
EOY	$219,090,313	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$748,793	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$879,712	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Section4955 Organization Tax	$0	Section4955OrganizationTaxAmt
Section4955 Managers Tax	$0	Section4955ManagersTaxAmt
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$81,356	OtherActivitiesAmt
Total Lobbying Expenditures	$81,356	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE MEMBERSHIP DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING. CONSULTING FEES WERE ALSO PAID TO BARDGETT AND ASSOCIATES, TUTTLE AND ASSOCIATES , LLC, AND CAPITAL ADVOCACY, LLC.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Funds And Other Accounts Held	1	FundsAndOtherAccountsHeldCnt
Funds And Other Accounts Contri	$3,133	FundsAndOtherAccountsContriAmt
Funds And Other Accounts Grants	$0	FundsAndOtherAccountsGrantsAmt
Funds And Other Accounts Vl EOY	$17,130	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	0	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	0	DisclosedForCharitablePrpsInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,283,577	OtherCostOrOtherBasisAmt
Book Value	$6,283,577	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$89,387,956	OtherCostOrOtherBasisAmt
Depreciation	$58,226,004	DepreciationAmt
Book Value	$31,161,952	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,484,161	OtherCostOrOtherBasisAmt
Depreciation	$9,833,091	DepreciationAmt
Book Value	$1,651,070	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,460,399	OtherCostOrOtherBasisAmt
Depreciation	$92,461,154	DepreciationAmt
Book Value	$29,999,245	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,036,688	OtherCostOrOtherBasisAmt
Book Value	$3,036,688	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$72,132,532	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN	$2,923,631
FINANCING AND OPERATING LEASE OBLIGATIONS	$4,098,424

Field	Value	IRS element (for citing)
Total Liability	$7,022,055	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE SYSTEM HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE (IRC) 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 ORGANIZATIONS 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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	275.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,204,180	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,204,180	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,585,602	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,834,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,751,232	NetCommunityBenefitExpnsAmt
Total Expense	0.04510	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,789,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,834,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,955,412	NetCommunityBenefitExpnsAmt
Total Expense	0.05230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$680,796	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$680,796	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$567,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$189,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$377,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,144,863	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,840,469	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,304,394	NetCommunityBenefitExpnsAmt
Total Expense	0.14520	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$328,452	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$328,452	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,721,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,030,041	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,691,270	NetCommunityBenefitExpnsAmt
Total Expense	0.14970	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,511,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,864,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,646,682	NetCommunityBenefitExpnsAmt
Total Expense	0.20200	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,768,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,062,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,705,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,756	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,756	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$410,914	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$410,914	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,185,314	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,062,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,122,367	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$19,543,543	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,726,126	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$53,038,133	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$59,185,521	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,147,388	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6000 HOSPITAL DRIVE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HANNIBALREGIONAL.ORG	WebsiteAddressTxt
State License	101-57	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HEALTHCARE SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C FOR URL OF CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SEC. C FOR IMPLEMENTATION STRATEGY URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	275.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C FOR URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C FOR URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C FOR URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 5: A BROAD-BASED STEERING COMMITTEE OF HEALTHCARE LEADERS FROM THROUGHOUT THE SIX COUNTY REGION WAS FORMED TO GUIDE THE ASSESSMENT PROCESS AND ESTABLISH THE THREE-YEAR STRATEGY TO ADDRESS THE PRIORITIES IDENTIFIED.TO GAUGE THE STRENGTHS AND WEAKNESSES OF THE CURRENT COMMUNITY HEALTH CLIMATE, THE ORGANIZATION HELD A TOWN HALL ON 5/1/25 WITH LEADERS FROM HEALTHCARE, GOVERNMENT AND OTHER ENTITIES WITHIN THE COMMUNITY. THE ORGANIZATION ALSO RELEASED A SURVEY, WHICH WAS AVAILABLE TO COMPLETE FROM MARCH - APRIL 2025, ON ITS WEBSITE. THIS SURVEY WAS AVAILABLE TO ALL RESIDENTS OF THE COMMUNITY AND WAS ALSO USED TO DETERMINE POSITIVES AND NEGATIVES OF THE COMMUNITY HEALTH CLIMATE.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 6B: UNITED WAY OF NORTHEAST MISSOURI, MARION COUNTY HEALTH DEPARTMENT, LEWIS COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, PIKE COUNTY HEALTH DEPARTMENT, RALLS COUNTY HEALTH DEPARTMENT, SHELBY COUNTY HEALTH DEPARTMENT, CHAMBERS, ECONOMIC DEVELOPMENT ORGANIZATIONS, SCHOOLS, FREE CLINIC, FQHC, MULTIPLE SOCIAL SERVICE AGENCIES, NON-EMPLOYED PHYSICIAN GROUPS AND OTHERS.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 11: THE FOLLOWING ITEMS WERE LISTED AS THE PRIORITIZED NEEDS ON THE 2025 CHNA:1. MENTAL HEALTH & SUBSTANCE USE DISORDERS 2. ACCESS TO & AFFORDABILITY OF CARE 3. HOUSING & HOMELESSNESS4. TRANSPORTATION5. CHRONIC DISEASE PREVENTION & MANAGEMENT 6. WORKFORCE DEVELOPMENT (HEALTH & SOCIAL SECTORS)SPECIFIC ACTIONS PLANS ARE BEING UTILIZED ON EACH ITEM, AND HANNIBAL REGIONAL IS WORKING TO EITHER LEAD EFFORTS OR INTEGRATE HRHS RESOURCES INTO BROADER EFFORTS THAT ARE WORKING TO ADDRESS THE NEEDS. BELOW IS AN OVERVIEW FOR EACH OF THE SIX ITEMS IDENTIFIED IN THE 2025 CHNA.1. MENTAL HEALTH SERVICES THIS IS AN ONGOING ITEM THAT HAS BEEN PRESENT OVER THE LAST THREE CHNA'S AND IS PRESENT IN NEARLY ALL COMMUNITIES THROUGHOUT THE NATION. HRHS IS WORKING WITH OTHER KEY MENTAL HEALTH RESOURCE PROVIDERS TO ASSIST IN CREATING A REGION WIDE MENTAL HEALTH AWARENESS PROGRAM AND TRAINING, AS WELL AS WORKING TO INCREASE CAPACITY TO MENTAL HEALTH SERVICES IN THE REGION. ADDITIONALLY, HRHS JUST OFFERED MENTAL HEALTH FIRST AID TRAINING TO ALL HRHS EMPLOYEES AND IS WORKING TO OFFER IT TO OTHERS THROUGHOUT THE REGION. MENTAL HEALTH PROVIDERS IN THE REGION LEAD THIS WORKGROUP ALONG WITH SUPPORT FROM HANNIBAL REGIONAL.2. ACCESS TO & AFFORDABILITY OF CARE - EXPAND TELEHEALTH SERVICES ACROSS ALL SIX COUNTIES TO DECREASE TRAVEL TIME AND IMPROVE RURAL ACCESS. - PROVIDE MEDICAID AND MEDICARE NAVIGATION ASSISTANCE TO AT LEAST 300 RESIDENTS ANNUALLY. - CREATE AND DISTRIBUTE UPDATED RESOURCE GUIDES AND ACCESS TOOLS FOR RURAL RESIDENTS BY 2026. - ADVOCATE FOR MEDICAID EXPANSION AND EQUITABLE HEALTHCARE POLICY, PROVIDING AT LEAST TWO ANNUAL COMMUNITY EDUCATION EVENTS.3. HOUSING & HOMELESSNESS. A PLAN HAS BEEN MADE TO CONDUCT A REGIONAL HOUSING STUDY BY 2026 TO ASSESS CURRENT STOCK AND NEEDS AND EXPLORE OPPORTUNITIES TO RECLAIM AND REHABILITATE AT LEAST 10 ABANDONED OR VACANT PROPERTIES FOR RESIDENTIAL USE. ADDITIONALLY, WE WILL SUPPORT AND PARTICIPATE IN HOUSING COALITIONS AND TASK FORCES (E.G., NECAC, LOCAL SHELTERS), IDENTIFY FUNDING OPPORTUNITIES FOR TRANSITIONAL HOUSING AND EMERGENCY SHELTER PROJECTS AND ADVOCATE FOR ENERGY-EFFICIENT, LOW-INCOME HOUSING DEVELOPMENTS.4. TRANSPORTATION. TRANSPORTATION HAS BECOME A GROWING NEED. FIRST WE WILL CONDUCT A REGIONAL TRANSIT FEASIBILITY STUDY BY 2026, EXPLORING ON-DEMAND AND RIDESHARE MODELS. NEXT WE WILL INTEGRATE TRANSPORTATION ASSISTANCE INTO HEALTHCARE NAVIGATION AND WORKFORCE PROGRAMS AND INCREASE ACCESS TO HEALTHCARE SERVICES THROUGH EXPANDED TELEHEALTH OPTIONS. ADDITIONALLY THE PLAN IS TO ADVOCATE FOR TRANSPORTATION POLICY IMPROVEMENTS AND COMMUNITY AWARENESS CAMPAIGNS.5. CHRONIC DISEASES PREVENTION AND MANAGEMENT. THIS HAS BEEN ON THE COMMUNITY HEALTH NEEDS LIST FOR THE LAST TWO TIMES AS WELL, AND HANNIBAL REGIONAL, WORKING WITH OTHER PROVIDERS INCLUDING CLARITY, PREFERRED AND OTHER LOCATIONS, CONTINUES TO WORK TO ASSIST PEOPLE IN THE MANAGEMENT OF THEIR CHRONIC NEEDS. UTILIZING THE MEDICARE WELLNESS VISITS, HANNIBAL REGIONAL HAS INCREASED EFFORTS IN ASSISTING WITH IDENTIFYING CHRONIC NEEDS. NEXT STEPS IN THIS INITIATIVE IS TO PARTNER WITH VARIOUS ORGANIZATIONS TO FURTHER OFFER SCREENING AND RESOURCES TO FIGHT CHRONIC DISEASES.6. WORKFORCE DEVELOPMENT (HEALTH & SOCIAL SECTORS)- A DETAILED PLAN IS SET TO: DEVELOP A HEALTHCARE-FOCUSED WORKFORCE PIPELINE PROGRAM IN COLLABORATION WITH LOCAL SCHOOLS AND COLLEGES AND EXPAND LOCAL INTERNSHIPS, CNA TRAINING, AND HEALTHCARE CAREER AWARENESS INITIATIVES. WORK WILL ALSO BE DONE TO SUPPORT PROVIDER INCENTIVE PROGRAMS AND BURNOUT REDUCTION STRATEGIES AND OFFER MENTAL HEALTH SUPPORT SERVICES FOR HEALTHCARE PROVIDERS AS WELL AS ADVOCATE FOR STATE AND FEDERAL LOAN REPAYMENT PROGRAMS AND HOUSING INCENTIVES FOR RURAL SERVICE.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 13B: THE PATIENT'S ABILITY TO PAY OUTSIDE OF NORMAL LIVING EXPENSES AND DEBT.
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 20E: COMMUNICATIONS THROUGH MAIL AND PHONE INTERVIEWS ARE PURSUED TO RESOLVE ISSUES AND OBTAIN NEEDED INFORMATION TO QUALIFY PATIENTS.
SCHEDULE H, PART V, SECTION B, LINE 7B	THE ORGANIZATION'S MOST RECENT CHNA REPORT CAN BE FOUND AT:HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/74903BB5-B907-4E2C-A075-5F33C25CBA7C/2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
SCHEDULE H, PART V, SECTION B, LINE 10	THE ORGANIZATION'S CURRENT IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/36FA9598-21C1-49B6-AAE1-C2C1720D37E0/2026-2028-COMMUNITY-HEALTH-IMPROVEMENT-PLAN.PDF
SCHEDULE H, PART V, SECTION B, LINE 16A	THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP) CAN BE FOUND AT:HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/A9D0D225-5A62-46D6-B857-0756A297B788/HANNIBAL_REGIONAL_CHARITY_CARE_GUIDELINES.PDF
SCHEDULE H, PART V, SECTION B, LINE 16B	THE ORGANIZATION'S FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT:HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/53254DF0-4135-4BDA-9916-4DACC6A00897/2026-FINANCIAL-ASSISTANCE-FORM.PDF
SCHEDULE H, PART V, SECTION B, LINE 16C	THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT:HTTPS://WWW.HANNIBALREGIONAL.ORG/RESOURCES/9DA92132-085A-4D71-8A13-4B9FC0658EF1/HRHS-PLAIN-LANGUAGE-SUMMARY.PDF

Field	Value	IRS element (for citing)
Facility	37	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - HANNIBAL REGIONAL MEDICAL GROUP
6500 HOSPITAL DRIVE	HANNIBAL	MO	63401	RURAL HEALTH CLINICS, SPECIALTY CLINIC, SAME DAY/URGENT CARE
2 - COMPLETE FAMILY MEDICINE KIRKSVILLE
1611 S BALTIMORE	KIRKSVILLE	MO	63501	RURAL HEALTH, SAME DAY/URGENT CARE, FAMILY PRACTICE CLINIC
3 - JAMES E CARY CANCER CENTER
5985 HOSPITAL DRIVE	HANNIBAL	MO	63401	CANCER CENTER
4 - COMPLETE FAMILY MEDICINE MOBERLY UC
1600 N MORLEY SUITE A-120-A	MOBERLY	MO	65270	SAME DAY/URGENT CARE CLINIC AND FAMILY PRACTICE
5 - PIKE MEDICAL CLINIC - BOWLING GREEN
8 TOWN CENTER DR	BOWLING GREEN	MO	63334	RURAL HEALTH CLINIC, SAME DAY/URGENT CARE
6 - NORTH EAST MISSOURI AMBULATORY SURGERY C
98 MEDICAL DRIVE	HANNIBAL	MO	63401	JOINT VENTURES - AMBULATORY SURGERY CENTER
7 - HOSPICE OF NORTHEAST MISSOURI
201 S BALTIMORE	KIRKSVILLE	MO	63501	HOSPICE
8 - COMPLETE FAMILY MEDICINE BROOKFIELD
624 WEST LOCKLING	BROOKFIELD	MO	64628	FAMILY PRACTICE CLINIC AND SAME DAY/URGENT CARE
9 - HANNIBAL MEDICAL SUPPLIES
6464 INTERSTATE COURT	HANNIBAL	MO	63401	JOINT VENTURES - MEDICAL SUPPLIES
10 - COMPLETE FAMILY MEDICINE CHILLICOTHE
245 S WASHINGTON ST	CHILLICOTHE	MO	64601	FAMILY PRACTICE CLINIC AND SAME DAY/URGENT CARE
11 - COMPLETE FAMILY MEDICINE MACON UC
1206 N MISSOURI ST	MACON	MO	63552	SAME DAY/URGENT CARE CLINIC
12 - COMPLETE FAMILY MEDICINE CROWN CLINIC
1 CROWN DRIVE SUITE 200	KIRKSVILLE	MO	63501	FAMILY PRACTICE CLINIC
13 - ADVANCE HANNIBAL REGIONAL HOSP LLC
188A MEDICAL DRIVE	HANNIBAL	MO	63401	JOINT VENTURES - THERAPY
14 - PEDIATRIC THERAPY
150 MEDICAL DR	HANNIBAL	MO	63401	PEDIATRIC THERAPY
15 - SHELBINA FAMILY PRACTICE
400 S CENTER STREET	SHELBINA	MO	63486	RURAL HEALTH CLINIC
16 - PIKE MEDICAL CLINIC - LOUISIANA
211 S 3RD ST	LOUISIANA	MO	63353	RURAL HEALTH CLINIC
17 - COMPLETE FAMILY MEDICINE PARIS
102 E MARION ST	PARIS	MO	65275	FAMILY PRACTICE CLINIC
18 - MONROE CITY FAMILY PRACTICE
821 BUSINESS HWY 24 WEST	MONROE CITY	MO	63456	RURAL HEALTH CLINIC
19 - COMPLETE FAMILY MEDICINE SURGERY SPECIAL
800 W JEFFERSON ST	KIRKSVILLE	MO	63501	SPECIALTY CLINIC
20 - EXPRESS CARE AT WAL-MART
3650 STARDUST DRIVE WAL-MART	HANNIBAL	MO	63401	RURAL HEALTH CLINIC, SAME DAY CLINIC
21 - CANTONLAGRANGE FAMILY PRACTICE
1802 ELM STREET	CANTON	MO	63435	RURAL HEALTH CLINIC
22 - COMPLETE FAMILY MEDICINE SPECIALTY GROUP
1605 S BALTIMORE ST SUITE B	KIRKSVILLE	MO	63501	SPECIALTY CLINIC
23 - COMPLETE FAMILY MEDICINE LA PLATA RHC
29934 JULY RD	LA PLATA	MO	63549	RURAL HEALTH CLINIC
24 - COMPLETE FAMILY MEDICINE LANCASTER RHC
1000 W WASHINGTON	LANCASTER	MO	63548	RURAL HEALTH CLINIC
25 - COMPLETE FAMILY MEDICINE STUDENT HEALTH
100 E NORMAL AVE - MCKINNEY	KIRKSVILLE	MO	63501	UNIVERSITY STUDENT HEALTH	BUILDING
26 - ADVANCE HANNIBAL REGIONAL HOSP LLC
1605 S BALTIMORE ST STE C	KIRKSVILLE	MO	63501	JOINT VENTURES - THERAPY
27 - SPEECH THERAPY
188A MEDICAL DRIVE	HANNIBAL	MO	63401	SPEECH THERAPY
28 - COMPLETE FAMILY MEDICINE MOBERLY FAMILY
2100 SILVA LANE STE A	MOBERLY	MO	65270	FAMILY PRACTICE CLINIC
29 - ADVANCE HANNIBAL REGIONAL HOSP LLC
710 S BUSINESS 61 SUITE 100	BOWLING GREEN	MO	63334	JOINT VENTURES - THERAPY
30 - ADVANCE HANNIBAL REGIONAL HOSP LLC
55 TROY SQUARE	TROY	MO	63379	JOINT VENTURES - THERAPY
31 - COMPLETE FAMILY MEDICINE UNIVERSITY COUN
100 E NORMAL AVE - MCKINNEY	KIRKSVILLE	MO	63501	UNIVERSITY STUDENT COUNSELING	BUILDING
32 - ADVANCE HANNIBAL REGIONAL HOSP LLC
1811 S MAIN ST	PALMYRA	MO	63461	JOINT VENTURES - THERAPY
33 - ADVANCE HANNIBAL REGIONAL HOSP LLC
821 US 24 WEST	MONROE CITY	MO	63456	JOINT VENTURES - THERAPY
34 - ADVANCE HANNIBAL REGIONAL HOSP LLC
1804 ELM ST	CANTON	MO	63435	JOINT VENTURES - THERAPY
35 - COMPLETE FAMILY MEDICINE PODIATRY
1405 CROWN DRIVE	KISRKSVILLE	MO	63501	PODIATRY
36 - COMPLETE FAMILY MEDICINE OCCUPATIONAL ME
1108 E PATTERSON ST	KIRKSVILLE	MO	63501	OCCUPATIONAL MEDICINE
37 - COMPLETE FAMILY MEDICINE CARES CENTER
1103 SOUTH COTAGE GROVE	KIRKSVILLE	MO	63501	SCHOOL BASED CARE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE ORGANIZATION USED AN ABILITY TO PAY STANDARD TO DETERMINE ELIGIBILITY. A PERSON IS ELIGIBLE FOR CHARITY CARE IF THEY MEET ANY OF THE FOLLOWING CRITERIA: THEIR INSURANCE IS INADEQUATE OR THEY ARE UNINSURED, PATIENTS WITH A FAMILY INCOME AT OR BELOW 275% OF THE FEDERAL POVERTY GUIDELINES. PATIENTS WHO HAVE MEDICAL BILLS IN EXCESS OF 20% OF THEIR ANNUAL INCOME QUALIFY FOR FINANCIAL ASSISTANCE, UNDER THE 'CATASTROPHIC' CLAUSE OF THE FAP.
PART I, LINE 6A:	THE MISSOURI HOSPITAL ASSOCIATION HAS INCLUDED HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. IN THEIR ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:	THE OPERATING EXPENSE METHOD WAS USED AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
PART I, LN 7 COL(F):	A GROSS ESTIMATE WAS MADE BASED ON CURRENT EXPERIENCE.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE HOSPITAL'S COMMUNITY INCLUDES ITS CHILDREN'S CENTER FOR EDUCATION, DISASTER RECOVERY PLANNING, INTERPRETIVE SERVICES FOR NON-ENGLISH SPEAKING PATIENTS, AND RECRUITMENT COSTS FOR PHYSICIANS.
PART III, LINE 2:	HISTORICAL EXPERIENCE WAS USED TO ESTIMATE BAD DEBTS BY PAYOR CLASSIFICATION AND AGING CO-HORT.
PART III, LINE 3:	THE HOSPITAL MAKES EFFORTS TO SCREEN PATIENTS UPFRONT TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE AMOUNT OF BAD DEBT EXPENSE IS ESTIMATED BASED ON PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE BUT DO NOT PROVIDE REQUESTED SUPPORTING DOCUMENTATION.
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, 2025 AND 2024, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $13,523,000 AND $9,488,000, RESPECTIVELY.
PART III, LINE 8:	SOME MEDICARE SERVICES ARE PAID AT SUBSTANTIALLY LESS THAN COST THROUGH THE PROGRAM. THESE SERVICES COULD BE ELIMINATED TO INCREASE MARGIN BUT ARE PROVIDED IN THIS COMMUNITY DESPITE THE LOSS. IT IS THE POSITION OF HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED USING RECEIPTS AND EXPENDITURES FROM THE HOSPITAL'S MEDICARE COST REPORT FOR THE PERIOD ENDING 9/30/2025.
PART III, LINE 9B:	WHEN FINANCIAL ASSISTANCE 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. IF THE INDIVIDUAL DOES NOT MEET ONE OF THE CHARITY CRITERIA, THE ORGANIZATION'S NORMAL COLLECTION EFFORTS INCLUDE BILLING STATEMENTS AND COLLECTION CALLS. THE EFFORTS MAY ALSO INCLUDE REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CREDIT REPORTING AGENCIES, PLACING A LIEN AGAINST THE PROCEEDS OF SALE OF REAL ESTATE, GARNISHMENT OF INDIVIDUAL WAGES OR ENFORCING PAYMENTS FROM BANK OR CREDIT UNION ACCOUNTS OR OTHER LIQUID ASSETS.
PART VI, LINE 2:	THE ORGANIZATION RECEIVES ANNUAL UPDATES ON THE HEALTH STATUS OF ITS POPULATION FROM THE STATE THAT INCLUDE MORTALITY AND DISEASE STATUS. THE ORGANIZATION ALSO MONITORS NATIONAL DATA ON TRENDS AND DISEASE STATUS.
PART VI, LINE 3:	PERSONAL CONTACT AND WEBSITE ACCESS ARE THE MAIN POINTS OF CONTACT.
PART VI, LINE 4:	THE ORGANIZATION SERVES THE POPULACE OF A 14 COUNTY REGION IN NORTHEAST MISSOURI. THE AREA IS PRIMARILY A RURAL FARMING AREA WITH NUMEROUS POCKETS OF MEDICALLY UNDERSERVED AREAS. RESIDENTS ARE SERVED BY DISTANT ORGANIZATIONS IN COLUMBIA, MO AND ST. LOUIS, MO. CARE CAN ALSO BE ACCESSED AT LOCAL HOSPITALS IN QUINCY, IL, MACON, MO, MOBERLY, MO, AND KIRKSVILLE, MO.
PART VI, LINE 5:	SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, LINE 4A.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM - N/A
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT - N/A

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(6)	$39,098	$0	MHA SPECIAL PROJECTS, MISSOURI CENTER FOR PATIENT SAFETY CONTRIBUTIONS, MHA HEALTH INSTITUTE.
CULVER-STOCKTON COLLEGE
ONE COLLEGE HILL	CANTON	MO	63435	430610813	501(C)(3)	$5,700	$0	TRI STATE DEVELOPMENT CONFERENCE SPONSORSHIP AND GOLF CLASSIC SPONSORSHIP
TRI-STATE ATHLETICS LLC
1303 KINGSLEY COURT	QUINCY	IL	62301	832234101		$7,000	$0	CLUB CHAMPION SPONSORSHIPS

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	POLICY GA 1-112 CORPORATE CITIZENSHIP GUIDES THE ORGANIZATION IN CONTRIBUTING TO OTHER ORGANIZATIONS. ALL ACTIVITIES WHICH CONSTITUTE A CHARITABLE CONTRIBUTION ARE DOCUMENTED ON THE CHARITABLE CONTRIBUTION FORM. AFTER THE GRANTS ARE DISPERSED, THE ORGANIZATION DOES NOT ENGAGE IN FURTHER MONITORING OF THE FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSE TORRES
CARDIOLOGIST	$1,023,516	$0	$17,000	$0	$39,432	$0	$15,525	$0	$10,884	$0	$1,106,357	$0	$0	$0
C TODD AHRENS
PRESIDENT & CEO	$746,791	$0	$113,034	$0	$188,881	$0	$15,525	$0	$13,459	$0	$1,077,690	$0	$0	$0
BLAKE KRAMER
RADIOLOGIST	$557,994	$0	$449,857	$0	$1,364	$0	$15,525	$0	$0	$0	$1,024,740	$0	$0	$0
SANTHOSH MANNEM
CARDIOLOGIST	$921,513	$0	$21,000	$0	$45,969	$0	$15,525	$0	$12,304	$0	$1,016,311	$0	$0	$0
SANTHISRI KODALI
CARDIOLOGIST	$895,798	$0	$0	$0	$94,755	$0	$15,525	$0	$4,197	$0	$1,010,275	$0	$0	$0
ELI DENNEY
EMERGENCY PHYSICIAN	$735,102	$0	$15,000	$0	$191,015	$0	$15,525	$0	$13,560	$0	$970,202	$0	$0	$0
PRANAV PARIKH MD
VP - CHIEF MEDICAL OFFICER	$638,235	$0	$109,970	$0	$7,929	$0	$55,411	$0	$10,633	$0	$822,178	$0	$0	$0
RICHARD VALUCK MD
DIRECTOR/CARDIOLOGIST (THRU 1/25)	$598,969	$0	$20,000	$0	$15,083	$0	$15,525	$0	$11,033	$0	$660,610	$0	$0	$0
AARON ZOOK
VP - OPERATIONS	$373,215	$0	$0	$0	$7,497	$0	$53,121	$0	$9,983	$0	$443,816	$0	$0	$0
ROB GASAWAY
VP - FINANCE	$352,810	$0	$0	$0	$7,929	$0	$52,051	$0	$12,459	$0	$425,249	$0	$0	$0
TERESA GENEROUS
VP - GENERAL COUNSEL	$299,694	$0	$0	$0	$13,545	$0	$44,794	$0	$10,434	$0	$368,467	$0	$0	$0
WENDY HARRINGTON
VP - HRHS DEVELOPMENT	$265,014	$0	$0	$0	$8,054	$0	$35,770	$0	$5,635	$0	$314,473	$0	$0	$0
SUSAN WATHEN
VP- HUMAN RESOURCES (THRU 12/24)	$239,583	$0	$0	$0	$33,501	$0	$11,269	$0	$4,850	$0	$289,203	$0	$0	$0
KARMON KINDHART
VP - NURSING	$215,759	$0	$0	$0	$8,267	$0	$55,417	$0	$9,234	$0	$288,677	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BOARD OF DIRECTOR MEMBER DEVON MCCLAIN RECEIVED COMPENSATION FOR TRAVEL FOR COMPANIONS ON BUSINESS RELATED TRIPS. THE COMPENSATION IS INCLUDED ON ISSUED FORM 1099-NEC.
PART I, LINE 4B	THE FOLLOWING PERSONS RECEIVED SERP CONTRIBUTIONS DURING CALENDAR YEAR 2024: TODD AHRENS - $150,712 ROB GASAWAY - $36,526 TERESA GENEROUS - $31,013 WENDY HARRINGTON - $26,301 PRANAV PARIKH - $39,886 SUSAN WATHEN - $24,440 AARON ZOOK - $37,596 KARMON KINDHART - $45,000

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL MISSOURI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	531320446	BondIssuerEIN
CUSIP	410632CP6	CUSIPNum
Bond Issued	2017-11-06	BondIssuedDt
Issue Price	$44,088,479	IssuePriceAmt
Purpose	CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$3,785,000	RetiredAmt
Total Proceeds	$44,088,479	TotalProceedsAmt
Capitalized Interest	$3,643,238	CapitalizedInterestAmt
Issuance Costs From Proceeds	$445,241	IssuanceCostsFromProceedsAmt
Capital Expenditures	$40,000,000	CapitalExpendituresAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF HANNIBAL, DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2022	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	THE BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE, PURSUANT TO A CHARTER ADOPTED BY THE BOARD OF DIRECTORS, THE RESPONSIBILITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN ADMINISTERING COMPENSATION PLANS AND IN MAKING DECISIONS ON THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND THOSE EXECUTIVES WHO REPORT DIRECTLY TO THE CHIEF EXECUTIVE OFFICER WHO QUALIFY AS "DISQUALIFIED PERSONS" WITHIN THE MEANING OF SECTION 4958 OF THE INTERNAL REVENUE CODE. THE COMMITTEE THEN REPORTS ITS ACTIONS TO THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPOSED SOLELY OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE SCOPE OF THE COMMITTEE INCLUDES, BUT IS NOT LIMITED TO, REVIEWING AND APPROVING THE ANNUAL BASE SALARY LEVELS, ANNUAL INCENTIVE OPPORTUNITY LEVELS, EXECUTIVE PERQUISITES, EMPLOYMENT AGREEMENTS, BENEFITS AND SUPPLEMENTAL BENEFITS. THE BOARD OF DIRECTORS HAS ALSO DELEGATED TO THE FINANCE COMMITTEE THE RESPONSIBILITY TO APPROVE THE ANNUAL FINANCIAL AUDIT. THE COMMITTEE THEN REPORTS ITS ACTIONS TO THE BOARD OF DIRECTORS, AND SHARES AND DISCUSSES THE AUDIT REPORT WITH THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THE FORM IS THEN PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND COMMENT. ANY CHANGES ARE INCORPORATED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A POLICY TITLED BUSINESS ETHICS, CONFLICT OF INTEREST AND TAX EXEMPT COMPLIANCE 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 THE GENERAL COUNSEL SENDS THESE DOCUMENTS TO EACH DIRECTOR, OFFICER AND CERTAIN KEY EMPLOYEES. ONCE THE DOCUMENTS ARE COMPLETED AND RETURNED, THE GENERAL COUNSEL REVIEWS THE QUESTIONNAIRES AND CONFERS WITH BOTH THE SECRETARY OF THE ORGANIZATION AND CHAIR OF THE GOVERNANCE COMMITTEE AS TO THE RESULTS AND ANY ISSUES THAT NEED TO BE ADDRESSED REGARDING ACTUAL OR POTENTIAL CONFLICTS DISCLOSED OR ANY OTHER FACT THAT MIGHT MAKE THE INDIVIDUAL NOT INDEPENDENT FOR IRS TAX EXEMPT PURPOSES. THE SECRETARY, WITH THE ASSISTANCE OF THE GENERAL COUNSEL, 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 HEALTHCARE SYSTEM BOARD OF DIRECTORS POLICY B-III: 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 HAS A MATERIAL INVESTMENT INTEREST IN AN ENTITY WHICH HAS CONTRACTED FOR THE EXCLUSIVE PROVISION OF ANY MEDICAL SERVICES WITH THE HOSPITAL OR ANY OF ITS AFFILIATES.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE, PURSUANT TO A CHARTER ADOPTED BY THE BOARD OF DIRECTORS, THE RESPONSIBILITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN ADMINISTERING COMPENSATION PLANS AND IN MAKING DECISIONS ON THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND THOSE EXECUTIVES WHO REPORT DIRECTLY TO THE CHIEF EXECUTIVE OFFICER WHO QUALIFY AS "DISQUALIFIED PERSONS" WITHIN THE MEANING OF SECTION 4958 OF THE INTERNAL REVENUE CODE. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT TO ASSIST THE COMMITTEE WITH ITS GOVERNANCE AND OVERSIGHT ROLE AND ITS COMPLIANCE WITH SECTION 4958 OF THE INTERNAL REVENUE CODE, BY PROVIDING AN OPINION ON THE REASONABLENESS OF THE ORGANIZATION'S COMPENSATION PLAN. THE CONSULTANT USES PUBLISHED SURVEY DATA TO PROVIDE COMPARATIVE MARKET DATA FOR EACH POSITION. THE COMMITTEE THEN REPORTS ITS ACTIONS TO THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPOSED SOLELY OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE SCOPE OF THE COMMITTEE INCLUDES, BUT IS NOT LIMITED TO, REVIEWING AND APPROVING THE ANNUAL BASE SALARY LEVELS, ANNUAL INCENTIVE OPPORTUNITY LEVELS, EXECUTIVE PERQUISITES, EMPLOYMENT AGREEMENTS, BENEFITS AND SUPPLEMENTAL BENEFITS. ANNUALLY, HRHS, THROUGH ITS COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT TO PROVIDE OPINIONS RELATED TO THE REASONABLENESS OF EXECUTIVE COMPENSATION AND TO PROVIDE ADVICE AND GUIDANCE AS TO CURRENT TRENDS AND ISSUES. THIS WAS LAST COMPLETED IN 2025.
FORM 990, PART VI, SECTION C, LINE 19	THE ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES/PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 31,198,949. MANAGEMENT AND GENERAL EXPENSES 9,625,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,824,222. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 368,327. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368,327. CLEANING SERVICE: PROGRAM SERVICE EXPENSES 217,882. MANAGEMENT AND GENERAL EXPENSES 1,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,580. CONSULTING FEES: PROGRAM SERVICE EXPENSES 13,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,333. COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,183,747. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,183,747.
FORM 990, PART XII, LINE 2C	THE ORGANIZATION'S POLICY REGARDING OVERSIGHT OF AUDIT IS CONSISTENT WITH THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LANAC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6000 HOSPITAL DRIVE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Field	Value	IRS element (for citing)
EIN	431822503	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HOSPITAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	175 SHINN LANE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63401	ZIPCd

Field	Value	IRS element (for citing)
EIN	431658744	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12A, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL HEALTHCARE SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HANNIBAL MEDICAL SUPPLIES LLC
PO BOX 40	QUINCY	IL	62306	262362717	MEDICAL SUPPLIES	MO	N/A	RELATED	$145,858	$440,396	0	0	0.50000
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
3652 STARDUST DRIVE	HANNIBAL	MO	63401	461561480	PT/OT SERVICES	MO	N/A	RELATED	$368,156	$146,081	0	0	0.50000
NORTHEAST MISSOURI AMBULATORY SUGERY CENTER LLC AND SUBSIDIARY
98 MEDICAL DRIVE PO BOX 511	HANNIBAL	MO	634010511	431857277	AMBULATORY SURGERY CENTER	MO	N/A	RELATED	-$16,703	$4,391,094	0	0	0.25000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 HOSPITAL DRIVE	AddressLine1Txt
City	HANNIBAL	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64301	ZIPCd

Field	Value	IRS element (for citing)
EIN	431706291	EIN
Primary Activities	PHYSICIAN HOSPITAL ORGANIZATION	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$60,592	ShareOfTotalIncomeAmt
Share Of EOY Assets	$40,078	ShareOfEOYAssetsAmt
Ownership	0.50000	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HANNIBAL REGIONAL HOSPITAL FOUNDATION
C	$1,929,008	COST INCURRED
HANNIBAL REGIONAL HOSPITAL FOUNDATION
D	$8,242,436	COST INCURRED
HANNIBAL REGIONAL HOSPITAL FOUNDATION
O	$304,543	COST INCURRED
HANNIBAL REGIONAL HOSPITAL FOUNDATION
P	$308,668	COST INCURRED

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PAGE 2, PART III	FormAndLineReferenceDesc
Explanation	HRHS MAINTAINS CONTROL OF THE JOINT VENTURE ACTIVITIES LISTED ON SCHEDULE R, PART III BY HAVING ITS LEADERSHIP TEAM MEMBERS ON EACH JOINT VENTURE BOARD OF DIRECTORS. AS A RESULT, THE ENTITIES ARE LISTED ON SCHEDULE R, PART III AND RESULTING INCOME FROM THOSE ACTIVITIES ARE NOT BEING SUBJECTED TO UBIT.	ExplanationTxt