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Nonprofiteer
← HANNIBAL REGIONAL HEALTHCARE SYSTEM INC

Form 990 for tax year 2023

Filed by HANNIBAL REGIONAL HEALTHCARE SYSTEM INC.

Totals

Total revenue
$301,905,675
Total expenses
$308,403,818
Contributions and grants received
$5,880,588
Grants paid
$279,415
Program service revenue
$292,613,212
Investment income
$1,083,087
Other revenue
$2,328,788
Total assets, end of year
$199,318,413
Total liabilities, end of year
$83,162,640
Net assets or fund balances, end of year
$116,155,773
Program services expenses (Part IX)
$271,430,974
Management and general expenses
$36,972,844
Fundraising expenses
$0
Program service expenses (Part III)
$271,430,974

Program services were 88.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $2,880,588

  • 1e · Government grants (contributions)

    $3,000,000

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $291,516,611 · related or exempt $291,516,611

  • 2b · Program service revenue: CHILDREN'S DEVELOPMENT CENTER

    total $1,096,601 · related or exempt $1,096,601

  • 3 · Investment income

    total $895,568 · excluded $895,568

  • 6a · Gross rents

    real property $305,620

  • 6b · Less rental expenses

    real property $26,589

  • 6c · Rental income or loss

    real property $279,031

  • 6d · Net rental income or loss

    total $279,031 · excluded $279,031

  • 7a · Gross sales of assets other than inventory

    securities $1,196,764 · other assets $3,086

  • 7b · Less cost or other basis and sales expenses

    securities $1,012,330 · other assets $1

  • 7c · Gain or loss

    securities $184,434 · other assets $3,085

  • 7d · Net gain or loss

    total $187,519 · excluded $187,519

  • 11a · Other revenue: CAFETERIA

    total $1,440,866 · excluded $1,440,866

  • 11b · Other revenue: CONTRACTED SERVICES

    total $415,082 · related or exempt $415,082

  • 11c · Other revenue: OTHER ADMINISTRATION

    total $193,809 · excluded $193,809

  • 11e · Other revenue, total

    $2,049,757

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $279,415 · program services $279,415

  • 5 · Compensation of officers, directors and key employees

    total $5,742,181 · program services $690,053 · management and general $5,052,128

  • 7 · Other salaries and wages

    total $131,275,896 · program services $117,642,840 · management and general $13,633,056

  • 8 · Pension plan contributions

    total $5,070,096 · program services $4,381,660 · management and general $688,436

  • 9 · Other employee benefits

    total $27,846,126 · program services $24,065,075 · management and general $3,781,051

  • 10 · Payroll taxes

    total $8,396,873 · program services $7,256,714 · management and general $1,140,159

  • 11b · Fees: legal

    total $240,292 · management and general $240,292

  • 11c · Fees: accounting

    total $166,200 · management and general $166,200

  • 11d · Fees: lobbying

    total $78,091 · program services $67,951 · management and general $10,140

  • 11g · Fees: other

    total $36,890,168 · program services $31,080,439 · management and general $5,809,729

  • 12 · Advertising and promotion

    total $1,228,034 · program services $3,267 · management and general $1,224,767

  • 13 · Office expenses

    total $27,816,482 · program services $27,053,498 · management and general $762,984

  • 14 · Information technology

    total $4,250,660 · program services $3,038,191 · management and general $1,212,469

  • 16 · Occupancy

    total $2,891,616 · program services $2,633,325 · management and general $258,291

  • 17 · Travel

    total $985,553 · program services $831,238 · management and general $154,315

  • 19 · Conferences, conventions and meetings

    total $138,769 · program services $114,129 · management and general $24,640

  • 20 · Interest

    total $1,730,831 · program services $1,570,506 · management and general $160,325

  • 22 · Depreciation, depletion and amortization

    total $10,202,235 · program services $9,257,216 · management and general $945,019

  • 23 · Insurance

    total $2,428,890 · program services $2,428,890

  • 24a · Other expenses: PHARMACY DRUGS

    total $21,240,763 · program services $21,240,763

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $14,512,691 · program services $14,512,691

  • 24c · Other expenses: FOOD

    total $1,524,502 · program services $1,524,502

  • 24d · Other expenses: HOSPITAL SYSTEM EXPENSE

    total $1,278,071 · program services $1,278,071

  • 24e · All other expenses

    total $2,189,383 · program services $480,540 · management and general $1,708,843

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $14,344,009 · end of year $9,401,715

  • 2 · Savings and temporary cash investments

    beginning of year $1,088,007 · end of year $1,102,729

  • 3 · Pledges and grants receivable

    beginning of year $59,778

  • 4 · Accounts receivable

    beginning of year $33,027,665 · end of year $44,530,500

  • 7 · Other notes and loans receivable

    beginning of year $1,661,526 · end of year $2,288,232

  • 8 · Inventories for sale or use

    beginning of year $6,509,911 · end of year $6,027,616

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,350,079 · end of year $3,163,919

  • 10a · Land, buildings and equipment: cost or other basis

    $224,592,829

  • 10b · Land, buildings and equipment: accumulated depreciation

    $151,533,661

  • 10c · Land, buildings and equipment, net

    beginning of year $79,327,951 · end of year $73,059,168

  • 11 · Investments: publicly traded securities

    beginning of year $47,186,126 · end of year $45,362,455

  • 12 · Investments: other securities

    beginning of year $49,942 · end of year $49,942

  • 13 · Investments: program-related

    beginning of year $3,864,009 · end of year $3,561,095

  • 15 · Other assets

    beginning of year $9,494,952 · end of year $10,771,042

  • 17 · Accounts payable and accrued expenses

    beginning of year $34,520,756 · end of year $35,515,234

  • 19 · Deferred revenue

    end of year $18,705

  • 20 · Tax-exempt bond liabilities

    beginning of year $40,196,313 · end of year $39,204,956

  • 23 · Secured mortgages and notes payable

    beginning of year $101,566 · end of year $68,486

  • 25 · Other liabilities

    beginning of year $6,595,823 · end of year $8,355,259

  • 27 · Net assets without donor restrictions

    beginning of year $111,316,254 · end of year $110,811,777

  • 28 · Net assets with donor restrictions

    beginning of year $6,233,243 · end of year $5,343,996

Mission and programs · 2023

Mission

YOUR HEALTH IS OUR MISSION

Activities or mission (Part I)

THE SYSTEM OPERATES A FULL SERVICE ACUTE CARE FACILITY.

  • 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.

    Expenses $268,979,536 · Grants $279,415 · Revenue $291,931,693

  • 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.

    Expenses $2,451,438 · Revenue $1,096,601

As filed on the 2023 return.

Listed in Part VII

  • Pat Benson

    DIRECTOR (TERM ENDED 01/24)

    Total calculated
    $0
    Hours/week
    1

  • Deborah Thornburg

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jason Poage

    DIRECTOR (TERM ENDED 01/24)

    Total calculated
    $0
    Hours/week
    1

  • Carolyn Shaw

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Brad Kurz

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Dirk Sauer

    DIRECTOR (TERM ENDED 01/24)

    Total calculated
    $0
    Hours/week
    1

  • Richard Valuck MD

    DIRECTOR & CARDIOLOGIST

    Total calculated
    $690,053
    From this org
    $646,702
    From related orgs
    $0
    Other
    $43,351
    Hours/week
    41

    Schedule J breakdown matched by us

    Base
    $602,237
    Bonus
    $36,920
    Other
    $7,545
    Deferred
    $0
    Nontaxable benefits
    $43,351
    Filer's total
    $690,053

  • Michael Holliday

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Justin Trantham

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Rahul Basho MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Devon McClain

    DIRECTOR

    Total calculated
    $1,191
    From this org
    $1,191
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • John Bleigh

    SECRETARY

    Total calculated
    $1,740
    From this org
    $1,740
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Eric Jones

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • John Zimmer

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Susan Johnson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Amy Lehenbauer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • C Todd Ahrens

    PRESIDENT & CEO

    Total calculated
    $2,957,017
    From this org
    $2,806,305
    From related orgs
    $0
    Other
    $150,712
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $711,872
    Bonus
    $0
    Other
    $2,094,433
    Deferred
    $150,712
    Nontaxable benefits
    $0
    Filer's total
    $2,957,017

  • Rob Gasaway

    VP - FINANCE

    Total calculated
    $498,856
    From this org
    $405,639
    From related orgs
    $0
    Other
    $93,217
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $343,352
    Bonus
    $54,790
    Other
    $7,497
    Deferred
    $36,526
    Nontaxable benefits
    $56,691
    Filer's total
    $498,856

  • Aaron Zook

    VP - OPERATIONS

    Total calculated
    $484,639
    From this org
    $390,434
    From related orgs
    $0
    Other
    $94,205
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $332,208
    Bonus
    $50,999
    Other
    $7,227
    Deferred
    $37,596
    Nontaxable benefits
    $56,609
    Filer's total
    $484,639

  • Pranav Parikh MD

    VP - CHIEF MEDICAL OFFICER

    Total calculated
    $879,662
    From this org
    $785,085
    From related orgs
    $0
    Other
    $94,577
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $607,358
    Bonus
    $169,798
    Other
    $7,929
    Deferred
    $39,886
    Nontaxable benefits
    $54,691
    Filer's total
    $879,662

  • Susan Wathen

    VP- HUMAN RESOURCES

    Total calculated
    $354,226
    From this org
    $302,777
    From related orgs
    $0
    Other
    $51,449
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,727
    Bonus
    $36,659
    Other
    $33,391
    Deferred
    $24,440
    Nontaxable benefits
    $27,009
    Filer's total
    $354,226

  • Patricia Brawner

    VP - NURSING

    Total calculated
    $277,079
    From this org
    $244,565
    From related orgs
    $0
    Other
    $32,514
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $237,046
    Bonus
    $0
    Other
    $7,519
    Deferred
    $0
    Nontaxable benefits
    $32,514
    Filer's total
    $277,079

  • Wendy Harrington

    VP - HRHS DEVELOPMENT

    Total calculated
    $374,696
    From this org
    $317,269
    From related orgs
    $0
    Other
    $57,427
    Hours/week
    24 + 16 related

    Schedule J breakdown matched by us

    Base
    $252,494
    Bonus
    $56,906
    Other
    $7,869
    Deferred
    $26,301
    Nontaxable benefits
    $31,126
    Filer's total
    $374,696

  • Teresa Generous

    VP - GENERAL COUNSEL

    Total calculated
    $423,501
    From this org
    $353,086
    From related orgs
    $0
    Other
    $70,415
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $292,980
    Bonus
    $46,519
    Other
    $13,587
    Deferred
    $31,013
    Nontaxable benefits
    $39,402
    Filer's total
    $423,501

  • Karmon Kindhart

    VP - NURSING

    Total calculated
    $210,949
    From this org
    $156,346
    From related orgs
    $0
    Other
    $54,603
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,674
    Bonus
    $0
    Other
    $1,672
    Deferred
    $22,500
    Nontaxable benefits
    $32,103
    Filer's total
    $210,949

  • Joseph Bass

    RADIOLOGIST

    Total calculated
    $935,585
    From this org
    $896,268
    From related orgs
    $0
    Other
    $39,317
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $564,401
    Bonus
    $324,322
    Other
    $7,545
    Deferred
    $0
    Nontaxable benefits
    $39,317
    Filer's total
    $935,585

  • Laura Maple

    OBSTETRICIAN AND GYNECOLOGIST

    Total calculated
    $898,157
    From this org
    $883,307
    From related orgs
    $0
    Other
    $14,850
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $549,484
    Bonus
    $331,894
    Other
    $1,929
    Deferred
    $0
    Nontaxable benefits
    $14,850
    Filer's total
    $898,157

  • Lance Dorsey

    RADIOLOGIST

    Total calculated
    $1,025,178
    From this org
    $971,559
    From related orgs
    $0
    Other
    $53,619
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $594,426
    Bonus
    $375,906
    Other
    $1,227
    Deferred
    $0
    Nontaxable benefits
    $53,619
    Filer's total
    $1,025,178

  • Blake Kramer

    RADIOLOGIST

    Total calculated
    $1,047,930
    From this org
    $1,033,080
    From related orgs
    $0
    Other
    $14,850
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $551,094
    Bonus
    $468,313
    Other
    $13,673
    Deferred
    $0
    Nontaxable benefits
    $14,850
    Filer's total
    $1,047,930

  • John Bennett

    OBSTETRICIAN AND GYNECOLOGIST

    Total calculated
    $978,489
    From this org
    $924,048
    From related orgs
    $0
    Other
    $54,441
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $506,512
    Bonus
    $414,527
    Other
    $3,009
    Deferred
    $0
    Nontaxable benefits
    $54,441
    Filer's total
    $978,489

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
BOARD OF DIRECTOR MEMBERS JOHN BLEIGH AND 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 2023: 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 - $22,500
FORM 990, SCHEDULE J, PART II
THE AMOUNT REPORTED FOR C. TODD AHRENS IN COLUMN (F) IS INCLUDED IN B(III), OTHER REPORTABLE COMPENSATION. THIS AMOUNT IS A RESULT OF VESTING IN THE SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP)AND WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • CULVER-STOCKTON COLLEGE

    $201,000

    YEAR 1 NURSING PROGRAM MOU PLEDGE, 2024 SUMMIT SPONSOR

  • MHA CENTER FOR EDUCATION

    $51,765

    MCE HEALTH IMPR RESEARCH AND SCHOLARSHIP FUND, MHA SPECIAL PROJECTS, MISSOURI CENTER FOR PATIENT SAFETY CONTRIBUTION, MHA HEALTH INSTITUTE, AND MISSOURI POISON CENTER CONTRIBUTION.

  • YMCA OF HANNIBAL

    $19,150

    CORPORATE SPONSORSHIPS, STRONG COMMUNITY CAMPAIGN PLEDGE, 2024 GOLD LEVEL GIVING

  • HANNIBAL REGIONAL ECONOMIC DEVELOPMENT COUNCIL

    $7,500

    TO PROVIDE ASSISTANCE TO NEW AND EXISTING BUSINESSES IN THE HANNIBAL REGION THAT WILL HELP THEM SUSTAIN, GROW, AND EXCEL.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • LANAC

    REAL ESTATE · MO · income $0 · assets $0

    Directly controlled by HANNIBAL REGIONAL HOSPITAL

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • HANNIBAL MEDICAL SUPPLIES LLC

    RELATED · MEDICAL SUPPLIES · MO · 50% owned · share of income $158,842 · share of assets $571,239

  • ADVANCE HANNIBAL REGIONAL HOSPITAL LLC

    RELATED · PT/OT SERVICES · MO · 50% owned · share of income $490,499 · share of assets $173,071

  • HEALTH NETWORK OF MISSOURI LLC

    RELATED · COLLABORATIVE HEALTH NETWORK · MO · 20% owned · share of income -$24,485 · general or managing partner

  • NORTHEAST MISSOURI AMBULATORY SUGERY CENTER LLC AND SUBSIDIARY

    RELATED · AMBULATORY SURGERY CENTER · MO · 25% owned · share of income $160,443 · share of assets $4,507,797

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HANNIBAL REGIONAL PHYSICIAN HOSPITAL ORGANIZATION INC

    C · PHYSICIAN HOSPITAL ORGANIZATION · MO · 50% owned · share of income $100,670 · share of assets -$55,827

Provenance

Return type
form_990
Tax year
2023
Filed
11 August 2025
IRS schema version
2023v6.0
Source object
202542249349300339

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