Hannibal Regional
Legal name: Hannibal Regional Healthcare System Inc
Nonprofit profile at a glance
- EIN
- 430662495
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Hannibal, MO, USA
- Phone
- 5732481300
- Rating
- 84
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $325,399,388
- Expenses
- $324,650,595
- Assets
- $219,090,313
- Liabilities
- $101,306,035
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
28 people listed
Executive titles in this filing
- C TODD AHRENS (PRESIDENT & CEO)
Highest reported compensation
- JOSE TORRES (CARDIOLOGIST): $1,106,357 total reported compensation
- C TODD AHRENS (PRESIDENT & CEO): $1,077,690 total reported compensation
- BLAKE KRAMER (RADIOLOGIST): $1,024,740 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Your health is our mission
What it reported doing in 2024
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.
Operating model
- Revenue model
- Earned-program. 94% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 77
- Transparency & Controls: 92
- Accountability: 95
- Sustainability: 32
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 85.9%; rating input score 86
- Program expense ratio: 86.9%; rating input score 87
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 92.3%; rating input score 92; 41st percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 0.2%; rating input score 32; 32nd percentile among comparable filings
- Total-asset coverage ratio: 0.67; rating input score 26; 26th percentile among comparable filings
- Liabilities to assets ratio: 0.46; rating input score 39; 39th percentile among comparable filings
- Officer compensation ratio: 3%; rating input score 38; 38th percentile among comparable filings
Growth
- Program expense growth: 9.4% per year; rating input score 100; 72nd percentile among comparable filings
- Revenue growth: 7.7% per year; rating input score 100; 64th percentile among comparable filings
- Asset growth: 4.4% per year; rating input score 100; 31st percentile among comparable filings
Details
- What they do: 7 programs and campaigns described on the official site
- Where the money goes: 85.9% of revenue deployed · 86.9% of spending went to programs
- Governance: 12 of 13 board members independent · 9 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $282.2M in reported program spending
- Leadership: top reported pay $1.1M · 28 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $16.4M reported
- Consistency: 35 of 35 current checks pass
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 18 filed money-flow records
- Related organizations: 9 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Moderate — Sustainability: Operating margin scored 32/100.
- High — Sustainability: Total-asset coverage ratio scored 26/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 39/100.
- Moderate — Sustainability: Officer compensation ratio scored 38/100.