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Short-term acute care hospital · Hannibal, Missouri · 86 beds · CMS certification number 260025

Hannibal Regional Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 5, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$277.4M
$277,436,207 · G-3 line 3
Operating expenses
$305.1M
$305,133,637 · G-3 line 4
Result from patient care
−$27.7M
−$27,697,430 · G-3 line 5
Margin on patient care
−10.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $34.6M in its first year on file (1996) to $277.4M in 2025.
  • Its result from patient care: −$15.8M (2023), −$19.6M (2024), −$27.7M (2025).
  • 2 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 4.7% of its inpatient days and Medicare for 36.5%.
  • HANNIBAL REGIONAL HEALTHCARE SYSTEM INC holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
settled
$34.6M
$35.1M
1997
settled
$39.6M
$39.1M
1998
as submitted
$44.2M
$44.4M
1999
settled with audit
$44.8M
$46.0M
2000
settled
$46.7M
$50.2M
2001
reopened
$50.0M
$52.4M
2002
settled
$59.6M
$58.0M
2003
settled
$61.2M
$61.6M
2004
settled
$64.8M
$66.6M
2005
settled with audit
$72.6M
$70.7M
2006
reopened
$75.1M
$71.1M
2007
settled
$79.6M
$76.2M
2008
settled
$95.0M
$90.6M
2009
settled
$102.6M
$100.2M
2010
reopened
$104.8M
$100.7M
2011
reopened
$108.5M
$104.0M
2012
reopened
$119.6M
$107.0M
2013
reopened
$117.0M
$110.2M
2014
settled
$121.6M
$113.2M
2015
settled
$114.4M
$114.8M
2016
settled
$124.4M
$122.1M
2017
settled
$136.9M
$141.6M
2018
settled
$166.2M
$163.5M
2019
settled
$167.9M
$170.5M
2020
settled
$170.8M
$183.2M
2021
settled
$199.7M
$204.7M
2022
settled
$226.2M
$241.5M
2023
settled
$245.1M
$261.0M
2024
settled
$274.3M
$293.9M
2025
as submitted
$277.4M
$305.1M

Beside its peers

Short-term acute care hospitals in Missouri with 50 to 99 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Hannibal Regional Hospital86$277,436,207$305,133,637−10.0%
Bothwell Regional Health Center, Sedalia71$177,909,971$172,992,8122.8%
Lees Summit Medical Center, Lees Summit88$168,060,786$136,936,68218.5%
Missouri Delta Medical Center, Sikeston98$169,903,506$187,819,744−10.5%
Progress West Hospital, Ofallon77$128,396,213$118,720,5677.5%
St. Mary's Medical Center, Blue Springs73$80,448,794$80,498,925−0.1%

Patients and payers

Discharges
5,095
S-3 line 14, col 15
Inpatient days
20,176
S-3 line 14, col 8
Beds in use, on an average day
55.4
days ÷ days in year
Occupancy
64.3%
days ÷ bed days
Medicare share of days
36.5%
S-3 cols 6 ÷ 8
Medicaid share of days
4.7%
S-3 cols 7 ÷ 8

Who owns it

  • HANNIBAL REGIONAL HEALTHCARE SYSTEM INC100%

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (employer identification number 430662495) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$23,620,584IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$0IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$4,919,396IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$4,919,396IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$18,701,188IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0863IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202432069349301603. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (employer identification number 430662495) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
AARON ZOOKVICE PRESIDENT - OPERATIONSOfficer$330,188$0$87,936
BLAKE KRAMERRADIOLOGISTHighest-compensated employee$878,575$0$13,725
BRAD KURZVICE CHAIRTrustee/director, Officer$0$0$0
C TODD AHRENSPRESIDENT & CEOOfficer$812,569$0$197,792
CAROLYN SHAWCHAIRTrustee/director, Officer$0$0$0
DEBORAH THORNBURGDIRECTORTrustee/director$0$0$0
DEVON MCCLAINDIRECTORTrustee/director$0$0$0
DIRK SAUERDIRECTORTrustee/director$0$0$0
ERIC JONESDIRECTORTrustee/director$0$0$0
GENE SCHOLES JRDIRECTOR (TERM ENDED 12/22)Trustee/director$0$0$0
JASON POAGETREASURERTrustee/director, Officer$0$0$0
JOHN BLEIGHDIRECTORTrustee/director$0$0$0
JOSEPH BASSRADIOLOGISTHighest-compensated employee$871,248$0$37,852
JUSTIN TRANTHAMDIRECTORTrustee/director$0$0$0
LANCE DORSEYRADIOLOGISTHighest-compensated employee$885,850$0$52,254
LAURA MAPLEOBSTETRICIAN AND GYNECOLOGISTHighest-compensated employee$886,514$0$13,725
LINDA STRAUBEDIRECTOR (TERM ENDED 12/22)Trustee/director$0$0$0
MICHAEL HOLLIDAYSECRETARYTrustee/director, Officer$0$0$0
PAT BENSONDIRECTORTrustee/director$0$0$0
PATRICIA BRAWNERVICE PRESIDENT - NURSINGOfficer$274,418$0$71,789
PRANAV PARIKH MDV.P. - CHIEF MEDICAL OFFICEROfficer$802,314$0$89,989
RASUL BASHO MDDIRECTORTrustee/director$0$0$0
RICHARD VALUCK MDDIRECTOR & CARDIOLOGISTTrustee/director$676,496$0$41,536
ROB GASAWAYVICE PRESIDENT - FINANCEOfficer$394,660$0$87,998
SANTHOSH MANNEMCARDIOLOGISTHighest-compensated employee$886,385$0$52,776
SUSAN WATHENVICE PRESIDENT - HUMAN RESOURCESOfficer$478,400$0$26,038
TERESA GENEROUSVP - GENERAL COUNSELOfficer$338,336$0$67,297
WENDY HARRINGTONV.P. - HRHS DEVELOPMENTOfficer$278,928$0$52,404

E-file object id 202432069349301603. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 260025. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 5, 2026.