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Missouri · Nonprofit

HANNIBAL REGIONAL HEALTHCARE SYSTEM INC

HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (Missouri) receives grants from 8 organizations whose IRS filings report $395,719 to it, the largest being JE AND LE MABEE FOUNDATION INC ($324,500). 5 of them have funded it in more than one year.

Revenue FY2025
$325M
Funders on record
8
Grants received
$396k
Net assets
$118M
5/8 repeat funderspeak grant-dependency 0%
01What it does

What Hannibal Regional Healthcare System Inc does

Mission

Your health is our mission

As stated on its FY2025 Form 990.

Programs

  1. 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.

    $279,811,972 spentof which $51,798 as grants$303,661,679 earned by the program
    99% of program spending
  2. 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.

    $2,350,093 spent$1,061,200 earned by the program
    1% of program spending

The 2 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $282,162,065.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($153M) Expenses 100 ($151M) Net assets 100 ($110M)2018 Revenue 122 ($187M) Expenses 116 ($176M) Net assets 109 ($120M)2019 Revenue 125 ($192M) Expenses 123 ($187M) Net assets 111 ($122M)2020 Revenue 126 ($194M) Expenses 130 ($197M) Net assets 107 ($118M)2021 Revenue 149 ($229M) Expenses 146 ($221M) Net assets 119 ($131M)2022 Revenue 164 ($251M) Expenses 166 ($251M) Net assets 110 ($121M)2023 Revenue 175 ($269M) Expenses 181 ($274M) Net assets 107 ($118M)2024 Revenue 197 ($302M) Expenses 204 ($308M) Net assets 106 ($116M)2025 Revenue 212 ($325M) Expenses 214 ($325M) Net assets 107 ($118M)
'17'18'19'20'21'22'23'24'25
Revenue (212)Expenses (214)Net assets (107)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2017 to 2018, from $152M to $196M (+29%).

$152M
$196M
$195M
$216M
$224M
$202M
$199M
$199M
$219M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2020 2% · 2021 2% · 2022 2% · 2024 1% · 2025 3%. Grants only. Government contracts and fees sit inside program revenue.

4% of HANNIBAL REGIONAL HEALTHCARE SYSTEM INC’s revenue is contributions — more reliant on donations than three-quarters of its peers (1% for the typical peer).

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 3 of the last 9 reported years ran a deficit.

$2.1M
’17
$12M
’18
$5.0M
’19
−$3.2M
’20
$7.8M
’21
$619k
’22
−$5.3M
’23
−$6.5M
’24
$749k
’25
1.2
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

C Todd Ahrens

President & CEO

Board chair

Brad Kurz

Chair

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed313229312628283028
Joined·+6+2+3+2+6+5+5+6
No longer listed·55174538
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 1 funder to 3 funders, grant income fell $3k → $2k.

2 of 8 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 8% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $11M from 2 payers (the payer shares this organization's board, largest Hannibal Regional Foundation). These are real filings, and they are not money HANNIBAL REGIONAL HEALTHCARE SYSTEM INC raised.

From the IRS filings of HANNIBAL REGIONAL HEALTHCARE SYSTEM INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

HANNIBAL REGIONAL HEALTHCARE SYSTEM INC leans on a few funders — its largest provides 82% of grant income and the top three 93%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

82%
largest funder
93%
top three
~1
effective funders

Largest funder’s share by year: 2017 100% · 2018 73% · 2019 46% · 2020 99% · 2021 82% · 2022 92% · 2023 89% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

50% of HANNIBAL REGIONAL HEALTHCARE SYSTEM INC's funders are still giving 3 years after their first grant; 63% give in more than one year at all.

first grant+1y+2y+3y+4y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

HANNIBAL REGIONAL HEALTHCARE SYSTEM INC draws 91% of its grant income from funders outside Missouri, across 3 states in all.

IL
MO
TX

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Missouri out of state home

Funder states come from each funder’s own filing. $31k arriving through sponsors registered in 2 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

HANNIBAL REGIONAL HEALTHCARE SYSTEM INC is better cushioned than half of the 1,241 health nonprofits its size.

Operating margin0% · below the median
Months of reserve1.2mo · above the median
Revenue growth (annualized)10% · above the median

this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025

Government funding HANNIBAL REGIONAL HEALTHCARE SYSTEM INC receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $1.2M on record.

Federal$1.2M
grants $1.2Mcontracts $0
21
23
Top agencies
  • Department of Health and Human Services$1.2M

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like HANNIBAL REGIONAL HEALTHCARE SYSTEM INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Missouri

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

87% of spending goes to programs.

Program 87%Management 13%Fundraising 0%

Governance

13
board members
92%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 6 related entities

  • Lanac · disregarded
  • Hannibal Regional Hospital Foundation · exempt
  • Hannibal Medical Supplies LLC · partnership
  • Advance Hannibal Regional Hospital LLC · partnership
  • Northeast Missouri Ambulatory Sugery Center LLC and Subsidiary · partnership

Screen this organization

A dated, signed PDF of the compliance screen for HANNIBAL REGIONAL HEALTHCARE SYSTEM INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds HANNIBAL REGIONAL HEALTHCARE SYSTEM INC?
HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (Missouri) receives grants from 8 organizations whose IRS filings report $395,719 to it, the largest being JE AND LE MABEE FOUNDATION INC ($324,500). 5 of them have funded it in more than one year.
How many funders does HANNIBAL REGIONAL HEALTHCARE SYSTEM INC have?
IRS filings report 8 organizations giving $395,719 in grants to HANNIBAL REGIONAL HEALTHCARE SYSTEM INC, 5 of which have funded it in more than one year.
Who is the largest funder of HANNIBAL REGIONAL HEALTHCARE SYSTEM INC?
JE AND LE MABEE FOUNDATION INC is the largest funder on record, with $324,500 in grants. The full list of funders is on this page.
How can an organization like HANNIBAL REGIONAL HEALTHCARE SYSTEM INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Missouri. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 8 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing