2023-08-15T17:49:25-05:00 2022-09-30 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-10-01 752559845 Shannon Medical Center % JOSEPH WOOLDRIDGE SHAN 3256536741 120 E Harris Avenue San Angelo TX 76903 JOSEPH WOOLDRIDGE CFO 3256536741 2023-08-15 true JOSEPH WOOLDRIDGE 999009999 NOELLE ALBERTO P01704142 9727028262 3 2021 2023-04-26 12:10:37Z KELLY SHANE PLYMELL 120 E HARRIS AVENUE SAN ANGELO TX 76903 625426964 false X SHANNONHEALTH.COM X 1994 TX FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS. 14 12 3012 152 540893 252817 11414866 6351038 560820730 615489501 990097 1298339 2488338 2288086 575714031 625426964 0 65000 0 0 178032624 200938039 0 0 0 317000222 332471155 495032846 533474194 80681185 91952770 508828126 506449349 89268320 88937277 419559806 417512072 FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS. false false 435573616 65000 615454479 PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS. 435573616 true true false false false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 99 0 true 3012 true true true false false false false false false false false false false false X 14 12 false false false false true true true true true false false false true true true true true true true true true TX X JOSEPH WOOLDRIDGE 3256536741 120 E HARRIS AVENUE SAN ANGELO TX 76903 X KELLY SHANE PLYMELL CEO 24.0 16.0 X X 939037 0 114566 DR JASON FELGER DIRECTOR/Physician 2.0 38.0 X 0 888603 117810 DR JAMES C BARNETT CMO 38.0 2.0 X 657522 0 85559 PAMELA BRADSHAW COO 32.0 8.0 X 504146 0 88539 ALLAN GRAVES GENERAL COUNSEL/CHIEF LEGAL OF 40.0 0.0 X 393986 0 78906 JOSEPH W WOOLDRIDGE CFO 35.0 5.0 X 378818 0 79193 RODNEY M SCHUMACHER EXECUTIVE DIRECTOR 40.0 0.0 X 280272 0 16436 ANA MIHAIL PHYSICIST 40.0 0.0 X 240812 0 24655 MICHAEL P RUSSELL CHIEF INFORMATION OFFICER 40.0 0.0 X 225305 0 23627 JAMES G NAYLOR CHIEF ECHO SONOGRAPHER 40.0 0.0 X 205833 0 23452 GREGORY W WHEELER DIRECTOR 40.0 0.0 X 208439 0 13472 STACI R WETZ FORMER CFO 40.0 0.0 X 189185 0 20821 REBECCA FUENTES CNO 32.0 8.0 X 185082 0 12707 ORAN BERRY TRUSTEE/Vice Chair 2.0 6.0 X X 23350 49808 0 MICHAEL OLIPHANT TRUSTEE/Secretary/Treasurer 2.0 6.0 X X 22350 49902 0 STEVE CECIL TRUSTEE 2.0 6.0 X 25250 43743 0 MICHAEL TED WEATHERFORD TRUSTEE 2.0 6.0 X 20850 47147 0 JEFFREY MCCORMICK TRUSTEE 2.0 6.0 X 24600 30094 0 FREDDY L MOORE TRUSTEE 2.0 6.0 X 24350 29050 0 LEN MERTZ CHAIRMAN/TRUSTEE 2.0 38.0 X X 0 30240 0 WILL GRIFFIS DIRECTOR 2.0 4.0 X 22850 0 0 BRYAN VINCENT DIRECTOR 2.0 4.0 X 17550 0 0 JOE HENDERSON Former Trustee 0.0 0.0 X 12215 0 0 MARTHA VISNEY DIRECTOR 2.0 4.0 X 5400 0 0 JAMES A BOYD JR DIRECTOR 2.0 4.0 X 5400 0 0 MARIO CASTILLO DIRECTOR 2.0 4.0 X 4650 0 0 4612602 1168587 699743 186 true true false ONYX SOLUTIONS PO BOX 530 SAN ANGELO TX 76902 CONSTRUCTION CONTRAC 866325 JONES DAY PO BOX 7805 BEN FRANKLIN STATION DC 20044 LEGAL SERVICES 831560 DISCOVERY HEALTHCARE CONSULTING PO BOX 93067 LUBBOCK TX 79493 CONSULTING SERVICES 795832 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 75582 CONSULTING SERVICES 675484 HEALTH CAROUSEL LLC POB 715806 CINCINNATI OH 45271 TRAVEL NURSING 276587 11 1913020 4373018 65000 6351038 Net Patient Revenue 621990 613251101 613031276 219825 Rental Income 532000 1438204 1438204 Other Operating Revenue 900099 800196 800196 615489501 953924 282019 671905 0 0 0 0 0 238098 106317 238098 106317 344415 344415 0 0 0 0 0 0 0 0 0 Cafeteria 722514 2049218 2049218 Laundry Services 812300 39049 39049 Service Charges 900099 72392 72392 127427 112411 15016 2288086 625426964 615454479 540893 3080554 X 65000 65000 0 0 0 3714661 3714661 210006 210006 167397323 137762025 29635298 3927710 3442108 485602 16221061 12949758 3271303 9467278 7634151 1833127 262050 262050 626604 626604 171285 171285 0 0 0 57197162 30948504 26248658 1265031 20084 1244947 6715585 553854 6161731 8121775 4980730 3141045 0 4398510 1146314 3252196 815221 263565 551656 0 0 1087046 1087046 0 26852229 17066083 9786146 1007723 1007723 Medical Supplies 130889068 130845840 43228 Bad Debt 75691453 75691453 Equipment Costs 9550974 7419677 2131297 Collection Fees 1070847 1070847 6748592 4784470 1964122 533474194 435573616 97900578 0 0 0 0 0 0 0 55087958 53830471 0 0 0 0 1228405 1948523 11013529 9462437 7232467 10444795 517656651 283036183 200157197 234620468 46491605 41284309 809491 855306 0 0 6235991 5485492 180571483 148517548 508828126 506449349 52975487 53611225 0 0 70170 194329 0 0 0 0 0 0 29736969 29736969 0 0 6485694 5394754 89268320 88937277 X 256922023 279094862 162637783 138417210 419559806 417512072 508828126 506449349 X 91952770 -7643156 -86357348 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7222978 7222978 191120564 90324765 100795799 103245 10003 93242 267335431 190421444 76913987 51874433 2279971 49594462 234620468 Interest in Net Assets - Shann 138417210 Self Insurance Trust 6500200 Due from 3rd Party Payor 3406653 Interest Receivable 193485 148517548 0 Asset Retirement Obligation 1240830 Accrued Pension Cost 1116675 Malpractice Costs 2908799 Long Term Incentive Accrual 128450 5394754 540124231 -7643156 -75756453 -83399609 623523840 1903124 1903124 625426964 457717741 457717741 75756453 75756453 533474194 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ (75,691,453) Grant Expense (included w/ revenue on audit) (65,000) ------------------ Total $ (75,756,453) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: CONTRIBUTIONS RECORDED TO NET ASSETS $ 1,903,124 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ 75,691,453 Grant Expense (included w/ revenue on audit) 65,000 ------------------ Total $ 75,756,453 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X false true true true false true true 20744839 20744839 0.04530 44621415 93655998 266962 126560 140402 0.00030 65633216 93782558 20885241 0.04560 753510 753510 0.00160 1315291 1315291 0.00290 20744839 20744839 0.04530 290994 290994 0.00060 71971 71971 0.00020 23176605 23176605 0.05060 88809821 93782558 44061846 0.09620 148866 148866 0.00030 2597 2597 151463 151463 0.00030 true 75691453 112639234 110319279 2319955 X true true 1 1 SHANNON MEDICAL CENTER 120 E HARRIS AVENUE SAN ANGELO TX 76903 SHANNONHEALTH.COM 000168 X X X X SHANNON MEDICAL CENTER 01 false false true X X X X X X X X X 21 true false false true X SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 200. 0. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM COMMUNITY REPRESENTATIVES: COMMUNITY INPUT WAS PROVIDED THROUGH NINE KEY STAKEHOLDER INTERVIEWS WITH KEY INFORMANTS WHO REPRESENT A BROAD INTERESTS OF THE COMMUNITY, POPULATION OF NEED, PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS. INDIVIDUALS THAT PARTICIPATED REPRESTENTED THE FOLLOWING ORGANIZATIONS AND AGENCIES: CITY OF SAN ANGELO MUNICIPAL GOVERNMENT, KEEPRS OF HOPE, LA ESPARANZA CLINIC, MHMR CONCHO VALLEY, REGION 15 EDUCATION SERVICES CENTER, SAN ANGELO DIABETES COALITION, SHANNON MEDICAL CENTER, TOM GREEN COUNTY INDIGENT HEALTH AND WEST TEXAS COUNSELING GUIDANCE. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: The implementation strategy for fiscal years ending September 30, 2020 and September 30, 2022, focused on four identified health needs. Action plans and activities for each of the strategies are summarized below. Based on Shannon's evaluation for the fiscal year (FY) ending September 30, 2021, Shannon has either met their goals or is still in the process of meeting their goals for each strategy listed. Shannon continues to track activities and evaluate progress to reach Implementation Strategy goals through the end of FY 2022. THE BELOW CHNA ACTION PLAN INCLUDES DETAILS ON HOW SHANNON MEDICAL CENTER IS ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA CONDUCTED IN 2019. THE NEEDS ARE CATEGORIZED IN THE FOLLOWING PRIORITY AREAS: IMPROVE ACCESS TO CARE, ADULT OBESITY, LACK OF HEALTH KNOWLEDGE/EDUCATION, LACK OF MENTAL HEALTH PROVIDERS, SHORTAGE OF PRIMARY CARE PHYSICIANS AND HEALTHY BEHAVIORS/LIFESTYLE. PRIORITY 1: IMPROVE ACCESS TO CARE (INCLUDING SHORTAGE OF PRIMARY CARE PHYSICIANS) SHANNON MEDICAL CENTER PLANS TO CONNECT PATIENTS WITH APPROPRIATE HEALTH SERVICES TO IMPROVE THE CONTINUUM OF CARE AND WILL IMPROVE COMMUNITY AWARENESS OF AVAILABLE HEALTH SERVICES, EDUCATION AND SUPPORT.IN FISCAL YEAR 2022, THE CARE COORDINATION PROGRAM EXPANDED SERVICES TO SERVE MORE PATIENTS WITH CHRONIC ILLNESSES AND COVID-19. 506 PATIENTS WERE PROVIDED TRANSPORTATION SERVICES AND 300 PATIENTS WERE PROVIDED WITH OTHER HEALTH CARE SUPPORT SERVICES. $59,828,033 WAS PAID IN CHARITY CARE AND $23,092,348 IN SUBSIDIZED HEALTH SERVICES. PRIORITY 2: HEALTHY BEHAVIORS/LIFESTYLE THE MEDICAL CENTER WILL PROVIDE OPPORTUNITIES TO PROMOTE HEALTHY LIVING IN THE COMMUNITY AND PARTICIPATE AT COMMUNITY OUTREACH EVENTS TO SUPPORT HEALTH LIFESTYLES. IN FISCAL YEAR 2022, SHANNON STAFF SERVED ON 8 COMMUNITY COALITIONS/BOARDS AND DEDICATED OVER 176 SERVICE HOURS TO COMMUNITY BUILDING EFFORTS. DONATIONS WERE GIVEN TO SUPPORT 12 COMMUNITY INITIATIVES THAT PROMOTE HEALTH EDUCATION AND PHYSICAL ACTIVITY. SHANNON ALSO PARTNERED WITH 15 ORGANIZATION TO OFFER HEALTH EDUCATION TO MORE THAN 74,457 COMMUNITY MEMBERS. PRIORITY 3: ADULT OBESITY THE MEDICAL CENTER WILL INCREASE PUBLIC AWARENESS OF THE IMPORTANCE OF HEALTH EATING, NUTRITION AND PHYSICAL ACTIVITY. IN FISCAL YEAR 2022, SHANNON PROVIDED HEALTH INFORMATION MATERIALS AND BROCHURES ABOUT HEALTH SERVICES AND RESOURCES AT 18 COMMUNITY EVENTS AND PARTICIPATED AT DIABETES EDUCATIONAL SEMINARS. PRIORITY 4: HEALTH EDUCATION/KNOWLEDGE THE MEDICAL CENTER WILL PROVIDE GREATER HEALTH EDUCATION TO CHILDREN, FAMILIES AND VULNERABLE POPULATIONS. THE CENTER PLANS TO IMPROVE COMMUNITY OUTREACH EFFORTS THAT WILL PROVIDE MORE HEALTH EDUCATION OPPORTUNITIES WITH LOCAL BUSINESSES. THE IMPLEMENTATION STRATEGY WILL ASSURE HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN THE COMMUNITY HAVE THE MOST UP-TO-DATE KNOWLEDGE. IN FISCAL YEAR 2022, SHANNON PROVIDED THE HEALTHBEAT TV SEGMENTS THAT REACHED OVER 32,300 VIEWERS AND A HEALTHBEAT MAGAZINE THAT REACHED 30,000 COMMUNITY MEMBERS. THE HOSPITAL ALSO PARTNERED WITH 32 EMPLOYER GROUPS TO PROVIDE HEALTH EDUCATION TO WORKFORCE MEMBERS, AS WELL AS OTHER COMMUNITY ORGANIZATIONS TO DISTRIBUTE INFORMATION AND RESOURCES TO 74,457 COMMUNITY MEMBERS. SHANNON PARTNERED WITH 10 COLLEGES AND UNIVERSITIES TO OFFER EDUCATION TO 748 STUDENTS. IN ADDITION, SHANNON PROVIDED SUPPORT, RESOURCES AND TRAININGS TO 30 PARTNERS IN THE REGION. EXPLANATION OF NEEDS NOT ADDRESSED THERE ARE NEEDS THAT SHANNON WILL NOT ADDRESS IN THE CURRENT IMPLEMENTATION STRATEGY THAT ARE CLEARLY IMPORTANT TO IMPROVING THE HEALTH OF THE COMMUNITY. LACK OF MENTAL HEALTH PROVIDERS IS ONE NEED NOT SPECIFICALLY ADDRESSED IN THE ASSESSMENT. WHILE SHANNON IS NOT INCORPORATING STRATEGIES TO IMPROVE ACCESS TO MENTAL HEALTH PROVIDERS, THE COMMUNITY HAS SEEN IMPROVEMENT AND GROWTH IN THE ACCESSIBILITY OF MENTAL HEALTH PROVIDERS AND AVAILABLE MENTAL HEALTH SERVICES OVER RECENT YEARS. FURTHERMORE, SHANNON WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND A WAY TO PROVIDE THESE ESSENTIAL HEALTH SERVICES TO OUR PATIENTS AND COMMUNITY. SCHEDULE H, PART V, SECTION B, LINES 7A & 10A CHNA & IMPLEMENTATION STRATEGY AVAILABLE ON HOSPITAL FACILITY'S WEBSITE: https://www.shannonhealth.com/about-us/community-health-needs-assessment/ SCHEDULE H, PART V, SECTION B LINE 16A, 16b & 16c The Financial Assistance Policy, Application and Plain Language summary can be found at the following web address: https://www.shannonhealth.com/patients-and-visitors/financial-assistance/ 2 SHANNON SURGERY CENTER 120 E HARRIS AVENUE SAN ANGELO TX 76903 AMBULATORY SURGERY CENTER SHANNON HOME HEALTH 3501 KNICKERBOCKER RD SAN ANGELO TX 76904 HOME HEALTH CENTER SCHEDULE H, PART I, LINE 3C METHOD TO DETERMINE ASSISTANCE ELIGIBILITY: SHANNON MEDICAL CENTER ALSO USES INSURANCE STATUS AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART III, SECTION A, LINE 2 & 3 Bad Debt METHODOLOGY LINE 2: AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE ORGANIZATION'S INTERNAL FINANCIALS. LINE 3: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: SEE PAGE 17 OF THE ATTACHED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE COST REPORT USES COST TO CHARGE RATIOS FOR ANCILLARY DEPARTMENTS, PLUS IN THE ROOM AND BOARD AREAS IT IS A PER DIEM. SCHEDULE H, PART III, SECTION C, LINE 9B WRITTEN DEBT COLLECTION POLICY CHARITY CARE AND DISCOUNTING FOR UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR GOVERNMENT HEALTH CARE PROGRAMS AND WHOSE FINANCIAL CONDITION IS SUCH THAT THEY ARE NOT ABLE TO PAY FOR HOSPITAL SERVICES MAY BE ELIGIBLE FOR ASSISTANCE UNDER THE SHANNON MEDICAL CENTER CHARITY CARE PROGRAM. PATIENTS WHO ARE UNINSURED, DO NOT QUALIFY FOR COVERAGE UNDER GOVERNMENT HEALTH CARE PROGRAMS, MAY BE ELIGIBLE FOR A 50% DISCOUNT OFF THE TOTAL BILL FOR HOSPITAL SERVICES, IF THE SERVICES ARE PAID FOR WHEN RECEIVED OR WITHIN 30 DAYS OF DISCHARGE. COLLECTION OF ACCOUNTS RECEIVABLE PATIENTS / GUARANTOR WILL BE RESPONSIBLE FOR PAYMENT OF SERVICES RECEIVED AT SHANNON MEDICAL CENTER. PATIENTS / GUARANTORS WILL BE RESPONSIBLE FOR FULL CHARGES, OR PATIENT PORTION NOT COVERED BY INSURANCE. PAYMENT WILL BE REQUESTED PRIOR TO OR ON THE DATE OF SCHEDULED ELECTIVE SERVICES. FULL CHARGES OR PATIENT PORTION NOT COVERED BY INSURANCE FOR URGENT / EMERGENT SERVICES WILL BE COLLECTED UPON DISCHARGE. PATIENTS WHO ARE UNABLE TO PAY THE FULL AMOUNT OF THEIR RESPONSIBILITY AT THE TIME OF SERVICE CAN MAKE PAYMENT ARRANGEMENTS UNDER THE FOLLOWING GUIDELINES: A. BALANCE OF OUTPATIENT SERVICES MUST BE PAID WITHIN SIX (6) MONTHS FROM THE DATE OF SERVICE UNLESS INDIGENT STATUS IS PROVEN B. BALANCE OF INPATIENT SERVICES MUST BE PAID WITHIN TWELVE (12) MONTHS FROM THE DATE OF DISCHARGE UNLESS INDIGENT STATUS IS PROVEN. MONTHLY STATEMENTS WILL BE SENT THROUGHOUT THE COLLECTION CYCLE. COLLECTION LETTERS WILL BE UTILIZED AT THE DISCRETION OF THE PATIENT ACCOUNT REPRESENTATIVE. ACCOUNTS WILL BE REVIEWED FOR OUTSIDE COLLECTION AGENCY PLACEMENT ANYTIME FOLLOWING 90 DAYS FROM THE DATE OF SERVICE. MEDICARE ACCOUNTS WILL NOT BE CONSIDERED FOR PLACEMENT UNTIL 120 DAYS FROM THE FIRST NOTICE OF PATIENT RESPONSIBILITY IN ACCORDANCE WITH MEDICARE REGULATIONS. ANY OVERPAYMENT OF AN ACCOUNT WILL BE REVIEWED FOR REFUND WITHIN 30 DAYS FROM THE DATE THE CREDIT BALANCE IS CREATED BY THE OVERPAYMENT. CREDIT BALANCES ON MEDICARE ACCOUNTS WILL BE PROCESSED THROUGH THE NORMAL CREDIT BALANCE PROCESS AND REPORTED ON A QUARTERLY BASIS IN COMPLIANCE WITH MEDICARE REGULATIONS. SCHEDULE H, PART VI, LINE 2 THE CHNA PROCESS INVOLVED: AN EVALUATION OF THE IMPLEMENTATION STRATEGY FOR NEEDS ASSESSMENT COMPLETED IN 2021, WHICH WAS ADOPTED BY SHANNON BOARD OF DIRECTORS. COLLECTION AND ANALYSIS OF A LARGE RANGE OF DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH STATISTICS, AND HEALTH CARE RESOURCES. INTERVIEWS WITH KEY INFORMANTS WHO REPRESENT A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATION OF NEED, OR C) PERSON WHITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. NINE KEY STAKEHOLDERS PARTICIPATED IN STAKEHOLDER INTERVIEWS. THE COMMUNITY SERVED BY SHANNON WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTY HEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE: FINANCIAL ASSISTANCE BROCHURES THAT OUTLINE ACCESS TO INFORMATION ABOUT ASSISTANCE PROGRAMS ARE AVAILABLE IN EACH OF THE REGISTRATION AREAS. WE ALSO HAVE CONTRACTED ELIGIBILITY WORKERS WHO SCREEN PATIENTS FOR ALL SOCIAL SERVICE PROGRAMS AND ASSIST WITH THE APPLICATION PROCESS IF NEEDED. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: SHANNON MEDICAL CENTER IS LOCATED IN SAN ANGELO, TEXAS. THE CITY OF SAN ANGELO SERVES AS THE COUNTY SEAT AND POPULATION CENTER OF TOM GREEN COUNTY, WITH AN ESTIMATED POPULATION IN 2022 OF 118,892. TOM GREEN COUNTY'S POPULATION IN 2021 OF 119,250. THE ESTIMATED POPULATION FOR SHANNON'S SERVICE AREA AS OF 2022, INCLUDING TOM GREEN COUNTY, IS 347,713 (U.S. CENSUS BUREAU, STATE AND COUNTY QUICKFACTS). THE COUNTIES INCLUDED IN THE SHANNON SERVICE AREA ARE BROWN, COKE, CONCHO, COLEMAN, CROCKETT, HOWARD, IRION, KIMBLE, MASON, MCCULLOCH, MENARD, MILLS, MITCHELL, NOLAN, PECOS, REAGAN, RUNNELS, SAN SABA, SCHLEICHER, STERLING, SUTTON, TERRELL, TOM GREEN, UPTON, AND VAL VERDE. A BREAKDOWN OF TOM GREEN COUNTY DEMOGRAPHICS IS AS FOLLOWS. (SOURCE: U.S. CENSUS BUREAU, STATE AND COUNTY QUICKFACTS, THE COUNTY INFORMATION PROJECT, TEXAS ASSOCIATION OF COUNTIES.) TOM GREEN COUNTY AGE DISTRIBUTION 1. UNDER 18 YEARS OLD - 23.9% (28,415) 2. 18-64 YEARS OLD - 60.0% (71,335) 3. 65 YEARS AND OLDER - 16.1% (19,142) TOM GREEN COUNTY ETHNIC DISTRIBUTION (MORE THAN ONE CATEGORY MAY BE SELF-REPORTED) 1. CAUCASIAN - 51.1% (60,754) 2. HISPANIC - 42.0% (49,935) 3. BLACK - 4.5% (5,350) 4. OTHER - 2.4% (2,853) TOM GREEN COUNTY (HOUSEHOLD) 1. MEDIAN HOUSEHOLD INCOME - $62,052 (TEXAS: $67,321, US: $69,021) 2. PERSONS LIVING IN POVERTY LEVEL - 13.2% (TEXAS: 14.2%, US: 11.6%) TOM GREEN COUNTY HEALTH INDEX 1. TOM GREEN COUNTY UNINSURED - 17.5% (TEXAS: 20.4%, US: 9.8%) SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: IN A COUNTY WITH NO HOSPITAL TAXING AUTHORITY, A HOSPITAL WHOSE MISSION REFLECTS COMMITMENT TO TREATING PATIENTS WITHOUT REGARD TO ABILITY TO PAY IS A HIGHLY DESIRABLE AND PIVOTAL POINT OF COMMUNITY HEALTH CARE. FOR MORE THAN 88 YEARS, SHANNON HAS EMBRACED SUCH A MISSION AND FOLLOWS THROUGH ON THE WISHES OF OUR BENEFACTOR, MARGARET SHANNON, IN PROVIDING CARE FOR THE PEOPLE OF WEST TEXAS. OUR CHARITY CARE FIGURE OF MORE THAN $59,828,033 WOULD BE A BURDEN TO THE TAXPAYERS OF TOM GREEN COUNTY, AND MANY OTHER COUNTIES WHOSE CITIZENS DIRECTLY BENEFIT FROM HER GENEROSITY. THE SHANNON CARE COORDINATION PROGRAM IS DESIGNED TO ASSIST IN THE HEALTHCARE OF CHRONICALLY ILL PATIENTS WITH MULTIPLE DISEASE PROCESSES. THE PROGRAM MANAGES HIGH-RISK PATIENTS WITH MULTIPLE DISEASE PROCESSES, ADDRESSES SOCIAL AND HEALTHCARE BARRIERS, AND SUPPORTS PATIENTS' GOALS OF INDEPENDENCE IN THEIR HEALTH CARE MANAGEMENT. THE SHANNON CARE COORDINATION PROGRAM WAS DEVELOPED AS A PATIENT-CENTRIC STRATEGY TO IMPACT PATIENT CARE BEYOND THE FOUR WALLS OF THE HOSPITAL. THE SHANNON CARE COORDINATION PROGRAM IS DESIGNED TO IMPROVE PATIENT OUTCOMES BY UTILIZING A TEAM TO FOCUS ON POPULATION HEALTH EFFORTS AS IT RELATES TO CHRONIC DISEASE. THE PROGRAM'S STRUCTURE AND ABILITY TO UTILIZE A TEAM TO FOCUS ON POPULATION HEALTH EFFORTS AS IT RELATES TO CHRONIC DISEASE HAS PROVIDED SHANNON HEALTH THE OPPORTUNITY TO IDENTIFY POSSIBLE AREAS FOR PATIENT CARE-ALL IN SERVICE OF PROVIDING CARE TO PATIENTS IN THE COMMUNITY. THE PROGRAM SERVES PATIENTS DISCHARGING FROM THE HOSPITAL WITH CONGESTIVE HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AS WELL AS PATIENTS AT HIGH-RISK FOR READMISSION, WHICH INCLUDES COVID-19 PATIENTS. KEY AREAS OF THE PROGRAM INCLUDE: MEDICATION MANAGEMENT, ADDRESSING SOCIAL BARRIERS, AND HELPING THE PATIENT MANAGE THEIR CHRONIC CONDITION AT HOME. SHANNON PROVIDED $485,716 FOR THE OPERATION OF THIS PROGRAM. SHANNON PROVIDED ACCESS AND SUPPORT SERVICES FOR INDIGENT PATIENTS, INCLUDING $15,052 IN TRANSPORTATION VOUCHERS AND $10,836 FOR DURABLE MEDICAL EQUIPMENT, OUTPATIENT OXYGEN, OUTPATIENT PRESCRIPTION ASSISTANCE, AND MOTEL EXPENSES FOR COVID-19 POSITIVE PATIENTS DISCHARGED FROM THE HOSPITAL. SHANNON PROVIDES A HOST OF COMMUNITY EDUCATION EVENTS RELATED TO TOPICS SUCH AS DIABETES MANAGEMENT AND PREVENTION, SUMMER SAFETY FOR CHILDREN, FITNESS AND NUTRITION, CHILDBIRTH AND CHILDCARE, STRESS MANAGEMENT, CANCER PREVENTION AND MANAGEMENT, AND ALZHEIMER'S. THROUGH EDUCATIONAL EVENTS AND VARIOUS COMMUNITY EVENTS, HEALTH PROFESSIONALS RELAY CURRENT HEALTH INFORMATION TO THE PUBLIC. REPRESENTATIVES FROM DIFFERENT DEPARTMENTS PROVIDE SUPPORT AND PARTICIPATE IN LOCAL HEALTH FAIRS AND HEALTH-RELATED COMMUNITY EVENTS WHERE THEY PROVIDE EDUCATIONAL MATERIAL. IN ADDITION TO PUBLIC OUTREACH EVENTS, SHANNON PUBLISHES THE HEALTHBEAT NEWSLETTER MAGAZINE WHICH IS DELIVERED TO 30,000 HOUSEHOLDS AND PRODUCES HEALTHBEAT TELEVISION SPOTS THAT AIR DURING THE 6 AND 10 P.M. NEWS HOURS ON TWO LOCAL STATIONS. SHANNON CONTRIBUTED $163,307 FOR THESE PROGRAMS. SHANNON DONATED FUNDS TO SOCIAL SERVICES AND COMMUNITY-BASED EFFORTS, SUCH AS HOSTING VITALANT BLOOD DRIVES. THIS SUPPORT IS PROVIDED AT A COST OF $6,971. SHANNON CONTRIBUTES PLANNING AND FINANCIAL ASSISTANCE TO COMMUNITY BUILDING EFFORTS. THIS PAST FISCAL YEAR, $144,473 WAS DONATED TO OTHER COMMUNITY ORGANIZATIONS INCLUDING SAN ANGELO INDEPENDENT SCHOOL DISTRICT, ANGELO STATE UNIVERSITY FOUNDATION, SAN ANGELO STOCK SHOW AND RODEO, WEST TEXAS REHABILITATION CENTER, YMCA OF SAN ANGELO, LAURA BUSH INSTITUTE FOR WOMEN'S HEALTH, AND MANY OTHERS. SHANNON HAS RECOGNIZED A COMMUNITY NEED TO OFFER SUPPORTIVE SERVICES TO PARENTS AND FAMILIES SUFFERING FROM EARLY PREGNANCY LOSS, STILLBIRTH, OR NEWBORN DEATH. THE WHITE ROSE SUPPORT GROUP AT SHANNON HOSTS A 5-PART SESSION CALLED "GRIEVING THE CHILD I NEVER KNEW" TO OFFER INSIGHT, ENCOURAGEMENT, HEALING, HOPE, AND SHARING FOR FAMILIES EXPERIENCING PERINATAL LOSS. FURTHERMORE, THE WHITE ROSE SUPPORT GROUP HOSTS A WALK TO REMEMBER AND CANDLELIGHT EVENT FOR THOSE WHO HAVE SUFFERED. THESE EVENTS ARE PROVIDED AT A COST OF $25,094 TO SHANNON. SHANNON PARTNERS WITH THE AMERICAN HEART ASSOCIATION TO EDUCATE, RAISE AWARENESS AND PREVENT HEART DISEASE AND STROKE. SHANNON UNDERSTANDS THAT CONTINUED EDUCATION AND AWARENESS IS CRUCIAL FOR WOMEN AND MEN TO FIGHT THIS DEADLY DISEASE. THIS SPONSORSHIP IS PROVIDED AT A COST OF $10,000 TO SHANNON. SHANNON IS THE ONLY PROVIDER THAT OPERATES THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) IN THE SHANNON SERVICE ARE. SANE TRAINED NURSES WORK WITH THE CHILDREN'S ADVOCACY CENTER, THE CONCHO VALLEY RAPE CRISIS CENTER AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE TRAINING AND SERVICES RELATED TO SEXUAL ASSAULT CRISES. SCHEDULE H, PART VI, LINE 6 Affiliated health care system: SHANNON, A NON-PROFIT HEALTH SYSTEM ESTABLISHED IN THE 1930'S. SHANNON MEDICAL CENTER IS PROUD TO BE THE LARGEST, LOCALLY-BASED HEALTH CARE PROVIDER FOR THE CONCHO VALLEY AND SURROUNDING REGION IN WEST TEXAS. FOR MORE THAN 87 YEARS, THE SHANNON MISSION HAS FOCUSED ON PROVIDING EXCEPTIONAL HEALTHCARE FOR ITS FAMILY, FRIENDS AND NEIGHBORS. SHANNON SERVES A 25-COUNTY REGION AND PROVIDES ACCESS TO MORE THAN 350 PROVIDERS IN 40 MEDICAL SPECIALTIES ACROSS 25 LOCATIONS. SHANNON'S SERVICES INCLUDE: - NATIONALLY-RECOGNIZED CARDIAC AND STROKE PROGRAMS - AIRMED1 ROTOR AND FIXED WING AIR AMBULANCE SERVICE - LEVEL III TRAUMA FACILITY WHICH HAS BEEN NAMED TOP TRAUMA FACILITY IN THE STATE - BLUE CROSS BLUE SHIELD DESIGNATED BARIATRIC SURGERY PROGRAM - DESIGNATED ORTHOPEDIC CENTER OF EXCELLENCE - DEDICATED WOMEN'S & CHILDREN'S HOSPITAL SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS SCHEDULE H, PART I, LINE 7, COLUMN F COMMUNITY BENEFIT EXPENSE: Bad debt expense of $75,691,453 was included on form 990, part ix, line 25, column (A), but was subtracted from total expense for the calculation of "percent of total expense" in this column. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 4, 5 & 7 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT PROCESS. Worksheet 8 was completed using the organization internal accounting system. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: Shannon actively participates in various community-based boards. Shannon contributes planning and financial assistance to community building efforts as part of its annual marketing budget. This past fiscal year, Shannon donated to other community organizations including San Angelo Independent School District, Angelo State University Foundation, San Angelo Stock Show and Rodeo, West Texas Rehabilitation Center, YMCA of San Angelo, Laura Bush Institute for Women's Health, and many others. Shannon actively participates in various community coalitions and other collaborative efforts with the community to address health and safety issues. true HOWARD COLLEGE 3501 N US HWY 67 SAN ANGELO TX 76905 756001827 501(C)(3) 65000 ADN & LVN TO RN PROGRAM 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS: THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. This contribution is designated to cover the salary of an instructor, and we monitor the number of graduates each year with the expectation that there are at least as many graduates as the prior year - so far, they are meeting the goal. X true true X X X X false true false false false false false false false KELLY SHANE PLYMELL CEO 693348 0 150417 0 95272 0 89022 0 25544 0 1053603 0 95272 PAMELA BRADSHAW COO 359570 0 77218 0 67358 0 62995 0 25544 0 592685 0 67358 DR JAMES C BARNETT CMO 491156 0 94007 0 72359 0 68965 0 16594 0 743081 0 72359 JOSEPH W WOOLDRIDGE CFO 298964 0 63558 0 16296 0 53649 0 25544 0 458011 0 16296 DR JASON FELGER DIRECTOR/Physician 0 729556 0 62893 0 96154 0 81276 0 36534 0 1006413 95464 STACI R WETZ FORMER CFO 143454 0 12711 0 33020 0 5986 0 14835 0 210006 0 33020 REBECCA FUENTES CNO 172371 0 12711 0 0 0 6944 0 5763 0 197789 0 RODNEY M SCHUMACHER EXECUTIVE DIRECTOR 279561 0 711 0 0 0 4872 0 11564 0 296708 0 ANA MIHAIL PHYSICIST 239440 0 1372 0 0 0 9807 0 14848 0 265467 0 MICHAEL P RUSSELL CHIEF INFORMATION OFFICER 212594 0 12711 0 0 0 8748 0 14879 0 248932 0 JAMES G NAYLOR CHIEF ECHO SONOGRAPHER 204468 0 1365 0 0 0 8607 0 14845 0 229285 0 GREGORY W WHEELER DIRECTOR 197728 0 10711 0 0 0 7747 0 5725 0 221911 0 ALLAN GRAVES GENERAL COUNSEL/CHIEF LEGAL OF 303986 0 64969 0 25031 0 53362 0 25544 0 472892 0 25031 JOE HENDERSON Former Trustee 12215 12215 SCHEDULE J, PART I, LINE 1A PROVIDED HEALTH, SOCIAL DUES OR INITIATION FEES KELLY SHANE PLYMELL RECEIVES MEMBERSHIP TO BENTWOOD COUNTRY CLUB EXCLUSIVELY FOR BUSINESS USE. ANY PERSONAL USE IS REIMBURSED BY THE OFFICER AND THEREFORE NO AMOUNTS ARE REPORTABLE ON HIS FORM W-2. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: FIXED CONTRIBUTION - THE PARTICIPANT'S ALLOWANCE PERCENTAGE FOR THE PLAN YEAR MULTIPLIED BY THE PARTICIPANT'S BASE SALARY FOR THE PRECEDING PLAN YEAR. DISCRETIONARY CONTRIBUTION - THE AMOUNT DETERMINED BY THE COMMITTEE, IN ITS SOLE DISCRETION, ON BEHALF OF A PARTICIPANT FOR THE PLAN YEAR BASED UPON CRITERIA ESTABLISHED BY THE COMMITTEE, IN ITS SOLE DISCRETION. THE APPLICABLE PLAN YEAR OF THE DISCRETIONARY CONTRIBUTION SHALL BE PLAN YEAR DURING WHICH IT IS CREDITED TO THE PARTICIPANT'S MUTUAL FUND ACCOUNT PURSUANT TO SECTION 2.1.3.2 OF EXHIBIT A TO THE PLAN. HOWEVER, THE COMMITTEE, IN ITS SOLE DISCRETION, MAY DETERMINE THE AMOUNT OF THE DISCRETIONARY CONTRIBUTION BASED UPON CRITERIA RELATING TO THE PRECEDING PLAN YEAR, AS MEASURED DURING THE FISCAL YEAR OF THE COMPANY ENDING IN SUCH PRECEDING PLAN YEAR. 457(F) DETAIL PARTICIPANT W-2 DEFERRED COMP PAYOR ------------ --------- --------------- ----------- KELLY SHANE PLYMELL $95,272 $77,422 SMC JAMES BARNETT $72,359 $57,365 SMC PAMELA BRADSHAW $67,358 $51,395 SMC ALLAN GRAVES $25,031 $43,774 SMC JOSEPH WOOLDRIDGE $16,296 $42,049 SMC STACI WETZ $33,020 NONE SMC JASON FELGER $95,464 $69,676 SC FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: SHANNON HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE BOARD OF DIRECTORS SHALL CONSIST OF EACH OF THE SEVEN TRUSTEES OF THE MARGARET SHANNON ESTATE, A TESTAMENTARY TRUST. THE OTHER DIRECTORS SHALL CONSIST OF REPRESENTATIVES OF THE COMMUNITY AND MEMBERS OF THE MEDICAL STAFF OF THE HOSPITAL, TO NUMBER IN AGGREGATE NOT MORE THAN SEVEN WHO ARE APPOINTED BY THE MEMBER AND THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL: APPROVAL OF THE SOLE MEMBER, SHANNON HEALTH SYSTEM, IS REQUIRED FOR BUDGETS, LARGE FINANCIAL EXPENDITURES THAT DEVIATE FROM BUDGET, SALE OF PROPERTY, MERGER, ACQUISITION, OR CONSOLIDATION, BORROWING OF MONEY, SEEKING OR GIVING GRANTS, SETTLEMENT OF CLAIMS OR LITIGATION, AMENDMENT OF BYLAWS, AND CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: WE REGULARLY AUDIT FOR CONFLICT OF INTEREST STATEMENTS IN THE EMPLOYEES RECORDS. PROCEDURE FOR MONITORING: 1. WITHIN 90 DAYS OF BECOMING AN AFFECTED INDIVIDUAL, THAT INDIVIDUAL MUST REVIEW THIS POLICY AND COMPLETE AN SMC CONFLICT OF INTEREST DISCLOSURE FORM. 2. AT LEAST ANNUALLY THEREAFTER, AFFECTED INDIVIDUALS MUST REVIEW THIS POLICY AND COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. 3. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE SENT TO THE SMC COMPLIANCE OFFICER. 4. AT ANY TIME WHEN AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST ARISES, THE AFFECTED INDIVIDUAL MUST REVISE HIS OR HER CONFLICT OF INTEREST DISCLOSURE FORM AND CONTACT THE SMC COMPLIANCE OFFICER. THE RESPONSIBILITY TO PROMPTLY REPORT SUCH ACTUAL OR POTENTIAL CONFLICTS RESTS WITH THE AFFECTED INDIVIDUAL. 5. THE SMC COMPLIANCE OFFICER WILL REVIEW DISCLOSURES AND DETERMINE WHICH REQUIRE FURTHER ACTION WITH THE SMC GENERAL COUNSEL AND APPROPRIATE SMC EXECUTIVE STAFF. FORM 990, PART VI, SECTION B, LINE 15A & 15B REVIEW OF COMPENSATION: GALLAGHER COMPLETED AN EXECUTIVE COMPENSATION STUDY IN 2022, AND IT COVERED ALL EXECUTIVE SALARIES. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES' OPERATIONS COMMITTEE, WHICH CONSULTS COMPARABILITY DATA AND KEEPS CONTEMPORANEOUS RECORDS OF ITS DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES Transfers to/from affiliates: (85,476,817) Change in Shannon Trust Net Assets: 24,879,427 Net Assets Released from Restriction: (25,648,915) Other Changes (111,043) ------------------ Total (86,357,348) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:28882631 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:7257355 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:20753996 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:303180 TRUSTEES SHANNON WEST TEXAS HOSPITAL PO BOX 49 SAN ANGELO TX 76902 750800679 TRUST TX 501(C)(3) 12B NA false SHANNON RURAL HEALTH CLINICS INC 120 E HARRIS AVE SAN ANGELO TX 76903 752940211 HEALTHCARE TX 501(C)(3) 12C SMC true SHANNON CLINIC 120 E BEAUREGARD AVE SAN ANGELO TX 76903 752600873 HEALTHCARE TX 501(C)(3) 10 SHS true SHANNON REAL ESTATE SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 270075630 SUPPORT SVCS TX 501(C)(3) 12A SMC true SHANNON HEALTH SYSTEM 120 E HARRIS AVE SAN ANGELO TX 76903 752602411 SUPPORT SVCS TX 501(C)(3) 12B TSWTH true SHANNON BUSINESS SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 432038769 SUPPORT SVCS TX 501(C)(3) 12A SMC true SHANNON MEDICAL MANAGEMENT 120 E BEAUREGARD AVE SAN ANGELO TX 76903 208367966 SUPPORT SVCS TX 501(C)(3) 12B SHS true SHANNON MEDICAL CENTER PIONEER FDN 120 E HARRIS AVE SAN ANGELO TX 76903 352229303 SUPPORT TX 501(C)(3) 12A SMC true LEGACY MANAGEMENT SERVICES 2018 PULLIAM ST SAN ANGELO TX 76903 752544450 MANAGEMENT TX NA C - CORPORATION 0 0 false LEGACY HEALTH SOLUTIONS 2018 PULLIAM ST SAN ANGELO TX 76903 200720762 MED INSURANCE TX NA C - CORPORATION 0 0 false false false true false false false false false false true true false false true true true true true true SHANNON BUSINESS SERVICES C 1913020 FMV SHANNON REAL ESTATE SERVICES K 1114683 FMV SHANNON BUSINESS SERVICES P 29339709 FMV SHANNON CLINIC P 26642440 FMV SHANNON MEDICAL MANAGEMENT P 4361494 FMV SHANNON BUSINESS SERVICES Q 811332 FMV SHANNON CLINIC Q 12453855 FMV SHANNON MEDICAL MANAGEMENT Q 30671581 FMV SHANNON BUSINESS SERVICES R 16829820 FMV SHANNON CLINIC R 197700169 FMV SHANNON MEDICAL MANAGEMENT R 32338914 FMV SHANNON REAL ESTATE SERVICES R 14577824 FMV SHANNON BUSINESS SERVICES S 19899215 FMV SHANNON CLINIC S 195671782 FMV