SHANNON CLINIC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SHANNON CLINIC (EIN 75-2600873)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-15
- IRS object ID
- 202332279349303698
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-15T17:09:48-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752600873 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shannon Clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JULIAN BESERIL | InCareOfNm |
| Business Name Control | SHAN | BusinessNameControlTxt |
| Phone | 3256581511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 22000 | AddressLine1Txt |
| City | San Angelo | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIAN BESERIL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3256581511 | PhoneNum |
| Signature | 2023-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JULIAN | PersonFirstNm |
| Person Last | BESERIL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NOELLE ALBERTO | PreparerPersonNm |
| PTIN | P01704142 | PTIN |
| Phone | 9727028262 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KELLY SHANE PLYMELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22000 | AddressLine1Txt |
| City | SAN ANGELO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $265,211,933 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SHANNONHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS, AND NEIGHBORS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 371 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,625,416 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,571,738 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $233,719,059 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $260,581,585 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,976 | PYInvestmentIncomeAmt |
| CY Investment Income | $58,610 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $237,377,451 | PYTotalRevenueAmt |
| CY Total Revenue | $265,211,933 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $152,634,780 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $169,042,686 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $147,867,998 | PYOtherExpensesAmt |
| CY Other Expenses | $162,673,801 | CYOtherExpensesAmt |
| PY Total Expenses | $300,502,778 | PYTotalExpensesAmt |
| CY Total Expenses | $331,716,487 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$63,125,327 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$66,504,554 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,059,084 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,989,767 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $57,521,226 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $48,359,385 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$7,462,142 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,369,618 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO BE THE PREMIER HEALTH CARE PROVIDER OF PHYSICIAN SERVICES IN THE COMMUNITIES WE SERVE UTILIZING THE RESOURCES AVAILABLE TO US. WE STRIVE TO PROVIDE THE BEST ACCESS, SERVICE AND MEDICAL MANAGEMENT AVAILABLE TO OUR PATIENTS WHILE SIMULTANEOUSLY PROTECTING THE VIABILITY OF OUR ORGANIZATION AND ITS EMPLOYEES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $307,484,931 | ExpenseAmt |
| Revenue | $260,581,585 | RevenueAmt |
| Desc | PROVIDE HEALTH CARE SERVICES AS A MULTI-SPECIALTY PHYSICIAN CLINIC AT LOCATIONS THROUGHOUT SAN ANGELO AND NEARBY COMMUNITIES REGARDLESS OF ABILITY TO PAY, INCLUDING CALL COVERAGE FOR SHANNON MEDICAL CENTER, AN AFFILIATED NON-PROFIT HOSPITAL. SHANNON CLINIC IS ORGANIZED AND OPERATED TO PROVIDE ACCESS AND CARE FOR RESIDENTS OF ITS SERVICE AREA, INCLUDING MEDICALLY INDIGENT PATIENTS. RECRUITMENT FOR PROVIDERS INCLUDES NEW PHYSICIANS AND MID-LEVEL PROVIDERS TO EXPAND URGENT CARE AND PRIMARY CARE ACCESS TO COMMUNITIES SERVED, AND SPECIALISTS TO ALLOW SHANNON MEDICAL CENTER TO PROVIDE CARE TO ITS PATIENTS REGARDLESS OF ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $307,484,931 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 103 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 371 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIAN BESERIL | PersonNm |
| Phone | 3256581511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ADMINISTRATION 120 E BEAUREGARD | AddressLine1Txt |
| City | SAN ANGELO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LUIS DUARTE | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $3,548,759 | $0 | $105,997 | ||||
| CHRISTOPHER HADDAD | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $2,208,561 | $0 | $122,825 | ||||
| RUDY HADDAD | ||||||||||
| PHYSICIAN/CHAIRMAN | 40.0 | 0.0 | $1,970,871 | $0 | $122,825 | Yes (X) | Yes (X) | |||
| RAJANARENDER CHERUKU | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $1,904,599 | $0 | $86,505 | ||||
| STEVE RITTER | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $1,646,042 | $0 | $78,305 | ||||
| JOSEPH HOBBS | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $1,613,021 | $0 | $99,853 | ||||
| ROSS HARPER | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | $1,087,073 | $0 | $110,131 | Yes (X) | ||||
| KELLY SHANE PLYMELL | ||||||||||
| PRESIDENT | 10.0 | 30.0 | $0 | $939,037 | $114,566 | Yes (X) | ||||
| JASON FELGER | ||||||||||
| PHYSICIAN / BOARD DIRECTOR | 40.0 | 0.0 | $888,603 | $0 | $117,810 | Yes (X) | ||||
| ANDREW T KINGMAN | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0.0 | $898,382 | $0 | $101,680 | Yes (X) | ||||
| LINDY BANKES | ||||||||||
| PHYSICIAN / BOARD SECRETARY | 40.0 | 0.0 | $849,376 | $0 | $84,822 | Yes (X) | ||||
| CALEB VOSBURG | ||||||||||
| PHYSICIAN / BOARD DIRECTOR | 40.0 | 0.0 | $812,846 | $0 | $108,677 | Yes (X) | ||||
| JENNY WIGGINS-SMITH | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0.0 | $684,256 | $0 | $92,328 | Yes (X) | ||||
| JOE MIMS | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | $671,507 | $0 | $72,717 | Yes (X) | ||||
| DR JAMES C BARNETT | ||||||||||
| PHYSICIAN | 2.0 | 38.0 | $0 | $657,522 | $85,559 | Yes (X) | ||||
| LINDA ADAMS | ||||||||||
| PHYSICIAN/FORMER OFFICER | 40.0 | 0.0 | $544,539 | $0 | $93,868 | Yes (X) | ||||
| KELLY KOENIG | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0.0 | $527,350 | $0 | $90,001 | Yes (X) | Yes (X) | |||
| DAVID BOSWELL | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0.0 | $525,041 | $0 | $89,383 | Yes (X) | ||||
| DOUG SCHULTZ | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0.0 | $540,181 | $0 | $59,553 | Yes (X) | ||||
| JOE HARVEY | ||||||||||
| PHYSICIAN/FORMER OFFICER | 40.0 | 0.0 | $489,428 | $0 | $89,829 | Yes (X) | ||||
| PAUL BORGFELD | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0.0 | $466,629 | $0 | $87,804 | Yes (X) | ||||
| RICARDO VILLARREAL | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 5.0 | 35.0 | $0 | $441,604 | $81,173 | Yes (X) | ||||
| SARAH JACKSON VANCE | ||||||||||
| PHYSICIAN/CHAIRMAN | 40.0 | 0.0 | $435,470 | $0 | $76,107 | Yes (X) | Yes (X) | |||
| NORMA CERNA | ||||||||||
| PHYSICIAN / BOARD DIRECTOR | 40.0 | 0.0 | $432,473 | $0 | $57,642 | Yes (X) | ||||
| ALLAN GRAVES | ||||||||||
| GENERAL COUNCIL | 5.0 | 35.0 | $0 | $393,986 | $78,906 | Yes (X) | ||||
| VICKI FORLANO HALFMANN | ||||||||||
| PHYSICIAN / BOARD DIRECTOR | 40.0 | 0.0 | $412,833 | $0 | $40,498 | Yes (X) | ||||
| JULIAN BESERIL | ||||||||||
| CFO | 5.0 | 35.0 | $0 | $322,039 | $60,135 | Yes (X) | ||||
| STACI WETZ | ||||||||||
| FORMER CFO/CONTROLLER | 1.0 | 39.0 | $0 | $189,185 | $20,821 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $22,745,007 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,432,149 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,308,866 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 309 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHANNON MEDICAL MANAGEMENT | |||||
| 120 E BEAUREGARD | SAN ANGELO | TX | 76903 | MANAGEMENT SERVICES | $83,129,618 |
| LOCUMTENENSCOM | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | LOCUMS SERVICES | $440,129 |
| DIRECT RADIOLOGY WA PLLC | |||||
| 22100 BOTHELL EVERETT HIGHWAY | BOTHEL | WA | 98021 | LOCUMS SERVICES | $431,243 |
| SHANNON MEDICAL CENTER | |||||
| 120 E HARRIS | SAN ANGELO | TX | 76903 | LAB & LAUNDRY SVCS | $9,049,237 |
| STONE SETTLE ADVERTISING INC | |||||
| 3441 GRANDVIEW DR | SAN ANGELO | TX | 76904 | MARKETING SERVICES | $362,106 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,571,738 | GovernmentGrantsAmt |
| Total Contributions | $4,571,738 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621990 | $233,302,289 | $233,302,289 |
| Lease Income | 532000 | $57,350 | $57,350 |
| Other Operating Revenue | 900099 | $4,129,598 | $4,129,598 |
| Hospital Based Physicians' Assistance | 621990 | $23,092,348 | $23,092,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $260,581,585 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,610 | TotalRevenueColumnAmt |
| Exclusion | $58,610 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $265,211,933 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $260,581,585 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $58,610 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,514,868 | TotalAmt |
| Program Services | $12,514,868 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,217,664 | TotalAmt |
| Program Services | $1,217,664 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,688,570 | TotalAmt |
| Program Services | $130,436,558 | ProgramServicesAmt |
| Management And General | $5,252,012 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,718,590 | TotalAmt |
| Program Services | $7,417,056 | ProgramServicesAmt |
| Management And General | $2,301,534 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,510,415 | TotalAmt |
| Program Services | $3,330,300 | ProgramServicesAmt |
| Management And General | $1,180,115 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,392,579 | TotalAmt |
| Program Services | $4,039,878 | ProgramServicesAmt |
| Management And General | $1,352,701 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,379,571 | TotalAmt |
| Program Services | $75,972,635 | ProgramServicesAmt |
| Management And General | $13,406,936 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662 | TotalAmt |
| Management And General | $662 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,794 | TotalAmt |
| Management And General | $65,794 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,095,131 | TotalAmt |
| Program Services | $15,905,116 | ProgramServicesAmt |
| Management And General | $190,015 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,339 | TotalAmt |
| Program Services | $26,339 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,454 | TotalAmt |
| Program Services | $479,094 | ProgramServicesAmt |
| Management And General | $19,360 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,700 | TotalAmt |
| Program Services | $117,045 | ProgramServicesAmt |
| Management And General | $20,655 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,325 | TotalAmt |
| Program Services | $127,851 | ProgramServicesAmt |
| Management And General | $7,474 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,369 | TotalAmt |
| Program Services | $364,369 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,082,721 | TotalAmt |
| Program Services | $937,515 | ProgramServicesAmt |
| Management And General | $145,206 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,081,992 | TotalAmt |
| Program Services | $1,000,664 | ProgramServicesAmt |
| Management And General | $81,328 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt | $32,399,974 | $32,399,974 | |
| Medical Supplies | $19,299,723 | $19,299,723 | |
| Equipment Expense | $720,529 | $612,450 | $108,079 |
| Education | $551,599 | $551,599 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $833,918 | TotalAmt |
| Program Services | $734,233 | ProgramServicesAmt |
| Management And General | $99,685 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,716,487 | TotalAmt |
| Program Services | $307,484,931 | ProgramServicesAmt |
| Management And General | $24,231,556 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$359,673 | BOYAmt |
| EOY | -$1,255,499 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,823,580 | BOYAmt |
| EOY | $16,313,656 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,465,895 | BOYAmt |
| EOY | $2,209,028 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,405,800 | BOYAmt |
| EOY | $1,381,820 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,282 | BOYAmt |
| EOY | $453,546 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,551,959 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,395,229 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,281,118 | BOYAmt |
| EOY | $3,156,730 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,878,082 | BOYAmt |
| EOY | $23,730,486 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,059,084 | BOYAmt |
| EOY | $45,989,767 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,922,663 | BOYAmt |
| EOY | $20,581,761 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,498,563 | BOYAmt |
| EOY | $27,777,624 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,521,226 | BOYAmt |
| EOY | $48,359,385 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,462,142 | BOYAmt |
| EOY | -$2,369,618 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,462,142 | BOYAmt |
| EOY | -$2,369,618 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,059,084 | BOYAmt |
| EOY | $45,989,767 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$66,504,554 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $71,597,078 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,600 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,625,416 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,571,738 | CurrentTaxYearAmt |
| Total | $8,200,754 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,090,402 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $192,713,594 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $191,563,249 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $233,719,059 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $260,581,585 | CurrentTaxYearAmt |
| Total | $1,048,667,889 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,090,402 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $192,713,594 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $191,566,849 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $237,344,475 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $265,153,323 | CurrentTaxYearAmt |
| Total | $1,056,868,643 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,056,868,643 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,184 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,578 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,602 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,976 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $58,610 | CurrentTaxYearAmt |
| Total | $167,950 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,184 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,578 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,602 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,976 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $58,610 | CurrentTaxYearAmt |
| Total | $167,950 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,119,586 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $192,721,172 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $191,606,451 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $237,377,451 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $265,211,933 | CurrentTaxYearAmt |
| Total | $1,057,036,593 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99984 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00016 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,551,959 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,395,229 | DepreciationAmt |
| Book Value | $3,156,730 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $3,156,730 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Retirement Fund | $23,729,596 |
| Due from Related Org | $890 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $23,730,486 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Fund Liability | $23,700,695 |
| Health Claims Payable | $591,348 |
| Estimated Malpractice Costs | $3,151,200 |
| Payable to Medicare | $334,381 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,777,624 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $142,784,370 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $142,784,370 | RevenueSubtotalAmt |
| Other Revenues Not Included | $122,427,563 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $122,427,563 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $265,211,933 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $209,288,924 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $209,288,924 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $122,427,563 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $122,427,563 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $331,716,487 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | 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. |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH TAX RETURN INCOME/EXPENSE RECLASSES FROM AUDIT $ 90,027,589 BAD DEBT EXPENSE 32,399,974 ------------- TOTAL $122,427,563 |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH TAX RETURN INCOME/EXPENSE RECLASSES FROM AUDIT $ 90,027,589 BAD DEBT EXPENSE 32,399,974 ------------- TOTAL $122,427,563 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDY BANKES | ||||||||||||||
| PHYSICIAN / BOARD SECRETARY | $617,946 | $143,729 | $87,701 | $56,916 | $27,906 | $934,198 | $67,901 | |||||||
| DR JAMES C BARNETT | ||||||||||||||
| PHYSICIAN | $491,156 | $94,007 | $72,359 | $68,965 | $16,594 | $743,081 | $72,359 | |||||||
| JULIAN BESERIL | ||||||||||||||
| CFO | $243,093 | $51,144 | $27,802 | $42,672 | $17,463 | $382,174 | $27,352 | |||||||
| PAUL BORGFELD | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $362,334 | $54,002 | $50,293 | $58,341 | $29,463 | $554,433 | $48,313 | |||||||
| DAVID BOSWELL | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $370,630 | $73,098 | $81,313 | $55,940 | $33,443 | $614,424 | $61,513 | |||||||
| NORMA CERNA | ||||||||||||||
| PHYSICIAN / BOARD DIRECTOR | $295,808 | $80,789 | $55,876 | $28,840 | $28,802 | $490,115 | $55,576 | |||||||
| JASON FELGER | ||||||||||||||
| PHYSICIAN / BOARD DIRECTOR | $729,556 | $62,893 | $96,154 | $81,276 | $36,534 | $1,006,413 | $95,464 | |||||||
| ALLAN GRAVES | ||||||||||||||
| GENERAL COUNCIL | $303,986 | $64,969 | $25,031 | $53,362 | $25,544 | $472,892 | $25,031 | |||||||
| RUDY HADDAD | ||||||||||||||
| PHYSICIAN/CHAIRMAN | $787,641 | $1,053,916 | $129,314 | $91,540 | $31,285 | $2,093,696 | $109,514 | |||||||
| VICKI FORLANO HALFMANN | ||||||||||||||
| PHYSICIAN / BOARD DIRECTOR | $249,412 | $94,571 | $68,850 | $11,600 | $28,898 | $453,331 | $47,370 | |||||||
| ROSS HARPER | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $627,943 | $365,592 | $93,538 | $75,501 | $34,630 | $1,197,204 | $93,238 | |||||||
| SARAH JACKSON VANCE | ||||||||||||||
| PHYSICIAN/CHAIRMAN | $278,252 | $96,597 | $60,621 | $61,540 | $14,567 | $511,577 | $51,224 | |||||||
| ANDREW T KINGMAN | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $575,688 | $248,188 | $74,506 | $65,044 | $36,636 | $1,000,062 | $74,236 | |||||||
| KELLY KOENIG | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $302,322 | $156,118 | $68,910 | $61,540 | $28,461 | $617,351 | $68,610 | |||||||
| JOE MIMS | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $383,694 | $214,267 | $73,546 | $56,791 | $15,926 | $744,224 | $50,236 | |||||||
| KELLY SHANE PLYMELL | ||||||||||||||
| PRESIDENT | $693,348 | $150,417 | $95,272 | $89,022 | $25,544 | $1,053,603 | $95,272 | |||||||
| DOUG SCHULTZ | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $396,644 | $77,557 | $65,980 | $51,490 | $8,063 | $599,734 | $62,170 | |||||||
| RICARDO VILLARREAL | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $319,575 | $66,290 | $55,739 | $55,459 | $25,714 | $522,777 | $55,469 | |||||||
| CALEB VOSBURG | ||||||||||||||
| PHYSICIAN / BOARD DIRECTOR | $495,047 | $214,518 | $103,281 | $72,332 | $36,345 | $921,523 | $83,331 | |||||||
| JENNY WIGGINS-SMITH | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $318,425 | $294,361 | $71,470 | $62,292 | $30,036 | $776,584 | $71,170 | |||||||
| LUIS DUARTE | ||||||||||||||
| PHYSICIAN | $2,327,974 | $1,100,078 | $120,707 | $76,252 | $29,745 | $3,654,756 | $99,917 | |||||||
| CHRISTOPHER HADDAD | ||||||||||||||
| PHYSICIAN | $830,205 | $1,268,542 | $109,814 | $91,540 | $31,285 | $2,331,386 | $109,514 | |||||||
| STEVE RITTER | ||||||||||||||
| PHYSICIAN | $528,029 | $1,097,223 | $20,790 | $64,380 | $13,925 | $1,724,347 | $0 | |||||||
| JOSEPH HOBBS | ||||||||||||||
| PHYSICIAN | $1,086,224 | $438,110 | $88,687 | $70,108 | $29,745 | $1,712,874 | $88,387 | |||||||
| RAJANARENDER CHERUKU | ||||||||||||||
| PHYSICIAN | $1,494,442 | $310,023 | $100,134 | $73,404 | $13,101 | $1,991,104 | $78,654 | |||||||
| STACI WETZ | ||||||||||||||
| FORMER CFO/CONTROLLER | $143,454 | $12,711 | $33,020 | $5,986 | $14,835 | $210,006 | $33,020 | |||||||
| LINDA ADAMS | ||||||||||||||
| PHYSICIAN/FORMER OFFICER | $381,782 | $92,656 | $70,101 | $62,292 | $31,576 | $638,407 | $69,411 | |||||||
| JOE HARVEY | ||||||||||||||
| PHYSICIAN/FORMER OFFICER | $311,161 | $106,742 | $71,525 | $53,348 | $36,481 | $579,257 | $50,735 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | METHODS USED TO ESTABLISH COMPENSATION: SHANNON CLINIC'S (SC) EXECUTIVES ARE CONTRACTED THROUGH SHANNON MEDICAL MANAGEMENT (SMM), A RELATED 501(C)(3) ORGANIZATION. THEREFORE, SC RELIES ON THE METHODS USED BY SMM TO ESTABLISH THE COMPENSATION OF THE EXECUTIVES. |
| 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 ------------ --------- --------------- ----------- DR. JAMES C. BARNETT $72,359 NONE SC ALLAN GRAVES $25,031 $43,774 SMC KELLY SHANE PLYMELL $95,272 $77,422 SMC STACI WETZ $33,020 NONE SMC LINDA ADAMS $69,411 $50,692 SC LINDY BANKES $67,901 $43,316 SC PAUL BORGFELD $48,313 $46,741 SC DAVID BOSWELL $61,513 $44,340 SC NORMA CERNA $55,576 $41,180 SC LUIS DUARTE $99,917 $76,252 SC JASON FELGER $95,464 $69,676 SC CHRISTOPHER HADDAD $109,514 $79,940 SC RUDY HADDAD $109,514 $79,940 SC VICKI FORLANO HALFMANN $47,370 NONE SC ROSS HARPER $93,238 $63,901 SC JOE HARVEY $50,735 $41,748 SC JOSEPH HOBBS $88,387 $78,964 SC SARAH JACKSON VANCE $51,224 $49,940 SC ANDREW T. KINGMAN $74,236 $53,444 SC KELLY KOENIG $68,610 $49,940 SC JOE MIMS $50,236 $45,191 SC RAJANARENDER CHERUKU $78,654 $61,804 SC STEVE RITTER NONE $52,780 SC DOUG SHULTZ $62,170 $51,491 SC CALEB VOSBURG $83,331 $60,762 SC JENNY WIGGINS-SMITH $71,170 $50,692 SC RICARDO VILLAREAL $55,469 $43,859 SMM JULIAN BESERIL $27,352 $33,987 SMM |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | FAMILY RELATIONSHIPS: RUDY AND CHRISTOPHER HADDAD HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 3 | CONTROL OF MANAGEMENT DUTIES: ADMINISTRATIVE SERVICES FOR SHANNON CLINIC ARE CONTRACTED WITH SHANNON MEDICAL MANAGEMENT, A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS: SHANNON HEALTH SYSTEM, A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF SHANNON CLINIC. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT MEMBERS TO THE GOVERNING BODY: THE SOLE MEMBER, SHANNON HEALTH SYSTEM, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBER EXERCISES ITS POWERS AND AUTHORITY THROUGH THE ACTION OF THE CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER OR SUCH OTHER PERSON OR PERSONS DESIGNATED BY THE BOARD OF DIRECTORS OF THE MEMBER TO TAKE ACTION. |
| FORM 990, PART VI, SECTION A, LINE 7B | APPROVAL OF GOVERNANCE DECISIONS: THE MEMBER HAS THE SOLE AUTHORITY TO ACT WITH RESPECT TO A VARIETY OF SUBJECTS INCLUDING BUDGETING, INCURRENCE OR GUARANTEE OF ANY DEBT, CREATION OR SALE OF ANY SUBSIDIARIES, REAL PROPERTY TRANSACTIONS, MODIFICATIONS OF THE CORPORATION, ARRANGEMENTS BETWEEN THE CORPORATION AND ANY INSURER, ESTABLISHMENT OF TRAINING AND RESIDENCY PROGRAMS, GIVING AND RECEIVING GRANTS, AUDITOR AND LEGAL COUNSEL SELECTION, APPROVAL, ADOPTION, OR AMENDMENT OF: COMPENSATION POLICY THAT ESTABLISHES REASONABLE SALARIES OF OFFICERS, DIRECTORS, PHYSICIANS AND PHYSICIAN EXTENDERS, INSURANCE COVERAGE AND FEE SCHEDULES RELATING TO PATIENT SERVICES, COMMENCEMENT OF LITIGATION BY THE CORPORATION, SELECTION AND APPROVAL OF THE LOCATION OF THE PROVISION OF ANY SERVICES OFFERED BY THE CORPORATION AND ANY OTHER MATTERS WITH RESPECT TO WHICH EXCLUSIVE AUTHORITY IS GRANTED TO THE MEMBER BY LAW, THE ARTICLES, OR THE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW PROCESS FOR 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. THE MEMBER'S FINANCE COMMITTEE AND BOARD OF DIRECTORS REVIEW BEFORE THE FORM IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST: OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON CLINIC ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AS THEY ARISE, AND ARE REQUIRED TO FILE ANNUAL STATEMENTS AFFIRMING EITHER THE CONFLICTS OF INTEREST THAT THEY MAY HAVE, OR THAT THEY HAVE NO CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION REVIEW PROCESS: OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON CLINIC ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH HAVE THEIR COMPENSATION REVIEWED ANNUALLY BY THE INDEPENDENT SHANNON MEDICAL CENTER BOARD OF TRUSTEES, WHICH CONSULTS COMPARABILITY DATA AND KEEPS CONTEMPORANEOUS RECORDS OF ITS DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | PROCESS OF MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: TRANSFER FROM SHANNON MEDICAL CENTER $17,859,122 TRANSFER TO SHANNON BUSINESS SERVICES $(162,848) TRANSFER TO SHANNON REAL ESTATE SERVICES $(46,772) TRANSFER FROM SHANNON MEDICAL MANAGEMENT $69,286,095 TRANSFER TO SHANNON HEALTH SYSTEM $(15,338,516) OTHER TRANSFERS $(3) --------------- TOTAL $71,597,078 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TRUSTEES SHANNON WEST TEXAS HOSPITAL | ||||||||||
| PO BOX 49 | SAN ANGELO | TX | 76902 | 750800679 | TRUST | TX | 501(C)(3) | 12B | NA | false |
| SHANNON REAL ESTATE SERVICES INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 270075630 | SUPPORT SVCS | TX | 501(C)(3) | 12A | SMC | Yes (true) |
| SHANNON RURAL HEALTH CLINICS INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752940211 | HEALTHCARE | TX | 501(C)(3) | 12C | SMC | Yes (true) |
| SHANNON HEALTH SYSTEM | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752602411 | HEALTHCARE | TX | 501(C)(3) | 12B | TSWTMH | false |
| SHANNON MEDICAL CENTER | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752559845 | HEALTHCARE | TX | 501(C)(3) | 3 | SHS | Yes (true) |
| SHANNON BUSINESS SERVICES INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 432038769 | SUPPORT SVCS | TX | 501(C)(3) | 12A | SMC | Yes (true) |
| SHANNON MEDICAL MANAGEMENT | ||||||||||
| 120 E BEAUREGARD | SAN ANGELO | TX | 76903 | 208367966 | SUPPORT SVCS | TX | 501(C)(3) | 12B | SHS | Yes (true) |
| SHANNON MEDICAL CENTER PIONEER FDN | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 352229303 | SUPPORT | TX | 501(C)(3) | 12A | SMC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL CANCER TREATMENT CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 N MAGDALEN 120 | AddressLine1Txt |
| City | San Angelo | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752225955 | EIN |
| Primary Activities | RADIOTHERAPY | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| LEGACY MANAGEMENT SERVICES | |||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 752544450 | MANAGEMENT | TX | NA | C-CORPORATION | false |
| LEGACY HEALTH SOLUTIONS | |||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 200720762 | MED INSURANCE | TX | NA | C-CORPORATION | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SHANNON MEDICAL MANAGEMENT | ||
| M | $89,379,570 | BOOK VALUE |
| SHANNON HEALTH SYSTEM | ||
| R | $15,338,516 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| R | $162,848 | BOOK VALUE |
| SHANNON MEDICAL CENTER | ||
| S | $17,859,122 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| S | $69,286,095 | BOOK VALUE |
Comments