2023-08-15T17:09:48-05:00 2022-09-30 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-10-01 752600873 Shannon Clinic % JULIAN BESERIL SHAN 3256581511 PO Box 22000 San Angelo TX 76902 JULIAN BESERIL CFO 3256581511 2023-08-15 true JULIAN BESERIL 999009999 NOELLE ALBERTO P01704142 9727028262 3 2021 2023-04-26 12:10:37Z KELLY SHANE PLYMELL PO BOX 22000 SAN ANGELO TX 76902 265211933 false X SHANNONHEALTH.COM X 1995 TX FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS, AND NEIGHBORS. 14 0 371 10 0 0 3625416 4571738 233719059 260581585 32976 58610 0 0 237377451 265211933 0 0 0 0 152634780 169042686 0 0 0 147867998 162673801 300502778 331716487 -63125327 -66504554 50059084 45989767 57521226 48359385 -7462142 -2369618 X 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. false false 307484931 260581585 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. 307484931 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 false false false true false false false false false false false false false false false false false true true true false false true 103 0 true 371 true false false false false false false false false false false false false X 14 0 true true false false true true true true true false false true true true true true true true true false X JULIAN BESERIL 3256581511 ADMINISTRATION 120 E BEAUREGARD SAN ANGELO TX 76903 X LUIS DUARTE PHYSICIAN 40.0 0.0 X 3548759 0 105997 CHRISTOPHER HADDAD PHYSICIAN 40.0 0.0 X 2208561 0 122825 RUDY HADDAD PHYSICIAN/CHAIRMAN 40.0 0.0 X X 1970871 0 122825 RAJANARENDER CHERUKU PHYSICIAN 40.0 0.0 X 1904599 0 86505 STEVE RITTER PHYSICIAN 40.0 0.0 X 1646042 0 78305 JOSEPH HOBBS PHYSICIAN 40.0 0.0 X 1613021 0 99853 ROSS HARPER PHYSICIAN/BOARD DIRECTOR 40.0 0.0 X 1087073 0 110131 KELLY SHANE PLYMELL PRESIDENT 10.0 30.0 X 0 939037 114566 JASON FELGER PHYSICIAN / BOARD DIRECTOR 40.0 0.0 X 888603 0 117810 ANDREW T KINGMAN PHYSICIAN/MEDICAL DIRECTOR 40.0 0.0 X 898382 0 101680 LINDY BANKES PHYSICIAN / BOARD SECRETARY 40.0 0.0 X 849376 0 84822 CALEB VOSBURG PHYSICIAN / BOARD DIRECTOR 40.0 0.0 X 812846 0 108677 JENNY WIGGINS-SMITH PHYSICIAN/MEDICAL DIRECTOR 40.0 0.0 X 684256 0 92328 JOE MIMS PHYSICIAN/BOARD DIRECTOR 40.0 0.0 X 671507 0 72717 DR JAMES C BARNETT PHYSICIAN 2.0 38.0 X 0 657522 85559 LINDA ADAMS PHYSICIAN/FORMER OFFICER 40.0 0.0 X 544539 0 93868 KELLY KOENIG PHYSICIAN/MEDICAL DIRECTOR 40.0 0.0 X X 527350 0 90001 DAVID BOSWELL PHYSICIAN/MEDICAL DIRECTOR 40.0 0.0 X 525041 0 89383 DOUG SCHULTZ PHYSICIAN/MEDICAL DIRECTOR 40.0 0.0 X 540181 0 59553 JOE HARVEY PHYSICIAN/FORMER OFFICER 40.0 0.0 X 489428 0 89829 PAUL BORGFELD PHYSICIAN/MEDICAL DIRECTOR 40.0 0.0 X 466629 0 87804 RICARDO VILLARREAL CHIEF ADMINISTRATIVE OFFICER 5.0 35.0 X 0 441604 81173 SARAH JACKSON VANCE PHYSICIAN/CHAIRMAN 40.0 0.0 X X 435470 0 76107 NORMA CERNA PHYSICIAN / BOARD DIRECTOR 40.0 0.0 X 432473 0 57642 ALLAN GRAVES GENERAL COUNCIL 5.0 35.0 X 0 393986 78906 VICKI FORLANO HALFMANN PHYSICIAN / BOARD DIRECTOR 40.0 0.0 X 412833 0 40498 JULIAN BESERIL CFO 5.0 35.0 X 0 322039 60135 STACI WETZ FORMER CFO/CONTROLLER 1.0 39.0 X 0 189185 20821 22745007 2432149 2308866 309 true true false SHANNON MEDICAL MANAGEMENT 120 E BEAUREGARD SAN ANGELO TX 76903 MANAGEMENT SERVICES 83129618 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 LOCUMS SERVICES 440129 DIRECT RADIOLOGY WA PLLC 22100 BOTHELL EVERETT HIGHWAY BOTHEL WA 98021 LOCUMS SERVICES 431243 SHANNON MEDICAL CENTER 120 E HARRIS SAN ANGELO TX 76903 LAB & LAUNDRY SVCS 9049237 STONE SETTLE ADVERTISING INC 3441 GRANDVIEW DR SAN ANGELO TX 76904 MARKETING SERVICES 362106 6 4571738 4571738 Net Patient Service Revenue 621990 233302289 233302289 Lease Income 532000 57350 57350 Other Operating Revenue 900099 4129598 4129598 Hospital Based Physicians' Assistance 621990 23092348 23092348 260581585 58610 58610 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 265211933 260581585 0 58610 0 0 0 0 12514868 12514868 1217664 1217664 135688570 130436558 5252012 9718590 7417056 2301534 4510415 3330300 1180115 5392579 4039878 1352701 89379571 75972635 13406936 662 662 65794 65794 0 0 0 16095131 15905116 190015 26339 26339 498454 479094 19360 137700 117045 20655 0 135325 127851 7474 364369 364369 0 0 0 0 1082721 937515 145206 1081992 1000664 81328 Bad Debt 32399974 32399974 Medical Supplies 19299723 19299723 Equipment Expense 720529 612450 108079 Education 551599 551599 833918 734233 99685 331716487 307484931 24231556 0 -359673 -1255499 0 0 0 0 14823580 16313656 0 0 0 0 1465895 2209028 1405800 1381820 564282 453546 22551959 19395229 3281118 3156730 0 0 0 0 0 0 0 0 28878082 23730486 50059084 45989767 18922663 20581761 0 0 100000 0 0 0 0 0 0 0 0 0 0 0 38498563 27777624 57521226 48359385 X -7462142 -2369618 0 0 -7462142 -2369618 50059084 45989767 X -66504554 71597078 X false true X true true true X 0 0 3600 3625416 4571738 8200754 170090402 192713594 191563249 233719059 260581585 1048667889 0 0 0 170090402 192713594 191566849 237344475 265153323 1056868643 0 0 0 1056868643 29184 7578 39602 32976 58610 167950 0 29184 7578 39602 32976 58610 167950 0 0 170119586 192721172 191606451 237377451 265211933 1057036593 0.99984 0.99990 0.00016 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22551959 19395229 3156730 3156730 Retirement Fund 23729596 Due from Related Org 890 23730486 0 Pension Fund Liability 23700695 Health Claims Payable 591348 Estimated Malpractice Costs 3151200 Payable to Medicare 334381 27777624 142784370 142784370 122427563 122427563 265211933 209288924 209288924 122427563 122427563 331716487 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 false true false false false false false false false LINDY BANKES PHYSICIAN / BOARD SECRETARY 617946 143729 87701 56916 27906 934198 67901 DR JAMES C BARNETT PHYSICIAN 491156 94007 72359 68965 16594 743081 72359 JULIAN BESERIL CFO 243093 51144 27802 42672 17463 382174 27352 PAUL BORGFELD PHYSICIAN/MEDICAL DIRECTOR 362334 54002 50293 58341 29463 554433 48313 DAVID BOSWELL PHYSICIAN/MEDICAL DIRECTOR 370630 73098 81313 55940 33443 614424 61513 NORMA CERNA PHYSICIAN / BOARD DIRECTOR 295808 80789 55876 28840 28802 490115 55576 JASON FELGER PHYSICIAN / BOARD DIRECTOR 729556 62893 96154 81276 36534 1006413 95464 ALLAN GRAVES GENERAL COUNCIL 303986 64969 25031 53362 25544 472892 25031 RUDY HADDAD PHYSICIAN/CHAIRMAN 787641 1053916 129314 91540 31285 2093696 109514 VICKI FORLANO HALFMANN PHYSICIAN / BOARD DIRECTOR 249412 94571 68850 11600 28898 453331 47370 ROSS HARPER PHYSICIAN/BOARD DIRECTOR 627943 365592 93538 75501 34630 1197204 93238 SARAH JACKSON VANCE PHYSICIAN/CHAIRMAN 278252 96597 60621 61540 14567 511577 51224 ANDREW T KINGMAN PHYSICIAN/MEDICAL DIRECTOR 575688 248188 74506 65044 36636 1000062 74236 KELLY KOENIG PHYSICIAN/MEDICAL DIRECTOR 302322 156118 68910 61540 28461 617351 68610 JOE MIMS PHYSICIAN/BOARD DIRECTOR 383694 214267 73546 56791 15926 744224 50236 KELLY SHANE PLYMELL PRESIDENT 693348 150417 95272 89022 25544 1053603 95272 DOUG SCHULTZ PHYSICIAN/MEDICAL DIRECTOR 396644 77557 65980 51490 8063 599734 62170 RICARDO VILLARREAL CHIEF ADMINISTRATIVE OFFICER 319575 66290 55739 55459 25714 522777 55469 CALEB VOSBURG PHYSICIAN / BOARD DIRECTOR 495047 214518 103281 72332 36345 921523 83331 JENNY WIGGINS-SMITH PHYSICIAN/MEDICAL DIRECTOR 318425 294361 71470 62292 30036 776584 71170 LUIS DUARTE PHYSICIAN 2327974 1100078 120707 76252 29745 3654756 99917 CHRISTOPHER HADDAD PHYSICIAN 830205 1268542 109814 91540 31285 2331386 109514 STEVE RITTER PHYSICIAN 528029 1097223 20790 64380 13925 1724347 0 JOSEPH HOBBS PHYSICIAN 1086224 438110 88687 70108 29745 1712874 88387 RAJANARENDER CHERUKU PHYSICIAN 1494442 310023 100134 73404 13101 1991104 78654 STACI WETZ FORMER CFO/CONTROLLER 143454 12711 33020 5986 14835 210006 33020 LINDA ADAMS PHYSICIAN/FORMER OFFICER 381782 92656 70101 62292 31576 638407 69411 JOE HARVEY PHYSICIAN/FORMER OFFICER 311161 106742 71525 53348 36481 579257 50735 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 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 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 true SHANNON RURAL HEALTH CLINICS INC 120 E HARRIS AVE SAN ANGELO TX 76903 752940211 HEALTHCARE TX 501(C)(3) 12C SMC 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 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 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 REGIONAL CANCER TREATMENT CENTER 102 N MAGDALEN 120 San Angelo TX 76902 752225955 RADIOTHERAPY TX NA 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 false false false false false false false false false false false false true true true true true true true SHANNON MEDICAL MANAGEMENT M 89379570 BOOK VALUE SHANNON HEALTH SYSTEM R 15338516 BOOK VALUE SHANNON BUSINESS SERVICES R 162848 BOOK VALUE SHANNON MEDICAL CENTER S 17859122 BOOK VALUE SHANNON MEDICAL MANAGEMENT S 69286095 BOOK VALUE