SHANNON CLINIC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SHANNON CLINIC (EIN 75-2600873)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-15
- IRS object ID
- 202512279349303006
- Schema version
- 2023v6.0
- 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 | 2025-08-15T12:34:02+00:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 Post Oak Blvd Ste 1500 | AddressLine1Txt |
| City | Houston | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | 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) |
|---|---|---|
| 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 |
| Signature | 2025-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amanda Maya | PreparerPersonNm |
| PTIN | P01067777 | PTIN |
| Phone | 7134994600 | PhoneNum |
| Preparation | 2025-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kelly Shane Plymell | BusinessNameLine1Txt |
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 | $299,877,363 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | shannonhealth.org | 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 SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS, AND NEIGHBORS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 417 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $270,572,602 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $299,759,751 | CYProgramServiceRevenueAmt |
| PY Investment Income | $92,622 | PYInvestmentIncomeAmt |
| CY Investment Income | $117,612 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $270,665,224 | PYTotalRevenueAmt |
| CY Total Revenue | $299,877,363 | 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 | $180,145,838 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $200,387,990 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $179,227,074 | PYOtherExpensesAmt |
| CY Other Expenses | $209,088,223 | CYOtherExpensesAmt |
| PY Total Expenses | $359,372,912 | PYTotalExpensesAmt |
| CY Total Expenses | $409,476,213 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$88,707,688 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$109,598,850 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $58,681,957 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,131,774 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $58,562,262 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $72,672,598 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $119,695 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,540,824 | NetAssetsOrFundBalancesEOYAmt |
| 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 | $379,999,709 | ExpenseAmt |
| Revenue | $299,759,751 | 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 | $379,999,709 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| 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 | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 417 | 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 | 13 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kelly Shane Plymell | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3256581511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E Harris Ave | AddressLine1Txt |
| City | San Angelo | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76903 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LINDY BANKES | ||||||||||
| PHYSICIAN / BOARD SECRETARY | 40.0 | 0 | Yes (X) | Yes (X) | $801,501 | $0 | $89,311 | |||
| RUDY HADDAD | ||||||||||
| PHYSICIAN/CHAIRMAN | 40.0 | 0 | Yes (X) | Yes (X) | $2,106,507 | $0 | $112,107 | |||
| ANDREW T KINGMAN | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0 | Yes (X) | $1,144,194 | $0 | $130,248 | ||||
| CALEB VOSBURG | ||||||||||
| PHYSICIAN / BOARD DIRECTOR | 40.0 | 0 | Yes (X) | $938,104 | $0 | $72,495 | ||||
| DAVID BOSWELL | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0 | Yes (X) | $526,653 | $0 | $109,447 | ||||
| JASON FELGER | ||||||||||
| PHYSICIAN / BOARD DIRECTOR | 40.0 | 6.0 | Yes (X) | $861,230 | $20,000 | $109,538 | ||||
| JENNY WIGGINS SMITH | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0 | Yes (X) | $651,551 | $0 | $95,423 | ||||
| JOE MIMS | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0 | Yes (X) | $606,655 | $0 | $85,236 | ||||
| KELLY KOENIG | ||||||||||
| Physician/Board Director | 40.0 | 0 | Yes (X) | $532,086 | $0 | $97,893 | ||||
| NORMA SCHNEEMAN CERNA | ||||||||||
| PHYSICIAN / BOARD DIRECTOR | 40.0 | 0 | Yes (X) | $388,008 | $0 | $85,976 | ||||
| ROBERT SCHULTZ | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0 | Yes (X) | $570,855 | $0 | $69,823 | ||||
| ROSS HARPER | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 6.0 | Yes (X) | $1,102,568 | $0 | $100,437 | ||||
| VICKI FORLANO HALFMANN | ||||||||||
| PHYSICIAN / BOARD DIRECTOR | 40.0 | 0 | Yes (X) | $387,837 | $0 | $86,202 | ||||
| JULIAN BESERIL | ||||||||||
| CFO | 20.0 | 20.0 | Yes (X) | $0 | $365,825 | $59,421 | ||||
| Kelly Shane Plymell | ||||||||||
| PRESIDENT | 5.0 | 39.0 | Yes (X) | $0 | $1,138,305 | $134,816 | ||||
| RICARDO VILLAREAL | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 20.0 | 20.0 | Yes (X) | $0 | $529,737 | $87,584 | ||||
| Allan Graves | ||||||||||
| GENERAL COUNCIL | 5.0 | 35.0 | $0 | $471,722 | $97,550 | Yes (X) | ||||
| CHRISTOPHER HADDAD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $2,294,668 | $0 | $91,963 | Yes (X) | ||||
| JOSEPH HOBBS | ||||||||||
| PHYSICIAN | 40.0 | 0 | $1,698,891 | $0 | $109,949 | Yes (X) | ||||
| LUIS DUARTE | ||||||||||
| PHYSICIAN | 40.0 | 0 | $4,153,645 | $0 | $96,517 | Yes (X) | ||||
| RAJANARENDER CHERUKU | ||||||||||
| PHYSICIAN | 40.0 | 0 | $2,096,466 | $0 | $78,652 | Yes (X) | ||||
| STEVE RITTER | ||||||||||
| PHYSICIAN | 40.0 | 0 | $1,802,119 | $0 | $80,382 | Yes (X) | ||||
| Dr James C Barnett | ||||||||||
| FORMER CHIEF MEDICAL OFFICER/PHYSICIAN | 16.0 | 26.0 | $139,412 | $101,479 | $50,089 | Yes (X) | ||||
| PAUL BORGFELD | ||||||||||
| FORMER PHYSICIAN/MEDICAL DIRECTOR | 0.0 | 0 | $102,359 | $0 | $38,599 | Yes (X) | ||||
| SARAH JACKSON VANCE | ||||||||||
| PHYSICIAN/former CHAIRMAN | 40.0 | 0 | $452,686 | $0 | $79,552 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $23,357,995 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,627,068 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,249,210 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 325 | 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 | $99,699,000 |
| SHANNON MEDICAL CENTER | |||||
| 120 E HARRIS | SAN ANGELO | TX | 76903 | LAB & LAUNDRY SVC | $9,106,124 |
| LUIS DUARTE | |||||
| 1512 DARLENE ST | SAN ANGELO | TX | 76904 | SETTLEMENT FEES | $1,849,292 |
| SBG HEALTHCARE LLC | |||||
| 7665 DAVIE ROAD EXT STE 201 | HOLLYWOOD | FL | 33024 | LOCUMS SERVICES | $688,574 |
| BROWNWOOD ANESTHESIA PLLC | |||||
| 3221 CR 315 | EARLY | TX | 76802 | LOCUMS SERVICES | $683,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621990 | $261,726,744 | $261,726,744 |
| Lease Income | 532000 | $26,422 | $26,422 |
| Other Operating Revenue | 900099 | $5,490,571 | $5,490,571 |
| Hospital Based Physicians' Assistance | 621990 | $32,516,014 | $32,516,014 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $299,759,751 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,612 | TotalRevenueColumnAmt |
| Exclusion | $117,612 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $299,877,363 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $299,759,751 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $117,612 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,861,885 | TotalAmt |
| Program Services | $11,861,885 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $818,138 | TotalAmt |
| Program Services | $818,138 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,821,623 | TotalAmt |
| Program Services | $154,740,471 | ProgramServicesAmt |
| Management And General | $6,081,152 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,175,855 | TotalAmt |
| Program Services | $10,277,765 | ProgramServicesAmt |
| Management And General | $1,898,090 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,597,868 | TotalAmt |
| Program Services | $7,035,557 | ProgramServicesAmt |
| Management And General | $1,562,311 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,112,621 | TotalAmt |
| Program Services | $4,339,702 | ProgramServicesAmt |
| Management And General | $1,772,919 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,521,929 | TotalAmt |
| Program Services | $96,493,640 | ProgramServicesAmt |
| Management And General | $17,028,289 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,129 | TotalAmt |
| Program Services | $22,298 | ProgramServicesAmt |
| Management And General | $50,831 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,658,441 | TotalAmt |
| Program Services | $24,243,842 | ProgramServicesAmt |
| Management And General | $414,599 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,749 | TotalAmt |
| Program Services | $17,749 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676,209 | TotalAmt |
| Program Services | $650,201 | ProgramServicesAmt |
| Management And General | $26,008 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,952 | TotalAmt |
| Program Services | $153,809 | ProgramServicesAmt |
| Management And General | $27,143 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,563 | TotalAmt |
| Program Services | $25,979 | ProgramServicesAmt |
| Management And General | $4,584 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,393 | TotalAmt |
| Program Services | $524,393 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,199,374 | TotalAmt |
| Program Services | $1,019,468 | ProgramServicesAmt |
| Management And General | $179,906 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,207,816 | TotalAmt |
| Program Services | $2,045,526 | ProgramServicesAmt |
| Management And General | $162,290 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt | $40,503,842 | $40,503,842 | |
| Medical Supplies | $22,989,238 | $22,989,238 | |
| Equipment Expense | $693,329 | $589,330 | $103,999 |
| Education | $548,177 | $548,177 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,263,082 | TotalAmt |
| Program Services | $1,098,699 | ProgramServicesAmt |
| Management And General | $164,383 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,476,213 | TotalAmt |
| Program Services | $379,999,709 | ProgramServicesAmt |
| Management And General | $29,476,504 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $18,009,690 | BOYAmt |
| EOY | $19,809,819 | 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 | $2,071,999 | BOYAmt |
| EOY | $2,164,497 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,218,090 | BOYAmt |
| EOY | $2,101,212 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,288,154 | BOYAmt |
| EOY | $1,368,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,380,427 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,656,526 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,073,299 | BOYAmt |
| EOY | $5,723,901 | 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 |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
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 | $30,020,725 | BOYAmt |
| EOY | $39,963,420 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,681,957 | BOYAmt |
| EOY | $71,131,774 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,663,499 | BOYAmt |
| EOY | $26,853,383 | 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 | $0 | BOYAmt |
| EOY | $1,014,800 | 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 | $34,898,763 | BOYAmt |
| EOY | $44,804,415 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,562,262 | BOYAmt |
| EOY | $72,672,598 | 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 | $119,695 | BOYAmt |
| EOY | -$1,540,824 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| 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 | $119,695 | BOYAmt |
| EOY | -$1,540,824 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,681,957 | BOYAmt |
| EOY | $71,131,774 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$109,598,850 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $107,938,331 | 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 | false | FederalGrantAuditRequiredInd |
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 | $3,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,625,416 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,571,738 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $8,200,754 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $191,563,249 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $233,719,059 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $260,581,585 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $270,572,602 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $299,759,751 | CurrentTaxYearAmt |
| Total | $1,256,196,246 | 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 | $191,566,849 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $237,344,475 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $265,153,323 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $270,572,602 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $299,759,751 | CurrentTaxYearAmt |
| Total | $1,264,397,000 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| 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 | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| 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 | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| 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 | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,264,397,000 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,602 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,976 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,610 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,622 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,612 | CurrentTaxYearAmt |
| Total | $341,422 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| 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 | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,602 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,976 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,610 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,622 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,612 | CurrentTaxYearAmt |
| Total | $341,422 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $191,606,451 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $237,377,451 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $265,211,933 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $270,665,224 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $299,877,363 | CurrentTaxYearAmt |
| Total | $1,264,738,422 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9997 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9998 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0002 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $27,380,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,656,526 | DepreciationAmt |
| Book Value | $5,723,901 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,723,901 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Retirement Fund | Desc |
| Book Value | $39,963,420 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $39,963,420 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Fund Liability | $39,906,284 |
| Health Claims Payable | $1,042,822 |
| Estimated Malpractice Costs | $3,855,309 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $44,804,415 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $145,329,460 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$154,547,903 | OtherRevenueAmt |
| Revenue Not Reported | -$154,547,903 | RevenueNotReportedAmt |
| Revenue Subtotal | $299,877,363 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $299,877,363 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $254,928,310 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $254,928,310 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $154,547,903 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $154,547,903 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $409,476,213 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 LIABILITY FOR UNCERTAIN TAX POSITIONS: | 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 2(d) Other revenues in audited financial statements not in form 990 | Management Fees Net With Audit Revenue - -XXX-XX-XXXX Income/Expense Reclasses From Audit - -522132 Bad Debt Expense - -40503842 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | Management Fees Net With Audit Revenue - XXX-XX-XXXX Income/Expense Reclasses From Audit - 522132 Bad Debt Expense - 40503842 |
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 (25 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDY BANKES | ||||||||||||||
| PHYSICIAN / BOARD SECRETARY | $627,011 | $0 | $124,347 | $0 | $50,143 | $0 | $57,284 | $0 | $32,027 | $0 | $890,812 | $0 | $49,693 | $0 |
| RUDY HADDAD | ||||||||||||||
| PHYSICIAN/CHAIRMAN | $816,581 | $0 | $1,190,368 | $0 | $99,558 | $0 | $76,836 | $0 | $35,271 | $0 | $2,218,614 | $0 | $80,100 | $0 |
| PAUL BORGFELD | ||||||||||||||
| FORMER PHYSICIAN/MEDICAL DIRECTOR | $76,426 | $0 | $25,438 | $0 | $495 | $0 | $29,280 | $0 | $9,319 | $0 | $140,958 | $0 | $0 | $0 |
| SARAH JACKSON VANCE | ||||||||||||||
| PHYSICIAN/former CHAIRMAN | $278,588 | $0 | $122,144 | $0 | $51,954 | $0 | $61,500 | $0 | $18,052 | $0 | $532,238 | $0 | $51,504 | $0 |
| DAVID BOSWELL | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $428,386 | $0 | $30,000 | $0 | $68,267 | $0 | $71,124 | $0 | $38,323 | $0 | $636,100 | $0 | $45,317 | $0 |
| JASON FELGER | ||||||||||||||
| PHYSICIAN / BOARD DIRECTOR | $686,892 | $20,000 | $64,800 | $0 | $109,538 | $0 | $69,524 | $0 | $40,014 | $0 | $970,768 | $20,000 | $109,538 | $0 |
| VICKI FORLANO HALFMANN | ||||||||||||||
| PHYSICIAN / BOARD DIRECTOR | $239,765 | $0 | $123,592 | $0 | $24,480 | $0 | $56,692 | $0 | $29,510 | $0 | $474,039 | $0 | $0 | $0 |
| ROSS HARPER | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $646,808 | $0 | $390,507 | $0 | $65,253 | $0 | $61,500 | $0 | $38,937 | $0 | $1,203,005 | $0 | $64,953 | $0 |
| ANDREW T KINGMAN | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $740,551 | $0 | $349,005 | $0 | $54,638 | $0 | $91,132 | $0 | $39,116 | $0 | $1,274,442 | $0 | $54,338 | $0 |
| KELLY KOENIG | ||||||||||||||
| Physician/Board Director | $342,974 | $0 | $137,953 | $0 | $51,159 | $0 | $65,210 | $0 | $32,683 | $0 | $629,979 | $0 | $50,709 | $0 |
| JOE MIMS | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $334,843 | $0 | $198,288 | $0 | $73,524 | $0 | $55,108 | $0 | $30,128 | $0 | $691,891 | $0 | $47,214 | $0 |
| NORMA SCHNEEMAN CERNA | ||||||||||||||
| PHYSICIAN / BOARD DIRECTOR | $282,050 | $0 | $88,860 | $0 | $17,098 | $0 | $55,844 | $0 | $30,132 | $0 | $473,984 | $0 | $16,798 | $0 |
| ROBERT SCHULTZ | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $429,865 | $0 | $84,141 | $0 | $56,849 | $0 | $69,768 | $0 | $55 | $0 | $640,678 | $0 | $50,669 | $0 |
| CALEB VOSBURG | ||||||||||||||
| PHYSICIAN / BOARD DIRECTOR | $532,777 | $0 | $321,105 | $0 | $84,222 | $0 | $41,420 | $0 | $31,075 | $0 | $1,010,599 | $0 | $61,272 | $0 |
| JENNY WIGGINS SMITH | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $322,997 | $0 | $276,594 | $0 | $51,960 | $0 | $64,057 | $0 | $31,366 | $0 | $746,974 | $0 | $51,510 | $0 |
| JULIAN BESERIL | ||||||||||||||
| CFO | $0 | $275,138 | $0 | $55,199 | $0 | $35,488 | $0 | $38,276 | $0 | $21,145 | $0 | $425,246 | $0 | $34,298 |
| Kelly Shane Plymell | ||||||||||||||
| PRESIDENT | $0 | $822,981 | $0 | $236,112 | $0 | $79,212 | $0 | $102,893 | $0 | $31,923 | $0 | $1,273,121 | $0 | $79,212 |
| RICARDO VILLAREAL | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $0 | $379,358 | $0 | $81,017 | $0 | $69,362 | $0 | $55,371 | $0 | $32,213 | $0 | $617,321 | $0 | $46,592 |
| Dr James C Barnett | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER/PHYSICIAN | $19,049 | $101,479 | $61,418 | $0 | $58,945 | $0 | $0 | $41,414 | $5,530 | $3,145 | $144,942 | $146,038 | $57,793 | $0 |
| Allan Graves | ||||||||||||||
| GENERAL COUNCIL | $0 | $354,286 | $0 | $72,882 | $0 | $44,554 | $0 | $65,627 | $0 | $31,923 | $0 | $569,272 | $0 | $44,554 |
| RAJANARENDER CHERUKU | ||||||||||||||
| PHYSICIAN | $1,618,992 | $0 | $391,962 | $0 | $85,512 | $0 | $59,642 | $0 | $19,010 | $0 | $2,175,118 | $0 | $61,356 | $0 |
| LUIS DUARTE | ||||||||||||||
| PHYSICIAN | $2,332,524 | $0 | $1,721,137 | $0 | $99,984 | $0 | $56,692 | $0 | $39,825 | $0 | $4,250,162 | $0 | $75,504 | $0 |
| CHRISTOPHER HADDAD | ||||||||||||||
| PHYSICIAN | $843,157 | $0 | $1,370,961 | $0 | $80,550 | $0 | $56,692 | $0 | $35,271 | $0 | $2,386,631 | $0 | $80,100 | $0 |
| JOSEPH HOBBS | ||||||||||||||
| PHYSICIAN | $1,095,024 | $0 | $549,379 | $0 | $54,488 | $0 | $71,124 | $0 | $38,825 | $0 | $1,808,840 | $0 | $54,038 | $0 |
| STEVE RITTER | ||||||||||||||
| PHYSICIAN | $646,129 | $0 | $1,079,111 | $0 | $76,879 | $0 | $74,100 | $0 | $6,282 | $0 | $1,882,501 | $0 | $52,723 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's 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 Supplemental 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 ------------------------------------------------------------------------------------------------------------ DR. JAMES C. BARNETT W-2 - $57,793 DEFERRED - $40,688 PAYOR - SMC LINDY BANKES W-2 - $49,693 DEFERRED - $57,284 PAYOR - SC PAUL BORGFELD W-2 - $0 DEFERRED - $29,280 PAYOR - SC DAVID BOSWELL W-2 - $45,317 DEFERRED - $71,124 PAYOR - SC NORMA CERNA W-2 - $16,798 DEFERRED - $55,844 PAYOR - SC LUIS DUARTE W-2 - $75,504 DEFERRED - $56,692 PAYOR - SC DR. JASON FELGER W-2 - $109,538 DEFERRED - $69,524 PAYOR - SC CHRISTOPHER HADDAD W-2 - $80,100 DEFERRED - $56,692 PAYOR - SC RUDY HADDAD W-2 - $80,100 DEFERRED - $76,836 PAYOR - SC VICKI FORLANO HALFMANN W-2 - $0 DEFERRED - $56,692 PAYOR - SC DR. ROSS HARPER W-2 - $64,953 DEFERRED - $61,500 PAYOR - SC JOSEPH HOBBS W-2 - $54,038 DEFERRED - $71,124 PAYOR - SC SARAH JACKSON VANCE W-2 - $51,504 DEFERRED - $61,500 PAYOR - SC ANDREW T. KINGMAN W-2 - $54,338 DEFERRED - $91,132 PAYOR - SC KELLY KOENIG W-2 - $50,709 DEFERRED - $65,210 PAYOR - SC JOE MIMS W-2 - $47,214 DEFERRED - $55,108 PAYOR - SC RAJANARENDER CHERUKU W-2 - $61,356 DEFERRED - $59,642 PAYOR - SC STEVE RITTER W-2 - $52,723 DEFERRED - $74,100 PAYOR - SC ROBERT SHULTZ W-2 - $50,669 DEFERRED - $69,768 PAYOR - SC CALEB VOSBURG W-2 - $61,272 DEFERRED - $41,420 PAYOR - SC JENNY WIGGINS-SMITH W-2 - $51,510 DEFERRED - $64,057 PAYOR - SC ALLAN GRAVES W-2 - $44,554 DEFERRED - $52,427 PAYOR - SMC KELLY SHANE PLYMELL W-2 - $79,212 DEFERRED - $89,693 PAYOR - SMC RICARDO VILLARREAL W-2 - $46,592 DEFERRED - $55,371 PAYOR - SMM JULIAN BESERIL W-2 - $34,298 DEFERRED - $38,276 PAYOR - SMM |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | Rudy and Christopher Haddad - Family relationship |
| Form 990, Part VI, Line 3 Delegation of management duties | ADMINISTRATIVE SERVICES FOR SHANNON CLINIC ARE CONTRACTED WITH SHANNON MEDICAL MANAGEMENT, A RELATED ORGANIZATION. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | SHANNON HEALTH SYSTEM, A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF SHANNON CLINIC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of 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, Line 7b Decisions requiring approval by members or stockholders | 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, Line 11b Review of form 990 by governing body | 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, Line 12c Conflict of interest policy | 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. SHOULD AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST BE IDENTIFIED, IT WILL BE ADDRESSED WITHIN THE FRAMEWORK OF THE "CHAIN OF COMMAND" ESTABLISHED THROUGH GOVERNANCE, MEDICAL, AND ADMINISTRATIVE STRUCTURES. INDIVIDUALS AND/OR ENTITIES ARE EXPECTED TO REMOVE THEMSELVES FROM ENGAGING IN ANY ASPECT OF CARE, TREATMENT, OR SERVICE THAT MAY BE NEGATIVELY IMPACTED DUE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | 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, Line 15b Process to establish compensation of other employees | 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, Line 19 Required 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 or fund balances | Transfer From Shannon Medical Center - 7171314; Transfer To Shannon Business Services - -501; Transfer To Shannon Real Estate Services - -33230; Transfer From Shannon Medical Management - XXX-XX-XXXX; Transfer To Shannon Health System - -579261; Other Transfers - -92; |
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 of Shannon West Texas Memorial Hospital | ||||||||||
| PO Box 49 | San Angelo | TX | 76902 | 750800679 | Trust | TX | 501(c)(3) | Type II | NA | false |
| Shannon Rural Health Clinics Inc | ||||||||||
| 120 E Harris Ave | San Angelo | TX | 76903 | 752940211 | Healthcare | TX | 501(c)(3) | Type III-FI | SHS | Yes (true) |
| Shannon Real Estate Services Inc | ||||||||||
| 120 E Harris Ave | San Angelo | TX | 76903 | 270075630 | Support Services | TX | 501(c)(3) | Type I | SHS | Yes (true) |
| Shannon Health System | ||||||||||
| 120 E Harris Ave | San Angelo | TX | 76903 | 752602411 | Healthcare | TX | 501(c)(3) | Type II | 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 Services | TX | 501(c)(3) | Type I | SHS | Yes (true) |
| Shannon Medical Management | ||||||||||
| 120 E Beauregard | San Angelo | TX | 76903 | 208367966 | Support Services | TX | 501(c)(3) | Type II | SHS | Yes (true) |
| Shannon Medical Center Pioneer Fdn | ||||||||||
| 120 E Harris Ave | San Angelo | TX | 76903 | 352229303 | Support Services | TX | 501(c)(3) | Type I | 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 | AddressLine1Txt |
| Address Line2 | 102 | AddressLine2Txt |
| City | San Angelo | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76903 | 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 | Utilities Review | TX | na | C Corporation | false |
| Legacy Health Solutions | |||||||||
| 2018 PUlliam St | San Angelo | TX | 76903 | 200720762 | Medical 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 (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Shannon Medical Management | ||
| M | $113,521,929 | Book Value |
| Shannon Health System | ||
| R | $579,261 | Book Value |
| Shannon Medical Center | ||
| S | $7,171,314 | Book Value |
| Shannon Medical Management | ||
| S | $101,380,101 | Book Value |
Comments