2021-08-13T18:58:15-05:00 2020-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2019-10-01 752600873 Shannon Clinic % JULIAN BESERIL SHAN 3256581511 PO Box 22000 San Angelo TX 76902 JULIAN BESERIL CFO 3256581511 2021-08-15 true Kevin Ensminger P01310558 9727028262 2019 2022-09-23 18:48:47Z KELLY SHANE PLYMELL PO BOX 22000 SAN ANGELO TX 76902 191624814 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 0 348 10 0 0 0 3600 192713594 191563249 12578 57965 0 0 192726172 191624814 5000 0 0 0 126786137 124499606 0 0 0 123180936 121828204 249972073 246327810 -57245901 -54702996 38695692 41105861 39224923 54708080 -529231 -13602219 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 234785250 191563249 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. 234785250 true false 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 true false false false false false false true true true false false true 84 0 348 true false false false false false false false false false false false false X 14 0 false true false false true true true true true false false true true true true true true true true false TX X JULIAN BESERIL 3256581511 ADMINISTRATION 120 E BEAUREGARD SAN ANGELO TX 76903 X Luis Duarte PHYSICIAN 40.0 0.0 X 7190048 0 114178 Christopher Haddad PHYSICIAN 40.0 0.0 X 1974104 0 117683 Rudy Haddad PHYSICIAN/BOARD CHAIRMAN 40.0 0.0 X X 1826345 0 117951 Steve Ritter PHYSICIAN 40.0 0.0 X 1705604 0 67146 Cheruku Rajanarender PHYSICIAN 40.0 0.0 X 1574199 0 85302 David Huchton Physician 40.0 0.0 X 1460198 0 97535 Chris Cole Physician/Former Officer 40.0 0.0 X 1012225 0 111086 Lindy Bankes PHYSICIAN/BOARD VICE CHAIRMAN 40.0 0.0 X X 1038661 0 81736 Ross Harper Physician/Board Secretary 40.0 0.0 X X 996779 0 106571 Kelly Shane Plymell President 10.0 30.0 X 0 901359 103706 Caleb Vosburg Physician/Board Director 40.0 0.0 X 819543 0 105260 Norma Cerna Physician/Board Director 40.0 0.0 X 819543 0 83256 Jason Felger Physician/Board Director 36.0 4.0 X 782629 0 115993 Andrew T Kingman Physician/Medical Director 40.0 0.0 X 758566 0 99572 Joe Mims Physician/Board Director 40.0 0.0 X 710883 0 84233 Christopher Barnett Physician/Medical Director 2.0 38.0 X 0 660733 81879 Jenny Wiggins-Smith Physician/Medical Director 40.0 0.0 X 607281 0 91215 Linda Adams Physician/Former Officer 40.0 0.0 X 548156 0 79563 Doug Schultz Physician/Medical Director 40.0 0.0 X 534225 0 71082 David Boswell Physician/Medical Director 40.0 0.0 X 486093 0 80809 Paul Borgfeld PHYSICIAN/Medical Director 40.0 0.0 X 465699 0 86871 Joe Harvey Physician/Former Officer 40.0 0.0 X 461420 0 85826 Sarah Jackson Vance Physician/Board Director 40.0 0.0 X X 446799 0 72675 Kelly Koenig Physician/Medical Director 40.0 0.0 X X 422201 0 90644 Vicki Forlano Halfmann Physician/Board Director 40.0 0.0 X 428213 0 77987 Ricardo Villareal CAO 5.0 35.0 X 0 364004 69688 Julian Beseril CFO 5.0 35.0 X 0 275010 41327 Allen Graves General Council 5.0 35.0 X 0 275863 33885 Staci Wetz Former CFO 1.0 39.0 X 0 263153 37053 Irvin Zeitler MD Former Medical Director 0.0 0.0 X 101510 0 0 27069414 1562092 2309759 245 true true false SHANNON MEDICAL MANAGEMENT 120 E BEAUREGARD SAN ANGELO TX 76903 MANAGEMENT SERVICES 64340521 ARUP LABORATORIES 500 CHIPETA WAY SALT LAKE CITY UT 84108 OUTSIDE LAB SERVICES 1534638 PULMONARY CRITICAL CARE CONSULTAN 1305 W 34TH STREET STE 400 AUSTIN TX 78705 LOCUMS SERVICES 276000 SHANNON MEDICAL CENTER 120 E HARRIS SAN ANGELO TX 76903 LAB & LAUNDRY SVCS 4517800 HAYES LOCUMS LLC 6700 N ANDREWS AVE STE 600 FT LAUDERDALE FL 33309 LOCUMS SERVICES 364099 8 3600 3600 Net Patient Service Revenue 621990 172336964 172336964 Lease Income 532000 5465 5465 Other Operating Revenue 900099 2925426 2925426 HOSPITAL BASED PHYSICIANS' ASSISTANCE 900099 16295394 16295394 191563249 39602 39602 0 0 0 0 0 18363 18363 18363 18363 0 0 0 0 0 0 0 0 0 0 191624814 191563249 57965 0 0 0 0 11801199 11801199 1856427 1856427 98094931 97149954 944977 6994654 6909959 84695 1885846 1875067 10779 3866549 3851588 14961 67454082 57335970 10118112 0 47406 47406 0 0 0 8796690 8725053 71637 24912 24912 482480 477731 4748 33666 33666 0 48643 44000 4643 264938 264938 0 0 0 0 1038214 882516 155699 125602 43709 81893 Bad Debt 27667142 27667142 Medical Supplies 14175893 14175893 Recruiting & New Hire Expense 218925 218925 Education 665006 661996 3010 784605 784605 246327810 234785250 11542560 0 0 0 0 0 0 0 13802099 12852895 0 0 0 0 912869 911622 577201 1228924 564731 471038 19316158 17165571 2760787 2150587 0 0 0 0 0 0 0 0 20078005 23490795 38695692 41105861 12992061 13960537 0 0 0 3625416 0 0 0 0 0 0 0 0 0 0 26232862 37122127 39224923 54708080 X -529231 -13602219 0 0 -529231 -13602219 38695692 41105861 X -54702996 41630008 X false true X true false X 0 0 0 0 3600 3600 149515240 163809253 170090402 192713594 191563249 867691738 0 0 0 149515240 163809253 170090402 192713594 191566849 867695338 0 0 0 867695338 29184 7578 39602 76364 0 29184 7578 39602 76364 0 0 149515240 163809253 170119586 192721172 191606451 867771702 0.99991 1.00000 0.00009 0.00000 X 19316158 17165571 2150587 2150587 Retirement Fund 23490795 23490795 0 Pension Fund Liability 25626812 Health Claims Payable 286520 Estimated Malpractice Costs 2672800 PAYABLE TO MEDICARE 8535995 37122127 95903221 95903221 95721593 95721593 191624814 150606217 150606217 95721593 95721593 246327810 Schedule D, Part X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH TAX RETURN INCOME/EXPENSE RECLASSES FROM AUDIT $ 68,054,451 BAD DEBT EXPENSE 27,667,142 ----------- TOTAL $ 95,721,593 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH TAX RETURN INCOME/EXPENSE RECLASSES FROM AUDIT $ 68,054,451 BAD DEBT EXPENSE 27,667,142 ----------- TOTAL $ 95,721,593 false true false false false false false false false Luis Duarte PHYSICIAN 2415846 0 4673949 0 100253 0 85504 0 28674 0 7304226 0 79963 0 Christopher Haddad PHYSICIAN 807547 0 1080168 0 86389 0 90720 0 26963 0 2091787 0 86089 0 Rudy Haddad PHYSICIAN/BOARD CHAIRMAN 787337 0 933619 0 105389 0 90720 0 27231 0 1944296 0 86089 0 Steve Ritter PHYSICIAN 370572 0 1276848 0 58184 0 63560 0 3586 0 1772750 0 56894 0 Cheruku Rajanarender PHYSICIAN 1233545 0 255828 0 84826 0 70171 0 15131 0 1659501 0 64536 0 Lindy Bankes PHYSICIAN/BOARD VICE CHAIRMAN 656371 0 328249 0 54041 0 56096 0 25640 0 1120397 0 53741 0 Christopher Barnett Physician/Medical Director 0 489730 0 125669 0 45334 0 64195 0 17684 0 742612 0 44044 Julian Beseril CFO 0 233425 0 41364 0 221 0 17795 0 23532 0 316337 0 0 Paul Borgfeld PHYSICIAN/Medical Director 403363 0 15000 0 47336 0 59440 0 27431 0 552570 0 45356 0 David Boswell Physician/Medical Director 299890 0 135758 0 50445 0 55120 0 25689 0 566902 0 50145 0 Norma Cerna Physician/Board Director 516900 0 235791 66852 0 50744 0 32512 0 902799 0 66402 0 Jason Felger Physician/Board Director 631537 0 57172 0 93920 0 80456 0 35537 0 898622 0 74230 0 Allen Graves General Council 0 241236 0 34375 0 252 0 13333 0 20552 0 309748 0 0 Vicki Forlano Halfmann Physician/Board Director 266004 0 100802 0 61407 0 50744 0 27243 0 506200 0 41117 0 Ross Harper Physician/Board Secretary 626669 0 293918 0 76192 0 75138 0 31433 0 1103350 0 75922 0 Sarah Jackson Vance Physician/Board Director 270519 122939 0 53341 0 60720 0 11955 0 519474 0 48587 0 Andrew T Kingman Physician/Medical Director 507791 0 192635 0 58140 0 64224 0 35348 0 858138 0 57870 0 Kelly Koenig Physician/Medical Director 255935 0 165966 0 300 0 55896 0 34748 0 512845 0 0 0 Joe Mims Physician/Board Director 390882 0 262890 0 57111 0 56247 0 27986 0 795116 0 53301 0 Kelly Shane Plymell President 0 590681 0 242100 0 68578 0 80159 0 23547 0 1005065 0 67888 Doug Schultz Physician/Medical Director 366046 0 113176 0 55003 0 59999 0 11083 0 605307 0 52793 0 Ricardo Villareal CAO 0 280666 0 78487 0 4851 0 46148 0 23540 0 433692 0 4579 Caleb Vosburg Physician/Board Director 497900 0 235791 0 85852 0 71512 0 33748 0 924803 0 66402 0 Jenny Wiggins-Smith Physician/Medical Director 316863 0 234204 0 56214 0 62056 0 29159 0 698496 0 55914 0 David Huchton Physician 1004213 0 397975 0 58010 0 70288 0 27247 0 1557733 0 57320 0 Staci Wetz Former CFO 0 133881 0 75022 0 54250 0 28716 0 8337 0 300206 0 53969 Irvin Zeitler MD Former Medical Director 0 0 40489 0 61021 0 0 0 0 0 101510 0 61021 0 Linda Adams Physician/Former Officer 383854 0 108133 0 56169 0 62056 0 17507 0 627719 0 55479 0 Chris Cole Physician/Former Officer 597059 0 293918 0 121248 0 75138 0 35948 0 1123311 0 100268 0 Joe Harvey Physician/Former Officer 302397 0 96359 0 62664 0 51584 0 34242 0 547246 0 42374 0 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 ------------ --------- --------------- ----------- LINDY BANKES $53,741 $44,896 SC CHRIS BARNETT, MD $44,044 $52,995 SMC JULIAN BESERIL NONE $17,795 SMM PAUL BORGFELD $45,356 $48,240 SC DAVID BOSWELL $50,145 $43,920 SC NORMA CERNA $66,402 $39,544 SC LUIS DUARTE $79,963 $74,304 SC JASON FELGER $74,230 $69,256 SC ALAN GRAVES NONE $13,333 SMC CHRISTOPHER HADDAD $86,089 $79,520 SC RUDY HADDAD $86,089 $79,520 SC VICKI FORLANO HALFMANN $41,117 $39,544 SC ROSS HARPER $75,922 $63,938 SC JOE HARVEY $42,374 $40,384 SC SARAH JACKSON VANCE $48,587 $49,520 SC ANDREW T. KINGMAN $57,870 $53,024 SC KELLY KOENIG NONE $49,520 SC JOE MIMS $53,301 $45,074 SC KELLY SHANE PLYMELL $67,888 $68,959 SMC CHERUKU RAJANARENDER $64,536 $58,971 SC STEVE RITTER $56,894 $52,360 SC DOUG SHULTZ $52,793 $48,979 SC CALEB VOSBURG $66,402 $60,312 SC RICARDO VILLARREAL $ 4,579 $35,767 SMM JENNY WIGGINS-SMITH $55,914 $50,856 SC STACI WETZ $53,969 $23,100 SMC IRVIN ZEITLER $61,021 NONE SC LINDA ADAMS $55,479 $50,856 SC CHRIS COLE $100,268 $63,938 SC 0 RUDY HADDAD CHRIS HADDAD'S BROTHER 1826345 SHANNON CLINIC EMPLOYEE false CHRIS HADDAD RUDY HADDAD'S BROTHER 1974104 SHANNON CLINIC EMPLOYEE false 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 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 TO SHANNON MEDICAL CENTER $(7,327,322) TRANSFER FROM SHANNON BUSINESS SERVICES $205,895 TRANSFER TO SHANNON REAL ESTATE SERVICES $(125) TRANSFER FROM SHANNON MEDICAL MANAGEMENT $61,118,696 TRANSFER TO SHANNON HEALTH SYSTEM $(12,453,278) OTHER TRANSFERS $86,142 --------------- TOTAL $41,630,008 TRUSTEES SHANNON WEST TEXAS HOSPITAL PO BOX 49 SAN ANGELO TX 76902 750800679 TRUST TX 501(C)(3) 12B NA false SHANNON RURAL HEALTH CLINICS INC 120 E HARRIS AVE SAN ANGELO TX 76903 752940211 HEALTHCARE TX 501(C)(3) 12C SMC true SHANNON REAL ESTATE SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 270075630 SUPPORT SVCS TX 501(C)(3) 12A SMC true SHANNON HEALTH SYSTEM 120 E HARRIS AVE SAN ANGELO TX 76903 752602411 HEALTHCARE TX 501(C)(3) 12B TSWTMH true 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 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 67454082 BOOK VALUE SHANNON MEDICAL CENTER R 7327322 BOOK VALUE SHANNON BUSINESS SERVICES S 205895 BOOK VALUE SHANNON MEDICAL MANAGEMENT S 61118696 BOOK VALUE