SHANNON MEDICAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SHANNON MEDICAL CENTER (EIN 75-2559845)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-13
- IRS object ID
- 202132259349302983
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-13T18:58:15-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752559845 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shannon Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOSEPH WOOLDRIDGE | InCareOfNm |
| Business Name Control | SHAN | BusinessNameControlTxt |
| Phone | 3256536741 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E Harris Avenue | AddressLine1Txt |
| City | San Angelo | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76903 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH WOOLDRIDGE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3256536741 | PhoneNum |
| Signature | 2021-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEVIN ENSMINGER | PreparerPersonNm |
| PTIN | P01310558 | PTIN |
| Phone | 9727028262 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KELLY SHANE PLYMELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1Txt |
| City | SAN ANGELO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $432,278,107 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SHANNONHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | 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 | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2457 | TotalEmployeeCnt |
| Total Volunteers | 140 | TotalVolunteersCnt |
| Total Gross UBI | $304,047 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $99,426 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $21,176,915 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,068,599 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $370,189,700 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $419,605,273 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,026,231 | PYInvestmentIncomeAmt |
| CY Investment Income | $780,531 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,939,574 | PYOtherRevenueAmt |
| CY Other Revenue | $2,733,110 | CYOtherRevenueAmt |
| PY Total Revenue | $397,332,420 | PYTotalRevenueAmt |
| CY Total Revenue | $432,187,513 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $89,730 | 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 | $121,351,517 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $120,400,824 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $214,427,160 | PYOtherExpensesAmt |
| CY Other Expenses | $253,336,434 | CYOtherExpensesAmt |
| PY Total Expenses | $335,868,407 | PYTotalExpensesAmt |
| CY Total Expenses | $373,737,258 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $61,464,013 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $58,450,255 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $397,560,093 | TotalAssetsBOYAmt |
| Total Assets EOY | $398,658,748 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $42,805,753 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $49,281,446 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $354,754,340 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $349,377,302 | NetAssetsOrFundBalancesEOYAmt |
| 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $298,122,724 | ExpenseAmt |
| Revenue | $422,338,383 | RevenueAmt |
| Desc | PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS. | Desc |
| Total Program Service Expenses | $298,122,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| 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 | Yes (true) | 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 | 119 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2457 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | 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 | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | TX | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH WOOLDRIDGE | PersonNm |
| Phone | 3256536741 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1Txt |
| City | SAN ANGELO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHELLE SNUGGS | ||||||||||
| FORMER DIRECTOR | 0.0 | 40.0 | Yes (X) | $0 | $997,186 | $110,522 | ||||
| KELLY SHANE PLYMELL | ||||||||||
| PRESIDENT/CEO | 24.0 | 16.0 | $901,359 | $0 | $103,706 | Yes (X) | Yes (X) | |||
| ANDREW HUME MD | ||||||||||
| FORMER DIRECTOR | 0.0 | 40.0 | Yes (X) | $0 | $804,091 | $113,080 | ||||
| DR JASON FELGER | ||||||||||
| DIRECTOR | 2.0 | 38.0 | $0 | $782,629 | $115,993 | Yes (X) | ||||
| JAMES C BARNETT MD | ||||||||||
| VP/CMO | 38.0 | 2.0 | $660,733 | $0 | $81,879 | Yes (X) | ||||
| PAMELA BRADSHAW | ||||||||||
| VP/CNO/COO | 32.0 | 8.0 | $519,956 | $0 | $83,478 | Yes (X) | ||||
| ALAN GRAVES | ||||||||||
| GENERAL COUNSEL/CHIEF LEGAL OF | 40.0 | 0.0 | $275,863 | $0 | $33,885 | Yes (X) | ||||
| STACI WETZ | ||||||||||
| CONTROLLER/FORMER CFO | 40.0 | 0.0 | Yes (X) | $263,153 | $0 | $37,053 | ||||
| MARGARET BENSON | ||||||||||
| CHIEF COMPLIANCE OFFICER | 40.0 | 0.0 | $198,867 | $0 | $15,233 | Yes (X) | ||||
| STEPHEN LUBKE | ||||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0.0 | $201,548 | $0 | $10,266 | Yes (X) | ||||
| GREGORY WHEELER | ||||||||||
| DIRECTOR OF REIMBURSEMENT | 40.0 | 0.0 | $193,196 | $0 | $12,727 | Yes (X) | ||||
| JAMES NAYLOR | ||||||||||
| CHIEF ECHO SONOGRAPHER | 40.0 | 0.0 | $184,924 | $0 | $18,579 | Yes (X) | ||||
| MIKE RUSSELL | ||||||||||
| CHIEF INFORMATION OFFICER | 40.0 | 0.0 | $179,019 | $0 | $15,291 | Yes (X) | ||||
| JOSEPH WOOLDRIDGE | ||||||||||
| VP/CFO | 35.0 | 5.0 | $173,444 | $0 | $20,035 | Yes (X) | ||||
| LEN MERTZ | ||||||||||
| CHAIRMAN/TRUSTEE | 2.0 | 38.0 | $31,900 | $101,900 | $9,398 | Yes (X) | ||||
| IRVIN ZEITLER | ||||||||||
| FORMER MEDICAL DIRECTOR | 0.0 | 0.0 | Yes (X) | $0 | $101,510 | $0 | ||||
| STEVE CECIL | ||||||||||
| TRUSTEE | 2.0 | 6.0 | $21,600 | $30,000 | $14,008 | Yes (X) | ||||
| ORAN BERRY III | ||||||||||
| TRUSTEE | 2.0 | 6.0 | $25,188 | $30,000 | $5,518 | Yes (X) | ||||
| JOE HENDERSON | ||||||||||
| VICE CHAIRMAN/TRUSTEE | 2.0 | 6.0 | $23,000 | $30,000 | $4,239 | Yes (X) | ||||
| MICHAEL TED WEATHERFORD | ||||||||||
| TRUSTEE | 2.0 | 6.0 | $21,250 | $29,000 | $2,940 | Yes (X) | ||||
| MICHAEL OLIPHANT | ||||||||||
| SECRETARY/TREASURER/TRUSTEE | 2.0 | 6.0 | $19,400 | $28,000 | $5,353 | Yes (X) | ||||
| MICHAEL BOYD | ||||||||||
| TRUSTEE | 2.0 | 6.0 | $21,750 | $29,000 | $625 | Yes (X) | ||||
| ANGELA WILLIAMS | ||||||||||
| DIRECTOR | 2.0 | 4.0 | $22,850 | $0 | $0 | Yes (X) | ||||
| PAMELA TALLEY | ||||||||||
| DIRECTOR | 2.0 | 4.0 | $22,350 | $0 | $0 | Yes (X) | ||||
| JOANNE RICE | ||||||||||
| DIRECTOR | 2.0 | 4.0 | $21,850 | $0 | $0 | Yes (X) | ||||
| VIRGINIA NOELKE | ||||||||||
| DIRECTOR | 2.0 | 4.0 | $18,925 | $0 | $0 | Yes (X) | ||||
| BRYAN VINCENT | ||||||||||
| DIRECTOR | 2.0 | 4.0 | $5,150 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,983,200 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,963,316 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $813,808 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 73 | 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 |
|---|---|---|---|---|---|
| HOAR CONSTRUCTION LLC | |||||
| TWO METROPLEX DRIVE SUITE 400 | BIRHIMHAM | AL | 35209 | CONSTRUCTION | $15,935,550 |
| MEDEFIS CONSOLIDATED | |||||
| 2121 N 117TH AVE | OMAHA | NE | 68164 | VENDOR MANAGEMENT | $2,770,558 |
| HEALTH CAROUSEL LLC | |||||
| 3805 EDWARDS RD 700 | CINCINNATI | OH | 45209 | HEALTHCARE STAFFING | $1,771,290 |
| LOTT BROTHERS CONSTRUCTION | |||||
| PO BOX 203594 | AUSTIN | TX | 78720 | CONSTRUCTION | $1,256,920 |
| MID-TEX OF MIDLAND INC | |||||
| 5206 W WADLEY AVE | MIDLAND | TX | 79707 | CONSTRUCTION | $1,070,614 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 73 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $8,000,000 | RelatedOrganizationsAmt |
| All Other Contributions | $1,068,599 | AllOtherContributionsAmt |
| Total Contributions | $9,068,599 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 621990 | $419,069,773 | $418,993,693 | $76,080 |
| Rental Income | 532000 | $535,500 | $535,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $419,605,273 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $871,125 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $49,714 | UnrelatedBusinessRevenueAmt |
| Exclusion | $821,411 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,479 | SecuritiesAmt |
| Other | $89,115 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,479 | SecuritiesAmt |
| Other | -$89,115 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$90,594 | TotalRevenueColumnAmt |
| Exclusion | -$90,594 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Cafeteria | 722514 | $1,634,098 | $1,634,098 | |
| ALL OTHER MISC REVENUE | 900099 | $1,099,012 | $920,759 | $178,253 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,733,110 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $432,187,513 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $422,084,050 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $304,047 | UnrelatedBusinessRevenueAmt |
| Exclusion | $730,817 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,786,568 | TotalAmt |
| Management And General | $2,786,568 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,633 | TotalAmt |
| Program Services | $175,633 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,603,470 | TotalAmt |
| Program Services | $74,029,532 | ProgramServicesAmt |
| Management And General | $23,573,938 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,760,702 | TotalAmt |
| Program Services | $2,210,047 | ProgramServicesAmt |
| Management And General | $550,655 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,365,709 | TotalAmt |
| Program Services | $7,412,839 | ProgramServicesAmt |
| Management And General | $2,952,870 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,708,742 | TotalAmt |
| Program Services | $4,966,181 | ProgramServicesAmt |
| Management And General | $1,742,561 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,350 | TotalAmt |
| Management And General | $270,350 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,982,305 | TotalAmt |
| Management And General | $3,982,305 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,361 | TotalAmt |
| Management And General | $121,361 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,540,911 | TotalAmt |
| Program Services | $19,273,416 | ProgramServicesAmt |
| Management And General | $17,267,495 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,094,495 | TotalAmt |
| Program Services | $18,847 | ProgramServicesAmt |
| Management And General | $1,075,648 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,764,278 | TotalAmt |
| Program Services | $346,681 | ProgramServicesAmt |
| Management And General | $4,417,597 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,985,100 | TotalAmt |
| Program Services | $2,859,441 | ProgramServicesAmt |
| Management And General | $2,125,659 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,605,208 | TotalAmt |
| Program Services | $445,384 | ProgramServicesAmt |
| Management And General | $2,159,824 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,941 | TotalAmt |
| Program Services | $230,342 | ProgramServicesAmt |
| Management And General | $130,599 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,858,853 | TotalAmt |
| Program Services | $13,854,911 | ProgramServicesAmt |
| Management And General | $8,003,942 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,922 | TotalAmt |
| Management And General | $445,922 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $99,814,924 | $99,315,172 | $499,752 |
| Bad Debt | $67,563,534 | $67,563,534 | |
| Equipment Costs | $5,816,391 | $4,166,857 | $1,649,534 |
| Collection Fees | $1,240,142 | $1,240,142 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,871,719 | TotalAmt |
| Program Services | $1,253,907 | ProgramServicesAmt |
| Management And General | $617,812 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,737,258 | TotalAmt |
| Program Services | $298,122,724 | ProgramServicesAmt |
| Management And General | $75,614,534 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,883,308 | BOYAmt |
| EOY | $4,091,363 | 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 | $37,660,708 | BOYAmt |
| EOY | $34,822,467 | 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 | $538,686 | BOYAmt |
| EOY | $802,654 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,387,680 | BOYAmt |
| EOY | $11,269,623 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,065,519 | BOYAmt |
| EOY | $7,009,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $396,275,887 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $234,119,611 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,574,096 | BOYAmt |
| EOY | $162,156,276 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,605,334 | BOYAmt |
| EOY | $46,234,361 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $663,084 | BOYAmt |
| EOY | $587,944 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,333,276 | BOYAmt |
| EOY | $2,074,024 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,848,402 | BOYAmt |
| EOY | $129,610,114 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,560,093 | BOYAmt |
| EOY | $398,658,748 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,549,156 | BOYAmt |
| EOY | $33,996,487 | 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 | $8,933,100 | 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 | $2,618,488 | BOYAmt |
| EOY | $678,989 | 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 | $5,638,109 | BOYAmt |
| EOY | $5,672,870 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,805,753 | BOYAmt |
| EOY | $49,281,446 | 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 | $229,832,936 | BOYAmt |
| EOY | $226,271,000 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,921,404 | BOYAmt |
| EOY | $123,106,302 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,754,340 | BOYAmt |
| EOY | $349,377,302 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,560,093 | BOYAmt |
| EOY | $398,658,748 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $58,450,255 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,158,122 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$64,985,415 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,122,978 | OtherCostOrOtherBasisAmt |
| Book Value | $5,122,978 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $162,256,210 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,068,760 | DepreciationAmt |
| Book Value | $87,187,450 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,381 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $224,983,783 | OtherCostOrOtherBasisAmt |
| Depreciation | $157,031,730 | DepreciationAmt |
| Book Value | $67,952,053 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,911,535 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,017,740 | DepreciationAmt |
| Book Value | $1,893,795 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $162,156,276 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest in Net Assets - Shann | $123,106,302 |
| Self Insurance Trust | $6,326,330 |
| Interest Receivable | $177,482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $129,610,114 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Asset Retirement Obligation | $1,132,316 |
| Accrued Pension Cost | $1,203,739 |
| Malpractice Costs | $2,467,200 |
| Due to/from third party payors | $777,654 |
| Long Term Incentive Accrual | $91,961 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,672,870 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $356,882,607 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,158,122 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$67,563,534 | OtherRevenueAmt |
| Revenue Not Reported | -$66,405,412 | RevenueNotReportedAmt |
| Revenue Subtotal | $423,288,019 | RevenueSubtotalAmt |
| Other Revenues Not Included | $8,899,494 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $8,899,494 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $432,187,513 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $306,173,724 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $306,173,724 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $67,563,534 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $67,563,534 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $373,737,258 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART XI, LINE 2D | RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ (67,563,534) |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: CONTRIBUTIONS RECORDED TO NET ASSETS $ 8,899,494 |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ 67,563,534 |
| Schedule D, Part XII, Line 4b | 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,264,139 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,264,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02700 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,917,643 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,581,716 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,335,927 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03050 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $413,088 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $122,891 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $290,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,594,870 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,704,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,890,263 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05840 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $529,015 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $529,015 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,056,683 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,056,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,517,541 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,517,541 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07350 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $159,213 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $159,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,892 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,892 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,271,344 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,271,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,866,214 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,704,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,161,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13770 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $67,563,534 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $97,390,670 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $92,167,822 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,222,848 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1Txt |
| City | SAN ANGELO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SHANNONHEALTH.COM | WebsiteAddressTxt |
| State License | 000168 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 01 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | INPUT FROM COMMUNITY REPRESENTATIVES: COMMUNITY INPUT WAS PROVIDED THROUGH KEY STAKEHOLDER INTERVIEWS OF STAKEHOLDERS FROM THE FOLLOWING ORGANIZATIONS: SHANNON MEDICAL CENTER, SOCIAL SERVICE AGENCIES, LOCAL SCHOOL SYSTEMS AND UNIVERSITIES, PUBLIC HEALTH AGENCIES, OTHER MEDICAL PROVIDERS, LOCAL ELECTED OFFICIALS AND GOVERNMENTAL AGENCIES AND LOCAL BUSINESS. ELECTRONIC SURVEYS WERE DISTRIBUTED TO 140 INFORMANTS REPRESENTING THE MEDICAL CENTER'S SERVICE AREA. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | NEEDS ADDRESSED AND NOT ADDRESSED: BASED ON SHANNON'S EVALUATION WITHIN THE CURRENT CHNA, THE MEDICAL CENTER IS CURRENTLY MEETING THEIR GOALS OR HAS ALREADY MET THE GOALS FROM THE 2016 CHNA. THE BELOW CHNA ACTION PLAN INCLUDES DETAILS ON HOW SHANNON MEDICAL CENTER IS ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA CONDUCTED IN 2019. THE NEEDS ARE CATEGORIZED IN THE FOLLOWING PRIORITY AREAS: IMPROVE ACCESS TO CARE, ADULT OBESITY, LACK OF HEALTH KNOWLEDGE/EDUCATION, LACK OF MENTAL HEALTH PROVIDERS, SHORTAGE OF PRIMARY CARE PHYSICIANS AND HEALTHY BEHAVIORS/LIFESTYLE. PRIORITY 1: IMPROVE ACCESS TO CARE (INCLUDING SHORTAGE OF PRIMARY CARE PHYSICIANS) SHANNON MEDICAL CENTER PLANS TO CONNECT PATIENTS WITH APPROPRIATE HEALTH SERVICES TO IMPROVE THE CONTINUUM OF CARE AND WILL IMPROVE COMMUNITY AWARENESS OF AVAILABLE HEALTH SERVICES, EDUCATION AND SUPPORT. PRIORITY 2: HEALTHY BEHAVIORS/LIFESTYLE THE MEDICAL CENTER WILL PROVIDE OPPORTUNITIES TO PROMOTE HEALTHY LIVING IN THE COMMUNITY AND PARTICIPATE AT COMMUNITY OUTREACH EVENTS TO SUPPORT HEALTH LIFESTYLES. PRIORITY 3: ADULT OBESITY THE MEDICAL CENTER WILL INCREASE PUBLIC AWARENESS OF THE IMPORTANCE OF HEALTH EATING, NUTRITION AND PHYSICAL ACTIVITY. PRIORITY 4: HEALTH EDUCATION/KNOWLEDGE THE MEDICAL CENTER WILL PROVIDE GREATER HEALTH EDUCATION TO CHILDREN, FAMILIES AND VULNERABLE POPULATIONS. THE CENTER PLANS TO IMPROVE COMMUNITY OUTREACH EFFORTS THAT WILL PROVIDE MORE HEALTH EDUCATION OPPORTUNITIES WITH LOCAL BUSINESSES. THE IMPLEMENTATION STRATEGY WILL ASSURE HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN THE COMMUNITY HAVE THE MOST UP-TO-DATE KNOWLEDGE. EXPLANATION OF NEEDS NOT ADDRESSED THERE ARE NEEDS THAT SHANNON WILL NOT ADDRESS IN THE CURRENT IMPLEMENTATION STRATEGY THAT ARE CLEARLY IMPORTANT TO IMPROVING THE HEALTH OF THE COMMUNITY. LACK OF MENTAL HEALTH PROVIDERS IS ONE NEED NOT SPECIFICALLY ADDRESSED IN THE ASSESSMENT. WHILE SHANNON IS NOT INCORPORATING STRATEGIES TO IMPROVE ACCESS TO MENTAL HEALTH PROVIDERS, THE COMMUNITY HAS SEEN IMPROVEMENT AND GROWTH IN THE ACCESSIBILITY OF MENTAL HEALTH PROVIDERS AND AVAILABLE MENTAL HEALTH SERVICES OVER RECENT YEARS. FURTHERMORE, SHANNON WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND A WAY TO PROVIDE THESE ESSENTIAL HEALTH SERVICES TO OUR PATIENTS AND COMMUNITY. |
| SCHEDULE H, PART V, SECTION B, LINES 7A & 10A | CHNA & IMPLEMENTATION STRATEGY AVAILABLE ON HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.SHANNONHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| SCHEDULE H, PART V, SECTION B LINE 16A | FAP WEBSITE URL: https://www.shannonhealth.com/media/224035/501r-Financial-Assistance-Polic y-English-2017.pdf |
| SCHEDULE H, PART V, SECTION B LINE 16B | FAP APPLICATION FORM URL: https://www.shannonhealth.com/media/192408/Shannon-Financial-Responsibilit y-Report.pdf |
| SCHEDULE H, PART V, SECTION B LINE 16C | PLAIN LANGUAGE SUMMARY OF FAP URL: https://www.shannonhealth.com/media/224029/501r-SMC-Financial-Assistance-P olicy-Summary-English-2017.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SHANNON SURGERY CENTER | ||||
| 120 E HARRIS AVENUE | SAN ANGELO | TX | 76903 | AMBULATORY SURGERY CENTER |
| SHANNON HOME HEALTH | ||||
| 2030 PULLIAM STE 6 | SAN ANGELO | TX | 76905 | HOME HEALTH CENTER |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | METHOD TO DETERMINE ASSISTANCE ELIGIBILITY: SHANNON MEDICAL CENTER ALSO USES INSURANCE STATUS AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. |
| SCHEDULE H, PART III, SECTION A, LINES 2 & 3 | COSTING METHODOLOGY LINE 2: AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE ORGANIZATIONS INTERNAL FINANCIALS. LINE 3: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT FOOTNOTE: SEE PAGE 12 OF THE ATTACHED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | COSTING METHODOLOGY: THE COST REPORT USES COST TO CHARGE RATIOS FOR ANCILLARY DEPARTMENTS, PLUS IN THE ROOM AND BOARD AREAS IT IS A PER DIEM. THE STATE OF TEXAS TREATS SHORTFALL AS A COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. FOR FISCAL YEAR 2020, THERE WAS NO SHORTFALL CALCULATED. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | WRITTEN DEBT COLLECTION POLICY CHARITY CARE AND DISCOUNTING FOR UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR GOVERNMENT HEALTH CARE PROGRAMS AND WHOSE FINANCIAL CONDITION IS SUCH THAT THEY ARE NOT ABLE TO PAY FOR HOSPITAL SERVICES MAY BE ELIGIBLE FOR ASSISTANCE UNDER THE SHANNON MEDICAL CENTER CHARITY CARE PROGRAM. PATIENTS WHO ARE UNINSURED, DO NOT QUALIFY FOR COVERAGE UNDER GOVERNMENT HEALTH CARE PROGRAMS, MAY BE ELIGIBLE FOR A 50% DISCOUNT OFF THE TOTAL BILL FOR HOSPITAL SERVICES, IF THE SERVICES ARE PAID FOR WHEN RECEIVED OR WITHIN 30 DAYS OF DISCHARGE. COLLECTION OF ACCOUNTS RECEIVABLE PATIENTS / GUARANTOR WILL BE RESPONSIBLE FOR PAYMENT OF SERVICES RECEIVED AT SHANNON MEDICAL CENTER. PATIENTS / GUARANTORS WILL BE RESPONSIBLE FOR FULL CHARGES, OR PATIENT PORTION NOT COVERED BY INSURANCE. PAYMENT WILL BE REQUESTED PRIOR TO OR ON THE DATE OF SCHEDULED ELECTIVE SERVICES. FULL CHARGES OR PATIENT PORTION NOT COVERED BY INSURANCE FOR URGENT / EMERGENT SERVICES WILL BE COLLECTED UPON DISCHARGE. PATIENTS WHO ARE UNABLE TO PAY THE FULL AMOUNT OF THEIR RESPONSIBILITY AT THE TIME OF SERVICE CAN MAKE PAYMENT ARRANGEMENTS UNDER THE FOLLOWING GUIDELINES: A. BALANCE OF OUTPATIENT SERVICES MUST BE PAID WITHIN SIX (6) MONTHS FROM THE DATE OF SERVICE UNLESS INDIGENT STATUS IS PROVEN B. BALANCE OF INPATIENT SERVICES MUST BE PAID WITHIN TWELVE (12) MONTHS FROM THE DATE OF DISCHARGE UNLESS INDIGENT STATUS IS PROVEN. MONTHLY STATEMENTS WILL BE SENT THROUGHOUT THE COLLECTION CYCLE. COLLECTION LETTERS WILL BE UTILIZED AT THE DISCRETION OF THE PATIENT ACCOUNT REPRESENTATIVE. ACCOUNTS WILL BE REVIEWED FOR OUTSIDE COLLECTION AGENCY PLACEMENT ANYTIME FOLLOWING 90 DAYS FROM THE DATE OF SERVICE. MEDICARE ACCOUNTS WILL NOT BE CONSIDERED FOR PLACEMENT UNTIL 120 DAYS FROM THE FIRST NOTICE OF PATIENT RESPONSIBILITY IN ACCORDANCE WITH MEDICARE REGULATIONS. ANY OVERPAYMENT OF AN ACCOUNT WILL BE REVIEWED FOR REFUND WITHIN 30 DAYS FROM THE DATE THE CREDIT BALANCE IS CREATED BY THE OVERPAYMENT. CREDIT BALANCES ON MEDICARE ACCOUNTS WILL BE PROCESSED THROUGH THE NORMAL CREDIT BALANCE PROCESS AND REPORTED ON A QUARTERLY BASIS IN COMPLIANCE WITH MEDICARE REGULATIONS. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: HEALTH NEEDS OF THE COMMUNITY HAVE BEEN IDENTIFIED AND PRIORITIZED SO THAT SHANNON MAY ADOPT AN IMPLEMENTATION STRATEGY TO ADDRESS SPECIFIC NEEDS OF THE COMMUNITY. THE PROCESS INVOLVED: -AN EVALUATION OF THE IMPLEMENTATION STRATEGY FROM THE PREVIOUS NEEDS ASSESSMENT WHICH WAS ADOPTED BY SHANNON BOARD OF DIRECTORS IN 2016. -COLLECTION AND ANALYSIS OF A LARGE RANGE OF DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC, AND HEALTH STATISTICS, AND HEALTHCARE RESOURCES. -OBTAINING COMMUNITY INPUT THROUGH: -INTERVIEWS WITH KEY INFORMANTS WHO REPRESENT A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED, OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. -A HEALTH SURVEY WHICH GATHERED A WIDE RANGE OF INFORMATION WHICH WAS DISTRIBUTED TO IDENTIFIED STAKEHOLDERS. THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS TO UNDERSTAND THE UNIQUE HEALTH OF THE COMMUNITY SERVED BY SHANNON AND TO DOCUMENT COMPLIANCE WITH NEW FEDERAL LAWS. SHANNON MEDICAL CENTER ENGAGED BKD, LLP TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE CONDUCTED AS PART OF SHANNON'S COMMUNITY HEALTH NEEDS ASSESSMENT: AN EVALUATION OF THE IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE FISCAL YEAR SEPTEMBER 30, 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND AN IMPLEMENTATION STRATEGY SCORECARD WAS PREPARED TO UNDERSTAND THE EFFECTIVENESS OF SHANNON'S CURRENT STRATEGIES AND PROGRAMS. THE COMMUNITY SERVICE BY SHANNON WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY SHANNON. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF SEVEN INFORMANTS AND 66 COMMUNITY HEALTH NEEDS SURVEYS. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY INFORMANT SECTION OF THE CHNA REPORT. INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTED METHOD THAT WEIGHS: 1) THE SIZE OF THE PROBLEM (HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE) 2) THE SERIOUSNESS OF THE PROBLEM (WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THE ISSUE) 3) THE PREVALENCE OF COMMON THEMES 4) THE ALIGNMENT WITH SHANNON'S RESOURCES |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE: FINANCIAL ASSISTANCE BROCHURES THAT OUTLINE ACCESS TO INFORMATION ABOUT ASSISTANCE PROGRAMS ARE AVAILABLE IN EACH OF THE REGISTRATION AREAS. WE ALSO HAVE CONTRACTED ELIGIBILITY WORKERS WHO SCREEN PATIENTS FOR ALL SOCIAL SERVICE PROGRAMS AND ASSIST WITH THE APPLICATION PROCESS IF NEEDED. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: SHANNON MEDICAL CENTER IS LOCATED IN SAN ANGELO, TEXAS. THE CITY OF SAN ANGELO SERVES AS THE COUNTY SEAT AND POPULATION CENTER OF TOM GREEN COUNTY, WITH AN ESTIMATED POPULATION IN 2018 OF 118,189. TOM GREEN COUNTY'S POPULATION IN 2019 OF 119,200. THE ESTIMATED POPULATION FOR SHANNON'S SERVICE AREA AS OF 2019, INCLUDING TOM GREEN COUNTY, IS 357,190 (U.S. CENSUS BUREAU, STATE AND COUNTY QUICKFACTS). THE COUNTIES INCLUDED IN THE SHANNON SERVICE AREA ARE BROWN, COKE, CONCHO, COLEMAN, CROCKETT, HOWARD, IRION, KIMBLE, MASON, MCCULLOCH, MENARD, MILLS, MITCHELL, NOLAN, PECOS, REAGAN, RUNNELS, SAN SABA, SCHLEICHER, STERLING, SUTTON, TERRELL, TOM GREEN, UPTON, AND VAL VERDE. A BREAKDOWN OF TOM GREEN COUNTY DEMOGRAPHICS IS AS FOLLOWS. (SOURCE: U.S. CENSUS BUREAU, STATE AND COUNTY QUICKFACTS, THE COUNTY INFORMATION PROJECT, TEXAS ASSOCIATION OF COUNTIES.) TOM GREEN COUNTY AGE DISTRIBUTION 1. UNDER 18 YEARS OLD - 23.8% (28,370) 2. 18-64 YEARS OLD - 60.6% (72,235) 3. 65 YEARS AND OLDER - 15.6% (18,595) TOM GREEN COUNTY ETHNIC DISTRIBUTION (MORE THAN ONE CATEGORY MAY BE SELF-REPORTED) 1. CAUCASIAN - 52.4% (62,461) 2. HISPANIC - 40.7% (48,514) 3. BLACK - 4.4% (5,245) 4. OTHER - 2.5% (2,980) TOM GREEN COUNTY (HOUSEHOLD) 1. MEDIAN HOUSEHOLD INCOME - $53,903 (TEXAS: $61,874, US: $62,843) 2. PERSONS LIVING IN POVERTY LEVEL - 12.9% (TEXAS: 13.6%, US: 10.5%) TOM GREEN COUNTY HEALTH INDEX 1. TOM GREEN COUNTY UNINSURED - 16.8% (TEXAS: 20.0%, US: 9.5%) |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: IN A COUNTY WITH NO HOSPITAL TAXING AUTHORITY, A HOSPITAL WHOSE MISSION REFLECTS COMMITMENT TO TREATING PATIENTS WITHOUT REGARD TO ABILITY TO PAY IS A HIGHLY DESIRABLE AND PIVOTAL POINT OF COMMUNITY HEALTH CARE. FOR MORE THAN 80 YEARS, SHANNON HAS EMBRACED SUCH A MISSION AND FOLLOWS THROUGH ON THE WISHES OF OUR BENEFACTOR, MARGARET SHANNON, IN PROVIDING CARE FOR THE PEOPLE OF WEST TEXAS. OUR CHARITY CARE FIGURE OF MORE THAN $38,743,884 WOULD BE A BURDEN TO THE TAXPAYERS OF TOM GREEN COUNTY, AND MANY OTHER COUNTIES WHOSE CITIZENS DIRECTLY BENEFIT FROM HER GENEROSITY. SHANNON PROVIDES A HOST OF COMMUNITY EDUCATION EVENTS RELATED TO TOPICS SUCH AS CANCER PREVENTION AND SCREENINGS, DIABETES EDUCATION, FITNESS AND NUTRITION, CHILDBIRTH AND CHILD CARE, AND CARDIOVASCULAR HEALTH. THROUGH EDUCATIONAL EVENTS AND VARIOUS COMMUNITY EVENTS, HEALTH PROFESSIONALS RELAY CURRENT HEALTH INFORMATION TO THE PUBLIC. REPRESENTATIVES FROM DIFFERENT DEPARTMENTS PROVIDE SUPPORT AND PARTICIPATE IN LOCAL HEALTH FAIRS AND HEALTH-RELATED COMMUNITY EVENTS WHERE THEY PROVIDE VARIOUS HEALTH SCREENINGS AND EDUCATIONAL MATERIAL. IN ADDITION TO PUBLIC OUTREACH EVENTS, SHANNON PUBLISHES THE HEALTHBEAT NEWSLETTER MAGAZINE WHICH IS DELIVERED TO 30,000 HOUSEHOLDS AND PRODUCES HEALTHBEAT TELEVISION SPOTS THAT AIR DURING THE 6 AND 10 P.M. NEWS HOURS ON TWO LOCAL STATIONS. SHANNON CONTRIBUTED $115,110 FOR THESE PROGRAMS. REGIONAL EFFORTS ARE PROVIDED TO REGIONAL HEALTH PARTNERSHIP 13 FOR THE 1115 WAIVER PROGRAMS INCLUDING TECHNICAL ASSISTANCE, GUIDANCE, EDUCATIONAL EVENT PLANNING, SURVEY ADMINISTRATION AND SUPPORT. SHANNON DONATED FUNDS TO SOCIAL SERVICES AND COMMUNITY-BASED EFFORTS, SUCH AS HOSTING VITALANT BLOOD DRIVES. SHANNON CONTRIBUTES PLANNING AND FINANCIAL ASSISTANCE TO COMMUNITY BENEFIT EFFORTS. THIS PAST YEAR, $60,725 WAS DONATED TO OTHER COMMUNITY ORGANIZATIONS INCLUDING SAN ANGELO INDEPENDENT SCHOOL DISTRICT, ANGELO STATE UNIVERSITY FOUNDATION, SAN ANGELO STOCK SHOW AND RODEO, SUNSET MALL, AND MANY OTHERS. SHANNON ACTIVELY PARTICIPATES IN VARIOUS COMMUNITY-BASED BOARDS AND COALITIONS. SERVICE TO THESE BOARDS AND COALITIONS IS PROVIDED AT A COST OF $12,587 TO SHANNON. SHANNON PARTICIPATES IN VARIOUS CAREER FAIRS AND TALKS WITH STUDENTS AND COMMUNITY MEMBERS ABOUT HEALTH CAREERS. THIS SERVICE IS PROVIDED AT A COST OF $3,120 TO SHANNON. SHANNON HAS RECOGNIZED A COMMUNITY NEED TO OFFER SUPPORTIVE SERVICES TO PARENTS AND FAMILIES SUFFERING FROM EARLY PREGNANCY LOSS, STILLBIRTH, OR NEWBORN DEATH. THE WHITE ROSE SUPPORT GROUP AT SHANNON HOSTS A 5-PART SESSION CALLED "GRIEVING THE CHILD I NEVER KNEW" TO OFFER INSIGHT, ENCOURAGEMENT, HEALING, HOPE, AND SHARING FOR FAMILIES EXPERIENCING PERINATAL LOSS. FURTHERMORE, THE WHITE ROSE SUPPORT GROUP HOSTS A WALK TO REMEMBER AND CANDLELIGHT EVENT FOR THOSE WHO HAVE SUFFERED. THESE EVENTS ARE PROVIDED AT A COST OF $11,064 TO SHANNON. SHANNON PARTNERS WITH THE AMERICAN HEART ASSOCIATION TO EDUCATE, RAISE AWARENESS AND PREVENT HEART DISEASE AND STROKE. SHANNON UNDERSTANDS THAT CONTINUED EDUCATION AND AWARENESS IS CRUCIAL FOR WOMEN AND MEN TO FIGHT THIS DEADLY DISEASE. THIS SPONSORSHIP IS PROVIDED AT A COST OF $15,000 TO SHANNON. SHANNON IS THE ONLY PROVIDER THAT OPERATES THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) IN THE SHANNON SERVICE AREA. SANE TRAINED NURSES WORK WITH THE CHILDREN'S ADVOCACY CENTER, THE CONCHO VALLEY RAPE CRISIS CENTER AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE TRAINING AND SERVICES RELATED TO SEXUAL ASSAULT CRISES. |
| SCHEDULE H, PART VI, LINE 6 | Affiliated health care system: Shannon, a non-profit health system established in the 1930's, provides the communities of West Central Texas with a variety of medical services. Dedicated to the region's health and well-being, our facility is licensed for over 400 beds and provides a variety of clinical services to meet each patient's needs. We are the designated Level III Lead Trauma Facility for the region, have a nationally recognized intensive care unit, provide critical care to newborns as young as 28 weeks gestation, perform state-of-the-art diagnostics in our radiology department, and provide complete testing and surgical capabilities for cardiology patients, among many more services. Shannon continues to collaborate and build relationships with a broad range of agencies, organizations and institutions to build community and organizational capacity. By effectively utilizing resources and working together, Shannon plans to implement strategies to improve the community it serves. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS |
| Schedule H, Part 1, Line 7, Column F | COMMUNITY BENEFIT EXPENSE: Bad debt expense of $67,563,534 was included on form 990, part ix, line 25, column (A), but was subtracted from total expense for the calculation of "percent of total expense" in this column. |
| Schedule H, Part I, Line 7 | COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 4, 5 & 7 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT PROCESS. |
| Schedule H, PART I, LINE 7G | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR JASON FELGER | ||||||||||||||
| DIRECTOR | $0 | $631,537 | $0 | $57,172 | $0 | $93,920 | $0 | $80,456 | $0 | $35,537 | $0 | $898,622 | $0 | $74,230 |
| KELLY SHANE PLYMELL | ||||||||||||||
| PRESIDENT/CEO | $590,681 | $0 | $242,100 | $0 | $68,578 | $0 | $80,159 | $0 | $23,547 | $0 | $1,005,065 | $0 | $67,888 | $0 |
| PAMELA BRADSHAW | ||||||||||||||
| VP/CNO/COO | $336,842 | $0 | $132,003 | $0 | $51,111 | $0 | $59,931 | $0 | $23,547 | $0 | $603,434 | $0 | $50,421 | $0 |
| JAMES C BARNETT MD | ||||||||||||||
| VP/CMO | $489,730 | $0 | $125,669 | $0 | $45,334 | $0 | $64,195 | $0 | $17,684 | $0 | $742,612 | $0 | $44,044 | $0 |
| JOSEPH WOOLDRIDGE | ||||||||||||||
| VP/CFO | $154,789 | $0 | $18,563 | $0 | $92 | $0 | $7,200 | $0 | $12,835 | $0 | $193,479 | $0 | $0 | $0 |
| STACI WETZ | ||||||||||||||
| CONTROLLER/FORMER CFO | $133,881 | $0 | $75,022 | $0 | $54,250 | $0 | $28,716 | $0 | $8,337 | $0 | $300,206 | $0 | $53,969 | $0 |
| STEPHEN LUBKE | ||||||||||||||
| DIRECTOR OF PHARMACY | $198,226 | $0 | $0 | $0 | $3,322 | $0 | $7,572 | $0 | $2,694 | $0 | $211,814 | $0 | $0 | $0 |
| MARGARET BENSON | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $195,560 | $0 | $0 | $0 | $3,307 | $0 | $7,619 | $0 | $7,614 | $0 | $214,100 | $0 | $0 | $0 |
| GREGORY WHEELER | ||||||||||||||
| DIRECTOR OF REIMBURSEMENT | $189,996 | $0 | $0 | $0 | $3,200 | $0 | $7,314 | $0 | $5,413 | $0 | $205,923 | $0 | $0 | $0 |
| JAMES NAYLOR | ||||||||||||||
| CHIEF ECHO SONOGRAPHER | $184,706 | $0 | $0 | $0 | $218 | $0 | $7,687 | $0 | $10,892 | $0 | $203,503 | $0 | $0 | $0 |
| MIKE RUSSELL | ||||||||||||||
| CHIEF INFORMATION OFFICER | $179,019 | $0 | $0 | $0 | $0 | $0 | $6,977 | $0 | $8,314 | $0 | $194,310 | $0 | $0 | $0 |
| ALAN GRAVES | ||||||||||||||
| GENERAL COUNSEL/CHIEF LEGAL OF | $241,236 | $0 | $34,375 | $0 | $252 | $0 | $13,333 | $0 | $20,552 | $0 | $309,748 | $0 | $0 | $0 |
| ANDREW HUME MD | ||||||||||||||
| FORMER DIRECTOR | $0 | $652,081 | $0 | $62,172 | $0 | $89,838 | $0 | $80,456 | $0 | $32,624 | $0 | $917,171 | $0 | $69,548 |
| MICHELLE SNUGGS | ||||||||||||||
| FORMER DIRECTOR | $0 | $631,161 | $0 | $293,918 | $0 | $72,107 | $0 | $75,138 | $0 | $35,384 | $0 | $1,107,708 | $0 | $71,417 |
| IRVIN ZEITLER | ||||||||||||||
| FORMER MEDICAL DIRECTOR | $0 | $0 | $0 | $40,489 | $0 | $61,021 | $0 | $0 | $0 | $0 | $0 | $101,510 | $0 | $61,021 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | PROVIDED HEALTH, SOCIAL DUES OR INITIATION FEES KELLY SHANE PLYMELL RECEIVES MEMBERSHIP TO BENTWOOD COUNTRY CLUB EXCLUSIVELY FOR BUSINESS USE. ANY PERSONAL USE IS REIMBURSED BY THE OFFICER AND THEREFORE NO AMOUNTS ARE REPORTABLE ON HIS FORM W-2. |
| SCHEDULE J, PART I, LINE 4B | NONQUALIFIED RETIREMENT PLAN: FIXED CONTRIBUTION - THE PARTICIPANT'S ALLOWANCE PERCENTAGE FOR THE PLAN YEAR MULTIPLIED BY THE PARTICIPANT'S BASE SALARY FOR THE PRECEDING PLAN YEAR. DISCRETIONARY CONTRIBUTION - THE AMOUNT DETERMINED BY THE COMMITTEE, IN ITS SOLE DISCRETION, ON BEHALF OF A PARTICIPANT FOR THE PLAN YEAR BASED UPON CRITERIA ESTABLISHED BY THE COMMITTEE, IN ITS SOLE DISCRETION. THE APPLICABLE PLAN YEAR OF THE DISCRETIONARY CONTRIBUTION SHALL BE PLAN YEAR DURING WHICH IT IS CREDITED TO THE PARTICIPANT'S MUTUAL FUND ACCOUNT PURSUANT TO SECTION 2.1.3.2 OF EXHIBIT A TO THE PLAN. HOWEVER, THE COMMITTEE, IN ITS SOLE DISCRETION, MAY DETERMINE THE AMOUNT OF THE DISCRETIONARY CONTRIBUTION BASED UPON CRITERIA RELATING TO THE PRECEDING PLAN YEAR, AS MEASURED DURING THE FISCAL YEAR OF THE COMPANY ENDING IN SUCH PRECEDING PLAN YEAR. 457(F) DETAIL PARTICIPANT W-2 DEFERRED COMP PAYOR ------------ --------- --------------- ----------- KELLY SHANE PLYMELL $67,888 $68,959 SMC CHRIS BARNETT $44,044 $52,995 SMC PAMELA BRADSHAW $50,421 $48,731 SMC ALAN GRAVES NONE $13,333 SMC JOSEPH WOOLDRIDGE NONE $ 7,200 SMC STACI WETZ $53,969 $23,100 SMC JASON FELGER $74,230 $69,256 SC ANDREW HUME, MD $69,548 $69,256 SC MICHELLE SNUGGS $71,417 $63,838 SC IRVIN ZEITLER $61,021 NONE SC |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANE ZEITLER | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DR. IRVIN ZEITLER SPOUSE | RelationshipDescriptionTxt |
| Transaction | $175,633 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATION | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERS OR STOCKHOLDERS: SHANNON HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE BOARD OF DIRECTORS SHALL CONSIST OF EACH OF THE SEVEN TRUSTEES OF THE MARGARET SHANNON ESTATE, A TESTAMENTARY TRUST. THE OTHER DIRECTORS SHALL CONSIST OF REPRESENTATIVES OF THE COMMUNITY AND MEMBERS OF THE MEDICAL STAFF OF THE HOSPITAL, TO NUMBER IN AGGREGATE NOT MORE THAN SEVEN WHO ARE APPOINTED BY THE MEMBER AND THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL: APPROVAL OF THE SOLE MEMBER, SHANNON HEALTH SYSTEM, IS REQUIRED FOR BUDGETS, LARGE FINANCIAL EXPENDITURES THAT DEVIATE FROM BUDGET, SALE OF PROPERTY, MERGER, ACQUISITION, OR CONSOLIDATION, BORROWING OF MONEY, SEEKING OR GIVING GRANTS, SETTLEMENT OF CLAIMS OR LITIGATION, AMENDMENT OF BYLAWS, AND CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. A COPY WILL BE MADE AVAILABLE TO THE FINANCE COMMITTEE AND BOARD BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: WE REGULARLY AUDIT FOR CONFLICT OF INTEREST STATEMENTS IN THE EMPLOYEES RECORDS. PROCEDURE FOR MONITORING: 1. WITHIN 90 DAYS OF BECOMING AN AFFECTED INDIVIDUAL, THAT INDIVIDUAL MUST REVIEW THIS POLICY AND COMPLETE AN SMC CONFLICT OF INTEREST DISCLOSURE FORM. 2. AT LEAST ANNUALLY THEREAFTER, AFFECTED INDIVIDUALS MUST REVIEW THIS POLICY AND COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. 3. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE SENT TO THE SMC COMPLIANCE OFFICER. 4. AT ANY TIME WHEN AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST ARISES, THE AFFECTED INDIVIDUAL MUST REVISE HIS OR HER CONFLICT OF INTEREST DISCLOSURE FORM AND CONTACT THE SMC COMPLIANCE OFFICER. THE RESPONSIBILITY TO PROMPTLY REPORT SUCH ACTUAL OR POTENTIAL CONFLICTS RESTS WITH THE AFFECTED INDIVIDUAL. 5. THE SMC COMPLIANCE OFFICER WILL REVIEW DISCLOSURES AND DETERMINE WHICH REQUIRE FURTHER ACTION WITH THE SMC GENERAL COUNSEL AND APPROPRIATE SMC EXECUTIVE STAFF. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | REVIEW OF COMPENSATION: GALLAGHER COMPLETED AN EXECUTIVE COMPENSATION STUDY IN 2020, AND IT COVERED ALL EXECUTIVE SALARIES. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES' OPERATIONS COMMITTEE, WHICH CONSULTS COMPARABILITY DATA AND KEEPS CONTEMPORANEOUS RECORDS OF ITS DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part XI, LINE 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES Transfers to/from affiliates: (71,587,649) Change in Shannon Trust Net Assets: 6,184,898 Net Assets Released from Restriction: (8,693,022) Other Changes 9,110,358 ------------------ (64,985,415) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TRUSTEES SHANNON WEST TEXAS HOSPITAL | ||||||||||
| PO BOX 49 | SAN ANGELO | TX | 76902 | 750800679 | TRUST | TX | 501(C)(3) | 12B | NA | false |
| SHANNON RURAL HEALTH CLINICS INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752940211 | HEALTHCARE | TX | 501(C)(3) | 12C | SMC | Yes (true) |
| SHANNON CLINIC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752600873 | HEALTHCARE | TX | 501(C)(3) | 10 | SHS | Yes (true) |
| SHANNON REAL ESTATE SERVICES INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 270075630 | SUPPORT SVCS | TX | 501(C)(3) | 12A | SMC | Yes (true) |
| SHANNON HEALTH SYSTEM | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752602411 | SUPPORT SVCS | TX | 501(C)(3) | 12B | TSWTH | Yes (true) |
| SHANNON BUSINESS SERVICES INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 432038769 | SUPPORT SVCS | TX | 501(C)(3) | 12A | SMC | Yes (true) |
| SHANNON MEDICAL MANAGEMENT | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 208367966 | SUPPORT SVCS | TX | 501(C)(3) | 12B | SHS | Yes (true) |
| SHANNON MEDICAL CENTER PIONEER FDN | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 352229303 | SUPPORT | TX | 501(C)(3) | 12A | SMC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REGIONAL CANCER TREATMENT CENTER | ||||||||||||||
| 102 N MAGDALEN STE 120 | SAN ANGELO | TX | 76903 | 752225955 | RADIOTHERAPY | TX | NA | RELATED | $498,438 | $6,570,469 | false | $0 | Yes (true) | 0.55535 |
| REGIONAL CANCER TREATMENT CTR | ||||||||||||||
| 102 N MAGDALEN STE 120 | SAN ANGELO | TX | 76903 | 752225955 | RADIOTHERAPY | TX | NA | RELATED | $167,914 | $2,143,574 | false | $0 | false | 0.18709 |
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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LEGACY MANAGEMENT SERVICES | |||||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 752544450 | MANAGEMENT | TX | NA | C - CORPORATION | $0 | $0 | false |
| LEGACY HEALTH SOLUTIONS | |||||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 200720762 | MED INSURANCE | TX | NA | C - CORPORATION | $0 | $0 | false |
| 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 | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | 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 (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SHANNON BUSINESS SERVICES | ||
| C | $457,236 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| J | $145,866 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| P | $3,492,848 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| Q | $11,761,363 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| R | $646,411 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| S | $9,040,777 | BOOK VALUE |
| SHANNON CLINIC | ||
| P | $20,526,857 | BOOK VALUE |
| SHANNON CLINIC | ||
| Q | $8,612,799 | BOOK VALUE |
| SHANNON CLINIC | ||
| R | $123,227,004 | BOOK VALUE |
| SHANNON CLINIC | ||
| S | $127,858,716 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| P | $2,691,127 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| Q | $20,228,260 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| R | $32,551,969 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| K | $1,373,547 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| Q | $414,787 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| R | $1,819,179 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| S | $603,525 | BOOK VALUE |
| Trustees Shannon West Texas Hospital | ||
| C | $8,000,000 | BOOK VALUE |
Comments