SHANNON CLINIC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SHANNON CLINIC (EIN 75-2600873)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-13
IRS object ID
201612269349300721
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-13T11:03:45-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77056ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752600873EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHANNON CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SHANNON CLINIC ATTN ADMINInCareOfNm
Business Name ControlSHANBusinessNameControlTxt
Phone3256581511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22000AddressLine1Txt
CitySAN ANGELOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76902ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTACI WETZPersonNm
Person TitleCFOPersonTitleTxt
Phone7134994600PhoneNum
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJana KirkseyPreparerPersonNm
PTINP01261744PTIN
Phone7134994600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRYAN HORNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22000AddressLine1Txt
CitySAN ANGELOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$136,781,678GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSHANNONHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionFOUNDED 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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee256TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$130,516,858PYProgramServiceRevenueAmt
CY Program Service Revenue$136,780,927CYProgramServiceRevenueAmt
PY Investment Income-$1,742PYInvestmentIncomeAmt
CY Investment Income$751CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$130,515,116PYTotalRevenueAmt
CY Total Revenue$136,781,678CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$88,355,743PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$93,895,508CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$72,169,209PYOtherExpensesAmt
CY Other Expenses$80,374,232CYOtherExpensesAmt
PY Total Expenses$160,524,952PYTotalExpensesAmt
CY Total Expenses$174,269,740CYTotalExpensesAmt
PY Revenues Less Expenses-$30,009,836PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$37,488,062CYRevenuesLessExpensesAmt
Total Assets BOY$27,861,858TotalAssetsBOYAmt
Total Assets EOY$28,276,438TotalAssetsEOYAmt
Total Liabilities BOY$20,918,021TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,031,778TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,943,837NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,244,660NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO BE THE PREMIER HEALTH CARE PROVIDER OF PHYSICIAN SERVICES IN THE COMMUNITIES WE SERVE UTILIZING THE RESOURCES AVAILABLE TO US. WE STRIVE TO PROVIDE THE BEST ACCESS, SERVICE AND MEDICAL MANAGEMENT AVAILABLE TO OUR PATIENTS WHILE SIMULTANEOUSLY PROTECTING THE VIABILITY OF OUR ORGANIZATION AND ITS EMPLOYEES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$166,076,685ExpenseAmt
Grant$0GrantAmt
Revenue$136,780,927RevenueAmt
DescPROVIDE HEALTHCARE SERVICES AS A MULTI-SPECIALTY PHYSICIAN CLINIC AT LOCATIONS THROUGHOUT SAN ANGELO AND NEARBY COMMUNITIES REGARDLESS OF ABILITY TO PAY, INCLUDING CALL COVERAGE FOR SHANNON MEDICAL CENTER, AN AFFILIATED NON-PROFIT HOSPITAL. SHANNON CLINIC IS ORGANIZED AND OPERATED TO PROVIDE ACCESS AND CARE FOR RESIDENTS OF ITS SERVICE AREA, INCLUDING MEDICALLY INDIGENT PATIENTS. RECRUITMENT FOR PROVIDERS INCLUDES NEW PHYSICIANS AND MID-LEVEL PROVIDERS TO EXPAND URGENT CARE AND PRIMARY CARE ACCESS TO COMMUNITIES SERVED, AND SPECIALISTS TO ALLOW SHANNON MEDICAL CENTER TO PROVIDE CARE TO ITS PATIENTS REGARDLESS OF ABILITY TO PAY.Desc
Total Program Service Expenses$166,076,685TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document117IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee256EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHANNON CLINIC ATTN ADMINPersonNm
Phone3256581511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 E BEAUREGARDAddressLine1Txt
CitySAN ANGELOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76903ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN HARVEY
PHYSICIAN/DIVISION CHAIRMAN40.00.0Yes (X)Yes (X)$376,848$0$71,614
VIKI FORLANO HALFMANN
PHYSICIAN/DIVISION VICE CHAIR40.00.0Yes (X)Yes (X)$323,012$0$65,787
HARVEY RUSSWURM
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$325,346$0$62,393
WILLIAM WHITEHEAD
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$464,049$0$80,703
CHRIS COLE
PHYSICIAN / CHAIRMAN40.00.0Yes (X)Yes (X)$835,219$0$105,856
ANTHONY DEMORY
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$776,373$0$82,599
JOE MIMS
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$524,366$0$82,680
IRVIN ZEITLER
MEDICAL DIRECTOR5.035.0Yes (X)$0$467,700$21,357
DOUG SCHULTZ
PHYSICIAN/MEDICAL DIRECTOR40.00.0Yes (X)$328,824$0$51,987
JOSEPH ZUBAK
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$553,824$0$69,778
MARK MURPHY
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$323,904$0$67,822
NORMA CERNA
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$317,640$0$60,337
ERIC IGLER
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$401,136$0$78,316
LAURA ADAMS
PHYSICIAN / SECRETARY40.00.0Yes (X)Yes (X)$582,925$0$85,909
SARAH JACKSON-VANCE
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$369,666$0$69,406
STEVEN BURGESS
PHYSICIAN / BOARD DIRECTOR40.00.0Yes (X)$333,761$0$66,676
JASON FELGER
PHYSICIAN / BOARD DIRECTOR40.00.0Yes (X)$651,617$0$96,474
RUDY HADDAD
PHYSICIAN/BOARD DIRECTOR40.00.0Yes (X)$822,113$0$32,316
BRYAN HORNER
PRESIDENT5.035.0Yes (X)$0$692,737$14,336
JOHN GILBREATH
CFO5.035.0$0$248,329$52,357Yes (X)
GARY BOWEN
COO5.035.0$0$240,706$59,145Yes (X)
GARY GIBIAN
SMM EXECUTIVE DIRECTOR5.035.0$0$414,004$80,755Yes (X)
FRANK KUNZE
SMM CHIEF OPERATING OFFICER5.035.0$0$0$0Yes (X)
TIMOTHY HOPKINS
PHYSICIAN40.00.0$1,766,723$0$84,542Yes (X)
DAVID HUCHTON
PHYSICIAN40.00.0$1,094,613$0$81,290Yes (X)
DAVID CUMMINGS
PHYSICIAN40.00.0$1,058,579$0$94,224Yes (X)
STEPHEN COATES
PHYSICIAN40.00.0$984,139$0$69,559Yes (X)
LUIS DUARTE
PHYSICIAN40.00.0$3,429,297$0$100,594Yes (X)
JAMES MELOTT
PHYSICIAN/FORMER OFFICER40.00.0$294,209$0$67,959Yes (X)
ROSS CARMICHAEL
PHYSICIAN/FORMER OFFICER40.00.0$197,933$0$34,263Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$17,136,116TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,063,476TotReportableCompRltdOrgAmt
Total Other Compensation$1,991,034TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K179IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DELTA LOCUM TENENS
1755 WITTINGTON PLACE STE 800DALLASTX75234LOCUMS SERVICES$947,387
SHANNON MED MGMT
120 E BEAUREGARDSAN ANGELOTX76903MANAGEMENT SERVICES$44,849,494
SHANNON MEDICAL CTR
120 E HARRISSAN ANGELOTX76903LAB AND LAUNDRY SVC$1,134,598
ARUP LABORATORIES
500 CHIPETA WAYSALT LAKE CITYUT84108OUTSIDE LAB SERVICES$838,676
STONE SETTLE ADVERTISING INC
PO BOX 60187SAN ANGELOTX76906ADVERTISING$598,129
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE REVENUE621990$122,988,957$122,988,957
LEASE INCOME532000$6,608$6,608
HOSPITAL BASED PHYSICIANS' ASSISTANCE900099$9,473,764$9,473,764
MISCELLANOUS INCOME900099$4,311,598$4,311,598
FieldValueIRS element (for citing)
Total Program Service Revenue$136,780,927TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$751OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$751OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$751TotalRevenueColumnAmt
Exclusion$751ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,781,678TotalRevenueColumnAmt
Related Or Exempt Func Income$136,780,927RelatedOrExemptFuncIncomeAmt
Exclusion$751ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,138,742TotalAmt
Program Services$10,138,742ProgramServicesAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,401,451TotalAmt
Program Services$1,401,451ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$72,253,601TotalAmt
Program Services$71,576,830ProgramServicesAmt
Management And General$676,771ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,931,624TotalAmt
Program Services$5,931,624ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,293,370TotalAmt
Program Services$1,293,370ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,876,720TotalAmt
Program Services$2,876,720ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$48,405,625TotalAmt
Program Services$41,144,781ProgramServicesAmt
Management And General$7,260,844ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,062TotalAmt
Management And General$43,062ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,700,632TotalAmt
Program Services$6,532,724ProgramServicesAmt
Management And General$167,908ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$246,709TotalAmt
Program Services$246,709ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$558,548TotalAmt
Program Services$558,548ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,685TotalAmt
Program Services$3,685ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$50,129TotalAmt
Program Services$50,129ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$473,535TotalAmt
Program Services$473,535ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,201TotalAmt
Program Services$1,201ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$949,383TotalAmt
Program Services$949,383ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$320,601TotalAmt
Program Services$276,131ProgramServicesAmt
Management And General$44,470ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BAD DEBT$11,928,840$11,928,840
MEDICAL SUPPLIES$8,717,741$8,717,741
RECRUITING$623,087$623,087
EDUCATION$474,301$474,301

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$877,153TotalAmt
Program Services$877,153ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$174,269,740TotalAmt
Program Services$166,076,685ProgramServicesAmt
Management And General$8,193,055ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,035,239BOYAmt
EOY$13,801,150EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$619,315BOYAmt
EOY$446,212EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$61,304BOYAmt
EOY$261,972EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,097,360BOYAmt
EOY$978,791EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,660,369LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,105,112LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,250,185BOYAmt
EOY$2,555,257EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,798,455BOYAmt
EOY$10,233,056EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,861,858BOYAmt
EOY$28,276,438EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,783,893BOYAmt
EOY$10,434,724EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$107,369BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,026,759BOYAmt
EOY$14,597,054EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,918,021BOYAmt
EOY$25,031,778EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,943,837BOYAmt
EOY$3,244,660EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,943,837BOYAmt
EOY$3,244,660EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,861,858BOYAmt
EOY$28,276,438EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$37,488,062ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$33,788,885OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$101,441,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$114,358,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,449,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,516,856CurrentTaxYearMinus1YearAmt
Current Tax Year$136,780,927CurrentTaxYearAmt
Total$605,547,241TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$101,441,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$114,358,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,449,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,516,856CurrentTaxYearMinus1YearAmt
Current Tax Year$136,780,927CurrentTaxYearAmt
Total$605,547,241TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$605,547,241PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$101,441,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$114,358,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,449,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,516,856CurrentTaxYearMinus1YearAmt
Current Tax Year$136,780,927CurrentTaxYearAmt
Total$605,547,241TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,615,521OtherCostOrOtherBasisAmt
Depreciation$12,105,112DepreciationAmt
Book Value$2,555,257BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,848OtherCostOrOtherBasisAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,555,257TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRETIREMENT FUNDDesc
Book Value$10,233,056BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,233,056TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PENSION FUND LIABILITY$12,560,195
HEALTH CLAIMS PAYABLE$193,361
ESTIMATED MALPRACTICE COSTS$1,843,498
FieldValueIRS element (for citing)
Total Liability$14,597,054TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$75,767,294TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$75,767,294RevenueSubtotalAmt
Other Revenues Not Included$61,014,384OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$61,014,384RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$136,781,678TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$113,255,356TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$113,255,356ExpensesSubtotalAmt
Other Expenses Not Included$61,014,384OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$61,014,384ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$174,269,740TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FIN 48 DISCLOSUREMANAGEMENT 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.
PART XI & XII LINE 4BINCOME/EXPENSE RECLASSES FROM AUDIT $49,085,546 BAD DEBT 11,928,838 ---------- $61,014,384

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES MELOTT
PHYSICIAN/FORMER OFFICER$205,581$0$71,985$0$16,643$0$46,120$0$21,839$0$362,168$0$16,000$0
JOHN HARVEY
PHYSICIAN/DIVISION CHAIRMAN$253,479$0$89,281$0$34,088$0$46,800$0$24,814$0$448,462$0$16,000$0
VIKI FORLANO HALFMANN
PHYSICIAN/DIVISION VICE CHAIR$228,946$0$75,228$0$18,838$0$46,120$0$19,667$0$388,799$0$16,000$0
HARVEY RUSSWURM
PHYSICIAN/BOARD DIRECTOR$276,613$0$42,164$0$6,569$0$51,080$0$11,313$0$387,739$0$0$0
WILLIAM WHITEHEAD
PHYSICIAN/BOARD DIRECTOR$314,277$0$115,291$0$34,481$0$57,419$0$23,284$0$544,752$0$25,200$0
CHRIS COLE
PHYSICIAN / CHAIRMAN$621,553$0$186,676$0$26,990$0$73,840$0$32,016$0$941,075$0$0$0
ANTHONY DEMORY
PHYSICIAN/BOARD DIRECTOR$616,143$0$127,443$0$32,787$0$56,365$0$26,234$0$858,972$0$24,126$0
JOE MIMS
PHYSICIAN/BOARD DIRECTOR$464,843$0$52,043$0$7,480$0$57,046$0$25,634$0$607,046$0$0$0
IRVIN ZEITLER
MEDICAL DIRECTOR$0$385,197$0$82,503$0$0$0$17,734$0$3,623$0$489,057$0$0
BRYAN HORNER
PRESIDENT$0$550,607$0$125,130$0$17,000$0$10,400$0$3,936$0$707,073$0$0
DOUG SCHULTZ
PHYSICIAN/MEDICAL DIRECTOR$282,838$0$41,206$0$4,780$0$44,102$0$7,885$0$380,811$0$0$0
ROSS CARMICHAEL
PHYSICIAN/FORMER OFFICER$132,698$0$59,915$0$5,320$0$20,932$0$13,332$0$232,197$0$0$0
JOSEPH ZUBAK
PHYSICIAN/BOARD DIRECTOR$382,168$0$119,895$0$51,761$0$43,544$0$26,234$0$623,602$0$33,211$0
MARK MURPHY
PHYSICIAN/BOARD DIRECTOR$226,043$0$79,671$0$18,190$0$58,240$0$9,582$0$391,726$0$0$0
NORMA CERNA
PHYSICIAN/BOARD DIRECTOR$248,893$0$68,507$0$240$0$46,120$0$14,217$0$377,977$0$0$0
ERIC IGLER
PHYSICIAN/BOARD DIRECTOR$273,554$0$101,437$0$26,145$0$52,640$0$25,676$0$479,452$0$20,400$0
LAURA ADAMS
PHYSICIAN / SECRETARY$444,957$0$105,226$0$32,742$0$59,675$0$26,234$0$668,834$0$24,000$0
SARAH JACKSON-VANCE
PHYSICIAN/BOARD DIRECTOR$261,878$0$66,782$0$41,006$0$58,240$0$11,166$0$439,072$0$0$0
STEVEN BURGESS
PHYSICIAN / BOARD DIRECTOR$259,076$0$74,235$0$450$0$46,120$0$20,556$0$400,437$0$0$0
JASON FELGER
PHYSICIAN / BOARD DIRECTOR$546,903$0$46,190$0$58,524$0$70,240$0$26,234$0$748,091$0$0$0
RUDY HADDAD
PHYSICIAN/BOARD DIRECTOR$734,674$0$87,169$0$270$0$10,400$0$21,916$0$854,429$0$0$0
TIMOTHY HOPKINS
PHYSICIAN$1,173,190$0$513,664$0$79,869$0$74,960$0$9,582$0$1,851,265$0$46,257$0
DAVID HUCHTON
PHYSICIAN$807,932$0$255,870$0$30,811$0$62,688$0$18,602$0$1,175,903$0$30,000$0
DAVID CUMMINGS
PHYSICIAN$707,360$0$252,009$0$99,210$0$82,320$0$11,904$0$1,152,803$0$0$0
STEPHEN COATES
PHYSICIAN$735,851$0$204,588$0$43,700$0$60,247$0$9,312$0$1,053,698$0$0$0
LUIS DUARTE
PHYSICIAN$2,654,110$0$695,348$0$79,839$0$74,960$0$25,634$0$3,529,891$0$46,257$0
JOHN GILBREATH
CFO$0$186,791$0$42,642$0$18,896$0$44,196$0$8,161$0$300,686$0$0
GARY BOWEN
COO$0$189,906$0$43,353$0$7,447$0$44,194$0$14,951$0$299,851$0$0
GARY GIBIAN
SMM EXECUTIVE DIRECTOR$0$307,780$0$70,833$0$35,391$0$56,339$0$24,416$0$494,759$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4CSERP DETAIL NAME AMOUNT BRYAN HORNER NONE NONQUALIFIED PLAN PARTICIPANTS NAME AMOUNT JAMES MELOTT $ 16,193 JOHN HARVEY $ 15,898 VIKI FORLANO HALFMANN $ 18,148 WILLIAM WHITEHEAD $ 34,181 ANTHONY DEMORY $ 32,097 LAURA ADAMS $ 32,292 LUIS DUARTE $ 61,649 ERIC IGLER $ 25,695 TIMOTHY HOPKINS $ 61,679 DAVID CUMMINGS $ 81,410 DAVID HUCHTON $ 30,361 JOSEPH ZUBAK $ 33,571 SARAH JACKSON VANCE $ 40,736 STEPHEN COATES $ 43,400 JASON FELGER $ 40,574 PARTICIPANTS IN THE 457F RETIREMENT ALLOWANCE PLAN ARE PHYSICIANS WHO ARE UNDER AGE 55 & THEIR EXPECTED COMPENSATION IS HIGHER THAN 125,000 OR EXECUTIVES WHO ARE UNDER AGE 62 & THEIR EXPECTED COMPENSATION IS HIGHER THAN $125,000. EACH QUARTER, THEY RECEIVE 8% OF THEIR BASE SALARY FOR THE PRECEDING YEAR INTO A MUTUAL FUND ACCOUNT. ALL MUTUAL FUND ACCOUNTS HAVE A DEFERRED VESTING DATE OF JUNE 30TH OF THE SECOND CALENDAR YEAR FOLLOWING THE PLAN YEAR FOR WHICH THE MUTUAL FUND ACCOUNT WAS CREATED. IN GENERAL, THE EARLIEST DISTRIBUTION DATE IS AFTER JUNE 30TH OF THE SECOND CALENDAR YEAR FOLLOWING THE PLAN YEAR FOR WHICH THE MUTUAL FUND ACCOUNT WAS CREATED.
SCHEDULE J, PART I, LINE 3METHODS USED TO ESTABLISH COMPENSATION SHANNON CLINIC'S (SC) EXECUTIVE DIRECTOR IS 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 EXECUTIVE DIRECTOR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BRANDI WHITEHEAD
W. WHITEHEAD'S SPOUSE$36,857SHANNON CLINIC EMPLOYEEfalse
VALARIE BURGESS
S. BURGESS SPOUSE$12,180SHANNON CLINIC EMPLOYEEfalse
CHRIS HADDAD
R. HADDAD'S BROTHER$861,108SHANNON CLINIC EMPLOYEEfalse
DAVID VANCE
S. JACKSON-VANCE'S SPOUSE$454,956SHANNON CLINIC EMPLOYEEfalse
SUSAN SCHULTZ
D. SCHULTZ'S SPOUSE$36,350SHANNON CLINIC EMPLOYEEfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3ADMINISTRATIVE SERVICES FOR SHANNON CLINIC ARE CONTRACTED WITH SHANNON MEDICAL MANAGEMENT.
FORM 990, PART VI, SECTION A, LINE 6SHANNON HEALTH SYSTEM, A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF SHANNON CLINIC.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER, SHANNON HEALTH SYSTEM, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBER EXERCISES ITS POWERS & 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 7BTHE 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 11BTHE 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 WILL REVIEW AFTER THE FORM IS FILED.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, 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 15AOFFICERS, 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 B, LINE 15BOFFICERS, 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 19COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO/FROM AFFILIATES 33,788,885

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
TRUSTEES SHANNON WEST TEXAS HOSPITAL
PO BOX 49SAN ANGELOTX76902750800679TRUSTTX501(C)(3)11BNAfalse
SHANNON RURAL HEALTH CLINICS INC
120 E HARRIS AVESAN ANGELOTX76903752940211HEALTHCARETX501(C)(3)11CSMCfalse
SHANNON REAL ESTATE SERVICES INC
120 E HARRIS AVESAN ANGELOTX76903270075630SUPPORT SVCSTX501(C)(3)11BSMCfalse
SHANNON HEALTH SYSTEM
120 E HARRIS AVESAN ANGELOTX76903752602411HEALTHCARETX501(C)(3)11ANAfalse
SHANNON MEDICAL CENTER
120 E HARRIS AVESAN ANGELOTX76903752559845HEALTHCARETX501(C)(3)3NAfalse
SHANNON BUSINESS SERVICES INC
120 E HARRIS AVESAN ANGELOTX76903432038769SUPPORT SVCSTX501(C)(3)11BSMCfalse
SHANNON MEDICAL MANAGEMENT
120 E BEAUREGARDSAN ANGELOTX76903208367966SUPPORT SVCSTX501(C)(3)9SHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL CANCER TREATMENT CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1102 N MAGDALEN 120AddressLine1Txt
CitySan AngeloCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76902ZIPCd
FieldValueIRS element (for citing)
EIN752225955EIN
Primary ActivitiesRADIOTHERAPYPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
LEGACY MANAGEMENT SERVICES
2018 PULLIAM STSAN ANGELOTX76903752544450MANAGEMENTTXNAC-CORPORATIONfalse
LEGACY HEALTH SOLUTIONS
2018 PULLIAM STSAN ANGELOTX76903200720762MED INSURANCETXNAC-CORPORATIONfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SHANNON MEDICAL MANAGEMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction Type1MTransactionTypeTxt
Involved$48,405,625InvolvedAmt
Method Of Amount DeterminationBOOK VALUEMethodOfAmountDeterminationTxt

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