2015-08-13T13:23:25-05:00 2014-09-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2013-10-01 208367966 SHANNON MEDICAL MANAGEMENT % SHANNON MED MGMT ATTN SHAN 3256581511 PO BOX 22000 Suite SAN ANGELO TX 76902 BRYAN HORNER PRESIDENT 3256581511 2015-08-15 true Jana Kirksey P01261744 3256581511 2013 2016-02-25 16:41:14Z BRYAN HORNER PO BOX 22000 SAN ANGELO TX 76902 44312958 false X N/A X 2007 TX FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS, AND NEIGHBORS. 5 0 994 0 0 0 0 0 42123837 44310559 11 0 46027 2399 42169875 44312958 0 0 0 0 29029425 30674894 0 0 0 11176208 11866901 40205633 42541795 1964242 1771163 1690244 2285418 2529792 2453968 -839548 -168550 TO PROVIDE SUPPORT SERVICES FOR SHANNON CLINIC IN SUPPORT OF ITS MISSION TO BE THE PREMIERE HEALTH CARE PROVIDER OF PHYSICIAN SERVICES IN THE COMMUNITIES SERVED. false false 35667260 44312958 PROVIDE SUPPORT SERVICES, INCLUDING NURSING, ANCILLARY HEALTHCARE SERVICES, ADMINISTRATIVE AND TECHNOLOGICAL SUPPORT FOR SHANNON CLINIC, AN AFFILIATED NON-PROFIT MULTI-SPECIALTY PHYSICIAN CLINIC THAT PROVIDES HEALTHCARE THROUGHOUT SAN ANGELO AND NEARBY COMMUNITIES REGARDLESS OF ABILITY TO PAY. SHANNON MEDICAL MANAGEMENT IS ORGANIZED AND OPERATED TO SUPPORT ACCESS AND CARE FOR RESIDENTS OF ITS SERVICE AREA, INCLUDING MEDICALLY INDIGENT PATIENTS. 35667260 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false true false false false false false true false false false true 0 0 994 true false false false false false false false false false false X 5 0 false false false false true true false true true false false false true true true true true true true false X SHANNON MED MGMT ATTN 3256581511 ADMINISTRATION 120 E BEAUREGARD SAN ANGELO TX 76903 X GARY GIBIAN EXECUTIVE DIRECTOR 40.0 5.0 X X 423843 0 80220 JOHN GILBREATH CHIEF FINANCIAL OFFICER 40.0 5.0 X X 224623 0 47164 LEN MERTZ CHAIRMAN 1.0 2.0 X X 0 7584 4970 BRYAN HORNER PRESIDENT 8.0 32.0 X X 0 771316 44517 KELLY SHANE PLYMELL SECRETARY 8.0 32.0 X X 0 469848 76419 GARY BOWEN CHIEF OPERATING OFFICER 40.0 5.0 X 230328 0 58817 MARK DUNCAN SPORTS MED DIRECTOR 40.0 X 131429 0 25287 WEST HERBERT LEAD EKG/TREAD TECH 40.0 X 104805 0 24373 1115028 1248748 361767 5 false true false ALLSCRIPTS 8529 SIX FORKS ROAD FORUM IV RALEIGH NC 27615 STATEMENT PROCESSING 559125 PER-SE TECHNOLOGIES PO BOX 742526 ATLANTA GA 30374 OUTSIDE BILLING 268562 NUANCE COMMUNICATIONS ONE WAYSIDE ROAD BURLINGTON MA 01803 DICTATION SERVICES 200097 MEDI-COMM SERVICES OF LUBBOCK 2514 82ND STREET SUITE B LUBBOCK TX 79423 COLLECTION SERVICES 307056 WHITE PLUME TECHNOLOGIES LLC TWO METROPLEX DR SUITE 310 BIRMINGHAM AL 35209 SOFTWARE SUPPORT 130897 5 0 MEDICAL RECORDS INCOME 900099 58671 58671 LEASE INCOME 532000 7225 7225 MANAGEMENT FEES 900099 44244663 44244663 44310559 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 2399 2399 2399 44312958 44312958 0 0 0 0 1064995 1064995 0 23455033 21621098 1795875 679567 687181 30446 3787192 3493542 293650 1688107 1542874 145233 0 0 17272 17272 0 0 0 2124368 1803299 321069 29448 29043 405 1008354 245395 762959 1932277 59417 1872860 0 5188101 5181837 6264 125072 74927 50145 0 0 0 0 374235 286121 88114 14875 14875 EQUIPMENT COSTS 355433 229408 126025 COLLECTION FEES 321574 321574 RECRUITING 75140 44738 30402 DUES/MEMBERSHIP/LICENSE 231546 5950 225596 69206 40856 28350 42541795 35667260 6874535 0 0 0 0 0 0 0 0 297316 0 0 0 0 0 0 0 0 129169 199847 6396912 4689116 1491331 1707796 0 0 0 0 0 0 0 0 69744 80459 1690244 2285418 2110772 1987362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419020 466606 2529792 2453968 X -839548 -168550 0 0 0 0 -839548 -168550 1690244 2285418 X 1771163 -1100165 X X false true X true false X X X X false false false SHANNON CLINIC 752600873 04 true true true 42541795 1 42541795 6396912 4689116 1707796 1707796 0 PENSION PLAN LIABILITY 118519 HEALTH CLAIM PAYABLE 348087 466606 44310717 44310717 2241 2241 44312958 42539554 42539554 2241 2241 42541795 FIN 48 DISCLOSURE 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. Part XI & XII, Line 4B OTHER cHANGE BAD DEBT $ 2,241.00 X X X X false true false false false false false false false GARY GIBIAN EXECUTIVE DIRECTOR 298743 0 92581 0 32519 0 54400 0 25820 0 504063 0 20134 0 JOHN GILBREATH CHIEF FINANCIAL OFFICER 176189 0 26010 0 22424 0 38329 0 8835 0 271787 0 13098 0 BRYAN HORNER PRESIDENT 0 584943 0 169373 0 17000 0 31620 0 12897 0 815833 0 0 KELLY SHANE PLYMELL SECRETARY 0 372098 0 97750 0 0 0 57701 0 18718 0 546267 0 0 GARY BOWEN CHIEF OPERATING OFFICER 184373 0 26444 0 19511 0 42259 0 16558 0 289145 0 13265 0 MARK DUNCAN SPORTS MED DIRECTOR 127081 0 3972 0 376 0 6517 0 18770 0 156716 0 0 0 PART 1, QUESTION 4 SERP DETAIL NAME AMOUNT BRYAN HORNER NONE NONQUALIFIED PLAN PARTICIPANTS NAME AMOUNT BRYAN HORNER $ NONE GARY GIBIAN $24,439 JOHN GILBREATH $16,473 GARY BOWEN $17,431 SHANE PLYMELL $26,081 FOR EXECUTIVES & OFFICERS - PARTICIPANTS IN THE 457F RETIREMENT ALLOWANCE PLAN ARE EMPLOYEES WHO ARE UNDER AGE 62 & THEIR EXPECTED COMPENSATION IS HIGHER THAN 125,000. EACH QUARTER, THEY RECEIVE 8% OF THEIR BASE SALARY FOR THE PRECEEDING 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. LEN MERTZ PERAHEALTH BOARD MEMBER 95000 SMC & PERAHEALTH HAVE CONTRACT false FORM 990, PART VI, QUESTION 6 CLASSES OF MEMBERS OR STOCKHOLDERS SHANNON HEALTH SYSTEM IS THE SOLE MEMBER OF SHANNON MEDICAL MANAGEMENT. FORM 990, PART VI, QUESTION 7A MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY THE SOLE MEMBER, SHANNON HEALTH SYSTEM, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBER EXERCISES ITS POWERS AND AUTHORITY THROUGH THE ACTION OF THE CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER OR SUCH OTHER PERSON OR PERSONS DESIGNATED BY THE BOARD OF DIRECTORS OF THE MEMBER TO TAKE ACTION. FORM 990, PART VI, QUESTION 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. THE BOARD WILL REVIEW AFTER THE FORM IS FILED. FORM 990, PART VI, QUESTION 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON MEDICAL MANAGEMENT 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, QUESTION 15A & 15B REVIEW OF COMPENSATION OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON MEDICAL MANAGEMENT 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 XII, QUESTION 2C EXPLANATION OF COMMITTEE THAT ASSUMES RESPONSIBILITY SHANNON MEDICAL MANAGEMENT DOES NOT HAVE AN AUDIT COMMITTEE, BUT THERE IS A SHANNON HEALTH SYSTEM AUDIT COMPLIANCE COMMITTEE THAT OVERSEES THE CONSOLIDATED AUDIT THAT INCLUDES SHANNON MEDICAL MANAGEMENT. FORM 990, PART V, QUESTION 1A NUMBER OF 1099'S CHECKS ARE WRITTEN ON BEHALF OF SHANNON MEDICAL MANAGEMENT BY SHANNON CLINIC. ACCORDINGLY ALL FORM 1099'S ARE FILED UNDER THE TAX ID OF SHANNON CLINIC. FORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS Transfer to/from affiliate (1,100,165) TRUSTEES SHANNON WEST TEXAS HOSPITAL PO BOX 49 SAN ANGELO TX 76902 750800679 TRUST TX 501(C)(3) 11B NA false SHANNON RURAL HEALTH CLINICS INC 120 E HARRIS AVE SAN ANGELO TX 76903 752940211 HEALTHCARE TX 501(C)(3) 11C SMC false SHANNON REAL ESTATE SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 270075630 SUPPORT SVCS TX 501(C)(3) 11B SMC false SHANNON HEALTH SYSTEM 120 E HARRIS AVE SAN ANGELO TX 76903 752602411 SUPPORT SVCS TX 501(C)(3) 11A NA false SHANNON CLINIC 120 E BEAUREGARD SAN ANGELO TX 76903 752600873 HEALTHCARE TX 501(C)(3) 9 SHS false SHANNON BUSINESS SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 432038769 SUPPORT SVCS TX 501(C)(3) 11B SMC false SHANNON MEDICAL CENTER 120 E HARRIS AVE SAN ANGELO TX 76903 752559845 SUPPORT SVCS TX 501(C)(3) 3 NA false REGIONAL CANCER TREATMENT CENTER 102 N MAGDALEN STE 120 San Angelo TX 76903 752225955 RADIOTHERAPY TX NA LEGACY MANAGEMENT SERVICES 2018 PULLIAM ST SAN ANGELO TX 76903 752544450 UTILIZ. REVIEW TX NA C-CORPORATION 0 0 false LEGACY HEALTH SOLUTIONS 2018 PULLIAM ST SAN ANGELO TX 76903 200720762 MEDICAL INSURANCE TX NA C-CORPORATION 0 0 false false false false false false false false false false false true false true false true true true true true