SHANNON MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SHANNON MEDICAL CENTER (EIN 75-2559845)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201212279349303501
- Schema version
- 2010v3.7
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T15:43:42-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752559845 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SHAN | NameControl |
| Phone | 3254818644 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHANE PLYMELL | Name |
| Title | CFO | Title |
| Date Signed | 2012-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | M Paige Gerich | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRYAN HORNER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 243448362 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | SHANNONHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION, IN FULFILLING OUR LEGACY, IS TO CREATE AN ENVIRONMENT COMMITTED TO THE VALUES OF ACCOUNTABILITY, SERVICE, PRIDE, INTEGRITY, RESPECT AND EXCELLENCE. CONTINUED ON SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2011 | TotalNbrEmployees |
| Total Nbr Volunteers | 135 | TotalNbrVolunteers |
| Total Gross UBI | 279833 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -83419 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 688760 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 87802 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 215025470 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 226867384 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1586435 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2070667 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3218314 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3616606 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 220518979 | TotalRevenuePriorYear |
| Total Revenue Current Year | 232642459 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5833 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 243804 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 82846919 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 88378080 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 106549525 | OtherExpensePriorYear |
| Other Expenses Current Year | 110114453 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 189402277 | TotalExpensesPriorYear |
| Total Expenses Current Year | 198736337 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 31116702 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 33906122 | RevenuesLessExpensesCY |
| Total Assets BOY | 236180979 | TotalAssetsBOY |
| Total Assets EOY | 264993302 | TotalAssetsEOY |
| Total Liabilities BOY | 41908132 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 49297983 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 194272847 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 215695319 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION, IN FULFILLING OUR LEGACY, IS TO CREATE AN ENVIRONMENT COMMITTED TO THE VALUES OF ACCOUNTABILITY, SERVICE, PRIDE, INTEGRITY, RESPECT AND EXCELLENCE. CONTINUED ON SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 155378321 | Expense |
| Grants | 156002 | Grants |
| Revenue | 230204157 | Revenue |
| Description | PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS. | Description |
| Total Program Service Expense | 155378321 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 130 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2011 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHANNON MEDICAL CENTER | NamePerson |
| Telephone Number | 3256536741 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| BRYAN HORNER | |||||||
| CEO/PRESIDENT | 32.0 | X | X | 522768 | 0 | 69570 | |
| LEN MERTZ | |||||||
| CHAIRMAN | 2.0 | X | X | 33992 | 109650 | 6588 | |
| JAMES JOHNSON | |||||||
| SECRETARY/TREASURER | 2.0 | X | X | 30371 | 31558 | 288 | |
| JOE HENDERSON | |||||||
| INDIVIDUAL TRUSTEE | 2.0 | X | 31685 | 33615 | 396 | ||
| ORAN BERRY III | |||||||
| INDIVIDUAL TRUSTEE | 2.0 | X | 28937 | 29000 | 6588 | ||
| VIRGINIA NOELKE | |||||||
| DIRECTOR | 2.0 | X | 20350 | 0 | 0 | ||
| MIKE BOYD | |||||||
| INDIVIDUAL TRUSTEE | 2.0 | X | 1368 | 0 | 0 | ||
| MIKE OLIPHANT | |||||||
| INDIVIDUAL TRUSTEE | 2.0 | X | 28850 | 30000 | 5292 | ||
| STEVE CECIL | |||||||
| INDIVIDUAL TRUSTEE | 2.0 | X | 28750 | 29000 | 8328 | ||
| JOANNA RICE | |||||||
| DIRECTOR | 2.0 | X | 22000 | 0 | 0 | ||
| JIM BOB BRAME MD | |||||||
| DIRECTOR | 2.0 | X | 22500 | 0 | 0 | ||
| PAMELA TALLEY | |||||||
| DIRECTOR | 2.0 | X | 24350 | 0 | 0 | ||
| EMMETE FLYNN MD | |||||||
| DIRECTOR | 2.0 | X | 20000 | 521150 | 89738 | ||
| MICHELLE SNUGGS MD | |||||||
| DIRECTOR | 2.0 | X | 20350 | 574831 | 111615 | ||
| KELLY SHANE PLYMELL | |||||||
| CFO | 32.0 | X | 262412 | 0 | 42479 | ||
| DR IRVIN ZEITLER | |||||||
| MEDICAL DIRECTOR | 37.0 | X | 425732 | 1763 | 67700 | ||
| WILMA STUART | |||||||
| CNO | 40.0 | X | 239827 | 0 | 37953 | ||
| PATRICIA TIPTON | |||||||
| NURSE ANESTHETIST | 40.0 | 276497 | 0 | 34261 | X | ||
| MARVIN HILL | |||||||
| NURSE ANESTHETIST | 40.0 | 271261 | 0 | 35376 | X | ||
| LANCE KEILERS | |||||||
| ADMINISTRATOR | 40.0 | 150572 | 0 | 22377 | X | ||
| TIMOTHY HARTIN | |||||||
| CCO | 40.0 | 240004 | 0 | 52644 | X | ||
| Pauline James | |||||||
| Nurse Anesthetist | 40.0 | 156356 | 0 | 21831 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2858932 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1360567 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 613024 | TotalOtherCompensation |
| Number Individuals GT100 K | 52 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SAN ANGELO EMERGENCY PHYSICIANS PA | |||||
| PO BOX 62566 | SAN ANGELO | TX | 76906 | PHYSICIAN GROUP | 874346 |
| CARDIOTHORACIC VASCULAR SURGEONS | |||||
| 1010 W 40TH ST | AUSTIN | TX | 78756 | PHYSICIAN GROUP | 772447 |
| SIEMENS MEDICAL SOLUTIONS INC | |||||
| PO BOX 120001 | DALLAS | TX | 75312 | REPAIRS/MAINTENANCE | 501746 |
| ENVISION TELEPHARMACY | |||||
| 503 E HANCOCK | ALPINE | TX | 79830 | CONTRACT LABOR | 563128 |
| EXECUTIVE HEALTH RESOURCES | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 19182 | CONSULTING GROUP | 465886 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| All Other Contributions | 87802 | AllOtherContributions |
| Total Contributions | 87802 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Revenue | 621990 | 226450315 | 226225963 | 224352 |
| Rental Income | 532000 | 417069 | 417069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 226867384 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1920733 | TotalRevenueColumn |
| Exclusion | $1,920,733 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10943889 | Securities |
| Other | 11948 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10800966 | Securities |
| Other | 4937 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 142923 | Securities |
| Other | 7011 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 149934 | TotalRevenueColumn |
| Exclusion | $149,934 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Cafeteria | 900099 | 1421325 | 1421325 | |
| Regional Cancer Treatment | 900099 | 732273 | 732273 | |
| All Other Misc Revenue | 1463008 | 1407527 | 55481 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3616606 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 232642459 | TotalRevenueColumn |
| Related Or Exempt Function Income | 230204157 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 279833 | UnrelatedBusinessRevenue |
| Exclusion | $2,070,667 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243804 | Total |
| Program Services | 243804 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1981942 | Total |
| Management And General | 1981942 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125916 | Total |
| Program Services | 125916 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68586394 | Total |
| Program Services | 53078459 | ProgramServices |
| Management And General | 15507935 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4446900 | Total |
| Program Services | 3442119 | ProgramServices |
| Management And General | 1004781 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8108090 | Total |
| Program Services | 6273934 | ProgramServices |
| Management And General | 1834156 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5128838 | Total |
| Program Services | 3876416 | ProgramServices |
| Management And General | 1252422 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 312420 | Total |
| Management And General | 312420 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136705 | Total |
| Management And General | 136705 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120934 | Total |
| Management And General | 120934 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13418383 | Total |
| Program Services | 8395367 | ProgramServices |
| Management And General | 5023016 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1032805 | Total |
| Program Services | 38192 | ProgramServices |
| Management And General | 994613 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4849986 | Total |
| Program Services | 418035 | ProgramServices |
| Management And General | 4431951 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1974553 | Total |
| Program Services | 211574 | ProgramServices |
| Management And General | 1762979 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2774724 | Total |
| Program Services | 454774 | ProgramServices |
| Management And General | 2319950 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378512 | Total |
| Program Services | 215179 | ProgramServices |
| Management And General | 163333 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9567205 | Total |
| Program Services | 4946939 | ProgramServices |
| Management And General | 4620266 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181468 | Total |
| Program Services | 2696 | ProgramServices |
| Management And General | 178772 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 45949299 | 45917217 | 32082 |
| Bad Debt | 24509013 | 24509013 | |
| Equipment Costs | 3123017 | 2409636 | 713381 |
| Collection Fees | 873667 | 873667 | |
| LAB FEES | 510579 | 510579 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401183 | Total |
| Program Services | 308472 | ProgramServices |
| Management And General | 92711 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198736337 | Total |
| Program Services | 155378321 | ProgramServices |
| Management And General | 43358016 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12626800 | BOY |
| EOY | 1535892 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3739591 | BOY |
| EOY | 28424 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18485033 | BOY |
| EOY | 19062834 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 248950 | BOY |
| EOY | 359171 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3557054 | BOY |
| EOY | 3786391 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1693874 | BOY |
| EOY | 1636804 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 198017669 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 137593918 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59075699 | BOY |
| EOY | 60423751 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46531901 | BOY |
| EOY | 54677848 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2048449 | BOY |
| EOY | 2628842 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 784536 | BOY |
| EOY | 784536 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87389092 | BOY |
| EOY | 120068809 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 236180979 | BOY |
| EOY | 264993302 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21736914 | BOY |
| EOY | 25473229 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2025 | BOY |
| EOY | 2025 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20169193 | BOY |
| EOY | 23822729 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41908132 | BOY |
| EOY | 49297983 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115558229 | BOY |
| EOY | 103636284 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78714618 | BOY |
| EOY | 112059035 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194272847 | BOY |
| EOY | 215695319 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 236180979 | BOY |
| EOY | 264993302 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 33906122 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -12483650 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5122978 | OtherCostOrOtherBasis |
| Book Value | 5122978 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69803989 | OtherCostOrOtherBasis |
| Depreciation | 46226194 | Depreciation |
| Book Value | 23577795 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 119941693 | OtherCostOrOtherBasis |
| Depreciation | 88393353 | Depreciation |
| Book Value | 31548340 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3149009 | OtherCostOrOtherBasis |
| Depreciation | 2974372 | Depreciation |
| Book Value | 174637 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 60423750 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Int in Net Assets - Shannon Tr | 112059035 |
| Self Insurance Trust | 7228443 |
| Beneficiary Account | 348781 |
| Interest Receiveable | 432550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 120068809 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Asset Retirement Obligation | $729,900 |
| Accrued Pension Cost | $15,776,061 |
| Malpractice Costs | $2,100,053 |
| Due to/from thrid party payors | $4,838,382 |
| Long Term Incentive Accrual | $378,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 23822729 | TotalOfAmounts |
| Total Revenue | 232642459 | TotalRevenue |
| Total Expenses | 198736337 | TotalExpenses |
| Excess Or Deficit For Year | 33906122 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1418503 | NetUnrealizedGLOnInvestments |
| Other | -$39,789 | OtherAmount |
| Total Adjustments | -1458292 | TotalAdjustments |
| Excess Or Deficit Per FS | 32447830 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 230940363 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1418503 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -1418503 | RevenueNotRptdF990 |
| Revenue Subtotal | 232358866 | RevenueSubtotal |
| Other Revenues Not Included | 283593 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 283593 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 232642459 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 198492533 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 198492533 | ExpensesSubtotal |
| Other Expenses Not Included | 243804 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 243804 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 198736337 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990, PART XI, LINE 8 | OTHER CHANGES | INTEREST SWAP $ 39,789 ----------- $ 39,789 |
| FORM 990, PART XII, LINE 4B | INCOME ON FORM 990 NOT ON BOOKS | INTEREST SWAP $ 39,789 GRANTS INCLUDED IN REVENUE ON AUDIT 243,804 -------------- $ 283,593 |
| FORM 990, PART XIII, LINE 4B | EXPENSES INCLUDED IN FORM 990 NOT ON BOOKS | GRANTS INCLUDED IN REVENUE ON AUDIT $ 243,804 -------------- $ 243,804 |
| UNCERTAIN TAX POSITIONS | SCHEDULE D, PART XIV | 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) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14203824 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14203824 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08160 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23657654 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 57233004 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -33575350 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 433417 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 338585 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 94833 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 38294895 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 57571589 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -19276693 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08210 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45399 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 45399 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 348628 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 348628 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 410860 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 410860 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 804887 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 804887 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39099782 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 57571589 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -18471806 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08680 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $5,951,612 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 74569120 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 46977697 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 27591423 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 CARE |
| SHANNON DIALYSIS CENTER | ||||
| 2018 PULLIAM | SAN ANGELO | TX | 76905 | DIALYSIS CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART 1, LINE 3C | SHANNON MEDICAL CENTER USES FPG TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. | |
| PART I, LINE 7G | NOT APPLICABLE | |
| PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE 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. | |
| PART I, LINE 7 | COSTS FOR LINE 7 WERE CALCULATED USING AN OVERALL COST TO CHARGE RATIO CALCULATED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM. | |
| PART III, LINE 4 | The System reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The System provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the System bills third-party payers directly and bills the patient when the patients liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. | FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS AS FOLLOWS: |
| PART III, LINE 8 | THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT. | |
| PART III, LINE 9B | CHARITY CARE AND DISCOUNTING FOR UNINSURED PATIENTS 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. | |
| PART V | IN ADDITION TO ROUTINE HOSPITAL AND SURGERY CENTER OPERATIONS SHANNON MEDICAL CENTER OPERATES ONE DIAGNOSTIC CENTER, ONE WOMEN'S IMAGING CENTER, ONE SKILLED NURSING FACILITY, AND SIX REHABILITATION UNITS. | |
| NEEDS ASSESSMENT | A. IN 2004, THE UNITED WAY OF THE CONCHO VALLEY CONDUCTED A COMPREHENSIVE NEEDS ASSESSMENT OF TOM GREEN COUNTY AND 13 OTHER SURROUNDING COUNTIES. COUNTIES INCLUDED IN THE NEEDS ASSESSMENT ARE AS FOLLOWS: COKE, CONCHO, CROCKETT, IRION, KIMBLE, MASON, MCCULLOCH, MENARD, REAGAN, RUNNELS, SCHLEICHER, STERLING, SUTTON, AND TOM GREEN. SAN ANGELO AND TOM GREEN COUNTY SERVE AS THE HUB FOR THESE COUNTIES FOR TRADE AS WELL AS MEDICAL SERVICES. THIRTEEN OF THE FOURTEEN COUNTIES ARE CONSIDERED RURAL OR "FRONTIER" BASED ON POPULATION AND PERSONS PER SQUARE MILE. (SOURCE UW NEEDS ASSESSMENT 2004) THE RESULTS OF THE 2004 UNITED WAY NEEDS ASSESSMENT CONFIRM THAT SOCIAL AND HEALTH CONCERN ISSUES STATED IN THE SHANNON NEEDS ASSESSMENT 1994, CONTINUE TO RANK HIGH IN IMPORTANCE MANY YEARS LATER. 1. SOCIAL CONCERNS (TOM GREEN COUNTY - COMMUNITY CONCERNS) MORE THAN HALF THE RESPONDENTS IN THE UNITED WAY 2004 COMMUNITY NEEDS ASSESSMENT NAMED THE FOLLOWING CONCERNS AS MAJOR OR MODERATE ISSUES OF CONCERN. A. TEEN PREGNANCY 77% B. FAMILY VIOLENCE, ABUSE OF CHILDREN OR ADULTS 71% C. LACK OF AFFORDABLE CARE FOR CHILDREN 65% D. LACK OF AFFORDABLE CARE FOR THE ELDERLY 59% E. RACIAL OR ETHNIC DISCRIMINATION 56% 2. HEALTH CONCERNS (TOM GREEN COUNTY COMMUNITY CONCERNS A. ALCOHOL/DRUG USE 82% B. MENTAL ILLNESS OR EMOTIONAL ISSUES 56% C. LACK OF AFFORDABLE MEDICAL CARE 79% D. LACK OF ADEQUATE AFFORDABLE MEDICAL CARE 51% E. HIV/AIDS 46% 3. TOP FIVE MAJOR ISSUES OVERALL (TOM GREEN COUNTY - HOUSEHOLD CONCERNS) A. NOT HAVING ENOUGH MONEY TO PAY THE DOCTOR, BUY PRESCRIPTIONS, MEDICATIONS OR GET MEDICAL INSURANCE 43% B. FINDING IT DIFFICULT TO BUDGET 40% C. HAVING A LOT OF ANXIETY, STRESS OR DEPRESSION 36% D. NOT BEING ABLE TO FIND WORK 31% E. CHILDREN OR TEENAGERS EXPERIENCING BEHAVIOR OR EMOTIONAL ISSUES 29% B. IN 2010, THE POPULATION OF TOM GREEN COUNTY HAD A HIGHER PERCENTAGE OF ELDERLY - 65 YEARS OR OLDER - THAN THE STATE AVERAGE: 13.8% AND 10.3% RESPECTIVELY. IN ADDITION, THE MEDIAN HOUSEHOLD INCOME LEVEL: $41,398 AND $49,646 RESPECTIVELY. THE INCIDENCE OF A MORE ELDERLY POPULATION AND LOWER INCOME POPULATION IN TOM GREEN COUNTY AS COMPARED TO THE NATIONAL LEVEL HAS BECOME A STATISTICAL TREND OVER THE LAST SEVERAL YEARS. POVERTY LEVELS AND THE AGE OF THE POPULATION HAVE CONTRIBUTED TO AN INCREASE OF 20% IN THE CHARITY CARE CONTRIBUTION MADE BY SHANNON IN THE PAST TWELVE MONTHS ALONE. (SOURCE: U.S. CENSUS BUREAU STATE & COUNTY QUICKFACTS, 2010). | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE IN EACH OP THE REGISTRATION AREAS THAT OUTLINE ACCESS TO INFORMATION ABOUT ASSISTANCE PROGRAMS. WE ALSO HAVE CONTRACTED ELIGIBILITY WORKERS WHO SCREEN PATIENTS FOR ALL SOCIAL SERVICE PROGRAMS AND ASSIST WITH THE APPLICATION PROCESS IF NEEDED. | |
| COMMUNITY INFORMATION | 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, THE CENTER OFFERS DIVERSE CLINICAL SERVICES, INCLUDING A NATIONALLY-RECOGNIZED CARDIAC CARE PROGRAM, NATIONALLY-RECOGNIZED ICU, THE REGION'S ONLY LEVEL III TRAUMA FACILITY AND AIRMED 1 AIR AMBULANCE SERVING A 200-MILE RADIUS OF SAN ANGELO, A DEDICATED WOMEN'S & CHILDREN'S HOSPITAL WHICH IS HOME TO THE CHILDREN'S MIRACLE NETWORK, AND THE MOST EXTENSIVE SENIOR HEALTH SERVICES IN THE CONCHO VALLEY. THE ESTIMATED POPULATION FOR ALL THE COUNTIES AS OF 2010, INCLUDING TOM GREEN COUNTY, IS 267,557. THE OUTER COUNTIES ARE BROWN, COKE, COLEMAN, CONCHO, CROCKETT, IRION, KIMBLE, MASON, MCCULLOCH, MENARD, MILLS, REAGAN, RUNNELS, SAN SABA, SCHLEICHER, STERLING, SUTTON, AND VAL VERDE. (SOURCE: U.S. CENSUS BUREAU, STATE, & COUNTY QUICKFACTS.) OUR GOAL IS TO PROVIDE OUR PATIENTS WITH THE MOST COMPASSIONATE AND EFFICIENT SERVICE WHILE ENSURING THE HIGHEST QUALITY CARE. TOM GREEN COUNTY'S POPULATION IN 2010 IS REPORTED AT 110,224. THE CITY OF SAN ANGELO SERVES AS THE COUNTY SEAT AND POPULATION CENTER OF TOM GREEN COUNTY, WITH AN ESTIMATED POPULATION IN 2010 OF 93,200. A BREAKDOWN OF TOM GREEN COUNTY DEMOGRAPHICS IS AS FOLLOWS. (SOURCE: U.S. CENSUS BUREAU, STATE & COUNTY QUICKFACTS, THE COUNTY INFORMATION PROJECT, TEXAS ASSOCIATION OF COUNTIES.) A. TOM GREEN COUNTY AGE DISTRIBUTION 1. UNDER 18 YEARS OLD - 24.1% (26,564) 2. 18-64 YEARS OLD - 62.1% (68,449) 3. 65 YEARS AND OLDER - 13.8% (15,211) B. TOM GREEN COUNTY ETHNIC DISTRIBUTION (MORE THAN ONE CATEGORY MAY BE SELF-REPORTED) 1. CAUCASIAN - 57.9% (63,820) 2. HISPANIC - 35.7% (39,350) 3. BLACK - 4% (4,409) 4. OTHER - 2.4% (2,645) C. TOM GREEN COUNTY (HOUSEHOLD) 1. MEDIAN HOUSEHOLD INCOME - $41,398 (TEXAS: $49,646) 2. PERSONS LIVING BELOW POVERTY LEVEL - 16.8% (TEXAS: 16.8%) D. TOM GREEN COUNTY HEALTH INDEX 1. TOM GREEN COUNTY UNINSURED - 25.7% (TEXAS: 26.3%, UNITED STATES: 16.3%) (SOURCE: U.S. CENSUS BUREAU, SMALL AREA HEALTH INSURANCE ESTIMATES, 2009; U.S. CENSUS BUREAU, INCOME, POVERTY, AND HEALTH COVERAGE IN THE UNITED STATES: 2009.) | |
| PROMOTION OF COMMUNITY HEALTH | A. TRAUMA PREVENTION SHANNON MEDICAL CENTER'S TRAUMA SERVICE DEPARTMENT COORDINATES THE ANNUAL GUS ECKHARDT TRAUMA SYMPOSIUM. THIS IS A FULL DAY OF TRAUMA RELATED EDUCATION FOR ALL HEALTH CARE PRACTITIONERS IN THE REGION. APPROXIMATELY 150 PHYSICIANS, NURSES, EMTS, STUDENTS, AND ALLIED HEALTH PROFESSIONALS ATTENDED THE 2011 SYMPOSIUM. INJURY PREVENTION MATERIAL COVERING TOPICS SUCH AS BICYCLE SAFETY, CHILD PASSENGER SAFETY, FALL PREVENTION, AND HOME SAFETY TIPS ARE CONTINUALLY PROVIDED BY HEALTH CARE PROFESSIONALS TO TAKE AND DISTRIBUTE AT THEIR PRACTICE AND THEIR COMMUNITY. THE COST TO PUT ON THE SYMPOSIUM IS $8,989. IN 2011, THE TRAUMA SERVICES DEPARTMENT CONDUCTED A BICYCLE RODEO AT SUNSET MALL. OVER 500 HELMETS WERE PURCHASED WITH GRANT FUNDS. CHILDREN WERE GIVEN AN APPROPRIATELY SIZED HELMET AND TAUGHT HOW TO CORRECTLY WEAR IT. AFTER RECEIVING A HELMET, THE KIDS NAVIGATED AN OBSTACLE COURSE THAT TAUGHT SAFE CYCLING SKILLS. THE DEPARTMENT CONTINUES TO EDUCATE ON PREVENTING CHILD DEATHS DUE TO BEING LEFT IN HOT VEHICLES. "BEAT THE HEAT AND CHECK THE BACKSEAT" IS A PROGRAM DEVELOPED IN-HOUSE AT SHANNON THAT PROVIDES INFORMATION ON THE DANGERS OF CHILDREN BEING LEFT IN VEHICLES. A SIMPLE PREVENTION TOOL WITH INSTRUCTIONS ON USE HAS BEEN PURCHASED AND DISTRIBUTED TO MULTIPLE VENUES THROUGHOUT THE CONCHO VALLEY. B. COMMUNITY HEALTH EDUCATION SHANNON PHYSICIANS AND MEDICAL STAFF PROVIDED EDUCATION TO THE COMMUNITY ON A VARIETY OF TOPICS THROUGH THEIR HEALTH BEAT TV SEGMENTS, NEWSLETTER AND HEALTH BEAT LIVE EVENTS. TOPICS INCLUDED PREVENTION FOR WOMEN'S HEALTH, CANCER TREATMENT AND PREVENTION, HEART AND CARDIOVASCULAR TESTING, AND MEDICATION SAFETY. IN 2010-2011, THEY HELD 43 SESSIONS WITH A TOTAL OF 1,387 ATTENDEES. SHANNON CONTRIBUTED $45,377 AS COMMUNITY BENEFIT FOR THESE PROGRAMS. C. HARPER HEALTH INFORMATION CENTER (HHIC) SHANNON MEDICAL CENTER COMMITTED TO MAINTAIN RESOURCES FOR ITS HEALTH INFORMATION CENTER FOR CANCER AND CARDIOVASCULAR DISEASE PATIENTS, THEIR FAMILIES, AND THE COMMUNITY. DURING THIS PAST YEAR, 662 PEOPLE VISITED THE CENTER TO OBTAIN HEALTH-RELATED INFORMATION AND RESOURCES. INFORMATION IN THE CENTER HAS EXPANDED TO INCLUDE PREVAILING HEALTH CONCERNS SUCH AS DIABETES, ASTHMA, SMOKING CESSATION, AND DIET AND EXERCISE. HHIC IS ALSO THE MEETING PLACE FOR SOME SHANNON DEPARTMENTS, REHAB CLASSES, AND SUPPORT GROUPS. | |
| AFFILIATED HEALTH CARE SYSTEM | A. DONATIONS TO ORGANIZATIONS 1. PERSONNEL SHANNON ASSOCIATES PROVIDE 2,118 HOURS OF LEADERSHIP ON VOLUNTEER BOARDS AND IN VOLUNTEER ACTIVITIES WITH A PERSONNEL VALUE OF $128,622 FOR ORGANIZATIONS SUCH AS AGING ADVOCATES GROUP, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, BENEVOLENCE COOK-OFF, ASU FIT, BIG BROTHER - BIG SISTER, WEST TEXAS BOYS RANCH, CANCER WARRIORS/SURVIVOR SISTERS, CHILDREN'S ADVOCACY CENTER OF SAN ANGELO, CATWALK FOR A CURE, TEE-OFF FOR TATAS, CENTRAL CULINARY HS PROGRAM, CHAMBER OF COMMERCE, CHILDREN'S MIRACLE NETWORK, CHRISTIANS IN ACTION, CLAYBIRD SHOOT, CONCHO VALLEY WATERSHED ASSOCIATION, CRISIS INTERVENTION/DOMESTIC VIOLENCE GROUP, DIABETES SUPPORT GROUP, DIABETES UPDATE, DME DONORSHIP DRIVE, FAMILY CRISIS SHELTER, FLU SHOT CLINICS, CONCHO VALLEY FOODBANK, FORT CONCHO, CAREGIVER RESEARCH INSTITUTE, GOODFELLOW AIRFORCE BASE, HOWARD COLLEGE, KIDNEY SUPPORT GROUP, KIDS' MARATHON, KIMBLE COUNTY FAIR, LIONS CLUB, MEALS FOR THE ELDERLY, MOSAIC TRAILS THERAPEUTIC RIDING, ANGELO STATE PHYSICAL THERAPY PROGRAM, PINK RIBBON RUN, RELAY FOR LIFE, RIO CONCHO MANOR STROKE PROGRAM, STOCK SHOW AND RODEO, ROTARY CLUB, SADIE'S RESCUE, SAFE KIDS COALTION CARSEAT CHECK, SALVATION ARMY, SAN ANGELO BROADWAY ACADEMY, SAN ANGELO CLAYBIRD ASSOCIATION SAFETY COMMITTEE, SAN ANGELO STATE SCHOOL, TAYLOR COUNTY MENTAL HEALTH TASK FORCE, TEXAS MEDICAL BOARD, TEXAS CHEFS' CHAPTER, TEXAS PRENATAL ASSOCIATION REGIONAL CONFERENCE, TEXAS REALTORS ASSOCIATION, TEXAS STATE BAR HEALTH LAW COUNCIL, TOM GREEN COUNTY ACUTE MENTAL HEALTH PROVIDERS, TOM GREEN COUNTY AREA AGENCY ON AGING, TPAPN, 4-H, TEXAS PEER ASSISTANCE PROGRAM FOR NURSES, UNITED BLOOD SERVICES, UNITES WAY OF THE CONCHO VALLEY, VISION CAMP, YMCA AND NUMEROUS OTHER ACTIVITIES. 2. USE OF FACILITIES SHANNON MEDICAL CENTER PROVIDED SPACE FOR 160 MEETINGS FOR 49 OUTSIDE COMMUNITY GROUPS/ORGANIZATIONS IN THE 2010 -2011 FISCAL YEAR. 3. FOOD AND NUTRITION SERVICES 2010 SHANNON MEDICAL CENTER PROVIDED FOOD AND REFRESHMENTS FOR MANY COMMUNITY ORGANIZATIONS. FOR EXAMPLE, $2,091 IN FOOD WAS DONATED TO CENTRAL HIGH SCHOOL (DEBATE TEAM & BAND), SONRISAS, UNITED WAY AGENCY FAIR, THE CIVIC BALLET & THE SAN ANGELO SYMPHONY, PROJECT GRADUATION, SA STATE PARK & GRAPE CREEK DARE GRADUATION. 4. COMMUNITY BUILDING SHANNON MEDICAL CENTER CONTRIBUTED $243,804 TO THE SAN ANGELO YMCA FOR THE CONSTRUCTION OF ITS NEW CARDIO WING. 5. CASH AND GIFTS a. SHANNON DONATED A TOTAL OF $36,343 IN SPONSORSHIPS TO THE COMMUNITY FOR NUMEROUS PROGRAMS INCLUDING: i. ALL VETERANS' COUNCIL - $100 ii. AMERICAN CANCER SOCIETY: RELAY FOR LIFE - $2,000 iii. ANGELO STATE ATHLETIC FOUNDATION - $500 iv. AMERICAN HEART ASSOCIATION: GO RED - $17,305 v. AMERICAN HEART ASSOCIATION: HEART WALK - $1,000 vi. AREA AGENCY ON AGING - $425 vii. CATWALK FOR A CURE/TEE OFF FOR TA-TA'S - $5,000 viii. CONCHO VALLEY AREA AGENCY ON AGING CAREGIVER SEMINAR - $750 ix. CROCKETT COUNTY DEERFEST ASSOCIATION - $500 x. D.E.S.K. - $100 xi. DADDY/DAUGHTER, MOTHER/SON DATE NIGHT - $400 xii. DIABETES ALERT DAY - $13 xiii. GIRL SCOUTS - $500 xiv. HEALTHY FAMILIES - $1,500 xv. JUNIOR LEAGUE OF SA, PROGRAM TO FEED HUNGRY CHILDREN - $500 xvi. ROAD LIZARDS - $800 xvii. SAN ANGELO CHAMBER OF COMMERCE GAFB APPRECIATION DAY - $1,000 xviii. SAN ANGELO INDEPENDENT SCHOOL DISTRICT: RELAYS - $3,000 xix. SAN ANGELO SCHOOLS FOUNDATION - $500 xx. UNITED WAY OF THE CONCHO VALLEY - $100 xxi. VOLUNTEER SERVICE COUNCIL STATE SUPPORTED LIVING CENTER - $350 | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | TEXAS |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN ANGELO YMCA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 S RANDOLPH | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 750800698 | EINOfRecipient |
| IRC Section | 501 (3) (C ) | IRCSection |
| Amount Of Cash Grant | 243804 | AmountOfCashGrant |
| Purpose Of Grant | CONSTRUCTION OF NEW CARDIO WING | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING USE OF GRANT FUNDS | Identifier |
| Return Reference | SCHEDULE I, PART I, QUESTION 2 | ReturnReference |
| Explanation | THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATY DATA. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN HORNER | |||||||||||||
| 446787 | 0 | 70859 | 0 | 5122 | 0 | 30380 | 0 | 39190 | 0 | 592338 | 0 | 0 | 0 |
| LEN MERTZ | |||||||||||||
| 33992 | 109650 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6588 | 33992 | 116238 | 0 | 0 |
| EMMETE FLYNN MD | |||||||||||||
| 20000 | 521150 | 0 | 0 | 0 | 0 | 0 | 72783 | 0 | 16955 | 20000 | 610888 | 0 | 0 |
| MICHELLE SNUGGS MD | |||||||||||||
| 20350 | 574831 | 0 | 0 | 0 | 0 | 0 | 92043 | 0 | 19572 | 20350 | 686446 | 0 | 0 |
| KELLY SHANE PLYMELL | |||||||||||||
| 227965 | 0 | 34447 | 0 | 0 | 0 | 30380 | 0 | 12099 | 0 | 304891 | 0 | 0 | 0 |
| DR IRVIN ZEITLER | |||||||||||||
| 328755 | 1763 | 50844 | 0 | 46133 | 0 | 55205 | 0 | 12495 | 0 | 493432 | 1763 | 0 | 0 |
| WILMA STUART | |||||||||||||
| 207342 | 0 | 32485 | 0 | 0 | 0 | 29340 | 0 | 8613 | 0 | 277780 | 0 | 0 | 0 |
| PATRICIA TIPTON | |||||||||||||
| 276497 | 0 | 0 | 0 | 0 | 0 | 30380 | 0 | 3881 | 0 | 310758 | 0 | 0 | 0 |
| MARVIN HILL | |||||||||||||
| 271261 | 0 | 0 | 0 | 0 | 0 | 30380 | 0 | 4996 | 0 | 306637 | 0 | 0 | 0 |
| LANCE KEILERS | |||||||||||||
| 144237 | 0 | 6335 | 0 | 0 | 0 | 14447 | 0 | 7930 | 0 | 172949 | 0 | 0 | 0 |
| TIMOTHY HARTIN | |||||||||||||
| 199573 | 0 | 32473 | 0 | 7958 | 0 | 45305 | 0 | 7339 | 0 | 292648 | 0 | 0 | 0 |
| Pauline James | |||||||||||||
| 156356 | 0 | 0 | 0 | 0 | 0 | 16842 | 0 | 4989 | 0 | 178187 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS | PART 1, QUESTION 4 | SERP DETAIL NAME AMOUNT BRYAN HORNER NONE 457(F) DETAIL NAME AMOUNT BRYAN HORNER 5,122 TIMOTHY HARTIN 7,958 DR. IRVIN ZEITLER 46,133 |
| PROVIDED HEALTH, SOCIAL DUES OR INITIATION FEES | SCHEDULE J, PART I, QUESTION 1A | BRYAN HORNER & KELLY SHANE PLYMELL RECEIVE MEMBERSHIP TO BENTWOOD COUNTRY CLUB EXCLUSIVELY FOR BUSINESS USE. ANY PERSONAL USE IS REIMBURSED BY THE OFFICER AND THEREFORE NO AMOUNTS ARE REPORTABLE ON THEIR FORM W-2'S. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DIANE ZEITLER | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | IRVIN ZEITLER'S SPOUSE | Relationship |
| Amount Of Transaction | 125916 | AmountOfTransaction |
| Description Of Transaction | EMPLOYED BY SMC | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (25 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY | FORM 990, PART VI, QUESTION 12C | 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. |
| REVIEW OF COMPENSATION | FORM 990, PART VI, QUESTION 15A & 15B | INTEGRATED HEALTH STRATEGIES DID AN EXECUTIVE COMPENSATION STUDY IN JUNE 2010 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. |
| GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, QUESTION 19 | THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| ORGANIZATIONS MISSION CONTINUED | FORM 990 PART I QUESTION 1 & PART III QUESTION 1 | WE WILL FOSTER GROWTH TOWARD THE HIGHEST QUALITY OF CARE AND CUSTOMER SERVICE AND WILL STRIVE FOR EFFICIENT FINANCIAL PERFORMANCE. WE WILL HIRE AND DEVELOP THE BEST PEOPLE TO ACCOMPLISH THE TASKS. |
| SOLE MEMBER | FORM 990 PART VI, QUESTION 6 | MARGARET SHANNON ESTATE, A TESTAMENTARY TRUST, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| BOARD OF DIRECTORS ELECTION ABILITIES | FORM 990 PART VI, QUESTION 7A | 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. |
| REVIEW OF FORM 990 | FORM 990 PART VI QUESTION 11A | 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 ORGANIZATIONS FINANCE COMMITTEE WILL REVIEW AFTER THE FORM IS FILED |
| DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL | FORM 990, PART VI, QUESTION 7B | APPROVAL OF THE SOLE MEMBER, THE TRUSTEES OF SHANNON WEST TEXAS MEMORIAL HOSPITAL, 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 CONTRACT IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK. |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990, PART XI, LINE 5 | Contributions Recorded to Fund Balance $ 128,329 Change in Additional Minimum Pension Liability (2,452,583) Transfers to/from Affiliates (48,605,313) Net Assets released from restriction 6,559,640 Change in Shannon Trust Net Assets 33,344,417 Gain/Loss on Interest Rate Swap Agreement (39,789) Unrealizeed Gain/Loss (1,418,503) Other 152 --------------- (12,483,650) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRYAN HORNER TITLE:CEO/PRESIDENT HOURS:12 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LEN MERTZ TITLE:CHAIRMAN HOURS:22 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES JOHNSON TITLE:SECRETARY/TREASURER HOURS:14 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOE HENDERSON TITLE:INDIVIDUAL TRUSTEE HOURS:14 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ORAN BERRY III TITLE:INDIVIDUAL TRUSTEE HOURS:14 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:VIRGINIA NOELKE TITLE:DIRECTOR HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MIKE BOYD TITLE:INDIVIDUAL TRUSTEE HOURS:14 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MIKE OLIPHANT TITLE:INDIVIDUAL TRUSTEE HOURS:14 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEVE CECIL TITLE:INDIVIDUAL TRUSTEE HOURS:14 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOANNA RICE TITLE:DIRECTOR HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JIM BOB BRAME MD TITLE:DIRECTOR HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PAMELA TALLEY TITLE:DIRECTOR HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:EMMETE FLYNN MD TITLE:DIRECTOR HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHELLE SNUGGS MD TITLE:DIRECTOR HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KELLY SHANE PLYMELL TITLE:CFO HOURS:7 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DR IRVIN ZEITLER TITLE:MEDICAL DIRECTOR HOURS:5 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| TRUSTEES SHANNON WEST TEXAS HOSPITAL | |||||||||
| PO BOX 49 | SAN ANGELO | TX | 76902 | 750800679 | TRUST | TX | 501(C)(3) | 11B | NA |
| SHANNON RURAL HEALTH CLINICS INC | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752940211 | HEALTHCARE | TX | 501(C)(3) | 11C | SMC |
| SHANNON REAL ESTATE SERVICES INC | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 270075630 | SUPPORT SVCS | TX | 501(C)(3) | 11B | SMC |
| SHANNON HEALTH SYSTEM | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752602411 | SUPPORT SVCS | TX | 501(C)(3) | 11A | NA |
| SHANNON CLINIC | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752600873 | HEALTHCARE | TX | 501(C)(3) | 9 | SMC |
| SHANNON BUSINESS SERVICES INC | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 432038769 | SUPPORT SVCS | TX | 501(C)(3) | 11B | SMC |
| SHANNON MEDICAL MANAGEMENT | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 208367966 | SUPPORT SVCS | TX | 501(C)(3) | 9 | SHS |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL CANCER TREATMENT CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 N MAGDALEN STE 120 | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752225955 | EIN |
| Primary Activity | RADIOTHERAPY | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 144752 | ShareOfTotalIncome |
| Share Of EOY Assets | 2410497 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.37970 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LEGACY HEALTH PLAN INC | |||||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 752838410 | HEALTH PLAN | TX | NA | C | 0 | 0 | 0.00000 |
| LEGACY MANAGEMENT SERVICES | |||||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 752544450 | MANAGEMENT | TX | NA | C | 0 | 0 | 0.00000 |
| LEGACY HEALTH SOLUTIONS | |||||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 200720762 | MED INSURANCE | TX | NA | C | 0 | 0 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| SHANNON CLINIC | |
| O | 2938133 |
| SHANNON BUSINESS SERVICES | |
| P | 10340255 |
| SHANNON REAL ESTATE SERVICES | |
| R | 505192 |
| SHANNON CLINIC | |
| K | 684214 |
| SHANNON REAL ESTATE SERVICES | |
| J | 266605 |
| SHANNON BUSINESS SERVICES | |
| C | 128329 |
| SHANNON MEDICAL MENAGEMENT | |
| Q | 20393345 |
| SHANNON CLINIC | |
| I | 80348 |
| SHANNON BUSINESS SERVICES | |
| I | 63719 |
| SHANNON BUSINESS SERVICES | |
| R | 8596008 |
| SHANNON CLINIC | |
| P | 1851526 |
| SHANNON MEDICAL MANAGEMENT | |
| P | 5450787 |
| SHANNON REAL ESTATE SERVICES | |
| Q | 2585970 |
| SHANNON REAL ESTATE SERVICES | |
| P | 6461618 |
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