SHANNON MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SHANNON MEDICAL CENTER (EIN 75-2559845)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201112239349302351
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-11T14:27:34-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752559845EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHANNON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSHANNameControl
Phone3254818644Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 E HARRIS AVENUEAddressLine1
CitySAN ANGELOCity
StateTXState
ZIP Code76903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHANE PLYMELLName
TitleCFOTitle
Date Signed2011-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmanda MayaName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRYAN HORNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1120 E HARRIS AVENUEAddressLine1
CitySAN ANGELOCity
StateTXState
ZIP Code76903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts224783217GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteSHANNONHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionOUR 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 OActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2008TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI366604TotalGrossUBI
Net Unrelated Business Txbl Income-103000NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year137570ContributionsGrantsPriorYear
Contributions Grants Current Year688760ContributionsGrantsCurrentYear
Program Service Revenue Prior Year189785984ProgramServiceRevenuePriorYear
Program Service Revenue CY215025470ProgramServiceRevenueCY
Investment Income Prior Year1171511InvestmentIncomePriorYear
Investment Income Current Year1586435InvestmentIncomeCurrentYear
Other Revenue Prior Year2483020OtherRevenuePriorYear
Other Revenue Current Year3218314OtherRevenueCurrentYear
Total Revenue Prior Year193578085TotalRevenuePriorYear
Total Revenue Current Year220518979TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year82000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5833GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year78833956SalariesEtcPriorYear
Salaries Etc Current Year82846919SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year95950194OtherExpensePriorYear
Other Expenses Current Year106549525OtherExpensesCurrentYear
Total Expenses Prior Year174866150TotalExpensesPriorYear
Total Expenses Current Year189402277TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18711935RevenuesLessExpensesPriorYear
Revenues Less Expenses CY31116702RevenuesLessExpensesCY
Total Assets BOY207966374TotalAssetsBOY
Total Assets EOY236180979TotalAssetsEOY
Total Liabilities BOY36949164TotalLiabilitiesBOY
Total Liabilities EOY41908132TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY171017210NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY194272847NetAssetsOrFundBalancesEOY
Mission DescriptionOUR 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 OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense146543893Expense
Grants5833Grants
Revenue218186513Revenue
DescriptionPROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXASDescription
Total Program Service Expense146543893TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096116NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2008NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHANNON MEDICAL CENTERNamePerson
Telephone Number3256536741TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 E HARRIS AVENUEAddressLine1
CitySAN ANGELOCity
StateTXState
ZIP Code76903ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
BRYAN HORNER
CEO/PRESIDENT32.0XX457484069698
LEN MERTZ
CHAIRMAN2.0XX24850979506872
JAMES JOHNSON
INDIVIDUAL TRUSTEE2.0X2276926103288
JOE HENDERSON
INDIVIDUAL TRUSTEE2.0X2391727315396
ORAN BERRY III
INDIVIDUAL TRUSTEE2.0X22296237008412
ROBERT ECKERT
SECRETARY/TREASURER2.0XX1943520670297
VIRGINIA NOELKE
DIRECTOR2.0X1590000
MIKE BOYD
INDIVIDUAL TRUSTEE2.0X176400
MIKE OLIPHANT
INDIVIDUAL TRUSTEE2.0X21100237006180
STEVE CECIL
INDIVIDUAL TRUSTEE2.0X212007500701
JOANNA RICE
DIRECTOR2.0X1760000
JIM BOB BRAME MD
DIRECTOR2.0X1700000
PAMELA TALLEY
DIRECTOR2.0X1875000
EMMETE FLYNN MD
DIRECTOR2.0X1650045735587106
MICHELLE SNUGGS MD
DIRECTOR2.0X17150488028106962
KELLY SHANE PLYMELL
CFO32.0X240136042859
DR IRVIN ZEITLER
MEDICAL DIRECTOR36.0X322372350055044
WILMA STUART
CNO40.0X201999031316
PATRICIA TIPTON
NUSRE ANESTHETIST40.0267339034686X
MARVIN HILL
NURSE ANESTHETIST40.0261244036148X
LANCE KEILERS
ADMINISTRATOR40.0153399022337X
JAMES NAYLOR
CHIEF ECHO SONOGRAPHER40.0151465023657X
TIMOTHY HARTIN
CCO40.0207260049461X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2522929TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1175821TotalReportableCompFrmRltdOrgs
Total Other Compensation582420TotalOtherCompensation
Number Individuals GT100 K46NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SAN ANGELO EMERGENCY PHYSICIANS PA
PO BOX 62566SAN ANGELOTX76906PHYSICIAN GROUP807550
CARDIOTHORACIC VASCULAR SURGEONS
1010 W 40TH STAUSTINTX78756PHYSICIAN GROUP769201
SIEMENS MEDICAL SOLUTIONS INC
PO BOX 12001DALLASTX75312REPAIRS/MAINTENANCE664251
ENVISION TELEPHARMACY
503 E HANCOCKALPINETX79830CONTRACT LABOR575243
JA THOMAS ASSOCIATES
3715 NORTHSIDE PARKWAYATLANTAGA30327CONSULTING GROUP575094
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
All Other Contributions688760AllOtherContributions
Total Contributions688760TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE621990214577239214267906309333
RENTAL INCOME532000448231448231
FieldValueIRS element (for citing)
Total Program Service Revenue215025470TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1543209TotalRevenueColumn
Exclusion$1,543,209ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4299013Securities
Other8451Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4249528Securities
Other14710Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities49485Securities
Other-6259Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column43226TotalRevenueColumn
Exclusion$43,226ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA90009913294291329429
REGIONAL CANCER TREATMENT900099221192221192
MISCELLANEOUS REVENUE9000991667693161042257271
FieldValueIRS element (for citing)
Total Other Revenue3218314TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column220518979TotalRevenueColumn
Related Or Exempt Function Income217877180RelatedOrExemptFunctionIncome
Unrelated Business Revenue366604UnrelatedBusinessRevenue
Exclusion$1,586,435ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5833Total
Program Services5833ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1454558Total
Management And General1454558ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total63665526Total
Program Services49592877ProgramServices
Management And General14072649ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4110455Total
Program Services3153525ProgramServices
Management And General956930ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8754430Total
Program Services6716363ProgramServices
Management And General2038067ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4861950Total
Program Services3730068ProgramServices
Management And General1131882ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total322696Total
Management And General322696ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total105963Total
Management And General105963ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total116858Total
Program Services1250ProgramServices
Management And General115608ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12121074Total
Program Services6830842ProgramServices
Management And General5290232ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1066219Total
Program Services24504ProgramServices
Management And General1041715ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4660170Total
Program Services435331ProgramServices
Management And General4224839ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1986011Total
Program Services144999ProgramServices
Management And General1841012ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3060366Total
Program Services406230ProgramServices
Management And General2654136ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total352320Total
Program Services209368ProgramServices
Management And General142952ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9076483Total
Program Services4665645ProgramServices
Management And General4410838ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1037311Total
Program Services1951ProgramServices
Management And General1035360ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES460796644603395745707
BAD DEBT21383845213838450
EQUIPMENT COSTS30719152397372674543
COLLECTION FEES6805920680592
LAB FEES4984564984560

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total929582Total
Program Services311477ProgramServices
Management And General618105ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total189402277Total
Program Services146543893ProgramServices
Management And General42858384ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3409786BOY
EOY12626800EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5922889BOY
EOY3739591EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18891612BOY
EOY18485033EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY256217BOY
EOY248950EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3044420BOY
EOY3557054EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1859235BOY
EOY1693874EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis187014694LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec127938995LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY58577143BOY
EOY59075699EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY38732048BOY
EOY46531901EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2113500BOY
EOY2048449EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY812555BOY
EOY784536EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY74346969BOY
EOY87389092EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY207966374BOY
EOY236180979EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20259720BOY
EOY21736914EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2025BOY
EOY2025EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16687419BOY
EOY20169193EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36949164BOY
EOY41908132EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY104376863BOY
EOY115558229EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY66640347BOY
EOY78714618EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY171017210BOY
EOY194272847EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY207966374BOY
EOY236180979EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5122978OtherCostOrOtherBasis
Book Value5122978BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis68603379OtherCostOrOtherBasis
Depreciation43671123Depreciation
Book Value24932256BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis105658705OtherCostOrOtherBasis
Depreciation81297118Depreciation
Book Value24361587BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7629632OtherCostOrOtherBasis
Depreciation2970754Depreciation
Book Value4658878BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings59075699TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
INT IN NET ASSETS-SHANNON TR78714618
SELF INSURANCE TRUST7814718
NON-COMPETE AGREEMENT0
BENEFICIARY ACCOUNT359293
INTEREST RECEIVABLE500463
FieldValueIRS element (for citing)
Total Book Value Other Assets87389092TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
INTEREST RATE SWAP AGREEMENTS$509,095
ASSSET RETIREMENT OBLIGATION$695,143
ACCRUED PENSION COST$13,867,853
MALPRACTICE COST$2,260,968
DUE TO/FROM THIRD PARTY PAYORS$2,836,134
FieldValueIRS element (for citing)
Total Of Amounts20169193TotalOfAmounts
Total Revenue220518979TotalRevenue
Total Expenses189402277TotalExpenses
Excess Or Deficit For Year31116702ExcessOrDeficitForYear
Net Unrealized GL On Investments2525840NetUnrealizedGLOnInvestments
Other-$665,090OtherAmount
Total Adjustments1860750TotalAdjustments
Excess Or Deficit Per FS32977452ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt222377238TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2525840NetUnrealizedGainsInvestments
Revenue Not Rptd F9902525840RevenueNotRptdF990
Revenue Subtotal219851398RevenueSubtotal
Other Revenues Not Included667581OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt667581RevenueNotRptdOnFinStmt
Total Revenue Per Form990220518979TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt189399786TotExpensesEtcAuditedFinclStmt
Expenses Subtotal189399786ExpensesSubtotal
Other Expenses Not Included2491OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2491ExpensesNotRptdOnFinStmt
Total Expenses Per Form990189402277TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART XI, LINE 8OTHER CHANGESINTEREST SWAP $ 26,777 CONTRIBUTION RECORDED TO FUND BALANCE $ 638,313 ----------- $ 665,090
FORM 990, PART XII, LINE 4BINCOME ON FORM 990 NOT ON BOOKSINTEREST SWAP $ 26,777 GRANTS INCLUDED IN REVENUE ON AUDIT $ 5,833 CONTRIBUTION INCLUDED IN EXPENSE ON AUDIT $ 2,917 GAIN/LOSS ON DISPOSALS INCLUDED IN EXP ON AUDIT ($ 6,336) DISPOSAL OF PLANT ASSET INCLUDED IN EXP ON AUDIT $ 77 CONTRIBUTION RECORDED TO FUND BALANCE $ 638,313 -------------- $ 667,581
FORM 990, PART XIII, LINE 4BEXPENSES INCLUDED IN FORM 990 NOT ON BOOKSGRANTS INCLUDED IN REVENUE ON AUDIT $ 5,833 CONTRIBUTION INCLUDED IN EXPENSE ON AUDIT $ 2,917 GAIN/LOSS ON DISPOSALS INCLUDED IN EXP ON AUDIT ($ 6,336) DISPOSAL OF PLANT ASSET INCLUDED IN EXP ON AUDIT $ 77 -------------- $ 2,491
UNCERTAIN TAX POSITIONSSCHEDULE D, PART XIVMANAGEMENT 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14223141TotalCommunityBenefitExpense
Net Community Benefit Expense14223141NetCommunityBenefitExpense
Percent Of Total Expense0.08470PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8653158TotalCommunityBenefitExpense
Direct Offsetting Revenue3842204DirectOffsettingRevenue
Net Community Benefit Expense4810954NetCommunityBenefitExpense
Percent Of Total Expense0.02860PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense22876299TotalCommunityBenefitExpense
Direct Offsetting Revenue3842204DirectOffsettingRevenue
Net Community Benefit Expense19034095NetCommunityBenefitExpense
Percent Of Total Expense0.11330PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3297TotalCommunityBenefitExpense
Direct Offsetting Revenue1500DirectOffsettingRevenue
Net Community Benefit Expense1797NetCommunityBenefitExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense11437TotalCommunityBenefitExpense
Net Community Benefit Expense11437NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense56610TotalCommunityBenefitExpense
Direct Offsetting Revenue12232DirectOffsettingRevenue
Net Community Benefit Expense44378NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense71344TotalCommunityBenefitExpense
Direct Offsetting Revenue13732DirectOffsettingRevenue
Net Community Benefit Expense57612NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense22947643TotalCommunityBenefitExpense
Direct Offsetting Revenue3855936DirectOffsettingRevenue
Net Community Benefit Expense19091707NetCommunityBenefitExpense
Percent Of Total Expense0.11370PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$5,494,751BadDebtExpenseAmount
Amount Reimbursed By Medicare73940541AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare65588189CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall8352352MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalEr24 HoursEr24HoursOtherOther
SHANNON MEDICAL CENTER
120 E HARRIS AVENUESAN ANGELOTX76903XXXX
SHANNON SURGERY CENTER
120 E HARRIS AVENUESAN ANGELOTX76903AMBULATORY SURGERY CENTER
SHANNON HOME HEALTH
2030 PULLIAM STE 6SAN ANGELOTX76905HOME HEALTH CARE
SHANNON DIALYSIS CENTER
2018 PULLIAMSAN ANGELOTX76905DIALYSIS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaSHANNON MEDICAL CENTER USES FPG TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE.IncomeBasedCriteria
Costing Method UsedCOSTS FOR LINE 7 WERE CALCULATED USING AN OVERALL COST TO CHARGE RATIO CALCULATED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM.CostingMethodUsed
Subsidized Health Services ExplnNOT APPLICABLESubsidizedHealthServicesExpln
Percent Of Total Expense ExplnBAD DEBT EXPENSE OF $21,383,845 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.PercentOfTotalExpenseExpln
Bad Debt FootnoteFOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS AS FOLLOWS: 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 PATIENT'S 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.BadDebtFootnote
Shortfall As Community BenefitTHE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT.ShortfallAsCommunityBenefit
Debt Collection PolicySHANNON MEDICAL CENTER'S COLLECTION POLICY DOES NOT CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE.DebtCollectionPolicy
Number Of Facility Type ExplnIN ADDITION TO ROUTINE HOSPITAL AND SURGERY CENTER OPERATIONS, SHANNON MEDICAL CENTER OPERATES ONE WOMEN'S IMAGING CENTER.NumberOfFacilityTypeExpln
Needs AssessmentA. 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 2008, THE POPULATION OF TOM GREEN COUNTY HAD A HIGHER PERCENTAGE OF ELDERLY - 65 YEARS OR OLDER - THAN THE STATE AVERAGE: 13.8% AND 10.2% RESPECTIVELY. IN ADDITION, THE MEDIAN HOUSEHOLD INCOME LEVEL: $42,505 AND $50,049 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, 2007). (SOURCE: U.S. CENSUS BUREAU STATE & COUNTY QUICKFACTS, 2007).NeedsAssessment
Patient Education AssistanceFINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE IN EACH OF 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.PatientEducationAssistance
Community InformationSHANNON, 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 2009, INCLUDING TOM GREEN COUNTY, IS 266,405. 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 2009 IS REPORTED AT 108,378. THE CITY OF SAN ANGELO SERVES AS THE COUNTY SEAT AND POPULATION CENTER OF TOM GREEN COUNTY, WITH AN ESTIMATED POPULATION IN 2009 OF 92,147. 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% (26,119) 2. 18-64 YEARS OLD - 62% (67,194) 3. 65 YEARS AND OLDER - 13.9% (15,065) B. TOM GREEN COUNTY ETHNIC DISTRIBUTION (MORE THAN ONE CATEGORY MAY BE SELF-REPORTED) 1. CAUCASIAN - 58.4% (63,293) 2. HISPANIC - 35.1% (38,041) 3. BLACK - 4.4% (4,768) 4. OTHER - 2.1% (2,276) C. TOM GREEN COUNTY (HOUSEHOLD) 1. MEDIAN HOUSEHOLD INCOME - $40,399 (TEXAS: $50,049) 2. PERSONS LIVING BELOW POVERTY LEVEL - 16.2% (TEXAS: 15.8%) D. TOM GREEN COUNTY HEALTH INDEX 1. TOM GREEN COUNTY UNINSURED - 25.2% (TEXAS: 26.8%, UNITED STATES: 16.7%) (SOURCE: U.S. CENSUS BUREAU, SMALL AREA HEALTH INSURANCE ESTIMATES, 2007; U.S. CENSUS BUREAU, INCOME, POVERTY, AND HEALTH COVERAGE IN THE UNITED STATES: 2009.)CommunityInformation
Community Building ActivitiesAS THE ISSUES OF PROVIDING HEALTHCARE FOR THE UNINSURED AND THE UNDERINSURED IN TOM GREEN COUNTY AS WELL AS OUR SURROUNDING NINETEEN COUNTIES HAVE CONTINUED TO BECOME MORE APPARENT, SHANNON LEADERSHIP HAS BEEN INVOLVED WITH WORKING INTERNALLY AND EXTERNALLY ON IMPROVING ACCESS FOR ALL PATIENTS WHILE BALANCING QUALITY AND COSTS. DR. IRV ZEITLER, VICE PRESIDENT OF MEDICAL AFFAIRS AT SHANNON MEDICAL CENTER, ALSO SERVES AS PRESIDENT OF THE TEXAS MEDICAL BOARD. APPOINTED BY GOVERNOR RICK PERRY IN 2008, ZEITLER'S ROLE IS TO ENSURE TEXAS PATIENTS ARE SAFE THROUGH LICENSURE AND REGULATION OF STATE PHYSICIANS. 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 2010 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. IN 2010 THE TRAUMA SERVICES DEPARTMENT DEVELOPED AN INJURY PREVENTION FOCUSED ON PREVENTING CHILD DEATHS DUE TO BEING LEFT IN HOT VEHICLES. SAFETY LANYARDS TO BE USED AS A REMINDER THAT A CHILD IS IN THE CAR SEAT WERE PURCHASED AND DISTRIBUTED AT MULTIPLE VENUES IN SAN ANGELO. ALSO, TRAUMA SERVICES, IN CONJUNCTION WITH THE CONCHO VALLEY REGIONAL ADVISORY COMMITTEE ON TRAUMA, DISTRIBUTED SMOKE ALARMS AND FIRE EXTINGUISHERS TO CITIZENS OF SAN ANGELO AND THE CONCHO VALLEY. SAN ANGELO STANDARD TIMES AND KLST CONTINUE TO WORK WITH THE DEPARTMENT TO PROVIDE INFORMATION ON SAFETY AND INJURY PREVENTION. THIS YEAR WE ARE CURRENTLY PLANNING A BICYCLE RODEO TO TEACH CHILDREN BICYCLE SAFETY AND DISTRIBUTE PROPERLY FITTING HELMETS FREE OF CHARGE. DIABETES PREVENTION PROGRAM THE TEXAS DEPARTMENT OF HEALTH & HUMAN SERVICES PROVIDES $80,000 FOR A MULTI-COMPONENT DIABETES PREVENTION PROGRAM. ONE COMPONENT OF THE PROGRAM IS DESIGNED TO PROVIDE EDUCATION REGARDING DIABETES, AND HOW NUTRITION AND EXERCISE COMBINED CAN SERVE AS A PREVENTATIVE. THERE IS ALSO AN EXERCISE COMPONENT THAT IS OPEN TO THE PUBLIC AT NO CHARGE, AND IS DIRECTED BY A LICENSED PHYSICAL TRAINER AND NUTRITIONIST. THE EXERCISE CLASSES ARE OFFERED TWICE WEEKLY. THE EDUCATIONAL COMPONENT IS BY APPOINTMENT, AND IS ALSO FREE OF CHARGE AND REQUIRES NO REFERRAL. SHANNON CONTRIBUTES APPROXIMATELY $33,826 IN SUPPORT OF THIS PROGRAM. 1. DIABETES EDUCATION - SHANNON REACHED 1,000 PROVIDERS AND PRACTITIONERS THROUGH SEMINARS AND DISTRIBUTION OF EDUCATIONAL MATERIALS DURING THIS PERIOD. IN ADDITION, APPROXIMATELY 900 PERSONS PARTICIPATED IN DIABETES PREVENTION LIFESTYLE CLASSES AND EDUCATION DURING THIS PERIOD AS FOLLOWS. A. LIFESTYLE CLASSES IN ENGLISH - 297 PARTICIPANTS B. LIFESTYLE CLASSES IN SPANISH - 25 PARTICIPANTS C. PHYSICAL ACTIVITY GROUPS AND EVENTS - 304 PARTICIPANTS D. FOOD AND NUTRITION CLASSES - 282 PARTICIPANTS E. GESTATIONAL CLASSES ENGLISH - 49 CLASSES F. GESTATIONAL CLASSES SPANISH - 1 CLASSCommunityBuildingActivities
Other InformationIN A COUNTY WITH NO HOSPITAL TAXING AUTHORITY, A HOSPITAL WHOSE MISSION REFLECTS COMMITMENT TO TREATING PATIENTS WITHOUT REGARD TO ABILITY TO PAY IS A HIGHLY DESIRABLE AND PIVOTAL POINT OF COMMUNITY HEALTH CARE. FOR 75 YEARS, SHANNON MEDICAL CENTER HAS EMBRACED SUCH A MISSION AND FOLLOWS THROUGH ON THE WISHES OF OUR BENEFACTOR, MARGARET SHANNON, IN PROVIDING CARE FOR THE PEOPLE OF WEST TEXAS. OUR 2009 - 2010 CHARITY CARE FIGURE OF MORE THAN $55,300,000 WOULD BE A BURDEN TO THE TAXPAYERS OF TOM GREEN COUNTY, AND MANY OTHER COUNTIES WHOSE CITIZENS DIRECTLY BENEFIT FROM HER GENEROSITY. SHANNON ASSOCIATES PROVIDE LEADERSHIP ON VOLUNTEER BOARDS AND IN VOLUNTEER ACTIVITIES FOR MANY NONPROFIT ORGANIZATIONS IN THE COMMUNITY AND CONTRIBUTED OVER $91,000 IN CONTRIBUTIONS TO THE ORGANIZATIONS PROGRAMS SUCH AS AIRMED1, CHILDREN'S MIRACLE NETWORK, PHARMACEUTICAL ASSISTANT PROGRAM, RIGHT CHOICES FOR YOUTH AND UNITED WAY WHICH IN TURN BENEFIT THE COMMUNITY.OtherInformation
Affiliated Health Care SystemOTHER ENTITIES OF THE SYSTEM OPERATE EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF AND TO ASSIST IN CARRYING OUT THE PURPOSES OF SHANNON MEDICAL CENTER WHICH ARE TO PROMOTE HEALTH, PROVIDE HEALTHCARE, EDUCATE THE PUBLIC AND RELEVANT PROFESSIONS AS TO THE BENEFITS OF PROPER HEALTH CARE, PROVIDE TRAINING AND EDUCATION TO INDIVIDUALS INVOLVED IN THE PROMOTION OR PROVISION OF HEALTH CARE AND UNDERTAKE ANY OTHER ACTIONS TO PROVIDE AND ENHANCE QUALITY OF HEALTH CARE. SOME PROGRAMS WITHIN THESE ENTITIES INCLUDE: CHILDREN'S MIRACLE NETWORK 100% OF EVERY DOLLAR CONTRIBUTED TO CHILDREN'S MIRACLE NETWORK LOCALLY STAYS AT SHANNON MEDICAL CENTER FOR THE BENEFIT OF THE CHILDREN THROUGHOUT THE CONCHO VALLEY. THESE FUNDS ENHANCE CHILDREN'S HEALTH CARE THROUGH THE PURCHASE OF NEW MEDICAL EQUIPMENT PROVIDING NEEDED CARE, FUNDING HEALTH EDUCATION PROGRAMS AND PROVIDING FOR SPECIAL PATIENT NEEDS. IN 2009-2010, 16,870 CHILDREN WERE TREATED. SHANNON SPORTING CLAY SHOOT IN 2010, SHANNON'S ANNUAL CLAY SHOOT RAISED $138,396 FOR ONCOLOGY, AIRMED 1, EMERGENCY DEPARTMENT, TRAUMA SERVICES, ASTHMA CAMP AND NURSE EDUCATION. - SHANNON SERVES MORE THAN 1,100 PATIENTS EACH YEAR THROUGH ITS OUTPATIENT CHEMOTHERAPY AND ONCOLOGY FUND. THE ONCOLOGY ANGEL FUND PROVIDES ASSISTANCE FOR THESE PATIENTS FOR MEDICATIONS AND OTHER EXPENSES NOT COVERED BY INSURANCE. - AIRMED1 SERVES AS THE CONCHO VALLEY'S ONLY AIR AMBULANCE, BRINGING CRITICAL EMERGENCY CARE DIRECTLY TO THE PATIENT. PROCEEDS WERE USED TO PROVIDE EQUIPMENT AND EDUCATION TO THESE ORGANIZATIONS TO FURTHER IMPROVE PATIENT OUTCOMES. - SHANNON'S ED SEES MORE THAN 45,000 PATIENTS EACH YEAR. THE DEPARTMENT IS UPGRADING ITS TECHNOLOGY TO FURTHER ACCELERATE AND SHARE DATE, EXPEDITING PATIENT CARE. - THE NURSE EDUCATION FUND PROVIDES FUNDS TO NURSING STAFF FOR SPECIALIZED WORKSHOPS AND CONFERENCES OUTSIDE THE ORGANIZATION. - THROUGH THE EDUCATION PROVIDED AT THE 3 DAY ASTHMA CAMP, CHILDREN ARE MORE SUCCESSFUL IN CONTROLLING THEIR ASTHMA SYMPTOMS AND REDUCING THE NUMBER OF DOCTOR VISITS AND HOSPITAL STAYS. SUBSIDIZED HEALTH SERVICES THROUGH THE PHARMACEUTICAL ASSISTANCE PROGRAM, 21,207 PRESCRIPTIONS WERE FILLED AT A NET COMMUNITY BENEFIT EXPENSE OF $114,954. RIGHT CHOICES FOR YOUTH RIGHT CHOICES FOR YOUTH (RCY) IS A CLASSROOM, CURRICULUM-BASED EDUCATIONAL PROGRAM THAT TEACHES THE HEALTH BENEFITS OF ABSTINENCE BEFORE MARRIAGE, AND PROVIDES STUDENTS WITH TOOLS SUCH AS REFUSAL SKILLS, GOAL SETTING, RISK AVOIDANCE, AND ALTERNATIVE ACTIVITIES. RCY IS TAUGHT IN 21 SCHOOL DISTRICTS ON 27 CAMPUSES IN THE CONCHO VALLEY. AN ADDITIONAL $570,994 IN FUNDING IS PROVIDED BY THE ADMINISTRATION OF CHILDREN & FAMILIES, COMMUNITY BASED ABSTINENCE EDUCATION GRANT. CAROL M. WHITE PHYSICAL EDUCATION (PEP) GRANT IN 2007, SHANNON HEALTH & WELLNESS INITIATED THE COMPREHENSIVE APPROACH TO CHILD HEATH PROGRAM, (CATCH) IN MOTION, WHICH NOW SERVES 33 SCHOOLS IN THE CONCHO VALLEY. THE CATCH PROGRAM BRINGS EDUCATION ON HEALTHY EATING AND INCREASED PHYSICAL ACTIVITY TO YOUTH GRADES K-5, THEIR PARENTS, AS WELL AS FOOD SERVICE WORKERS, CLASSROOM TEACHERS AND PE TEACHERS. SPECIFIC NUTRITION INSTRUCTION IS GIVEN, AND PHYSICAL ACTIVITY IS INCORPORATED INTO HOME AND SCHOOL. APPROXIMATELY 12,000 STUDENTS ARE SERVED BY THE CATCH PROGRAM. THE CAROL M. WHITE PHYSICAL EDUCATION PROGRAM IS FUNDED THROUGH A GRANT FROM THE DEPARTMENT OF EDUCATION IN THE AMOUNT OF $451,786. SHANNON, ALONG WITH VOLUNTEERS IN LOCAL SCHOOL DISTRICTS, PROVIDED $155,882 IN ADDITIONAL FUNDS IN SUPPORT OF THIS PROGRAM. A. ADDITIONAL COMMUNITY HEALTH EDUCATION PROGRAMS 1. ASTHMA CAMP - SINCE 2004, THIS MEDICALLY SUPERVISED CAMP HAS PROVIDED CHILDREN WHO HAVE BEEN DIAGNOSED WITH ASTHMA EDUCATION ON TOPICS INCLUDING "WHAT IS ASTHMA," RECOGNIZING SIGNS AND SYMPTOMS, KNOWING AND AVOIDING TRIGGERS, MEDICATIONS (KNOWING THE DIFFERENCE BETWEEN RELIEVERS AND CONTROLLERS), AND THE IMPORTANCE OF COMPLIANCE AND USING ACTION PLANS. THE EDUCATION IS PROVIDED BY HEALTH CARE PROFESSIONALS. 2. CATCH A FIT LIFE - A ONE-DAY FITNESS AND NUTRITION EVENT, COLLABORATING WITH ASU, BOYS & GIRLS CLUB, YMCA AND COMMUNITY ORGANIZATIONS TO EDUCATE YOUTH AND FAMILIES AS WELL AS TO PROVIDE A SHOWCASE FOR LOCAL GROUPS SUCH AS SUPER SQUAD AND LOCAL ELEMENTARY SCHOOLS. THE TOTAL VALUE OF GRANT SERVICES AND SHANNON SUPPORT FOR OFFERING THESE FREE PROGRAMS TO THE COMMUNITY IS $1,292,488, PROVIDING FREE HEALTH SERVICES AND INFORMATION TO APPROXIMATELY 40,000 PERSONS ANNUALLY.AffiliatedHealthCareSystem
Reports Filed With StatesTXReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1LA ESPERANZA CLINICBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11610 S CHADBOURNE STAddressLine1
CitySAN ANGELOCity
StateTXState
ZIP Code76903ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient742699762EINOfRecipient
IRC Section501 (3) (C )IRCSection
Amount Of Cash Grant5833AmountOfCashGrant
Purpose Of GrantCHARITABLEPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, QUESTION 2ReturnReference
ExplanationTHE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRYAN HORNER
45748400000303800393180527182000
EMMETE FLYNN MD
1650045735500000753830117231650054446100
MICHELLE SNUGGS MD
1715048802800000920430149191715059499000
KELLY SHANE PLYMELL
225252000148850282100146490282995000
DR IRVIN ZEITLER
306319350000160530425490124950377416350000
WILMA STUART
2019990000022440088760233315000
PATRICIA TIPTON
2673390000030380043060302025000
MARVIN HILL
2612440000030380057680297392000
LANCE KEILERS
13671601668300014600077360175735000
JAMES NAYLOR
1514650000015147085100175122000
TIMOTHY HARTIN
183740000235200345910148700256721000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTSPART 1, QUESTION 4SERP DETAIL NAME AMOUNT BRYAN HORNER NONE 457(F) DETAIL NAME AMOUNT TIMOTHY HARTIN 15,538 DR. IRVIN ZEITLER 12,169
PROVIDED HEALTH, SOCIAL DUES OR INITIATION FEESSCHEDULE J, PART I, QUESTION 1ABRYAN HORNER AND 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

FieldValueIRS element (for citing)
Name PersonDIANE ZEITLERNamePerson
FieldValueIRS element (for citing)
RelationshipIRVIN ZEITLER'S SPOUSERelationship
Amount Of Transaction128357AmountOfTransaction
Description Of TransactionEMPLOYED BY SMCDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, QUESTION 12CWE 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 COMPENSATIONFORM 990, PART VI, QUESTION 15A & 15BINTEGRATED 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 PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
ORGANIZATIONS MISSION CONTINUEDFORM 990 PART I QUESTION 1 & PART III QUESTION 1WE 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 MEMBERFORM 990 PART VI, QUESTION 6MARGARET SHANNON ESTATE, A TESTAMENTARY TRUST, IS THE SOLE MEMBER OF THE ORGANIZATION.
BOARD OF DIRECTORS ELECTION ABILITIESFORM 990 PART VI, QUESTION 7ATHE 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.
RELATED COMPENSATION HOURS WORKEDFORM 990 PART VIIAVG HOURS WORKED FOR RELATED ORG IRVIN ZEITLER 4 BRYAN HORNER 8 SHANE PLYMELL 8 LEN MERTZ 18 ROBERT ECKERT 3 OTHER OFFICERS AND DIRECTORS LISTED IN PART VII DEVOTED AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATIONS.
REVIEW OF FORM 990FORM 990 PART VI QUESTION 11ATHE 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 APPROVALFORM 990, PART VI, QUESTION 7BAPPROVAL 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
TRUSTEES SHANNON WEST TEXAS HOSPITAL
PO BOX 49SAN ANGELOTX76902750800679TRUSTTX501(C)(3)11BNA
SHANNON RURAL HEALTH CLINICS INC
120 E HARRIS AVESAN ANGELOTX76903752940211HEALTHCARETX501(C)(3)11CNA
SHANNON REAL ESTATE SERVICES INC
120 E HARRIS AVESAN ANGELOTX76903270075630SUPPORT SVCSTX501(C)(3)11BNA
SHANNON HEALTH SYSTEM
120 E HARRIS AVESAN ANGELOTX76903752602411SUPPORT SVCSTX501(C)(3)11ANA
SHANNON CLINIC
120 E HARRIS AVESAN ANGELOTX76903752600873HEALTHCARETX501(C)(3)9NA
SHANNON BUSINESS SERVICES INC
120 E HARRIS AVESAN ANGELOTX76903432038769SUPPORT SVCSTX501(C)(3)11BNA
SHANNON MEDICAL MANAGEMENT
120 E HARRIS AVESAN ANGELOTX76903208367966SUPPORT SVCSTX501(C)(3)9NA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1REGIONAL CANCER TREATMENT CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1102 N MAGDALEN STE 120AddressLine1
CitySAN ANGELOCity
StateTXState
ZIP Code76903ZIPCode
FieldValueIRS element (for citing)
EIN752225955EIN
Primary ActivityRADIOTHERAPYPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income614819ShareOfTotalIncome
Share Of EOY Assets2474671ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
LEGACY HEALTH PLAN INC
2018 PULLIAM STSAN ANGELOTX76903752838410HEALTH PLANTXNAC000.00000
LEGACY MANAGEMENT SERVICES
2018 PULLIAM STSAN ANGELOTX76903752544450MANAGEMENTTXNAC000.00000
LEGACY HEALTH SOLUTIONS
2018 PULLIAM STSAN ANGELOTX76903200720762MED INSURANCETXNAC000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SHANNON CLINIC
O2813860
SHANNON CLINIC
K608238
SHANNON REAL ESTATE SERVICES
J238651
SHANNON REGIONAL HEALTH CLINICS
K26255
SHANNON BUSINESS SERVICES
C291865
SHANNON REGIONAL HEALTH CLINICS
R317006
SHANNON CLINIC
R5289003
SHANNON MEDICAL MANAGEMENT
Q17926273
SHANNON CLINIC
I63585
SHANNON BUSINESS SERVICES
A,I66915
SHANNON BUSINESS SERVICES
P10683925
SHANNON BUSINESS SERVICES
R9483799
SHANNON CLINIC
P1115128
SHANNON CLINIC
R5289003
SHANNON MEDICAL MANAGEMENT
P4783087
SHANNON REAL ESTATE SERVICES
R132745
SHANNON REAL ESTATE SERVICES
Q4908750
SHANNON REAL ESTATE SERVICES
P1400399
SHANNON REGIONAL HEALTH CLINICS
R219059
SHANNON REGIONAL HEALTH CLINICS
P525044

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