2011-08-11T14:27:34-05:00 2010-09-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2009-10-01 752559845 SHANNON MEDICAL CENTER SHAN 3254818644 120 E HARRIS AVENUE SAN ANGELO TX 76903 SHANE PLYMELL 2011-08-15 true Amanda Maya 7134994600 2009 2016-02-24 21:20:13Z BRYAN HORNER 120 E HARRIS AVENUE SAN ANGELO TX 76903 224783217 false X SHANNONHEALTH.COM X 1994 TX 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 14 11 2008 125 366604 -103000 137570 688760 189785984 215025470 1171511 1586435 2483020 3218314 193578085 220518979 82000 5833 0 0 78833956 82846919 0 0 0 95950194 106549525 174866150 189402277 18711935 31116702 207966374 236180979 36949164 41908132 171017210 194272847 OUR MISSION, IN FULFILLING OUR LEGACY, IS TO CREATE AN ENVIRONMENT COMMITTED TO THE VALUES OF ACCOUNTABILITY, SERVICE, PRIDE, INTEGRITY, RESPECT AND EXCELLENCE. 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BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true true X true X true true true false true true 14223141 14223141 0.08470 8653158 3842204 4810954 0.02860 22876299 3842204 19034095 0.11330 3297 1500 1797 11437 11437 0.00010 56610 12232 44378 0.00030 71344 13732 57612 0.00040 22947643 3855936 19091707 0.11370 true 5494751 73940541 65588189 8352352 true false SHANNON MEDICAL CENTER

120 E HARRIS AVENUE SAN ANGELO TX 76903

X X X X 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 SHANNON MEDICAL CENTER USES FPG TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. COSTS FOR LINE 7 WERE CALCULATED USING AN OVERALL COST TO CHARGE RATIO CALCULATED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM. NOT APPLICABLE BAD 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. FOOTNOTE 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. THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT. SHANNON 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. IN ADDITION TO ROUTINE HOSPITAL AND SURGERY CENTER OPERATIONS, SHANNON MEDICAL CENTER OPERATES ONE WOMEN'S IMAGING CENTER. 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 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). FINANCIAL 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. 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 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.) AS 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 CLASS IN A COUNTY WITH NO HOSPITAL TAXING AUTHORITY, A HOSPITAL WHOSE MISSION REFLECTS COMMITMENT TO TREATING PATIENTS WITHOUT REGARD TO ABILITY TO PAY IS A HIGHLY DESIRABLE AND PIVOTAL POINT OF COMMUNITY HEALTH CARE. FOR 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. OTHER 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. TX true LA ESPERANZA CLINIC 1610 S CHADBOURNE ST SAN ANGELO TX 76903 742699762 501 (3) (C ) 5833 CHARITABLE 1 0 PROCEDURES FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, QUESTION 2 THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. X true true X X X X false true false false false false false false false BRYAN HORNER 457484 0 0 0 0 0 30380 0 39318 0 527182 0 0 0 EMMETE FLYNN MD 16500 457355 0 0 0 0 0 75383 0 11723 16500 544461 0 0 MICHELLE SNUGGS MD 17150 488028 0 0 0 0 0 92043 0 14919 17150 594990 0 0 KELLY SHANE PLYMELL 225252 0 0 0 14885 0 28210 0 14649 0 282995 0 0 0 DR IRVIN ZEITLER 306319 3500 0 0 16053 0 42549 0 12495 0 377416 3500 0 0 WILMA STUART 201999 0 0 0 0 0 22440 0 8876 0 233315 0 0 0 PATRICIA TIPTON 267339 0 0 0 0 0 30380 0 4306 0 302025 0 0 0 MARVIN HILL 261244 0 0 0 0 0 30380 0 5768 0 297392 0 0 0 LANCE KEILERS 136716 0 16683 0 0 0 14600 0 7736 0 175735 0 0 0 JAMES NAYLOR 151465 0 0 0 0 0 15147 0 8510 0 175122 0 0 0 TIMOTHY HARTIN 183740 0 0 0 23520 0 34591 0 14870 0 256721 0 0 0 NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS PART 1, QUESTION 4 SERP 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 FEES SCHEDULE J, PART I, QUESTION 1A BRYAN 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. DIANE ZEITLER IRVIN ZEITLER'S SPOUSE 128357 EMPLOYED BY SMC false 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. RELATED COMPENSATION HOURS WORKED FORM 990 PART VII AVG 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 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. 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