SHANNON MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SHANNON MEDICAL CENTER (EIN 75-2559845)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-15
IRS object ID: 202612279349301301
Schema version: 2024v5.1
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 B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-15T22:06:07+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS MAZARS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2700 POST OAK BLVD STE 1500	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77056	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752559845	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHANNON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SHAN	BusinessNameControlTxt
Phone	3257476741	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 E HARRIS AVENUE	AddressLine1Txt
City	SAN ANGELO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76903	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH WOOLDRIDGE	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2026-08-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMANDA MAYA	PreparerPersonNm
PTIN	P01067777	PTIN
Phone	7134994600	PhoneNum
Preparation	2026-08-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOSEPH WOOLDRIDGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 E HARRIS AVENUE	AddressLine1Txt
City	SAN ANGELO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76903	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$821,298,193	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SHANNONHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3425	TotalEmployeeCnt
Total Volunteers	157	TotalVolunteersCnt
Total Gross UBI	$209,907	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$228,574	PYContributionsGrantsAmt
CY Contributions Grants	$759,903	CYContributionsGrantsAmt
PY Program Service Revenue	$736,964,941	PYProgramServiceRevenueAmt
CY Program Service Revenue	$815,876,008	CYProgramServiceRevenueAmt
PY Investment Income	-$525,544	PYInvestmentIncomeAmt
CY Investment Income	$459,703	CYInvestmentIncomeAmt
PY Other Revenue	$3,646,165	PYOtherRevenueAmt
CY Other Revenue	$4,114,626	CYOtherRevenueAmt
PY Total Revenue	$740,314,136	PYTotalRevenueAmt
CY Total Revenue	$821,210,240	CYTotalRevenueAmt
PY Grants And Similar Paid	$65,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$65,595	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$231,707,437	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$260,675,502	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$398,591,281	PYOtherExpensesAmt
CY Other Expenses	$434,496,282	CYOtherExpensesAmt
PY Total Expenses	$630,363,718	PYTotalExpensesAmt
CY Total Expenses	$695,237,379	CYTotalExpensesAmt
PY Revenues Less Expenses	$109,950,418	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$125,972,861	CYRevenuesLessExpensesAmt
Total Assets BOY	$562,463,902	TotalAssetsBOYAmt
Total Assets EOY	$593,519,484	TotalAssetsEOYAmt
Total Liabilities BOY	$129,622,239	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$121,444,293	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$432,841,663	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$472,075,191	NetAssetsOrFundBalancesEOYAmt
Mission	FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$513,232,267	ExpenseAmt
Grant	$65,595	GrantAmt
Revenue	$816,421,421	RevenueAmt
Desc	PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS.	Desc
Total Program Service Expenses	$513,232,267	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	194	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3425	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOSEPH WOOLDRIDGE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3257476741	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 E HARRIS AVENUE	AddressLine1Txt
City	SAN ANGELO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76903	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KELLY SHANE PLYMELL
PRESIDENT/CEO	24.0	39.0	Yes (X)	Yes (X)	$1,159,720	$0	$155,611
LEN MERTZ
CHAIRMAN/TRUSTEE	2.0	39.0	Yes (X)	Yes (X)	$29,952	$0	$0
MICHAEL OLIPHANT
SECRETARY/TREASURER/TRUSTEE	2.0	6.0	Yes (X)	Yes (X)	$20,150	$45,798	$0
ORAN BERRY III
VICE CHAIRMAN/TRUSTEE	2.0	6.0	Yes (X)	Yes (X)	$22,600	$53,267	$0
FREDDY L MOORE
TRUSTEE	2.0	6.0	Yes (X)		$23,850	$30,060	$0
JAMES A BOYD JR
DIRECTOR	2.0	4.0	Yes (X)		$20,250	$0	$0
JASON FELGER
DIRECTOR	2.0	44.0	Yes (X)		$0	$909,295	$134,815
JEFFREY MCCORMICK
TRUSTEE	2.0	6.0	Yes (X)		$23,850	$30,060	$0
MARIO CASTILLO
DIRECTOR	2.0	4.0	Yes (X)		$22,317	$0	$0
MARTHA VISNEY
DIRECTOR	2.0	4.0	Yes (X)		$20,850	$0	$0
MICHAEL TED WEATHERFORD
TRUSTEE	2.0	6.0	Yes (X)		$18,550	$52,188	$0
ROSS HARPER
DIRECTOR	2.0	44.0	Yes (X)		$0	$1,111,508	$118,848
STEVE CECIL
TRUSTEE	2.0	6.0	Yes (X)		$24,100	$46,709	$0
WILL GRIFFIS JR
DIRECTOR	2.0	4.0	Yes (X)		$22,350	$0	$0
DR MICHAEL WOOD
VICE PRESIDENT/CMO	38.0	2.0		Yes (X)	$633,307	$0	$109,207
JOSEPH WOOLDRIDGE
VICE PRESIDENT/CFO	35.0	5.0		Yes (X)	$589,300	$0	$112,775
PAMELA J BRADSHAW
VICE PRESIDENT/COO	32.0	8.0		Yes (X)	$562,253	$0	$115,278
ALLAN GRAVES
GENERAL COUNSEL/CHIEF LEGAL OFFICER	40.0	5.0			$521,451	$0	$111,120	Yes (X)
GREGORY WHEELER
DIRECTOR OF REIMBURSEMENT	40.0	0			$224,755	$0	$17,058		Yes (X)
MARIBEL J RIOS
ASSISTANT VP OF ANCILLARY SERVICES	40.0	0			$217,830	$0	$15,704		Yes (X)
MICHAEL P RUSSELL
CHIEF INFORMATION OFFICER	40.0	0			$312,720	$0	$28,731		Yes (X)
REBECCA HARTLEY
ASSISTANT VP OF SURGICAL SERVICES	40.0	0			$214,116	$0	$17,055		Yes (X)
STEPHANIE MCCANN
IP PHARMACY DIRECTOR	40.0	0			$213,046	$0	$21,016		Yes (X)
DR JAMES C BARNETT
VICE PRESIDENT/CMO	38.0	18.0			$0	$141,608	$2,619			Yes (X)
JOE HENDERSON
FORMER TRUSTEE	0.0	0			$17,511	$0	$0			Yes (X)
REBECCA FUENTES
VICE PRESIDENT/CNO	32.0	8.0			$372,109	$0	$67,847			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,286,937	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,420,493	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,027,684	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	254	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
VAYA WORKFORCE SOLUTIONS LLC
5930 CORNERSTONE CT	W SUITE 300	SAN DIEGO	CA	92121	CONTRACT LABOR	$1,259,915
BASIC IDIQ INC
PO BOX 2118		SAN DIEGO	CA	92121	CONSTRUCTION SERVICES	$1,153,408
HOLLAND & KNIGHT
PO BOX 936937		ATLANTA	GA	31193	LEGAL SERVICES	$500,970
ESPINOZA & BROCK PLLC
10202 HERITAGE BLVD	FBO MIRTHA CHAPOY	SAN ANTONIO	TX	78216	LEGAL SERVICES	$400,000
HEALTH CAROUSEL LLC
PO BOX 714216		CINCINNATI	OH	45271	CONTRACT LABOR	$329,037

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Related Organizations	$687,532	RelatedOrganizationsAmt
All Other Contributions	$72,371	AllOtherContributionsAmt
Total Contributions	$759,903	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621990	$811,374,591	$811,173,299	$201,292
RENTAL INCOME	532000	$1,847,438	$1,847,438
SERVICE CHARGES	900099	$36,548	$36,548

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,617,431	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,617,431	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$815,876,008	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$535,044	TotalRevenueColumnAmt
Exclusion	$535,044	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$12,612	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$87,953	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$87,953	SecuritiesAmt
Other	$12,612	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$75,341	TotalRevenueColumnAmt
Exclusion	-$75,341	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$3,548,740	$3,548,740
LAUNDRY SERVICES	812300	$8,615		$8,615

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$557,271	TotalRevenueColumnAmt
Related Or Exempt Func Income	$545,413	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,858	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,114,626	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$821,210,240	TotalRevenueColumnAmt
Related Or Exempt Func Income	$816,220,129	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$209,907	UnrelatedBusinessRevenueAmt
Exclusion	$4,020,301	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$65,595	TotalAmt
Program Services	$65,595	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,318,838	TotalAmt
Management And General	$4,318,838	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$457,467	TotalAmt
Management And General	$457,467	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$208,127,421	TotalAmt
Program Services	$162,579,317	ProgramServicesAmt
Management And General	$45,548,104	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,978,419	TotalAmt
Program Services	$4,163,608	ProgramServicesAmt
Management And General	$814,811	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,345,224	TotalAmt
Program Services	$22,205,881	ProgramServicesAmt
Management And General	$7,139,343	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,448,133	TotalAmt
Program Services	$10,301,884	ProgramServicesAmt
Management And General	$3,146,249	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$256,250	TotalAmt
Management And General	$256,250	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$301,213	TotalAmt
Management And General	$301,213	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$162,063	TotalAmt
Management And General	$162,063	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$76,315,927	TotalAmt
Program Services	$52,830,843	ProgramServicesAmt
Management And General	$23,485,084	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,002,815	TotalAmt
Program Services	$77,619	ProgramServicesAmt
Management And General	$925,196	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,086,532	TotalAmt
Program Services	$1,272,659	ProgramServicesAmt
Management And General	$8,813,873	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,233,400	TotalAmt
Program Services	$5,456,070	ProgramServicesAmt
Management And General	$5,777,330	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,234,341	TotalAmt
Program Services	$2,561,573	ProgramServicesAmt
Management And General	$3,672,768	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,134,555	TotalAmt
Program Services	$398,121	ProgramServicesAmt
Management And General	$736,434	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,083,037	TotalAmt
Management And General	$2,083,037	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$37,598,797	TotalAmt
Program Services	$22,246,998	ProgramServicesAmt
Management And General	$15,351,799	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,956,046	TotalAmt
Management And General	$3,956,046	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$179,529,404	$131,386,561	$48,142,843
BAD DEBT	$78,908,430	$78,908,430
EQUIPMENT COSTS	$13,938,190	$10,876,001	$3,062,189
LAB FEES	$6,336,843	$6,336,843

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,418,439	TotalAmt
Program Services	$1,564,264	ProgramServicesAmt
Management And General	$3,854,175	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$695,237,379	TotalAmt
Program Services	$513,232,267	ProgramServicesAmt
Management And General	$182,005,112	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$65,681,688	BOYAmt
EOY	$70,274,533	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,587,425	BOYAmt
EOY	$3,811,007	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,076,561	BOYAmt
EOY	$12,102,138	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,189,888	BOYAmt
EOY	$30,256,737	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$659,410,580	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$363,834,874	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$294,389,860	BOYAmt
EOY	$295,575,706	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$15,884,427	BOYAmt
EOY	$12,508,403	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$839,540	BOYAmt
EOY	$844,245	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,092,145	BOYAmt
EOY	$6,030,880	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$155,722,368	BOYAmt
EOY	$162,115,835	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$562,463,902	BOYAmt
EOY	$593,519,484	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$71,896,550	BOYAmt
EOY	$70,415,873	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,215,211	BOYAmt
EOY	$651,939	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$47,545,178	BOYAmt
EOY	$42,997,921	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,965,300	BOYAmt
EOY	$7,378,560	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$129,622,239	BOYAmt
EOY	$121,444,293	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$273,161,691	BOYAmt
EOY	$305,008,182	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$159,679,972	BOYAmt
EOY	$167,067,009	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$432,841,663	BOYAmt
EOY	$472,075,191	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$562,463,902	BOYAmt
EOY	$593,519,484	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$125,972,861	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$124,048	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$86,863,381	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,097,693	OtherCostOrOtherBasisAmt
Book Value	$10,097,693	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$313,802,602	OtherCostOrOtherBasisAmt
Depreciation	$123,000,717	DepreciationAmt
Book Value	$190,801,885	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$101,864	OtherCostOrOtherBasisAmt
Depreciation	$23,693	DepreciationAmt
Book Value	$78,171	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$320,177,357	OtherCostOrOtherBasisAmt
Depreciation	$237,809,418	DepreciationAmt
Book Value	$82,367,939	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,231,064	OtherCostOrOtherBasisAmt
Depreciation	$3,001,046	DepreciationAmt
Book Value	$12,230,018	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$295,575,706	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN NET ASSETS - SHANNON	$162,067,006
SELF INSURANCE TRUST	$4,639,511
INTEREST RECEIVABLE	$73,820
DUE FROM 3RD PARTY PAYOR	-$4,664,502

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$162,115,835	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
ASSET RETIREMENT OBLIGATION	$1,245,548
ACCRUED PENSION COST	$2,364,613
MALPRACTICE COSTS	$3,666,749
LONG TERM INCENTIVE ACCRUAL	$101,650

Field	Value	IRS element (for citing)
Total Liability	$7,378,560	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$741,672,731	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$124,048	NetUnrealizedGainsInvstAmt
Other Revenue	-$78,974,025	OtherRevenueAmt
Revenue Not Reported	-$78,849,977	RevenueNotReportedAmt
Revenue Subtotal	$820,522,708	RevenueSubtotalAmt
Other Revenues Not Included	$687,532	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$687,532	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$821,210,240	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$616,263,354	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$616,263,354	ExpensesSubtotalAmt
Other Expenses Not Included	$78,974,025	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$78,974,025	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$695,237,379	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE	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 D, PART XI, LINE 2(D) OTHER REVENUES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990	BAD DEBT - -78908430 GRANTS/CONTRIBUTIONS - -65595
SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS	CONTRIBUTIONS RECORDED TO NET ASSETS - 687532
SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS	BAD DEBT - 78908430 GRANTS/CONTRIBUTIONS - 65595

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,241,311	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,241,311	NetCommunityBenefitExpnsAmt
Total Expense	0.03609	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,294,494	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,438,144	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$545,513	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$305,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$240,379	NetCommunityBenefitExpnsAmt
Total Expense	0.00039	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$60,081,318	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,743,278	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,481,690	NetCommunityBenefitExpnsAmt
Total Expense	0.03648	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$990,680	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$990,680	NetCommunityBenefitExpnsAmt
Total Expense	0.00161	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,954,715	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,954,715	NetCommunityBenefitExpnsAmt
Total Expense	0.00317	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,674,270	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,674,270	NetCommunityBenefitExpnsAmt
Total Expense	0.07411	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,217	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$247,217	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,767	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$83,767	NetCommunityBenefitExpnsAmt
Total Expense	0.00014	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$48,950,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,950,649	NetCommunityBenefitExpnsAmt
Total Expense	0.07942	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$109,031,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,743,278	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,432,339	NetCommunityBenefitExpnsAmt
Total Expense	0.11590	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$233,797	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$233,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00038	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$233,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$233,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00038	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$78,908,430	BadDebtExpenseAmt
Reimbursed By Medicare	$137,957,851	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$138,945,385	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$987,534	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHANNON MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 E HARRIS AVENUE	AddressLine1Txt
City	SAN ANGELO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76903	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SHANNONHEALTH.COM	WebsiteAddressTxt
State License	000168	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SHANNON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.SHANNONHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.SHANNONHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1

FACILITY , 1 - SHANNON MEDICAL CENTER. COMMUNITY INPUT WAS PROVIDED THROUGH SIX KEY STAKEHOLDER INTERVIEWS WITH KEY INFORMANTS WHO REPRESENT A BROAD INTERESTS OF THE COMMUNITY, POPULATION OF NEED, PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS. INDIVIDUALS THAT PARTICIPATED REPRESENTED THE FOLLOWING ORGANIZATIONS AND AGENCIES: CITY OF SAN ANGELO MUNICIPAL GOVERNMENT, KEEPERS OF HOPE, LA ESPERANZA CLINIC, MHMR CONCHO VALLEY, REGION 15 EDUCATION SERVICES CENTER, SAN ANGELO DIABETES COALITION, SHANNON MEDICAL CENTER, TOM GREEN COUNTY INDIGENT HEALTH AND WEST TEXAS COUNSELING GUIDANCE.

SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1

FACILITY , 1 - SHANNON MEDICAL CENTER. THE IMPLEMENTATION STRATEGY FOR FISCAL YEARS ENDING SEPTEMBER 30, 2026, AND SEPTEMBER 30, 2028, FOCUSED ON THREE IDENTIFIED HEALTH NEEDS. ACTION PLANS AND ACTIVITIES FOR EACH OF THE STRATEGIES ARE SUMMARIZED BELOW. BASED ON SHANNON'S EVALUATION FOR THE FISCAL YEAR (FY) ENDING SEPTEMBER 30, 2028, SHANNON HAS EITHER MET THEIR GOALS OR IS STILL IN THE PROCESS OF MEETING THEIR GOALS FOR EACH STRATEGY LISTED. SHANNON CONTINUES TO TRACK ACTIVITIES AND EVALUATE PROGRESS TO REACH IMPLEMENTATION STRATEGY GOALS THROUGH THE END OF FY 2028. THE BELOW CHNA ACTION PLAN INCLUDES DETAILS ON HOW SHANNON MEDICAL CENTER IS ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA CONDUCTED IN 2025. THE NEEDS ARE CATEGORIZED IN THE FOLLOWING PRIORITY AREAS: IMPROVE ACCESS TO CARE, AGING POPULATION/ELDER CARE, HEALTHY LIVING AND ADULT OBESITY. PRIORITY 1: IMPROVE ACCESS TO CARE SHANNON MEDICAL CENTER WORKED TO INCREASE ACCESS TO AFFORDABLE, TIMELY, AND APPROPRIATE HEALTHCARE. SHANNON MEDICAL CENTER PARTNERED WITH SHANNON CLINIC TO RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS (PCPS), SPECIALTY CARE PROVIDERS, AND ADVANCED PRACTICE PROFESSIONALS. SHANNON ALSO CONTINUES TO PROVIDE AND ENHANCE TRANSITIONAL CARE TEAMS, COMMUNITY HEALTH WORKERS, AND CARE MANAGERS AT SHANNON TO MANAGE HIGH-RISK PATIENTS, ADDRESS SOCIAL AND HEALTH CARE ISSUES, AND SUPPORT PATIENTS IN MANAGING THEIR HEALTH. SHANNON UTILIZED SERVICE LINE PATIENT NAVIGATORS AND COMMUNITY HEALTH WORKERS TO COORDINATE ACCESS TO CARE AND ENSURE THE CONTINUUM OF CARE THROUGHOUT THE HEALTH SYSTEM. SHANNON IMPLEMENTED THE ASK A NURSE HOTLINE AND PROVIDED 18,158 CALLERS WITH FREE MEDICAL ADVICE FROM A REGISTERED NURSE. THE PROGRAMS PROVIDED MEDICATION MANAGEMENT, ADDRESSED SOCIAL BARRIERS, AND HELPED PATIENTS MANAGE THEIR CHRONIC CONDITIONS AT HOME. SHANNON UTILIZED SERVICE LINE PATIENT NAVIGATORS TO COORDINATE ACCESS TO CARE, POST-OPERATIVE CARE PLANNING, PATIENT EDUCATION, AND ENSURING THE CONTINUUM OF CARE THROUGHOUT THE HEALTH SYSTEM. SHANNON PROVIDED TELEMEDICINE OPTIONS THROUGH SHANNON ON DEMAND AND SPECIALTY VIRTUAL VISITS. SHANNON MEDICAL CENTER ALSO PROVIDES FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL EXPENSES. SHANNON PROVIDES TRANSPORTATION ASSISTANCE TO SOCIOECONOMICALLY DISADVANTAGED PATIENT WHEN DISCHARGED FROM INPATIENT CARE OR TO OUTPATIENT VISITS. IN FY 2025, SHANNON PROVIDED TRANSPORTATION SERVICES TO 1,064 PATIENTS AND OTHER HEALTH CARE SUPPORT SERVICES TO 160 QUALIFYING PATIENTS. SHANNON PROVIDES MEDICAL CARE AND SUPPORT SERVICES TO THE UNINSURED/UNDERINSURED AND VULNERABLE POPULATION. IN FY 2025, SHANNON PROVIDED $83,509,226 IN CHARITY CARE AND $45,674,270 IN SUBSIDIZED HEALTH SERVICES. SHANNON ALSO PREPARES RESIDENT PHYSICIANS, CLINICAL STAFF AND REGIONAL PARTNERS TO ADDRESS ACCESS BARRIERS THROUGH CULTURALLY COMPETENT, COMMUNITY-INFORMED CARE. SHANNON PROVIDES FAMILY MEDICINE AND INTERNAL MEDICINE RESIDENCY PROGRAMS TO EQUIP NEW PHYSICIANS WITH COMPREHENSIVE MEDICAL TRAINING AND OFFER THE COMMUNITY INCREASED ACCESS TO PRIMARY CARE SERVICES. ADDITIONALLY, SHANNON PROVIDES CONTINUING EDUCATION OPPORTUNITIES FOR HEALTH AND SOCIAL SERVICE PROVIDERS IN THE COMMUNITY AND PROVIDES REGIONAL SUPPORT AND RESOURCES TO SURROUNDING PROVIDERS IN THE SHANNON SERVICE AREA. PRIORITY 2: AGING POPULATION/ELDER CARE THE MEDICAL CENTER WORKS TO SUPPORT THE HEALTH, INDEPENDENCE, AND QUALITY OF LIFE OF OLDER ADULTS IN THE COMMUNITY. SHANNON ENHANCES CARE COORDINATION FOR OLDER ADULTS. SHANNON UTILIZES STANDARDIZED GERIATRIC SCREENING TOOLS TO PROACTIVELY IDENTIFY PHYSICAL, COGNITIVE, AND SOCIAL NEEDS AMONG OLDER ADULT PATIENTS, AND USE THE RESULTS TO GUIDE PERSONALIZED CARE PLANNING AND APPROPRIATE REFERRALS. SHANNON PARTNERED WITH COMMUNITY-BASED AGING SERVICES TO ENSURE SEAMLESS TRANSITIONS AND WRAPAROUND SUPPORT OUTSIDE OF THE HOSPITAL. SHANNON CONTINUES TO PROVIDE ADVANCED CARE PLANNING SERVICES DURING INPATIENT AND OUTPATIENT VISITS. SHANNON INCREASES SOCIAL AND WELLNESS ENGAGEMENT FOR OLDER ADULTS. SHANNON PROVIDES FINANCIAL AND IN-KIND DONATIONS TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE SUPPORTIVE SERVICES FOR OLDER ADULTS. HOST EVENTS OR PARTNER WITH ORGANIZATIONS TO OFFER WELLNESS ENGAGEMENT OPPORTUNITIES FOR THE AGING POPULATION. SHANNON PARTICIPATES IN PUBLIC HEALTH EVENTS TO PROVIDE HEALTH EDUCATION AND SHARE INFORMATION ABOUT AVAILABLE HEALTH SERVICES. PRIORITY 3: HEALTHY LIVING AND ADULT OBESITY THE MEDICAL CENTER IMPLEMENTS STRATEGIES TO PROMOTE HEALTHY LIFESTYLES AND REDUCE THE PREVALENCE OF OBESITY RELATED CHRONIC DISEASES. SHANNON WORKS TO INCREASE CHRONIC DISEASE PREVENTION AND PROMOTE PHYSICAL ACTIVITY AND NUTRITION BY PROVIDING EDUCATION THROUGH MEDIA, BROCHURES, CAMPAIGNS, AND EDUCATIONAL SEMINARS ON ADULT OBESITY, INCLUDING HOW TO MANAGE AND PREVENT ADULT OBESITY. SHANNON PROMOTED ACCESS TO PREVENTIVE SERVICES AND PROVIDE NAVIGATION SUPPORT TO HELP PATIENTS SCHEDULE SCREENINGS AND FOLLOW-UP CARE. COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE PREVENTIVE HEALTH AND HOST EDUCATION SESSIONS AND SUPPORT GROUPS CENTERED ON CHRONIC DISEASE PREVENTION. IN FY 2025, PROVIDED HEALTH EDUCATION INFORMATION AND AVAILABILITY OF HEALTH SERVICES ON WWW.SHANNONHEALTH.COM, SHANNON'S SOCIAL MEDIA SITES, THE SHANNON HEALTHBEAT NEWSLETTER MAGAZINE, AND THROUGH THE LOCAL NEWS STATION'S "LIVE AT 5" NEWS SEGMENT. PARTNERED WITH 52 ORGANIZATIONS TO OFFER HEALTH EDUCATION INFORMATION TO MORE THAN 10,266 COMMUNITY MEMBERS. SHANNON PROVIDES CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS FOR INDIVIDUALS LIVING WITH OR AT RISK OF CHRONIC CONDITIONS. SHANNON PROVIDES OPPORTUNITIES FOR THE PUBLIC TO ENGAGE IN PHYSICAL ACTIVITY. SHANNON PROVIDES DONATIONS AND SPONSORSHIPS FOR COMMUNITY FITNESS EVENTS, RACES, AND FITNESS CLASSES TO PROMOTE PHYSICAL ACTIVITY. IN FY 2025, SHANNON PROVIDED DONATIONS AND SPONSORSHIPS FOR 7 COMMUNITY EVENTS THAT PROMOTED PHYSICAL ACTIVITY AND HEALTHY LIVING, INCLUDING YMCA KIDS TRIATHLON, ALZHEIMER'S ASSOCIATION WALK, AND SAN ANGELO RELAYS. SHANNON PARTNERS WITH COMMUNITY ORGANIZATIONS TO PROVIDE COMMUNITY ACTIVITIES AND EVENTS THAT ENCOURAGE PHYSICAL ACTIVITY FOR CHILDREN AND FAMILIES. IN FY 2025, SHANNON PARTNERED WITH SAISD TO HOST THE ANNUAL KIDS' MARATHON EVENT. THE EVENT DREW MORE THAN 500 ATTENDEES AND PROVIDED SUMMER CAMP AND PHYSICAL ACTIVITY INFORMATION FROM NUMEROUS COMMUNITY ORGANIZATIONS. NEEDS NOT ADDRESSED: SOME ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED IN THE IMPLEMENTATION STRATEGY. DURING INITIAL DISCUSSIONS AND SUBSEQUENT PRIORITIZATION, SHANNON CONSIDERED THE EXTENT TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUTSIDE THE SCOPE OF SHANNON'S EXPERTISE AND RESOURCES. SHANNON WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND WAYS TO PROVIDE THESE ESSENTIAL HEALTH SERVICES TO ITS PATIENTS AND COMMUNITY.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SHANNON SURGERY CENTER
120 E HARRIS AVENUE	SAN ANGELO	TX	76903	AMBULATORY SURGERY CENTER
SHANNON HOME HEALTH
3501 KNICKERBOCKER RD	SAN ANGELO	TX	76904	HOME HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C METHOD TO DETERMINE ASSISTANCE ELIGIBILITY	SHANNON MEDICAL CENTER ALSO USES INSURANCE STATUS AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 4, 5 & 7 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT PROCESS. WORKSHEET 8 WAS COMPLETED USING THE ORGANIZATION INTERNAL ACCOUNTING SYSTEM.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES - $233,797 SHANNON ACTIVELY PARTICIPATES IN VARIOUS COMMUNITY-BASED BOARDS. SERVICE TO THESE BOARDS IS PROVIDED AT A COST OF $3,930 TO SHANNON. SHANNON CONTRIBUTES PLANNING AND FINANCIAL ASSISTANCE TO COMMUNITY BUILDING EFFORTS. THIS PAST FISCAL YEAR, $229,867 WAS DONATED TO OTHER COMMUNITY ORGANIZATIONS INCLUDING SAN ANGELO INDEPENDENT SCHOOL DISTRICT, ANGELO STATE UNIVERSITY FOUNDATION, SAN ANGELO STOCK SHOW AND RODEO, WEST TEXAS REHABILITATION CENTER, YMCA OF SAN ANGELO, LAURA BUSH INSTITUTE FOR WOMEN'S HEALTH, AND MANY OTHERS.
SCHEDULE H, PART I, LINE 7 COMMUNITY BENEFIT EXPENSE	COMMUNITY BENEFIT EXPENSE: BAD DEBT EXPENSE OF $78,908,430 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.
SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION	78908430
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE ORGANIZATION'S INTERNAL FINANCIALS.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	SEE PAGE 15 OF THE ATTACHED FINANCIAL STATEMENTS
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE COST REPORT USES COST TO CHARGE RATIOS FOR ANCILLARY DEPARTMENTS, PLUS IN THE ROOM AND BOARD AREAS IT IS A PER DIEM.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	CHARITY CARE AND DISCOUNTING FOR UNINSURED 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.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- SHANNON MEDICAL CENTER: LINE 16A URL: HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- SHANNON MEDICAL CENTER: LINE 16B URL: HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- SHANNON MEDICAL CENTER: LINE 16C URL: HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM JANUARY 2025 TO AUGUST 2025. COMMUNITY INPUT WAS PROVIDED THROUGH SIX KEY STAKEHOLDER INTERVIEWS AND A COMMUNITY SURVEY. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG AND OTHER THIRD PARTIES. THIS DATA WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF VULNERABLE POPULATIONS AND THE COMMUNITY AS A WHOLE. AS A RESULT OF THE ANALYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED FOR THE COMMUNITY: ADULT OBESITY ADULT SMOKING AGING POPULATION/ELDER CARE ALCOHOL-IMPAIRED DRIVING DEATHS CANCER HEALTHY BEHAVIORS/LIFESTYLE HEART HEALTH HIGH COST OF HEALTH CARE INJURY DEATHS LACK OF HEALTH KNOWLEDGE/EDUCATION LACK OF MENTAL HEALTH PROVIDERS LACK OF TRANSPORTATION OPTIONS LANGUAGE/CULTURAL MINDSET PHYSICAL INACTIVITY PREVENTABLE HOSPITAL STAYS SEXUALLY TRANSMITTED INFECTIONS SHORTAGE OF PRIMARY CARE PHYSICIANS STROKE SUBSTANCE ABUSE TEEN BIRTH RATE THE IDENTIFIED HEALTH NEEDS WERE REVIEWED BY SHANNON'S LEADERSHIP TEAM, THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE, AND FORVIS MAZARS. TO FACILITATE PRIORITIZATION OF IDENTIFIED HEALTH NEEDS, A RANKING PROCESS WAS USED. EACH FACTOR RECEIVED A SCORE BETWEEN 0 AND 5, WITH A TOTAL MAXIMUM SCORE OF 20. THEN PRIORITY AREAS WERE DETERMINED BASED ON THEIR ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. IDENTIFIED NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING CRITERIA: HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE? WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM? PREVALENCE OF COMMON THEMES. ORGANIZATIONAL CAPACITY AND EXISTING INFRASTRUCTURE TO ADDRESS THE HEALTH NEED. BASED ON THE CRITERIA OUTLINED ABOVE, THE HEALTH NEEDS THAT SCORED 15 OR MORE (OUT OF A POSSIBLE 20) WERE IDENTIFIED AS A PRIORITY AREA. SHANNON HAS IDENTIFIED THE FOLLOWING PRIORITY AREAS BASED ON THE ABOVE CRITERIA: IMPROVE ACCESS TO CARE AGING POPULATION/ELDER CARE HEALTHY LIVING AND ADULT OBESITY AS A RESULT OF THE NEEDS ASSESSMENT, SHANNON DEVELOPED AND ADOPTED AN IMPLEMENTATION PLAN WILL BE EXECUTED OVER THE NEXT THREE YEARS, FROM FY 2026 THROUGH THE END OF FY 2028. SHANNON WILL WORK WITH COMMUNITY PARTNERS AND HEALTH EXPERTS ON THE FOLLOWING FOR EACH OF THE APPROACHES TO ADDRESSING THE IDENTIFIED HEALTH NEEDS: DEVELOP WORK PLANS TO SUPPORT EFFECTIVE IMPLEMENTATION CREATE MECHANISMS TO MONITOR AND MEASURE OUTCOMES PROVIDE ONGOING STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE COMMUNITY HEALTH
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	FINANCIAL ASSISTANCE BROCHURES THAT OUTLINE ACCESS TO INFORMATION ABOUT ASSISTANCE PROGRAMS ARE AVAILABLE IN EACH OF THE REGISTRATION AREAS. WE ALSO HAVE CONTRACTED ELIGIBILITY WORKERS WHO SCREEN PATIENTS FOR ALL SOCIAL SERVICE PROGRAMS AND ASSIST WITH THE APPLICATION PROCESS IF NEEDED.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	SHANNON MEDICAL CENTER IS LOCATED IN SAN ANGELO, TEXAS. THE CITY OF SAN ANGELO SERVES AS THE COUNTY SEAT AND POPULATION CENTER OF TOM GREEN COUNTY, WITH AN ESTIMATED POPULATION IN 2025 OF 120,602. TOM GREEN COUNTY'S POPULATION IN 2024 WAS REPORTED AT 120,103. THE ESTIMATED POPULATION FOR SHANNON'S SERVICE AREA AS OF 2024, INCLUDING TOM GREEN COUNTY, IS 332,037 (U.S. CENSUS BUREAU, STATE & COUNTY QUICKFACTS). THE COUNTIES INCLUDED IN THE SHANNON SERVICE AREA ARE BROWN, COKE, COLEMAN, CONCHO, CROCKETT, HOWARD, IRION, KIMBLE, MASON, MCCULLOCH, MENARD, MILLS, MITCHELL, PECOS, REAGAN, RUNNELS, SAN SABA, SCHLEICHER, STERLING, SUTTON, TERRELL, TOM GREEN, UPTON, AND VAL VERDE. A BREAKDOWN OF TOM GREEN COUNTY DEMOGRAPHICS IS AS FOLLOWS. (SOURCE: U.S. CENSUS BUREAU, STATE & COUNTY QUICKFACTS) A. TOM GREEN COUNTY AGE DISTRIBUTION 1. UNDER 18 YEARS OLD - 23.2% (27,980) 2. 18-64 YEARS OLD - 58.9% (71,034) 3. 65 YEARS AND OLDER - 17.9% (21,588) B. TOM GREEN COUNTY ETHNIC DISTRIBUTION (MORE THAN ONE CATEGORY MAY BE SELF-REPORTED) 1. CAUCASIAN - 51.2% (61,748) 2. HISPANIC OR LATINO - 41.7% (50,291) 3. BLACK OR AFRICAN AMERICAN- 4.4% (5,307) 4. OTHER - 2.7% (3,256) C. TOM GREEN COUNTY INCOME AND POVERTY LEVEL 1. MEDIAN HOUSEHOLD INCOME - $68,370 (TEXAS: $78,476, UNITED STATES: $80,734) 2. PERSONS LIVING IN POVERTY LEVEL - 11.5% (TEXAS: 13.7%, UNITED STATES: 10.6%) D. TOM GREEN COUNTY HEALTH INDEX 1. PERSONS WITHOUT HEALTH INSURANCE, UNDER 65 YEARS - 18.0% (TEXAS: 19.2%, UNITED STATES: 9.6%)
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	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 MORE THAN 90 YEARS, SHANNON 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 CHARITY CARE FIGURE OF MORE THAN $83,509,226 WOULD BE A BURDEN TO THE TAXPAYERS OF TOM GREEN COUNTY, AND MANY OTHER COUNTIES WHOSE CITIZENS DIRECTLY BENEFIT FROM HER GENEROSITY. SHANNON PROVIDES A HOST OF COMMUNITY EDUCATION EVENTS RELATED TO TOPICS SUCH AS DIABETES MANAGEMENT AND PREVENTION, SUMMER SAFETY FOR CHILDREN, FITNESS AND NUTRITION, CHILDBIRTH AND CHILDCARE, STRESS MANAGEMENT, HEART AND LUNG HEALTH, CPR, AND SMOKING CESSATION. THROUGH EDUCATIONAL EVENTS AND VARIOUS COMMUNITY EVENTS, HEALTH PROFESSIONALS RELAY CURRENT HEALTH INFORMATION TO THE PUBLIC. REPRESENTATIVES FROM DIFFERENT DEPARTMENTS PROVIDE SUPPORT AND PARTICIPATE IN LOCAL HEALTH FAIRS AND HEALTH-RELATED COMMUNITY EVENTS WHERE THEY PROVIDE EDUCATIONAL MATERIAL. IN ADDITION TO PUBLIC OUTREACH EVENTS, SHANNON PUBLISHES THE HEALTHBEAT NEWSLETTER MAGAZINE WHICH IS DELIVERED TO 30,000 HOUSEHOLDS. SHANNON CONTRIBUTED $33,977 FOR THESE PROGRAMS. SHANNON HAS RECOGNIZED A COMMUNITY NEED TO OFFER SUPPORTIVE SERVICES TO PARENTS AND FAMILIES SUFFERING FROM EARLY PREGNANCY LOSS, STILLBIRTH, OR NEWBORN DEATH. THESE EVENTS AND PROGRAMS ARE PROVIDED AT A COST OF $15,290 TO SHANNON. SHANNON ALSO OFFERS NUTRITION AND WEIGHT LOSS EDUCATION AND SUPPORT SERVICES TO COMMUNITY MEMBERS. THIS PROGRAM IS PROVIDED AT A COST OF $528 TO SHANNON. THE SHANNON CARE COORDINATION PROGRAM HAS EVOLVED OVER THE FISCAL YEAR AS SHANNON HEALTH RESPONDS TO THE CHANGING NEEDS OF PATIENTS TREATED IN THE HOSPITAL. THE PROGRAM'S FOCUS HAS SHIFTED TO EMPHASIZE POST-DISCHARGE OUTREACH TO ALL PATIENTS DISCHARGED HOME, ENSURING CONTINUITY OF CARE AND SUPPORT DURING THE TRANSITION FROM HOSPITAL TO HOME. NAVIGATORS ARE IN PLACE WITHIN SPECIALTY CARE AREAS TO ADDRESS THE NEEDS OF PATIENTS WITH CONGESTIVE HEART FAILURE (CHF), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), AS WELL AS THOSE AT HIGH RISK FOR READMISSION. A CENTRAL PRIORITY OF THE PROGRAM IS TO REDUCE AND PREVENT UNNECESSARY ADMISSIONS BY EFFECTIVELY COORDINATING CARE DURING PATIENT TRANSITIONS. TEAM MEMBERS IDENTIFY PSYCHOSOCIAL BARRIERS AND PROVIDE DISEASE-SPECIFIC EDUCATION AND RESOURCES TO SUPPORT BOTH THE MEDICAL AND SOCIAL NEEDS OF PATIENTS. SHANNON PROVIDED $335,242 FOR THE OPERATION OF THIS PROGRAM. SHANNON PROVIDED ACCESS AND SUPPORT SERVICES FOR INDIGENT PATIENTS, INCLUDING DURABLE MEDICAL EQUIPMENT, OUTPATIENT OXYGEN, OUTPATIENT PRESCRIPTION ASSISTANCE, AND LODGING EXPENSES FOR PATIENTS DISCHARGED FROM THE HOSPITAL. IN ADDITION, SHANNON'S ASK A NURSE HOTLINE IS A FREE SERVICE THAT PROVIDES CALLERS WITH MEDICAL ADVICE FROM A REGISTERED NURSE. THIS SERVICE IS AVAILABLE 24/7. THESE SERVICES PROVIDED AT A COST OF $534,226 TO SHANNON. SHANNON OFFERED PASTORAL CARE SERVICES THAT WERE OUTSIDE THE SCOPE OF THE NORMAL ROUTINE SPIRITUAL AND PASTORAL CARE PROVIDED IN DAY-TO-DAY PATIENT CARE PRACTICES. SHANNON PROVIDED THE NO ONE DIES ALONE (NODA) AND NO ONE STAYS ALONE (NOSA) PROGRAM, PRESIDED OVER FUNERAL/MEMORIAL SERVICES, ORGANIZED VIGILS, OFFERED ADVANCED CARE PLANNING SERVICES AT COMMUNITY EVENTS, AND HELD CRITICAL INCIDENT STRESS MANAGEMENT COMMUNITY SUPPORT INTERVENTIONS. THESE SERVICES WERE PROVIDED AT A COST OF $21,748 TO SHANNON. TRANSPORTATION REMAINS A COMMON BARRIER FOR INDIGENT PATIENTS, AND SHANNON SUPPORTS ACCESS TO CARE BY PROVIDING VOUCHERS FOR DISCHARGE TRANSPORTATION AND MEDICAL APPOINTMENTS. THIS SERVICE IS PROVIDED AT A COST OF $15,550 TO SHANNON. A TOTAL OF 302 ANGELO STATE UNIVERSITY NURSING STUDENTS AND 122 HOWARD COLLEGE NURSING STUDENTS SHADOWED SHANNON STAFF FOR A COST BENEFIT OF $1,699,805 TO THE STUDENTS AND THE UNIVERSITIES. (THIS IS CALCULATED USING THE FOLLOWING METHOD: NUMBER OF HOURS X AVERAGE HOURLY RATE X 50% EFFORT.) A TOTAL OF 417 PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, SOCIAL WORK, PSYCHOLOGY INTERNS, AND OTHER MEDICAL STUDENTS FROM ANGELO STATE UNIVERSITY, HOWARD COLLEGE, TEXAS TECH UNIVERSITY, ABILENE CHRISTIAN UNIVERSITY, UNIVERSITY OF WISCONSIN LA CROSSE, ODESSA COLLEGE, AND ST. AUGUSTINE UNIVERSITY, WERE SUPERVISED AT A SHANNON SITE. THE TOTAL COST IS $238,905. (THIS IS CALCULATED USING THE FOLLOWING METHOD: NUMBER OF HOURS X AVERAGE HOURLY RATE X 50% EFFORT.) SHANNON'S TRAUMA SERVICE AND AIR AMBULANCE DEPARTMENTS OFFER STOP THE BLEED, OFFICER DOWN, AND OTHER EMERGENCY AND AIR AMBULANCE TRAININGS TO 2,046 HEALTH PROFESSIONALS AND FIRST RESPONDERS FROM AREA VOLUNTEER FIRE DEPARTMENTS, LOCAL SCHOOL DISTRICTS, LOCAL COLLEGES AND UNIVERSITIES, AND LAW ENFORCEMENT AGENCIES. THESE SERVICES AND TRAININGS WERE PROVIDED AT A COST OF $16,005 TO SHANNON. SHANNON PROVIDES A SUBSIDY TO OFFSET THE HOSPITAL-BASED PHYSICIAN EXPENSES THAT ARE NOT COVERED BY REIMBURSEMENT. PROVIDING THIS SUBSIDIARY ALLOWS SHANNON TO PRESERVE PHYSICIAN RETENTION AND MEET, OR EXCEED, THE HEALTH NEEDS OF THE COMMUNITY. THIS SUBSIDIARY IS PROVIDED AT A COST OF $44,694,292 TO SHANNON. SHANNON CONTRIBUTED $979,978 TO TEXAS ESSENTIAL HEALTHCARE PARTNERSHIPS FOUNDATION TO PROVIDE INDIGENT CARE SERVICES FOR PATIENTS IN THE COMMUNITY. SHANNON PARTICIPATES IN RESEARCH EFFORTS THROUGH ACTIVE CANCER AND TRAUMA REGISTRIES. BOTH REGISTRIES HAVE DESIGNATED STAFF TO FACILITATE DATA COLLECTION, WHICH AIDS IN THE EVALUATION OF PATIENTS WHO MEET SPECIFIC CRITERIA. SHANNON DONATED FUNDS TO SOCIAL SERVICES AND COMMUNITY-BASED EFFORTS, SUCH AS HOSTING VITALANT BLOOD DRIVES. SHANNON ACTIVELY PARTICIPATES IN VARIOUS COMMUNITY-BASED BOARDS. SERVICE TO THESE BOARDS IS PROVIDED AT A COST OF $3,930 TO SHANNON. SHANNON CONTRIBUTES PLANNING AND FINANCIAL ASSISTANCE TO COMMUNITY BUILDING EFFORTS. THIS PAST FISCAL YEAR, $229,867 WAS DONATED TO OTHER COMMUNITY ORGANIZATIONS INCLUDING SAN ANGELO INDEPENDENT SCHOOL DISTRICT, ANGELO STATE UNIVERSITY FOUNDATION, SAN ANGELO STOCK SHOW AND RODEO, WEST TEXAS REHABILITATION CENTER, YMCA OF SAN ANGELO, LAURA BUSH INSTITUTE FOR WOMEN'S HEALTH, AND MANY OTHERS. SHANNON EMPLOYS DEDICATED PROFESSIONALS TO ASSIST WITH TRACKING AND MONITORING COMMUNITY BENEFIT ACTIVITIES FOR THE HOSPITAL. A MONTHLY REPORTING TOOL HAS BEEN IMPLEMENTED FOR ALL DEPARTMENTS TO SUBMIT THEIR COMMUNITY BENEFIT ACTIVITIES. THIS SERVICE PROVIDED AT A COST OF $8,000 TO SHANNON. SHANNON CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS ADOPTED BY THE BOARD OF DIRECTORS IN FY 2025. $26,119 WENT TOWARDS SURVEYING, INTERVIEWING AND COMPILING DATA TO DEFINE THE NEEDS OF TOM GREEN COUNTY. SHANNON HAS WORKED WITH THE LEADERSHIP TEAM TO DEVELOP STRATEGIES GOING FORWARD TO ADDRESS THE NEEDS OF THE COMMUNITY.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	SHANNON, A NON-PROFIT HEALTH SYSTEM ESTABLISHED IN THE 1930'S, PROVIDES THE COMMUNITIES OF WEST CENTRAL TEXAS ACCESS TO MORE THAN 400 PROVIDERS IN 40 MEDICAL SPECIALTIES ACROSS 25 LOCATIONS. DEDICATED TO THE REGION'S HEALTH AND WELL-BEING, OUR FACILITY IS LICENSED FOR OVER 600 BEDS AND PROVIDES A VARIETY OF CLINICAL SERVICES TO MEET EACH PATIENT'S NEEDS. SHANNON'S SERVICES INCLUDE: * NATIONALLY-RECOGNIZED CARDIAC AND STROKE PROGRAMS * AIRMED1 ROTOR AND FIXED WING AIR AMBULANCE SERVICE * LEVEL III TRAUMA FACILITY WHICH HAS BEEN NAMED A TOP TRAUMA FACILITY IN THE STATE * DEDICATED WOMEN'S & CHILDREN'S HOSPITAL CERTIFIED AS A LEVEL II NICU FACILITY * COMPLETE TESTING AND SURGICAL CAPABILITIES FOR CARDIOLOGY PATIENTS
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	TX

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOWARD COLLEGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3501 N US HWY 67	AddressLine1Txt
City	SAN ANGELO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76905	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	756001827	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$65,000	CashGrantAmt
Purpose Of Grant	ADN & LVN TO RN PROGRAM	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. THIS CONTRIBUTION IS DESIGNATED TO COVER THE SALARY OF AN INSTRUCTOR, AND WE MONITOR THE NUMBER OF GRADUATES EACH YEAR WITH THE EXPECTATION THAT THERE ARE AT LEAST AS MANY GRADUATES AS THE PRIOR YEAR - SO FAR, THEY ARE MEETING THE GOAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KELLY SHANE PLYMELL
PRESIDENT/CEO	$880,414	$0	$176,179	$0	$103,127	$0	$110,221	$0	$45,390	$0	$1,315,331	$0	$103,127	$0
JOE HENDERSON
FORMER TRUSTEE	$17,511	$0	$0	$0	$0	$0	$0	$0	$0	$0	$17,511	$0	$0	$0
JASON FELGER
DIRECTOR	$0	$722,853	$0	$66,647	$0	$119,795	$0	$95,330	$0	$39,485	$0	$1,044,110	$0	$95,505
ROSS HARPER
DIRECTOR	$0	$647,331	$0	$381,831	$0	$82,346	$0	$81,481	$0	$37,367	$0	$1,230,356	$0	$82,046
DR JAMES C BARNETT
VICE PRESIDENT/CMO	$0	$12,000	$0	$75,314	$0	$54,294	$0	$2,619	$0	$0	$0	$144,227	$0	$0
REBECCA FUENTES
VICE PRESIDENT/CNO	$298,096	$0	$55,065	$0	$18,948	$0	$48,799	$0	$19,048	$0	$439,956	$0	$18,948	$0
PAMELA J BRADSHAW
VICE PRESIDENT/COO	$416,545	$0	$81,793	$0	$63,915	$0	$73,388	$0	$41,890	$0	$677,531	$0	$63,915	$0
DR MICHAEL WOOD
VICE PRESIDENT/CMO	$477,286	$0	$97,249	$0	$58,772	$0	$78,336	$0	$30,871	$0	$742,514	$0	$58,772	$0
JOSEPH WOOLDRIDGE
VICE PRESIDENT/CFO	$443,983	$0	$86,321	$0	$58,996	$0	$75,155	$0	$37,620	$0	$702,075	$0	$58,996	$0
ALLAN GRAVES
GENERAL COUNSEL/CHIEF LEGAL OFFICER	$385,725	$0	$75,366	$0	$60,360	$0	$70,880	$0	$40,240	$0	$632,571	$0	$60,360	$0
REBECCA HARTLEY
ASSISTANT VP OF SURGICAL SERVICES	$203,870	$0	$10,246	$0	$0	$0	$8,249	$0	$8,806	$0	$231,171	$0	$0	$0
STEPHANIE MCCANN
IP PHARMACY DIRECTOR	$204,614	$0	$8,432	$0	$0	$0	$7,857	$0	$13,159	$0	$234,062	$0	$0	$0
MARIBEL J RIOS
ASSISTANT VP OF ANCILLARY SERVICES	$202,698	$0	$15,132	$0	$0	$0	$8,305	$0	$7,399	$0	$233,534	$0	$0	$0
MICHAEL P RUSSELL
CHIEF INFORMATION OFFICER	$297,588	$0	$15,132	$0	$0	$0	$12,083	$0	$16,648	$0	$341,451	$0	$0	$0
GREGORY WHEELER
DIRECTOR OF REIMBURSEMENT	$215,873	$0	$8,882	$0	$0	$0	$8,310	$0	$8,748	$0	$241,813	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	FormAndLineReferenceDesc
Explanation	THE NONQUALIFIED RETIREMENT PLAN PROVIDES FOR TWO TYPES OF EMPLOYER CONTRIBUTIONS: FIXED CONTRIBUTIONS AND DISCRETIONARY CONTRIBUTIONS. CONTRIBUTIONS ARE DETERMINED BY THE COMPENSATION COMMITTEE. FIXED CONTRIBUTIONS: FIXED CONTRIBUTIONS ARE DETERMINED BY MULTIPLYING A PARTICIPANT'S DESIGNATED CONTRIBUTION PERCENTAGE FOR THE PLAN YEAR BY THE PARTICIPANT'S BASE SALARY FOR THE PRECEDING PLAN YEAR. DISCRETIONARY CONTRIBUTIONS: DISCRETIONARY CONTRIBUTIONS ARE DETERMINED BY THE COMMITTEE IN ITS SOLE DISCRETION ON BEHALF OF ELIGIBLE PARTICIPANTS. THE AMOUNT OF ANY DISCRETIONARY CONTRIBUTION IS BASED ON CRITERIA ESTABLISHED BY THE COMMITTEE AND IS CREDITED DURING THE APPLICABLE PLAN YEAR. IN DETERMINING DISCRETIONARY CONTRIBUTIONS, THE COMMITTEE MAY CONSIDER PERFORMANCE AND OTHER CRITERIA RELATING TO THE PRECEDING PLAN YEAR, AS MEASURED DURING THE COMPANY'S FISCAL YEAR ENDING IN THAT PRECEDING PLAN YEAR. 457(F) DETAIL -------------------------------------------------------------------------------------------------------------- KELLY SHANE PLYMELL: W-2 - $103,127 DEFERRED - $96,421 PAYOR - SMC PAMELA BRADSHAW: W-2 - $63,915 DEFERRED - $59,588 PAYOR - SMC ALLAN GRAVES: W-2 - $60,360 DEFERRED - $57,080 PAYOR - SMC JOSEPH WOOLDRIDGE: W-2 - $58,996 DEFERRED - $61,355 PAYOR - SMC DR. JASON FELGER: W-2 - $ 95,505 DEFERRED - $ 81,530 PAYOR - SC DR. ROSS HARPER: W-2 - $ 82,046 DEFERRED - $ 67,681 PAYOR - SC DR MICHAEL WOOD: W-2 - $58,772 DEFERRED - $64,536 PAYOR - SMC DR. JAMES C. BARNETT: W-2 - $0 DEFERRED - $0 PAYOR - SMC REBECCA FUENTES: W-2 - $18,948 DEFERRED - $37,444 PAYOR - SMC MICHAEL RUSSELL: W-2 - $0 DEFERRED - $0 PAYOR - SMC MARIBELL RIOS: W-2 - $0 DEFERRED - $0 PAYOR - SMC GREGORY WHEELER: W-2 - $0 DEFERRED - $0 PAYOR - SMC STEPHANIE MCCANN: W-2 - $0 DEFERRED - $0 PAYOR - SMC REBECCA HARTLEY: W-2 - $0 DEFERRED - $0 PAYOR - SMC	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE	THE OPERATIONS COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN ITS MEETINGS AND MAY EXERCISE ALL OF THE POWER OF THE BOARD, EXCEPT THAT THE OPERATIONS COMMITTEE MAY NOT APPROVE OR RECOMMEND TO MEMBERS ACTIONS OR PROPOSALS REQUIRED BY LAW TO BE APPROVED BY MEMBERS; DESIGNATE CANDIDATES FOR THE OFFICE OF DIRECTOR; FILL VACANCIES ON THE BOARD OF DIRECTORS OR ANY COMMITTEE THEREOF; OR AMEND THE BYLAWS.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	SHANNON HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	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.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	APPROVAL OF THE SOLE MEMBER, SHANNON HEALTH SYSTEM, 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 CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	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.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	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.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	GALLAGHER COMPLETED AN EXECUTIVE COMPENSATION STUDY IN FY25, 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.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	GALLAGHER COMPLETED AN EXECUTIVE COMPENSATION STUDY IN FY25, 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.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE	OTHER OPERATING REVENUE - TOTAL REVENUE: 2617431, RELATED OR EXEMPT FUNCTION REVENUE: 2617431, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	MISCELLANEOUS - TOTAL REVENUE: 557271, RELATED OR EXEMPT FUNCTION REVENUE: 545413, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 11858;
FORM 990, PART IX, LINE 11G OTHER FEES	OUTSIDE SERVICES - TOTAL EXPENSE: 8466020, PROGRAM SERVICE EXPENSE: 5786226, MANAGEMENT AND GENERAL EXPENSES: 2679794, FUNDRAISING EXPENSES: 0; PHYSICIAN FEES - TOTAL EXPENSE: 50765682, PROGRAM SERVICE EXPENSE: 46660603, MANAGEMENT AND GENERAL EXPENSES: 4105079, FUNDRAISING EXPENSES: 0; CONSULTING SERVICES - TOTAL EXPENSE: 17070275, PROGRAM SERVICE EXPENSE: 370064, MANAGEMENT AND GENERAL EXPENSES: 16700211, FUNDRAISING EXPENSES: 0; OTHER SERVICES - TOTAL EXPENSE: 13950, PROGRAM SERVICE EXPENSE: 13950, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: 0;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	TRANSFERS TO/FROM AFFILIATES - -XXX-XX-XXXX; CHANGE IN TRUST ASSETS - 6761137; NET ASSETS RELEASED FROM RESTRICTION - -1587897; CONTRIBUTION FROM TRUST - 12000000; OTHER CONTRIBUTIONS RECORDED TO NET ASSETS - -687830; TOTAL - -86863381;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TRUSTEES OF SHANNON WEST TEXAS MEMORIAL HOSPITAL
PO BOX 49	SAN ANGELO	TX	76902	750800679	TRUST	TX	501(C)(3)	TYPE II	NA	false
SHANNON RURAL HEALTH CLINICS INC
120 E HARRIS AVE	SAN ANGELO	TX	76903	752940211	HEALTHCARE	TX	501(C)(3)	TYPE III-FI	SHANNON HEALTH SYSTEM	Yes (true)
SHANNON CLINIC
120 E BEAUREGARD AVE	SAN ANGELO	TX	76903	752600873	HEALTHCARE	TX	501(C)(3)	10	SHANNON HEALTH SYSTEM	Yes (true)
SHANNON REAL ESTATE SERVICES INC
120 E HARRIS AVE	SAN ANGELO	TX	76903	270075630	SUPPORT SERVICES	TX	501(C)(3)	TYPE I	SHANNON HEALTH SYSTEM	Yes (true)
SHANNON HEALTH SYSTEM
120 E HARRIS AVENUE	SAN ANGELO	TX	76903	752602411	SUPPORT SERVICES	TX	501(C)(3)	TYPE II	TRUSTEES OF SHANNON WEST TEXAS MEMORIAL HOSPITAL	Yes (true)
SHANNON BUSINESS SERVICES INC
120 E HARRIS AVE	SAN ANGELO	TX	76903	432038769	SUPPORT SERVICES	TX	501(C)(3)	TYPE I	SHANNON HEALTH SYSTEM	Yes (true)
SHANNON MEDICAL MANAGEMENT
120 E BEAUREGARD AVE	SAN ANGELO	TX	76903	208367966	SUPPORT SERVICES	TX	501(C)(3)	TYPE II	SHANNON HEALTH SYSTEM	Yes (true)
SHANNON MEDICAL CENTER PIONEER FOUNDATION
120 E HARRIS AVE	SAN ANGELO	TX	76903	352229303	SUPPORT	TX	501(C)(3)	TYPE I	SHANNON HEALTH SYSTEM	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
LEGACY MANAGEMENT SERVICES
2018 PULLIAM ST	SAN ANGELO	TX	76903	752544450	MGMNT	TX	C CORPORATION	$0	$0	0	false
LEGACY HEALTH SOLUTIONS
2018 PULLIAM ST	ST SAN ANGELO	TX	76903	200720762	MED INSURANCE	TX	C CORPORATION	$0	$0	0	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SHANNON BUSINESS SERVICES
C	$687,532	FMV
SHANNON REAL ESTATE SERVICES
K	$164,444	FMV
SHANNON REAL ESTATE SERVICES
P	$4,419,553	FMV
SHANNON CLINIC
K	$5,117,021	FMV
SHANNON CLINIC
Q	$27,487,699	FMV
SHANNON REAL ESTATE SERVICES
Q	$2,467,961	FMV
SHANNON CLINIC
R	$210,822,185	FMV
SHANNON REAL ESTATE SERVICES
R	$4,793,280	FMV
SHANNON REAL ESTATE SERVICES
S	$1,854,916	FMV
SHANNON CLINIC
S	$219,798,959	FMV
SHANNON MEDIAL MANAGEMENT
O	$668,250	FMV
SHANNON BUSINESS SERVICES
Q	$72,992,202	FMV
SHANNON MEDICAL MANAGEMENT
P	$12,540,922	FMV
SHANNON BUSINESS SERVICES
P	$31,590,596	FMV
SHANNON MEDICAL MANAGEMENT
Q	$48,594,580	FMV
SHANNON BUSINESS SERVICES
R	$1,186,719	FMV
SHANNON MEDICAL MANAGEMENT
R	$60,739,399	FMV
SHANNON BUSINESS SERVICES
S	$43,819,943	FMV