2026-08-15T22:06:07+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 2700 POST OAK BLVD STE 1500 HOUSTON TX 77056 990 2024-10-01 752559845 SHANNON MEDICAL CENTER SHAN 3257476741 120 E HARRIS AVENUE SAN ANGELO TX 76903 JOSEPH WOOLDRIDGE CFO 2026-08-16 true AMANDA MAYA P01067777 7134994600 2026-08-17 2024 2025-03-06 01:10:19Z JOSEPH WOOLDRIDGE 120 E HARRIS AVENUE SAN ANGELO TX 76903 821298193 false X SHANNONHEALTH.COM X 1994 TX FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS. 14 11 3425 157 209907 0 228574 759903 736964941 815876008 -525544 459703 3646165 4114626 740314136 821210240 65000 65595 0 0 231707437 260675502 0 0 0 398591281 434496282 630363718 695237379 109950418 125972861 562463902 593519484 129622239 121444293 432841663 472075191 FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS. false false 513232267 65595 816421421 PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS. 513232267 true true false false false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true true true false false true 194 0 true 3425 true true true false false false false false false false false false true false X 14 11 false false false false true true true true true false false false false true true true true true true true true true X JOSEPH WOOLDRIDGE 3257476741 120 E HARRIS AVENUE SAN ANGELO TX 76903 KELLY SHANE PLYMELL PRESIDENT/CEO 24.0 39.0 X X 1159720 0 155611 LEN MERTZ CHAIRMAN/TRUSTEE 2.0 39.0 X X 29952 0 0 MICHAEL OLIPHANT SECRETARY/TREASURER/TRUSTEE 2.0 6.0 X X 20150 45798 0 ORAN BERRY III VICE CHAIRMAN/TRUSTEE 2.0 6.0 X X 22600 53267 0 FREDDY L MOORE TRUSTEE 2.0 6.0 X 23850 30060 0 JAMES A BOYD JR DIRECTOR 2.0 4.0 X 20250 0 0 JASON FELGER DIRECTOR 2.0 44.0 X 0 909295 134815 JEFFREY MCCORMICK TRUSTEE 2.0 6.0 X 23850 30060 0 MARIO CASTILLO DIRECTOR 2.0 4.0 X 22317 0 0 MARTHA VISNEY DIRECTOR 2.0 4.0 X 20850 0 0 MICHAEL TED WEATHERFORD TRUSTEE 2.0 6.0 X 18550 52188 0 ROSS HARPER DIRECTOR 2.0 44.0 X 0 1111508 118848 STEVE CECIL TRUSTEE 2.0 6.0 X 24100 46709 0 WILL GRIFFIS JR DIRECTOR 2.0 4.0 X 22350 0 0 DR MICHAEL WOOD VICE PRESIDENT/CMO 38.0 2.0 X 633307 0 109207 JOSEPH WOOLDRIDGE VICE PRESIDENT/CFO 35.0 5.0 X 589300 0 112775 PAMELA J BRADSHAW VICE PRESIDENT/COO 32.0 8.0 X 562253 0 115278 ALLAN GRAVES GENERAL COUNSEL/CHIEF LEGAL OFFICER 40.0 5.0 X 521451 0 111120 GREGORY WHEELER DIRECTOR OF REIMBURSEMENT 40.0 0 X 224755 0 17058 MARIBEL J RIOS ASSISTANT VP OF ANCILLARY SERVICES 40.0 0 X 217830 0 15704 MICHAEL P RUSSELL CHIEF INFORMATION OFFICER 40.0 0 X 312720 0 28731 REBECCA HARTLEY ASSISTANT VP OF SURGICAL SERVICES 40.0 0 X 214116 0 17055 STEPHANIE MCCANN IP PHARMACY DIRECTOR 40.0 0 X 213046 0 21016 DR JAMES C BARNETT VICE PRESIDENT/CMO 38.0 18.0 X 0 141608 2619 JOE HENDERSON FORMER TRUSTEE 0.0 0 X 17511 0 0 REBECCA FUENTES VICE PRESIDENT/CNO 32.0 8.0 X 372109 0 67847 5286937 2420493 1027684 254 true true false VAYA WORKFORCE SOLUTIONS LLC 5930 CORNERSTONE CT W SUITE 300 SAN DIEGO CA 92121 CONTRACT LABOR 1259915 BASIC IDIQ INC PO BOX 2118 SAN DIEGO CA 92121 CONSTRUCTION SERVICES 1153408 HOLLAND & KNIGHT PO BOX 936937 ATLANTA GA 31193 LEGAL SERVICES 500970 ESPINOZA & BROCK PLLC 10202 HERITAGE BLVD FBO MIRTHA CHAPOY SAN ANTONIO TX 78216 LEGAL SERVICES 400000 HEALTH CAROUSEL LLC PO BOX 714216 CINCINNATI OH 45271 CONTRACT LABOR 329037 16 687532 72371 759903 NET PATIENT REVENUE 621990 811374591 811173299 201292 RENTAL INCOME 532000 1847438 1847438 SERVICE CHARGES 900099 36548 36548 2617431 2617431 0 0 815876008 535044 535044 0 0 12612 87953 -87953 12612 -75341 -75341 CAFETERIA 722514 3548740 3548740 LAUNDRY SERVICES 812300 8615 8615 557271 545413 0 11858 4114626 821210240 816220129 209907 4020301 X 65595 65595 0 0 4318838 4318838 457467 457467 208127421 162579317 45548104 4978419 4163608 814811 29345224 22205881 7139343 13448133 10301884 3146249 256250 256250 301213 301213 162063 162063 76315927 52830843 23485084 0 1002815 77619 925196 10086532 1272659 8813873 11233400 5456070 5777330 6234341 2561573 3672768 1134555 398121 736434 2083037 2083037 37598797 22246998 15351799 3956046 3956046 MEDICAL SUPPLIES 179529404 131386561 48142843 BAD DEBT 78908430 78908430 EQUIPMENT COSTS 13938190 10876001 3062189 LAB FEES 6336843 6336843 5418439 1564264 3854175 0 695237379 513232267 182005112 0 0 0 0 0 0 0 65681688 70274533 0 0 0 0 2587425 3811007 11076561 12102138 9189888 30256737 659410580 363834874 294389860 295575706 15884427 12508403 839540 844245 0 7092145 6030880 155722368 162115835 562463902 593519484 71896550 70415873 0 0 3215211 651939 0 0 0 0 0 0 47545178 42997921 0 0 6965300 7378560 129622239 121444293 X 273161691 305008182 159679972 167067009 0 0 0 0 0 0 432841663 472075191 562463902 593519484 X 125972861 124048 -86863381 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10097693 10097693 313802602 123000717 190801885 101864 23693 78171 320177357 237809418 82367939 15231064 3001046 12230018 295575706 INTEREST IN NET ASSETS - SHANNON 162067006 SELF INSURANCE TRUST 4639511 INTEREST RECEIVABLE 73820 DUE FROM 3RD PARTY PAYOR -4664502 162115835 FEDERAL INCOME TAXES ASSET RETIREMENT OBLIGATION 1245548 ACCRUED PENSION COST 2364613 MALPRACTICE COSTS 3666749 LONG TERM INCENTIVE ACCRUAL 101650 7378560 741672731 124048 -78974025 -78849977 820522708 687532 687532 821210240 616263354 0 0 616263354 78974025 78974025 695237379 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 true true X true X false true true true false true true 22241311 22241311 0.03609 37294494 54438144 0 0.0 545513 305134 240379 0.00039 0 0 60081318 54743278 22481690 0.03648 990680 990680 0.00161 1954715 1954715 0.00317 45674270 45674270 0.07411 247217 247217 0.00040 83767 83767 0.00014 0 0 48950649 0 48950649 0.07942 0 0 109031967 54743278 71432339 0.11590 0 0.0 0 0.0 233797 233797 0.00038 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 233797 0 233797 0.00038 true 78908430 137957851 138945385 -987534 X true true 1 1 SHANNON MEDICAL CENTER 120 E HARRIS AVENUE SAN ANGELO TX 76903 SHANNONHEALTH.COM 000168 X X X X SHANNON MEDICAL CENTER 1 false false true X X X X X X X X X 24 true false false true X HTTPS://WWW.SHANNONHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X true 24 true HTTPS://WWW.SHANNONHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ false true X 200.0 0.0 X X X X true true X X X true X HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.SHANNONHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X true X false X X X X true X false false 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. 2 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 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 true HOWARD COLLEGE 3501 N US HWY 67 SAN ANGELO TX 76905 756001827 501(C)(3) 65000 ADN & LVN TO RN PROGRAM 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. X X X X false true false false false false false false false KELLY SHANE PLYMELL PRESIDENT/CEO 880414 0 176179 0 103127 0 110221 0 45390 0 1315331 0 103127 0 JOE HENDERSON FORMER TRUSTEE 17511 0 0 0 0 0 0 0 0 0 17511 0 0 0 JASON FELGER DIRECTOR 0 722853 0 66647 0 119795 0 95330 0 39485 0 1044110 0 95505 ROSS HARPER DIRECTOR 0 647331 0 381831 0 82346 0 81481 0 37367 0 1230356 0 82046 DR JAMES C BARNETT VICE PRESIDENT/CMO 0 12000 0 75314 0 54294 0 2619 0 0 0 144227 0 0 REBECCA FUENTES VICE PRESIDENT/CNO 298096 0 55065 0 18948 0 48799 0 19048 0 439956 0 18948 0 PAMELA J BRADSHAW VICE PRESIDENT/COO 416545 0 81793 0 63915 0 73388 0 41890 0 677531 0 63915 0 DR MICHAEL WOOD VICE PRESIDENT/CMO 477286 0 97249 0 58772 0 78336 0 30871 0 742514 0 58772 0 JOSEPH WOOLDRIDGE VICE PRESIDENT/CFO 443983 0 86321 0 58996 0 75155 0 37620 0 702075 0 58996 0 ALLAN GRAVES GENERAL COUNSEL/CHIEF LEGAL OFFICER 385725 0 75366 0 60360 0 70880 0 40240 0 632571 0 60360 0 REBECCA HARTLEY ASSISTANT VP OF SURGICAL SERVICES 203870 0 10246 0 0 0 8249 0 8806 0 231171 0 0 0 STEPHANIE MCCANN IP PHARMACY DIRECTOR 204614 0 8432 0 0 0 7857 0 13159 0 234062 0 0 0 MARIBEL J RIOS ASSISTANT VP OF ANCILLARY SERVICES 202698 0 15132 0 0 0 8305 0 7399 0 233534 0 0 0 MICHAEL P RUSSELL CHIEF INFORMATION OFFICER 297588 0 15132 0 0 0 12083 0 16648 0 341451 0 0 0 GREGORY WHEELER DIRECTOR OF REIMBURSEMENT 215873 0 8882 0 0 0 8310 0 8748 0 241813 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 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; 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 true SHANNON CLINIC 120 E BEAUREGARD AVE SAN ANGELO TX 76903 752600873 HEALTHCARE TX 501(C)(3) 10 SHANNON HEALTH SYSTEM 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 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 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 true SHANNON MEDICAL MANAGEMENT 120 E BEAUREGARD AVE SAN ANGELO TX 76903 208367966 SUPPORT SERVICES TX 501(C)(3) TYPE II SHANNON HEALTH SYSTEM 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 true 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 false false true false false false false false false true true false false true true true true true true SHANNON BUSINESS SERVICES C 687532 FMV SHANNON REAL ESTATE SERVICES K 164444 FMV SHANNON REAL ESTATE SERVICES P 4419553 FMV SHANNON CLINIC K 5117021 FMV SHANNON CLINIC Q 27487699 FMV SHANNON REAL ESTATE SERVICES Q 2467961 FMV SHANNON CLINIC R 210822185 FMV SHANNON REAL ESTATE SERVICES R 4793280 FMV SHANNON REAL ESTATE SERVICES S 1854916 FMV SHANNON CLINIC S 219798959 FMV SHANNON MEDIAL MANAGEMENT O 668250 FMV SHANNON BUSINESS SERVICES Q 72992202 FMV SHANNON MEDICAL MANAGEMENT P 12540922 FMV SHANNON BUSINESS SERVICES P 31590596 FMV SHANNON MEDICAL MANAGEMENT Q 48594580 FMV SHANNON BUSINESS SERVICES R 1186719 FMV SHANNON MEDICAL MANAGEMENT R 60739399 FMV SHANNON BUSINESS SERVICES S 43819943 FMV