2026-08-14T14:00:03+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 2700 POST OAK BLVD STE 1500 HOUSTON TX 77056 990 2024-10-01 208367966 SHANNON MEDICAL MANAGEMENT SHAN 3256581511 PO BOX 22000 SAN ANGELO TX 76902 JULIAN BESERIL CFO 2026-08-14 true AMANDA MAYA P01067777 7134994600 2026-08-17 2024 2025-03-06 01:10:19Z JULIAN BESERIL PO BOX 22000 SAN ANGELO TX 76902 123060690 false X WWW.SHANNONHEALTH.COM X 2007 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. 3 1 1570 10 0 0 47449 50561 113523129 123010129 0 0 0 0 113570578 123060690 0 0 0 0 84902417 93931297 0 0 0 24013904 24544545 108916321 118475842 4654257 4584848 594185 332037 6981889 5804501 -6387704 -5472464 TO PROVIDE SUPPORT SERVICES FOR SHANNON MEDICAL CENTER IN SUPPORT OF ITS MISSION TO BE THE PREMIERE HEALTH CARE PROVIDER OF PHYSICIAN SERVICES IN THE COMMUNITIES SERVED. false false 98064852 123010129 PROVIDE SUPPORT SERVICES, INCLUDING NURSING, ANCILLARY HEALTHCARE SERVICES, ADMINISTRATIVE AND TECHNOLOGICAL SUPPORT FOR SHANNON CLINIC, AN AFFILIATED NON-PROFIT MULTI-SPECIALTY PHYSICIAN CLINIC THAT PROVIDES HEALTHCARE THROUGHOUT SAN ANGELO AND NEARBY COMMUNITIES REGARDLESS OF ABILITY TO PAY. SHANNON MEDICAL MANAGEMENT IS ORGANIZED AND OPERATED TO SUPPORT ACCESS AND CARE FOR RESIDENTS OF ITS SERVICE AREA, INCLUDING MEDICALLY INDIGENT PATIENTS. 98064852 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 false false false true false false false false false false false false false false false false false false false true true true false false true X 0 0 1570 true false false false false false false false false false false false false X 3 1 false false false false true true false true true false false false true true true true true true true true false false X JULIAN BESERIL 3256581511 120 E BEAUREGARD SAN ANGELO TX 76903 KELLY SHANE PLYMELL PRESIDENT 5.0 58.0 X X 0 1159720 155611 LEN MERTZ CHAIRMAN 1.0 40.0 X X 0 29952 0 RICARDO VILLAREAL COO/SECRETARY/TREASURER 20.0 20.0 X X 597435 0 118554 JULIAN BESERIL CHIEF FINANCIAL OFFICER 20.0 20.0 X 383032 0 72355 ANNA PITTMAN CNO/COO 40.0 0 X 315944 0 86951 JAY MIRELEZ THORACIC CARDIOVASCULAR SPECIALIST 40.0 0 X 155263 0 44618 JINNETTE YORK CONTROLLER 40.0 0 X 123392 0 26679 JOSHUA BUTTS DIRECTOR OF OPERATIONS 40.0 0 X 128107 0 22738 MARK DUNCAN DIRECTOR OF SPORTS MEDICINE 40.0 0 X 180854 0 16998 SHERYL MOON DIRECTOR OF BUSINESS OFFICE 40.0 0 X 120978 0 12848 2005005 1189672 557352 26 false true false THE CHARTIS GROUP LLC 220 W KINZIE ST CHICAGO IL 60654 CONSULTING SERVICES 994056 PATIENTEXP LLC PO BOX 530264 BIRMINGHAM AL 35253 PATIENT REMINDER SERVICES 258802 EXECUTIVE COURIER LLC 2917 SIERRA CIRCLE SAN ANGELO TX 76904 COURIER SERVICES 244305 HTA-SAN ANGELO LLC PO BOX 561549 DENVER CO 80256 RENTAL SERVICES 208605 PATSCHKE BIG SPRING CROSSING 3300 N A STREET BLDG 5 SUITE 100 BIG SPRING TX 79710 RENTAL SERVICES 179912 6 50561 50561 LEASE INCOME 532000 1200 1200 MANAGEMENT FEES 900099 123008929 123008929 0 0 0 0 123010129 0 0 0 0 0 0 0 0 0 123060690 123010129 0 0 0 0 1574273 1574273 66055661 55706182 10349479 1787511 1612386 175125 19639107 16339158 3299949 4874745 4031850 842895 12963 12963 2860124 2365578 494546 0 385710 385710 1208755 999748 209007 437512 361862 75650 11856378 9806284 2050094 184801 152847 31954 18992 15708 3284 319786 264492 55294 72436 72436 EQUIPMENT 6193799 5122825 1070974 COLLECTION FEES 391606 391606 PATIENT SURVEYS 252535 208869 43666 MEDICAL SUPPLIES 63427 63427 285721 236320 49401 0 118475842 98064852 20410990 0 532303 548529 0 0 0 0 97601 97646 0 0 0 0 0 0 0 0 320097 237261 11545712 12672085 -844485 -1126373 0 0 0 0 0 0 488669 574974 594185 332037 4845627 4509015 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2136262 1295486 6981889 5804501 X -6387704 -5472464 0 0 0 0 0 0 0 0 -6387704 -5472464 594185 332037 X 4584848 -3669608 X false true true false X X X 2 SHANNON CLINIC 752600873 9 false 118475842 0 SHANNON MEDICAL CENTER 752559845 3 true 0 0 2 118475842 0 false false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION A, LINE 1 SUPPORTED ORGS LISTED BY NAME THE ORGANIZATION'S GOVERNING DOCUMENTS LIST SHANNON MEDICAL CENTER. THE ORGANIZATION SUPPORTS SHANNON CLINIC WHO PROVIDES SERVICES THAT ALLOW SHANNON MEDICAL CENTER TO ACCOMPLISH ITS MISSION OF PROVIDING CARE TO ITS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SCHEDULE A, PART IV, SECTION C, LINE 1 MAJORITY DIRECTOR DETAIL THE ORGANIZATION HAS RECEIVED A TYPE II SUPPORTING ORGANIZATION DETERMINATION LETTER FROM THE IRS. THE IRS MADE THIS DETERMINATION BASED ON THE FOLLOWING FACTS. THE PRIMARY PURPOSE OF THE ORGANIZATION IS THE PROVISION OF ADMINISTRATIVE SERVICES TO SHANNON CLINIC (SC), THE PHYSICIAN SERVICES COMPONENT OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT INCLUDES SHANNON MEDICAL CENTER (SMC), SC, THE ORGANIZATION AND SHANNON HEALTH SYSTEM (SHS), EACH OF WHICH IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(A)[1] BY VIRTUE OF BEING AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). EACH OF THESE ENTITIES ARE RELATED CORPORATIONS. EFFECTIVE JULY 3, 2008, THE ORGANIZATION'S BYLAWS WERE AMENDED TO, AMONG OTHER THINGS, SUBSTITUTE SHS FOR SMC AS THE ORGANIZATION'S MEMBER. THUS, THE ORGANIZATION'S DIRECTORS ARE APPOINTED AND REMOVABLE BY SHS, NOT SMC. AS SUCH, THE ORGANIZATION RECEIVED CLASSIFICATION AS A TYPE II SUPPORTING ORGANIZATION SINCE A MAJORITY OF ITS OFFICERS AND DIRECTORS ARE EITHER DIRECTORS OF SMC OR MEMBERS OF THE SMC'S SENIOR MANAGEMENT TEAM, PLACING MANAGEMENT AND CONTROL OF THE ORGANIZATION IN THE HANDS OF THE SAME INDIVIDUALS WHO MANAGE SMC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 11545712 12672085 -1126373 0 0 0 0 -1126373 PENSION FUND 574033 DUE FROM CHS 941 574974 FEDERAL INCOME TAXES PENSION PLAN LIABILITY 568979 HEALTH CLAIMS PAYABLE 726507 1295486 123060690 0 0 123060690 0 0 123060690 118475842 0 0 118475842 0 0 118475842 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. false true false false false false false false false KELLY SHANE PLYMELL PRESIDENT 0 880414 0 176179 0 103127 0 110221 0 45390 0 1315331 0 103127 RICARDO VILLAREAL COO/SECRETARY/TREASURER 420588 0 87529 0 89318 0 75449 0 43105 0 715989 0 66059 0 JULIAN BESERIL CHIEF FINANCIAL OFFICER 283709 0 55163 0 44160 0 44067 0 28288 0 455387 0 43497 0 ANNA PITTMAN CNO/COO 234472 0 46093 0 35379 0 42443 0 44508 0 402895 0 31040 0 JOSHUA BUTTS DIRECTOR OF OPERATIONS 117842 0 10142 0 123 0 4120 0 18618 0 150845 0 0 0 JAY MIRELEZ THORACIC CARDIOVASCULAR SPECIALIST 153166 0 1564 0 533 0 6542 0 38076 0 199881 0 0 0 MARK DUNCAN DIRECTOR OF SPORTS MEDICINE 169184 0 10191 0 1479 0 4866 0 12132 0 197852 0 0 0 JINNETTE YORK CONTROLLER 113031 0 10142 0 219 0 4692 0 21987 0 150071 0 0 0 SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE COMPENSATION OF THE CEO IS DETERMINED AND PAID OUT OF THE RELATED ORGANIZATION, SHANNON MEDICAL CENTER, USING THE FOLLOWING METHODS: - COMPENSATION SURVEY OR STUDY - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FIXED CONTRIBUTION - THE PARTICIPANT'S ALLOWANCE PERCENTAGE FOR THE PLAN YEAR MULTIPLIED BY THE PARTICIPANT'S BASE SALARY FOR THE PRECEDING PLAN YEAR. DISCRETIONARY CONTRIBUTION - THE AMOUNT DETERMINED BY THE COMMITTEE, IN ITS SOLE DISCRETION, ON BEHALF OF A PARTICIPANT FOR THE PLAN YEAR BASED UPON CRITERIA ESTABLISHED BY THE COMMITTEE, IN ITS SOLE DISCRETION. THE APPLICABLE PLAN YEAR OF THE DISCRETIONARY CONTRIBUTION SHALL BE PLAN YEAR DURING WHICH IT IS CREDITED TO THE PARTICIPANT'S MUTUAL FUND ACCOUNT PURSUANT TO SECTION 2.1.3.2 OF EXHIBIT A TO THE PLAN. HOWEVER, THE COMMITTEE, IN ITS SOLE DISCRETION, MAY DETERMINE THE AMOUNT OF THE DISCRETIONARY CONTRIBUTION BASED UPON CRITERIA RELATING TO THE PRECEDING PLAN YEAR, AS MEASURED DURING THE FISCAL YEAR OF THE COMPANY ENDING IN SUCH PRECEDING PLAN YEAR. 457(F) DETAIL ----------------------------------------------------------------------------------------------------------- KELLY SHANE PLYMELL W2 - $103,127 DEFERRED - $96,421 PAYOR - SMC RICARDO VILLAREAL W2 - $66,059 DEFERRED - $61,649 PAYOR - SMM JULIAN BESERIL W2 - $43,497 DEFERRED - $40,645 PAYOR - SMM ANNA PITTMAN W2 - $31,040 DEFERRED - $30,718 PAYOR - SMM FORM 990, PART V, LINE 1A BOX 3 OF FORM 1096 CHECKS ARE WRITTEN ON BEHALF OF SHANNON MEDICAL MANAGEMENT BY SHANNON CLINIC. ACCORDINGLY ALL FORM 1099'S ARE FILED UNDER THE TAX ID OF SHANNON CLINIC. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS SHANNON HEALTH SYSTEM IS THE SOLE MEMBER OF SHANNON MEDICAL MANAGEMENT. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE SOLE MEMBER, SHANNON HEALTH SYSTEM, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBER EXERCISES ITS POWERS AND AUTHORITY THROUGH THE ACTION OF THE CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER OR SUCH OTHER PERSON OR PERSONS DESIGNATED BY THE BOARD OF DIRECTORS OF THE MEMBER TO TAKE ACTION. THE MEMBER ALSO HAS THE POWER TO APPROVE THE ANNUAL BUDGETS, APPROVE THE PURCHASE, SALE OR MORTGAGE OF PROPERTY, UNDERTAKE MERGERS OR ACQUISITIONS AND APPROVE THE ALTERATION OF THE BYLAWS. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. COPIES OF THE FORM ARE PROVIDED TO THE FINANCE COMMITTEE AND BOARD PRIOR TO FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES OF SHANNON MEDICAL MANAGEMENT ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AS THEY ARISE, AND ARE REQUIRED TO FILE ANNUAL STATEMENTS AFFIRMING EITHER THE CONFLICTS OF INTEREST THAT THEY MAY HAVE, OR THAT THEY HAVE NO CONFLICTS OF INTEREST. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON MEDICAL MANAGEMENT ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH HAVE THEIR COMPENSATION REVIEWED ANNUALLY BY THE INDEPENDENT SHANNON MEDICAL CENTER BOARD OF TRUSTEES, WHICH CONSULTS COMPARABILITY DATA AND KEEPS CONTEMPORANEOUS RECORDS OF ITS DECISIONS. SHANNON MEDICAL CENTER FINANCE AND BOARD OF TRUSTEES COMPLETED THE REVIEW IN FY2025. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON MEDICAL MANAGEMENT ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH HAVE THEIR COMPENSATION REVIEWED ANNUALLY BY THE INDEPENDENT SHANNON MEDICAL CENTER BOARD OF TRUSTEES, WHICH CONSULTS COMPARABILITY DATA AND KEEPS CONTEMPORANEOUS RECORDS OF ITS DECISIONS. SHANNON MEDICAL CENTER FINANCE AND BOARD OF TRUSTEES COMPLETED THE REVIEW IN FY2025. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO/FROM AFFILIATES - -3669608; TOTAL - -3669608; FORM 990, PART XII, LINE 2C OVERSIGHT OF THE AUDIT SHANNON MEDICAL MANAGEMENT DOES NOT HAVE AN AUDIT COMMITTEE, BUT THERE IS A SHANNON HEALTH SYSTEM AUDIT COMPLIANCE COMMITTEE THAT OVERSEES THE CONSOLIDATED AUDIT THAT INCLUDES SHANNON MEDICAL MANAGEMENT. TRUSTEES SHANNON WEST TEXAS 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 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 MEDICAL CENTER 120 E HARRIS AVE SAN ANGELO TX 76903 752559845 SUPPORT SERVICES TX 501(C)(3) 3 SHANNON HEALTH SYSTEM true SHANNON CLINIC 120 E HARRIS AVE SAN ANGELO TX 76903 752600873 HEALTHCARE TX 501(C)(3) 10 SHANNON HEALTH SYSTEM 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 HEALTH SYSTEM 120 E HARRIS AVE SAN ANGELO TX 76903 752602411 SUPPORT SERVICES TX 501(C)(3) TYPE II TRUSTEES OF SHANNON WEST TEXAS MEMORIAL HOSPITAL false SHANNON MEDICAL CENTER PIONEER FOUNDATION 120 E HARRIS AVE SAN ANGELO TX 76903 352229303 SUPPORT SERVICES TX 501(C)(3) TYPE I SHANNON HEALTH SYSTEM true LEGACY MANAGEMENT SERVICES 2018 PULLIAM ST SAN ANGELO TX 76903 752544450 UTILITIES REVIEW TX NA C CORPORATION 0 0 0 false LEGACY HEALTH SOLUTIONS 2018 PULLIAM ST SAN ANGELO TX 76903 200720762 MEDICAL INSURANCE TX NA C CORPORATION 0 0 0 false false false false false false false false false false false true true true true true true true true true SHANNON CLINIC R 111442807 BOOK VALUE SHANNON REAL ESTATE SERVICES S 9863247 BOOK VALUE SHANNON MEDICAL CENTER S 97461343 BOOK VALUE SHANNON BUSINESS SERVICES S 448609 BOOK VALUE SHANNON CLINIC L 123008929 BOOK VALUE