2024-08-15T12:38:08-05:00 2023-09-30 Forvis Mazars LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 752542961 990 2022-10-01 752559845 Shannon Medical Center % JOSEPH WOOLDRIDGE SHAN 3256536741 120 E Harris Avenue San Angelo TX 76903 JOSEPH WOOLDRIDGE cfo 3256536741 2024-08-15 true NOELLE ALBERTO P01704142 9727028262 2022 2024-08-08 14:25:15Z KELLY SHANE PLYMELL 120 E Harris Avenue SAN ANGELO TX 76903 655013531 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 2924 158 392310 173315 6351038 287416 615489501 649755112 1298339 1489190 2288086 3304822 625426964 654836540 65000 65000 0 0 200938039 216386487 0 0 0 332471155 343112907 533474194 559564394 91952770 95272146 506449349 566070256 88937277 113699381 417512072 452370875 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 429323300 65000 650295501 PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS. 429323300 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 true true true false false true 115 0 true 2924 true true true false false false false false false false false false false false X 14 11 false false false false true true true true true false false false true true true true true true true true true X JOSEPH WOOLDRIDGE 3256536741 120 E HARRIS AVENUE SAN ANGELO TX 76903 X KELLY SHANE PLYMELL CEO/PRESIDENT 24.0 16.0 X X 1069858 0 114243 Dr Ross Harper Director 2.0 38.0 X 0 1064361 113314 Dr Jason Felger DIRECTOR 2.0 38.0 X 0 874060 125200 DR JAMES C BARNETT CMO 38.0 2.0 X 668838 0 83026 PAM BRADSHAW CNO/COO 32.0 8.0 X 545031 0 83352 ALLAN GRAVES GENERAL COUNSEL/CHIEF LEGAL OF 40.0 0.0 X 422479 0 78907 JOSEPH W WOOLDRIDGE CFO 35.0 5.0 X 417708 0 78095 Natasha Friedrich Seasonal RN 40.0 0.0 X 292653 0 30301 ANA MIHAIL PHYSICIST 40.0 0.0 X 254938 0 28815 MICHAEL P RUSSELL CHIEF INFORMATION OFFICER 40.0 0.0 X 248165 0 27137 JAMES G NAYLOR CHIEF ECHO SONOGRAPHER 40.0 0.0 X 242068 0 28215 REBECCA FUENTES CNO 32.0 8.0 X 238145 0 25085 Martiza Galindo Seasonal RN 40.0 0.0 X 239336 0 16938 STACI WETZ FORMER CFO 40.0 0.0 X 165100 0 23814 STEVE CECIL DIRECTOR/TRUSTEE 2.0 6.0 X 25600 46362 0 MICHAEL TED WEATHERFORD DIRECTOR/TRUSTEE 2.0 6.0 X 21350 49444 0 MIKE OLIPHANT SECRETARY/TREASURER/TRUSTEE 2.0 6.0 X X 20650 48625 0 ORAN BERRY III VICE CHAIR/TRUSTEE 2.0 6.0 X X 23850 42019 0 JEFFREY MCCORMICK TRUSTEE 2.0 6.0 X 24600 29050 0 FREDDY L MOORE TRUSTEE 2.0 6.0 X 23750 29050 0 WILL GRIFFIS DIRECTOR 2.0 4.0 X 22850 0 0 JAMES A BOYD JR DIRECTOR 2.0 4.0 X 21350 0 0 MARTHA VISNEY DIRECTOR 2.0 4.0 X 20350 0 0 MARIO CASTILLO DIRECTOR 2.0 4.0 X 18850 0 0 LEN MERTZ CHAIRMAN 2.0 38.0 X X 0 15194 0 JOE HENDERSON FORMER TRUSTEE 0.0 0.0 X 0 14547 0 Bryan Vincent Former Director 0.0 0.0 X 12050 0 0 5027519 2198165 856442 192 true true false ONYX SOLUTIONS PO BOX 530 SAN ANGELO TX 76902 CONSTRUCTION 632592 PADILLA PAINTING LLC 2206 W Aenue N SAN ANGELO TX 76904 Painting Services 748890 HEALTH CAROUSEL LLC PO Box 714216 CINCINNATI OH 04271 Contract Labor 595157 Law Office Lyons Lyons PC 237 West Travis Suite 100 SAN ANTONIO TX 78205 Legal Services 500000 SYNTELLIS PERFORMANCE SOL LLC PO Box 771272 CHICAGO TX 60677 SOFTWARE SERVICES 258377 10 281584 5832 287416 NET PATIENT REVENUE 621990 647269827 647088147 181680 RENTAL INCOME 532000 1337157 1337157 OTHER OPERATING REVENUE 900099 1148128 1148128 649755112 1373496 193683 1179813 0 0 0 0 0 292685 176991 -176991 292685 115694 115694 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 2735945 2735945 LAUNDRY SERVICES 812300 16947 16947 SERVICE CHARGES 900099 55589 55589 496341 484800 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313729491 138417210 138641384 417512072 452370875 506449349 566070256 X 95272146 1233760 -61647103 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7222978 7222978 198064382 98828954 99235428 101864 13549 88315 281164185 206416667 74747518 105755618 2414992 103340626 284634865 INTEREST IN NET ASSETS - SHANN 134529228 SELF INSURANCE TRUST 7305089 INTEREST RECEIVABLE 212591 DUE FROM 3RD PARTY PAYOR 11760542 153807450 0 ASSET RETIREMENT OBLIGATION 1245548 ACCRUED PENSION COST 1470938 MALPRACTICE COSTS 3840000 LONG TERM INCENTIVE ACCRUAL 33418 6589904 583868352 1233760 -71920364 -70686604 654554956 281584 281584 654836540 487644030 487644030 71920364 71920364 559564394 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ (71,855,364) Grant Expense (included w/ revenue on audit) (65,000) ------------------ Total $ (71,920,364) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: CONTRIBUTIONS FROM AFFILIATE RECORDED TO NET ASSETS $ 281,584 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ 71,855,364 Grant Expense (included w/ revenue on audit) 65,000 ------------------ Total $ 71,920,364 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. true true X true X false true true true false true true 19490081 19490081 0.04000 7353469 5270015 241508 244000 27085058 5514015 19490081 0.04000 1009518 1009518 0.00210 1696409 1696409 0.00350 25409149 25409149 0.05210 211165 211165 0.00040 313509 313509 0.00060 28639750 28639750 0.05870 55724808 5514015 48129831 0.09870 161727 161727 0.00330 1471 1471 1299 1299 164497 164497 0.00330 true 71855364 112628989 106336272 6292717 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 01 false false true X X X X X X X X X 21 true false false true X SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 200. 0. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C 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 INPUT FROM COMMUNITY REPRESENTATIVES: COMMUNITY INPUT WAS PROVIDED THROUGH NINE 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 REPRESTENTED THE FOLLOWING ORGANIZATIONS AND AGENCIES: CITY OF SAN ANGELO MUNICIPAL GOVERNMENT, KEEPRS OF HOPE, LA ESPARANZA 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 NEEDS ADDRESSED AND NOT ADDRESSED: The Implementation Strategy for fiscal years ending September 30, 2023, and September 30, 2025, 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, 2023, 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 2025. The below CHNA action plan includes details on how Shannon Medical Center is addressing significant needs identified in the CHNA conducted in 2022. The needs are categorized in the following priority areas: Improve Access to Care, Health Education/Knowledge, Healthy Living and Adult Obesity. Priority 1: Improve Access to Care Shannon Medical Center connects patients with appropriate health services to improve the availability and delivery of care. Shannon Medical Center partnered with Shannon Clinic to increase access to care. Shannon also utilized Transitional Care Teams, Community Health Workers, and Care Managers to manage high-risk patients, address social and health care issues, and support patients in managing their health. The Shannon Transitional Care Program served 903 patients and the Chronic Care Program served 25 patients. The programs provided medication management, addressed social barriers, and helped patients manage their chronic condition at home. 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 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 2023, Shannon provided transportation services to 1,054 patients and other health care support services to 258 qualifying patients. Shannon provides medical care and support services to the uninsured/underinsured and vulnerable population. In FY 2023, Shannon provided $72,170,085 in Charity Care and $25,409,149 in Subsidized Health Services. Priority 2: Health Education/Knowledge The Medical Center works to improve community awareness of available health and social services, education and support. Shannon provides health information on the web, social media outlets, television and in the mail. In FY 2023, Shannon 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. Shannon participates in public health events to share health education and availability of health services. In FY 2023, Shannon partnered with 29 organizations to offer health education information to more than 41,388 community members. Shannon also participates on community-based coalitions and boards. In FY 2023, Shannon staff served on eight community coalitions/boards and dedicated over 166 service hours to community-building efforts. Shannon implements strategies and activities to assure health care and social service providers in the community have the most up-to-date knowledge. Shannon provides continuing education opportunities for health and social services providers. In FY 2023, Shannon partnered with 11 colleges and universities to offer continuing and health education opportunities to 789 students. Shannon also provides regional support and resources to surrounding providers in the Shannon services area. In FY 2023, Shannon's AirMed1 and Trauma departments provided health education and trainings to 668 health professionals in the region. Priority 3: Healthy Living and Adult Obesity The Medical Center implements strategies to increase public awareness of the importance of healthy eating, nutrition, and physical activity. Shannon provides education through media, brochures, and health-related events on healthy living and how to prevent and manage adult obesity. In FY 2023, Shannon partnered with 29 community organizations to offer health education information to more than 41,388 community members. Shannon provides the Healthbeat newsletter magazine that is mailed out to 30,000 community members. In addition, Shannon partnered with 30 employer groups to provide wellness programming, resources, services, and health education. 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 2023, Shannon provided donations and sponsorships for 21 community events that promoted physical activity and healthy living, including YMCA Kids Triathlon, La Esperanza Fitness Challenge, San Angelo Relays, and San Angelo Road Lizards. Shannon partners with community organizations to provide community activities and events that encourage physical activity for children and families. In FY 2023, Shannon partnered with SAISD to host the annual Kids' Marathon event. The event drew more than 800 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 levels to which some needs were already being addressed in the service area. Additionally, some community needs fall out of the scope of expertise and resources of Shannon. Shannon will continue to explore potential partnerships and internal strategies to find a way to provide these essential health services to our patients and community. SCHEDULE H, PART V, SECTION B, LINES 7A & 10A CHNA & IMPLEMENTATION STRATEGY AVAILABLE ON HOSPITAL FACILITY'S WEBSITE: https://www.shannonhealth.com/about-us/community-health-needs-assessment/ SCHEDULE H, PART V, SECTION B LINE 16A, 16b & 16c The Financial Assistance Policy, Application and Plain Language summary can be found at the following web address: https://www.shannonhealth.com/patients-and-visitors/financial-assistance/ 2 SHANNON SURGERY CENTER 120 E HARRIS AVENUE SAN ANGELO TX 76903 AMBULATROY SURGERY CENTER SHANNON HOME HEALTH 2030 PULLIAM STE 6 SAN ANGELO TX 76905 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 III, SECTION A, LINE 2 & 3 Bad Debt METHODOLOGY LINE 2: AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE ORGANIZATION'S INTERNAL FINANCIALS. LINE 3: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: SEE PAGE 16 OF THE ATTACHED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: 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, SECTION C, LINE 9B WRITTEN DEBT COLLECTION POLICY 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 VI, LINE 2 THE CHNA PROCESS INVOLVED: A community health needs assessment was conducted from January 2022 to August 2022. Community input was provided through 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 Cancer Children in Single-Parent Households Excessive Drinking/Alcohol-Impaired Driving Deaths Healthy Behaviors/Lifestyle Heart Health High Cost of Health Care Lack of Health Knowledge/Education Lack of Mental Health Providers Language/Cultural Mindset Physical Inactivity Poverty/Financial Resources/Children in Poverty Preventable Hospital Stays Sexually Transmitted Infections Shortage of Dentists Shortage of Primary Care Physicians Stroke Substance Abuse Teen Birth Rate Violent Crime Rate The identified health needs were reviewed by Shannon's Executive Leadership Team, the community health needs assessment committee, and BKD. 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 a 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 Health Education/Knowledge Healthy Living and Adult Obesity As a result of the needs assessment, Shannon developed and adopted an Implementation Plan to be executed during FY 2023 through the end of FY 2025. Shannon has worked 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 Shannon Medical Center is committed to conducting another community health needs assessment in FY 2025. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR FINANCIAL 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 2022 OF 118,892. TOM GREEN COUNTY'S POPULATION IN 2021 OF 119,250. THE ESTIMATED POPULATION FOR SHANNON'S SERVICE AREA AS OF 2022, INCLUDING TOM GREEN COUNTY, IS 347,713 (U.S. CENSUS BUREAU, STATE AND COUNTY QUICKFACTS). THE COUNTIES INCLUDED IN THE SHANNON SERVICE AREA ARE BROWN, COKE, CONCHO, COLEMAN, CROCKETT, HOWARD, IRION, KIMBLE, MASON, MCCULLOCH, MENARD, MILLS, MITCHELL, NOLAN, 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 AND COUNTY QUICKFACTS, THE COUNTY INFORMATION PROJECT, TEXAS ASSOCIATION OF COUNTIES.) TOM GREEN COUNTY AGE DISTRIBUTION 1. UNDER 18 YEARS OLD - 23.9% (28,415) 2. 18-64 YEARS OLD - 60.0% (71,335) 3. 65 YEARS AND OLDER - 16.1% (19,142) TOM GREEN COUNTY ETHNIC DISTRIBUTION (MORE THAN ONE CATEGORY MAY BE SELF-REPORTED) 1. CAUCASIAN - 51.1% (60,754) 2. HISPANIC - 42.0% (49,935) 3. BLACK - 4.5% (5,350) 4. OTHER - 2.4% (2,853) TOM GREEN COUNTY (HOUSEHOLD) 1. MEDIAN HOUSEHOLD INCOME - $62,052 (TEXAS: $67,321, US: $69,021) 2. PERSONS LIVING IN POVERTY LEVEL - 13.2% (TEXAS: 14.2%, US: 11.6%) TOM GREEN COUNTY HEALTH INDEX 1. TOM GREEN COUNTY UNINSURED - 17.5% (TEXAS: 20.4%, US: 9.8%) 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 $72,170,085.05 would be a burden to the taxpayers of Tom Green County, and many other counties whose citizens directly benefit from her generosity. Shannon partners with the American Heart Association to educate, raise awareness and prevent heart disease and stroke. Shannon understands that continued education and awareness is crucial for women and men to fight this deadly disease. This sponsorship is provided at a cost of $10,750 to Shannon. 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, cancer prevention and management, and Alzheimer's. 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 $62,976 for these programs. Shannon supports health and fitness activities, as well. To address the growing concern over childhood obesity, the Kids' Marathon event provides an opportunity for students, ranging from kindergarten through sixth grade, to participate in a program that encourages healthy habit formation early in life. A full marathon is considered 26.2 miles. Students accumulate miles and run the last 0.2 lap during a celebratory event at the San Angelo Stadium. The event hosts organizations that offer local summer programs and camps that encourage children to remain active through the summer months. This event is provided at a cost of $2,239 to Shannon. Shannon has recognized a community need to offer supportive services for community members suffering from Parkinson's Disease and to parents and families suffering from early pregnancy loss, stillbirth, or newborn death. These events and programs are provided at a cost of $19,816 to Shannon. The Shannon Care Coordination program is designed to assist in the healthcare of chronically ill patients with multiple disease processes. The program manages high-risk patients with multiple disease processes, addresses social and healthcare barriers, and supports patients' goals of independence in their health care management. The Shannon Care Coordination program was developed as a patient-centric strategy to impact patient care beyond the four walls of the hospital. The Shannon Care Coordination Program is designed to improve patient outcomes by utilizing a team to focus on population health efforts as it relates to chronic disease. The program's structure and ability to utilize a team to focus on population health efforts as it relates to chronic disease has provided Shannon Health the opportunity to identify possible areas for patient care. The program serves patients discharging from the hospital with Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, as well as patients at high-risk for readmission, which includes COVID-19 patients. Key areas of the program include: medication management, addressing social barriers, and helping the patient manage their chronic condition at home. Shannon provided $872,639 for the operation of this program. Shannon provided access and support services for indigent patients, including $10,778 in transportation vouchers and $19,351 for durable medical equipment, outpatient oxygen, outpatient prescription assistance, and lodging expenses for patients discharged from the hospital. 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 $5,550 to Shannon. A total of 401 Angelo State University nursing students and 225 Howard College nursing students shadowed Shannon staff for a cost benefit of $1,439,836 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 163 Physical Therapy, Speech Therapy, Occupational Therapy, Social Work, Psychology interns, and other medical students from Angelo State University, Howard College, Texas Women's University, Texas Tech University, Abilene Christian University, University of Wisconsin La Crosse, Odessa College, St. Augustine University, and Hardin Simmons University, were supervised at a Shannon site. The total cost is $249,817. (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 668 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 $6,756 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 $24,827,573 to Shannon. Shannon contributed $581,576 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. This support is provided at a cost of $16,394. Shannon donated medical supplies, equipment, and lease space to various community organizations and agencies at a cost of $232,115. Shannon actively participates in various community-based boards. Service to these boards is provided at a cost of $2,557 to Shannon. Shannon contributes planning and financial assistance to community building efforts. This past fiscal year, $159,170 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 actively participates in various community coalitions and other collaborative efforts with the community to address health and safety issues. This provided at a cost of $1,471 to Shannon. Shannon provided various opportunities for students to participate in volunteer programs and medical camps. The programs were provided to introduce the students to various health and medical career opportunities. These programs were provided at a cost of $1,299. SCHEDULE H, PART VI, LINE 6 Affiliated health care system: SHANNON, A NON-PROFIT HEALTH SYSTEM ESTABLISHED IN THE 1930'S. SHANNON MEDICAL CENTER IS PROUD TO BE THE LARGEST, LOCALLY-BASED HEALTH CARE PROVIDER FOR THE CONCHO VALLEY AND SURROUNDING REGION IN WEST TEXAS. FOR MORE THAN 87 YEARS, THE SHANNON MISSION HAS FOCUSED ON PROVIDING EXCEPTIONAL HEALTHCARE FOR ITS FAMILY, FRIENDS AND NEIGHBORS. SHANNON SERVES A 25-COUNTY REGION AND PROVIDES ACCESS TO MORE THAN 350 PROVIDERS IN 40 MEDICAL SPECIALTIES ACROSS 25 LOCATIONS. 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 TOP TRAUMA FACILITY IN THE STATE - BLUE CROSS BLUE SHIELD DESIGNATED BARIATRIC SURGERY PROGRAM - DESIGNATED ORTHOPEDIC CENTER OF EXCELLENCE - DEDICATED WOMEN'S & CHILDREN'S HOSPITAL SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS SCHEDULE H, PART I, LINE 7, COLUMN F COMMUNITY BENEFIT EXPENSE: Bad debt expense of $71,855,364 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 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 - $164,497 Community Support - $161,727 Shannon actively participates in various community-based boards. Service to these boards is provided at a cost of $2,557 to Shannon. Shannon contributes planning and financial assistance to community building efforts. This past fiscal year, $159,170 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 actively participates in various community coalitions and other collaborative efforts with the community to address health and safety issues. This provided at a cost of $1,471 to Shannon. Shannon provided various opportunities for students to participate in volunteer programs and medical camps. The programs were provided to introduce the students to various health and medical career opportunities. These programs were provided at a cost of $1,299. true HOWARD COLLEGE 3501 N US HWY 67 SAN ANGELO TX 76905 756001827 501(C)(3) 65000 ADN & LVN TO RN PROGRAM 1 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 true true X X X X false true false false false false false false false KELLY SHANE PLYMELL CEO/PRESIDENT 764365 0 217956 0 87537 0 96004 0 18239 0 1184101 0 87537 0 PAM BRADSHAW CNO/COO 375353 0 108072 0 61606 0 65113 0 18239 0 628383 0 61606 0 STACI WETZ FORMER CFO 153100 0 12000 0 0 0 6362 0 17452 0 188914 0 0 0 DR JAMES C BARNETT CMO 511727 0 90372 0 66739 0 70987 0 12039 0 751864 0 66739 0 JOSEPH W WOOLDRIDGE CFO 326149 0 63473 0 28086 0 59856 0 18239 0 495803 0 28086 0 REBECCA FUENTES CNO 209782 0 28363 0 0 0 18684 0 6401 0 263230 0 0 0 ALLAN GRAVES GENERAL COUNSEL/CHIEF LEGAL OF 321480 0 63669 0 37330 0 60668 0 18239 0 501386 0 37330 0 Natasha Friedrich Seasonal RN 291992 0 661 0 0 0 12139 0 18162 0 322954 0 0 0 ANA MIHAIL PHYSICIST 254277 0 661 0 0 0 10576 0 18239 0 283753 0 0 0 MICHAEL P RUSSELL CHIEF INFORMATION OFFICER 236165 0 12000 0 0 0 9649 0 17488 0 275302 0 0 0 Martiza Galindo Seasonal RN 238681 0 655 0 0 0 9601 0 7337 0 256274 0 0 0 JAMES G NAYLOR CHIEF ECHO SONOGRAPHER 241415 0 653 0 0 0 10067 0 18148 0 270283 0 0 0 Dr Jason Felger DIRECTOR 0 709496 0 64800 0 99764 0 88400 0 36800 0 999260 0 78574 Dr Ross Harper Director 0 631099 0 352595 0 80667 0 76521 0 36793 0 1177675 0 80367 JOE HENDERSON FORMER TRUSTEE 0 14547 0 0 0 0 0 0 0 0 0 14547 Bryan Vincent Former Director 12050 12050 SCHEDULE J, PART I, LINE 1A PROVIDED HEALTH, SOCIAL DUES OR INITIATION FEES KELLY SHANE PLYMELL RECEIVES MEMBERSHIP TO BENTWOOD COUNTRY CLUB EXCLUSIVELY FOR BUSINESS USE. ANY PERSONAL USE IS REIMBURSED BY THE OFFICER AND THEREFORE NO AMOUNTS ARE REPORTABLE ON HIS FORM W-2. SCHEDULE J, PART I, LINE 4B 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 PARTICIPANT W-2 DEFERRED COMP PAYOR ------------ --------- --------------- ----------- KELLY SHANE PLYMELL $87,537 $83,805 SMC JAMES BARNETT $66,739 $58,787 SMC PAMELA BRADSHAW $61,606 $52,914 SMC ALLAN GRAVES $37,330 $48,468 SMC JOSEPH WOOLDRIDGE $28,086 $47,656 SMC REBECCA FUENTES NONE $10,805 SMC DR. JASON FELGER $78,574 $76,200 SC DR. ROSS HARPER $80,367 $64,321 SC FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: SHANNON HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE 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, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL: 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, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: 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, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH 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, SECTION B, LINES 15A & 15B REVIEW OF COMPENSATION: GALLAGHER COMPLETED AN EXECUTIVE COMPENSATION STUDY IN OCTOBER 2022, 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, SECTION C, LINE 19 GOVERNING 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES Transfers to/from affiliates: (57,548,138) Change in Shannon Trust Net Assets: (3,887,982) Net Assets Released from Restriction: (113,062) Other Changes (97,921) ------------------ Total (61,647,103) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:31019224 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:8002825 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:18833036 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:132230 TRUSTEES SHANNON WEST TEXAS HOSPITAL PO BOX 49 SAN ANGELO TX 76902 750800679 TRUST TX 501(C)(3) 12B NA false SHANNON RURAL HEALTH CLINICS INC 120 E HARRIS AVE SAN ANGELO TX 76903 752940211 HEALTHCARE TX 501(C)(3) 12C SHS true SHANNON REAL ESTATE SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 270075630 SUPPORT SVCS TX 501(C)(3) 12A SHS true SHANNON HEALTH SYSTEM 120 E HARRIS AVE SAN ANGELO TX 76903 752602411 SUPPORT SVCS TX 501(C)(3) 12B TSWTH true SHANNON CLINIC 120 E HARRIS AVE SAN ANGELO TX 76903 752600873 HEALTHCARE TX 501(C)(3) 10 SHS true SHANNON BUSINESS SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 432038769 SUPPORT SVCS TX 501(C)(3) 12A SHS true SHANNON MEDICAL MANAGEMENT 120 E HARRIS AVE SAN ANGELO TX 76903 208367966 SUPPORT SVCS TX 501(C)(3) 12B SHS true SHANNON MEDICAL CENTER PIONEER FDN 120 E HARRIS AVE SAN ANGELO TX 76903 352229303 SUPPORT TX 501(C)(3) 12A SHS true LEGACY MANAGEMENT SERVICES 2018 PULLIAM ST SAN ANGELO TX 76903 752544450 MANAGEMENT TX NA C - CORPORATION 0 0 false LEGACY HEALTH SOLUTIONS 2018 PULLIAM ST SAN ANGELO TX 76903 200720762 MED INSURANCE TX NA C - CORPORATION 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 281484 FMV Shannon Business Services p 16795794 FMV Shannon Business Services q 856536 fmv Shannon Business Services r 15666432 fmv Shannon Business Services s 88361 fmv Shannon Clinic p 32390967 fmv Shannon Clinic q 20620299 fmv Shannon Clinic r 178718072 fmv Shannon Clinic s 148822749 fmv Shannon Medical Management p 797428 fmv Shannon Medical Management r 47491151 fmv Shannon Real Estate Services k 2309740 fmv Shannon Real Estate Services q 978481 fmv Shannon Real Estate Services r 30954955 fmv Shannon Real Estate Services s 320828 fmv Shannon Medical Management q 26579484 fmv