SHANNON MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: SHANNON MEDICAL CENTER (EIN 75-2559845)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-15
IRS object ID: 202322279349304547
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-15T17:49:25-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PARKWAY SUITE 1100	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752559845	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Shannon Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOSEPH WOOLDRIDGE	InCareOfNm
Business Name Control	SHAN	BusinessNameControlTxt
Phone	3256536741	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 E Harris Avenue	AddressLine1Txt
City	San Angelo	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76903	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH WOOLDRIDGE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3256536741	PhoneNum
Signature	2023-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOSEPH	PersonFirstNm
Person Last	WOOLDRIDGE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	NOELLE ALBERTO	PreparerPersonNm
PTIN	P01704142	PTIN
Phone	9727028262	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KELLY SHANE PLYMELL	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$625,426,964	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SHANNONHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3012	TotalEmployeeCnt
Total Volunteers	152	TotalVolunteersCnt
Total Gross UBI	$540,893	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$252,817	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,414,866	PYContributionsGrantsAmt
CY Contributions Grants	$6,351,038	CYContributionsGrantsAmt
PY Program Service Revenue	$560,820,730	PYProgramServiceRevenueAmt
CY Program Service Revenue	$615,489,501	CYProgramServiceRevenueAmt
PY Investment Income	$990,097	PYInvestmentIncomeAmt
CY Investment Income	$1,298,339	CYInvestmentIncomeAmt
PY Other Revenue	$2,488,338	PYOtherRevenueAmt
CY Other Revenue	$2,288,086	CYOtherRevenueAmt
PY Total Revenue	$575,714,031	PYTotalRevenueAmt
CY Total Revenue	$625,426,964	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$65,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$178,032,624	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$200,938,039	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$317,000,222	PYOtherExpensesAmt
CY Other Expenses	$332,471,155	CYOtherExpensesAmt
PY Total Expenses	$495,032,846	PYTotalExpensesAmt
CY Total Expenses	$533,474,194	CYTotalExpensesAmt
PY Revenues Less Expenses	$80,681,185	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$91,952,770	CYRevenuesLessExpensesAmt
Total Assets BOY	$508,828,126	TotalAssetsBOYAmt
Total Assets EOY	$506,449,349	TotalAssetsEOYAmt
Total Liabilities BOY	$89,268,320	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$88,937,277	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$419,559,806	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$417,512,072	NetAssetsOrFundBalancesEOYAmt
Mission	FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$435,573,616	ExpenseAmt
Grant	$65,000	GrantAmt
Revenue	$615,454,479	RevenueAmt
Desc	PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS.	Desc
Total Program Service Expenses	$435,573,616	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	99	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3012	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	TX	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOSEPH WOOLDRIDGE	PersonNm
Phone	3256536741	PhoneNum

US Address USAddress

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KELLY SHANE PLYMELL
CEO	24.0	16.0	Yes (X)	Yes (X)	$939,037	$0	$114,566
DR JASON FELGER
DIRECTOR/Physician	2.0	38.0	Yes (X)		$0	$888,603	$117,810
DR JAMES C BARNETT
CMO	38.0	2.0		Yes (X)	$657,522	$0	$85,559
PAMELA BRADSHAW
COO	32.0	8.0		Yes (X)	$504,146	$0	$88,539
ALLAN GRAVES
GENERAL COUNSEL/CHIEF LEGAL OF	40.0	0.0		Yes (X)	$393,986	$0	$78,906
JOSEPH W WOOLDRIDGE
CFO	35.0	5.0		Yes (X)	$378,818	$0	$79,193
RODNEY M SCHUMACHER
EXECUTIVE DIRECTOR	40.0	0.0			$280,272	$0	$16,436	Yes (X)
ANA MIHAIL
PHYSICIST	40.0	0.0			$240,812	$0	$24,655	Yes (X)
MICHAEL P RUSSELL
CHIEF INFORMATION OFFICER	40.0	0.0			$225,305	$0	$23,627	Yes (X)
JAMES G NAYLOR
CHIEF ECHO SONOGRAPHER	40.0	0.0			$205,833	$0	$23,452	Yes (X)
GREGORY W WHEELER
DIRECTOR	40.0	0.0			$208,439	$0	$13,472	Yes (X)
STACI R WETZ
FORMER CFO	40.0	0.0			$189,185	$0	$20,821		Yes (X)
REBECCA FUENTES
CNO	32.0	8.0		Yes (X)	$185,082	$0	$12,707
ORAN BERRY
TRUSTEE/Vice Chair	2.0	6.0	Yes (X)	Yes (X)	$23,350	$49,808	$0
MICHAEL OLIPHANT
TRUSTEE/Secretary/Treasurer	2.0	6.0	Yes (X)	Yes (X)	$22,350	$49,902	$0
STEVE CECIL
TRUSTEE	2.0	6.0	Yes (X)		$25,250	$43,743	$0
MICHAEL TED WEATHERFORD
TRUSTEE	2.0	6.0	Yes (X)		$20,850	$47,147	$0
JEFFREY MCCORMICK
TRUSTEE	2.0	6.0	Yes (X)		$24,600	$30,094	$0
FREDDY L MOORE
TRUSTEE	2.0	6.0	Yes (X)		$24,350	$29,050	$0
LEN MERTZ
CHAIRMAN/TRUSTEE	2.0	38.0	Yes (X)	Yes (X)	$0	$30,240	$0
WILL GRIFFIS
DIRECTOR	2.0	4.0	Yes (X)		$22,850	$0	$0
BRYAN VINCENT
DIRECTOR	2.0	4.0	Yes (X)		$17,550	$0	$0
JOE HENDERSON
Former Trustee	0.0	0.0			$12,215	$0	$0		Yes (X)
MARTHA VISNEY
DIRECTOR	2.0	4.0	Yes (X)		$5,400	$0	$0
JAMES A BOYD JR
DIRECTOR	2.0	4.0	Yes (X)		$5,400	$0	$0
MARIO CASTILLO
DIRECTOR	2.0	4.0	Yes (X)		$4,650	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,612,602	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,168,587	TotReportableCompRltdOrgAmt
Total Other Compensation	$699,743	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	186	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ONYX SOLUTIONS
PO BOX 530	SAN ANGELO	TX	76902	CONSTRUCTION CONTRAC	$866,325
JONES DAY
PO BOX 7805	BEN FRANKLIN STATION	DC	20044	LEGAL SERVICES	$831,560
DISCOVERY HEALTHCARE CONSULTING
PO BOX 93067	LUBBOCK	TX	79493	CONSULTING SERVICES	$795,832
DELOITTE CONSULTING LLP
PO BOX 844717	DALLAS	TX	75582	CONSULTING SERVICES	$675,484
HEALTH CAROUSEL LLC
POB 715806	CINCINNATI	OH	45271	TRAVEL NURSING	$276,587

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,913,020	RelatedOrganizationsAmt
Government Grants	$4,373,018	GovernmentGrantsAmt
All Other Contributions	$65,000	AllOtherContributionsAmt
Total Contributions	$6,351,038	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue	621990	$613,251,101	$613,031,276	$219,825
Rental Income	532000	$1,438,204	$1,438,204
Other Operating Revenue	900099	$800,196	$800,196

Field	Value	IRS element (for citing)
Total Program Service Revenue	$615,489,501	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$953,924	TotalRevenueColumnAmt
Unrelated Business Revenue	$282,019	UnrelatedBusinessRevenueAmt
Exclusion	$671,905	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$238,098	SecuritiesAmt
Other	$106,317	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$238,098	SecuritiesAmt
Other	$106,317	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$344,415	TotalRevenueColumnAmt
Exclusion	$344,415	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria	722514	$2,049,218	$2,049,218
Laundry Services	812300	$39,049		$39,049
Service Charges	900099	$72,392			$72,392

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$127,427	TotalRevenueColumnAmt
Related Or Exempt Func Income	$112,411	RelatedOrExemptFuncIncomeAmt
Exclusion	$15,016	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,288,086	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$625,426,964	TotalRevenueColumnAmt
Related Or Exempt Func Income	$615,454,479	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$540,893	UnrelatedBusinessRevenueAmt
Exclusion	$3,080,554	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$65,000	TotalAmt
Program Services	$65,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,714,661	TotalAmt
Management And General	$3,714,661	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$210,006	TotalAmt
Management And General	$210,006	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$167,397,323	TotalAmt
Program Services	$137,762,025	ProgramServicesAmt
Management And General	$29,635,298	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,927,710	TotalAmt
Program Services	$3,442,108	ProgramServicesAmt
Management And General	$485,602	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,221,061	TotalAmt
Program Services	$12,949,758	ProgramServicesAmt
Management And General	$3,271,303	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,467,278	TotalAmt
Program Services	$7,634,151	ProgramServicesAmt
Management And General	$1,833,127	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$262,050	TotalAmt
Management And General	$262,050	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$626,604	TotalAmt
Management And General	$626,604	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$171,285	TotalAmt
Management And General	$171,285	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$57,197,162	TotalAmt
Program Services	$30,948,504	ProgramServicesAmt
Management And General	$26,248,658	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,265,031	TotalAmt
Program Services	$20,084	ProgramServicesAmt
Management And General	$1,244,947	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,715,585	TotalAmt
Program Services	$553,854	ProgramServicesAmt
Management And General	$6,161,731	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,121,775	TotalAmt
Program Services	$4,980,730	ProgramServicesAmt
Management And General	$3,141,045	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,398,510	TotalAmt
Program Services	$1,146,314	ProgramServicesAmt
Management And General	$3,252,196	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$815,221	TotalAmt
Program Services	$263,565	ProgramServicesAmt
Management And General	$551,656	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,087,046	TotalAmt
Management And General	$1,087,046	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,852,229	TotalAmt
Program Services	$17,066,083	ProgramServicesAmt
Management And General	$9,786,146	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,007,723	TotalAmt
Management And General	$1,007,723	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$130,889,068	$130,845,840	$43,228
Bad Debt	$75,691,453	$75,691,453
Equipment Costs	$9,550,974	$7,419,677	$2,131,297
Collection Fees	$1,070,847		$1,070,847

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,748,592	TotalAmt
Program Services	$4,784,470	ProgramServicesAmt
Management And General	$1,964,122	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$533,474,194	TotalAmt
Program Services	$435,573,616	ProgramServicesAmt
Management And General	$97,900,578	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$55,087,958	BOYAmt
EOY	$53,830,471	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,228,405	BOYAmt
EOY	$1,948,523	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,013,529	BOYAmt
EOY	$9,462,437	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,232,467	BOYAmt
EOY	$10,444,795	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$517,656,651	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$283,036,183	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$200,157,197	BOYAmt
EOY	$234,620,468	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$46,491,605	BOYAmt
EOY	$41,284,309	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$809,491	BOYAmt
EOY	$855,306	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,235,991	BOYAmt
EOY	$5,485,492	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$180,571,483	BOYAmt
EOY	$148,517,548	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$508,828,126	BOYAmt
EOY	$506,449,349	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,975,487	BOYAmt
EOY	$53,611,225	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$70,170	BOYAmt
EOY	$194,329	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$29,736,969	BOYAmt
EOY	$29,736,969	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,485,694	BOYAmt
EOY	$5,394,754	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,268,320	BOYAmt
EOY	$88,937,277	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$256,922,023	BOYAmt
EOY	$279,094,862	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$162,637,783	BOYAmt
EOY	$138,417,210	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$419,559,806	BOYAmt
EOY	$417,512,072	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$508,828,126	BOYAmt
EOY	$506,449,349	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$91,952,770	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,643,156	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$86,357,348	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,222,978	OtherCostOrOtherBasisAmt
Book Value	$7,222,978	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,120,564	OtherCostOrOtherBasisAmt
Depreciation	$90,324,765	DepreciationAmt
Book Value	$100,795,799	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,245	OtherCostOrOtherBasisAmt
Depreciation	$10,003	DepreciationAmt
Book Value	$93,242	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$267,335,431	OtherCostOrOtherBasisAmt
Depreciation	$190,421,444	DepreciationAmt
Book Value	$76,913,987	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,874,433	OtherCostOrOtherBasisAmt
Depreciation	$2,279,971	DepreciationAmt
Book Value	$49,594,462	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$234,620,468	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets - Shann	$138,417,210
Self Insurance Trust	$6,500,200
Due from 3rd Party Payor	$3,406,653
Interest Receivable	$193,485

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$148,517,548	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Asset Retirement Obligation	$1,240,830
Accrued Pension Cost	$1,116,675
Malpractice Costs	$2,908,799
Long Term Incentive Accrual	$128,450

Field	Value	IRS element (for citing)
Total Liability	$5,394,754	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$540,124,231	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$7,643,156	NetUnrealizedGainsInvstAmt
Other Revenue	-$75,756,453	OtherRevenueAmt
Revenue Not Reported	-$83,399,609	RevenueNotReportedAmt
Revenue Subtotal	$623,523,840	RevenueSubtotalAmt
Other Revenues Not Included	$1,903,124	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,903,124	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$625,426,964	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$457,717,741	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$457,717,741	ExpensesSubtotalAmt
Other Expenses Not Included	$75,756,453	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$75,756,453	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$533,474,194	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2D	RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ (75,691,453) Grant Expense (included w/ revenue on audit) (65,000) ------------------ Total $ (75,756,453)
SCHEDULE D, PART XI, LINE 4B	RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: CONTRIBUTIONS RECORDED TO NET ASSETS $ 1,903,124
SCHEDULE D, PART XII, LINE 4B	RECONCILIATION OF EXPENSES ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ 75,691,453 Grant Expense (included w/ revenue on audit) 65,000 ------------------ Total $ 75,756,453
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 H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,744,839	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,744,839	NetCommunityBenefitExpnsAmt
Total Expense	0.04530	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,621,415	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$93,655,998	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$266,962	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$126,560	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$140,402	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,633,216	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$93,782,558	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,885,241	NetCommunityBenefitExpnsAmt
Total Expense	0.04560	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$753,510	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$753,510	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,315,291	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,315,291	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,744,839	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,744,839	NetCommunityBenefitExpnsAmt
Total Expense	0.04530	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$290,994	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$290,994	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,971	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$71,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,176,605	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,176,605	NetCommunityBenefitExpnsAmt
Total Expense	0.05060	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,809,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$93,782,558	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,061,846	NetCommunityBenefitExpnsAmt
Total Expense	0.09620	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$148,866	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$148,866	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,597	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,597	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$151,463	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$151,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$75,691,453	BadDebtExpenseAmt
Reimbursed By Medicare	$112,639,234	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$110,319,279	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,319,955	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	01	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 2020 and September 30, 2022, focused on four 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, 2021, 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 2022. THE BELOW CHNA ACTION PLAN INCLUDES DETAILS ON HOW SHANNON MEDICAL CENTER IS ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA CONDUCTED IN 2019. THE NEEDS ARE CATEGORIZED IN THE FOLLOWING PRIORITY AREAS: IMPROVE ACCESS TO CARE, ADULT OBESITY, LACK OF HEALTH KNOWLEDGE/EDUCATION, LACK OF MENTAL HEALTH PROVIDERS, SHORTAGE OF PRIMARY CARE PHYSICIANS AND HEALTHY BEHAVIORS/LIFESTYLE. PRIORITY 1: IMPROVE ACCESS TO CARE (INCLUDING SHORTAGE OF PRIMARY CARE PHYSICIANS) SHANNON MEDICAL CENTER PLANS TO CONNECT PATIENTS WITH APPROPRIATE HEALTH SERVICES TO IMPROVE THE CONTINUUM OF CARE AND WILL IMPROVE COMMUNITY AWARENESS OF AVAILABLE HEALTH SERVICES, EDUCATION AND SUPPORT.IN FISCAL YEAR 2022, THE CARE COORDINATION PROGRAM EXPANDED SERVICES TO SERVE MORE PATIENTS WITH CHRONIC ILLNESSES AND COVID-19. 506 PATIENTS WERE PROVIDED TRANSPORTATION SERVICES AND 300 PATIENTS WERE PROVIDED WITH OTHER HEALTH CARE SUPPORT SERVICES. $59,828,033 WAS PAID IN CHARITY CARE AND $23,092,348 IN SUBSIDIZED HEALTH SERVICES. PRIORITY 2: HEALTHY BEHAVIORS/LIFESTYLE THE MEDICAL CENTER WILL PROVIDE OPPORTUNITIES TO PROMOTE HEALTHY LIVING IN THE COMMUNITY AND PARTICIPATE AT COMMUNITY OUTREACH EVENTS TO SUPPORT HEALTH LIFESTYLES. IN FISCAL YEAR 2022, SHANNON STAFF SERVED ON 8 COMMUNITY COALITIONS/BOARDS AND DEDICATED OVER 176 SERVICE HOURS TO COMMUNITY BUILDING EFFORTS. DONATIONS WERE GIVEN TO SUPPORT 12 COMMUNITY INITIATIVES THAT PROMOTE HEALTH EDUCATION AND PHYSICAL ACTIVITY. SHANNON ALSO PARTNERED WITH 15 ORGANIZATION TO OFFER HEALTH EDUCATION TO MORE THAN 74,457 COMMUNITY MEMBERS. PRIORITY 3: ADULT OBESITY THE MEDICAL CENTER WILL INCREASE PUBLIC AWARENESS OF THE IMPORTANCE OF HEALTH EATING, NUTRITION AND PHYSICAL ACTIVITY. IN FISCAL YEAR 2022, SHANNON PROVIDED HEALTH INFORMATION MATERIALS AND BROCHURES ABOUT HEALTH SERVICES AND RESOURCES AT 18 COMMUNITY EVENTS AND PARTICIPATED AT DIABETES EDUCATIONAL SEMINARS. PRIORITY 4: HEALTH EDUCATION/KNOWLEDGE THE MEDICAL CENTER WILL PROVIDE GREATER HEALTH EDUCATION TO CHILDREN, FAMILIES AND VULNERABLE POPULATIONS. THE CENTER PLANS TO IMPROVE COMMUNITY OUTREACH EFFORTS THAT WILL PROVIDE MORE HEALTH EDUCATION OPPORTUNITIES WITH LOCAL BUSINESSES. THE IMPLEMENTATION STRATEGY WILL ASSURE HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN THE COMMUNITY HAVE THE MOST UP-TO-DATE KNOWLEDGE. IN FISCAL YEAR 2022, SHANNON PROVIDED THE HEALTHBEAT TV SEGMENTS THAT REACHED OVER 32,300 VIEWERS AND A HEALTHBEAT MAGAZINE THAT REACHED 30,000 COMMUNITY MEMBERS. THE HOSPITAL ALSO PARTNERED WITH 32 EMPLOYER GROUPS TO PROVIDE HEALTH EDUCATION TO WORKFORCE MEMBERS, AS WELL AS OTHER COMMUNITY ORGANIZATIONS TO DISTRIBUTE INFORMATION AND RESOURCES TO 74,457 COMMUNITY MEMBERS. SHANNON PARTNERED WITH 10 COLLEGES AND UNIVERSITIES TO OFFER EDUCATION TO 748 STUDENTS. IN ADDITION, SHANNON PROVIDED SUPPORT, RESOURCES AND TRAININGS TO 30 PARTNERS IN THE REGION. EXPLANATION OF NEEDS NOT ADDRESSED THERE ARE NEEDS THAT SHANNON WILL NOT ADDRESS IN THE CURRENT IMPLEMENTATION STRATEGY THAT ARE CLEARLY IMPORTANT TO IMPROVING THE HEALTH OF THE COMMUNITY. LACK OF MENTAL HEALTH PROVIDERS IS ONE NEED NOT SPECIFICALLY ADDRESSED IN THE ASSESSMENT. WHILE SHANNON IS NOT INCORPORATING STRATEGIES TO IMPROVE ACCESS TO MENTAL HEALTH PROVIDERS, THE COMMUNITY HAS SEEN IMPROVEMENT AND GROWTH IN THE ACCESSIBILITY OF MENTAL HEALTH PROVIDERS AND AVAILABLE MENTAL HEALTH SERVICES OVER RECENT YEARS. FURTHERMORE, 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/

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	METHOD TO DETERMINE ASSISTANCE ELIGIBILITY: SHANNON MEDICAL CENTER ALSO USES INSURANCE STATUS AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART 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 17 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: AN EVALUATION OF THE IMPLEMENTATION STRATEGY FOR NEEDS ASSESSMENT COMPLETED IN 2021, WHICH WAS ADOPTED BY SHANNON BOARD OF DIRECTORS. COLLECTION AND ANALYSIS OF A LARGE RANGE OF DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH STATISTICS, AND HEALTH CARE RESOURCES. INTERVIEWS WITH KEY INFORMANTS WHO REPRESENT A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATION OF NEED, OR C) PERSON WHITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. NINE KEY STAKEHOLDERS PARTICIPATED IN STAKEHOLDER INTERVIEWS. THE COMMUNITY SERVED BY SHANNON WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING 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 COUNTY HEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED.
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 88 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 $59,828,033 WOULD BE A BURDEN TO THE TAXPAYERS OF TOM GREEN COUNTY, AND MANY OTHER COUNTIES WHOSE CITIZENS DIRECTLY BENEFIT FROM HER GENEROSITY. 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-ALL IN SERVICE OF PROVIDING CARE TO PATIENTS IN THE COMMUNITY. 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 $485,716 FOR THE OPERATION OF THIS PROGRAM. SHANNON PROVIDED ACCESS AND SUPPORT SERVICES FOR INDIGENT PATIENTS, INCLUDING $15,052 IN TRANSPORTATION VOUCHERS AND $10,836 FOR DURABLE MEDICAL EQUIPMENT, OUTPATIENT OXYGEN, OUTPATIENT PRESCRIPTION ASSISTANCE, AND MOTEL EXPENSES FOR COVID-19 POSITIVE PATIENTS DISCHARGED FROM THE HOSPITAL. 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 AND PRODUCES HEALTHBEAT TELEVISION SPOTS THAT AIR DURING THE 6 AND 10 P.M. NEWS HOURS ON TWO LOCAL STATIONS. SHANNON CONTRIBUTED $163,307 FOR THESE PROGRAMS. SHANNON DONATED FUNDS TO SOCIAL SERVICES AND COMMUNITY-BASED EFFORTS, SUCH AS HOSTING VITALANT BLOOD DRIVES. THIS SUPPORT IS PROVIDED AT A COST OF $6,971. SHANNON CONTRIBUTES PLANNING AND FINANCIAL ASSISTANCE TO COMMUNITY BUILDING EFFORTS. THIS PAST FISCAL YEAR, $144,473 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 HAS RECOGNIZED A COMMUNITY NEED TO OFFER SUPPORTIVE SERVICES TO PARENTS AND FAMILIES SUFFERING FROM EARLY PREGNANCY LOSS, STILLBIRTH, OR NEWBORN DEATH. THE WHITE ROSE SUPPORT GROUP AT SHANNON HOSTS A 5-PART SESSION CALLED "GRIEVING THE CHILD I NEVER KNEW" TO OFFER INSIGHT, ENCOURAGEMENT, HEALING, HOPE, AND SHARING FOR FAMILIES EXPERIENCING PERINATAL LOSS. FURTHERMORE, THE WHITE ROSE SUPPORT GROUP HOSTS A WALK TO REMEMBER AND CANDLELIGHT EVENT FOR THOSE WHO HAVE SUFFERED. THESE EVENTS ARE PROVIDED AT A COST OF $25,094 TO SHANNON. 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 $10,000 TO SHANNON. SHANNON IS THE ONLY PROVIDER THAT OPERATES THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) IN THE SHANNON SERVICE ARE. SANE TRAINED NURSES WORK WITH THE CHILDREN'S ADVOCACY CENTER, THE CONCHO VALLEY RAPE CRISIS CENTER AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE TRAINING AND SERVICES RELATED TO SEXUAL ASSAULT CRISES.
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 $75,691,453 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: Shannon actively participates in various community-based boards. Shannon contributes planning and financial assistance to community building efforts as part of its annual marketing budget. This past fiscal year, Shannon 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

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

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

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KELLY SHANE PLYMELL
CEO	$693,348	$0	$150,417	$0	$95,272	$0	$89,022	$0	$25,544	$0	$1,053,603	$0	$95,272
PAMELA BRADSHAW
COO	$359,570	$0	$77,218	$0	$67,358	$0	$62,995	$0	$25,544	$0	$592,685	$0	$67,358
DR JAMES C BARNETT
CMO	$491,156	$0	$94,007	$0	$72,359	$0	$68,965	$0	$16,594	$0	$743,081	$0	$72,359
JOSEPH W WOOLDRIDGE
CFO	$298,964	$0	$63,558	$0	$16,296	$0	$53,649	$0	$25,544	$0	$458,011	$0	$16,296
DR JASON FELGER
DIRECTOR/Physician	$0	$729,556	$0	$62,893	$0	$96,154	$0	$81,276	$0	$36,534	$0	$1,006,413		$95,464
STACI R WETZ
FORMER CFO	$143,454	$0	$12,711	$0	$33,020	$0	$5,986	$0	$14,835	$0	$210,006	$0	$33,020
REBECCA FUENTES
CNO	$172,371	$0	$12,711	$0	$0	$0	$6,944	$0	$5,763	$0	$197,789	$0
RODNEY M SCHUMACHER
EXECUTIVE DIRECTOR	$279,561	$0	$711	$0	$0	$0	$4,872	$0	$11,564	$0	$296,708	$0
ANA MIHAIL
PHYSICIST	$239,440	$0	$1,372	$0	$0	$0	$9,807	$0	$14,848	$0	$265,467	$0
MICHAEL P RUSSELL
CHIEF INFORMATION OFFICER	$212,594	$0	$12,711	$0	$0	$0	$8,748	$0	$14,879	$0	$248,932	$0
JAMES G NAYLOR
CHIEF ECHO SONOGRAPHER	$204,468	$0	$1,365	$0	$0	$0	$8,607	$0	$14,845	$0	$229,285	$0
GREGORY W WHEELER
DIRECTOR	$197,728	$0	$10,711	$0	$0	$0	$7,747	$0	$5,725	$0	$221,911	$0
ALLAN GRAVES
GENERAL COUNSEL/CHIEF LEGAL OF	$303,986	$0	$64,969	$0	$25,031	$0	$53,362	$0	$25,544	$0	$472,892	$0	$25,031
JOE HENDERSON
Former Trustee	$12,215										$12,215

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 $95,272 $77,422 SMC JAMES BARNETT $72,359 $57,365 SMC PAMELA BRADSHAW $67,358 $51,395 SMC ALLAN GRAVES $25,031 $43,774 SMC JOSEPH WOOLDRIDGE $16,296 $42,049 SMC STACI WETZ $33,020 NONE SMC JASON FELGER $95,464 $69,676 SC

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, LINE 15A & 15B	REVIEW OF COMPENSATION: GALLAGHER COMPLETED AN EXECUTIVE COMPENSATION STUDY IN 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: (85,476,817) Change in Shannon Trust Net Assets: 24,879,427 Net Assets Released from Restriction: (25,648,915) Other Changes (111,043) ------------------ Total (86,357,348)
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:28882631
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:7257355
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:20753996
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER SERVICES TOTAL FEES:303180

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TRUSTEES 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	SMC	Yes (true)
SHANNON CLINIC
120 E BEAUREGARD AVE	SAN ANGELO	TX	76903	752600873	HEALTHCARE	TX	501(C)(3)	10	SHS	Yes (true)
SHANNON REAL ESTATE SERVICES INC
120 E HARRIS AVE	SAN ANGELO	TX	76903	270075630	SUPPORT SVCS	TX	501(C)(3)	12A	SMC	Yes (true)
SHANNON HEALTH SYSTEM
120 E HARRIS AVE	SAN ANGELO	TX	76903	752602411	SUPPORT SVCS	TX	501(C)(3)	12B	TSWTH	Yes (true)
SHANNON BUSINESS SERVICES INC
120 E HARRIS AVE	SAN ANGELO	TX	76903	432038769	SUPPORT SVCS	TX	501(C)(3)	12A	SMC	Yes (true)
SHANNON MEDICAL MANAGEMENT
120 E BEAUREGARD AVE	SAN ANGELO	TX	76903	208367966	SUPPORT SVCS	TX	501(C)(3)	12B	SHS	Yes (true)
SHANNON MEDICAL CENTER PIONEER FDN
120 E HARRIS AVE	SAN ANGELO	TX	76903	352229303	SUPPORT	TX	501(C)(3)	12A	SMC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd
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

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

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SHANNON BUSINESS SERVICES
C	$1,913,020	FMV
SHANNON REAL ESTATE SERVICES
K	$1,114,683	FMV
SHANNON BUSINESS SERVICES
P	$29,339,709	FMV
SHANNON CLINIC
P	$26,642,440	FMV
SHANNON MEDICAL MANAGEMENT
P	$4,361,494	FMV
SHANNON BUSINESS SERVICES
Q	$811,332	FMV
SHANNON CLINIC
Q	$12,453,855	FMV
SHANNON MEDICAL MANAGEMENT
Q	$30,671,581	FMV
SHANNON BUSINESS SERVICES
R	$16,829,820	FMV
SHANNON CLINIC
R	$197,700,169	FMV
SHANNON MEDICAL MANAGEMENT
R	$32,338,914	FMV
SHANNON REAL ESTATE SERVICES
R	$14,577,824	FMV
SHANNON BUSINESS SERVICES
S	$19,899,215	FMV
SHANNON CLINIC
S	$195,671,782	FMV