SHANNON MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SHANNON MEDICAL CENTER (EIN 75-2559845)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-13
IRS object ID: 202232259349300113
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-13T14:19:21-05:00	ReturnTs
Tax Period End	2021-09-30	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	2020-10-01	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	2022-08-15	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	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$575,714,031	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	2888	TotalEmployeeCnt
Total Volunteers	152	TotalVolunteersCnt
Total Gross UBI	$947,047	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$579,005	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,068,599	PYContributionsGrantsAmt
CY Contributions Grants	$11,414,866	CYContributionsGrantsAmt
PY Program Service Revenue	$419,605,273	PYProgramServiceRevenueAmt
CY Program Service Revenue	$560,820,730	CYProgramServiceRevenueAmt
PY Investment Income	$780,531	PYInvestmentIncomeAmt
CY Investment Income	$990,097	CYInvestmentIncomeAmt
PY Other Revenue	$2,733,110	PYOtherRevenueAmt
CY Other Revenue	$2,488,338	CYOtherRevenueAmt
PY Total Revenue	$432,187,513	PYTotalRevenueAmt
CY Total Revenue	$575,714,031	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$120,400,824	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$178,032,624	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$253,336,434	PYOtherExpensesAmt
CY Other Expenses	$317,000,222	CYOtherExpensesAmt
PY Total Expenses	$373,737,258	PYTotalExpensesAmt
CY Total Expenses	$495,032,846	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,450,255	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$80,681,185	CYRevenuesLessExpensesAmt
Total Assets BOY	$398,658,748	TotalAssetsBOYAmt
Total Assets EOY	$508,828,126	TotalAssetsEOYAmt
Total Liabilities BOY	$49,281,446	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$89,268,320	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$349,377,302	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$419,559,806	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	$397,202,048	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$561,385,560	RevenueAmt
Desc	PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS.	Desc
Total Program Service Expenses	$397,202,048	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	false	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	114	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2888	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	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KELLY SHANE PLYMELL
CEO	24.0	16.0	Yes (X)	$873,771	$0	$109,168
DR JASON FELGER
DIRECTOR	2.0	38.0		$0	$787,950	$119,375	Yes (X)
DR JAMES C BARNETT
CMO	38.0	2.0	Yes (X)	$664,431	$0	$86,095
PAMELA BRADSHAW
CNO/COO	32.0	8.0	Yes (X)	$479,259	$0	$86,317
ALLAN GRAVES
GENERAL COUNSEL	40.0	0.0	Yes (X)	$349,209	$0	$60,909
JOSEPH WOOLDRIDGE
CFO	35.0	5.0	Yes (X)	$336,367	$0	$52,514
STEPHEN LUBKE
DIRECTOR OF PHARMACY	40.0	0.0		$202,788	$0	$13,381		Yes (X)
STACI WETZ
FORMER CFO/Controller	40.0	0.0		$194,304	$0	$20,328			Yes (X)
MARGARET BENSON
CHIEF COMPLIANCE OFFICER	40.0	0.0		$199,690	$0	$14,543		Yes (X)
MICHAEL RUSSELL
CHIEF INFORMATION OFFICER	40.0	0.0		$191,220	$0	$22,075		Yes (X)
STEPHANIE MCCANN
ASSISTANT DIRECTOR OF PHARMACY	40.0	0.0		$183,982	$0	$17,732		Yes (X)
REBECCA FUENTES
ASSOCIATE CNO	40.0	0.0		$181,311	$0	$12,043		Yes (X)
ORAN BERRY III
VICE CHAIRMAN	2.0	6.0	Yes (X)	$22,350	$49,246	$912	Yes (X)
JOE HENDERSON
FORMER TRUSTEE	0.0	0.0		$23,600	$45,917	$736			Yes (X)
MICHAEL TED WEATHERFORD
TRUSTEE	2.0	6.0		$21,850	$46,902	$736	Yes (X)
MICHAEL OLIPHANT
SECRETARY/TREASURER	2.0	6.0	Yes (X)	$21,350	$46,589	$736	Yes (X)
STEVE CECIL
TRUSTEE	2.0	6.0		$22,350	$29,000	$14,461	Yes (X)
LEN MERTZ
CHAIRMAN	2.0	38.0	Yes (X)	$6,500	$44,726	$4,843	Yes (X)
FREDY MOORE
TRUSTEE	2.0	6.0		$13,100	$17,500	$50	Yes (X)
MICHAEL BOYD
FORMER TRUSTEE	0.0	0.0		$9,000	$12,500	$736			Yes (X)
ANGELA WILLIAMS
DIRECTOR	2.0	4.0		$22,100	$0	$0	Yes (X)
VIRGINIA NOELKE
DIRECTOR	2.0	4.0		$19,250	$0	$0	Yes (X)
PAMELA TALLEY
DIRECTOR	2.0	4.0		$17,200	$0	$0	Yes (X)
JOANNE RICE
FORMER DIRECTOR	0.0	0.0		$16,200	$0	$0			Yes (X)
BRYANT VINCENT
DIRECTOR	2.0	4.0		$16,100	$0	$0	Yes (X)
JEFFREY MCCORMICK
DIRECTOR	2.0	4.0		$5,400	$0	$0	Yes (X)
WILLIAM C GRIFFIS
DIRECTOR	2.0	4.0		$5,400	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,087,282	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,080,330	TotReportableCompRltdOrgAmt
Total Other Compensation	$637,690	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	79	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
GRESHAM SMITH
PO BOX 306023	NASHVILLE	TN	37230	ARCHITECTURE/ENGINEE	$596,382
ONYX SOLUTIONS
PO BOX 530	SAN ANGELO	TX	76902	CONSTRUCTION	$510,795
TFE CONTRACTING
PO BOX 92522	SOUTHLAKE	TX	76092	GENERAL CONTRACTING	$297,917
JONES DAY
PO BOX 7805	BEN FRANKLIN STATION	WA	20044	LAW FIRM	$240,594
DISCOVERY HEALTHCARE CONSULTING
PO BOX 93067	LUBBOCK	TX	79493	HEALTHCARE CONSULTIN	$186,464

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	68	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,536,647	RelatedOrganizationsAmt
Government Grants	$9,166,657	GovernmentGrantsAmt
All Other Contributions	$711,562	AllOtherContributionsAmt
Total Contributions	$11,414,866	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue	621990	$559,213,739	$559,017,558	$196,181
Rental Income	532000	$820,655	$820,655
OTHER OPERATING REVENUE	900099	$786,336	$786,336

Field	Value	IRS element (for citing)
Total Program Service Revenue	$560,820,730	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$620,814	TotalRevenueColumnAmt
Unrelated Business Revenue	$580,005	UnrelatedBusinessRevenueAmt
Exclusion	$40,809	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	$313,523	SecuritiesAmt
Other	$55,760	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$313,523	SecuritiesAmt
Other	$55,760	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369,283	TotalRevenueColumnAmt
Exclusion	$369,283	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	$1,752,647	$1,752,647
LAUNDRY SERVICES	812300	$170,861		$170,861
GAIN ON LAWSUIT	900099	$475,000			$475,000

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,830	TotalRevenueColumnAmt
Related Or Exempt Func Income	$89,830	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,488,338	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$575,714,031	TotalRevenueColumnAmt
Related Or Exempt Func Income	$561,189,379	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$947,047	UnrelatedBusinessRevenueAmt
Exclusion	$2,162,739	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

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	$3,322,387	TotalAmt
Management And General	$3,322,387	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$248,704	TotalAmt
Management And General	$248,704	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$146,913,119	TotalAmt
Program Services	$120,295,858	ProgramServicesAmt
Management And General	$26,617,261	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,680,242	TotalAmt
Program Services	$3,176,580	ProgramServicesAmt
Management And General	$503,662	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,754,677	TotalAmt
Program Services	$11,540,648	ProgramServicesAmt
Management And General	$3,214,029	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,113,495	TotalAmt
Program Services	$7,306,228	ProgramServicesAmt
Management And General	$1,807,267	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$242,300	TotalAmt
Management And General	$242,300	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,713,896	TotalAmt
Management And General	$1,713,896	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$181,425	TotalAmt
Management And General	$181,425	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	$34,375,619	TotalAmt
Program Services	$7,104,009	ProgramServicesAmt
Management And General	$27,271,610	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,153,108	TotalAmt
Program Services	$12,790	ProgramServicesAmt
Management And General	$1,140,318	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,614,869	TotalAmt
Program Services	$668,390	ProgramServicesAmt
Management And General	$4,946,479	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,664,132	TotalAmt
Program Services	$3,403,332	ProgramServicesAmt
Management And General	$4,260,800	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,438,622	TotalAmt
Program Services	$2,294,209	ProgramServicesAmt
Management And General	$3,144,413	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$573,307	TotalAmt
Program Services	$212,983	ProgramServicesAmt
Management And General	$360,324	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	$1,163,384	TotalAmt
Management And General	$1,163,384	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,472,642	TotalAmt
Program Services	$15,677,520	ProgramServicesAmt
Management And General	$8,795,122	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,670,089	TotalAmt
Management And General	$2,670,089	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$136,991,746	$135,417,159	$1,574,587
Bad Debt	$78,826,238	$78,826,238
Equipment Costs	$9,661,884	$7,479,116	$2,182,768
Collection Fees	$1,067,244		$1,067,244

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,189,717	TotalAmt
Program Services	$3,786,988	ProgramServicesAmt
Management And General	$1,402,729	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$495,032,846	TotalAmt
Program Services	$397,202,048	ProgramServicesAmt
Management And General	$97,830,798	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,091,363	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	$34,822,467	BOYAmt
EOY	$55,087,958	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	$802,654	BOYAmt
EOY	$1,228,405	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,269,623	BOYAmt
EOY	$11,013,529	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,009,922	BOYAmt
EOY	$7,232,467	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$457,828,271	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$257,671,074	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$162,156,276	BOYAmt
EOY	$200,157,197	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$46,234,361	BOYAmt
EOY	$46,491,605	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$587,944	BOYAmt
EOY	$809,491	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	$2,074,024	BOYAmt
EOY	$6,235,991	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$129,610,114	BOYAmt
EOY	$180,571,483	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$398,658,748	BOYAmt
EOY	$508,828,126	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,996,487	BOYAmt
EOY	$52,975,487	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	$8,933,100	BOYAmt
EOY	$70,170	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	$678,989	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	$5,672,870	BOYAmt
EOY	$6,485,694	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,281,446	BOYAmt
EOY	$89,268,320	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	$226,271,000	BOYAmt
EOY	$256,922,023	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$123,106,302	BOYAmt
EOY	$162,637,783	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$349,377,302	BOYAmt
EOY	$419,559,806	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$398,658,748	BOYAmt
EOY	$508,828,126	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$80,681,185	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,021,399	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,520,080	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	$184,419,071	OtherCostOrOtherBasisAmt
Depreciation	$82,593,403	DepreciationAmt
Book Value	$101,825,668	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,245	OtherCostOrOtherBasisAmt
Depreciation	$5,076	DepreciationAmt
Book Value	$98,169	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$250,503,019	OtherCostOrOtherBasisAmt
Depreciation	$172,922,672	DepreciationAmt
Book Value	$77,580,347	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,579,958	OtherCostOrOtherBasisAmt
Depreciation	$2,149,923	DepreciationAmt
Book Value	$13,430,035	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$200,157,197	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets - Shann	$162,637,783
Self Insurance Trust	$7,211,077
DUE FROM 3RD PARTY PAYER	$10,532,075
Interest Receivable	$190,548

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$180,571,483	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Asset Retirement Obligation	$1,188,932
Accrued Pension Cost	$1,370,452
Malpractice Costs	$3,776,160
Long Term Incentive Accrual	$150,150

Field	Value	IRS element (for citing)
Total Liability	$6,485,694	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$507,956,968	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,021,399	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$12,324,338	DonatedServicesAndUseFcltsAmt
Other Revenue	-$78,826,238	OtherRevenueAmt
Revenue Not Reported	-$65,480,501	RevenueNotReportedAmt
Revenue Subtotal	$573,437,469	RevenueSubtotalAmt
Other Revenues Not Included	$2,276,562	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,276,562	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$575,714,031	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$428,530,946	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$12,324,338	DonatedServicesUseFcltsAmt
Expenses Not Reported	$12,324,338	ExpensesNotReportedAmt
Expenses Subtotal	$416,206,608	ExpensesSubtotalAmt
Other Expenses Not Included	$78,826,238	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$78,826,238	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$495,032,846	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) $ (78,826,238)
SCHEDULE D, PART XI, LINE 4B	RECONCILIATION OF REVENUE ON AUDITED FINANCIALS WITH RETURN: CONTRIBUTIONS RECORDED TO NET ASSETS $ 2,276,562
SCHEDULE D, PART XII, LINE 4B	RECONCILIATION OF EXPENSES ON AUDITED FINANCIALS WITH RETURN: BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ 78,826,238
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	$16,042,256	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,042,256	NetCommunityBenefitExpnsAmt
Total Expense	0.03740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,253,004	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,194,799	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$349,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$112,113	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$237,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,644,863	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,306,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,279,746	NetCommunityBenefitExpnsAmt
Total Expense	0.03800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$741,757	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$741,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,424,055	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,424,055	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,657,002	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,657,002	NetCommunityBenefitExpnsAmt
Total Expense	0.04820	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$174,233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$174,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,102	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,102	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,004,149	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,004,149	NetCommunityBenefitExpnsAmt
Total Expense	0.05360	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,649,012	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,306,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,283,895	NetCommunityBenefitExpnsAmt
Total Expense	0.09160	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$78,826,238	BadDebtExpenseAmt
Reimbursed By Medicare	$113,674,218	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$116,565,923	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,891,705	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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	18	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	19	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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FROM COMMUNITY REPRESENTATIVES: COMMUNITY INPUT WAS PROVIDED THROUGH KEY STAKEHOLDER INTERVIEWS OF STAKEHOLDERS FROM THE FOLLOWING ORGANIZATIONS: SHANNON MEDICAL CENTER, SOCIAL SERVICE AGENCIES, LOCAL SCHOOL SYSTEMS AND UNIVERSITIES, PUBLIC HEALTH AGENCIES, OTHER MEDICAL PROVIDERS, LOCAL ELECTED OFFICIALS AND GOVERNMENTAL AGENCIES AND LOCAL BUSINESS. ELECTRONIC SURVEYS WERE DISTRIBUTED TO 140 INFORMANTS REPRESENTING THE MEDICAL CENTER'S SERVICE AREA.
SCHEDULE H, PART V, SECTION B, LINE 11	NEEDS ADDRESSED AND NOT ADDRESSED: BASED ON SHANNON'S EVALUATION WITHIN THE CURRENT CHNA, THE MEDICAL CENTER IS CURRENTLY MEETING THEIR GOALS OR HAS ALREADY MET THE GOALS FROM THE 2016 CHNA. 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 2021, THE CARE CORRDINATION PROGRAM EXPANDED SERVICES TO SERVE MORE PATIENTS WITH CHRONIC ILLNESSES AND COVID-19. 817 PATIENTS WERE PROVIDED TRANSPORTATION SERVICES AND $46,325,233 WAS PAID IN CHARITY CARE AND $20,657,002 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 2021, SHANNON STAFF SERVED ON 12 COMMUNITY COALITIONS/BOARD AND DEDICATED OVER 290 SERVICE HOURS TO COMMUNITY BUILDING EFFORTS. DONATIONS WERE GIVEN TO SUPPORT TWO COMMUNITY INITIATIVES THAT PROMOTE HEALTH EDUCATION AND PHYSICAL ACTIVITY. SHANNON ALSO PARTNERED WITH 9 ORGANIZATION TO OFFER HEALTH EDUCATION TO MORE THAN 65,000 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 2021, SHANNON PROVIDED INFORMATION MATERIALS TO 9 COMMUNITY EVENTS, LED A BARIATRIC SUPPORT GROUP THAT PROVIDED SUPPORT TO 20 COMMUNITY MEMBERS 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 2021, SHANNON PROVIDED THE HEALTHBEAT TV SEGMENTS THAT REACHED OVER 30,000 VIEWERS AND A HEALTHBEAT MAGAZINE THAT REACHED 30,000 COMMUNITY MEMBERS. THE HOSPITAL ALSO PARTNERED WITH EMPLOYER GROUPS TO PROVIDE HEALTH EDUCATION TO 65 WORKFORCE MEMBERS, AS WELL AS OTHER COMMUNITY ORGANIZATIONS TO DISTRIBUTE INFORMATION AND RESOURCES TO 2,000 COMMUNITY MEMBERS. SHANNON ALSO PARTNERED WITH 14 COLLEGES AND UNIVERSITIES TO OFFER EDUCATION TO 796 STUDENTS. 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	FAP WEBSITE URL: https://www.shannonhealth.com/media/224035/501r-Financial-Assistance-Polic y-English-2017.pdf
SCHEDULE H, PART V, SECTION B LINE 16B	FAP APPLICATION FORM URL: https://www.shannonhealth.com/media/192408/Shannon-Financial-Responsibilit y-Report.pdf
SCHEDULE H, PART V, SECTION B LINE 16C	PLAIN LANGUAGE SUMMARY OF FAP URL: https://www.shannonhealth.com/media/224029/501r-SMC-Financial-Assistance-P olicy-Summary-English-2017.pdf

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 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
2030 PULLIAM STE 6	SAN ANGELO	TX	76905	HOME HEALTH CENTER
REGIONAL CANCER TREATMENT CENTER LTD
PO BOX 1387	SAN ANGELO	TX	76902	CANCER CENTER

Supplemental Information Detail SupplementalInformationDetail (13 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 12 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. THE STATE OF TEXAS TREATS SHORTFALL AS A COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. FOR FISCAL YEAR 2021, THERE WAS A SHORTFALL CALCULATED OF $2,891,705.
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	NEEDS ASSESSMENT: HEALTH NEEDS OF THE COMMUNITY HAVE BEEN IDENTIFIED AND PRIORITIZED SO THAT SHANNON MAY ADOPT AN IMPLEMENTATION STRATEGY TO ADDRESS SPECIFIC NEEDS OF THE COMMUNITY. THE PROCESS INVOLVED: -AN EVALUATION OF THE IMPLEMENTATION STRATEGY FROM THE PREVIOUS NEEDS ASSESSMENT WHICH WAS ADOPTED BY SHANNON BOARD OF DIRECTORS IN 2016. -COLLECTION AND ANALYSIS OF A LARGE RANGE OF DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC, AND HEALTH STATISTICS, AND HEALTHCARE RESOURCES. -OBTAINING COMMUNITY INPUT THROUGH: -INTERVIEWS WITH KEY INFORMANTS WHO REPRESENT A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED, OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. -A HEALTH SURVEY WHICH GATHERED A WIDE RANGE OF INFORMATION WHICH WAS DISTRIBUTED TO IDENTIFIED STAKEHOLDERS. THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS TO UNDERSTAND THE UNIQUE HEALTH OF THE COMMUNITY SERVED BY SHANNON AND TO DOCUMENT COMPLIANCE WITH NEW FEDERAL LAWS. SHANNON MEDICAL CENTER ENGAGED BKD, LLP TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE CONDUCTED AS PART OF SHANNON'S COMMUNITY HEALTH NEEDS ASSESSMENT: AN EVALUATION OF THE IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE FISCAL YEAR SEPTEMBER 30, 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND AN IMPLEMENTATION STRATEGY SCORECARD WAS PREPARED TO UNDERSTAND THE EFFECTIVENESS OF SHANNON'S CURRENT STRATEGIES AND PROGRAMS. THE COMMUNITY SERVICE BY SHANNON WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY SHANNON. 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. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF SEVEN INFORMANTS AND 66 COMMUNITY HEALTH NEEDS SURVEYS. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY INFORMANT SECTION OF THE CHNA REPORT. INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTED METHOD THAT WEIGHS: 1) THE SIZE OF THE PROBLEM (HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE) 2) THE SERIOUSNESS OF THE PROBLEM (WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THE ISSUE) 3) THE PREVALENCE OF COMMON THEMES 4) THE ALIGNMENT WITH SHANNON'S RESOURCES
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 2020 OF 120,003. TOM GREEN COUNTY'S POPULATION IN 2019 OF 19,200. THE ESTIMATED POPULATION FOR SHANNON'S SERVICE AREA AS OF 2020, INCLUDING TOM GREEN COUNTY, IS 350,913 (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 - 23.8% (28,561) 2. 18-64 YEARS OLD - 60.6% (72,722) 3. 65 YEARS AND OLDER - 15.6% (18,720) TOM GREEN COUNTY ETHNIC DISTRIBUTION (MORE THAN ONE CATEGORY MAY BE SELF-REPORTED) 1. CAUCASIAN - 52.4% (62,882) 2. HISPANIC - 40.7% (48,841) 3. BLACK - 4.4% (5,280) 4. OTHER - 2.5% (3,000) TOM GREEN COUNTY (HOUSEHOLD) 1. MEDIAN HOUSEHOLD INCOME - $57,670 (TEXAS: $63,826, US: $64,994) 2. PERSONS LIVING IN POVERTY LEVEL - 12.0% (TEXAS: 13.4%, US: 11.4%) TOM GREEN COUNTY HEALTH INDEX 1. TOM GREEN COUNTY UNINSURED - 17.6% (TEXAS: 20.8%, US: 10.2%)
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 87 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 $46,325,233 would be a burden to the taxpayers of Tom Green County, and many other counties whose citizens directly benefit from her generosity. Shannon's Care Coordination program is designed to assist in the healthcare of chronically ill patients with multiple disease processes. Patients with multiple chronic illnesses account for the majority of healthcare spending in our society with a mere 5% accounting for nearly 50% of the spending. The purpose of this program is offer patient navigation services to the sickest patients by providing the following services: medication reconciliation, addressing social issues, and helping the patient manage chronic illnesses in their home setting. This program provides an intensive and comprehensive team approach to managing high-risk patients by utilizing health coaches that report to an interdisciplinary team at Shannon. Since March 2020 and throughout fiscal year 2021, the novel coronavirus disease disrupted the services provided by the Care Coordination program due to organization and State enforced restrictions to patient interactions and home visits. In addition, the department goals and focus quickly shifted with the increased community need to provide outpatient and discharge series to patients testing positive for COVID-19. However, the department continues to facilitate coordination of care and transition services to high-risk patients with chronic disease including COVID-19. Shannon provided $587,131 for the operation of this program. Shannon provided access and support services for indigent patients, including $26,899 in transportation vouchers and $3,996 for durable medical equipment, outpatient oxygen, outpatient prescription assistance, and motel expenses for COVID-19 positive patients discharged from the hospital. Shannon often offers Pastoral Care services that are outside the scope of the normal routine spiritual and pastoral care provided in a day-to-day patient care practices. Shannon provides the No One Dies Alone (NODA) program to offer companionship and support to patients who are nearing the end of life. NODA provides a dignified death to individuals who have no family or close friends to sit with them at the end of life. In addition, the Pastoral Care team presided over 24 funeral/memorial services and organized five vigils. These support services were provided at a cost of $10,446 to Shannon. Shannon provides a host of community education events related to topics such as diabetes management and prevention, water safety for children, fitness and nutrition, childbirth and child care, weight management, stroke prevention and cardiovascular health. 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 various health screenings and 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 $94,947 for these programs. Regional efforts are provided to Regional Health Partnership 13 for the 1115 Waiver programs including, technical assistance, guidance, educational event planning, survey administration and support. This support is provided at a cost of $801. Shannon donated funds to social services and community-based efforts, such as hosting Vitalant blood drives. This support is provided at a cost of $6301. Shannon contributes planning and financial assistance to community building efforts. This past fiscal year, $130,302 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, Sunset Mall, 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 is provided at a cost of $2,553 to Shannon. Shannon supports The Lighthouse for the Blind by donating used linen to the organizations. Based on thrift value, the cost of the linen donated is $1,975. 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 $7,055 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 $7,500 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, provides the communities of West Central Texas with a variety of medical services. Dedicated to the region's health and well-being, our facility is licensed for over 400 beds and provides a variety of clinical services to meet each patient's needs. We are the designated Level III Lead Trauma Facility for the region, have a nationally recognized intensive care unit, provide critical care to newborns as young as 28 weeks gestation, perform state-of-the-art diagnostics in our radiology department, and provide complete testing and surgical capabilities for cardiology patients, among many more services. Shannon continues to collaborate and build relationships with a broad range of agencies, organizations and institutions to build community and organizational capacity. By effectively utilizing resources and working together, Shannon plans to implement strategies to improve the community it serves.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS
SCHEDULE H, PART 1, LINE 7, COLUMN F	COMMUNITY BENEFIT EXPENSE: Bad debt expense of $78,826,238 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.

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 (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
JOE HENDERSON
FORMER TRUSTEE	$23,600	$45,917	$0	$0	$0	$0	$0	$0	$736	$0	$24,336	$45,917
DR JASON FELGER
DIRECTOR	$0	$631,045	$0	$57,172	$0	$99,733	$0	$81,076	$0	$38,299	$0	$907,325	$79,514
JOANNE RICE
FORMER DIRECTOR	$16,200	$0	$0	$0	$0	$0	$0	$0	$0	$0	$16,200	$0
KELLY SHANE PLYMELL
CEO	$655,276	$0	$144,671	$0	$73,824	$0	$84,170	$0	$24,998	$0	$982,939	$0		$73,824
PAMELA BRADSHAW
CNO/COO	$348,332	$0	$77,548	$0	$53,379	$0	$61,319	$0	$24,998	$0	$565,576	$0		$53,379
DR JAMES C BARNETT
CMO	$510,725	$0	$95,325	$0	$58,381	$0	$67,371	$0	$18,724	$0	$750,526	$0		$58,381
JOSEPH WOOLDRIDGE
CFO	$276,411	$0	$59,956	$0	$0	$0	$27,516	$0	$24,998	$0	$388,881	$0		$0
ALLAN GRAVES
GENERAL COUNSEL	$286,755	$0	$62,454	$0	$0	$0	$35,911	$0	$24,998	$0	$410,118	$0		$0
STACI WETZ
FORMER CFO/Controller	$138,808	$0	$10,000	$0	$45,496	$0	$5,809	$0	$14,519	$0	$214,632	$0		$45,496
MARGARET BENSON
CHIEF COMPLIANCE OFFICER	$189,690	$0	$10,000	$0	$0	$0	$6,653	$0	$7,890	$0	$214,233	$0
MICHAEL RUSSELL
CHIEF INFORMATION OFFICER	$181,220	$0	$10,000	$0	$0	$0	$7,523	$0	$14,552	$0	$213,295	$0
STEPHANIE MCCANN
ASSISTANT DIRECTOR OF PHARMACY	$180,832	$0	$3,150	$0	$0	$0	$7,501	$0	$10,231	$0	$201,714	$0
STEPHEN LUBKE
DIRECTOR OF PHARMACY	$195,888	$0	$6,900	$0	$0	$0	$7,799	$0	$5,582	$0	$216,169	$0
REBECCA FUENTES
ASSOCIATE CNO	$171,311	$0	$10,000	$0	$0	$0	$6,895	$0	$5,148	$0	$193,354	$0
MICHAEL BOYD
FORMER TRUSTEE	$9,000	$12,500	$0	$0	$0	$0	$0	$0	$736	$0	$9,736	$12,500		$0

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 $73,824 $72,770 SMC JAMES BARNETT $58,381 $55,971 SMC PAMELA BRADSHAW $53,379 $49,919 SMC ALAN GRAVES NONE $30,520 SMC JOSEPH WOOLDRIDGE NONE $23,696 SMC STACI WETZ $45,496 NONE SMC JASON FELGER $79,514 $69,676 SC

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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. A COPY WILL BE MADE AVAILABLE TO THE FINANCE COMMITTEE AND BOARD BEFORE 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 MARCH 2020, 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: (53,634,723) Change in Shannon Trust Net Assets: 41,031,481 Net Assets Released from Restriction: (1,826,836) PURCHASE OF NON-CONTROLLING INTEREST 550,339 Other Changes 2,359,659 ------------------ (11,520,080)

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 Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
REGIONAL CANCER TREATMENT CENTER
102 N MAGDALEN STE 120	SAN ANGELO	TX	76903	752225955	RADIOTHERAPY	TX	NA	RELATED	$885,800	$0	false	$0	Yes (true)	0.56247
REGIONAL CANCER TREATMENT CTR
102 N MAGDALEN STE 120	SAN ANGELO	TX	76903	752225955	RADIOTHERAPY	TX	NA	RELATED	$286,213	$0	false	$0	false	0.18709

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 real estate services
k	$1,707,002	fmv
shannon business services
p	$24,693,800	fmv
shannon clinic
p	$27,987,429	fmv
shannon medical management
p	$2,495,460	fmv
shannon business services
q	$628,325	fmv
shannon clinic
q	$15,914,998	fmv
shannon medical management
q	$25,776,113	fmv
shannon real estate services
q	$961,209	fmv
shannon business services
r	$11,472,509	fmv
shannon clinic
r	$170,690,732	fmv
shannon medical management
r	$35,559,370	fmv
shannon real estate services
r	$3,876,285	fmv
shannon business services
s	$11,893,350	fmv
shannon clinic
s	$138,304,195	fmv