SHANNON CLINIC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SHANNON CLINIC (EIN 75-2600873)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-15
- IRS object ID
- 201902279349303415
- Schema version
- 2017v2.3
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-15T18:00:25-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 Post Oak Blvd Ste 1500 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752600873 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shannon Clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SHANNON CLINIC ATTN | InCareOfNm |
| Business Name Control | SHAN | BusinessNameControlTxt |
| Phone | 3256581511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 22000 | AddressLine1Txt |
| City | San Angelo | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANE PLYMELL | PersonNm |
| Person Title | ceo | PersonTitleTxt |
| Phone | 3256581511 | PhoneNum |
| Signature | 2019-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kevin R Ensminger | PreparerPersonNm |
| PTIN | P01310558 | PTIN |
| Phone | 7134994600 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 76915820192275000013 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-08-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9CE27632F8A31BDEDC66663DBA4FDD4224869B4E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 21E6481FF4EC5D606F81E380A49442717B3AD96E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHANE PLYMELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 22000 | AddressLine1Txt |
| City | SAN ANGELO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $170,121,586 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SHANNONHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS, AND NEIGHBORS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 302 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,160 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $163,895,183 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $170,090,402 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $31,184 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $163,895,183 | PYTotalRevenueAmt |
| CY Total Revenue | $170,121,586 | 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 | $110,776,515 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $118,433,563 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $97,500,847 | PYOtherExpensesAmt |
| CY Other Expenses | $106,476,793 | CYOtherExpensesAmt |
| PY Total Expenses | $208,277,362 | PYTotalExpensesAmt |
| CY Total Expenses | $224,910,356 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$44,382,179 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$54,788,770 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,784,642 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,414,446 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,790,969 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,387,116 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,993,673 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,027,330 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO BE THE PREMIER HEALTH CARE PROVIDER OF PHYSICIAN SERVICES IN THE COMMUNITIES WE SERVE UTILIZING THE RESOURCES AVAILABLE TO US. WE STRIVE TO PROVIDE THE BEST ACCESS, SERVICE AND MEDICAL MANAGEMENT AVAILABLE TO OUR PATIENTS WHILE SIMULTANEOUSLY PROTECTING THE VIABILITY OF OUR ORGANIZATION AND ITS EMPLOYEES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $214,029,441 | ExpenseAmt |
| Revenue | $170,090,402 | RevenueAmt |
| Desc | PROVIDE HEALTH CARE SERVICES AS A MULTI-SPECIALTY PHYSICIAN CLINIC AT LOCATIONS THROUGHOUT SAN ANGELO AND NEARBY COMMUNITIES REGARDLESS OF ABILITY TO PAY, INCLUDING CALL COVERAGE FOR SHANNON MEDICAL CENTER, AN AFFILIATED NON-PROFIT HOSPITAL. SHANNON CLINIC IS ORGANIZED AND OPERATED TO PROVIDE ACCESS AND CARE FOR RESIDENTS OF ITS SERVICE AREA, INCLUDING MEDICALLY INDIGENT PATIENTS. RECRUITMENT FOR PROVIDERS INCLUDES NEW PHYSICIANS AND MID-LEVEL PROVIDERS TO EXPAND URGENT CARE AND PRIMARY CARE ACCESS TO COMMUNITIES SERVED, AND SPECIALISTS TO ALLOW SHANNON MEDICAL CENTER TO PROVIDE CARE TO ITS PATIENTS REGARDLESS OF ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $214,029,441 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | OperateHospitalInd |
| 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 | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 90 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 302 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANNON CLINIC ATTN | PersonNm |
| Phone | 3256581511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ADMINISTRATION 120 E BEAUREGARD | 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 (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VIKI FORLANO HALFMANN | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $373,983 | $0 | $72,765 | ||||
| JOE MIMS | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $611,751 | $0 | $84,701 | ||||
| NORMA CERNA | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $306,158 | $0 | $72,014 | ||||
| ANDREW T KINGMAN | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $601,269 | $0 | $91,895 | ||||
| CALEB VOSBURG | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $801,602 | $0 | $96,990 | ||||
| DAVID BOSWELL | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $473,031 | $0 | $76,217 | ||||
| JASON FELGER | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $787,913 | $0 | $102,907 | ||||
| JENNY WIGGINS-SMITH | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $544,672 | $0 | $90,030 | ||||
| LINDY BANKES | ||||||||||
| PHYSICIAN/BOARD SECRETARY | 40.0 | 0.0 | Yes (X) | $745,670 | $0 | $73,278 | Yes (X) | |||
| PAUL BORGFELD | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $473,019 | $0 | $80,987 | ||||
| ROSS HARPER | ||||||||||
| PHYSICIAN/BOARD DIRECTOR | 40.0 | 0.0 | Yes (X) | $850,046 | $0 | $104,641 | ||||
| RUDY HADDAD | ||||||||||
| PHYSICIAN/CHAIRMAN | 40.0 | 0.0 | Yes (X) | $1,449,370 | $0 | $109,525 | Yes (X) | |||
| SARAH JACKSON-VANCE | ||||||||||
| PHYSICIAN/CHAIRMAN | 40.0 | 0.0 | Yes (X) | $481,668 | $0 | $67,999 | Yes (X) | |||
| STEVEN BURGESS THRU 81718 | ||||||||||
| PHYSICIAN/CHAIRMAN | 40.0 | 0.0 | Yes (X) | $486,149 | $0 | $69,746 | Yes (X) | |||
| KELLY SHANE PLYMELL | ||||||||||
| CEO/PRESIDENT | 5.0 | 35.0 | $0 | $672,914 | $92,952 | Yes (X) | ||||
| IRVIN ZEITLER | ||||||||||
| MEDICAL DIRECTOR (THRU 3/1/18) | 5.0 | 35.0 | $0 | $536,467 | $72,392 | Yes (X) | ||||
| DOUG SCHULTZ | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 40.0 | 0.0 | $417,098 | $0 | $54,380 | Yes (X) | ||||
| LISA HILL | ||||||||||
| GENERAL COUNSEL | 5.0 | 35.0 | $0 | $388,965 | $67,732 | Yes (X) | ||||
| CHRIS BARNETT | ||||||||||
| MEDICAL DIRECTOR | 5.0 | 35.0 | $0 | $603,757 | $56,571 | Yes (X) | ||||
| CHRIS COLE | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $877,204 | $0 | $105,206 | Yes (X) | ||||
| DAVID HUCHTON | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,405,975 | $0 | $88,233 | Yes (X) | ||||
| CHRISTOPHER HADDAD | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,589,256 | $0 | $108,225 | Yes (X) | ||||
| LUIS DUARTE | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $4,983,536 | $0 | $107,788 | Yes (X) | ||||
| STEVE RITTER | ||||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,487,234 | $0 | $70,214 | Yes (X) | ||||
| JAMES MELOTT | ||||||||||
| PHYSICIAN/FORMER OFFICER | 40.0 | 0.0 | $361,462 | $0 | $72,018 | Yes (X) | ||||
| JOHN HARVEY | ||||||||||
| PHYSICIAN/FORMER OFFICER | 40.0 | 0.0 | $420,885 | $0 | $56,813 | Yes (X) | ||||
| ANTHONY DEMORY | ||||||||||
| PHYSICIAN/FORMER OFFICER | 40.0 | 0.0 | $210,957 | $0 | $46,587 | Yes (X) | ||||
| LAURA ADAMS | ||||||||||
| PHYSICIAN/FORMER OFFICER | 40.0 | 0.0 | $488,969 | $0 | $81,621 | Yes (X) | ||||
| BRYAN HORNER | ||||||||||
| FORMER CEO/PRESIDENT | 0.0 | 5.0 | $0 | $2,544,323 | $2,326 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $21,228,877 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,746,426 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,276,753 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | 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 |
|---|---|---|---|---|---|
| SHANNON MEDICAL MANAGEMENT | |||||
| 120 E BEAUREGARD | SAN ANGELO | TX | 76903 | MANAGEMENT SERVICES | $58,626,406 |
| ARUP LABORATORIES | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | OUTSIDE LAB SERVICES | $1,028,865 |
| PULMONARY CRITICAL CARE CONSULTAN | |||||
| 1305 W 34TH STREET STE 400 | AUSTIN | TX | 78705 | LOCUMS SERVICES | $608,000 |
| SHANNON MEDICAL CENTER | |||||
| 120 E HARRIS | SAN ANGELO | TX | 76903 | LAB & LAUNDRY SVCS | $785,873 |
| HAYES LOCUMS LLC | |||||
| 6700 N ANDREWS AVE STE 600 | FT LAUDERDALE | FL | 33309 | LOCUMS SERVICES | $611,726 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621990 | $149,588,428 | $149,588,428 |
| Lease Income | 532000 | $8,506 | $8,506 |
| Miscellaneous Income | 900099 | $2,415,699 | $2,415,699 |
| HOSPITAL BASED PHYSICIANS' ASSISTANCE | 900099 | $18,077,769 | $18,077,769 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $170,090,402 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,184 | TotalRevenueColumnAmt |
| Exclusion | $29,184 | 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) |
|---|---|---|
| Other | $2,000 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,000 | TotalRevenueColumnAmt |
| Exclusion | $2,000 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,121,586 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $170,090,402 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $31,184 | 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 | $9,403,399 | TotalAmt |
| Program Services | $9,403,399 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,559,115 | TotalAmt |
| Program Services | $3,559,115 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,428,103 | TotalAmt |
| Program Services | $92,245,089 | ProgramServicesAmt |
| Management And General | $1,183,014 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,559,827 | TotalAmt |
| Program Services | $6,509,281 | ProgramServicesAmt |
| Management And General | $50,546 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,839,300 | TotalAmt |
| Program Services | $1,815,324 | ProgramServicesAmt |
| Management And General | $23,976 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,643,819 | TotalAmt |
| Program Services | $3,622,591 | ProgramServicesAmt |
| Management And General | $21,228 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,686,020 | TotalAmt |
| Program Services | $53,283,117 | ProgramServicesAmt |
| Management And General | $9,402,903 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,172 | TotalAmt |
| Management And General | $51,172 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,698 | TotalAmt |
| Management And General | $51,698 | 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 | $6,237,057 | TotalAmt |
| Program Services | $6,223,695 | ProgramServicesAmt |
| Management And General | $13,362 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,063 | TotalAmt |
| Program Services | $59,063 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,518 | TotalAmt |
| Program Services | $515,807 | ProgramServicesAmt |
| Management And General | $7,711 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,273 | TotalAmt |
| Program Services | $24,273 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,185 | TotalAmt |
| Program Services | $41,185 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,700 | TotalAmt |
| Program Services | $425,700 | ProgramServicesAmt |
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 | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,152,263 | TotalAmt |
| Program Services | $1,152,263 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $549,768 | TotalAmt |
| Program Services | $475,604 | ProgramServicesAmt |
| Management And General | $74,164 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt | $20,195,134 | $20,195,134 | |
| Medical Supplies | $12,528,248 | $12,528,248 | |
| EDUCATION | $812,321 | $811,180 | $1,141 |
| RECRUITING/NEW HIRE EXPENSE | $428,413 | $428,413 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,960 | TotalAmt |
| Program Services | $710,960 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,910,356 | TotalAmt |
| Program Services | $214,029,441 | ProgramServicesAmt |
| Management And General | $10,880,915 | 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 | $15,304,473 | BOYAmt |
| EOY | $16,757,132 | 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 | $192,083 | BOYAmt |
| EOY | $409,181 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,058 | BOYAmt |
| EOY | $474,274 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $892,070 | BOYAmt |
| EOY | $831,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,331,232 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,946,836 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,339,933 | BOYAmt |
| EOY | $3,384,396 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,640,025 | BOYAmt |
| EOY | $18,558,386 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,784,642 | BOYAmt |
| EOY | $40,414,446 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,145,676 | BOYAmt |
| EOY | $12,309,823 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $20,645,293 | BOYAmt |
| EOY | $23,077,293 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,790,969 | BOYAmt |
| EOY | $35,387,116 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,993,673 | BOYAmt |
| EOY | $5,027,330 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,993,673 | BOYAmt |
| EOY | $5,027,330 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,784,642 | BOYAmt |
| EOY | $40,414,446 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$54,788,770 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $56,822,427 | 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $130,516,856 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $136,780,927 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $149,515,240 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $163,809,253 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $170,090,402 | CurrentTaxYearAmt |
| Total | $750,712,678 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $130,516,856 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $136,780,927 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $149,515,240 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $163,809,253 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $170,090,402 | CurrentTaxYearAmt |
| Total | $750,712,678 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $750,712,678 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $29,184 | CurrentTaxYearAmt |
| Total | $29,184 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $29,184 | CurrentTaxYearAmt |
| Total | $29,184 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $130,516,856 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $136,780,927 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $149,515,240 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $163,809,253 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $170,119,586 | CurrentTaxYearAmt |
| Total | $750,741,862 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99996 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00004 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,331,232 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,946,836 | DepreciationAmt |
| Book Value | $3,384,396 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $3,384,396 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Retirement Fund | Desc |
| Book Value | $18,558,386 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,558,386 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Fund Liability | $21,203,088 |
| Health Claims Payable | $244,005 |
| Estimated Malpractice Costs | $1,630,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,077,293 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $86,620,244 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $86,620,244 | RevenueSubtotalAmt |
| Other Revenues Not Included | $83,501,342 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $83,501,342 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $170,121,586 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $141,409,014 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $141,409,014 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $83,501,342 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $83,501,342 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $224,910,356 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FIN 48 DISCLOSURE | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PARTS XI & XII LINE 4B | RECONCILIATION OF REVENUE & EXPENSES PER AUDITED F/S WITH RETURN INCOME/EXPENSE RECLASSES FROM AUDIT $ 63,306,208 BAD DEBT EXPENSE $ 20,195,134 ----------- $ 83,501,342 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (29 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES MELOTT | ||||||||||||||
| PHYSICIAN/FORMER OFFICER | $220,376 | $0 | $101,552 | $0 | $39,534 | $0 | $47,468 | $0 | $24,550 | $0 | $433,480 | $0 | $0 | $0 |
| JOHN HARVEY | ||||||||||||||
| PHYSICIAN/FORMER OFFICER | $278,222 | $0 | $82,809 | $0 | $59,854 | $0 | $48,020 | $0 | $8,793 | $0 | $477,698 | $0 | $0 | $0 |
| VIKI FORLANO HALFMANN | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $224,983 | $0 | $108,627 | $0 | $40,373 | $0 | $47,468 | $0 | $25,297 | $0 | $446,748 | $0 | $0 | $0 |
| CHRIS COLE | ||||||||||||||
| PHYSICIAN | $597,070 | $0 | $189,000 | $0 | $91,134 | $0 | $72,532 | $0 | $32,674 | $0 | $982,410 | $0 | $0 | $0 |
| ANTHONY DEMORY | ||||||||||||||
| PHYSICIAN/FORMER OFFICER | $163,030 | $0 | $47,604 | $0 | $323 | $0 | $35,096 | $0 | $11,491 | $0 | $257,544 | $0 | $0 | $0 |
| LAURA ADAMS | ||||||||||||||
| PHYSICIAN/FORMER OFFICER | $354,494 | $0 | $79,853 | $0 | $54,622 | $0 | $58,116 | $0 | $23,505 | $0 | $570,590 | $0 | $0 | $0 |
| JOE MIMS | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $395,753 | $0 | $161,203 | $0 | $54,795 | $0 | $58,876 | $0 | $25,825 | $0 | $696,452 | $0 | $0 | $0 |
| IRVIN ZEITLER | ||||||||||||||
| MEDICAL DIRECTOR (THRU 3/1/18) | $0 | $466,510 | $0 | $69,957 | $0 | $0 | $0 | $66,303 | $0 | $6,089 | $0 | $608,859 | $0 | $0 |
| BRYAN HORNER | ||||||||||||||
| FORMER CEO/PRESIDENT | $0 | $66,562 | $0 | $0 | $0 | $2,477,761 | $0 | $2,326 | $0 | $0 | $0 | $2,546,649 | $0 | $0 |
| DOUG SCHULTZ | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $360,819 | $0 | $13,893 | $0 | $42,386 | $0 | $46,094 | $0 | $8,286 | $0 | $471,478 | $0 | $0 | $0 |
| DAVID HUCHTON | ||||||||||||||
| PHYSICIAN | $899,679 | $0 | $452,000 | $0 | $54,296 | $0 | $64,668 | $0 | $23,565 | $0 | $1,494,208 | $0 | $0 | $0 |
| NORMA CERNA | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $198,282 | $0 | $65,470 | $0 | $42,406 | $0 | $47,449 | $0 | $24,565 | $0 | $378,172 | $0 | $0 | $0 |
| ANDREW T KINGMAN | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $430,848 | $0 | $170,151 | $0 | $270 | $0 | $59,871 | $0 | $32,024 | $0 | $693,164 | $0 | $0 | $0 |
| CALEB VOSBURG | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $516,668 | $0 | $209,809 | $0 | $75,125 | $0 | $67,516 | $0 | $29,474 | $0 | $898,592 | $0 | $0 | $0 |
| DAVID BOSWELL | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $303,331 | $0 | $120,134 | $0 | $49,566 | $0 | $53,260 | $0 | $22,957 | $0 | $549,248 | $0 | $0 | $0 |
| JASON FELGER | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $647,569 | $0 | $48,845 | $0 | $91,499 | $0 | $71,044 | $0 | $31,863 | $0 | $890,820 | $0 | $0 | $0 |
| JENNY WIGGINS-SMITH | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $312,026 | $0 | $204,035 | $0 | $28,611 | $0 | $58,116 | $0 | $31,914 | $0 | $634,702 | $0 | $0 | $0 |
| LINDY BANKES | ||||||||||||||
| PHYSICIAN/BOARD SECRETARY | $494,848 | $0 | $205,030 | $0 | $45,792 | $0 | $51,260 | $0 | $22,018 | $0 | $818,948 | $0 | $0 | $0 |
| PAUL BORGFELD | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $416,726 | $0 | $15,000 | $0 | $41,293 | $0 | $55,253 | $0 | $25,734 | $0 | $554,006 | $0 | $0 | $0 |
| ROSS HARPER | ||||||||||||||
| PHYSICIAN/BOARD DIRECTOR | $612,758 | $0 | $189,000 | $0 | $48,288 | $0 | $72,532 | $0 | $32,109 | $0 | $954,687 | $0 | $0 | $0 |
| RUDY HADDAD | ||||||||||||||
| PHYSICIAN/CHAIRMAN | $734,925 | $0 | $566,937 | $0 | $147,508 | $0 | $85,260 | $0 | $24,265 | $0 | $1,558,895 | $0 | $0 | $0 |
| SARAH JACKSON-VANCE | ||||||||||||||
| PHYSICIAN/CHAIRMAN | $303,692 | $0 | $124,706 | $0 | $53,270 | $0 | $58,860 | $0 | $9,139 | $0 | $549,667 | $0 | $0 | $0 |
| STEVEN BURGESS THRU 81718 | ||||||||||||||
| PHYSICIAN/CHAIRMAN | $338,689 | $0 | $105,033 | $0 | $42,427 | $0 | $47,468 | $0 | $22,278 | $0 | $555,895 | $0 | $0 | $0 |
| CHRISTOPHER HADDAD | ||||||||||||||
| PHYSICIAN | $759,646 | $0 | $703,873 | $0 | $125,737 | $0 | $85,260 | $0 | $22,965 | $0 | $1,697,481 | $0 | $0 | $0 |
| LUIS DUARTE | ||||||||||||||
| PHYSICIAN | $2,510,087 | $0 | $2,379,206 | $0 | $94,243 | $0 | $77,164 | $0 | $30,624 | $0 | $5,091,324 | $0 | $0 | $0 |
| STEVE RITTER | ||||||||||||||
| PHYSICIAN | $339,700 | $0 | $1,097,729 | $0 | $49,805 | $0 | $60,404 | $0 | $9,810 | $0 | $1,557,448 | $0 | $0 | $0 |
| KELLY SHANE PLYMELL | ||||||||||||||
| CEO/PRESIDENT | $0 | $609,536 | $0 | $63,378 | $0 | $0 | $0 | $73,458 | $0 | $19,494 | $0 | $765,866 | $0 | $0 |
| LISA HILL | ||||||||||||||
| GENERAL COUNSEL | $0 | $339,577 | $0 | $49,388 | $0 | $0 | $0 | $54,299 | $0 | $13,433 | $0 | $456,697 | $0 | $0 |
| CHRIS BARNETT | ||||||||||||||
| MEDICAL DIRECTOR | $0 | $573,683 | $0 | $30,074 | $0 | $0 | $0 | $52,951 | $0 | $3,620 | $0 | $660,328 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4B | SERP DETAIL NAME AMOUNT SHANE PLYMELL NONE NONQUALIFIED PLAN PARTICIPANTS NAME AMOUNT CALEB VOSBURG $ 62,225 CHRIS COLE $ 71,154 CHRISTOPHER HADDAD $ 61,924 DAVID BOSWELL $ 49,296 DAVID HUCHTON $ 53,606 DOUG SCHULTZ $ 38,576 JAMES MELOTT $ 38,844 JASON FELGER $ 73,049 JENNY WIGGINS-SMITH $ 28,341 JOE MIMS $ 52,815 JOHN HARVEY $ 41,164 LAURA ADAMS $ 53,932 LINDY BANKES $ 45,522 LUIS DUARTE $ 74,953 NORMA CERNA $ 42,136 PAUL BORGFELD $ 40,003 ROSS HARPER $ 48,018 RUDY HADDAD $ 61,924 SARAH JACKSON VANCE $ 52,970 STEVE RITTER $ 31,115 STEVEN BURGESS $ 41,977 VIKI FORLANO HALFMANN $ 39,083 Participants in the 457f Retirement Allowance Plan are key employees whose expected compensation is higher than $125,000. EACH QUARTER, THEY RECEIVE 8% OF THEIR BASE SALARY FOR THE PRECEDING YEAR INTO A MUTUAL FUND ACCOUNT. ALL MUTUAL FUND ACCOUNTS HAVE A DEFERRED VESTING DATE OF JUNE 30TH OF THE SECOND CALENDAR YEAR FOLLOWING THE PLAN YEAR FOR WHICH THE MUTUAL FUND ACCOUNT WAS CREATED. IN GENERAL, THE EARLIEST DISTRIBUTION DATE IS AFTER JUNE 30TH OF THE SECOND CALENDAR YEAR FOLLOWING THE PLAN YEAR FOR WHICH THE MUTUAL FUND ACCOUNT WAS CREATED. DATE IS AFTER JUNE 30TH OF THE SECOND CALENDAR YEAR FOLLOWING THE PLAN YEAR FOR WHICH THE MUTUAL FUND ACCOUNT WAS CREATED. YEAR FOR WHICH THE MUTUAL FUND ACCOUNT WAS CREATED. |
| SCHEDULE J, PART I, LINE 3 | METHODS USED TO ESTABLISH COMPENSATION SHANNON CLINIC'S (SC) EXECUTIVES ARE CONTRACTED THROUGH SHANNON MEDICAL MANAGEMENT (SMM), A RELATED 501(C)(3) ORGANIZATION. THEREFORE, SC RELIES ON THE METHODS USED BY SMM TO ESTABLISH THE COMPENSATION OF THE EXECUTIVES. |
| SERP DISTRIBUTION | NAME AMOUNT ----------- ----------- BRYAN HORNER 2,477,761 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|
| RUDY HADDAD | ||||||
| PHYSICIAN/BOARD | VARIOUS | Yes (X) | $300,000 | false | Yes (true) | Yes (true) |
| CHRIS HADDAD | ||||||
| PHYSICIAN | VARIOUS | Yes (X) | $300,000 | false | Yes (true) | Yes (true) |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DAVID VANCE | |||
| JACKSON-VANCE'S SPOUSE | $513,565 | SHANNON CLINIC EMPLOYEE | false |
| SUSAN SCHULTZ | |||
| SCHULTZ'S SPOUSE | $6,924 | SHANNON CLINIC EMPLOYEE | false |
| RUDY HADDAD | |||
| CHRIS HADDAD'S BROTHER | $1,449,370 | SHANNON CLINIC EMPLOYEE | false |
| CHRIS HADDAD | |||
| RUDY HADDAD'S BROTHER | $1,589,256 | SHANNON CLINIC EMPLOYEE | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | ADMINISTRATIVE SERVICES FOR SHANNON CLINIC ARE CONTRACTED WITH SHANNON MEDICAL MANAGEMENT. |
| FORM 990, PART VI, SECTION A, LINE 6 | SHANNON HEALTH SYSTEM, A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF SHANNON CLINIC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, SHANNON HEALTH SYSTEM, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBER EXERCISES ITS POWERS & AUTHORITY THROUGH THE ACTION OF THE CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER OR SUCH OTHER PERSON OR PERSONS DESIGNATED BY THE BOARD OF DIRECTORS OF THE MEMBER TO TAKE ACTION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER HAS THE SOLE AUTHORITY TO ACT WITH RESPECT TO A VARIETY OF SUBJECTS INCLUDING BUDGETING, INCURRENCE OR GUARANTEE OF ANY DEBT, CREATION OR SALE OF ANY SUBSIDIARIES, REAL PROPERTY TRANSACTIONS, MODIFICATIONS OF THE CORPORATION, ARRANGEMENTS BETWEEN THE CORPORATION AND ANY INSURER, ESTABLISHMENT OF TRAINING AND RESIDENCY PROGRAMS, GIVING AND RECEIVING GRANTS, AUDITOR AND LEGAL COUNSEL SELECTION, APPROVAL, ADOPTION, OR AMENDMENT OF: COMPENSATION POLICY THAT ESTABLISHES REASONABLE SALARIES OF OFFICERS, DIRECTORS, PHYSICIANS AND PHYSICIAN EXTENDERS, INSURANCE COVERAGE AND FEE SCHEDULES RELATING TO PATIENT SERVICES, COMMENCEMENT OF LITIGATION BY THE CORPORATION, SELECTION AND APPROVAL OF THE LOCATION OF THE PROVISION OF ANY SERVICES OFFERED BY THE CORPORATION AND ANY OTHER MATTERS WITH RESPECT TO WHICH EXCLUSIVE AUTHORITY IS GRANTED TO THE MEMBER BY LAW, THE ARTICLES, OR THE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | 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. THE MEMBER'S FINANCE COMMITTEE WILL REVIEW AFTER THE FORM IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON CLINIC ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AS THEY ARISE, AND ARE REQUIRED TO FILE ANNUAL STATEMENTS AFFIRMING EITHER THE CONFLICTS OF INTEREST THAT THEY MAY HAVE, OR THAT THEY HAVE NO CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON CLINIC ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH HAVE THEIR COMPENSATION REVIEWED ANNUALLY BY THE INDEPENDENT SHANNON MEDICAL CENTER BOARD OF TRUSTEES, WHICH CONSULTS COMPARABILITY DATA AND KEEPS CONTEMPORANEOUS RECORDS OF ITS DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO/FROM AFFILIATES $ 56,822,427 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 | false |
| SHANNON REAL ESTATE SERVICES INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 270075630 | SUPPORT SVCS | TX | 501(C)(3) | 12B | SMC | false |
| SHANNON HEALTH SYSTEM | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752602411 | HEALTHCARE | TX | 501(C)(3) | 12A | NA | false |
| SHANNON MEDICAL CENTER | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752559845 | HEALTHCARE | TX | 501(C)(3) | 3 | NA | false |
| SHANNON BUSINESS SERVICES INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 432038769 | SUPPORT SVCS | TX | 501(C)(3) | 12B | SMC | false |
| SHANNON MEDICAL MANAGEMENT | ||||||||||
| 120 E BEAUREGARD | SAN ANGELO | TX | 76903 | 208367966 | SUPPORT SVCS | TX | 501(C)(3) | 10 | SHS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL CANCER TREATMENT CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 N MAGDALEN 120 | AddressLine1Txt |
| City | San Angelo | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752225955 | EIN |
| Primary Activities | RADIOTHERAPY | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
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 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| LEGACY MANAGEMENT SERVICES | |||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 752544450 | MANAGEMENT | TX | NA | C-CORPORATION | false |
| LEGACY HEALTH SOLUTIONS | |||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 200720762 | MED INSURANCE | TX | NA | C-CORPORATION | 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 | false | 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 | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | 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
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL MANAGEMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | 1M | TransactionTypeTxt |
| Involved | $62,686,020 | InvolvedAmt |
| Method Of Amount Determination | BOOK VALUE | MethodOfAmountDeterminationTxt |