SHANNON MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SHANNON MEDICAL CENTER (EIN 75-2559845)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-15
IRS object ID: 201932279349303473
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-15T19:42:25-05:00	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	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	% SHANNON MEDICAL CENTER	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	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	76915820192275000015	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	120 E HARRIS AVENUE	AddressLine1Txt
City	SAN ANGELO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76903	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$375,133,694	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	11	VotingMembersIndependentCnt
Total Employee	2423	TotalEmployeeCnt
Total Volunteers	124	TotalVolunteersCnt
Total Gross UBI	$375,755	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$19,944,675	PYContributionsGrantsAmt
CY Contributions Grants	$36,677,337	CYContributionsGrantsAmt
PY Program Service Revenue	$311,672,004	PYProgramServiceRevenueAmt
CY Program Service Revenue	$333,100,624	CYProgramServiceRevenueAmt
PY Investment Income	$7,790,583	PYInvestmentIncomeAmt
CY Investment Income	$2,826,890	CYInvestmentIncomeAmt
PY Other Revenue	$2,606,237	PYOtherRevenueAmt
CY Other Revenue	$2,528,843	CYOtherRevenueAmt
PY Total Revenue	$342,013,499	PYTotalRevenueAmt
CY Total Revenue	$375,133,694	CYTotalRevenueAmt
PY Grants And Similar Paid	$61,295	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$284,317	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$117,015,555	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$118,670,480	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$166,190,141	PYOtherExpensesAmt
CY Other Expenses	$183,323,665	CYOtherExpensesAmt
PY Total Expenses	$283,266,991	PYTotalExpensesAmt
CY Total Expenses	$302,278,462	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,746,508	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$72,855,232	CYRevenuesLessExpensesAmt
Total Assets BOY	$406,369,557	TotalAssetsBOYAmt
Total Assets EOY	$402,689,472	TotalAssetsEOYAmt
Total Liabilities BOY	$58,153,337	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$51,750,176	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$348,216,220	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$350,939,296	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	$234,649,158	ExpenseAmt
Grant	$284,317	GrantAmt
Revenue	$335,281,763	RevenueAmt
Desc	PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS.	Desc
Total Program Service Expenses	$234,649,158	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
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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	190	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2423	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SHANNON MEDICAL CENTER	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 (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LEN MERTZ
CHAIRMAN/TRUSTEE	2.0	18.0	Yes (X)	Yes (X)	$0	$3,408	$3,743
JOE HENDERSON
TRUSTEE	2.0	6.0	Yes (X)		$25,900	$27,615	$545
ORAN BERRY
TRUSTEE	2.0	6.0	Yes (X)		$22,450	$26,700	$799
VIRGINIA NOELKE
DIRECTOR	2.0	4.0	Yes (X)		$22,950	$0	$0
MIKE BOYD
TRUSTEE	2.0	6.0	Yes (X)		$0	$12,000	$291
MICHAEL OLIPHANT
TRUSTEE	2.0	6.0	Yes (X)		$22,900	$25,700	$545
STEVE CECIL
TRUSTEE	2.0	6.0	Yes (X)		$23,650	$22,000	$10,373
JOANNA RICE
DIRECTOR	2.0	4.0	Yes (X)		$23,800	$0	$0
PAMELA TALLEY
DIRECTOR	2.0	4.0	Yes (X)		$22,950	$0	$0
MICHAEL TED WEATHERFORD
TRUSTEE	2.0	4.0	Yes (X)		$22,300	$24,000	$38
MICHELLE SNUGGS MD
DIRECTOR	2.0	38.0	Yes (X)		$0	$873,477	$82,414
ANGELA WILLIAMS
DIRECTOR	2.0	4.0	Yes (X)		$23,200	$0	$0
KELLY SHANE PLYMELL
CEO/PRESIDENT	16.0	24.0	Yes (X)	Yes (X)	$672,914	$0	$92,952
ANDREW HUME MD
DIRECTOR	2.0	38.0	Yes (X)		$0	$773,021	$81,808
PAM BRADSHAW
CNO/COO	32.0	8.0		Yes (X)	$385,539	$0	$46,879
STACI WETZ
CFO	16.0	24.0		Yes (X)	$377,050	$0	$48,720
IRVIN ZEITLER MD
MEDICAL DIR. (THRU 12/31/17)	40.0	0.0			$536,467	$0	$72,392	Yes (X)
CHRIS BARNETT MD
MEDICAL DIRECTOR	38.0	2.0			$603,757	$0	$56,571	Yes (X)
LISA HILL
GENERAL COUNSEL	40.0	0.0			$388,965	$0	$67,732	Yes (X)
MARGARET BENSON
CHIEF COMPLIANCE OFFICER	40.0	0.0			$202,535	$0	$13,791		Yes (X)
STEPHEN LUBKE
DIRECTOR OF PHARMACY	40.0	0.0			$188,587	$0	$12,529		Yes (X)
STEPHANIE MCCANN
ASSISTANT DIRECTOR OF PHARMACY	40.0	0.0			$174,760	$0	$14,514		Yes (X)
GREG WHEELER
DIRECTOR OF REIMBURSEMENT	40.0	0.0			$183,309	$0	$12,030		Yes (X)
JAMES NAYLOR
CHIEF ECHO SONOGRAPHER	40.0	0.0			$176,972	$0	$17,775		Yes (X)
BRYAN HORNER
FORMER CEO/PRESIDENT	0.0	0.0			$2,544,323	$0	$2,326			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,645,278	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,787,921	TotReportableCompRltdOrgAmt
Total Other Compensation	$638,767	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	82	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
HOAR CONSTRUCTION LLC
TWO METROPLEX DRIVE SUITE 400	BIRMINGHAM	AL	35209	CONSTRUCTION	$24,711,136
LOTT BROTHERS CONSTRUCTION CO
PO BOX 203594	AUSTIN	TX	78720	CONSTRUCTION	$5,991,547
AVANT HEALTHCARE PROFESSIONALS
PO BOX 744557	ATLANTA	GA	303744554	CONTRACT LABOR	$2,352,369
HEALTH CAROUSEL LLC
P0 BOX 714216	CINCINNATI	OH	45271	CONTRACT LABOR	$2,316,754
STOLTENBERG CONSULTING INC
5815 LIBRARY RD	BETHEL PARK	PA	15102	TECH CONSULTING	$716,473

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Related Organizations	$36,675,738	RelatedOrganizationsAmt
All Other Contributions	$1,599	AllOtherContributionsAmt
Total Contributions	$36,677,337	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue	621990	$332,413,424	$332,219,720	$193,704
Rental Income	532000	$687,200	$687,200

Field	Value	IRS element (for citing)
Total Program Service Revenue	$333,100,624	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$709,950	TotalRevenueColumnAmt
Unrelated Business Revenue	$28,051	UnrelatedBusinessRevenueAmt
Exclusion	$681,899	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	$2,101,743	SecuritiesAmt
Other	$15,197	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,101,743	SecuritiesAmt
Other	$15,197	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,116,940	TotalRevenueColumnAmt
Exclusion	$2,116,940	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 (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria	900099	$1,886,462	$1,886,462
All Other Misc Revenue	900099	$642,381	$488,381	$154,000

Field	Value	IRS element (for citing)
Other Revenue Total	$2,528,843	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$375,133,694	TotalRevenueColumnAmt
Related Or Exempt Func Income	$335,281,763	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$375,755	UnrelatedBusinessRevenueAmt
Exclusion	$2,798,839	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$284,317	TotalAmt
Program Services	$284,317	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,719,115	TotalAmt
Management And General	$5,719,115	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$161,980	TotalAmt
Program Services	$161,980	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,934,454	TotalAmt
Program Services	$75,465,024	ProgramServicesAmt
Management And General	$19,469,430	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,611,488	TotalAmt
Program Services	$2,196,019	ProgramServicesAmt
Management And General	$415,469	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,629,598	TotalAmt
Program Services	$6,560,909	ProgramServicesAmt
Management And General	$2,068,689	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,613,845	TotalAmt
Program Services	$4,980,537	ProgramServicesAmt
Management And General	$1,633,308	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$254,939	TotalAmt
Management And General	$254,939	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$67,900	TotalAmt
Management And General	$67,900	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$114,657	TotalAmt
Management And General	$114,657	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	$38,598,570	TotalAmt
Program Services	$20,369,179	ProgramServicesAmt
Management And General	$18,229,391	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$913,778	TotalAmt
Program Services	$24,444	ProgramServicesAmt
Management And General	$889,334	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,477,890	TotalAmt
Program Services	$421,199	ProgramServicesAmt
Management And General	$5,056,691	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,190,496	TotalAmt
Program Services	$3,466,514	ProgramServicesAmt
Management And General	$3,723,982	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,684,729	TotalAmt
Program Services	$599,912	ProgramServicesAmt
Management And General	$2,084,817	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$474,239	TotalAmt
Program Services	$228,195	ProgramServicesAmt
Management And General	$246,044	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	$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	$17,441,385	TotalAmt
Program Services	$12,481,137	ProgramServicesAmt
Management And General	$4,960,248	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$894,035	TotalAmt
Management And General	$894,035	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$78,840,891	$78,760,505	$80,386
Bad Debt	$25,682,365	$25,682,365
Equipment Costs	$1,911,105	$1,911,105
Collection Fees	$1,106,548		$1,106,548

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,670,138	TotalAmt
Program Services	$1,055,817	ProgramServicesAmt
Management And General	$614,321	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$302,278,462	TotalAmt
Program Services	$234,649,158	ProgramServicesAmt
Management And General	$67,629,304	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,610,966	BOYAmt
EOY	$10,374,378	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	$25,835,819	BOYAmt
EOY	$43,559,058	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	$532,639	BOYAmt
EOY	$371,606	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,920,326	BOYAmt
EOY	$7,052,326	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,361,627	BOYAmt
EOY	$2,951,348	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$343,557,831	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$192,396,158	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$120,959,956	BOYAmt
EOY	$151,161,673	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$81,501,620	BOYAmt
EOY	$44,221,465	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$818,922	BOYAmt
EOY	$755,293	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	$2,592,529	BOYAmt
EOY	$2,592,529	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$149,235,153	BOYAmt
EOY	$139,649,796	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$406,369,557	BOYAmt
EOY	$402,689,472	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$38,378,781	BOYAmt
EOY	$40,039,740	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	$2,025	BOYAmt
EOY	$178,204	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	$13,206,978	BOYAmt
EOY	$7,354,332	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,565,553	BOYAmt
EOY	$4,177,900	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$58,153,337	BOYAmt
EOY	$51,750,176	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$203,091,066	BOYAmt
EOY	$215,231,438	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$145,125,154	BOYAmt
EOY	$135,707,858	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	$348,216,220	BOYAmt
EOY	$350,939,296	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$406,369,557	BOYAmt
EOY	$402,689,472	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$72,855,232	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$685,961	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$69,446,195	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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

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	$5,122,978	OtherCostOrOtherBasisAmt
Book Value	$5,122,978	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,580,544	OtherCostOrOtherBasisAmt
Depreciation	$64,419,825	DepreciationAmt
Book Value	$34,160,719	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,381	OtherCostOrOtherBasisAmt
Depreciation	$1,381	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$199,508,473	OtherCostOrOtherBasisAmt
Depreciation	$126,155,660	DepreciationAmt
Book Value	$73,352,813	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,344,455	OtherCostOrOtherBasisAmt
Depreciation	$1,819,292	DepreciationAmt
Book Value	$38,525,163	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$151,161,673	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets - Shann	$135,707,858
Self Insurance Trust	$3,832,263
Interest Receivable	$109,675

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$139,649,796	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Asset Retirement Obligation	$1,027,044
Accrued Pension Cost	$1,153,168
Malpractice Costs	$1,504,800
Due to/from third party payors	$363,907
Long Term Incentive Accrual	$128,981

Field	Value	IRS element (for citing)
Total Liability	$4,177,900	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$312,054,564	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$685,961	NetUnrealizedGainsInvstAmt
Other Revenue	-$25,852,622	OtherRevenueAmt
Revenue Not Reported	-$26,538,583	RevenueNotReportedAmt
Revenue Subtotal	$338,593,147	RevenueSubtotalAmt
Other Revenues Not Included	$36,540,547	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$36,540,547	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$375,133,694	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$276,425,840	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$276,425,840	ExpensesSubtotalAmt
Other Expenses Not Included	$25,852,622	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$25,852,622	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$302,278,462	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2D & PART XII, LINE 4B	INCOME & EXPENSES INCLUDED IN FORM 990 NOT ON BOOKS BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ 25,682,368 GRANTS INCLUDED IN REVENUE ON AUDIT 284,317 OTHER 114,060 ----------- $ 25,852,622
SCHEDULE D, PART XI, LINE 4B	INCOME INCLUDED ON THE RETURN NOT ON BOOKS CONTRIBUTIONS RECORDED TO NET ASSETS $ 36,540,547
SCHEDULE D, PART XIV	UNCERTAIN TAX POSITIONS 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
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	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,999,680	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,999,680	NetCommunityBenefitExpnsAmt
Total Expense	0.07200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,337,823	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,531,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,806,062	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,155,441	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$148,995	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,006,446	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,492,944	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,680,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,812,188	NetCommunityBenefitExpnsAmt
Total Expense	0.09000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$559,864	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$559,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$837,135	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$837,135	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,999,680	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,999,680	NetCommunityBenefitExpnsAmt
Total Expense	0.07200	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$166,600	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,592	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,592	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,581,871	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,581,871	NetCommunityBenefitExpnsAmt
Total Expense	0.07800	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,074,815	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,680,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,394,059	NetCommunityBenefitExpnsAmt
Total Expense	0.16800	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$25,811,182	BadDebtExpenseAmt
Reimbursed By Medicare	$92,195,691	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$95,879,119	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,683,428	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
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
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	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	17	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 FIVE STAKEHOLDERS AND A COMMUNITY SURVEY WITH 54 RESPONSES. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY STAKEHOLDER INTERVIEW RESULTS SECTION OF THE 2016 CHNA REPORT.
SCHEDULE H, PART V, SECTION B, LINE 11	THE BELOW CHNA ACTION PLAN INCLUDES DETAILS ON HOW SHANNON MEDICAL CENTER IS ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA CONDUCTED IN 2016. THE NEEDS ARE CATEGORIZED IN THREE PRIORITY AREAS: HEALTHY LIVING, PREVENTION AND DISEASE MANAGEMENT, AND EDUCATION. PRIORITY 1: HEALTHY LIVING -SHANNON PARTNERS WITH SAN ANGELO INDEPENDENT SCHOOL DISTRICT TO HOST AN EVENT TO PROMOTE PHYSICAL ACTIVITY FOR CHILDREN AND FAMILIES TO ADDRESS THE GROWING CONCERN OF CHILDHOOD OBESITY. THE KIDS' MARATHON EVENT PROVIDES AN OPPORTUNITY FOR STUDENTS, RANGING IN AGES FROM KINDERGARTEN THROUGH SIXTH GRADE, TO PARTICIPATE IN A PROGRAM THAT ENCOURAGES HEALTHY HABIT FORMATION EARLY IN LIFE. STUDENTS ACCUMULATE LAPS/MILES DURING A THREE-MONTH PERIOD LEADING UP TO THE EVENT, AND PARTICIPATE IN THE FINAL LAP CELEBRATION. -EACH OCTOBER SHANNON ORGANIZES THE PINK RIBBON RUN FOR CANCER AWARENESS AND EDUCATION. THIS EVENT FEATURES A 1 MILE WALK/RUN, AND A 5K, 10K RACE. -SHANNON PARTNERS WITH THE LOCAL RESTAURANT ASSOCIATION AND RESTAURANTS TO PROMOTE HEALTHIER CHOICE RESTAURANTS THROUGHOUT THE COMMUNITY. -WORKING WITH EMPLOYERS IN THE COMMUNITY TO OFFER WORKSITE WELLNESS PROGRAMS TO THEIR EMPLOYEES. SOME ACTIVITIES INCLUDE: PROVIDING FLU SHOTS, BIOMETRIC SCREENINGS, EDUCATIONAL LUNCH AND LEARNS, HEALTH FAIRS, HEALTH COACHING, AND RESOURCES. -SHANNON OFFERS AN EMPLOYEE WELLNESS PROGRAM FOR SHANNON ASSOCIATES AND SPOUSES. SOME ACTIVITIES INCLUDE: BIOMETRIC SCREENINGS, HEALTH COACHING, EDUCATIONAL RESOURCES, CHALLENGES, AND HEALTHIER OPTIONS IN THE CAFETERIA. PRIORITY 2: PREVENTION AND DISEASE MANAGEMENT -SHANNON IS ONE OF THE COLLABORATING ORGANIZATIONS OF THE TOM GREEN COUNTY PARTNERSHIP FOR BETTER HEALTH. THE PARTNERSHIP BEGAN IN JANUARY 2012 AS A RESULT OF AN INITIATIVE BY THE DEPARTMENT OF STATE HEALTH SERVICES TO REDUCE POTENTIALLY PREVENTABLE HOSPITALIZATIONS. THE COALITION IMPLEMENTS EVIDENCE-BASED STRATEGIES TO PREVENT HOSPITALIZATIONS FOR THE FOLLOWING THREE CONDITIONS: CONGESTIVE HEART FAILURE (CHF), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND DIABETES COMPLICATIONS. -THE SHANNON CARE COORDINATION PROGRAM IS DESIGNED TO ASSIST IN THE HEALTHCARE OF CHRONICALLY ILL PATIENTS WITH MULTIPLE DISEASES PROCESSES. THIS PROGRAM PROVIDES AN INTENSIVE COMPREHENSIVE TEAM APPROACH TO MANAGING HIGH RISK PATIENTS BY UTILIZING PATIENT NAVIGATORS THAT REPORT TO AN INTERDISCIPLINARY TEAM AT SHANNON. ONGOING CARE OF THE IDENTIFIED HIGH RISK PATIENTS INCLUDES WEEKLY VISITS FROM THE PATIENT NAVIGATOR AND/OR MEMBER OF THE SHANNON TEAM IN ORDER TO ADDRESS HEALTH CARE ISSUES AS THEY ARISE. THE TEAM COORDINATES THE PATIENTS' HEALTHCARE WITH THE PRIMARY CARE PROVIDER'S GUIDANCE. -PROVIDE INDIGENT/CHARITY CARE SERVICES FOR LOW-INCOME CHILDREN, ADULTS AND ELDERLY. -PARTNERSHIP WITH SHANNON CLINIC: -THE EXPANSION TO THREE URGENT CARE CLINIC LOCATIONS. THEY ARE OPEN SEVEN DAYS PER WEEK WITH EXTENDED HOURS. -PHYSICIAN RECRUITMENT TO INCREASE ACCESS - INCLUDING THE ADDITION OF AN ENDOCRINOLOGIST. -OPENING THE ACCESS CLINIC TO PROVIDE FOLLOW-UP APPOINTMENTS POST-DISCHARGE FOR PATIENTS THAT DO NOT HAVE A PRIMARY CARE PROVIDER. -PARTNERSHIP WITH MHMR SERVICES OF THE CONCHO VALLEY TO PROVIDE PRIMARY CARE SERVICES IN THE BEHAVIORAL HEALTH SETTING. PRIORITY 3: EDUCATION -SHANNON PROVIDES A HOST OF COMMUNITY EDUCATION EVENTS RELATED TO TOPICS SUCH AS CANCER PREVENTION AND SCREENINGS, DIABETES EDUCATION, FITNESS AND NUTRITION, AND CARDIOVASCULAR HEALTH. THROUGH EVENTS LIKE GO RED, HEALTH PROFESSIONALS RELAY CURRENT HEALTH INFORMATION TO THE PUBLIC. -SHANNON HOSTS A FREE ONLINE HEALTH LIBRARY AS WELL AS THE WORDS OF WELLNESS HEALTH BLOG TO ACCESS HEALTH-RELATED INFORMATION. -SHANNON HOSTS THREE HEALTHBEAT LIVE TELEVISION SEGMENTS EACH WEEK ON THE NEWS TO RELAY CURRENT HEALTH INFORMATION AND EDUCATIONAL TIPS. -SHANNON PROVIDES A MONTHLY 'HOUSE CALL' ARTICLE IN THE LOCAL NEWSPAPER. THIS ARTICLE IS PROVIDED BY SHANNON PHYSICIAN THAT DISCUSSES EDUCATION AND DETECTION OF DISEASE. -SHANNON PROVIDES HEALTH AND WELLNESS PRESENTATIONS TO NUMEROUS NON-PROFITS, BUSINESSES AND ORGANIZATIONS. SOME OF THE ORGANIZATIONS INCLUDE: SAN ANGELO INDEPENDENT SCHOOL DISTRICT, EDUCATION SERVICES CENTER REGION 15, REECE ALBERT, DEVON ENERGY, AND ANGELO STATE UNIVERSITY. -REPRESENTATIVES FROM DIFFERENT DEPARTMENTS PROVIDE SUPPORT AND PARTICIPATE IN LOCAL HEALTH FAIRS AND HEALTH-RELATED COMMUNITY EVENTS. -SHANNON'S TRAUMA SERVICE DEPARTMENT COORDINATES THE ANNUAL GUS ECKHARDT TRAUMA SYMPOSIUM. THIS IS A FULL DAY OF TRAUMA RELATED EDUCATION FOR ALL HEALTH CARE PRACTITIONERS IN THE REGION. -NURSING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, SOCIAL WORK, AND PSYCHOLOGY STUDENTS PARTICIPATE IN CLINICAL ROTATIONS AT SHANNON AS PART OF THEIR SCHOOL REQUIREMENTS. 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. HOWEVER, THEY ARE CONSIDERED TO HAVE LESS IMMEDIATE IMPACT AND WILL BE ADDRESSED IN A FUTURE PLAN, OR IF THE OPPORTUNITY ARISES, COULD BE INCORPORATED WITHIN A CURRENT STRATEGY. SHANNON WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND A WAY TO PROVIDE THESE ESSENTIAL SERVICES TO OUR PATIENTS.
SCHEDULE H, PART V, SECTION B, LINES 7A & 10A	CHNA AVAILABLE ON HOSPITAL FACILITY'S WEBSITE HTTPS://WWW.SHANNONHEALTH.COM/EDUCATION-RESOURCES/HEALTH-NEEDS-ASSESSMENT. ASPX IMPLEMENTATION STRATEGY AVAILABLE ON HOSPITAL FACILITY'S WEBSITE: https://www.shannonhealth.com/media/1515/signed-implementation-plan-2017.p df
SCHEDULE H, PART V, SECTION B LINE 16A	FAP WEBSITE URL: https://www.shannonhealth.com/media/1051/501r-financial-assistance-policy- final-to-marketing-english.pdf
SCHEDULE H, PART V, SECTION B LINE 16B	FAP APPLICATION FORM URL: https://www.shannonhealth.com/media/1049/shannon-financial-responsibility- report.pdf
SCHEDULE H, PART V, SECTION B LINE 16C	PLAIN LANGUAGE SUMMARY OF FAP URL: https://www.shannonhealth.com/media/1053/501r-smc-financial-assistance-pol icy-summary-english-final-to-marketing.pdf

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SHANNON SURGERY CENTER
120 E HARRIS AVENUE	SAN ANGELO	TX	76903	AMBULATROY SURGERY CENTER
SHANNON HOME HEALTH
2030 PULLIAM STE 6	SAN ANGELO	TX	76905	HOME HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINES 2 & 3	COSTING METHODOLOGY LINE 2: AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. 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	DESCRIPTION OF BAD DEBT SEE PAGES 9-10 OF THE ATTACHED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	SURPLUS OR SHORTFALL SHORTFALL: 3,683,428 OBTAINED FROM THE MEDICARE COST REPORT PAYABLE LINE LESS SEQUESTRATION TO COMPUTE NET COST FOR COMPARISON TO NET INTERIM PAYMENTS. 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.
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 V, SECTION B	NEEDS ASSESSMENT THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT GATHERED OVERALL HEALTH INFORMATION OF THE COMMUNITY. ANALYSIS OF THE COMMUNITY NEEDS ASSESSMENT DATA PROVIDED A MEANS TO EVALUATE AND PRIORITIZE AREAS OF GREATEST NEED. TO FACILITATE PRIORITIZATION OF IDENTIFIED HEALTH NEEDS, A RANKING AND PRIORITIZATION PROCESS WAS USED. HEALTH NEEDS WERE RANKED BASED ON THE FOLLOWING FIVE FACTORS: -HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE? -WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM? -THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS -HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY? -PREVALENCE OF COMMON THEMES EACH FACTOR RECEIVED A RATING SCORE BETWEEN 0 AND 5. RATINGS WERE BASED ON THE PERCENTAGE OF THE COMMUNITY WHO ARE IMPACTED BY THE IDENTIFIED NEED. THE FOLLOWING SCALE WAS UTILIZED: >25% OF THE COMMUNITY= 5; >15% AND <25%=4; >10% AND <15%=3; >5% AND <10%=2 AND <5%=1. BELOW ARE THE ISSUES WITH THE TOP FIVE SCORES. BY FOCUSING PRIMARILY ON HEALTH NEEDS WITH HIGHER TOTAL SCORES, OVERALL COMMUNITY HEALTH WILL LIKELY IMPROVE AS THESE NEEDS HAVE THE GREATEST IMPACT ON OVERALL HEALTH AND THE HOSPITAL IS MORE LIKELY TO INFLUENCE A POSITIVE IMPACT ON THESE NEEDS. HEALTH NEED TOTAL SCORE ______________________________________________________________________ LACK OF HEALTH KNOWLEDGE/EDUCATION 22 HEALTHY BEHAVIORS/LIFESTYLE CHANGES 21 ADULT OBESITY 20 POVERTY/FINANCIAL RESOURCES/CHILDREN IN POVERTY 19 DIABETES 19 AS A RESULT FROM THE ANALYSIS, PRIORITIES WERE DETERMINED BY TAKING INTO ACCOUNT THE OVERALL RANKING, THE DEGREE TO WHICH SHANNON CAN INFLUENCE LONG-TERM CHANGE AND THE IDENTIFIED HEALTH NEEDS IMPACT ON OVERALL HEALTH. THE FOLLOWING PRIORITIES WERE IDENTIFIED: -HEALTHY LIVING -PREVENTION AND DISEASE MANAGEMENT -EDUCATION SHANNON MEDICAL CENTER CORRELATED COMMUNITY PRIORITIES HEALTH NEED --------------------------------------------------- HEALTHY LIVING -ADULT OBESITY -UNINSURED -PHYSICAL INACTIVITY -LIMITED ACCESS TO HEALTH FOODS/NUTRITION PREVENTION AND DISEASE MANAGEMENT -DIABETES -LACK OF PRIMARY CARE PHYSICIANS -HIGH BLOOD PRESSURE EDUCATION -LACK OF HEALTH KNOWLEDGE/EDUCATION -HEALTHY BEHAVIORS/LIFESTYLE CHANGES -LANGUAGE/CULTURAL MINDSET THE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN CAN BE FOUND AT: https://www.shannonhealth.com/education-resources/health-needs-assessment. aspx
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR 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 2018 OF 118,189. TOM GREEN COUNTY'S POPULATION IN 2017 IS REPORTED AT 118,019. THE ESTIMATED POPULATION FOR SHANNON'S SERVICE AREA AS OF 2018, INCLUDING TOM GREEN COUNTY, IS 357,589 (U.S. CENSUS BUREAU, STATE & 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 & COUNTY QUICKFACTS, THE COUNTY INFORMATION PROJECT, TEXAS ASSOCIATION OF COUNTIES.) A. Tom Green County Age Distribution 1. Under 18 years old 23.7% (28,011) 2. 18-64 years old 61.1% (72,213) 3. 65 years and older 15.2% (17,965) B. Tom Green County Ethnic Distribution (More than one category may be self-reported) 1. Caucasian 53.2% (62,877) 2. Hispanic 30.0% (47,276) 3. Black 4.4% (5,200) 4. Other 2.4% (2,836) C. Tom Green County (Household) 1. Median Household Income $49,662 (Texas: $57,051) 2. Persons living in poverty level 13.5 % (Texas: 14.7%) D. Tom Green County Health Index 1. Tom Green County uninsured 17.9% (Texas: 19.4%, United States: 10.2%) (Source: U.S. Census Bureau, Quickfacts, 2018)
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 80 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 FY2018 CHARITY CARE FIGURE OF MORE THAN $75,686,016 WOULD BE A BURDEN TO THE TAXPAYERS OF TOM GREEN COUNTY, AND MANY OTHER COUNTIES WHOSE CITIZENS DIRECTLY BENEFIT FROM HER GENEROSITY. SHANNON PROVIDES A HOST OF COMMUNITY EDUCATION EVENTS RELATED TO TOPICS SUCH AS CANCER PREVENTION AND SCREENINGS, DIABETES EDUCATION, FITNESS AND NUTRITION, CHILDBIRTH AND CHILD CARE, AND CARDIOVASCULAR HEALTH. THROUGH EDUCATIONAL EVENTS LIKE HEALTHBEAT LIVE AND VARIOUS COMMUNITY EVENTS, HEALTH PROFESSIONALS RELAY CURRENT HEALTH INFORMATION TO THE PUBLIC. SHANNON PROVIDES HEALTH AND WELLNESS PRESENTATIONS TO NUMEROUS NON-PROFITS, BUSINESSES AND ORGANIZATIONS, INCLUDING REGIONAL SCHOOL DISTRICTS AND ANGELO STATE UNIVERSITY. 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 $167,700 FOR THESE PROGRAMS. SHANNON IS A PROUD SPONSOR AND CONTRIBUTOR TO THE LOCAL GO RED LUNCHEON. GO RED IS A NATIONAL INITIATIVE AIMED AT UNITING WOMEN, MEN, AND THEIR FRIENDS AND FAMILY IN THE FIGHT AGAINST HEART DISEASE. THE LUNCHEON IS DESIGNED TO HELP EDUCATE AND BRING AWARENESS TO THE COMMUNITY ABOUT HOW HEART DISEASE AFFECTS WOMEN AND MEN DIFFERENTLY, AND HOW TO TAKE STEPS TO ADDRESS THEIR RISK FOR A HEART ATTACK. SHANNON UNDERSTANDS THAT CONTINUED EDUCATION AND AWARENESS IS CRUCIAL FOR WOMEN AND MEN TO FIGHT THIS DEADLY DISEASE. IN ADDITION, SHANNON OFFERS VARIOUS FREE SCREENING SERVICES, SUCH AS BLOOD PRESSURE CHECKS, AT THIS EVENT. APPROXIMATELY 500 COMMUNITY MEMBERS WERE IN ATTENDANCE TO THE GO RED LUNCHEON. THIS EVENT IS PROVIDED AT A COST OF $10,344 TO SHANNON. SHANNON SUPPORTS HEALTH AND FITNESS ACTIVITIES, AS WELL. TO ADDRESS THE GROWING CONCERN OVER CHILDHOOD OBESITY, THE KIDS MARATHON EVENT PROVIDES AN OPPORTUNITY FOR STUDENTS, RANGING FROM KINDERGARTEN THROUGH SIXTH GRADE, TO PARTICIPATE IN A PROGRAM THAT ENCOURAGES HEALTHY HABIT FORMATION EARLY IN LIFE. A FULL MARATHON IS CONSIDERED 26.2 MILES. STUDENTS ACCUMULATE MILES AND RUN THE LAST 0.2 LAP DURING A CELEBRATORY EVENT AT THE SAN ANGELO STADIUM. THE EVENT HOSTS ORGANIZATIONS THAT OFFER LOCAL SUMMER PROGRAMS AND CAMPS THAT ENCOURAGE CHILDREN TO REMAIN ACTIVE THROUGH THE SUMMER MONTHS. THIS EVENT IS PROVIDED AT A COST OF $3,720 TO SHANNON. 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 $19,576 TO SHANNON. SHANNON IS THE ONLY PROVIDER THAT OPERATES THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) IN THE SHANNON SERVICE AREA. SANE TRAINED NURSES WORK WITH THE CHILDRENS 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 1930S, PROVIDES THE COMMUNITIES OF WEST CENTRAL TEXAS WITH A VARIETY OF MEDICAL SERVICES. DEDICATED TO THE REGIONS 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 I, LINE 3C	SHANNON MEDICAL CENTER ALSO USES INSURANCE STATUS AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7, COLUMN F	BAD DEBT EXPENSE OF $25,682,365 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 I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
HOWARD COLLEGE
3501 N US HWY 67	SAN ANGELO	TX	76905	756001827	501(C)(3)	$20,000	ADN & LVN TO RN PROGRAM
TEXAS CARE ALLIANCE
7160 DALLAS PARKWAY	DALLAS	TX	75024	462829563	501(C)(3)	$150,461	OPERATING COST PAID-IN CAPITAL

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING USE OF GRANT FUNDS THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
BRYAN HORNER
FORMER CEO/PRESIDENT	$66,562	$0	$0	$0	$2,477,761	$0	$2,326	$0	$0	$0	$2,546,649	$0
MICHELLE SNUGGS MD
DIRECTOR	$0	$464,361	$0	$337,142	$0	$71,974	$0	$50,272	$0	$32,142	$0	$955,891
KELLY SHANE PLYMELL
CEO/PRESIDENT	$609,536	$0	$63,378	$0	$0	$0	$73,458	$0	$19,494	$0	$765,866	$0
IRVIN ZEITLER MD
MEDICAL DIR. (THRU 12/31/17)	$466,510	$0	$69,957	$0	$0	$0	$66,303	$0	$6,089	$0	$608,859	$0
CHRIS BARNETT MD
MEDICAL DIRECTOR	$573,683	$0	$30,074	$0	$0	$0	$52,951	$0	$3,620	$0	$660,328	$0
PAM BRADSHAW
CNO/COO	$335,227	$0	$50,312	$0	$0	$0	$27,385	$0	$19,494	$0	$432,418	$0
STACI WETZ
CFO	$325,074	$0	$51,976	$0	$0	$0	$27,967	$0	$20,753	$0	$425,770	$0
ANDREW HUME MD
DIRECTOR	$0	$533,194	$0	$170,512	$0	$69,315	$0	$48,784	$0	$33,024	$0	$854,829
MARGARET BENSON
CHIEF COMPLIANCE OFFICER	$202,535	$0	$0	$0	$0	$0	$8,302	$0	$5,489	$0	$216,326	$0
STEPHEN LUBKE
DIRECTOR OF PHARMACY	$188,587	$0	$0	$0	$0	$0	$7,490	$0	$5,039	$0	$201,116	$0
STEPHANIE MCCANN
ASSISTANT DIRECTOR OF PHARMACY	$174,760	$0	$0	$0	$0	$0	$7,174	$0	$7,340	$0	$189,274	$0
GREG WHEELER
DIRECTOR OF REIMBURSEMENT	$183,309	$0	$0	$0	$0	$0	$7,294	$0	$4,736	$0	$195,339	$0
JAMES NAYLOR
CHIEF ECHO SONOGRAPHER	$176,972	$0	$0	$0	$0	$0	$7,365	$0	$10,410	$0	$194,747	$0
LISA HILL
GENERAL COUNSEL	$339,577	$0	$49,388	$0	$0	$0	$54,299	$0	$13,433	$0	$456,697	$0

Supplemental Information Detail SupplementalInformationDetail (3 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 4C	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 NAME AMOUNT ---------------- ---------------- IRVIN ZEITLER 55,503 CHRIS BARNETT 42,151 KELLY PLYMELL 62,658 PAM BRADSHAW 16,585 STACI WETZ 17,167 LISA HILL 43,499
SERP DISTRIBUTION	NAME AMOUNT ----------- ----------- BRYAN HORNER 2,477,761

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DIANE ZEITLER	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	DR IRVIN ZEITLER'S SPOUSE	RelationshipDescriptionTxt
Transaction	$161,980	TransactionAmt
Transaction	EMPLOYED BY SMC	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS MARGARET SHANNON ESTATE, A TESTAMENTARY TRUST, 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, THE TRUSTEES OF SHANNON WEST TEXAS MEMORIAL HOSPITAL, 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 CONTRACT 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. THE ORGANIZATION'S FINANCE COMMITTEE WILL REVIEW AFTER THE FORM IS FILED.
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 INTEGRATED HEALTH STRATEGIES DID AN EXECUTIVE COMPENSATION STUDY IN 2015 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 ORGANIZATIONS 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 OF FUND BALANCES TRANSFERS TO/FROM AFFILIATES $ (60,028,899) CHANGE IN SHANNON TRUST NET ASSETS 25,582,704 NET ASSETS RELEASED FROM RESTRICTION (35,000,000) --------------- $ (69,446,195)
FORM 990, PART VI, SECTION A, LINE 4	CHANGE TO GOVERNING DOCUMENTS SMC AMENDED THEIR BYLAWS EFFECTIVE 10/4/2018 TO CHANGE ITS SOLE MEMBER FROM MARGARET SHANNON ESTATE TO SHANNON HEALTH SYSTEM.

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 REAL ESTATE SERVICES INC
120 E HARRIS AVE	SAN ANGELO	TX	76903	270075630	SUPPORT SVCS	TX	501(C)(3)	12B	SMC	Yes (true)
SHANNON HEALTH SYSTEM
120 E HARRIS AVE	SAN ANGELO	TX	76903	752602411	SUPPORT SVCS	TX	501(C)(3)	12A	SHANNON EST	Yes (true)
SHANNON CLINIC
120 E HARRIS AVE	SAN ANGELO	TX	76903	752600873	HEALTHCARE	TX	501(C)(3)	10	SHS	Yes (true)
SHANNON BUSINESS SERVICES INC
120 E HARRIS AVE	SAN ANGELO	TX	76903	432038769	SUPPORT SVCS	TX	501(C)(3)	12B	SMC	Yes (true)
SHANNON MEDICAL MANAGEMENT
120 E HARRIS AVE	SAN ANGELO	TX	76903	208367966	SUPPORT SVCS	TX	501(C)(3)	10	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	$1,213,455	$5,014,496	false	$0	Yes (true)	0.56247
REGIONAL CANCER TREATMENT CTR
102 N MAGDALEN STE 120	SAN ANGELO	TX	76903	752225955	RADIOTHERAPY	TX	NA	RELATED	$308,103	$1,704,132	false	$0	false	0.18831

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 (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SHANNON BUSINESS SERVICES
C	$1,675,738	BOOK VALUE
SHANNON BUSINESS SERVICES
J	$137,427	BOOK VALUE
SHANNON BUSINESS SERVICES
P	$667,270	BOOK VALUE
SHANNON BUSINESS SERVICES
S	$12,645,948	BOOK VALUE
SHANNON BUSINESS SERVICES
Q	$14,086,430	BOOK VALUE
SHANNON CLINIC
P	$23,114,272	BOOK VALUE
SHANNON CLINIC
Q	$9,130,100	BOOK VALUE
SHANNON CLINIC
R	$103,925,228	BOOK VALUE
SHANNON CLINIC
S	$89,997,620	BOOK VALUE
SHANNON MEDICAL MANAGEMENT
P	$1,754,033	BOOK VALUE
SHANNON MEDICAL MANAGEMENT
Q	$18,797,193	BOOK VALUE
SHANNON MEDICAL MANAGEMENT
R	$31,046,569	BOOK VALUE
SHANNON REAL ESTATE SERVICES
K	$233,257	BOOK VALUE
SHANNON REAL ESTATE SERVICES
P	$752,548	BOOK VALUE
SHANNON REAL ESTATE SERVICES
Q	$1,103,523	BOOK VALUE
SHANNON REAL ESTATE SERVICES
R	$10,786,213	BOOK VALUE
Trustees Shannon West Texas Hospital
C	$35,000,000	BOOK VALUE