SHANNON MEDICAL CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SHANNON MEDICAL CENTER (EIN 75-2559845)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-15
- IRS object ID
- 201842279349300934
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-15T08:45:08-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | 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 | 2016-10-01 | 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 | SHANE PLYMELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3256536741 | PhoneNum |
| Signature | 2018-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | M P Gerich | PreparerPersonNm |
| PTIN | P00226776 | PTIN |
| Phone | 7134994600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | $342,194,699 | 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 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 | 2278 | TotalEmployeeCnt |
| Total Volunteers | 127 | TotalVolunteersCnt |
| Total Gross UBI | $364,242 | TotalGrossUBIAmt |
| PY Contributions Grants | $19,764,055 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,944,675 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $317,208,266 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $311,672,004 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,486,031 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,790,583 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,221,387 | PYOtherRevenueAmt |
| CY Other Revenue | $2,606,237 | CYOtherRevenueAmt |
| PY Total Revenue | $344,679,739 | PYTotalRevenueAmt |
| CY Total Revenue | $342,013,499 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $118,657 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $61,295 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $109,947,423 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $117,015,555 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $171,569,367 | PYOtherExpensesAmt |
| CY Other Expenses | $166,190,141 | CYOtherExpensesAmt |
| PY Total Expenses | $281,635,447 | PYTotalExpensesAmt |
| CY Total Expenses | $283,266,991 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $63,044,292 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $58,746,508 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $392,361,351 | TotalAssetsBOYAmt |
| Total Assets EOY | $406,369,557 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $58,327,107 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $58,153,337 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $334,034,244 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $348,216,220 | 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 | $224,315,731 | ExpenseAmt |
| Grant | $61,295 | GrantAmt |
| Revenue | $314,130,281 | RevenueAmt |
| Desc | PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS. | Desc |
| Total Program Service Expenses | $224,315,731 | 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 | 227 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2278 | 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 | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| 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 (24 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 |
|---|---|---|---|---|---|---|---|---|---|
| BRYAN HORNER | |||||||||
| CEO/PRESIDENT (THRU 12/31/16) | 16.0 | 24.0 | Yes (X) | $847,012 | $0 | $23,200 | |||
| LEN MERTZ | |||||||||
| CHAIRMAN | 2.0 | 18.0 | Yes (X) | $0 | $3,240 | $7,271 | Yes (X) | ||
| JAMES JOHNSON | |||||||||
| SECRETARY/TREASURER | 2.0 | 6.0 | Yes (X) | $15,200 | $21,648 | $180 | Yes (X) | ||
| JOE HENDERSON | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 6.0 | Yes (X) | $23,850 | $28,615 | $427 | |||
| ORAN BERRY III | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 6.0 | Yes (X) | $21,000 | $27,700 | $678 | |||
| VIRGINIA NOELKE | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 4.0 | Yes (X) | $18,450 | $0 | $0 | |||
| MIKE BOYD | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 6.0 | Yes (X) | $0 | $0 | $38 | |||
| MIKE OLIPHANT | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 6.0 | Yes (X) | $21,350 | $27,615 | $309 | |||
| STEVE CECIL | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 6.0 | Yes (X) | $21,250 | $24,000 | $5,053 | |||
| JOANNE RICE | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 4.0 | Yes (X) | $21,250 | $0 | $0 | |||
| PAMELA TALLEY | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 4.0 | Yes (X) | $22,850 | $0 | $0 | |||
| MICHELLE SNUGGS MD | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 38.0 | Yes (X) | $0 | $820,647 | $105,814 | |||
| KELLY SHANE PLYMELL | |||||||||
| CEO/PRESIDENT | 16.0 | 24.0 | Yes (X) | $601,058 | $0 | $58,148 | Yes (X) | ||
| ANDREW HUME MD | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 38.0 | Yes (X) | $0 | $663,559 | $103,008 | |||
| MICHAEL TED WEATHERFORD | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 6.0 | Yes (X) | $5,400 | $5,500 | $38 | |||
| ANGELA WILLIAMS | |||||||||
| DIRECTOR/TRUSTEE | 2.0 | 4.0 | Yes (X) | $20,900 | $0 | $0 | |||
| PAM BRADSHAW | |||||||||
| CNO/COO | 32.0 | 8.0 | $290,380 | $0 | $23,277 | Yes (X) | |||
| STACI WETZ | |||||||||
| CFO | 16.0 | 24.0 | $291,124 | $0 | $29,456 | Yes (X) | |||
| DR IRVIN ZEITLER | |||||||||
| MEDICAL DIRECTOR | 38.0 | 2.0 | $565,887 | $0 | $45,954 | Yes (X) | |||
| JAMES NAYLOR | |||||||||
| CHIEF ECHO SONOGRAPHER | 40.0 | 0.0 | $188,805 | $0 | $15,703 | Yes (X) | |||
| LISA HILL | |||||||||
| GENERAL COUNSEL | 20.0 | 20.0 | $319,788 | $0 | $41,123 | Yes (X) | |||
| MARGARET BENSON | |||||||||
| CHIEF COMPLIANCE OFFICER | 40.0 | 0.0 | $190,035 | $0 | $12,769 | Yes (X) | |||
| STEPHEN LUBKE | |||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0.0 | $182,471 | $0 | $10,978 | Yes (X) | |||
| THOMAS PERKINS | |||||||||
| DIRECTOR OF IT | 40.0 | 0.0 | $185,809 | $0 | $11,121 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,853,869 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,622,524 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $494,545 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 99 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| LOTT BROTHERS | |||||
| PO BOX 203594 | AUSTIN | TX | 78720 | CONSTRUCTION | $14,969,532 |
| HEALTH CAROUSEL LLC | |||||
| PO BOX 714216 | CINCINNATI | OH | 45271 | STAFFING SERVICES | $1,084,378 |
| KANSAS CITY SERIES LOCKTON COMPANI | |||||
| PO BOX 802707 | KANSAS CITY | MS | 64180 | INSURANCE | $605,967 |
| SIGNET HEALTH CORP | |||||
| 235 W HICKORY SUITE 201 | DENTON | TX | 76201 | CONSULTING | $420,019 |
| AVANT HEALTHCARE PROFESSIONALS | |||||
| PO BOX 60839 | CHARLOTTE | NC | 28260 | STAFFING SERVICES | $414,637 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $19,944,675 | RelatedOrganizationsAmt |
| Total Contributions | $19,944,675 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 621990 | $311,185,296 | $311,094,568 | $90,728 |
| Rental Income | 532000 | $486,708 | $486,708 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $311,672,004 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,048,393 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $125,554 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,922,839 | 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 | $5,923,390 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $181,200 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,923,390 | SecuritiesAmt |
| Other | -$181,200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,742,190 | TotalRevenueColumnAmt |
| Exclusion | $5,742,190 | 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 | $1,855,353 | $1,855,353 | |
| All Other Misc Revenue | 900099 | $750,884 | $602,924 | $147,960 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,606,237 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $342,013,499 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $314,039,553 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $364,242 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,665,029 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,295 | TotalAmt |
| Program Services | $61,295 | 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 | $2,786,961 | TotalAmt |
| Management And General | $2,786,961 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,809 | TotalAmt |
| Program Services | $185,809 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,558,026 | TotalAmt |
| Program Services | $74,436,424 | ProgramServicesAmt |
| Management And General | $21,121,602 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,750,634 | TotalAmt |
| Program Services | $2,167,830 | ProgramServicesAmt |
| Management And General | $582,804 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,221,703 | TotalAmt |
| Program Services | $7,052,608 | ProgramServicesAmt |
| Management And General | $2,169,095 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,512,422 | TotalAmt |
| Program Services | $4,941,207 | ProgramServicesAmt |
| Management And General | $1,571,215 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,150 | TotalAmt |
| Management And General | $236,150 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $791,286 | TotalAmt |
| Management And General | $791,286 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,412 | TotalAmt |
| Management And General | $114,412 | 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 | $35,191,920 | TotalAmt |
| Program Services | $24,470,614 | ProgramServicesAmt |
| Management And General | $10,721,306 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,012,210 | TotalAmt |
| Program Services | $20,051 | ProgramServicesAmt |
| Management And General | $992,159 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,140,659 | TotalAmt |
| Program Services | $426,583 | ProgramServicesAmt |
| Management And General | $4,714,076 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,168,354 | TotalAmt |
| Program Services | $1,120,584 | ProgramServicesAmt |
| Management And General | $3,047,770 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,434,991 | TotalAmt |
| Program Services | $510,237 | ProgramServicesAmt |
| Management And General | $1,924,754 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,275 | TotalAmt |
| Program Services | $216,245 | ProgramServicesAmt |
| Management And General | $221,030 | 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 | $13,677,992 | TotalAmt |
| Program Services | $8,938,428 | ProgramServicesAmt |
| Management And General | $4,739,564 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $454,199 | TotalAmt |
| Management And General | $454,199 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $74,570,864 | $74,453,719 | $117,145 |
| Bad Debt | $21,175,476 | $21,175,476 | |
| Equipment Costs | $4,303,576 | $3,063,588 | $1,239,988 |
| Collection Fees | $835,854 | $835,854 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,644,923 | TotalAmt |
| Program Services | $1,075,033 | ProgramServicesAmt |
| Management And General | $569,890 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,266,991 | TotalAmt |
| Program Services | $224,315,731 | ProgramServicesAmt |
| Management And General | $58,951,260 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,184,415 | BOYAmt |
| EOY | $15,610,966 | 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 | $21,188,359 | BOYAmt |
| EOY | $25,835,819 | 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 | $541,817 | BOYAmt |
| EOY | $532,639 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,913,553 | BOYAmt |
| EOY | $5,920,326 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,763,591 | BOYAmt |
| EOY | $3,361,627 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $295,965,507 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $175,005,551 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,755,889 | BOYAmt |
| EOY | $120,959,956 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,009,931 | BOYAmt |
| EOY | $81,501,620 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $818,922 | 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 | $147,410,267 | BOYAmt |
| EOY | $149,235,153 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,361,351 | BOYAmt |
| EOY | $406,369,557 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,150,539 | BOYAmt |
| EOY | $38,378,781 | 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 | $2,025 | 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 | $20,015,122 | BOYAmt |
| EOY | $13,206,978 | 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 | $8,159,421 | BOYAmt |
| EOY | $6,565,553 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,327,107 | BOYAmt |
| EOY | $58,153,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,881,614 | BOYAmt |
| EOY | $203,091,066 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,152,630 | BOYAmt |
| EOY | $145,125,154 | 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 | $334,034,244 | BOYAmt |
| EOY | $348,216,220 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,361,351 | BOYAmt |
| EOY | $406,369,557 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $58,746,508 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,610,710 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$46,175,242 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,122,978 | OtherCostOrOtherBasisAmt |
| Book Value | $5,122,978 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $85,317,071 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,660,401 | DepreciationAmt |
| Book Value | $23,656,670 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,381 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $152,712,535 | OtherCostOrOtherBasisAmt |
| Depreciation | $111,619,966 | DepreciationAmt |
| Book Value | $41,092,569 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,811,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,723,803 | DepreciationAmt |
| Book Value | $51,087,739 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $120,959,956 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INT IN NET ASSETS - SHANNON TR | $145,125,154 |
| Self Insurance Trust | $3,775,341 |
| Interest Receivable | $334,658 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $149,235,153 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Asset Retirement Obligation | $978,137 |
| Accrued Pension Cost | $966,503 |
| Malpractice Costs | $1,158,720 |
| Due to/from third party payors | $3,332,286 |
| Long Term Incentive Accrual | $129,837 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,565,553 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $302,874,603 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,610,710 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$21,236,771 | OtherRevenueAmt |
| Revenue Not Reported | -$19,626,061 | RevenueNotReportedAmt |
| Revenue Subtotal | $322,500,664 | RevenueSubtotalAmt |
| Other Revenues Not Included | $19,512,835 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $19,512,835 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $342,013,499 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $262,030,220 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $262,030,220 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $21,236,771 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $21,236,771 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $283,266,991 | 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) $ 21,175,476 GRANTS INCLUDED IN REVENUE ON AUDIT 61,295 ----------- $ 21,236,771 |
| SCHEDULE D, PART XI, LINE 4B | INCOME INCLUDED ON THE RETURN NOT ON BOOKS CONTRIBUTIONS RECORDED TO NET ASSETS $ 19,512,835 |
| 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 | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,749,719 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,749,719 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05210 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,019,103 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,151,343 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$2,132,241 | NetCommunityBenefitExpnsAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $486,128 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $231,042 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $255,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,254,950 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,382,385 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,872,564 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $511,459 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $511,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $591,762 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $591,762 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,123,418 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,123,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03570 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $151,368 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $151,368 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $150,617 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $150,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,528,624 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,528,624 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,783,574 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,382,385 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,401,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09360 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $21,260,042 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $90,677,710 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $85,144,201 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,533,509 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1Txt |
| City | SAN ANGELO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SHANNONHEALTH.COM | WebsiteAddressTxt |
| 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 | 200. | 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 (7 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 22D | ALL PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE RESPONSIBLE FOR PAYMENT OF THE AMOUNT GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE LOOK BACK METHOD WILL BE USED TO CALCULATE AGB DISCOUNT TO BE APPLIED TO GROSS BILLED CHARGES TO DETERMINE THE AMOUNT OF PATIENT RESPONSIBILITY. THIS CALCULATION WILL BE PERFORMED ON AN ANNUAL BASIS. |
| 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/204664/Signed-Implementation-Plan-2017 .pdf |
| SCHEDULE H, PART V, SECTION B LINE 16A | FAP WEBSITE URL: https://www.shannonhealth.com/media/224035/501r-Financial-Assistance-Polic y-English-2017.pdf |
| SCHEDULE H, PART V, SECTION B LINE 16B | FAP APPLICATION FORM URL: https://www.shannonhealth.com/media/192408/Shannon-Financial-Responsibilit y-Report.pdf |
| SCHEDULE H, PART V, SECTION B LINE 16C | PLAIN LANGUAGE SUMMARY OF FAP URL: https://www.shannonhealth.com/media/224029/501r-SMC-Financial-Assistance-P olicy-Summary-English-2017.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 B | SURPLUS OR SHORT FALL SHORTFALL: N/A COSTING METHODOLOGY: THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT. |
| 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 |
| 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. |
| 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 2017 OF 118,019. TOM GREEN COUNTY'S POPULATION IN 2016 IS REPORTED AT 118,386. THE ESTIMATED POPULATION FOR SHANNON'S SERVICE AREA AS OF 2017, INCLUDING TOM GREEN COUNTY, IS 355,827 (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% (27,970) 2. 18-64 years old 61.3% (72,345) 3. 65 years and older 15.0% (17,702) B. Tom Green County Ethnic Distribution (More than one category may be self-reported) 1. Caucasian 54.0% (64,269) 2. Hispanic 39.3% (46,381) 3. Black 4.5% (5,310) 4. Other 2.2% (2,596) C. Tom Green County (Household) 1. Median Household Income $47,637 (Texas: $54,727) 2. Persons living in poverty level 13.4 % (Texas: 15.6%) D. Tom Green County Health Index 1. Tom Green County uninsured 17.2% (Texas: 18.6%, United States: 10.1%) (Source: U.S. Census Bureau, Quickfacts, 2016) |
| 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 FY2017 charity care figure of more than $75,331,969 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, and cardiovascular health. Through educational events like Health Beat 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 the local 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 Health Beat newsletter magazine which is delivered to 30,000 households and produces Health Beat television spots that air during the 6 and 10 p.m. news hours on two local stations. Shannon contributed $106,020 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. This event is provided at a cost of $16,295 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 $14,337 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. |
| 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, Shannon offers diverse clinical services, including a nationally-recognized cardiac care program, nationally-recognized ICU, the regions lead Level III Trauma Facility and AirMed 1 air ambulance serving a 200-mile radius of San Angelo, a dedicated Womens & Childrens Hospital which is home to the Childrens Miracle Network, and the most extensive Senior Health services in the Concho Valley. 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. |
| STATE FILLING OF COMMUNITY BENEFIT REPORT | TEXAS |
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) | $19,000 | ADN & LVN TO RN PROGRAM |
| TEXAS CARE ALLIANCE | |||||||
| 7160 DALLAS PARKWAY | DALLAS | TX | 75024 | 462829563 | 501(C)(3) | $42,295 | |
| 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 (12 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 | ||||||||||||
| CEO/PRESIDENT (THRU 12/31/16) | $640,125 | $0 | $188,887 | $0 | $18,000 | $0 | $10,600 | $0 | $12,600 | $0 | $870,212 | $0 |
| MICHELLE SNUGGS MD | ||||||||||||
| DIRECTOR/TRUSTEE | $0 | $630,110 | $0 | $147,710 | $0 | $42,827 | $0 | $72,532 | $0 | $33,282 | $0 | $926,461 |
| KELLY SHANE PLYMELL | ||||||||||||
| CEO/PRESIDENT | $449,578 | $0 | $133,480 | $0 | $18,000 | $0 | $39,795 | $0 | $18,353 | $0 | $659,206 | $0 |
| DR IRVIN ZEITLER | ||||||||||||
| MEDICAL DIRECTOR | $411,286 | $0 | $136,601 | $0 | $18,000 | $0 | $40,347 | $0 | $5,607 | $0 | $611,841 | $0 |
| PAM BRADSHAW | ||||||||||||
| CNO/COO | $257,449 | $0 | $32,931 | $0 | $0 | $0 | $5,185 | $0 | $18,092 | $0 | $313,657 | $0 |
| ANDREW HUME MD | ||||||||||||
| DIRECTOR/TRUSTEE | $0 | $579,890 | $0 | $44,748 | $0 | $38,921 | $0 | $71,044 | $0 | $31,964 | $0 | $766,567 |
| STACI WETZ | ||||||||||||
| CFO | $241,951 | $0 | $31,173 | $0 | $18,000 | $0 | $10,600 | $0 | $18,856 | $0 | $320,580 | $0 |
| JAMES NAYLOR | ||||||||||||
| CHIEF ECHO SONOGRAPHER | $188,805 | $0 | $0 | $0 | $0 | $0 | $7,523 | $0 | $8,180 | $0 | $204,508 | $0 |
| LISA HILL | ||||||||||||
| GENERAL COUNSEL | $293,728 | $0 | $26,060 | $0 | $0 | $0 | $28,654 | $0 | $12,469 | $0 | $360,911 | $0 |
| MARGARET BENSON | ||||||||||||
| CHIEF COMPLIANCE OFFICER | $190,035 | $0 | $0 | $0 | $0 | $0 | $7,601 | $0 | $5,168 | $0 | $202,804 | $0 |
| STEPHEN LUBKE | ||||||||||||
| DIRECTOR OF PHARMACY | $182,471 | $0 | $0 | $0 | $0 | $0 | $7,292 | $0 | $3,686 | $0 | $193,449 | $0 |
| THOMAS PERKINS | ||||||||||||
| DIRECTOR OF IT | $185,809 | $0 | $0 | $0 | $0 | $0 | $7,432 | $0 | $3,689 | $0 | $196,930 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4B | NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS SERP DETAIL NAME AMOUNT BRYAN HORNER NONE 457(F) DETAIL NAME AMOUNT KELLY S. PLYMELL $29,195 DR. IRVIN ZEITLER $29,747 LISA HILL $18,054 FIXED CONTRIBUTION - THE PARTICIPANT'S ALLOWANCE PERCENTAGE FOR THE PLAN YEAR MULTIPLIED BY THE PARTICIPANT'S BASE SALARY FOR THE PRECEEDING 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 PRECEEDING PLAN YEAR, AS MEASURED DURING THE FISCAL YEAR OF THE COMPANY ENDING IN SUCH PRECEEDING PLAN YEAR. |
| SCHEDULE J, PART I, QUESTION 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DIANE ZEITLER | |||
| DR. IRVIN ZEITLER'S SPOUSE | $185,809 | EMPLOYED BY SMC | false |
| LEN MERTZ | |||
| PERAHEALTH BOARD CHAIR | $137,047 | SMC & PERAHEALTH HAVE CONTRACT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERS OR STOCKHOLDERS 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, LINES 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 $ (49,147,767) CHANGE IN SHANNON TRUST NET ASSETS 22,472,525 NET ASSETS RELEASED FROM RESTRICTION (19,500,000) ------------ $ (46,175,242) |
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 | $328,579 | $4,197,055 | false | $0 | Yes (true) | 0.56247 |
| REGIONAL CANCER TREATMENT CTR | ||||||||||||||
| 102 N MAGDALEN STE 120 | SAN ANGELO | TX | 76903 | 752225955 | RADIOTHERAPY | TX | NA | RELATED | $39,510 | $1,442,538 | false | $0 | false | 0.18000 |
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 (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SHANNON BUSINESS SERVICES | ||
| C | $69,951 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| J | $127,933 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| P | $3,118,780 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| S | $8,975,387 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| Q | $13,020,139 | BOOK VALUE |
| SHANNON CLINIC | ||
| P | $12,672,436 | BOOK VALUE |
| SHANNON CLINIC | ||
| Q | $8,618,635 | BOOK VALUE |
| SHANNON CLINIC | ||
| R | $88,674,271 | BOOK VALUE |
| SHANNON CLINIC | ||
| S | $92,586,397 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| P | $1,509,828 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| Q | $22,372,106 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| R | $22,511,964 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| K | $540,936 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| Q | $3,820,714 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| R | $11,660,843 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| S | $2,393,221 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| P | $80,681 | BOOK VALUE |
| Trustees Shannon West Texas Hospital | ||
| C | $19,500,000 | BOOK VALUE |