SHANNON MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SHANNON MEDICAL CENTER (EIN 75-2559845)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201412269349304471
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2014-08-14T17:40:58-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752559845 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % SHANNON MEDICAL CENTER | InCareOfName |
| Name Control | SHAN | NameControl |
| Phone | 3254818644 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHANE PLYMELL | Name |
| Title | CFO | Title |
| Phone | 3254818644 | Phone |
| Date Signed | 2014-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | M Paige Gerich | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRYAN HORNER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 282845153 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | SHANNONHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2029 | TotalNbrEmployees |
| Total Nbr Volunteers | 130 | TotalNbrVolunteers |
| Total Gross UBI | 332273 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -17071 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 296558 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 24571437 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 228539051 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 249178719 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2221159 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2427063 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5009250 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6667934 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 236066018 | TotalRevenuePriorYear |
| Total Revenue Current Year | 282845153 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 121970 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 89308251 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 118482422 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 121380958 | OtherExpensePriorYear |
| Other Expenses Current Year | 138128506 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 210811179 | TotalExpensesPriorYear |
| Total Expenses Current Year | 256620928 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 25254839 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 26224225 | RevenuesLessExpensesCY |
| Total Assets BOY | 301748880 | TotalAssetsBOY |
| Total Assets EOY | 309018787 | TotalAssetsEOY |
| Total Liabilities BOY | 45995486 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 28147646 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 255753394 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 280871141 | NetAssetsOrFundBalancesEOY |
| Mission Description | FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS AND NEIGHBORS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 203430603 | Expense |
| Grants | 10000 | Grants |
| Revenue | 253199048 | Revenue |
| Description | PROVIDING TOTAL MEDICAL CARE TO THE CITIZENS OF WEST TEXAS. | Description |
| Total Program Service Expense | 203430603 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 101 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2029 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHANNON MEDICAL CENTER | NamePerson |
| Telephone Number | 3256536741 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BRYAN HORNER | ||||||||
| CEO/PRESIDENT | 32.0 | 12.0 | X | X | 662358 | 43860 | ||
| LEN MERTZ | ||||||||
| CHAIRMAN | 2.0 | 18.0 | X | X | 21960 | 4901 | 10896 | |
| JAMES JOHNSON | ||||||||
| SECRETARY/TREASURER | 2.0 | 6.0 | X | X | 25978 | 2881 | 30000 | |
| JOE HENDERSON | ||||||||
| INDIVIDUAL TRUSTEE | 2.0 | 6.0 | X | 27641 | 4042 | 29000 | ||
| ORAN BERRY III | ||||||||
| INDIVIDUAL TRUSTEE | 2.0 | 6.0 | X | 25813 | 9157 | 30000 | ||
| VIRGINIA NOELKE | ||||||||
| DIRECTOR | 2.0 | 4.0 | X | 20600 | ||||
| MIKE BOYD | ||||||||
| INDIVIDUAL TRUSTEE | 2.0 | 6.0 | X | 1560 | ||||
| MIKE OLIPHANT | ||||||||
| INDIVIDUAL TRUSTEE | 2.0 | 6.0 | X | 24350 | 5321 | 30000 | ||
| STEVE CECIL | ||||||||
| INDIVIDUAL TRUSTEE | 2.0 | 6.0 | X | 24750 | 9119 | 30000 | ||
| JOANNE RICE | ||||||||
| DIRECTOR | 2.0 | 4.0 | X | 20400 | ||||
| PAMELA TALLEY | ||||||||
| DIRECTOR | 2.0 | 4.0 | X | 24100 | ||||
| EMMETE FLYNN MD | ||||||||
| DIRECTOR | 2.0 | 4.0 | X | 502638 | 76283 | |||
| MICHELLE SNUGGS MD | ||||||||
| DIRECTOR | 2.0 | 4.0 | X | 560986 | 85930 | |||
| ANGELA WILLIAMS | ||||||||
| DIRECTOR | 2.0 | 6.0 | X | 21000 | ||||
| KELLY SHANE PLYMELL | ||||||||
| CFO | 32.0 | 8.0 | X | 367856 | 72765 | |||
| DR IRVIN ZEITLER | ||||||||
| MEDICAL DIRECTOR | 37.0 | 5.0 | X | 464293 | 64217 | |||
| WILMA STUART | ||||||||
| CNO | 40.0 | 0.0 | X | 278595 | 36824 | |||
| PATRICIA TIPTON | ||||||||
| NURSE ANESTHETIST | 40.0 | 0.0 | 296615 | 35921 | X | |||
| MARVIN HILL | ||||||||
| NURSE ANESTHETIST | 40.0 | 0.0 | 294189 | 47345 | X | |||
| LANCE KEILERS | ||||||||
| ADMINISTRATOR | 40.0 | 0.0 | 173429 | 33752 | X | |||
| TIMOTHY HARTIN | ||||||||
| CCO | 40.0 | 5.0 | 260654 | 57725 | X | |||
| PAULINE JAMES | ||||||||
| NURSE ANESTHETIST | 40.0 | 0.0 | 178252 | 35157 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4278017 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 159896 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 625200 | TotalOtherCompensation |
| Number Individuals GT100 K | 62 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| JOURNEYMAN CONSTRUCTION | |||||
| 2102 MANNIX DRIVE | SAN ANTONIO | TX | 78217 | CONSTRUCTION | 2547553 |
| MATAGORDA LITHOTRIPSY LLP | |||||
| 6339 E SPEEDWAY STE 201 | TUCSON | AZ | 85710 | LITHOTRIPSY | 191050 |
| THE TEXAS PURCHASING COALITION | |||||
| 7160 DALLAS PARKWAY 600 | PLANO | TX | 75024 | GROUP PURCH SERVICES | 571803 |
| BRADLY BUDRANT MD | |||||
| 300 LARGENT AVENUE | BALLINGER | TX | 76821 | ER/PHYSICIAN | 389439 |
| VINSON ELKINS LLP | |||||
| PO BOX 301019 | DALLAS | TX | 75303 | LEGAL SERVICES | 257723 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Related Organizations | 24571437 | RelatedOrganizations |
| All Other Contributions | 0 | AllOtherContributions |
| Total Contributions | 24571437 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Revenue | 621990 | 248731174 | 248514002 | 217172 |
| Rental Income | 532000 | 447545 | 447545 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 249178719 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2000318 | TotalRevenueColumn |
| Exclusion | $2,000,318 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 460508 | Securities |
| Other | -33763 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 460508 | Securities |
| Other | -33763 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 426745 | TotalRevenueColumn |
| Exclusion | $426,745 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Cafeteria | 900099 | 1503847 | 1503847 | |
| Regional Cancer Treatment | 900099 | 258738 | 258738 | |
| All Other Misc Revenue | 900099 | 4905349 | 4790248 | 115101 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6667934 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 282845153 | TotalRevenueColumn |
| Related Or Exempt Function Income | 255514380 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 332273 | UnrelatedBusinessRevenue |
| Exclusion | $2,427,063 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Program Services | 10000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3322300 | Total |
| Management And General | 3322300 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132458 | Total |
| Program Services | 132458 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69112822 | Total |
| Program Services | 54731612 | ProgramServices |
| Management And General | 14381210 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32307548 | Total |
| Program Services | 24800773 | ProgramServices |
| Management And General | 7506775 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8326057 | Total |
| Program Services | 6431631 | ProgramServices |
| Management And General | 1894426 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5281237 | Total |
| Program Services | 4010526 | ProgramServices |
| Management And General | 1270711 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259204 | Total |
| Management And General | 259204 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147889 | Total |
| Management And General | 147889 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108737 | Total |
| Management And General | 108737 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26958298 | Total |
| Program Services | 19319388 | ProgramServices |
| Management And General | 7638910 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 792484 | Total |
| Program Services | 22857 | ProgramServices |
| Management And General | 769627 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4174761 | Total |
| Program Services | 262351 | ProgramServices |
| Management And General | 3912410 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2559504 | Total |
| Program Services | 539351 | ProgramServices |
| Management And General | 2020153 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2637487 | Total |
| Program Services | 302740 | ProgramServices |
| Management And General | 2334747 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 394067 | Total |
| Program Services | 204669 | ProgramServices |
| Management And General | 189398 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9877819 | Total |
| Program Services | 5280593 | ProgramServices |
| Management And General | 4597226 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1160038 | Total |
| Program Services | 2377 | ProgramServices |
| Management And General | 1157661 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 48284843 | 48237769 | 47074 |
| Bad Debt | 35073195 | 35073195 | |
| Equipment Costs | 3560514 | 2961668 | 598846 |
| Collection Fees | 742993 | 742993 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1396673 | Total |
| Program Services | 901068 | ProgramServices |
| Management And General | 495605 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256620928 | Total |
| Program Services | 203225026 | ProgramServices |
| Management And General | 53395902 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9570703 | BOY |
| EOY | 6369988 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85753 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19901278 | BOY |
| EOY | 22632481 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 409752 | BOY |
| EOY | 430593 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3836122 | BOY |
| EOY | 3950868 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1824416 | BOY |
| EOY | 2061931 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 203697572 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 145911890 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60940221 | BOY |
| EOY | 57785682 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53420637 | BOY |
| EOY | 56294174 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 1000 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2589275 | BOY |
| EOY | 2592529 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149169723 | BOY |
| EOY | 156899541 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301748880 | BOY |
| EOY | 309018787 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18510079 | BOY |
| EOY | 20744662 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2025 | BOY |
| EOY | 3965 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27483382 | BOY |
| EOY | 7399019 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45995486 | BOY |
| EOY | 28147646 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115476746 | BOY |
| EOY | 130840999 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140276648 | BOY |
| EOY | 150030142 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255753394 | BOY |
| EOY | 280871141 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301748880 | BOY |
| EOY | 309018787 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 26224225 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -1201573 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 95095 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5122978 | OtherCostOrOtherBasis |
| Book Value | 5122978 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 71470672 | OtherCostOrOtherBasis |
| Depreciation | 52350651 | Depreciation |
| Book Value | 19120021 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 123431378 | OtherCostOrOtherBasis |
| Depreciation | 91953852 | Depreciation |
| Book Value | 31477526 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 3672544 | OtherCostOrOtherBasis |
| Depreciation | 1607387 | Depreciation |
| Book Value | 2065157 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 57785682 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Int in Net Assets - Shannon Tr | 150030142 |
| Self Insurance Trust | 5976548 |
| Non-Compete Agreement | 33332 |
| Beneficiary Account | 477902 |
| Interest Receiveable | 381617 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 156899541 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Asset Retirement Obligation | $804,715 |
| Accrued Pension Cost | $1,714,699 |
| Malpractice Costs | $2,519,520 |
| DUE TO/FROM THIRD PARTY PAYORS | $2,201,696 |
| Long Term Incentive Accrual | $158,389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7399019 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 246514969 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1201573 | NetUnrealizedGainsInvestments |
| Other Revenues | -35083195 | OtherRevenues |
| Revenue Not Rptd F990 | -36284768 | RevenueNotRptdF990 |
| Revenue Subtotal | 282799737 | RevenueSubtotal |
| Other Revenues Not Included | 45416 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 45416 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 282845153 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 221537733 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 221537733 | ExpensesSubtotal |
| Other Expenses Not Included | 35083195 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 35083195 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 256620928 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INCOME & EXPENSES INCLUDED IN FORM 990 NOT ON BOOKS | SCHEDULE D, PART XI, LINE 2D & XII, LINE 4B | BAD DEBT (INCLUDED W/ REVENUE ON AUDIT) $ 35,073,195 GRANTS INCLUDED IN REVENUE ON AUDIT 10,000 ------------ $ 35,083,195 |
| UNCERTAIN TAX POSITIONS | SCHEDULE D, PART XIV | 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. |
| INCOME INCLUDED ON THE RETURN NOT ON BOOKS | SCHEDULE D, PART XI, LINE 4B | CONTRIBUTIONS RECORDED TO NET ASSETS $45,416 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14598300 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14598300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06590 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25237929 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22052396 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3185533 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 286671 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 193280 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 93391 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40122900 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22245676 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17877224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08070 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 477967 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 253312 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 224655 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 366497 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12800 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 353697 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9934513 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9934513 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04480 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 145192 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 145192 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3065 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3065 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10927234 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 266112 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10661122 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04810 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 51050134 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22511788 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28538346 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12880 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 206 | PersonsServed |
| Total Community Building Expense | 24424 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 24424 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 206 | PersonsServed |
| Total Community Building Expense | 24424 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 24424 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $8,280,972 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 74852401 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 66401421 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 8450980 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 E HARRIS AVENUE | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 01 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 13 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
| SHANNON DIALYSIS CENTER | ||||
| 2018 PULLIAM | SAN ANGELO | TX | 76905 | DIALYSIS |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| DESCRIPTION OF BAD DEBT | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. | |
| COSTING METHODOLOGY | LINE 2: AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. LINE 3: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. | LINES 2 AND 3 |
| 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. | SECTION B MEDICARE LINE 7 |
| 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. | SECTION C - COLLECTION PRACTICES |
| NEEDS ASSESSMENT | The 2013 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. 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 Because Access to Care ranks high and relates to each of the priorities, Shannon made it a goal to address Access to Care within each Priority Area. SHANNON MEDICAL CENTER CORRELATED COMMUNITY PRIORITIES HEALTH NEED --------------------------------------------------- HEALTHY LIVING -ACCESS TO CARE -OBESITY -PHYSICAL INACTIVITY -POOR NUTRITION PREVENTION AND DISEASE -ACCESS TO CARE MANAGEMENT -ADULT SMOKING -CANCER -COPD/RESPIRATORY DISEASE -DIABETES -EPISODIC CARE VS. PREVENTATIVE MEASURES -HEART DISEASE -HIGH BLOOD PRESSURE -LACK OF MENTAL HEALTH SERVICES -LACK OF PRIMARY CARE PHYSICIANS EDUCATION -ACCESS TO CARE -DOCTOR'S OFFICE HOURS -LACK OF HEALTH EDUCATION/KNOWLEDGE -LANGUAGE/CULTURAL BARRIERS THE HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN CAN BE FOUND AT: https://www.shannonhealth.com/education-resources/health-needs-assessment. aspx | PART V, SECTION B |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE IN EACH OF THE REGISTRATION AREAS THAT OUTLINE ACCESS TO INFORMATION ABOUT ASSISTANCE PROGRAMS. WE ALSO HAVE CONTRACTED ELIGIBILITY WORKERS WHO SCREEN PATIENTS FOR ALL SOCIAL SERVICE PROGRAMS AND ASSIST WITH THE APPLICATION PROCESS IF NEEDED. | |
| COMMUNITY INFORMATION | The estimated population for all the counties as of 2012, including Tom Green County, is 352,805. The outer counties are Brown, Coke, Coleman, Concho, Crockett, Howard, Irion, Kimble, Mason, McCulloch, Menard, Mills, Mitchell, Nolan, Pecos, Reagan, Runnels, San Saba, Schleicher, Sterling, Sutton, Terrell, Upton and Val Verde. (Source: U.S. Census Bureau, State & County Quickfacts.) Our goal is to provide our patients with the most compassionate and efficient service while ensuring the highest quality care. Tom Green County's population in 2012 is reported at 113,281. The city of San Angelo serves as the county seat and population center of Tom Green County, with an estimated population in 2012 of 95,887. 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 - 23.2% (26,621) 2. 18-64 years old - 62.6% (70,914) 3. 65 years and older - 14.2% (15,746) B. Tom Green County Ethnic Distribution (More than one category may be self-reported) 1. Caucasian - 56.6% (64,570) 2. Hispanic - 36.7% (41,121) 3. Black - 4.6% (5,324) 4. Other - 2.1% (2,266) C. Tom Green County (Household) 1. Median Household Income - $44,310 (Texas: $51,563) 2. Persons living below poverty level - 16.0% (Texas: 17.4%) D. Tom Green County Health Index 1. Tom Green County uninsured - 25.4% (Texas: 25.7%, United States: 15.4%) (Source: U.S. Census Bureau, Small Area Health Insurance Estimates, 2011; U.S. Census Bureau, Income, Poverty, and Health Coverage in the United States: 2011). | |
| 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 75 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 2012 - 2013 charity care figure of more than $62,368,159 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 events like Go Red and Health Beat Live, health professionals relay current health information to the public. In addition to public outreach events, Shannon publishes the Health Beat 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. They also host a free online health library. These contain a variety of health education information from local healthcare providers. Shannon contributed $93,874 for these programs. Shannon supports The Lighthouse for the Blind by donating used linen to the organization. Based on thrift value, the cost of the linen donated is $12,444. Shannon supports health and fitness activities, as well. Each October Shannon organizes the Pink Ribbon Run for cancer awareness and education with more than 800 participants. Additionally, to address the growing concern over 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. 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 local summer programs and camps that encourage children to remain active through the summer months. Shannon also participates in the American Heart Association Heart Walk in both San Angelo and Sweetwater. These events are provided at a cost of $19,387 to Shannon. Since 2004, the Shannon Sneeze & Wheeze medically-supervised camp has provided children diagnosed with asthma education on topics including "what is asthma," recognizing signs and symptoms, knowing and avoiding triggers, medications (knowing the difference between relievers and controllers), and the importance of compliance and using action plans. The education is provided by health care professionals and costs Shannon $11,040. 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. These presentations and events are provided at a cost of $29,755 to Shannon. 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 for reducing bacterial pneumonia, UTI and COPD. Some of the initiatives include bacterial pneumonia and influenza immunizations, tobacco cessation kits and public awareness campaigns at a cost of $8,400. Shannon is the only provider that operates the Sexual Assault Nurse Examiner program (SANE). SANE trained nurses work with the Children's Advocacy Center, the Concho Valley Rape Crisis Center and other community-based organizations to provide training and services related to sexual assault crises. Shannon also provided mammography services after hours to accommodate working women's schedules and encourage preventative screenings. Shannon took over the HIV Clinic from the San Angelo Aids Foundation in May 2010. There are three grants that fund the clinic: Ryan White Part B grant, State Services grant, and Housing Opportunities for Persons with Aids (HOPWA) grant in the amount of $253,012. The grants provide outpatient medical services, case management, food bank services, mental health and a host of other services for people living with HIV. Shannon provides grant administration at a cost of $2,180. Additionally, Shannon provides support services such as $2,411 in transportation vouchers. The hospital chaplain also provides free services for the bereaved as well as counseling for patients and their families. 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. Approximately 200 physicians, nurses, EMTs, students, and Allied Health professionals attended the 2013 symposium. Additionally, injury prevention material covering topics such as bicycle safety, child passenger safety, fall prevention, and home safety tips are continually provided to health care professionals to distribute at their practice and in their community. The cost to host the symposium is $14,352, but funds from Gus Eckhardt Endowment, DSHS funds and fees offset a large portion of the cost. The cost to Shannon to host the symposium is $1,552. 158 ASU nursing students and 25 Howard College nursing students shadow Shannon staff for a cost benefit of $155,299 to the students and the universities. (#hrs x AHR x 50% effort.) 15 Radiology students from Howard College were supervised at a Shannon clinical site. This benefit provides increased access to care for patients seeking radiology services not only in Tom Green County, but the surrounding counties as well. The total cost is $169,335. Shannon provided emergency and trauma services to Coleman, Concho, Fisher, Eden, Eldorado, Menard, Pecos, Runnels, and Reagan Counties in the amount of $2,919,701. Shannon also assisted Crockett, Ector, McCulloch, Schleicher and Tom Green Counties by providing outpatient clinic and indigent health services in the amount of $6,858,752. By providing specialty care for unmet needs, Shannon reduces the burden to local and governmental entities. Lastly, Shannon contributed $156,060 to provide community based mental health services currently not available in the Concho Valley Community. Shannon participates in research efforts through active cancer and trauma registries. Both registries have designated staff to facilitate data collection, which aids in the evaluation of patients who meet specific criteria. Shannon donated funds to social services and community-based efforts, such as the MS Walk, local Project Graduations, and the D.E.S.K program. Additionally, donations of $1,332 were made towards health and education efforts and by assisting the United Way Annual Campaign with administrative support. Shannon contributes planning and financial assistance to community building efforts. This past year, $24,424 was donated to other organizations including Healthy Families, the National Alliance on Mental Illness, San Angelo Independent School District, American Cancer Society-Relay for Life, the All Veterans' Council, and the Chamber of Commerce's Goodfellow Airforce Base Military Appreciation Day. Linen supplies were donated to Lighthouse for the Blind and provided $12,444 in community benefit. Shannon implemented a community health needs assessment that was adopted by the Board in FY2013. $18,591 went towards surveying, interviewing and compiling data to define the needs and prioritizing Shannon's efforts and strategy going forward. As the issues of providing healthcare for the uninsured and the underinsured in Tom Green County as well as our surrounding counties have continued to become more apparent, Shannon leadership has been involved with working internally and externally on improving access for all patients while balancing quality and costs. Shannon has played a major role in the region through the 1115 Medicaid Waiver program. By focusing on maximizing resources and advancing collaboration to improve the health of the people it serves, Shannon strikes a balance among the needs, interests, and resources available through health care providers, payers, public health departments, and community based organizations. Collaboration among Regional Health Partnership 13 has provided a model for local-level agencies to break down their own siloes. This helps overcome barriers that partners face at the local level and encourages new delivery systems by setting an example for collaboration across agencies. Dr. Irv Zeitler, Vice President of Medical Affairs at Shannon, also serves as President of the Texas Medical Board. Appointed by Governor Rick Perry in 2008, Zeitler's role is t | |
| AFFILIATED HEALTH CARE SYSTEM | Shannon, a non-profit health system established in the 1930's, provides the communities of West Central Texas with a variety of medical services. Dedicated to the region's health and well-being, the center offers diverse clinical services, including a nationally-recognized cardiac care program, nationally-recognized ICU, the region's only Level III Trauma Facility and AirMed 1 air ambulance serving a 200-mile radius of San Angelo, a dedicated Women's & Children's Hospital which is home to the Children's 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 | |
| DETERMINATION FOR BILLING FOR EMERGENCY CARE | COLLECTION OF GROSS CHARGES FOR UNINSURED UNLESS PROMPT PAYMENT SECURED, COLLECTION OF DEDUCTIBLES/CONINSURANCE AMOUNTS BASE ON CONTRACTED RATES FOR INSURED PATIENTS. | PART V, LINE 20 |
| BILLING AND COLLECTIONS | NEITHER SHANNON MEDICAL CENTER, NOR THIRD PARTIES AUTHORIZED BY SMC, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. BECAUSE NO ACTIONS WERE CHECKED ON LINE 16, LINE 17 INDICATES EFFORTS MADE BEFORE INITIATING ANY OF THE ACTIONS LISTED IN LINE 16. | SCHEDULE H, PART V, LINE 15, 16, & 17 |
| INPUT FROM COMMUNITY REPRESENTATIVES | INTERVIEWS WITH 18 KEY INFORMANTS WERE CONDUCTED THROUGHOUT FEBRUARY AND MARCH 2013. INTERVIEWEES WERE DETERMINED BASED ON THEIR A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. THREE REPRESENTATIVES FROM SHANNON MEDICAL CENTER CONTACTED ALL INDIVIDUALS NOMINATED FOR INTERVIEWING. THEIR KNOWLEDGE OF THE COMMUNITY, AND THE PERSONAL RELATIONSHIPS THEY EACH HELD WITH THE POTENTIAL INTERVIEWEE'S ADDED VALIDITY TO THE DATA COLLECTION PROCESS. | SCHEDULE H, PART V, SECTION B, LINE 3 |
| 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. PATIENTS. | SCHEDULE H, PART V, SECTION B, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOWARD COLLEGE | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3501 N US HWY 67 | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76905 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 756001827 | EINOfRecipient |
| IRC Section | 501(3)(C) | IRCSection |
| Amount Of Cash Grant | 10000 | AmountOfCashGrant |
| Purpose Of Grant | NURSING INSTTRUCTOR | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING USE OF GRANT FUNDS | Identifier |
| Return Reference | SCHEDULE I, PART I, QUESTION 2 | ReturnReference |
| Explanation | THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|
| BRYAN HORNER | ||||||
| CEO/PRESIDENT | 538661 | 106697 | 17000 | 31000 | 12860 | 706218 |
| EMMETE FLYNN MD | ||||||
| DIRECTOR | 411099 | 30496 | 61043 | 56200 | 20083 | 578921 |
| MICHELLE SNUGGS MD | ||||||
| DIRECTOR | 428713 | 46000 | 86273 | 65800 | 20130 | 646916 |
| KELLY SHANE PLYMELL | ||||||
| CFO | 311100 | 56756 | 54121 | 18644 | 440621 | |
| DR IRVIN ZEITLER | ||||||
| MEDICAL DIRECTOR | 390389 | 73904 | 58361 | 5856 | 528510 | |
| WILMA STUART | ||||||
| CNO | 231293 | 47302 | 31000 | 5824 | 315419 | |
| PATRICIA TIPTON | ||||||
| NURSE ANESTHETIST | 296615 | 31000 | 4921 | 332536 | ||
| MARVIN HILL | ||||||
| NURSE ANESTHETIST | 294189 | 31000 | 16345 | 341534 | ||
| LANCE KEILERS | ||||||
| ADMINISTRATOR | 173429 | 17997 | 15755 | 207181 | ||
| TIMOTHY HARTIN | ||||||
| CCO | 243654 | 17000 | 46252 | 11473 | 318379 | |
| PAULINE JAMES | ||||||
| NURSE ANESTHETIST | 178252 | 18816 | 16341 | 213409 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS | PART 1, QUESTION 4 | SERP DETAIL NAME AMOUNT BRYAN HORNER NONE 457(F) DETAIL NAME AMOUNT TIMOTHY HARTIN 17,600 SHANE PLYMELL 23,121 DR. IRVIN ZEITLER 27,361 |
| PROVIDED HEALTH, SOCIAL DUES OR INITIATION FEES | SCHEDULE J, PART I, QUESTION 1A | BRYAN HORNER AND KELLY SHANE PLYMELL RECEIVE MEMBERSHIP TO BENTWOOD COUNTRY CLUB EXCLUSIVELY FOR BUSINESS USE. ANY PERSONAL USE IS REIMBURSED BY THE OFFICER AND THEREFORE NO AMOUNTS ARE REPORTABLE ON THEIR FORM W-2'S. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DIANE ZEITLER | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | IRVIN ZEITLER'S SPOUSE | Relationship |
| Amount Of Transaction | 132458 | AmountOfTransaction |
| Description Of Transaction | EMPLOYED BY SMC | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY | FORM 990, PART VI, QUESTION 12C | 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. 5. THE SMC COMPLIANCE OFFICER WILL REVIEW DISCLOSURES AND DETERMINE WHICH REQUIRE FURTHER ACTION WITH THE SMC GENERAL COUNSEL AND APPROPRIATE SMC EXECUTIVE STAFF. |
| REVIEW OF COMPENSATION | FORM 990, PART VI, QUESTION 15A & 15B | INTEGRATED HEALTH STRATEGIES DID AN EXECUTIVE COMPENSATION STUDY IN JUNE 2012 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. |
| GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, QUESTION 19 | THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990 PART VI, QUESTION 6 | MARGARET SHANNON ESTATE, A TESTAMENTARY TRUST, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY | FORM 990 PART VI, QUESTION 7A | 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. |
| PROCESS TO REVIEW THE FORM 990 | FORM 990, PART VI, QUESTION 11B | THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. THE ORGANIZATIONS FINANCE COMMITTEE WILL REVIEW AFTER THE FORM IS FILED. |
| DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL | FORM 990, PART VI, QUESTION 7B | 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. |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990, PART XI, LINE 5 | CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 22,098,268 TRANSFERS TO/FROM AFFILIATES (30,178,690) NET ASSETS RELEASED FROM RESTRICTION (TRUST) 8,150,000 CHANGE IN SHANNON TRUST NET ASSETS 32,673,341 NET ASSETS RELEASED FROM RESTRICTION (32,698,395) CARRYING VALUE OF RCTC NET ASSETS 50,571 ------------- $ 95,095 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| TRUSTEES SHANNON WEST TEXAS HOSPITAL | ||||||||||
| PO BOX 49 | SAN ANGELO | TX | 76902 | 750800679 | TRUST | TX | 501(C)(3) | 11B | NA | false |
| SHANNON RURAL HEALTH CLINICS INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752940211 | HEALTHCARE | TX | 501(C)(3) | 11C | SMC | true |
| SHANNON REAL ESTATE SERVICES INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 270075630 | SUPPORT SVCS | TX | 501(C)(3) | 11B | SMC | true |
| SHANNON HEALTH SYSTEM | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752602411 | SUPPORT SVCS | TX | 501(C)(3) | 11A | NA | false |
| SHANNON CLINIC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752600873 | HEALTHCARE | TX | 501(C)(3) | 9 | SHS | true |
| SHANNON BUSINESS SERVICES INC | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 432038769 | SUPPORT SVCS | TX | 501(C)(3) | 11B | SMC | true |
| SHANNON MEDICAL MANAGEMENT | ||||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 208367966 | SUPPORT SVCS | TX | 501(C)(3) | 9 | SHS | false |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL CANCER TREATMENT CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 N MAGDALEN STE 120 | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752225955 | EIN |
| Primary Activity | RADIOTHERAPY | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 926902 | ShareOfTotalIncome |
| Share Of EOY Assets | 4366985 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.56247 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SHANNON CLINIC | ||
| K | 904479 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| J | 376342 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| C | 45417 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| I | 37745 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| I | 55862 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| P | 10379639 | BOOK VALUE |
| SHANNON BUSINESS SERVICES | ||
| S | 8585037 | BOOK VALUE |
| SHANNON CLINIC | ||
| P | 14104887 | BOOK VALUE |
| SHANNON CLINIC | ||
| Q | 2460775 | BOOK VALUE |
| SHANNON CLINIC | ||
| R | 4974725 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| Q | 7249376 | BOOK VALUE |
| SHANNON MEDICAL MANAGEMENT | ||
| R | 23291366 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| Q | 592460 | BOOK VALUE |
| SHANNON REAL ESTATE SERVICES | ||
| R | 4023478 | BOOK VALUE |