﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.0" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-03-07T15:48:59-08:00</Timestamp>
    <TaxPeriodEndDate>2013-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>JONES HAY MARSCHALL &amp; MCKINNEYPC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>PO BOX 391</AddressLine1>
        <City>SAN ANGELO</City>
        <State>TX</State>
        <ZIPCode>769020391</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>750800679</EIN>
      <Name>
        <BusinessNameLine1>Trustees of Shannon West Texas Memorial</BusinessNameLine1>
        <BusinessNameLine2>Hospital</BusinessNameLine2>
      </Name>
      <NameControl>SHAN</NameControl>
      <Phone>3256558974</Phone>
      <USAddress>
        <AddressLine1>P O Box 49</AddressLine1>
        <City>San Angelo</City>
        <State>TX</State>
        <ZIPCode>76902</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Len Mertz</Name>
      <Title>Trustee</Title>
      <DateSigned>2014-03-06</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>L Scott Barber</Name>
      <PTIN>P00048878</PTIN>
      <Phone>3256554104</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="6">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GrossReceipts>90696775</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <AllAffiliatesIncluded>false</AllAffiliatesIncluded>
      <Organization501c3>X</Organization501c3>
      <WebSite>N/A</WebSite>
      <TypeOfOrganizationTrust>X</TypeOfOrganizationTrust>
      <YearFormation>1932</YearFormation>
      <StateLegalDomicile>TX</StateLegalDomicile>
      <ActivityOrMissionDescription>Support, maintenance and operation of a hospital in West Texas.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>7</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>7</NbrIndependentVotingMembers>
      <TotalNbrEmployees>2</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenueCY>0</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>3591027</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>9913448</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>27362104</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>11751805</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>30953131</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>21665253</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>17109312</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>22919848</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>298398</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>281524</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>1227871</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>1450929</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>18635581</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>24652301</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>12317550</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-2987048</RevenuesLessExpensesCY>
      <TotalAssetsBOY>140276648</TotalAssetsBOY>
      <TotalAssetsEOY>150142170</TotalAssetsEOY>
      <TotalLiabilitiesBOY>112028</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>112028</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>140164620</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>150030142</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Support, maintenance and operation of a hospital in West Texas.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>22919848</Expense>
      <Grants>22919848</Grants>
      <Description>Contributions of cash or assets for the operation, maintenance or expansion of the Shannon Medical Center total $22,919,848 for the year.</Description>
      <TotalProgramServiceExpense>22919848</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">false</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividuals>
      <ScheduleJRequired>false</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>12</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>2</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <Form990-TFiled>false</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <NumberOf8282Filed>0</NumberOf8282Filed>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <FiledLieu1041>false</FiledLieu1041>
      <LicensedMoreThanOneState>false</LicensedMoreThanOneState>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>7</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>7</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>false</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Trustees of Shannon</NamePerson>
        <TelephoneNumber>3256558974</TelephoneNumber>
        <AddressUS>
          <AddressLine1>36 W Beauregard</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Len Mertz</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>10.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>10.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>10896</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>21960</ReportableCompFromRelatedOrgs>
        <OtherCompensation>4901</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Oran Berry</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>30000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>25350</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9157</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mike Boyd</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Johnson</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>5.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>32739</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>23100</ReportableCompFromRelatedOrgs>
        <OtherCompensation>142</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joe Henderson</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>32615</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>26000</ReportableCompFromRelatedOrgs>
        <OtherCompensation>427</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Steve Cecil</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>30000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>24750</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9119</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mike Oliphant</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>30000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>24350</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5321</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>166250</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>145510</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>29067</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Goldman Sachs</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>100 Cresent Court Suite 100</AddressLine1>
            <City>Dallas</City>
            <State>TX</State>
            <ZIPCode>75201</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Investment Fees</DescriptionOfServices>
        <Compensation>883199</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <TotalContributions>0</TotalContributions>
      <TotalProgramServiceRevenue>0</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>2173210</TotalRevenueColumn>
        <ExclusionAmount>2173210</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>10127258</TotalRevenueColumn>
        <ExclusionAmount>10127258</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>448111</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>81282</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>366829</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>366829</TotalRevenueColumn>
        <ExclusionAmount>366829</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>76690478</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>68950240</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>7740238</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>7740238</TotalRevenueColumn>
        <ExclusionAmount>7740238</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Damages/Options</Description>
        <BusinessCode>211110</BusinessCode>
        <TotalRevenueColumn>1257718</TotalRevenueColumn>
        <ExclusionAmount>1257718</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>1257718</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>21665253</TotalRevenueColumn>
        <ExclusionAmount>21665253</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>22919848</Total>
        <ProgramServices>22919848</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>155584</Total>
        <ManagementAndGeneral>155584</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>103486</Total>
        <ManagementAndGeneral>103486</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>7723</Total>
        <ManagementAndGeneral>7723</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>6447</Total>
        <ManagementAndGeneral>6447</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>8284</Total>
        <ManagementAndGeneral>8284</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>17887</Total>
        <ManagementAndGeneral>17887</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>6900</Total>
        <ManagementAndGeneral>6900</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>899237</Total>
        <ManagementAndGeneral>899237</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>3268</Total>
        <ManagementAndGeneral>3268</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>Office Expense</Description>
        <Total>9140</Total>
        <ManagementAndGeneral>9140</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Office Rent</Description>
        <Total>30288</Total>
        <ManagementAndGeneral>30288</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Health Insurance Trustees</Description>
        <Total>43094</Total>
        <ManagementAndGeneral>43094</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Ad Valorem Tax</Description>
        <Total>429387</Total>
        <ManagementAndGeneral>429387</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>11728</Total>
        <ManagementAndGeneral>11728</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>24652301</Total>
        <ProgramServices>22919848</ProgramServices>
        <ManagementAndGeneral>1732453</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <EOY>0</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>5959114</BOY>
        <EOY>1999138</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <EOY>3759</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <EOY>0</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3104907</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>584604</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2477196</BOY>
        <EOY>2520303</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>131495124</BOY>
        <EOY>145466467</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>345214</BOY>
        <EOY>152503</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>140276648</BOY>
        <EOY>150142170</EOY>
      </TotalAssets>
      <DeferredRevenue>
        <BOY>112028</BOY>
        <EOY>112028</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>112028</BOY>
        <EOY>112028</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>140164620</BOY>
        <EOY>150030142</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>140164620</BOY>
        <EOY>150030142</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>140276648</BOY>
        <EOY>150142170</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-2987048</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>12852570</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type2>X</SupportingOrg509a3Type2>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Shannon Medical Center</BusinessNameLine1>
        </Name>
        <EIN>752559845</EIN>
        <TypeOfOrganization>Hospital</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>22919848</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>22919848</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <Land>
        <OtherCostOrOtherBasis>2146538</OtherCostOrOtherBasis>
        <BookValue>2146538</BookValue>
      </Land>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>859700</OtherCostOrOtherBasis>
        <Depreciation>502917</Depreciation>
        <BookValue>356783</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>25015</OtherCostOrOtherBasis>
        <Depreciation>18566</Depreciation>
        <BookValue>6449</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>73654</OtherCostOrOtherBasis>
        <Depreciation>63121</Depreciation>
        <BookValue>10533</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>2520303</TotalOfBookValueLandBuildings>
      <TotRevenueEtcAuditedFinclStmt>33698602</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>12852571</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>12852571</RevenueNotRptdF990>
      <RevenueSubtotal>20846031</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>900504</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>-81282</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>819222</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>21665253</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>23833079</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>81282</OtherExpensesIncluded>
      <ExpensesNotRptdF990>81282</ExpensesNotRptdF990>
      <ExpensesSubtotal>23751797</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>900504</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>900504</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>24652301</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>Rental Expenses Netted on 990 $81282</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="12000229" softwareVersion="2012v2.0">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Shannon Medical Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>120 E Harris</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752559845</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>22919848</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Operations, Improvements, Charity Care</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Unrealized Gain on Investments = $12852570</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>These documents are available upon request made in writing or in person at the offices of the Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Each trustee is aware of the conflict of interest policy and its requirements. During the year, Trustees excuse themselves from voting on issues that they feel may be a conflict of interest. Each year the trustees business and nonbusiness relationships that may require conflict of interest notifications or procedures are discussed and disclosed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>Presented to the managing trustee for review and discussion with the accounting firm preparing the return. Any questions or concerns are dealt with and the final return is presented to the board of trustees for final approval. Any unresolved questions at this time are referred to the accounting firm for response and explanation.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="12000229" softwareVersion="2012v2.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shannon Health System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 E Harris</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <EIN>752602411</EIN>
        <PrimaryActivities>Management for Shannon Entities</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shannon Rural Health Clinics</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 E Harris</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <EIN>752940211</EIN>
        <PrimaryActivities>Physician Clinical Services</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shannon Medical Center</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shannon Real Estate Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 E Harris</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <EIN>270075630</EIN>
        <PrimaryActivities>Property Management</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shannon Medical Center</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shannon Business Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 E Harris</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <EIN>432038769</EIN>
        <PrimaryActivities>Ancillary Services</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shannon Medical Center</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shannon Medical Management</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 E Harris</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <EIN>208367966</EIN>
        <PrimaryActivities>Management Services</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shannon Clinic</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120E Beauregard</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <EIN>752600873</EIN>
        <PrimaryActivities>Multi-specialty Physician Services</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shannon Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 E Harris</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <EIN>752559845</EIN>
        <PrimaryActivities>Acute Care Hospital</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Regional Cancer Treatment Center</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>102 N Magdalen Suite 120</AddressLine1>
          <City>San Angelo</City>
          <State>TX</State>
          <ZIPCode>76903</ZIPCode>
        </AddressUS>
        <PrimaryActivity>Radiology</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Shannon Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>22919848</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>