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SHANNON WEST TEXAS MEMORIAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SHANNON WEST TEXAS MEMORIAL HOSPITAL (EIN 75-0800679)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-08
IRS object ID
201311289349301916
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-08T13:27:29-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JONES HAY MARSCHALL & MCKINNEYPCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 391AddressLine1
CitySAN ANGELOCity
StateTXState
ZIP Code769020391ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN750800679EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Trustees of Shannon West Texas MemorialBusinessNameLine1
Business Name Line2HospitalBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSHANNameControl
Phone3256558974Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O Box 49AddressLine1
CitySan AngeloCity
StateTXState
ZIP Code76902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLen MertzName
TitleTrusteeTitle
Date Signed2013-05-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameL Scott BarberName
Phone3256554104Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts75193654GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1932YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionSupport, maintenance and operation of a hospital in West Texas.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3602584InvestmentIncomePriorYear
Investment Income Current Year3591027InvestmentIncomeCurrentYear
Other Revenue Prior Year47309830OtherRevenuePriorYear
Other Revenue Current Year27362104OtherRevenueCurrentYear
Total Revenue Prior Year50912414TotalRevenuePriorYear
Total Revenue Current Year30953131TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6252088GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17109312GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year352411SalariesEtcPriorYear
Salaries Etc Current Year298398SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1039674OtherExpensePriorYear
Other Expenses Current Year1227871OtherExpensesCurrentYear
Total Expenses Prior Year7644173TotalExpensesPriorYear
Total Expenses Current Year18635581TotalExpensesCurrentYear
Revenues Less Expenses Prior Year43268241RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12317550RevenuesLessExpensesCY
Total Assets BOY112171062TotalAssetsBOY
Total Assets EOY140276648TotalAssetsEOY
Total Liabilities BOY112028TotalLiabilitiesBOY
Total Liabilities EOY112028TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY112059034NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY140164620NetAssetsOrFundBalancesEOY
Mission DescriptionSupport, maintenance and operation of a hospital in West Texas.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17109312Expense
Grants17109312Grants
DescriptionContributions of cash or assets for the operation, maintenance or expansion of the Shannon Medical Center total $17,109,312 for the year.Description
Total Program Service Expense17109312TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees2NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTrustees of ShannonNamePerson
Telephone Number3256558974TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line136 W BeauregardAddressLine1
CitySan AngeloCity
StateTXState
ZIP Code76903ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Len Mertz
Trustee20.00X839003285012633
Oran Berry
Trustee8.00X300002775012621
Mike Boyd
Trustee8.00X000
James Johnson
Trustee10.00X3273926000142
Joe Henderson
Trustee8.00X3361530350427
Steve Cecil
Trustee8.00X300002885012210
Mike Oliphant
Trustee8.00X30000278508042
FieldValueIRS element (for citing)
Total Reportable Comp From Org240254TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs173650TotalReportableCompFrmRltdOrgs
Total Other Compensation46075TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Goldman SachsBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 Cresent Court Suite 100AddressLine1
CityDallasCity
StateTXState
ZIP Code75201ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesInvestment FeesDescriptionOfServices
Compensation646863Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Total Contributions0TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1824463TotalRevenueColumn
Exclusion$1,824,463ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column26450225TotalRevenueColumn
Exclusion$26,450,225ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real449009Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real68400Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real380609Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column380609TotalRevenueColumn
Exclusion$380,609ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities45938687Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities44172123Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1766564Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1766564TotalRevenueColumn
Exclusion$1,766,564ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDamages/OptionsDescription
Business Code211110BusinessCode
Total Revenue Column531270TotalRevenueColumn
Exclusion$531,270ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue531270TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30953131TotalRevenueColumn
Exclusion$30,953,131ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total17109312Total
Program Services17109312ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total175083Total
Management And General175083ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total100768Total
Management And General100768ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7507Total
Management And General7507ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6964Total
Management And General6964ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8076Total
Management And General8076ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48339Total
Management And General48339ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6900Total
Management And General6900ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total658643Total
Management And General658643ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7000Total
Management And General7000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2764Total
Management And General2764ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
Miscellaneous1210312103
Office Rent3028830288
Health Insurance Trustees4769647696
Ad Valorem Tax399110399110

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15028Total
Management And General15028ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18635581Total
Program Services17109312ProgramServices
Management And General1526269ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10681719BOY
EOY5959114EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18012BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2990714LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec513518LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1731581BOY
EOY2477196EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY99605256BOY
EOY131495124EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY134494BOY
EOY345214EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY112171062BOY
EOY140276648EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY112028BOY
EOY112028EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY112028BOY
EOY112028EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY112059034BOY
EOY140164620EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112059034BOY
EOY140164620EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112171062BOY
EOY140276648EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12317550ReconcilationRevenueExpenses
Reconcilation Other Changes15788036ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Shannon Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
EIN752559845EIN
Type Of OrganizationHospitalTypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$17,109,312Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts17109312SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2146538OtherCostOrOtherBasis
Book Value2146538BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis740108OtherCostOrOtherBasis
Depreciation430531Depreciation
Book Value309577BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis25893OtherCostOrOtherBasis
Depreciation17074Depreciation
Book Value8819BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis78175OtherCostOrOtherBasis
Depreciation65913Depreciation
Book Value12262BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2477196TotalOfBookValueLandBuildings
Total Revenue30953131TotalRevenue
Total Expenses18635581TotalExpenses
Excess Or Deficit For Year12317550ExcessOrDeficitForYear
Other$15,788,036OtherAmount
Total Adjustments15788036TotalAdjustments
Excess Or Deficit Per FS28105586ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt46147757TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments15788036NetUnrealizedGainsInvestments
Revenue Not Rptd F99015788036RevenueNotRptdF990
Revenue Subtotal30359721RevenueSubtotal
Investment Expenses Not Included661810InvestmentExpensesNotIncluded
Other Revenues Not Included-68400OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt593410RevenueNotRptdOnFinStmt
Total Revenue Per Form99030953131TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18042171TotExpensesEtcAuditedFinclStmt
Other Expenses Included68400OtherExpensesIncluded
Expenses Not Rptd F99068400ExpensesNotRptdF990
Expenses Subtotal17973771ExpensesSubtotal
Investment Expenses Not Included2661810InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt661810ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018635581TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SRental Expenses Netted on 990 $68400
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesIncrease in Unrealized Gain on Investments $15788036

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Shannon Medical CenterBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 E HarrisAddressLine1
CitySan AngeloCity
StateTXState
ZIP Code76903ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient752559845EINOfRecipient
IRC Section501(c)3IRCSection
Amount Of Cash Grant17109312AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Purpose Of GrantOperations, Improvements, Charity CarePurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThese documents are available upon request made in writing or in person at the offices of the Trustees.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEach 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.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessPresented 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Shannon Health System
120 E HarrisSan AngeloTX76903752602411Management for Shannon EntitiesTX501(c)(3)11NAfalse
Shannon Rural Health Clinics
120 E HarrisSan AngeloTX76903752940211Physician Clinical ServicesTX501(c)(3)11Shannon Medical Centerfalse
Shannon Real Estate Services
120 E HarrisSan AngeloTX76903270075630Property ManagementTX501(c)(3)11Shannon Medical Centerfalse
Shannon Business Services
120 E HarrisSan AngeloTX76903432038769Ancillary ServicesTX501(c)(3)11Shannon Medical Centerfalse
Shannon Medical Management
120 E HarrisSan AngeloTX76903208367966Management ServicesTX501(c)(3)11falseN/A
Shannon Clinic
120E BeauregardSan AngeloTX76903752600873Multi-specialty Physician ServicesTX501(c)(3)3falseN/A
Shannon Medical Center
120 E HarrisSan AngeloTX76903752559845Acute Care HospitalTX501(c)(3)3NAtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Regional Cancer Treatment CenterBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1102 N Magdalen Suite 120AddressLine1
CitySan AngeloCity
StateTXState
ZIP Code76903ZIPCode
FieldValueIRS element (for citing)
Primary ActivityRadiologyPrimaryActivity
Legal Domicile StateTXLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Shannon Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypebTransactionType
Amount Involved17109312AmountInvolved