SHANNON CLINIC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SHANNON CLINIC (EIN 75-2600873)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201232279349301598
- Schema version
- 2010v3.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T15:43:42-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | 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 | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752600873 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SHAN | NameControl |
| Phone | 3256581511 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22000 | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76902 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRYAN HORNER | Name |
| Title | PRESIDENT | Title |
| Date Signed | 2012-08-15 | 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 | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | PO BOX 22000 | AddressLine1 |
| City | SAN ANGELO | City |
| State | TX | State |
| ZIP Code | 76902 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 101441273 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | 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 | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 185 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6349 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 94419560 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 101441273 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 94425909 | TotalRevenuePriorYear |
| Total Revenue Current Year | 101441273 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 68380870 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 74866569 | 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 | 51530040 | OtherExpensePriorYear |
| Other Expenses Current Year | 56498751 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 119910910 | TotalExpensesPriorYear |
| Total Expenses Current Year | 131365320 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -25485001 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -29924047 | RevenuesLessExpensesCY |
| Total Assets BOY | 22520618 | TotalAssetsBOY |
| Total Assets EOY | 26891851 | TotalAssetsEOY |
| Total Liabilities BOY | 19602073 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 21898425 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2918545 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4993426 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR MISSION IS TO BE THE PREMIERE HEALTH CARE PROVIDER OF PHYSICIAN SERVICES IN THE COMMUNITIES WE SERVE UTILIZING THE RESOURCES AVAILABLE TO US. WE STRIVE TO PROVIDE THE BEST ACCESS, SERVICE AND MEDICAL MANAGEMENT AVAILABLE TO OUR PATIENTS WHILE SIMULTANEOUSLY PROTECTING THE VIABILITY OF OUR ORGANIZATION AND ITS EMPLOYEES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 125208352 | Expense |
| Revenue | 101441273 | Revenue |
| Description | PROVIDE HEALTH CARE SERVICES AS A MULTI-SPECIALTY PHYSICIAN CLINIC AT LOCATIONS THROUGHOUT SAN ANGELO AND NEARBY COMMUNITIES REGARDLESS OF ABILITY TO PAY, INCLUDING CALL COVERAGE FOR SHANNON MEDICAL CENTER, AN AFFILIATED NON-PROFIT HOSPITAL. SHANNON CLINIC IS ORGANIZED AND OPERATED TO PROVIDE ACCESS AND CARE FOR RESIDENTS OF ITS SERVICE AREA, INCLUDING MEDICALLY INDIGENT PATIENTS. RECRUITMENT FOR PROVIDERS INCLUDES NEW PHYSICIANS AND MID-LEVEL PROVIDERS TO EXPAND URGENT CARE AND PRIMARY CARE ACCESS TO COMMUNITIES SERVED, AND SPECIALISTS TO ALLOW SHANNON MEDICAL CENTER TO PROVIDE CARE TO ITS PATIENTS REGARDLESS OF ABILITY TO PAY. | Description |
| Total Program Service Expense | 125208352 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| 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 | false | Hospital |
| Grants To Organizations | false | 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 | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 94 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 185 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | 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 | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHANNON CLINIC ATTN | NamePerson |
| Telephone Number | 3256581511 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ADMINISTRATION 120 E BEAUREGARD | 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 (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| JAMES MELOTT | |||||||||
| PHYSICIAN/ DIVISION CHAIRMAN | 40.0 | X | X | 284502 | 0 | 68269 | |||
| JOHN HARVEY | |||||||||
| PHYSICIAN/ DIVISION VICE CHAIR | 40.0 | X | X | 309409 | 0 | 66997 | |||
| VIKI FORLANO HALFMANN | |||||||||
| physician/ DIVISION SECRETARY | 40.0 | X | X | 301601 | 0 | 66523 | |||
| HARVEY RUSSWURM | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 288839 | 0 | 50166 | ||||
| D'LAINE WESTMORELAND | |||||||||
| PHYSICIAN/BOARD DIRECTOR | 20.0 | X | 155661 | 0 | 34105 | ||||
| CORNELIUS CHINN | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 328950 | 0 | 71649 | ||||
| MICHAEL WAGNON | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 346724 | 0 | 63459 | ||||
| WILLIAM WHITEHEAD | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 460260 | 0 | 74956 | ||||
| CHRIS COLE | |||||||||
| PHYSICIAN/ DIVISION CHAIRMAN | 40.0 | X | X | 1152474 | 0 | 91217 | |||
| ANTHONY DEMORY | |||||||||
| PHYSICIAN/ DIVISION VICE CHAIR | 40.0 | X | X | 802014 | 0 | 81251 | |||
| JOLIE BAILEY | |||||||||
| PHYSICIAN/ DIVISION SECRETARY | 40.0 | X | X | 297355 | 0 | 74989 | |||
| LAURA ADAMS | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 565285 | 0 | 74864 | ||||
| JOE MIMS | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 607198 | 0 | 58504 | ||||
| SCOTT GIPSON | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 346623 | 0 | 77317 | ||||
| CHARLES MARSH | |||||||||
| PHYSICIAN /BOARD DIRECTOR | 40.0 | X | 620846 | 0 | 49198 | ||||
| LUIS DUARTE | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 3008630 | 0 | 103357 | ||||
| MARK MURPHY | |||||||||
| PHYSICIAN/ BOARD DIRECTOR | 40.0 | X | 0 | 0 | 0 | ||||
| IRVIN ZEITLER | |||||||||
| MEDICAL DIRECTOR | 5.0 | X | 0 | 425732 | 67700 | ||||
| DOUG SCHULTZ | |||||||||
| PHYSICIAN/ MEDICAL DIRECTOR | 40.0 | X | 389995 | 0 | 39666 | X | |||
| BRYAN HORNER | |||||||||
| PRESIDENT | 5.0 | X | 0 | 522768 | 69570 | ||||
| TIMOTHY HARTIN | |||||||||
| SECRETARY/ GENERAL COUNCIL | 5.0 | X | 0 | 240004 | 52644 | ||||
| TIMOTHY HOPKINS | |||||||||
| PHYSICIAN | 40.0 | 1472919 | 0 | 87279 | X | ||||
| KENNETH BREEDLOVE | |||||||||
| PHYSICIAN | 40.0 | 1112497 | 0 | 82871 | X | ||||
| MICHAEL SICKELS | |||||||||
| PHYSICIAN | 40.0 | 1112356 | 0 | 89832 | X | ||||
| VICTOR SCHULZE III | |||||||||
| PHYSICIAN | 40.0 | 1134123 | 0 | 86056 | X | ||||
| DAVID HUCHTON | |||||||||
| PHYSICIAN | 40.0 | 1059843 | 0 | 83695 | X | ||||
| JOHN GILBREATH | |||||||||
| CFO | 5.0 | 0 | 214523 | 49740 | X | ||||
| GARY BOWEN | |||||||||
| COO | 5.0 | 0 | 210613 | 56528 | X | ||||
| JAMES BARNETT | |||||||||
| PHYSICIAN/ FORMER BOARD VC | 40.0 | 409167 | 0 | 71705 | X | ||||
| STEPHEN CAINELLI | |||||||||
| PHYSICIAN/ FORMER SECRETARY | 40.0 | 465412 | 0 | 48580 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 17032683 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1613640 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1992687 | TotalOtherCompensation |
| Number Individuals GT100 K | 137 | NumberIndividualsGT100K |
| Formers Listed | true | 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 |
|---|---|---|---|---|---|
| DELTA LOCUM TENENS | |||||
| PO BOX 678082 | DALLAS | TX | 75267 | LOCUMS SERVICES | 467238 |
| SHANNON MED MGMT | |||||
| PO BOX 22000 | SAN ANGELO | TX | 76903 | MANAGEMENT SERVICES | 33087431 |
| MAYO COLLABORATIVE SERVICES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | OUTSIDE LAB SERVICES | 790939 |
| CARDIOTHORACIC VASCULAR SURGEONS | |||||
| 1010 W 40TH ST | AUSTIN | TX | 78756 | PHYS CONTRACT SERV'S | 292500 |
| SHANNON MEDICAL CTR | |||||
| PO BOX 1879 | SAN ANGELO | TX | 76902 | LAB & LAUNDRY SVC | 491251 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Service Revenue | 621990 | 99938690 | 99938690 |
| Lease Income | 532000 | 7323 | 7323 |
| Miscellanous Income | 900099 | 1495260 | 1495260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 101441273 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 101441273 | TotalRevenueColumn |
| Related Or Exempt Function Income | 101441273 | RelatedOrExemptFunctionIncome |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 11412853 | Total |
| Program Services | 11412853 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 889121 | Total |
| Program Services | 889121 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51831718 | Total |
| Program Services | 51360164 | ProgramServices |
| Management And General | 471554 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7133256 | Total |
| Program Services | 7133256 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1387434 | Total |
| Program Services | 1378884 | ProgramServices |
| Management And General | 8550 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2212187 | Total |
| Program Services | 2212187 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36166411 | Total |
| Program Services | 30741449 | ProgramServices |
| Management And General | 5424962 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40939 | Total |
| Management And General | 40939 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53019 | Total |
| Management And General | 53019 | 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 | 4019633 | Total |
| Program Services | 3904676 | ProgramServices |
| Management And General | 114957 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190603 | Total |
| Program Services | 190603 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 463471 | Total |
| Program Services | 463471 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4130 | Total |
| Program Services | 4130 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86765 | Total |
| Program Services | 86765 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339174 | Total |
| Program Services | 339174 | ProgramServices |
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 | 15265 | Total |
| Program Services | 15265 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1092529 | Total |
| Program Services | 1092529 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 413666 | Total |
| Program Services | 370679 | ProgramServices |
| Management And General | 42987 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT | 6217504 | 6217504 |
| MEDICAL SUPPLIES | 5775522 | 5775522 |
| RECRUITING | 445416 | 445416 |
| EQUIPMENT COSTS | 476937 | 476937 |
| EDUCATION | 323163 | 323163 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 374604 | Total |
| Program Services | 374604 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131365320 | Total |
| Program Services | 125208352 | ProgramServices |
| Management And General | 6156968 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -416161 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22118 | BOY |
| EOY | 21958 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12347023 | BOY |
| EOY | 13839031 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47774 | BOY |
| EOY | 142856 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44930 | BOY |
| EOY | 97664 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 768557 | BOY |
| EOY | 1469448 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11499070 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8547757 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3183075 | BOY |
| EOY | 2951313 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6523302 | BOY |
| EOY | 8369581 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22520618 | BOY |
| EOY | 26891851 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9427114 | BOY |
| EOY | 10565006 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 612235 | BOY |
| EOY | 483421 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9562724 | BOY |
| EOY | 10849998 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19602073 | BOY |
| EOY | 21898425 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2918545 | BOY |
| EOY | 4993426 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2918545 | BOY |
| EOY | 4993426 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22520618 | BOY |
| EOY | 26891851 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -29924047 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 31998928 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3035 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2078 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3271 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6349 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 14733 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 87496019 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 85042238 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 91838780 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 94414909 | CurrentTaxYearMinus1Year |
| Current Tax Year | 101441273 | CurrentTaxYear |
| Total | 460233219 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 87499054 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 85044316 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 91842051 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 94421258 | CurrentTaxYearMinus1Year |
| Current Tax Year | 101441273 | CurrentTaxYear |
| Total | 460247952 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 460247952 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 227742 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 227742 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 227742 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 227742 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 144034 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 144034 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 87870830 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 85044316 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 91842051 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 94421258 | CurrentTaxYearMinus1Year |
| Current Tax Year | 101441273 | CurrentTaxYear |
| Total | 460619728 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99919 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99853 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00049 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00085 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11449070 | OtherCostOrOtherBasis |
| Depreciation | 8547757 | Depreciation |
| Book Value | 2951313 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 2951313 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RETIREMENT FUND | Description |
| Book Value | 8369581 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 8369581 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION FUND LIABILITY | $8,369,581 |
| HEALTH CLAIMS PAYABLE | $205,359 |
| ESTIMATED MALPRACTICE COSTS | $2,275,058 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10849998 | TotalOfAmounts |
| Total Revenue | 101441273 | TotalRevenue |
| Total Expenses | 131365320 | TotalExpenses |
| Excess Or Deficit For Year | -29924047 | ExcessOrDeficitForYear |
| Other | -$12,540 | OtherAmount |
| Total Adjustments | -12540 | TotalAdjustments |
| Excess Or Deficit Per FS | -29936587 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 64819639 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 64819639 | RevenueSubtotal |
| Other Revenues Not Included | 36621634 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 36621634 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 101441273 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 94756226 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 94756226 | ExpensesSubtotal |
| Other Expenses Not Included | 36609094 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 36609094 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 131365320 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FIN 48 DISCLOSURE | 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. | |
| PART XI, LINE 8 | -12,540 RECLASS FROM SHANNON MEDICAL MANAGEMENT | OTHER CHANGE |
| PART XII, LINE 4B | 12,540 RECLASS FROM SHANNON MEDICAL MANAGEMENT 36,609,094 EXPENSE INCLUDED IN REVENUE ON AUDIT ------------ 36,621,634 TOTAL | OTHER CHANGE |
| PART XIII, LINE 4B | $36,609,094 EXPENSE INCLUDED IN REVENUE ON AUDIT | OTHER CHANGE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (29 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN HORNER | |||||||||||||
| 0 | 446787 | 0 | 70859 | 0 | 5122 | 0 | 30380 | 0 | 39190 | 0 | 592338 | 0 | 0 |
| JAMES MELOTT | |||||||||||||
| 230113 | 0 | 31382 | 0 | 23007 | 0 | 46380 | 0 | 21889 | 0 | 352771 | 0 | 20000 | 0 |
| JOHN HARVEY | |||||||||||||
| 257632 | 0 | 28929 | 0 | 22848 | 0 | 46380 | 0 | 20617 | 0 | 376406 | 0 | 20000 | 0 |
| VIKI FORLANO HALFMANN | |||||||||||||
| 243272 | 0 | 34376 | 0 | 23953 | 0 | 46380 | 0 | 20143 | 0 | 368124 | 0 | 20000 | 0 |
| HARVEY RUSSWURM | |||||||||||||
| 246859 | 0 | 40000 | 0 | 1980 | 0 | 30380 | 0 | 19786 | 0 | 339005 | 0 | 0 | 0 |
| D'LAINE WESTMORELAND | |||||||||||||
| 122833 | 0 | 18000 | 0 | 14828 | 0 | 24706 | 0 | 9399 | 0 | 189766 | 0 | 0 | 0 |
| CORNELIUS CHINN | |||||||||||||
| 260681 | 0 | 44538 | 0 | 23731 | 0 | 46380 | 0 | 25269 | 0 | 400599 | 0 | 20000 | 0 |
| MICHAEL WAGNON | |||||||||||||
| 293476 | 0 | 35144 | 0 | 18104 | 0 | 40326 | 0 | 23133 | 0 | 410183 | 0 | 18022 | 0 |
| WILLIAM WHITEHEAD | |||||||||||||
| 392739 | 0 | 31500 | 0 | 36021 | 0 | 51680 | 0 | 23276 | 0 | 535216 | 0 | 31500 | 0 |
| CHRIS COLE | |||||||||||||
| 925068 | 0 | 157590 | 0 | 69816 | 0 | 63180 | 0 | 28037 | 0 | 1243691 | 0 | 41000 | 0 |
| ANTHONY DEMORY | |||||||||||||
| 512102 | 0 | 254655 | 0 | 35257 | 0 | 54505 | 0 | 26746 | 0 | 883265 | 0 | 30157 | 0 |
| JOLIE BAILEY | |||||||||||||
| 235997 | 0 | 31910 | 0 | 29448 | 0 | 49137 | 0 | 25852 | 0 | 372344 | 0 | 25500 | 0 |
| LAURA ADAMS | |||||||||||||
| 487122 | 0 | 43566 | 0 | 34597 | 0 | 54380 | 0 | 20484 | 0 | 640149 | 0 | 30000 | 0 |
| JOE MIMS | |||||||||||||
| 492435 | 0 | 81743 | 0 | 33020 | 0 | 30380 | 0 | 28124 | 0 | 665702 | 0 | 27500 | 0 |
| SCOTT GIPSON | |||||||||||||
| 287977 | 0 | 29660 | 0 | 28986 | 0 | 50780 | 0 | 26537 | 0 | 423940 | 0 | 25500 | 0 |
| CHARLES MARSH | |||||||||||||
| 575894 | 0 | 38073 | 0 | 6879 | 0 | 30380 | 0 | 18818 | 0 | 670044 | 0 | 0 | 0 |
| LUIS DUARTE | |||||||||||||
| 2513405 | 0 | 419574 | 0 | 75651 | 0 | 76637 | 0 | 26720 | 0 | 3111987 | 0 | 57821 | 0 |
| IRVIN ZEITLER | |||||||||||||
| 0 | 328755 | 0 | 50844 | 0 | 46133 | 0 | 55205 | 0 | 12495 | 0 | 493432 | 0 | 0 |
| TIMOTHY HARTIN | |||||||||||||
| 0 | 199573 | 0 | 32473 | 0 | 7958 | 0 | 45305 | 0 | 7339 | 0 | 292648 | 0 | 2395 |
| DOUG SCHULTZ | |||||||||||||
| 359082 | 0 | 27032 | 0 | 3881 | 0 | 30380 | 0 | 9286 | 0 | 429661 | 0 | 0 | 0 |
| TIMOTHY HOPKINS | |||||||||||||
| 1349355 | 0 | 57820 | 0 | 65744 | 0 | 76637 | 0 | 10642 | 0 | 1560198 | 0 | 57821 | 0 |
| KENNETH BREEDLOVE | |||||||||||||
| 909151 | 0 | 157590 | 0 | 45756 | 0 | 63180 | 0 | 19691 | 0 | 1195368 | 0 | 41000 | 0 |
| MICHAEL SICKELS | |||||||||||||
| 886781 | 0 | 157590 | 0 | 67985 | 0 | 63180 | 0 | 26652 | 0 | 1202188 | 0 | 41000 | 0 |
| VICTOR SCHULZE III | |||||||||||||
| 916140 | 0 | 157590 | 0 | 60393 | 0 | 63180 | 0 | 22876 | 0 | 1220179 | 0 | 32800 | 0 |
| DAVID HUCHTON | |||||||||||||
| 985669 | 0 | 37500 | 0 | 36674 | 0 | 60380 | 0 | 23315 | 0 | 1143538 | 0 | 37500 | 0 |
| JOHN GILBREATH | |||||||||||||
| 0 | 163827 | 0 | 29169 | 0 | 21527 | 0 | 35217 | 0 | 14523 | 0 | 264263 | 0 | 14300 |
| GARY BOWEN | |||||||||||||
| 0 | 165918 | 0 | 29533 | 0 | 15162 | 0 | 37620 | 0 | 18908 | 0 | 267141 | 0 | 14200 |
| JAMES BARNETT | |||||||||||||
| 354887 | 0 | 30000 | 0 | 24280 | 0 | 46380 | 0 | 25325 | 0 | 480872 | 0 | 16000 | 0 |
| STEPHEN CAINELLI | |||||||||||||
| 434489 | 0 | 26112 | 0 | 4811 | 0 | 30380 | 0 | 18200 | 0 | 513992 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| METHODS USED TO ESTABLISH COMPENSATION | SCHEDULE J, PART I, QUESTION 3 | SHANNON CLINIC'S (SC) EXECUTIVE DIRECTOR IS CONTRACTED THROUGH SHANNON MEDICAL MANAGEMENT (SMM), A RELATED 501(C)(3) ORGANIZATION. THEREFORE, SC RELIES ON THE METHODS USED BY SMM TO ESTABLISH THE COMPENSATION OF THE EXECUTIVE DIRECTOR. |
| NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS | PART 1, QUESTION 4 | NONQUALIFIED PLAN PARTICIPANTS NAME AMOUNT JAMES MELOTT 21,596.89 JOHN HARVEY 21,227.31 VIKI FORLANO HALFMANN 22,259.15 D'LAINE WESTMORELAND 13,355.88 CORNELIUS CHINN 22,259.05 MICHAEL WAGNON 17,035.93 WILLIAM WHITEHEAD 35,058.65 CHRIS COLE 50,066.01 ANTHONY DEMORY 33,563.50 JOLIE BAILEY 28,380.38 LAURA ADAMS 33,389.72 JOE MIMS 29,588.67 SCOTT GIPSON 28,023.82 CHARLES MARSH NONE LUIS DUARTE 57,457.13 MARK MURPHY NONE IRVIN ZEITLER 23,629.20 BRYAN HORNER NONE TIM HARTIN 2,395.86 DOUG SCHULTZ NONE TIMOTHY HOPKINS 63,722.75 KENNETH BREEDLOVE 44,283.79 MICHAEL SICKELS 50,013.06 VICTOR SCHULZE III 40,642.53 DAVID HUCHTON 35,467.06 JAMES BARNETT 22,258.93 STEPHEN CAINELLI NONE PARTICIPANTS IN THE 457F RETIREMENT ALLOWANCE PLAN ARE PHYSICIANS WHO ARE UNDER AGE 55 & THEIR EXPECTED COMPENSATION IS HIGHER THAN 125,000 OR EXECUTIVES WHO ARE UNDER AGE 62 & THEIR EXPECTED COMPENSATION IS HIGHER THAN $125,000. EACH OUARTER, THEY RECEIVE 8% OF THEIR BASE SALARY FOR THE PRECEEDING YEAR INTO A MUTUAL FUND ACCOUNT. ALL MUTUAL FUND ACCOUNTS HAVE A DEFERRED VESTING DATE OF JUNE 30TH OF THE SECOND CALENDAR YEAR FOLLOWING THE PLAN YEAR FOR WHICH THE MUTUAL FUND ACCOUNT WAS CREATED. IN GENERAL, THE EARLIEST DTSIRIBUTION DATE IS AFTER JUNE 30TH OF THE SECOND CALENDAR YEAR FOLLOWING THE PLAN YEAR FOR WHICH THE MUTUAL FUND ACCOUNT WAS CREATED. IN THE 457F ACCOUNTS RECEIVABLE PLAN, PARTICIPANTS ARE PHYSICIANS WHOSE ANNUAL COMPENSATION IS HIGHER THAN 125,000 AND ARE ELIGIBLE TO RECEIVE THE A/R CREDIT. ONCE A YEAR, 20% OF THE A/R CREDIT IS FUNDED INTO A MUTUAL FUND ACCOUNT. VESTING IN THE BENEFIT IS 20% EACH YEAR WITH FULL VESTING AFTER 5 YEARS. DISTRIBUTION WILL OCCUR AT THE END OF THE 5 YEARS OR AT TERMINATION OF EMPLOYMENT. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MICHELLE CHINN | |||
| CORNELIUS CHINN'S SPOUSE | 69991 | SHANNON CLINIC EMPLOYEE | false |
| SCOTT WESTMORELAND | |||
| D. WESTMORELAND'S SPOUSE | 336377 | SHANNON CLINIC EMPLOYEE | false |
| DENVER MARSH | |||
| CHARLES MARSH'S BROTHER | 482753 | SHANNON CLINIC EMPLOYEE | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON | FORM 990, PART VI, QUESTION 3 | ADMINISTRATIVE SERVICES FOR SHANNON CLINIC ARE CONTRACTED WITH SHANNON MEDICAL MANAGEMENT. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, QUESTION 6 | SHANNON HEALTH SYSTEM, A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF SHANNON CLINIC. |
| MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY | FORM 990, PART VI, QUESTION 7A | THE SOLE MEMBER, SHANNON HEALTH SYSTEM, APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBER EXERCISES ITS POWERS & AUTHORITY THROUGH THE ACTION OF THE CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER OR SUCH OTHER PERSON OR PERSONS DESIGNATED BY THE BOARD OF DIRECTORS OF THE MEMBER TO TAKE ACTION. |
| DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, QUESTION 7B | THE MEMBER HAS THE SOLE AUTHORITY TO ACT WITH RESPECT TO A VARIETY OF SUBJECTS INCLUDING BUDGETING, INCURRENCE OR GUARANTEE OF ANY DEBT, CREATION OR SALE OF ANY SUBSIDIARIES, REAL PROPERTY TRANSACTIONS, MODIFICATIONS OF THE CORPORATION, ARRANGEMENTS BETWEEN THE CORPORATION AND ANY INSURER, ESTABLISHMENT OF TRAINING AND RESIDENCY PROGRAMS, GIVING AND RECEIVING GRANTS, AUDITOR AND LEGAL COUNSEL SELECTION, APPROVAL, ADOPTION, OR AMENDMENT OF: COMPENSATION POLICY THAT ESTABLISHES REASONABLE SALARIES OF OFFICERS, DIRECTORS, PHYSICIANS AND PHYSICIAN EXTENDERS, INSURANCE COVERAGE AND FEE SCHEDULES RELATING TO PATIENT SERVICES, COMMENCEMENT OF LITIGATION BY THE CORPORATION, SELECTION AND APPROVAL OF THE LOCATION OF THE PROVISION OF ANY SERVICES OFFERED BY THE CORPORATION AND ANY OTHER MATTERS WITH RESPECT TO WHICH EXCLUSIVE AUTHORITY IS GRANTED TO THE MEMBER BY LAW, THE ARTICLES, OR THE BYLAWS. |
| 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 MEMBER'S FINANCE COMMITTEE WILL REVIEW AFTER THE FORM IS FILED. |
| PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY | FORM 990, PART VI, QUESTION 12C | OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON CLINIC ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AS THEY ARISE, AND ARE REQUIRED TO FILE ANNUAL STATEMENTS AFFIRMING EITHER THE CONFLICTS OF INTEREST THAT THEY MAY HAVE, OR THAT THEY HAVE NO CONFLICTS OF INTEREST. |
| REVIEW OF COMPENSATION | FORM 990, PART VI, QUESTION 15A & 15B | OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF SHANNON CLINIC ARE EMPLOYED BY SHANNON MEDICAL CENTER OR ITS AFFILIATES, AND AS SUCH HAVE THEIR COMPENSATION REVIEWED ANNUALLY BY THE INDEPENDENT SHANNON MEDICAL CENTER BOARD OF TRUSTEES, WHICH CONSULTS COMPARABILITY DATA AND KEEPS CONTEMPORANEOUS RECORDS OF ITS DECISIONS. |
| EXPLANATION OF COMMITTEE THAT ASSUMES RESPONSIBILITY | FORM 990, PART XII, QUESTION 2C | SHANNON CLINIC DOES NOT HAVE AN AUDIT COMMITTEE, BUT THERE IS A SHANNON HEALTH SYSTEM AUDIT COMPLIANCE COMMITTEE THAT OVERSEES THE CONSOLIDATED AUDIT THAT INCLUDES SHANNON CLINIC. |
| GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, QUESTION 19 | COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | TRANSFER TO/FROM AFFILIATES $ 32,011,382 RECLASS FROM SHANNON MEDICAL MANAGEMENT (12,540) OTHER CHANGE 86 ------------- OTHER CHANGES IN NET ASSETS $ 31,998,928 |
| SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PART VI, QUESTION 4 | THE BYLAWS WERE AMENDED AND RESTATED. SHANNON HEALTH SYSTEM REPLACED SHANNON MEDICAL CENTER AS THE SOLE MEMBER. ALSO THE NUMBER OF BOARD OF DIRECTORS CHANGED FROM 18 TO 19. THE PRIMARY CARE DIRECTORS INCREASED FROM 9 TO 10. |
| EMPLOYEE COMPENSATION | FORM 990, PART VII | MARK MURPHY became an officer/employee of the organization in April 2011 and is reported as a current officer in Part VII of Form 990. Accordingly, no compensation was earned during the calendar year ending within the organization's fiscal year (December 2010). |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:IRVIN ZEITLER TITLE:MEDICAL DIRECTOR HOURS:36 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRYAN HORNER TITLE:PRESIDENT HOURS:39 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TIMOTHY HARTIN TITLE:SECRETARY/ GENERAL COUNCIL HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN GILBREATH TITLE:CFO HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GARY BOWEN TITLE:COO HOURS:40 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| TRUSTEES SHANNON WEST TEXAS HOSPITAL | |||||||||
| PO BOX 49 | SAN ANGELO | TX | 76902 | 750800679 | TRUST | TX | 501(C)(3) | 11B | NA |
| SHANNON RURAL HEALTH CLINICS INC | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752940211 | HEALTHCARE | TX | 501(C)(3) | 11C | SMC |
| SHANNON REAL ESTATE SERVICES INC | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 270075630 | SUPPORT SVCS | TX | 501(C)(3) | 11B | SMC |
| SHANNON MEDICAL CENTER | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752559845 | HEALTHCARE | TX | 501(C)(3) | 3 | NA |
| SHANNON BUSINESS SERVICES INC | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 432038769 | SUPPORT SVCS | TX | 501(C)(3) | 11B | SMC |
| SHANNON MEDICAL MANAGEMENT | |||||||||
| 120 E BEAUREGARD | SAN ANGELO | TX | 76903 | 208367966 | SUPPORT SVCS | TX | 501(C)(3) | 9 | SHS |
| SHANNON HEALTH SYSTEM | |||||||||
| 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 752602411 | HEALTHCARE | TX | 501(C)(3) | 11A | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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 | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LEGACY HEALTH PLAN INC | |||||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 752838410 | HEALTH PLAN | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 |
| LEGACY MANAGEMENT SERVICES | |||||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 752544450 | MANAGEMENT | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 |
| LEGACY HEALTH SOLUTIONS | |||||||||||
| 2018 PULLIAM ST | SAN ANGELO | TX | 76903 | 200720762 | MED INSURANCE | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 |
| 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 | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| 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 | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | 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 |