2024-08-15T12:31:07-05:00 2023-09-30 Forvis Mazars LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2022-10-01 752602411 Shannon Health System % JOSEPH WOOLDRIDGE SHAN 3256536741 120 E Harris Avenue San Angelo TX 76903 JOSEPH WOOLDRIDGE CFO 3254818644 2024-08-15 true Noelle Alberto P01704142 9727028262 2022 2024-08-08 14:25:15Z BRYAN HORNER 120 E Harris Avenue SAN ANGELO TX 76903 331774 false X SHANNONHEALTH.COM X 1995 TX SHANNON HEALTH SYSTEM IMPROVES THE HEALTH & WELLNESS OF THE PEOPLE OF ITS COMMUNITIES BASED ON IDENTIFIED NEEDS & WITHIN OUR RESOURCES TO PROVIDE THE BROADEST ACCESS TO OUR SERVICES. 14 12 0 0 -553383 0 0 0 0 0 0 212600 -1495294 119174 -1495294 331774 0 0 0 0 0 0 0 0 0 315634 314781 315634 314781 -1810928 16993 39005454 18959348 0 0 39005454 18959348 THE MISSION OF SHANNON HEALTH SYSTEM IS TO IMPROVE THE HEALTH & WELLNESS OF THE PEOPLE OF ITS COMMUNITIES BASED ON IDENTIFIED NEEDS & WITHIN OUR RESOURCES TO PROVIDE THE BROADEST ACCESS TO OUR SERVICES. false false 0 0 672557 PROVIDE SUPPORTING SERVICES TO SHANNON MEDICAL CENTER, AN IRC SECTION 501(C)(3) EXEMPT ORGANIZATION. 0 true false false false false false false false false false false true false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false true true X 0 0 0 false false false false false false false false false false false false X 14 12 true false false false true true true true true false false true true true true true true true true true false X JOSEPH WOOLDRIDGE 3256536741 120 EAST HARRIS SAN ANGELO TX 76903 KELLY SHANE PLYMELL PRESIDENT 24.0 16.0 X X 0 1069858 114243 Dr Ross Harper Director 2.0 38.0 X 0 1064361 113314 Dr Jason Felger Director 2.0 38.0 X 0 874060 125200 JOSEPH WOOLDRIDGE CFO 1.0 39.0 X 0 417708 78095 STEVE CECIL TRUSTEE 2.0 6.0 X 0 71962 0 MICHAEL TED WEATHERFORD TRUSTEE 2.0 6.0 X 0 70794 0 MIKE OLIPHANT TRUSTEE 2.0 6.0 X 0 69275 0 ORAN BERRY III SECRETARY 2.0 6.0 X X 0 65869 0 JEFFREY MCCORMICK TRUSTEE 2.0 6.0 X 0 53650 0 FREDDY MOORE TRUSTEE 2.0 6.0 X 0 52800 0 Will Griffis Director 2.0 4.0 X 0 22850 0 JAMES A BOYD JR Director 2.0 4.0 X 0 21350 0 MARTHA VISNEY Director 2.0 4.0 X 0 20350 0 MARIO CASTILLO Director 2.0 4.0 X 0 18850 0 LEN MERTZ CHAIRMAN 2.0 38.0 X X 0 15194 0 0 3908931 430852 0 false true false 0 0 0 212600 212600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INCOME FROM JOINT VENTURE INVESTMENTS 900099 119174 672557 -553383 119174 331774 672557 -553383 212600 0 0 0 0 0 0 0 0 0 0 0 200004 200004 14054 14054 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100723 100723 314781 0 314781 0 38364782 17642030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349073 353162 0 0 0 0 291599 964156 0 0 0 0 0 0 39005454 18959348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 39005454 18959348 0 0 39005454 18959348 39005454 18959348 X 16993 -20063099 X false true X true false X X 1 SHANNON MEDICAL CENTER 752559845 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true INVESTMENT IN SUBSIDIARY 964156 F 964156 685152 -200005 -200005 885157 -553383 -553383 331774 114777 114777 200004 200004 314781 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH RETURN: LEGAL EXPENSES $(200,005) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH RETURN: UNRELATED BUSINESS INCOME FROM K-1 $(553,383) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: LEGAL EXPENSES $ 200,005 false true false false false false false false false KELLY SHANE PLYMELL PRESIDENT 0 764365 0 217956 0 87537 0 96004 0 18239 0 1184101 0 87537 JOSEPH WOOLDRIDGE CFO 0 326149 0 63473 0 28086 0 59856 0 18239 0 495803 0 28086 Dr Jason Felger Director 0 709496 0 64800 0 99764 0 88400 0 36800 0 999260 0 78574 Dr Ross Harper Director 0 631099 0 352595 0 80667 0 76521 0 36793 0 1177675 0 80367 SCHEDULE J, PART I, LINE 3 MANAGEMENT COMPENSATION: The compensation of the CEO is determined and paid by, Shannon Medical Center, a related organization using the following methods: - COMPENSATION SURVEY OR STUDY - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B NON-QUALIFIED RETIREMENT PLAN (457F): PARTICIPANT W-2 DEFERRED COMP PAYOR ------------ --------- --------------- ----------- KELLY SHANE PLYMELL 87,537 83,805 SMC JOSEPH WOOLDRIDGE 28,086 47,656 SMC ROSS HARPER, MD 80,367 64,321 SC JASON FELGER, MD 78,574 76,200 SC FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: TRUSTEES OF SHANNON WEST TEXAS MEMORIAL HOSPITAL IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE BOARD OF DIRECTORS SHALL CONSIST OF THE BOARD MEMBERS OF THE TRUSTEES OF SHANNON WEST TEXAS MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL: APPROVAL OF THE SOLE MEMBER, TRUSTEES OF SHANNON WEST TEXAS MEMORIAL HOSPITAL, IS REQUIRED FOR BUDGETS, LARGE FINANCIAL EXPENDITURES THAT DEVIATE FROM BUDGET, SALE OF PROPERTY, MERGER, ACQUISITION, OR CONSOLIDATION, BORROWING OF MONEY, SEEKING OR GIVING GRANTS, SETTLEMENT OF CLAIMS OR LITIGATION, AMENDMENT OF BYLAWS, AND CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS OF FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. A COPY WILL BE MADE AVAILABLE TO THE FINANCE COMMITTEE AND BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: 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. FORM 990, PART VI, SECTION B, LINE 15A & 15B REVIEW AND APPROVAL OF COMPENSATION: The compensation of all officers are determined and paid by, Shannon Medical Center, a related organization. GALLAGHER COMPLETED AN EXECUTIVE COMPENSATION STUDY IN OCTOBER 2022, AND IT COVERED ALL EXECUTIVE SALARIES. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES' OPERATIONS COMMITTEE, WHICH CONSULTS COMPARABILITY DATA AND KEEPS CONTEMPORANEOUS RECORDS OF ITS DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 PROCESS OF MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: TRANSFER TO SHANNON MEDICAL CENTER $(33,999,498) TRANSFER FROM SHANNON CLINIC $ 13,383,018 UNRELATED BUSINESS INCOME FROM K-1 $ 553,383 ---------------- TOTAL $(20,063,099) FORM 990, PART V, LINE 1A Form 1099 Filings: All Form 1099 filings for the System are issued out of Shannon Medical Center, a related organization. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: VARIOUS OFFICERS AND TRUSTEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO THEIR EMPLOYMENT OR BOARD SERVICE WITH OTHER ORGANIZATIONS WITHIN THE SYSTEM. TRUSTEES SHANNON WEST TEXAS HOSPITAL PO BOX 49 SAN ANGELO TX 76902 750800679 TRUST TX 501(C)(3) 11B NA false SHANNON RURAL HEALTH CLINICS INC 120 E HARRIS AVE SAN ANGELO TX 76903 752940211 HEALTHCARE TX 501(c)(3) 11C SHS true SHANNON REAL ESTATE SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 270075630 SUPPORT SVCS TX 501(c)(3) 11B SHS true SHANNON MEDICAL CENTER 120 E HARRIS AVE SAN ANGELO TX 76903 752559845 HEALTHCARE TX 501(c)(3) 3 NA true SHANNON CLINIC 120 E HARRIS AVE SAN ANGELO TX 76903 752600873 HEALTHCARE TX 501(c)(3) 10 SHS true SHANNON BUSINESS SERVICES INC 120 E HARRIS AVE SAN ANGELO TX 76903 432038769 SUPPORT SVCS TX 501(c)(3) 12a SHS true SHANNON MEDICAL MANAGEMENT 120 E HARRIS AVE SAN ANGELO TX 76903 208367966 SUPPORT SVCS TX 501(c)(3) 12b SHS true SHANNON MEDICAL CENTER PIONEER FDN 120 E HARRIS AVE SAN ANGELO TX 76903 352229303 Support TX 501(c)(3) 12a SHS true LEGACY MANAGEMENT SERVICES 2018 PULLIAM ST SAN ANGELO TX 76903 752544450 UTILIZ REVIEW TX NA C CORP true LEGACY HEALTH SOLUTIONS 2018 PULLIAM ST SAN ANGELO TX 76903 200720762 MED INSURANCE TX NA C CORP true false false false false false false false false false false false false false true true false false true true Shannon Medical Center R 33999498 FMV Shannon Clinic S 13383018 FMV Texas Healthcare Linen LLC 1349 North Arnold Blvd Abilene TX 79603 272620846 laundry TX UNRELATED false -81365 1107513 false -81365 false 0.25000 Shannon Rehabilitation Hospital LLC 9001 LIBERTY PARKWAY BIRMINGHAM AL 35242 843211164 REHAB HOSPITAL DE UNRELATED false -625177 4965929 false -472018 false 0.49000