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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Pamela J Bradshaw</PersonNm>
        <TitleTxt>vice president/coo</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>31923</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>52210</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Michael Wood</PersonNm>
        <TitleTxt>Vice President/CMO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>452927</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>88576</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>38816</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>27464</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>642235</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>30441</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph Wooldridge</PersonNm>
        <TitleTxt>Vice President/CFO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>385771</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr James C Barnett</PersonNm>
        <TitleTxt>Vice President/CMO</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>457(F) DETAIL ------------------------------------------------------------------------------------------------ KELLY SHANE PLYMELL: W-2 - $79,212 DEFERRED - $89,693 PAYOR - SMC JOSEPH WOOLDRIDGE: W-2 - $43,279 DEFERRED COMP - $54,528 PAYOR - SMC PAMELA BRADSHAW: W-2 - $52,210 DEFERRED COMP - $55,831 PAYOR - SMC DR. JASON FELGER: W-2 - $109,538 DEFERRED - $69,524 PAYOR - SC DR. ROSS HARPER: W-2 - $64,953 DEFERRED - $61,500 PAYOR - SC MICHAEL WOOD: W-2 - $30,441 DEFERRED COMP - $25,616 PAYOR - SMC DR. JAMES C. BARNETT: W-2 - $57,793 DEFERRED - $40,688 PAYOR - SMC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a SALARIES AND WAGES PAID</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES AND WAGES OF SHANNON BUSINESS SERVICES ARE PAID BY SHANNON MEDICAL CENTER AND ARE INCLUDED ON THE FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS FOR SHANNON MEDICAL CENTER. SHANNON BUSINESS SERVICES, INC. REIMBURSES SHANNON MEDICAL CENTER FOR THE WAGES AND PAYROLL TAXES PAID FOR ITS EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a SALARIES AND WAGES PAID</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES AND WAGES OF SHANNON BUSINESS SERVICES ARE PAID BY SHANNON MEDICAL CENTER AND ARE INCLUDED ON THE FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS FOR SHANNON MEDICAL CENTER. SHANNON BUSINESS SERVICES, INC. REIMBURSES SHANNON MEDICAL CENTER FOR THE WAGES AND PAYROLL TAXES PAID FOR ITS EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>SHANNON HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION AS ESTABLISHED IN THE ARTICLES OF INCORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>PER THE CORPORATION BYLAWS, THE CORPORATION SHALL HAVE A BOARD OF DIRECTORS, AND THE NUMBER OF BOARD OF DIRECTORS SHALL ALWAYS BE NO LESS THAN THREE. SHANNON HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION, SHALL HAVE FULL VOTING RIGHTS FOR ALL PURPOSES UNDER THE ACT AND SUCH OTHER RIGHTS AS ARE SET FORTH IN THE ARTICLES OF INCORPORATION. ALL DIRECTORS OF THE BOARD ARE APPOINTED BY THE MEMBER AND MAY BE REMOVED AT THE MEMBER'S DISCRETION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>SHANNON HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION, HAS THE POWER TO APPROVE THE ANNUAL BUDGETS, APPROVE THE PURCHASE, SALE OR MORTGAGE OF PROPERTY, UNDERTAKE MERGERS OR ACQUISITIONS AND APPROVE THE ALTERATION OF THE BYLAWS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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. A COPY WILL BE MADE AVAILABLE TO THE FINANCE COMMITTEE AND BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>REGULARLY AUDIT FOR CONFLICT OF INTEREST STATEMENTS IN THE EMPLOYEE RECORDS. PROCEDURES FOR MONITORING: 1. WITHIN 90 DAYS OF BECOMING AN AFFECTED INDIVIDUAL, THAT INDIVIDUAL MUST REVIEW THIS POLICY AND COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. 2. AT LEAST ANNUALLY THEREAFTER, AFFECTED INDIVIDUALS MUST REVIEW THIS POLICY AND COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. 3. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE SENT TO THE BOARD. 4. AT ANYTIME WHEN AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST ARISES, THE AFFECTED INDIVIDUAL MUST REVISE HIS OR HER CONFLICT OF INTEREST DISCLOSURE FORM AND CONTACT THE BOARD. THE RESPONSIBILITY TO PROMPTLY REPORT SUCH ACTUAL OR POTENTIAL CONFLICTS RESTS WITH THE AFFECTED INDIVIDUAL. 5. THE BOARD WILL REVIEW DISCLOSURES AND DETERMINE WHICH REQUIRE FURTHER ACTION WITH THE GENERAL COUNSEL AND APPROPRIATE EXECUTIVE STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>SHANNON MEDICAL CENTER ENGAGED GALLAGHER TO PERFORM AN EXECUTIVE COMPENSATION REVIEW IN OCTOBER 2022 WHICH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>SHANNON MEDICAL CENTER ENGAGED GALLAGHER TO PERFORM AN EXECUTIVE COMPENSATION REVIEW IN OCTOBER 2022 WHICH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER FROM SHANNON CLINIC - 501; TRANSFER FROM SHANNON MEDICAL CENTER - 3128712; TRANSFER TO SHANNON MEDICAL MANAGEMENT - -210971; DECREASE IN RESTRICTED NET ASSETS - 261956; TRANSFER FROM SHANNON REAL ESTATE - 490663;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Shannon Real Estate Services inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>120 E Harris Ave</AddressLine1Txt>
          <CityNm>San Angelo</CityNm>
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      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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</Return>