Civic Intelligence

Shannon Medical Management

EIN 20-8367966 • 501(c)3 • San Angelo, TX

Profile

To provide support services for shannon medical center in support of its mission to be the premiere health care provider of physician services in the communities served.

PO Box 22000San Angelo, TX 76902

www.shannonhealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

11.75x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

13th percentile

0.06x

Higher debt load relative to revenue than 13% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

49th percentile

4.1%

Higher net margin than 49% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

85th percentile

$1,273,121

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

19th percentile

-1.3%

Faster asset growth than 19% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

64th percentile

14%

Faster revenue growth than 64% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$594,185

Down $7,930 (-1.3%) from 2023

Liabilities

Up

$6,981,889

Up $1,202,504 (+21%) from 2023

Net Assets

Down

-$6,387,704

Down $1,210,434 (-23%) from 2023

Revenue

Up

$113,570,578

Up $13,815,434 (+14%) from 2023

Expenses

Up

$108,916,321

Up $13,634,012 (+14%) from 2023

Net Income

Up

$4,654,257

Up $181,422 (+4.1%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0-$5.0M-$10MAssets 2010: $630,535Liabilities 2010: $1,904,877Net Assets 2010: -$1,274,3422010Assets 2011: $728,382Liabilities 2011: $2,231,534Net Assets 2011: -$1,503,1522011Assets 2012: $1,484,413Liabilities 2012: $2,286,916Net Assets 2012: -$802,5032012Assets 2013: $1,690,244Liabilities 2013: $2,529,792Net Assets 2013: -$839,5482013Assets 2014: $2,285,418Liabilities 2014: $2,453,968Net Assets 2014: -$168,5502014Assets 2015: $2,298,434Liabilities 2015: $2,765,950Net Assets 2015: -$467,5162015Assets 2016: $2,675,809Liabilities 2016: $3,705,546Net Assets 2016: -$1,029,7372016Assets 2017: $3,541,504Liabilities 2017: $3,755,626Net Assets 2017: -$214,1222017Assets 2018: $3,857,170Liabilities 2018: $4,320,658Net Assets 2018: -$463,4882018Assets 2019: $2,707,629Liabilities 2019: $4,486,000Net Assets 2019: -$1,778,3712019Assets 2020: $2,603,626Liabilities 2020: $4,551,404Net Assets 2020: -$1,947,7782020Assets 2021: $1,382,032Liabilities 2021: $6,042,038Net Assets 2021: -$4,660,0062021Assets 2022: $266,567Liabilities 2022: $5,096,224Net Assets 2022: -$4,829,6572022Assets 2023: $602,115Liabilities 2023: $5,779,385Net Assets 2023: -$5,177,2702023Assets 2024: $594,185Liabilities 2024: $6,981,889Net Assets 2024: -$6,387,7042024

Highlighted filing

2024

Assets$594,185
Liabilities$6,981,889
Net Assets-$6,387,704

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0Expenses 2010: $31,001,9872010Expenses 2011: $34,512,3662011Expenses 2012: $38,105,6362012Revenue 2013: $42,169,875Expenses 2013: $40,205,633Net Income 2013: $1,964,2422013Revenue 2014: $44,312,958Expenses 2014: $42,541,795Net Income 2014: $1,771,1632014Revenue 2015: $48,596,555Expenses 2015: $46,228,803Net Income 2015: $2,367,7522015Revenue 2016: $53,938,566Expenses 2016: $51,792,186Net Income 2016: $2,146,3802016Revenue 2017: $55,533,870Expenses 2017: $52,971,490Net Income 2017: $2,562,3802017Revenue 2018: $62,769,903Expenses 2018: $60,454,540Net Income 2018: $2,315,3632018Revenue 2019: $64,483,978Expenses 2019: $61,865,998Net Income 2019: $2,617,9802019Revenue 2020: $67,628,045Expenses 2020: $63,637,011Net Income 2020: $3,991,0342020Revenue 2021: $79,162,048Expenses 2021: $76,869,507Net Income 2021: $2,292,5412021Revenue 2022: $89,525,953Expenses 2022: $85,589,773Net Income 2022: $3,936,1802022Revenue 2023: $99,755,144Expenses 2023: $95,282,309Net Income 2023: $4,472,8352023Revenue 2024: $113,570,578Expenses 2024: $108,916,321Net Income 2024: $4,654,2572024

Highlighted filing

2024

Revenue$113,570,578
Expenses$108,916,321
Net Income$4,654,257

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.59$6.98$6.39$114$109$4.65
2023Detailed filing. Detailed filing data is available for this year.$0.60$5.78$5.18$99.8$95.3$4.47
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.27$5.10$4.83$89.5$85.6$3.94
2021Detailed filing. Detailed filing data is available for this year.$1.38$6.04$4.66$79.2$76.9$2.29
2020Detailed filing. Detailed filing data is available for this year.$2.60$4.55$1.95$67.6$63.6$3.99
2019Detailed filing. Detailed filing data is available for this year.$2.71$4.49$1.78$64.5$61.9$2.62
2018Detailed filing. Detailed filing data is available for this year.$3.86$4.32$0.46$62.8$60.5$2.32
2017Detailed filing. Detailed filing data is available for this year.$3.54$3.76$0.21$55.5$53.0$2.56
2016Detailed filing. Detailed filing data is available for this year.$2.68$3.71$1.03$53.9$51.8$2.15
2015Detailed filing. Detailed filing data is available for this year.$2.30$2.77$0.47$48.6$46.2$2.37
2014Detailed filing. Detailed filing data is available for this year.$2.29$2.45$0.17$44.3$42.5$1.77
2013Summary only. Only limited summary data is available for this year.$1.69$2.53$0.84$42.2$40.2$1.96
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.48$2.29$0.80$38.1
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.73$2.23$1.50$34.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.63$1.90$1.27$31.0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 15, 2025
Return Version
2023v6.0
Gross Receipts
$113,570,578
Mission and Program Overview

Mission

To provide support services for shannon clinic in support of its mission to be the premiere health care provider of physician services in the communities served.

Founded on a legacy of caring, shannon is a locally owned healthcare system dedicated to providing exceptional healthcare for our family, friends, and neighbors.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$609,586$532,303▼ $77,283
Prepaid Expenses and Deferred Charges$282,486$320,097▲ $37,611
Accounts Receivable$94,349$97,601▲ $3,252
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0--
Intangible Assets$0--
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors-$0-
Land, Buildings, and Equipment, Net$-823,360$-844,485▼ $21,125
Total Assets$602,115$594,185▼ $7,930
Other Assets Total$439,054$488,669▲ $49,615
Liabilities
Accounts Payable and Accrued Expenses$3,976,364$4,845,627▲ $869,263
Other Liabilities$1,803,021$2,136,262▲ $333,241
Total Liabilities$5,779,385$6,981,889▲ $1,202,504
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-5,177,270$-6,387,704▼ $1,210,434
Total Net Assets Fund Balance$-5,177,270$-6,387,704▼ $1,210,434
Total Liabilities and Net Assets / Fund Balance$602,115$594,185▼ $7,930

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$-844,485$12,352,303$11,507,818
Other Assets Org$941--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ricardo VillarealCOO/secretary/treasurerPT$379,358$237,963$617,321
Julian BeserilChief Financial OfficerPT$275,138$150,108$425,246
Anna PittmanCNO/COOFT$215,404$125,145$340,549
Mark DuncanDirector of Sports MedicineFT$173,949$27,636$201,585
Julie MeyerAdministrative DirectorFT$141,696$34,025$175,721
Sheryl MoonDirector of Business OfficeFT$137,385$28,898$166,283
Jinnette YorkControllerFT$120,223$23,912$144,135
Joshua ButtsDIRECTOR of operationsFT$119,129$21,696$140,825
Len MertzChairman--$22,259$22,259

Board Members and Trustees

NameTitle
Kelly Shane PlymellPresident

Highest Paid Contractors

ContractorServicesLocationCompensation
Hta-san Angelo LLCRental ServicesPO BOX 561549, Denver, CO 80256$523,480
Patientexp LLCPatient Reminder ServicesPO BOX 530264, Birmingham, AL 35253$185,321
Executive Courier LLCCourier Services2917 SIERRA CIRCLE, San Angelo, TX 76904$180,007
Patschke Big Spring CrossingRental Services3300 N A STREET BLDG 5 SUITE 100, Big Spring, TX 79710$163,070
White Plume TechnologiesClaim Coding And Editing Services2 METROPLEX DR STE 310, Birmingham, AL 35209$134,036
Revenue and Support

Revenue Composition

Contributions and Grants
$47,449
Program Service Revenue
$113,523,129
Investment Income
$0
Other Revenue
$0
All Other Contributions
$47,449
Change in Net Assets
$4,654,257

Audited Revenue Reconciliation

Revenue per Audited Statements
$113,570,578
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$113,570,578
Total Revenue per Form 990
$113,570,578
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$84,902,417
Other Expenses$24,013,904
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$52,598,829$9,877,175-$62,476,004
Other Employee Benefits$12,380,025$2,516,473-$14,896,498
Occupancy$10,310,083$2,166,897-$12,476,980
Payroll Taxes$3,758,773$789,991-$4,548,764
Fees for Services Other$1,865,427$392,063$0$2,257,490
Pension Plan Contributions$1,419,650$178,385-$1,598,035
Current Officers, Directors, Trustees, and Key Employees-$1,383,116-$1,383,116
Office Expenses$840,830$176,720-$1,017,550
Information Technology$382,253$80,339-$462,592
All Other Expenses$349,230$43,719$0$392,949
Advertising$356,349--$356,349
Depreciation Depletion$270,494$56,850-$327,344
Travel$149,779$31,480-$181,259
Other Expenses$128,129$26,929-$155,058
Insurance-$59,287-$59,287
Fees for Services Accounting-$32,763-$32,763
Conferences and Meetings$9,908$2,082-$11,990
Total Functional Expenses$90,083,529$18,832,792$0$108,916,321

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$108,916,321
Total Expenses per Audited Statements$108,916,321
Total Expenses per Form 990$108,916,321
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Health Claims Payable$1,661,898
Pension Plan Liability$474,364
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 Classes of members or stockholders

Shannon health system is the sole member of shannon medical management.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The sole member, shannon health system, appoints the members of the board of directors. The member exercises its powers and 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. The member also 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.

Form 990, Part VI, Line 11B Review of form 990 by governing body

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. Copies of the form are provided to the finance committee and board prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

Officers, directors, key employees, and highest compensated employees of shannon medical management 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.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

Officers, directors, and key employees of shannon medical management 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. Shannon medical center finance and board of trustees completed the review in 2022.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

Officers, directors, and key employees of shannon medical management 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. Shannon medical center finance and board of trustees completed the review in 2022.

Form 990, Part VI, Line 19 Required documents available to the public

Copies of governing documents, conflict of interest policies and financial statements are provided to the public upon request.

Filing and Contact Details

Filer

Filer Name
Shannon Medical Management
EIN
20-8367966
Phone
3256581511
Address
PO Box 22000, San Angelo, TX 76902

Signing Officer

Name
Julian Beseril
Title
CFO
Signed
2025-08-15
Discuss with paid preparer
Yes

Organization Details

Formed
2007
Legal Domicile
TX
Voting Board Members
3
Independent Board Members
1
Employees
1,576
Volunteers
10

Preparer

Firm
Forvis Mazars LLP
Address
2700 Post Oak Blvd Ste 1500, Houston, TX 77056
Preparer
Amanda Maya
Phone
7134994600
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A BOX 3 OF FORM 1096

Checks are written on behalf of shannon medical management by shannon clinic. Accordingly all form 1099's are filed under the tax id of shannon clinic.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfer to/from affiliates - -5864691;

Form 990, Part XII, Line 2C OVERSIGHT OF THE AUDIT

Shannon medical management does not have an audit committee, but there is a shannon health system audit compliance committee that oversees the consolidated audit that includes shannon medical management.

Financial Statement Notes

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.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0FOUNDED ON A LEGACY OF CARING, SHANNON IS A LOCALLY OWNED HEALTHCARE SYSTEM DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE FOR OUR FAMILY, FRIENDS, AND NEIGHBORS.
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IRS990/Desc0PROVIDE SUPPORT SERVICES, INCLUDING NURSING, ANCILLARY HEALTHCARE SERVICES, ADMINISTRATIVE AND TECHNOLOGICAL SUPPORT FOR SHANNON CLINIC, AN AFFILIATED NON-PROFIT MULTI-SPECIALTY PHYSICIAN CLINIC THAT PROVIDES HEALTHCARE THROUGHOUT SAN ANGELO AND NEARBY COMMUNITIES REGARDLESS OF ABILITY TO PAY. SHANNON MEDICAL MANAGEMENT IS ORGANIZED AND OPERATED TO SUPPORT ACCESS AND CARE FOR RESIDENTS OF ITS SERVICE AREA, INCLUDING MEDICALLY INDIGENT PATIENTS.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE ORGANIZATION'S GOVERNING DOCUMENTS LIST SHANNON MEDICAL CENTER. THE ORGANIZATION SUPPORTS SHANNON CLINIC WHO PROVIDES SERVICES THAT ALLOW SHANNON MEDICAL CENTER TO ACCOMPLISH ITS MISSION OF PROVIDING CARE TO ITS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1THE ORGANIZATION HAS RECEIVED A TYPE II SUPPORTING ORGANIZATION DETERMINATION LETTER FROM THE IRS. THE IRS MADE THIS DETERMINATION BASED ON THE FOLLOWING FACTS. THE PRIMARY PURPOSE OF THE ORGANIZATION IS THE PROVISION OF ADMINISTRATIVE SERVICES TO SHANNON CLINIC (SC), THE PHYSICIAN SERVICES COMPONENT OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT INCLUDES SHANNON MEDICAL CENTER (SMC), SC, THE ORGANIZATION AND SHANNON HEALTH SYSTEM (SHS), EACH OF WHICH IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(A)[1] BY VIRTUE OF BEING AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). EACH OF THESE ENTITIES ARE RELATED CORPORATIONS. EFFECTIVE JULY 3, 2008, THE ORGANIZATION'S BYLAWS WERE AMENDED TO, AMONG OTHER THINGS, SUBSTITUTE SHS FOR SMC AS THE ORGANIZATION'S MEMBER. THUS, THE ORGANIZATION'S DIRECTORS ARE APPOINTED AND REMOVABLE BY SHS, NOT SMC. AS SUCH, THE ORGANIZATION RECEIVED CLASSIFICATION AS A TYPE II SUPPORTING ORGANIZATION SINCE A MAJORITY OF ITS OFFICERS AND DIRECTORS ARE EITHER DIRECTORS OF SMC OR MEMBERS OF THE SMC'S SENIOR MANAGEMENT TEAM, PLACING MANAGEMENT AND CONTROL OF THE ORGANIZATION IN THE HANDS OF THE SAME INDIVIDUALS WHO MANAGE SMC.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Schedule A, Part IV, Section C, Line 1 Majority director detail
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