Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
EIN 75-0800679 • 501(c)3 • San Angelo, TX
Profile
Support, maintenance, and operation of a hospital in west texas.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Liabilities / Revenue
91st percentile
Higher debt load relative to revenue than 91% of similar nonprofits.
Net Margin
84th percentile
Higher net margin than 84% of similar nonprofits.
Top Officer Pay
4th percentile
Higher top officer pay than 4% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
46th percentile
Faster asset growth than 46% of similar nonprofits.
Revenue Growth
77th percentile
Faster revenue growth than 77% of similar nonprofits.
Assets
Up$630,967,073
Up $32,116,196 (+5.4%) from 2023
Liabilities
Down$80,496,368
Down $760,445 (-0.9%) from 2023
Net Assets
Up$550,470,705
Up $32,876,641 (+6.4%) from 2023
Revenue
Up$21,491,686
Up $3,856,084 (+22%) from 2023
Expenses
Down$15,790,531
Down $18,144,663 (-53%) from 2023
Net Income
Up$5,701,155
Up $22,000,747 (+135%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Support, maintenance and operation of a hospital in West Texas.
Support, maintenance, and operation of a hospital in west texas.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $112,555,709 | $127,955,961 | ▲ $15,400,252 |
| Other Notes and Loans Receivable, Net | $29,736,969 | $41,700,744 | ▲ $11,963,775 |
| Investments Other Securities | $32,484,324 | $31,349,959 | ▼ $1,134,365 |
| Land, Buildings, and Equipment, Net | $21,004,069 | $20,435,497 | ▼ $568,572 |
| Savings and Temporary Cash Investments | $9,685,055 | $13,933,039 | ▲ $4,247,984 |
| Accounts Receivable | $10,000,000 | - | - |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $598,850,877 | $630,967,073 | ▲ $32,116,196 |
| Other Assets Total | $383,384,751 | $395,591,873 | ▲ $12,207,122 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $81,107,386 | $80,384,290 | ▼ $723,096 |
| Deferred Revenue | $149,427 | $112,078 | ▼ $37,349 |
| Unsecured Notes Loans Payable | $0 | - | - |
| Other Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $81,256,813 | $80,496,368 | ▼ $760,445 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $517,594,064 | $550,470,705 | ▲ $32,876,641 |
| Total Net Assets Fund Balance | $517,594,064 | $550,470,705 | ▲ $32,876,641 |
| Total Liabilities and Net Assets / Fund Balance | $598,850,877 | $630,967,073 | ▲ $32,116,196 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $17,596,012 | $3,571,777 | $21,167,789 |
| Land | $2,656,406 | - | $2,656,406 |
| Other Land Buildings | $176,793 | $7,596 | $184,389 |
| Equipment | $6,286 | $2,449 | $8,735 |
| Other Assets Org | $427,037 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Oran H Berry Iii | Trustee | - | $50,397 | $22,250 | $72,647 |
| Michael E Oliphant | Trustee | - | $50,227 | $22,350 | $72,577 |
| John Steve Cecil | Trustee | - | $47,681 | $24,250 | $71,931 |
| Michael Ted Weatherford | Trustee | - | $49,486 | $18,950 | $68,436 |
| Freddy L Moore | Trustee | - | $30,050 | $24,350 | $54,400 |
| Jeffrey Mccormick | Trustee | - | $30,050 | $24,350 | $54,400 |
| Len P Mertz | Trustee | PT | $22,259 | - | $22,259 |
| Joe W Henderson | Former Trustee | - | $20,177 | $20,177 | $20,177 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Goldman Sachs | Investment Management | 100 CRESCENT COURT SUITE 100, Dallas, TX 75201 | $679,075 |
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $12,100,000 |
| Other Expenses | $3,291,083 |
| Salaries, Compensation, and Employee Benefits | $399,448 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $12,100,000 | - | - | $12,100,000 |
| Interest | - | $1,227,245 | - | $1,227,245 |
| Fees for Service Investment Mgmnt Fees | - | $788,362 | - | $788,362 |
| Depreciation Depletion | - | $685,866 | - | $685,866 |
| Other Salaries and Wages | - | $182,147 | - | $182,147 |
| Fees for Services Legal | - | $163,388 | - | $163,388 |
| Current Officers, Directors, Trustees, and Key Employees | - | $161,587 | - | $161,587 |
| Office Expenses | - | $57,042 | - | $57,042 |
| Fees for Services Accounting | - | $34,465 | - | $34,465 |
| Other Employee Benefits | - | $21,226 | - | $21,226 |
| Comp Disqual Persons | - | $20,177 | - | $20,177 |
| Payroll Taxes | - | $14,311 | - | $14,311 |
| Other Expenses | - | $3,417 | - | $3,417 |
| Insurance | - | $2,419 | - | $2,419 |
| Fees for Services Other | $0 | $236 | $0 | $236 |
| Total Functional Expenses | $12,100,000 | $3,690,531 | $0 | $15,790,531 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $15,790,531 |
| Expenses Not Reported on Financial Statements | $12,777,658 |
| Other Expense Adjustments | $12,100,000 |
| Total Expenses per Audited Statements | $3,068,403 |
| Expenses per Audited Statements | $3,012,873 |
| Expenses Not Reported on Form 990 | $55,530 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Shannon Medical Center | San Angelo, TX | 501(c)(3) | Fund Capital Expenditures | $12,100,000 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Europe (Including Iceland and Greenland) | Investments | - | 0 | 0 | $372,029 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
“Review process: presented to the managing trustee for review and discussion with the accounting firm preparing the return. Any questions or concerns are dealt with and the final return is presented to all of the board of trustees for final approval prior to filing the form. Any unresolved questions at this time are referred to the accounting firm for response and explanation.”
“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.”
“Availability of documents: these documents are available upon request made in writing or in person at the offices of the organization.”
“Independent board members: the compensation reported is for board expense reimbursements, not as employee wages. Therefore, the board members listed are not considered to lack independence.”
“Grants to subsidiary - 12100000; change in fair value of interest rate swap - -4843850;”
“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.”
“Interest rate swap - 4843850 rental expenses - -55530”
“RENTAL EXPENSES - 55530”
“Grants to shannon medical center - 12100000”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 10000000 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | SUPPORT, MAINTENANCE, AND OPERATION OF A HOSPITAL IN WEST TEXAS. |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | LEN P MERTZ |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3256558974 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 36 W BEAUREGARD SUITE 700 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SAN ANGELO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 76903 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 161587 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 161587 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 20177 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 20177 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 679075 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 100 CRESCENT COURT SUITE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 75201 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | GOLDMAN SACHS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | INVESTMENT MANAGEMENT |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 12100000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 8662842 |
| IRS990/CYOtherExpensesAmt | 0 | 3291083 |
| IRS990/CYOtherRevenueAmt | 0 | 12828844 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 5701155 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 399448 |
| IRS990/CYTotalExpensesAmt | 0 | 15790531 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 21491686 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 149427 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 112078 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 685866 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 685866 |
| IRS990/Desc | 0 | CONTRIBUTIONS OF CASH OR ASSETS FOR THE OPERATION, MAINTENANCE OR EXPANSION OF THE SHANNON MEDICAL CENTER |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 2 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 12100000 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 34465 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 34465 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 163388 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 163388 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 236 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 236 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 788362 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 788362 |
| IRS990/ForeignActivitiesInd | 0 | true |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 20.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LEN P MERTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | FREDDY L MOORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JEFFREY MCCORMICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JOHN STEVE CECIL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MICHAEL E OLIPHANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MICHAEL TED WEATHERFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ORAN H BERRY III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOE W HENDERSON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 22259 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 30050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 30050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 47681 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 50227 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 49486 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 50397 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 20177 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 24350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 24350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 24250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 22350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 18950 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 22250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | FORMER TRUSTEE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1932 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 31043 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 4621760 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GrantAmt | 0 | 12100000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 12100000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 12100000 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 31043 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 59814896 |
| IRS990/GrossReceiptsAmt | 0 | 76740352 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 5980921 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 2419 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2419 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1227245 |
| IRS990/InterestGrp/TotalAmt | 0 | 1227245 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 4010039 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 4010039 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 32484324 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 31349959 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 112555709 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 127955961 |
| IRS990/IRPDocumentCnt | 0 | 12 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 3581822 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 21004069 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 20435497 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 24017319 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 55193136 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 55530 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | SUPPORT, MAINTENANCE, AND OPERATION OF A HOSPITAL IN WEST TEXAS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 81107386 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 80384290 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 517594064 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 550470705 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 4652803 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 4652803 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 5925391 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 5925391 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 19919336 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 517594064 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 550470705 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 57042 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 57042 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 383384751 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 395591873 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 7256150 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 21226 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 21226 |
| IRS990/OtherExpensesGrp/Desc | 0 | AD VALOREM TAXES |
| IRS990/OtherExpensesGrp/Desc | 1 | TRUSTEE EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 2 | WATER UTILITY FEE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 214290 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 114353 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 3417 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 214290 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 114353 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 3417 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 211110 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | DAMAGES/O/G LEASES |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 742165 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 742165 |
| IRS990/OtherRevenueTotalAmt | 0 | 742165 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 182147 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 182147 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 29736969 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 41700744 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 14311 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 14311 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | Len P Mertz |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 30100000 |
| IRS990/PYInvestmentIncomeAmt | 0 | 6041352 |
| IRS990/PYOtherExpensesAmt | 0 | 3491045 |
| IRS990/PYOtherRevenueAmt | 0 | 11594250 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -16299592 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 344149 |
| IRS990/PYTotalExpensesAmt | 0 | 33935194 |
| IRS990/PYTotalRevenueAmt | 0 | 17635602 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 5701155 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 5925391 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RoyaltiesRevenueGrp/ExclusionAmt | 0 | 6161288 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 6161288 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 9685055 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 13933039 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | true |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | false |
| IRS990ScheduleA/MajorityDirTrstSupportedOrgInd | 0 | true |
| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 752559845 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | true |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 0 | 12100000 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | SHANNON MEDICAL CENTER |
| IRS990ScheduleA/SupportingOrganization509a3Ind | 0 | X |
| IRS990ScheduleA/SupportingOrgType2Ind | 0 | X |
| IRS990ScheduleA/SupportSumAmt | 0 | 12100000 |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 6286 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 2449 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 8735 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 55530 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 12777658 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 3012873 |
| IRS990ScheduleD/InvestmentExpensesNotIncld2Amt | 0 | 677658 |
| IRS990ScheduleD/InvestmentExpensesNotIncldAmt | 0 | 677658 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 2656406 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 2656406 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 17596012 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 3571777 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt | 0 | 21167789 |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 19919336 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 395164836 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 1 | 427037 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | INVESTMENT IN SHANNON MEDICAL |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 1 | MINERAL INTERESTS NONPRODUCING |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 2 | ACCRUED INTEREST RECEIVABLE |
| IRS990ScheduleD/OtherExpensesIncludedAmt | 0 | 55530 |
| IRS990ScheduleD/OtherExpensesNotIncludedAmt | 0 | 12100000 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 176793 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 7596 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 184389 |
| IRS990ScheduleD/OtherRevenueAmt | 0 | 0 |
| IRS990ScheduleD/OtherRevenuesNotIncludedAmt | 0 | 4788320 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 19919336 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 5465978 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 16025708 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | 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. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | INTEREST RATE SWAP - 4843850 RENTAL EXPENSES - -55530 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | RENTAL EXPENSES - 55530 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 3 | GRANTS TO SHANNON MEDICAL CENTER - 12100000 |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Schedule D, Part X, Line 2 |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 20435497 |
| IRS990ScheduleD/TotalBookValueOtherAssetsAmt | 0 | 395591873 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 15790531 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 21491686 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 35945044 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 3068403 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt | 0 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt | 0 | 0 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt | 0 | 372029 |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 0 | Europe (Including Iceland and Greenland) |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 0 | Investments |
| IRS990ScheduleF/BoycottCountriesInd | 0 | false |
| IRS990ScheduleF/ContinuationSpentAmt | 0 | 0 |
| IRS990ScheduleF/ContinuationTotalEmployeeCnt | 0 | 0 |
| IRS990ScheduleF/ContinuationTotalOfficeCnt | 0 | 0 |
| IRS990ScheduleF/ForeignCorpOwnershipInd | 0 | false |
| IRS990ScheduleF/ForeignPartnershipInd | 0 | true |
| IRS990ScheduleF/InterestInForeignTrustInd | 0 | false |
| IRS990ScheduleF/PassiveForeignInvestmestCoInd | 0 | false |
| IRS990ScheduleF/SubtotalEmployeesCnt | 0 | 0 |
| IRS990ScheduleF/SubtotalOfficesCnt | 0 | 0 |
| IRS990ScheduleF/SubtotalSpentAmt | 0 | 372029 |
| IRS990ScheduleF/SupplementalInformationDetail/ExplanationTxt | 0 | EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual |
| IRS990ScheduleF/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements |
| IRS990ScheduleF/TotalEmployeeCnt | 0 | 0 |
| IRS990ScheduleF/TotalOfficeCnt | 0 | 0 |
| IRS990ScheduleF/TotalSpentAmt | 0 | 372029 |
| IRS990ScheduleF/TransferToForeignCorpInd | 0 | false |
| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | true |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 0 | 12100000 |
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