Shannon West Texas Memorial Hospital, West Texas Memorial Hospital in San Angelo, Texas (TX)

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Table of contents:

• Overview
• Detailed Reports
  • Checklist
  • Statements Regarding Other IRS Filings and Tax Compliance
  • Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
  • Statement of Revenue
  • Statement of Functional Expenses
  • Balance Sheet
  • Reason for Public Charity Status
  • Revenue, Expenses, and Changes in Net Assets or Fund Balances
  • Statement of Functional Expenses
  • Balance Sheets
  • Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
  • Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
  • Current Officers, Directors, Trustees, and Key Employees
  • Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
  • Other Information
  • Analysis of Income-Producing Activities
  • Information Regarding Taxable Subsidiaries and Disregarded Entities
  • Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
  • Statements About Activities
  • Reason for Non-Private Foundation Status
  • Information about the supported organizations
  • Support Schedule
  • Lobbying Expenditures by Electing Public Charities
• Organizations performing similar types of work

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Shannon West Texas Memorial Hospital, West Texas Memorial Hospital
Employer Identification Number (EIN)	750800679
Name of Organization	Shannon West Texas Memorial Hospital
Secondary Name	West Texas Memorial Hospital
Address	PO BOX 49, San Angelo, TX 76902-0049
Activities	Hospital
Subsection	Charitable Organization
Ruling Date	03/1937
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	09/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$150,142,170
Amount of Income	$90,696,775
Form 990 Revenue Amount	$21,665,253
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Single Organization Support

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Amount of income in 2013: $90,696,775

This organization:	$90,696,775
Other organizations performing similar types of work:	$6,088,020

Assets in 2013: $150,142,170

Shannon West Texas Memorial Hospital, West Texas Memorial Hospital:	$150,142,170
Other organizations performing similar types of work:	$26,323,448

Expenses in 2013: $24,652,301

Shannon West Texas Memorial Hospital, West Texas Memorial Hospital:	$24,652,301
Other organizations performing similar types of work:	$1,941,347

Income to expenses ratio in 2013: 3.7

This organization:	3.7
Other organizations performing similar types of work:	2.7

Expenses allocated to program services in 2007: 89.9%

Shannon West Texas Memorial Hospital, West Texas Memorial Hospital:	89.9%
Other organizations performing similar types of work:	84.3%

Employees paid over $100,000 in 2013: 50.0%

Shannon West Texas Memorial Hospital, West Texas Memorial Hospital:	50.0%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 0.0%

Shannon West Texas Memorial Hospital, West Texas Memorial Hospital:	0.0%
Other organizations performing similar types of work:	18.7%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
	2012	2013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	No	No
Is the organization required to complete Schedule B, Schedule of Contributors?	No	No
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	No	No
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	Yes	Yes
Was the organization included in consolidated, independent audited financial statements for the tax year?	No	No
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	No	No
Did the organization attach a copy of its audited financial statements?	No	No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	No	No
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	Yes	Yes
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

Statements Regarding Other IRS Filings and Tax Compliance
	2011	2012	2013
The number reported in Box 3 of Form 1096		11	12
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		No	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		2	2
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	No	No	No
Has it filed a Form 990-T for this year?		No	No
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
	2012	2013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$240,254	$166,250
Total reportable compensation from related organizations	$173,650	$145,510
Total estimated amount of other compensation from the organization and related organizations	$46,075	$29,067
Total number of individuals who received more than $100,000 of reportable compensation from the organization	0	0
Total number of independent contractors who received more than $100,000 of compensation from the organization	1	1

Statement of Revenue
	2011	2012	2013
Total revenue	$50,912,414	$30,953,131	$21,665,253
Contributions, Gifts, Grants and Other Similar Amounts	$0	$0	$0
Program Service Revenue	$0	$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$814,445	$1,824,463	$2,173,210
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$43,859,208	$26,450,225	$10,127,258
Net rental income	$404,540	$380,609	$366,829
Gross rents (Real / Personal)	$450,031 / $0	$449,009 / $0	$448,111 / $0
Less: rental expenses (Real / Personal)	$45,491 / $0	$68,400 / $0	$81,282 / $0
Rental income or (loss) (Real / Personal)	$404,540 / $0	$380,609 / $0	$366,829 / $0
Net gain/loss from sales of assets other than inventory	$2,788,139	$1,766,564	$7,740,238
Gross amount from sales of assets other than inventory (Securities / Other)	$2,788,139 / $0	$45,938,687 / $0	$76,690,478 / $0
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $0	$44,172,123 / $0	$68,950,240 / $0
Gain or (loss) (Securities / Other)	$2,788,139 / $0	$1,766,564 / $0	$7,740,238 / $0
Net income/loss from fundraising events	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$3,046,082	$531,270	$1,257,718
211110		$531,270	$1,257,718
All other revenue		$0	$0

Statement of Functional Expenses
	2011	2012	2013
Total functional expenses	$7,644,173	$18,635,581	$24,652,301
Grants and other assistance to domestic organizations and domestic governments		$17,109,312	$22,919,848
Grants and other assistance to domestic individuals		$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$230,500	$175,083	$155,584
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$99,392	$100,768	$103,486
Pension plan accruals and contributions		$7,507	$7,723
Other employee benefits		$6,964	$6,447
Payroll taxes	$7,971	$8,076	$8,284
Fees for services (non-employees)
Management		$0	$0
Legal		$48,339	$17,887
Accounting		$6,900	$6,900
Lobbying		$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees		$658,643	$899,237
Other		$7,000	$0
Advertising and promotion		$0	$0
Office expenses		$0	$0
Information technology		$0	$0
Royalties		$0	$0
Occupancy		$0	$0
Travel		$0	$0
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$0	$0
Interest		$0	$0
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$2,764	$3,268
Insurance		$0	$0
Other expenses		$12,103	$9,140
Other expenses		$30,288	$30,288
Other expenses		$47,696	$43,094
Other expenses		$399,110	$429,387
Other expenses		$15,028	$11,728

Balance Sheet
	2011	2012	2013
Total assets	$112,171,062	$140,276,648	$150,142,170
Cash - non-interest-bearing		$0	$0
Savings and temporary cash investments		$5,959,114	$1,999,138
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$0	$3,759
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$0	$0
Inventories for sale or use		$0	$0
Prepaid expenses and deferred charges		$0	$0
Land, buildings, and equipment: cost or other basis		$2,477,196	$2,520,303
Investments - publicly traded securities		$131,495,124	$145,466,467
Investments - other securities		$0	$0
Investments - program-related		$0	$0
Intangible assets		$0	$0
Other assets		$345,214	$152,503
Total liabilities	$112,028	$112,028	$112,028
Accounts payable and accrued expenses		$0	$0
Grants payable		$0	$0
Deferred revenue		$112,028	$112,028
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$0	$0	$0
Unsecured notes and loans payable to unrelated third parties	$0	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$0	$0
Total net assets or fund balances	$112,059,034	$140,164,620	$150,030,142
Unrestricted net assets		$140,164,620	$150,030,142
Temporarily restricted net assets		$0	$0
Permanently restricted net assets		$0	$0
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2)
Number of organizations supported	1
Sum of amounts of support	$22,919,848

Revenue, Expenses, and Changes in Net Assets or Fund Balances
	2000	2001	2002	2003	2004	2005	2006	2007
Total revenue	$3,526,451	$3,150,490	$-4,869,055	$6,268,039	$7,383,133	$14,758,487	$16,230,667	$23,485,132
Contributions, gifts, grants, and similar amounts received	$0	$0	$0	$0	$0	$0	$0	$0
Contributions to donor advised funds							$0	$0
Direct public support	$0	$0	$0	$0	$0	$0	$0	$0
Indirect public support	$0	$0	$0	$0	$0	$0	$0	$0
Government contributions (grants)	$0	$0	$0	$0	$0	$0	$0	$0
Program service revenue including government fees and contracts	$0	$0	$0	$0	$0	$0	$0	$0
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$277,898	$145,519	$68,160	$28,385	$30,316	$179,327	$144,488	$65,408
Dividends and interest from securities	$734,921	$519,264	$555,203	$503,668	$833,638	$809,434	$1,001,020	$1,828,206
Net rental income or (loss)	$1,033,125	$1,110,876	$1,054,369	$568,031	$392,501	$360,568	$323,163	$454,632
Gross rents	$1,983,482	$1,465,740	$1,403,475	$769,270	$530,994	$530,371	$533,761	$519,709
Less: rental expenses	$950,357	$354,864	$349,106	$201,239	$138,493	$169,803	$210,598	$65,077
Other investment income	$0	$0	$0	$494,847	$669,044	$701,211	$455,598	$327,559
Gain or (loss) from sales of assets other than inventory	$240,274	$64,850	$-8,175,495	$3,031,836	$1,099,892	$609,499	$1,459,883	$-1,574,801
Gross amount from sales of assets other than inventory	$403,557	$1,399,108	$3,184,901	$13,711,257	$5,694,437	$11,476,876	$11,306,708	$10,124,971
Less: cost or other basis and sales expenses	$163,283	$1,334,258	$11,360,396	$10,679,421	$4,594,545	$10,867,377	$9,846,825	$11,699,772
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0	$0	$0	$0
Gross revenue	$0	$0	$0	$0	$0	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0	$0	$0	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0	$0	$0
Other revenue	$1,240,233	$1,309,981	$1,628,708	$1,641,272	$4,357,742	$12,098,448	$12,846,515	$22,384,128
Total expenses	$497,820	$527,794	$557,591	$573,102	$523,017	$623,493	$706,381	$8,036,910
Program services	$0	$0	$0	$0	$0	$0	$0	$7,222,340
Management and general	$497,820	$527,794	$557,591	$573,102	$523,017	$623,493	$706,381	$814,570
Fundraising	$0	$0	$0	$0	$0	$0	$0	$0
Payments to affiliates	$0	$0	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$118,186,689	$127,736,992	$123,966,358	$136,044,516	$142,396,839	$165,928,828	$191,788,755	$65,589,179
Excess or (deficit) for the year	$3,028,631	$2,622,696	$-5,426,646	$5,694,937	$6,860,116	$14,134,994	$15,524,286	$15,448,222
Net assets or fund balances at beginning of year	$112,459,885	$118,186,689	$127,736,992	$123,966,358	$136,044,516	$142,396,839	$165,928,828	$191,788,755
Other changes in net assets or fund balances	$2,698,173	$6,927,607	$1,656,012	$6,383,221	$-507,793	$9,396,995	$10,335,641	$-141,647,798

Statement of Functional Expenses (for 2007)
	Total	Program services	Management and general	Fundraising
Total functional expenses	$8,036,910	$7,222,340	$814,570	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$7,222,340
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$138,999	$0	$138,999	$0
Compensation of former officers, directors, key employees, etc.	$4,329	$0	$4,329	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$94,605	$0	$94,605	$0
Pension plan contributions not included above	$6,795	$0	$6,795	$0
Employee benefits not included above	$7,263	$0	$7,263	$0
Payroll taxes	$7,421	$0	$7,421	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$6,217	$0	$6,217	$0
Legal fees	$15,890	$0	$15,890	$0
Supplies	$0	$0	$0	$0
Telephone	$1,779	$0	$1,779	$0
Postage and shipping	$0	$0	$0	$0
Occupancy	$30,288	$0	$30,288	$0
Equipment rental and maintenance	$0	$0	$0	$0
Printing and publications	$0	$0	$0	$0
Travel	$0	$0	$0	$0
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$0	$0	$0	$0
Depreciation, depletion, etc.	$10,856	$0	$10,856	$0
Other expenses not covered above	$490,128	$0	$490,128	$0

Balance Sheets
	2000	2001	2002	2003	2004	2005	2006	2007
Total assets	$118,378,026	$128,023,350	$124,074,793	$136,162,102	$142,509,546	$166,041,535	$191,901,462	$65,701,886
Cash - non-interest-bearing	$50,369	$77,905	$259,488	$388,027	$80,555	$4,312,556	$0	$0
Savings and temporary cash investments	$9,641,061	$8,254,288	$12,005,113	$3,773,644	$2,047,075	$0	$7,910,161	$5,726,002
Accounts receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0	$0	$0	$0
Pledges receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)							$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$7,350,000	$7,250,000	$7,250,000	$13,136,735	$12,858,037	$14,078,657	$6,614,227	$4,914,500
Inventories for sale or use	$0	$0	$0	$0	$0	$0	$0	$0
Prepaid expenses and deferred charges	$0	$0	$0	$0	$0	$0	$0	$0
Investments - publicly-traded securities							$175,463,819	$53,506,831
Investments - other securities	$613,022	$3,369,645	$3,960,800	$116,775,720	$24,728,983	$145,571,827	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$3,254,903	$100,770,443	$400	$0	$0	$0	$400	$400
Investments - other	$89,326,490	$409,662	$92,894,965	$0	$100,712,490	$0	$0	$0
Land, buildings, and equipment less accumulated depreciation	$7,855,875	$7,635,586	$7,467,427	$1,937,798	$1,864,174	$1,897,324	$1,870,809	$1,528,587
Other assets, including program-related investments	$286,306	$255,821	$236,600	$150,178	$218,232	$181,171	$42,046	$25,566
Total liabilities	$191,337	$286,358	$108,435	$117,586	$112,707	$112,707	$112,707	$112,707
Accounts payable and accrued expenses	$130,977	$155,908	$0	$0	$0	$0	$0	$0
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$60,360	$130,450	$108,435	$117,586	$112,707	$112,707	$112,707	$112,707
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$0	$0	$0	$0	$0	$0	$0	$0
Mortgages and other notes payable	$0	$0	$0	$0	$0	$0	$0	$0
Other liabilities	$0	$0	$0	$0	$0	$0	$0	$0
Total liabilities and net assets/fund balances	$118,378,026	$128,023,350	$124,074,793	$136,162,102	$142,509,546	$166,041,535	$191,901,462	$65,701,886
Total net assets or fund balances	$118,186,689	$127,736,992	$123,966,358	$136,044,516	$142,396,839	$165,928,828	$191,788,755	$65,589,179

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
	2000	2001	2002	2003	2004	2005	2006	2007
Total revenue	$3,526,451	$3,150,490	$-4,869,055	$6,268,039	$7,383,133	$14,758,487	$16,230,667	$23,485,132
Total revenue, gains, and other support per audited financial statements	$6,936,901	$10,802,411	$5,347,784	$12,831,013	$8,840,623	$24,167,981	$27,731,403	$13,743,146
Other expenses	$3,069,902	$7,319,463	$9,867,733	$6,361,735	$1,321,082	$9,241,491	$11,445,020	$-9,570,646
Net unrealized gains on investments	$-249,122	$-483,047	$580,342	$0	$0	$1,240,995	$4,766,045	$-9,570,646
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0	$0
Other	$3,319,024	$7,802,510	$9,287,391	$6,361,735	$1,321,082	$8,000,496	$6,678,975	$0
Other revenue	$-340,548	$-332,458	$-349,106	$-201,239	$-136,408	$-168,003	$-55,716	$171,340
Investment expenses	$26,753	$22,406	$0	$0	$0	$0	$198,062	$236,417
Other	$-367,301	$-354,864	$-349,106	$-201,239	$-136,408	$-168,003	$-253,778	$-65,077

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
	2000	2001	2002	2003	2004	2005	2006	2007
Total expenses	$497,820	$527,794	$557,591	$573,102	$523,017	$623,493	$706,381	$8,036,910
Total expenses and losses per audited financial statements	$1,210,097	$1,197,222	$9,151,163	$752,855	$2,488,300	$635,992	$762,097	$7,865,570
Other revenue	$1,336,152	$691,834	$8,616,543	$201,241	$2,006,360	$168,003	$253,778	$65,077
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$1,336,152	$691,834	$8,616,543	$201,241	$2,006,360	$168,003	$253,778	$65,077
Other expenses	$623,875	$22,406	$22,971	$21,488	$41,077	$155,504	$198,062	$236,417
Investment expenses	$26,753	$22,406	$0	$0	$0	$0	$198,062	$236,417
Other	$597,122	$0	$22,971	$21,488	$41,077	$155,504	$0	$0

Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
8	$21,600	$6,180	$0
8	$21,600	$5,159	$0
8	$20,800	$4,011	$0
10	$21,600	$2,746	$0
10	$20,000	$7,335	$0
20	$0	$5,568	$2,400

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	7
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	No
Does the organization have a written conflict of interest policy?	Yes

Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
Loans and Advances	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
$0	$0	$4,329	$0

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	No
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	0

Analysis of Income-Producing Activities (for 2007)
	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
	Business code	Amount	Exclusion code	Amount
Total		$0		$25,059,933	$-1,574,801
Program service revenue
Program service revenue 1	000000	$0	00	$0	$0
Program service revenue 2	000000	$0	00	$0	$0
Program service revenue 3	000000	$0	00	$0	$0
Program service revenue 4	000000	$0	00	$0	$0
Program service revenue 5	000000	$0	00	$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$65,408	$0
Dividends and interest from securities	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$1,828,206	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)	$454,632	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$327,559	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	00	$0	$-1,574,801
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	000000	$0	Royalty income excluded by section 512(b)(2)	$22,384,128	$0

Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
	0%	$0	$0
	0%	$0	$0
	0%	$0	$0
	0%	$0	$0

Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
$56,585	$4,162	$1,200
$0	$0	$0
$0	$0	$0
$0	$0	$0
$0	$0	$0

Total number of other employees paid over $50,000

0

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Not controlled by disqualified persons/supports non private foundation
Type of supporting organization	Type II

Information about the supported organizations
Employer identification number (EIN)	Name of organization	Type of organization	Is the supported organization listed in the supporting organization's governing documents?	Amount of support
752559845	Shannon Medical Center		Yes	$7,222,340
Total				$7,222,340

Support Schedule
	1999	2000	2001	2002	2003	2004	2005	2006
Total	$0	$0	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

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Organizations performing similar types of work
Id	Name	Address	State	Established	Total Income
1	Sealy & Smith Foundation	2200 Market St Ste 500, Galveston, TX 77550-1532	TX	1938-03	$195,242,950
2	Texas Health Resources Foundation	612 E Lamar Blvd, Arlington, TX 76011-4121	TX	1985-07	$160,962,720
3	Shannon West Texas Memorial Hospital, West Texas Memorial Hospital	PO BOX 49, San Angelo, TX 76902-0049	TX	1937-03	$90,696,775
4	Paso Del Norte Health Foundation	221 N Kansas St Ste 1900, El Paso, TX 79901-1428	TX	2001-08	$56,343,192
5	Robert Driscoll And Julia Driscoll And Robert Driscoll Jr Foundation	615 N Upper Broadway St Ste 1635, Corp Christi, TX 78401-0765	TX	1955-07	$39,206,422
6	M D Anderson Services Corporation	PO BOX 301407, Houston, TX 77230-1407	TX	1990-04	$34,285,324
7	West Texas Rehabilitation Center Foundation	4601 Hartford St, Abilene, TX 79605-4603	TX	1967-06	$31,836,477
8	Memorial Hermann Foundation	909 Frostwood, Houston, TX 77024-2301	TX	1971-02	$28,521,991
9	The Menninger Clinic Foundation	12301 Main St, Houston, TX 77035-6207	TX	2003-04	$24,188,502
10	Christus Foundation For Healthcare	PO BOX 1919, Houston, TX 77251-1919	TX	1966-05	$13,667,545
11	Caresource Management Group Co	230 N Main St, Dayton, OH 45402-1263	OH	2003-06	$387,634,367
12	Yakima Valley Memorial Hospital Charitable Foundation	2701 Tieton Dr, Yakima, WA 98902-3759	WA	1978-09	$4,387,844
13	Southeastern Regional Medical Center Foundation	PO BOX 1408, Lumberton, NC 28359-1408	NC	1999-09	$1,084,933
14	St Tammany Hospital Guild Inc	1202 S Tyler St, Covington, LA 70433-2330	LA	1999-11	$186,485
15	Trump Group-Green Foundation	4000 W Island Blvd Ph 2, Aventura, FL 33160-2540	FL	2002-10	$42
16	Bellevue Hospital Association	1400 West Main Street, Bellevue, OH 44811-9088	OH	2003-08	$0
17	Circus To Save Lives Inc	1103 Grand Prix Dr, St Charles, MO 63303-6313	MO	2008-01	$0
18	Hertzler Halstead Hospital Auxiliary Inc	710 Pine St, Halstead, KS 67056-2422	KS	2001-03	$0
19	Providing Every American Child Education And Well Being Organizat, P E A C E And Well Being Organizati	PO BOX 150716, Austin, TX 78715-0716	TX	2001-03	$0
20	Smithville Regional Hospital Auxiliary	Po Box 764, Smithville, TX 78957	TX	1999-07	$0

Number of organizations performing similar types of work
Alaska 1 Alabama 5 Arkansas 5 Arizona 2 California 36 Colorado 8 Connecticut 10 District of Columbia 2 Delaware 1 Florida 18 Georgia 5 Hawaii 3 Iowa 10 Idaho 2 Illinois 25 Indiana 10 Kansas 5 Kentucky 4 Louisiana 9 Massachusetts 13 Maryland 18 Maine 6 Michigan 12 Minnesota 7	Missouri 13 Mississippi 3 North Carolina 15 North Dakota 1 Nebraska 5 New Hampshire 1 New Jersey 14 New Mexico 2 Nevada 1 New York 27 Ohio 37 Oklahoma 3 Oregon 2 Pennsylvania 30 Rhode Island 9 South Carolina 3 South Dakota 2 Tennessee 5 Texas 22 Virginia 18 Washington 9 Wisconsin 6 West Virginia 5
Total	450

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