GOOD SHEPHERD HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: GOOD SHEPHERD HOSPITAL INC (EIN 75-1041154)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-15
IRS object ID: 201812279349300601
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-15T04:40:23-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON STREET STE 600	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	751041154	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Good Shepherd Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% NIKKI BENOIT	InCareOfNm
Business Name Control	GOOD	BusinessNameControlTxt
Phone	9033154000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVENUE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL CHEEK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9033154000	PhoneNum
Signature	2018-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KATHLEEN MOSELEY	PreparerPersonNm
PTIN	P00116760	PTIN
Phone	8173351900	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL CHEEK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$384,942,143	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.christushealth.org/good-shepherd/longview	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1959	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	THE GOOD SHEPHERD HOSPITAL, INC. IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL DEDICATED TO CREATING A HEALTHIER FUTURE FOR THE RESIDENTS OF LONGVIEW AND NORTHEAST TEXAS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	2085	TotalEmployeeCnt
Total Volunteers	145	TotalVolunteersCnt
Total Gross UBI	$4,709,715	TotalGrossUBIAmt
PY Contributions Grants	$742,252	PYContributionsGrantsAmt
CY Contributions Grants	$755,348	CYContributionsGrantsAmt
PY Program Service Revenue	$411,320,889	PYProgramServiceRevenueAmt
CY Program Service Revenue	$383,714,688	CYProgramServiceRevenueAmt
PY Investment Income	-$953,755	PYInvestmentIncomeAmt
CY Investment Income	-$2,340,821	CYInvestmentIncomeAmt
PY Other Revenue	$2,327,397	PYOtherRevenueAmt
CY Other Revenue	$2,401,142	CYOtherRevenueAmt
PY Total Revenue	$413,436,783	PYTotalRevenueAmt
CY Total Revenue	$384,530,357	CYTotalRevenueAmt
PY Grants And Similar Paid	$681,199	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$584,142	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$108,452,109	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$114,628,758	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$318,096,173	PYOtherExpensesAmt
CY Other Expenses	$282,865,220	CYOtherExpensesAmt
PY Total Expenses	$427,229,481	PYTotalExpensesAmt
CY Total Expenses	$398,078,120	CYTotalExpensesAmt
PY Revenues Less Expenses	-$13,792,698	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$13,547,763	CYRevenuesLessExpensesAmt
Total Assets BOY	$123,009,390	TotalAssetsBOYAmt
Total Assets EOY	$118,352,931	TotalAssetsEOYAmt
Total Liabilities BOY	$181,782,797	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$189,675,768	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$58,773,407	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$71,322,837	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE GOOD SHEPHERD HOSPITAL, INC. PROVIDES SERVICES TO PATIENTS QUALIFYING UNDER THE CHARITY POLICY AND PROVIDES QUALITY TERTIARY HEALTH SERVICES TO THE RESIDENTS OF NORTHEAST TEXAS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$324,608,630	ExpenseAmt
Grant	$584,142	GrantAmt
Revenue	$383,714,688	RevenueAmt
Desc	THE GOOD SHEPHERD HOSPITAL, INC. IS IMPACTED BY THE SIGNIFICANT CHANGES IN HEALTHCARE TODAY. TO ENSURE THAT THE GOOD SHEPHERD HOSPITAL, INC. IS STRONGLY POSITIONED FOR THE FUTURE, THE FOLLOWING MAJOR STRATEGIES HAVE BEEN ADOPTED: - Pursue growth opportunities and defend the existing market; - Expand community presence and reach; - Increase overall value of physician alignment, integration and partnership; - Become the healthcare system employer of choice; - Position the organization to stay financially viable and to take advantage of regulatory changes; - Promote an efficient, integrated system; and - FOCUS ON CLINICAL EXCELLENCE AND THE OVERALL VALUE WE DELIVER GOVERNED BY A VOLUNTARY BOARD OF DIRECTORS, THE GOOD SHEPHERD HOSPITAL, INC. HAS A DIRECT LINK TO SOLICIT COMMUNITY INVOLVEMENT IN DECISION MAKING. THE BOARD OF DIRECTORS IS COMPOSED OF GOOD SHEPHERD HEALTH SYSTEM'S PRESIDENT AND CHIEF EXECUTIVE AND TWELVE MEMBERS OF THE COMMUNITY WHO SERVE ON A VOLUNTARY BASIS TO FURTHER THE MISSION OF GOOD SHEPHERD HOSPITAL. THESE MEMBERS REPRESENT LOCAL BUSINESS, INDUSTRY, EDUCATION, MEDICAL SERVICES AND CONSUMERS-AT-LARGE. THE BOARD OF DIRECTORS PROVIDES PERPETUAL COMMUNICATION OF THE CONCERNS AND HEALTHCARE NEEDS OF THE GREATER LONGVIEW COMMUNITY. AS PART OF OUR ONGOING COMMITMENT TO THE UNDERSERVED POPULATION OF THE GOOD SHEPHERD HOSPITALS SERVICE AREA, THE BOARD OF DIRECTORS ESTABLISHED CRITERIA FOR FINANCIAL ASSISTANCE CONSISTENT WITH THE ORGANIZATIONS MISSION AND FINANCIAL RESOURCES. All patients have financial assistance available, without regard to race, creed, gender or national origin, who classify as financially indigent according to THE GOOD SHEPHERD HOSPITALs eligibility guidelines and who present themselves for care at THE GOOD SHEPHERD HOSPITAL, INC. and its regional system of services. Many factors such as all sources of income, employment status, family size, amount of the patients account and healthcare needs determine eligibility for financial assistance. THE GOOD SHEPHERD HOSPITAL, INC. maintains records to identify and monitor the level of financial assistance it provides to the communities it serves. - IN FISCAL YEAR 2017, CHARITY CARE BASED ON ESTABLISHED RATES WAS RENDERED IN THE AMOUNT OF $16,575,000. THIS AMOUNT ENCOMPASSES THE CARE OF MORE THAN 2,287 PATIENT VISITS AND REPRESENTS APPROXIMATELY 8 PERCENT OF GROSS PATIENT REVENUE. - THE GOOD SHEPHERD HOSPITAL, INC. PROVIDED CHARITY CARE, GOVERNMENT-SPONSORED INDIGENT HEALTHCARE AND OTHER COMMUNITY BENEFITS COSTING $26,976,000 OR MORE THAN 11 PERCENT OF THE TOTAL OPERATING EXPENSES. - THE GOOD SHEPHERD HOSPITALS BAD DEBT EXPENSE FOR FY2017 WAS MORE THAN $119,637,000 OR 59 PERCENT OF NET PATIENT REVENUE. THE GOOD SHEPHERD HOSPITAL, INC. ALSO PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, AS WELL AS OTHER FEDERAL, STATE AND LOCAL HEALTHCARE REIMBURSEMENT PROGRAMS FOR THOSE IN FINANCIAL NEED. THESE PROGRAMS ACCOUNT FOR MORE THAN XX PERCENT OF THE HOSPITALS GROSS PATIENT REVENUE.	Desc
Total Program Service Expenses	$324,608,630	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	168	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2085	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NIKKI BENOIT	PersonNm
Phone	9033154000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE ALTMILLER
PRESIDENT/CEO (RESIGN 2/17)	1.0	47.0	Yes (X)	Yes (X)	$0	$645,725	$23,185
MARK BOGLE
FINANCE CHAIRMAN (UNTIL 4/17)	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARK BOON
DIRECTOR (UNTIL 4/17)	1.0	0.0	Yes (X)		$0	$0	$0
SUSHAMA BRIMMER MD
DIRECTOR (UNTIL 4/17)	1.0	40.0	Yes (X)		$0	$472,741	$27,537
KELLYN DRAYER
CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GAYLE ENGLISH
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
TODD HANCOCK
PRESIDENT/CEO (As of 02/17)	1.0	10.0	Yes (X)	Yes (X)	$0	$725,325	$7,836
WILLIAM M HOLDA EDD
DIRECTOR (UNTIL 4/17)	1.0	0.0	Yes (X)		$0	$0	$0
KEITH HONEY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
LESTER LUCY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CR MARTIN MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
HOMER ROCKMORE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SHAYNE SKARDA MD
DIRECTOR	1.0	40.0	Yes (X)		$0	$485,352	$27,050
THOMAS P TIBILETTI
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
STAN UPCHURCH MD
DIRECTOR (UNTIL 4/17)	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL CHEEK
CFO (As of 12/16)	1.0	44.0		Yes (X)	$0	$78,827	$0
TIM PILEGGI
INTERIM CFO (UNTIL 2/17)	1.0	47.0		Yes (X)	$0	$558,984	$0
KEN CUNNINGHAM
EVP SECRETARY (UNTIL 6/17)	0.0	40.0		Yes (X)	$0	$335,437	$27,399
RICHARD LEE HOLLADAY
CRNA	40.0	0.0			$306,679	$0	$11,475	Yes (X)
RICHARD HINSON
CRNA	40.0	0.0			$261,698	$0	$19,499	Yes (X)
LEE ALLEN HOLLADAY
CRNA	40.0	0.0			$245,596	$0	$22,691	Yes (X)
ROGER BRYANT JR
CRNA	40.0	0.0			$244,390	$0	$22,358	Yes (X)
ZACKARY LISTER
CRNA	40.0	0.0			$244,711	$0	$21,161	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,303,074	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,302,391	TotReportableCompRltdOrgAmt
Total Other Compensation	$210,191	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	84	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MORRIS DICKSON CO LLC
PO BOX 51367	SHREVEPORT	LA	711351367	PHARMACY SERVICES	$7,530,400
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	303682289	CAFETERIA SERVICES	$4,988,360
UNIVERSITY OF TEXAS HEALTH SCIENCE
11937 US HIGHWAY 271	TYLER	TX	757083154	MEDICAL SERVICES	$3,841,457
HOSPITAL HOUSEKEEPING SYSTEMS LTD
POBOX 826	SAN ANTONIO	TX	782930826	JANITORIAL SERVICES	$3,709,300
MCINNIS BROTHERS CONSTRUCTION INC
119 PEARL STREET	MINDEN	LA	71055	CONSTRUCTION SERVICE	$3,466,415

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$123,200	RelatedOrganizationsAmt
Government Grants	$437,148	GovernmentGrantsAmt
All Other Contributions	$195,000	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$755,348	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	621110	$325,989,416	$325,989,416	$0	$0
LAB OUTREACH REVENUE	621500	$4,335,349	$0	$4,335,349	$0
WELLNESS CENTER REVENUE	624100	$3,446,337	$3,020,225	$426,112	$0
GOVERNMENT & TRAUMA FUNDING	900099	$3,432,620	$3,432,620	$0	$0
LEASE REVENUE	532420	$980,283	$980,283	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,530,683	TotalRevenueColumnAmt
Related Or Exempt Func Income	$45,530,683	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$383,714,688	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,348,978	TotalRevenueColumnAmt
Exclusion	-$2,348,978	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$580,020	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$411,786	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$168,234	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$168,234	TotalRevenueColumnAmt
Exclusion	$168,234	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$8,157	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$8,157	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,157	TotalRevenueColumnAmt
Exclusion	$8,157	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
FOOD SERVICE	722221	$2,017,211	$0	$0	$2,017,211
GIFT SHOP	453220	$50,763	$0	$0	$50,763
LAUNDRY REVENUE	812300	$45,205	$0	$0	$45,205

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$119,729	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$51,746	UnrelatedBusinessRevenueAmt
Exclusion	$171,475	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,232,908	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$384,530,357	TotalRevenueColumnAmt
Related Or Exempt Func Income	$378,953,227	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,709,715	UnrelatedBusinessRevenueAmt
Exclusion	$112,067	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$584,142	TotalAmt
Program Services	$584,142	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$93,785,504	TotalAmt
Program Services	$76,453,943	ProgramServicesAmt
Management And General	$17,331,561	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$857	TotalAmt
Program Services	$699	ProgramServicesAmt
Management And General	$158	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,228,504	TotalAmt
Program Services	$12,414,276	ProgramServicesAmt
Management And General	$2,814,228	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,613,893	TotalAmt
Program Services	$4,576,446	ProgramServicesAmt
Management And General	$1,037,447	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,036,103	TotalAmt
Program Services	$844,631	ProgramServicesAmt
Management And General	$191,472	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$41,928	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$41,928	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,336,487	TotalAmt
Program Services	$23,936,680	ProgramServicesAmt
Management And General	$5,399,807	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,505	TotalAmt
Program Services	$1,227	ProgramServicesAmt
Management And General	$278	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,113,116	TotalAmt
Program Services	$4,168,212	ProgramServicesAmt
Management And General	$944,904	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$61,306	TotalAmt
Program Services	$49,977	ProgramServicesAmt
Management And General	$11,329	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,156,158	TotalAmt
Program Services	$8,279,300	ProgramServicesAmt
Management And General	$1,876,858	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$76,246	TotalAmt
Program Services	$62,156	ProgramServicesAmt
Management And General	$14,090	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$251,554	TotalAmt
Program Services	$205,067	ProgramServicesAmt
Management And General	$46,487	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,536,229	TotalAmt
Program Services	$5,328,334	ProgramServicesAmt
Management And General	$1,207,895	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,291,863	TotalAmt
Program Services	$5,129,127	ProgramServicesAmt
Management And General	$1,162,736	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,696,359	TotalAmt
Program Services	$2,198,072	ProgramServicesAmt
Management And General	$498,287	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBTS	$142,576,292	$116,228,193	$26,348,099	$0
MEDICAL SUPPLIES	$39,589,179	$32,273,099	$7,316,080	$0
ASO SYSTEM	$23,035,439	$18,778,490	$4,256,949	$0
PROVIDER TAX	$12,390,415	$10,100,666	$2,289,749	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,675,041	TotalAmt
Program Services	$2,995,893	ProgramServicesAmt
Management And General	$679,148	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$398,078,120	TotalAmt
Program Services	$324,608,630	ProgramServicesAmt
Management And General	$73,469,490	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,081,152	BOYAmt
EOY	$41,997,316	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,360,223	BOYAmt
EOY	$5,067,698	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,497,989	BOYAmt
EOY	$390,064	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$158,204,912	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$107,446,213	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,042,774	BOYAmt
EOY	$50,758,699	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$16,698,158	BOYAmt
EOY	$2,432,212	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,326,194	BOYAmt
EOY	$6,095,116	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,276,627	BOYAmt
EOY	$1,046,078	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,726,273	BOYAmt
EOY	$10,565,748	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$123,009,390	BOYAmt
EOY	$118,352,931	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,852,155	BOYAmt
EOY	$14,957,765	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$48,857	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$114,165,000	BOYAmt
EOY	$99,420,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$471,250	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$276,250	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,245,535	BOYAmt
EOY	$75,021,753	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$181,782,797	BOYAmt
EOY	$189,675,768	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$59,020,037	BOYAmt
EOY	-$71,549,056	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$246,630	BOYAmt
EOY	$226,219	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$58,773,407	BOYAmt
EOY	-$71,322,837	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$123,009,390	BOYAmt
EOY	$118,352,931	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$13,547,763	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$998,333	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$41,928	OtherActivitiesAmt
Total Lobbying Expenditures	$41,928	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES THE AMOUNT REPRESENTS THE PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE TEXAS HOSPITAL ASSOCIATION, AND THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION THAT THE ORGANIZATIONS DETERMINED WERE FOR LOBBYING EXPENSES. SCHEDULE C, PART II-B, LINE 1D AND 1G Healthcare policy is critical to all Americans. CHRISTUS believes that health care providers must participate in forming health care policy by interacting with national, state and local elected officials and their staff members to help them better understand the complexities and ramifications of key health care policies. At the federal level, CHRISTUS employees personally visited with Texas Congressional members and their staff to discuss Medicaid, Medicare, 1115 Waiver, and exchange insurance products. At the state level, we discussed the 1115 Waiver and the local provider participation funding potential. Executive Hours 85	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,429,349	OtherCostOrOtherBasisAmt
Depreciation	$58,456,948	DepreciationAmt
Book Value	$44,972,401	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,663,457	OtherCostOrOtherBasisAmt
Depreciation	$3,961,310	DepreciationAmt
Book Value	$1,702,147	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,112,106	OtherCostOrOtherBasisAmt
Depreciation	$45,027,955	DepreciationAmt
Book Value	$4,084,151	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$50,758,699	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN FOUNDATION	$3,193,337	C
JOINT VENTURE INVESTMENTS	$2,910,664	C
SERVICE ORG GOOD SHEPHERD INVS	-$8,885	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$6,095,116	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	INTERCOMPANY RECEIVABLES	Desc
Book Value	$10,565,748	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$10,565,748	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTEREST PAYABLE	$45,094,290
DUE TO AFFILIATES	$26,248,300
MALPRACTICE RESERVES	$3,679,163

Field	Value	IRS element (for citing)
Total Liability	$75,021,753	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	FIN 48(ASC740) Footnote PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF SEPTEMBER 30, 2017 AND 2016.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,442,580	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,442,580	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,521,436	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,926,846	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$863,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$361,207	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$502,312	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,827,535	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,288,053	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,944,892	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,932	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,932	NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,833,266	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,036,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,796,991	NetCommunityBenefitExpnsAmt
Total Expense	0.01490	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$443,847	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$443,847	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,279,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,036,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,242,770	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,106,580	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,324,328	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,187,662	NetCommunityBenefitExpnsAmt
Total Expense	0.03210	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$142,576,292	BadDebtExpenseAmt
Reimbursed By Medicare	$73,388,437	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,580,401	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$8,808,036	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE GOOD SHEPHERD HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	See Part V, Section C	WebsiteAddressTxt
State License	000029	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE GOOD SHEPHERD HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section A, Line 1	PRIMARY WEBSITE ADDRESS WWW.CHRISTUSHEALTH.ORG/GOOD-SHEPHERD/LONGVIEW Schedule H, Part V, Section B, Line 5 REPRESENTATIVES FROM THE COMMUNITY GOOD SHEPHERED HOSPITAL RECEIVED INPUT FROM REPRESENTATIVES OF THE COMMUNITY WHICH INCLUDES THE FOLLOWING INDIVIDUALS WITH: A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH B) AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY C) INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS THE FOLLOWING INDIVIUALS PARTICIPATED IN OUR KEY INFORMANT INTERVIEW PROCESS: CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CLINICAL DIRECTOR OF EMERGENCY SERVICES LONGVIEW CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CLINICAL DIRECTOR GOOD SHEPHERD MEDICAL ASSOCIATES, GASTROENTEROLOGIST CHRISTUS GOOD SHEPHERD MEDICAL CENTER, PHARMACY DIRECTOR CHRISTUS GOOD SHEPHERD MEDICAL CENTER, DIRECTOR OF REIMBURSEMENT CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CLINICAL DIRECTOR- MEDICAL/SURGICAL GOOD SHEPHERD HEALTH SYSTEM, DIRECTOR OF PATIENT ACCESS GOOD SHEPHERD HEALTH SYSTEM, DIRECTOR OF INFECTION CONTROL GOOD SHEPHERD HEALTH SYSTEM, CHIEF INFORMATION OFFICER CHRISTUS GOOD SHEPHERD MEDICAL CENTER, DIRECTOR OF EMERGENCY SERVICES (KILGORE) GOOD SHEPHERD HEALTH SYSTEM, EDUCATIONAL SERVICES DIRECTOR GOOD SHEPHERD HEALTH SYSTEM, EMPLOYEE HEALTH DIRECTOR LONGVIEW CITY COUNCILMAN, DISTRICT 5 GOOD SHEPHERD MEDICAL ASSOCIATES, FAMILY NURSE PRACTITIONER GOOD SHEPHERD HEALTH SYSTEM, PHYSICIAN SERVICES DIRECTOR CHRISTUS GOOD SHEPHERD MEDICAL CENTER, INTERNAL MEDICINE RESIDENCY PROGRAM DIRECTOR GREGG COUNTY HEALTH DEPARTMENT AIR LIFETEAM AIR RESCUE GOOD SHEPHERD HEALTH SYSTEM, VICE PRESIDENT OF HUMAN RESOURCES COMMUNITY HEALTHCORE, EXECUTIVE DIRECTOR CITY OF LONGVIEW, FIRE CHIEF CHRISTUS GOOD SHEPHERD MEDICAL CENTER, IMAGING SERVICE DIRECTOR CHRISTUS GOOD SHEPHERD MEDICAL CENTER, LAB SUPERVISOR GOOD SHEPHERD HEALTH SYSTEM, DIRECTOR OF MARKETING COMMUNITY HEALTHCORE, EMPLOYEE RUCK COUNTY HEALTH DISTRICT CHRISTUS GOOD SHEPHERD MEDICAL CENTER, PHYSICIAN DIRECTOR OF EMERGENCY SERVICES CHRISTUS GOOD SHEPHERD MEDICAL CENTER, INPATIENT REHAB SERVICES DIRECTOR GOOD SHEPHERD MEDICAL ASSOCIATES, PHYSICIAN DIRECTOR INTERNAL MEDICINE CLINIC GOOD SHEPHERD MEDICAL ASSOCIATES, NURSE PRACTITIONER LONGVIEW CITY COUNCILWOMAN, DISTRICT 3 CHRISTUS GOOD SHEPHERD MEDICAL CENTER, VICE PRESIDENT - ANCILLIARY SERVICES (MARSHALL) CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CHIEF NURSING OFFFICER (MARSHALL) LONGVIEW CHAMBER OF COMMERCE, CHIEF EXECUTIVE OFFICER MARSHALL/HARRISON COUNTY HEALTH DISTRICT, EMPLOYEE GOOD SHEPHERD MEDICAL ASSOCIATES, PHYSICIAN LONGVIEW CITY COUNCILWOMAN, DISTRICT 4 GOOD SHEPHERD MEDICAL ASSOCIATES, EXECUTIVE VICE PRESIDENT/COO CHRISTUS GOOD SHEPHERD MEDICAL CENTER, COMPLIANCE SPECIALIST QUALITY GOOD SHEPHED HEALTH SYSTEM, EXECUTIVE DIRECTOR HEALTH & PREVENTION COMMUNITY HEALTHCORE, EMPLOYEE CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CHIEF NURSING OFFICER (LONGVIEW) CHRISTUS GOOD SHEPHERD MEDICAL CENTER, MEDICAL DIRECTOR - SURGICAL SERVICES COMMUNITY HEALTHCORE, EMPLOYEE GOOD SHEPHERD HEALTH SYSTEM, PATIENT EXPERIENCE DIRECTOR CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CLINICAL DIRECTOR - ORTHO/NEURO UNIT CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CLINICAL DIRECTOR ONCOLOGY UNIT CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CLINICAL DIRECTOR ANTEPARTUM/MOTHER BABY UNIT HARRISON COUNTY UNITED WAY GOOD SHEPHERD HEALTH SYSTEM, SENIOR VICE PRESIDENT INTERGRATION & BUSINESS DEVELOPMENT CUMBERLAND PRESBYTERIAN CHURCH OF MARSHALL, REVEREND COMMUNITY HEALTHCORE, EMPLOYEE GOOD SHEPHERD MEDICAL ASSOCIATES, PEDIATRICIAN GOOD SHEPHERD MEDICAL ASSOCIATES, CLINIC DIRECTOR OF OPERATIONS (PRIMARY CARE) GOOD SHEPHERD MEDICAL ASSOCIATES, GASTROENTEROLOGIST CHRISTUS GOOD SHEPHERD MEDICAL CENTER, DIRECTOR OF EMERGENCY SERVICES (NORTHPARK) CHRISTUS GOOD SHEPHERD MEDICAL CENTER, EMERGENCY MEDICINE PHYSICIAN GOOD SHEPHERD MEDICAL ASSOCIATES, CLINIC DIRECTOR OF OPERATIONS (SPECIALTY CARE) CHRISTUS GOOD SHEPHERD MEDICAL CENTER, CLINICAL DIRECTOR - LABOR & DELIVERY PINE TREE SCHOOL DISTRICT, SUPERINTENDENT GOOD SHEPHERD HEALTH SYSTEM, CHIEF FINANCIAL OFFICER GOOD SHEPHERD HEALTH SYSTEM, DIRECTOR GOVERNMENT & COMMUNITY RELATIONS CHRISTUS GOOD SHEPHERD MEDICAL CENTER, DIRECTOR OF EMERGENCY SERVICES (LONGVIEW) RUSK COUNTY UNITED WAY GOOD SHEPHERD MEDICAL ASSOCIATES, PEDIATRICIAN THE FOLLOWING PRIORITIZED COMMUNITY NEEDS WERE IDENTIFIED THROUGH CHNA 1. LACK OF MENTAL HEALTH PROVIDERS/SERVICES 2. OBESITY, DIABETES, HEART DISEASE AND OTHER CHRONIC DISEASES 3. AFFORDABLE PRIMARY AND PREVENTATIVE CARE OPTIONS 4. UNEMPLOYMENT AND DECREASE IN INCOME IN THE COMMUNITY DUE TO ECONOMIC DOWNTURN 5. HEALTHY BEHAVIORS/LIFESTYLE CHOICES 6. SUBSTANCE ABUSE 7. LACK OF HEALTH KNOWLEDGE/EDUCATION 8. LACK OF COMMUNITY RESOURCES TO PROMOTE HEALTH (FACILITIES, OUTDOOR SPACES) 9. POOR NUTRITION/LIMITED ACCESS TO HEALTHY FOOD OPTIONS 10. UNINSURED/LIMITED INSURANCE DUE TO LACK OF MEDICAID EXPANSION OR HIGH DEDUCTIBLE PLANS 11. ADULT SMOKING/TOBACCO USE 12. CRIME AND VIOLENCE
Schedule H, Part V, Section B, Line 7A	https://www.christushealth.org/-/media/files/chip/christus-good-shepherd-l ongview-chna-2016 Schedule H, Part V, Section B, Line 10A https://www.christushealth.org/patient-resources/financial-assistance Schedule H, Part V, Section B, Line 11 IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED IN RESPONSE TO THE RESULTS OF THE 2015 CHNA, THE HOSPITALS BOARD OF DIRECTORS AND MANAGEMENT TEAM DEVELOPED A CHNA IMPLEMENTATION PLAN IN ORDER TO PRIORITIZE AND ADDRESS THE MAJOR COMMUNITY NEEDS. IN REGARDS TO THE #1 COMMUNITY NEED IDENTIFIED IN THE CHNA (LACK OF MENTAL HEALTH PROVIDERS/SERVICES), WE TOOK SEVERAL ACTIONS DURING THE TAX YEAR AND PLAN TO CONTINUE BUILDING UPON THESE STEPS IN THE FUTURE. THESE ACTIONS ARE PRIMARILY TO ADDRESS THE ONGOING ISSUE OF TREATING BEHAVIORAL HEALTH PATIENTS IN OUR EMERGENCY DEPARTMENT AND REFERRING THESE PATIENTS TO OTHER PSYCHIATRIC PROVIDERS. OUR GOAL IS TO BOTH IMPROVE CARE AND PROVIDE SERVICES IN A MORE APPROPRIATE TREATMENT SETTING. ACTIONS TAKEN TOWARDS ADDRESSING THE #1 NEED INCLUDED: - HIRED A FULL TIME PSYCHIATRIST AND BEHAVIORAL HEALTH TECHNICIANS. - CREATED A NEW CLINICAL DIRECTOR OF BEHAVIORAL HEALTH POSITION THAT IS STAFFED BY A BOARD-CERTIFIED PSYCHIATRIC NURSE. - REMODELED SIX EMERGENCY ROOMS AND SIX INPATIENT ROOMS SPECIFICALLY FOR USE AS A PSYCH-SAFE DELIVERY SPACES. - ENGAGED A TELE-PSYCHIATRY SERVICE PROVIDER TO HELP EXPEDITE PSYCH PATIENT EVALUATIONS - HOSTED THE FIRST ANNUAL BAHAVIORAL HEALTH COLLABORATION CONFERENCE WITH LAW ENFORCEMENT, LOCAL MENTAL HEALTH PROVIDERS AND COUNTY JUDGES. ALSO, CONTINUE TO HOST QUARTERLY COMMUNITY-WIDE BEHAVIORAL HEALTH MEETINGS. - PROVIDED SAME DE-ESCALATION TRAINING TO HELP PREVENT PSYCHIATRIC PATIENT AGGRESSION FROM BEING PHYSICALLY HARMFUL. - PROVIDED 800 PSYCHIATRIC PATIENT TRANSPORTS TO SHORT-TERM REGIONAL CRISIS STABILIZATION CENTERS, LOCAL INPATIENT FACILITIES AND STATE OPERATED PSYCHIATRIC HOSPITALS. - CONTINUED A SPECIAL PROJECT FUNDED THROUGH THE TEXAS MEDICAID WAIVER WITH CMS TO INTEGRATE PSYCHIATRIC PATIENTS INTO OUR PATIENT CENTERED MEDICAL HOME WITHIN AN INTERNAL MEDICINE CLINIC. WE ALSO CONTINUE TO EMPLOY PATIENT CARE NAVIGATORS (PCNS) WHO EVALUATE AND REFER PATIENTS TO COMMUNITY HEALTHCORE (THE REGIONAL MENTAL HEALTH AUTHORITY), AND OTHER OUTPATIENT PSYCHIATRIC SERVICE PROVIDERS. - HOSPITAL MANAGERS HAVE ALSO BEGAN PARTICIPATING IN A SPECIAL CITY OF LONGVIEW TASK FORCE DEVELOPED BY THE MAYOR TO ADDRESS ISSUES (INCLUDING PSYCHIATRIC AND SUBSTANCE ABUSE NEEDS) INVOLVING THE CITYS HOMELESS POPULATION. THE AFOREMENTIONED ACTIONS WILL ALSO ADDRESS COMMUNITY NEED #6 (SUBSTANCE ABUSE) AND INDIRECTLY CONTRIBUTE TO A REDUCTION IN NEED #12 (CRIME AND VIOLENCE) DUE TO HIGH CRIME AND VIOLENCE RECIDIVISM OF UNTREATED PSYCHIATRIC AND SUBSTANCE ABUSE PATIENTS. IN REGARDS TO THR REMAINING COMMUNITY NEEDS, THE HOSPITAL WILL CONTINUE TO OFFER A WIDE RANGE OF SERVICES, PROGRAMS, EDUCATION AND TRAINING TO ADDRESS NEED #S 2, 5, 7, AND 11. ISSUE #8 IS PARTIALLY ADDRESSED BY STATE-OF-THE-ART FITNESS CENTER, INCLUDING FITNESS SCHOLARSHIPS OFFERED TO LOW INCOME PATIENTS WITH SIGNIFICANT HEALTH PROBLEMS, NEED #S 3 AND 10 ARE ADDRESSED BY SPECIAL IN-HOUSE PROGRAMS TO ASSIST THE UNINSURED, INCLUDING PAYMENT DISCOUNT PROGRAMS, CERTIFIED APPLICATION COUNSELORS TO ASSIST PATIENTS WITH ACCESS TO THE FEDERAL HEALTH INSURANCE MARKETPLACE, CHARITY POLICIES AND REFERRALS TO LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). MORE DETAILS REGARDING OUR CHNA IMPLEMENTATION STRATEGY MAY BE FOUND AT https://www.christushealth.org/about/donate/community-health/community-hea lth-needs-assessment-and-implementation-plan COMMUNITY NEEDS NOT ADDRESSED AREAS OF NEED NOT SPECIFICALLY ADDRESSED BY THE HOSPITAL INCLUDE NEED #4 (UNEMPLOYMENT AND DECREASE IN INCOME DUE TO ECONOMIC DOWNTURN), #9 (POOR NUTRITION/LIMITED ACCESS TO HEALTHY FOODS) AND DIRECT ACTION TO MEET #12 (CRIME AND VIOLENCE). WHILE MEMBERS OF HOSPITAL MANAGEMENT PARTICIPATE IN LOCAL GROUPS AND COMMITTEES FORMED TO PROMOTE ECONOMIC GROWTH AND JOBS, THE HOSPITAL DOES NOT CHOOSE TO DIRECTLY ADDRESS ECONOMIC MATTERS OF THE COMMUNITY DUE TO OUR FINANCIAL LIMITATIONS. ALSO, WHILE THE HOSPITAL PROVIDES SOME EDUCATION TO PATIENTS REGARDING PROPER DIET, WE DO NOT HAVE THE RESOURCES OR ABILITY TO ENSURE THAT IMPROVERISHED POPULATIONS ENJOY NUTRITIONAL AND VARIED FOOD OPTIONS DELIVERED TO FOOD DESERTS. FINALLY, IT IS NOT CONSIDERED A HOSPITAL ROLE TO CONFRONT RISING CRIME AND VIOLENCE THROUGH DIRECT ENFORCEMENT ACTIONS. VIOLENCE THROUGH DIRECT ENFORCEMENT ACTIONS.
Schedule H, Part V, Section B, Line 16A	FINANCIAL ASSISTANCE POLICY https://www.christushealth.org/-/media/patient-resources/good-shepherd/lon gview-financial-assistance/06-05-18-christus-good-shepherd-medical-center- -longview-fap-english.ashx?la=en FINANCIAL ASSISTANCE APPLICATION Schedule H, Part V, Section B, Line 16B https://www.christushealth.org/-/media/files/finance-files/application-eng lish.ashx?la=en PLAIN-LANGUAGE SUMMARY Schedule H, Part V, Section B, Line 16C https://www.christushealth.org/-/media/patient-resources/good-shepherd/lon gview-financial-assistance/plsgoodshepherd_english.ashx?la=en

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	Criteria for Determining eligibility for free or discounted care EFFECTIVE FEBRUARY 1, 2017, CHRISTUS HEALTH ACQUIRED GOOD SHEPHERD HEALTH SYSTEM, INC. CHRISTUS HEALTH BECAME THE SOLE CORPORATE MEMBER OF GOOD SHEPHERD HOSPITAL, INC. D/B/A GOOD SHEPHERD MEDICAL CENTER. FOLLOWING THE ACQUISTION, THE HOSPITAL TRANSITIONED TO FINANCIAL ASSISTANCE POLICIES AND PRACTICES OF CHRISTUS HEALTH. POLICY IN TAX YEAR 2015 ALLOWED FOR FINANCIAL ASSISTANCE FOR PERSONS UP TO 500% OF FEDERAL POVERTY GUIDELINES (FPG). BEGINNING IN TAX YEAR 2016 (AFTER THE CHRISTUS HEALTH ACQUISITION), THE QUALIFICATION THRESHOLD WAS LOWERED TO 400% OF FPG. ELIGIBILITY FOR FREE CARE (100% DISCOUNTS) WAS LOWERED FROM 225% TO 200% OF FPG AFTER THE CHRISTUS ACQUISITION. SCHEDULE H, PART I, LINE 7A & 7B ALLOCATION OF MEDICAID SUPPLEMENTAL PAYMENTS During the current reporting period, the state of texas participated in a special 1115 Medicaid waiver with the centers for Medicare and Medicaid services (cms). Various supplemental payments under the waiver are intended to help hospitals offset Medicaid and uninsured losses and/or create new programs designed to improve the patient care experience, enhance health outcomes and reduce costs for these same patient populations. Supplemental payments are capped by Medicaid and uninsured losses determined from a special uncompensated care (uc) tool designed by the Texas health and human services commission (hhsc). In fiscal year 2017, the hospital recognized $25,392,157 of supplemental payment income under the Medicaid waiver. The payments were partially funded through inter-government transfer (igt) payments from a local provider participation fund enabled by a law passed in the 84th Texas legislature. The lppf is funded by hospital tax assessments totaling $8,565,183 in fiscal year 2017. For purposes of irs form 990 schedule h reporting, the Medicaid supplemental payments and tax assessments have been allocated between financial assistance (charity), Medicaid and bad debt using ratios derived from the uc tool and other internal documents used for purposes of preparing Medicare cost report worksheet s-10 "hospital uncompensated and indigent care data". HOWEVER, BEGINNING IN TAX YEAR 2016, THE HOSPITAL CHANGED THE REPORTING TO BE CONSISTENT WITH CHRISTUS HEALTH POLICY WHEREBY 100% OF NET MEDICAID SUPPLEMENTAL PAYMENTS ARE REPORTED AS MEDICAID DIRECT OFFSETING REVENUE. CONTRIBUTIONS- DURING THE TAX YEAR, CASH CONTRIBUTIONS WERE MADE TO SERVICE ORGANIZATION OF GOOD SHEPHERD, INC. (SOGS), A RELATED PARTY SUBSIDIARY OF GOOD SHEPHERD HEALTH SYSTEM. SOGS IS A CORPORATION ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 AND CHAPTER 11 OF THE TEXAS TAX CODE. DURING THE TAX YEAR, SOGS PRIMARILY SUPPORTED COUNTY HOSPITAL AND HEALTH AUTHORITY SERVICES FOR ORGANIZATIONS WHICH PROVIDE SIGNFICANT AMOUNTS OF CARE TO MEDICAID AND UNINSURED POPULATIONS. (GSHS, INC. MADE $3,482,778 OF CASH CONTRIBUTIONS TO SOGS IN TAX YEAR 2016 OF WHICH $440,399 OF CONTRIBUTIONS WERE ALLOCATED AS BEING MADE ON BEHALF OF GOOD SHEPHERD MEDICAL CENTER.) SCHEDULE H, PART I, LINE 7, COL (F) BAD DEBT EXPENSE BAD DEBT IN THE AMOUNT OF $142,576,292 WAS NOT INCLUDED IN TOTAL EXPENSE USED TO COMPUTE THE PERCENTAGE REPORTED IN PART I, LINE 7 COL (F). SCHEDULE H, PART III, SECTION A, LINE 2 METHODOLOGY USED IN DETERMINING BAD DEBT THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE (TOTAL OF ALL HOSPITAL FACILITIES) IS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL STATEMENTS, WHICH IS COMPUTED AS BAD DEBT NET OF CONTRACTUAL ALLOWANCE, PAYMENTS RECEIVED AND RECOVERIES OF BAD DEBT PREVIOUSLY WRITTEN OFF.
SCHEDULE H, PART III, SECTION A, LINE 3	ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATION'S CHARITY CARE POLICY THE FILING ORGANIZATION RECOGNIZES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO SEEK FINANCIAL ASSISTANCE DUE TO BARRIERS SUCH AS EDUCATIONAL LEVEL, LITERACY, DOCUMENTATION REQUIREMENTS, OR BEING INTIMIDATED BY THE APPLICATION PROCESS. IN ORDER TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT SUBMITTED AN APPLICATION, THE ORGANIZATION ENGAGED PARO DECISION SUPPORT, LLC. PARO CHARITY SCORE IS DESIGNED TO IDENTIFY PATIENTS THAT LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON A PREDICTIVE MODEL AND OTHER FINANCIAL AND ASSET ESTIMATES FOR THE PATIENT DERIVED FROM PUBLIC RECORD SOURCES. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE ORGANIZATION REPORTED THAT 30% OF BAD DEBT EXPENSES WERE ATTRIBUTABLE TO PATIENTS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WERE NOT RESPONSIVE TO THE APPLICATION PROCESS EXISTING AT THAT TIME. THIS FIGURE WAS BASED ON THE PARO ANALYSIS AND ESTIMATES OF PATIENTS' FINANCIAL NEEDS THAT EXAMINED WHETHER PATIENTS WERE CHARACTERISTIC OF OTHERS WHO HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE PRESUMPTIVE CHARITY CARE ANALYSIS PERFORMED FOR THE PRIOR FISCAL YEAR DETERMINED A BENCHMARK OF BAD DEBT ACCOUNTS IN THE CHRISTUS HEALTH SYSTEM THAT LACKED THE INFORMATION TO QUALIFY FOR CHARITY CARE UNDER THE FILING ORGANIZATION'S CUSTOMARY PROCESS BUT WOULD HAVE LIKELY QUALIFIED FOR ASSISTANCE. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2017, THE ORGANIZATION UTILIZED THE PARO SCORE TO IDENTIFY THE ACCOUNTS OF INDIVIDUAL PATIENTS THAT WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE DESPITE HAVING NOT COMPLETED AN APPLICATION, AND SUCH ANALYSIS DETERMINED THAT 28.75% OF SUCH ACCOUNTS WERE LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY FOR THESE ACCOUNTS AND THEY WERE RECLASSIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY. THE AMOUNTS WERE NOT REPORTED AS BAD DEBT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS THE DIFFERENCE BETWEEN THE PRESUMPTIVE CHARITY CARE BENCHMARK ESTABLISHED IN THE FISCAL YEAR ENDING JUNE 30, 2011 AND THE AGGREGATE OF INDIVIDUAL ACCOUNTS FOR WHICH THE ORGANIZATION GRANTED PRESUMPTIVE ELIGIBILITY IN THE FISCAL YEAR ENDING JUNE 30, 2017. THUS, THE ORGANIZATION ESTIMATES THAT ONLY 3.73% OF THE BAD DEBT EXPENSES IN FISCAL YEAR ENDING SEPTEMBER 30, 2017 ARE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. IT IS IMPORTANT TO NOTE THAT THE FIGURE CALCULATED FOR FISCAL YEAR ENDING JUNE 30, 2011 WAS ESTIMATED AND NOT EXACT, AND THEREFORE THE DIFFERENCE BETWEEN THE AMOUNTS QUALIFIED AS PRESUMPTIVE CHARITY CARE IN ANY FISCAL YEAR MAY VARY FROM THE BENCHMARK ESTABLISHED IN FISCAL YEAR ENDING JUNE 30, 2011. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE THE FOOTNOTE TO THE CHRISTUS HEALTH CONSOLIDATED FINANCIAL STATEMENTS SAYS, "THE PREPARATION OF THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES (U.S. GAAP) REQUIRES MANAGEMENT OF THE SYSTEM TO MAKE ASSUMPTIONS, ESTIMATES, AND JUDGMENTS THAT AFFECT THE AMOUNTS REPORTED IN THE FINANCIAL STATEMENTS, INCLUDING THE NOTES THERETO, AND RELATED DISCLOSURES OF COMMITMENTS AND CONTINGENCIES, IF ANY. THE SYSTEM CONSIDERS CRITICAL ACCOUNTING POLICIES TO BE THOSE THAT REQUIRE MORE SIGNIFICANT JUDGMENTS AND ESTIMATES IN THE PREPARATION OF ITS FINANCIAL STATEMENTS, INCLUDING THE FOLLOWING: RECOGNITION OF NET PATIENT SERVICE REVENUES, WHICH INCLUDE CONTRACTUAL ALLOWANCES; AND THE PROVISIONS FOR BAD DEBT; ESTIMATES FOR REIMBURSEMENT UNDER THE UPPER PAY LIMIT, DISPROPORTIONATE SHARE AND MEDICAID 1115 WAIVER PROGRAMS; RESERVES FOR LOSSES AND EXPENSES RELATED TO HEALTH CARE PROFESSIONAL AND GENERAL LIABILITIES; ACCRUALS FOR CLAIMS INCURRED BUT NOT YET REPORTED RELATED TO THE SYSTEM'S HEALTH PLANS; DETERMINATION OF FAIR VALUES OF CERTAIN FINANCIAL INSTRUMENTS; DETERMINATION OF FAIR VALUE OF CERTAIN GOODWILL AND LONG-LIVED ASSETS, including assets acquired; AND RISKS AND ASSUMPTIONS FOR MEASUREMENT OF PENSION AND RETIREE MEDICAL LIABILITIES. MANAGEMENT RELIES ON HISTORICAL EXPERIENCE AND ON OTHER ASSUMPTIONS BELIEVED TO BE REASONABLE UNDER THE CIRCUMSTANCES IN MAKING ITS JUDGMENT AND ESTIMATES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THESE ESTIMATES."
Schedule H, Part III, Section B, Line 8b	Medicare Costing Methodology SOURCE OF INFORMATION ON LINE 6 IS THE FYE 09/30/17 MEDICARE COST REPORT. THE SUM OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND INPATIENT REHAB FACILITY) AND WORKSHEET DV, COLUMN 9.01 FOR MEDICARE OUTPATIENT PPS SERVICES. SINCE ALLOWABLE COSTS ARE NOT DETERMINED FOR SERVICES RENDERED TO MEDICARE PATIENTS ENROLLED IN MEDICARE ADVANNTAGE (MEDICARE PART C) OR FOR PHYSICIAN SERVICES BILLED UNDER MEDICARE PART B, NEITHER THE REVENUES OR COSTS RELATED TO THESE SERVICES HAVE BEEN INCLUDED ON LINES 5 OR 6. MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE FYE 09/30/17 MEDICARE COST REPORT. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS AND COST TO CHARGE RATIOS THAT ULTIMATELY DETERMINE ALLOWABLE MEDICARE INPATIENT AND OUTPATIENT COSTS.
Schedule H, Part III, Section C, Line 9b	Collection Practices to those Qualifying for Financial Assistance THE HOSPITAL UTILIZES THE CHRISTUS REVENUE CYCLE BILLING AND COLLECTION POLICY. THIS POLICY IS DESIGNED TO COMPLY WITH IRS 501(r) GUIDELINES AND INCLUDES THE FOLLOWING STATEMENTS: -"CHRISTUS WILL USE REASONABLE COLLECTION PROCEDURES IN A FAIR AND CONSISTENT MANNER TO COLLECT PATIENT SELF-PAY BALANCES, MAINTAINING CONFIDENTIALITY AND PATIENT DIGNITY. FINANCIAL ASSISTANCE WILL BE OFFERED TO THOSE PATIENTS WHOSE INCOME AND ASSETS WILL NOT ALLOW FULL PAYMENT OF SERVICES WITHIN A REASONABLE TIME FRAME. -PATIENTS ENROLLED IN A CHRISTUS PAYMENT PLAN WHO ARE MAKING THE MONTHLY SCHEDULED PAYMENTS WILL NOT BE ASSIGNED TO COLLECTIONS UNLESS THE PAYMENT PLAN BECOMES DELINQUENT. -CHRISTUS DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAs). UNDER NO CIRCUMSTANCE WILL CHRISTUS ENGAGE IN AN ECA BEFORE 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT."
SCHEDULE H, PART VI, LINE 2	Needs assessment THE UNITED WAY CONDUCTS A NEEDS ASSESSMENT SURVEY EVERY TWO YEARS TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY. GOOD SHEPHERD USES THIS DATA TO AUGMENT INFORMATION GATHERED IN OUR INTERNAL CHNA.
SCHEDULE H, PART VI, LINE 3	Patient education of eligibility for assistance AS PATIENTS ENTER OUR FACILITY, SIGNAGE IS POSTED IN DESIGNATED AREAS WHICH STATE OUR POLICY TO PROVIDE CHARITY CARE TO THOSE PATIENTS WHO MEET ELIGIBILITY REQUIREMENTS. BUSINESS OFFICE AND REGISTRATION STAFF DISCUSS PAYMENT OPTIONS AND FINANCIAL ASSISTANCE AVAILABLE TO PATIENTS USING VERBAL AND WRITTEN COMMUNICATION. PATIENTS ARE CONTACTED PRIOR TO SERVICES WITH AN ESTIMATED COST AND OUT OF POCKET EXPENSES. CASH PRICES AND PAYMENT OPTIONS ARE DISCUSSED AND FINANCIAL ASSISTANCE SCREENING IS AVAILABLE UPON REQUEST. GOOD SHEPHERD HOSPITAL EVALUATES PATIENT APPLICATIONS AND UTILIZES A SLIDING SCALE TO QUALIFY PATIENTS BASED ON GOVERNMENT POVERTY GUIDELINES. ADDITIONALLY, OUR ELIGIBILITY VENDOR SCREENS FOR GOVERNMENT AGENCY PROGRAMS AND OFFERS FINANCIAL ASSISTANCE APPLICATIONS TO THOSE WHO DO NOT QUALIFY FOR GOVERNMENT PROGRAMS. BUSINESS OFFICE AND REGISTRATION PERSONNEL ARE AVAILABLE TO ANSWER ANY FINANCIAL QUESTIONS AND ASSIST THE PUBLIC WITH THEIR FINANCIAL OBLIGATIONS.
SCHEDULE H, PART VI, LINE 4	Community information GOOD SHEPHERD HOSPITAL SERVES AN 11-COUNTY REGION INCLUDING THE FOLLOWING COUNTIES: GREGG, HARRISON, MARION, MORRIS, PANOLA, RUSK, UPSHUR, CAMP, CASS, WOOD AND TITUS. CHRISTUS GOOD SHEPHERD MEDICAL CENTERS IN LONGVIEW AND MARSHALL OFFER A TRUE SYSTEM OF HEALTHCARE THAT ENCOMPASSES THE REACH OF OUR REGION. TO MEET THE EVERYDAY HEALTHCARE NEEDS OF THE RESIDENTS IN OUR REGION, GOOD SHEPHERD HEALTH SYSTEM OPERATES FAMILY HEALTH CENTERS IN THE COMMUNITIES OF LONGVIEW, GLADEWATER, HENDERSON AND KILGORE. THE PROJECTED 2017 PRIMARY 6 COUNTIES POPULATIONS ARE GREGG 131,827, HARRISON 70,179, MARION 11,220, UPSHUR 43,368, RUSK 60,164 AND PANOLA 25,325 AND TOTAL 342,083. (SOURCE: HTTPS://WWW.DSHS.TEXAS.GOV/CHS/POPDAT/ST2017 .SHTM.)
SCHEDULE H, PART VI, LINE 5	Promotion of community health GOVERNED BY A VOLUNTARY BOARD OF DIRECTORS, GOOD SHEPHERD HOSPITAL HAS A DIRECT LINK TO SOLICIT COMMUNITY INVOLVEMENT IN DECISION MAKING. THE BOARD OF DIRECTORS IS COMPOSED OF GOOD SHEPHERD HOSPITAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND TWELVE MEMBERS OF THE COMMUNITY WHO SERVE ON A VOLUNTARY BASIS TO FURTHER THE MISSION OF GOOD SHEPHERD HOSPITAL. THESE MEMBERS REPRESENT LOCAL BUSINESS, INDUSTRY, EDUCATION, MEDICAL SERVICES, AND CONSUMERS-AT-LARGE. THE BOARD OF DIRECTORS PROVIDES PERPETUAL COMMUNICATION OF THE CONCERNS AND HEALTHCARE NEEDS OF THE GREATER LONGVIEW COMMUNITY. GOOD SHEPHERD HOSPITAL MAINTAINS A PRESENCE TO PROVIDE HEALTHCARE INFORMATION TO COMMUNITIES THROUGHOUT THE REGION. IN ADDITION, THE ORGANIZATION HOSTS AN ANNUAL HEALTH FAIR OFFERING FREE HEALTH SCREENINGS. GOOD SHEPHERD ALSO OFFERS DISCOUNTED MAMMOGRAMS EACH MONTH, FREE PROSTATE SCREENING ANNUALLY, AND WAS INTEGRALLY INVOLVED IN ESTABLISHING THE MAYOR'S FITNESS COUNCIL.
SCHEDULE H, PART VI, LINE 6	Affiliated health care system GOOD SHEPHERD HEALTH SYSTEM IS PART OF CHRISTUS HEALTH, AN INTERNATIONAL, CATHOLIC, FAITH BASED, NONPROFIT HEALTH SYSTEM COMPRISED OF ALMOST 350 SERVICES AND FACILITIES INCLUDING MORE THAN 60 HOSPITALS AND LONG TERM CARE FACILITIES, 175 CLINICS AND OUTPATIENT CENTERS, AND OTHER COMMUNITY HEALTH MINISTRIES AND COMMUNITY DEVELOPMENT VENTURES. CHRISTUS SERVICES CAN BE FOUND IN: ARKANSAS, GEORGIA, IOWA, LOUISIANA, NEW MEXICO, TEXAS, IN SIX PROVINCES OF MEXICO, AND IN SANTIAGO, CHILE. A COMMON MISSION, CORE VALUES, AND VISION UNITE THE HEALTH SYSTEM. EACH REGION, INCLUDING GOOD SHEPHERD HEALTH SYSTEM, DEVELOPS FIVE-YEAR AND TEN-YEAR STRATEGIC PLANS THAT HELP SET THE YEARLY OPERATIONAL PLANS AND BUDGETS. REGIONAL STRATEGIC GOALS ARE SET IN COLLABORATION WITH CHRISTUS HEALTH AND INCLUDE METRICS THAT WILL BE USED TO MEASURE COMMUNITY BENEFIT, CLINICAL OUTCOMES, PATIENT SATISFACTION, AND ASSOCIATE ENGAGEMENT. CHRISTUS HEALTH PROVIDES UPDATED MARKET, DEMOGRAPHICS, AND HEALTH INDICATOR DATA ON AN ANNUAL BASIS. THE DATA SUPPLIED FROM CHRISTUS HEALTH ALONG WITH THE SYSTEM WIDE STRATEGIC INITIATIVES ARE CONSISTENT WITH THE COMMUNITY NEEDS ASSESSMENT OF THE REGION. GOOD SHEPHERD HEALTH SYSTEM, IN TURN, PARTNERS WITH OTHER NONPROFIT GROUPS (CHURCHES, HEALTH CARE PROVIDERS, AND GOVERNMENT AGENCIES) TO CREATE COLLABORATIONS WHERE HEALTH NEEDS CAN BE ADDRESSED AND THE GENERAL HEALTH OF INDIVIDUALS AND THE COMMUNITY IS IMPROVED. GOOD SHEPHERD HEALTH SYSTEM OPERATES HOSPITALS IN LONGVIEW AND MARSHALL. IN EACH OF THE COMMUNITIES, THE HOSPITAL OFFERS FREE SCREENINGS TO IDENTIFY EARLY DISEASE, EDUCATIONAL OFFERINGS FEATURING PHYSICIAN SPEAKERS AND CONTINOUSLY PARTICIPATES IN COMMUNITY ACTIVITIES WHERE PREVENTION AND WELLNESS INFORMATION CAN BE SHARED. EFFECTIVE FEBRUARY 1, 2017, CHRISTUS HEALTH ACQUIRED GOOD SHEPHERD HEALTH SYSTEM, INC. CHRISTUS HEALTH BECAME THE SOLE CORPORATE MEMBER OF GOOD SHEPHERD HOSPITAL, INC. D/B/A GOOD SHEPHERD MEDICAL CENTER.
SCHEDULE H, PART VI, LINE 7	State filing of community benefit report TEXAS

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SERVICE ORGANIZATION OF GOOD SHEPHERD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2950 50TH STREET	AddressLine1Txt
City	LUBBOCK	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	79413	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	383914883	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$584,142	CashGrantAmt
Purpose Of Grant	HEALTHCARE SERVICES	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	Procedures for monitoring the use of grant funds AFTER A NEED IS DETERMINED FOR ASSISTANCE, A REQUEST FROM THE SERVICE ORGANIZATION OF GOOD SHEPHERD IS SUBMITTED, IDENTIFYING THE FUNDS NEEDED FOR THE PROGRAM AND/OR PATIENT. THE REQUEST IS REVIEWED AND APPROVED BY THE CFO BEFORE FUNDS ARE TRANSFERRED. A SERVICE LOG IS SUBMITTED TO THE CFO TO DOCUMENT HOURS INCURRED ON PROJECTS AND SUPPORT USE OF FUNDS. APPROVED BY THE CFO BEFORE FUNDS ARE TRANSFERRED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVE ALTMILLER
PRESIDENT/CEO (RESIGN 2/17)	$0	$645,725	$0	$0	$0	$0	$0	$10,600	$0	$12,585	$0	$668,910	$0	$65,000
SUSHAMA BRIMMER MD
DIRECTOR (UNTIL 4/17)	$0	$320,816	$0	$151,925	$0	$0	$0	$10,600	$0	$16,937	$0	$500,278	$0	$0
TODD HANCOCK
PRESIDENT/CEO (As of 02/17)	$0	$337,704	$0	$387,621	$0	$0	$0	$5,697	$0	$2,139	$0	$733,161	$0	$0
SHAYNE SKARDA MD
DIRECTOR	$0	$453,047	$0	$32,305	$0	$0	$0	$10,600	$0	$16,450	$0	$512,402	$0	$0
RICHARD LEE HOLLADAY
CRNA	$295,933	$0	$0	$0	$10,746	$0	$9,490	$0	$1,985	$0	$318,154	$0	$0	$0
RICHARD HINSON
CRNA	$254,375	$0	$0	$0	$7,323	$0	$8,235	$0	$11,264	$0	$281,197	$0	$0	$0
LEE ALLEN HOLLADAY
CRNA	$245,596	$0	$0	$0	$0	$0	$7,924	$0	$14,767	$0	$268,287	$0	$0	$0
ROGER BRYANT JR
CRNA	$244,390	$0	$0	$0	$0	$0	$7,612	$0	$14,746	$0	$266,748	$0	$0	$0
ZACKARY LISTER
CRNA	$244,711	$0	$0	$0	$0	$0	$7,743	$0	$13,418	$0	$265,872	$0	$0	$0
TIM PILEGGI
INTERIM CFO (UNTIL 2/17)	$0	$17,874	$0	$354,000	$0	$187,110	$0	$0	$0	$0	$0	$558,984	$0	$0
KEN CUNNINGHAM
EVP SECRETARY (UNTIL 6/17)	$0	$335,437	$0	$0	$0	$0	$0	$10,462	$0	$16,937	$0	$362,836	$0	$25,500

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	THE GOOD SHEPHERD HOSPITAL, INC. DOES NOT HAVE A CEO THAT IT EMPLOYS WHO IS PAID DIRECTLY OR INDIRECTLY BY THE FILING ORGANIZATION OR A RELATED ORGANIZATION. SCHEDULE J, PART I, LINE 4A TIM PILEGGI RECEIVED A SEVERANCE PAYMENT OF $187,110.
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: STEVE ALTMILLER NONE $ 65,000 KEN CUNNINGHAM NONE $ 25,500

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
GREGG COUNTY HEALTH FACILITIES DEVELOPMENT
A	751865828	39753MFFO	2012-09-05	$33,033,015	CAPITAL IMPROVEMENTS	false	false	false
GREGG COUNTY HEALTH FACILITIES DEVELOPMENT
B	751865828	39753MDT2	2015-02-01	$88,000,000	REFINANCING	false	false	false
GREGG COUNTY HEALTH FACILITIES DEVELOPMENT
C	751865828	39753MDU9	2006-11-08	$99,276,418	ADVANCE REFUNDING OF BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$315,000	$0	$33,033,015	$2,176,874	$0	$8,338,548	$660,660	$0	$14,045,280	$0	$0	$7,811,653	2014	false	Yes (true)	false	Yes (true)
B	$77,682,622	$0	$87,286,972	$8,800,000	$0	$0	$804,350	$0	$0	$0	$0	$0	2015	false	Yes (true)	false	Yes (true)
C	$1,335,000	$0	$99,276,418	$0	$0	$96,480,044	$636,501	$2,159,873	$0	$0	$0	$0	2012	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	false
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	false	false
0
C	false	false	false	Yes (true)	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3:	$87,286,972 is the $88,000,000 less $713,028 Underwriters discount.
Schedule K, Part IV, Arbitrage, Line 2C:	(A) Issuer Name: Gregg County Health Facilities Development Corporation Date the rebate computation was performed: 11/07/2011

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	LEADING EDGE MEDICAL APPLICATIONS	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	STAN UPCHURCH, BRD MEMBER	RelationshipDescriptionTxt
Transaction	$924,821	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Line I	FormAndLineReferenceDesc
Explanation	Business transactions involving interested persons DR. UPCHURCH, BOARD MEMBER, IS A PART DIRECTOR/MANAGING PARTNER OF LEADING EDGE MEDICAL APPLICATIONS. THE GOOD SHEPHERD HOSPITAL, INC. PAID LEADING EDGE MEDICAL APPLICATIONS $924,821 FOR SERVICES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, BOX C	THE GOOD SHEPHERD HOSPITAL, INC. OPERATES UNDER THE FOLLOWING NAMES: Good Shepherd Institute for Healthy Living Acuity Diagnostics Good Shepherd Medical Center Care Direct Champion EMS-Good Shepherd Medical Center The Neurological Institute at Good Shepherd GOOD SHEPHERD OCCUPATIONAL MEDICINE Medical Simulation Center of East Texas Center for Innovative Learning Joint Works Good Shepherd Fresh Express Good Shepherd Performance Rehabilitation Taylor Medical Center Good Shepherd North Park Emergency Department Good Shepherd North Park Breast Screening CHRISTUS Good Shepherd Medical Center - Longview FORM 990, PART VI, LINE 1A MATERIAL DIFFERENCES IN VOTING RIGHTS THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD. FORM 990, PART VI, LINE 2 RICHARD HOLLADAY AND LEE ALLEN HOLLADAY HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, LINE 6	MEMBERS OF THE ORGANIZATION GOOD SHEPHERD HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE GOOD SHEPHERD HOSPITAL, INC.
FORM 990, PART VI, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS GOOD SHEPHERD HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE POWER TO APPOINT ALL MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, LINE 7B	Decisions reserved to members or stockholders A NUMBER OF DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL OF THE MEMBER OF THE ORGANIZATION. THESE RESERVED POWERS ARE STATED BELOW: A. BEGINNING JANUARY 1, 2007, APPROVE THE MEMBERS OF THE BOARD; B. BEGINNING JANUARY 1, 2007, REMOVE MEMBERS FROM THE BOARD AND SET SIZE OF BOARD; C. APPROVE THE ELECTION AND REMOVAL OF OFFICERS OF THE CORPORATION AND ESTABLISH, TERMINATE AND/OR REVISE ALL EMPLOYMENT CONTRACTS, COMPENSATION, AND BENEFIT PACKAGES OF THE OFFICERS OF THE CORPORATION; D. DESIGNATE THE FISCAL YEAR; E. APPROVE THE SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, OUTSIDE GENERAL LEGAL COUNSEL, AND OUTSIDE INVESTMENT ADVISORS; F. AMEND THE ARTICLES OF INCORPORATION; G. AMEND OR REPEAL THE BYLAWS; H. APPROVAL OF ALL MERGERS, ACQUISITIONS, CONSOLIDATIONS, OR AFFILIATIONS WITH OTHER ENTITIES, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE SALE, MORTGAGE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; I. APPROVE THE DISSOLUTION OR LIQUIDATION OF THE CORPORATION; J. APPROVE CAPITAL PLANS, STRATEGIC PLANS, AND ANNUAL OPERATING AND CAPITAL BUDGETS; K. APPROVE ANY EXCEPTION TO THE CAPITAL BUDGET FOR A SINGLE ITEM OR RELATED ITEM THAT IS $500,000 OR MORE, AND APPROVE ANY OPERATING EXPENSE THAT EXCEEDS THE BUDGET BY $500,000 OR MORE; L. SELECT OFFICIAL DEPOSITORIES FOR THE CORPORATIon'S FUNDS; M. CREATING OR INVESTING IN ANY SUBSIDIARY ENTITY OR ENTERING ANY PARTNERSHIP OR JOINT VENTURE; N. AUTHORIZATION OF ANY LOANS, GUARANTEES, OR INCURRENCE OF DEBT; O. THE COMMENCEMENT OF ANY LITIGATION OR OTHER LEGAL PROCEEDINGS, OR THE SETTLEMENT, DISPOSITION, OR TERMINATION OF ANY SUCH LITIGATION OR OTHER LEGAL PROCEEDING OR OF ANY CLAIM OR THREAT OF LITIGATION OR OTHER LEGAL PROCEEDING NOT FULLY COVERED BY INSURANCE; AND P. APPROVAL OF THE ADMISSION OF ADDITIONAL MEMBERS.
FORM 990, PART VI, LINE 11B	PROCESS USED TO REVIEW FORM 990 THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SUMMER 2018 VIA EITHER MEETING, CONFERENCE CALL OR WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH.
FORM 990, PART VI, LINE 12C	Monitoring & enforcement of compliance with conflict of interest policy DISCLOSURES ARE OBTAINED ANNUALLY. THE BOARD REVIEWS AND APPROVES THE BOARD MEMBERS' DISCLOSURES, AND THE CEO REVIEWS AND APPROVES THE EMPLOYEES' DISCLOSURES. BOARD MINUTES REFLECT WHEN A BOARD MEMBER DECLARES A CONFLICT AND DOES NOT VOTE.
FORM 990, PART VI, LINE 15B	PROCESS FOR DETERMINING COMPENSATION THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO (OR EXECUTIVE DIRECTOR, AS APPLICABLE), OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND CERTAIN OTHER OFFICERS OF RELATED ORGANIZATIONS, INCLUDING THE GOOD SHEPHERD HOSPITAL, INC. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. THE FILING ORGANIZATION DETERMINES THE COMPENSATION OF THE SECRETARY BY USE OF AN INDEPENDENT AND EXTERNAL CONSULTANT. THE CONSULTANT HELPS DETERMINE PAY RATES FOR THE ASSOCIATES OF THE FILING ORGANIZATION, TAKING INTO ACCOUNT MARKET DATA AND SHIFT DIFFERENTIAL. THE COMPENSATION RATES ARE APPROVED BY THE FILING ORGANIZATION. BASED THE AFOREMENTIONED PROCEDURE, THE SECRETARY'S COMPENSATION IS NOT REVIEWED BY A COMPENSATION COMMITTEE.
FORM 990, PART VI, LINE 19	Process for making documents available to the public THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, PART XI, Line 9	Other changes in net assets: INVESTMENT IN FOUNDATION (UNRESTRICTED) $ 957,211 CONTRIBUTIONS $ 30,487 CONTRIBUTED CAPITAL $ -20,700 INVESTMENT IN FOUNDATION (RESTRICTED) $ -20,411 PARTNERSHIP INVESTMENT $ 51,746 ___________ TOTAL $ 998,333

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GOOD SHEPHERD HEALTH SYSTEM INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027157	SUPPORT GSMC	TX	501(c)(3)	12, TYPE II	CH	Yes (true)
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVE	LONGVIEW	TX	75601	237203364	SUPPORT	TX	501(c)(3)	10	GSMC	Yes (true)
GOOD SHEPHERD FOUNDATION
700 E MARSHALL AVE	LONGVIEW	TX	75601	752056700	SUPPORT	TX	501(c)(3)	12, TYPE I	GSHS	Yes (true)
GSHS ADMINISTRATIVE SERVICES ORG
700 E MARSHALL AVE	LONGVIEW	TX	75601	861132471	ADMIN SUPPORT	TX	501(c)(3)	12, TYPE I	GSHS	Yes (true)
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
700 E MARSHALL AVE	LONGVIEW	TX	75601	750974351	HEALTHCARE	TX	501(c)(3)	3	GSHS	Yes (true)
GOOD SHEPHERD MEDICAL CENTER - LINDEN
404 N KAUFMAN STREET	LINDEN	TX	75563	010829282	HEALTHCARE	TX	501(c)(3)	3	GSHS	Yes (true)
GSMC - LINDEN FOUNDATION INC
404 N KAUFMAN STREET	LINDEN	TX	75563	200845127	SUPPORT	TX	501(c)(3)	12, TYPE I	GSMC LINDEN	Yes (true)
MARSHALL HEALTH SERVICES
700 E MARSHALL AVE	LONGVIEW	TX	75601	752580686	HEALTHCARE	TX	501(c)(3)	3	GSMC MARSH	Yes (true)
CHRISTUS HEALTH
919 HIDDEN RIDGE DRIVE	IRVING	TX	75038	760590551	SUPT HLTH SVC	TX	501(C)(3)	10	NA	false
CHAMPION EMS
2201 S MOBBERLY AVE	LONGVIEW	TX	75602	752747708	HLTHCARE SVCS	TX	501(C)(3)	10	GSHS INC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GSHS Customer Service Building I LTD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Field	Value	IRS element (for citing)
EIN	460493715	EIN
Primary Activities	RENTAL	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GSHS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.99000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
GSHS ENTERPRISES INC
700 E MARSHALL AVE	LONGVIEW	TX	75601	752027162	HEALTHCARE	TX	GSHS	C Corp	Yes (true)
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVE	LONGVIEW	TX	75601	752554695	INACTIVE	TX	GSMC	C Corp	Yes (true)	$0	$0	1.00000
GS PHYSICIAN SERVICES
700 E MARSHALL AVE	LONGVIEW	TX	75601	752762417	MEDICAL SERVICES	TX	GSHS ENTERPRISE	C Corp	Yes (true)
GSHS Customer Service Building LLC
700 E MARSHALL AVE	LONGVIEW	TX	75601	710896055	RENTAL	TX	GSHS INC	C CORP	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SHEPHERD FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$167,346	InvolvedAmt
Method Of Amount Determination	CASH PAID	MethodOfAmountDeterminationTxt