2018-08-15T04:40:23-05:00 2017-09-30 ERNST & YOUNG US LLP 425 HOUSTON STREET STE 600 FORT WORTH TX 76102 990 2016-10-01 751041154 The Good Shepherd Hospital Inc % NIKKI BENOIT GOOD 9033154000 700 E MARSHALL AVENUE LONGVIEW TX 75601 MICHAEL CHEEK CFO 9033154000 2018-08-14 true KATHLEEN MOSELEY P00116760 8173351900 2016 2022-09-23 18:48:47Z SEE SCHEDULE O MICHAEL CHEEK 700 E MARSHALL AVE LONGVIEW TX 75601 384942143 false X www.christushealth.org/good-shepherd/longview X 1959 TX 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. 9 7 2085 145 4709715 742252 755348 411320889 383714688 -953755 -2340821 2327397 2401142 413436783 384530357 681199 584142 0 0 108452109 114628758 0 0 0 318096173 282865220 427229481 398078120 -13792698 -13547763 123009390 118352931 181782797 189675768 -58773407 -71322837 X 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. false false 324608630 584142 383714688 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. 324608630 true true false true false false false false false false true true false true true true false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false false true true true false false true 168 0 true 2085 true true true false false false false false false false false false X 9 7 true false false false true true true true true false false true true true true true true true true false X NIKKI BENOIT 9033154000 700 E MARSHALL AVE LONGVIEW TX 75601 X STEVE ALTMILLER PRESIDENT/CEO (RESIGN 2/17) 1.0 47.0 X X 0 645725 23185 MARK BOGLE FINANCE CHAIRMAN (UNTIL 4/17) 1.0 0.0 X X 0 0 0 MARK BOON DIRECTOR (UNTIL 4/17) 1.0 0.0 X 0 0 0 SUSHAMA BRIMMER MD DIRECTOR (UNTIL 4/17) 1.0 40.0 X 0 472741 27537 KELLYN DRAYER CHAIR 1.0 0.0 X X 0 0 0 GAYLE ENGLISH VICE CHAIR 1.0 0.0 X X 0 0 0 TODD HANCOCK PRESIDENT/CEO (As of 02/17) 1.0 10.0 X X 0 725325 7836 WILLIAM M HOLDA EDD DIRECTOR (UNTIL 4/17) 1.0 0.0 X 0 0 0 KEITH HONEY DIRECTOR 1.0 0.0 X 0 0 0 LESTER LUCY DIRECTOR 1.0 0.0 X 0 0 0 CR MARTIN MD DIRECTOR 1.0 0.0 X 0 0 0 HOMER ROCKMORE DIRECTOR 1.0 0.0 X 0 0 0 SHAYNE SKARDA MD DIRECTOR 1.0 40.0 X 0 485352 27050 THOMAS P TIBILETTI DIRECTOR 1.0 0.0 X 0 0 0 STAN UPCHURCH MD DIRECTOR (UNTIL 4/17) 1.0 0.0 X 0 0 0 MICHAEL CHEEK CFO (As of 12/16) 1.0 44.0 X 0 78827 0 TIM PILEGGI INTERIM CFO (UNTIL 2/17) 1.0 47.0 X 0 558984 0 KEN CUNNINGHAM EVP SECRETARY (UNTIL 6/17) 0.0 40.0 X 0 335437 27399 RICHARD LEE HOLLADAY CRNA 40.0 0.0 X 306679 0 11475 RICHARD HINSON CRNA 40.0 0.0 X 261698 0 19499 LEE ALLEN HOLLADAY CRNA 40.0 0.0 X 245596 0 22691 ROGER BRYANT JR CRNA 40.0 0.0 X 244390 0 22358 ZACKARY LISTER CRNA 40.0 0.0 X 244711 0 21161 1303074 3302391 210191 84 false true false MORRIS DICKSON CO LLC PO BOX 51367 SHREVEPORT LA 711351367 PHARMACY SERVICES 7530400 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 CAFETERIA SERVICES 4988360 UNIVERSITY OF TEXAS HEALTH SCIENCE 11937 US HIGHWAY 271 TYLER TX 757083154 MEDICAL SERVICES 3841457 HOSPITAL HOUSEKEEPING SYSTEMS LTD POBOX 826 SAN ANTONIO TX 782930826 JANITORIAL SERVICES 3709300 MCINNIS BROTHERS CONSTRUCTION INC 119 PEARL STREET MINDEN LA 71055 CONSTRUCTION SERVICE 3466415 19 0 123200 437148 195000 0 755348 NET PATIENT REVENUE 621110 325989416 325989416 0 0 LAB OUTREACH REVENUE 621500 4335349 0 4335349 0 WELLNESS CENTER REVENUE 624100 3446337 3020225 426112 0 GOVERNMENT & TRAUMA FUNDING 900099 3432620 3432620 0 0 LEASE REVENUE 532420 980283 980283 0 0 45530683 45530683 0 383714688 -2348978 -2348978 0 0 580020 411786 168234 0 168234 168234 8157 8157 8157 8157 0 0 0 0 0 0 0 0 0 FOOD SERVICE 722221 2017211 0 0 2017211 GIFT SHOP 453220 50763 0 0 50763 LAUNDRY REVENUE 812300 45205 0 0 45205 119729 0 -51746 171475 2232908 384530357 378953227 4709715 112067 584142 584142 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93785504 76453943 17331561 0 857 699 158 0 15228504 12414276 2814228 0 5613893 4576446 1037447 0 1036103 844631 191472 0 0 0 0 0 0 0 0 0 41928 0 41928 0 0 0 0 0 0 0 29336487 23936680 5399807 0 1505 1227 278 0 5113116 4168212 944904 0 61306 49977 11329 0 0 0 0 0 10156158 8279300 1876858 0 76246 62156 14090 0 0 0 0 0 251554 205067 46487 0 6536229 5328334 1207895 0 0 0 0 0 6291863 5129127 1162736 0 2696359 2198072 498287 0 BAD DEBTS 142576292 116228193 26348099 0 MEDICAL SUPPLIES 39589179 32273099 7316080 0 ASO SYSTEM 23035439 18778490 4256949 0 PROVIDER TAX 12390415 10100666 2289749 0 3675041 2995893 679148 398078120 324608630 73469490 0 0 0 0 0 0 0 0 28081152 41997316 0 0 0 0 0 0 5360223 5067698 8497989 390064 158204912 107446213 55042774 50758699 16698158 2432212 5326194 6095116 0 0 2276627 1046078 1726273 10565748 123009390 118352931 29852155 14957765 0 0 48857 0 114165000 99420000 0 0 0 0 471250 0 0 276250 37245535 75021753 181782797 189675768 X -59020037 -71549056 246630 226219 0 0 -58773407 -71322837 123009390 118352931 X -13547763 0 0 0 0 998333 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 41928 41928 false Schedule C, Part II-B, Line 1i 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 0 103429349 58456948 44972401 5663457 3961310 1702147 49112106 45027955 4084151 50758699 INVESTMENT IN FOUNDATION 3193337 C JOINT VENTURE INVESTMENTS 2910664 C SERVICE ORG GOOD SHEPHERD INVS -8885 C 6095116 INTERCOMPANY RECEIVABLES 10565748 10565748 0 INTEREST PAYABLE 45094290 DUE TO AFFILIATES 26248300 MALPRACTICE RESERVES 3679163 75021753 X SCHEDULE D, PART X, LINE 2 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. true true X true X true X true true false true true 3442580 3442580 0.01350 42521436 42926846 863519 361207 502312 0.00200 46827535 43288053 3944892 0.01550 1932 1932 5833266 2036275 3796991 0.01490 443847 443847 0.00170 6279045 2036275 4242770 0.01660 53106580 45324328 8187662 0.03210 true 142576292 73388437 64580401 8808036 X true true 1 1 THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW TX 75601 See Part V, Section C 000029 X X X X THE GOOD SHEPHERD HOSPITAL INC 1 false false true X X X X X X X X X 16 true false false true X See Part V, Section C X true 16 true SEE PART V, SECTION C false true X 100 400. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 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 true SERVICE ORGANIZATION OF GOOD SHEPHERD 2950 50TH STREET LUBBOCK TX 79413 383914883 501(c)(3) 584142 HEALTHCARE SERVICES 1 0 SCHEDULE I, PART I, LINE 2 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. true true false false false false false false false STEVE ALTMILLER PRESIDENT/CEO (RESIGN 2/17) 0 645725 0 0 0 0 0 10600 0 12585 0 668910 0 65000 SUSHAMA BRIMMER MD DIRECTOR (UNTIL 4/17) 0 320816 0 151925 0 0 0 10600 0 16937 0 500278 0 0 TODD HANCOCK PRESIDENT/CEO (As of 02/17) 0 337704 0 387621 0 0 0 5697 0 2139 0 733161 0 0 SHAYNE SKARDA MD DIRECTOR 0 453047 0 32305 0 0 0 10600 0 16450 0 512402 0 0 RICHARD LEE HOLLADAY CRNA 295933 0 0 0 10746 0 9490 0 1985 0 318154 0 0 0 RICHARD HINSON CRNA 254375 0 0 0 7323 0 8235 0 11264 0 281197 0 0 0 LEE ALLEN HOLLADAY CRNA 245596 0 0 0 0 0 7924 0 14767 0 268287 0 0 0 ROGER BRYANT JR CRNA 244390 0 0 0 0 0 7612 0 14746 0 266748 0 0 0 ZACKARY LISTER CRNA 244711 0 0 0 0 0 7743 0 13418 0 265872 0 0 0 TIM PILEGGI INTERIM CFO (UNTIL 2/17) 0 17874 0 354000 0 187110 0 0 0 0 0 558984 0 0 KEN CUNNINGHAM EVP SECRETARY (UNTIL 6/17) 0 335437 0 0 0 0 0 10462 0 16937 0 362836 0 25500 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 A GREGG COUNTY HEALTH FACILITIES DEVELOPMENT 751865828 39753MFFO 2012-09-05 33033015 CAPITAL IMPROVEMENTS false false false B GREGG COUNTY HEALTH FACILITIES DEVELOPMENT 751865828 39753MDT2 2015-02-01 88000000 REFINANCING false false false C GREGG COUNTY HEALTH FACILITIES DEVELOPMENT 751865828 39753MDU9 2006-11-08 99276418 ADVANCE REFUNDING OF BONDS false false false A 315000 0 33033015 2176874 0 8338548 660660 0 14045280 0 0 7811653 2014 false true false true B 77682622 0 87286972 8800000 0 0 804350 0 0 0 0 0 2015 false true false true C 1335000 0 99276418 0 0 96480044 636501 2159873 0 0 0 0 2012 false true true true A false false false false 0 false false false false B false false false false 0 false false false false C false false false false 0 false false false false A false true false false false false 0 false 0 false false B false true false false true false 0 false 0 false false C false false false true false false 0 false 0 false false A true B true C true 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 LEADING EDGE MEDICAL APPLICATIONS STAN UPCHURCH, BRD MEMBER 924821 SEE PART V false Schedule L, Part IV, Line I 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. 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 GOOD SHEPHERD HEALTH SYSTEM INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027157 SUPPORT GSMC TX 501(c)(3) 12, TYPE II CH true GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW TX 75601 237203364 SUPPORT TX 501(c)(3) 10 GSMC true GOOD SHEPHERD FOUNDATION 700 E MARSHALL AVE LONGVIEW TX 75601 752056700 SUPPORT TX 501(c)(3) 12, TYPE I GSHS true GSHS ADMINISTRATIVE SERVICES ORG 700 E MARSHALL AVE LONGVIEW TX 75601 861132471 ADMIN SUPPORT TX 501(c)(3) 12, TYPE I GSHS true CHRISTUS GOOD SHEPHERD MEDICAL CENTER 700 E MARSHALL AVE LONGVIEW TX 75601 750974351 HEALTHCARE TX 501(c)(3) 3 GSHS true GOOD SHEPHERD MEDICAL CENTER - LINDEN 404 N KAUFMAN STREET LINDEN TX 75563 010829282 HEALTHCARE TX 501(c)(3) 3 GSHS true GSMC - LINDEN FOUNDATION INC 404 N KAUFMAN STREET LINDEN TX 75563 200845127 SUPPORT TX 501(c)(3) 12, TYPE I GSMC LINDEN true MARSHALL HEALTH SERVICES 700 E MARSHALL AVE LONGVIEW TX 75601 752580686 HEALTHCARE TX 501(c)(3) 3 GSMC MARSH 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 true GSHS Customer Service Building I LTD 700 E MARSHALL AVE LONGVIEW TX 75601 460493715 RENTAL TX GSHS INC false false 0.99000 GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE TX GSHS C Corp true GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW TX 75601 752554695 INACTIVE TX GSMC C Corp 0 0 1.00000 true GS PHYSICIAN SERVICES 700 E MARSHALL AVE LONGVIEW TX 75601 752762417 MEDICAL SERVICES TX GSHS ENTERPRISE C Corp true GSHS Customer Service Building LLC 700 E MARSHALL AVE LONGVIEW TX 75601 710896055 RENTAL TX GSHS INC C CORP true false false true false false false false false false false false false false false false false false false false GOOD SHEPHERD FOUNDATION C 167346 CASH PAID