2017-08-15T21:11:03-05:00 2016-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2015-10-01 861132471 GSHS Administrative Services Organization % NIKKI BENOIT GSHS 9033152000 700 E Marshall Ave Longview TX 75601 MICHAEL CHEEK CFO 9033152000 2017-08-15 true Jeanette Verrelli P00742631 9727028262 2015 2021-01-29 14:40:06Z MICHAEL CHEEK 700 E MARSHALL AVE LONGVIEW TX 75601 61735652 false X N/A X 2005 TX PROVIDES ADMINISTRATIVE, MANAGERIAL, AND SUPPORT SERVICES FOR RELATED ENTITIES THAT PROVIDE HEALTHCARE SERVICES AND SERVICES RELATED THERE TO AS A (SEE SCHEDULE O)... 3 2 401 3 70672 -10775 0 0 55502943 61728192 49604 -1695 0 0 55552547 61726497 0 0 0 0 22665382 20040808 0 0 0 33380165 41683144 56045547 61723952 -493000 2545 22623683 21894288 7757903 15063314 14865780 6830974 X PROVIDES ADMINISTRATIVE, MANAGERIAL, AND SUPPORT SERVICES FOR RELATED ENTITIES THAT PROVIDE HEALTHCARE SERVICES AND SERVICES RELATED THERE TO AS A BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION. false false 56299225 61657520 GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. (ASO) IS A NON-FOR-PROFIT TAX-EXEMPT CORPORATION FORMED IN 2005 TO PROVIDE ADMINISTRATIVE AND OTHER SERVICES TO VARIOUS ENTITIES WITHIN THE GOOD SHEPHERD HEALTH SYSTEM (GSHS). GSHS IS THE SOLE MEMBER OF GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. THE CORPORATION'S BOARD OF DIRECTORS IS COMPRISED OF THE PRESIDENT OF THE CORPORATION, OR A VICE PRESIDENT DESIGNATED BY THE PRESIDENT, AND SUCH ADDITIONAL PERSONS AS ARE APPOINTED BY GSHS. THE GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. IS COMPRISED OF SERVICES THAT PROVIDE SUPPORT TO THE OTHER ENTITIES OF THE ORGANIZATION. SOME OF THESE SERVICES INCLUDE ACCOUNTING, HUMAN RESOURCES, INFORMATION SYSTEMS, CARE MANAGEMENT, HEALTH INFORMATION MANAGEMENT, EDUCATION, MATERIALS MANAGEMENT, MANAGED CARE, INFECTION CONTROL, HOUSEKEEPING, SECURITY, AND PLANT OPERATIONS. ASO's ACTIVITIES INCLUDE ADVOCACY, POLICY DEVELOPMENT, EDUCATION AND RESEARCH. WE WORK IN PARTNERSHIP WITH THE GSMC HEALTH NETWORKS ON A WIDE VARIETY OF ISSUES. ASO PROVIDEs EDUCATIONAL AND RESEARCH SERVICES. GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. PROVIDES SERVICES TO TWO HOSPITALS, GOOD SHEPHERD MEDICAL CENTER, AND GOOD SHEPHERD MEDICAL CENTER-MARSHALL. THESE TWO HOSPITALS ARE 501(C)(3) ORGANIZATIONS, NOT-FOR-PROFIT COMMUNITY BASED HOSPITALS. THE HOSPITALS TOGETHER PROVIDE HEALTH SERVICES TO THE UNDERSERVED COMMUNITIES OF LONGVIEW AND NORTHEAST TEXAS, CASS, MORRIS, MARION AND HARRISON COUNTIES, RESPECTIVELY. GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. EXISTS FOR THE SOLE PURPOSE OF SUPPORTING OTHER NOT-FOR-PROFIT 501(C)(3) ORGANIZATIONS. 56299225 true false false false false false false false false false true false false true true false false false false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 121 0 401 true true true false false false false false false false false false X 3 2 false false false false true true true true true false false false true true true true true true true false X NIKKI BENOIT 9033155177 700 E MARSHALL AVE LONGVIEW TX 75601 X MARK BOON FINANCE & VICE CHAIRMAN 1.0 0.0 X X 0 0 0 STEVE ALTMILLER PRESIDENT - CEO 40.0 11.0 X X 0 650200 87557 BILL HUFFMAN CHAIRMAN 1.0 0.0 X X 0 0 0 KENNETH CUNNINGHAM SR VP - SECRETARY 40.0 4.0 X 383969 0 53690 TIM PILEGGI INTERIM CFO 40.0 11.0 X 583683 0 0 RON SHORT EVP - CHIEF ADMIN OFFICER 40.0 2.0 X 278937 0 41545 RAY DELK EVP - OPERATIONS 40.0 2.0 X 231767 0 37289 GINGER MORROW VP - HUMAN RESOURCES 40.0 2.0 X 202306 0 38635 KRISTINE GLOVER GSMA EVP/COO 40.0 1.0 X 272625 0 51234 CHRIS BLAKEMORE CHIEF INFORMATION OFFICER 40.0 0.0 X 212851 0 30821 Larry VERFURTH CHIEF MEDICAL OFFICER 40.0 2.0 X 337678 0 43472 CHERYL HERBERT EXEC DIR INFECTION PREVENTION 40.0 0.0 X 134653 0 9449 Patricia S Bennett Chief Nursing Officer 40.0 0.0 X 210605 0 23914 MISTY SPROUSE DIR COMPENSATION AND BENEFITS 40.0 0.0 X 117190 0 11399 Janet Andersen Controller 40.0 0.0 X 145508 0 4955 RODNEY BANDY CHIEF INFORMATION OFFICER-GSMA 40.0 0.0 X 171934 0 27266 CHRIS COLLIER former - ASSISTANT CFO 40.0 0.0 X 193708 0 23914 3477414 650200 485140 18 true true false FTI CONSULTING INC 909 COMMERCE ROAD ANNAPOLIS MD 21401 FINANCIAL CONSULTING 4342477 ARAMARK HEALTHCARE 12483 COLLECTION CNT DR CHICAGO IL 60607 MEDICAL SERVICES 3467251 JACOBUS CONSULTING INC 15375 BARRANCA PKWY STE B-202 IRVINE CA 92618 PATIENT FIN SERVICES 2485701 THE GREELEY COMPANY PO BOX 3049 PEABODY MA 01961 HOSP REGULATORY SERV 637502 Mosby Mechanical Contractors Inc 507 S Eastman Rd LONGVIEW TX 75602 contractor services 529158 42 0 Management Services 541610 61728192 61657520 70672 61728192 7460 7460 0 0 0 0 0 9155 -9155 -9155 -9155 0 0 0 0 61726497 61657520 70672 -1695 X 0 0 0 0 2664502 2664502 217622 217622 13391281 11977286 1413995 296061 264696 31365 2293168 2080749 212419 1178174 1074628 103546 14760004 13462793 1297211 1717441 1566500 150941 1754662 1600450 154212 0 0 0 7897403 7203325 694078 1580 1441 139 1167981 1065331 102650 5318016 4850632 467384 0 1053425 960843 92582 110891 101145 9746 0 85563 78043 7520 0 0 2369491 2161244 208247 0 Equipment Rentals 838656 764949 73707 Dues & Subscriptions 332448 303230 29218 Maintenance & Repairs 4021026 3667631 353395 . 0 254557 232185 22372 61723952 56299225 5424727 0 0 -740431 0 472598 0 0 396811 106240 0 0 0 0 0 0 61500 49017 2704044 1706086 31489492 21670047 11648523 9819445 0 0 0 0 0 0 0 0 7812805 10481333 22623683 21894288 8238742 13292755 0 0 0 0 0 0 0 0 0 0 25249 0 0 0 -506088 1770559 7757903 15063314 X 14865780 6830974 0 0 0 0 14865780 6830974 22623683 21894288 X 2545 2384 -8039735 X X false false false X X X 2 THE GOOD SHEPHERD HOSPITAL INC 751041154 3 true 49328818 0 HARRISON COUNTY HOSPITAL ASSOCIATION 750974351 3 true 6970407 0 2 56299225 true false false false false false false false false false false false false false false true false 4825 3940 885 31432917 21666107 9766810 51750 51750 9819445 DUE FROM AFFILIATES 10481333 10481333 0 DUE TO AFFILIATES 1770559 1770559 X X X X false true false false false false false false false STEVE ALTMILLER PRESIDENT - CEO 0 650200 0 0 0 0 0 75600 0 11957 0 737757 KENNETH CUNNINGHAM SR VP - SECRETARY 353969 0 30000 0 0 0 36100 0 17590 0 437659 0 TIM PILEGGI INTERIM CFO 583683 0 0 0 0 0 0 0 0 0 583683 0 Patricia S Bennett Chief Nursing Officer 210605 0 0 0 0 0 8091 0 15823 0 234519 0 Janet Andersen Controller 145508 0 0 0 0 0 4494 0 461 0 150463 0 RODNEY BANDY CHIEF INFORMATION OFFICER-GSMA 171934 0 0 0 0 0 11292 0 15974 0 199200 0 RON SHORT EVP - CHIEF ADMIN OFFICER 278937 0 0 0 0 0 30050 0 11495 0 320482 0 RAY DELK EVP - OPERATIONS 231767 0 0 0 0 0 23735 0 13554 0 269056 0 GINGER MORROW VP - HUMAN RESOURCES 202306 0 0 0 0 0 21051 0 17584 0 240941 0 CHRIS COLLIER former - ASSISTANT CFO 193708 0 0 0 0 0 8091 0 15823 0 217622 0 KRISTINE GLOVER GSMA EVP/COO 272625 0 0 0 0 0 33644 0 17590 0 323859 0 CHRIS BLAKEMORE CHIEF INFORMATION OFFICER 212851 0 0 0 0 0 18261 0 12560 0 243672 0 Larry VERFURTH CHIEF MEDICAL OFFICER 337678 0 0 0 0 0 25882 0 17590 0 381150 0 PART I, LINE 3 A COMPENSATION SUBCOMMITTEE OF THE BOARD NEGOTIATES CONTRACTS WITH EXECUTIVES THROUGH LONGNECKER & ASSOCIATES. THIS SUBCOMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION AND BONUSES. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: STEVE ALTMILLER NONE $ 65,000 RODNEY BANDY NONE $ 9,000 CHRIS BLAKEMORE NONE $ 14,999 KENNETH CUNNINGHAM NONE $ 25,500 RAY DELK NONE $ 14,375 KRISTINE GLOVER NONE $ 23,044 GINGER MORROW NONE $ 12,750 RON SHORT NONE $ 22,450 LAWRENCE T VERFURTH NONE $ 25,882 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER OF THE ORGANIZATION IS GSHS INC. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WITH POWER TO ELECT OR APPOINT BOARD MEMBERS: AS THE SOLE MEMBER, GSHS, INC. HAS THE POWER TO APPROVE MEMBERS TO THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS RESERVED FOR THE MEMBER: A NUMBER OF DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL OF THE MEMBER OF THE ORGANIZATION. THESE RESERVED POWERS ARE STATED BELOW: A) APPROVE THE MEMBERS OF THE BOARD; B) APPROVE REMOVAL AND APPOINTMENTS TO FILL VACANCIES ON THE BOARD AND SET SIZE OF BOARD; C) APPROVE ELECTION AND REMOVAL OF OFFICERS OF THE CORPORATION AND ESTABLISH, TERMINATE AND/OR REVISE ALL EMPLOYMENT CONTRACTS, COMPENSATION AND BENEFITS PACKAGES OF THE OFFICERS OF THE CORPORATION REGARDLESS OF WHICH ENTITY ACTUALLY PAYS SUCH COMPENSATION OR BENEFITS; 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 EXCEEDS $100,000 AND/OR APPROVE ANY AGGREGATE ANNUAL OPERATING EXPENDITURES THAT EXCEED THE BUDGET BY $50,000; L) SELECT OFFICIAL DEPOSITORIES FOR THE CORPORATION'S FUNDS; M) CREATE OR INVEST IN ANY SUBSIDIARY ENTITY OR ENTER INTO ANY PARTNERSHIP OR JOINT VENTURE; N) AUTHORIZE ANY LOANS, GUARANTEES, OR INCURRENCE OF DEBT; O) COMMENCE ANY LITIGATION OR OTHER LEGAL PROCEEDING, OR SETTLE, DISPOSE, OR TERMINATE 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, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990: THE ORGANIZATION HAS AN EXTERNAL ACCOUNTING FIRM AUDIT ON A CONSOLIDATED BASIS. THE 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM. THE RETURN IS THEN REVIEWED BY INTERNAL ACCOUNTANTS AND EXECUTIVES. FORM 990, PART VI, SECTION B, LINE 12C MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: DISCLOSURES ARE OBTAINED ANNUALLY. THE BOARD REVIEWS AND APPROVES BOARD DISCLOSURES, AND THE CEO REVIEWS AND APPROVES EMPLOYEE DISCLOSURES. BOARD MINUTES NOTE WHEN A BOARD MEMBER DECLARES A CONFLICT AND DOES NOT VOTE. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS TO REVIEW COMPENSATION: A COMPENSATION SUBCOMMITTEE OF THE BOARD NEGOTIATES CONTRACTS WITH EXECUTIVES THROUGH LONGNECKER & ASSOCIATES. THIS SUBCOMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION AND BONUSES ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART I, LINE 1 DESCRIPTION OF THE ORGANIZATION'S MISSION: (CONTINUED FROM PAGE 1)... BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION. FORM 990, PART IV, LINE 12 & PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION HAS ANSWERED "NO" TO THE QUESTIONS REGARDING AN AUDIT IN PART IV, LINE 12 AND PART XII. THE ORGANIZATION ONLY RECEIVED AN AUDIT OF ITS BALANCE SHEET FOR THE YEAR ENDED SEPTEMBER 30, 2016. THEREFORE, SINCE THE ORGANIZATION DID NOT HAVE AN AUDITED INCOME STATEMENT FOR THE PERIOD COVERED BY THIS RETURN, THE ORGANIZATION DOES NOT HAVE AUDITED FINANCIAL STATEMENTS ACCORDING TO THE IRS INSTRUCTIONS. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3179216 FORM 990 PART IX LINE 11G DESCRIPTION:ENGINEERING TOTAL FEES:3192637 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:565594 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:165661 FORM 990 PART IX LINE 11G DESCRIPTION:INFORMATION SERVICES TOTAL FEES:210324 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL REC. SERVICES TOTAL FEES:583971 GOOD SHEPHERD MEDICAL CENTER - LINDEN 404 N KAUFMAN ST LINDEN TX 75563 010829282 HEALTHCARE TX 501(C)(3) 3 GSHS INC true GSHS INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027157 SUPPORT GSMC TX 501(C)(3) 11, TYPE II NA false HARRISON COUNTY HOSPITAL ASSOCIATION 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 750974351 HEALTHCARE TX 501(C)(3) 3 GSHS INC true THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW TX 75601 751041154 HEALTHCARE TX 501(C)(3) 3 GSHS INC true GSMC - LINDEN FOUNDATION INC 404 N KAUFMAN ST LINDEN TX 75563 200845127 SUPPORT TX 501(C)(3) 11, TYPE I GSMC LINDEN true GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW TX 75601 752056700 SUPPORT TX 501(C)(3) 11, TYPE I GSHS INC true MARSHALL HOSPITAL FOUNDATION INC 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 752605699 HEALTHCARE TX 501(C)(3) 7 GSMC Marsh true MARSHALL HEALTH SERVICES INC 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 752580686 HEALTHCARE TX 501(C)(3) 3 GSMC Marsh true GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW TX 75601 237203364 SUPPORT TX 501(C)(3) 9 GSMC true SERVICE ORGANIZATION GOOD SHEPHERD 2950 50TH ST LUBBOCK TX 79413 383914883 SUPPORT TX 501(C)(3) 11, TYPE I NA false MEMORIAL HOSPITAL AUXILIARY 811 S WASHINGTON AVE MARSHALL TX 75670 510151805 SUPPORT TX 501(C)(3) 3 GSMC MARSH true GOOD SHEPHERD AMBULATORY SURGICAL CENTER 700 E MARSHALL AVE LONGVIEW TX 75601 900259782 SURGERY TX NA N/A GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE TX GSHS INC C CORP true GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW TX 75601 752554695 INACTIVE TX THE GOOD SHEPHE C CORP true NORTHEAST TEXAS PHYSICIAN SERVICES 700 E MARSHALL AVE LONGVIEW TX 75601 752712245 MGMT SERVICES TX GSHS ENTERPRISE C CORP true GS PHYSICIAN SERVICES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752762417 MEDICAL SERVICES TX GSHS ENTERPRISE C CORP true GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW TX 75601 510412465 HOLDING COMPANY DE GSHS ENTERPRISE C CORP true GSHS ENTERPRISES OPERATING 1 700 E MARSHALL AVE LONGVIEW TX 75601 752954772 HEALTHCARE DE GSHS ENTERPRISE C CORP true GSHS ENTERPRISES OPERATING 2 700 E MARSHALL AVE LONGVIEW TX 75601 752954777 HEALTHCARE DE GSHS ENTERPRISE C CORP true MARSHALL PHYSICIAN HOSPITAL ORGANIZATION 700 E MARSHALL AVE LONGVIEW TX 75601 752580689 INACTIVE TX GSMC MARSHALL C CORP true false false false false true false false false false true false true false true true true true true false THE GOOD SHEPHERD HOSPITAL Q 49389092 CASH METHOD HARRISON COUNTY HOSPITAL ASSOCIATION Q 6978906 CASH METHOD