2016-08-03T13:48:14-05:00 2015-09-30 440160260 BKD LLP 2800 POST OAK BLVD STE 3200 HOUSTON TX 77056 990 2014-10-01 861132471 GSHS ADMINISTRATIVE SERVICES ORGANIZATIO GSHS 9033152000 700 E MARSHALL AVENUE LONGVIEW TX 75601 TIM PILEGGI CFO 9033152000 2016-08-03 1 PAIGE GERICH P00226776 7134994600 2014 2016-12-15 16:53:06Z TIM PILEGGI 700 E MARSHALL AVENUE LONGVIEW TX 75601 55552547 0 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 BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION. 4 3 450 3 80736 -381 0 0 58775790 55502943 62 49604 0 0 58775852 55552547 0 0 0 0 23182688 22665382 0 0 0 35593164 33380165 58775852 56045547 0 -493000 23314270 22623683 7955490 7757903 15358780 14865780 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. 0 0 50317405 55422207 GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. IS A NOT-FOR-PROFIT, TAX-EXEMPT CORPORATION FORMED IN 2005 TO PROVIDE ADMINISTRATIVE AND OTHER SERVICES TO VARIOUS ENTITIES WITH THE GOOD SHEPHERD HEALTH SYSTEM. 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.OUR ACTIVITIES INCLUDE ADVOCACY, POLICY DEVELOPMENT, EDUCATION AND RESEARCH. WE WORK IN PARTNERSHIP WITH THE GSMC HEALTH NETWORKS ON A WIDE VARIETY OF ISSUES. WE PROVIDE 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. 50317405 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 127 0 1 450 1 1 1 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DIANNE HALFORD 9033155177 700 E MARSHALL AVE LONGVIEW TX 75601 PAT FLORENCE CHAIRMAN 1.00 X X 0 0 0 MARK BOON FINANCE CHAIRMAN 1.00 X X 0 0 0 TOM MOBLEY VICE CHAIRMAN 1.00 X X 0 0 0 STEVE ALTMILLER PRESIDENT- CEO 40.00 13.00 X X 595121 0 20817 KENNETH CUNNINGHAM SR VP - SECRETARY 40.00 6.00 X 300110 0 24332 TIM PILEGGI INTERIM CFO 40.00 13.00 X 273924 0 0 LAWRENCE T VERFURTH CHIEF MEDICAL OFFICER 40.00 2.00 X 185779 0 8822 RON SHORT EVP-CHIEF ADMIN OFFICER 40.00 2.00 X 229590 0 17436 RAY DELK EVP- OPERATIONS 40.00 1.00 X 222163 0 21039 GINGER MORROW VP- HUMAN RESOURCES 40.00 2.00 X 175518 0 24698 CHRIS COLLIER ASSISTANT CFO 40.00 X 150987 0 22962 PATRICIA S BENNETT CHIEF NURSING OFFICER 40.00 X 149343 0 8280 JANET ANDERSEN CONTROLLER 40.00 X 146877 0 5114 CHERYL HERBERT EXEC DIR INFECTION PREVENTION 40.00 X 124484 0 7871 CALVIN TOM STAMPER EXEC DIR GOVERNMENT RELATIONS 40.00 X 118198 0 20958 MISTY SPROUSE DIR COMPENSATION AND BENEFITS 40.00 X 108619 0 15255 PAT KEEL FORMER-CFO 0.00 0.00 X 192475 0 6556 LEORA WILLIAMS FORMER-SECRETARY 0.00 0.00 X 125765 0 11117 3098953 0 215257 19 1 1 0 HURON CONSULTING GROUP INC 550 W VAN BUREN STREET CHICAGO IL 60626 CONSULTING 9007108 ARAMARK HEALTHCARE 12483 COLLECTIONS CNT DR CHICAGO IL 60607 MEDICAL SERVICES 4611450 MEDICAL INFORMATION TECHNOLOGY INC MEDITECH CIRCLE WESTWOOD MA 02090 MEDICAL SERVICES 793990 CAIN BROTHERS & COMPANY LLC 360 MADISON AVENUE 5TH FLOOR NEW YORK NY 10017 CONSULTING 765663 MOSBY MECHANICAL CO INC 507 S EASTMAN RD LONGVIEW TX 75602 CONSULTING 691027 67 MANAGEMENT SERVICES 541610 55502943 55422207 80736 55502943 44703 44703 4901 0 4901 4901 4901 55552547 55422207 80736 49604 3008336 3008336 75702 75702 15154349 13907106 1247243 592828 592828 2540260 2540260 1293907 1150386 143521 6817181 6817181 737692 737692 160785 160785 3844011 1861177 1982834 2424946 2395443 29503 6426289 6426289 1543641 1370885 172756 98825 97913 912 21421 21421 2515731 2515731 212685 212685 PLANT OPERATIONS 7677577 5526864 2150713 RECRUITING EXPENSE 383754 383754 DIETARY 145556 145556 FREIGHT 73675 73675 296396 295736 660 56045547 50317405 5728142 0 87795 396811 67798 61500 2958418 2704044 44374858 32726335 13878120 11648523 6322139 7812805 23314270 22623683 6936376 8238742 63398 25249 955716 -506088 7955490 7757903 X 15358780 14865780 15358780 14865780 23314270 22623683 -493000 0 X 0 1 X 1 0 X X X 2 THE GOOD SHEPHERD HOSPITAL INC 751041154 3 1 42839980 0 HARRISON COUNTY HOSPITAL ASSOCIATION 750974351 3 1 7477425 0 2 50317405 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 28669 25444 3225 5567 4002 1565 44340622 32696889 11643733 11648523 DUE FROM AFFILIATES 7812805 7812805 DUE TO AFFILIATES -506088 -506088 X 55552547 0 55552547 0 55552547 56045547 0 56045547 0 56045547 PART X, LINE 2: THE SYSTEM, GSHS ASO, THE MEDICAL CENTER, GSMC LINDEN, GSMC MARSHALL, THE GSMC FOUNDATION AND THE GSMC LINDEN FOUNDATION ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. ENTERPRISES IS A TAXABLE CORPORATION. CSC IS TAXED AS A PARTNERSHIP. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR ENTERPRISES FOR THE TAX EFFECTS OF DIFFERENCES BETWEEN THE FINANCIAL STATEMENTS AND TAX BASES OF ASSETS AND LIABILITIES. A VALUATION ALLOWANCE IS ESTABLISHED TO REDUCE DEFERRED TAX ASSETS IF IT IS MORE LIKELY THAN NOT THAT A DEFERRED TAX ASSET WILL NOT BE REALIZED. X X X X 0 0 0 0 0 0 0 0 0 STEVE ALTMILLER PRESIDENT- CEO 595121 0 0 0 0 0 8834 0 11983 0 615938 0 0 0 KENNETH CUNNINGHAM SR VP - SECRETARY 300110 0 0 0 0 0 6688 0 17644 0 324442 0 0 0 TIM PILEGGI INTERIM CFO 273924 0 0 0 0 0 0 0 0 0 273924 0 0 0 LAWRENCE T VERFURTH CHIEF MEDICAL OFFICER 176779 0 9000 0 0 0 0 0 8822 0 194601 0 0 0 RON SHORT EVP-CHIEF ADMIN OFFICER 229590 0 0 0 0 0 5888 0 11548 0 247026 0 0 0 RAY DELK EVP- OPERATIONS 222163 0 0 0 0 0 8914 0 12125 0 243202 0 0 0 GINGER MORROW VP- HUMAN RESOURCES 175518 0 0 0 0 0 7103 0 17595 0 200216 0 0 0 CHRIS COLLIER ASSISTANT CFO 150987 0 0 0 0 0 6313 0 16649 0 173949 0 0 0 PATRICIA S BENNETT CHIEF NURSING OFFICER 134343 0 15000 0 0 0 0 0 8280 0 157623 0 0 0 JANET ANDERSEN CONTROLLER 146877 0 0 0 0 0 4475 0 639 0 151991 0 0 0 PAT KEEL FORMER-CFO 192475 0 0 0 0 0 3782 0 2774 0 199031 0 0 0 LEORA WILLIAMS FORMER-SECRETARY 121992 0 3773 0 0 0 5032 0 6085 0 136882 0 0 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. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS GSHS INC. FORM 990, PART VI, SECTION A, LINE 7A 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 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 11 THE ORGANIZATION HAS AN EXTERNAL ACCOUNTING FIRM AUDIT ON A CONSOLIDATED BASIS. INTERNAL ACCOUNTING PREPARES THE 990. THE 990 IS REVIEWED BY AN EXTERNAL ACCOUNTING FIRM. THE RETURN IS THEN REVIEWED BY INTERNAL ACCOUNTANTS AND EXECUTIVES. THE BOARD OF DIRECTORS WILL REVIEW PRIOR TO THE SUBMISSION DATE. FORM 990, PART VI, SECTION B, LINE 12C 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, LINE 15 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 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. GOOD SHEPHERD MEDICAL CENTER-LINDEN 404 N KAUFMAN STREET LINDEN TX 75563 010829282 HEALTHCARE TX 501(C)(3) LINE 3 GSHS INC 1 GSHS INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027157 SUPPORT GSMC TX 501(C)(3) LINE 11B, II N/A 0 HARRISON COUNTY HOSPITAL ASSOCIATION 811 SOUTH WASHINGTON AVENUE MARSHALL TX 75670 750974351 HEALTHCARE TX 501(C)(3) LINE 3 GSHS INC 1 THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW TX 75601 751041154 HEALTHCARE TX 501(C)(3) LINE 3 GSHS INC 1 GSMC-LINDEN FOUNDATION INC 404 N KAUFMAN STREET LINDEN TX 75563 200845127 SUPPORT TX 501(C)(3) LINE 11A, I GOOD SHEPHERD MEDICAL CENTER - LINDEN 1 GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW TX 75601 200845127 SUPPORT TX 501(C)(3) LINE 11A, I GSHS INC 1 MARSHALL HOSPITAL FOUNDATION INC 811 SOUTH WASHINGTON AVENUE MARSHALL TX 75670 752605699 HEALTHCARE TX 501(C)(3) LINE 7 HARRISON COUNTY HOSPITAL ASSOCIATION 1 MARSHALL HEALTH SERVICES INC 811 SOUTH WASHINGTON AVENUE MARSHALL TX 75670 752580686 HEALTHCARE TX 501(C)(3) LINE 3 HARRISON COUNTY HOSPITAL ASSOCIATION 1 GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW TX 75601 237203364 SUPPORT TX 501(C)(3) LINE 9 THE GOOD SHEPHERD HOSPITAL INC 1 SERVICE ORGANIZATION GOOD SHEPHERD 2950 50TH STREET LUBBOCK TX 79413 383914883 SUPPORT TX 501(C)(3) LINE 11A, I N/A 0 GOOD SHEPHERD AMBULATORY SURGICAL CENTER 700 E MARSHALL AVE LONGVIEW TX 75601 900259782 AMBULATORY SURGERY TX GSHS ENTERPRISES OPERATING 2 INC RELATED 0 0 GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE TX GSHS INC C 1 GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW TX 75601 752554695 INACTIVE TX THE GOOD SHEPHERD HOSPITAL INC C 1 NORTHEAST TEXAS PHYSICIAN SERVICES 700 E MARSHALL AVE LONGVIEW TX 75601 752712245 MGMT SERVICES TX GSHS ENTERPRISES INC C 1 GS PHYSICIAN SERVICES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752762417 MEDICAL SERVICES TX GSHS ENTERPRISES INC C 1 GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW DE 75601 510412465 HOLDING COMPANY DE GSHS ENTERPRISES INC C 1 GSHS ENTERPRISES OPERATING 1 700 E MARSHALL AVE LONGVIEW DE 75601 752954772 HEALTHCARE DE GSHS ENTERPRISES INC C 1 GSHS ENTERPRISES OPERATING 2 700 E MARSHALL AVE LONGVIEW DE 75601 752954777 HEALTHCARE DE GSHS ENTERPRISES INC C 1 0 0 0 0 1 0 0 0 0 1 0 1 0 1 1 1 1 1 0 THE GOOD SHEPHERD HOSPITAL Q 42839980 CASH METHOD HARRISON COUNTY HOSPITAL ASSOCIATION Q 7477425 CASH METHOD