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 752605699 HARRISON COUNTY COMMUNITY HEALTH CARE FO HARR 9039276982 811 SOUTH WASHINGTON MARSHALL TX 75670 TIM PILEGGI CFO 9033152440 2016-08-03 1 PAIGE GERICH P00226776 7134994600 2014 2016-12-15 16:53:06Z MARSHALL HOSPITAL FOUNDATION RUSSELL COLLIER 700 E MARSHALL AVENUE LONGVIEW TX 75601 233042 0 X N/A X 1995 TX THE FOUNDATION WAS FORMED TO IMPROVE AND ENHANCE THE AVAILABILITY OF HEALTH CARE SERVICES AND WELLNESS PROGRAMS IN HARRISON COUNTY, TEXAS AND THE SURROUNDING COMMUNITIES. 18 16 0 16 0 0 141198 194937 0 0 4750 3950 -49434 -77456 96514 121431 6000 660659 0 0 0 0 0 0 0 3520 998 9520 661657 86994 -540226 978916 438690 0 0 978916 438690 X IT IS THE MISSION OF THE MARSHALL HOSPITAL FOUNDATION TO PROMOTE GROWTH OF GSMC-MARSHALL THROUGH A BROAD-BASED PROGRAM OF FUNDING AND TO SUPPORT THE HOSPITAL'S MISSION TO IDENTIFY AND PROVIDE EXEMPLARY HEALTHCARE IN A SAFE AND CARING ENVIRONMENT. 0 0 661657 660659 THE MARSHALL HOSPITAL FOUNDATION IS A 501(C)(3) CHARITABLE FOUNDATION THAT WAS FOUNDED IN 1995. THE PEOPLE OF HARRISON COUNTY AND THE SURROUNDING AREA DESERVE QUALITY MEDICAL RESOURCES. THROUGH A BROAD-BASED PROGRAM OF FUNDING, THE FOUNDATION EXISTS TO PROMOTE GROWTH OF THE MEDICAL CENTER.THE BOARD'S MISSION OF MARSHALL HOSPITAL FOUNDATION IS TO PROVIDE SUPPORT FOR GOOD SHEPHERD MEDICAL CENTER-MARSHALL BY GENERATING, SOLICITING AND RECEIVING FUNDS, GIFTS, AND BEQUESTS THAT ASSIST IN CARRYING OUT BENEFICIAL HEALTH CARE ACTIVITES AT GSMC MARSHALL.MARSHALL HOSPITAL FOUNDATION IS TO SUPPORT GOOD SHEPHERD MEDICAL CENTER-MARSHALL IN ITS EFFORTS TO IMPROVE THE HEALTH AND MEDICAL SERVICES OF CASS AND MARION COUNTY COMMUNITIES. THE FOUNDATION PROVIDES ASSISTANCE WITH THE RESOURCES AVAILABLE FOR THE MAINTENANCE AND IMPROVEMENT OF THE MEDICAL CENTER'S CURRENT FACILITIES AND SERVICES.THE MARSHALL HOSPITAL FOUNDATION IS A 501(C)(3) CHARITABLE INSTITUTION GOVERNED BY A BOARD OF TRUSTEES COMMITTED TO:-RECEIVING AND MAINTAINING FUNDS FOR MEETING THE HEALTHCARE NEEDS OF THE RESIDENTS OF OUR AREA.-SUPPORTING MEDICAL EDUCATION THROUGH THE POLLY CARGILL NURSING SCHOLARSHIPS.-ENGAGING IN GENERAL HEALTHCARE INSTRUCTION TO THE GENERAL PUBLIC.-APPLYING FOR GRANTS.THE MARSHALL HOSPITAL FOUNDATION HOSTS SEVERAL COMMUNITY SPECIAL EVENTS. THE RED DRESS LUNCHEON IS HOSTED EACH FEBRUARY TO FOCUS ON WOMEN'S HEART HEALTH AWARENESS. TEXAS BANK AND TRUST HAS SPONSORED THE LUNCHEON SINCE ITS INCEPTION.RACE TO WELLNESS, THE FOUNDATION'S ANNUAL BENEFIT, IS HELD EACH YEAR. FUNDING PREVIOUSLY PROVIDED BY THE FOUNDATION FOR OUR LOCAL HOSPITAL INCLUDES-BUT IS NOT LIMITED TO -EQUIPMENT FOR THE WOMEN'S CARE DEPARTMENT, ENDOSCOPY CENTER, SURGERY UNIT, AND EMERGENCY DEPARTMENT. THE FUNDING ALSO GOES TO MAJOR CAPITAL PURCHASES. 661657 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X DIANNE HALFORD 9033155177 700 E MARSHALL AVE LONGVIEW TX 75601 RUSS COLLIER CEO-MARSHALL HOSPITAL 1.00 41.00 X X 0 328338 24117 BRENDA BROWN VICE CHAIRMAN 1.00 X X 0 0 0 FLOSSIE JASPER SECRETARY 1.00 X X 0 0 0 ROBERT W PALMER MD CHAIRMAN 1.00 X X 0 0 0 CECELIA WOOD TREASURER 1.00 X X 0 0 0 WILLIAM ABNEY TRUSTEE 1.00 X 0 0 0 CHRISTINA ANDERSON TRUSTEE 1.00 X 0 0 0 EMMA BENNETT TRUSTEE 1.00 X 0 0 0 GLEN BICKERDIKE TRUSTEE 1.00 X 0 0 0 JIM HARRIS MD TRUSTEE 1.00 X 0 0 0 RICKY PAUL MD TRUSTEE 1.00 41.00 X 0 577114 27634 CARL ROTH TRUSTEE 1.00 X 0 0 0 DIANE TAYLOR TRUSTEE 1.00 X 0 0 0 DAVID TITUS TRUSTEE 1.00 X 0 0 0 AMANDA WYNN TRUSTEE 1.00 X 0 0 0 STELLA CLARK TRUSTEE 1.00 X 0 0 0 DINORA HARRIS TRUSTEE 1.00 X 0 0 0 WENDY MCDONALD TRUSTEE 1.00 X 0 0 0 STEVE ALTMILLER CEO-GSMC 1.00 52.00 X 0 595121 20817 TIM PILEGGI INTERIM CFO 1.00 52.00 X 0 273924 0 PAT KEEL FORMER CFO 0.00 0.00 X 0 192475 6556 0 1966972 79124 0 1 1 0 0 81899 113038 19696 194937 3950 3950 34155 81899 111611 -77456 -77456 121431 0 0 -73506 653659 653659 7000 7000 SERVICE CHARGES 998 998 661657 661657 0 0 35196 75491 943720 363199 15979 15979 0 0 978916 438690 0 0 X 173080 75491 805836 363199 978916 438690 978916 438690 -540226 0 X 0 1 X 1 0 X 237470 185319 181991 141198 194937 940915 237470 185319 181991 141198 194937 940915 20178 920737 9861 6199 3639 4750 3950 28399 59096 57989 34155 151240 1120554 0.82170 0.78480 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING REVENUE - 2012 AMOUNT: $ 59,096. 2013 AMOUNT: $ 57,989. 2014 AMOUNT: $ 34,155. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15979 15979 0 0 X 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. RACE TO WELLNESS 101840 75151 26689 58758 35112 2540 7735 RED DRESS LUNCHEON 14214 6748 7466 2089 4533 100 744 116054 81899 34155 58758 2089 39645 2640 8479 111611 -77456 1 HARRISON COUNTY HOSPITAL ASSOCIATION 811 S WASHINGTON AVE MARSHALL TX 75670 750974351 501(C)(3) 653659 0 CAPITAL PROJECTS 1 SCHOLARSHIPS 7 7000 0 PART I, LINE 2: APPLICATIONS FOR SCHOLARSHIPS ARE RECEIVED ANNUALLY AND REVIEWED BY THE BOARD. A DETERMINATION IS MADE AND THE $1,000.00 SCHOLARSHIP IS GRANTED PER SEMESTER FOR A SCHOOL YEAR. THE FOUNDATION PROVIDED A GRANT TO THE HARRISON COUNTY HOSPITAL ASSOCIATION OF WHICH IS REVIEWED BY THE BOARD FOR DETERMINATION OF HOW TO APPLY THE FUNDS TO ONGOING AND FUTURE PROJECTS. THE FUNDS ARE MONITORED BY THE CAPITAL REVIEW COMMITTEE WHICH MEETS BI-WEEKLY. 0 0 0 0 0 0 0 0 0 RUSS COLLIER CEO-MARSHALL HOSPITAL 0 328338 0 0 0 0 0 10400 0 13717 0 352455 0 0 RICKY PAUL MD TRUSTEE 0 379899 0 197215 0 0 0 9922 0 17712 0 604748 0 0 STEVE ALTMILLER CEO-GSMC 0 595121 0 0 0 0 0 8834 0 11983 0 615938 0 0 TIM PILEGGI INTERIM CFO 0 273924 0 0 0 0 0 0 0 0 0 273924 0 0 PAT KEEL FORMER CFO 0 192475 0 0 0 0 0 3782 0 2774 0 199031 0 0 PART I, LINE 3 MARSHALL FOUNDATION DOES NOT EMPLOY A CEO/EXECUTIVE DIRECTOR X 19696 FAIR MARKET VALUE 0 0 1 0 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 PRIOR TO FILING. THE BOARD OF DIRECTORS WILL REVIEW BEFORE THE SUBMISSION DATE. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURES ARE OBTAINED ANNUALLY. THE BOARD REVIEWS AND APPROVES BOARD MEMBER DISCLOSURES. 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 MARKET SURVEYS ARE EMPLOYED TO DETERMINE SALARY RANGES FOR KEY POSITIONS. THE BOARD OF DIRECTORS APPROVE EXECUTIVE COMPENSATION AND BONUSES ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PART VI SECTION A LINE 1A THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE FOUNDATION BETWEEN MEETINGS OF THE BOARD. GSHS INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027157 SUPPORT GSMC TX 501(C)(3) LINE 11B, II N/A 0 GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW TX 75601 237203364 SUPPORT TX 501(C)(3) LINE 9 THE GOOD SHEPHERD HOSPITAL INC 0 THE GOOD SHEPHERD HOSPITAL INC 700 E MARSHALL AVE LONGVIEW TX 75601 751041154 HEALTHCARE TX 501(C)(3) LINE 3 GSHS INC 0 GOOD SHEPHERD MEDICAL CENTER-LINDEN 404 N KAUFMAN STREET LINDEN TX 75563 010829282 HEALTHCARE TX 501(C)(3) LINE 3 GSHS INC 0 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 0 GSHS ADMINISTRATIVE SERVICES ORGANIZATION 700 E MARSHALL AVE LONGVIEW TX 75601 861132471 ADMIN SUPPORT TX 501(C)(3) LINE 11A, I GSHS INC 0 MARSHALL HEALTH SERVICES INC 811 SOUTH WASHINGTON AVENUE MARSHALL TX 75670 752580686 HEALTHCARE TX 501(C)(3) LINE 3 HARRISON COUNTY HOSPITAL ASSOCIATION 1 HARRISON COUNTY HOSPITAL ASSOCIATION 811 SOUTH WASHINGTON AVENUE MARSHALL TX 75670 750974351 HEALTHCARE TX 501(C)(3) LINE 3 GSHS INC 0 GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW TX 75601 200845127 SUPPORT TX 501(C)(3) LINE 11A, I GSHS INC 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 GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW TX 75601 752554695 INACTIVE TX THE GOOD SHEPHERD HOSPITAL INC C 0 GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE TX GSHS INC C 0 NORTHEAST TEXAS PHYSICIAN SERVICES 700 E MARSHALL AVE LONGVIEW TX 75601 752712245 MGMT SERVICES TX GSHS ENTERPRISES INC C 0 GS PHYSICIAN SERVICES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752762417 MEDICAL SERVICES TX GSHS ENTERPRISES INC C 0 GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW TX 75601 510412465 HOLDING COMPANY DE GSHS ENTERPRISES INC C 0 GSHS ENTERPRISES OPERATING 1 700 E MARSHALL AVE LONGVIEW TX 75601 752954772 HEALTHCARE DE GSHS ENTERPRISES INC C 0 GSHS ENTERPRISES OPERATING 2 700 E MARSHALL AVE LONGVIEW TX 75601 752954777 HEALTHCARE DE GSHS ENTERPRISES INC C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0