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 752027157 GSHS INC GSHS 9033155182 700 EAST MARSHALL AVENUE LONGVIEW TX 75601 TIM PILEGGI CFO 9033155182 2016-08-03 1 PAIGE GERICH P00226776 7134994600 2014 2016-12-15 16:53:06Z TIM PILEGGI 700 E MARSHALL AVE LONGVIEW TX 75601 13902098 0 X N/A X 1984 TX TO SUPPORT, BENEFIT, RESPOND, PERFORM, AND ASSIST IN ENHANCING HEALTHCARE SERVICES PROVIDED BY ENTITIES CONTROLLED BY GSHS VIA OWNERSHIP, MEMBERSHIP, OR INFLUENCE OVER THEIR MANAGEMENT AND POLICIES. 12 8 4 8 -118168 -118168 0 0 2521850 2885607 10448674 7023300 1580874 1464219 14551398 11373126 0 0 0 0 312917 139881 0 0 0 4175485 4973804 4488402 5113685 10062996 6259441 164065250 184069625 4618150 20823402 159447100 163246223 X TO SUPPORT, BENEFIT, RESPOND, PERFORM, AND ASSIST IN ENHANCING HEALTHCARE SERVICES PROVIDED BY ENTITIES CONTROLLED BY GSHS VIA OWNERSHIP, MEMBERSHIP, OR INFLUENCE OVER THEIR MANAGEMENT AND POLICIES. 0 0 4568960 4467994 THE SYSTEM WAS ORIGINALLY ORGANIZED IN 1984 TO SERVE AS A PARENT HOLDING COMPANY. THE SYSTEM IS THE SOLE CORPORATE MEMBER OF GOOD SHEPHERD-LONGVIEW, MARSHALL, AND LINDEN, GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. AND GSHS CUSTOMER SERVICE BUILDING, LLC, A TEXAS LIMITED LIABILITY COMPANY. THE SYSTEM IS THE SOLE SHAREHOLDER OF GSHS ENTERPRISES, INC. THE SYSTEM HAS AN OWNERSHIP INTEREST IN GSHS HOME HEALTH, LP, A TEXAS LIMITED PARTNERSHIP, GSHS CUSTOMER SERVICE BUILDING I, LTD. ("BUILDING LTD") AND CHAMPION E.M.S., ("EMS") A TEXAS NONPROFIT CORPORATION, AS WELL AS SEVERAL FOUNDATIONS AND OTHER NOT-FOR-PROFIT AND FOR-PROFIT ENTITIES. THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "CODE"), BY REASON OF BEING AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE. THE SYSTEM AND ITS AFFILIATES HAVE THEIR PRIMARY OPERATIONS IN (I) LONGVIEW, GREGG COUNTY, TEXAS AND (II) MARSHALL, HARRISON COUNTY, TEXAS. THE SYSTEM IS THE PARENT COMPANY FOR THE HEALTH SYSTEM, PROVIDING COMPREHENSIVE HEALTH CARE DELIVERY SERVICES THROUGH HOSPITALS AND OTHER FACILITIES WITHIN A LARGE 11 COUNTY SERVICE AREA. SERVICES OF THESE ENTITIES INCLUDE ACUTE MEDICAL CARE OF ALL SPECIALTIES INCLUDING CARDIOLOGY, ORTHOPEDICS, NEUROSURGERY, ONCOLOGY, PEDIATRICS, WOMEN'S SERVICES AND A RANGE OF OUTPATIENT MEDICAL CARE SERVICES. THE MEDICAL CENTER IN LONGVIEW IS A LEVEL II TRAUMA CENTER, A CERTIFIED PRIMARY STROKE CENTER, AND AN ACCREDITED CHEST PAIN CENTER. THE SYSTEM HOLDS THE MAJORITY OF THE INVESTMENT ASSETS AND PROPERTIES, INCLUDING BUT NOT LIMITED TO NUMEROUS CLINICS, THE INSTITUTE FOR HEALTHY LIVING AND LAND AND CONTAINS THE LEGAL AND MARKETING DEPARTMENTS FOR THE HEALTH SYSTEM.TO MEET THE EVERYDAY HEALTHCARE NEEDS OF THE RESIDENTS IN OUR REGION, GOOD SHEPHERD MEDICAL CENTER OPERATES FAMILY HEALTH CENTERS IN THE COMMUNITIES OF LONGVIEW, GLADEWATER, HENDERSON, KILGORE, JEFFERSON, LINDEN, AND HUGHES SPRINGS. THROUGH THESE MEDICAL OFFICES, GOOD SHEPHERD PROVIDES A VITAL LINK TO MEDICAL CARE. RECENTLY ADDING URGENT CARE SERVICES TO KILGORE, ALONG WITH THE IMPLEMENTATION OF ORTHODIRECT, HAS HAD A DIRECT EFFECT ON THE NUMBER OF NON-EMERGENT CASES AND MISUSE OF THE EMERGENCY DEPARTMENT.AS PART OF OUR ONGOING COMMITMENT TO THE UNDERSERVED POPULATION OF GOOD SHEPHERD'S SERVICE AREA, THE BOARD OF DIRECTORS ESTABLISHED CRITERIA FOR FINANCIAL ASSISTANCE CONSISTENT WITH THE ORGANIZATION'S MISSION AND FINANCIAL RESOURCES.ALL ENTITIES PROVIDE FINANCIAL ASSISTANCE TO ALL PARTIES, WITHOUT REGARD TO RACE, CREED, GENDER, OR NATIONAL ORIGIN, WHO ARE CLASSIFIED AS FINANCIALLY INDIGENT ACCORDING TO GOOD SHEPHERD'S ELIGIBILITY GUIDELINES AND WHO PRESENT THEMSELVES FOR CARE AT GOOD SHEPHERD MEDICAL CENTER AND ITS REGIONAL SYSTEM OF SERVICES. MANY FACTORS SUCH AS ALL SOURCES OF INCOME, EMPLOYMENT STATUS, FAMILY SIZE, AMOUNT OF PATIENT'S ACCOUNT AND HEALTHCARE NEEDS ARE ALL TAKEN INTO CONSIDERATION WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. GOOD SHEPHERD MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF FINANCIAL ASSISTANCE IT PROVIDES TO THE COMMUNITIES IT SERVICES. 4568960 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 1 1 1 1 0 0 1 35 0 1 4 1 1 1 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DIANNE HALFORD 9033155177 700 E MARSHALL AVE LONGVIEW TX 75601 STEVE ALTMILLER PRESIDENT - CEO 2.00 51.00 X X 0 595121 20817 PAT FLORENCE DIRECTOR 2.00 X 0 0 0 WILLIAM HUFFMAN DIRECTOR 2.00 X 0 0 0 JOHN DIPASQUALE MD DIRECTOR 2.00 X 0 0 0 JOHN T WARD DIRECTOR 2.00 X 0 0 0 WILLIAM TORRES MD GSMA CHAIRMAN 2.00 41.00 X 0 452524 28044 REKHA REDDY MD PHYSICIAN 2.00 41.00 X 0 287397 22368 MARK BOON FINANCE CHAIRMAN 2.00 0.00 X X 0 0 0 MICHAEL BURNS ADVISORY BOARD MEMBER 2.00 0.00 X 0 0 0 JOE BOB JOYCE ADVISORY BOARD MEMBER 2.00 0.00 X 0 0 0 NANCY ABERNATHY DIRECTOR 2.00 X 0 0 0 LARRY VERFURTH CHIEF MEDICAL OFFICER 2.00 40.00 X 0 185779 8822 TIM PILEGGI INTERIM CFO 2.00 51.00 X 0 273924 0 KEN CUNNINGHAM EVP SECRETARY 2.00 44.00 X 0 300110 24332 PAT KEEL FORMER-CFO 0.00 0.00 X 0 192475 6556 LEORA WILLIAMS FORMER-SECRETARY 0.00 0.00 X 0 125765 11117 GINGER MORROW FORMER VICE PRESIDENT 2.00 40.00 X 0 175518 24698 PAULA BRANDON VICE PRESIDENT 2.00 40.00 X 0 185570 6905 RAY DELK FORMER-EXEC VICE PRESIDENT 0.00 41.00 X 0 222163 21039 RON SHORT FORMER VICE PRESIDENT 2.00 40.00 X 0 229590 17436 0 3225936 192134 0 1 1 0 ENCORE MULTIMEDIA INC PO BOX 3812 LONGVIEW TX 75606 ADVERTISING 1217670 DR SYSTEMS INC 10140 MESA RIM ROAD SAN DIEGO CA 92121 MEDIA SERVICES 593646 PRESIDIO NETWORKED SOLUTIONS INC 7601 ORA GLEN DRIVE SUITE 100 GREENBELT MD 207703620 MEDIA SERVICES 238943 HUGMAN ARCHITECTURE P L L C 1105 JUDSON ROAD LONGVIEW TX 75601 CONSTRUCTION 169451 CHAMBLEE AND RYAN PC 2777 N STEMMONS FREEWAY DALLAS TX 75207 LEGAL SERVICES 125279 6 MANAGEMENT SERVICES 541610 2885607 2885607 2885607 7023300 7023300 3993191 2528972 1464219 1464219 1582387 -118168 11373126 4467994 -118168 7023300 118542 106688 11854 2961 2665 296 9587 8628 959 8791 7912 879 232110 232110 4709 4709 137618 123856 13762 1450201 1252733 197468 46838 42154 4684 32574 29317 3257 1183 1183 3052041 2746837 305204 COMMUNITY RELATIONS 16530 14877 1653 5113685 4568960 544725 0 13879551 14262296 909820 1290132 26095 51063 2447786 7761568 87504 29494 48338990 16062120 56483773 32276870 82203201 89405469 1150143 1223505 6877377 37769228 164065250 184069625 2098554 1340284 17094903 2519596 2388215 4618150 20823402 X 159447100 163246223 159447100 163246223 164065250 184069625 X 6259441 -4012254 1551936 X 0 1 X 1 0 X X 2 THE GOOD SHEPHERD HOSPITAL INC 751041154 3 1 5887460 0 HARRISON COUNTY HOSPITAL ASSOCIATION 750974351 3 1 419886 0 2 6307346 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTIOMN C, LINE 1 THE MANAGEMENT OF GSHS INC, IS VESTED IN THE SAME PERSONS THAT MANAGE THE GOOD SHEPHERD HOSPITAL AND HARRISON COUNTY HOSPITAL ASSOCIATION. THE BYLAWS STATE THAT THE BOARD OF DIRECTORS OF GSHS, INC DESIGNATE SYSTEM EXECUTIVES TO MANAGE THE DAILY BUSINESS OF THE ORGANIZATIONS. THE SYSTEM EXECUTIVES CONSIST OF THREE MEMBERS. ALL MEMBERS ARE APPOINTED BY THE HOSPITALS. THE SYSTEM EXECUTIVES ARE SHARED AMONG THE HOSPITALS AND ITS AFFILIATES. 11041955 11041955 12570771 5907295 6663476 746233 400959 345274 23939435 9753866 14185569 40596 40596 32276870 ADVANCES TO AFFILIATES 37769228 37769228 ADVANCES FROM AFFILIATES 1143215 SERIES 2002B TAXABLE BOND 1245000 2388215 X 13902097 2528971 2528971 11373126 0 11373126 7642657 2528972 2528972 5113685 0 5113685 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 2,528,972. ROUNDING -1. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 2,528,972. 0 0 0 0 0 0 0 0 0 STEVE ALTMILLER PRESIDENT - CEO 0 595121 0 0 0 0 0 8834 0 11983 0 615938 0 0 WILLIAM TORRES MD GSMA CHAIRMAN 0 452524 0 0 0 0 0 10400 0 17644 0 480568 0 0 REKHA REDDY MD PHYSICIAN 0 219425 0 67972 0 0 0 4724 0 17644 0 309765 0 0 LARRY VERFURTH CHIEF MEDICAL OFFICER 0 176779 0 9000 0 0 0 0 0 8822 0 194601 0 0 TIM PILEGGI INTERIM CFO 0 273924 0 0 0 0 0 0 0 0 0 273924 0 0 KEN CUNNINGHAM EVP SECRETARY 0 300110 0 0 0 0 0 6688 0 17644 0 324442 0 0 PAT KEEL FORMER-CFO 0 192475 0 0 0 0 0 3782 0 2774 0 199031 0 0 LEORA WILLIAMS FORMER-SECRETARY 0 121992 0 3773 0 0 0 5032 0 6085 0 136882 0 0 GINGER MORROW FORMER VICE PRESIDENT 0 175518 0 0 0 0 0 7103 0 17595 0 200216 0 0 PAULA BRANDON VICE PRESIDENT 0 185570 0 0 0 0 0 3212 0 3693 0 192475 0 0 RAY DELK FORMER-EXEC VICE PRESIDENT 0 222163 0 0 0 0 0 8914 0 12125 0 243202 0 0 RON SHORT FORMER VICE PRESIDENT 0 229590 0 0 0 0 0 5888 0 11548 0 247026 0 0 PART I, LINE 3 GSHS INC DID NOT EMPLOY A CEO OR EXECUTIVE DIRECTOR WHO RECEIVED COMPENSATION DIRECTLY OR INDIRECTLY FROM THE FILING ORGANIZATION OR RELATED ORGANIZATION. 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 AND THE CEO REVIEWS AND APPROVES EMPLOYEES. 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 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 CORPORATION BETWEEN MEETINGS OF THE BOARD. FORM 990, PART XI, LINE 9: CONTRIBUTIONS -4,557,834. TRANSFERS FROM AFFILIATES 6,109,770. GSHS CUSTOMER SERVICE BUILDING LLC 700 E MARSHALL AVE LONGVIEW TX 75601 710896055 RENTAL TX 0 0 GSHS INC GSHS CUSTOMER SERVICES BUILDING I LTD 700 E MARSHALL AVE LONGVIEW TX 75601 460493715 RENTAL TX 0 0 GSHS INC GOOD SHEPHERD MEDICAL CENTER-LINDEN 404 N KAUFMAN STREET LINDEN TX 75563 010829282 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 GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW TX 75601 861132471 ADMIN SUPPORT TX 501(C)(3) LINE 11A, I GSHS INC 1 GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW TX 75601 752056700 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 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 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 75603 900259782 AMBULATORY SURGERY TX GSHS ENTERPRISES OPERATING 2 RELATED 0 0 GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE TX GSHS INC C -3392306 10136905 1.00000 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 SVC 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 TX 75601 510412465 HOLDING COMPANY DE GSHS ENTERPRISES INC C 1 GSHS ENTERPRISES OPERATING 1 700 E MARSHALL AVE LONGVIEW TX 75601 752954772 HEALTHCARE DE GSHS ENTERPRISES INC C 1 GSHS ENTERPRISES OPERATING 2 700 E MARSHALL AVE LONGVIEW TX 75601 752954777 HEALTHCARE DE GSHS ENTERPRISES INC C 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 THE GOOD SHEPHERD HOSPITAL INC A 3546785 CASH PAID THE GOOD SHEPHERD HOSPITAL INC Q 2340675 CASH PAID THE GOOD SHEPHERD HOSPITAL FOUNDATION A 14475 CASH PAID GSHS ENTERPRISES INC A 2226731 CASH PAID GSHS ENTERPRISES INC Q 101438 CASH PAID GSHS ADMINISTRATIVE SERVICES ORGANIZATION A 225422 CASH PAID GSHS ADMINISTRATIVE SERVICES ORGANIZATION Q 436668 CASH PAID HARRISON COUNTY HOSPITAL ASSOCIATION A 2516 CASH PAID HARRISON COUNTY HOSPITAL ASSOCIATION Q 417370 CASH PAID MARSHALL HEALTH SERVICES INC A 414401 CASH PAID