CHRISTUS GOOD SHEPHERD MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHRISTUS GOOD SHEPHERD MEDICAL CENTER (EIN 75-0974351)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-17
IRS object ID
201502299349304705
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-17T18:09:41-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12800 POST OAK BLVD STE 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN750974351EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARRISON COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHARRBusinessNameControlTxt
Phone9039276703PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 SOUTH WASHINGTON AVEAddressLine1
CityMARSHALLCity
StateTXState
ZIP Code75670ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIM PILEGGIPersonNm
Person TitleCFOPersonTitleTxt
Phone9033152440PhoneNum
Signature2015-08-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAIGE GERICHPreparerPersonNm
PTINP00226776PTIN
Phone7134994600PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD MEDICAL CENTER-MARSHALLBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerRUSS COLLIERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 SOUTH WASHINGTON AVEAddressLine1
CityMARSHALLCity
StateTXState
ZIP Code75670ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$101,344,642GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.GSMCMARSHALL.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee619TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$55,884PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$97,839,440PYProgramServiceRevenueAmt
CY Program Service Revenue$100,135,649CYProgramServiceRevenueAmt
PY Investment Income$218,015PYInvestmentIncomeAmt
CY Investment Income$151,833CYInvestmentIncomeAmt
PY Other Revenue$1,072,174PYOtherRevenueAmt
CY Other Revenue$1,011,730CYOtherRevenueAmt
PY Total Revenue$99,185,513PYTotalRevenueAmt
CY Total Revenue$101,299,212CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,191,280PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,582,882CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$97,834CYTotalFundraisingExpenseAmt
PY Other Expenses$66,069,417PYOtherExpensesAmt
CY Other Expenses$70,964,670CYOtherExpensesAmt
PY Total Expenses$93,260,697PYTotalExpensesAmt
CY Total Expenses$96,547,552CYTotalExpensesAmt
PY Revenues Less Expenses$5,924,816PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,751,660CYRevenuesLessExpensesAmt
Total Assets BOY$67,440,941TotalAssetsBOYAmt
Total Assets EOY$42,115,512TotalAssetsEOYAmt
Total Liabilities BOY$47,584,110TotalLiabilitiesBOYAmt
Total Liabilities EOY$44,109,258TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,856,831NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,993,746NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$78,539,846ExpenseAmt
Revenue$100,135,649RevenueAmt
DescGOOD SHEPHERD MEDICAL CENTER-MARSHALL EXISTS TO IDENTIFY AND DELIVER QUALITY HEALTHCARE SERVICES IN A SAFE & CARING ENVIRONMENT TO THE PEOPLE OF THIS REGION.GOOD SHEPHERD MEDICAL CENTER - MARSHALL IS A NOT-FOR-PROFIT FACILITY LOCATED IN NORTHEAST TEXAS, APPROXIMATELY 150 MILES EAST OF DALLAS, TEXAS AND 35 MILES WEST OF SHREVEPORT, LOUISIANA. GOOD SHEPHERD MEDICAL CENTER - MARSHALL IS THE ONLY HOSPITAL LOCATED IN HARRISON AND MARION COUNTIES. ESTABLISHED IN 1954 BY SEVERAL HARRISON COUNTY PHYSICIANS, GOOD SHEPHERD MEDICAL CENTER - MARSHALL HAS GROWN TO A 149 BED FACILITY WITH AN INTENSIVE CARE UNIT AND A 24-HOUR LEVEL III TRAUMA CENTER. GOOD SHEPHERD MEDICAL CENTER - MARSHALL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS.Desc
Total Program Service Expenses$78,539,846TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document88IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee619EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JANET ANDERSENBusinessNameLine1
FieldValueIRS element (for citing)
Phone9033155177PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E MARSHALL AVEAddressLine1
CityLONGVIEWCity
StateTXState
ZIP Code75601ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALLEN STAGGERS
DIRECTOR1.00Yes (X)$0$0$0
BRENDA BROWN
DIRECTOR1.00Yes (X)$0$0$0
BUCK BIRDSONG
DESIGNATED SYSTEM REP1.00Yes (X)$0$0$0
CHASE PALMER
BOARD TREASURER1.00Yes (X)$0$0$0Yes (X)
DAVID BATES
DIRECTOR1.00Yes (X)$0$0$0
DEAN SEARLE
BOARD SECRETARY1.00Yes (X)$0$0$0Yes (X)
GEORGE MEISENHEIMER
DIRECTOR1.00Yes (X)$0$0$0
GLENN BICKERDIKE
BOARD CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
JULIE SIMMONS
DIRECTOR1.00Yes (X)$0$0$0
LEROY FISHER
DIRECTOR1.00Yes (X)$0$0$0
R BLAIR ABNEY
BOARD VICE CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
RICKY PAUL MD
PRESIDENT OF MEDICAL STAFF1.00Yes (X)$0$541,875$23,601Yes (X)40.00
RUSS COLLIER
PRESIDENT/CEO40.00Yes (X)$360,692$0$22,773Yes (X)
STEVE ALTMILLER
GSHS PRESIDENT/CEO1.00Yes (X)$0$254,153$4,391Yes (X)40.00
TED HUFFHINES
DIRECTOR1.00Yes (X)$0$0$0
MITTIE HUTCHINS
DIRECTOR1.00Yes (X)$0$0$0
LUIS BALBUENA MD
MEDICAL STAFF REP TO BOARD1.00Yes (X)$0$365,836$24,878Yes (X)40.00
GORDEN GREEN MD
VP MEDICAL STAFF1.00Yes (X)$0$294,438$9,884Yes (X)40.00
PAT KEEL
CFO END 5/14/142.00$0$428,336$10,255Yes (X)40.00
TIM PILEGGI
INTERIM CFO BEGIN 5-15-142.00$0$0$0Yes (X)40.00
JOYCE EGLI
CHARGE NURSE40.00$127,397$0$11,058Yes (X)
TONYA HENRY
STAFF PHARMACIST40.00$118,970$0$16,249Yes (X)
DANA HADEN
DIRECTOR OF PHARMACY40.00$128,050$0$5,067Yes (X)
KEITH KIRBOW
CHIEF NURSING OFFICER40.00$137,615$0$23,085Yes (X)
GEORGE NOEL
PHYSICIAN ASSISTANT40.00$115,179$0$17,557Yes (X)
JOHN MCDONALD DO
FORMER MEDICAL STAFF1.00$0$186,936$18,17340.00Yes (X)
VALARIE ALLMAN MD
FORMER VP MEDICAL STAFF1.00$0$351,487$19,62440.00Yes (X)
PAULA BRANDON
FORMER -SR VP PCS1.00$0$208,601$19,62840.00Yes (X)
RAY DELK
FORMER - VP OPERATIONS1.00$0$201,205$19,14340.00Yes (X)
ED BANOS
FORMER CEO0.00$0$668,219$00.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$987,903TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,501,086TotReportableCompRltdOrgAmt
Total Other Compensation$245,366TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
MORRIS AND DICKSON CO LLC
PO BOX 51367SHREVEPORTLA711351367PHARMACY MANAGEMENT SERVICES$2,104,134
ALLEGIANCE HEALTH MANAGEMENT INC
504 TEXAS STREETSHREVEPORTLA71101MEDICAL SERVICES$600,476
CARTER BLOODCARE
2205 HIGHWAY 121BEDFORDTX76021MEDICAL SERVICES$350,141
EXECUTIVE HEALTH RESOURCES INC
PO BOX 822688PHILADELPHIAPA191822688MEDICAL SERVICES$297,825
RENAL TREATMENT CENTERS SE LP
PO BOX 403008ATLANTAGA303843008MEDICAL SERVICES$267,394
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUES621110$94,332,067$94,332,067
DISPRO RECEIPTS621110$3,237,503$3,237,503
LIFE WELLNESS CENTER624200$311,700$311,700
GOVERNMENT FUNDS-TRAUMA AND TERRO624200$95,211$95,211

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,159,168TotalRevenueColumnAmt
Related Or Exempt Func Income$2,159,168RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$100,135,649TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$151,833TotalRevenueColumnAmt
Exclusion$151,833ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$753,353RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$45,430RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$707,923RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$707,923TotalRevenueColumnAmt
Exclusion$707,923ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722210$287,080$287,080
VENDING MACHINES722210$16,727$16,727
FieldValueIRS element (for citing)
Other Revenue Total$303,807OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,299,212TotalRevenueColumnAmt
Related Or Exempt Func Income$100,135,649RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,163,563ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$352,127TotalAmt
Program Services$352,127ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,043,148TotalAmt
Program Services$17,056,557ProgramServicesAmt
Management And General$3,920,045ManagementAndGeneralAmt
Fundraising$66,546FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$380,982TotalAmt
Program Services$282,593ProgramServicesAmt
Management And General$98,389ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,195,007TotalAmt
Program Services$1,643,705ProgramServicesAmt
Management And General$551,302ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,611,618TotalAmt
Program Services$1,204,847ProgramServicesAmt
Management And General$401,616ManagementAndGeneralAmt
Fundraising$5,155FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,674,778TotalAmt
Management And General$3,674,778ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,040TotalAmt
Program Services$4,187ProgramServicesAmt
Management And General$5,853ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$397,878TotalAmt
Management And General$397,878ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,057TotalAmt
Management And General$3,057ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,747,929TotalAmt
Program Services$5,443,131ProgramServicesAmt
Management And General$1,300,728ManagementAndGeneralAmt
Fundraising$4,070FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$28,217TotalAmt
Program Services$21,163ProgramServicesAmt
Management And General$7,054ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$763,850TotalAmt
Program Services$557,477ProgramServicesAmt
Management And General$185,826ManagementAndGeneralAmt
Fundraising$20,547FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,923,244TotalAmt
Management And General$1,923,244ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,936,506TotalAmt
Program Services$1,499,887ProgramServicesAmt
Management And General$435,989ManagementAndGeneralAmt
Fundraising$630FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$134,872TotalAmt
Program Services$134,872ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,949,772TotalAmt
Management And General$1,949,772ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,489,919TotalAmt
Program Services$2,617,439ProgramServicesAmt
Management And General$872,480ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$400,759TotalAmt
Program Services$300,569ProgramServicesAmt
Management And General$100,190ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$35,206,559$35,206,559
NON-MEDICAL SUPPLIES$7,759,811$5,819,858$1,939,953
MEDICAL SUPPLIES AND EQ$5,465,698$5,465,698
PLANT OPERATIONS AND MA$566,874$425,156$141,718

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$504,907TotalAmt
Program Services$504,021ProgramServicesAmt
Fundraising$886FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$96,547,552TotalAmt
Program Services$78,539,846ProgramServicesAmt
Management And General$17,909,872ManagementAndGeneralAmt
Fundraising$97,834FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,349BOYAmt
EOY$1,102EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,770,209BOYAmt
EOY$3,790,736EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,388,033BOYAmt
EOY$13,680,547EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,248,608BOYAmt
EOY$1,403,529EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$308,116BOYAmt
EOY$195,936EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$75,499,671LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,018,595LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,166,647BOYAmt
EOY$20,481,076EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,049,198BOYAmt
EOY$108,509EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,294,360BOYAmt
EOY$1,207,100EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,213,421BOYAmt
EOY$1,246,977EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$67,440,941BOYAmt
EOY$42,115,512EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,976,469BOYAmt
EOY$4,862,890EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,156,504BOYAmt
EOY$36,966,334EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$340,668BOYAmt
EOY$336,117EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,110,469BOYAmt
EOY$1,943,917EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,584,110BOYAmt
EOY$44,109,258EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,920,788BOYAmt
EOY-$3,014,793EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$936,043BOYAmt
EOY$1,021,047EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,856,831BOYAmt
EOY-$1,993,746EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$67,440,941BOYAmt
EOY$42,115,512EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,751,660ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,752NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$26,613,989OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$3,057GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$3,057TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE AMOUNT REPRESENTS THE PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION THAT THE AHA DETERMINED WAS FOR LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$602,390OtherCostOrOtherBasisAmt
Book Value$602,390BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,505,422OtherCostOrOtherBasisAmt
Depreciation$29,760,032DepreciationAmt
Book Value$14,745,390BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$157,149OtherCostOrOtherBasisAmt
Depreciation$91,140DepreciationAmt
Book Value$66,009BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,833,379OtherCostOrOtherBasisAmt
Depreciation$24,792,233DepreciationAmt
Book Value$5,041,146BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$401,331OtherCostOrOtherBasisAmt
Depreciation$375,190DepreciationAmt
Book Value$26,141BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,481,076TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$1,208,270
BOND INTEREST PAYABLE$460,885
OTHER NON CURRENT LIABILITIES$274,762
FieldValueIRS element (for citing)
Total Liability$1,943,917TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$66,149,837TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$11,752NetUnrealizedGainsInvstAmt
Other Revenue$45,430OtherRevenueAmt
Revenue Not Reported$57,182RevenueNotReportedAmt
Revenue Subtotal$66,092,655RevenueSubtotalAmt
Other Revenues Not Included$35,206,557OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$35,206,557RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$101,299,212TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$61,386,425TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$45,430OtherExpensesIncludedAmt
Expenses Not Reported$45,430ExpensesNotReportedAmt
Expenses Subtotal$61,340,995ExpensesSubtotalAmt
Other Expenses Not Included$35,206,557OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$35,206,557ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$96,547,552TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. THE SYSTEM FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE SYSTEM IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE 45,430.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 35,206,559. ROUNDING -2.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 45,430.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 35,206,559. ROUNDING -2.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,191,957TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$702,627DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,489,330NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,694,502TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,591,689DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,102,813NetCommunityBenefitExpnsAmt
Total Expense0.03430TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$709,743TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,415DirectOffsettingRevenueAmt
Net Community Benefit Expns$610,328NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,596,202TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,393,731DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,202,471NetCommunityBenefitExpnsAmt
Total Expense0.06850TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,052TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$119,052NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$341,027TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$341,027NetCommunityBenefitExpnsAmt
Total Expense0.00560TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$460,079TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$460,079NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,056,281TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,393,731DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,662,550NetCommunityBenefitExpnsAmt
Total Expense0.07600TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$33,838,179BadDebtExpenseAmt
Reimbursed By Medicare$20,732,339ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,712,183CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,020,156MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARRISON COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 SOUTH WASHINGTON AVEAddressLine1
CityMARSHALLCity
StateTXState
ZIP Code75670ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.GSMCMARSHALL.ORGWebsiteAddressTxt
State License000020StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HARRISON COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GSMCMARSHALL.ORGOwnWebsiteURLTxt
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HARRISON COUNTY HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 3: GSMC MARSHALL 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 INDUSTRYC.)INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS.INTERVIEWS WERE CONDUCTED BOTH AT THE MEDICAL CENTER AND IN LOCATIONS MORE CONVENIENT FOR THE INFORMANT. ALL INTERVIEWS WERE CONDUCTED BY BKD PERSONNEL USING A STANDARD QUESTIONNAIRE.THE FOLLOWING INDIVIDUALS PARTICIPATED IN OUR KEY INFORMANT INTERVIEW PROCESS:HARRISON COUNTY UNITED WAY, DIRECTORCITY OF MARSHALL, EMS COORDINATORGSMC, DIRECTOR OF PATIENT FINANCIAL SERVICESHARRISON COUNTY, JUDGEGSMC, DIRECTOR OF RADIOLOGYGSMC, DIRECTOR OF ENDOSCOPYGSMC, ACUTE REHABILITATION PROGRAM DIRECTORGSMC, TRAUMA COORDINATORGSMC, DIRECTOR OF MEDICAL AND INPATIENT SURGICAL UNITSGSMC, PHYSICIAN OFFICES OPERATIONS MANAGERGSMC, EXECUTIVE DIRECTOR OF ANCILLARY SERVICESGSMC, CHIEF NURSING OFFICERGSMC, DIRECTOR OF QUALITYGSMC, CLINICAL DIRECTOR OF CAREGSMC, CLINICAL OF FAMILY CARE SERVICESDIRECTOR OF LABORATORY SERVICESGSMC-MARSHALL, CEOGSMC, DIRECTOR OF INTENSIVE CARE UNITHARRISON COUNTY SHERRIFF'S DEPARTMENT, SHERRIFFGSMC, EMERGENCY DEPARTMENT DIRECTOR
HARRISON COUNTY HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 20D: THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES STATES ALL UNINSURED PATIENTS WHO QUALIFY FOR LESS THAN 68% FINANCIAL ASSISTANCE AND COMPLETE THE NECESSARY APPLICATION PROCESS, WILL RECEIVE THE DISCOUNT UNDER THE UNINSURED ADJUSTMENT. THIS AMOUNT IS BASED ON AN AVERAGE OF GSHS MANAGED CARE CONTRACTS DEEPEST DISCOUNTS. THIS AMOUNT WILL BE REVIEWED ANNUALLY BY THE FAP COMMITTEE TO ADJUST FOR CHANGES AS APPROPRIATE.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY THE FOLLOWING MUST BE MET:(1) A RATIO IS DEVELOPED BY DIVIDING THE PATIENT'S INCOME BY THE FEDERAL POVERTY GUIDELINES.(2) THIS RATIO IS MATCHED TO THE FOLLOWING CHART TO DETERMINE AMOUNT ELIGIBLE FOR FINANCIAL ASSISTANCE. RATIO ASSISTANCE0% - 100% 100%101%-200% 80%201%-300% 60%301%-400% 40%401%-500% 20%501%-1000% 0%
PART I, LINE 7:ALLOCATION OF MEDICAID SUPPLEMENTAL PAYMENTSDURING 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 HOSPITAL 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 2014, THE HOSPITAL RECEIVED $3,237,503 OF SUPPLEMENTAL PAYMENTS UNDER THE MEDICAID WAIVER. FOR PURPOSES OF IRS FORM 990 SCHEDULE H REPORTING, THESE PAYMENTS 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".MORE INFORMATION ON THE MEDICAID WAIVER MAY BE FOUND AT HTTP://WWW.HHSC.STATE.TX.US/WAIVER-1115-PROPOSAL.PDF.
PART I, LN 7 COL(F):BAD DEBT EXPENSE IN THE AMOUNT OF $35,206,559 WAS NOT INCLUDED IN TOTAL EXPENSE USED TO COMPUTE THE PERCENTAGE REPORTED IN PART I, LINE 7, COL(F).
PART III, LINE 4:THE INFORMATION IS PROVIDED IN THE ATTACHED AUDITED FINANCIAL STATEMENT ON PAGES 10 AND 11 TITLED PATIENT ACCOUNTS RECEIVABLE.PART III, LINE 2 AND LINE 3: BAD DEBT FROM THE AUDITED FINANCIAL STATEMENT REDUCED BY MEDICAID SUPPLEMENTAL PAYMENTS OF $ 1,368,380. WE DID NOT INCLUDE ANY BAD DEBT AMOUNTS IN COMMUNITY BENEFITS.
PART III, LINE 8:SOURCE OF INFORMATION ON LINE 6 IS THE FYE 09/30/14 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 FOR MEDICARE OUTPATIENT PPS SERVICES. SINCE ALLOWABLE COSTS ARE NOT DETERMINED FOR SERVICES RENDERED TO MEDICARE PATIENTS ENROLLED IN MEDICARE ADVANTAGE (MEDICARE PART C) OR FOR PHYSICIAN SERVICES (SUCH AS EMERGENCY ROOM DOCTORS) BILLED UNDER MEDICARE PART B, NEITHER THE REVENUES OR COSTS RELATED TO THESE SERVICES HAVE BEEN INCLUDED ON LINES 5 OR 6.PART III, LINE 6: MEDICARE ALLOWABLE COSTS WERE DERIVED FROM FYE 9/30/2014 FILED COST REPORT FOR FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS AND COST TO CHARGE RATIOS FOR ALLOWABLE COST AND REIMBURSEMENT.
PART III, LINE 9B:ALL PATIENTS WHO ARE UNDERINSURED OR UNINSURED WILL BE EVALUATED FOR GOVERNMENT PROGRAMS,PAYMENT PLANS, AND FINANCIAL ASSISTANCE. IF ALL ATTEMPTS FAIL, WE WILL CONSIDER EACH ACCOUNT MEETING CERTAIN CRITERIA FOR FINANCIAL ASSISTANCE. ANY ACCOUNT THAT HAS A BALANCE GREATER THAN $10,000 AND HAS NOT QUALIFIED FOR MEDICAID OR COUNTY PROGRAMS WILL BE REVIEWED ON A CASE BY CASE BASIS FOR CHARITY CONSIDERATION. CREDIT REPORTS WILL BE RUN AND SUBMITTED FOR REVIEW. IF THE PATIENT HAS A CREDIT SCORE BELOW 650, AND THE BALANCE IS COMPLETELY OWED BY THE GUARANTOR/PATIENT ON ANY ONE ACCOUNT, CHARITY WILL BE CONSIDERED AT 100%. WRITE-OFFS WILL BE MONITORED THROUGH A SPECIFIC CODE, TO MONITOR AND EVALUATE AS NEEDED FOR CHANGES OR UPDATES. IF AT ANYTIME RECOVERIES ARE OBTAINED AFTER WRITE-OFF, THE CHARITY ADJUSTMENT WILL BE REVERSED AND ADDITIONAL REVIEW OF THE ACCOUNT WILL BE REQUIRED.
PART VI, LINE 2:THE BOARD OF DIRECTORS IS A NON-PAID COMMUNITY BASED BOARD WHO REPRESENTS A BROAD SPECTRUM OF OUR COMMUNITY. THEY GUIDE THE DIRECTION OF THE ORGANIZATION BASED ON THE INFORMATION THEY RECEIVE FROM THEIR CONSTITUENTS, THE PROGRAM CAPABILITIES OF THE ORGANIZATION, AVAILABILITY OF PHYSICIANS AND THE PERFORMANCE OUTCOMES OF THE ORGANIZATION. IN ADDITION, THE GOOD SHEPHERD MEDICAL CENTER-MARSHALL EXECUTIVES AND MID-LEVEL MANAGERS LIVE AND WORK IN THIS COMMUNITY, SURROUNDING COMMUNITIES AND ALL THREE COUNTIES WHICH WE SERVE, AS WELL AS PARTICIPATE IN COMMUNITY ORGANIZATION AT ALL LEVELS. GOOD SHEPHERD MEDICAL CENTER-MARSHALL HAS A GROUP OF OVER 1,100 SENIORS WHO ARE A PART OF OUR EXTRA STEPS PROGRAM WHO PROVIDE US FEEDBACK MONTHLY AT THEIR MEETING WHERE MORE THAN 500 SENIORS ATTEND. IN ADDITION, GOOD SHEPHERD MEDICAL CENTER-MARSHALL HAS A WELLNESS CENTER SERVING 2,900 MEMBERS CALLED THE LIFECENTER WHERE POPULATIONS OF ALL AGES COME TO WORK OUT AND PARTICIPATE IN WELLNESS PROGRAMS. THE CENTER HAS A BOX FOR IDEAS REGARDING IMPROVEMENTS, PROGRAMS, AND SUGGESTIONS. IN ADDITION, LOCAL AND INDIVIDUAL MEETINGS ARE HELD WITH LOCAL BUSINESSES WHERE WE HAVE AN OPEN FORUM/FOCUS GROUP THAT SHARES INFORMATION REGARDING IMPROVEMENT AND PROGRAMS THEY WOULD LIKE TO SEE OUR ORGANIZATION OFFER TO ASSIST IN MEETING THEIR EMPLOYEE'S HEALTHCARE NEEDS. THE CEO PARTICIPATES IN A TASK FORCE TO POTENTIATE GROWTH AND DEVELOPMENT OF OUR COMMUNITY AND THE ASSOCIATED NEEDS REQUIRED TO OBTAIN SUCH GROWTH AND DEVELOPMENT. WE TYPICALLY CONDUCT A FORMAL COMMUNITY ASSESSMENT THROUGH OUR MARKETING DEPARTMENT EVERY 2 YEARS.
PART VI, LINE 3:ANY PATIENT WITH A BALANCE OWED IS PROVIDED A FINANCIAL ASSISTANCE APPLICATION WITH INSTRUCTIONS WHICH LIST THE DOCUMENTS REQUIRED TO PROCESS THE FINANCIAL ASSISTANCE APPLICATION. A CONTACT PERSON IS LISTED FOR ANY QUESTIONS OR CONCERNS AND A FINANCIAL COUNSELOR IS AVAILABLE IF NEEDED. THE FINANCIAL COUNSELOR ALSO GOES TO PATIENT ROOMS TO PERSONALLY ASSIST WHO HAVE BEEN IDENTIFIED AS HAVING NO METHOD OF PAYMENT OR HARDSHIP FOR THE PURPOSE OF ASSISTING PATIENTS WITH THEIR FINANCIAL NEEDS.
PART VI, LINE 4:GOOD SHEPHERD MEDICAL CENTER-MARSHALL IS LOCATED IN THE PINEY WOODS OF EAST TEXAS AND SERVES A RURAL AREA WHICH INCLUDES HARRISON, NORTHERN PANOLA, AND SOUTHERN MARION COUNTIES. THE POPULATION IN EACH OF THESE COUNTIES IS DIVERSE IN INCOME AND ETHNICITY AS INDICATED BELOW. HARRISON COUNTY IS LOCATED IN NORTHEASTERN TEXAS ALONG THE LOUISIANA BORDER. MARSHALL, THE COUNTY SEAT, IS 152 MILES EAST OF DALLAS AND 39 MILES WEST OF SHREVEPORT. THE COUNTY SEAT IS MARSHALL, TEXAS. HARRISON COUNY WAS OFFICIALLY ESTABLISHED IN 1839 AND COMPRISES 984 SQUARE MILES. ACCORDING TO THE 2014 CENSUS ESTIMATES, 16% OF THE HARRISON COUNTY POPULATION LIVES IN POVERTY. 14.5% OF HARRISON COUNTY RESIDENTS ARE AGE 65 OR OLDER. THE CENSUS BUREAU REPORTS THAT ONLY 17.8% OF ADULTS HOLD A COLLEGE DEGREE OR HIGHER LEVEL OF EDUCATION. THIS OFTEN IMPACTS THE AVAILABLE JOBS THAT CAN BE OBTAINED AND WHETHER BENEFITS SUCH AS HEALTHCARE ARE PROVIDED. IN OTHER AREAS OF OUR SERVICE REGION, MARION COUNTY HAS A MEDIAN ANNUAL HOUSEHOLD INCOME OF $31,967, AND 23.2% OF ITS RESIDENTS LIVE IN POVERTY. PANOLA COUNTY HAS A MEDIAN ANNUAL HOUSEHOLD INCOME OF $52,453, AND 12.7% OF ITS RESIDENTS LIVE IN POVERTY. UNEMPLOYMENT IN HARRISON, PANOLA, AND MARION COUNTIES IS CURRENTLY LISTED BETWEEN 4.5-5.9%. IT IS CLEAR THAT WITHIN THE AREA SERVED THERE ARE OBSTACLES TO OVERCOME. MANY FIND IT VERY DIFFICULT TO AFFORD THE COST OF HEALTHCARE SUCH AS IT IS TODAY-BOTH IN BASIC PREVENTION AND IN TREATMENT OF EXISTING AND CHRONIC ILLNESS.
PART VI, LINE 5:THE COMMUNITY BUILDING ACTIVITIES INCLUDE OUR WELLNESS CENTER AND THE PROGRAMS WE OFFER IN AN ATTEMPT TO KEEP OUR COMMUNITY HEALTHY. THE WELLNESS CENTER IS THE HUB OF OUR PROGRAM OFFERING FITNESS AND WELLNESS PROGRAMS FOR INDIVIDUALS, FAMILIES AND BUSINESSES IN OUR COMMUNITY, INCLUDING OUR OWN EMPLOYEES AND THEIR FAMILIES. WE ALSO OFFER A VARIETY OF WATER AEROBICS, ADULT AEROBIC CLASSES, SENIOR EXERCISE CLASSES, SPECIALTY CLASSES, SUCH AS ZUMBA CARDIAC REHAB CLASSES, ETC. WE ALSO OFFER ACUTE, CHRONIC, AND PREVENTATIVE EDUCATIONAL PROGRAMS TO OUR COMMUNITY. WE ARE INVOLVED IN THE SCHOOLS WITH PRENATAL CLASSES FOR PREGNANT TEENS AT THE SCHOOL AND HAVE WORKED WITH THE SCHOOLS ON OBESITY PROGRAMS. IN ADDITION, WE PROVIDE COMMUNITY EDUCATIONAL SERVICES AND PROGRAMS, SUCH AS CPR, CERTIFIED DIABETIC EDUCATION PROGRAMS, WOUND CARE EDUCATION AND PREVENTION, SEATBELT AWARENESS, HARD HATS FOR LITTLE HEADS BICYCLE RODEO PROGRAMS, AND SHOPPING CLASSES FOR THOSE TRYING TO MODIFY THEIR DIET FOR CARDIAC REASONS OR WEIGHT LOSS. WE ALSO OFFER HEALTH FAIRS THROUGHOUT THE YEAR, PROVIDING BASIC SCREENING EXAMS AT NO COST TO OUR COMMUNITY. OUR CASE MANAGEMENT AND SOCIAL SERVICES PROGRAM OFFER THE AVAILABILITY OF EXTERNAL RESOURCES AND PROGRAMS TO ASSIST PATIENTS AND THEIR FAMILIES, SUCH AS WIC AND OTHER GOVERNMENT AND PRIVATE PROGRAMS. THESE ARE JUST SOME EXAMPLES OF THE MANY EDUCATIONAL AND DEVELOPMENTAL PROGRAMS WE HAVE PROVIDED TO OUR COMMUNITY.
PART VI, LINE 6:WE ARE A PART OF GOOD SHEPHERD HEALTH SYSTEM WHICH HAS ALLOWED US TO BETTER OUTREACH AND SERVE OUR CATCHMENT AREA.
LINE 7TEXAS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICKY PAUL MD
PRESIDENT OF MEDICAL STAFF$0$515,092$0$26,783$0$0$0$8,351$0$15,250$0$565,476$0$0
RUSS COLLIER
PRESIDENT/CEO$360,692$0$0$0$0$0$10,200$0$12,573$0$383,465$0$0$0
STEVE ALTMILLER
GSHS PRESIDENT/CEO$0$254,153$0$0$0$0$0$0$0$4,391$0$258,544$0$0
LUIS BALBUENA MD
MEDICAL STAFF REP TO BOARD$0$365,836$0$0$0$0$0$9,291$0$15,587$0$390,714$0$0
GORDEN GREEN MD
VP MEDICAL STAFF$0$294,438$0$0$0$0$0$0$0$9,884$0$304,322$0$0
PAT KEEL
CFO END 5/14/14$0$428,336$0$0$0$0$0$5,100$0$5,155$0$438,591$0$0
KEITH KIRBOW
CHIEF NURSING OFFICER$136,530$0$1,085$0$0$0$5,679$0$17,406$0$160,700$0$0$0
JOHN MCDONALD DO
FORMER MEDICAL STAFF$0$184,397$0$2,539$0$0$0$6,274$0$11,899$0$205,109$0$0
VALARIE ALLMAN MD
FORMER VP MEDICAL STAFF$0$301,341$0$50,146$0$0$0$7,628$0$11,996$0$371,111$0$0
PAULA BRANDON
FORMER -SR VP PCS$0$208,601$0$0$0$0$0$8,393$0$11,235$0$228,229$0$0
RAY DELK
FORMER - VP OPERATIONS$0$201,205$0$0$0$0$0$8,016$0$11,127$0$220,348$0$0
ED BANOS
FORMER CEO$0$0$0$0$0$668,219$0$0$0$0$0$668,219$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationED BANOS SEVERANCE PAYMENT OF $668,219ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HARRISON COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN752740093BondIssuerEIN
CUSIP415221AW0CUSIPNum
Bond Issued2010-09-22BondIssuedDt
Issue Price$43,980,049IssuePriceAmt
PurposeREFUND ESCROWS, CAPITAL PROJECTS AND IMPROVEMENTSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$43,980,049TotalProceedsAmt
In Reserve Fund$3,077,293InReserveFundAmt
Refunding Escrow$31,331,629RefundingEscrowAmt
Issuance Costs From Proceeds$879,600IssuanceCostsFromProceedsAmt
Capital Expenditures$8,691,527CapitalExpendituresAmt
Substantial Completion2013SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6GSHS,INC. IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE MEMBER, GSHS, INC. HAS THE POWER TO APPOINT ONE MEMBER TO THE CORPORATION'S BOARD OF DIRECTORS AND THE POWER TO APPROVE THE REMAINING DIRECTORS NOMINATED TO THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BA NUMBER OF DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL OF THE MEMBER OF THE ORGANIZATION. THESE RESERVED POWERS ARE STATED BELOW: A) THE APPOINTMENT OF ONE MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, AND THE APPROVAL OF THE REMAINING DIRECTORS FOLLOWING THE NOMINATION PROCESS AND SUBJECT TO THE PROVISIONS GOVERNING STAFF DIRECTORS; B) THE REMOVAL OF A MEMBER OF THE ORGANIZATION'S BOARD AND ALSO THE APPROVAL OF REMOVAL AND APPOINTMENTS TO FILL VACANCIES ON THE BOARD AND SET SIZE OF BOARD; C) APPROVE ELECTION AND REMOVAL OF OFFICES OF THE ORGANIZATION AND ESTABLISH, TERMINATE, AND/OR REVISE ALL EMPLOYMENT CONTRACTS, COMPENSATION, AND BENEFIT PACKAGES OF THE OFFICERS OF THE ORGANIZATION 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) APPROVE ALL MERGERS ACQUISITIONS, CONSOLIDATIONS, OR AFFILIATIONS WITH OHTER ENTITIES, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION, OR THE SALE, MORTGAGE, OR ENCUMBRANCE OF ANY PROPERTY OWNED BY THE ORGANIZATION; H) APPROVE THE DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION; I) APPROVE CAPITAL PLANS, STRATEGIC PLANS, AND ANNUAL OPERATING AND CAPITAL BUDGETS; J) APPROVE ANY EXCEPTION TO THE CAPITAL BUDGET FOR A SINGLE ITEM OR RELATED ITEM THAT EXCEEDS $100,000 AND/OR APPROVE ANY AGGREGATE ANNUAL EXPENDITURES THAT EXCEED THE BUDGET BY $50,000; K) SELECT OFFICIAL DEPOSITORIES FOR THE ORGANIZATION'S FUNDS; L) CREATE OR INVEST IN ANY SUBSIDIARY ENTITY OR ENTER INTO ANY PARTNERSHIP OR JOINT VENTURE; M) AUTHORIZE ANY LOANS, GUARANTEES, OR INCURRENCE OF DEBT; N) AUTHORIZE THE COMMENCEMENT OF ANY LITIGATION OR OTHER LEGAL PROCEEDING, 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 O) APPROVE THE ADMISSION OF ADDITIONAL MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11THE 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 AFTER THE SUBMISSION DATE.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURES 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, SECTION B, LINE 15A 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 C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
PART VI SECTION A LINE 1ATHE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE FOUNDATION BETWEEN MEETINGS OF THE BOARD.
FORM 990, PART XI, LINE 9:CONTRIBUTED CAPITAL -5,574,776. INVESTMENT IN MARSHALL FOUNDATION 92,171. MHS RECEIVABLE RESERVE -21,131,384.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
GSHS INC
700 E MARSHALL AVELONGVIEWTX75601752027157SUPPORT GSMCTX501(C)(3)LINE 11B, IIN/A0
MARSHALL HEALTH SERVICES INC
811 SOUTH WASHINGTON AVEMARSHALLTX75670752580686HEALTHCARETX501(C)(3)LINE 3Yes (1)HARRISON COUNTY HOSPITAL ASSOCIATION
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVEMARSHALLTX75670752605699SUPPORTTX501(C)(3)LINE 7Yes (1)HARRISON COUNTY HOSPITAL ASSOCIATION
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVELONGVIEWTX75601751041154HEALTHCARETX501(C)(3)LINE 30GSHS INC
GSHS ADMINISTRATIVE SERVICES ORG INC
700 E MARSHALL AVELONGVIEWTX75601861132471ADMIN SUPPORTTX501(C)(3)LINE 11A, I0GSHS INC
GOOD SHEPHERD MEDICAL CENTER - LINDEN
404 N KAUFMAN STREETLINDENTX75563010829282HEALTHCARETX501(C)(3)LINE 30GSHS INC
GSMC - LINDEN FOUNDATION INC
404 N KAUFMAN STREETLINDENTX75563200845127SUPPORTTX501(C)(3)LINE 11A, I0GOOD SHEPHERD MEDICAL CENTER - LINDEN INC
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVELONGVIEWTX75601237203364SUPPORTTX501(C)(3)LINE 90THE GOOD SHEPHERD HOSPITAL INC
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVELONGVIEWTX75601752056700SUPPORTTX501(C)(3)LINE 11A, I0GSHS INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD AMBULATORY SURGICALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E MARSHALL AVEAddressLine1
CityLONGVIEWCity
StateTXState
ZIP Code75601ZIPCode
FieldValueIRS element (for citing)
EIN900259782EIN
Primary ActivitiesSURGERYPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GSHS ENTERPRISES OPERATING #2BusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
GSHS ENTERPRISES INC
700 E MARSHALL AVELONGVIEWTX75601752027162HEALTHCARETXGSHS INCC0
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVELONGVIEWTX75601752554695INACTIVETXTHE GOOD SHEPHERD HOSPTIAL INCC0
NORTHEAST TEXAS PHYSICIAN SERVICES
700 E MARSHALL AVELONGVIEWTX75601752712245MGMT SERVICESTXGSHS ENTERPRISES INCC0
GOOD SHEPHERD PHYSICIAN SERVICES INC
700 E MARSHALL AVELONGVIEWTX75601752762417MEDICAL SERVICESTXGSHS ENTERPRISES INCC0
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVELONGVIEWTX75601510412465HOLDING COMPANYDEGSHS ENTERPRISES INCC0
GSHS ENTERPRISES OPERATING 1
700 E MARSHALL AVELONGVIEWTX75601752954772HEALTHCAREDEGSHS ENTERPRISES INCC0
GSHS ENTERPRISES OPERATING 2
700 E MARSHALL AVELONGVIEWTX75601752954777HEALTHCAREDEGSHS ENTERPRISES INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MARSHALL HEALTH SERVICES
M$1,230,598CASH PAID
MARSHALL HEALTH SERVICES
A$652,746CASH PAID
MARSHALL HEALTH SERVICES
K$152,963CASH PAID

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