MARSHALL HOSPITAL FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MARSHALL HOSPITAL FOUNDATION (EIN 75-2605699)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201302279349304455
Schema version
2011v1.2
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)
Timestamp2013-08-15T17:35:52-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN440160260EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 POST OAK BLVD STE 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752605699EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARRISON COUNTY COMMUNITY HEALTH CARE FOBusinessNameLine1
Business Name Line2DBA MARSHALL HOSPITAL FOUNDATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHARRNameControl
Phone9039276982Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 SOUTH WASHINGTONAddressLine1
CityMARSHALLCity
StateTXState
ZIP Code75670ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAT KEELName
TitleCFOTitle
Phone9033155177Phone
Date Signed2013-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMANDA MAYAName
PTINP01067777PTIN
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRUSSELL COLLIERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 E MARSHALL AVENUEAddressLine1
CityLONGVIEWCity
StateTXState
ZIP Code75601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts191518GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION WAS FORMED TO IMPROVE AND ENHANCE THE AVAILABILITY OF HEALTH CARE SERVICES AND WELLNESS PROGRAMS IN HARRISON COUNTY, TEXAS AND THE SURROUNDING COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year214117ContributionsGrantsPriorYear
Contributions Grants Current Year185319ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year9861InvestmentIncomePriorYear
Investment Income Current Year6199InvestmentIncomeCurrentYear
Other Revenue Prior Year-39074OtherRevenuePriorYear
Other Revenue Current Year-42186OtherRevenueCurrentYear
Total Revenue Prior Year184904TotalRevenuePriorYear
Total Revenue Current Year149332TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY257179GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15822OtherExpensePriorYear
Other Expenses Current Year911OtherExpensesCurrentYear
Total Expenses Prior Year19822TotalExpensesPriorYear
Total Expenses Current Year258090TotalExpensesCurrentYear
Revenues Less Expenses Prior Year165082RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-108758RevenuesLessExpensesCY
Total Assets BOY872821TotalAssetsBOY
Total Assets EOY756110TotalAssetsEOY
Total Liabilities BOY7953TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY864868NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY756110NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIT 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense258090Expense
Grants257179Grants
Revenue0Revenue
DescriptionTHE MARSHALL HOSPITAL FOUNDATION IS A 501(C)(3) CHARITABLE FOUNDATION THAT WAS FOUNDED IN 2008. 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 BENEFITS 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.Description
Total Program Service Expense258090TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RUSSELL J COLLIERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9039276734TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 S WASHINGTONAddressLine1
CityMARSHALLCity
StateTXState
ZIP Code75670ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
WILLIAM ABNEY
TRUSTEE1.00X000
CHRISTINA ANDERSON
TRUSTEE1.00X000
RUSS COLLIER
CEO1.00X035830924567X
EMMA BENNETT
TRUSTEE1.00X000
GLEN BICKERDIKE
TRUSTEE1.00X000
BRENDA BROWN
VICE CHAIRMAN1.00X000
JIM HARRIS MD
TRUSTEE1.00X000
FLOSSIE JASPER
SECRETARY1.00X000X
ROBERT W PALMER MD
CHAIRMAN1.00X000X
RICKY PAUL MD
TRUSTEE1.00X053923431221
ANGIE RHOADES
TRUSTEE1.00X000
CARL ROTH
TRUSTEE1.00X000
DIANE TAYLOR
TRUSTEE1.00X000
DAVID TITUS
TRUSTEE1.00X000
DIANE TURNER
TRUSTEE1.00X000
CECELIA WOOD
TREASURER1.00X000X
AMANDA WYNN
TRUSTEE1.00X000
BUCK BIRDSONG
TRUSTEE1.00X000
EDWARD D BANOS
CEO1.00X072206715415X
PAT KEEL
CFO1.00X04124445950X
RICHARD A DIAL
TRUSTEE1.00X000
MARTIN CLARK DDS
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2032054TotalReportableCompFrmRltdOrgs
Total Other Compensation77153TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events121802FundraisingEvents
All Other Contributions63517AllOtherContributions
Noncash Contributions3885NoncashContributions
Total Contributions185319TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6199TotalRevenueColumn
Exclusion$6,199ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events121802CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses42186FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-42186TotalRevenueColumn
Exclusion-$42,186ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column149332TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$35,987ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total252179Total
Program Services252179ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionSERVICE CHARGESDescription
Total911Total
Program Services911ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total258090Total
Program Services258090ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY853709BOY
EOY755384EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15979LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15979LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19112BOY
EOY726EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY872821BOY
EOY756110EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7953BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7953BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY694599BOY
EOY268424EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY170269BOY
EOY487686EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY864868BOY
EOY756110EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY872821BOY
EOY756110EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-108758ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184532CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years76040CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years138682CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year237470CurrentTaxYearMinus1Year
Current Tax Year185319CurrentTaxYear
Total822043Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184532CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years76040CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years138682CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year237470CurrentTaxYearMinus1Year
Current Tax Year185319CurrentTaxYear
Total822043Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total178754AmountsSubstContributorsTotal
Public Support Total170643289PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11835CurrentTaxYearMinus4Years
Current Tax Year Minus1 Year9861CurrentTaxYearMinus1Year
Current Tax Year6199CurrentTaxYear
Total27895Total
FieldValueIRS element (for citing)
Total Support849938TotalSupport
Public Support Pertcentage1700.75690PublicSupportPertcentage170
Public Support Pertcent Prior Year0.83920PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12636OtherCostOrOtherBasis
Depreciation12636Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3343OtherCostOrOtherBasis
Depreciation3343Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue149332TotalRevenue
Total Expenses258090TotalExpenses
Excess Or Deficit For Year-108758ExcessOrDeficitForYear
Excess Or Deficit Per FS-108758ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt74607TotRevenueEtcAuditedFinclStmt
Other Revenues42186OtherRevenues
Revenue Not Rptd F99042186RevenueNotRptdF990
Revenue Subtotal32421RevenueSubtotal
Other Revenues Not Included116911OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt116911RevenueNotRptdOnFinStmt
Total Revenue Per Form990149332TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt48098TotExpensesEtcAuditedFinclStmt
Other Expenses Included42187OtherExpensesIncluded
Expenses Not Rptd F99042187ExpensesNotRptdF990
Expenses Subtotal5911ExpensesSubtotal
Other Expenses Not Included252179OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt252179ExpensesNotRptdOnFinStmt
Total Expenses Per Form990258090TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 2009.
ADUSTMENT FOR NONCASH CONTRIBUTIONS, SCHEDULE D, PART XII, LINE 4B
ADJUSTMENT FOR FUNDRAISING EXPENSES, SCHEDULE D, PART XIII, LINE 2D
ADJUSTMENT FOR NONCASH CONTRIBUTIONS, SCHEDULE D, PART XIII, LINE 4B

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1RACE TO WELLNESSNameOfEvent1
Gross Receipts Event1109350GrossReceiptsEvent1
Charitable Contributions Event1109350CharitableContributionsEvent1
Rent Facility Costs Event1755RentFacilityCostsEvent1
Food And Beverage Event110000FoodAndBeverageEvent1
Entertainment Event115000EntertainmentEvent1
Other Direct Expenses Event19927OtherDirectExpensesEvent1
Name Of Event2RED DRESS LUNCHEONNameOfEvent2
Gross Receipts Event212452GrossReceiptsEvent2
Charitable Contributions Event212452CharitableContributionsEvent2
Rent Facility Costs Event2555RentFacilityCostsEvent2
Food And Beverage Event24230FoodAndBeverageEvent2
Entertainment Event2100EntertainmentEvent2
Other Direct Expenses Event21619OtherDirectExpensesEvent2
Gross Receipts Total121802GrossReceiptsTotal
Charitable Contributions Total121802CharitableContributionsTotal
Rent Facility Costs Total Events1310RentFacilityCostsTotalEvents
Food And Beverage Total Events14230FoodAndBeverageTotalEvents
Entertainment Total Events15100EntertainmentTotalEvents
Other Direct Expenses Total Events11546OtherDirectExpensesTotalEvents
Direct Expense Summary Events42186DirectExpenseSummaryEvents
Net Income Summary-42186NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 S WASHINGTON AVEAddressLine1
CityMARSHALLCity
StateTXState
ZIP Code75670ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient750974351EINOfRecipient
IRC Section(C)3IRCSection
Amount Of Cash Grant252179AmountOfCashGrant
Purpose Of GrantTHE PURPOSE OF THE GRANTS IS TO HELP FUND SPECIAL PROJECTS THROUGHOUT THE HOSPITAL AND HELP FURTHER THEIR EXEMPT PURPOSE.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RUSS COLLIER
03036050547040001470009867038287600
RICKY PAUL MD
0377276016195800016500014721057045500
EDWARD D BANOS
05112440210823000612509290073748200
PAT KEEL
0319408093036000005950041839400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION ENGAGES AN OUTSIDE FIRM TO AUDIT THE ORGANIZATION. THE RETURNS ARE PREPARED INTERNALLY AND REVIEWED BY AN EXTERNAL ACCOUNTING FIRM. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURES 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 15MARKET SURVEYS ARE EMPLOYED TO DETERMINE SALARY RANGES FOR KEY POSITIONS. THE BOARD OF DIRECTORS APPROVE EXECUTIVE 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 VII SECTION(A), LINE 1(A) COLUMN(B)EDWARD BANOS RELATED ORGANIZATION 40 HOURS RUSS COLLIER RELATED ORGANIZATION 40 HOURS RICKY PAUL RELATED ORGANIZATION 40 HOURS PAT KEEL RELATED ORGANIZATION 40 HOURSAVERAGE HOURS FOR RELATED ORGANIZATIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
CHAMPION EMS
2201 S MOBBERLY AVELONGVIEWTX75604752747708MED TRANSPORTTX501(C)(3)LINE 11B, IITHE GOOD SHEPHERD HOSPITAL INC0
GSHS INC
700 E MARSHALL AVELONGVIEWTX75601752027157SUPPORT GSMCTX501(C)(3)LINE 11B, II0N/A
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVELONGVIEWTX75601237203364SUPPORTTX501(C)(3)LINE 9THE GOOD SHEPHERD HOSPITAL INC0
THE GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVELONGVIEWTX75601751041154HEALTHCARETX501(C)(3)LINE 3GSHS INC0
GOOD SHEPHERD MEDICAL CENTER-LINDEN
404 N KAUFMAN STREETLINDENTX75563010829282HEALTHCARETX501(C)(3)LINE 3GSHS INC0
GSMC-LINDEN FOUNDATION INC
404 N KAUFMAN STREETLINDENTX75563200845127SUPPORTTX501(C)(3)LINE 11A, IGOOD SHEPHERD MEDICAL CENTER - LINDEN0
GSHS ADMINISTRATIVE SERVICES ORGANIZATION
700 E MARSHALL AVELONGVIEWTX75601861132471ADMIN SUPPORTTX501(C)(3)LINE 11A, IGSHS INC0
MARSHALL HEALTH SERVICES INC
811 SOUTH WASHINGTON AVENUEMARSHALLTX75670752580686HEALTHCARETX501(C)(3)LINE 3HARRISON COUNTY HOSPITAL ASSOCIATION0
HARRISON COUNTY HOSPITAL ASSOCATION
811 SOUTH WASHINGTON AVENUEMARSHALLTX75670750974351HEALTHCARETX501(C)(3)LINE 3GSHS INC0
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVELONGVIEWTX75601200845127SUPPORTTX501(C)(3)LINE 11A, IGSHS INC0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD AMBULATORY SURGICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 E MARSHALL AVEAddressLine1
CityLONGVIEWCity
StateTXState
ZIP Code75601ZIPCode
FieldValueIRS element (for citing)
EIN900259782EIN
Primary ActivityAMBULATORY SURGERYPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GSHS ENTERPRISES OPERATING #2 INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVELONGVIEWTX75601752554695INACTIVETXGOOD SHEPHERD MEDICAL CENTERC
GSHS ENTERPRISES INC
700 E MARSHALL AVELONGVIEWTX75601752027162HEALTHCARETXGSHS INCC
NORTHEAST TEXAS PHYSICIAN SERVICES
700 E MARSHALL AVELONGVIEWTX75601752712245MGMT SERVICESTXGSHS ENTERPRISES INCC
GS PHYSICIAN SERVICES INC
700 E MARSHALL AVELONGVIEWTX75601752762417MEDICAL SERVICESTXGSHS ENTERPRISES INCC
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVELONGVIEWTX75601510412465HOLDING COMPANYDEGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 1
700 E MARSHALL AVELONGVIEWTX75601752954772HEALTHCAREDEGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 2
700 E MARSHALL AVELONGVIEWTX75601752954777HEALTHCAREDEGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 3
700 E MARSHALL AVELONGVIEWTX75601710896512HEALTHCAREDEGSHS ENTERPRISES INCC
GSHS MEDICAL PLAZA LTD
700 E MARSHALL AVELONGVIEWTX75601752955157HEALTHCARETXGSHS ENTERPRISES OPERATING #1 INCC
GSHS MEDICAL PLAZA III LTD
700 E MARSHALL AVELONGVIEWTX75601731654263HEALTHCARETXGSHS ENTERPRISES OPERATING #3 INCC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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